Life and Times of Alex Esguerra

Curing a Viral Pandemic, the Impact on the Economy and Lessons from Past Pandemics

Posted by noreply@blogger.com (Alex Esguerra) on


I'll start the blog remembering the HIV/AID's epidemic as a graduating health professional then involved in the testing and seeing 2 of my former classmates then and after succumbing demise due to infection. This was a time pre-technology in my own terms that our team can get infected easily on the clinical side by either getting accidentally poke when we are drawing blood specimens from patients, or accidentally swallowing serum or plasma as we try to separate them for testing through pi petting and last when accidentally the auto-clave then for some reason explodes.

Today with the onset of the great viral pandemic, COVID-19, Coronavirus technology has been greatly changed the  laboratory settings and respiratory clinicians practices from way back. We can't accidentally swallow the hazard. But like any other health professional in the front lines, a future careful review of OSHA rules and the right adequate most talked about PPE (Personal Protective Equipment's) are eminent. Our front lines in hospital settings starts from the EMT's,  Admissions coordinators, Triage and Trauma staff, ER, Infectious disease to include bio-hazard teams, maintenance, janitorial, ICU/Acute Care, Nurses, doctors, food and canteen staff, the staff that we don't see much, Medical Assistants, Phlebotomist, Medical Technologist/Technician, Lab and Hospital Aides and our Clinical Laboratory Scientist,

I open the TV this morning alarmed to remember that one of the HIV patients stigma's then was the Laguna Honda Hospital in San Francisco, CA. Laguna Honda, the biggest nursing home in the USA also played and is playing a great service to the patients that have outlive the HIV epidemic. I'm alarm due to the fact the most vulnerable from COVID-19 are in this facility and the last I'd like to see is these patients who had so many years fighting HIV may succumb to this new viral disease if it spreads. As of today, the public health officials have started the best measures to protect the patients by locking down the facility and starting to test the more than 100 staff in the facility. This will at least start the identification and isolation's needed.

I'll continue by way of hovering on the concern on the national level on the economic impact this is causing the US and World economy. While reading through, Economic Effects of the 1918 Influenza Pandemic by Thomas Garrett, where he quotes on his abstract, "The possibility of a worldwide influenza pandemic in the near future is of growing concern for many countries around the globe".

As the medical professionals cited the 1918 pandemic came in 3 waves where they based the mortality rates. This is why we hear a lot in the news when officials and medical people talking on making assumptions as to density and apex which somehow touch bases on population, geography, ratio and percentage rank. Garrett continues, " The greatest disadvantage of studying the economic effects of the 1918 influenza is the lack of economic data. There are some academic studies that have looked at the economic effects of the pandemic using available data, and these studies are reviewed later. Given the general lack of economic data, however, a remaining source for information on (some) economic effects of the 1918 pandemic is print media". I mentioned this as this is the reality in "viral economics" Hence is why the economist zeroes on the point that the first step is deal with the virus on test and cure. 

In summary, let the scientist take the lead towards the date and assumptions. Let's focused on what we can do individually in terms of isolation, mitigation, being responsible from staying away from the vulnerable. We don't need to be in the front lines to be susceptible being exposed or being a carrier. The harsh effects will be great but were talking about lives and mortality.

I recommend reading this great article by Thomas Garrett. I will end on a paragraph on this article. 
"The influenza of 1918 was short-lived and “had a permanent influence not on the collectivist but on the atoms of human society – individuals.”31 Society as a whole recovered from the 1918 influenza quickly, but individuals who were affected by the influenza had their lives changed forever. Given our highly mobile and connected society, any future influenza pandemic is likely to be more severe in its reach, and perhaps in its virulence, than the 1918 influenza despite improvements in health care over the past 90 years. Perhaps lessons learned from the past can help".

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Nowadays, Fighting for Housing in America is a pandemic plaque in the modern technology era

Posted by noreply@blogger.com (Alex Esguerra) on

With the onset of the tech boom, today's lifestyle focus on apps, smart devices and lights, siri, social media practically on automation. An presidential election coming, absurd political parties bickering with candidates laying on platforms. Yet in the America, the richest and greatest country on earth thrives two of the worst problems typical in a 3rd world country - Homelessness and Access to Affordable Housing. 


In 1998, when the  tech boom started and the markets crash, one of the reasons I founded, ADLE International was focus on continuing my outreach for people with low income, the elderly, the disabled, the marginalized youth, veterans and societies most vulnerable to disparity, discrimination and inequality due to having limited financial means and resources. Two decades after I can't just tell myself I can't believe  the problem is still here and for all you know has gotten worst.

