Tag Archives: infectious diseases

Distance Learning, Disrupted Learning & Social Eruptions

On a morning walk, my mind turning to Dr. Anthony Fauci’s injunction to exercise, I daily move between the many signs posted outside houses in my neighborhood congratulating graduates of the Berkeley CA public high school my daughter attends or Oakland’s School of the Arts and Tech, ending among million dollar homes sporting yard signs congratulating graduates of elite private schools. This is America, and not uncommon. The path I take traces yawning shifting divides of public schooling across America in the most blasĂ© of ways. The uneven distribution of different schools barely conceals the deep divisions between schools and families seems to widen in terrifying ways as the coronavirus pandemic continues to ravage the nation. While we are shocked to learn that Donald Trump delayed informing the nation about coronavirus not to panicked markets, the lack of school policies stood only to magnify existing fracture lines: for the failure to provide any overarching vision left school districts with the football as decision makers they are unequipped to assess of learning requirements in remote settings of learning, and to bear the weight of difficulties in shaping remote learning programs without training.

Ill-equipped boards are asked to struggle in high pressure situations with finding ways of engaging students increasingly removed from one another or instructional settings. Increasingly, states are offering regional guidelines, but the absence of a national policy may rupture public trust with the very schools on which the nation most depends, now treated as swimming in a laissez-faire sea without guidesposts in an already disrupted educational setting, raising questions of graduations, requirements, baselines of school performance, or even study habits and the value of coursework and requirements for diplomas or graduation, as the educational market long an unqualified good in America stands to erode.

But if this might have been an opportunity for collective response, we have no evidence of any preparation to supplement what school networks offer, as if those who can afford the private tutors, off-site education, and private educational services are alone provided with continuing education, as other scramble to make up the gaps school closures create. Unprepared with a broader educational strategy in the midsized of a global pandemic, we have all in essence “left the library” of schools, pausing education or switching the nation onto a disembodied experience, that makes the old physical globes of schoolroom study seem emblems of a far less complicated past, when global topographies lay undisturbed beside books in cozy nooks, waiting, as it were, for new fingers to turn it with curiosity, while more and more schools are compelled to remain on the remote learning platforms to which they gradually shifted en masse over the month of March, 2020.

U.S. News & World Report/Bret Zeigler

The status of education–and of school closures and now school reopening–became a sort of political football. Despite the readiness of a switch to remote learning and online platforms of education, school closures echoed a cartography of abandonment, in unforgivable ways: if closures were born of necessity, and disorientation before the pandemic’s spread. And the levels of insecurity that have been fostered in the desire for mitigation may remind us that the problem of COVID-19 has been a crisis of public education, as much as a lack of frontline workers’ protective equipment–PPE–or adequate testing.

To be sure, the many functions that schools now provide across the social spectrum of the United States–meeting nutritive needs; offering social and emotional support and providing models outside the family for structuring time; minimal levels of health services–go far beyond being quantified by educational standards: by a magic trick of tests and quantification, government may have reduced education to metrics that erased their value as sites of community from the Bush administration, and led them to be sacrificed with deeper costs than many have registered. Without metric to tally schools’ dividends to students and communities, we omit the crucial educational role of instructing about coronavirus comportments–from regular hand washing to social distancing to mask-wearing, to bridge some of the enduring divides that have endured in the nation, with coastal “elites” donning masks more than the “heartland” of an expansive non-urbanized midwest.

Mapbox from Dynata Data/Upshot, New York Times July 17, 2020 (link to interactive map)

Is not the deep and tragic failure to not “educate” the nation to mask-wearing, sustained since the first cases of the coronavirus reached our shores, suggested the only the initial hot-spots where infections ravaged communities in the New York tristate area, Seattle, the Imperial Valley and coastal California, and central Texas are sites of mask-wearing, with Chicago, Detroit, Denver, the southwestern border and coastal southern Florida and Tallahassee. Only a fifth of the time or less were all five people who might meet at a large part of the nation likely to be wearing protective masks.

Why is such a paucity of mask-wearing continuing save an absence of public health education? There is a predictable if terrifying congruence with areas that were themselves, by the proxy of underserved medical communities Mitchell Thornson mapped, also by a Mapbox distribution of commute-based health centers, rather than by counties, to suggest the sites most vulnerable to disasters such as viral infections: even if the promise of a complete count of infections recedes, the inhabitants of some 300 counties underserved by federal health services suggests fault lines of future sites of vulnerability, that may accentuate with continued school closures.

Mitchell Thorson, clinics in counties medically underserved and vulnerable to disasters. featured in USA Today, March 31, 2020

These steep inequalities of health care suggested a very broad difference in those able to weather and sustain COVID-19, to which the Trump administration seemed blind. School closures created insecurities for American families was perhaps not different from globally, but they lacked any support network: social support had withdrawn to schools in the United States more than other nations. The lack of any narrative of the sudden closures, and interruption of human contact and resources that followed, were deeply disorienting. And the lack of oversight from a government that one expected, perhaps with little grounds, to provide a sense of purpose and oversight in an unprecedented health crisis was, unbelievably, punted to the states, and from the states to local school boards, utterly unprepared to cope or plan–as admittedly, even are many medical specialists and health professionals–with the scale of a pandemic.

It seemed like a charade of government effectiveness; Secretary DeVos shifted from leniency, lack of coordination, to steadfastness concealing unprecedented circumstances. And the recent possibility that private schools and sites of instruction will be allowed to open their doors, while poorly funded public schools serving adjoining communities, if sometimes distinct demographics: whereas public schools that serve up to 90% of American children–just short of 51 million (50.8) by federal projections–open for restricted hours if at all, private schools possess the needed funding for on-staff epidemiologists, thermal scanners, and additional teachers–as well as often enjoying more space.

The Emoji Icon Index tells at that on Instagram, the story of a skyrocketing use of the  đŸ˜· emoji from early March, as the. Face-with-Medical-Mask rose in use in parallel to the icon of the virus, but a plan for schools, quickly shuttered in China, was not imagined, as wishful thinking prevailed.

While our nation is prepared to react to the novel coronavirus by high-level cabinet meetings to bail out airlines after summoning executives or the bail out of banks, school are evidently far lower down the list. If Donald Trump prioritized cabinet-level meetings on bailing out the airline industries to ensure the Dept. of Treasury provided passenger airlines $25 billion, cargo haulers $4 billion, airports $10 billion and airline contractors $3 billion as industry lobbyists demanded to recognize a 95% reduction of passengers in response to the epidemic, saw meeting with executives to work out that deal worth the time of health officers and coronavirus response team–

–while he saw no similar body of school executives with whom he might meet in one room around a glistening desk with nametags, mugs of coffee and glasses of water. A past President of the P.T.A. of an Alameda CA public elementary school was familiar with reduced funding of California’s public schools since rollbacks on property taxes, smarted at the clear contrast of inability to prioritize public schooling as part of our national infrastructure. Is it not most probable that the very corporate structure of the airline industry provides a more familiar set of faces to interact earning high incomes, unlike the leaders of the dispersed structure of public schools, or community voices, that Trump is so much more apt to dismiss and neglect?

Or is it that the nation is ready to sacrifice the public schools that are less likely to have the funding, save in wealthier districts in Durham, NC or Charlottesville, VA, echoing lines of a deep class divide? Not only were private schools prepared to devote attention and benefited from technological resources to transition to online platforms in the Spring, but are able to use larger buildings and reduced class sizes to benefit the children who attend them, while the aging ventilations systems of older buildings of public schools lie on the other side of a technological divide that plagues the nation.

To be sure, there are deep discrepancies–informing the Mapbox Upshot map, of which one might be rightly suspicious given the potentially unsound sampling practices based on the interviews conducted by Dynata, both in the United States and globally,  based on 250,000 survey responses between July 2 and July 14; the surveys administered by a firm boasting to provide businesses with a sense of global trends of consumption able to reorient businesses and advertisers to “re-opening,” but while showing vast expanses with relatively lower incidence of a group of five wearing masks–

–fails to acknowledge a rift among state governors who recommend masks, rather than require mask-wearing–or the considerable role that mayors have consistently played in advocating mask-wearing, if they often appear over-ruled by governors who have been filling the absence of federal policy: the looses of “recommendations” in Iowa, Wisconsin, Missouri, and Oklahoma, Kansas and the Nebraskas meant that only in some cities, where mayors had advised protective measures, was mask-wearing adopted, creating a terrifying prospect for the pandemic’s future.

When Fauci addressed the question of health disparities between race, he reminded the nation stoically that “we are not going to solve the issues of health disparities this month or next month . . . but what we can do now, today,” the voice of reason was probably far less reasonable for many, who had already tuned out, before he described the need for social distancing that was, in fact, a privilege for many. The mottled nature of northeastern communities the Dynata found in its interviews suggested an uneven terrain of mask-wearing policies, even in the Tristate Area, dictated by individual choice–and underscoring the lack of regional or federal policies.

The social topography of crowding, of second homes and of gardens or access to parks that was revealed in the Bay Area made us think in practical terms to egregious inequities that were perpetuated by sustained lack of investment to resolve pronounced racial disparities in health came as COVID-19–and the uneven landscape revealed as the coronavirus tore through communities where it was contracted in the United States. The revelation of inequalities was striking, as it suggested how communities experienced it quite differently, and the question of access to education–and access to remote education–cut across social divides in profoundly different ways.

