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Michael Moore: 10 People in Flint Have Now Been Killed by These Premeditated Actions of the Governor of Michigan

Dear President Obama,

I am writing this to you from the place where I was born—Flint, Michigan. Please consider this personal appeal from me and the 102,000 citizens of the city of Flint who have been poisoned—not by a mistake, not by a natural disaster, but by a governor and his administration who, to "cut costs," took over the city of Flint from its duly elected leaders, unhooked the city from its fresh water supply of Lake Huron and then made the people drink the toxic water from the Flint River. This was nearly two years ago.

All fingers from the doctors and scientists point to the filthy, toxic Flint River as the cause of this Legionnaires Disease outbreak. Photo credit: Ryan Garza / Detroit Free Press

This week it was revealed that at least 10 people in Flint have now been killed by these premeditated actions of the Governor of Michigan. This governor, Rick Snyder, nullified the democratic election of this mostly African-American city—where 41 percent of the people live below the "official" poverty line—and replaced the elected Mayor and city council with a crony who was instructed to take all his orders from the governor's office.

One of those orders from the state of Michigan was this: "It costs too much money to supply Flint with clean drinking water from Lake Huron (the 3rd largest body of fresh water in the world). We can save a lot of money doing this differently. So unhook the city from that source and let them drink the water known as 'General Motors' Sewer'—the Flint River."

And, lo and behold, the Governor was right. It was a lot cheaper! Fifteen million dollars cheaper! And for saving all that money, it is now estimated that to repair the damaged water system in Flint, it will cost at least $1.5 billion. Someone had suggested to the governor, before he did this, that the river contained many toxins. He ignored that. One of his own people said maybe they should add a safe-to-drink "corrosive protector" to the water so that the toxins in said water wouldn't leach the lead off the aging water pipe infrastructure and into the drinking water. "How much will that cost?" asked the governor's office.

"Just $100 a day for only 3 months," the governor was told. Oh, $100 a day?! That's too much!, came the reply from the governor. Don't worry about the lead. "Lead is a seasonal thing," he would later explain to the public. "Heck, there's lead in everything!" Just let them drink the river water.

This is a city full of poor black people, a city where half the population (including myself) found a way to escape the misery and the madness (the crime rate is so bad, we've lead the country in murders for most years—and just to get an idea of what that means, if New York City had the same murder rate as Flint last year, more than 4,000 New Yorkers would have been killed, instead of the 340 who actually were).

"Mr. President, we need your help—today. 100,000 people have no water to drink, to cook with or to bathe in."

My city has been pummeled by General Motors, Wall Street and the state and federal governments. It's no surprise that the Republicans who control our State Capitol in Michigan didn't have to worry about any push-back from the residents of Flint because, to them, that's just a bunch of eviscerated black people who have absolutely no power, "don't vote for us any way" and have no means to fight back.

And now, after every single child in Flint has been poisoned with lead-filled water that the state knew a year ago was in that water, we learn that the governor's office sought to cover it up, hiding it not just from the defenseless African Americans they secretly fear and despise, but also hiding it from you and the federal government! (Link)

And, as if things couldn't get any worse, the news of 87 people with Legionnaires Disease happened this week. Ten Flint residents have been killed by this disease which is caused by tainted water. Not by gun violence, not in Afghanistan, but by an act of racism and violence perpetrated by the—I'm sorry to say—white, Republican governor of Michigan who knew months ago the water was toxic.

All fingers from the doctors and scientists point to the filthy, toxic Flint River as the cause of this Legionnaires Disease outbreak. Ten human souls deceased. In an average year, Flint already had an astounding eight cases (and rarely a death) of people contracting Legionnaires Disease. Since the citizens of Flint were forced to use the water from the Flint River, 87 cases of Legionnaires Disease have happened! And 10 deaths! And the number is expected to rise.

President Obama—the people of Flint are crying out to you for help. Our Congressman, Dan Kildee, has called the federal government for assistance. But he's been told that it's a "state issue" and that "the state of Michigan has to be the one asking the feds for the help."

