Life and Times of Alex Esguerra — AIDS

National Immigrant and Lesbian, Gay, Bisexual, Transgender, and Queer Month Declaration from the White House as Pride Month Comes

Posted by (Alex Esguerra) on

 While the President calls for the Congress to pass the Equality Act, which will ensure civil rights protections for LGBTQ+ people and families across our country. he recognizes  there is more work to be done to extend the full promise of America to all our people.  Nearly 11 million people in this country are undocumented — and it is time that the Congress acts by passing the U.S. Citizenship Act of 2021. 

It's been a challenge in the last few months with a lot of foregoing issues domestic and overseas from voting rights, gun violence, cyber hacks, middle east crisis, the economy, infrastructure, to the 2022 primary elections, Trump, and so forth. And yes no President in history must have had such all of this together with the greatest pandemic in our lifetime Covid-19. 

Yet. we know the President won and has the high popularity to the 60's because of the his biggest campaign focused which gave him the presidency, fighting Covid-19. It is a fact the organization and structure in place to this point has to be in Joe Biden's credit. So as discussed with all this underlying major issues on hand looking at the big picture whether it's 2024's Veto power with only one congress majority, let us focus on what may be good for the American people and democracy in the next 2-3 decades.

With that in mind, we can look into population, what more demographic cultures will be in the different counties in our neighborhoods and more importantly who will be the working class from the low income wage earners to the agricultural to the factory and retail, hospitality workers that will be building the American economy in the next 20-30 years. 

Immigrants and Equality are the biggest contributors to the factors of what I have just mentioned. In addition to this it's also a fact that there just some districts and counties that population wise there would be more black and brown communities contributing to the workforce, economy and yes voters. And in case people has not seen some data on essential workers of these recent covid-19 pandemic, health-care workers alone, contributed a big chunk of immigrants working day and night as heroes in the last 1 1/2 years and yes blended with the so called un-documented.

Covid-19 was a success in a way that in just almost 2 years Americans are now about 63% vaccinated. They found the cure yet this month as we celebrate PRIDE, when in 1989 when we discovered the first tragedy of AIDS, we haven't still gotten a vaccine and it is 2021. Yes, HIV-AID's has now improve and people's live and survival is different but the stigma remains. We are happy of the new drugs and prep that have been developed to combat the disease but there are still a lot of issues in the LGBTQ and transgender community that needs help and advocacy.

So as we celebrate Pride this month of June, we thank the President of the things he has done so far yet we remind ourselves the things we need to continue to fight for the Immigrant and LGBTQ community. Happy Pride to All.

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

Posted by Alexander 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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