Friday, May 1, 2020
Remdesivir as “miracle drug”: Back-to-work propaganda vs. science
https://www.wsws.org/en/articles/2020/05/01/pers-m01.html
1 May 2020
The newly released preliminary results by the National Institutes of Health present the drug remdesivir as, according to US President Donald Trump, “a big building block” toward a cure for the coronavirus pandemic.
It has at the same time been breathlessly proclaimed by the mainstream media to be “good news about [a] coronavirus drug” (CNN) which shows “clear promise” (MSNBC). Alongside are reports that it “sped coronavirus recovery time” (Fox) according to “positive data” (New York Times) from the trial.
Under normal conditions, the results reported by the National Institutes of Health would be noted with interest by researchers as part of an ongoing and protracted effort to find an effective response to a new and complicated viral phenomenon.
But the media’s adulation of this “breakthrough” takes place in the midst of an increasingly frenzied effort to legitimize a back-to-work campaign, and to create the impression that the virus is “under control” and the crisis is all but over.
It must be hoped that the research being done will prove to be an important contribution to efforts to find an effective response to COVID-19. But the claims that are being made about remdesivir and the purpose to which it is being put are highly suspect.
One has more and more the impression that Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, is making statements determined by political pressure rather than scientific considerations and the needs of public health.
What is known is rather more limited in scope. According to the NIH press release, patients who received remdesivir and had advanced respiratory symptoms caused by COVID-19 had a median time to recovery of 11 days, compared to 15 days for those who received the placebo, an improvement of 31 percent. The release further suggests that the mortality rate for those taking the drug decreased from 11.6 percent to 8.0 percent, though Fauci noted those results are not statistically significant.
Even if the results were statistically significant, it would mean that the drug would not save the lives of the large majority of serious cases.
Nor is there any serious discussion about the other trials of remdesivir, none of which have come close to the success presented in the current study. The results of a clinical trial in China were published Wednesday in The Lancet, the same day the results of the NIH trial were released. The Lancet study did not find a statistically significant decrease in patient recovery times. Indeed, more patients died while on remdesivir than on the placebo.
Ignoring these facts, Fauci declared: “The data shows that remdesivir has a clear-cut, significant positive effect in diminishing the time to recovery. ... We think it is opening the door to the fact that we now have the capability of treating [the coronavirus].”
The announcement was made amid the accelerating back-to-work drive by the Trump administration, in which even the limited measures to “slow the spread” of the virus will be eliminated. The president met yesterday for over an hour with a dozen executives from major industries to further work out their “Plan for Opening Up America Again,” which is ongoing in nearly half the country and across all the major industries.
Remdesivir will no doubt play a large part in this campaign. In their attempts to force workers back into offices and factories, the major banks and corporations have already signaled their willingness to risk tens of thousands if not millions of lives to the pandemic.
What is never mentioned is the fact that remdesivir will only slightly mitigate the impact of a return to work. If, for example, the coronavirus caseload in the US increases by a factor of ten as workers are forced back into offices and factories, the NIH data states that remdesivir will at best save only a fraction of those who would not have been infected or died in the first place.
Moreover, even in the most optimistic scenario, in which a remedy or vaccine for COVID-19 proves to be effective, it does not argue for reopening the economy. If progress is being made now, it argues for more rigorous testing, contact tracing and physical distancing, because it would be all the more tragic if countless millions are forced to expose themselves to the coronavirus and possibly get sick or die. All the while they would know that if their employers had exercised a modicum of patience, they would not have had to suffer.
And it is all the more criminal that the American ruling elite is forcing workers back to work even as it is dangling a potential treatment in front of them.
To make a historical analogy of which Fauci and his colleague Deborah Birx are familiar, the development of antiviral medications to fight the AIDS epidemic in the 1980s came alongside the promotion of “safe sex” and other measures to prevent the spread of the disease. There was never any suggestion that it was appropriate to share needles or not use condoms just because vaccines and therapeutics were being researched.
None of these considerations stopped Wall Street from celebrating the announcement. The stock price of Gilead Sciences, which makes remdesivir, shot up four percent in the two days since the results of the NIH trial were released, and has rocketed up more than 20 percent since the trial began, lining its shareholders’ pockets with an estimated $20 billion. The Dow Jones as a whole jumped 500 points the day of the press release.
