The Whole World is Watching

ELECTION EDITIORAL — Fortified by the solidarity of a majority of Trump-Party Republicans..,  Trump has wantonly rejected the outcome of America’s most sacred institution of democracy, free elections and the public’s choice of its leaders.

President elect Joe Biden decisively scored a 306-232 electoral college victory. In 2016, Hillary Clinton beat Trump by 3m in the popular vote, but lost the electoral collage.  Biden has nearly doubled his popular vote win to that of Clinton, with a lead over Trump now nearing 6 million votes.

On Sunday morning, Donald Trump tweeted about Joe Biden: “He won”“He won because the election was rigged,” Trump wrote, before recycling baseless claims of voter fraud he continues to push and which his lawyers are attempting to prove in court in battleground states – with little to no chance of success, according to most observers.

Trump went to tweet …“He only won in the eyes of the FAKE NEWS MEDIA. I concede NOTHING! We have a long way to go. This was a RIGGED ELECTION!”

The 2020 Biden presidential election victory is a victory for American democracy.  Biden is a true centrist and just what a nation in desperate need of healing needs at this time.  President Biden must navigate a narrow channel of rapids with hazards on both the right and the left, only come out the other side to face a McConnell-led Senate firewall — one guaranteed to place minority party priorities ahead of doing the people’s business of governing.

The Republican party of Eisenhower, Regan, and Bush has been hijacked by extreme right wing populism embodied in the 2016 election of Donald Trump. Problems for the party faithful were apparent during the 2016 primary when mainstream GOP candidates, most with some history of capable governance, were knocked-off one-by-one by the Trump mob, replaced by the party’s new self-appointed leader and godfather, Donald J. Trump.

Trump’s victory in the 2016 presidential election was seen by many right-wing populists in Europe as a momentous turning point. In their view, the threat began to the totalitarian state goes back to 1989, when the fall of the Berlin Wall made liberalism appear unstoppable and triumphant.  Right-wing populists from Hungary to Britain believed that if Mr. Trump could become president of the United States, the future belonged to them. President Trump’s 2020 defeat may trigger the rise of a much darker vision.

By refusing to concede to overwhelming election results, Trump the loser, has sent a message to his fellow strongmen around the world — that this is a fight for survival.

In trying to make sense of Mr. Trump’s defiance, most analysts have looked at the president’s personality: Mr. Trump never concedes defeat and this entire act of defiance is a way to soothe his ego, but Trump’s legitimate fear runs much deeper in giving up his seat of power.

Trumps problems range from legal prosecution for his crimes before and during his presidency, to the matter of Trump’s highly-leveraged family empire, with more than a billion dollars in personal guaranteed debt coming due in 2020 and NO foreseeable means to pay.  As long as Trump holds the reins of power, he has the means to further leverage the office of the presidency and to serve his personal power and wealth objectives, which he handily demonstrated come at a high cost to the United States — and the American people he has sworn to serve.

Nobody has articulated the fear of being outvoted as a result of demographic change better than Mr. Trump.    During the 2016 presidential campaign, he told his supporters: “I think this will be the last election that the Republicans have a chance of winning, because you’re going to have people flowing across the border, you’re going to have illegal immigrants coming in, and they’re going to be legalized … and be able to vote. Once all that happens you can forget it.”   

All European populists have echoed Trump’s demographic anxiety.  Trump understands all too clearly that the reason his supporters both inside and outside the United States stand by him run much deeper. They reflect the apocalyptic mind-set of the right-wing populist voters in the West.

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Democratic politics serves as a nationwide therapy session. It allows voters to express their fears about the future while at the same time reassuring them that when the elections are over, everything will go back to normal.

Of course normal these days is a very fluid definition, as the Country struggles with a bungled Federal response to COVID-19, post-election misinformation in the wacky echo chamber of conspiracy-driven social media, amplified by Trump’s alt-right media outlets, and mix it up with a few bad foreign actors, and altogether, American democracy has never been so challenged as it has been for the past four years.

The one sane voice above all the noise has been president-elect Joe Biden.

President Biden deserves the support, respect, and hopes of all Americans for a future marked by the best ideals of democracy and selfless governance, and which will arrive on January 20, 2021, with or without Donald Trump.




We The People

A Split Decision for Democrats

BeyondKona Update: Nov.7   09:30HTNyt Bdien Beats Trump

Weary voters appeared willing to give former Vice President Joseph R. Biden Jr. a chance, but they shied away from putting Democrats in full control of Washington.

Americans who turned out in record numbers for the election were willing to weigh a change in course at the White House after four tumultuous years of President Trump, but the unfolding results showed that voters were not ready to hand unfettered control of the government to emboldened Democrats who had pledged to pursue an ambitious agenda if they triumphed.

Despite a record-setting fund-raising bonanza and a flurry of indications that voters were deeply dissatisfied with Mr. Trump, disappointed Democrats came up well short of their aspirations to seize clear control of the Senate and pad their numbers in the House. Instead, they watched gloomily on Wednesday as their path to the Senate majority narrowed while they absorbed unexpected losses in the House.

The split political decision underscored the reality that even as they turned away from the chaos of a divisive Republican president, voters wanted to hedge against Democratic hegemony in the nation’s capital and in statehouses around the country.

Far from the so-called blue wave that many Democrats had imagined, the election was shaping up to be a series of conflicting squalls pointing in different directions that, above all, appeared to promise continuing division at all levels of government.

In some ways, the configuration could be tailor-made for former Vice President Joseph R. Biden Jr., who will likely prevail.  It mirrored the decision that Democrats made this year in choosing Mr. Biden as their standard-bearer, elevating him over far more progressive contenders.

Mr. Biden sees himself as an old-school deal maker, someone who can operate in the more conventional political environment that voters seemed to be yearning for by delivering mixed outcomes like re-electing Senator Susan Collins, the centrist Republican from Maine, while delivering three of the state’s four electoral votes to Mr. Biden.

A Senate Firewall

A Biden victory will mean our next President will have to break through a Senate firewall controlled Republicans, some of whom are on a mission that is ahead of country and party – simply put: the deconstruction of key governmental institutions design to serve and protect the public interest.

Biden must also contend with Republican majority led by senate president Mitch McConnell, who consistently demonstrated he plays by rules only subject to his whims, and has a recent history of gutting bi-partisanship for a take-no-prisoners governing style — obstructionism when it suits him, and running rough shod over Senate processes and norms to achieve his very partnership goals, e.g. Barret Supreme Court nomination process absent of due diligence and process. Trump Exit

The Biden-McConnell dynamic could force the new administration to scale back legislative goals on immigration, health care, the environment and economic policy. For the majority of Americans who help elect Joe Biden, they are looking for a different outcome.

It could also compel Mr. Biden to negotiate with Republicans on his nominees for the executive and judicial branches, who would need to win Senate confirmation. Progressives who had been expecting big wins on Tuesday that would allow them to rush forward with bold new initiatives were headed for disappointment.

“Senate Republicans are going to be in a very strong position to steer the next two years,” said Senator John Barrasso of Wyoming, a member of the Republican leadership. “Nothing is going to become law without the support of Senate Republicans.”

With a GOP-controlled Senate unwilling to do the people’s business, a President Biden may have no other choice than to take a page from the Donald J. Trump playbook, and govern by Executive Order.

If any man can find a way forward in these divided times, it’s Joe Biden

Biden served as a senator from Delaware for more than 35 years, and during the campaign talked about his experience working across the aisle and suggested he could win over the half dozen or so Republicans needed to advance legislation. But that was provisioned on a Democratic majority.  A president Biden will be facing a different time, however, Biden and McConnell have a history of hammering out agreements, but the terms did not always meet the approval of fellow Democrats.

But if bi-partisanship is now truly dead, President Biden and the Country as a whole, will have more fundamental problems to address than just restoring the recent absence of traditional checks and balances of power among the three branches designed by America’s founding fathers.

Covid 19 Image

Everything You Ever Wanted to Know about COVID-19, and More

There are two camps in the world of COVID-19, believers and non-believers.

Believers tend to follow the science and medical community recommendations, while the non-believers generally don’t.

Some believers have had first hand experience with COVID-19 inflections; others haven’t, but most share a common respect for a novel Virus that continues to teach humans about the thin line between life and death.

For the non-believers COVID-19 is more nuanced, characterized not by facts and growing daily public death tolls, but by a belief COVID-19 won’t kill me, that only happens to seniors already knocking on death’s door, and to other people they don’t know.  If they do contract the virus, it will likely be little more than a bad case of the flu. It’s a belief system more a kin to a religion than scientific fact and empirical evidence.

Come Together

As Americans, we have a history of coming together in time of national crisis, be it the threat or reality of war and other catastrophic events.  Historically, we have looked to our leaders in a time of crisis and expect them to call for unity in a common public purpose – a norm which has vanished under the present divisive and absentee leadership and which is guilty of national malpractice.

President Trump, who self-describes himself as a “victim” because the media keep talking about “Covid, Covid, Covid”, while claiming unmasked at packed supporter rally this week that,  “… coronavirus fatalities are being exaggerated because doctors get more money and hospitals get more money if they say that Covid-19 was the cause of death.”  Not exactly a message of unity or national leadership during a global crisis affecting all Americans.

Leana Wen of the Washington Post, adeptly described the current administration’s response to nation’s immediate and life threating challenge of this new century this way: “For eight months, Americans have been asking what the Trump administration’s national strategy is to combat the coronavirus pandemic. We finally have our answer: capitulation.”

For weeks, the White House has been advancing a “herd immunity” approach of essentially letting the coronavirus infect (burn-through) the majority of the population. President Trump insists that the United States is “rounding the corner” despite record-breaking infection rates and rising hospitalizations.

