Category: Medical News

Prince Mario-Max Schaumburg-Lippe: How Dr. Cameron Kaiser The Riverside County Health Officer Department of Public Health Protects People Effectively Plus Tests For Everyone

The renown and respected M.D. Cameron Kaiser has banned all gatherings and ordered residents to wear face coverings outside of their homes in Riverside County. Violations of the order are punishable by imprisonment or a fine of up to $1,000 per violation per day.

Teaming up with Sheriff Chad Bianco who urged county residents to stay in their own communities with their families made the efforts of the counties leaders clear: Stop the spread of Corona Virus and keep people safe at their homes.

Residents are also protected from landlords who start to gauge on included utilities that change when people are at home and arrangements of property managers trying sneaky evictions are banned by additional state and county orders in place that can result in criminal charges and severe civil fines.

Riverside County Supervisor Chuck Washington, Dr. Cameron Kaiser and Sheriff Chad Bianco deserve a grand salute for the fabulous work handling the crisis ! Even testing for coronavirus expanded to residents without symptoms is offered now.

Riverside County residents who do not have symptoms but want to be tested for coronavirus will now be able to after health officials modified the guidelines for testing. Meanwhile, a fifth Riverside County community testing site has been established in Blythe for residents who want to be tested for coronavirus (COVID-19). The site, located at the Blythe Fairgrounds (591 N. Olive Lake Blvd.), will open on Wednesday (April 22) and operate for four days. Those who want to be tested must call 800-945-6171 for an appointment. Drive-ups without appointments cannot be accommodated. Dr. Cameron Kaiser, Riverside County public health officer, said the modification of the testing criteria will allow anyone who wants to be tested the opportunity to see whether they have the illness. Officials have said expanded testing – for those with and without symptoms — will give health experts a better idea of the extent of the illness in Riverside County. About 30,000 tests have been administered so far at the county’s four community test sites, clinics, hospitals and other locations.

“We’re testing people already when they’re sick, but we need to understand how COVID-19 is affecting people who may generally feel well, including kids,” said Dr. Cameron Kaiser, public health officer for the County of Riverside.

“That’s going to be a key indicator for understanding how it spreads and knowing where our areas of concern are when we think about if and how much to open things again.” The Blythe site is the fifth location for testing in Riverside County. Testing sites are also located at the Riverside County Fairgrounds in Indio (Tuesdays through Saturdays), at The Diamond Stadium in Lake Elsinore (Sundays through Thursdays), the parking lot at Harvest Christian Fellowship Church in Riverside (Tuesdays through Saturdays) and the Perris Fairgrounds (Tuesdays through Saturdays). “This is great news that we will have a community testing site in Blythe. I want to thank Riverside County Public Health for bringing this much-needed resource to the Blythe area, and also thank Palo Verde Hospital which has been providing testing,” said Board Chair V. Manuel Perez, Fourth District Supervisor.

“Testing, especially with the expanded criteria, will give us a better picture of the situation.”

The Indio, Lake Elsinore and Riverside locations have been in operation for weeks and the Perris location opened on Tuesday (April 14), resulting in thousands of residents receiving help. As of April 16, Riverside County health officials confirmed 2,105 cases of COVID-19 and 54 residents died from the virus. More than 400 county residents have recovered from COVID-19 and more than 29,000 residents have been tested. Those who want to be tested must call 800-945-6171 and specify which location is preferable. Appointments for the Lake Elsinore site can also be made online by going to http://www.projectbaseline.com/study/covid-19.

 

Prince Mario-Max Schaumburg-Lippe: New Guidelines Of Opening Up America Again And The International Plans

Proposed State or Regional Gating Criteria (Satisfy Before Proceeding to Phased Opening)

SYMPTOMS

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period Downward trajectory of covid-like syndromic cases reported within a 14-day period.

CASES

Downward trajectory of documented cases within a 14-day period Downward trajectory of positive tests as a percent of total tests within a 14-day period (flat or increasing volume of tests).

HOSPITALS

Treat all patients without crisis care Robust testing program in place for at-risk healthcare workers, including emerging antibody testing.

*State and local officials may need to tailor the application of these criteria to local circumstances (e.g., metropolitan areas that have suffered severe COVID outbreaks, rural and suburban areas where outbreaks have not occurred or have been mild). Additionally, where appropriate, Governors should work on a regional basis to satisfy these criteria and to progress through the phases outlined below.

