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Thread: Covid19: Cui Bono? Is there an agenda?

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by Ernie Nemeth (here)
    The virus scare is just a vessel for the agenda that was always in place. It is their modus operandi.

    It was not hard to predict in the early eighties that the multi-national corporations were imminently poised to move operations over-seas to cheaper labor markets. Multi-nationals have no allegiance to any country or peoples. They follow the bottom line wherever it leads.
    To pin the tail on the donkey, I would say it can be shown that there is continuity of power from Boer War 1900 to Davos Conference 2020 by a thing called Capitalism. That sounds like what you are talking about. Is it not accurate to say that Capitalism is the most concrete term for "they" who run the agenda?

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by shaberon (here)
    Quote Posted by Ernie Nemeth (here)
    The virus scare is just a vessel for the agenda that was always in place. It is their modus operandi.

    It was not hard to predict in the early eighties that the multi-national corporations were imminently poised to move operations over-seas to cheaper labor markets. Multi-nationals have no allegiance to any country or peoples. They follow the bottom line wherever it leads.
    To pin the tail on the donkey, I would say it can be shown that there is continuity of power from Boer War 1900 to Davos Conference 2020 by a thing called Capitalism. That sounds like what you are talking about. Is it not accurate to say that Capitalism is the most concrete term for "they" who run the agenda?

    Stick "Corrupt Crony" in front of that word and you get an absolute thumb's up from me too, and I'm not even a great fan of raw capitalism either. I'm for bringing stuff to the table to share, with love. The "left" has no idea what that is either, so please don't misunderstand me.


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    Default Re: Covid19: Cui Bono? Is there an agenda?

    https://www.thelastamericanvagabond....ting-vaccines/

    Quote As Moderna’s Covid-19 Vaccine Takes The Lead, Its Chief Medical Officer’s Recent Promotion of “Gene-Editing Vaccines” Comes to Light

    ….

    Moderna’s chief medical officer has described the company’s products as “hacking the software of life” and permanently altering a person’s genetic code. If Moderna is poised to bring the first Covid-19 vaccine to market, a deeper look at his comments and his employer are warranted.

    More and more frequently, government officials, political pundits and self-appointed “global health experts” like billionaire Bill Gates have been instructing the public that mass gatherings and any semblance of “normalcy” will not return until a vaccine for the novel coronavirus Covid-19 is created and subsequently distributed to the masses. In recent weeks, it has quickly become apparent that the leading Covid-19 vaccine candidate is the messenger RNA (mRNA) vaccine being developed by Boston-based Moderna Inc.

    Today, Moderna announced that its vaccine candidate, named mRNA-1273, “appeared to produce an immune response in eight people who received it.” Moderna’s response is odd given that the “study” in question is focused on safety and “is actually not designed to measure effectiveness of the vaccine,” according to a report in TIME. Notably, none of the study’s findings on vaccine safety were reported aside from claims it was “generally safe.” It is also worth noting that this “safety-focused” study only began in March and thus, to date, represents only an examination of the vaccine’s effects in the very short term.

    Meet Dr. Zaks

    With Moderna taking a firm lead relative to the other Covid-19 vaccine hopefuls, it is worth taking a closer look at the man who has overseen its development, Moderna’s current Chief Medical Officer, Dr. Tal Zaks. Zaks, an Israeli citizen who began his career at GlaxoSmithKline, oversees “preclinical development, clinical development and regulatory affairs” for Moderna and all of its subsidiaries.
    In a 2017 TED Talk, two years after joining Moderna, Zaks spoke at length about how he views mRNA vaccines and their modality, including those he produces at Moderna. In a speech entitled “The disease-eradicating potential of gene editing,” Zaks’ description of Moderna’s mRNA products as, making permanent edits to human genes, clashes with often touted claims that the genetic material in mRNA vaccines “degrade” over time and do not permanently alter human genetics like DNA vaccines.

    Beginning his talk, Zaks states that Moderna and similar companies “are actually hacking the software of life and that it’s changing the way we think of and treat disease.” He describes mRNA as “critical information that determines what a cell will actually do” and then states that, if one could “introduce a line of code or change a line of code” in a person’s genome, that has “profound implications for everything.” He then falsely claims that Moderna’s products at the time were proven to “work in people” as the company, prior to Covid-19, was never able to convince the federal government to license its mRNA vaccines for human use due to their lack of effectiveness.