Nearing a year into the COVID-19 pandemic the White House finally revealed its plan

On Sunday, White House Chief of Staff Mark Meadows stated bluntly: “We’re not going to control the pandemic.”   When pressed on why not, Meadows said the novel coronavirus “is a contagious virus just like the flu,” and that “what we need to do is make sure that we have the proper mitigation factors, whether it’s therapies or vaccines or treatments to make sure that people don’t die from this.”   

No, this is not January 2020, and no, it’s not a national pandemic plan or response.  But that’s Trump’s plan, October 2020 — to accept our fate and surrender to the virus. Cross our fingers and place all of our hopes on undeveloped vaccines and unproven therapies, while ignoring a rising national death count, and letting the virus rip through our communities — music to the ears of “non-believers”.

A Pandemic, Closer to Home

Lt. Gov. Green is now advocating a statewide mask mandate after learning on Sunday that Hawaii Island suffered its highest single-day jump in new COVID-19 cases since the start of the pandemic …and the tourists are only just beginning to return to the islands.

As a physician and a “believer” in the health threat COVID-19 represents to residents of Hawaii, Green knows masks are the first line of protection against the virus, wearing them will save lives, limit and contain spread, and manage a pandemic in line with the state’s limited medical response resources.

Yet managing a pandemic can get in the away of normal business operations and the state’s economy (pain and all) is surviving and will survive, despite an absence of national  leadership in establishing pandemic response standards, or provide the resources to fight the fight against COVID-19 and protect the public well-being. Instead, we have a national policy of neglect, denial, obstruction, and incompetency.

As for this president’s claims of a vaccine available in two weeks and counting, and still counting, the global scientific and medical community project 2021 before any meaningful vaccine response will become available to the general public. In the meantime, we need to do what humans do best, adjust and adapt with an united national response and purpose.

Now you can play a game of denial, throw caution to the wind, believe in herd immunity (which is an oxymoron) or scream about freedom infringement without any consideration to responsibility to community and country — or face the facts. We are still in the middle of a global pandemic, which locally, has found it way to every island community through out the state creating unwanted economic and social adjustments.

This highly contagious and deadly global pandemic will not last forever. In the meantime, throwing caution to the wind, will only further enable the consequences of surrendering to a pandemic marked by over 1 million deaths globally, and 230,000 deaths within the United States.

A 100 year old history lesson  

History is a powerful teacher.  In 1918, a novel strand of influenza (Spanish Flu) killed more people than the 14th century’s Black Plague which ravaged Europe. At that time, the pandemic deaths spiked in 1918, and then slowly dropped off the following year, however, it wasn’t until well into 1921 before the deadly virus was no longer a threat to the general population, and by then more than 2,300 people in Hawaii had died from the virus.

Flu Pandemic Of 1918 | First LibertyHawaii’s health officials at the time learned from cause and effect that social distancing and shutting down events and gathering places were effective measures to battle a dangerous airborne virus.

In the absence of an effective vaccine, the science tell us there’s a natural progression which a virus follows — but not always — it becomes less lethal as time wears on.

The natural order of an influenza virus is to change, and in the case of the 1918 flu and pandemic, the science told us the virus simply mutated in the direction of other influenza viruses, which is to become considerably milder over time, coupled to a developing immunity within the general population, and this process took several years.

COVID-19 Is More than a Question of Life or Death

The long term effects of COVID-19 infections are just beginning to be understood. Could the summer bring an end to COVID-19? | Live Science

COVID-19 symptoms can sometimes persist for months. The virus can damage the lungs, heart and brain, which increases the risk of long-term health problems.

The Mayor Clinic recently reported that most people who have coronavirus disease 2019 (COVID-19) recover completely within a few weeks.  But some people — even those who had mild versions of the disease — continue to experience symptoms after their initial recovery.

For example, older patients and people with many serious medical conditions are the most likely to experience lingering COVID-19 symptoms — the most common signs and symptoms that linger over time include:

  • Fatigue
  • Cough
  • Shortness of breath
  • Headache
  • Joint pain

Although COVID-19 is seen as a disease that primarily affects the lungs, it can damage many other organs as well. This organ damage may increase the risk of long-term health problems.


The Legacy of the COVID-19 (coronavirus) is much more than Catch and Release

Organ damage caused by COVID-19 includes:
  • Imaging tests taken months after recovery from COVID-19 which show lasting damage to the heart muscle, even in people who experienced only mild COVID-19 symptoms. This may increase the risk of heart failure or other heart complications in the future.
  • The type of pneumonia often associated with COVID-19 can cause long-standing damage to the tiny air sacs (alveoli) in the lungs. The resulting scar tissue can lead to long-term breathing problems.
  • Even in young people, COVID-19 can cause strokes, seizures and Guillain-Barre syndrome — a condition that causes temporary paralysis. COVID-19 may also increase the risk of developing Parkinson’s disease and Alzheimer’s disease.
 Blood clots and blood vessel problems

COVID-19 can make blood cells more likely to clump up and form clots. While large clots can cause heart attacks and strokes, much of the heart damage caused by COVID-19 is believed to stem from very small clots that block tiny blood vessels (capillaries) in the heart muscle.

Other organs affected by blood clots include the lungs, legs, liver and kidneys. COVID-19 can also weaken blood vessels, which contributes to potentially long-lasting problems with the liver and kidneys.

Problems with mood and fatigue

People who have severe symptoms of COVID-19 often have to be treated in a hospital’s intensive care unit, with mechanical assistance such as ventilators to breathe. Simply surviving this experience can make a person more likely to later develop post-traumatic stress syndrome, depression and anxiety.

Because it’s difficult to predict long-term outcomes from the new COVID-19 virus, scientists are looking at the long-term effects seen in related viruses, such as severe acute respiratory syndrome (SARS).

Many people who have recovered from SARS have gone on to develop chronic fatigue syndrome, a complex disorder characterized by extreme fatigue that worsens with physical or mental activity, but doesn’t improve with rest. The same may be true for people who have had COVID-19.

Many long-term COVID-19 effects still unknown

Much is still unknown about how COVID-19 will affect people over time. However, researchers recommend that doctors closely monitor people who have had COVID-19 to see how their organs are functioning after recovery.

Hi Case Graph 9 21

Hawaii’s COVID-19 Past, Present, and Future


Hawaii still had the sixth-lowest per-capita rate of COVID-19 cases in the country as of Monday.

Call it faith or a belief by our government officials (beginning with Governor Ige), that Hawaii is finally learning the lessons of living and dying with 6 months of highly airborne infectious virus, and is ready to open soon.  It is his belief the state has discovered how to manage a global pandemic – one which came to Hawaii for vacation and decided to stay.

Reopening leisure travel to Hawaii, currently planned for mid-October, Governor Ige said the state was still finalizing details of its pre-arrivals testing plan, slated to begin with Oct. 15 re-opening to tourism. The state’s plan calls for travelers who get tested according to state protocols to bypass a mandatory 14-day self-quarantine for out-of-state passengers that’s been in place since March 26.

Hawaii is the world’s most isolated and populated land mass (island chain). That, by itself, has given many islanders a false sense of security when it came to global pandemic that neither respects boarders or distance.

Hawaii’s so-called quarantine measures have recently demonstrated their limitations, and it is easy to conclude they have been totally inadequate in testing and enforcement resources. Beyond a few Oahu hotels working with DOH, it’s strictly an honor system, and people don’t fly to Hawaii for vacation only to stay inside their rooms for two weeks.

Civil Beat recently reported…more than 11,000 people in Hawaii have been diagnosed with the virus. Outbreaks at jails and nursing homes are challenging our ability to manage the disease in vulnerable settings.   “There’s no way to look back at what happened and come up with any conclusion other than we failed,” says Carl Bonham, executive director of the University of Hawaii Economic Research Organization.

Yet, Hawaii’s Lt. Governor Josh Green (and local Big Island doctor) toured Kona and Hilo Hospitals this week and stated his satisfaction with the island’s two primary hospital’s and their  readiness for a statewide reopening with the consequences of case count surges and increased hospitalizations. Green did acknowledge a shortage of on-island PPE protective supplies at the hospitals he visited.


Will Hawaii follow the same pattern seen elsewhere around the world?   Countries from New Zealand to Israel engaged early in proactive responses to the COVID-19 threat and were able to get ahead of the virus and save lives, but later became complacent with their accomplishments and under economic pressures re-opened only to experience a sharp rise of coronavirus cases and deaths, and these are countries with first class medical infrastructures, and which are not geographically fragmented, as in Hawaii.

Hi Gates OpenAs Hawaii re-opens for business during the middle of a global pandemic, island-bound cases and deaths will likely skyrocket, but unlike the mainland, Hawaii’s woefully lacking medical infrastructure could collapse under the weight of escalating hospitalizations — worst yet, the state’s population living on outer islands will be hardest hit, already facing a pre-pandemic chronic shortage of doctors and inadequate medical care.

State policy makers have already demonstrated their best intentions do not always fully consider the facts and consequences of this global pandemic, which so far has yielded chronic and deadly consequences for over 200,000 Americans who have died, in part from lost opportunities from a terribly mismanaged federal response “now” with fully politicized leadership team at CDC, FDA, and HHS.  No amount of Trump or chamber of commerce cheerleading and wishful thinking from local and national leadership will change that reality.

This virus is here to stay, and until there is carefully managed national policy and until a legitimate (science-based and proven) vaccine becomes available to the general population, COVID-19, its consequences, and costs will remain a fact of life.


Hawaii’s pre-pandemic tourist-dependent trade has been calculated at less than 25% of the state’s economy, and yes, it’s a big chunk of the economy, but the state will survive this segment’s temporary disruption to the economy and the loss of revenue it generates. Hawaii, like the rest of the nation has had its economic high and low tides, just as the state survived the disruption of 9-11, and the long term impact from a 2008 real estate market collapse, and the latter took a decade for the state to re-set and recover.

