The Torkel Saga 2059: May 2020

Feature Image – Calvin Schwabe

The Father of Veterinary Epidemiology

This is Part IB in a two part report.

Part IB Title

COVID-19_Corona_Eradication_Study_IB_Continuation of Corona IA_Position Paper_By Keith Torkelson MS_Origin_AnimaCules

Link to Part IA

https://ktork46.blogspot.com/2020/05/covid-19eradicationproposalcoronavirusi.html

Disclaimer

If not indicated otherwise all the tables and findings apply to Keith Torkelson MS (Buster).

Dedicated To:

US President, California Governor, Mayor of Santa Ana, Director US Department of Health & Human Services, Medicare, Medicaid (Medi-Cal), Mary Hale, and the Rest Here on China Isle.

List of Tables – Matrices – Figures

PART IA of 2

Feature Image - [DANIEL SALMON]

List of Tables – Matrices – Figures

Figures - Science Education Performance UC Davis

Figure – Medical Records Consumer Keith Torkelson

Table - (*) =Associations Mentor Key

Table – UC Davis Centered - Good Old Boys Promises to Mentors

Special Topic – Things Greater Than Us (TGTU) Sample

Figure - [INSERT PEACE IN 3D]

Table – TGTU – DEATH - A Numbers Game Keeping Up with the Virus

Table - A Promise of Eradication

Matrix – Comparative Disease Eradication Profiles

Matrix – Orange County “Corona” Statistic Breakdown – Powers of Ten

Figure - Professional Predictions – Case by Age

Table – Things Put Off (Fairly Exhaustive Sample)

Table - Corona Buddies

Table - Not Corona Buddies – Corona Antagonists

Table - Who to trust with your Corona Concerns - Entities

Table - Who to trust with your Corona Concerns – Person(s)

Table – Identifying Interests to Dump

Table – Variation in Corona Presentation

Matrix - In Network DEATHs – As 20200420-M:

PART IB of 2

Table – Implementing Basic Control Measures Summary

Figure – Sample of Corona Signs - Leveraging Signage

Table – Wristband or Other Indicator Color Key

Table – Precautionary Distancing From the Virus

Table Model - Symptoms (Cold & Flu-like 12 Item Screener)

Table - Persons of Interest (POIs) – Consumers – Homogeneous Roll Call

Table - Persons of Interest (POIs) – Consumers – Heterogeneous Roll Call

Table – Summaries – Private Health – Local Facilities & Providers

Table – BND - Symptoms Tracking (Brief) & Treatment (Derived)

Matrix – BND - Tracking Additional Symptoms (Derived)

Table – BND - Follow Universal Precautions – Early Interventions

Table - Social and Agent Distance Measures – Physical Plant and Areas

Table - Social and Agent Distance Measures – General (Sample)

Table – BND Preventive Actions & Behaviors – Not Exhaustive (Modified)

Table – Introduction to Containing Biohazards

Table – BND - Symptom Mitigation in Lieu of Prescription Fixes

Table – BND - Populations at Risk (Expected) – Orange County California

Table - Agency Engagement List (AEL)

Table – Credit Union Advice – Transmission - “Buster’s” Behaviors

Matrix – Corona (COVID-19) Activity – Focus California

Table – Demonstrating Data Transformation – Data Related to Whole of Earth

Figure – Digital Information Paste Option Example

Table - Environmental Control Measures – Combining Some Observations

Table - Corona & Friendships – Face-To-Face (F2F)

Matrix – Health Related Engagement Friendships

Matrix - 2012-2018 - Matrix - Health Related Engagement (HRE) & Dosage Summary

Matrix - 2019-2020 - Health Related Engagements (HRE) & Dosage Summary

Appendix - Table - Associated Papers – Spring 2020

Images @ The End

Promotions @ The End

Table – Implementing Basic Control Measures Summary

-
Assess about Control Points	2020 0416 (TH)	Note
-
Part I CALC	4.25/8	CARRIED
Part II CALC	2.75/7	CARRIED
Parts I and II	7.00/15

Reactive Development Score (RDS) =	46.7%

Last Reviewed: 20200422-W:

Table – Implementing Basic Control Measures – Part I of II

-
Control Point	2020 0416 (TH)	Note
-
Agent Host Distance	0.50	Hard to tell where Corona is: Agent presence needs to be made more obvious
Avoid At Risk Persons	0.00	Heterogeneous housemates: Very little about the cases that died and why
Biohazard	0.75	Assume all materials associated with respiratory track are positive
Biosecurity	0.75	This is what everyone is creating based on the their needs
Hands with gloves	1.00	A RN reference said that the average person need not glove up
Hands without gloves	0.75	Handwashing increases the distance between host and agent: Dilution Principle
Hospital nosocomial infection [spelled]	NA	More transparency about infections at large in a given hospital
Host Environment Distance	0.50	Distance between host (carrier) and environment need to be maximized
-
CALC	4.25/8	CARRIED
Reactive Development Score (RDS) = (Sub-score)	53.1%
-

Last Reviewed: 20200501-F:

Table – Implementing Basic Control Measures – Part II of II

-
Control Point	2020 0416 (TH)	Note
-
Knowing persons that are positive	0.00	Wear a colored (red) wristband Vigilance about COPD Noises
Little change in the Equilibrium	0.25	New person joins inner circle
Masks	0.50	Assume mask offers very little safety
Service Sanitation	0.75	Crime or hazmat scene cleaners
Shoes/Boots	0.50	Quaternary Ammonia bucket(s)
Signage	0.00	At the facility level: Signs that display Corona Safe Place Score (CSPS)
Social Distance	0.75	Assume not one’s mask works: Some are calling it social spacing now
-
CALC	2.75/7	CARRIED
Reactive Development Score (RDS) = (Sub-Score)	39.3%
-

