Sunday, 31 May 2020

01 June 2020


Staff MOGC
Washington DC 02 June 2020
FEAST OF THE UGANDAN MARTYRS
03 JUNE 2020

     Today we remember 22 young Ugandan men who gave their lives in 1886 rather than submit to the immoral demands of the Kabaka who was the Baganda King.  Living in Illinois, I can only report on peaceful active resistance by the staff of Maryknoll Office of Global Concerns (MOGC) in Washington D.C.  Wishing I could be with them, I share these stories. MOGC staff participated in a faith-based solidarity vigil held Tueday evening in a multi-cultural neighborhood two miles from the White House.

St. John Paul II Shrine

As quoted in HuffPost... "Susan Gunn, director of the Maryknoll Office for Global Concerns, a Catholic ministry, helped to organize a prayer vigil outside the (St. John Paul II National) shrine. After watching videos of what had happened at St. John’s Church the night before, Gunn said the vigil was planned to be “far enough away that we felt safe from overly aggressive police tactics to move a crowd and yet close enough to see the presidential motorcade.” “We wanted to pray for healing for those who are grieving and for our fractured communities, and we wanted to share our message of solidarity and love in a public way,” Gunn said of the vigil.

Let's draw on the strength and courage of those martyrs we remember today to live the Gospel more faithfully and fan destructive flames into peaceful tongues of flame of the Holy Spirit.

Minneapolis fires
FLAMES
01 JUNE 2020
     Here in the USA it seems like everything is going wrong.  Our cities are burning and people are dying from violence rather than the Covid 19 virus that has caused so much fear this past month.  Yesterday, the Governor of Illinois relaxed restrictions on opening houses of worship after Supreme Court Justice Brett Kavanaugh ordered Illinois to respond to three lawsuits brought by churches.  The Governor's plan for 5 phases to reopen the state has been amended to only suggest guidelines for opening houses of worship.  These will not be mandatory.
     Meanwhile, our County of Champaign is battling 27 outbreaks and we know that with re-openings of churches and other public spaces the virus will spread and put people like my 87 year old mother and myself more at risk.  We will continue to follow evidence based guidelines which is what I used to develop the public health principles below.  Up until now, I relied on the CDC as a site for credible guidance.  However, the guidelines that the CDC gave for houses of worship last week have been changed by the White House.  That site has been censored and now carries less accurate information.  Even the National Institute of Health is under the review of the White House and can also be censored.  I am searching for an evidenced based source of information to guide our future progress during the pandemic.

COVID 19 PANDEMIC
THE BASICS OF PUBLIC HEALTH
JUNE 1, 2020

This summary of primary principles is to help each of us prepare to serve the common good as this pandemic unfolds.  New information will become available with time and the one website to follow is https://www.cdc.gov/coronavirus/2019-ncov/index.html

1.       YOU MAY BE AN ASYMPTOMATIC CARRIER.  PROTECT OTHERS FROM TRANSMISSION
·         Masks are far more effective than previously realized.  Wear one whenever you are inside with people you don’t live with.  It shows that you don’t want to unknowingly infect others.  https://masks4all.co/
·         Those of us who must be in contact with people whom we don’t live with are more likely to be silent spreaders.  That includes all health care workers, first responders such as police, ambulance or other vehicle drivers, and service personnel like grocery store clerks, vendors, receptionists and faith leaders.

2.       KNOW THE SYMPTOMS OF COVID 19 - https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
·         Cough, shortness of breath, difficulty breathing, Fever
·         Chills, muscle pain, new loss of sense of taste or smell, sore throat
·         In addition to the OFFICAL symptoms above there are other symptoms like fatigue, nausea, vomiting, diarrhea

3.       CALL 911 or YOUR HEALTH CARE PROVIDER IF YOU HAVE SERIOUS SYMPTOMS LIKE
·         Trouble breathing
·         Persistent pain or chest pressure
·         Confusion
·         Bluish lips
·         Inability to awaken or stay awake

4.       IF YOU ARE IN A COMMUNITY THAT IS NOT DOING PHYSICAL DISTANCING AND YOU HAVE A COMORBID OR VULNERABLE CONDITION AVOID THE FOLLOWING OR TAKE SPECIAL PRECAUTIONS - https://www.erinbromage.com/post/the-risks-know-them-avoid-them
·         HOME – If you live with a person who is vulnerable and you frequent the places listed below you can bring the infection to the home where transmission is the highest.
·         Places of worship – a confined space and singing encourages transmission
·         Public transport
·         Funerals, Weddings, parties of any kind
·         Restaurants
·         Work places – especially meat packing plants, call centers
·         Indoor sports – especially in cool environments
·         https://www.medrxiv.org/content/10.1101/2020.04.04.20053058v1 - There is only 1 documented outbreak in an outside environment involving 2 persons

5.       IDENTIFICATION – testing is lacking in most places in the world
·         If your health care provider gives you a clinical diagnosis OR
·         If you can get a test and it is positive - https://www.cdc.gov/coronavirus/2019-ncov/testing/index.html
·         you must isolate yourself at home. ISOLATION separates people who are infected from people who are not known to be infected - https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
·         If you do not have a health care provider, there is a self-checker for both inside and outside the USA to help you make the diagnosis at this site https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html