The almost purposeful pronounced lack of master narrative in confronting COVID-19 was long apparent. President Trump, grasping for authority as a true authoritarian playbook, argued the situation demands force, as his removed son-in-law, the dauphin Jared Kushner, spun 60,000 deaths from COVID-19 as a “great success story,” as if to challenge the nation’s personal narratives with a monolithic storyline of a disconnect from communities which were ravaged by hospitalizations. In claiming his father-in-law created a “pathway to safely open up this great country,” Kushner radiated overconfidence as he painted a future as rosy as the marble atrium of Trump Tower, even when the figures didn’t add up. It was akin to Trump’s 1993 proclamation, after huddling with bankruptcy lawyers to obtain new lines of credit, having had “the most successful year I’ve had in business!”–he reprised in a compulsive act of boosterism over the next decade, and continues to rely upon in the pandemic.

The dauphin Jared had not only used a spilt infinitive, but a split reality, a divergence destined to make the Presidential Election about COVID-19, whose malevolence is hard not to say: as the growth of rates of infection by the novel coronavirus most rapidly grew in the United States, claims Trump was doing “things right” with coronavirus testing plummeting to 30% percent, over twenty-five million unemployed and further furloughs coming, and one million infected by the coronavirus and 60,000 dead in a month, hardly fit narratives that suggest “great success,” even as the rates of infection from the coronavirus may have by mid-March grown greater in the United States than any place in the world, as escalating infection rates would continue to elevate the United States far beyond other nations. The manifestation of symptoms of COVID-19 grew two weeks after contracted, and by late March through late June, they had risen above all other nations.

Yet no clear plan for school closures had emerged on a national level in the United States, and denial at the danger of the infection’s growth dominated. Vice President Pence adopted similar talking points, in a few months, taking it upon himself to bestow premature congratulations that “we slowed the spread, we flattened the curve, we saved lives,” in a mismatch evident to any map in news media, but to the actuality on the ground.

Continue reading

Leave a comment

Filed under Coronavirus, COVID-19, education policies, remote learning, school closures

Shelter-in-Place?

If elites have long harangued lower classes for continuing behavior that continued to spread disease, interpretation of the spread of illness has rarely divided so strikingly along separate interpretations. It is as if life or death matters were open to public debate: rarely have reactions to an infection been able to be received so clearly along partisan lines. While reaction to COVID-19 were long cast in partisan terms by the President, our Fearless Leader of Little Empathy, as far overblown, the surprise was perhaps that even as the data grew, and the exponential growth of infections in American cities began, the decision to announce Shelter-In-Place directives in hopes to “flatten the curve” shuttering non-essential businesses with increased fears of overloading public health facilities.

Faced by drastically uneven hospital bed capacities in individual states, reflecting existing fears of hospital bed capacities for intensive care units or floor beds, and deepening fears of needs to add increased beds across the nation, to confront a major public health emergency. Using different scenarios of increased needs for beds based on infection rates, a relatively moderate need for beds: infection of a fifth of the population in six months would compel expanding existing capacity for beds in multiple western states already hard-hit form infections, like Washington and California, east coast states, including Massachusetts and New York, and Midwest’s like Ohio, Michigan, and Minnesota, and many pockets of other states, including Louisiana. Actual fears of such an impending emergency of public health emergency —

The Upshot/New York Times/March 17, 2020

–grows even sharper if one allows oneself to imagine an expansion of infection rates to 40%–not unheard of for the highly infectious novel coronavirus–over the same six month period:

.The Upshot/Interactive Version/March 17, 2020

1. Even as “Shelter-in-Place” measures sought to staunch the spread of infections across the nation, the uneven nature of the measures adopted by state governors, mayors, and counties suggested a fragmenting of the nation, as the governors of many states reacted to the issuance of shelter-in-place orders or stay-at-home directives by declaring their separate rule of law, in the words of Alabama’s Governor, “we are not New York state, we are not California–right now is not the time to shelter in place.”

Shelter in Place Measures Confined to Bay Area/Washington Post, March 15

Yet if the confirmed infections of the novel coronavirus seemed concentrated in preponderance in Louisiana, California, and New York, the virulence of its transmission was far more widely distributed, Philip Bump created a simple overlay to show, and the readiness of imposing measures of restriction were often resistant to accept school closures, or shuttering bars and restaurants as a means to restrain the virus’ spread.

httpsPhilip Bump, Washington Post, March 17 2020

Such choropleths are poor indicator of concentration and dispersion of infection, or of the “hot-spots” early watchers of the novel coronavirus hoped to isolate, folks commuting from counties of identifiable outbreaks created an immediately far more complicated map of viral dispersal, often crossing state lines and state jurisdictions at the very start of March, as work commuting alone bled from 34 counties into 1,356–even into Mississippi!

County-to-County Commutes from Confirmed Cases of Coronavirus COVID-19/March 3
BRENNEJM, r/dataisbeautiful/

Despite some a lone call the President impose a national shelter-in-place order, but the response of asking for a collective sacrifice would be hard to imagine. But the animosity that Trump revealed to any governors who tried to impose a policy of social distancing has intensified a new sense of federalism, as the increasing opposition that President Trump has directed toward Governors who have responded with attempts to enforce social distancing led, mutatis mutandis, to a new call for “liberating” states from social distancing requirements, President Trump announced April 21 that “We are opening up America again,” with great content, heralding an “opening” across twenty states comprising two-fifths of the nation’s population, if partial reopening are only slated in eighteen states.

But how could one say that the need for social distancing was not increasingly important, in a nation where health care is not only not accessible to many, but that hospital bed capacity is uneven–and would need to be ramped up to serve the communities–

–but that many areas are distant from ready testing, diagnosis, or indeed the ability for easily accessible health care? What is COVID-19, if not a major wake-up call for disparities in public health and medical access?

New York Times

–and many regions suffer severe health care professional shortages, that have been obscured in the deep shortages of health professionals, according to Rural Health Info, who have revealed these gaps in the following infographic, but many towns in each county remain difficult to get to hospitals in time in cases of emergency or need.

2. The legitimacy offered to “re-opening” states for business channeled a rousing sense of false populism across the nation, courting possible onset of a second wave of infections by easing llocal restrictions on social distancing–although testing is at a third of the level to warrant safe a transition, several governors claim “favorable data” to justify opening shuttered businesses. But when @RealDonaldTrump retweeted an attack on public safety measures against COVID-19 that were enacted in California and other states to slow airborne viral infection that labeled the closures of bars, restaurants, and theaters as revealing local states’ “totalitarian impulses” in the face of COVID-19, as having effectively “impaired the fundamental rights of tens of millions of persons” and flagrantly abrogating constitutional rights and natural liberties: the endorsing of a tweet of former judge, Andrew Napolitano, of an open “assault our freedom in violation of Constitution” demeaning sheltering policies as”nanny-state rules . . . unlawful and unworthy of respect or compliance,” inviting the sort of social disobedience, encouraging the stress-test on our nation that the pandemic poses be generalized?

COVID-19 Infection Rates in United States/New York Times/March 27, 2020

While the calls to prevent violations of the U.S. Constitution have grown in recent weeks from March to April, it makes sense to question the validity of an eighteenth-century document to a public health emergency–or to abilities to respond to a zoonotic disease of the twenty-first century. Never mind that such arguments ignore the reserving of rights of state governors in the U.S. Constitutions Tenth Amendment to protect the safety, health, and welfare of the inhabitants of their territory, is the ability to manage state health not a calculus for public health officers, rather than a partisan debate? There is a despicable false populism and rabble rousing in decrying “nanny-state rules” as “unlawful and unworthy of compliance,” and covers for “assaults on freedom” as a Lockeian natural right. Yet in retweeting such charges and denigrating policies of social distancing as “subject to the whims of politicians in power,” President Trump perpetuated the notion that medical consensus was akin to an individual removed from public concerns. In doing so, Trump echoed the opinion of a member of his own Coronavirus Economic Advisory Task Force, Heritage Foundation member Stephen Moore, to protest “government injustices” echoing false populist calls to “liberate” Michigan and Minnesota from decrees of Democratic governors. As Moore called for further protests, opening a group, Save Our Country, dedicated to agitating for the reopening of states, out of concern for the “abridgment of freedom” of sheltering in place.

The call to arms over a rejection of social distancing emphasized the translation of the pandemic into purely partisan terms, and echoed the partisan resistance to the states-right discourse of a rejection of health care, using the panmdemic to divide the nation along party lines.

3. The weekend before SIP was announced in the East Bay, my daughter’s High School suspended, and I snuck out in the mask-free days for a Monday morning coffee at my favorite cafĂ©, where my friend Mike caused some consternation in line by ordering through his black 3M facemask. The mood was survivalist and grim, but we stopped outside our local Safeway, as if to provisions before an impending lockdown, looking for half-and-half. Staring me in the eyes, Mike said with some resignation that the massive mortalities in northern Italy were our future in a week at most, as the spreading waves of infections migrated crosscountry, approaching in something like a delayed real time; the question was only when “It’s gonna happen here.

What was happening across the Atlantic Ocean was trending not only on social media, but was being attentively followed by epidemiologists like Dr. Cody, apprehensive of the state of development of pubic health across the entire East Bay.

