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Trump/Covid-19 Timeline

Photo of Donald Trump

The year 2020 will become known as the year of the Covid-19 pandemic.  It will also mark Donald Trump’s worst year as president–the year he ignored the warnings, failed to listen to experts, dismissed and downplayed a deadly contagion until it was too late, and then tried to ignore it as the economy tumbled and he fought to be reelected while American deaths mounted and he blamed everyone but himself for his failures.  This timeline of the Covid-19 pandemic and Trump’s response to it paints an alarming picture of just how badly the president miscalculated and, when the country needed a wise, compassionate, and decisive leader, what we got instead was a buffoon whose failed leadership caused needless deaths and economic destruction.


Covid-19 originated in China, who initially covered up the outbreak, but the Trump administration was not prepared for a pandemic and spent more than a month dismissing the threat once it became known.

2017                Trump ignores the pandemic playbook and pandemic role play prepared by the Obama administration and given to his incoming team after the 2016 presidential election

2018                Trump fires the pandemic response team and cut the CDC’s Budget

2019                Trump ignores Intelligence warnings about the outbreak in China

12/18/19         House Impeaches Trump

12/31/19         China alerts WHO of virus outbreak

1/1/20             Trump refuses WHO test kits and instead denies the seriousness of Covid-19, even mocking it

1/3/20             White House, CDC and NSC informed by China of their outbreak

1/6/20             Countries around the globe begin to take action

1/7/20             Trump warned by US intelligence agencies of the dangers of this new virus

1/8/20             First CDC warning to the White House and public

1/9/20             Trump campaign rally

1/14/20           HSS drafts the Defense Production Act for President’s signature

1/14/20           Human-to-human transmission revealed in China

1/14/20           Trump campaign rally

1/16/20           House sends impeachment articles to Senate

1/17/20           CDC calls Covid-19 a low risk for Americans.

1/18/20           Testing centralized; begins in CDC labs ONLY- 4 tests. Other labs are forbidden to test

1/18/20           Trump golfs

1/19/20           Trump golfs

1/20/20           First case of corona virus in Washington State

1/22/20           Trump:  “We’re not worried about a pandemic.  We have it totally under control. It’s one person coming in from China. Not a pandemic. It’s going to be just fine.”

1/23/20           China fatality rate at 4%, locks down 11 million Chinese.

1/24/20           Trump praises China instead of taking action to prepare for prevention, testing and PPE. Obama playbook ignored. Instead, Trump systemically undercut or dissolved the systems, organizations, personnel and plans to address a pandemic crises.

Trump’s grandstanding took precedence over a calm, reasoned, and effective response to the growing pandemic

1/28/20           Trump campaign rally

1/29/20           5 confirmed cases in the U.S.

1/29/20           Peter Navarro warns that half a million could die in U.S.

1/30/20           HHS Secretary Azar warns Trump of catastrophic effects in the virus

1/30/20           Trump campaign rally

1/31/20            820 tests to date—still in CDC labs only.     Despite numerous daily intelligence briefings during the month, Trump ignores the warnings.  WHO declares a Public Health Emergency.

2/1/20             Trump golfs

2/2/20             Trump:  “We pretty much shut it down coming in from China.” Travel restrictions from China implemented.

2/5/20             Senate votes to acquit. Then takes a five-day weekend.

2/6/20             11 confirmed cases in the U.S.

2/10/20           During a Trump campaign rally, he says, “They’re working hard.  Looks like by April it all miraculously goes away.”

2/12/20           Dow Jones closes at an all-time high of 29,551.42

2/13/20           13 confirmed cases in the U.S.

2/15/20           Trump golfs

2/19/20           Trump campaign rally

2/20/20           Trump campaign rally

2/21/20           Trump campaign rally

2/24/20           Trump:  “The Coronavirus is very much under control in the USA.  The stock market is starting to look very good to me!”

2/25/20           Trump:  “CDC and my administration are doing a GREAT job of handling Coronavirus.”

2/25/20           Trump:  “I think that’s a problem that’s going to go away.  They have studied it. They know very much. In fact, we’re very close to a vaccine.”

2/26/20           Trump:  “The 15 (cases in the US) within a couple of days is going to be down to close to zero.”  He puts Pence in charge of the coronavirus task force.

2/26/20           Trump:  “We’re going very substantially down, not up.” Also “This is a flu. This is like a flu”; “Now, you treat this like a flu”; “It’s a little like the regular flu that we have flu shots for. And we’ll essentially have a flu shot for this in a fairly quick manner.”

2/26/20           Trump:  “Because of all we’ve done, the risk to the American people remains very low.”

2/27/20           Trump:  “One day it’s like a miracle, it will disappear.”

2/27/20           16 confirmed cases in the U.S.

2/28/20           Trump:  “We’re ordering a lot of supplies. We’re ordering a lot of, uh, elements that frankly we wouldn’t be ordering unless it was something like this. But we’re ordering a lot of different elements of medical.”

2/28/20           At a campaign rally, Trump says, “So far we have lost nobody to coronavirus in the United States.”  His adoring crowd cheers.  He says that Covid-19 is the new #DemHoax.

2/29/20           2,434 tests in February at CDC labs; 754 at Public Health labs.  FDA loosens regulations on medicine/vaccine testing.

2/29/20           68 confirmed cases in the U.S.; first death is recorded.

2/29/20           Clinical labs are finally allowed to test. Over a month of critical response wasted. (April 18 Quote from The Lancet, a respected medical journal: “During the brief window when containment of the virus might have been a possibility, the CDC retained control of all testing, preventing external academic and commercial test development, and processing only about 100 samples per day. The US Food and Drug Administration has also created barriers through its requisite approval scheme for all diagnostics.”)

3/2/20             Trump:  “You take a solid flu vaccine, you don’t think that could have an impact, or much of an impact, on corona?”

3/2/20             Trump:  “A lot of things are happening, a lot of very exciting things are happening and they’re happening very rapidly.”

3/4/20             Trump:  “If we have thousands or hundreds of thousands of people that get better just by, you know, sitting around and even going to work — some of them go to work, but they get better.”

3/5/20             Trump:  “I NEVER said people that are feeling sick should go to work.  The United State has, as of now, only 129 cases and 11 deaths. We are working very hard to keep these numbers as low as possible”

3/6/20             214 confirmed cases in the U.S.

3/6/20             Trump:  “I think we’re doing a really good job in this country at keeping it down.  A tremendous job at keeping it down.”

Photo of wrapped corpse
The death rates began climbing so rapidly that some cities could not respond to burial needs except with mass graves.

3/6/20             Trump:  “Anybody right now, and yesterday, anybody that needs a test gets a test. They’re there. And the tests are beautiful…. the tests are all perfect like the letter was perfect. The transcription was perfect. Right? This was not as perfect as that but pretty good.”

3/6/20             Trump:  “I like this stuff. I really get it. People are surprised that I understand it.  Every one of these doctors said, ‘How do you know so much about this?’ Maybe I have a natural ability.  Maybe I should have done that instead of running for president.”

3/6/20             Trump doesn’t want a cruise ship in San Francisco to allow infected Americans to leave the ship.  Trump:  “I don’t need to have the numbers double because of one ship that wasn’t our fault.”

3/7/20             Trump golfs

3/8/20             Trump golfs

3/8/20             Trump:  “We have a perfectly coordinated and fine-tuned plan at the White House for our attack on Coronavirus.”

3/9/20             Trump:  “This blindsided the world.  No one saw this coming.”

3/11/20           WHO declares Covid-19 a pandemic.  Trump and Fox news continue to call Covid-19 a hoax and fake news while the U.S. reaches 1,285 confirmed cases.  Trump declares:  “This is the most comprehensive and aggressive effort to confront a foreign virus in modern history.”

3/12/20           Trump again calls Covid-19 a “foreign virus” and blames Europe for its spread to the U.S.  He imposes a ban on travel from most European countries.  Schools across the country begin closing and the NBA cancels its season.

3/13/20           1,896 confirmed cases in the U.S.

3/13/20           Trump declares a state of emergency     Some states begin restrictions on events and experts advise social distancing.

3/14/20           With the addition of clinical labs, a total of 10,000 tests have been conducted in US.  South Korea is conducting 10,000 a day with no nationwide shutdown.

3/16/20           After more than two weeks of urging by epidemiologists and medical experts, Trump finally urges safe distancing.  States begin to lock down.  Broadway closes.   In Europe, countries are closing their borders and banning large gatherings.

3/17/20           Trump:  “This is a bad one.  This is a very bad one.  This is a pandemic,” he tells reporters, “I felt it was a pandemic long before it was called a pandemic.”

3/18/20           Trump:  “It’s not racist at all. No. Not at all. It comes from China. That’s why. It comes from China. I want to be accurate.”