Last Reviewed: 20200501-F:

Figure – Sample of Corona Signs - Leveraging Signage

Caption - Workers First

Health First – Help Second

Table – Wristband or Other Indicator Color Key (Suggestions)

-
Color/Other		Suggested Meaning
-
1-Blue		Serious issue in K-12
2-Yellow		Vulnerable
3-Red		Has been impacted by corona
Green		Associates with the mentally ill Buster wears this one on and off
Orange		Substance User
Purple		Volunteer worker that helps people in need
-
Black		Housing concern including homeless
White		Test negative or healthy and carries protective antibodies for corona
-

Last Reviewed: 20200501-F:

Social Partnership – BND subsidized “Wider Circle”

20200407-TU Wider Circle Mailer

“Stay connected with your community and learn valuable information in support of your health and well-being”

Setting things RIGHT: A promise of kissing partners

20200424-F: Teleconference - Wider Circle Offerings

Frequency Weekly for Month of May

Coronavirus: How to stay healthy

How to talk to a doctor from my home

Meditation. Gratitude. Joy.

Protect yourself from fraud

Environmental Management

Table – Precautionary Distancing From the Virus

-
Nature	Example	Note
-
Barrier	Masks and SuperMasks
Homogenizing	Group of relatively health people that stays together	One goes out taking considerable precautions
Humidity	In general viruses thrive in low humidity or dry conditions
Over Wintering	This is our goal
Sanitizing		Infective Dose
Sterilizing	Very unlikely achievement in the home and community
Seasonal	Use flu as a model We will very likely now have a Corona Season each year	Dr Oz says we are unlikely to eradicate Coronavirus
Space	Outdoors – indoor – tight – un-ventilated
Temporal	How much time from residual contagion effects	Will an infective space clean itself
Thermal	FAQ – Is it better to wash with hot water versus cool water
Self-Limiting	When all those at high risk meet the Corona Challenge
-

Last Reviewed: 20200501-F:

Modeling – Modified Flu Elimination List

Table Model - Symptoms (Cold & Flu-like 12 Item Screener)

The Reason for the Season: why flu strikes in winter - Science

http://sitn.hms.harvard.edu/flash/2014/the-reason-for-the-season-why-flu-strikes-in-winter/

-
##	Symptom	Buster 2020 0323 (M-ON)	Buster 2020 0327 (F)	Buster 2020 0417 (F)
-
	Cold-like Symptoms
-
01	-Cough (Productive)	Severe	Moderate	Mild
02	-Cough (Non-productive)	Rare	Rare	Rare
03	-Sore Throat	Mild	V Mild	Mild
04	-Stuffy Nose	Severe	More runny	Lavage Works
-
	Flu Symptoms
-
05	-Fever	None	None	None
06	-Cold Sweats	None	None	None
07	-Aches Throughout The Body	Minor	Minor	Minor
08	-Headache	Minor	V Minor	V Minor
09	-Exhaustion	Moderate	Better	Better
10	-GI Vomiting	Absent	Absent	Absent
11	-GI Diarrhea	Absent	Absent	Absent
-
	Other
12	-Thermoregulation	Challenge	Better	Better
-
	CALC	4.00/12	2.50/12	0.00/12
	Respiratory Challenge Screener Score (RCSS) =	33.3%	20.8%	0.0%
-

Last Reviewed: 20200413-M:

20200325-W: Teladoc Call for Respiratory Symptoms (Buster)

Teladoc screener says they are “overwhelmed wait on it”!
-

Matters @ Home – “Safe Places”

Table - Persons of Interest (POIs) – Consumers – Homogeneous Roll Call

Social Networking V Social Poverty

Sample – Persons’ That Impact “Busters” Health

Sample of Corona Cohort

20200323-M: Status – As Positive Unknown

-
POI	Note	Detail
-
Charles	Smoker	Smokers cough
Mike O	Being Underserved by is PCP & BHD	Legacy CODP issues Recovered in the hospital from pneumonia + flu
Mikel R	Calls “911” and brought to regular hospital Missed opportunity to get him on appropriate medication	Moderate risk Slight Dry Cough Discovered he was smoking Spice
New Guy “Bee”	Brand New Day referral 20200415-W	Lasted less than a week
New Old Man John	202003 - Hospitalized Lung Cancer Transferred to Skilled Nursing	Severe COPD Dying Old Man Confirmed Dead Now Likely Not Associated with Corona
New Guy Philip “Morris”	Brand New Day referral Origin unknown 20200427-M Moved in	20200428-TU Kicked out
Rochester	Ex-smoker	Residual cough
Theodore “Zep”	Ex-smoker Can’t care for self	Persistent residual cough
William (Bill)	Wasting away	Peculiar cough noise

Last Reviewed: 20200417-F:

How is it homogeneous? V How is it heterogeneous?

Basically a homogeneous environment is one where the people are healthy and there is little coming and going. A heterogeneous environment is where a significant portion of the people come and go. In addition the people that come and go do so to places that are in general unknown for the others’ with which they live. People in a heterogeneous environment also have a tendency to us public transportation.