The Public Health Officers in the region had been haunted by the vision, alerted by the tangible fears of the Santa Clara Public Health Officer, Dr. Sara Cody. That very day, Cody was convening the coming early Monday morning, gripped by a sense of panic for a need for action, as the public drinking festivities of St. Patrick’s Day loomed, and as Chinese health authorities curbed travel and cancelled New Years celebration, even if its airborne communication was doubted, in hopes to contain an outbreak that still seemed centered in its largest numbers in Wuhan province–

Quartz, January 22, 2020

4. It was if we were watching in real-time image the global ballooning of COVID-19 infections in the Bay Area feared was on its way to Silicon Valley, or the entire Bay Area, as the virus traveled overseas. The lockdown that had begun in northern Italian towns in a very localized manner from late February when a hundred and fifty two cases were found in Turin, Milan, and the Veneto, had, after all, only recently expanded to the peninsula, filling Intensive Care Units of hospitals or transforming them to morgues. Although elegant graphics provided a compelling narrative, with the benefit of retrospect, that “Italy’s Virus Shutdown Came Too Late,” the interactive story of a “delayed” shutdown after the February 24 shutdown of sites of outbreak within days of the first identification of an infection in Milan, across two “red zones” around Italian cities, and the March 3 cordoning of larger areas.

February 24, 2020 Lockdowns in Northern Italy
Lockdown in Response to COVID-19, March 8 2020

The reluctance to impose a broader shutdown over the northern economy created a tension between commerce and public health that led to a late ‘shutdown’ of the movement across the peninsula by March 10 to prevent infection risks, haunted by public health disaster.

Multiplication of COVID-19 Cases in Italy, February 27-March 12, 2020 BBC

Fears of the actuality of a similar public health disaster spreading under her nose led Dr. Cody to convene a quick check-up with local public health officers to see if they registered a similar alarm, and what policy changes were available across a region whose populations are so tightly tied. And the need to convene a mini-summit of Public Health Officers to take the temperature of willingness to recommend immediate public policy changes was on the front burner, as one looked at the huge difficulty of containing the outbreak in Italy–often argued to not have been responded to immediately enough, but revealing a full public health response that the Bay Area might not be able to muster, as Italy’s hospitals were flooded by patients with infections and was on its way to become the site of the most Coronavirus deaths.

Vivid fears a growth of COVID-19 filling the hospitals and emergency rooms after St. Patrick’s Day–an event for a far larger audience contracting the aggressive virus–led Dr. Cody to arrange a group call among the Public Health Officers in San Matteo and San Francisco early Monda. Dr. Cody had broad epidemiological training was rooted in an appreciation of contagious disease–including contagious diseases outbreaks like SARS, H1N1 influenza, and salmonella, and had worked on planning for public health emergencies and completed a two yer fellowship in Epidemiolgoy and Public Health, managing E. coli outbreaks as an Epidemic Intelligence Service Officer with CDC. Fears “crystallized” quickly of a scenario of similarly exponential rise in case loads making Silicon Valley a new epicenter outbreak of an epidemic overwhelming the public health services. As she quickly contacted Public Health Officers in San Francisco and San Matteo, to contemplate a response, by March 8, a lockdown in all Lombardy and other states was declared, as COVID-19 cases multiplied, in a chilling public health disaster replicating the lockdown in China.

In contrast to the uncertain public health numbers from China, as the city’s airport, highways, and rail stations, images of massive mortality from health care disasters in Italy were haunting and suddenly far closer in space, even if cases of viral infection were already reported in each province, Macao, Hong Kong, and Taiwan–revealing a global pandemic that linked place to a global space in ways difficult for some to get their minds around. The honesty that came out of Italy was an alarm.

The Bay Area health authorities were looked with apprehension at the arrival of St. Patrick’s Day celebrations, after the exponential growth of infections from COVID-19 in the region: Dr. Mirco Nacoti had just published an eye-catching account of the catastrophic conditions of Ospedale Pap Giovanni XXIII in Bergamo that weekend, describing the levels of general contamination of caring for COVID-19 patients, for whom over two thirds of ICU beds were reserved, and filled a third of 900 rooms in thd peer-reviewed NEJM Catalyst; he described phantasmagoric scenes of a hospital near collapse as patients occupied mattresses on the grounds, intensive care beds had long waiting lines and with shortages of both masks and ventilators, and poorly sterilized hospitals became conduits for the expansion of diseases. The clinical model for private care incapacitated, as patients were left without palliative care; a surge of deaths in overcrowded wards overtook China’s community-based clinics at such higher death rates of 7,3% Italian doctors plead felt incapacitated by the surge of cases overflowing at intensive care units from March 9-11 as a model for mass infection, before COVID-19 was declared a pandemic.

The desperation of a staged re-enactment of Michelangelo’s PietĂ  of L’Espresso were a few weeks or so off. While the spread of infections in our region had not yet begun, ant eh below photoshoot by Fabio Buciarelli did not appear until April 5, we were still formulation the desperation of confronting the ravages of disease we lacked time to develop any reactions, processing current or impending mortality rates.

Fabrizio Bucciarelli/COVID-19 PietĂ . 5 aprile 2020, L’Espresso

The danger of trusting scientific modeling, or data, and fostering deep suspicions of trusting data on confirmed infections, or modeling that suggested the danger of failing to practice social distancing.

5. Decisions to “shelter in place” promised to “slow the spread” of COVID-19 transmitted widely in group settings, and able to create a public health disaster in the Bay Area, and was quickly followed by Santa Cruz county. After the growth of cases in Santa Clara county–whose rates of infection doubled over the weekend to 138 as of Monday–the absence of a any national restraining order save a suggestion to social distance, as Seattle cases of infection had grown to 400–and some 273 cases of infection had appeared over th weekend, despite limited testing availability.

The clear eventuality of a public health disaster, after a directive closing bars, night clubs, and large gatherings, as well as many school closures in San Francisco and the East Bay–where my daughter attends Berkeley High, whose doors shuttered on March 13; Los Angeles’ mayor, Eric Garcetti, closed bars, gyms, movie theaters, bowling alleys and indoor entertainment on late Sunday night, as Gov. Newsom encourage all elderly to self-isolate immediately. The 6.7 million in the Bay Area early agreed on the need for a “shelter in place” order as a basis to control the spread of COVID-19 that had been discovered in the region on March 16, 2020, anticipating the nation by some time.

The closure of all non-essential businesses in the seven counties sprung from the epicenter of Santa Clara county–Silicon Valley–but included affected a much larger area of commuters, no doubt, across an interlinked region of commuting far across the northern state to twelve other counties.

The cases in Italy would only grow, creating a textbook case of the exponential expansion of illness that killed a terrifying number of physicians in hospitals on the front lines against its expansion, as the arrival of medical supplies and medical viral specialists from China increased the logic of the lockdown as a response to its spread.

The evident stresses on the health care system of Lombardy, where a terrifying number of physicians on the front line contracted the virus and died, in the wealthy region of Lombardy, distanced the disease whose effects were projected or distanced onto China, and provided a clear scenario that Cody understood could be repeated, with even worse consequences, in the crowded population and limited health facilities of Santa Clara County: her own close ties to public health authorities in Italy made the exponential growth of cases from February 21 across the peninsula seem a preparatory run-through for a future disaster, as China was sending increasing medical supplies and specialists to Italy in a global story as a pandemic was declared in China March 11; northern provinces were declared under lockdown March 8 quickly extended to the nation, as a spike in 1,247 cases were found on the previous day.

When Cody urgently alerted San Francisco Public Health Officer, Dr. TomĂĄs AragĂłn, to discuss the fears of a new epicenter of COVID-19 spread in Silicon Valley, they did not start by contemplating their authority to issue a legally binding directive to shutter businesses in the region. But as they discussed consequences of the exponential increase in Santa Clara County and the greater danger of facing an analogous overwhelming of pubic health hospitals as in Italy, haunted by a danger of a similar scenario overwhelming public health, and Cody’s tangible fear, AragĂłn floated the idea of a shutdown, acknowledging their authority of acting without permission of governors.or mayors or county supervisors; the call touched on a series of calls to debate options, including the most dramatic — a lockdown order–which seemed the only certain means to enforce isolation and social distancing haunted by the image of the increased diagnosis of COVID-19 across the Italian peninsula that would indeed only be publicly released March 18. Two days later, Governor Newsom expanded the policy to the entire state; the time lag meant that by late April, almost half of all infected with the novel Coronavirus in California were found in Los Angeles County, and were facing the prospect of overloading its public health system and hospitals.

Diagnoses of COVID-19 in Italy/ Ministero di SanitĂĄ, March 18 2020

The influence of the health care provider Kaiser Permanente was unseen, but the preventive agenda of the health provider can be seen in a sense in the shadows of this quick consensus among six Public Health Officers. But the qyuick defense of the decision–soon followed by dozens of states since–suggests the prominence of Kaiser Health Care in the dynamic of emphasizing preventive health care, and in anticipating epidemiological spread. Cody’s brave insight into the fact that northern Italy provided a rehearsal for the public health disaster, shifting from the ban on mass gatherings to a concerted effort to isolate millions, was less apparent to the nation.

Continue reading

1 Comment

Filed under Coronavirus, COVID-19, data visualization, global pandemic, Shelter in Place

Get Me Out of Here, Fast: Escape from D.C.?

The forced monotone of Donald Trump’s public address to the nation on March 12 was a striking contrast from his most recent State of the Union address. He sought to calm the nation as it faced the pandemic of the novel coronavirus COVID-19 in what was perhaps his most important public address. On the verge of breaking beneath the gravity of circumstances that spun far out of his control, however, rather than show his customary confidence, Trump seemed a President scrambling and in panic mode trying to rehearse stale tropes, but immobilized by events.