No! The state is the one who caused this! That's like asking the fox if he could repair the chicken coop. No, Mr. President, we need your help—today. One hundred thousand people have no water to drink, to cook with or to bathe in.

This week, you are coming to Michigan to attend the Detroit Auto Show. We implore you to come to Flint, less than an hour's drive north of Detroit. Do not ignore this tragedy taking place every day. This may be Gov. Snyder's Katrina, but it will become your Bush-Flying-Over-New Orleans Moment if you come to Michigan and then just fly away. I know you don't want that image of flying over us as you "fake-sad" look down on Flint just as Bush did in that never-to-be-forgotten photo-op over New Orleans. I know you are going to come to the rescue here in Flint. I can't imagine any other scenario.

We need:

1. The Centers for Disease Control and Prevention here at once to truly assess all of the disease and damage that has been forced upon the people of Flint.

2. Federal Emergency Management Agency has to supply large water containers in every home in Flint—and they must be filled by water trucks until the new infrastructure is resolved.

3. The U.S. Environmental Protection Agency must take over matters from the state (can the governor be removed and replaced like he did to the mayor of Flint?). Immediately.

4. You must send in the Army Corps of Engineers to build that new water infrastructure. Otherwise, you might as well just evacuate all the people from Flint and move them to a white city that has clean drinking water—and where this would never happen.

President Obama, I'm counting on you to give us a response. Can we expect to see you, in Flint, in the next few days?

Yours,

Michael Moore

Filmmaker

Flint native

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By Sherry H-Y. Chou, Aarti Sarwal and Neha S. Dangayach

The patient in the case report (let's call him Tom) was 54 and in good health. For two days in May, he felt unwell and was too weak to get out of bed. When his family finally brought him to the hospital, doctors found that he had a fever and signs of a severe infection, or sepsis. He tested positive for SARS-CoV-2, the virus that causes COVID-19 infection. In addition to symptoms of COVID-19, he was also too weak to move his legs.

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We are neurologists specializing in intensive care and leading studies related to neurological complications from COVID-19. Given the occurrence of Guillain-Barre Syndrome in prior pandemics with other corona viruses like SARS and MERS, we are investigating a possible link between Guillain-Barre Syndrome and COVID-19 and tracking published reports to see if there is any link between Guillain-Barre Syndrome and COVID-19.

Some patients may not seek timely medical care for neurological symptoms like prolonged headache, vision loss and new muscle weakness due to fear of getting exposed to virus in the emergency setting. People need to know that medical facilities have taken full precautions to protect patients. Seeking timely medical evaluation for neurological symptoms can help treat many of these diseases.

What Is Guillain-Barre Syndrome?

Guillain-Barre syndrome occurs when the body's own immune system attacks and injures the nerves outside of the spinal cord or brain – the peripheral nervous system. Most commonly, the injury involves the protective sheath, or myelin, that wraps nerves and is essential to nerve function.

Without the myelin sheath, signals that go through a nerve are slowed or lost, which causes the nerve to malfunction.

To diagnose Guillain-Barre Syndrome, neurologists perform a detailed neurological exam. Due to the nerve injury, patients often may have loss of reflexes on examination. Doctors often need to perform a lumbar puncture, otherwise known as spinal tap, to sample spinal fluid and look for signs of inflammation and abnormal antibodies.

Studies have shown that giving patients an infusion of antibodies derived from donated blood or plasma exchange – a process that cleans patients' blood of harmful antibodies - can speed up recovery. A very small subset of patients may need these therapies long-term.

The majority of Guillain-Barre Syndrome patients improve within a few weeks and eventually can make a full recovery. However, some patients with Guillain-Barre Syndrome have lingering symptoms including weakness and abnormal sensations in arms and/or legs; rarely patients may be bedridden or disabled long-term.

Guillain-Barre Syndrome and Pandemics

As the COVID-19 pandemic sweeps across the globe, many neurologic specialists have been on the lookout for potentially serious nervous system complications such as Guillain-Barre Syndrome.

Though Guillain-Barre Syndrome is rare, it is well known to emerge following bacterial infections, such as Campylobacter jejuni, a common cause of food poisoning, and a multitude of viral infections including the flu virus, Zika virus and other coronaviruses.

