the doctor said why there are few coronavirus cases in Samara

The number of patients with coronavirus in the Samara region since the beginning of April has grown by three people. It’s really a bit, but the situation around is more like preparing for combat action. New infectious beds are constantly being prepared in the region, doctors are being trained, hospitals are being re-equipped. Residents perplexed: “More patients? They don’t tell any information? ” In fact, there is no need to look for a dirty trick: citizens are honestly told about how the situation is developing. But what comes next is difficult to predict. Associate Professor of the Department of Infectious Diseases of Samara State Medical University, Chief Specialist of the Ministry of Health of the Samara Region on the Problems of Diagnosis and Treatment of HIV Infection, Infectious Disease Doctor with 30 Years of Experience Elena Strebkova now helps to organize an infectious diseases hospital at the hospital named after Midpoint “There are no patients here, but who knows if they will appear tomorrow.” She told in an exclusive interview to a journalist “KPSamara”, Why the whole branch of medicine is working so hard today, although the numbers of cases and the inhabitants seem low, are Samara residents at risk of picking up a coronavirus and why is COVID-19 more dangerous than“ ordinary flu ”.

– Elena Alekseevna, why is such mass training, reprofiling of hospitals necessary?

– The measures taken by the government of the country and the region, and now allow us to prevent a surge in incidence. If not for them, we would be faced with a situation that is now happening around the world. Thanks to the measures taken for isolation and sanitation, a large number of cases of infection do not appear. This is done so that all our medical organizations have time to prepare. We see that new cases of infection and new cases appear daily, and we must be prepared to provide highly qualified medical assistance to the residents of the region. Like all my colleagues, we will be happy if we do not have to. But we must be prepared.

– How are hospitals preparing to receive coronavirus patients, what is the peculiarity of interacting with such patients?

– Infectious diseases that we usually deal with in the Samara Region are caused by microorganisms that do not require special preparation from a doctor. And COVID-19 is a particularly dangerous infection. Therefore, all protective measures in hospitals converted to infectious hospitals, for example, in SOKB named after V.D. Seredavina, taken for this class of pathogenicity. For this, doctors put on protective suits, masks, goggles – a person must be fully protected, because even small aerosol drops that remain in the air after coughing or sneezing can get on it and then lead to infection.

– How are doctors trained to resist the coronavirus?

– Doctors at hospitals that are converting to infectious hospitals are currently undergoing training. First of all, they are taught to wear and take off protective clothing correctly. Because the physician must first protect himself from infection, otherwise there will be no one to help people.

In addition, doctors are told how the virus is transmitted and how to protect themselves; they explain all the rules for disinfection. Of course, we study the clinical forms of the disease, how it manifests itself, what supporting signs of coronavirus infection, what indicators you need to pay attention to in order to make a diagnosis and assess the severity of the patient.

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– And as for lung ventilation, for example? Is she taught to do it?

– Naturally, such a huge number of resuscitators, infectious disease specialists, pulmonologists, which may be needed in case of a surge in incidence, is not in the healthcare system. Therefore, if necessary, infectious disease specialists and pulmonologists will work as consultants. One infectious disease specialist and pulmonologist per 100 patients – this will be quite hard work.

Under their guidance, doctors of all other specialties, after training, will be able to work with such patients. But the main burden will fall on resuscitators. Here, one resuscitator with two nurses will work for six people. Although basic training in mechanical ventilation and resuscitation will still pass all the doctors. For example, the staff of Seredavin Hospital is almost completing such training.

– How large, in your opinion, is an infectious disease specialist with 30 years of experience in the likelihood of a scenario when 100 coronavirus patients fall on one pulmonologist?

– We all want to hope that this probability is low, but we should always be prepared for this. It’s impossible to deploy an infectious diseases hospital in a hospital that was not intended for this; deploying such a huge number of resuscitation beds is impossible. The preparations that are currently underway will allow us to avoid the so-called “Italian scenario” – the very help that is needed will be immediately provided to the patients. IN Italy such a difficult situation was due to the large number of patients at the same time. Quarantine was announced late in the country; the healthcare system was not ready for such an arrival of patients who need ventilation support. In our country, the health system managed to prepare.

– Explain why we have so few patients and how relevant is self-isolation in this situation?

– These are the rules for the development of the epidemic. Why in Moscow so many sick? Not only because there are more people. But also because people from different countries flocked there and only then were distributed among the regions. Therefore, a huge number of sources of infection fell precisely in the capital. Naturally, there is the largest percentage of cases. But people from Moscow came here, and now the virus is spreading here. And now it doesn’t have to be contact with a person who came from abroad. This may be contact with a person who has not left the territory of the Samara region, who himself does not suspect that he is a source of infection.

The virus already exists in the urban environment, and it was for this reason that self-isolation measures were taken to protect people from each other. The closer we are to each other, the greater the likelihood of becoming infected, and the biggest danger is that this will happen at the same time, giving a greater burden on the health system.

