WOW! US Gov Contract DOUBLED for Presidential Emergency Declaration

FEMA just DOUBLED a contract for 4 Billion Dollars in case of a Presidential Emergency Declaration. The contract was just let at the 1st of January and 15 days later something happened to make FEMA double the budget. The primary unplanned for situation that pops to mind during this time frame is the SARS-like outbreak coming from CHINA. Note this is just top of the Pyramid type spending; Billions and Billions more will have to be thrown at a major outbreak, fortunately most of that planning was already done in contracts tied the H7N9 influenza outbreak the fizzled several years back. Unfortunately the media is not reliable enough to accurately characterize the risk associated with this Coronavirus outbreak. Typically if the media and CDC is fomenting panic it is for clicks/views and budget increases. But if the media and CDC publicly underplay a disease risk it is because they fear a public panic will interfere with their planned actions. It is recognizing this latter situation that allows the astute observer to react prior to the herd of humanity stampeding. Often the best risk assessment can be garnered by looking at what the Government is contracting in reference to any particular situation. The fact that FEMA just had to DOUBLE its spending limit, just days after the settling a contract, for top level Presidential level disaster response is telling. Our initial assessment is that People will NOT be dropping like flies; that said, it takes very little to disturb the normalcy of a 1st World medical system. The SARS-like outbreak has the potential to shut down hospitals, dialysis clinics, and make normal medical treatment difficult to find. More people would be likely to die from being shut out of treatment for normally treatable chronic diseases than would from the SARS-like virus itself. More to follow: Sources:

https://beta.sam.gov/opp/844a15b48a8546b3affd9c0e146dde63/view?keywords=fema&sort=-modifiedDate&index=opp&is_active=true&page=1 https://washingtontechnology.com/articles/2018/01/02/fema-response-contract.aspx?m=1

ALERT! CDC Issues Human Bird Flu ALERT

The Centers for Disease Control just released an alert warning doctors about the risk, spread, and treatment of Bird Flu in the United States. The risk is tied to the outbreak of Bird Flu in US poultry flocks.

Because of the Summer type weather, our risk analysis is that the immediate primary risk comes from direct contact with bird feces, dead birds, infected humans, and locations where bird flu may become aerosolized (such as County Fairs, Poultry Farms and Medical Facilities)

We do not expect wide spread fatal human to human spread within the next 4 months. But we do see an increased risk for disruptions to the  national medical system.


Our risk mitigation posture includes:

(1) Using Hibiclens surgical scrub
(2) Avoiding contact with bird feces
(3) Maintaining vigilance for USDA wild bird culls as an early warning indicator

Sources:

http://health.mo.gov/emergencies/ert/alertsadvisories/pdf/cdcHAd6215.pdf

ALERT! USDA Filing Environmental Impact For An UNPRECEDENTED Pandemic Animal SLAUGHTER So Massive That Current Disposal Methods Can't Handle It

National Institutes of Health Orders a One Year Stockpile of "EMERGENCY DISASTER EVENT PREPARATION FOR PERSONAL PROTECTIVE EQUIPMENT"

The National Institutes of Health [NIH] just placed a solicitation  to stockpile an entire year's worth of Personal Protective Equipment [PPE] to support eight agencies inside of NIH. They are placing the massive order in case there is a disruption in supply of medical goods like goggles, gloves, gowns, masks, spacesuits.

The NIH's rationale is that the animal testing they are doing is so vitally important that no disruption in supplies can be risked. Apparently the disruption in PPE supply is expect to last at least one full year, and they have an option to carry it on for four more years.

"This Sources Sought Notice has been posted to establish, provide, and maintain a laboratory animal personnel protective equipment (PPE) resource to ensure the accessibility and availability of essential supplies throughout an emergency/disaster, government shutdown, or any other interruption of regular deliveries. These supplies support irreplaceable multidisciplinary animal research, which is critical to the mission of eight institutes at the National Institutes of Health."