This forms the core of the response to the remdesivir trial by the American ruling elite. There is money to be made, both from the drug itself and from the scientific veneer for employers and the government to force the American population back to work even as the pandemic rages on.
Bryan Dyne
As US unemployment reaches Great Depression levels, millions still unable to obtain assistance
https://www.wsws.org/en/articles/2020/05/01/unep-m01.html
By Shannon Jones
1 May 2020
More than 3.8 million workers in the US filed for unemployment benefits last week as the country faced the worst economic crisis since the Great Depression. More than 30 million American workers have filed unemployment claims since the beginning of statewide lockdowns in response to the coronavirus pandemic in March. That number far exceeds the 22.4 million new jobs created since November 2009 at the end of the last recession.
The economic fallout from the COVID-19 pandemic is continuing to spiral upwards even as deaths related to the deadly virus are still averaging well over 2,000 a day. To date some 62,000 people have died in the US because of the pandemic, about 27 percent of the global total.
The crisis has seen the largest number of workers filing unemployment claims in US history, about one sixth of the total workforce. Millions more workers have lost their employment but have not filed claims because of their immigration status or because they were self-employed, contract workers or others who typically are not eligible. In addition, the Economic Policy Institute (EPI) estimated 12 million workers did not file claims because state unemployment claims systems were overwhelmed making it too difficult.
A childcare worker in Washington state who had her hours cut and applied for benefits was denied after weeks of futile attempts. “When I called, there was a voice recording stating that they were experiencing extremely high call volumes and I had to call back later,” she told the WSWS. “I heard that same voice recording for three weeks straight, during which I called the technical support number and the claims number at least four times per week.” She added, “without unemployment benefits, I’m not sure we will be able to make it past May.”
Her friend said he had not been able to collect benefits because of a lack of sufficient hours. “There is a pressure for me to go back to work, but I have been terrified to go back because of the risk to my health and those around me.”
A Ford worker in Michigan who was laid off in March said, “So far I have only gotten one check. The month is almost up, and I have to make decisions about rent.”
Economists believe the real jobless rate is rapidly nearing the record 25.6 percent reached during the height of the Great Depression.
Underscoring the irrationality of the capitalist profit system, health systems across the US have furloughed tens of thousands of medical workers, including doctors and nurses in the midst of the massive health crisis.
According to a US government estimate, the economy shrank by a 4.8 percent annual rate in the first quarter of this year. According to one estimate it may shrink at a 40 percent annual rate in the second quarter, a collapse without precedent.
Of those who have applied for benefits, only 18 million claims have been approved, meaning millions face destitution. Consumer spending fell 7.5 percent in March, the worst monthly figure ever recorded. April’s fall will likely be far worse.
In California alone, 3.78 million workers or 19.6 percent of the workforce have submitted unemployment claims. This week the state for the first time allowed so-called gig workers, independent contractors and the self-employed to file as well.
Meanwhile, in Pennsylvania, more than 131,000 workers filed a claim in the week ending April 25. That brings the state’s total in six weeks to more than 1.6 million, 24.7 percent of the state’s workforce.
Michigan has been one of the states hardest hit by layoffs in proportion to the size of its workforce. There have been well over 1.2 million claims for unemployment benefits, representing almost a quarter of the state’s workers.
Compounding the crisis, EPI estimates 12.7 million workers have lost employer-paid medical insurance in the midst of the pandemic, the worst health crisis in 100 years. Countless families face the impossible choice of forgoing treatment or facing crippling debts.
Corporations are using the pandemic to carry out further downsizing. Aircraft manufacturer Boeing, beset by crisis over the 737 MAX, has announced the layoff of 10 percent of its workforce. The company restarted production at its Seattle, Washington area factories last week. Ride hailing service Lyft says it will lay off 1,000 employees, 17 percent of its workforce.
