Parademic Notes Week Ending 170618

Read This First 1. Health Monopoly, 2. Patient Racism, 3. Cumulative Changing Micro Climate, ↕4. Mosquito Borne, 5. Cognitive Survival After Disaster, 6. Emergent Independence, 7. DIY and Med Drones, 8. Pandemic Influenza Plan, 9. Vaccine Data, ↕C. Communications, ADDED.

Tags: Bio·Trump·ism, Vaccine, Biosphere, Disaster, Humor, FBI, Immigration Ban, Monopoly, Jargon, Xenophobia, Grassroots, Climate Change, Pollinators, Anthropocene, Wrong Problem, Unintended Consequences, FRED (Framework for Reconstructing Epidemiological Dynamics), Planning, Secrecy, Baseball, Training Exercise, Environmental Management, Bees, Plants, ACA, Cognitive Decline, Magical Medicine, Cuba/US Relations, Vaccine, Pertussis, Media, Vaccine Confidence Project, Attitude Indicators, Pack Journalism, Ebola, Fraser Measles, MERS.

-1. FBI Is Investigating an Oregon Health Care Startup, looking into allegations that Zoom retroactively falsified medical claims to avoid paying into an Affordable Care Act program called risk adjustment — in which health plans with healthy customers pay to help support insurers with sicker ones. Zoom's alleged tampering of medical claims may have damaged other insurers that played by the rules — and it's sure to raise questions about whether other companies have done the same thing. If a person who has Zoom health insurance goes to a Zoom doctor. The doctor may charge $125 for that visit, but insurance typically pays a discounted rate of $82. At Zoom, instead of paying that normal $82, the company bumped up the reimbursement to the full charge of $125. All of the money stays in house, since Zoom is playing the role of insurer and provider. But altering the charges and diagnoses retroactively also makes it appear as if Zoom was treating a less healthy population and lowers the amount Zoom pays into risk adjustment. This is known as vertical integration 3.2↓, where a company owns the service or resource, the processing and supply chain and the distribution. For example a steel company that owns the manufacturing of steel plants, the mines it comes from, the rail system that transports it, and the sellers. Easily can become a monopoly that can be abused. The Hospital Industry Is a Big Game of Monopoly Right Now, [Game, Game, Game, Game]. A Drugmaker Tries to Cash in on the Opioid Epidemic, One State Law at a Time. The FDA Either Will Find its Voice, or Get its Comeuppance, under Commissioner Gottlieb. Is the Infiltration of “Integrative Medicine” into Medicine as Relentless as We Thought. Maybe Not….

            -1.1. AAMC (Association for American Medical Colleges) Submits Amicus Brief in Response to Administration’s Request for Stay in Travel Ban Cases. For decades, health professionals from other countries have filled critical gaps in the physician workforce, especially in rural and other medically underserved communities. International researchers and scientists strengthen the laboratories at medical schools and teaching hospitals that develop cures for life threatening and chronic conditions, providing hope for millions of Americans, positioning the United States as a global leader in medical research, strengthening our economy, and bolstering the nation’s health. Suspending entry of highly talented and skilled medical and research professionals into the United States on the basis of their nationalities would ultimately undermine the health security of our nation, especially as we face a looming physician shortage. When we close our borders to highly skilled health professionals, we also are closing them to collaboration, discovery, and better national and global health. #Document. Another Federal Appeals Court Says Trump's Travel Ban Should Remain on Hold. Number of EU Nurses Seeking Work in Britain Drops by 96 Percent after Brexit, and if ban does not hold in the US, will perceived attitude still deter medical professionals from coming in the future.

-2. This could have impact in a biodisaster when the providers of care may not be acceptable to the patient. When the Patient Is Racist, How Should the Doctor Respond. The burden of discrimination can compound the stress of practicing medicine for physicians who are cultural and religious minorities. Hospitals have policies protecting against workplace discrimination at the hands of colleagues or supervisors. But when a patient is racist or biased towards a physician or other health care provider, there is often no recourse. The Patient Called Me ‘Colored Girl.’ the Senior Doctor Training Me Said Nothing. Report Outlines Strategies to Address Ethnic Health Care Disparities: Know who to involve, Shape organizational culture, Create a vision to make a rational and emotional case, Harness the power of a collaborative network.

            -2.1. Then there is the legal racism against immigrants and illegals. House Votes to Bar Undocumented Immigrants from Healthcare Tax Credits. This is about the federal government being good stewards of the money our constituents send to Washington. Every federal dollar that goes to someone committing fraud is a dollar that is not going to a person who truly needs and deserves assistance. However the problem is that infectious diseases and vectors do not recognize borders, politics, country of origin, religion, color of skin, a person’s language. One can be sympathetic to disliking the idea of people getting benefits that are undeserved, but what if not providing a service can cause harm to those who did deserve a benefit. People are more likely not to seek medical care if they cannot afford it, or it is likely to gave legal consequences for getting a vaccination or seeking medical help, then people will hide illness. 4.1↓. [Cartoon]. President Trump’s Immigration Ban Will Decrease Veterans’ Access to Medical Care. 7↓.