Matters @ Home “Safe Places”

Table - Persons of Interest – Consumers – Heterogeneous Roll Call

Roll Call of Those that Go Out

-
POI	Note	Likelihood
-
“AG”	Elderly	Cough on and off
“AM”	Elderly	Cough infrequent
Buster	Smoker Pre-existing symptoms	Moderate: Went to doctors appointments: Smoking aggravated cough
Carl	Visitor – Uses public transportation	Highest risk person Slight cough
Hunter	Household cook	Post nasal drip
John S	Being underserved by his BHD	Moderate
New Guy “Bee”	20200415-W	New to cohort health history unknown
Richard	Older adult	Terrible cough Elevated likelihood
Wayne	Anger issues	No observe
-
Bera	Has yet to prove healing concept	No cough No mask at Appt in March 2020
Mojica	Further along with healing concept that Bera	No cough Wore mask at Appt in March 2020
-

Last Reviewed: 20200417-F: All persons in this table go out and do mostly unknown activities: POI = Person Of Interest

A Safer Place

Due to the fact that Buster lives in a heterogeneous environment of low to moderate risk he has a Safer Place to go. Buster rents space in Tustin California. He has set up office at what we here at Mentalation Solutions Group (MSG) call our Deep Space 226 Facility (DS226F). At most he crosses paths with five (5) persons per day. Two other males frequent our floor. Both always keep their distance of fifty feet of more. Buster’s Safer Place tends to be low risk.

Buster's Deep Space 226 Office

Low Risk - Social Spacing

Table – Summaries – Private Health – Local Facilities & Providers

-
Entity		Communication Route	Lesson Advice
-
Primary Care Physician (PCP) Chester D Mojica		None	20200317-TU Keep your appointments to the best of your ability
ASK Ahnika (MD PhD)		Multiple	Actually Public Health (NIH) Looks like she will get funding to control corona for life
Behavioral Health Doctor (BHD) Rimal Bera	PSP	None	20200318-(W) Appt Wednesday He can renew our prescriptions without us
Brand New Day (BND)	PSP	Website	Helpful information Will review
Central City Community Health Center (CCCHC)	PSP	Website	None PCP can do our annual wellness exam without us
Ophthalmologist James Boyce		Phone 20200313-F	Appt Monday Screened us OK to show up 20200316-M: Appt went well Waiting room near empty
Optometrist Ann Inman		Phone & In person	Drop in for next Wednesday Basically closed till 4-14-20
Teladoc		Phone 20200325-W	Plan for phone consult Told to wait

Last Reviewed: 20200501-F: PSP – Promotes Social Poverty

We here at Mentalation Solutions Group (MSG) used quite a bit on Brand New Day information about Corona in our Corona Report Series (CRS). We modified BND’s information to meet our and ours’ needs.

Table and Matrix Scaffolding (Modification)

https://bndhmo.com/coronavirus

-
-

Applying Brand New Day the Insurer Information

What are the symptoms of COVID-19?

Table – BND - Symptoms Tracking (Brief) & Treatment (Derived)

“Patients with COVID-19 have had a mild to severe respiratory illness with symptoms of…”

20200324-TU: Symptoms Tracking - Preparing to call in Teladoc

-
Symptom	2020 January Pre-existing	2020 0223 M-ON	Fix for Buster
-
Fever	Minor bouts	Absent	Antibiotic
Cough	Smokers	Severe hourly	Antibiotic
Shortness of breath	Not severe	Absent	Inhaler
Sore Throat	Minor bouts in evening and at night	Problematic	Salt Gargle “The JET Method”
Overall	Preventative actions taken	Diagnosis Pneumonia	Teladoc phone consult
-

Last Reviewed: 20200501-F:

20200501-F: Update

Since the time we processed Brand New Day’s (BND’s) information at least three additional symptoms of Corona sickness have been added: Headache, dulled taste, and dulled sense of smell.

Insurer Information – Learn More - Symptoms

Matrix – BND - Tracking Additional Symptoms (Derived)

-
##	Sign OR Symptom	2020 0324 TH-ON	2020 0324 BBSS	2020 0417 (F)
-
01	Color of mucous	Cloudy	0.50	0.25
	Types of Coughs
02	-Cough - Smokers Dry	Often	0.50	0.25
03	-Cough - Non-productive	Less often	0.50	0.25
04	-Cough - Productive	Often	0.50	0.50
05	Lethargy	A Bit	0.50	0.25
06	Sleep - Interrupted Sleep	Most annoying	1.00	1.00
07	Sleep - Deep sleep cough	Most annoying	1.00	0.50
08	Sadness	A Bit	0.50	0.25
09	Worry	Cycles	1.00	0.50
10	Trouble Making Decisions	When to call Teladoc	1.00	0.50
11	Cough density about house	50% of people	1.00	1.00
12	Allergy like	Allergens at home	1.00	0.75
13	Nasal tickle		0.50	0.25
14	Pneumonia	Treated by Teladoc February 2020	0.75	0.25
15	Allergy		0.75	0.50
-
		CALC	11.00/15	7.00/15
		Respiratory Related Symptom Score (RRSS) =	73.3%	46.7%
-

Last Reviewed: 20200501-F: BBSS = Bothered By Symptoms Score = RRSS = Respiratory Related Symptom Score: AMB Symptom Intensity: ON = Overnight

Co-morbidity – Sleep Disorder

One of the worse pre-existing conditions when facing many disease challenges is having a sleep disorder. It takes high quality sleep to facilitate setting a person’s health RIGHT. If you are coughing during your sleep period you are not sleep. Treatments that facilitate sleep may very likely augment other treatments whether over-the-county or prescribed. In addition, pre-emptive antibiotics might be helpful.

20200430-TH: Headache, smell disturbance, and taste disturbance have been added. [DITTO]

FAQ - How can I protect myself?

Table – BND - Follow Universal Precautions – Early Interventions

“People can help protect themselves from respiratory illness with everyday preventive actions.”