In an effort to blackmail workers to return to work even as the deadly disease continues to spread, several states are announcing measures to deny unemployment benefits to those who refuse to return because of health concerns. The state of Tennessee said it may “potentially disqualify claimants from receiving unemployment insurance benefits” if they refuse to return to a job where they have been temporarily laid off. In Iowa, where more than 1,000 COVID-19 cases are tied to one Tyson pork processing plant in Waterloo, state officials posted a notice saying: “ATTENTION EMPLOYERS: If you have offered work to employees and your employee refuses to return to work, you must notify Iowa Workforce Development.”
On Tuesday, the Trump administration issued an executive order forcing meat processing facilities to stay open, including the Smithfield Foods pork plant in Sioux Falls, South Dakota, were at least two workers have died. The administration is also moving to protect the giant food processing companies from any legal liabilities for sickening and killing workers.
The US Labor Department also declared, “Barring unusual circumstances a request that a furloughed employee return to his or her job very likely constitutes an offer of suitable employment that the employee must accept.”
Archaic state unemployment filing systems have been overwhelmed by the mass of claimants.
Florida had the largest increase in new claims this month, a 7,330 percent increase over April 2019. During the week of April 20, 432,465 filed for unemployment benefits in Florida compared to 5,900 for the same week last year. Overall there have been 1,592,236 new claims since the start of the lockdowns compared to 35,215 in the same period last year, a 4,521 percent increase
The state’s website has been unable to handle the huge increase, forcing those seeking assistance to try again and again to process their claims. Some give up. Last week, according to a report in the Associated Press, 7 of 8 Florida claimants from mid-March to early April were waiting to have their unemployment applications processed. California had two-thirds of its claims waiting and New York, 30 percent.
Tens of millions have not gotten the meager $1,200 federal stimulus payments authorized by Congress. Only a little over half of the money allocated has been disbursed, and there appears to be little explanation of what is holding up the rest of money needed by desperate households. According to the House Ways and Means Committee the government began doling out paper checks on April 20 to 5 million households a week to be spread over the next 20 weeks. Nothing in the stimulus bill prevents creditors from garnishing the payments, though a few states have said they will block that.
Meanwhile, many family-owned small businesses have found themselves shut out from receiving loans under the Paycheck Protection Program as big businesses gobble up the money. Many who do get help find out it comes with multiple strings attached.
Capitalism has demonstrated its inability to respond in a rational and humane manner to the COVID-19 pandemic. Instead of providing the billions needed to meet the health care crisis and provide relief for the unemployed and small businesses, virtually unlimited resources have been made available for Wall Street. The corporations have seized on the pandemic to force through a further restructuring of social relations in the interests of the wealthy, including demands for the slashing of public pensions and a further driving down of wages.
As the death toll rose and unemployment levels reached depression levels, the stock market continued its unprecedented rise this week, assured by the Federal Reserve that it will continue to receive injections of trillions of dollars, and by the concert efforted by both parties to force workers back into the factories and other workplaces.
The only answer to the reckless and homicidal policies of the ruling class is the independent mobilization of the working class against capitalism. This requires that workers break with the political parties of big business and the pro-corporate unions and advance a socialist program based on the reorganization of society in the interests of the working class.
At least 31 US states easing restrictions despite rising pandemic death toll
https://www.wsws.org/en/articles/2020/05/01/open-m01.html
By Kate Randall
1 May 2020
In the US as of Thursday evening there were nearly 1.1 million cases of COVID-19 and nearly 64,000 deaths. More than half of these deaths have taken place in just the past two weeks. Globally, cases have risen to over 3.3 million, with 234,000 deaths. This means that more than a quarter of all deaths have been in the US.
Despite the daily rising figures, at least 31 US states will be easing social distancing measures over the next few days, allowing some businesses, restaurants, malls and public places to reopen. While the loosening of restrictions varies from state to state, none of these states has met even the Trump administration’s weak “advisory” on reopening, which said states should wait for COVID-19 cases to decline for 14 consecutive days before the reopening process begins.
A study by the Center for Infectious Disease Research and Policy (CIDRAP) at the University of Minnesota predicts that the novel coronavirus is likely to keep spreading for at least another 18 months to two years, until 60 to 70 percent of the population has been infected. The study authors recommend that the US prepare for a worst-case scenario that includes a second big wave of infections in the fall and winter.
Mike Osterholm, who directs CIDRAP, told CNN, “The idea that this is going to be done soon defies microbiology.”