            -2.2. Trump's Health Care Evolution Can Be Traced in His Tweets. President Trump has showered praise upon the GOP bill to overhaul Obamacare. He threw a big Rose Garden celebration once the House passed it. He promised it would transform the nation’s health care system into one of the world’s finest. And yesterday, behind closed doors, he told a group of Senate Republicans it is “mean”. Evolution is the wrong term. Popular meaning of evolution implies improvement [Meme]. Weather Rope [Sign, Slogan, Cartoon] would be more accurate. Trump Labeling House Health Care Bill 'Mean' Frustrates GOP, Is the House Health Care Bill ‘Mean’. Secretary Tom Price Declines to Say. The Debate over the Affordable Care Act Is Really a Debate over Wealth Redistribution.

            -‡. ObamaCare Insurer Expands to Three New States, Trump: Dems 'Gave Up' on Fixing ObamaCare, [Cartoon]. Trump Tells Senators House Health Bill ‘Mean’, Trump in May: House Health Bill Is Incredibly Well Crafted. Trump Now: It's Mean. Trump: Health Care Dropouts Sign That Democrats ‘Gave Up’, The Trump Administration Map of Obamacare Failures Is Riddled with Inaccuracies The Real Story Behind the Statistic Trump Just Used to Attack Obamacare, [Strip, Cartoon]. Nearly 1 Million Jobs Lost If House Bill Takes Effect, Under ACA, Increased Coverage Paired with More Jobs, House GOP Health Care Bill Would Spark Job Losses, Economic Downturns Across the Country. Dems Request Review of Whether Health Department Tweets Broke Law. How We Spend $3,400,000,000,000, why more than half of America's healthcare spending goes to five percent of patients. How Democrats Would Fix Obamacare, if Republicans dropped their repeal demand, they’d be willing to help repair the law. Here are some of their ideas. ¶ Cluster of new stories about a topic for a short time period, a news cycle, isn’t unusual. Not sure why this happens that related stories tend to happen at the same time, though it this case the cause may be that editors noticed that the health insurance (Obamacare, Trumpcare) story has basically been repeats of the same story for weeks and all editors asked for fresh material on the topic, temporarily breaking pack jounalism, or there was in fact new information. Breaking the Pack Journalism Paradigm. The Nightmarish Politics of Ebola, Part 2. Fox News Ends Ebola Coverage: Our Work Is Done, [Cartoon, Cartoon, Cartoon]. [Chart, Chart. Chart, Chart, Chart, Chart, Chart, Chart, Chart] note the similarity of media parademic waves to waves infectious disease or other biodisaster [Chart] 3.1↓ . ¶ There is a Trumpism counterpart to news fatigue or apathy. This would be denial, avoiding contraryinformation, assimilation of information to fit a priori conclusions. Two Years Ago, They Couldn’t Look Away. Now Some Trump Supporters Are Tuning Out. Kellyanne Conway Wants the Media to Cover a President Trump Who May Not Exist. [Cartoon].

            -2.3. Federal Actuary: 13M More Uninsured under GOP Repeal Package. This is about half the number that the CBO estimated would fall off the insurance ranks in its analysis of the bill. Why the big discrepancy. Assumptions that feed into each organization’s calculations. One spot of agreement: Premium prices could really go up. Estimated Impact of the FY18 President’s Budget on Selected Public Health Programs by State. The proposal would have serious negative consequences for our nation’s health and would likely lead to staggering increases in health care costs if these proposed cuts become law. The proposed budget would cut the Centers for Disease Control and Prevention by more than $1.2 billion (17%) in FY 2018. The budget proposes major cuts to every area of the agency, including a nearly 20 percent cut to the National Center for Chronic Disease Prevention and Health Promotion, and significant cuts to programs that protect the American people from infectious diseases, environmental contaminants, exposure to tobacco and other key areas. These would cripple CDC’s operations and result in increased illnesses, injuries and preventable deaths. Advocates Hope Effects of Kansas’ Austere Cuts Serve as ‘Canary in Coal Mine’ for Rest ofCountry. In GOP Health Care Struggle, It’s Senator Vs. Senator. In Miami Declaration, Trump Thrusts U.S., Cuba Back Toward Hostile Relations is another set back for global health security and collaboration‡ to include control and containment of mosquito borne diseases. Majority of Miami-Dade Cubans Support Obama Policy, [Tweet], Cuba Is Trump’s Most Revealing Foreign Policy Blunder.

            -‡. Cuba’s Ebola Diplomacy (Nov 2014), Implications of Repealing the Cuban Embargo for US Medicine and Public Health (Nov 2015), A Safer, Healthier Future Through U.S. Cuba Cooperation (Feb 2016), U.S. and Cuban Biomedical Researchers Are Free to Collaborate (Oct 2016), 3 of Cuba's Major Medical Achievements (Nov 2016), Trump's Election Threatens Medical Cooperation Between US and Cuba (Dec 2016). Drug Smuggling a Risk if US Relations with Cuba Shift (Jun 2017) just when Fatal Drug Overdoses in US on the Rise, CDC Says (Jun 2017), More US Drug Deaths in 2016 Than Ever Before (Jun 2017). The thawing of relations began during West Africa Ebola Ebola Outbreak Opens Opportunity for Unlikely US/Cuba Cooperation (Oct 2014), Ebola Could Bring U.S. and Cuba Together (Oct 2014), Why Cuba Is So Good at Fighting Ebola (Nov 2014).