President Trump tried to look as presidential as possible, re-inhabiting a role of authority that he had long disdained, as he was forced to address a nation whose well-being he was not in control. The national narrative, as it was begun by WHO’s declaration of a pandemic, was perhaps seen as a narrative which seemed to spin out of his control, below his eyes, as he tried to calm markets by addressing the nation in what he must have imagined to have been as reassuring tones as he could summon. With his hands grasped but thumbs flickering, as if they were a fire under which he sat, as if he were wriggling like a kid strapped in the back seat of a car where he was a passenger to God-knows-where, wrestling with the increasing urgency that his aides demanded he address the outbreak of the virus in the United States that he had long tried to deny. Serial flag-waving continued to fuel President Trump’s attacks on China and the World Health Organization, as if trying to toe the line of adherence to America First policies of nationalism before a global catastrophe, that did not compute. If America First as a doctrine allows little room for empathy, affirming national greatness and the importance of a logic of border closures was all he could offer, and would be predictably lacking reassurance or empathy as he attempted to create a connection at a defining moment of his Presidency, but looked particularly pained.

March 11, 2020

If Trump rarely trusted himself to make hand gestures as he plighted through the speech, thumbs flickering, hands clasped, he every so often seemed distinctly out of synch with his austere surroundings, gold curtains drawn to reveal two flags, barely aware, perhaps, that the eyes of the world were very much on his performance in this new sound studio to which he was not fully accustomed, trying to explain that he had undertaken measures that had made us safe, even if he must have been worrying that the lack of worry he had been projecting and urging in previous weeks had risen across the nation, and his performance was not calming them at all. He was tasked with describing the vulnerability of the nation to the novel coronavirus whose effects he had downplayed repeatedly, but was no longer able to dismiss, and no longer able to concede posed a far greater threat to the American economy than the danger of “illegal” migrants he had so often pointed to as a cause of national decline: the virus that had already crossed our borders repeatedly, since the first cases of COVID-19 were diagnosed in San Jose and Seattle, would potentially bring down his presidency, and he lacked any ability to explain the scale of the effects of the virus that he had effectively helped release by ignoring warning signs.

Oval Office address of Wednesday, March, 11, 2020. Doug Mills / The New York Times)

The link of America to the world defined in his America First candidacy–even made the very identification of a pandemic difficult to process. And he did so in the starkest national backdrop possible, vaunting his closing of borders, suspension of “flights” from China, and ties to Europe–even as he encouraged Americans to return from abroad, and had allowed unmonitored entrance of Europeans and world travelers into New York that would make it the site of the entrance of the disease to the majority of American cities where the viral load arrived, with over 900 people entering America through New York daily for months after China suspended travel from Wuhan on January 23–after China called the outbreak “controllable” on New Year’s Eve. The declaration that echoed the concerns of the World Health Organization may have been buried in global celebrations, even as Trump blamed it for starting a sense of false complacence before undeniably “real” news that he feared would come to define his Presidency.

Trump was unable to accept declarations of the World Health Organization had just called the coronavirus outbreak–an outbreak which, we now know, he had in fact been hearing alerts from American intelligence as early as November 17, about the outbreak of cases of the novel coronavirus in Hubei province, rather than January, when initial infections in the United States were reported. As much as Trump found it difficult to admit the vulnerability of the United States to a global pandemic–or to the recommendations issued by WHO–who set the caduceus that symbolized medical ethics authority over the North American continent–at which he bristled at the notion of a global scope of edicts across boundaries, as if a map where national divides were erased as if it compromised national authority for a disease the President has been uncannily persistent in localizing in China, even before an increasing preponderance of evidence of its global circulation and transmission over a series of months.

Fabric Coffrini, AFP

As cascading fears grew in markets across the world, Trump was perhaps forced to realize his new relation to the world, even as the German stock exchanges plummeted as the measures he announced seem either difficult to process, or failing to address the importance of maintaining trade ties–or of taking adequately prudent steps of public health.

Slumping in his seat at the Resolute Desk, perhaps contemplating how no predecessor had ever delivered on air unprepared remarks from the desk, and visibly discomfited in doing so. He must have hoped to make up for his televised performance by sending surrogates scrambling to social media, issuing clarifications for misstatements–as the exemption offered U.S. citizens to return from China, or the exemption of Ireland, as well as England, and an assurance that trade would “in no way be affected” by the ban, as markets had reacted poorly to his performance. While it seemed that Trump was cognitively unable to process the possibility of a crumbling American economy–and a decline of America’s place in a global economy–under his watch, a prospect faced since he had met with airline executives with whom he discussed the effects of stopping flights of foreign nationals from China in a March 4 meeting, offering them a bailout that limited the impact economic effects of heightened travel advisories, is it possible he had no sense of the massive fallout on the national economy?

March 11 Address/Ralph Orlowski/Reuters

As Trump spoke, global markets not only failed to register confidence–but plummeted, as he revealed no clear plans to to call for social distancing to contain the spread of the virus, and revealed that lack of national preparation for confronting an infectious disease that had no vaccine. He may have remembered that he had outright fired a former cabinet member, barely remembered in the rogue’s gallery of administration, Tom Bossert, who had demanded preparedness “against pandemics” and a “comprehensive biodefence strategy” of the sort the previous administration of Pres. Barack Obama had tried to institute, or that a simulation of a pandemic that could devastate the American economy and kill up to half a million revealed in October 2019 “just how underfunded, underprepared and uncoordinated the federal government would be for a life-or-death battle with a virus for which no treatment existed.”

It seems likely he was rather trying to conceal the massive scale of lying to the nation about the effects of an economic downturn unprecedented in scale, but which the increased lines at Wuhan’s Tianyou Hospital the previous November had already indicated had a problem of infectious diseases on their hands that would have a potentially global consequence. Trump tried to spin the consequences as purely local, in an unprecedented wishful thinking whose scale of deception far exceeded the pathological deceits he had long taken to perpetrate on investors, business partners, and even on family members–from hiding his older brother’s treasured trucks that were a Christmas gift and then admonishing him not to cry, or he would destroy them before his eyes. Even as satellite imagery showed a clear rush to hospital emergency rooms in Wuhan in November, as clusters of cars marked in red crowded the emergency rooms that revealed “a steep increase in volume starting in August 2019 and culminating in a peak in December 2019,” when China began epidemiological investigations that led to identifying and sequence of the novel coronavirus by January 12, ten days before the city went on lockdown to contain its spread.

Annotated Satellite Photographs of Wuhan’s Tianyou Hospital in September 2019

While Trump registered no alarm at the arrival of the very pandemic whose global impact American simulations feared would cripple the national economy, he tried to offer spin on having closed borders to the virus, as if it were not already diffused within the country, in a mind over matter sort of exercise that suggested limits purchase on reality, as if he was able to recognize the risk earlier administrations had identified as a national priority.

Continue reading

2 Comments

Filed under borders, Coronavirus, COVID-19, data visualization, national borders

Gobble a Bit Less?

We all map our relation to the world by the tokens of food that we assemble on our dinner plates. But on the carefully prepared meal of Thanksgiving, we face the orchestration of a full harvest plate–sweet potatoes from the earth; turkeys fed over a year from grain; celeriac or Brussels sprouts for something somewhat green–seem a statement of global harmony. The meal is a sign that all is right in the old agrarian world we have long left.

Yet the annual sacrifice of the native bird perpetuates a faded agrarian geography of the nation, is also a false geography: much as the Presidential pardon of the turkey, long promoted by the Poultry and Egg National Board and the National Turkey Federation, who first gave President Truman a bird to pardon, has cast the sacrifice in pointedly national terms–mythically tied to  President Lincoln’s supposed clemency of one turkey in the Civil War era at the request of his son, Tad, in 1863, the year of the Emancipation Proclamation, as if to commute the bird’s sacrifice, is often cast as an event of returning to ethics, and joining the nation. Cemented by the time an enterprising Rhode Island poultry dealer, Horace Vose, boosted his brand by sending several well-fed members of his flock to the White House occupant to promote his stock, the conceit of yearly offerings or pardons served to cement the bounty of a seasonal sacrifice of turkey to national health. It must have been especially striking that outbreak strains of Salmonella have been boldly mapped onto the nation by the Center for Disease Control. The increasingly terrifying visualizations of the spread of fowl-borne infections seem a sad reflection on the nation, transforming what was a native bird into a vector of contagion and disease in over-extended food networks where farms are defined as producers or providers and procedures of laying eggs and raising chicks or slaughtering and butchering meat geographically dispersed on an industrial scale.

The expansion and commodification of a brisk trade in turkey meat goes beyond the holiday season, but the data on breakout cases of food-born Salmonella infections seem to multiply in recent years as turkey consumption grows or is planned to grow each November. And the CDC issued choropleth of recent breakouts invites us to reflect on the changing state of turkey suppliers and distributors, the industrialization of food, and the fate of the bird whose conversion into a product bred for consumption may carry multiple attendant public health risks, concealed by perpetuation of a false geography of Thanksgiving as an occasion of bounty of the harvest, with its image of a season of abundant plenty. Has the continued provision of abundant turkey for Thanksgiving season created a danger of overbreeding, since the icons of the meal in post-World War I America became promoted as an occasion for rendering thanks? How, if so, can we come to reconcile the spread of Salmonella and the nostalgia for consuming a bounteous harvest at an open table duirng the Thanksgiving feast?

December, 2018 National Distribution of Salmonella infections among hospitalized individuals (Center for Disease Control)

The remove of a fictitious scene of purely domestic provision that seems borne after the national disruption of World War I seems further receded, but is increasingly clung to mark time and visit loved ones.