Studies showed an increase in Guillain-Barre Syndrome cases following the 2009 H1N1 flu pandemic, suggesting a possible connection. The presumed cause for this link is that the body's own immune response to fight the infection turns on itself and attacks the peripheral nerves. This is called an "autoimmune" condition. When a pandemic affects as many people as our current COVID-19 crisis, even a rare complication can become a significant public health problem. That is especially true for one that causes neurological dysfunction where the recovery takes a long time and may be incomplete.

The first reports of Guillain-Barre Syndrome in COVID-19 pandemic originated from Italy, Spain and China, where the pandemic surged before the U.S. crisis.

Though there is clear clinical suspicion that COVID-19 can lead to Guillain-Barre Syndrome, many important questions remain. What are the chances that someone gets Guillain-Barre Syndrome during or following a COVID-19 infection? Does Guillain-Barre Syndrome happen more often in those who have been infected with COVID-19 compared to other types of infections, such as the flu?

The only way to get answers is through a prospective study where doctors perform systematic surveillance and collect data on a large group of patients. There are ongoing large research consortia hard at work to figure out answers to these questions.

Understanding the Association Between COVID-19 and Guillain-Barre Syndrome

While large research studies are underway, overall it appears that Guillain-Barre Syndrome is a rare but serious phenomenon possibly linked to COVID-19. Given that more than 10.7 million cases have been reported for COVID-19, there have been 10 reported cases of COVID-19 patients with Guillain-Barre Syndrome so far – only two reported cases in the U.S., five in Italy, two cases in Iran and one from Wuhan, China.

It is certainly possible that there are other cases that have not been reported. The Global Consortium Study of Neurological Dysfunctions in COVID-19 is actively underway to find out how often neurological problems like Guillain-Barre Syndrome is seen in hospitalized COVID-19 patients. Also, just because Guillain-Barre Syndrome occurs in a patient diagnosed with COVID-19, that does not imply that it was caused by the virus; this still may be a coincident occurrence. More research is needed to understand how the two events are related.

Due to the pandemic and infection-containment considerations, diagnostic tests, such as a nerve conduction study that used to be routine for patients with suspected Guillain-Barre Syndrome, are more difficult to do. In both U.S. cases, the initial diagnosis and treatment were all based on clinical examination by a neurological experts rather than any tests. Both patients survived but with significant residual weakness at the time these case reports came out, but that is not uncommon for Guillain-Barre Syndrome patients. The road to recovery may sometimes be long, but many patients can make a full recovery with time.

Though the reported cases of Guillain-Barre Syndrome so far all have severe symptoms, this is not uncommon in a pandemic situation where the less sick patients may stay home and not present for medical care for fear of being exposed to the virus. This, plus the limited COVID-19 testing capability across the U.S., may skew our current detection of Guillain-Barre Syndrome cases toward the sicker patients who have to go to a hospital. In general, the majority of Guillain-Barre Syndrome patients do recover, given enough time. We do not yet know whether this is true for COVID-19-related cases at this stage of the pandemic. We and colleagues around the world are working around the clock to find answers to these critical questions.

Sherry H-Y. Chou is an Associate Professor of Critical Care Medicine, Neurology, and Neurosurgery, University of Pittsburgh.

Aarti Sarwal is an Associate Professor, Neurology, Wake Forest University.

Neha S. Dangayach is an Assistant Professor of Neurology and Neurosurgery, Icahn School of Medicine at Mount Sinai.

Disclosure statement: Sherry H-Y. Chou receives funding from The University of Pittsburgh Clinical Translational Science Institute (CTSI), the National Institute of Health, and the University of Pittsburgh School of Medicine Dean's Faculty Advancement Award. Sherry H-Y. Chou is a member of Board of Directors for the Neurocritical Care Society. Neha S. Dangayach receives funding from the Bee Foundation, the Friedman Brain Institute, the Neurocritical Care Society, InCHIP-UConn Center for mHealth and Social Media Seed Grant. She is faculty for emcrit.org and for AiSinai. Aarti Sarwal does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

Reposted with permission from The Conversation.