Part of the culprit lies on the severe income brackets of the so called rich, very rich and low income nowadays extreme poverty level. The State Medical and Medicaid systems for example classify lower income needing extra help if monthly personal cash reserves are below $2000 in San Francisco, CA when even an SRO (Standing Room Only aka Single Room Occupancy) in it's poor Tenderloin neighborhood range from $800 to $1300 and a typical Studio cost $1400 to $2,000 a month. It does not do the math as if you held $2001 anticipating just your rent, your no longer qualify for extra help and Medical/Medicaid might even cancel your enrollment.

The biggest challenge on top of this complication is if you just move to the city of San Francisco, there are no low income housing unless you want to go on to this massive wait list on the properties considered low income and affordable from 9 months to 5 years. If you have a parent on SSI (Social Security Income) that can no longer live alone and needs assisted living do the math = $900/month income and a typical shared assisted living which 95% only accepts private pay require $5000/month the cheapest shared room. Hence, is why part of the homeless population in the city are the vulnerable very elderly and even veterans who serve as there is no housing!

So when we were listing a book on our website today I said I have to write a blog even though it's been a while I haven't done one. Golden Gates: Fighting for Housing in America
Conor Dougherty (Author) I believe made a good case presentation on this book  as he writes. "A stunning, deeply reported investigation into the housing crisis

Spacious and affordable homes used to be the hallmark of American prosperity. Today, however, punishing rents and the increasingly prohibitive cost of ownership have turned housing into the foremost symbol of inequality and an economy gone wrong. Nowhere is this more visible than in the San Francisco Bay Area, where fleets of private buses ferry software engineers past the tarp-and-plywood shanties where the homeless make their homes. The adage that California is a glimpse of the nation's future has become a cautionary tale."

Indeed San Francisco has won the title of the most expensive city in the West and at times now have gone over New York becoming the most expensive city in the US. Oracle's OOW - Oracle Oracle Openworld Conference one of the biggest technology conferences in the last decade and a half this year finally left San Francisco to Las Vegas losing millions of tourist revenues for the city. Some of the conference attendee feedback received were of the so exuberant high cost of hotel rooms, the city has gotten dirty and a resounding majority stated homelessness. The cities Moscone Center perimeter for the yearly event has the various surrounding hotels in the union square shopping center as well the tenderloin neighborhood where the cities homeless are visible.

Dr. Sonja Trauss story in the book is the exact case scenarios by so many people living in the San Francisco Bay area. I really recommend spending some time reading this book so you can get a real store glimpse of why?





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The Takeaway: The Impeachment Report: The House Intelligence Committee's Report on Its Investigation

Posted by noreply@blogger.com (Alex Esguerra) on

With the approved Articles of Impeachment from the House on hold by the Speaker of the House, the question lies on how long and why?  Pelosi indicated Thursday that she would delay sending the articles of impeachment to the Senate, seeking more clarity on the rules for President Trump’s trial and potentially pushing the proceedings well into the new year.

The-impeachment-report-the-house-intelligence



The official report from the House Intelligence Committee on Donald Trump’s secret pressure campaign against Ukraine, featuring an exclusive introduction by Pulitzer Prize–winning author and biographer Jon Meacham
 
For only the fourth time in American history, the House of Representatives has conducted an impeachment inquiry into a sitting United States president. This landmark document details the findings of the House Intelligence Committee’s historic investigation of whether President Donald J. Trump committed impeachable offenses when he sought to have Ukraine announce investigations of former vice president Joe Biden and his son Hunter.


This saga zero's in on the report's emphasis for the President asking for a political favor using his office.

 
On the morning of July 25, 2019, President Donald Trump settled in to the White House Executive Residence to join a telephone call with President Volodymyr Zelensky of Ukraine. It had been more than three months since President Zelensky, a political neophyte, had been swept into office in a landslide victory on a platform of rooting out corruption and ending the war between his country and Russia. The day of his election, April 21, President Zelensky spoke briefly with President Trump, who had called to congratulate him and invite him to a visit at the White House. As of July 25, no White House meeting had materialized.