Hawaii may be an island state and with a long and essential supply-chain, but it has the means and potential to become increasingly self-sufficient and sustainable in both food and energy, two core drivers of any healthy economy. The state’s unique environmental assets, location, and aloha culture provide the foundation for a sustainable economy based on value, not volume.

The global market demand for a Hawaiian vacation experience will not disappear because of a pandemic disruption. The challenge for the state is to jettison past assumptions, and use this opportunity for change to pivot its visitor industry towards a sustainable economy targeting visitors and investors who appreciate the state’s island experience as something to preserve, and not to consume.

An Oily Planet

Real World Consequences


As lethal fires are spreading across the West — like the coronavirus that has ravaged the country for months; Arctic, Antarctic, and Greenland glacier meltdowns are accelerating their contribution to global sea level rise.

The president of a divided states of America represents a shrinking minority of Americans who are increasingly disconnected from reality.  They listen to a president who spins tales of an imaginary world in which science is fiction, reality is what you want to believe, and humans have the God-given right to destroy the very God-given planetary environment in which all life depends — and do so without consequences.  This is unconscionable .

But not to be dissuaded by real world consequences, the president has used his time in the nation’s highest office to aggressively promote the burning of fossil fuels, cutting backroom deals with the polluters for profit industrial cabal by rolling back or weakening every major federal policy intended to combat dangerous and human-generated global warming emissions — from the extraction to the burning of fossil fuels.

At the same time, Mr. Trump and his self-appointed fossil-fuel puppets are playing a very public role as senior environmental officials who have stuck to the Trump made-for-TV script, and regularly mocked, denied or minimized the established science and overwhelming evidence of human-caused global warming and climate change.

All this climate change denial and obfuscation is a betrayal of the public trust, and crime unto itself, but official tales require little effort and produce no risk to Trump’s money sources, especially when they replace corrective actions that could be taken by the federal government to protect the public and the planet.

False Narratives

This entire passion play of false narratives by Trump defies the facts and common sense reasoning, especially as the Western United States burns, the southeastern United States continues to be hammered by drought, floods, and superstorms, and the Midwest experienced its first every recorded hurricane-like storm which flattened crops across three states.

When Trump nominated a career fossil fuel industry lobbyist to lead the Environmental Protection Agency (EPA), we all knew what was coming.  So it’s no surprise that EPA chief Andrew Wheeler said he’s planning to shift the agency’s focus away from climate change.  Consider this a warning: the Trump administration is using this coded language to say that they’re going to allow even MORE greenhouse gas pollution sources in a second term, if re-elected.

How many voters will hold Trump, the party of Trump, and his administration accountable for brushing aside human-caused climate consequences, greater than any single pandemic event, deny science singularly and in total, and fail to take effective actions to mobilize the government to address the causes of unnatural disasters that have claimed lives, increasingly are destroying large segments of the global environment, damaged property, and threatened economic prosperity?

In 50 days we will know the answer to this question – and not even the Russians can hack their way to a Trump victory in face of the current administration’s failures to govern, and govern in the interest of the American people and the planet on which all life depends — the bill has come due, and it’s time Trump and his fossil-fueled party billionaires are held accountable.

Previously published:

Pac Money 1

Super PAC Money Targets Oahu and Hawaii County Races

Updated August 2, originally published June 30.

To quote the great political philosopher Cyndi Lauper, “Money changes everything.”

For the last 50 years the American political landscape has been guided by one basic rule: raise and spend as much money as possible during any given race in order to win.  The more dollars raised and spent on an individual race, the greater the chances for victory – in modern politics money has become a crucial determinant of whether or not a candidate will win. However, the currency of victory is not entirely measured in the amount of money raised and spent, rather how it’s spent to promote, influence, and otherwise motivate the public to vote for a specific candidate or ballot measure.

Civil Beat reported this week that Hawaii, even with its remote location, is not exempt from the political infection and influence pedaling effects of Political Action Committee money.  The PAC’s can receive and spend unlimited amounts of money to support or oppose any candidate, so long as they don’t coordinate with the person running for office, and they …“are hitting airwaves and mailboxes as voters cast their mail-in ballots, which went out statewide last week.”

All politics are local … but are they really?

The former U.S. Speaker of the House Tip O’Neill coined the phrase All politics are local” which encapsulates the principle that a politician’s success is directly tied to his ability to understand and influence the issues of his or her constituents. In other words, politicians must appeal to the simple, mundane and everyday concerns of those who elect them into office.  Those personal issues, rather than big and intangible ideas, are often what voters care most about, according to this principle.

Too often today’s candidates, backed by money interests with a stake in a race have an agenda and mask their goals through a local candidate, in a local race. Also addressing local community priorities may take a backseat to a hidden agenda – but that’s today’s political system.  Is it nefarious or illegal, it depends on your point of view and various election laws, but generally the answer is no.  Is it right, the answer is also no.  But today’s voters must be well informed, not mind-controlled, and do their homework in order to make intellect choices which serve their interests and those of the community.  In short, it’s voter beware and be informed, before marking and mailing in your ballot.

Follow the Money, Hawaii County 

The famous political adage from the presidential Watergate scandal, “… follow the money” offers a modern day tale of David and Goliath now unfolding in Hawaii County’s District 7 council race.  Here is an example of what should have been a local race in the tradition of Hawaii politics, but has been transformed by outside money and influence.  It is tPac Money 1he current Hawaii County council race between incumbent candidate, Rebecca Villegas, and her challenger and first time candidate, Jane Clement.

Most voters are aware of the billions of dollars now spent in each new presidential and federal election cycle, sums far greater than any state or down-ticket election. The further you go down ticket and into local races the closer politics begin to resemble a time past, with political races were built on the individual efforts of candidates with modest budgets and fully engaged in home grown politicking.

Candidate Clement’s until recently, was an employee of Seattle-based Strategies 360, although the company to list Jane Clement on their webs site:  The extent of  money and power of Strategies 360 financial support of candidacy is a mater of record and on display in two direct campaign contributions totally $4,000 and additional PAC money funneled through Be Change Now.

Civil Beat reported earlier this week that the Strategies 360 and through its client PAC, Be Change Now, has so far spent $78,000 in support of Clement (an unprecedented amount of money for Hawaii County Council seat).

Strategies 360 is an accomplished and powerful firm with one primary mission: influence political outcomes, be it candidate, ballot initiatives, or referendum.  Strategies 360 are masters at media, public relations, and remaking corporate images and reputations.

Strategies 360 established its office beachhead in Hawaii through two separate Political Action Committees in which holds board seats: Be Change Now, main funding source is the Hawaii Carpenters Union.  The second Political Action Committee is Pacific Resource Partnership (PRP).  PACs generally pool large amounts of money into campaigns for or against candidates, fund ballot initiatives, and enable a legislation agenda which serves their member interests.

What Makes This Local Race Different: Digital

Kona area residents, both inside and outside District 7 have recently reported encountering Clement campaign ads suddenly appearing on their screens in internet searches, web email, social networking, and even Clement campaign ads appearing when accessing web sites outside the state with no political grounding what-so-ever to Hawaii – the scale of this digital tactic goes beyond anything we’ve witnessed in previous local county elections on Hawaii Island.  Another element, as to what makes this digital tactic employed by Strategies 360 so different, is that it is much more than just targeted advertising; rather it resembles the military-equivalent of message carpet bombing.  

This year’s local council race between Villegas and Clement is different in powerful ways, it’s digital savvy with well-funded and proven mainland campaign tactics and resources marshaled by Strategies 360. Most notably is the level of money and media sophistication being applied to Clement’s candidacy.

With offices in 13 states, including Hawaii and Washington D.C. Strategies 360 large national presence enables an effective localized presence in influencing and promoting an agenda that serves a wide range of clients from coal, gas, and oil money interests to marijuana legalization, often in the form of specific candidates and ballot measures; they are mainland hired guns with a local presence and available to the highest bidder.

But At What Price to Win

This 2020 election cycle, both in Hawaii County and Oahu, feels the presence of Strategies 360 at work.  A Goliath of a presence which raises a larger question.  All this money and attention in a very local county council race — what is their endgame if their candidate takes office?  Challenger Clement’s campaign promises so far have been limited to “I care”, and absent the usual campaign issue promises of “if I’m elected…”

Incumbent Rebecca Villegas, has demonstrated leadership at the Council, and backed issues focused on the community she serves and greater Hawaii Island. Her leadership has made her friends and some well-funded political enemies, some of whom have engaged Strategies 360 to influence the race outcome in District 7.

None of this is particularly shocking, if fact, it represents politics today. Once confined to the mainland political arena and beyond the shores of Hawaii, now, sadly, no more…

Balance In Government

An Absence of Governance

We, the People, NO… It’s Us Versus Them…

Who is Them?  Generally, anti-science, anti-authority, anti-vaccine, anti-equality, anti-this, and anti-that feelings among a minority, but alarmingly large percentage of people.  Us are the majority of Americans, who, after 3 ½ years living with what otherwise can be described as slow moving train wreck, are searching for the restoration of competency at the highest levels government.

The Nixon years were little more than a warm up act for what the Country is now experiencing.  The Republic’s system of democratic checks and balances between the three branches of government have been Trump-twisted into a knot so tight it can’t be loosened by even a global pandemic.  Instead, Americans must tolerate the ongoing incompetence of ideology-led policies, operating in a bubble of perpetual politics ahead of national self-interest and presidential governance.  Pence Dr Fauci 1

The Federal response to the Coronavirus

America’s leaderless Federal response to the pandemic: kick the can down the road and onto the individual states. This is an experiment in Republican small-government theory, but playing out in its worst form.  It also demonstrates just how ill prepared this administration is in addressing the magnitude of a global crisis turned national crisis, and one which requires a coordinated Federal assistance response, from the top down.

“From the beginning there have been misrepresentations and fabrications from the White House,” said Irwin Redlener, Director, National Center for Disaster Preparedness at Columbia University. “Whatever the opposite of ‘mission accomplished’ is, that’s what this is. It’s essentially been an American fiasco.”