Core State Preparedness Responsibilities

TESTING & CONTACT TRACING

 Ability to quickly set up safe and efficient screening and testing sites for symptomatic individuals and trace contacts of COVID+ results

 Ability to test Syndromic/ILI-indicated persons for COVID and trace contacts of COVID+ results

 Ensure sentinel surveillance sites are screening for asymptomatic cases and contacts for COVID+ results are traced (sites operate at locations that serve older individuals, lower-income Americans, racial minorities, and Native Americans)

HEALTHCARE SYSTEM CAPACITY

 Ability to quickly and independently supply sufficient Personal Protective Equipment and critical medical equipment to handle dramatic surge in need

 Ability to surge ICU capacity

PLANS

 Protect the health and safety of workers in critical industries

 Protect the health and safety of those living and working in high-risk facilities (e.g., senior care facilities)

 Protect employees and users of mass transit

 Advise citizens regarding protocols for social distancing and face coverings

 Monitor conditions and immediately take steps to limit and mitigate any rebounds or outbreaks by restarting a phase or returning to an earlier phase, depending on severity.

Proposed Phased Approach

BASED ON UP-TO-DATE DATA AND READINESS

MITIGATES RISK OF RESURGENCE

PROTECTS THE MOST VULNERABLE

IMPLEMENTABLE ON STATEWIDE OR COUNTYBY-COUNTY BASIS AT GOVERNORS’ DISCRETION

Guidelines for All Phases: Individuals

CONTINUE TO PRACTICE GOOD HYGIENE

 Wash your hands with soap and water or use hand sanitizer, especially after touching frequently used items or surfaces.

 Avoid touching your face.

 Sneeze or cough into a tissue, or the inside of your elbow.

 Disinfect frequently used items and surfaces as much as possible.

 Strongly consider using face coverings while in public, and particularly when using mass transit.

PEOPLE WHO FEEL SICK SHOULD STAY HOME

 Do not go to work or school.

 Contact and follow the advice of your medical provider.

Guidelines for All Phases: Employers

Develop and implement appropriate policies, in accordance with Federal, State, and local regulations and guidance, and informed by industry best practices, regarding:

 Social distancing and protective equipment

 Temperature checks

 Testing, isolating, and contact tracing

 Sanitation

 Use and disinfection of common and high-traffic areas

 Business travel

Monitor workforce for indicative symptoms. Do not allow symptomatic people to physically return to work until cleared by a medical provider. Develop and implement policies and procedures for workforce contact tracing following employee COVID+ test.

Phase One FOR STATES AND REGIONS THAT SATISFY THE GATING CRITERIA

ALL VULNERABLE INDIVIDUALS* should continue to shelter in place. Members of households with vulnerable residents should be aware that by returning to work or other environments where distancing is not practical, they could carry the virus back home. Precautions should be taken to isolate from vulnerable residents. All individuals, WHEN IN PUBLIC (e.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. Social settings of more than 10 people, where appropriate distancing may not be practical, should be avoided unless precautionary measures are observed. Avoid SOCIALIZING in groups of more than 10 people in circumstances that do not readily allow for appropriate physical distancing (e.g., receptions, trade shows) MINIMIZE NON-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation following travel.

Continue to ENCOURAGE TELEWORK, whenever possible and feasible with business operations. If possible, RETURN TO WORK IN PHASES. Close COMMON AREAS where personnel are likely to congregate and interact, or enforce strict social distancing protocols. Minimize NON-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation following travel. Strongly consider SPECIAL ACCOMMODATIONS for personnel who are members of a VULNERABLE POPULATION.

SCHOOLS AND ORGANIZED YOUTH ACTIVITIES (e.g., daycare, camp) that are currently closed should remain closed. VISITS TO SENIOR LIVING FACILITIES AND HOSPITALS should be prohibited. Those who do interact with residents and patients must adhere to strict protocols regarding hygiene. LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under strict physical distancing protocols. ELECTIVE SURGERIES can resume, as clinically appropriate, on an outpatient basis at facilities that adhere to CMS guidelines. GYMS can open if they adhere to strict physical distancing and sanitation protocols. BARS should remain closed.

Phase Two FOR STATES AND REGIONS WITH NO EVIDENCE OF A REBOUND AND THAT SATISFY THE GATING CRITERIA A SECOND TIME.