-
Precaution		Overall March 2020
-
Avoid close contact with people who are sick		SoSo
Avoid touching your eyes, nose, and mouth with unwashed hands		SoSo
Wash your hands with soap and water for at least 20 seconds		Yes
-

Last Reviewed: 20200417-F:

Table - Social and Agent Distance Measures – Physical Plant and Areas

-
Area - Specific	Rules	Note (Lesson Learned)
-
1-Delhi Community Center Steering Committee		In association with the Health Care Agency (HCA) – Recovery Indicator Site
2-Wellness Centers	X	Closed – Recovery Indicator site

Albertsons Edinger & Brookhurst		Good place to get Starbucks
Bank - BOA	X	Online and ATM banking only
Brand New Day (BND)		Closed for all practical purposes No bus passes Taxi only
Central City Community Health Center (CCCHC)		Very restrictive on who they will see in the office
Credit Union	X	Used a model
Deep Space 226 Facilities	X	Our way of levelling Buster’s resources
Microcenter	X	One of the most intense control program in Buster’s comings and goings 20200427-M: Masks for all required They had available free masks
Motel 6	X	April 2020 we sanitized our room
Starbucks	X	For the most part drive up only
Stater Brothers Santa Ana Edinger & Fairview		April 2020 about ½ of the shoppers wear masks Social distance markers on the floor
Stater Brothers Tustin Legacy		Annoying because they keep changing the protocols
Walmart	X	April 2020 less than ½ shoppers were masks

Last Reviewed: 20200428-TU: Rules = Those facilities that informed us of policy

Rule Making

The rule making about Corona continues to evolve. For us here at Mentalation Solutions Group (MSG) we have designated to Indicator Sites. Both are associated with the Orange County Health Care Agency. At these sites normally there are groupings of people on and off county payroll. As control measures loosen they will show at the Indicator Sites. We predict that both the Delhi and Wellness Center will not be the same as they were before the advent of COVID-19.

[INSERT IMAGE OF STEERING COMMITTEE MEETING]

Selfie of Buster at the OCHCA MHSA Steering Committee Meeting

For the most part he gets there early

Typical food and beverages at the OCHCA sponsored MHSA Steering Committee Meeting

We expect some Corona adjustments if and when they resumes

OCHCA sponsored social @ Delhi (2019)

Table - Social and Agent Distance Measures – General (Sample)


Area - General	Note (Lesson Learned)	Example
-
Elevators	Avoid them else treat enclosure and buttons as needed (PRN)	At the office
In Your Car	(*)	Commute & Errands
Low Ground	When you are sitting or lying down do not let people who are talking or coughing within 7 feet	Watching TV
Parking Lots	Park away from others	Walmart
Safe Spots	Low risk spots where in an hour of more you see no-one coming closer that twenty (20) feet	Front Porch Outside
Service Windows	Many now have plastic shields Take a moment to learn how their shield works	Bank of America
Service Windows High to Low	Drive up windows - Wear your mask	Starbucks
Space Between Face and Mask (*)	[STAYED]	Two types of masks Small space Large space
Stairwells	Some of the same issues as elevators	At the office
-

Last Reviewed: 20200427-M:

(*) Coughing and Sneezing

We recommend that while in your car away from people you open the window and cough or sneeze through the open car window.

Insurer Information - Learn More – Preventive Actions (Extended)

Table – BND Preventive Actions & Behaviors – Not Exhaustive (Modified)

All numbers for Buster by Buster

-
##	Precaution	Note as of 2020 0329 (SU)	QUANT 2020 0329 (SU)	2020 0501 (F)
-
01	Practice social distancing	Satisfied	1.00	0.50
02	Stand about 6 feet from others, if possible	SoSo	0.50	0.75
03	-Avoid traveling – Bus	1 in 14 days	0.50	1.00
04	-Avoid traveling – Airplane	Done	1.00	1.00
05	-Avoid traveling – In Own Car	Daily	0.00	0.50
06	-Avoid traveling – In others car	Done	1.00	1.00
07	Avoid hugging	Done	1.00	1.00
08	-Avoid kissing	:0(((	1.00	1.00
09	Avoid shaking hands whenever possible	Satisfied	0.75	1.00
10	Disinfect your home	Daily Activity	0.75	0.50
11	Disinfect door handles	Satisfied	0.75	0.50
12	-Disinfect tight closed spaces		1.00	1.00
13	Disinfect other areas that may be touched by others	A Bit	0.75	0.25
14	Cover your cough or sneeze with tissue and throw it in the trash	Satisfied	0.75	0.50
-
	CALC		10.75/14	10.50/14
	Preventive Measure Score (BND-PMS) =		76.8%	75.0%
-

Last Reviewed: 20200501-F:

Table – Introduction to Containing Biohazards (Sample)

-
##	Precaution	Note	2020 0426 (SUN)