As is typical for telephone calls with other heads of state, staff members from the National Security Council (NSC) convened in the White House Situation Room to listen to the call and take notes, which would later be compiled into a memorandum that would constitute the U.S. government’s official record of the call. NSC staff had prepared a standard package of talking points for the President based on official U.S. policy. The talking points included recommendations to encourage President Zelensky to continue to promote anti-corruption reforms in Ukraine, a pillar of American foreign policy in the country as far back as its independence in the 1990s when Ukraine first rid itself of Kremlin control. 

The 300-page report lays out Democrats’ case that President Trump abused the power of his office to solicit political help from a foreign power and obstructed the inquiry into his actions. In summary, it lays the ground on 
Trump ‘ordered and implemented’ a campaign to conceal his conduct from the public and Congress.
The report accuses Mr. Trump of what it calls an “unprecedented campaign of obstruction of this impeachment inquiry,” saying he denied documents to Congress and tried to block State Department diplomats and White House officials from testifying.
Abuse of power: This is described throughout the report
Obstruction of Congress: This allegation is an entire section of the report
The democrats zero'd down on this two articles of impeachment in the final. 
The Democrats have faced some criticism for that, both inside and outside Congress. If they waited a few more months, could they connect the political quid pro quos to Trump without a shred of doubt? Instead, they are rushing to impeach Trump before it’s officially a presidential election year.  Meanwhile, the Speaker has delay the transmission of the Articles due to the fear quoting the Senate Majority Leader that he and the republican controlled Senate will be partial in depending the President.
In the end of this political process, will be public majorly be convinced of the President's actions warranting this impeachment saga or this is not a priority for the regular citizen.

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A President's General Moral Responsibility to the people

Posted by noreply@blogger.com (Alex Esguerra) on

What is the President’s Greatest Responsibility?



The presidential oath of office that is prescribed by the U.S. Constitution (Art. II, sect. 1) makes it clear that the President’s supreme responsibility is to “…preserve, protect, and defend the Constitution of the United States.”  

Moral Leadership has a different point of view in leading their followers. They take action by choosing the moral and the most ethical decisions to solve an issue. Moral Leaders take beliefs and moral as a personal matter. Moral Leaders follow their moral rather than the organization's value.

Do leaders as a President  have moral obligations? ... Morals do not have to be religious or stemming from a certain set of beliefs, they are just what makes a good or bad decision and if the decision is right or wrong. Leaders should know that they have to make decisions that benefit the greater community.

"The president is the very first symbol of American government that children comprehend," she says. "The president, especially in the modern era, comes into our homes — first by radio, then television, now through all sorts of electronic gadgetry — and so we think of him as part of our life. And that's why it's so important for him to model the proper behavior for us."

I find that again and again, no matter what the subject is, we return to the question of leadership. Moral leadership is in fact the central task of our presidents when it’s done correctly,” said Jon Meacham, a Pulitzer Prize-winning historian who has written books about Thomas Jefferson and Andrew Jackson. He spoke at a luncheon in October kicking off a year-long series on Moral and Ethical Leadership in the American Presidency. 

The best presidents – including figures such as Abraham Lincoln and George Washington – are celebrated not only as good leaders, but as good men. They embody not simply political skill, but personal virtue.
Why, though, should anyone expect a president to demonstrate that sort of virtue? If someone is good at the difficult job of political leadership, must they demonstrate exceptional moral character as well?
In Nov. 7 2018 during a press briefing at the White House, President Trump defended his rhetoric and his status as a “moral leader” after a reporter asked him about the rise in anti-Semitic attacks during his presidency.
“I think I am a great moral leader and I love our country,” Trump said Wednesday at a White House news conference.
Today's modern era on American Presidency depicts a lot on the presence and influence a President makes to the country through our televisions, radio, online, social media and all channels we see the daily current events. The basics on this moral perspective starts right from the words uttered by a leader and the message he/she communicates to the people.
Unfortunately, each word and statement uttered to the executive actions no mater how significant and valuable they are is tied to a moral responsibility as leader of the free world and as protector of the US Constitution.
Moral responsibility without even looking at the political implications they have dictates the outcome it sends to the people. The daily actions affecting moral responsibility of a president eventually is a writing material for Presidential historians,

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Racism and Implied Racism

Posted by noreply@blogger.com (Unknown) on

The events on the past few days starting with a twitter tweet to a House Resolution once again pen the debate on this topic. 

Racism as define touches on prejudice, discrimination and or antagonism directed against someone of a different race based on the belief that one’s own race is superior. The exact words go back to your country without even stating the restof the statements merely serves the definition.


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