ALL VULNERABLE INDIVIDUALS should continue to shelter in place. Members of households with vulnerable residents should be aware that by returning to work or other environments where distancing is not practical, they could carry the virus back home. Precautions should be taken to isolate from vulnerable residents. All individuals, WHEN IN PUBLIC (e.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. Social settings of more than 50 people, where appropriate distancing may not be practical, should be avoided unless precautionary measures are observed. NON-ESSENTIAL TRAVEL can resume.

Continue to ENCOURAGE TELEWORK, whenever possible and feasible with business operations. Close COMMON AREAS where personnel are likely to congregate and interact, or enforce moderate social distancing protocols. NON-ESSENTIAL TRAVEL can resume. Strongly consider SPECIAL ACCOMMODATIONS for personnel who are members of a VULNERABLE POPULATION.

SCHOOLS AND ORGANIZED YOUTH ACTIVITIES (e.g., daycare, camp) can reopen. VISITS TO SENIOR CARE FACILITIES AND HOSPITALS should be prohibited. Those who do interact with residents and patients must adhere to strict protocols regarding hygiene. LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under moderate physical distancing protocols. ELECTIVE SURGERIES can resume, as clinically appropriate, on an outpatient and in-patient basis at facilities that adhere to CMS guidelines. GYMS can remain open if they adhere to strict physical distancing and sanitation protocols. BARS may operate with diminished standing-room occupancy, where applicable and appropriate.

Phase Three FOR STATES AND REGIONS WITH NO EVIDENCE OF A REBOUND AND THAT SATISFY THE GATING CRITERIA A THIRD TIME

VULNERABLE INDIVIDUALS can resume public interactions, but should practice physical distancing, minimizing exposure to social settings where distancing may not be practical, unless precautionary measures are observed. LOW-RISK POPULATIONS should consider minimizing time spent in crowded environments.

Resume UNRESTRICTED STAFFING of worksites.

VISITS TO SENIOR CARE FACILITIES AND HOSPITALS can resume. Those who interact with residents and patients must be diligent regarding hygiene. LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under limited physical distancing protocols. GYMS can remain open if they adhere to standard sanitation protocols. BARS may operate with increased standing room occupancy, where applicable.

Appendix 1. Elderly individuals. 2. Individuals with serious underlying health conditions, including high blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune system is compromised such as by chemotherapy for cancer and other conditions requiring such therapy.

International Agenda

  • Germany is easing restrictions, shops may open as early as next week
  • Austria has reopened thousands of shops
  • France has extended its lockdown to 11 May
  • Italy is allowing limited number of shops to reopen in less-affected regions
  • India has extended its lockdown until 3 May
  • The UK has extended lockdown for at least three more weeks
  • Denmark has said it intends to ease its lockdown faster than originally planned
  • Spain has allowed some businesses to return to work
  • Poland will begin lifting restrictions this weekend

 

Prince Mario-Max Schaumburg-Lippe: Los Angeles Zoo Goes Online – Bringing The Zoo To You.

During our closure, we’ll continue to share cool views of the Zoo, our animal residents, and our dedicated keepers to keep you informed, engaged, and connected while social distancing.

The Los Angeles Zoo – closed until May 14th so far – became aware today that a tiger at the Bronx Zoo tested positive for COVID-19. Samples from this tiger were taken and tested after several lions and tigers at the zoo showed symptoms of respiratory illness. As a fellow member of the Association of Zoos and Aquariums (AZA), our thoughts are with the Bronx Zoo as they care for their felines that have been impacted and bring them to a full recovery.

Upon hearing this news, the L.A. Zoo immediately set protocols in place for every cat species in our care, initiating the use of personal protective equipment such as masks and gloves and social distancing with these animals. The L.A. Zoo already practices these safety measures with our primate, binturong, and mustelid species. The L.A. Zoo will not be testing any of our felid, primate, binturong, or mustelid species at this time because none of them are showing any COVID-19 related symptoms. In addition, the USDA is not recommending routine testing of animals for this virus. Because the situation is ever-evolving, public and animal health officials may decide to test certain animals out of an abundance of caution. The decision to test any of our animals will be made collaboratively between local, state, or federal public and animal health officials and the Zoo’s animal health experts.