3/18/20           The U.S. death toll to Covid-19 passes 100, and the infections have spread to all 50 states

3/19/20           A record 281,000 Americans file for unemployment this week

3/20/20           18,747 confirmed cases in the U.S.  When asked by a reporter what he would say to Americans who are scared right now, Trump replies, “I say you’re a terrible reporter.”

3/20/20           Trump announces that he will invoke parts of the Defense Production Act to increase the production of ventilators

3/23/20           Dow Jones closes at 18,591.93, its low point since 2/12/20.  The Dow has dropped by 37% in just over a month.  Trump panics at the devastation to the economy.  Trump:  “We can’t let the cure be worse than the problem.  America will soon be reopened for business.”  There are 43,847 confirmed cases in the U.S., 786 deaths, and now more than 100 people dying every day.

Photo of NY Governor Andrew Cuomo
At the peak of the crisis in March, the voice of reason most Americans turned to was New York Governor Andrew Cuomo

3/24/20           Trump says we are ending our historic battle with the invisible enemy.  53,736 confirmed cases; 1,011 deaths.

3/25/20           3.3 million Americans file for unemployment.  Congress agrees on a $2 trillion stimulus to rescue the economy.  Wall Street surges on the news.

3/26/20           US becomes world leader in Covid-19 cases.  At a G7 video conference meeting, a joint statement is scrapped after the U.S. insists on calling Covid the “Wuhan virus.”

3/27/20           103,321 confirmed cases in the U.S.  Trump signs the Coronavirus Aid, Relief, and Economic Security Act.  The U.S. is now officially the global epicenter of the pandemic with more than 82,000 confirmed cases—a number that is rising rapidly.

3/30/20           Trump predicts that the country will be fully open for business by Easter and says that a “win” is near.  Daily coronavirus briefings have replaced Trump’s rallies, and he brags about his TV ratings.  Meanwhile, infectious disease expert Dr. Anthony Fauci says as many as 200,000 Americans could die from the virus even if the country takes aggressive action now.

3/31/20           164,620 confirmed cases in the U.S. and 3,170 deaths; Trump pushes untested drugs, Hydroxychloroquine and Azithromycin.

3/31/20           Resource acquisition and distribution is finally centralized, but only partially, allowing FEMA to steal resources ordered by states. Testing is far below requirements due to regulations, lack of equipment, and money.

4/1/20             Trump’s White House coronavirus briefings replace his rallies as his daily dose of public exposure.  Drs. Fauci and Brix become fixtures during the briefings.

4/2/20             Nearly one million cases globally.  U.S. hospitals running out of ventilators, masks, and PPE as hospitalizations increase dramatically.

4/2/20             6.6 million Americans file for unemployment

4/3/20             277,205 confirmed cases in the U.S.  In the absence of a federally coordinated response, states scramble to find essential medical equipment.  Massachusetts turns to the New England Patriots to fly masks in from China.

4/5/20             337,072 confirmed cases; 12,375 deaths.  As cases and deaths rise dramatically, Trump says, “We’re starting to see light at the end of the tunnel.  We can never be happy when we see so many people dying, but we’re going to be very happy at the job we did to keep the deaths down to an absolute minimum.”

4/6/20             374,328 confirmed cases in the U.S.  He continues to tout hydroxychloroquine, although medical experts say it is unproven and could be dangerous.

4/7/20             One American is dying of Covid-19 every 45 seconds

4/8/20             Trump says he will freeze funding for the WHO, which he falsely accuses of downplaying the pandemic.  Minutes later he denies saying what he just said.

4/9/20             Most people, even those with symptoms, still cannot get tested.  FEMA is diverting/stealing tests, PPE, and Ventilators that states ordered and purchased.

4/9/20             463,600+ confirmed cases in the U.S.; 16,500+ deaths

4/10/20           As mass burials are taking place in New York City, Trump says he wants a “big bang” reopening of the entire country on May 1.

4/13/20           578,178 confirmed cases in the U.S.; 23,401 deaths.  Trump:  “The president of the United States calls the shots.  If we weren’t here for the states, you would have had a problem in this country like you’ve never seen before.”

4/14/20           Trump denounces state governors who say they will reopen their states on their own terms.  Trump declares, “My authority is total!”  NY’s Governor Cuomo remarks:  “We don’t have a king.”

4/14/20           The Treasury Department announces that stimulus checks will be delayed while they add Donald Trump’s name to the checks.

4/14/20           CDC sends a 60-page “Guidance for Implementing the Opening Up America Again Framework” to the White House, where it is shelved, releasing only 17 pages of excerpts that support Trump’s campaign to reopen the economy at all costs, even human lives.  Trump calls those dying of Covid-19 “warriors.”

4/16/20           667,592 confirmed cases in the U.S.  34,844 deaths.  Trump’s advisors tell him that if the governors call the shots on when to reopen their states, then he can’t be blamed if it’s too early.  He reverses course and says governors have the authority.

4/17/20           Trump encourages his base to protest state governors who will not violate his own guidelines for reopening their states

4/18/20           As protests over the lock down rise up across the country, Trump jumps on the bandwagon and tweets:  “LIBERATE MINNESOTA  LIBERATE MICHIGAN  LIBERATE VIRGINIA,” although those states do not meet federal guidelines for reopening

Sign in store window: closed until further notice
With the economy tanking and 40 million Americans out of work, Trump panicked and began pushing for the lock downs to end

4/16/20           758,809 confirmed cases in the U.S.; 40,945 deaths.  Trump:  “We would have had millions of deaths instead of it looks like we’ll be at the 60,000 mark.”

4/21/20           Trump temporarily suspends all immigration, while the feds continue to deport illegal immigrants, including many who have Covid-19

4/21/20           Republican governor Kemp of Georgia begins easing restrictions, despite expert advice not to and rising Covid-19 infection rates in his state

4/22/20           Trump backs away from his ban on immigration

4/23/20           After urging states to reopen, Trump criticizes George Republican Governor Kemp for opening George, saying, “It’s just too soon.”  CDC Director Redfield says the virus will return in the fall.  Trump says Redfield was “misquoted,” but Redfield says he wasn’t.  Dr. Fauci agrees with Redfield and incurs Trump’s wrath.

4/24/20           During his daily coronavirus briefing, Trump muses on whether drinking Lysol disinfectant or somehow shining ultraviolet light inside the body might kill the virus.  There is immediate backlash and the Lysol company says, “Don’t do it.”

4/26/20           The U.S. nears 1 million Covid-19 cases.  More then 200,000 people have died globally.

4/28/20           1,012,582 confirmed cases in the U.S.; 58,355 deaths.  Trump:  “I think what happens is it’s going to go away and whether it comes back in the fall we’ll be able to handle it.  We are very prepared to handle it.”

4/29/20           VP Pence visits the Mayo Clinic in Minneapolis and refuses to wear a mask, although the Clinic requires it.  Trump announces a plan to expand testing, but the overwhelmed states can’t find the equipment, and Trump says the feds aren’t responsible for providing the equipment, while proclaiming that he is a wartime president and is in charge.

4/30/20           Dr. Fauci hails remdesivir, an experimental drug that could speed up recovery time in people infected with Covid-19.

4/30/20           During April, confirmed cases in the U.S. exceed 1.04 million; 60,966 deaths.  Total Tests completed by 4/30/20:  6.2 million, which is approximately 2% of a total population of 331 million.  Trump blames WHO and threatens to pull funding on 4/14.  He also blames the Chinese for not informing the world about the virus (which they did on 12/31/19).  And he blames Obama and the nation’s governors.  Demonstrations against the lockdown occur in some states.  Trump continues his campaign to prevent oversight of his pandemic response by bullying and intimidating or firing key officials and replacing them with his unqualified cronies.

5/1/20             More than 30 million Americans have filed unemployment claims.  Food banks are running out of food as demand spikes.  The Federal Reserve says the U.S. economy is in its worst shape ever.  More than half U.S. states will reopen partially by week’s end despite not meeting White House guidelines for reopening

5/2/20             The White House bars Dr. Fauci from testifying before a House subcommittee.  Trump increasingly disgruntled at Fauci not going along with the party line.

5/4/20             Trump admits that the U.S. death toll could reach 80,000 or 100,000, but praises his administration’s response to the pandemic while urging more states to reopen.

5/6/20             As the U.S. death toll passes 60,000, Trump says he’ll disband the coronavirus task force by the end of the month and pushes hard for the country to reopen.

5/7/20             33.5 million Americans have filed for unemployment.  Trump’s coronavirus task force now focused on reopening the country.

5/8/20             White House rejects a CDC report on how to reopen safely, says the report is “too prescriptive.”  More than 33 million have filed for unemployment.  The death toll passes 75,000.

5/8/20             1,283,929 confirmed cases in the U.S.; 77,180 deaths.  Trump:  “We may be talking about 95,000 people ultimately.”