Norman Rockwell, Thanksgiving (1919)

It is little surprise that the feast day that is so closely tied to the nation–and the alleged return to the agrarian calendar in what Philip Roth rhapsodized as that “neutral, de-religionized ground of Thanksgiving, when everybody gets to eat the same thing,” which was blanched of ethnic associations or even protestations of faith, and provided a sacrament of secularization in America for those who saw it as an event with “nobody sneaking off to eat funny stuff–no kugel, no guilt fish, no bitter herbs, just one colossal turkey for two hundred and fifty million people–one colossal turkey feeds all,” has been displaced by the increased presence in our society of the production of turkeys on industrial scale, and the attendant opportunities for microbial infection that have expanded with the parcellization of the life-cycle of turkeys in response to market demand evident in the splitting of numerous “farms” into hatcheries, growing farms, breeder farms, “growing out” farms, slaughterhouses, meat-preparation and distribution sites, which complicates any perpetuation of a national myth focussing solely on the raw and the cooked, or the wild land cultivation of the bird–with little foresight of the far-reaching consequences of the transformation of the bird into an increasingly industrially-farmed product.

There is a tie between the annual sacrifice of a turkey to national citizenship and well-being, tied to the pleasure of tryptophan-induced containment that goes far beyond consumer satisfaction, but seems to get at a sense of well-being. It is as if the fruits of the harvest are shared every Thanksgiving in a recognition of thanks, easily susceptible to its own new age twist. The tainting of that colossal bird that the emergence of antibiotic-resistant Salmonella strains threaten to overturn is deeply symbolic: for the bird is a symbol of plenty, able by extension to affirm not only economic well-being but satisfaction of the nation as a whole–or afflict the nation as a whole, in a time when the spread of cases of Salmonella infection so often associated with undercooked turkey meat that has increasingly appeared in prepared foods if not already arrived in the sanctum of the Thanksgiving table.

It is bizarre that the New World bird of distinctive appearance was already long labeled as an outsider, as if treated as a bit of a refugee. Although it arrived from the New World with chocolate and coffee, if from North America, the naming of the low-status bird that provides an annual image of bounty was rarely granted insider status, and rarely mapped correctly—but was long labeled a foreigner, in European languages: as English linked it obstinately with a Turkish provenance, confusing it with the African guinea-fowl, Spanish and much of central and Eastern Europe identified it as from India by an unrelated nomenclature, rather than the “indies,” nd Celtic northerners seems to have believed it from France, embedding the poor bird in a lexicon of geographic disorientation and almost compulsively attributing it an unclear origin in ways akin to shrugging shoulders, while all Scandinavia seem to have linked the fowl readily to Calcutta. The Armenian image of “sea rooster” most clearly acknowledges its overseas origins but is as unspecific as possible, although the sea-faring Portuguese show some greater interest in naming the foul with geographic precision in calling it a galo do Peru. The onomatopoeic appellations that spread throughout Mediterranean countries seem striking, but the cartographer May have been over-eager in assimilating the truthuhn to a gobble, given possible linguistic migration from other Saxon lands, and assimilation to a sort of hen.

The mystification of the current bird to a vector of infectious disease is far less interesting to ponder on a purely intellectual plane or as a cultural construction, unless we admit our American readiness to assimilate our foodstuffs to a poorly regulated free market.

The current mission of the CDC to tracked and report to the nation outbreaks of Salmonella infections has recurred each Thanksgiving in recent years. The set of infographic of reported infections of antibiotic-resistant outbreak strains of Salmonella registers a deep upsetting of the balance of the holiday season, even if its subject is really ground turkey meat. The appearance of such statistical measurements on the eve of the national feast day seem emblematic of the atrophying of our national well-being and an erosion of bounty; it bodes to mar the release tryptophan-induced soporific sensations, upset stomaches and intestinal afflictions, more than boosting serotonin by a healthy carbohydrate binge:  raising the specter of salmonella outbreaks threatens to mar preparations for the “American pastoral par excellence” by ruffling the feathers and increasing fears of most families with images of infectious outbreaks of diarrhea, stomach cramps, and poor sleep.

Even if tied quite explicitly to “raw turkey products”–an increasingly popular item in animal food as well as in turkey burgers–the national scale of such infections on the eve of Thanksgiving seem to have demanded being mapped in a cartographic coloring associated with underdone turkey meat. And WaPo seized upon it, just at the start of Thanksgiving plans, to reveal a national chorography whose color ramp suggests undercooked or raw meat, warning its readers of the danger of raw turkey products at a time when the turkey has increasingly become a product–as much as a sign of the finishing of a harvest. The data vis warns us to consume only the well-cooked, although the distribution of reported cases of infection by multi-drug-resistant strains of Salmonella found in raw turkey says little, in fact, about where the consumed turkey derived from or was first shipped: the states of Arkansas, Mississippi, and West Virginia are curiously without reported cases, although each is relatively dense with turkey producers and farms, although such turkey-farming centers as Minnesota and Texas are lit bright pink.

The increased difficulty of confining the spread of salmonella outbreaks among turkeys, and the broad scope of the network of turkey distribution every Thanksgiving casts a frightening pall on the American institution long celebrated as that “neutral, de-religionized ground of Thanksgiving, when everybody gets to eat the same thing,” as Philip Roth once rhapsodically wrote, which saw “nobody sneaking off to eat funny stuff–no kugel, no guilt fish, no bitter herbs, just one colossal turkey for two hundred and fifty million people–one colossal turkey feeds all.”  

For fears of the infection are no longer stemming from one colossal bird which we all partake, but the emergence among turkeys bred for eating with antibiotics and hormones of a fear that the consumer will be the one making the sacrifice, as specters of diarrhea, cramps, poor sleep, upset stomachs, and vomiting replace the soporific sensation tiredness from binging on tryptophans in ways akin to an accidental (or intentional) overdose of melatonin, with stuffing, sweet potatoes, and more than enough pumpkin pie on the side in a true glucose binge, which may make many feel like they were sacrificing their stomaches and selves, and forget the forty-six million turkeys sacrificed each Thanksgiving, which we still see fit to balance with the Presidential pardon “or commutation” of one turkey’s life. The turkeys, for their part, have lived packed tightly into two and a half to four square foot spaces, breathing dusty air laced with ammonia and whose oversized frames, developed for breeding for markets, beaks and toes removed from an early age, are fed antibiotics in ways that may encourage the growth of antibiotic-resistant bacterial strains, as if by a logic of breeding and producing birds for holiday tables–

We cling to the false geography of rural harmony in the assembly of imagined agrarian traditions on the Thanksgiving table seems internalized by the marketing of turkey meat by turkey distributors in the social media posts of Jennie-O distributors of turkey. Despite the falsified geography of independent turkey farmers that Secretary of Agriculture Sonny Perdue perpetuates in his visits to family farms on the eve of Thanksgiving, turkey meat has become one of the most processed meats, and the most redefined “product” of the factory farm complex, as its availability for the Thanksgiving season creates a unique schedule of slaughtering, meat-processing, and poultry-distribution has created numerous possible avenues for bacterial infection. The demand for turkeys for Thanksgiving has led to the creation of single strains of birds–a hybrid white larger and faster growing than wild turkeys–far removed from the environment of wild turkeys. In response to markets, a species bred from artificial insemination and designed for eating has emerged, whose reproduction is engineered to ensure fewer males, more productive hatching, and structured the lives of turkeys to accommodate the annual prominence of the Thanksgiving feast.

Indeed, if the expansion of factory farm meat upended any clear relation between the raising of turkey and the bucolic image of the Thanksgiving table, turkey meat has become favored “products” far from animal husbandry. From the arrival of small poults at growing farms where they grow to 24-30 pounds in weight, and are prepared to be shipped to breeder farms, to produce eggs that provide markets with turkey meat, raised separately from males less they be injured while mating, hens are artificially inseminated once a week, and all eggs are collected to be stored off-site in temperature controlled incubators with thousands of eggs, to be delivered to larger farms less than twelve hours after hatching. The truly Taylorist production schedule on which turkeys are farmed at “grow-out” sites to sizes demanded by market tastes before they are transported to processing plants.

Such sad images of factory farming only remind us of the degree to which the finely-tuned operations of turkey production on which the “life” of turkey stock depend. For the birds’ lives are indeed determined by their conversion to carcasses, unsurprisingly, as they lead lives increasingly dependent on a via dolorosa dependent on cutting up at processing plants and arriving as commercial products, if not at dinner tables. Is it any wonder that an alarming number of pathogens have been regularly detected in turkey meat, creating considerable alarm at the discovery of Salmonella infections in prepared turkey meat?

The preparation of the bird that predates the division between the raw and the cooked, placing the “lives” of the birds in relation to the demands for Thanksgiving. Fears of Salmonella infections suggests not only the blurring of the cooking of turkey meat, and the conversion of the raw to the cooked, but the blurring of birds bread in unhealthy conditions for conversion to cooked turkey.

The false geography of the potlatch of the Thanksgiving table has perverted poultry production in the industry of factory farming around profit-margins of poultry providers and public tastes–for specialized cuts, ground meats, whole carcasses, and birds of different weights–as what once was a celebration of harvest has come to organize a complex timetable and cycle of production of raised turkey meat, whose illusory relation to the harvest and the land is perhaps best revealed by the temperature-controlled indoor sex-segregated contexts in which turkeys are raised, and the limited options of motion that most turkeys have in the course of their lives, compared with the huge distances that their carcasses travel cross country, or the shipments from hatcheries to breeder farms to growing farms to slaughterhouses to processing plants to meat distribution plants, in ways that make us wonder what distribution the “health” function of their iPhones might show if their motion was tracked, and how greatly the distance of their travels would contrast with their actual options for mobility in growing pens.