The health and safety of the Zoo’s animals is our top priority. Our animal health experts on staff are in communication with public health officials, along with local, national, and international veterinary networks, to stay up-to-date on animals in human care and any potential risks.

Prince Mario-Max Schaumburg-Lippe: The Full Safer At Home Order From Los Angeles – What You Can Do? What May Not Do!

The novel coronavirus pandemic is a global emergency that is unprecedented in modern history. Profoundly impacting our daily lives, it has inspired Angelenos to respond with courage, compassion, wisdom and resolve to overcome this crisis and help each other. In a short period of time and at an unprecedented scale, residents in every community have embraced urgent social distancing best practices and aggressive hygienic precaution, not just to protect themselves, but to protect others. Angelenos understand with exceptional clarity that there is only one way to get through this difficult moment: together. The City’s recent emergency orders — curtailing large public gatherings; temporarily closing many government facilities; closing theaters, bars and entertainment venues; prohibiting restaurants from serving to dine-in customers while permitting take-out, delivery and drive-thru; and a ban on evictions of residential and commercial tenants who cannot pay rent due to financial impacts caused by COVID-19 — have been followed with a willing and generous spirit.

While we have previously taken strong action, now the City must adopt additional emergency measures to further limit the spread of COVID-19. With this virus, we are safer at home. Wherever feasible, City residents must isolate themselves in their residences, subject to certain exceptions provided below. This Order is given because, among other reasons, the COVID-19 virus can spread easily from person to person and it is physically causing property loss or damage due to its tendency to attach to surfaces for prolonged periods of time Under the provisions of Section 231(i) of the Los Angeles City Charter and Chapter 3, Section 8.27 of the Los Angeles Administrative Code, I hereby declare the following orders to be necessary for the protection of life and property in the City of Los Angeles, effective on Friday, April, 10, 2020 at 11:59 PM:

1. Subject only to the exceptions outlined in this Paragraph and Paragraph 5 below, all persons living within the City of Los Angeles are hereby ordered to remain in their homes. Residents of the City of Los Angeles who are experiencing homelessness are exempt from this requirement. The City is working, along with partner government agencies and non-governmental organizations, to make more emergency shelters available for the unhoused residents of our City. City of Los Angeles officials and contracted partners responsible for homelessness outreach shall make every reasonable effort to persuade such residents to accept, if offered, temporary housing or shelter, as the Health Officer of the County of Los Angeles recommends that sheltering individuals will assist in reducing the spread of the virus and will protect the individual from potential exposure by allowing the individual access to sanitation tools. People at high risk of severe illness from COVID-19 and people who are sick are urged to stay in their residence to the extent possible except as necessary to seek medical care.

2. Subject only to the exceptions outlined in this Paragraph and Paragraph 5 below, all businesses within the City of Los Angeles are ordered to cease operations that require in-person attendance by workers at a workplace (including, without limitation, indoor malls and indoor shopping centers, including all stores except for those stores considered essential activities or infrastructure under this Order which are directly accessible to the public from the exterior of the mall or shopping center – the interior of the indoor mall or indoor shopping center shall remain closed to the public). To the extent that business operations may be maintained by telecommuting or other remote means, while allowing all individuals to maintain shelter in their residences, this Order shall not apply to limit such business activities. A business that fails to cease operation despite not meeting an exception in this Paragraph or Paragraph 5 may be subject to having its water and power services shut off by the Department of Water and Power for not being in compliance with the Order. The Deputy Mayor of Public Safety, or his written designee, may, after engagement with and a written warning issued to a noncompliant business, refer that business in writing to the Department of Water and Power to shut off water and power services pursuant to this order. Upon receiving such a written referral, the Department of Water & Power is authorized to shut off water and power services to the noncompliant business operating in violation of the Order

3. All public and private gatherings of any number of people occurring outside a residence are prohibited, except as to those exempted activities described in this Paragraph and Paragraph 5. This provision does not apply to gatherings within a single household or living unit.

4. All travel, including, without limitation, travel on foot, bicycle, scooter, motorcycle, automobile, or public transit is prohibited, subject to the exceptions in Paragraph 5.