    Zaks further described his view of well-known diseases like cancer as being caused by “screwed-up DNA” that can be “fixed” with Moderna mRNA vaccines, which he also refers to in the talk as “information therapy” given that he says Moderna’s vaccines work by altering the “operating systems” of human cells, i.e. their genetic code.

    < more at link >

    https://twitter.com/_whitneywebb/sta...263927809?s=20

    Last edited by mountain_jim; 20th May 2020 at 11:29.
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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Are these people trying to go straight to jail??

    Here is an outside opinion on agenda, which, in apparently plain terms, Moderna is a Gates & Fauci driven company running away with public funds to do something, which, even if unsuccessful, will be an enriching financial success:

    "One caveat is that Moderna has never brought a vaccine nor a therapeutic product to the market and is therefore largely inexperienced. There is also no public release of consent forms that the trial participants are required to sign. And no indication of how much volunteers were paid. Are they being compensated with inordinate amounts beyond the industry’s standards to accept high risk? None of this information has been provided."

    It also mentions several examples of the history of coronavirus vaccines being unsuccessful.

    The world should know about the type of fraud that is planned to being administered to Mother Earth’s 7 billion people. Here is the response from Robert Kennedy:

    “Despite Moderna’s (pharmaceutical company created by the Bill Gates Foundation) cheery press release this morning (20 May 2020), the clinical trial results for its groundbreaking COVID vaccine could not be much worse.

    The vaccine, developed and championed by Anthony Fauci and financed by Bill Gates, used an experimental mRNA technology that the two men hoped would allow rapid deployment to meet President Trump’s ambitions “warp speed” timeline.

    Dr. Fauci was so confident of his shot’s safety that he waved ferret and primate studies (Moderna suspiciously reported no health data from its mouse studies).

    That appears to have been a mistake. Three of the 15 human guinea pigs in the high dose cohort (250 mcg) suffered a “serious adverse event” within 43 days of receiving Moderna’s jab.

    Moderna did not release its clinical trial study or raw data, but its press release, which was freighted with inconsistencies, acknowledged that three volunteers developed Grade 3 systemic events defined by the FDA as “Preventing daily activity and requiring medical intervention“.

    Moderna allowed only exceptionally healthy volunteers to participate in the study.

    A vaccine with those reaction rates could cause grave injuries in 1.5 billion humans if administered to “every person on earth”.

    That is the threshold that Gates has established for ending the global lockdown.

    Moderna did not explain why it reported positive antibody tests for only eight participants.

    These outcomes are particularly disappointing because the most hazardous hurdle for the inoculation is still ahead; challenging participants with wild COVID infection.

    Past attempts at developing COVID vaccines have always faltered at this stage as both humans and animals achieved robust antibody response then sickened and died when exposed to the wild virus.

    Moderna’s press announcement heralded “Positive Interim Phase 1 findings”.

    I have forwarded that claim to my colleagues in securities law; FTC rules restrict the amount of lipstick public companies may slather on bad donkeys.”

    Is it the least bit odd that someone must have taken it over 43 days ago?

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    You are always on target shaberon , thanks for many enlightening posts
    Chris
    Be kind to all life, including your own, no matter what!!

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by shaberon (here)
    Are these people trying to go straight to jail??

    Here is an outside opinion on agenda, which, in apparently plain terms, Moderna is a Gates & Fauci driven company running away with public funds to do something, which, even if unsuccessful, will be an enriching financial success:

    "One caveat is that Moderna has never brought a vaccine nor a therapeutic product to the market and is therefore largely inexperienced. There is also no public release of consent forms that the trial participants are required to sign. And no indication of how much volunteers were paid. Are they being compensated with inordinate amounts beyond the industry’s standards to accept high risk? None of this information has been provided."

    It also mentions several examples of the history of coronavirus vaccines being unsuccessful.

    The world should know about the type of fraud that is planned to being administered to Mother Earth’s 7 billion people. Here is the response from Robert Kennedy:

    “Despite Moderna’s (pharmaceutical company created by the Bill Gates Foundation) cheery press release this morning (20 May 2020), the clinical trial results for its groundbreaking COVID vaccine could not be much worse.

    The vaccine, developed and championed by Anthony Fauci and financed by Bill Gates, used an experimental mRNA technology that the two men hoped would allow rapid deployment to meet President Trump’s ambitions “warp speed” timeline.

    Dr. Fauci was so confident of his shot’s safety that he waved ferret and primate studies (Moderna suspiciously reported no health data from its mouse studies).

    That appears to have been a mistake. Three of the 15 human guinea pigs in the high dose cohort (250 mcg) suffered a “serious adverse event” within 43 days of receiving Moderna’s jab.