01	All New Masks	Assume they are not sterile : Clean them before using	0.50
02	Choose A Good disinfectant	Choose one that is effective and that the smell you can tolerate day in day our	0.50
03	Common Towels	No more common house towels: Use secure and maintain your own: Pick white towels	1.00
04	Homemade Masks	For solidarity and common respect: For the most part non-protective	0.00
05	Maintain Mask (*)	Several Methods: Decided to rely on 70% Isopropyl Alcohol with periods handwashing	0.50
06	Mask Container(s)	Size enough to hold multiple masks with a tight sealing lid	0.75
07	Multiple Masks	Inside, Outside, Sleep	0.50
08	Paper Towels	For after your best scrub of the day	1.00
09	Quaternary Ammonia	Mainly for large populations in tight spaces such as hospitals	0.75
10	Receptacle	Mask and gloves qualify as bio-hazardous materials: Create and manage a bio-hazard container	0.75
11	Shoes and Rubber Boots	If transferring the virus with your shoes: A good fix is a walk in bucket containing something like a solution of quaternary ammonia	1.00
12	Tissue Paper	Keep handy for coughs and sneezes: Avoid coughing and sneezing into your mask	0.50
13	Treating Tight Spaces	The tightest unknown space we confront often is an elevator: We treat the elevator with spray sanitizer and alcohol for any surface we touch	0.75
	Use Of Alcohol	91% Once 70% Twice 50% Four Times	0.75
15	Use Of Bleach	When safe make use of bleach: Reason for using white towels	1.00
16	Wet Towels	Tag them as they present themselves	1.00
-	-
		CALC	11.25/16
		Sanitary Behavior Confidence Level (SBCL) =	70.3%
-

Last Reviewed: 20200501-F: Instruction: “Follow the preventive actions from above”

FYI – Queries [GO BACK FOR PAPER II]

“covid-19 mechanisms of infectivity”

“How does the coronavirus disease spread?”

Social Space & Densities

“COVID-19 is a new disease and we are still learning how it spreads. The virus that causes COVID-19 is thought to mainly spread from close contact (i.e., within about 6 feet) with a person who is currently sick with COVID-19.”

Respiratory Droplets

“The virus likely spreads primarily through respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza and other respiratory infections spread. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. This type of spread is not a concern after death.”

Surface to Face

“It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.”

Insurer Resources – Managing Symptoms – Bothersome Symptom Management

Table – BND - Symptom Mitigation in Lieu of Prescription Fixes

-
Action	Note	Detail
-
Ask your pharmacist how they may interact with any medications you currently take	Update you list of medications	Call for a pharmacy review
Drink plenty of liquids	Start each day off right	Drink a glass of potable water first thing in the AM Before any caffeinated beverage
Stay home and rest	Or in or about an outside safe place
Take pain and fever medications	Avoid	Ibuprophen altogether as indicated in literature Acetaminophen (ETX)
Use a room humidifier or take a hot shower to help ease a sore throat and cough	We find for those who can a hot bath is most helpful (*ETX-MSG)	Take care not to long cause it could imbalance you thermodynamics
-

Last Reviewed: 20200329-SUN: (*ETX-MSG) = Extensively Tested by MSG

Special Topic – Respiratory Droplets - About Elevators

As we shared earlier in this paper Buster lives in a moderate risk heterogeneous home. His off-site office space is lower risk. Every day that Buster goes to the office he takes more precautionary measures. His office is on the second floor. He takes the elevation. He assumes each day that it is positive for suspended Corona. First thing when the door opens on the first floor while wearing a mask he sprays the inside of the elevator with disinfectant. He remains outside as the door closes. He gives the disinfectant ten (10) minutes to take effect. The elevator represent both a spatial and temporal risk with COVID-19. The spatial risk is that it is relatively tight having the approximate dimensions of 6 x 8 x 10. The temporal risk is that the people using the elevator prior to Buster could introduce COVID-19 into the space. You just don’t know what occurred in the elevator within the last hour.

[INSERT PHOTOS OF Sample SANITATION MEASURES]

Spraying small spaces such as elevators

Using bleach on wet surfaces - especially in bathroom

Changed to white towels

Changed to individual towels

Dispose of tissue, paper towels, old masks, other potentially infective materials

We make you of what we can find

50% - 70% - 91%

Use spray isopropyl alcohol for knobs, buttons, and latches

Clipped nails to recommended length

Instructed to clip nails

High end disinfectant

Selected Dial because it was recommended by our Ophthalmologist

Insurer Resources – Risk Management - Learn More

Table – BND - Populations at Risk (Expected) – Orange County California

At Risk Populations – DEATH Demography

-
Population	Note	Detail
-
Older Adults	As expected	20200428-TU Talked with Buster’s aunt (age 94 and 11/12) yesterday
People who have serious chronic medical conditions like: Heart disease, diabetes, lung disease or obesity	Need to break down by age group	Treatment resistant population
Anyone with immunocompromised type conditions	Need to break down by age group	Treatment & Vaccine resistant population
Children	Lower than expected	Kids may soon be safe to return to public school
-

Last Reviewed: 20200428-TU:

Actual Distribution

“People who have serious chronic medical conditions like: Heart disease, diabetes, lung disease or obesity. We are uncertain the portion that has either or both Mesothelioma [SPELLED] or/and Lung Cancer.”

Picking Data Sources

It is amazing how in such a short time how many COVID-19 data sources that popped up. For this report we use at least four (4) sources: Wikipedia, Kid’s COVID, Google, and OCHCA (“ochealthinfo”). For our next report we are going to include data and information from the Johns Hopkins University School of Medicine (JHUSOM).