6.       CONTACT TRACING – the isolated person must identify all persons contacted 48 hours before the onset of symptoms or the positive test to include the following
·         People with whom they spent more than 15 minutes (Singapore) or 30 minutes (USA)
·         At a distance of less than 6 feet = 2 metres
·         All contacts must be tested or interviewed for symptoms
·         If the contact tests positive or is given a clinical diagnosis the contact must be ISOLATED.  The purpose of isolation is to prevent transmission from an infected person to those who are not yet known to be infected.
·         If the contact is not diagnosed, they must be QUARANTINED.  The purpose of quarantine is to keep someone who has been EXPOSED away from others before they show signs of illness to stop transmission of the virus https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine-isolation.html

7.       IDENTIFICATION, ISOLATION, CONTACT TRACING AND QUARANTINE
·         These are the pillars of proceeding through a pandemic while there is no effective treatment or a vaccine.
·         The Infection Rate (IR) or the Reproductive Rate (Ro) is an indication of the transmissibility of a virus.  It tells you how many people an infected person can infect on average.  If it is > 1 the infection is increasing.  An IR of 1.1 indicates an outbreak.  The IR of Covid is estimated to be 3.28 and that is why it is called a super spreader. https://academic.oup.com/jtm/article/27/2/taaa021/5735319
·         Isolation and contact tracing work well at the beginning or end of an outbreak.  It requires many people or clever use of technology to perform.  When an outbreak gets out of control the health care system is overwhelmed.
·         Mitigation is then used to slow down spread, protect the most vulnerable people from becoming infected and avoid overwhelming the health care system.  This includes Stay At Home (SAH), limited movement and limited activities.

8.       ENDPOINT OF THE PANDEMIC
·         When herd or community immunity is reached.  At this point at least 80% of the population is immune to the virus, thereby protecting the remaining 20% that are still vulnerable.  This can be achieved by allowing the community to become infected and develop natural immunity (Sweden model) but many people will become so sick that they die in the process.
·         An effective vaccine that penetrates the population by providing 83-94% immunity will protect the remaining 6-17% of the population who are still vulnerable.  The earliest a vaccine will be available for production is most likely January 2021.  7 billion people will need vaccination and production and administration will take many resources and time to implement.
·         Successful progress to the endpoint requires
o   Education with honest facts supported by good quality medical science
o   Good leadership at all levels – political, religious, and cultural.
o   The public must trust leadership, follow directives and work for the common good.

Sn:01June2020

This is the library of the HOPE (Helping Orphans Purse Education) Project in Mombasa Kenya.  These children take their shoes off before they enter the library which is always crowded.  Perhaps we could learn something from their example.

THIS PENTECOST MAY YOU BE iNFLAMED WITH THE PEACE OF THE HOLY SPIRIT 


Friday, 1 May 2020

01 May 2020

COVID 19 PANDEMIC IMPACTS EAST AFRICA

“What gives me hope is communities rallying around each other. In Kenya, we reacted to the fact that the disease would hit the poor harder than the rich. We have had food drives, with people doing as much as they can to help within the community. We don’t have the facilities, but we (the people) have a long history of responding to crises, mobilizing around public health. The public is trying to believe and act communally.”
Kenyan political analyst and author Nanjala Nyabola

     Nevertheless, East African countries are struggling.  Kenya confirmed the first case of Covid 19 on March 12, 2020 and followed with regulations for lockdowns, instituting a 7pm curfew on March 26.  This led to evening chaos at the Likoni ferry in Mombasa when police used tear gas and beatings to admit only 300 of the 1400 passengers normally allowed to board.
Kathy Flatoff - St. Patrick Dispensary
Bangladesh Informal Settlement - Mombasa Kenya
     East Africa will need to use local solutions to address their unique problems.  In densely populated informal settlements, water and food is purchased daily as 85% of traders work in the informal sector.  20 million people are already short of food.  This year has been troubled by heavy rains, flooding, landslides and a swarm of locust twenty times the size of last year. People are short of food.

