In early December 2019, Li Wenliang a Chinese ophthalmologist who worked as a physician at Wuhan Central Hospital. Li warned his colleagues in December 2019 about a possible outbreak of an illness that resembled severe acute respiratory syndrome, later acknowledged as COVID-19.  He also put those warnings on the Internet.

Those outside of China who have been touch by this new viruses COVID-19 puts it start in Wuhan, China. A industrial town where many US companies are located Apple Computers being one of them. One reason that China did not go into a lookdown in that city until January 28, 2020 was it fell during the Lunar New Year and thousands of workers would go home during that time. Less people in the city the less would be expose to this new virus.

One thing that was done was to shut down in early January all hotels in the city forcing foreign visitors to leave. That was at a time when around a 100 people had died with 4,500 confirmed cases in mainland China. The blame was that the virus came from a meat market and was not transfer between people. As told by the government is was not transferable between people.

Reality was that it was just like all other flu, except this one was deadly against those over 60 as it was found out, it was terrible for those with underlining health problems.

Again the world was caught off guard. With medicinal equipment being in short supplyand oly produced in China. US hospitals has enough masks, respirators, gloves and gowns for a day or two under normal usage. Supplies could be order in normal channels except when a large supply was needed it would be flown in from China. That just-in-time sourcing that many companies have would have been great, under normal times.

The critical items was that with each new patients seen by a health worker the mask, gloves and gowns would be toss away and a new set put on. In normal day a doctor would change 5 times a shift not 50 times a shift as were now happening. Hospital supplies became exhausted very fast. Order new supplies from vendors who got them from China, but China put a hold on these supplies because of the trouble in China.

All across the world, this scene was repeated as hospitals ran out of needed medical supplies and the only source was China. Home made masks became a new norm, thou not great except in a pinch.

 

Hospital supplies ran out, if the cities had them in stock, those quickly ran out, turning to the county and then to the State also proved wanting. When the States ask the federal government their stocks where also limited to what was needed. Federal stock piles were ration to States who were in need of them. Ventilators which cost an average of $50,000 were in short supply and just because 16,000 were stock pile they had to ration to States that needed them.

Example that the New York Governor wanted 30,000 ventilators and was mad when he was told he would get them as needed.

Based on the models, U.S. health care workers would need two to seven billion respirators (N95) for the least- to most-severe possible scenarios. That’s up to 233 times more than what’s currently in the Strategic National Stockpile. Estimates that each month 89 million medical masks will be required for the COVID-19 response, along with 76 million examination gloves and 1.6 million goggles. All disposed of as used.

Along with the billions of respirators (N95), the CDC predicted that U.S. patients and health care workers might need as many as 100 to 400 million surgical masks, as well as 7,000 to 11,000 mechanical ventilators more than is in current inventory.

The buck stops at Donald Trump. He will be blame by everyone that the SNS is not what it supposed to be that there should be tens of billions of masks, gloves, gowns, in storage. They are right except that it takes money to buy and store said items and that the US Congress as wise as they are did not foresee this virus and the budget was not funded to buy said equipment.

What will happen when this stage of COVID-19 is over, is that everyone will buy that needed equipment for N95 masks, gloves and what each person, company or agencies wants.

Every police car in the country will have a box of gloves, and a couple of N95 masks. Hospitals will buy similar as will county and State.

Finally the federal government will get enough money to buy and stockpile everything that was not there January 1, 2020. By the time the next Pandemic comes along as usual it will not be enough.

May 20