Director of the National Institute of Allergy and Infectious Diseases Dr. Anthony Fauci warned Thursday that states need to proceed carefully as they roll back restrictions. “When you pull back there will be cases, and what we need to do is make sure [states] have in place the capability of identifying, isolating and contact tracing individuals,” he said.
However, President Donald Trump—with his approval rating for his handling of the crisis falling to a record low of 43 percent according to a new Morning Consult poll—is promoting a reckless and criminal policy, placing the health and lives of countless millions of Americans in danger. The White House policy is based not on the health of the US population, but on boosting Wall Street and filling the coffers of the giant corporations.
Federal guidelines encouraging people to social distance, in place for 30 days, were allowed to expire Thursday after Trump indicated he did not intend to extend them. Referring to the restrictions, the president told reporters Wednesday, “They’ll be fading out, because now the governors are doing it.”
Southern states Georgia, Oklahoma and South Carolina paved the way for reopening beginning last week. Governors in several states—including Alabama, Maine, Tennessee and Texas—allowed stay-at-home orders to expire on Thursday. Additional states, including Iowa, Florida, North Dakota and Wyoming, will be lifting more restrictions on Friday. Less dense states, including Alaska and Montana, are also beginning to reopen.
In one of the nation’s most wide-ranging moves, Texas Governor Greg Abbott, a Republican, is allowing retail stores, restaurants, movie theaters and malls to reopen at 25 percent capacity. Beaches in Galveston will be allowed to open. In Alabama, Republican Governor Kay Ivey allowed many retail stores as well as beaches to reopen Thursday, while in Maine, Governor Janet Mills, a Democrat, will allow barber shops, hair salons and pet groomers to reopen beginning Friday.
However, many of the most populous states, including California, Michigan, New York and Illinois, are continuing their extended shutdowns. In California, Governor Gavin Newsom, a Democrat, ordered Orange County beaches to stay closed after residents flocked to beaches during last weekend’s high temperatures.
Deaths from COVID-19 in Massachusetts have gyrated in the 100 to 250-a-day range, with no indication that the “curve” has begun to flatten. New Jersey recorded 458 new virus-related deaths on Thursday, the most that the state had reported in a single day since the pandemic began. New York recorded 306 new deaths Thursday, as the death numbers very slowly decline. The state’s death toll has risen to a staggering 23,780, more than one third of the US total.
In Lansing, Michigan on Thursday, demonstrators crowded into the lobby outside the House chambers at the state’s Capitol, shouting to be allowed onto the House floor. The protesters, many not wearing masks and toting rifles on their shoulders, demanded to be allowed onto the House floor in protest over Michigan’s state of emergency.
The demonstrators carried signs reading, “You’re Killing Small Businesses” and “Impeach Whitmer,” referring to Michigan’s Democratic Governor Gretchen Whitmer. Many sported hats and other paraphernalia supporting Trump’s reelection campaign. While the Republican-controlled state legislature voted not to extend Michigan’s state of emergency, Governor Whitmer said the state of emergency would continue by executive order.
As the battle plays out over the reopening of major cities and more populated states, many sparsely populated areas of rural America are seeing a rapid rise in COVID-19 cases. Many of the hospital systems in these areas are ill-equipped to deal with a sudden surge of cases, and the lack of testing has not provided a roadmap for local health officials to prepare.
Despite the rural settings, many people in these areas work in large-scale industries, such as food processing. Angela Hewett, associate professor in infectious disease at the University of Nebraska Medical Center, noted in a recent briefing of the Infectious Diseases Society of America that one of the reasons the virus is rising is because it is running rampant among workers in factories and farms. “These are not places where typically people can work from home,” Hewett noted.
The Dartmouth Atlas Project tracks the top 10 regions with the fastest growth rates in COVID-19 cases. It finds that these are primarily in metropolitan areas with large-scale factories, located primarily in rural states. The project aggregates county-level data to form 306 geographical areas known as “hospital referral regions,” i.e., where people get their health care.
Vox.com notes that Houma, Louisiana, population 32,000, in Cajun country, has almost as many cases per capita within its hospital region as Chicago. Greeley, Colorado, home of a large JBS meatpacking plant, has more cases per capita within its hospital region than Washington, DC.