This administration has failed the Country on many points, but the present day pandemic response is costing lives.

With more than 3.2 million COVDI-19 cases and more than 136,000 deaths (updated July 10th), and with only 5% of the world’s population, the US accounts for about 25% of all Coronavirus cases and deaths worldwide. The responsibility of the Coronavirus pandemic impacts on Americans does not rest with China, rather, the responsibility clearly rests with president and his absence of a competent Federal response … “I’m not responsible”, says Donald J. Trump.

The US reported a record number of new Coronavirus cases in a single day, last Friday, with 36 states reporting a rise in infections and Texas, Florida and Arizona particularly badly hit — examples of states with Republican-led governors drinking the Administration’s Kool-Aid.   On February 28th, President Trump reassured the nation …”It’s going to disappear. One day, like a miracle, it’s going to disappear. At worst — worst case scenario — it could be the flu”.

A voice in the wilderness

One of last surviving adults in the room of the Administration’s so-called Virus Task Force is the well respected Dr. Anthony Fauci, who continues to correct the falsehoods of this president’s statements on all things from snake oil cures to the need for wearing masks in public places.

The mask-less Trump leads by example, an example that carries with it the weight of the presidency.  It’s no surprise when national polls indicate many Americans are skeptical of the Coronavirus threat, or the need and effectiveness of preventive and protective measures of masks, social distancing, or even accepting a vaccine if and when it becomes available after months of the administration’s public denials and misdirection.

New Us Case Rise

In a CNN interview, Dr. Fauci, referring to President explained: “…people not wearing masks is a “a recipe for disaster” and with regard to the Trump administration’s attempts at contact tracing: “I don’t think we’re doing very well.”

Doctor Fauci, also the top US infectious disease expert, has said the country could see 100,000 new coronavirus cases daily unless action is taken to reverse the epidemic. 

Appearing before the Senate health, education, labor and pensions committee on Tuesday, Fauci warned that the US is “going in the wrong direction” over handling the coronavirus, and said the death toll “is going to be very disturbing”.

He appeared a day after the White House insisted the outbreak had been reduced to “embers” but the principal deputy director of the Centers for Disease Control and Prevention, Dr Anne Schuchat, insisted: “This is really the beginning.”

Editor’s comment …

The president’s malfeasance could not be accomplished by himself.  He gets by with a little help (make that a lot) from his friends.  During the spread of the deadliest pandemic to reach the United States in a century, Trump called upon his closest advisors for guidance.  No, not the CDC and other medical experts, or vast intelligence resources at his disposal, but his friends at Fox (so-called) News.

A Washington Post survey showed 27% of Americans would likely refuse a vaccine, when one becomes available.  Another grim reminder of why we need news sources based on factual reporting, and not national policy from media outlet with an agenda ripe with political propaganda and unfounded conspiracy theories only know to president — in times of crisis, and all other times, democracies need news which speaks truth-to-power.

When faced with a dangerous situation, the public needs not only competent leadership, but accurate information in order to make good decisions on how to protect themselves and others. That starts with clear and coherent direction from the nation’s top leader, the President.

We have today an administration based on loyalty oaths, not competence, which has produced predictable results for the Country as a whole (Us and Them) — policies which have cost American lives – amplified the virus crisis – and fueled unprecedented damage to the economy, regardless of party affiliation and individual beliefs.

Closer to home, Hawaii is reading itself to re-open to the world on August 1st.

As in much of the of rest of the Country, two opposing priorities are battling for virus policy dominance: economic priorities versus public safety.

Like Alaska, Hawaii is also remote from the continental United States, which has somewhat protected both states from the full onslaught of active COVID-19 cases and deaths. But as Hawaii prepares to re-open following Alaska’s lead (requiring a pre-qualifying negative virus test results as the safety linchpin), the full opening of the state will test the limits of our somewhat isolated healthcare system and pandemic response resources.

The state’s healthcare sufficiency could quickly turn into another example of a state-led attempt re-open – absent of Federal guidance and resources – could easily prove to be another well-intended, but risky experiment with unforeseen consequences.

With a surge in U.S. infections, the President and friends play golf

The latest surge in rising infections hasn’t yet been reflected in a comparable rise in deaths, but that’s only a matter of time.

There is also growing evidence that even those who survive Covid-19 can not only be reinfected, but may suffer from long-term adverse effects: scarred lungs, damaged hearts and perhaps neurological disorders.

The failure in national leadership extends beyond the executive branch and to the McConnell-led and GOP-controlled Senate. With it, is a legislative agenda directed by  McConnell comprised mainly of obstruction efforts of all most legislative matters which defies the constitutional precepts of a democratic system of checks and balances; be it investigations into presidential wrong doing or congressional bills designed to address the past, present, and the future fragility of the American healthcare system.

In contrast to the Senate, the House of Representatives have advanced measures during this national crisis that would:

  • Shore up health care, safeguard protections for pre-existing conditions, and lower the cost of prescription drugs
  • Take meaningful action to combat climate change and protect our land, water, and air
  • Increase wages for workers, secure equal pay, and strengthen our economy

The House advanced a number of bi-partisan bills, stalled by McConnell, including follow-up legislation to the CARES Act addressing the on-going economic and social consequences of the pandemic.

Today’s pandemic, has been compounded by administration’s inept response efforts which have contributed to extended medical supply shortages of PPE, lab tests and supplies, and contributed to the high burn-out rate among essential healthcare workers — all which has been with us since the February arrival of the COVID-19 virus on U.S. shores.

In contrast to all this, last week the administration prioritized and reaffirmed its support for a lawsuit seeking to overturn the Affordable Care Act, which would, among other things, eliminate protection for Americans with pre-existing medical conditions. If the suit were to succeed, having had Covid-19 would surely be one of the pre-existing conditions making health insurance hard, perhaps impossible to get for an estimated 26 million Americans.


Green World

Think BIG – Big Island Green, that is …

Several Hawaii Island community voices have joined Tam Hunt in developing a vision for the island (and by extension the state), a vision which firmly places Hawaii on a path to a sustainable future, and a way to find its footing in the re-boot of the state and Hawaii County’s embattled economy. 

How to restart the kamaaina economy, improve resilience, self-sufficiency, and reduce our environmental footprint

Hawaii’s residents are facing economic devastation not seen since the Great Depression. Federal stimulus funds are helping to soften the blow but the $1,200 payments to individuals, and the $600 weekly increase in unemployment benefits are set to run dry by end of July.

Tourism, a critical cog in our economic engine, will likely lag for many quarters, and the threat of subsequent global COVID-19 infection waves will likely result in prolonged social distancing norms that will impact school schedules, affect work schedules, and decrease the productivity of local businesses.

What are we to do keep Hawaii Island afloat?

We are indeed at a historic place and time where an economic transformation of Hawaii is warranted, an opportunity for a 21st century New Deal specific to Hawaii’s needs. Even before the pandemic a lot of discussion had taken place locally, statewide and nationally about a Green New Deal, which would combine much-needed jobs programs, stimulate local economic activity, enable net zero carbon emissions, improve social equity, and save the environment.

Hawaii’s recent statewide experiment, from 2012 to 2016, in rooftop solar energy and net metering (NEM) created a statewide economic renaissance, producing the fastest economic growth for Hawaii in decades, created thousands of well-paying local jobs, new solar businesses, saved utility ratepayers substantial dollars, which flowed back into the local economy, and produced a lasting effect in advancing statewide solar energy independence.  This is a good example of smart policy.

What would a Green New Deal look like on the Big Island, led by local people and the county government? What would it mean to “think B.I.G.” (Big Island Green)?

County Research & Development have recently issued a draft Climate Action Plan with many great ideas. It’s a full-spectrum look at what the island will need to do to meet the statewide 100% renewable energy mandate by 2045, including solid waste management. It will also set the stage for the county to meet the 2017 declaration by Hawaii’s Mayor’s for the county to achieve 100% renewable ground transportation by 2045.

But a Green New Deal for the Big Island could advance the current 2045 goal of 100% clean and renewable energy for the state to 2030 or 2035 for our county. Think B.I.G. would be a job generator based on green energy, robust local agriculture, smart buildings, smart communities, electric vehicles and public transit, composting programs, public trails and expanded parks, improved water systems, and many other 21st century infrastructure activities. Most of these initiatives will save money and our unemployed need large numbers of new jobs in the near-term.

Aina Aloha is a new group of Hawaiian community members, businesses and organizations, rethinking Hawaii’s economy in light of the pandemic. Their declaration includes a list of guiding principles, the first of which states:

  • We are of and from this ʻāina that ultimately sustains us. We employ strategies for economic development that place our kuleana to steward precious, limited resources in a manner that ensures our long-term horizon as a viable island people and place.