    Moderna did not release its clinical trial study or raw data, but its press release, which was freighted with inconsistencies, acknowledged that three volunteers developed Grade 3 systemic events defined by the FDA as “Preventing daily activity and requiring medical intervention“.

    Moderna allowed only exceptionally healthy volunteers to participate in the study.

    A vaccine with those reaction rates could cause grave injuries in 1.5 billion humans if administered to “every person on earth”.

    That is the threshold that Gates has established for ending the global lockdown.

    Moderna did not explain why it reported positive antibody tests for only eight participants.

    These outcomes are particularly disappointing because the most hazardous hurdle for the inoculation is still ahead; challenging participants with wild COVID infection.

    Past attempts at developing COVID vaccines have always faltered at this stage as both humans and animals achieved robust antibody response then sickened and died when exposed to the wild virus.

    Moderna’s press announcement heralded “Positive Interim Phase 1 findings”.

    I have forwarded that claim to my colleagues in securities law; FTC rules restrict the amount of lipstick public companies may slather on bad donkeys.”

    Is it the least bit odd that someone must have taken it over 43 days ago?
    43 days ago brings us to the 10th of April, however after a quick look at a press release on Moderna's website it seems they started Phase 1 Coronavirus vaccine studies/tests on the 24th of February! That was bloody quick, considering they only received funding to develop a vaccine for the novel Coronavirus a month earlier!

    Quote February 24, 2020
    Moderna Ships mRNA Vaccine Against Novel Coronavirus (mRNA-1273) for Phase 1 Study
    Quote January 23, 2020
    Moderna Announces Funding Award from CEPI to Accelerate Development of Messenger RNA (mRNA) Vaccine Against Novel Coronavirus
    https://investors.modernatx.com/news-releases
    Last edited by pueblo; 23rd May 2020 at 10:08.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    My other half calls this video "Fraudi":

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by pueblo (here)
    January 23, 2020
    Moderna Announces Funding Award from CEPI to Accelerate Development of Messenger RNA (mRNA) Vaccine Against Novel Coronavirus

    So in other words, the money only accelerated something that was already happening in January.

    They knew what to do because what--the Chinese identified a virus, meaning a genome, on Dec. 27?

    And this piece of information--or, what else may be included with it? Allows someone around the world to begin working because...because...they haven't found a sick person in their population yet?

    Maybe, just maybe, this is so easy to do because it is just like using a blueprint for a circuit board, and because that is right we should just go ahead and take this stuff since they were right all along. But there is something terribly fishy and incomplete about how that could possibly be.

    All I see is motive because it is the pet company of vested interests. This drips with "stealing your country right in front of your face".

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Well,what i feared but hoped it was just my paranoia,is happening in real time... here in Thailand with 56 dead and nobody hospitalised, control must be the agenda. Yesterday,after the normalised temperature taking and the mandatory sterilising handgel , i was asked to scan my mobile or write down my nr. to be allowed shopping....
    Apperantly this is just the start for the new normal to scan your smart phone in any public service and carry a track app where ever you go. Looks like its a global thing happening everywhere simulaniously?
    This 11 minute video from a "left/progressive" reporter sums up the latest moves in the states and in the rest of the world.
    "Expansion of the surveillance state is underway" Kim Iverson https://www.youtube.com/watch?v=hXEpuDCbn_Q

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Isn't it possible to not take your phone with you?

    I do that now. No phone when I go out.

    Almost cancelled my cell service but decided that was too much.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by Ernie Nemeth (here)
    Isn't it possible to not take your phone with you?

    I do that now. No phone when I go out.

    Almost cancelled my cell service but decided that was too much.
    I have a cheap mobile -- no internet --just text and calls-- I mainly use text.
    I switch it off when going out.
    Its handy to have in case --the car breaks down -- or im going to be late.
    Chris
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    Default Re: Covid19: Cui Bono? Is there an agenda?

    And that is why I laugh when someone says this world and its technology is a marvel.

    It should be a marvel and could be a marvel, but it is far from being a marvel. Every bit of technology ever created was leveraged to maximize profit and minimize value. We have paid heavily for all our gadgets.

    And now with the tracking technology, which by the way requires, like all apps, forfeiting your privacy and control of your tech anyway, why would I conspire against myself?