5. Exceptions. People may lawfully leave their residence while this Order is in effect only to engage in the following activities: (i) First 24 hour allowance. This Order shall not apply, for a 24-hour period following the effective date above, to allow employees and business owners to access to their workplaces to gather belongings or address other administrative needs, so long as social distancing requirements are followed. Such workplaces shall remain closed to the public in accordance with this Order. (ii) Essential Activities. To engage in certain essential activities, including, without limitation, visiting a health or veterinary care professional, obtaining medical supplies or medication, obtaining grocery items (including, without limitation, canned food, dry goods, fresh fruits and vegetables, pet supplies, fresh or frozen meats, fish, and poultry, any other household consumer products and products necessary to maintain the safety and sanitation of residences and other buildings) for their household or to deliver to others, or for legally mandated government purposes.

In addition, any travel related to (a) providing care for minors, the elderly, dependents, persons with disabilities, or other vulnerable persons; (b) returning to one’s place of residence from outside the City; (c) travelling to one’s place of residence located outside the City; (d) compliance with an order of law enforcement or court shall be exempt from this Order; or (e) legally mandated government purposes.

Persons engaging in these essential activities are required to maintain reasonable social distancing practices. This includes maintaining a distance of at least six-feet away from others, frequently washing hands with soap and water for at least twenty seconds or using hand sanitizer, covering coughs or sneezes (into the sleeve or elbow, not hands), regularly cleaning high-touch surfaces, and not shaking hands. (iii) Outdoor Activities. Travel for purposes of or to engage in passive outdoor activity and recreation, provided that the individuals comply with social distancing requirements, including, without limitation, walking, running, cycling; use of scooters, roller skates, skateboards, or other personal mobility devices; or travel in a vehicle with household members to a location where it is possible to walk, run or ride a bike, horseback ride or operate personal mobility devices, while maintaining social distancing practices. Indoor and outdoor playgrounds for children, except those located within childcare centers, shall be closed for all purposes.

The City of Los Angeles, following the recommendations and directives of the County Department of Public Health, shall cancel its recreational and cultural programming and close its beaches, public beach parking lots, beach access points, piers, park trails, trail heads, and park facilities. Parks shall remain open for passive recreational activities while practicing social distancing. “Recreation and cultural programming” refers to recreational and cultural activities, indoor and outdoor sports leagues, aquatics classes, instructional courses, and group sessions on City-owned and operated park land. “Park facilities,” which shall be closed to the public, refers to the City’s Department of Recreation and Parks facilities, including: skate parks, basketball courts, tennis courts, volleyball courts, baseball fields, Venice Boardwalk (except as necessary to travel to an essential business), Griffith Observatory, Travel Town, Griffith Park train rides and pony rides, the Cabrillo Marine Museum, Sherman Oaks Castle, EXPO Center, and aquatics facilities. Census Centers located at Recreation and Parks facilities may remain open, provided strict adherence to social distancing practices. (iv) Work in Support of Essential Activities. To perform work providing essential products and services or to otherwise carry out activities specifically permitted in this Order. (v) To care for or support a friend, family member, or pet in another household. (vi) Emergency Personnel. All first responders, gang and crisis intervention workers, public health workers, emergency management personnel, emergency dispatchers, law enforcement personnel, and related contractors and others working for emergency services providers are categorically exempt from this Order. (vii) Essential Activities Exempt. Certain business operations and activities are exempt from the provisions of this Order, on the grounds that they provide services that are recognized to be critical to the health and well-being of the City.

These include:

(a) All healthcare operations, including hospitals, clinics, dentists, pharmacies, pharmaceutical and biotechnology companies, medical and scientific research, laboratories, healthcare suppliers, home healthcare services providers, veterinary care and pet day care providers (excluding pet grooming and training), mental and behavioral health providers, substance use providers, physical therapists and chiropractors, cannabis dispensaries, or any related and/or ancillary healthcare services, manufacturers and suppliers. Healthcare operations does not include fitness and exercise gyms and similar facilities.

(b) Grocery stores, water retailers, farm and produce stands, supermarkets, convenience stores, warehouse stores, food banks, and other establishments engaged in the retail sale of canned food, dry goods, fresh fruits and vegetables, pet food and medication supply (but not grooming or training), fresh or frozen meats, fish, and poultry, any other household consumer products (such as construction supplies, cleaning and personal care products). This includes stores that sell beer, wine, and liquor, groceries and other non-grocery products, and products necessary to maintaining the safety, sanitation, and essential operation of residences. The portions of wineries, breweries and tap rooms that provide tastings to the public are closed. Certified farmers markets may operate only if they are able to obtain written approval from the Bureau of Street Services (BSS) and only according to the guidelines set forth by BSS.

