Citizen Brief: The COVID 19 Pandemic 

The COVID 19 Pandemic Timeline 

COVID-19 Stakholder Checklist 

The COVID-19 Pandemic Ecosystem 

 

Overview 

The challenge of The COVID-19 pandemic requires a well-formulated, coordinated effort that addresses the complexity of the  ecosystem* as well as to leverage our understanding of the institutional challenges that must be identified  and overcome. We are  motivated by and are testing the belief that given the right tools and framework, citizens, patients, consumers, healthcare professionals, public servants and politicians, working together can achieve great results addressing the COVID-19 pandemic and related challenges facing our nation.

 

Systems thinking is  a way to clearly illustrate the complex ecosystem of the COVID-19 pandemic and to highlight the various stakeholders, their roles, and dynamics. We believe that using systems thinking to map the challenges associated with the COVID-19 pandemic and to provide a coherent method to intervene in these systems. Additionally, mapping of complex systems  can bring a new understanding of the needed change and provide tools for the various stakeholders especially citizens  to target the problems that impact our communities. 

 

Community 

The Federal Government 

The Executive Branch

The President

Surgeon General

HHS

CDC

FDA

The Military 

The Legislative Branch

State Government 

Governor

Health Department

Education Department

Attorney General 

Legislature 

Citizen

Politcal culture 

Local  Government 

Mayor /Commissioner 

Public Health Department 

Police Department  

The Medical System 

 

Healthcare systems

Hospitals 

Nursing Homes 

Clinicians

Regulators 

Associations

Insurance 

Pharma

Research

Public Health

System 

WHO 

CDC
State

Local Health Department

Academic
Foundations and Not For Profit

The Media 

  • Mainstream Media

  • Social Media 

  • Digital Platforms

  • Local Media

  • Personal Media

  • Science Reporting

 

The Private Sector 

Business 

Stock market 
Employers 

Social 

 

Economic 

 

 

Political 

 

 

The Virus: Coronavirus  SARS-CoV-2 Up Close 

 

Goal: To provide an up-to date overview of the Coronavirus SARS-CoV-2 and how it causes COVID 19.

The understanding of the virus is increasing rapidly. We hope to update the section as more scientific data becomes available.  

Coronavirus is the name for a large family of viruses that cause illness ranging from the common cold to more severe diseases such as SARS.

The new disease that emerged in China in December has never been seen in humans before the current outbreak.

It's been called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by the World Health Organization and causes an illness that's been named COVID-19 .

Features of coronavirus SARS-CoV-2

  • R0 or “R-naught”—the average number of new infections generated by one infected individual. . The number has since settled around 2.2 (the R0 for the seasonal flu, for comparison, is typically about 1.3). 

  • Number of droplets

  • Lethality

  • Course days 

  • Length to symptoms

  • Length to all clear 

  • Mutations

  • Seasonality   

 

​​

Audio Interview: The transmission of SARS-CoV-2, the causative agent of COVID-19, looking at new evidence from Iceland and from the Diamond Princess cruise ship.   

 

The Host: Features of  the human host 

Goal: To provide an overview of the role of individual factors that contribute to infection, the outcome for the person, and the infection of others.

Host features

43% of U.S. Coronavirus Deaths Are Linked to Nursing Homes

 

Host -Coronavirus Features How do social, political  and environmental factors impact the COVID-19  pandemic 

Goal: Understanding the interaction between the virus and the host in order to create interventions that stop the spread of the virus leading to the disease. To best understand the mechanisms of the interaction in order to limit the severity of the illness.  

 

Background: While it is spreading exponentially without public health informed measures to slow down the spread, the number of people who are exposed, become infected, become symptomatic and experience the severe manifestation of the COVID 19 and require enhanced limited health care resources can overwhelm the system’s capacity. By understanding the interaction between viruses and host we can have a greater likelihood for success. 