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Unity Task Forces formed by presumptive Democratic presidential nominee Joe Biden and Sen. Bernie Sanders unveiled sweeping party platform recommendations Wednesday that—while falling short of progressive ambitions in a number of areas, from climate to healthcare—were applauded as important steps toward a bold and just policy agenda that matches the severity of the moment.

"We've moved the needle a lot, especially on environmental justice and upping Biden's ambition," said Sunrise Movement co-founder and executive director Varshini Prakash, a member of the Biden-Sanders Climate Task Force. "But there's still more work to do to push Democrats to act at the scale of the climate crisis."

The climate panel—co-chaired by Rep. Alexandria Ocasio-Cortez (D-N.Y.) and former Secretary of State John Kerry—recommended that the Democratic Party commit to "eliminating carbon pollution from power plants by 2035," massively expanding investments in clean energy sources, and "achieving net-zero greenhouse gas emissions for all new buildings by 2030."

In a series of tweets Wednesday night, Ocasio-Cortez—the lead sponsor of the House Green New Deal resolution—noted that the Climate Task Force "shaved 15 years off Biden's previous target for 100% clean energy."

"Of course, like in any collaborative effort, there are areas of negotiation and compromise," said the New York Democrat. "But I do believe that the Climate Task Force effort meaningfully and substantively improved Biden's positions."

 

The 110 pages of policy recommendations from the six eight-person Unity Task Forces on education, the economy, criminal justice, immigration, climate change, and healthcare are aimed at shaping negotiations over the 2020 Democratic platform at the party's convention next month.

Sanders said that while the "end result isn't what I or my supporters would've written alone, the task forces have created a good policy blueprint that will move this country in a much-needed progressive direction and substantially improve the lives of working families throughout our country."

"I look forward to working with Vice President Biden to help him win this campaign," the Vermont senator added, "and to move this country forward toward economic, racial, social, and environmental justice."

Biden, for his part, applauded the task forces "for helping build a bold, transformative platform for our party and for our country."

"I am deeply grateful to Bernie Sanders for working with us to unite our party and deliver real, lasting change for generations to come," said the former vice president.

On the life-or-death matter of reforming America's dysfunctional private health insurance system—a subject on which Sanders and Biden clashed repeatedly throughout the Democratic primary process—the Unity Task Force affirmed healthcare as "a right" but did not embrace Medicare for All, the signature policy plank of the Vermont senator's presidential bid.

Instead, the panel recommended building on the Affordable Care Act by establishing a public option, investing in community health centers, and lowering prescription drug costs by allowing the federal government to negotiate prices. The task force also endorsed making all Covid-19 testing, treatments, and potential vaccines free and expanding Medicaid for the duration of the pandemic.

"It has always been a crisis that tens of millions of Americans have no or inadequate health insurance—but in a pandemic, it's potentially catastrophic for public health," the task force wrote.

Dr. Abdul El-Sayed, a former Michigan gubernatorial candidate and Sanders-appointed member of the Healthcare Task Force, said that despite major disagreements, the panel "came to recommendations that will yield one of the most progressive Democratic campaign platforms in history—though we have further yet to go."

 

Observers and advocacy groups also applauded the Unity Task Forces for recommending the creation of a postal banking system, endorsing a ban on for-profit charter schools, ending the use of private prisons, and imposing a 100-day moratorium on deportations "while conducting a full-scale study on current practices to develop recommendations for transforming enforcement policies and practices at ICE and CBP."

Marisa Franco, director of immigrant rights group Mijente, said in a statement that "going into these task force negotiations, we knew we were going to have to push Biden past his comfort zone, both to reconcile with past offenses and to carve a new path forward."

"That is exactly what we did, unapologetically," said Franco, a member of the Immigration Task Force. "For years, Mijente, along with the broader immigrant rights movement, has fought to reshape the narrative around immigration towards racial justice and to focus these very demands. We expect Biden and the Democratic Party to implement them in their entirety."

"There is no going back," Franco added. "Not an inch, not a step. We must only move forward from here."

Reposted with permission from Common Dreams.