            -2.4. Taken directly from 140914-1.34↓. #Health Diplomacy. Cuba Sending Dozens of Doctors to Fight Ebola in Sierra Leone, providing a much-needed injection of medical expertise in a country where health workers are in short supply. The decision points (47.1) to watch for are if US Government medical personnel work with the Cubans, if the Cubans are requested to Liberia, if the US provides medical equipment and security to the Cubans, if the Cubans are attacked by [IMAGE] a Terror group, and if a Cuban is exposed if they will be treated at a US facility there, or be given medical transport by the US. These would all indicate a Thaw in the current US policy toward Cuba. Cuban Medical Internationalism. 161023-9, 160619-5; 140615-8↓ #Health Diplomacy. Epidemics and Opportunities for US-Cuba Collaboration.

-3. Michael Bloomberg Wants to Solve Climate Change from the Bottom Up. As Washington deadlocks, the former New York City mayor believes that cities, businesses and people are the best hope for saving the environment. Michael Bloomberg believes that bottom up (Grassroots [Art, Quote]) efforts from cities, businesses and individual people have made significant progress in curbing climate change, ranging from nationwide campaigns to close coal fired power plants to the increased adoption of fuel efficient cars, even smarter urban planning and making the public better informed. He coauthored Climate of Hope [Cover]. 6↓. Catrina Rorke, the D.C. policy analyst sees local government and business as the answer to the Earth’s problems.

            -3.1. Winning Climate Strategy Demands Details. Why we need to sweat the small climate stuff. Examining the daily minutia of climate, not just temperature, but also sunshine, precipitation and soil moisture simultaneously all over a country gives a better understanding of how variable a land's climate can be. That information is crucial when countries are setting policies aimed at growing food, protecting water supplies and the environment and stemming disease outbreaks. The daily minutia of climate, not just temperature, but also sunshine, precipitation and soil moisture simultaneously all over a country gives a better understanding of how variable a land's climate can be. That information is crucial when countries are setting policies aimed at growing food, protecting water supplies and the environment and stemming disease outbreaks. ¶ There is much talk about how climate is changing and what should be done about it, but in reality, it is the variabilities – those many changes above and below the norm – that can have a great impact on coupled human and natural systems. A holistic view of our world gives us the most useful information. it's not enough to say 'a nation is experiencing climate change' because the reality is that climate is made up of several daily factors," said Zhenci Xu, the PhD student who is the study's lead author. It is variability that indicates the degree of fluctuation and uncertainty of the climate change process. It's the chaos of climate change that can wreak havoc with growing plants or the survival rates of bacteria and viruses. ¶ Climate variability also weighs heavily on agriculture and economic development. Countries should consider more meteorological stations in areas known to have more complex climate dynamics along with human interests that are sensitive to the vagaries of weather. It would be wise to examine how local climate events can have a global impact through telecoupling processes, as a monsoon in one corner of the world can blanket another country with moist air and heat. Climate can't see borders (a characteristic of biodisasters), but people can and we must learn to look at the big picture with a very small lens. Climate Variability and Trends at a National Scale. As an example India Faces Fatal Rise in Heat Waves which increases air pollution, impacts Asian and global economies, heating some weather areas while cooling others. Hot dry India (Summer Monsoon) = Dry Pacific = drought US South West When it Comes to Southern California's Heat Wave, the Worst Is Yet to Come = wet US East Damaging Winds, Flooding to Threaten New York to Texas into Sunday Night 2.2‡↑, C↓. [Cartoon]. Most think of “big picture” as seeing a wide view but from so high up that details and connections are lacking. In biodisaster and parademic one wants a whole picture 1↑, 3.2↓, a wide view that is close enough to get details, including the unseen influences and consequences, ranging from the macro to the microscopic. Impossible to do without interdisciplinary collaborating, information accepting and sharing teams.