(c) Food cultivation, including farming, livestock, and fishing.

(d) Organizations and businesses that provide food, shelter, and social services, and other necessities of life for economically disadvantaged or otherwise needy individuals (including gang prevention and intervention, domestic violence, and homeless services agencies).

(e) Newspapers, television news, radio, magazine, podcast and journalism.

(f) Gas service stations, auto part supply, mobile auto repair operations, auto repair shops (including, without limitation, auto repair shops that operate adjacent to or otherwise in connection with an used or retail auto dealership), bicycle repair shops and related facilities. No auto dealership may operate, with the exception of its auto service and part stores. Fully automated or self-service car washes are permitted to operate; car washes that require personnel are not permitted to operate.

(g) Banks, credit unions, financial institutions and insurance companies, and pawn shops.

(h) Hardware and building supply stores, day labor centers, and nurseries.

(i) Plumbers, electricians, custodial/janitorial workers, handyman services, funeral home workers and morticians, moving services, HVAC installers, carpenters, day laborers, landscapers, gardeners, exterminators, property managers and leasing agents, private security personnel and other service providers who provide services to maintain the safety, sanitation, and essential operation to properties and other essential activities discussed in this subsection.

(j) Businesses providing mailing and shipping services, boxes and packaging, and post office boxes.

(k) Educational institutions — including public and private K-12 schools, colleges, and universities — for purposes of facilitating distance learning or performing essential functions provided that social distancing of six-feet per person is maintained.

(l) Laundromats, dry cleaners, and laundry service providers.

(m) Restaurants and retail food facilities that prepare and offer food to customers, but only via delivery service, to be picked up, or drive-thru. For those establishments offering food pick-up options, proprietors are directed to establish social distancing practices for those patrons in the queue for pick-up. This includes maintaining a distance of at least six-feet away from others. Schools and other entities that typically provide free food services to students or members of the public may continue to do so under this Order on the condition that the food is provided to students or members of the public on a pick-up and carry out basis only. Schools and other entities that provide food services under this exemption shall not permit the food to be eaten at the site where it is provided, or any other gathering site. Cafeterias, commissaries, and restaurants located within hospitals, nursing homes, or similar facilities are also exempt from this Order. Social distancing shall be maintained at a distance of at least six-feet away from others

(n) Businesses that supply or provide storage for products needed for people to work from home.

(o) Businesses that supply other essential businesses with the support, services, or supplies necessary to operate, provided that strict social distancing is maintained. This section includes, without limitation, utility companies.

(p) Individuals and businesses that ship, truck, transport, or provide logistical support to deliver groceries, food, goods, or services directly to residences, or businesses engaged in essential activities or essential infrastructure.

(q) Airlines, taxis, ride sharing services, car rental companies, and other private transportation services providing transportation services necessary for essential activities and other purposes expressly authorized in this Order.

(r) Home-based care for disabled persons, seniors, adults, or children.

(s) Residential facilities and shelters for homeless residents, disabled persons, seniors, adults, children and animals.

(t) Professional services, such as legal, leasing and real estate transactions, payroll or accounting services, when necessary to assist in the permitting, inspection, construction, transfer and recording of ownership of housing, and when necessary to achieve compliance with legally mandated activities. Vacant units and real property may be shown, provided that appointments and other residential viewings must occur virtually or, if a virtual viewing is not feasible, by appointment with no more than two visitors at a time residing within the same household or living unit and one individual showing the unit (except that in-person visits are not allowed when the occupant is still residing in the residence);

(u) Childcare facilities providing services that enable employees exempted in this Order to work as permitted.

To the extent possible, childcare facilities must operate under the following mandatory conditions:

(1) Childcare must be carried out in stable groups of 12 or fewer (“stable” means that the same 12 or fewer children are in the same group each day).

(2) Children shall not change from one group to another. (3) If more than one group of children is cared for at one facility, each group shall be in a separate room. Groups shall not mix with each other.