5/9/20             Three White House aides have Covid-19

5/12/20           Attorney General Barr drops charges against Michael Flynn.  Trump says, “We have met the moment and we have prevailed” as U.S. deaths pass 80,000.  He claims that anyone who wants a test can get one, which is untrue.

5/13/20           Dr. Fauci warns that opening the economy too quickly could cause an uncontrollable outbreak, leading to unnecessary suffering and death.  He particularly warns about reopening schools.  Trump:  “To me it’s not an acceptable answer, especially when it comes to schools.”

5/14/20           1,417,774 confirmed cases; 85,898 deaths.  Dr. Rick Bright testifies before Congress:  “Without clear planning and implementation of the steps that I and other experts have outlined, 2020 will be the darkest winter in modern history.”  Trump:  “We can say what you want about the flu, but I’ve never lost anybody to the flu.  People are dying anyway.”

5/15/20           The U.S. surpasses 10 million people tested for Covid-19 (barely 3% of the population).  Trump calls testing “overrated” and in one of his most inane statements yet says, “If we didn’t do any testing, we would have very few cases.”

5/16/20           1,443,397 confirmed cases in the U.S.; 87,568 deaths.

5/16/20           Dr. Rick Bright, fired director of the Biomedical Advanced Research and Development Authority cites the reasons why the U.S. leads the world in Covid-19 deaths.  In testimony before Congress, Bright’s key points are:

  • Refusal to heed early warnings from abroad
  • Refusal to listen t expert advice from within the U.S. healthcare system
  • Punishing those seeking to implement a timely strategy
  • Lying to the American public about the pandemic
  • Failing to provide enough tests soon enough
  • Failing to produce adequate medical equipment soon enough
  • Refusing to get samples of the virus necessary for work on vaccines and therapeutics
  • Prioritizing contracts for companies connected to Trump or the Kushner family
  • Failing to implement enforceable social distancing and face protection protocols
  • Failing to lead by example (i.e., Trump and other federal officials refusing to practice social distancing and wearing masks)
  • Failing to formulate a coordinated national response to the pandemic

5/19/20           1,508,957 confirmed cases in the U.S.; 90,369 deaths.  Trump announces that he’s been taking hydroxychloroquine, the unproven anti-malarial drug the FDA warns could cause heart problems and should not be taken outside of a clinical setting.

5/20/20           Despite dismissing testing 5 days ago, Trump says that the U.S. having the highest number of Covid-19 cases is “a badge of honor” because it means the country is testing more people.  “It’s a great tribute to the testing and all the work that a lot of professionals have done.”

5/21/20           Researchers from Colombia University say that if the U.S. had locked down just two weeks earlier than it did, 84% of the deaths could have been avoided.  Global Covid-19 cases surpass 5 million.

5/22/20           1,577,758 confirmed cases in the U.S.; 94,729 deaths.

5/23/20           Trump golfs as U.S. deaths near 100,000.  Medical journal The Lancet reports that hydroxychloroquine not only doesn’t prevent Covid-19, it has harmful side effects, including death.  But sales of the drug have soared after Trump endorsed it and said he is taking it.

5/24/20           Trump declares that churches are “essential” and demands that they reopen.  He says he’ll override governors who refuse.  Church attendance soars as a result; however, Trump skips church to go golfing again as the U.S. death toll climbs

5/25/20           Trump continues to refuse to wear a mask, even when all around him are required to do so.

5/25/20           In Minneapolis, George Floyd, a black man, is murdered by a white police officer, sparking nationwide protests.

5/26/20           1,643,499 confirmed cases in the U.S.; 97,722 deaths.  Trump:  “We would have had anywhere from ten to twenty or twenty-five times the number of deaths if we didn’t act the way we did.  And also if we didn’t act swiftly.”

5/27/20           1,681,418 confirmed cases in the U.S.; 98,929 deaths.

5/27/20           As the U.S. nears 100,000 deaths from Covid-19, Trump holds the last daily televised briefing with the coronavirus task force.  After this date, he shifts his emphasis from fighting the virus to reopening the country—despite the rising death toll across the country.

5/28/20           U.S. passes a grim milestone:  1,699,933 confirmed cases and 100,442 deaths.  In four months, Covid-199 has killed more Americans than in the wars of Vietnam, Iraq, and Afghanistan combined.

5/29/20           Protests occur in dozens of U.S. cities over the continued lockdown.  Covid fatigue is setting in.

5/30/20           Trump cuts U.S. ties with the WHO.

5/31/20           1,770,384 confirmed cases in the U.S.; 103,781 deaths.  Continuing large protests over George Floyd’s murder raise concerns about the Covid-19 infection rate increasing among protesters, who are shouting, not remaining socially distant, and, for the most part, not wearing masks.

6/2/20             Trump hasn’t spoken to Dr. Anthony Fauci in two weeks.

6/3/20             1,831,821 confirmed cases in the U.S.; 106.181 deaths.  Infections spiking in Latin America.

6/5/20             1,872,660 confirmed cases in the U.S.; 108,211 deaths.  Nearly 43 million Americans have filed for unemployment; the unemployment rate nears 20%.

6/8/20             New Zealand says it is free of Covid-19—no active cases.  1,942,363 confirmed cases in the U.S.; 110,514 deaths.

6/9/20             Nearly half of U.S. states reporting an increase in cases since the lockdowns have been lifted.  The U.S. officially entered a recession in February 2020.

6/10/20           U.S. exceeds 2 million infected with Covid-19:  2,000,464; 112,924 deaths.

6/11/20           Trump declares victory over Covid-19, saying that the virus is now reduced to embers and ashes.  The data says otherwise.  Pence tweets a photo of himself with campaign workers—none wearing masks and no social distancing.

6/12/20           Trump golfs.  He plans to resume political rallies and will require attendees to sign a waiver that they won’t sue his campaign or the venue if they become infected.

6/13/20           Trump golfs again.  2,048,986 confirmed cases in the U.S.; 114,669 deaths.

6/14/20           Pence praises the steady decline Covid-19 hospitalizations and deaths across the country; however, the rate of infections in many states is climbing.  2.074,526 confirmed cases in the U.S; 115,436 deaths.

6/15/20           New York state lifts its lockdown; many people ignoring safe distancing and mask guidelines.

6/16/20          Hong Kong, Singapore, and Beijing imposing new lockdowns as infections climb.  States in the west, southwest, and south see an uptick in cases after restrictions are eased too soon.  2,114,026 confirmed cases in the U.S.; 116,127 deaths.

6/17/20          The number of new Covid-19 cases surged in some states–growing by more than 50% in ten states.  Pence says that the number of cases in Oklahoma has dropped precipitously–which is not true.  In fact, the number of new cases reached a high, including in Tulsa, where Trump is holding a rally on Saturday.

6/18/20          2,163,290 confirmed cases, but scientists suspect the actual number may be much higher; 117,717 deaths.

6/19/20          Trump says the virus is “fading away.”  More than 700 more Americans die from Covid-19 in the past 24 hours.

6/20/20          Trump holds a campaign rally in Tulsa, claiming beforehand that more than a million people wanted tickets.  The actual crowd is just over 6,000 in an arena that holds 19,000.  Many empty seats.  An outdoor overflow rally where 40,000 are expected is cancelled when only 25 people show up.  In the arena, there is little social distancing and few masks.  Eight Trump staffers test positive for the virus, along with two secret service agents.

6/21/20           Florida reports more than 4,000 new cases in a single day–a new record.  Eight other states are reporting record increases in infections.  Trump declares that Covid-19 is “fading away” and goes golfing.

6/22/20           The WHO reports the single largest increase in coronavirus infections globally.  Beijing closes down again. Rapid rise in cases in Brazil.


Photo credits:  Covid-19 death (By PPK_studio: shutterstock); NY Governor Andrew Cuomo (By Hans Pennink: shutterstock); Closed until further notice (JakeOwenPowell:  shutterstock)


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Pandemic Life by Robert Greenberg

Photographer Robert Greenberg, who lives outside Washington, D.C., has captured some haunting black and white shots of life during the Covid-19 pandemic.  We all seen the masks, the covered faces, the looks of resignation and wariness in the eyes, the slumped shoulders, and safe distance between people.  Bob’s photographs put a partially concealed human face on the tragedy, as well as the despair of shuttered stores and lives and the emptiness of streets in a time when we dread continued isolation and pray for a return to normalcy.  I am offering these photos without comment.  They speak for themselves.



















Photographs courtesy of Robert Greenberg.  Copyright 2020.  All rights reserved.