            -‡. A listicle (list of articles) of recent parademic details that results in anthropogenic climate impacts. This is only for a two week period and does not cover all biotrumpism: Making Ignorance Great Again. Kick This Rock: Climate Change and Our Common Reality. 16 Years Later, Bush’s Climate Pact Exit Holds Lessons for Trump. Most Americans in Poll Oppose Trump’s Decision to Scrap Paris Climate Plan, Think it Will Hurt U.S. Globally. MIT Scientists Hit Back after Trump Uses Their Research to Justify Paris Climate Deal Withdrawal. Mayors, Companies Vow to Act on Climate, Even as U.S. Leaves Paris Accord. [Cartoon], UN Chief Warns Oceans Are under Threat as Never Before. Nearly 6 in 10 Oppose Trump Scrapping Paris Agreement, Retired Officers Warn Us 'Falling Behind' on Advanced Energy. [Cartoon]. Court Asks EPA to Justify Pausing Obama Pollution Rule, EPA Unveils Plan to Improve Conditions for Nation’s Sludge. The Paris Agreement Would Have Been less Partisan 30 Years Ago, ‘Malama Honua’, Hawaii Says, as it Becomes First State to Pass Laws Supporting Paris Accord (How Do You Mālama Honua). Hawaii Signs Legislation to Implement Goals of Paris Climate Accord Anyway. Apple, Google, and California Are Rebuffing Trump and Trying to Stay in the Paris Climate Deal. A Group Representing $6.2 Trillion of the Us Economy Says They're 'Still In' the Paris Climate Agreement. Catastrophic Coastal Floods Could Become Much More Likely. The Experts on Trump's Climate Decision. California Vows 'Any and All Legal Action Necessary' to Stop Trump from Touching its National Monuments, What Utah's Canyon Country Can Tell Us about Trump's Monuments Review, Interior Secretary to Make Proposal on Bears Ears Monument in Test for Protected Land. Coalition of 13 States to Challenge Trump on Vehicle Emission Standards. “Do You Believe?” Is the Wrong Question to Ask Public Officials about Climate Change. Trump’s Pick for DOJ Top Environmental Attorney Has a Vast Anti-Climate Record. Paris and Profits. US Cancels New Protection for Endangered West Coast Whales. U.S. Left as 'Footnote' in G7 Climate Talks. President Trump’s Withdrawal from the Paris Agreement Raises Legal Questions. How Leaving the Paris Climate Accord Will AffectBusiness. Jedediah Purdy, what the Duke law professor thinks about Earth’s future. Steve Monfort, why he’s optimistic about Earth’s future. Large Canadian Arctic Climate Change Study Cancelled Due to Climate Change. Urban Heat Islands Can Be Deadly, and They're Only Getting Hotter. Trump Calls Mayor of Shrinking Chesapeake Island and Tells Him Not to Worry about it. Climate Change Isn’t Just a Fact for the Dutch. It’s an Opportunity. U.S. Closes Office for Climate Change Abroad. Environmentalism Was Once a Social Justice Movement, [Sign, Cartoon]. EPA Head Defends White House’s Plan for Massive Cuts to His Agency, Interior Chief Zinke Begins Reorganizing Department, Moving Dozens of Senior Officials, Department of Energy to Close Climate Technology Office and Eliminate 11 Positions. Wildfires Pollute Much More than Previously Thought, have noted before that wildfire is anthropogenic and a biodisaster. The Grizzled, Stubborn Lawyers Protecting the Environment from Trump. Southwest US Preps for 120 Temps: Water, Water, More Water. #Book Is it So Bad If the World Gets a Little Hotter. Uh, Yeah [Cover]. The Trump Response to the Kids’ Climate Lawsuit Isn’t Denial. It’s Evasion. Once There Were Fish, but Then the Coal Mining Began. Two Government Agencies. Two Different Climate Maps. A Hidden Cost of Corruption: Environmental Devastation. Dryland Cropping Systems Research Addresses Future Drought and Hunger Issues. At Least 62 Killed in Forest Fire Still Raging in Portugal. ¶ There Are Diseases Hidden in Ice, and They Are Waking Up, 161211-7.2, 161106-2.1, 160918-5.3, 160821-1 (ADDED: An Anthrax Blast from the Past, Variola Virus in a 300 Year Old Siberian Mummy, Bacteria, Methane, and Other Dangers Within Siberia’s Melting Permafrost), 160807-7.3 (ADDED: 30,000 Year Old Giant Virus 'Comes Back to Life', Climate Threat: Thawing Tundra Releases Infected Corpses) -7.4+↓. ¶ I’ve noted that much of BioTrumpism anti-climate is the three monkeys [Cartoon]. Would it not be more appropriate if they were holding their nose, eyes shut, (or with blinders), wearing earphones attached to some unreliable news source [Meme], and mouth wide open. What Is an “Altie”.