(4) Childcare providers shall remain solely with one group of children. (v) Hotels, motels, shared rental units and similar facilities. (w) Military/Defense Contractors/FFRDC (Federally Funded Research and Development Centers). For purposes of this Order, essential personnel may leave their residence to provide any service or perform any work deemed essential for national security including, without limitation, defense, intelligence, and aerospace development and manufacturing for the Department of Defense, the Intelligence Community, and NASA and other federal government, and or United States Government departments and agencies. Essential personnel include prime, sub-prime, and supplier contractor employees, at both the prime contract level and any supplier level at any tier, working on federal United States Government contracts, such as contracts for national intelligence and national security requirements. (x) Businesses that manufacture or sell personal protective equipment or cloth or fabric face coverings, and businesses that sell materials for purposes of assembling such face coverings, subject to the following conditions: for manufacturers, at least 50% of daily production must consist of personal protective equipment, cloth or fabric face covering or other essential products; for retail businesses, their products may be available to purchasers by delivery or pick-up but may not be open to the public. Nothing in this subsection shall be construed to allow otherwise non-essential businesses to render themselves essential for purposes of this Order by adopting similar sales protocols. (viii) Government Employees. This Order does not apply to employees of government agencies working within the course and scope of their public service employment. Employees of the City of Los Angeles shall follow any current or future directives issued by the Mayor. (ix) Essential Infrastructure. Individuals may leave their residences to provide any services or goods or perform any work necessary to to build, operate, maintain or manufacture essential infrastructure, including without limitation construction of public health operations, commercial, office and institutional buildings, residential buildings and housing; airport operations, food supply, concessions, and construction; port operations and construction; water, sewer, gas, electrical, oil extraction and refining; roads and highways, public transportation and rail; solid waste collection, removal, and recycling; flood control and watershed protection; internet and telecommunications systems (including the provision of essential global, national, and local infrastructure for computing services, business infrastructure, communications, phone retail sales and servicing, and web-based services); and manufacturing and distribution companies deemed essential to the supply chains of the industries referenced in this Paragraph, provided that they carry out those services and that work in compliance with social distancing practices as prescribed by the Centers for Disease Control and Prevention and the Los Angeles County Department of Public Health, to the extent possible. (x) Non-Essential Businesses. Businesses regarded under this Order as “non-essential” may be permitted to conduct minimum basic operations including inventory, security, custodial services, payroll and employee benefits processing, and any reasonable activity designed to maximize the ability for its employees to work remotely from their homes.

6. Public Notice of Social Distancing Protocols. The owner, manager, or operator of any business engaged in Essential Activities or Essential Infrastructure under Paragraph 5, shall prepare and post by no later than 11:59 p.m. on April 15, 2020, a Social Distancing Protocol for each of their facilities within the City of Los Angeles.

The Social Distancing Protocol must be (i) substantially in the form attached to this Order as Appendix A; (ii) posted at or near the entrance to the facility so that it is easily viewable by the public and employees; and (iii) provided to each employee performing work at the facility. All such businesses shall implement the Social Distancing Protocol and provide evidence of its implementation to any authority enforcing this Order upon demand.

The City of Los Angeles has adopted the County of Los Angeles Department of Public Health Social Distancing Protocol, available for download at http://coronavirus.lacity.org/socialdistancingprotocol Social Distancing Protocols must observe the following safety guidelines:

a) limit the number of people who may enter into the facility at any one time to ensure that people in the facility can easily maintain, at all times, a minimum six (6) foot distance from others;

b) designate where lines may form at a facility, marking six (6) foot increments at a minimum, establishing where individuals should stand to maintain adequate social distancing;

c) provide hand sanitizer, soap and water, or effective disinfectant at or near the entrance of the facility and in other appropriate areas for use by the public and employees;

d) post a sign in a conspicuous place at all public entries that instructs members of the public to not enter if they are experiencing symptoms of respiratory illness, including fever or cough, and to maintain social distancing from one another;

e) regularly disinfect high-touch surfaces, including, without limitation all payment portals, pens, and styluses after each use. Businesses engaged in essential activities and essential infrastructure are encouraged to offer touch-less payment mechanisms, if feasible;

f) provide employees and contracted workers whose duties require close contact (within 6 feet for 10 minutes or more) with other employees and/or the public with cloth face coverings;

g) require that members of the public who enter the facility wear a face covering during their time in the facility; and

h) adhere to communicable disease control recommendations provided by the Los Angeles County Department of Public Health, including guidance for cleaning and disinfecting the site. See guidance posted at http://www.publichealth.lacounty.gov/media/Coronavirus/.