 

Environmental features

  • Density

  • Pollution

  • Public Transportation 

  • Mass Events 

  • Demographics

  • Political leadership 

  • Political ideology and culture 

  • Senior Residence 

  • Temperature and UV 

  • Jonathan Kay in Quillete COVID-19 Superspreader Events in 28 Countries: Critical Patterns and Lessons

 

The Media: Informing the public, and public opinion  during COVID-19

 

Goal: ​ The goal of the citizen commission media stakeholder focus  is to explore the challenges of and provide a journalistic framework that can enhance the performance of the media. The approach addresses the many challenges facing the media in the digital era. 

The Media: Mass communication/ Press/ Journalism  

  • Mainstream Media

  • Social Media 

  • Digital Platforms

  • Local Media

  • Personal Media

  • Science Reporting

 

Blog: Setting the stage for the media in the 21st century: The Challenge and Opportunity of Digital Technology and Social Media for Western Democracy

The Government: Federal, state and local governments creating a more perfect union  

 

Goal: ​ The COVID19 Pandemic  Federal and State Ecosystem Perspectives provides an overview of the various public and government stakeholders who are tasked with creating legislation, scientific research, law enforcement, treatment, regulatory, monitoring that impact the pandemic.

The International Community
WHO: World Health Organization

The US Federal Government 

The Executive Branch


 

The Federal Reserve

National Academy of Medicine: Institute of Medicine

The Military 

The Legislative Branch

 

State Government 

Local Government 

Learn more about the Government 

 

The Public Health Eco- System 

Goal: ​ The public health system is at the front lines of recognizing and combatting pathogens such as the one that caused the COVID19 Pandemic. Operating on multiple levels from local to global, the various agencies should be well positioned to recognize the threat, identify the cause, lead the mitigations, containment, eradication strategies. 

  

The Global Response

The US Federal Government  Response

The COVID-19 task force 

CDC

The State Government Response 

The Local Response 

 
 

The Medical ECO- System: The COVID-19 Challenge  

Take Action 

Check list

Goal: ​ The public health system is at the front lines of recognizing and combatting pathogens such as the one that caused the COVID19 Pandemic. Operating on multiple levels from local to global, the various agencies should be well positioned to recognize the threat, identify the cause, lead the mitigations, containment, eradication strategies. 

Preparing for the COVID 19  Pandemic

 

National, state and local regulatory agencies

Business Partners: Supply Chain 

Hospital and Heathcare Networks 

  • Governance

  • Leadership

  • Beds

  • ICU

  • PPE

  • Ventilators

  • Trained staff

 

Moving Past the Pandemic 

Environment & Social Determinants 

Political Sphere

Medical and Public Health

Economic 

Culture 

Goal:

By November  2020 the major impact of the COVID 19 Pandemic will decrease in the US leaving behind social, economic, educational, health care challenges, unlike Americans, have faced in a century. How shall we respond to the disparities that have disproportionally caused deaths and morbidity in communities of color? How shall we address the economic impact on individuals, businesses, communities and the nation?

 

 

Background:

It is well known that work plays an important role in the lives of individuals' families, communities, and the nation. Moving past the Pandemic will require diligence to address the economic, social, and psychological trauma. It can provide an opportunity to explore different social experiments. Address social determinants such as poor housing conditions are often accompanied by neighborhood-level conditions that limit access to health care, risk-reduction information, and treatment alternatives, which are protective resources and can disrupt behaviors that ultimately lead to despair and its pathology.

 

The Private Sector Ecosystem

Goal: To understand the role of the private sector in the natural course of the COVID-19 pandemic. 

 

 


 

Take Action 

 

As a fellow citizen, I invite you to take part in the COVID-19 Citizen’s Commission. Based on the framework of the Morbidity and Mortality (M & M) Conference used in the medical setting, this endeavor provides citizen-oriented tools so that people can more effectively collaborate and address complex problems.

 

The Citizen Commission will examine publicly available information and documents related to the origin, response, and communication of events occurring since the Coronavirus (SARS-CoV-2) was identified December 2019, in Wuhan, China. When appropriate we will invite relevant stakeholders to participate.

 

Additionally, we hope to create a framework for dialogue within the public sphere to sustain a conversation for this and other current and future challenges in our national  body politic and more generally the global community.

The COVID 19 Pandemic Project is  an initiative of Citizens4Health, a group of committed citizens motivated by the belief that citizen participation will contribute to solutions to the big problems that confront our nation.

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