News: COVID Alert

This is a level above being merely COVID-AWARE, I guess. This isn’t how I expected the emergency alert system to be used, but things are pretty rough right now in the U.S.

Today’s LOUD smartphone alert.

So, the good news is that the FDA granted emergency authorization for the Moderna vaccine, so now we’ll have two we can use in the U.S., once we work out the logistics of distributing and administering them.

The bad news is that Los Angeles County already has a COVID fatality rate that that can now be characterized in deaths per hour.

It’s… as bad as was predicted by people who are good at predicting epidemics. Who knew?

This is still a really difficult time, and even with the vaccines being authorized, it feels like relief for most people from all of the dread and risk management and logistics and economic despair is still a long way off.

We all need to find some sparks of joy to keep us going, but it’s tough knowing how hard it is for everyone right now. Even if my phone hadn’t blared this loud reminder.

News: US Pandemic Deaths cross 300,000

I don’t really know what to do with this information. It’s… difficult to process 190,000+ new COVID-19 cases daily, or over 1,000 deaths daily just in this one country. It feels important; I hope to survive to look back on this time and recognize how remarkable it was; it is the context that affects every day of my life currently; but it is also terrible and haunting and difficult and sad.

Life: Food supplies during the Pandemic

Clockwise from upper left: red lentil flour penne with eggplant sauce; edemame linguini with green olive & walnut pesto; moong dal; green lentil flour elbow noodles with black olive pesto & fresh tomatoes; steamed golden beets; salad of cucumber, avocado, and tomato.

One of the seemingly-minor-but-requires-too-much-logistical-planning adjustments in my cautiously restricted, sheltering-in-place-from-COVID19 daily life is managing food. How to get it safely; who/where to get it from; whether any one supplier meets my needs; whether suppliers or delivery services are socially benevolent or exploitative toward their workers; when to get deliveries, and how often; how much to pay for them…

I’m a “foodie,” and food is a daily joy. Food plays a central role in my health, and enjoying food is central to my positive outlook and self-care. My food choices align with my Buddhist philosophical beliefs, my environmental concerns, and unexpected medical restrictions. (A gastroenterologist (!) helped me learn that wheat and other high fructan foods don’t work for me now.) As a native San Franciscan, I’ve enjoyed the City’s amazing restaurant and cafe culture, which has emphasized fresh, California-grown produce being cooked by chefs/cooks from cultures around the world. As a cooking enthusiast and the primary cook in my household/relationships, I’ve developed a range of expertise, favorite dishes, recipes, and even used to food blog about seasonal local produce, farmer’s markets, AND the pleasures of eating.

In normal times, I would buy groceries in person twice a week on foot, plus pick up specialty items around town while out and about. I would make special trips monthly-ish to a glorious, worker-owned, fully vegetarian cooperative supermarket (yes, of course it’s Rainbow Grocery) to obtain specialty items I couldn’t find easily elsewhere – vegetarian (gelatin-free) vitamins, vegan cosmetics, hippie soaps, spicy veggie spreads from Calabria, local pomegranate juice, Ethiopian specialties, local gluten free sourdough breads, dry-farmed tomatoes, and organic ANYTHING. Farmer’s markets are a special pleasure, and local produce is always abundant (hello, California!). I would dine out with friends in restaurants and cafes at least twice weekly. If I ran out of anything that wasn’t on my usual shopping list, I would normally pop into a store on the walk home for it.

But we are not living in normal times.

The current pandemic impacte my food access and habits. Even someone as lucky as I am – I can work from home and remain employed – must make an extra effort to get food that meets my needs.

If you had told me that a pandemic would cause the U.S. to suffer from a shortage of TOFU (no, really, TOFU), a core protein source in my diet, I would not have believed you. And yet:

The panic-buying that emptied shelves early on in the COVID-19 pandemic first wave shocked me. The first wave of hoarders-to-be skipped over my staples: they emptied the shelves of wheat pasta, but skipped the gluten-free pastas that first time; they bought all the eggs, but bypassed the vegan scramble I purchase… Eventually, they returned and cleared out my dried and shelf-stable staples for a time.

In spring and early summer I had to radically change my meal plans, because I couldn’t get my usual ingredients. I could always get fresh produce at my nearest market, thankfully, but that still required standing in line to get into the store and the complex personal-spacing dance that never entirely works, because anywhere you stand is close to something someone else needs.

SF streetcar service is SUSPENDED, including the line which would (without transferring) take me a short walk from Rainbow. My rare trips to a Japanese specialty grocery in Japantown are obviously ruled out, even if the reduced core bus service (which we are discouraged from using) could get me there. Car-free living has been so easy, until this!