FYI: Orange County Healthcare Agency (OCHCA) “ochealthinfo”

https://occovid19.ochealthinfo.com/

FYI - Additional Data on Orange County COVID-19 Cases

https://occovid19.ochealthinfo.com/coronavirus-in-oc

Date Filter: 2/22/2020 - 4/21/2020

FYI - “Doctors there took 360 degree, 3D images of the man’s lungs. The VR Video of his chest cavity shows the cloudy infection – colorized green – spreading throughout both his lungs.” Scans need to better describe pre-existing conditions such as Pneumonia or Influenza.

https://www.dailymail.co.uk/health/article-8155797/Virtual-reality-video-reveals-coronavirus-damages-lungs.html

FYI - CT Provides Best Diagnosis for Novel Coronavirus (COVID-19)

CT scans can detect coronavirus in patients before RT-PCR lab testing

https://www.itnonline.com/content/ct-provides-best-diagnosis-novel-coronavirus-covid-19

Figure - [INSERT PHOTO OF LUNG SCAN]

Green areas in the lungs are problematic

Environment Activities - Spending New Money

Table - Agency Engagement List (AEL)


AcroCode	Meaning	Note

1-OCHCA	Orange County Health Care Agency	Indicator Organization
CDC	Centers for Disease Control and Prevention	Lead
DOI	The U.S. Department of the Interior
HHS	U.S. Department of Health and Human Services	The lead agency coordinating the federal response to COVID-19 is the Lead
NIH	National Institutes of Health
OEM	Office of Emergency Management	Supporting by planning and implementing DOI’s response
WHO	World Health Organization

Last Reviewed: 20200325-W:

Performance Challenge – Point in Time - Eradication

Unlike the manners in which Smallpox and Rinderpest were eradicated we here at Mentalation Solutions Group (MSG) propose a different strategy. Eradicate in the home first, then places one frequents, then hospitals, next Orange County California, then California, then the USA, and finally global eradication. Because Buster spends so much time in Orange County naturally he wants “The OC’s” control efforts to set a standard.

Self – Host Activities – Creating Hurdles (*)

Table – Credit Union Advice – Transmission - “Buster’s” Behaviors

From: SchoolsFirst FCU: email@email.schoolsfirstfcu.org (Modified)

Sent: Thursday, March 12, 2020 1:04 PM

-
Advice	2020 0312 (TH)	2020 0324 (TU)
-
Avoid close contact with people who are sick	Series of must do appointments	Difficult because the people we live with are sick in many ways
Avoid touching eyes, nose, and mouth	Habitual	Reduced More hand and face washing Touching beard region instead
Other touch screens	Smartphone business as usual	20200327-F: Sanitized cell phone for the first time 70% Isopropyl Alcohol with clean paper towel
Regularly clean computer keyboards, desks and mobile phones with sanitary wipes.	Put off	70% Alcohol and paper towel (wipes)
Stay home when feeling unwell.	Due to smoking I never feel completely well	Went to remote office facility
Wash hands often and thoroughly	Increased conscious driven lavage hands and face	Dry using clean paper towels
-

Last Reviewed: 20200325-W: * Notion from Mentor Constantin Genigeorgis [SPELLED]

Keyboard Bacterial Culture

[INCLUDE PHOTO OF KEYBOARD SWAB RESULTS]

Example of what comes off a typical keyboard with no special maintenance

Metadata >

Auto_Ed_Masters_14042101_Research_UCD_Mentors V2020

Safe V Unsafe V Unknowns

We here at Mentalation Solutions Group (MSG) that individuals consider environments unsafe until a mean to test them becomes available. Keith Torkelson MS (Buster’s) home is higher risk than his workplace. At home he crosses paths with up to fifteen (15) people each day. Most of the people about the house come within six (6) feet of Buster. At his office place he crosses paths with not more than five (5) people per day. Typically these people only come within one-hundred feet (100’) of Buster while he is working. We call Buster’s office Deep Space 226. The landlord told Buster that his setup at DS226 is a: Good Idea!

[SAMPLE PHOTO FROM OFFICE 226: 20200324-TU]

Low Risk Space

Office @ Deep Space 226 Facility

Controlled V Wild West

The intensity of exposure to Safe and Risky environments is for many an individual affair. Buster’s 94 year old aunt lives in what we call a Partial Homogeneous environment. At her home there are three (3) residents: Aunt JMB, cousin JAB, and gopher “M”. “M” is the one who goes out the most. In addition, Buster’s aunt runs a family business from home. There are somewhere around (5) employees. It is hard to ascertain the coming and goings of here employees, yet to date (April 25, 2020) there appear to be no sickness in their system. A true Homogeneous environment would be one that all healthy people stay home and maximize their isolation. Buster lives in what we here a Mentalation Solutions Group (MSG) call a Heterogeneous environment. The main house operation includes about ten (10) people in tight quarters. Over half of these people come and go about the community. It is hard to get a handle on each’s Risk For Corona Rate (F4CR). In addition for dinner time ten (10) or so from the ancillary house join the main house. One again, over half of those in the ancillary house come and go about the community. This includes riding the bus. In reality it is safe for Buster at his Deep Space 226 Facility (DS226F) than at dinnertime. Amongst other variables there is inconsistent mask us about the house and when those who go out in the community. About Buster’s DS226F the management stated: “Now that is a good idea”.

[INSERT MASK EXAMPLEs]

High End Disinfectant

Smily Mask in Disinfecting Container

Matrix – Corona (COVID-19) Activity – Focus California

Source Wikipedia 20200419-SUN:

https://en.wikipedia.org/wiki/Template:2019%E2%80%9320_coronavirus_pandemic_data

-
County	Confirmed	Recovered	Deaths	Concern Level

Los Angeles	11391	-	495
Riverside	2457	610	69
San Diego	2158	-	70
Santa Clara	1870	-	73
Orange County	1556	-	32	Stage 1 Primary
San Francisco	1137	-	20
San Bernardino	1096		55
-
California	28963	-	1072	Secondary
United States	763597	70123	40566	Tertiary
Worldwide	2382064	611791	165636	Quaternary
-

Data Acquisition Date: 20200419-SUN: Last Reviewed: 20200422-W:

How is it no commas?