The increased infectious outbreaks that the arrival of bacterial infections of Salmonella in ground turkey meat seem to have threatened to upset the most American of family meals, however, as the fears of contaminated turkey meat have threatened an alternate imaginary of the nation preserved by the long faded image of family units among an infinite number of holiday tables.

The Thanksgiving plate seems a vestigial reminder of the harmony of the food cycle. While it is enough of a soothing celebration of something with its own complex feng shui to be the background of Jennie-O tweets, the gemĂŒtlichkeit of Thanksgiving and myth of the dinner supports a gastronomic reminder of domestic harmony is upset by the increased numbers of infections of turkey in ways that warrant national announcements and concerns from the CDC; each plate on the table is set in perfect order, as an image of the harvest is gathered in a sort of counterpoint on one’s own meal plate. But the harmony of that microcosm was disturbed by seasonal warnings of dangers of infections that this time arrived with increased urgency during the Great Turkey Recall of 2018. Ground turkey continued to be recalled by Jennie-O to the tune of over 164,000 pounds as the salmonella outbreak continued, amidst fears of a government shutdown. And even as fears of troop withdrawals from Syria and Afghanistan raise deep concerns for he nation, the infectious outbreak widened by Christmas, leading producers to assured consumers that the lots of contaminated meat were labeled P-579, to preserve the healthiness of farmed turkey as warnings about Salmonella spread over half the states in the union, and only a small portion of the Salmonella outbreak strains in the nation that had already occurred by 2017, believed to derive from contact with live poultry or uncooked poultry parts in the nation.

Outbreak strains of Salmonella, 2017/Center for Disease Control

Warnings of the safety of turkey meat are regularly issued by the Centers for Disease Control, or CDC, each Thanksgiving in recent years. The state-by-state parsing of outbreak strains to alert the public for consumption warnings, reveal the broad distribution of infected turkey meat, and their limited clustering suggest the wide range of possible vectors of contamination–

Salmonella infantis breakout, October 2018

–and if the spread of infections from turkey meat from November 2017 had been tracked across twenty-six states given the dangers of handling or consuming poultry and in the dangers of the butchery, preparation and distribution turkey-meat, as much as its preparation in kitchens across America.

The persistence of the numbers of hospitalizations and infections that were traced to turkey meat suggests less of a clear map of the spread of infected meat–if it documents the incidence of reported cases of Salmonella–than the remove of turkey from local agrarian geography. In an era when the vast majority of poultry is farmed, and the seasonal consumption of turkey meat drives turkey production in ways that put increasing pressures on the production of a large number of turkeys in a small temporal window sufficient to accommodate the arrival of some fifty million birds in time for Thanksgiving, the existing network of slaughtering, refrigeration, and shipment of turkey meat may not allow for adequate meat safety. The annual production cycle of batches of designated fresh and frozen poultry designed to arrive in time for the holiday season has created multiple stresses on turkey meat’s distribution, and indeed on the handling of turkey parts, as well as the multiple way of packaging, seasoning, and flavoring turkey meats to meet consumer demand, as Philllip Clauer has noted in his helpful description of the “modern turkey industry,” as the packaging of turkey products in ways designed to meet a large choice for consumers, both by processing turkeys for individual parts–

–and offering seasoned varieties of ground turkey, which greatly expand the number of individuals handling turkey meat, by seasoning, marinating, and flavoring what is sold as a “healthy” choice of “all-natural” lean meat for consumers.

The initial warnings of Salmonella poisoning of “all-natural” turkey meat gave alarming immediacy on the eve of Thanksgiving, when turkeys would be arriving in refrigerators nationwide, on their way to ovens, kitchen counters, sinks, and eventually reach their destination on household tables. As infections spread to thirty-five states, the constellation of states which saw over seven infections–New Jersey, Pennsylvania, Florida, Illinois, Minnesota, North Carolina, Virginia, Texas and California–provided testimony to the threat of actual infection of the nation, that spread from turkey processing plants often located at a distance from factor farms where most farmed turkeys are raised in crowded conditions.

The national feedback loops let processing plants calibrate the demand for whole turkey for each Thanksgiving Day and through Christmas.   But it has raised alarms that the arrival of turkey meat is less safe than usual. Even as producers assured the public on social media that the outbreak strain was limited to ground turkey, and not whole animals–“Rest assured the recall does not include whole turkeys or products currently in stores”–as if this would inspire calm in the poultry markets, graphics of expanding numbers hospitalized across the nation has raised continued fears–only partly restrained by assurances that Jennie-O distributed with promotional coupons, and assurances about eating turkey “when properly cooked”–and that contaminated ground turkey had been labeled lot “P579” produced in Minnesota in the week October 21-2.

While such warnings narrowed the source of the contamination that had by now spread nation-wide, the extent of the national distribution of ground meats from specific sites confirmed the industrial scale of the production and distribution of turkey meat.

The CDC is right to exercise a degree of vigilance over reported cases of Salmonella infections and their strains, and WaPo was right to publicize just how many states have been struck by multiple  reported cases of contaminated bacteria-bearing turkey meat–even if the mapping of a “spread of infection” is hardly able to be deciphered even by the best epidemiologist’s sleuthing, and suggested subliminal cautions about consuming any sort of undercooked meat, one possible clear culprit.

Mapped across multiple states, and derived from antibiotic resistant strains of the foodborne virus, the product recall of ground turkey was so disturbing to receive in mid-November offered a reminder of dangerous disequilibria in our food production and distribution complex among some of the largest distributors of factory farmed turkey meat on  which the nation has come to rely for creating the appearance of culinary harmony.

Although we carefully compartmentalize away from the recipes or preparation of the annual feast, a division between the live animal and its carcass, the origins of disease are increasingly tracked with one hundred and sixty four taken sick. The possibility of a bacterial infection being “widespread in the turkey industry” created fears of a broad outbreak–reprising the terrifying antibiotic-resistant outbreak of Salmonella of 2011 in both turkey and beef, which were also focussed on Salmonella Hadar in Jenny-O turkeys–a subsidiary of Hormel–and Salmonella Heidelberg in Cargill Meats.

Indeed, the image of Thanksgiving celebrating fruits of the harvest is upended in the current  industrial scale production  of turkey in our nation:  the industry around Thanksgiving orients the hatching and raising in large indoor cages of millions of birds for November arrival in supermarkets and shops stands at such remove from the seasonal harvest and old agrarian calendar to make us realize the tensions between the current landscape of factory farms with the image of the provision of wealth focussed on the bird arriving well-cooked at one’s holiday table–as the specter of birds infected with antibiotic resistant bacteria at some or several points in the process of farming or producing birds designed for our dining room tables. If the production of turkeys in America–densely concentrated in parts of Minnesota, Iowa, Arkansas, Omaha and Texas, in more extreme geographic concentration than other varieties of poultry, when assessed by value–

Distribution of turkey farming and poultry farming across the United States of America
Comparative distribution of poultry and turkey farming by value
(2007)/https:/USDS Animal Health Demographics, 2010

–in ways that contrast sharply with the actual broad distribution of wild turkey across regions of the United States–

–or the actual broad number of local farms where poultry is raised.

The concentration of the farmed turkeys that arrive at Thanksgiving tables, and in American markets, arrive from a far more restricted area. The result of this concentration poses possibilities of introducing infections, within the distribution of turkey meat. Although the agrarian illusion of Thanksgiving as a bucolic, authentic, and rural event is removed from large cities and sites of urban pollution and grit, the clusterings of mega-farms in fact stands as something like the crooked spine of a nation.  

The striking density of such farms suggests the degree to which turkey farmers are increasingly bent by the market tyrants from Butterball, Hormel, Cargill, who determine the interface between the national demand for turkeys and the condition and welfare of their supply.  The calculus of Turkey production pivots, unsurprisingly, on Thanksgiving, where the demand for the birds seasonally peaks. Such concentration of poultry production reflects its reliance on the production of readily available grain, and especially soybeans, that constitute the bulk of turkey feed.

 With three of the folks who were taken ill with Salmonella working or tied to someone who worked in facilities that either farm or process birds for eating, or raising turkey meat–raising questions about the exposure of those who work on farms to antibiotic-resistant bacteria–or from raw turkey that was intended as pet food.  The outbreaks of bacteria resistant to multiple antibiotics, from ampicillin to tetracyclines to streptomycin, may be tied to prophylactic antibiotics adopted in industrial-scale factory farms.  Despite the proposal to introduce an outright ban on using tetracycline at sub therapeutic levels, the failure to adopt such restrictions has created the situation where three quarters of all antibiotics used in the United States are used on livestock:  back in the late 1980s, the rates of administering antibiotics to humans and animals had been roughly equal.  And the introduction of a diet of antibiotics in an expansive industry of turkey production.

The mis-use of antibiotics to increase the size of raised birds–a danger to which turkeys are particularly vulnerable, as they are prized and valued for their size and the rapidity of growing birds to a large size–even if the FDA discourages using antibiotics to promote growth, the absence of any regulatory enforcement as to what amounts constitute proper prevention has opened a large loophole in American farming:  Norbest, Jennie-O, Cargill and Foster Farms prohibit using antibiotics for promoting growth, but not for disease prevention, creating a broad opening top the use of antibiotics, as Food Animal Concerns Trust (FACT) found in 2015, when it survived the feed additives that major United States producers of turkeys–including Cartill, Tyson, Jennie-O, and Perdue–and the beta agonist Ractopamine, which has been banned in the European Union, but remains legal in the United States. 