    You are just renting that phone - it is theirs and not yours.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by gini (here)
    Well,what i feared but hoped it was just my paranoia,is happening in real time... here in Thailand with 56 dead and nobody hospitalised, control must be the agenda. Yesterday,after the normalised temperature taking and the mandatory sterilising handgel , i was asked to scan my mobile or write down my nr. to be allowed shopping....
    Apperantly this is just the start for the new normal to scan your smart phone in any public service and carry a track app where ever you go. Looks like its a global thing happening everywhere simulaniously?
    This 11 minute video from a "left/progressive" reporter sums up the latest moves in the states and in the rest of the world.
    "Expansion of the surveillance state is underway" Kim Iverson https://www.youtube.com/watch?v=hXEpuDCbn_Q
    And with easily falsified data, what a handy way to create pariahs on demand.
    The only place a perfect right angle ever CAN be, is the mind.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    I never figured a phone to be particularly private, but mandating service where there is hardly any disease doesn't seem to fit.

    Now there are of course many more than three American/British companies pursuing vaccines, and it is for I or we to grumble about how this is being done, while the rest of the world pursues its own ways. And how it works with the Russian vaccine is, the doctors that made it, tested it on themselves.

    No one forces them to do that since such procedures are standard in medical field research.

    They say it worked, and, as to whether it has malign effects, we will have to see. Again, this is of course a small number of healthy individuals, and it seems to me that if applied to at-risk individuals, might not go so well. Especially if it is many of these who got flu shots and seemed to do worse.

    I don't know how much we can know about what are the real differences in any vaccines coming out around the world, or if you would get to pick one. I don't think we can get around the fact that many people will want one. I don't think we can defeat demand if we choose not to participate.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    The Moderna vaccine is in the preliminary stage of trials. The fact that lousy results are out in the open is a good thing. Do you think if there was a govt/corporate plan to kill a bunch of people globally, through a vaccine these results would be made public?

    There are plenty of conspiracies out there way more compelling than this lame one.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    The Gates/cabal plan is to genocide more than half the world population by
    vaccine. That is something we need to pay attention to for starters,
    I would say.
    Question Everything, twice or maybe trice..........

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by AutumnW (here)
    The Moderna vaccine is in the preliminary stage of trials. The fact that lousy results are out in the open is a good thing. Do you think if there was a govt/corporate plan to kill a bunch of people globally, through a vaccine these results would be made public?

    There are plenty of conspiracies out there way more compelling than this lame one.
    If you look closely at the agenda you will see a lot of honesty cropping up.
    They want the "sheep" to willingly walk into the vaccination room,
    Then they can say "we told you so"
    Forget all the conspiracy - what if its just about money for drug companies?
    The creating mass fear would be a great seller of the vaccine
    .People are so scared of death they will take anything to avoid it.
    Look at the side effects that come on the leaflet accompanying any medicine.

    So they can say and have The vaccine may be 50% effective, some may experience side effects 84% of monkeys recommend.
    this
    Regardless people are sleep walking into a disaster of epidemic proportion

    Never in the history of man, have so few, brought so much fear, to so many.


    Chris
    Be kind to all life, including your own, no matter what!!

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Quote Posted by AutumnW (here)
    The Moderna vaccine is in the preliminary stage of trials. The fact that lousy results are out in the open is a good thing. Do you think if there was a govt/corporate plan to kill a bunch of people globally, through a vaccine these results would be made public?

    There are plenty of conspiracies out there way more compelling than this lame one.

    I am not concerned with killing anyone, this is more of a totalitarian issue and the misuse of public funds. Someone is going to have to come up with some good excuses why Moderna and Johnson and Johnson and a few others seem to have received an egregious degree of favoritism.

    Most of the agenda and cui bonos are completely legal, so it is not a conspiracy.

    The known results of the vaccine are a press statement without standard legal disclosures. Maybe this has been legally bent and waived too.

    None of the articles mentioned anything about whether it was attempted murder. That's not the subject. Some believe it to be a motive, but whether it is or not, asking why we might immediately give big money to a company that has not yet gotten any vaccine onto the market, cannot even be called a radical view.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    The agenda? Well, one is "vaccines" and their sure fire mega-profits...

    France Bans Use of Hydroxychloroquine as Treatment for COVID-19 Patients - Reports


    © REUTERS / DIEGO VARA
    Sputnik Europe
    09:41 GMT 27.05.2020
    (updated 10:22 GMT 27.05.2020)

    On Tuesday, the French High Council for Public Health (HCSP) and the Agency for the Safety of Health Products (ANSM) had suspended the use of hydroxychloroquine as a means to combat COVID-19 for both the treatment of patients and clinical trials.