This section focuses on accessing online data, capturing online data, and transforming online data. The original data included commas. For the purposes of rapid manipulation of data available online or within in house databases at least two formatting markers (delimiters) are used: Comma Separated Values (CSV) and Tab Separated Values (TSV). The data we share in the table above came to us from Wikipedia online. It had appropriate commas in the numbers. Yet the commas mess with rapid reformatting to meet our purposes. In the no comma format we can manipulate the data points more efficiently. Due to limited database standardization in the field of Health & Human Services (HSS) data miners are required to do more work than was promised with Technology aiding HHS.

Table – Demonstrating Data Transformation – Data Related to Whole of EARTH

20200422-W: Updated: a few seconds ago – “Quick Fact”

https://ncov2019.live/data

-
20020422-W Cleaned Stat	Description	2020 0422 (F) B4	2020 0422 (F) After
-
2582756	Total Confirmed	2,774,766	2774766
41022	Total Critical	58,568	58568
177976	Total Deceased	194,434	194434
1700960	Total Active	1,810,428	1810428
715031	Total Recovered	770,962	770962
-

Last Reviewed: 20200424-F:

20200424-F: Downtime [Message]

https://ncov2019.live/data

“The site was down for a bit, I am very sorry, but it is now fixed.”

Dirty Formats – Wrong Formats - TecknoHealth

Dealing With Dirty Data - ETL Software

https://www.etl-tools.com/articles/dealing-with-dirty-data.html

“Dirty data can contain such mistakes as spelling or punctuation, incorrect data associated with a field, incomplete or outdated data or even data that is duplicated in the database. Other common causes of dirty data are: Wrong field sizes. Wrong and inconsistent formats.” For us here at MSG wrong formats are those that require multiple steps in our transformation process. After the capture we routinely convert the data using Special Paste to Unformatted Text. From there we discover more often than not the data cannot be directed formatted into a table. HTML is general the format for as webpage or report. Converting the information can influences Paste speed in that Unformatted Text Pastes up to fifty times faster than HTML Format.

Figure – Digital Information Paste Option Example

Fishing Google

“Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. Most people who fall sick with COVID-19 will experience mild to moderate symptoms and recover without special treatment.”

“How it spreads”

“The virus that causes COVID-19 is mainly transmitted through droplets generated when an infected person coughs, sneezes, or exhales. These droplets are too heavy to hang in the air, and quickly fall on floors or surfaces. You can be infected by breathing in the virus if you are within close proximity of someone who has COVID-19, or by touching a contaminated surface and then your eyes, nose or mouth.”

Environmental Control Measures (Brief)

Table - Environmental Control Measures – Combining Some Observations

Materials and Methods

email@email.schoolsfirstfcu.org

-
Aspect	Note	Detail
-
1-Daily Cleaning Procedures	Gradual step up	Use a method similar to those for controlling food borne illness on site
2-Promoting Best Practices Recommended By The CDC	Distance self from contagion	Social and temporal distancing
Hand Sanitizer Readily Available	70% Rubbing Alcohol
High-Touch Surfaces (*)	Screens and Surfaces	Cell phones - Laptop and Desktops
Hospital-Grade Disinfectant Products	Anything similar will suffice	70% or greater Rubbing Alcohol & Dial Liquid & Bleach
Mask Maintenance	Daily if used daily	Basic protocol in the PM Particularly important to contain costs on masks
Moist & Wet Surfaces and Materials	Avoid common towels	Us bleach and wipe up with clean paper towel
Spray Sanitizers - Automatic	What are the highest risk areas in your living spaces?	Recommend installing automatic sanitizer spray unit in the bathroom
Spray Sanitizers - Manual	Minimum # of Treatments: First Treatment	3-6 within an hour
Surveillance	Ideal would be	Sample your safe and risky environments then submit your samples for testing
Wet objects and surfaces	Swap out wet or damp items daily	Particularly bathroom and kitchen towels
Wipe Maintenance	Typical loads of virus on surfaces	At risk surfaces wipe down seven times at 10 minute intervals: Maintaining surfaces wipe down morning – noon and evening
-

Last Reviewed: 20200410-F:

Table - Corona & Friendships – Face-To-Face (F2F)

-
Means	Approx # 2019 B4	2020 1^st Quarter	2020 March	2020 May Expected
-
Program BND & CCCHC	20	10	3	4
Wellness Center - West	10	0	0	0
Facebook – F2F	10	0	0	0
Home Network	20	20	20	20
Mental Health Services Act (MHSA)	10	0	0	0
Starbucks	10	0	0	0
Family	6	6	2	0
Office	10	3	3	3
-
Other	-	-	-	-
-
SUM In Person Transactions with Friends Score (IPTFS) =	96	39	28	27
-

Last Updated: 20200501-F:

Duplicates

The number of associations here are not one time only transactions. For the most part the counts represent Buster’s separate relationships. Throughout the course of a year Buster meets multiple times with some people such as his Personal Care Physician (PCP). Last year, 2019, Buster transacted face-to-face (F2F) with some odd 96 people. His transaction rate peaked during the summer on his northern adventure to Los Altos, San Francisco, and Reno. Much of his interactions with here at Mentalation Solutions Group (MSG) classify as Family Therapy. In the table above we address individuals we transacted with. For the whole year (2020) we predict far fewer transactions with different people. Much of this is associated with COVID-19.

Gauging Normalcy

MSG’s indication of a return to a degree of normalcy with be the dynamic about the month Orange County Health Care Agency (OCHCA) Mental Health Services Act (MHSA) mandated monthly Steering Committee Meeting (SCM). Locally in Orange County California the OCHCA governs some of the new and emerging COVID-19 response policies. We here at MSG hope that the SCM will resume for June of 2020. The SCM is one of Buster’s favorite engagements. On the far side the SCM may adopt new routines now that the county has demonstrated they can get by with non-face-to-face meetings, inputs, and decisions.