Left: assembly of a flavorful, vegan lasagne that uses zucchini ribbons (sliced with a hand-held vegetable peeler) in place of pasta; right: Justegg scramble (microwaved) with chipotle-habañero sauce and a side of potatoes and bell peppers (microwave-steamed) with a touch of olive oil infused with roasted garlic.

Due to exploitative restaurant delivery platform pricing, several restaurants I support changed to more sensible platforms which imposed smaller delivery areas, ruling out delivery to my home. (I don’t drive, so I can’t just switch to picking orders up.)

Fast forward to now, many months into the pandemic and related precautions. I’m working very long hours at my job. All while the food supply chain struggles to keep up with irregular demand; it takes longer to grocery shop in person; my options are limited by transit suspensions; and restaurant delivery is restricted.

I expect that each of these challenges will remain in place through most of 2021. (It will take a long time for the first approved COVID vaccines to roll out, and even then, we’ll be operating under precautions indefinitely.)

I’ve made some (likely) permanent changes to my food supply management. After being turned down by other local services that were ramping up to meet demand, I now subscribe to an anti-waste produce subscription service called Imperfect Foods, which supplies me with a crate of surplus or oddly sized/shaped produce (carrots that are too big, potatoes that are too spotty, peppers that fold in on themselves) and off-spec dried goods (such as tri-color quinoa what has too much white quinoa, or brown basmati rice with too many broken grains) each week. I can opt in/out of certain items in advance each week on their website, and can add things like off-spec chocolate covered nuts (yum!) or California almond milk from a reputable maker.

The crate is delivered to my front steps, and the contents are the core of my meals. Yes, this has meant more zucchini in my diet than I would have chosen otherwise; yes, I make more kinds of lasagna as a result, plus a wider range of curries. I started making celery soup because of their blog (and abundant celery deliveries), and now have a customized recipe that really works for me. I enjoy carrot juice from their odd-looking carrots with limes blended in every week now.

There have been unexpected shortages of staple items I order through their effort to cover non-surplus household needs, or occasional, awkward substitutions that I can’t eat (I can only express ONE dietary preference, so I can’t tell them I need vegetarian AND wheat-free products, and so sometimes receive an unordered wheat-thing), but their customer service is polite and responsive, and they are under strain like all the rest of us. Also: having heavy groceries delivered by wheeled vehicle rather than carrying them up the hill on my back makes sense. I have justified it for exercise, but there are limits to that justification! If the produce quality remains high, I’ll continue using this service.

They don’t supply tender leafy greens like spinach, fresh herbs, or enough fruit to get me through the week: they stick to sturdier items that can sit in a crate. Now that my wonderful grocery coop tolerates third party shoppers, I order nearly all other items I want from them every 2 – 3 weeks. I’m okay with their delivery menu markup – I am willing to pay extra to support my favorite local co-op. (Their prices are comparable to other, non-coop grocery stores in my area.) I’m also keen on properly tipping my shoppers who need to cross town to get these items to me ($20-30/trip).

The few things I can’t get through those two methods, such as my favorite locally-roasted coffee, gluten- and fish-free gojuchang from Korea, or bulk volumes of specialty tea, I order on-line, and do my best to keep my spending local whenever that makes sense.

Summary to a long post: the COVID-19 pandemic has inspired hoarding, supply chain disruptions, store access restrictions, and delivery restrictions, making a regular chore much more of a chore! After struggling with whatever I could get and feeling increasingly uncomfortable shopping in person, I’m lucky enough to be able to pay for a cost-efficient, eco-friendly core food subscription (60% of my needs), supplement that with delivery from a worker-owned co-op (30% of my needs), and pick up the stray items from primarily local businesses on-line (10%).

The cookbook that this may or may not be resulting from all of this is coming along very slowly, however! 🙂

News: New San Francisco / California COVID Precautions

San Francisco & California Regional Precautions & Restrictions

Here is how we here in San Francisco will be using California’s strictest regional approach through early January, in an attempt to hold down the ICU capacity numbers before the multi-week delay makes that impossible:

The regional stay-at-home order from the California Department of Public Health is here:

What is especially discouraging for San Franciscans, who had kept the numbers so low until recently, is that we had some incremental service / business expansions which required extensive planning and infrastructure investment. There has been so much effort on the part of locals, businesses, and the City to allow those to succeed. But the infection rate has climbed dramatically, and so we can’t continue as if it hasn’t.

The big question as we challenge restrictions on things like outdoor dining or museums at 25% capacity is: which activities are causing the spike? Indoor dining DEFINITELY contributes to infections, based on reports from other regions, and we can follow that science. Meanwhile, the data on unenclosed (truly outdoor) dining, outdoor playgrounds with managed capacity, outdoor retail, and similar approaches is lacking. That lack of data is frustrating! We want to adapt, and we need that data.