    The French government has cancelled a decree permitting hospital doctors to administer hydroxychloroquine as a treatment to patients suffering severe forms of coronavirus.

    Earlier, the World Health Organization (WHO) paused an extended trial of the malaria drug due to safety concerns.

    At the end of March, France decided to allow the use of hydroxychloroquine in specific situations, and exclusively in hospitals.

    The study, published last Friday in The Lancet medical journal, revealed that there was an increased risk of death when the drug was used for patients with COVID-19. The publication prompted the World Health Organization (WHO) to halt its clinical trials of hydroxychloroquine on Monday as a precautional measure.

    The number of people who have died in France from coronavirus-related complications has reached 28,530, an increase of 315 since the latest previous reported figures last week, the French Public Health Agency (DGS) said.

    The last time the DGS released a situation report on the death toll in France was last Thursday. The report stated 28,215 deaths linked to COVID-19.

    According to the update, 100,841 people in total have been hospitalized since the beginning of the pandemic, and 16,264 currently remain in hospitals, down from 18,468 last week, including 1,555 patients in intensive care units.

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    Default Re: Covid19: Cui Bono? Is there an agenda?

    Were conditions for high death rates at Care Homes created on purpose? by Rosemary Frei for OffGuardian May 26th, 2020




    During the COVID-19 pandemic, people in care homes have been dying in droves.

    Why is this happening? Is it simply because older adults are very vulnerable to SARS-CoV-2 and therefore it’s not unexpected that many would succumb?

    Or do care homes deserve the lion’s share of the blame, such as by paying so poorly that many workers have to split their time between several facilities, spreading the virus in the process?

    Alternatively, could medical experts and government bureaucrats, with the full knowledge of at least the top tier of government officials, have created conditions shortly after the pandemic struck that contribute to the high death tolls while engendering virtually no public backlash against themselves?

    This article shows that the third hypothesis is highly plausible. The people who created the conditions may be unaware of, or oblivious to, their implications. But it’s also possible that at least some of them know exactly what they’re doing.

    After all – seeing it from an amoral government’s point of view – the growing numbers of elderly are a big burden on today’s fiscally strained governments, because in aggregate they’re paying much less into the tax base than younger people while causing the costs of healthcare and retirement programs to skyrocket.

    Here are three sets of conditions that collectively create a framework for enabling significantly boosted care-home deaths – and doing so with impunity – even while most of each set of conditions in isolation may appear to be purely for the benefit of everyone in society:

    One. Bureaucrats develop extremely broad definitions of novel-coronavirus infections and outbreaks. This is coupled with the continuing presence, in a number of care homes scattered across each jurisdiction, of at least one nurse or physician who follows every letter of all definitions and rules. (Such individuals are always present in every discipline, but in the medical milieu their actions can be deliberate, deadly and very hard to detect.)

    Two. Influential organizations and individuals produce hospital-care-rationing guidelines that recommend younger people receive higher priority than the elderly during the pandemic, by giving significant weight to how many years of life patients would have ahead of them if treatment is successful. Also, some guidelines bar care-home residents from being transferred to hospital.

    Three. The chief coroner and leaders of the funeral, cremation and burial industries craft procedures that fundamentally change the way care-home deaths are documented and bodies dealt with. Their stated goal is to prevent overburdening of medical staff and body-storage areas during a surge in COVID-19 deaths.

    They also put them into effect very quickly with no notice to the public; this gives those directly affected very limited opportunity for input or push-back.

    Among the many radical changes is death certificates are no longer completed by people who care for care-home residents; instead, they are filled in by the chief coroner’s office.

    Also, examination of the undisturbed death scene is prevented, as are all but a very few post-mortems and other sober second looks at the cause and mode of death.

    In the background are the complicit ranks of public-health organizations, politicians, media and many other influential individuals. When the pandemic first strikes they focus on how new, dangerous and poorly understood the virus is. As one side effect, this scares many care-home staff so much they flee in fear, leaving their overwhelmed colleagues to cope.

    After a short time, they also start to distract the public and victims’ loved ones from uncovering the three sets of conditions by focusing on other factors in the rash of deaths among institutionalized elderly – and by insisting the solution to everything is more testing and contact tracing, along with accelerated vaccine and anti-viral development.

    This article shows how the three sets of conditions were put in place in Ontario, Canada.

    Variations on these conditions very likely have been crafted in other jurisdictions in North America, Europe and elsewhere. An exclusive interview with the daughter of one of the dozens of people who died during an outbreak at an Ontario care home illustrates how the three sets of conditions work in practice.