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April 13, 2020. Covid-19 continues to ravage our country

April 13, 2020.  During the past month, Covid-19 has galloped along, infecting more than 1.9 million people globally and killing 118,623.  The United States has 572,587 cases that have been counted, but because testing has been so inadequate (and remains inadequate), the exact number of infected people in America is unknown.  Likewise, more than 23,000 Americans have been declared dead because of the novel coronavirus, but that number is also suspect because it doesn’t not include people who may have died at home of the disease.  The economy is in free fall because so many businesses have been shut down.  Virtually all restaurants are take-out only, and all gatherings of people over a very small number have been banned.  None of the major league sport are playing, schools have been shuttered, retail stores are empty, and the disease is spreading rapidly among the military, firefighters, and police.  Most distressing is the situation at hospitals.  In areas hardest hit, hospitals are operating like third-world countries–with ragged staff, too few supplies, and precious few ventilators for the most seriously ill.  Trump and his allies continue to blame everyone but themselves for their slow response to the crisis and their inept handling of it since it began, but it’s clear to anyone who’s conscious that Trump has mismanaged this crisis from the start.  Initially, he dismissed the threat, saying that only a few Americans would become infected and claiming that a “miracle” would occur to wipe out the virus.  In his ignorance and arrogance, he has continually deflected criticism, given ventilators as political favors to Republicans like Cory Gardner of Colorado, and claimed that while he saw himself as a wartime president, he and the Federal government were “backups” to the states.  His horrendous misjudgments have cost lives, yet his staunchest supporters continue to think he walks on water.  His administration is a colossal farce amidst one of the greater natural disasters of the modern era.

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Nationalism and Its Malcontents

The cold wind of intolerance, authoritarianism, and nationalism is blowing across America and Europe. The unexpected rise of Trump as the presumptive Republican nominee in the United States and the recent political stirrings in Europe are oddly built of the same cloth. Intolerance of non-citizens, the belief that present governments have subordinated their countries best interests for outsiders, and the need for new leaders, whose view of their countries best interests seems to call for an upending of the joint efforts to build a collective defense system like NATO and an economic union like the EU. They are united in their belief that each individual country should do what’s best for their sovereignty, rather than build co-operative relations between countries.

—HuffPost, December 6, 2017


When Donald Trump vowed to “Make America Great Again!” he was echoing the campaign of Ronald Reagan in 1980. Back then voters sought renewal after the failures of the Carter presidency. This month they elected Mr. Trump because he, too, promised them a “historic once-in-a-lifetime” change.

But there is a difference. On the eve of the vote, Reagan described America as a shining “city on a hill.” Listing all that America could contribute to keep the world safe, he dreamed of a country that “is not turned inward, but outward—toward others.”  Mr. Trump, by contrast, has sworn to put America First. Demanding respect from a freeloading world that takes leaders in Washington for fools, he says he will “no longer surrender this country or its people to the false song of globalism.”  Reagan’s America was optimistic:  Mr. Trump’s is angry.

—The Economist, November 19, 2016


Nationalism is on the rise across the world.  From Trump’s victory in 2016 to Brexit to Neo-Nazi resurgence in Germany to anti-immigrant politicians gaining power in Italy, Turkey, Greece and other nations, we are seeing a new wave of nationalism, the strongest since Hitler rose to power in Germany in the 1920s.  In a rally in Houston in 2018, Trump said, “You know what I am? I’m a nationalist, O.K.? I’m a nationalist. Nationalist! Use that word! Use that word!”  At the same rally, he denounced those who disagree with him. “Radical Democrats want to turn back the clock” to restore the “rule of corrupt, power-hungry globalists.  You know what a globalist is, right? You know what a globalist is? A globalist is a person that wants the globe to do well, frankly, not caring about our country so much. And you know what? We can’t have that.”

Trump at a political rally
Donald Trump leads his malcontents at a political rally

As many pundits and presidential historians have noted, Donald Trump is the most divisive president in recent memory.  He rose to power and maintains it by railing against those he sees as “evil others”:  immigrants, liberals, Democrats, members of the so-called “deep state.”  Merriam-Webster’s Dictionary defines nationalism as “loyalty and devotion to a nation, especially a sense of national consciousness exalting one nation above all others and placing primary emphasis on promotion of its culture and interests as opposed to those of other nations or supranational groups.”  Although Trump equates his brand of nationalism with patriotism, and he often wraps himself in the American flag and clothes his rallies in the stars and stripes, the dictionary says that patriotism, while emphasizing strong feelings for one’s country, “does not necessarily imply an attitude of superiority.”

The Evil Others

There is nothing wrong with having pride in one’s country, of course, but nationalism, unlike patriotism, veers toward an identity of exclusivity that leads nationalists to invent “evil others.”  For there to be an “us,” which nationalists value above all, there must be a “them,” others who are “not us,” who are different because they don’t share the nationalists’ heritage, birthrights, ethnicity, norms, values, or other aspects of their national identity.  When the people who share this national identity feel threatened or disenfranchised, it is easy to blame the “evil others” for their woes, and those others become excluded, feared, hated, and possibly repressed, outlawed, and exterminated.

Following a humiliating defeat in World War I, Germany faced burdensome war reparation payments and rampant inflation, which left ordinary Germans scrambling to survive.  The German government was inept, and communists were agitating for a socialist revolution.  Those circumstances opened the door for nationalist agitator Dietrich Eckart, his acolyte and successor Adolf Hitler, and their National Socialist Workers Party.  Hitler understood the mood of the nation and stepped in promising to “make Germany great again.”  He appealed to national pride and blamed Germany’s woes on its traditional enemies (Britain and France), on the communists, and, increasingly, on the Jews.  He found populist footing with his master race identity card and gained power by promising to restore Germany to its former glory.

As Hitler’s power grew, German politicians who might have opposed him were silenced by the fervor of his supporters, particularly those in the SA, the Nazi paramilitary arm, and an improving economy.  As the world emerged from a general depression in the early 1930s, the German economy improved.  Ordinary Germans were able to find jobs and feed their families, and they felt renewed pride in their German identity.  The foundation of Hitler’s rise to power was his ability to capitalize on the grievances of common people during a period of social stress and to blame Germany’s problems on enemies outside Aryan racial identity.  When he’d gained enough power to subvert Germany’s legal systems and not be challenged by the populace, he was able to take the next logical step—to purge the German nation (and then other nations) of undesirables (Jews, gypsies, communists, the mentally ill or infirm, and others he and his regime considered subhuman).

Nationalism is not inherently extremist, but when it is leavened by fear, resentment, and hate, it can twist violently to the right.  Movements to the left can be equally dangerous—witness the

Illustration of an elephant (Republication) punching a donkey (Democrat)
Nationalism requires enemies–an “us” versus “them,” an evil other to blame for all woes

purges by Lenin, Stalin, Mao, and Pol Pot.  Radical political swings to either extreme can yield polarization, hatred of the other, and societal acquiescence toward or participation in the elimination of perceived threats to the prevailing body politic.  When the dominant ideology in a state supplants the state, and when opposition to extremist rhetoric is silenced or suppressed, then the unthinkable can become thinkable as the norms that have governed moral and political right and wrong are perverted, and the new normal permits action against minorities or others who oppose the leader.

To be sure, every society includes a full spectrum of people who support the nationalist leader, on the one hand, or oppose that leader on the other.  Most people fall in the vast middle of the bell curve.  They are just trying to live their lives, go to work, raise their children, and pursue their version of happiness.  They have no strong political leanings or they don’t care enough, in normal circumstances, to become involved.  Given the opportunity, they will remain apolitical so long as their lives are essentially okay.  But nationalist drum banging and patriotic rhetoric (“Make American Great Again!”) can bleed the vast center and enjoin those middle-of-the-roaders, primarily the working class, in a movement to the right if the nationalist leader can persuade them that the threats he rails against are real (immigrants will take your jobs, liberals will allow criminals to roam the streets, other nations will cheat us or not pay their fair share for the common defense, climate change zealots will destroy industries like coal, Democrats will weaken our national defense, and so on).

Trumpian Conservatism

The danger of Trumpian conservatism comes not from the arch conservatives who support him because he will help them achieve their goals, no matter how repugnant they find the man personally.  The danger comes from the right-leaning middle who are inclined to believe the propaganda Trump spouts because they are concerned about their jobs, don’t perceive a brighter future for their children, or fear that immigrants and ethnic minorities will pervert their national identity.  White nationalists are especially fearful that immigrants and minorities will gain political clout as their numbers grow and will fundamentally change the way the nation looks, feels, and votes.  The malcontents of nationalism are the people from the vast middle who’ve taken MAGA to heart and support Trump despite his lies, boorish behavior, brazen attacks on opponents, and conspicuous displays of wealth and privilege, even as he proclaims himself the friend of working Americans.

Photo of a small Latino boy behind a metal fence
One of Trump’s Evil Others: an immigrant boy grasping a metal fence

Trump has steered these malcontents to the right by polarizing the country, wrapping his racism and nationalism is the flag of patriotism, and demonizing everyone who disagrees with him or points out his lies (hence, his relentless attacks on mainstream media, whom he calls “the enemy of the people”).  Trump’s brand of nationalism doesn’t stand up to scrutiny, but he understands that those who’ve bought his nationalist rhetoric aren’t up to scrutinizing him.  He has them in his pocket, just as Hitler had a growing percentage of average Germans in his pocket as he fervently spoke about the “evil others” who were keeping Germany down.