Our hope is that Think B.I.G. serves the principles described by Aina Aloha.  Here’s a partial list of what thinking B.I.G. for the Big Island could look like. These examples are meant only to spur community discussion at this point:

Clean Energy Independence

  1. A commitment by the County itself to achieve 100% green energy for all of its operations (electricity, heating and transportation) by 2030
  2. A study of all County properties and parks for solar potential on rooftops, parking lots and other areas that can now be cost-effectively be solar poweredBeyond Kona Powerlines Solar Field
  3. Install hundreds of electric vehicle chargers, with solar canopies and batteries, on County facilities and public parks to charge County vehicles and public vehicles from the Sun (“driving on sunshine”), and enable grid resiliency.
  4. Install commercial and community microgrids for improved resiliency and grid support
  5. Complete study to determine alternative geothermal energy sites, and tidal/ocean energy sites, on and around the island
  6. A commitment by the County to retrofit all County buildings to achieve either LEED (Leadership in Environmental and Energy Design) certification or Zero Net Energy with a combination of energy efficiency and solar technologies
  7. Community solar facilities for all apartment buildings with roof space or parking lots for solar
  8. Community wind power for areas that have decent wind resources and are otherwise suitable for small and medium-size wind turbines
  9. Robust rebate programs, working with Hawaii Energy, HELCO and the state Public Utilities Commission, for energy efficiency, solar water heating, roof top solar, electric vehicle and charger purchases, and other green-energy retrofits
  10. Install methane capture and power generation technologies at county sewage treatment plants and parks with composting toilets.
  11. Job training programs for solar technicians, energy efficiency technicians, green agriculture, and land stewardship

Local agriculture and permaculture

  1. Improve local food independence through regenerative agriculture and permaculture designPermaculture Costa Rica
  2. Support programs for local agriculture of all sizes with focus on the local food economy rather than the international export economy; farmer trainings; workshops; nurseries; seed banks and libraries
  3. Compost and mulching programs in every community
  4. Creation of food aggregation and distribution hubs following the model of Kahumana farms on Oahu
  5. Identify County properties that could be re-purposed for community gardens and farmlands with low lease rates to encourage new farmers

Waste programs

  1. Community led design sessions to help identify and implement improved recycling and upcycling opportunitiesGreenhouse Irrigation Water Recycling System - Ozone Pro ...
  2. Implement zero waste education and practices in all public schools
  3. Community led design sessions to identify better mid-term and long-term waste management solutions
  4. Assess the viability of industries related to extending the life of solar panels and batteries, and the recycling of these materials at their end-of-life
  5. Recycling waste water for irrigation

Parks and trails

  1. Create a series of interconnected bike trails and bicycle friendly roads across the island, reducing vehicle traffic and encouraging bicycle tourism
  2. Trail building programs in areas that are suitable for new trails, like county, state and national parks, and forest reserves
  3. Expand existing parks where appropriate, providing additional green space, species conservation and recreation
  4. Improve and expand park facilities like basketball courts, tennis courts, keiki play areas, community centers, etc.
  5. Identify public parks that can host food forests and community gardens and hand over management of those spaces to community groups, reducing the labor burden of county workers


  1. Robust education and outreach programs to alert the public to rebates, job programs, and other aspects of Think B.I.G.
  2. Connect Big Island programs to statewide programs working on green energy, waste, local agriculture and other Green New Deal programs
  3. Encourage education curricula designed for careers in renewable energy, battery and fuel-cell vehicles, regenerative agriculture, waste management, parks maintenance, and recycling.
  4. These programs, if implemented in the next few years, would provide literally tens of thousands of new jobs on our island, while also making the Big Island even more enjoyable to live on, and reducing our environmental footprint. Hawaii island has the potential to serve as a model for the rest of the world and foster a new brand of environmentally responsible tourism.
  5. And the last major benefit would be a dramatic improvement in our resilience against disasters of all types.

Paying for all of this

How will all this be paid for? There are a number of possible funding options, including:

  1. Federal stimulus (CARES) funding to state and local governments, which currently is earmarked only for coronavirus response, but will almost certainly be expanded for recovery use before longCip
  2. State Capital Improvement Program (CIP)
  3. Foundation funding — many community, state and federal foundations will be looking for community-level leadership and Hawaii County can offer that.
  4. Federal or state community block grants
  5. County or state bond measures — if any time warrants bonds to be issued this is it
  6. Private – Public Sector investment partnerships

Additional funding, possibly a large part, can come from 3rd party investment – companies that are willing to build the infrastructure and reap the revenue from the energy generated or saved.

When all is said and done we on the Big Island can’t afford to not fund the economic and social benefits of a forward-moving B.I.G. initiative.

Tam Hunt is a Big Island resident and the chief executive of Community Renewable Solutions, LLC.  Hunt is also an attorney with substantial regulatory and policy experience directed to renewable energy and transportation electrification projects in California and Hawaii.  He was previously a UC Santa Barbara lecturer and expert on climate change law and policy and renewable energy law and policy.

Hawaii Virus Greeting Card

Hawaii and Tourism, an Economic Reality Ripe for Change

Hawaii’s tourism industry has been devastated by the COVID-19 lockdown.

With virus growth rates relatively flat on the islands, state officials struggle with re-opening and setting priorities: the economy vs. public health and safety.

Thanks to Hawaii geographic isolation, a statewide stay-at-home order and a mandatory 14-day quarantine for all arrivals, together this policy has been primarily responsible for one of the lowest rates of Covid-19 in the US.

But the quarantine essentially halted tourism in Hawaii, which accounts for a quarter of the state’s economy, and as a result, nearly one-third of the state’s working population has applied for unemployment.

Previously, Governor Ige, announced a phased approach to opening the non-tourism economy, or kamaʻaina (local) economy.  The plan reopened auto dealerships, car washes and pet grooming services in May, while waiting until June to consider reopening higher-risk businesses, such as gyms, hair salons, and theaters.

The governor also confirmed earlier that the mandatory 14-day quarantine for all arrivals would stay in place through June, a restriction just lifted for inter-island flights, as of June 16th.  The finer details of how the tourism economy – bars, hotels, convention centers – will be reopened has yet to be released.

According to Hawaii’s Department of Business, Economic Development & Tourism, the state has so far lost 78,000 jobs related to tourism-intensive industries (hospitality, trade, and transportation).  Assuming the visitor industry starts to fully reopen by September 2020, it is projected to recover to a level of 30 percent of arrivals (from same month in 2019), and up to 45 percent of previous levels by December 2020.  No cruise ship visitors are expected until second half of 2021.

The department’s second quarter 2020 economic report also reveals some other stark economic projections;

  • it will take 6 years for visitor arrivals to recover to the 2019 level (based on 2009 great recession recovery time line).
  • It will also take 2 years for local (non-tourism intensive sector) businesses to recover to the 2019 level, in terms of job count.

Can Hawaii open up to tourists without letting in the coronavirus?

With the recent upswing in U.S. coronavirus (Covid-19 ) case counts in state’s leading in the race to reopen back up for business, Hawaii faces the prospects of thousands of tourists returning to the islands, and some will be infected with coronavirus and also asymptomatic in which airport temperature checks of arriving passengers will be mostly useless for the screening of this virus-active segment of the population.

One idea currently being floated by government officials is waiving the quarantine restrictions for new visitors is that each passenger Hawaii-bound present proof recent negative test results prior to boarding their flight to Hawaii.  The process and stakeholder responsibilities for managing such a system have yet to be worked out.Toursim

One suggestion is that people take a COVID-19 test 24 hours before flying to Hawaii, and individuals who share their negative results with the airlines and/or state prior to boarding to qualify for a 14-day quarantine waiver on arrival.

Such a system won’t be flawless, since test results are not always accurate. People flying to Hawaii might still be exposed to the virus while traveling or at any point after their test results and before their arrival in Hawaii.

The median turnaround times for COVID-19 test results are approximately 7-8 hours, once test samples are received at a qualified mainland testing facility.  According to Hawaii’s DOH, specimens are collected in Hawaii and be sent to a private or state lab take upwards to 3 to 4 days for test results.

But with its flaws, a pre-qualification to fly to Hawaii testing certificate would likely stop the vast majority of asymptomatic people who would have flown into the state with Covid-19, making it an effective screening tool to keep the number of new arrival cases low.

Hawaii’s lieutenant governor, Josh Green; the US congressman Ed Case; and local lawmakers have expressed support for a screening strategy that includes pre-testing for the coronavirus, while the Federal Aviation Administration and the US Department of Transportation have said it would be possible, but testing and screening details have yet to be worked out between the Feds and the state.

As the theory goes…maintaining low rates of Covid-19 will probably encourage visitors to come to the state, as they will think of Hawaii as a safe place. It will also make residents who are weary of visitors – a handful were caught breaking quarantine after posting pictures of themselves on the beach or other quarantine violations – more confident about allowing tourism to return.

Testing, contact tracing, and isolation methods also needed to be bolstered before the state allowed tourists to come back, and ensure the safety of Hawaii’s residents.  In early May, the state’s department of health said it was increasing the number of trained contact tracers who will help in the tracking of infected persons and who may have come in contact with residents, in order to slow or stop the spread of the virus.

Beyond Tourism

It will likely take Hawaii longer to recover than states on the mainland with more diversified economies. At the same time, it is generally recognized, outside the state’s tourist industry, that Hawaii must diversity its economy and lessen its dependency on Tourism. The questions are what form such a needed economic transition would take, who would benefit, and how to ensure the transformation will be economically sustainable and equitable for Hawaii’s residents and business interests.

The state has already seen a loss of population for the past three years in what has been described as a form of economic flight, and the pandemic is likely to accelerate that trend without fundamental economic reform that addresses both the state’s dependency on tourism and its need for greater economic diversification… going back to business as usual is no longer an option in the new post-pandemic world economy.  Hawaii may be a magical place, but there is no longer room for magical thinking when it comes to state’s future.



Covid 19 Image

Coronavirus: 21st Century Pandemic – BREAKING NEWS

US has three months to rebuild medical supplies stockpile before Second COVID-19 Wave Hits

Last month, Robert Redfield, director of the Centers for Disease Control and Prevention, issued a candid warning (April 22 ) in a Washington Post interview.

A simultaneous flu and coronavirus outbreak next fall and winter “will actually be even more difficult than the one we just went through,” adding that calls and protests to “liberate” states from stay-at-home orders — as President Trump has tweeted — were “not helpful.”

President Trump’s tenuous relationship with his own administration’s scientific and public health experts (Dr. Fauci, CDC, NIH) has created a political filter for all public information relating to the present pandemic. The unofficial message from the Oval Office is an unmistakable warning:  Those who challenge the president’s erratic and often inaccurate coronavirus views will be punished — or made to atone.

Fast Forward to Present Day and Hear Scientists’ Warnings – Outside the Trump White House Bubble

Nine top scientists who advised President  Barack Obama during his term in the White House are warning that the United States has just three months to rebuild its national stockpile of emergency medical supplies or risk further drastic shortages of testing kits and protective gear should coronavirus strike again in the fall.