    CONDITION SET ONE: BROAD DEFINITIONS OF NOVEL-CORONAVIRUS INFECTIONS AND OUTBREAKS

    At the start of the novel-coronavirus epidemic in Ontario, formal definitions of infections and care-home-outbreaks weren’t issued, at least not publicly.

    Rather, in late March Chief Medical Officer of Health for Ontario, Dr. David Williams, and the Associate Chief Medical Officer of Health, Dr. Barbara Yaffe, described the criteria verbally during their daily press briefings.

    An outbreak should be declared when two or three people show symptoms of infection with the novel coronavirus, they said.

    Also, polymerase chain reaction testing for viral RNA wasn’t required for confirmation.

    This is a loosened version of criteria used in the province prior to the novel-coronavirus epidemic. These previous criteria defined an outbreak as either: two people in the same area of a facility developing symptoms within two days of each other (making their infections ‘epidemiologically linked’) and at least one of them testing positive for viral RNA; or three people in the same area developing symptoms within two days of each other.

    On March 30 the Ontario health ministry released new rules for defining and managing care-home outbreaks (with the document confusingly dated April 1). Staff at all Ontario care nursing homes were trained on the new rules via webinars two days later, on April 1.

    The new rules included an even broader outbreak definition: the presence of only one person with just one symptom of a SARS-CoV-2 infection. Outbreaks were deemed confirmed when just one resident or staff member tested positive; subsequently, every resident in the care home showing any coronavirus-infection symptoms is deemed to have COVID-19.

    Notably, however, there wasn’t a symptom list in the document. Dr. Williams said on April 1 during that day’s press briefing they deliberately did not include a list of infection.

    This is because:

    “to look for those symptoms [in the rest of the care-home residents after the initial case is identified] is a challenge, particularly in seniors,” […] “They may not mount a fever, they may have a lot of other symptoms and they may not have obvious symptoms. [Rather,] any change in their health condition really [can be considered a symptom].”


    A few minutes later Dr. Williams added:
    "I don’t mind false alarms. [As a result of the looser outbreak criteria] the numbers [of outbreaks that] we see might be[come] quite [a bit] larger …. [But that’s because w]e want to ramp up the sensitivity. [That] means the number of outbreaks will go up, because we’ve widened the definition.”
    One week later, April 8, a Provincial Testing Guidance Update was issued. It included the following list of symptoms (most of which are highly non-specific): fever, any new or worsening acute respiratory illness symptom – for example cough, shortness of breath, sore throat, runny nose or sneezing, nasal congestion, hoarse voice, difficulty swallowing – and pneumonia.

    The document also listed several symptoms that are “atypical” but “should be considered, particularly in people over 65” [italics added]: unexplained fatigue/malaise, acutely altered mental status and inattention (i.e., delirium), falls, acute functional decline, worsening of chronic conditions, digestive symptoms (e.g., nausea/vomiting, diarrhea, abdominal pain), chills, headaches, croup, unexplained tachycardia, decreased blood pressure, unexplained hypoxia (even if mild) and lethargy.

    Then on April 22 the province produced the first COVID-19-screening guidelines for care homes. It’s broadly similar to the April 8 document, except that two or more of some of the symptoms – for example sore throat, runny nose and sneezing, stuffed-up nose, diarrhea – need to be present for a person to be deemed positive.

    On May 2 a new testing guidance and a new screening guide were released. Both documents concede that if a person has only a runny or stuffed-up nose, “consideration should be given to other underlying reasons for these symptoms such as seasonal allergies and post-nasal drip.”

    They also narrow the definition of falls considered diagnostic of a novel-coronavirus infection in people over 65, to falls that are unexplained or increasing in number.

    However, they add to the symptom list another three that are very non-specific: a decrease in sense of taste, abdominal pain and pink eye.

    There are enormous implications to having overly broad definitions of symptoms and outbreaks, particularly in combination with other rules put in place at the beginning of the epidemic.

    Broad definitions very likely are used in many other jurisdictions around the world, albeit perhaps masked by the use of somewhat different terms.

    First, in Ontario, in every facility with an outbreak, every resident with even just one symptom is defined as being a ‘probable’ COVID-19 case. This applies whether these residents had an inconclusive or negative viral-RNA test result – or even weren’t tested at all.

    Second, the cause of death of everyone who had been diagnosed with a SARS-CoV-2 infection is recorded as being COVID-19. This is a dictate of the World Health Organization and is followed throughout North America, Europe and elsewhere.