German nationalism in the 1920s and 30s should not be seen as an aberration but as a warning.  Don’t imagine that it couldn’t happen in America.  Already, the vast majority of hate-driven crimes since Trump’s election has been right-wing violence.  Anti-Semitic and racial animus are on the rise.  Hate speech is growing.  Increasingly, there is a divide between “us” and “them,” driven largely by Trump’ divisive rhetoric.  Trump is stirring the pot of malcontent, and he’s doing it for the basest of reasons:  to stay in power.  Trump has not been able to organize violence against his enemies, but he’s attempted it, notably in his rallies when he’ encouraged supporters to beat up protestors.  Robert Reich, former labor secretary under Bill Clinton, wrote, “The President of the United States openly identifies himself as a nationalist, calls for the jailing of his political opponents, attacks the press & cozies up to dictators, while Republicans in Congress stand idly by.”

Trump’s brand of nationalism, aided and abetted by his malcontents and Congressional Republicans who appease them, has not yet become full-scale demagogy and violent nationalism, but it has that potential.

Nationalism in the Age of Covid-19

On March 23, 2020, in response to the coronavirus pandemic, Trump tweeted:  “THIS IS WHY WE NEED BORDERS!”  As the Covid-19 pandemic is accelerating in our country, his instinct is to protect America by keeping the Evil Others outside.  Secure our borders!  Build walls!  Allow no intruders to get in!  Isolate the country from the rest of the world!

Except this intruder, a virus so small it can’t even be seen in detail under a microscope, is incredibly infectious and would have gotten into our country no matter how strong our borders were or how high the walls.  To have prevented Covid-19 from reaching us, Trump would have had to seal the borders the moment the virus emerged, not months later.  He would have had to stop all travel into and out of the country and suspend all trade—an obviously impossible feat even for a president as grandiose in his puffery as Donald Trump.

The Covid-19 pandemic has disrupted the march of Trumpian nationalism by exposing the folly of Fortress America.  The virus respects no boundaries or walls and is an insidious, unseen enemy.  Trump has been trying to label it the “Chinese virus” and thus blame an “other” for a national crisis that is exposing his failings as a leader, but as the numbers of infected and dead rise, it’s clear to everyone, even FOX News, that the “Us versus Them” strategy Trump relies on to rally his base is ringing hollow in the face of a global disease.

World map showing coronavirus spread
Covid-19 respects no boundaries, walls, borders, or political barriers. Its insidious spread shows the folly of Trump’s Fortress America

In the fight against this pandemic, battle lines can’t be drawn between liberals and conservatives, or Democrats and Republicans, or immigrants and America-born citizens.  We are all in this together.  To win the fight, people from every part of the human and political spectrum must cooperate, share resources, and sacrifice across the board.  So, for the moment, Trump’s polarization has been swept away by the rising tide of the infection and its impacts on the healthcare system, food and medical supply chains, and the stock market.  When we emerge from this crisis, we will likely see a very different country, and Trump’s nationalism will only triumph if he can convince the survivors that to prevent further pandemics we need to build higher walls, keep more people out of the country, and treat immigrants, particularly illegals, as mortal enemies.

It’s difficult to imagine at this point how Trump will later try to spin the Covid-19 pandemic so that it’s the Democrats’ fault or a failing of Joe Biden, the presumptive Democratic presidential nominee.  Trump is at the helm of the federal government, and his ship has been foundering as the crisis deepens.  He is trying now to re-write history and present himself as fully in command of this crisis, but his earlier dismissals of Covid-19 and its seriousness are on tape and will no doubt be replayed—as they should be—when the election nears.  No nationalist, no matter how grand his boasts or how loudly he tries to reshape history, can outrun a silent, unseen menace that has no regard for politics or respect for politicians.

To promote his brand of nationalism, Trump needs enemies, and with the presidential election coming in November, he will surely try to lay the blame on the Democrats.  To win, Donald Trump needs his loyal base, his mass of malcontents, his true believers, who numbly agree when a FOX spokesman declares that the coronavirus epidemic is “a Democratic hoax,” as Sean Hannity did just a few weeks ago.  Trump needs his malcontents to believe in the dream and the lie of Fortress America and to believe that all their grievances lie at the hands of Evil Others whom, they claim, are less patriotic and less righteous than they.  Trump thrives on division, not unity, and that will not serve him well as Covid-19 continues its unbiased devastation of people, our medical system, and the economy.

Nationalists like Hitler and Trump don’t need truth on their side as long as they have supporters whose grievances make them gullible.    They just need a well-oiled propaganda machine, which Trump has, and media outlets like FOX and Twitter available to trumpet their messages.  And they need a mass of malcontents who are willing to believe that the world really is an “Us versus Them” struggle and that the people the leader identifies as enemies—Jews, communists, Democrats, liberals, the Deep State, the mainstream press, immigrants—are to blame for all of their woes and are mortal threats to their national identity.


Photo credits:  Nazi flagbearers:  Everett Historical; Trump rally:  Shot Stalker @; elephant punching donkey:  Susilo Hidayatk @; boy behind metal fence:  tcareob72 @; Coronavirus:  ID 174295771 © Buddhilakshan4 |


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Covid-19 Bulletin #5


By now, the coronavirus pandemic is firmly embedded in our national consciousness.  The pandemic has infected well over 150,000 people globally, including–at last count–3,000 Americans and around 60 deaths.  The numbers keep climbing dramatically, and no one knows how many people are actually infected because our country lacks adequate testing.  Trump and his administration have tried to blame the lack of testing on Obama, but we all know this is not true.  Trump’s failure as a leader is entirely to blame.  Nonetheless, here we are with a dramatically changed life.  Most sporting events have been cancelled, along with concerts, museums, Broadway, cinemas, conferences, Disneyland, and other large gatherings of any kind.  Schools have been closed in many states, including NYC, the country’s largest school system.  Universities and colleges are moving from classrooms to online education.  France has closed restaurants, bars, cafes, and clubs across the entire country.  Italy is on lock down, and Spain has ordered its citizens to stay home.  Many companies in the U.S. have told their employees to work virtually.  Most cruise lines have shut down, and airlines have cancelled flights or restricted them to certain locations.  The lines at Costco and WalMart stretch around the block, and many store shelves are empty.  It’s nearly impossible to find hand sanitizer, toilet paper, paper towels, and cleaning products like Lysol and Clorox.  In one of the grocery stores in my hometown, men were seen stuffing grocery carts with nothing but bags of potato chips.  It seems the world has gone mad–and we aren’t anywhere near the peak of this pandemic yet.  


This is Covid 19 Bulletin #5 from Dr. Sheila Sund.  The news about Covid-19 has been so ubiquitous that the content of Dr. Sund’s bulletins has now become glaringly familiar to anyone who is paying attention.  However, it is to her credit that Dr. Sund began sounding the alarm weeks before the general public became aware of the potential severity of this outbreak.

Dr. Sheila Sund is a retired hospice and palliative care physician in Oregon.  She became involved with disaster medicine following the H1N1 influenza outbreak in 2009. As part of a statewide workgroup, she helped developed Oregon’s Crisis Care Guidance—guidelines to direct healthcare response during a public health crisis such as pandemic or mass trauma. She served as Director of the Marion County Medical Reserve Corps and physician representative on Oregon’s Region 2 Coalition for Healthcare Preparedness. She has given over one hundred presentations to community, healthcare, and business groups throughout the Pacific Northwest on topics ranging from earthquake preparedness to pandemic response.


Chinook CERT Plus – COVID-19 Bulletin #5, March 9, 2020


Don’t focus on numbers

“Marion County confirms first case of COVID-19.” “Cases in Oregon double in one day.” When we see this, it triggers an acute feeling of alarm. But these numbers tell us nothing new—they reflect increased testing, not increased disease spread. That doesn’t mean the risk isn’t real. It’s just confirmation of what we should have already known—COVID-19 is “here.”

So far, we have no way of knowing where we are on the growth curve – day 5, 15 or 30. Our best clue will be increasing cases identified in Marion County hospitals. In the meantime, your best action remains hand washing, disinfecting, and minimizing time spent in large groups, particularly if you are older or have underlying medical problems.

Most importantly, if you feel sick, STAY HOME, even if you suspect it’s just a cold or the flu! If possible, isolate yourself even from family members until symptom free for 24 hours.


We’re all going to get it, so let’s just get it over with. FALSE!

I’m hearing this sentiment more and more, but it is incorrect. It’s true that most people will get through this pandemic with just a week or two of illness. But in the meantime, COVID-19 could decimate the population over age 70.

Age US population Fatality rate Potential deaths
70-79 23 million 8% 1.8 million
80 and above 13 million 15% 1.9 million

(Based on current COVID-19 estimates)

For comparison, annual seasonal flu deaths in the US 2010-2019 ranged from 12,000 – 61,000.