            -3.2. Why Honeybees Are the Wrong Problem to Solve. The issue of the Pollinator Pathway is way bigger than honeybees and their current colony collapse disorder troubles. Honeybees are actually part of a much bigger problem which is nothing less than how to design the planet in a human dominated age. The basic idea is to connect landscapes that have been broken up by human development. The goal is to allow pollinators to move as they need to, in order to do their good work. ¶ When people hear "pollinator" they assume the project is about honeybees. But honeybees aren't the ones with the problem or to save them, they're part of the problem. The Pollinator Pathway is to bring about a shift in environmental imagination, we aren't thinking big enough for the world we live in. It's about thinking less like conservationists, and a lot more like designers. Moving away from ideas of restoration and conservation, and moving toward the idea that we are active participants in the design of the planet. Everything living designs the environment. A beaver organizes not just the shape but also the behavior of the pond it inhabits. The design of other species holds together the physical shape and behavior of the world, we are beneficiaries of this design. ¶ This is about connecting landscapes, and what that really means is plants. Plants create the basic fabric of ecosystems that define different kinds of landscapes. Pollinators are just the sex life of plants. We may think of honeybees as nature's pollinator extraordinaire but they are, in fact, anything but natural. Honeybees were part of a massive transformation of landscape now called the Columbian Exchange. From the 15th to 18th centuries, Europeans relocated animal and plant (invasive) species around the world via trade and travel at an unprecedented rate in Earth's history. Honeybees were purposeful imports from Europe. Then they escaped and went feral into the landscape (they were called the white man's fly by Native Americans). After a while people just thought of them as natural. ¶ These days, almost all honeybees are working for Big Agriculture. Trucked in boxes with road trip "pollen patty" food, they make their way across the country, stopping in different states as the agricultural season progresses. Modern honeybees are part a wave of purposeful design, a global scaling up of agriculture. We designed a system that required an outside pollinator in order to produce food, because, by design, these landscapes have no biodiversity. Pollination services are a new industry that was born from the choices we were making about our land use. Sprawling farms are economic landscapes, pared down to a handful of components that now make up our industrial food supply: seed, soil, water, fertilizer, pesticide, time — and now pollination services. People began fretting for the honeybees after colony collapse disorder hit the news, but honeybees are actually bit pollination players in most natural landscapes got lost. She says the bulk of pollination in the natural world is really being carried off by other kinds of bees as well as bats, butterflies, moths, flies, midges and more. These are the pollinators to build pathways for, because they're ones that represent thriving and diverse ecosystems. While huge monoculture industrial farms may provide much of our food right now, their species "simplicity" is exactly their vulnerability (as the CCD illustrates). Thriving, diverse ecosystems are exactly what we need to "design" into a future that includes a thriving biosphere with a big honking project of civilization in it. Bergmann's Pollinator Pathway is the ultimate "think globally act locally" kind of project. A specific city might think about how to create specific corridors that allow natural pollinators to move through its domains and connect outer, fragmented "natural" landscapes, but hiding within the project is a much deeper vision of how to understand the human future in the Anthropocene. The distinctions between natural and human landscapes will have to be redefined as our activity touches every aspect of the planet's operation. It is in this way that we must come to understand how to make choices — how to design our interactions with the rest of the world to ensure that everyone and everything thrives. 1, 3.1↑. An Ohio City is Turning an Unused Highway Into a Pop Up Forest. Earning a Living in a Changing Climate: The Plant Perspective. The Early Birds Might Be Crowding out the Bees. As humans expand, nesting space contracts, and competition heats up.

↕4. Is Zika Dangerous for Kids. Probably Depends on the Age. Zika may have fallen from headlines — especially with everything going on in politics these days. But the threat remains. And recommendations for pregnant woman haven't changed: Pregnant women — and those trying to get pregnant — should not travel to places where Zika is circulating. But what about babies, or kids. Is it safe to travel with them. We don't have tons of data on that particular question. 170611-4 -4.1↓. Chemicals Used to Combat Zika, Agricultural Pests Impact Motor Skills in Infants. This would echo eco activists narratives about what causes Zika and avoiding mosquito control. Is Zika Still a Problem in Florida and the Caribbean. Jamaica: Chik V Still Affecting Citizens Three Years Later. Three years after the island wide outbreak of the chikungunya virus (chik-V), a number of persons are still experiencing debilitating effects. Zika Threat Retreats, but Localities Still Look for New Ways to Fight Mosquito Borne Diseases, Miami Wasted Thousands on Untested Pesticide That Didn't Kill Zika Mosquitos. And the new wave of Zika begins, Six Pregnant Women Test Positive for Zika in Harris County this Year.

            -4.1. The Injustices of Zika. Outbreaks of communicable diseases in the developing world are bad enough from a health perspective. But they also have serious implications for social justice, because they exacerbate longstanding human rights crises, including by undermining already weak public services provision and deepening existing inequalities. 2.1↑.

-5. ∩ Social Capital and Cognitive Decline in the Aftermath of a Natural Disaster: A Natural Experiment from the 2011 Great East Japan Earthquake and Tsunami. No previous studies have examined that social capital mitigates impacts of natural disaster experiences on cognitive function. We aimed to examine prospectively whether social capital mitigates the adverse effects of natural disaster on cognitive decline. Improved informal socialising and social participation reduces the risk of cognitive decline due to housing damage in the aftermath of natural disasters. Interventions to promote civic participation should be tried to promote cognitive resilience of older survivors. Starting Over. Many Katrina victims left New Orleans for good. What can we learn from them. The implication is that though poverty and low level of education are associated with exacerbating a disaster, the actual problem is the resilience of a community to weather a disaster and recover. Ignorance and poverty weaken resilience, along with limiting access to health care and damaging the environment. 170604-4.2A*↓.

            -6.1. ∩ Emphasizing Individual Solutions to Big Issues Can Reduce Support for Government Efforts. Making individuals aware of how they can help solve large scale problems makes them less likely to support government based solutions. Following the shutdown of the Fukushima power plant, which endured one of the worst nuclear accidents in history in 2011 due to a 9.0 magnitude earthquake and resulting tsunami, Japan began a national initiative that encouraged saving electricity. This created an opportunity for Seth Werfel, a graduate student in political science at Stanford University, to investigate how recognition of individual efforts to improve energy usage might affect support for government based solutions. 3↑. Household Behaviour Crowds out Support for Climate Change Policy When Sufficient Progress Is Perceived. The Supplementary Information is a listing of related behaviors. In parademic this is usually put in terms of emergent_(Search) behavior, usually disliked by government because it indicates that the plans and actions of government are not satisfying needs, and is disruptive to government objectives or rules, even when there is evidence these are causing harm. Emergent Phenomena and the Sociology of Disaster: Lessons, Trends and Opportunities from the Research Literature. Emergent Behavior at the Emergency Time Periods of Disasters (1983), 1995 Version. Fukushima Accident.