The production of turkeys in this agrarian-industrial complex runs like clockwork.   Fertilized turkey eggs are incubated for a month before hatching, resting to grow for three to four months in farms, and are shipped to a slaughterhouse or processing plants for predation for markets in time for Thanksgiving celebrations, as if inexorably attracted by the annual calendar of consumption generates a production schedule that is something of a dialectic, exerting undue pressures of production on factory farms to produce turkeys of increased size (who wants small birds?  few did until recently) who are best produced through extra antibiotics, in a sort of “dosing” of the sacrificial bird before its ritual sacrifice.  Rather than sacrificed for the harvest in a natural way, farms have perfected a strategy to produce sufficient birds of needed size that constitutes a production schedule mirroring the harvest, but introducing a few mechanical tweaks hinging upon transport, distribution, and demand:  of the turkeys hatched each spring, slaughtered birds are refrigerated to temperatures below 40 degrees Farenheit, but above 26 degrees, in time to arrive in something like the fresh frozen state by late October or early November for the preparation of the Thanksgiving table.

The prominence of Thanksgiving in the lives of the farmed turkeys as the  fulcrum along which raising birds turns is not oriented to the farm, or the seasons, in other words, but the elastic market that determines how fifty million birds can be supplied to those wanting to repeat the national ritual of Thanksgiving feasts.  If technology was recognized as the subject of the contemporary historical tragedy in the technicians of production, the mechanics and techniques of turkey raising may post part of the problem.  For the production schedule offers multiple opportunities for bacterial infection that must make them particularly sensitive to carrying food-borne disease.  The slaughtered fowl shipped out to retailers respond to the levels of demand marketers find, allowing them to shift some carcasses designated for lunch meats, individual breasts and legs sold in packages, or ground turkey back into the processing of whole birds, suggesting the actual fluidity between ground turkey meat and the birds arriving at Thanksgiving table.

 The extent of these fears were readily tapped by recent maps of the feared outbreaks of Salmonella infections from tainted supplies of turkey, transmitted in undercooked meats, that seems poised to threaten to frustrate the harmony of the social potlatch of harvest foods, as warnings of the danger of infectious disease have spread, with Thanksgiving only weeks away, across thirty-five states–in a reprisal of fears the previous year of the first reports of cases of a bacterial strain distinguished by its resistantancn to antibiotics.  The discovery and identification of the strain of antibiotic-resistant Salmonella Reading prompted fears for a Thanksgiving outbreak of infections, which rather than mapped with the level of detail that would reflect the detection of the outbreak  in sampled raw turkey products from some twenty-two individual slaughterhouses and seven meat-processing plants, were described only in a state-by-state distribution of total reported infections rather than the actual vectors of infectious disease:   the Washington Post designed the below infographic to alert its readers to the worries of a spread of tainted turkey meat, coloring states with the greater number of reported infections as if in more underdone shades of meat, but their removal form any sense of the sits of distributors or slaughterhouses concealed rather than clarified.

Washington Post, “Salmonella contamination in turkey is widespread and unidentified as Thanksgiving approaches” November 16, 2018

The color ramp on this infographic derived from public records released by the CDC.  If its immediate message was to remind viewers of the dangers of serving underdone turkey meat,   the deep understory may have been a lack of full transparency how the government agency hid the identities of the turkey suppliers identified and suspected of slaughtering, distributing, and selling the compromised meat.  The watchdog Center for Science in the Public Interest (CSPI) has noted in the past the danger of agencies protecting the suppliers with considerable vested interests in keeping the turkey-industrial complex that carries millions of birds to American holiday tables on time for this national feast.  The fears of such a relinquishing of responsibilities of good government  is perhaps not surprising in the current pro-business atmosphere of Trump’s Washington, with Georgia chicken family magnate Sonny Perdue the nation’s thirty-first secretary of the USDA; Purdue somewhat generically retweeted the public cautionary food safety warning to handling bird carcasses,but without mention of the outbreak–inspiring the quick response that the “best” defense was in fact to “only eat veg” over the holiday feast.  

And if “talking turkey”as an expression of speaking frankly has been argued to have originated in the open spirit of the holiday–if also possible in “talking cold turkey” as a way of discussing actual facts may have arisen within the context of the holiday–less about contact with native Americans than the recreation of bonhomie and openness at the holiday table–the alternatives of pleasant conversation and frank discussion both stand at odds with the current concealment of an actually accurate map of food safety.  For the distribution of toxic turkeys and their origin in the supply chain or in factory farms seems concealed for know of left unclear in maps that register the arrival –evident in recent identification of sources of tainted meat suppliers as Tolleson, the source of many of the contaminated turkeys, to beef products sold and distributed by sources tentatively identified for the public as including Kroger, Laura’s Lean and JBS Tolleson generic.  The uncertain landscape of bacteria in fresh, processed, and frozen meat raises fears of food-born diseases as something like a self-made dirty bomb.  

From the perspective of the USDA,”food safety” is described less in terms of the conditions in which birds are raised for sale, than to the kitchen practices of preparing and cooking the bird, a  familiar ritual of cleaning and defrosting the meat, as a set of four”best practices” of delivering the safest bird to the holiday table–

–rather than addressing the questions of how such a strain was introduced, or the steps that should be taken in bagging, buying, and storing potentially infected turkey or chicken carcasses, as if to shift the onus to the consumer and the preparer of the holiday meal, rather than the question of how the breakout diseases correlated to the increasing dependence of turkey distribution on factory farms and large meat-processing plants.

Tracing down the origins of the bacterial presence of different Salmonella strains seems to have been far from the minds of the officials who issued assurances confined to food preparation, in hopes to assuage public fears, and dampen suspicions that infections were endemic to the turkey-industrial complex.  USDA Secretary Sonny Purdue–scion of a firm of Turkey suppliers–and not exactly a disinterested source, but more of a representative of the industrial farming of poultry meat that presents itself as “fit & easy’ and “fresh”–and “changing the way we treat chickens” and with a commmitment to animal care–

Perude may have been profesionally distracted on social media, to be sure, between attention to tampering down alarms of the damage caused by Hurricane Michael across the Florida panhandle and the Camp Fire and Woolsey Fire in California, which unleashed  alarms about forestry, agriculture, and water infrastructure.  But the deceptive moves to pin the epidemic of wildfires on inadequate or lacking “forest management”–rather than climate change seem to be mirrored in his direction of public attention to the cultivation of best practices of poultry preparation to the exclusion of any acknowledgement of the widespread discovery of antibiotic-resistant bacteria within the very sorts of turkey meat that his family business has long prepared.  Even if he tweeted on November 22 to followers to enjoin them to be conscious that “if you are preparing a meal, please remember we have American farmers to thank for the bounty,” erasing the industrial-scale structures of poultry farming –even as Perdue presided over the deregulation of the poultry industry, undoing powers that earlier administrations gave to small farmers who raise antibiotic-free fowl or work on contract for meat industry players–Butterball, Jennie-O, Cargill, and Farbest Foods–to bring charges against them for abusive distributive practices, introduced under the Obama administration to provide better guarantees to control meat production, in hopes to “control frivolous litigation,” that would and prevent agribusiness meat processing companies from setting terms to family farms–continuing the USDA’s existing regulations for meat packers and stockyards would only serve, poultry lobbyists argue, to “open the floodgates to frivolous and costly litigation,” but leaves distributors and agribusiness to dictate the terms of turkey sales, production, and livestock conditions.

But the alarms about the quality of the birds raised by our nation’s largest suppliers of turkeys should not be lost in the instability of the spread of fires in high-population areas and increased damages from natural disasters.  Perhaps the only acknowledgement of the fears of contaminated poultry bearing antibiotic-resistant bacteria were present in the public promise that Purdue would share oversight of culturing food livestock and poultry cell-lines with the FDA, prospectively producing a new regime of food safety for the future.  The infographic from WaPo couldn’t not respond, in the meantime, to growing suspicions that the birds that would soon lie on our tables derived from tainted meat, and that the holiday stood to increase our vulnerability across the nation to uncomfortable intestinal disquiet. However, it makes sense to ask whether the deregulation of farm conditions and livestock conditions would not act–as President Barack Obama predicted of Citizens United decision allowing the deregulation of funding of political campaigns stood to “open the floodgates for special interests—including foreign corporations—to spend without limit in our elections,” by removing any restrictions for livestock raising.

It remained striking that among Perdue’s extensive visits to family farms, @SecretarySonny was notably silent about the concerns for the spread of infected meat within the Turkey-industrial complex of United States farms and poultry distributors.  Perdue preferred to tweet out openly promotional images of Secretary Sonny visiting favorite small-scale suppliers of Thanksgiving birds to his followers, a farm producing but 30,000 birds a year–unlike the factory farms from which most of the fifty million birds arrive at American Thanksgiving tables–within other promotional images of the Secretary visiting family farms that seem to be carefully curated to suggest his ties to the family farm, and to a bucolic image of where our healthiest turkeys are bred–overlooking the dominance of four firms– Butterball, Jennie-O, Cargill, and Farbest Foods–in the distribution and slaughtering of turkeys, and the dominance that larger firms will continue to have over family farms, driven by the demand to produce larger birds more quickly to fill a growing market for turkey meat.