“How can the virus spread if we all sit at home?”

– Let’s really look at things. You are not sitting at home. Anyway, you go to the store, to the pharmacy, where to whatever. The main distribution path is through door handles, through the buttons of elevators, in contact with trolleys in stores. These are transmission routes that no one has canceled. And with close contact at a distance of less than two meters, infection from person to person is also possible.

– They say that coronavirus is less dangerous than ordinary flu, it has less mortality, there is no reason for panic?

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– Mortality from influenza was also quite high until the moment of mass vaccination. Now vaccination saves us from a large number of deaths with the flu. And we expect the appearance of a coronavirus vaccine only by the end of the year. Therefore, people are not protected. And since the virus is new, it first appeared this year, we have no immunity. And since no one has immunity, there is no layer that would restrain the explosive nature of the epidemic. Explosive is when several thousand cases appear at one moment. According to some experts, the main surge in the incidence may occur next week. The medical system must be prepared for this.

– In social networks, KP-Samara asked readers why, in their opinion, in the Samara region such a low incidence of coronavirus. It turned out that most are sure: we just have little testing for coronavirus. How do you rate coronavirus testing in the region? Are they enough?

– We test as much as necessary, except Rospotrebnadzor A laboratory has been deployed at the AIDS Center. They test those who came from abroad and are in quarantine, all patients with pneumonia, with severe forms of acute respiratory infections, pregnant women – volumes are large.

“And the main question that worries everyone is when will it all end?”

– So far, the measures taken are designed for the next three months. But we will all be happy if everything ends earlier.

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Atomic Veterans of America – NBC Connecticut

The enemy Hank Bolden
faced did not come from a distant front line.

It came from the skies.

It’s a battle that’s still going on 65 years later. Bolden, who is now 82 years old, is an atomic veteran – one of hundreds of thousands of American service members used in human testing by the United States government during post-WWII nuclear tests and sworn to a secret life.

“They wanted to see how the living soldiers would resist the exposure
to radiation, ”recalls Bolden. “Before using live soldiers they were using
mannequins. But you don’t get real results using mannequins as you would
live bodies. “


A DIFFERENT TIME

While accompanying a friend to a New Haven recruiting station in 1953, Bolden was invited to join the army. At just 16 years old then and already out of high school, he admits that he “pulled down” his birth certificate to move to the age of 18, joining the approximately 200,000 underage soldiers who would have served during the Second World War and the eras of the Korean War.

After basic training in
Fort Dix was assigned to work as a tank mechanic in Texas before moving to Texas
California and becoming a surface-to-air missile mechanic.

Despite an executive order issued in July
26, 1948, by President Harry S. Truman to desegregate the armed forces, the last one
the all black units of the army were not abolished until 1954. And in 1955, Bolden
he says, racist attitudes persist even after the units have been racially integrated.

“The residual thoughts of people were firm
linger, “he says.” My outfit was 800 people strong. Thirteen of us were
black. Ten were from the South, who were more tolerant of treatment
they got racially. But the three of us from the North couldn’t tolerate it,
so I have had many fights over this. So I was the guy they wanted
get rid of.”

It would not be the only race
discrimination Bolden would witness as a soldier.


SECRET
ASSIGNMENT

In 1955, the seventeen year old
he was suddenly ordered to the Nevada desert without explanation.

“They don’t tell you what you’re going to face,” he said. “Nobody
they knew what they were going to face. ”

What he would eventually face was a classified operation known as Operation Teapot at the Nevada Test Site. In a series of 14 bomb throws, or “hits”, military officials tried to test the effects of nuclear bombs on structures and strategies, animals and people.

All races of military personnel
participated in the Teapot operation. But upon arrival in Nevada, Bolden was
astounded to accomplish all the other soldiers in his new specially selected unit
for a mysterious assignment they were also black.

“There was this myth about black people
be able to resist, tolerate certain things more than any other race “, he
He says. “So it was a test on that too.”


AN ATOMIC NIGHT

One morning in February, Bolden
the unit was ordered in a desert trench. Unbeknownst to them, it was excavated
the expected route of the fallout, only 2.8 miles away from what it would have become
ground zero for the launch of an atomic bomb.

Even though a countdown sounded on the speakers, Bolden says, the soldiers still had no idea what they were about to face. Without protective gear in addition to the normal fabrics and helmets, they waited and looked.

“They tell you to cover your eyes”
he says.

On February 18, 1955, Shot Wasp, the first nuclear test of Operation Teapot, detonated a Mark 6 nuclear bomb dropped by a B-36 exactly at noon. A monstrous cloud of mushrooms filled the sky, reaching 21,500 feet in height.

“With radiation, when you put your arms over your eyes or hands, you actually see the bones, you see the bones in your body from the exposure. You can see your skeleton. “

After the relapse the warning came.

“You swore not to speak
“said Bolden. The soldiers were threatened with imprisonment and fines for violation
The oath.