News: Johns Hopkins Vaccine News Hub

There is now enough good vaccine news that Johns Hopkins has a page devoted to these developments.

Here in the U.S., the vaccines I’m reading about daily and which give me encouragement are made by: (a) Pfizer and BioNTech, (b) Moderna, and (c) AstraZeneca and Oxford University.

Vaccines in Russia and China are also ‘in play,’ which is hugely beneficial for the world, since as many nations as possible need to contribute solutions and ensure they are available globally.

News: Early December 2020 COVID figures

From https://coronavirus.jhu.edu/, which is an excellent and reliable resource. I’ll also embed their video below.

This remains a peculiar time to be alive. There is so much happening that will be in history books, but the experience of being IN IT is different than the way it will be written about in retrospect. It’s one thing to read about past historic plagues and disasters long after they occurred; it’s another thing to be taking drastic daily precautions, to NOT know which of our loved ones will be harmed, and to not know when it will end.

Psychologically, we are at a point of juggling renewed hopes and great despair.

There is some great vaccine news that holds promise for managing the crisis in 2021. Meanwhile, many of the people in my country have decided that traditional holidays will not be changed for the survival of their neighbors and colleagues, and so we are bracing for a December/January infection and death spike from Thanksgiving week, which may extend the precautions for all of us. Hospitals in my state are approaching capacity, putting everyone who needs hospitals at risk, not only COVID patients.

Editorials ask us not to harshly judge people who are putting the lives of others in our community at risk, but this feels like asking us not to judge arsonists – as if starting fires one doesn’t control on public land is a personal decision.

National numbers

Here’s the always excellent Johns Hopkins on where we are with respect to disturbing upward trends:

The national news and government experts are all expecting a massive spike this month, and the causes are already behind us, so it’s a matter of watching the numbers in frustration, and having a very different Christmas season from most other years. Outside of continuing to limit our own exposure to other households, there isn’t much we can do about the decisions that others made, which impact our communities regardless of their intentions.

News: SF at Purple COVID-19 tier

Our case rate nearly quadrupled? This is ominous.

Our county is tiny, so the idea of avoiding travel outside of SF is kind of wild. I haven’t left SF since March, so it is obviously totally do-able, but it’s still kind of a shock.

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If you feel sick or you’ve been exposed to COVID-19, get tested.The City has issued a travel advisory urging residents not to travel outside of the county and recommending a 14-day quarantine for anyone who traveled outside the state or engaged in higher risk activity.

Life: November 2020: COVID-19 Pandemic

So, in addition to dealing with the record-breaking and dramatic U.S. elections, we still have the pandemic to cope with.

COVID-19

This month, the U.S. surpassed 2 million confirmed cases and 250,000 deaths.

It’s bad. We have something like 4% of the world’s population but more than 20% of the COVID-19 cases.

Americans are even now traveling and visiting each other for Thanksgiving, so there are very grim projections for December. Extremely grim. Something like 40% of Americans surveyed planned interstate travel for the holiday.

I mean, we’re already at 2,000 deaths per day. Reuters reported in this article that there is a U.S. COVID-19 death every 40 seconds. But that isn’t enough to make some people change their plans.

From https://coronavirus.jhu.edu/, as always.

Some of the spread is persistent political toxicity – people recall that Republicans insisted that this GLOBAL PANDEMIC was just a hoax to make the U.S. President look bad. [eye roll] The heartbreaking story last week was of people in North Dakota denying on their literal deathbeds that COVID-19 is real, and abusing their hardworking nurses and other caregivers. (We really need to stop both-sides-ing partisanship folks. One particular side is dying of it.)

{My own circle’s COVID infection numbers are climbing VERY slowly, thankfully, and feel like they are tapering off from earlier seasons. I still have just one first degree friend who was infected (and was denied a test), but seven second degree contacts had it, and more than 8 third degree contacts… And that’s without having checked social media for a year to find out who in my wider circle has been infected.}

Vaccine Testing Progress

The good news is that the vaccine trials are going well. While the data is still being compiled, theoretically nearly all of the advanced trials are showing something over 90% efficacy, though the math seems to work differently for each of them.

I could just share the data, but why do that when I can also share an Oxford comma joke?

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Pfizer vaccine: effective, protective and safeModena vaccine: effective, protective and safeOxford vaccine: effective, protective, and safe

So, there is hope that we can get treatments next year, but they won’t be 100% protective, and we don’t know how long their protective effects will last. And some asshats still think the virus is a hoax, even as they are spreading it or dying from it, so getting people to use the vaccine or any other protective measure will be a challenge.