-7. Could Drones Help Save People In Cardiac Arrest, Ambulances Are So 2016. After a Cardiac Arrest, the Fastest Way to Send Help Is on a Flying Drone. However other uses could hinder humanitarian uses of on drones, DoD Seeks New Authority for Drone Countermeasures, ISIS Drones Are Attacking U.S. Troops and Disrupting Airstrikes in Raqqa, Adding a Bomb Bay to a Quadcopter, DIY Bomb Drop from RC Aircraft. With social phenomena in 2.1↑, 170611-2.4 et al, 170604-5.2 et al↓, lUnder Trump, US Militias Not Ready to Lay down Arms, and vain hopes, Please, Don't Politicize the Awful Congressional Shooting [Cartoon] ‡1. There could be increase security and bunker mentality ‡2 of government officials and other restrictions Reaction to Congressional Shooting Reveals a Simmering Nation. Collectively, besides giving justification for starting (more) armed conflicts, stances on environmental and health issues can harden and polarize further, along with supporting conspiracy theories. This shooting incident would have had a very different face if the shooter was someone who was dying, or knows someone who died, due to uncertainty about health insurance. Current trends indicate* eventual acceleration with economic being the first symptom, then less access to information and resources, open armed conflict, famine and finally uncontrolled accelerated disease outbreaks and environmental degradation. Outbreak Response & the Leadership Needed to Manage It. 170611-2.3 ADDED↓.

            -‡1. What We Know about the Suspect in GOP Baseball Practice Shooting [Tweet, Photo]. Capitol Hill Shaken by Baseball Shooting, GOP Rep. Received Threatening Email with Subject Line 'One Down, 216 to Go...' after Lawmaker Shooting, Before and after Shooting, Congress Faces Violent Threats. Is Trump Making America Mentally Ill. Trump Jr. Links Lawmaker Shooting to Controversial 'Julius Caesar' Production – I would have chosen Nero or \fs24softlineCaligula [Meme, Cartoon, Meme] but Lear and Hopkins are also popular; Kellyanne Conway Is Pointing a Finger at the Media after Shooting, Pro Trump protesters disrupt NYC's Julius Caesar, 1 arrested. Increasing Security for Members of Congress a Hot Topic after Baseball Practice Shooting. Pizzagate: from Rumor, to Hashtag, to Gunfire in D.C. “The Blood Is on Their Hands”: How the Right Wing Media Blamed Democrats for the Scalise Shooting, Fact Check: Is Left Wing Violence Rising. No Hint of New Gun Control Push in U.S. Congress after Shootings, Another Shooting, and Once More Democrats Call for Gun Control, While Republicans Defend Gun Rights. [Cartoon, Cartoon, Cartoon]. ¶ Why I Don't Trust Government Backed 'Gun Violence' Research, Gun Violence Should Be Treated as a Public Health Crisis, Gun Policy Is Pointless Without Funding for Public Health Research, Trump’s Victory Has Fearful Minorities Buying Up Guns. This Is the Best Indicator Yet That Analysts Were Wrong About the Gun Industry. [Cartoon, Meme, Cartoon].

            -‡2. Bunker or siege mentality can become an intractable position when one is pursuing unpopular goals, Why the GOP Is So Hell Bent on Passing an Unpopular Health Care Bill 170528-1.3‡↓. Bunker mentality is a non biodisater parademic of self isolation, one that can lead to or exacerbate an actual biodisaster. Perspectives: The GOP's Health Plan Steeped in 'Secrecy' and 'Sabotage': Could Exchange Meltdown Trigger Medicaid Extension, The Senate’s Three Tools on Health Care: Sabotage, Speed and Secrecy, The Senate’s Secret Health Care Talks Are the Latest Slide Away from Transparency. I’m a Witness, Senators From Both Parties Criticize Secrecy on Health Bill, Descent into Secrecy: Senate Health Talks Speak to Steady Retreat from Transparency. Why Mitch McConnell’s Secrecy Gambit on His Health Care Bill Could Backfire, I’ve Covered Obamacare since Day One. I’ve Never Seen Lying and Obstruction like This, GOP Secrecy Breeding Frustration, Criticism: ‘If They Liked the Bill, They’d Have Brass Bands’ Celebrating It, [Cartoon]. ¶ Survey of the Folklore of Humor and its Social Functions in Pandemic and Infections Diseases (PID) 140930 Version, -12.7 -12.7* which despite the tile these stubs are on bunker mentality.

            -*. OPSEC Indicators. The curator of Parademic uses a modification of these as a tool to help spot trends concerning biodisaster, in this case civil armed conflict. 1) Signature is the characteristic of an indicator that makes it identifiable or causes it to stand out. 2) Association is the relationship of an indicator to other information or activities. 3) Profiles are that functional (behavioral) activity generates its own set (assemblage) of unique signatures and associations [Quote]. 3) Contrasts are any differences that are observed between an activity's standard profile and its most recent or current actions. There is also compare when similar circumstances culminated in the same or difference results, or when there is the same result but from different causes. Famine can be caused by armed conflict (parademic) or biodisaster that becomes a parademic. 5) Exposure refers to when (where) and for how long an indicator is observed. The duration, repetition, (location) and timing of an indicator's exposure can affect its relative importance and meaning. 9↓.