The group of nine are among the most pre-eminent scientists in the country. In addition to Holdren, now at Harvard, they include Eric Lander of MIT and Harvard, Chris Chyba of Princeton and Susan Graham of UC Berkeley.

All nine were members of the Council of Advisors on Science and Technology assembled by Obama at the start of his presidency. Between 2009 and 2016 they co-wrote six reports for the president that touched on viral pandemics.

The dramatic warning from the former White House science advisers contains an implicit criticism of Donald Trump’s handling of the pandemic. The group of scientists warn that present federal government preparations for a possible resurgence of the disease must be triggered immediately inn order to avoid a repeat of the “extraordinary shortage of supplies” that the Country suffered earlier this year during the current first wave of the Pandemic.

“Preparation for a resurgence needs to be initiated now. It needs to be at a national level, in close collaboration and coordination with state and local officials,” the letter says.

In a series of recent statements, Obama has been searingly critical of Trump’s management of the pandemic. Last Saturday he told graduating students in an online commencement address that coronavirus had “finally torn back the curtain on the idea that so many of the folks in charge know what they’re doing – a lot of them aren’t even pretending to be in charge”.

The nine authors, led by John Holdren, Obama’s White House science adviser throughout his two terms in office, criticize the Trump administration for failing to act on numerous studies urging replenishment of the Strategic National Stockpile (SNS) in preparation for just the kind of health emergency unfolding today.

“The United States was unprepared for the supply needs of the spring 2020 Covid-19 pandemic,” the group says.

The scientists add: “There has been a persistent shortage of ventilators, testing kits, masks and other PPE [personal protective equipment] … In recent years the nation has let down its guard.

As states reopen, efforts to ramp up testing have been hampered by the fragmented U.S. health system

The inability of the United States to provide broad diagnostic testing, widely seen as a pivotal failing in the nation’s effort to contain the virus, has been traced to the absence of a cohesive Federal policy, and the the botched rollout by the Centers for Disease Control and Prevention, couple to delayed response by the Food and Drug Administration, and supply shortages of swabs and masks.

But the fragmented Federal response has been compounded by a poorly organized American health care system, making it difficult for hospitals and other medical providers to quickly overcome obstacles to testing, tracing, and treatment.

In recent days, Mr. Trump has delivered a mixed message on testing, saying on May 11 that in ramping up, “we have met the moment and we have prevailed,” while a few days later, he suggested that testing was “overrated” and that the high number of cases in the United States could be traced to more prevalent testing.

The picture for testing is improving, slowly. The United States is completing more than 300,000 tests a day, double the amount of a month ago, according to the Covid Tracking Project.

Still, the level of testing in the United States is orders of magnitude less than what many epidemiologists say it should be. The country should be doing at least 900,000 tests a day — and as many as 20 million — to yield an accurate picture of the outbreak, they say.

The need for extensive testing is even more acute as many governors have reopened their states before the epidemic has crested. Without sufficient testing it will be hard to identify and contain new outbreaks.

Most testing is not done by public health authorities — whose labs have been chronically underfunded — but by hospital laboratories and major for-profit testing companies.

There have been calls for more than a decade to create a national laboratory system that could oversee a testing response in a public health crisis. An effort to create one 10 years ago withered away over time because of a lack of funding.

America’s Nurses Speak Out — Survey finds 87% of forced to reuse one-time protective equipment

Despite ongoing calls for protective measures, 84% of those surveyed have not been tested for Covid-19 and 72% work with exposed skin or clothing,

The nationally representative survey finds that “dangerous healthcare workplace conditions have become the norm” since Covid-19 spread widely in the US.

More than 100 nurses have died since the beginning of the pandemic.

Some Covid-19 patients who have symptoms for months

Prof Tim Spector, of King’s College London, estimates that a small but significant number of people are suffering from the “long tail” form of the virus.

Spector is head of the research group at King’s College London which has developed the Covid-19 tracker app. This allows anyone who suspects they have the disease to input their symptoms daily; some 3 to 4 million people are currently using it, mostly Britons and Americans.

Spector estimates that about 200,000 of them are reporting symptoms which have lasted for the duration of the study, which is six weeks. There is good clinical data available for patients who end up in hospital.

Thus far the government is not collecting information on those in the community with ostensibly “mild” but often debilitating symptoms – a larger group than those in critical care.

“These people may be going back to work and not performing at the top of their game,” Spector says. “There is a whole other side to the virus which has not had attention because of the idea that ‘if you are not dead you are fine.’”

He adds: “We are the country that invented epidemiology. We haven’t produced any epidemiological studies other than the app. It’s kind of embarrassing.”

As more information becomes available, the government’s Covid model seems increasingly out of date.

Many Covid patients do not develop a fever and cough. Instead they get muscle ache, a sore throat and headache.

The app has tracked 15 different types of symptoms, together with a distinct pattern of “waxing and waning”. “I’ve studied 100 diseases. Covid is the strangest one I have seen in my medical career,” Spector says.

The president’s outlandish behavior as Americans suffer has inspired horror and confusion while alienating allies

The Trump administration has repeatedly claimed that the US is “leading the world” with its response to the pandemic, but it does not seem to be going in any direction the world wants to follow.

Across Europe, Asia, Africa and Latin America, views of the US handling of the coronavirus crisis are uniformly negative and range from horror through derision to sympathy. Donald Trump’s musings from the White House briefing room, particularly his thoughts on injecting disinfectant, have drawn the attention of the planet.

“Over more than two centuries, the United States has stirred a very wide range of feelings in the rest of the world: love and hatred, fear and hope, envy and contempt, awe and anger,” the columnist Fintan O’Toole wrote in the Irish Times. “But there is one emotion that has never been directed towards the US until now: pity.”

The US has emerged as a global hotspot for the pandemic, a giant petri dish for the Sars-CoV-2 virus.

As the death toll rises, Trump’s claims to global leadership have became more far-fetched. He told Republicans last week that he had had a round of phone calls with Angela Merkel, Shinzo Abe and other unnamed world leaders and insisted “so many of them, almost all of them, I would say all of them” believe the US is leading the way.

None of the leaders he mentioned has said anything to suggest that was true.

Top health experts testify before the Senate today that the U.S. is not “out of the woods” and warn against reopening too fast.

Dr. Robert R. Redfield, the director of the Centers for Disease Control and Prevention, warned the Senate Health Committee on Tuesday (5-12) morning that “we are not out of the woods yet,” a day after President Trump declared, “we have met the moment, and we have prevailed.”

Dr. Redfield is one of four top health officials testifying remotely by video, three of which in some form of self-isolation after exposure to a White House official who tested positive for the coronavirus, including Dr. Anthony S. Fauci, the nation’s top infectious disease expert, and Stephen M. Hahn, the Food and Drug Administration commissioner.

Americans should brace themselves for the risk that they will suffer their “darkest winter in modern history” due to the ongoing federal government failures in addressing the coronavirus pandemic, a recently ousted public health official turned whistleblower warned the US Congress.

Dr. Bright, who was removed from his role heading a federal agency in charge of vaccines last month, told a congressional committee on Thursday that as the virus continues to spread in the US the “window is closing to address this pandemic” because the Trump administration still lacks a comprehensive plan to tackle Covid-19.

Dr. Fauci on Monday said he would tell the panel that there could be needless suffering and death if the country opens prematurely, but steered clear of that language during the early part of the hearing, instead saying, “the consequences could be really serious.” Mr. Trump has pushed for states to reopen and at times has encouraged people to defy governors’ orders.

More than 84,000 people in the United States have died from the virus, and Dr. Fauci cautioned that the number is likely higher and will grow even more if some areas if some areas of the country reopen prematurely.

“If that occurs there is a real risk that you will trigger an outbreak that you may not be able to control,” Dr. Fauci said, adding that it would not only lead to deaths but would set the economic recovery back as well.

Senator Patty Murray of Washington, condemned the Trump administration’s response to the virus, saying that Mr. Trump “has been more focused on fighting against the truth than fighting the virus.”

She criticized “delays” and “missteps” on tests, “corruption and political interference” in the government’s attempts to acquire personal protective equipment, and the White House’s move to put off guidelines the C.D.C. drafted to help schools, restaurants, churches and other establishments safely reopen.

“Americans have sadly paid the price,” she said.

In a tense exchange about whether children should go back to school, Senator Rand Paul, Republican of Kentucky, noted that the mortality rate in children is low, and suggested that schools should be reopened district by district.

“As much as I respect you Dr. Fauci, I don’t think you’re the end all. I don’t think you’re the one person who gets to make the decision,” Mr. Paul said. “We can listen to your advice but there are people on the other side saying there won’t be a surge.”

To that, Dr. Fauci gave a pointed response. “I have never made myself out to be the end all and only voice in this,” he said. “I’m a scientist a physician and a public health official. I give advice on the best scientific evidence.”

New COVID-19 case clusters emerge in Asian countries previously praised for their successful coronavirus containment.

As the world confronts the pandemic, several nations in Asia have been hailed for curbing the spread within their borders. But in the face of the coronavirus, victory can be elusive and fleeting.

And as several countries make moves to lift measures aimed at slowing the spread of the coronavirus, officials from the World Health Organization are urging governments and the public to maintain “extreme vigilance” to avoid a new wave of infections.

Singaporeonce a model for its speed and efficiency in tracing the contacts of infected people, has seen its cases balloon to more than 23,000 as the virus spread in dormitories for foreign workers.

China – Officials in Wuhan, the Chinese city where the outbreak began and which celebrated its recent emergence from more than two months in lockdown, said it would test all 11 million residents after six new cases were confirmed this week.

The new cluster of cases, the first recorded there since April, were linked to a man who fell sick in March but was not tested. He recovered, then fell ill again last month.