Creatively, Maryknoll Lay Missioner Kathy Flatoff works with the parish leaders and priests in St. Patrick Catholic Church in the largest informal settlement of Bangladesh in Mombasa to assist vulnerable people.  Donations are channeled via Mpesa phone transfers to people identified by the parish leaders.  Women were prioritized and 500 shillings ($5) were sent to individuals after meticulous review.  This amount will purchase two-pound bags of rice, beans and maize flour at regular intervals, thereby supporting local food vendors and decreasing physical contact and disturbances at distribution centers.
     Maryknoll Fr. Joe Healey has worked with Small Christian Communities (SCCs) all over East Africa and globally.  He currently lives in Kenya where 45,000 SCCs would meet weekly.  With the Kenyan lockdown, meetings ended abruptly.  Rather than die they went digital.  They are finding ways to access money for smart phones and data bundles to connect pastorally and use phone transfers to distribute funds to vulnerable people.
     Amnesty International Kenya and 15 other community organizations have called for a ban on water and electricity charges to the public utilities in addition to removing a ban on rain water harvesting in Nairobi’s informal settlements.
     During the first two weeks of April, Uganda did manage to flatten the curve of Covid 19 at 55 cases and no deaths.  New cases have now continued to rise.  Previous experience with Marburg and Ebola epidemics prepared the country with improved public health protocols.  An educated public complied immediately with suspension of international flights and restrictions on internal movement.  Food vendors have slept in their market stalls for 14 days to avoid exposing themselves and others to infection.   The government is distributing food to 1.5 million vulnerable families and has halted evictions of communities from contested lands.  It also supports businesses by rescheduling social security contributions.
     Tanzania has struggled with mixed messaging.  The president encourages citizens to continue to gather in places of worship to ‘rid the body of Christ of this devilish virus’.  However, Bishop Niwemugizi of Rulenge-Ngara diocese carefully evaluated the evolution of the pandemic in other parts of the world and decided to suspend all community religious gatherings for one month beginning April 19th.  Maryknoll Missioners at the Lake House of Prayer in Mwanza have directed the faithful to continue their prayers in the safety of their homes.  Meanwhile, missioners are providing culturally sensitive public health education for prevention and treatment and have organized the local production of over 1000 face coverings.
      South Sudan is one of the weakest nations in the world and 34 cases have been confirmed as of 1st May with limited testing.  The WHO has delivered testing supplies and PPE to prepare for an expected progression of disease.  The government has partially locked down movement by closing schools, shops, borders and airports. Lay missioner Gabe Hurrish is restricted to Kuron Peace Village and Fr. Mike Bassano cannot enter section III of the Malakal Protection of Civilian camp.  Both remain in South Sudan and continue to provide pastoral and educational assistance as they are able.
     It is expected that the pandemic will overwhelm the health care services on the African continent very easily as all infrastructures are fragile.  Nearly 60% of the population are under age 25 but 56% are living in crowded centers and many have HIV, TB and malnutrition.  The WHO estimates 10 million Africans could be infected by Covid 19 in the next six months.  The United Nations Economic Commission for Africa is calling for a $100 billion safety net to provide testing and treatment.
     However, food insecurity is the most immediate problem. 1.2 billion people reside on the African continent and 20% are undernourished; the highest percentage in the world.  Droughts, floods, locusts and war caused this. Lock downs for public health protection that restrict movement exacerbate it by increasing the price of food while decreasing grazing land and access to markets. 
     The WFP estimates 30 million Africans are food insecure and 300,000 could die each day for the next three months without assistance.  It needs $1.9 billion immediately to avert this crisis.  Then, they will need $10 billion for the remainder of the year as well as an end to conflicts and unimpeded humanitarian access.
     The nations of the world are like boats trying to navigate the ocean of the Covid pandemic.  Some countries steer luxury liners.  These who are privileged need to throw a rope to save the African boats which are already being engulfed by waves of food insecurity, hunger and soon starvation.  

PEACE OF ST. JOSEPH THE WORKER TO YOU
May he intercede for casual laborers to find work at this difficult time!!!

https://www.smallchristiancommunities.org - click on the Facebook icon to go to the next link....

https://www.facebook.com/www.smallchristiancommunities.org

https://www.theelephant.info/reflections/2020/04/18/covid-19-in-africa-to-eat-or-to-heal/

https://www.thenewhumanitarian.org/news/2020/04/06/kenya-coronavirus-lockdowns 

https://www.nation.co.ke/counties/mombasa/Chaos-rock-Likoni-ferry-crossing/1954178-5505438-tgnv84/index.html

https://www.bbc.co.uk/newsround/52354857

https://theconversation.com/why-a-one-size-fits-all-approach-to-covid-19-could-have-lethal-consequences-134252

https://mklm.org/7000-bars-of-soap/

https://www.vaticannews.va/en/africa/news/2020-04/covid-19-africa-could-end-up-suffering-the-most.html

https://www.africanews.com/2020/04/20/courage-through-a-lens-a-ugandan-journalist-s-covid-19-chronicle/ 

https://www.scmp.com/news/world/africa/article/3081312/prayer-not-lockdown-these-african-leaders-answer-coronavirus

https://www.afro.who.int/news/who-prepositions-supplies-speed-testing-suspected-covid-19-cases-south-sudan

https://www.nytimes.com/2020/04/22/world/africa/coronavirus-hunger-crisis.html?campaign_id=9&emc=edit_NN_p_20200423&instance_id=17877&nl=morning-briefing&regi_id=127404277&section=topNews&segment_id=25792&te=1&user_id=0ce8dac562c8998105e02485745d6854

https://www.reuters.com/article/us-health-coronavirus-africa-un-idUSKBN21Z1LW?utm_campaign=trueAnthem%3A+Trending+Content&utm_medium=trueAnthem&utm_source=facebook

https://www.dw.com/en/severe-hunger-threatens-africa-during-covid-19-lockdowns/a-53212565