    Third, COVID-19-attributed deaths are deemed ‘natural’ by new rules released by the chief coroner on April 9 (see ‘Condition Set Three,’ below). In all but an extremely small number of cases, natural deaths are exempt from any further investigations or post-mortems. (Over the last 30 years post-mortems have become rare, but to almost completely remove the possibility is another matter.)

    Taken together, this may explain what the daughter of a woman who died along with dozens of others, during a COVID-19 outbreak at an Ontario care home experienced. The daughter granted the author an exclusive interview on May 13. (Under a pseudonym to shield her from possible repercussions.)

    Diane Plaxton said in the interview that on April 1 she received a shocking and unexpected phone call from her mother’s care home.

    “Your mother’s declining. She’s been having loose bowels and lots of diarrhea. There’s a DNR on her chart. And we’re not sending anyone to the hospital. [Likely because of ‘Condition Set Two,’ below] We’re going to have to put her on palliative care,” Plaxton recalls the head nurse telling her in a cold, uncaring voice.

    Plaxton was stunned. She knew about her mother’s diarrhea: it was from bowel-cleansing meds she’d been on for about nine days, after being diagnosed with a clogged bowel. Plaxton told the nurse that if her mother seemed to be declining it probably was from the diarrhea and resultant dehydration.

    She suggested to the head nurse that she give mother IV rehydration. The nurse refused, saying it would “just prolong the inevitable.”

    The head nurse didn’t say the word COVID-19, nor tell Plaxton the home had been declared to have an outbreak that day.

    She also didn’t mention that on March 30 the province had issued new rules on novel-coronavirus infections and outbreaks, then trained all of Ontario’s care-home staff on them via webinar April 1. As described above, the rules included very broad definitions of SARS-CoV-2 infections and outbreaks.

    Therefore the nurse could well have been complying fully with the new rules by diagnosing Plaxton’s mother with a novel-coronavirus infection based on her having diarrhea alone (and without telling Plaxton any of this).

    Furthermore, since transfer to a hospital was not an option (as per ‘Condition Set Two’) and since COVID-19 is deemed to be very frequently fatal in the elderly, this may be why the head nurse pushed Plaxton so hard to consent to palliative care for her mother.

    Shaken but unbowed, Plaxton asked the head nurse to let her speak to the nurse who had been directly caring for her mother.

    Fortunately, that second nurse was kind, and agreed that palliative care was not appropriate for Plaxton’s mother. She agreed instead to allow her to not take the bowel-cleaning meds, and to coax her to eat and drink to recover her fluids and strength. She also said she’d keep an eye on the slight fever Plaxton’s mother had.

    Over the next few days this plan worked, and the nurse told Plaxton she needn’t worry.

    That’s why it hit Plaxton like a gut punch when on April 10 she got a call from another nurse, who was panicking. She told Plaxton her mom was struggling to breathe and “going fast.”

    The nurse said the care home couldn’t transfer her to the hospital. She asked Plaxton’s permission for the doctor to give her mother “a shot to ease her passing.”

    (The nurse didn’t tell Plaxton what ‘the shot’ was. But it very likely was morphine, which is routinely used to relieve severe pain. A high enough dose of morphine slows people’s breathing and hastens their death.)

    Plaxton was reeling. She immediately consulted with her sister; together they decided to give consent for the shot. Three hours later their mother was dead.

    CONDITION SET TWO: HOSPITAL-CARE-RATIONING GUIDELINES

    In mid-March, not long before Plaxton’s mother died, treatment-rationing guidelines for during the pandemic started to proliferate.

    For example, on March 21 the UK’s National Institute for Clinical Excellence produced its guidelines.

    They’re based on a frailty score and on mortality probabilities across different age groups for pneumonia and underlying cardiovascular or respiratory diseases.

    On March 23 the paper “Fair allocation of scarce medical resources in the time of Covid-19” was published in the prestigious New England Journal of Medicine. The paper’s first recommendation calls for:
    "maximizing the number of patients that survive treatment with a reasonable life expectancy.”
    (Interestingly, the paper’s lead author, Ezekiel Emmanuel, MD, PhD, is an oncologist, bioethicist and senior fellow at the Center for American Progress. The centre is secretive about its funders but according to a 2011 investigation in The Nation its supporters included dozens of giant corporations ranging from Boeing to Walmart. Today, retired general Wesley Clark and executive VP of global investment firm Blackstone Henry James are among the organization’s trustee advisory board members.)