Japan – As reported earlier (, the northern island of Hokkaido offers a grim lesson in the next phase of the battle against COVID-19. It acted quickly and contained an early outbreak of the coronavirus with a 3-week lockdown. But, when the governor lifted restrictions, a second wave of infections hit even harder. Twenty-six days later, the island was forced back into lockdown.



A divide between so-called red states and blue states is driving a US congressional dispute over COVID-19 recovery aid.

Hawaii and other state governments are incurring large economic costs to respond to COVID-19.   States are also experiencing large declines in tax revenues and increased enrollment in safety-net programs as disruptions caused by COVID-19 drive incomes and consumption lower. Without assistance from the federal government, states will likely be forced to make deep program cuts, enact substantial tax increases, or both, signs of which have already begun here in Hawaii.

The disagreement is another reminder as Mr. Trump and a divided Congress make decisions about federal relief, based on politics — which is never far from their calculations.

Democrats are presently urging action that a much needed next phase of assistance in the form of state aid be enacted now, but President Trump and Republicans argue that the government should wait to see how the economy is faring before enacting another sweeping stimulus law.

Much of the dispute — unfolding months before the November elections is about control of the Senate — a political calculation not lost on this Administration, and which states that stand to benefit or lose.

President Trump has suggested that he viewed the issue through an entirely partisan lens. But the reality is that many states and cities (both blue and red) are experiencing devastating fiscal crises during the pandemic, and Congressional Democrats have joined bipartisan groups of governors and mayors in pressing for as much as $700 billion for troubled states, cities and towns.

Men’s blood has higher levels of an enzyme used by the Sars-CoV-2 virus to infect cells

The results of a study published in the European Heart Journal show. Angiotensin-converting enzyme 2 (ACE2) is found in the heart, kidneys and other organs. It is thought to play a role in how the COVID-19 infection progresses into the lungs.

The World Health Organization says “extreme vigilance” is needed as countries begin to exit lockdowns imposed to curb the virus’ spread.

The warning comes after Germany reported an acceleration in new infections after easing its lockdown, and South Korea, another country that succeeded in limiting infections, saw a new outbreak in nightclubs.

Follow the Money – Economic Impact Payments

Economic Impact Payment from the IRS. The latest figures show that nearly 130 million individuals have received their payments, accounting for $200 billion in support during the first four weeks of the program.   For Hawaii residents, so far, the IRS has issued 542,426 Economic Impact Payments, a total of $923,960,321.

The IRS is committed to helping you get your Economic Impact Payment as soon as possible. The payments, also referred to by some as stimulus payments, are automatic for most taxpayers. No further action is needed by taxpayers who filed tax returns in 2018 and 2019 and most seniors and retirees.

The IRS is encouraging everyone who has not yet used the “Get My Payment” tool on its website to do so no later than Wednesday, May 13 for a chance to get a quicker delivery of their Economic Impact Payment.

Hawaii’s Department of Labor and Industrial Relations (DLIR) announced it distributed $140,300,082 in unemployment insurance benefits for the week of May 3rd.

  • In March, Congress passed a historic $2 trillion stimulus package to shore up the economy. Money 1
  • The CARES Act includes $150 billion for state and local governments to help them respond to the coronavirus crisis.
  • But the money hasn’t been distributed evenly: Rural states are receiving a disproportionate amount of relief funds relative to their COVID-19 case and death counts, according to the Center for Budget and Policy Priorities.
  • That has major implications for states with larger outbreaks, since governments are being forced to make severe cuts to programs like Medicaid, even as millions lack health insurance.

Hawaii State legislature comes back to work next week to face up to uncertain times ahead and an emerging budget crisis.

Hawaii’s rainy day fund is one area that will be tapped to cover revenue-budget shortfalls. One thing certain, Hawaii’s legislature cannot assume a return to business-as-usual revenue assumptions going forward and for the foreseeable near future – adjustments will need to be made. Question is what “adjustments” will be made that will be sufficient to balance the state budget.

After being recessed since March due to COVID-19, the Hawai‘i legislature will be reconvening on Monday, May 11.  Lawmakers will focus on state budget issues and board member confirmations.  The Capitol will also be closed to the public, but all committee hearings and floor sessions will be live streamed on ʻŌlelo and written testimony will be accepted on all active matters before this renewed legislature session.

  • Hawaii — Govenor Ige, eases “Stay at Home” to “Safer At Home”

More Hawaii businesses will be permitted to reopen Thursday, (5/7) in a new statewide emergency proclamation.New Cases

Governor Ige’s new proclamation allows “low-risk” businesses to reopen as long as they follow social distancing guidelines.

Re-opening Hawaii’s business community and beaches

Hawaii businesses eligible for reopening include retail businesses and services, non-food agriculture, astronomical observatories and support facilities, car washes, pet grooming services, non-profit organizations, shopping malls and wholesale and warehousing operations. Health care providers also will be allowed to resume elective surgeries.

The primary consideration for determining which businesses can reopen is they can effectively enforce social distancing protocols.

The reopening requires that patrons and customers maintain minimum distances between people, limit the number of simultaneous customers and require employees and customers to wear masks.

“Although we encourage you to patronize the newly reopened businesses and activities, you are safer at home,” Ige said.

Hawaii state, since the pandemic hit the islands, has tested less than 2% of the population, and so far has failed to employ statewide COVID-19 case tracing.

The current “flattening of the curve” in the state is more a testament to the state’s early and aggressive virus containment measures than the potential for a wider spread of COVID-19 throughout the state as containment management restrictions are lifted.

Updated Hawaii State and County Face Mask Guidance

On April 24, 2020, the governor previously issued a statewide order encouraging all to wear cloth face masks based on CDC recommendations, which is that everyone should wear a cloth face covering when out in public. They also advise that cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or anyone otherwise unable to remove the mask without assistance.

The governor’s order also exempts the use of a face mask while using an ATM or in a bank, and while engaging in physical exercise.For Hawaii County, Mayor Kim also issued a new rule requiring the use of face coverings or masks for all essential businesses and operations. All customers and all employees are required to wear face coverings. Children younger than 5 and those with health or medical conditions, trouble breathing, or who are otherwise unable to remove the covering without assistance are exempted from this rule. Unless there is an exemption, a business is required to refuse service to those without face coverings.

  •  US infection rate rising as states open up

New confirmed infections per day in the U.S. exceed 20,000, and deaths per day are well over 1,000, according to figures from Johns Hopkins University. And public health officials warn that the failure to flatten the curve and drive down the infection rate in places could lead to many more deaths — perhaps tens of thousands — as people are allowed to venture out and businesses reopen.

“Make no mistakes: This virus is still circulating in our community, perhaps even more now than in previous weeks” said Linda Ochs, director of the Health Department in Shawnee County, Kansas.

Elsewhere around the world, Britain’s official coronavirus death toll, at more than 29,000, topped that of Italy to become the highest in Europe and second-highest in the world behind the United States. The official number of dead worldwide surpassed a quarter-million, by Johns Hopkins’ count, though the true toll is believed to be much higher.

When the still locked-down area is included, new infections in the U.S. appear to be declining, according to the AP analysis. It found that the five-day rolling average for new cases has decreased from 9.3 per 100,000 people three weeks ago on April 13 to 8.6 on Monday.

U.S. testing for the virus has been expanded, and that has probably contributed to the increasing rate of confirmed infections. But it doesn’t explain the entire increase, said Dr. Zuo-Feng Zhang, a public health researcher at the University of California at Los Angeles.

“This increase is not because of testing. It’s a real increase, he said.

On Monday, a model from the University of Washington nearly doubled its projection of COVID-19 deaths in the U.S. to around 134,000 through early August, with a range of 95,000 to nearly 243,000.

Dr. Christopher Murray, director of the institute that created the projections, said the increase is largely because most states are expected to ease restrictions by next week.

Without stay-at-home orders and similar measures, Murray said, “we would have had exponential growth, much larger epidemics and deaths in staggering numbers.” But cooperation is waning, with cellphone location data showing people are getting out more, even before their states reopen, he said.

  • The Trump administration projects about 3,000 daily deaths by early June

As President Trump presses for states to reopen their economies, his administration is privately projecting a steady rise in the number of cases and deaths from the coronavirus over the next several weeks, reaching about 3,000 daily deaths on June 1, according to an internal document obtained by The New York Times, nearly double from the current level of about 1,750.

The projections, based on modeling by the Centers for Disease Control and Prevention and pulled together in chart form by the Federal Emergency Management Agency, forecast about 200,000 new cases each day by the end of the month, up from about 25,000 cases now.

The numbers underscore a sobering reality: While the United States has been hunkered down for the past seven weeks, not much has changed. And the reopening to the economy will make matters worse.

“There remains a large number of counties whose burden continues to grow,” the C.D.C. warned.

The projections confirm the primary fear of public health experts: that a reopening of the economy will put the nation right back where it was in mid-March, when cases were rising so rapidly in some parts of the country that patients were dying on gurneys in hospital hallways as the health care system grew overloaded.

On Sunday (5-3),  Trump said deaths in the United States could reach 100,000, twice as many as he had forecast just two weeks ago. But his new estimate still underestimates what his own administration is now predicting to be the total death toll by the end of May — much less in the months that follow. It follows a pattern for Mr. Trump, who has frequently understated the impact of the disease.

At least 1,000 people with the virus, and sometimes more than 2,000, have died every day for the last month. On a near-daily basis, at least 25,000 new cases of the virus are being identified across the country.

Trump prepares country for politically-driven calculus; re-opening U.S. against all odds and public health consequences… Slow, conflicting, and confused Federal response to pandemic contributes to national PPE supply, equipment, and virus testing shortage, as national death toll exceeds 51,450..

  • US Federal Gov’t ReOpening Plan  – PHASE ONE —

ALL VULNERABLE INDIVIDUALS should continue to shelter in place.

Members of households with vulnerable residents should be aware that by returning to work or other environments where distancing is not practical, they could carry the virus back home. Precautions should be taken to isolate from vulnerable residents.