Most deaths occur after 1 or more weeks in the hospital. So even if you feel callous about this specific demographic group, their use of medical resources will affect everyone. The more we can slow the spread of coronavirus, the better off everyone will be.


Mitigation Instead of Containment

The goal of mitigation is to decrease the expected number of new cases infected by one current case (the reproductive number). If it drops to less than one, the pandemic fades away. In practical terms, mitigation is anything that decreases interpersonal contact in the community, including cancellation of group gatherings, work and school closures, isolation of known cases, and even limitation of travel or quarantine of entire communities.

Yet we can’t really enforce mitigation in this country. Ultimately, it comes down to individuals choosing to put the good of the community over their personal interests, despite economic or social hardship.

If someone is exposed to a confirmed case, they may be instructed to implement one of the following measures immediately. Prepare yourself and your family now!

Exposed, but no “close contact” AND no symptoms:

  • Social isolation – no group gatherings, maintain 6 feet boundary from others. Shopping allowed.
  • Self-monitoring – watch for any signs of illness, possible required temperature checks
  • Active monitoring – public health assumes responsibility for conditions of your isolation and monitoring

Exposed with close contact, but no symptoms:

  • Quarantine, usually at home, for 14 days. No contact with family members or pets. Use separate bedroom and bathroom. Wear mask whenever other people are present. If symptoms develop, 14-day clock resets.

Close contact: being within 6 feet of an identified case for “prolonged” time OR having direct exposure to their respiratory secretions (e.g. coughed or sneezed on).

Exposed and symptomatic, or become symptomatic during self-isolation or quarantine:

  • Isolation, usually at home, for 14 days minimum, under same criteria as quarantine.


Other Preparedness Tips

There is no need for a run on the grocery stores or Costco, but if there are things you need or chores you should be doing, it’s time to stop procrastinating. Do them now. The more “caught up” on life you are, the better prepared you will be for any sudden changes.

Manage COVID-19 anxiety!

  • Limit time spent reading about and planning for COVID -19
  • Use reliable sources and avoid social media discussions
  • Continue to follow normal routines as much as possible
  • Take time for reality checks:  What is happening in your life now, not what may happen in the future
  • Do deep breathing or meditation

Perform meaningful actions:

  • Prepare guest bedrooms
  • Organize emergency supplies
  • Think of enjoyable things to do even if social isolation imposed
    • Catch up on book reading
    • Time for home projects, crafts, or gardening
    • Family time
    • Time in nature
  • Address COVID-19 anxiety in kids and teens -what are they reading or hearing in school?
  • Share NPR’s “Just For Kids: A Comic Exploring The New Coronavirus


Photo credit:  ID 175225651 © Photovs |

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March 12, 2020. Seismic shifts in American life as Covid-19 spreads

March 12, 2020.  The stock market plummeted more than 2,000 points today, after a plunge of 1,400 points yesterday.  We are now officially in a Bear market, stocks having lost nearly all their increased value since Trump took office.  There are now more than 1,500 cases nationwide, with 40 deaths, and the numbers are growing significantly each day.  The truth is that no one knows how widespread the virus is because of inadequate testing, which Trump blames–once again–on the Obama administration.  Yesterday, Trump suspended all travel to the U.S. from every European country except the U.K., which, ironically, has more Covid-19 cases than most other countries in Europe.  Meanwhile:

  • The World Health Organization officially declared Covid-19 to be a pandemic.
  • Italy is on a total lock down.
  • France closed all schools today until further notice.
  • The states of Ohio and Maryland have closed all schools.
  • Broadway has closed all shows.
  • The NBA has suspended its season, as has Major League Soccer and the National Hockey League.
  • Disneyland is closed indefinitely.
  • Princess and Carnival cruise lines have suspended all cruises
  • More than 250 colleges and universities–including Durango’s Fort Lewis College–are suspending onsite classes.  Henceforth until further notice, all classes will be held virtually.
  • The NCAA cancelled March Madness.
  • The PGA tour is proceeding without fans.
  • The NFL is cancelling is annual meeting.
  • Museums around the country are closing, and several movie premiers have been delayed.
  • NASCAR will hold races without fans.

These cancellations are just as of today.  More are expected as the nation braces for more Covid-19 impacts.


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March 9, 2020. Tumultuous day due to Covid-19: stock market plunge and Italy and Israel impose radical sanctions

March 9, 2020.  Today, the stock market plunged 2,000 points in one of its worst days in two decades.  Investors are fearful that Covid-19 will cause a global recession.  Meanwhile, the Saudis sparked an oil trade war with Russia, and the global oil market crashed.  Meanwhile, Israel has imposed a mandatory 14-day self-quarantine on anyone entering Israel, and CNN reports that Italy has now imposed a lock down on the entire country.  As Covid-19 continues to spread, the reactions from around the world are troubling, and the endgame on this situation is impossible to predict.

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March 8, 2020. U.S. Covid-19 cases pass 500

March 8, 2020.  As of today, there are 521 confirmed Covid-19 cases in the United States.  Twenty-one people have died, and the virus has now spread to 33 states and the District of Columbia.  The death toll is more than 3,500 people globally, with over 105,000 infections.  The Grand Princess cruise ship, with more than 3,500 guests on board has been isolated at sea but is now scheduled to dock at the Port of Oakland.  President Trump had not wanted the Grand Princess to dock, although it carried thousands of U.S. citizens, because allowing them back on U.S. soil would raise the number of infected Americans, and the optics for the president would look bad.

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Covid-19 Bulletin #4

This is Covid-19 Bulletin #4 from Dr. Sheila Sund.  Covid-19, which is the proper name for the coronavirus that is currently spreading around the world, is a far more dangerous virus than the flu (twenty times more lethal than the flu), and it is likely that the rate of infection is much greater than what is known and being reported by the media–because no one knows how widespread the infection actually is.  As of today (March 3, 2020), more than 130 Americans have been diagnosed with Covid-19, and ten have died.  The numbers are growing daily.

Dr. Sheila Sund is a retired hospice and palliative care physician in Oregon.  She became involved with disaster medicine following the H1N1 influenza outbreak in 2009. As part of a statewide workgroup, she helped developed Oregon’s Crisis Care Guidance—guidelines to direct healthcare response during a public health crisis such as pandemic or mass trauma. She served as Director of the Marion County Medical Reserve Corps and physician representative on Oregon’s Region 2 Coalition for Healthcare Preparedness. She has given over one hundred presentations to community, healthcare, and business groups throughout the Pacific Northwest on topics ranging from earthquake preparedness to pandemic response.


Chinook CERT Plus – COVID-19 Bulletin #4, March 6, 2020

COVID-19 vs Seasonal Flu

Without a doubt, seasonal flu is a huge health problem. United States experts estimate 32 million cases and 18 thousand deaths from flu – just this year!

But as a virus, flu is “nicer” than COVID-19. A flu patient on average infects only 1.3 other people vs COVID-19’s 2.3 people. Functional time lost from flu averages about 3.5 days, whereas patients with COVID-19 may be sick for 7-14 days. The hospitalization rate for flu in the United States sits around 1% and the death rate rarely exceeds 0.1 %, whereas worldwide estimates for COVID-19 currently stand at 15% hospitalized and 3.4% dying.

Although these numbers are definitely overestimated because of testing patterns, they are still much higher than flu. And while both illnesses are disproportionately bad for older, sicker people, COVID-19 also seems to sicken and kill younger people at higher rates than seasonal flu.

Most importantly, as a society, we’re “used” to flu. Healthcare systems are prepared for it and there’s a reasonably effective vaccine. >55% of the population is fully immune in any given year. Ultimately, most healthy people consider flu an annoyance, not a problem. But we are not used to COVID-19, it is spreading rapidly, and we are definitely not prepared.

Medical Surge from COVID-19

Many parts of the United States healthcare system are overburdened at baseline. They are not capable of handling a rapid increase in very sick patients from COVID-19.

Using Marion County, Oregon, as an example:

  • Licensed hospital beds:  ~550  (~500 at Salem Hospital, one of the four largest hospitals in Oregon).
  • Average occupancy Salem Hospital (2018):   80%  (During flu season, this number can reach 100%).
  • Average “available extra beds” for COVID-19:  ~110.

If we assume 10% of patients require hospitalization, our “extra” beds could be filled by the time we have 1000 local cases (the current estimated number in Seattle).  Although that’s about 45 days from the first local infection, it’s potentially only 10-15 days from the time a local outbreak is first recognized. Care may also be limited by limited critical care beds, ventilators, sick hospital staff, and shortages of supplies and medications.

Meanwhile, at the clinic level, staffing drops from illness, quarantine—and parents staying home with kids when schools closed. At some point, healthcare for all patients could deteriorate, even if they don’t have COVID-19. And that’s one big reason why I personally am far more concerned about COVID-19 than seasonal flu!