USDA @SecretarySonny’s tweet about his November 12, 2018 visit to Lee Farms in East Windsor NJ

If Perdue’s tours of family farms and promotion of American farmers on twitter suggests an agrarian paradise dedicated to prosperous family-based animal husbandry, the active social media feed provokes a picture of wholesome husbandry far from the range that occupies such a prominent place in the American imaginary that is regularly reactivated every Thanksgiving, sharply dissonant with the American farmscape, or the distribution networks that dominate how farmed turkey meat arrives at our tables, as the Secretary of Agriculture does his part in sustaining the illusion of a rich agrarian landscape blended harmoniously with a farmscape where the bounty of the land still exist in a “great outdoors” rather than in a market for processed meat–promoting the idea that Minnosota, the capital of farmed-raised turkeys, raises those turkeys outdoors, rather than in large, indoor hangars.


–or in the pre-packaged sales of farm-raised turkey meat.

Perdue Factory Farmed Turkey Parts

The current distribution of infections from antibiotic-resistant strains of Salmonella in turkey meat run against the bucolic vision of the harvest holiday, and suggest the danger of dependence on a constellation of factory farms and large farms serving distributors of cut, ground, and whole birds.  The discovery of vectors of infectious disease haven’t been traced within the food supply cycle with any fine grace, but suggest the national level of disquietude and unease at the possibility of a breakout virus in the birds soon to arrive at our tables.  

The data viz seems designed to trigger unease at breaches between the categories of holiday tables and the factory farms that are so often sequestered in discrete categories, and indeed upset the vision of a smooth circulation of turkeys from farm to table.  By breaching the domestic and the large-scale distribution of meat in the nation, categories usually kept neatly separate, fears of communicating bacterial infections through undercooked turkey meat seemed materialized in the data visualization authoritatively provided by the CDC, whose newly tweaked palette revealed the dangers of the divide.  For despite the clustering of an immense amount of wealth in poultry products in areas where canola grains, a staple in bred turkey diets, are cheap, able to convert low-cost grains to valued poultry products–often removed from their most common sites of slaughter for the bulk of the American market.

Total American Poultry Market (2012)
($182,247,407,000; dot=$20 Million value of poultry)

The divide between the clustering of distribution centers for American poultry markets seemed removed from the ones which arrived in our refrigerators to be basted in ovens, in annual idylls of domesticity.  The creation of a USGS Breeding Bird Survey suggests the increased density of such “turkey capitals” that are in three cases named “Turkey,” as if they are the modern remnants of old factory towns, where talking turkey presumably means serious business and a way of life.

Ralph McLaughlin, “Turkey Capitals of America” (2014)

The concentration of that the wealth of poultry overlaps with the current states where bred turkeys remain concentrated in quite disproportionate ways, let alone disturbingly unclean living conditions, and where they lay in waiting en route to slaughterhouses before arriving at distribution networks, including two Wisconsin towns that announce themselves as the “turkey capital” of their state; the belt of turkey heads across the middle of the nation–or from Minnesota to Iowa to Missouri to Arkansas–

The dramatic geographical concentration of inventories of turkey farms in the United States six years ago already raised questions about the health consequences of such intense overcrowding of poultry farms–even if we don’t seem to measure the concentration of farmed turkey that have grown increasingly concentrated, placing literally millions and millions of farm-bred birds, many raised for the Thanksgiving table, in dense concentrations at factory farms with little sense of the growing worries of public health that such concentrations might cause or provoke, as the demand for the bird long limited to holiday feasting has grown as a “healthy” option and an alternative choice for fresh pet food.  

While that may not seem to have much to do with the turkeys that arrive, fully cooked, at our tables–

–in releasing an elegant infographic of the nation divided by the coloration rof shades of cooked poultry, so unlike the red-blue divides of political preferences or a  classic five-color map, the Washington Post seems to cast findings of Center for Disease Control that only added to our ongoing worries of preparing the holiday centerpiece with Thanksgiving but a week away. The meat of the holiday meal that once stood as our civic religion has become a monitory map, as it were, warning the country of the danger of holiday meats tainted by Salmonella infection, and the disruption of any sense of gemutlichkeit or worry-free feasting, reminding us of a potential epidemic across the nation that are liable to be released by roasting the turkey at a low temperature, or underdone meat.  The way that the public service announcement of the group monitoring the safe national production of poultry factory farms offers an image of a nation not on holiday, but with need for constant vigilance, using maps–the new register for expressing alerts for greater vigilance–to be directly and immediately expressed.
The new sense of suspicion that our birds derived from tainted meat pervades the image of the spread of antibiotic-resistant strains of Salmonella in poultry and ground turkey meat, and seems the latest image of disquietude and unease in America. The map may indeed make us hunger for the future promise of laboratory-bred avian meat, and a retreat from the store-bought bird for those who cannot trust its origin–even if the solution to all worries is to cook it through, the perennial problem of cooking through the bird no doubt lead the CDC to test turkey meat as a possible vector of bacterial infections each Thanksgiving in recent years.  The dramatic geographical concentration of inventories of turkey farms in the United States six years ago already raised questions about the health consequences of such intense overcrowding of poultry farms–even if we don’t seem to measure the concentration of farmed turkey that have grown increasingly concentrated, placing literally millions and millions of farm-bred birds, many raised for the Thanksgiving table, in dense concentrations at factory farms with little sense of the growing worries of public health that such concentrations might cause or provoke, as the demand for the bird long limited to holiday feasting has grown as a “healthy” option and a somewhat alternative choice for premium pet food.

 


Even with less division into discreet counties, a more current distribution of heads of turkey by state–although the “state” is far less meaningful a division–offers a sense of the huge concentration of millions of heads of turkey in specific sites, often near where abundant grain feed exists.
USDA
Despite a recent decline, turkey “production” has grown energetically in the United States, and culminate each year in a veritable potlatch that casts the stuffed bird as an icon of agricultural abundance and bounty of the harvest season.  Even though we didn’t prepare a roast bird this Thanksgiving, the mass-production of turkeys for a holiday where the bird seems the symbol of healthy levels of carbohydrate consumption seems to have rather steadily risen  in recent years–even if ponds of turkey “produced” per year need not be the best metric of turkeys–as we hover about six billion pounds of turkey designed for cooking, with over forty million birds being raised in Minnesota, over thirty million in North Carolina, and almost that many in Arkansas, as we are “producing” over two hundred and forty birds.

 

The crowding of farms in such quite select areas–so that tens of millions of birds are raised for Thanksgiving in several select states–raises questions about the health of such crowded factory farms after the multi-state spread of a drug-resistant Salmonella strain in turkey this Thanksgiving.  The announcement raised fears of upsetting the seasonal celebration of national gratitude and harmony, leading the CDC alert of a contaminated lot of ground poultry to migrate quickly into the appetite for data visualizations that increasingly have become a way to seek a rudder or gain purchase on the nation’s state of well-being, that suggests a symbolic intersection between a desire for advice on preparing roast turkey and public health alerts.
turkey_wide-8827cde4a0740ae895463ef87828183c9cfec374.jpg

And even if we forwent eating turkey this Thanksgiving for reasons of taste and expedience, as well as a smaller table, the topical findings of an antibiotic resistant Salmonella strain set off broad alarms about food preparation.

For the detection of multi-drug resistant Salmonella strains in a “multi-state outbreak” tied to raw turkey raises specters of a national infection, and raises some very current questions about the anthropology of meat.  As if Salmonella were threatening the nation by crossing the borders of our Thanksgiving tables, rather than born in the fabric of our factory, the tallying of cases of poisoning and hospitalization couldn’t help but be read as cautionary of a public health disaster, warning us to fully cook our traditional Thanksgiving meats to contain the danger of contracting diarrhea, abdominal cramps and fever, through severe and possibly fatal foodborne bacterial infections.  The map’s color ramp adopts a normal Color Brewer ramp, using it to render the range of reported cases of Salmonella infections by a shade of increased undercooking of turkey meat, in a barely subliminal message–

–designed to recall the shades of uncooked meat that offer the clearest subliminal message of the vectors of infection, all of a sudden giving it an immediate narrative of local poisoning–even if the “map” is far from geographically or epidemiologically specific in its state-by-state breakdown of the “breakout” of the disease–and seems a teaser to imagine the potential future epidemic of the consumption of a spate of undercooked holiday turkey.

We’ll be cooking far fewer than the two hundred and fifty million turkeys raised in a year.  And if free-range birds are popular, increasing numbers of turkeys are also clustered in smaller spaces and in far fewer states in overcrowded factory farms makes the infographic showing recent cases of Salmonella tied to the consumption of turkey meat disconcerting on the eve of Thanksgiving, and almost a reflection on the state of the nation’s food safety.  

The color spectrum of underdone meat triggers perennial fears haunting America’s day of thanks, alerts all viewers to the dangers of under-cooking the bird or failing to wash hands, under the surface lies the conditions in which living turkeys are kept while raised for a holiday repast, among ammonia-laced air, in crowded conditions, and with poultry litter rarely kept clean or pristine.  Even if the outbreak was in turkey products, such perennial concerns about the transmission of bacteria in the cleaning, stuffing and cooking of the holiday bird are all condensed in that infographic, and its ramp to correspond rather creepily to the guidelines for preparing turkey flesh as the vector for future outbreaks after Thanksgiving meals, even if the large bulk of reported cases seem to have derived from ground turkey meat.

Continue reading

Leave a comment

Filed under data visualization, factory farms, infographics, salmonella, thanksgiving