All individuals, WHEN IN PUBLIC (e.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. Social settings of more than 10 people, where appropriate distancing may not be practical, should be avoided unless precautionary measures are observed.

EMPLOYERS will continue to ENCOURAGE TELEWORK, whenever possible and feasible with business operations.  If possible, RETURN TO WORK IN PHASES.  Close COMMON AREAS where personnel are likely to congregate and interact, or enforce strict social distancing protocols.

  • A Second Wave of COVID-19 infections is projected for Hawaii…

A month ago, it was reported (3-31) that …COVID-19 is spreading in Hawaii communities at a wider scale than being reported. That’s according to two medical experts on the frontlines of containing the virus.

“There’s no fear mongering here. We need to isolate we need to separate,” Dr. Miscovich, founder of Premier Medical Group Hawaii, whose clinics have identified about 40 of the 175 positive cases so far in the state.

Dr. Miscovich added that most of the professional community are “thinking there’s probably 800 to 1,000 unidentified cases on Oahu right now, and that would also be across the neighbor islands. We need to test them we need to find them, we need to isolate them, we need to treat them and I still am very confident that we have the ability to flatten the curve.”

But that’s just the tip of the iceberg.

Dr. Miscovich added that most of the professional community are “thinking there’s probably 800 to 1,000 unidentified cases on Oahu right now, and that would also be across the neighbor islands. We need to test them we need to find them, we need to isolate them, we need to treat them and I still am very confident that we have the ability to flatten the curve.”

Dr. Miscovich has been on the front lines of the fight against the coronavirus. He and his team held another drive-thru testing site last weekend in Oahu. He said Hawaii can expect to see an increase in positive cases in the near future.

“The people of Hawaii need to know, we are going to see a massive surge. It does not mean that we have a massive new influx. This is just the data we’re getting today is coming from the last 10 days,” Dr. Miscovich explained about the lag in testing results.

However, he adds that testing is getting faster, and a new blood test can help speed up results.

“We have a pilot on a device right now, which is a 10 minute blood test, and that pilot is about 95% accurate,” Dr. Miscovich said about the new form of testing. He said the blood test is used for patients with a high probability of having the virus. “It still needs to be quantified with a nasal swab,” he said.

  • More states are allowing certain businesses to open up

After a wave of reopenings over the weekend, at least six more states will begin allowing certain businesses to open back up on Monday, the latest expansion in economic activity despite rising coronavirus cases.

In Florida, restaurants, stores, museums and libraries are allowed to reopen with fewer customers, except in the most populous counties, which have seen a majority of the state’s cases. Restrictions on certain businesses or parts of the state were also lifted in Indiana, Kansas, Missouri, Nebraska and West Virginia.

About half of all states have now begun reopening their economies in some significant way, introducing a pivotal new chapter. Some states have lifted stay-at-home orders or reopened businesses even though reported new cases are rising or remaining steady. Public health experts have warned that reopening too soon could lead to a new wave of cases and deaths.

“The fact remains that the vast majority of Americans have not been exposed to the virus, there is not immunity, and the initial conditions that allowed this virus to spread really quickly across America haven’t changed,” said Dr. Larry Chang, an infectious-diseases specialist at Johns Hopkins University.

Though businesses are almost universally reopening under restrictions, such as allowing fewer customers or enforcing social distancing, experts say it’s too soon to tell how much that will help stop the spread of the virus. “Reopening is not a one-way street,” Dr. Chang said. “If there is a surge in cases, we need to clamp down again.”

  • Countries are taking steps to ease restrictions, and their neighbors are watching closely to see what happens

At least 12 countries began easing restrictions on public life on Monday, as the world tried to figure out how to placate restless populations tired of being inside and reboot stalled economies without creating opportunities for the virus to re-emerge.

The steps, which include reopening schools and allowing airports to begin domestic service, offer the rest of the world a preview of how areas that have managed to blunt the toll might work toward resuming their pre-pandemic lives. They also serve as test cases for whether the countries can maintain their positive momentum through the reopenings, or if the desire for normalcy could place more people at risk.

Most of the countries easing their restrictions are in Europe, including Italy, one of the places where the virus hit earliest and hardest, leaving more than 28,000 dead. The country plans to reopen some airports to passengers.

In Germany, where widespread testing has kept the pandemic under control, children will return to schools. Austria also plans to restart its school system.

  • Sweden’s approach to the pandemic sets a seductive, but foolhardy course for the nation

For the US and other countries battling the coronavirus pandemic, Sweden sets a seductive example. While the world’s biggest economies have shut down, one small, well-governed Scandinavian country has allowed most businesses to stay open. The strategy apparently relies on “herd immunity,” in which a critical mass of infection occurs in lower-risk populations that ultimately thwarts transmission.

In Sweden, business is not actually proceeding as usual. Most travel and mass gatherings are not allowed, and some schools have been closed. But restrictions from government are considerably less severe than many other countries. Restaurants and bars are still functioning, some of them only with minimal distancing taking place.

The results have been mixed. Sweden has the highest fatalities and case count per capita in Scandinavia, but is lower than some of its neighbors to the south. Economic disruption has been significant but not as debilitating as other countries. In the capital, Stockholm, the nation’s top infectious disease official recently estimated that approximately 25 percent of the population has developed antibodies.

We don’t know if that percentage is accurate because the data isn’t available, the antibody tests still appear to be of uncertain accuracy, and we don’t even know what a positive antibody test means. There is some optimism that most people who are infected will have some temporary immunity. But if immunity is short-lived and only present in some individuals, that already uncertain 25 percent may be in jeopardy of re-infection, which could prove deadly.

We also still don’t know what total population percentage would be necessary to reach the herd immunity goal. It could be as high as 80 percent of the population.

There are huge risks for the US to copy Swedan’s laissez faire pandemic policy.  The simply fact is that Americans are far less healthy than Swedes. We have significantly higher rates of asthma, diabetes, hypertension, three of the most-risky underlying conditions, and four out of every 10 Americans are obese. A herd immunity strategy in America would mean many more deaths, and  more people forced into some form of lockdown for many more weeks, most likely months.

Moreover, the Sweden example demonstrates that a targeted herd immunity strategy doesn’t do much to protect at-risk populations either. Deaths among the elderly in Sweden have been painfully high. In a more densely populated country like the United States, and with a larger proportion of vulnerable people, the human toll of a herd immunity strategy could be devastating.

But what about the economy? The choice is not between indefinite shutdown and Russian roulette. A transition needs to occur that balances the risks at play. From that perspective, Sweden is the future. But not because of a herd immunity strategy. Because a more targeted approach to social distancing can be deployed when the timing calls for it, when old-fashioned public health methods can foster a gradual easing of restrictions in a way that can be tweaked as we learn more and develop new tools — treatments, understanding of immunity, testing improvements, and epidemiological data.

  • COVID-19 – Infection Cycle

Data is beginning to emerge indicating that individuals infected with the virus, once recovered, remain active carriers of the virus for up to 24 days.

Currently, it is estimated to take about 2 weeks, once inflected with COVID-19 virus, to manifest symptoms. And then it takes another 2-3 weeks to recover, and an additional 2-3 weeks once recovered, to remain a carrier of the (active) virus, and with possibility of inflecting others.

Add it all up, and that’s about 8 weeks or about two months — the total timeline for individuals infected to carry the “active” virus within their body.

Hawaii state, as is occurring nationally, is experiencing shortages of essential pandemic supplies: hand sanitizer,  N95 masks, thermometers, gloves, and related panic purchase effects on supplies of toilet paper and some food stocks.  Raw material shortages essential to the production of items ranging from N-95 masks to toilet paper are beginning to be reported by some U.S. manufacturers.

Officials are screening passengers that arrive at the Daniel K. Inouye International Airport to identify those coming from countries that require quarantine or public health supervision. Anyone who has traveled to areas with sustained community transmission are being asked to self-isolate and monitor their health for 14 days.

  • COVID-19 – VACCINE ?

BeyondKona first reported in April the promise of existing virus vaccines and their potential role in treating COVID-19, with a particular focus on Remdesivir.

It was reported today that severely ill coronavirus patients were responding well to Remdesivir, a Gilead Sciences drug, at a Chicago hospital. The trial involved only 125 people and the preliminary results were not peer reviewed, but it was welcome news, and a possible beginning to a virus vaccine based on science and not politics.

Previously, Remdesivir was given to the first known U.S. coronavirus patient: a man in Washington State who had recently returned from the outbreak’s epicenter in Wuhan, China. And he has made a good recovery.

But that patient is, of course, only a single person, and a larger sample size will be needed to determine the drug’s efficacy.

Two trials of Remdesivir are currently underway in China: one for severe cases of COVID-19 and the other for mild or moderate cases. Results for both trials are expected in April.

Another clinical trial is planned in the U.S., and it will be run by the University of Nebraska Medical Center and the National Institute of Allergy and Infectious Diseases. That trial will take months to be conducted and at up to 50 sites around the world, testing Remdesivir against a placebo.

Remdesivir has been shown to be effective against many other viruses, and some experts are optimistic that it—or similar compounds—may work for the pathogen responsible for COVID-19.

The surge was based on a report by the news site STAT about videotaped comments by a University of Chicago Medicine researcher leading a local trial site for Gilead’s experimental drug Remdesivir. Of 113 patients with severe disease, only two people treated with the drug died, and most got better quickly, the researcher said. It was not disclosed how many were on ventilators before they improved.

University of Chicago Medicine is one of the dozens and dozens of sites listed by Gilead on as trial locations around the world for the company’s Remdesivir study, with the 6,000 patients being grouped into four categories of disease severity and dosing. The worldwide trial is ongoing, with preliminary results not expected until next month.

“Drawing any conclusions at this point is premature and scientifically unsound,” University of Chicago Medicine said in a statement.

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