[INSERT FAMILY REUNION and get together photos]

Family in Reno - August 2019

Some of the Family Gals

Family in Temecula

Family in San Luis Obispo

Matrix – Health Related Engagement Friendships

Corona & Friendships – Face-To-Face (F2F)


Means	Approx # 2019 B4	2020 W) First Quarter	2020 March	2020 April Expected

Health Related Engagements (HREs)	31.8 per quarter (Rate = 0.35/Day)	27.0 per quarter (Rate = 0.30/Day
HREs			12 for whole month (Rate = 0.39/Day)	(Rate = 0.27/Day)

Last Updated: 20200417-F:

Health Related Engagements (HRE) – Friendships

Buster has only a few friends outside of the home that he spends time face-to-face (F2F) with during any given year. When he was younger especially as a student at UC Davis he would spend time with a dozen or more people in person per week. In this modern age of social media (MASM) we have had to work a bit for Buster to short out non-in-person relationships. Very few of the people who haunt about Facebook qualify as friends. He share his notions on friendship to those on Facebook. The results is he has fewer friends on Facebook now. What are the criteria for a new and improved friend? High on our list of qualifiers is an individual that Buster has provided physical labor for and that the other individual (friend) can be counted on to help Buster move. Another is someone you can spend four (4) or more hours with in one sitting (adventure). There is more yet we will leave MASM and friendship for now. Buster counts some of his relatives as friends. Yet, COVID-19 has impacted Buster’s friendships: Potentially some irreversibly.

-
-

Paradigm – “Health 1^st – Help 2^nd”

Matrix - 2012-2018 - Matrix - Health Related Engagement (HRE) & Dosage Summary

Summative – Consumer Keith “Buster” Torkelson

2020 – Summative History

-	-
Year		In Network	Total	Out of Network	Note (Rate: HRE/Day)
-
2012		NR	NR	No CALC	No CALC
2013		NR	NR	No CALC	No CALC
2014		NR	82	No CALC	82/365 = 0.22
2015		33	80	47	80/365 = 0.22
2016		45	88	33	88/365 = 0.24
2017		78	120	32	120/365 = 0.33
2018		52	126	74	126/365 = 0.35
-

Matrix - Health Related Engagement (HRE) Summary – NR = Not Recorded: Last Updated: 20200417-F: Network = Brand New Day Insurance Network

Paradigm – “Health 1^st – Help 2^nd”

Matrix - 2019-2020 - Health Related Engagements (HRE) & Dosage Summary

Summative – Consumer Keith “Buster” Torkelson

2020 - Formative

-
Year	In Network	Total	Out of Network	Note (Rate: HRE/Day)
-
2019 [Control]	45	127	82	127/365 = 0.35 Baseline

2020 As of March 10^th	11	19	8	19/70 = 0.27
2020 March 1 to March 31	5	12	7	12/31 = 0.39
2020 As of March 31^st	15	27	12	27/91 = 0.30
2020 (YTD) As of April 15^th	16	29	13	29/106 = 0.27
2020 April 1 to April 15	1	2	1	4/15 = 0.27
-

Matrix - Health Related Engagement (HRE) Summary – NR = Not Recorded: YTD = Year To Date: Last Updated: 20200417-F: Network = Brand New Day Insurance Network

Health Related Engagement Frequency (HRE-ℱ)

If you notice Buster’s Health Related Engagement (HRE) reached a frequency of 0.35 per day during both 2018 & 2019. After 2019 Buster came to believe that 0.35 would be a peak. We here at Mentalation Solutions Group (MSG) agree with Buster. After the burst of appointments in March now we see what we expected: Buster’s HRE rate from April 1 to April 15, 2020 is 0.27 per day. So we wonder, is Buster getting better in that he is getting by with fewer social encounters?

March Suit Up & Show Up Approach

We had several appointments scheduled during the month of March for Buster. At least one essential, one important, and one optional. Coming into the week of March 16, 2020 we here at Mentalation Solutions Group (MSG) decided Buster should keep all planned engagements. Putting things off could have dire circumstances. In addition it could actually cost Buster some money. We paced Buster for the final engagement of the week meeting with his 94 year old aunt for Family Therapy. Buster and his aunt had planned an all-you-can eat Smelt (fish) feast. The engagement ended unexpectedly when Buster’s aunt’s daughter (cousin) declared Buster a COVID-19 carrier and kicked him out. It is more than a month since and Buster has not been invited back. Buster and his aunt pretty much since she turned 90 years old have wondered in which manner they would part ways.

Integrating About Technology

Appendix - Table - Associated Papers – Spring 2020

-
Theme	Principal	Development	Note
-
Corona I	Chester D Mojica (CDM) MD-On Call	Reports PRN	Took a long time
Digital Appointments Via Smart Phone	Mentalation Solutions Group (MSG)	Graduate to TecknoHealth	In better position to take advantage
GRAVITY	Avey CE Asus (ACEA)	Fun Paper	Pinterest Alternative
Health and Housing	Jeffery A Nagel (JAN)	OCHCA Housing Help Line	Stayed for Corona
Sleep	MSG	SleepAbility	20200408-W Major change Spice user moves away
TecknoHealth	MSG	Integration	Consumer side of Health Technology
Teladoc	MD-On Call	Report II
Telepsychiatry	Rimal B Bera (RBB)	P4D Report	20200408-W Worker announces Appts by phone only
-