Sunday, November 19, 2017

Californaa crazy

----  ban leaf blowers and lawn mowers -----


--- don't build toilets because it is their right to defecate on the streets and spread disease.

Doctors and nurses here are grappling with a population that’s extremely challenging to work with, or even find. Because homeless people are transient and receive little regular health care, even severe illnesses can go unnoticed and untreated for long periods. In the case of hepatitis A, this allows a carrier to keep spreading it. Issues such as mental illness and a deep culture of mistrust of the government also make many homeless patients difficult to reach or reason with. Many routinely turn away offers of free vaccines or medical attention.
“This is new territory,” said Dr. Wilma Wooten, San Diego County’s public health officer. “It’s challenging on so many levels.”

this angers me in so many ways.

This is not "new territory. This is basic public health prevention, and should have been addressed last year.

I suspect it is either political correctness or incompetency on her part.

Reminds me of the early chapters in Ringo's book the Last Centurian, where the Public health docs in California follow all the rules instead of common sense getting people the flu vaccine as quickly as possible.
and this was a priority for the IHS: and yes, they have emergency reponse teams.

Their job was supplying clean water and sanitation to the remote areas on Indian reservations in the USA.
It must be successful: When I worked with them in the early 1980's we still saw salmonella and typhoid, but I didn't see this when I worked in these same areas 15 years later.

sanitation, cleaning up garbage, providing sewers and clean water are more important than penicillin or even vaccinations.

the first thing that the military learns to do is keep the camp sanitary (yes, this is in the Bible and also a basic idea in Roman military camps, so it is not new).

military Field sanitation team site there are courses available.

one of the ironies of the Haitian earthquake in 2010 was that some of the UN peacekeepers from Nepal were cholera carriers. Alas, they built their latrines where the ground water would drain into a nearby river used by locals for drinking water: The result was a cholera epidemic that killed almost 10 thousand people and is still going on there.

wikipedia article.

AlJ report here.

also here;



NYTimes article from this year is mainly about the lawsuit of course.

 Studies showed the cholera bacteria came from poor sanitation by the peacekeepers. The United Nations never acknowledged it was at fault, and even when Mr. Ban apologized last December for its failure, he worded the apology to avoid any mention of who had brought the cholera to Haiti, the Western Hemisphere’s poorest country.

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