    On March 27, the equally influential Journal of the American Medical Association (JAMA) published “A framework for rationing ventilators and critical-care beds during the COVID-19 pandemic.”

    The paper’s authors assert that:
    "[y]ounger individuals should receive priority, not because of any claims about social worth or utility, but because they are the worst off, in the sense that they have had the least opportunity to live through life’s stages.”
    Ontario Health published guidelines for hospital-treatment rationing on March 28, albeit not publicly. (To this day the government hasn’t made the protocol public, nor disclosed whether or when they implemented it.)

    At that time a crush of COVID-19 patients crowding Ontario hospitals wasn’t a realistic possibility for at least the short or medium terms (contrary to the pandemic-curve theoretical modelling), because all elective hospital procedures and surgeries had been cancelled or indefinitely postponed.

    Toronto Star reporter Jennifer Yan obtained a copy of the Ontario treatment-triaging document and wrote in a March 29 article that:

    "[u]nder the triage protocol, long-term-care patients who meet specific criteria will also no longer be transferred to hospitals.”


    Then on April 10, the Canadian Medical Association adopted all the recommendations by Dr. Ezekiel and his co-authors in their New England Journal of Medicine paper, and advised Canadian physicians to follow them.

    The Canadian Medical Association statement (whose authors were not listed) asserted that “the current situation, unfortunately, does not allow for” the time for Canadian experts to create their own recommendations.

    This is tendentious. Canadian healthcare providers and researchers have access to as much information about COVID-19 as do others around the world. In addition, many had direct clinical experience with a close cousin of the novel coronavirus, SARS-CoV, in 2003.

    Indeed four Canadians co-authored an ethical framework for guiding decision-making during a pandemic that was based on their experience with SARS and published in 2006. They made no mention of age as a criterion for treatment triaging in that framework.

    On April 17 the Canadian federal government released information to guide clinicians in rationing healthcare resources during the SARS-CoV-2 epidemic. Unlike at least some other COVID-19-related guidelines issued in the same period, it was not accompanied by a press release; therefore it has flown under the public radar.

    The document includes an emphasis on age-based rationing. It also explicitly discourages transfer of care-home residents to hospitals:

    "Long term care (LTC)[care-home] facilities and home care services will be encouraged to care for COVID-19 patients in place and may be asked to take on additional non-COVID-19 patients/clients to help relieve pressure on hospitals”


    This is underlined in another place in the document:

    "If COVID-19 does develop in LTC facility residents, they should be cared for within the facility if at all possible, to preserve hospital capacity.”


    Prohibiting transfer to hospital drastically narrows the treatment options available to care-home residents.

    There have been transfers of care-home residents to hospitals in Canada during the COVID-19 crisis, but until very recently they have been by far the exception.

    (Instead, starting in mid-March as part of the clearing out of hospitals to make room for a putative surge in COVID-19 patients, thousands of elderly people were transferred from hospitals to care homes. This likely also contributed to the care-home death toll. More than one journalist has compared care homes to the Diamond Princess cruise ship: virus incubators with people trapped inside.)

    All of this may well be why Plaxton was told by nurses at the care home that her mother couldn’t be transferred to hospital.

    This also has played out at other care homes.

    The medical director of the Pinecrest nursing home in Bobcaygeon, two hours’ drive northeast of Toronto, strongly advised residents’ family members against considering hospital transfer.

    The Globe and Mail reported on March 29 that Dr. Michelle Snarr wrote families on March 21 (which was the day after three of the home’s residents tested positive for SARS-CoV-2) and raised the spectre of significant suffering and possible death if the elderly people were put on ventilators.

    Dr. Snarr reiterated this in a March 30 television interview.

    Once we heard it was COVID, we all knew it was going to run like wildfire through the facility […] The reason I sent the email was to give them a heads-up that this is not normal times. Under normal times, we would send people to the hospital if that was the family’s wishes, but we knew that was not going to be possible, knowing that so many people were going to all get sick at once and also knowing the only way to save a life from COVID is with a ventilator. And to put a frail, elderly person on a ventilator, that’s cruel.


    [In another interview Dr. Snarr said they weren’t outright refusing hospital transfers.]

    [....continued]

    _________________________

    Related: WHO Guidelines on COVID-19 death definition

    Last edited by Tintin; 27th May 2020 at 17:55.
    “If a man does not keep pace with [fall into line with] his companions, perhaps it is because he hears a different drummer. Let him step to the music which he hears, however measured or far away.” - Thoreau

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