For 60 years, Bolden didn’t tell anyone. No this
family, not his wife, not his children. Not even her doctors when she spies on her
tumors have started to show. He developed bladder and posterior subcapsular cancer
cataract and in 1990 multiple myeloma was diagnosed.

“They actually gave me three and a half years
four years to live, ”recalls Bolden.
So in 1995 I should have been a statistic. “

But in 1995, Bolden was in remission. He is a citizen
the secret was coming to light.


HIDDEN STORY

Government figures estimate between 400,000 and 550,000 US military personnel who participated in a series of nuclear tests between 1946 and 1992. According to the Department of Defense’s Defense Threat Reduction Agency, this includes post occupation forces -Second World War of Hiroshima and Nagasaki, prisoners of war in Japan at the end of the Second World War, participants in the atmospheric nuclear tests in Nevada and the Pacific from 1945 to 1962 and participants in the underground nuclear tests in Nevada from 1951 to 1992.

Many of these “atomic veterans” have succumbed before their own
the stories have become public, their bodies are full of tumors. In
1990, the veil of secrecy began to lift.

After setting up the Advisory Committee on Human Radiation Experiments to investigate 10-year experiments, President Clinton made a formal apology to American atomic veterans on October 3, 1995. By order of the president, Congress would repeal the nuclear radiation agreement law. and secrecy, allowing atomic veterans to talk about their experiences without fear of fines or treason charges. And financial compensation has been opened to all qualified atomic veterans.

“Those who led the government when these decisions were made are no longer here to take responsibility for what they have done. They are not here to apologize to survivors, family members or their communities whose lives have been overshadowed by shadow of these choices So today, on behalf of another generation of American leaders and another generation of American citizens, the United States of America offers sincere apologies to those of our citizens who have undergone these experiments. the government is wrong, we have a moral responsibility to admit it, “said President Bill Clinton on October 3, 1995

But the television address has been obscured. The same happened
day when OJ Simpson’s verdict was issued in a live classroom feed, taking
on televisions and news cycles across America.

As a result, many skilled veterans had no idea of ​​the ban
the secrecy had been lifted, nor that they could claim benefits. Bolden no
find out until he researched the Internet, he says, in 2015.

“I was once so angry and so aggravating with the government that I thought I would be murdered to keep me from talking,” he says.

When Bolden attempted to apply for subsidies, he found that the burden of proof was placed on his fellow atomic veterans. The government would give compensation from the date a complaint was filed, but not retroactively, and only if the veteran could prove that he had participated in the tests – which proved to be an almost impossible task after millions of military documents were destroyed in a 1973 fire against the National Staff Registration Center. As many as 18 million documents were burned, including 80% of all army personnel discharged between 1912 and 1960.

“They hoped for it
would have died sooner or would have been one of those guys who surrendered ”
says Anthony Bolden, Hank’s son. “No thanks. Hank doesn’t have it.”

After paying her
own pocket for a polygraph lie detector pouch, Hank eventually claimed
approved, setting a precedent for other atomic veterans whose records were
destroyed.

Photo: Hidden story: the atomic veterans of America

Hit a high note

“The love of music has
I’ve always been there. “

After his honorable discharge
from the army, Bolden went to work as an engineer before deciding to pursue a
career as a jazz musician who works while his family grows. Tell the story
while cradling the tenor saxophone that has been at his side since 1967. The “Rolls
Royce “of tools, he says.

The brand is Selmer. IS
in a strange coincidence, the model is a 6 sign. It is the same name as the shot
Wasp atomic bomb design.

But this is where the
the similarities end. The bomb was his nightmare. Music, his dream and his
outlet to work through the trauma of what lived in Nevada
desert.

“It’s like the blood inside
my veins. It takes away all my other thoughts, “he says

Bolden is finally
he receives compensation from the government and is now using it to help make his dream come true.
He returned to school, studying jazz performances at Hartt University of Hartford
School.

“They are like the relic
here with all these kids, you know, “he chuckles.

Professor Javon Jackson
says that the 82-year-old is leaving a unique mark on the prestigious program.

“He has a lot of emotion,” says Jackson. “He is a very bluesy, very full of feeling, a natural player. His life, wisdom and the things he has acquired allow him to play the way it sounds.”

LIVING HISTORY

The vast majority of
Today, the American atomic veterans of the atmospheric test era are gone. About
400,000 veterans were present during these tests, according to the veterans
Administration. Survivors’ numbers vary, from around 10,000 to 80,000
still alive.

Bolden believes he is one of only two surviving African American atomic veterans who are recognized and receive compensation from the government. He is on a mission to reach as many survivors as possible and help them request the long-awaited recognition and compensation.

And he’s sharing his story, he says, to make sure the plight of American atomic veterans is no longer ignored.

“When people like me pass by, this won’t be part of the story unless someone makes sure it’s kept alive.”

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