7. To the extent that this Order is in conflict with earlier Orders, this Order shall supersede the others.

8. Failure to comply with this Order shall constitute a misdemeanor subject to fines and imprisonment. I hereby urge the Los Angeles Police Department and the City Attorney to vigorously enforce this Order via Sections 8.77 and 8.78 of the Los Angeles Administrative Code.

9. If any subsection, sentence, clause, phrase, or word of this Order or any application of it to any person, structure, or circumstance is held to be invalid or unconstitutional by a decision of a court of competent jurisdiction, then such decision shall not affect the validity of the remaining portions or applications of this Order. This order shall be in place until May 15, 2020, and it may be extended prior to that time. Dated: April 10, 2020 at Los Angeles, California

Prince Mario-Max Schaumburg-Lippe: The 18 Countries Without Corona Covid-19 !

The 18 countries without Covid-19:

Comoros; Kiribati; Lesotho; Marshall Islands; Micronesia; Nauru; North Korea; Palau; Samoa; Sao Tome and Principe; Solomon Islands; South Sudan; Tajikistan; Tonga; Turkmenistan; Tuvalu; Vanuatu, Yemen.

The Kingdom of Tonga, known as ‘The Friendly Islands’, lies in the central south-west Pacific, surrounded (clockwise from the west) by Fiji, Tuvalu and Kiribati.

His Majesty ʻAhoʻeitu Tupou VI (Tongan: ‘Aho’eitu ʻUnuakiʻotonga Tukuʻaho; born 12 July 1959) the King of Tonga is the younger brother and successor of the late King George Tupou V.

His remarkable measure:

Tonga is adamant to keep the virus out of the country, introducing restrictive measures last month, as CoViD-19 spread to neighbouring countries.

The kingdom has closed off its borders to commercial flights, cruise ships and yachts and has extended its lockdown, which started on 29 March to Sunday, 12 April.

A curfew is also in place from 8pm to 6am. People can only leave their homes to buy groceries, go to the hospital, pharmacy, and banks. Essential services are also in operation.

 

Prince Mario-Max Schaumburg-Lippe: Queen Elizabeth II. Of England Corona Full Speech To The United Kingdom Covid 19 Problems

Her Majesty The English Queen Elizabeth II. has addressed the nation in a television address – only the fifth time in her 68-year reign – as she urged the country to stick together during the coronavirus outbreak. The monarch thanked nurses and doctors on the NHS frontline, helping to tackle the coronavirus pandemic. She urged the nation to stick together to spare even more families the grief of losing a loved one to the virus Covid-19, the Corona Virus.

 

Prince Mario-Max Schaumburg-Lippe: Breaking News: Riverside County California Adds Fantastic Real Life Corona Map.

https://www.rivcoph.org/coronavirus

Kim Saruwatari, the Public Health Director and Dr. Cameron Kaiser the Public Health Officer of Riverside County added an amazing feature for its residents. A real life Covid 19 map for the information of residents. The Riverside University Health System Public Health has previously already shown fast and hands on reaction to the virus: One of the most important ways they combat the spread of illness like coronavirus is through education and information from reliable sources.  It’s vital that they provide science-based details about how the illness is spread, as well as updates on what health officials are doing to protect the health of residents of Riverside County.

They are doing a great job! Their webpage was created to provide you with information about their preparedness activities and the latest news and updates about coronavirus and related issues from reputable sources like the Centers for Disease Control and Prevention (CDC). We understand there is anxiety during uncertain times, but RUHS – PH wants you to know they are working to protect the community’s health. So here again: https://www.rivcoph.org

And thanks to Kim Saruwatari, the Public Health Director and Dr. Cameron Kaiser the Public Health Officer of Riverside County for their service!

Prince Mario-Max Schaumburg-Lippe: The Editors Opinion: USE THE CRUISE The Unused Cleaned Cruise Ships Are Perfect Hospitals With Proper Rooms!

Worldwide we have about 314 ocean cruise ships. They have individual cabins with individual bathrooms, surfaces that easily can be cleaned, electric outlets, tv’s and internet connection in every single cabin.

Start deploying these to the ports and no more missing beds. Cruise speeds allow quick deployments to all major Corona hubs. Use the Cruise!

Prince Mario-Max Schaumburg-Lippe.