Community Spread of COVID-19 – What should you do?

We will not know when COVID-19 arrives here. In fact, it might be here already, given the major outbreak a few hours north. Once in the community, it will spread. Most of the time, you will not know who is sick. It just becomes a game of odds—and your personal approach to risk!

Example: Marion County, Oregon – population ~ 350,000


Days into cluster

~Number of cases

~% of county infected

Day 0 (1st patient)


Day 30



Day 45



Day 60



Day 75 65000



No hospitalized patients have been identified in Marion County yet, so we are probably earlier than day 30 which means your odds of picking it up in the community are extremely low. Once it is identified, there may be another 30 days before community risk starts to climb significantly.

Risk will always be higher from what you’ve touched than who you are with—an object carries the risk of everyone who touched it since the last time it was disinfected.


COVID-19 Caution Spectrum – it’s your choice where you fall on it

  • Gambler:  Go about your business normally. The odds are in your favor.
  • A Little Cautious:  Follow recommended hand washing and avoid hand contact with others.
  • More Cautious:  Add cleaning and disinfecting routines.  (Particularly objects and settings where things are touched by many people.)
  • Getting Anxious:  Add avoidance of settings with multiple people within 6 feet for >15 minutes.  The greater the number of people together, the greater the risk
  • Quite Anxious:  Add gloves in stores, no group gatherings, work from home
  • Paranoid:  Minimize contact with people

For significant underlying medical conditions or over age 80, move up the caution spectrum!


            Do not work. Do not go to school. Minimize contact with family members.

            Wear a mask around others if available (keeps you from spewing germs).

Many cases of COVID-19 will be mild and symptomatically similar to flu and other viral illnesses, yet much more contagious. You can’t tell if you have COVID-19 or a different infection, but you could be spreading it if you go out in public.

If everyone with mild symptoms stays home until better, community spread will slow.


Photo credit:  ID 174295771 © Buddhilakshan4 |

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March 7, 2020. Covid-19 cases rose to 377 in the U.S.

March 7, 2020.  The incidence of Covid-19 infections keeps rising steadily.  Today, it reached 377.  The travel industry is being hit hard, especially cruise lines, but all major airlines are cutting back on flights.  Major events involving large crowds are being cancelled globally, and small businesses in the U.S. are being affected by supply chain problems (especially where they obtain raw materials and products from China) and declining customers in their local markets.  It is likely that layoffs in many industries are forthcoming (e.g., hotels, restaurants, theatres, airports, sporting events, clubs–any service businesses that rely on customers coming into their location).

Meanwhile, Trump and his aides (like Kellyanne Conway) keep reassuring the public that the situation is contained.  Clearly, it is not.

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March 6, 2020. Global Covid-19 infections now surpass 100,000 globally

March 6, 2020.  Globally, more than 100,000 people have now been reported with Covid-19, and more than 3,000 people have died.  In the U.S., there are more than 200 cases in 20 states.  Meanwhile, the Trump administration is trying to downplay the situation, saying that it’s well under control.  Although globally, the death rate from the virus is somewhere between 2-3%, Trump said his “hunch” is that it’s actually less than 1%.  In a recent rally, Trump claimed that coronavirus is a Democratic hoax, and one of his supporters said yesterday that she doesn’t believe coronavirus exists.  Unfortunately, viruses don’t listen to political propaganda and don’t care about lies and misdirection.  This virus will continue to spread and may or may not result in a global pandemic, no matter what Trump and his cronies assert.

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Covid-19 Bulletin #3

This is Covid-19 Bulletin #3 from Dr. Sheila Sund.  Covid-19, which is the proper name for the coronavirus that is currently spreading around the world, is a far more dangerous virus than the flu (twenty times more lethal than the flu), and it is likely that the rate of infection is much greater than what is known and being reported by the media–because no one knows how widespread the infection actually is.  As of today (March 3, 2020), more than 130 Americans have been diagnosed with Covid-19, and ten have died.  The numbers are growing daily.

Dr. Sheila Sund is a retired hospice and palliative care physician in Oregon.  She became involved with disaster medicine following the H1N1 influenza outbreak in 2009. As part of a statewide workgroup, she helped developed Oregon’s Crisis Care Guidance—guidelines to direct healthcare response during a public health crisis such as pandemic or mass trauma. She served as Director of the Marion County Medical Reserve Corps and physician representative on Oregon’s Region 2 Coalition for Healthcare Preparedness. She has given over one hundred presentations to community, healthcare, and business groups throughout the Pacific Northwest on topics ranging from earthquake preparedness to pandemic response.


Chinook CERT Plus – COVID-19 Bulletin #3, March 3, 2020

COVID-19 in Oregon and Washington and my concerns about testing

As of today, Oregon has identified three cases of COVID-19, with twenty-seven in Washington. Many are thought to be community acquired. But if you look closer, descriptions of the identified cases are all either:

1) hospitalized with severe illness (including death) or

2) known contacts of other cases.

Despite the risk of community spread, the actual number of tests for coronavirus is quite low—only 25 in Oregon since the first community case was identified on February 28. It is not a problem with testing availability. Oregon can now run 80 tests a day and Washington up to 500.

Instead, state health officials are still following CDC criteria for testing:

    1.  known contacts with fever and signs of lower respiratory illness
    2.  travel from affected areas plus fever, signs of lower respiratory illness, and hospital
    3.  no known contact but fever and severe lower respiratory illness (ie critical care)


My opinion:

When testing is limited to these criteria, it is impossible to determine if COVID-19 is spreading in the community:

1) If each patient only infects two others (current estimates), the likelihood of finding both those “two cases” by testing a limited number of contacts is low.

2) Limiting testing to critically ill patients will miss 95% of cases who never get that sick.

Even worse is the danger of “losing” healthcare workers with this approach to testing.

Critically ill patients average 3-7 days in the hospital before testing is performed—yet are infectious the entire time! Dozens of hospital staff from Kaiser Westside in Hillsboro are now quarantined at home after the initial Oregon case was identified in their facility. Similar quarantines are being implemented at other hospitals around the country.

An additional 10% of infections will be hospitalized but never tested by current criteria—thus never identified as contagious.

Besides being unfair, the loss of healthcare workers can seriously impede our ability to respond to outbreaks of COVID-19. In turn, this could lead to a higher overall fatality rate from COVID-19, as well as affecting availability of healthcare for everyone, infected or not.

(Sorry for the rant, but this has caused me more alarm than anything else about COVID-19 so far!)


Preparations for community spread of COVID-19

At work:

  • Desktops, tabletops, and counter tops.  Clean and disinfectant (wipes or spray) daily when sitting down
  • Repeat daily – more often if used by more than one person.  Disinfectant should stay wet for several minutes
  • Door handles, phones, keyboards, other objects used jointly:  disinfect daily
  • Avoid handshakes, hugs, and other physical contact with coworkers
  • In meetings, position yourself at least 6 feet away from others when possible.  If not possible, orient yourself away from other people’s faces.   Corner or wall locations can decrease shared “face space.”
  • Go to restroom every hour and wash hands – set an alarm!
  • Also wash hands immediately before eating.




At home:

  • Consider establishing a “dirty area” at the entrance of your house.  Anything from outside the house stops here!
  • Shoes, purses, backpacks, grocery bags (unpack bags from dirty area)
  • Avoid setting anything from outside on counter tops.
  • Groceries and supplies go immediately into cupboards.
  • Thorough hand washing:

As soon as you enter and set down “dirty” things

After putting away purchases

After cooking (and touching “dirty” things) and before you ea’

  • Clean and disinfect tables and counters once or twice a day.  Only if they come in contact with dirty hands or dirty things
  • House door handles, car door handles, steering wheel, other “touchable” car areas:  disinfect once a day (or after outings)


If your coworker, friend, schoolmate, or housemate gets coronavirus, congratulations! You may win an immediate fourteen day (or more) forced home vacation, possibly with your family!

You’ll be expected to phone in your temperature and symptoms twice daily. Other than that, don’t expect much help. Better make that grocery run now for fourteen days of supplies. Quarantine could happen tomorrow!


Photo credit:  ID 173074233 © Akesin |

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Covid-19 Bulletin #2

This is Covid-19 Bulletin #2 from Dr. Sheila Sund.  Covid-19, which is the proper name for the coronavirus that is currently spreading around the world, is a far more dangerous virus than the flu (twenty times more lethal than the flu), and it is likely that the rate of infection is much greater than what is known and being reported by the media–because no one knows how widespread the infection actually is.

Dr. Sheila Sund is a retired hospice and palliative care physician in Oregon.  She became involved with disaster medicine following the H1N1 influenza outbreak in 2009. As part of a statewide workgroup, she helped developed Oregon’s Crisis Care Guidance—guidelines to direct healthcare response during a public health crisis such as pandemic or mass trauma. She served as Director of the Marion County Medical Reserve Corps and physician representative on Oregon’s Region 2 Coalition for Healthcare Preparedness. She has given over one hundred presentations to community, healthcare, and business groups throughout the Pacific Northwest on topics ranging from earthquake preparedness to pandemic response.