COVID Treatment and Prevention Risks (beyond the obvious nationalist ones here)

Plus, there are new variants of COVID-19, including a strain that leapt from domestic mink to humans, which is not a thing we need right now – it’s just another front to manage when we aren’t even managing the human infections. (See this article in Scientific American about the infection that has spread to more than 200 people in Denmark.) . This is yet another time when I gripe and say that everyone who eats or wears animals is endangering all of society with their lifestyle. Yes, there is the massive environmental damage and greenhouse gases, and water consumption, and land consumption, and related pollution – all of that – BUT ALSO these animal diseases jump to humans and spread around the world, and we really wish you would stop. Swine flu global pandemics, bird flu global pandemics, COVID-19 from an animal market as a global pandemic… I’m not even going to discuss Ebola.

HUMANS – learn from these pandemics – for all of us – PLEASE.

To me, a non-expert who reads lots of news, this feels like it means:
-ongoing major losses of life;
-ongoing need for funding and expansion of health support needs for people who have long term side effects (and a big expansion of health services worldwide);
-six months to another year of major precautions, perhaps followed by many years of less serious precautions IF we can manage long term immunity, with changes in design, ventilation, and occupancy of indoor spaces, and
-lots of hard work to recover in all the ways that matter to society.

This really is a world-changing event, and managing the changes will be a big challenge for us.

News: 8 Million US COVID-19 Cases

From https://coronavirus.jhu.edu/, of course

What is concerning is not just the numbers, but the cases that go on and on, where people don’t fully recover for months. We need to look after those people, too – long term. And, as a country without a coherent health system, we would need to do things differently to handle that.

A conventional news story on the topic from the UK:

Long Covid: what we know so far

At the start of the pandemic we were told that Covid-19 was a respiratory illness from which most people would recover within two or three weeks, but it’s increasingly clear that there may be tens of thousands of people, if not hundreds of thousands, who have been left experiencing symptoms months after becoming infected.

Sometimes, it is very difficult to live in a country that is opposed to joint solutions to problems… literally difficult to preserve one’s own life, or the lives of others!

News: COVID-19 Pandemic, continued

The COVID-19 pandemic continues apace, and remains out of control in the United States.

If there is any good news (beyond the low rates of infection and death in my own region and social circle, for which I am grateful!), it is that while infections continue to rise, a smaller percentage of confirmed infections are serious. There was some earlier, sparse data suggesting that people who wear masks may be receiving low enough exposure to the virus to fight it off successfully; now, data about viral load specifically is being examined, and is trending in a more convincing way.

I don’t want to post ALL the news on this topic (every news organization in is already doing that, it would be duplicative), but this viral load issue is interesting.

Covid-19 death rates are lower worldwide, but no one is sure whether that’s a blip or a trend

After working for three months straight at Detroit Medical Center, Said El Zein noticed that the coronavirus patients who began arriving in May appeared less sick than those who came before. More than 4,000 miles away in northern Italy, researcher Chiara Piubelli was struck by the same thing.

I’m describing this as good news, but even if this trend holds, it would still mean that more than 2 million people just in my country could potentially die. Which isn’t great, especially if you are one of them! It also remains ominous that children can have such high viral loads, as that may bode ill in those families/situations where they are looked after by grandparents and other senior caregivers. But fewer people getting the life-threatening version of the infection is good.

I’ll take any potentially positive trend, at this point.

~me, right now

I’ve completed 31 weeks of local/regional sheltering-in-place and minimizing in-person interactions with others to help prevent the spread of this illness. I am lucky and privileged to be able to do so.

While the wildfire smoke has compounded my lack of physical fitness (and added variety to my pre-wildfire allergic (?) cough), and the quarantine has kept me from seeing my parents (2-4 hours away), none of what I’m experiencing from the pandemic is important: essential workers are having a very different, more demanding experience, as are the many people whose livelihoods are risky, unsafe, or just otherwise disrupted due to safety concerns during this time.

I’m glad my locality continues to ban evictions (and won a challenge from landlords in court!), and that the schools are offering meal support along with other food charities. But it pains me that we aren’t one of the countries that is just paying everyone 80% of their salary to be sure they (and the businesses that employ them) make it through this.

While someone at my local pharmacy said they feel bad that kids won’t get to enjoy trick-or-treating for Halloween, I feel sad for EVERYONE. *

*Except the anti-maskers and the authoritarians, for whom I have no sympathy.

I miss my relationship with my hometown, and all that comes with that. I miss my relationship with the bayshore, with the people who run restaurants and shops I frequent, with my friends, with the library, with the museums, with the cafes, and just walking through the neighborhoods of this city, which are each so distinct in character… I’m eager to resume these interactions when it is safe. I’m hoping very strongly that safety will be possible.