The Chartis Group reports that 63 percent of rural hospitals don’t have intensive care unit (ICU) beds. Many rural hospitals have lost a substantial portion of their income due to the suspension of outpatient services and face financial ruin and shutdown, leaving communities without a local hospital. If the models of epidemiologists prove true, peaks of COVID-19 in rural areas may still be weeks away. The drive to reopen states and relax social distancing places vulnerable populations in these areas in extreme peril.
Dozens of decaying corpses found piled in unrefrigerated trucks at New York City funeral home
https://www.wsws.org/en/articles/2020/05/01/corp-m01.html
By Philip Guelpa
1 May 2020
In a gruesome example of how the COVID-19 pandemic has devastated New York City, authorities reported the discovery on Wednesday of dozens of decomposing bodies stored in trucks outside of a funeral home in Flatlands, a working-class neighborhood in Brooklyn.
Police were summoned to the scene in response to calls from nearby residents complaining of a horrible stench, with one caller reporting blood leaking from a truck. Upon arrival, they found two trucks stuffed with decomposing bodies. News reports quote residents saying that the sight of corpses on the sidewalk had become a common occurrence. The scene is reminiscent of ones reported in other countries.
It was not immediately determined whether these were all victims of COVID-19, but the staggering number of additional deaths due to the pandemic has overwhelmed existing mortuary facilities throughout the city.
To date, more than 18,000 residents have died from COVID-19, putting a huge strain on the normal methods for disposition of the dead—interment or cremation. Prior to the pandemic, New York City’s normal death rate was approximately 150 per day. At its peak earlier this month, the rate had reached approximately 800.
The city has had to resort to emergency measures to deal with the immense numbers of corpses. These include the digging of mass graves on Hart Island, the city’s pauper’s cemetery for 150 years, where over a million people are already buried, and the stationing of refrigerated trucks at hospitals and funeral homes to temporarily store the deceased. The trucks at the Brooklyn funeral home were a tractor trailer and a U-Haul, neither of which were refrigerated. Crematories are now allowed to operate 24 hours a day, and the city has explored the possibility of digging mass graves in public parks.
Mike Lanotte, the president of the New York Funeral Directors Association, said in an interview with CNBC, “There is definitely a lot of stress on the entire death care industry right now in New York City because of the death we’ve witnessed.” As if to emphasize the gravity of the crisis, the New York Post report on Thursday, a day after the discovery in Brooklyn, that a funeral home in Queens is jammed with many dozens of bodies stored in caskets awaiting cremation. That facility has experienced a dramatic increase, from an average of seven or eight bodies a week to more than 20 a day.
The owner of the Brooklyn funeral home, Andrew T. Cleckley, reported that he and other funeral directors were overwhelmed by an unprecedented influx of bodies, and that he only resorted to using the trucks after his chapel was already filled with over 100 bodies and his freezer had stopped working.
Cleckley said that, due to the high demand, he was unable to obtain refrigerated vehicles. The location of the funeral home was not registered with the city’s Department of Buildings as a funeral parlor, but as a venue for automobile sales and machinery manufacture. As a result of the discovery, the funeral home has been cited for violations by the city’s Health Department, but no criminal charges have so far been brought.
Describing the situation as “unconscionable” and “absolutely unacceptable,” New York City’s Democratic mayor Bill de Blasio declared, “I have no idea in the world how any funeral home could let this happen.” He claimed that a “substantial amount of refrigerated trucks [are] available.”
However, reports from across the country recount incidents of COVID-19 victims stacked in the hallways or utility closets of hospitals and nursing homes, including a case in Brooklyn where management had left 10 corpses in a room with living residents. It should be noted that the mistreatment of the working-class dead in a profit-driven funerary system is not a new phenomenon.
Whatever the immediate circumstances of the particular incident at the funeral home in Brooklyn may be, the fact of the matter is that this horrific episode is undoubtedly just the tip of the iceberg. The carnage that has overwhelmed New York City and the rest of the world is the inevitable result of decades of the dismantling of the health system in the city and across the globe and the criminal ineptitude and a policy of malign neglect by the ruling class, all with the aim of maximizing and prioritizing corporate profits, over the health and welfare of the working class.
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