Chinook CERT Plus – COVID-19 Bulletin #2, March 1, 2020


Community Spread

Once a case of coronavirus is identified, it often appears that the infection rate starts climbing rapidly within a few days. But it’s important to realize these numbers don’t mean rapid spread of infection. The infection was already there. It’s only the testing that has rapidly increased—and therefore your awareness

Based on current data, a reasonable guess is that each infected person infects two others, and it takes about 5 days for each “generation” of the illness. With that, you can estimate local spread.

Day 0               1 person infected

Day 5               3 people infected

Day 10             7 people infected

Day 30             127 people infected

Day 60             8190 people infected

(Day 90 would be 524,160 cases—but the model breaks down before then!)

Unfortunately, it may take 60-120 infected patients in an area before one is sick enough to trigger suspicion and testing (hospitalized with serious illness). Once confirmed, public health starts testing all contacts (and eventually contacts of contacts) with even low-grade symptoms—and the positives roll in. Throughout this time, cases continue to double roughly every five days

My note: I find it comforting that Seattle has reported only one death so far. Given the likelihood that Covid-19 has been spreading there for weeks, this seems remarkably low. If real, perhaps the serious illness and death rate will be much lower in the United States than reported elsewhere.


Social distancing

“Social distancing” is the main way pandemics are controlled. If human contact decreases enough to allow less than one new infection for each current case, the pandemic will gradually fade away.

Local and state governments choose which social distancing requirements to implement (which means it could vary a lot from community to community).  The first step is usually quarantine of groups with known exposure to the virus. Closure of schools and cancellation of events and gatherings are common next steps. The level of quarantine seen in China would be unusual in the United States, but this is uncharted territory and it’s hard to predict how people will respond.


My Pandemic Preparedness Supplies

  • Liquid hand soap – lots of it.  Does not need to be “antibacterial.”  Bar soap not recommended – “germs” live on bar surfaces and cracks.
  • Paper towels.  For hand drying and for surface cleaning/disinfection.  Single sheets work better than rolls, but are not essential
  • Bottle of bleach

            Unopened bleach bottles should be used within the year, or they lose potency

            Freshly mixed bleach solutions must be used within 24 hours

            Good ventilation decreases chlorine smell

  • Good surface cleanser with detergent.  Doesn’t really matter what you use as long as it cleans both grease and dirt.
  • Oral digital thermometer.  Forehead and ear are not as accurate
  • Hand lotion – your hands will thank you!
  • Facial tissues for coughs, sneezes, and anytime you need to touch your face.
  • Spray bottles for bleach solution

Nice, but not essential

  • Disinfectant spray and wipes.  Sprays work best, but not practical for objects like phones, door handles, etc.  Ethanol or bleach based are most effective..  Homemade bleach solutions actually work better. They’re just inconvenient.
  • No touch trash cans
  • Hand sanitizer.  Not needed if washing hands frequently.
  • Ibuprofen for fever and symptom control
  • Cough drops
  • Disposable gloves for cleaning.  Can also wear in high-contamination environments like grocery stores

Disinfecting instructions

  1. WASH SURFACE FIRST. Disinfection does not work on dirty surfaces!
  2. Spray disinfectant enough to visibly wet all surfaces. Let air dry.

The longer the surface remains wet, the better!  Up to four minutes

Homemade bleach or commercial spray

  1. If spray disinfectant cannot be used, use a fresh wet disinfectant wipe.  Let air dry.

            Do not reuse disinfectant wipes

            Use new wipe if current one no longer thoroughly wets surface.

            Homemade bleach solution – use within 24 hours.  Common household bleach is 5-6% – mix 2 tablespoons with 2 cups water


Thanks to Dr. Sheila Sund for permission to reprint her work.

Photo credit:  ID 174166208 © |

Posted on

Covid 19 (Coronoavirus) Bulletin #1

Photo of a coronavirus

This is Covid 19 Bulletin #1 from Dr. Sheila Sund.  Covid 19, which is the proper name for the coronavirus that is currently spreading around the world, is a far more dangerous virus than the flu.  Despite what Donald Trump said on television several days ago, Covid 19 is twenty times more lethal than the flu, and it is likely that the rate of infection is much greater than what is known and being reported by the media–because no one knows how widespread the infection actually is.

Dr. Sheila Sund is a retired hospice and palliative care physician in Oregon.  She became involved with disaster medicine following the H1N1 influenza outbreak in 2009. As part of a statewide workgroup, she helped developed Oregon’s Crisis Care Guidance—guidelines to direct healthcare response during a public health crisis such as pandemic or mass trauma. She served as Director of the Marion County Medical Reserve Corps and physician representative on Oregon’s Region 2 Coalition for Healthcare Preparedness. She has given over one hundred presentations to community, healthcare, and business groups throughout the Pacific Northwest on topics ranging from earthquake preparedness to pandemic response.

On February 28, Dr. Sund published the following bulletin on Covid 19, and she has graciously allowed me to reprint it on this blog.  As she publishes future bulletins on Covid 19, I will reprint them here as well.  Stay tuned.


Chinook CERT Plus – COVID-19 Bulletin #1, February 28, 2020

How bad is Covid-19?

Based on evaluation of 72,000 cases in China:

“Mild” symptoms (not hospitalized): ~81%.   Mild cases can still be sick for up to 14 days

Serious illness (hospitalization): ~14%

Critically ill (intensive care): ~5%

Fatality rate ~2% overall.   < 1% if young and healthy, 14.8% if age 80 or above

My note: serious illness does not usually occur until the second week of the illness

Covid-19 is already a pandemic by the traditional epidemiology definition:

Uncontrolled spread of an infectious agent on at least two continents

My note: there are strong social/political/economic reasons why official organizations and governments avoid labeling something as a pandemic – even when it is!

Official case counts are misleading, both in the United States and internationally.  Patients are counted only if they have a positive test, yet:

  1. The availability of testing is limited in many places
  2. Testing is limited to the sickest patients or those with known case contact

Before Feb 27, a sick patient could only be tested in the United States if they had visited China or had contact with a known case.  On Feb 27, criteria were expanded to travel from six countries, but otherwise, patients without known exposure can still only be tested if they are not just hospitalized, but critically ill.

My note: Given the rapid spread of cases around the world, it seems highly likely there are already clusters of infection with community spread within the United States. However, with current testing limits, these will not be identified until someone within the cluster becomes critically ill (such a patient was identified just today in Lake Oswego). Given the typical time course of the illness, these patients will already have been infectious for at least seven days.


Personally, I am taking this illness very seriously. I implemented my family’s infection control plan this week, which affects four households (including one in Lake Oswego!). I’m working on putting it all in writing, and then will share with you. But in the meantime, here is the most important tip of all – WASH YOUR HANDS! (Read on.)





Hand washing instructions (yes, there is a correct way!)

1) Wet hands with clean, running water (warm or cold), turn off tap, and apply soap.

2) Lather hands and rub front and back to wrists, between fingers, and under nails

3) Scrub hands for at least 20 second (hum “Happy Birthday” twice)

4) Turn faucet back on and rinse your hands well under clean, running water.

  5) Dry hands using a paper towel


Hand washing at home

Pump liquid soap at every sink

Does not need to be antibacterial

Use paper towels even at home during times of increased infection risk

Damp hand towels can harbor germs

Dispose of paper towels in non-touch trash can – foot pedal, magic hand wave.  Not inside cabinet

Use hand cream frequently


Hand washing in public

Gather paper towels before washing hands

Use one paper towel as barrier from counter – set other towels on it

          Wash hands as above, drying completely with paper towels

Avoid touching public surfaces after hand washing

Use paper towels to turn off sink, open trash cans, and open doors

Option: Ziplock bag with hand soap, paper towels, and hand sanitizer for public use.  Keep plastic bag “clean” – store inside purse/bag

No touch public surfaces – set on paper towel


When to wash hands in pandemic

Every 1-2 hours when out of home in public

Before leaving public location – avoid contaminating your car

          As soon as you enter house (touch as few things as possible first)

Before touching any food, including packaged snacks or restaurant food

After contact with potentially contaminated things in home (groceries and supplies, outside door knobs, shoes, backpacks/purses)

Toilet, etc – just like always


Hand sanitizer

Use only if you can’t wash your hands!  Why? You can’t disinfect something that is dirty!

Germs hide in oils and grime…and hands get dirty very quickly.

Sanitizers work best if hands are clean

Sanitizers must be at least 60% alcohol

          Rub gel over all surfaces of hands and fingers until dry (~20 seconds)


Photo credit:  Coronavirus (ID 171082256 © Dgmate |