‘Obscene’: Mike Pence Breaks 121-Year Ban on Driving on Michigan’s Mackinac Island
Vice President Mike Pence sparked outrage on social media Saturday when he traveled in the first-ever motorcade to drive down the streets of Michigan's car-free Mackinac Island, HuffPost reported.
Pence, who traveled to the island for the Mackinac Republican Leadership Conference, was the first sitting vice president to ever visit the island, according to the Detroit Free Press. However, former presidents Harry Truman, John F. Kennedy, Gerald Ford, George H.W. Bush and Bill Clinton all visited the island while respecting its 121-year prohibition on cars, according to HuffPost. Ford, the only sitting president to visit the island, rode around in a horse-drawn carriage, though the secret service did stash a car on the island in case of an emergency.
"This video of the cars driving on our beautiful #MackinacIsland makes my stomach turn," Rep. Rashida Tlaib (D-Mich.) tweeted.
Banned for a century people, and here comes the Trump Administration trampling all over it, like they do the U.S. Constitution.— Rashida Tlaib (@RashidaTlaib) September 22, 2019
This video of the cars driving on our beautiful #MackinacIsland makes my stomach turn. https://t.co/D8yvHN2Xr0
Pence landed on the island by helicopter and then took the eight-car motorcade to and from the hotel where the conference was held, according to the Detroit Free Press.
Some, including the ferry service that transported the vehicles to the island, defended Pence's actions on security grounds.
"Regardless of your political views, we hope you'll understand the logistical intricacies involved in securing our leaders while visiting," Shepler's Ferry wrote on Twitter, as Michigan Live reported. "We were happy to assist."
It was our honor to transport the @VP’s emergency vehicles to Mackinac Island this weekend. Regardless of your political views, we hope you’ll understand the logistical intricacies involved in securing our leaders while visiting. We were happy to assist. ⛴🙌🏽🇺🇸 #RideSheplers pic.twitter.com/yqYrrrHhrn— Shepler's Ferry (@sheplersferry) September 22, 2019
However, former Associated Press and National Journal reporter Ron Fournier, who covered former presidents Clinton, George W. Bush and Barack Obama, said the motocade was "obscene."
"It's both the existence and size," Fournier told the Detroit Free Press. "No security expert would claim it's necessary."
Mackinac Island's ban on cars dates back to the nineteenth century, as The New York Times explained:
At the dawn of the automobile era, many small communities were concerned that noisy, smelly newfangled automobiles would scare the horses that most people depended upon, and the village of Mackinac was no exception. The village council resolved on July 6, 1898, that "the running of horseless carriages be prohibited within the limits of the village." One resident was quoted as referring to cars as "mechanical monsters."
Most of the rest of the island is state parkland, and the Mackinac Island State Park Commission followed suit in 1901, imposing a ban after Earl C. Anthony, a "summer cottager" who brought a car to the island, scared and injured some horses and several carriages were damaged.
The island does allow exceptions for emergency vehicles, snowmobiles and local government service vehicles, Michigan Live explained.
For those unfamiliar with Mackinac Island, this is what it looks like every day of the year. No cars allowed. pic.twitter.com/lc0xLGEecn— Michelle K Stenzel (@MichelleStenzel) September 21, 2019
Ironically, Pence's visit took place one day before World Car-Free Day on Sept. 22. Across the Atlantic, London Mayor Sadiq Khan closed 20 kilometers (approximately 12.4 miles) of roads in the city center Sunday in the city's largest Car-Free Day effort yet, the UN Environment Programme reported.
In Washington, DC, residents were encouraged to pledge to ditch their cars for any or all days from Sept. 21 to 23.
"Car Free Day is organized in various cities throughout the world in different ways, but with the common goal of reducing the number of cars on the streets. The benefit to greater society is a day with less traffic congestion, a greener environment and reduced gasoline demand," Car Free Metro DC explained.
🌍World #CarFreeDay was celebrated yesterday!— BYCS (@BYCS_org) September 23, 2019
We have gathered some snapshots from the network and beyond; thousands of people went out onto the streets to enjoy the freedom of #CarFreeDay.
We have read many incredible stories. Let’s keep on pedaling towards a #CarFreeWorld! pic.twitter.com/a0zqtdrhov
"Ultra-low emissions zones and investments in clean public transport technology deliver large-scale public benefits like improved air quality, better health and pedestrian-friendly cities. These efforts also have fast and long-lasting benefits for the climate by reducing carbon dioxide emissions and short-lived but highly warming particulates like black carbon," Helena Molin Valdés, head of the Climate and Clean Air Coalition Secretariat, told the UN Environment Programme.
"The Trump administration's wild-eyed attempts to reward polluters knows no bound." In my 1st @EcoWatch post today, @SierraClub and @NRDC respond to the #Trump #EPA's rollback of the #CleanWaterRule, which puts a third of U.S. drinking water at risk : https://t.co/nuPvPYTD1X— Olivia Rosane (@orosane) September 13, 2019
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By Tim Radford
German scientists now know why so many fish are so vulnerable to ever-warming oceans. Global heating imposes a harsh cost at the most critical time of all: the moment of spawning.
Nearing the Brink<p>Since <a href="https://climatenewsnetwork.net/abundant-fish-need-cool-seas-and-protection/" target="_blank">fish in the temperate zones already experience a wide variation</a> in seasonal water temperatures, it hasn't been obvious why species such as <a href="https://climatenewsnetwork.net/sardines-swim-into-northern-waters-to-keep-cool/" target="_blank">cod have shifted nearer the Arctic, and sardines have migrated to the North Sea</a>.</p><p>But <a href="https://climatenewsnetwork.net/ocean-warming-spurs-marine-life-to-rapid-migration/" target="_blank">marine creatures are on the move</a>, and although there are other factors at work, including overfishing and <a href="https://climatenewsnetwork.net/fish-cant-smell-well-in-more-acidic-seas/" target="_blank">the increasingly alarming changes in ocean chemistry</a>, thanks to ever-higher levels of dissolved carbon dioxide, temperature change is part of the problem.</p><p>The latest answer, Dr Dahlke and his colleagues report in the journal <a href="https://science.sciencemag.org/cgi/doi/10.1126/science.aaz3658" target="_blank">Science</a>, is that many fish may already be living near the limits of their thermal tolerance.</p><p>The temperature safety margins during the moments of spawning and embryo might be very precise, and over hundreds of thousands of years of evolution, marine and freshwater species have worked out just what is best for the next generation. Rapid global warming upsets this equilibrium.</p>
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.
When a neurologist examined him, Tom was diagnosed with Guillain-Barre Syndrome, an autoimmune disease that causes abnormal sensation and weakness due to delays in sending signals through the nerves. Usually reversible, in severe cases it can cause prolonged paralysis involving breathing muscles, require ventilator support and sometimes leave permanent neurological deficits. Early recognition by expert neurologists is key to proper treatment.
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.
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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