-8. #Document. Pandemic Influenza Plan – 2017. The last Pandemic Influenza Plan for the Department of Health and Human Services Update was issued in 2009. Since that time, our nation has experienced, and learned from, the 2009 Influenza A(H1N1) pandemic and the emergence of other influenza viruses of concern, such as H7N9 that emerged in 2013 in China and continues to cause periodic outbreaks. We have also responded to other serious disease outbreaks, including Ebola and Zika virus. Each instance has highlighted the need to be as prepared as we can be – because a fast, effective public health response demands it, 170430-11↓. San Juan Basin Public Health Conducts Exercise to Distribute Medicine, HHS Unveils Updated Pandemic Flu Plan, 170507-6, 170423-3, 170305-7, 161016-10.1*↓. Five Ways Big Data is Transforming Epidemics. China Reports More High Path H7N9 Outbreaks in Poultry, A Few Genetic Tweaks to Chinese Bird Flu Virus Could Fuel a Human Pandemic.

-9. More Pregnant Women Getting Whooping Cough Vaccine . However contrast this to Vaccine Confidence Project’s (VCP) Whooping Cough Outbreak Expands Across Southern Alberta as Cases Rise Province Wide. The previous outbreak mentioned in the article is noted in 160515-1.1↓ in relation to a religious community. This is the intent of the context, relation to other data and database approach used in Parademic Weekly notes. Overtime one can see a pattern of where to expect another vaccine preventable disease outbreak (a biodisaster and parademic), who the opinion leaders are that lead a community to be anti-vax, what are the associated behaviors and narratives 7*↑, and just possibly how to nurture more prosocial behavior C.2‡↓. 160918-1.1↓ is where Why These 2 Small Towns in Southern Alberta Have Vastly Different Vaccination Rates was ADDED that I found from VCP*. VCP archives articles related to their topical area, but unfortunately does not tag information in possible clusters of related information, or has a search function. Their main focus is, as their title suggests, to provide a deep dive to determine the state of vaccine confidence VCP Mission 170115-7.1↓. This is a useful website in its own right if one is performing a biodisaster operation or research in an area one can have an initial idea of one of the important indicators of the parademic attitudes of the area that could facilitate or hinder the assistance mission. However, I would use several indicators to get an idea of the operational area’s attitude related to biodisaster: Voting on biopolitical issues, economic reliance on an anthropogenic activity, beliefs about disposition of the dead, recency of direct biodisaster experience, formal and informal leadership, access to health care, science literacy, nature of and if there is preparation for biodisaster, demographics, competing medical narratives, etc.

-*. #Disclosure. I don’t work for VCP but I do send them pertinent material for their topic from the Weekly Parademic Notes. For example in the Parademic Notes Week Ending 170226 to VCP – correspondence is not included in Parademic Notes, with possibly the exception of 170220-9.5↓ when it is updated – I noted that I had more material on the Fraser Valley Measles Outbreak (160501-4.2, 150712-19↓+ available in an off line database), and that I did not post 2 Small Towns in that week’s notes.

↕C. Crisis and Emergency Risk Communication (CERC) Corner [Logo]. Newsletter Archive. One could project many different interpretations on this being the final Special Zika Newsletter, June 13, 2017. Zika may no longer be a threat, there is insufficient materials to have a separate newsletter, funding restrictions, or the HHS wants to downplay the threat. Could be a bit embarrassing if there is a large surge of Zika cases after say heavy summer storms in the gulf and east coast states 3.1↑. Obviously the water vapor comes from the gulf, but the jet stream that pulls it up originates from the super heated air from India, that reaches the Pacific, stalling a high pressure hot area over the Southwest, but with the seeming paradox of  It’s June. California Is Still Covered in Snow.

            -C.1. The Dangers of Hidden Jargon in Communicating Science. One of the challenges that can arise in communicating science and other forms of scholarship to non experts is the jargon involved. How many people can confidently explain the meaning of broadband asymmetric acoustic transmission, mural lymphatic endothelial cells, or graded incoherence. Jargon is not the problem. Jargon can be used as a barrier by the user to silence the possibility of communication, but jargon also increases the chances the someone will understand they do not understand the concepts being communicated, as opposed to thinking they understand because the terminology sounds familiar. 170604-C.2↓.

            -Quote: Communication does not take place because you tell someone something. It takes place when you observe them and their ability to follow you. – Alan Alda, If I Understood You, Would I Have this Look on My Face Chapter 2, Page 17, 170604-Quote↓.

            -C.2. Facts Alone Won't Convince People to Vaccinate Their Kids there have been several articles since 1998 after Wakefield’s fraudulent study, that have made the same observation ‡, that makes this one different enough to be worth posting is its use of FRED to provide a graphic. When making the case for mandatory vaccination, simply presenting people with the facts may not convince them and could even backfire. People tend to dig in deeper when presented with information that contradicts their worldview. To reverse people’s beliefs, it’s more helpful to provide an explanatory model. C.3↓.

            -‡. Impact of Anti-Vaccine Movements on Pertussis Control: the Untold Story (1998), Health Risk Communication in the Anthrax Vaccine Immunization Program: Lessons for the Future (2001), Rotavirus Vaccine and the News Media, 1987-2001, Smallpox Vaccination: Some Risk Communication Linchpins (2002), [Cartoon, Meme]. 9↑. Why You Can Never Argue with Conspiracy Theorists (Video). Catch Whooping Cough and Get £3,500.

            -C.3. OpenWHO is WHO’s new interactive, web based, knowledge transfer platform offering online courses to improve the response to health emergencies. OpenWHO enables the Organization and its key partners to transfer life saving knowledge to large numbers of frontline responders, for example WHO Details Saudi MERS Clusters as Outbreak Grows, and includes communications. ¶ H5N1 Comment. Thoughts on Saudi Arabian Health Communication*, [Chart], King Saud Medical City Denies the Spread of MERS. 170611-3.3↓. Unfortunately publically pointing out errors (shaming) to a culture that is high context, big on privacy and honor, with religious beliefs that seeking medical help is denying the will of God, and has a several century contentious relationship with the West, is probably as useful as confronting Anti-Vax with facts. You may be right, but shut of communications and make it difficult for those trying to contain and control MERS to convince authorities to do what is needed, C.2↑. How To Battle Trolling Ad Hominem Attacks Online (Video).

            -*. I posted a comment on this H5N1 article. Because it was a criticism I asked the curator if I could have his permission to post before doing so. His response was “I have no problem with criticism of my views, especially when it’s informed. By all means post it in comments”. This is the professional and courteous discourse about ideas and disagreements that one so rarely sees regarding the topics associated with parademic.

ADDED:

• 170611-1: A ‘Suitable Soil’: Plague’s Urban Breeding Grounds at the Dawn of the Third Pandemic. 15 Historic Diseases That Competed with Bubonic Plague.
• 170611-2.3: WHO Confirms Congo Polio Outbreaks in New Eradication Setback. WHO Director General Elect Welcomes New Funding for Polio Eradication. No Food, No Money: Conflict and Chaos as South Sudan Grapples with Famine. Global Spread of Cholera amid Famine Are Symptoms of Political Collapse. Somalia's Land Is Dying. The People Will Be Next.
• 170611-3‡: Utah Health Officials Dispel (Social Media) Rumors, Say No Evidence for Meningitis Risk at Stansbury Lake. Four meningitis cases within a month tends to be on the high side, but it has been statewide that there has been an increase in meningitis cases recently. Watch item for if there will be an increase of public demand for water testing and meningitis vaccine. 10 Photos from the 2017 American Diabetes Association Conference They Don’t Want You to See. The ADA was mocked on Twitter over the weekend for asking conference attendees to remove any tweets that contain photography of the conference. This was viewed as a threat to open sharing of important and cutting edge medical knowledge that has become standard at most conferences. How to Assess Internet Cures Without Falling for Dangerous Pseudoscience. Social Media Is as Harmful as Alcohol and Drugs for Millennials.
• 170611-3.1: Health Effects of Dramatic Societal Events — Ramifications of the Recent Presidential Election.
• 170611-3.2: Wannacry Gives HHS’ Cyber Threat Center a Real World Test.
• 170611-4.1A: [Cartoon].
• 170611-5: What Happens to Fiction When Our Worst Climate Nightmares Start Coming True.
• 170611-7: Congress Questions Global Health Impact of Proposed Budget Cuts, Democrats Urge Against Cuts to Biological Threat Preparedness Programs|.
• 170611-7.1: In Parts of Africa, People with Albinism Are Hunted for Their Body Parts. The Latest Victim: A 9 Year Old Boy. Much of this is for magical medicines, same as with poaching. Same magical thinking as associated with alternative medicine. [Tweet, Tweet]. Hunted and Hated, People with Albinism Speak out — and Sing out.
• 170604-C.2: #Book. Houston, We Have a Narrative. Why science needs story. When a Prototype Isn’t Enough, Use Theatrical Tricks to Sell Your Idea.
• 170528-1.2: Does Society Try to Shame and Shun Vaccine Refusers and the Vaccine Averse. This is the same article (How Stigmatized Are Undervaccinated Children and Their Parents) by the same author but on a different site.
• 170423-2.2: I Talked to Alex Jones Fans about Climate Change and Vaccines. Their Views May Surprise You. This article has a June 16 update. It is not uncommon for a headline to be changed from when I post in in Parademic Notes, but there are also updates where what I posted may have changed from what I read.
• 170409-4.1: Study Finds Lack of Turkey Sandwiches Correlates with Rise of Death in the ER. Stub on false correlations.
• 170220-7.2-P: Christie Sworn in as Doctor.|
• 170205-5.1: Thousands of Flint Residents Could Lose Homes Because of Unpaid Water Bills. Michigan Health Chief Charged in Flint Water Probe. Five People Are Facing Manslaughter Charges Because of Flint’s Water Crisis.