 "During emergency/disaster events, the normal supply and distribution channels will most likely be unavailable/or protracted due to the impact of the emergency and the rush of immediate orders. Our program's disaster plan takes these factors into account; it is therefore our intention is to establish an offsite source of critical supplies with an established, laboratory animal PPE vendor with a proven track record of providing quality products and services. As outlined in our emergency plan it is the intention of our program to be able to house up to a one year's supply of PPE products with a local vendor within a 90 mile radius of NIH in Bethesda, Maryland."

A few near term risks that potential could make PPE unavailable for an entire year are:

1) EBOLA
2) H7N9 BirdFlu
3) MERS-CoV

The POTRBLOG team believes that this contract clearly indicates that the Government expects a protracted shortage of medical PPE, and that the window of opportunity for individuals to purchase needed PPE at reasonable prices is now at a close.

Sources:

Solicitation Number: HHS-NIH-OD-OLAO-SBSS-15-001

Aerosolizing ONE DROP of Ebola Infected Blood Can Kill 500,000 People

US ARMY Says EBOLA = FLU in Airborne Stability, Needs Winter Weather To Go Airborne

Ebola Bodily Fluids Readily Weaponizable Using An Ultrasonic Humidifier

Ebola Emergency ZMAPP Production Rates & Costs

CDC's "Lesser Of Evils" Double Standard On Health Care Worker Protection Indicates They Expect a Large Ebola Outbreak In USA

CDC Warns Hospitals On EBOLA "CONTAMINATED AIR" and Directs use of "Airborne Infection Isolation Room"s

Inhalation Ebola: Governments Ready For World War Ebola

CDC Sees AIRBORNE EBOLA Transmission, Issues Guidance For Aircraft Flight Crews, Cleaning & Cargo Crews

 CDC is already evacuating DOUBLE the number of expected Ebola infected personnel at a rate of 7 doctors per month

US Government on H7N9 MERS EBOLA Pandemic Purchasing Spree: Millions for Adjuvanted Vaccine; Ventilators; Doxycycline Injections; Mobile Killing Chambers; Air MEDEVAC

Fall 2014 is starting to look much like Fall 2013 in terms of the Federal Government Pandemic Spending

In the last week:

(1) HHS gave Sanofi Pasteur $105 million to produce an adjuvanted H7N9 influenza vaccine; Last year they purchased the syringes needed to give EVERY American two of these vaccinations. Even more troubling the CDC had ALWAYS previously banned the use of adjuvanted flu vaccines in the USA because they were considered dangerous.


(2) HHS also gave PHILIPS RESPIRONICS  a $46 million dollar sweet heart deal funding the entire R&D development to production cycle of 10,000 Advanced All Hazard Stockpile Ventilators (AAHSV)


(3) The US Army ordered a stockpile of test reagents for H7N9 and MERS-CoV specifically

"in preparation for potential pandemic outbreak of H7N9 and/or novel Middle East Coronavirus".

(4) The Department of Defense has also placed a large order for Doxycycline Hyclate Injections to fill their Pandemic Influenza Stockpile. Interestingly, there is also a US Patent on the use of Doxycycline to spur blood serum treatments for Ebola, as has been recommended by WHO to treat Ebola infections. The supply has been directed to USNORTHCOM, meaning the outbreak is expected to occur in North America. It also just happens that this drug is currently in critically short supply in the US.


(5) The USDA has awarded a contract to build multiple Mobile Modified Atmosphere Killing Trailers

"for the depopulation of poultry in response to an animal health emergency such as a catastrophic infectious poultry disease" aka H7N9 Bird Flu

(6) And not to feel left out, The US State Department expects its going to have to do A LOT of Ultra high infectious containment Aeromedical Evacuations after February 2015. As such, they have put out an RFI seeking additional EBOLA type air ambulance medical flight airlift capability.



Of course all of these expenditures just scratch the surface of the pandemic preparations the US Government undertook in 2013. If the population had just an inkling of what was actively being prepared for, they'd be in Church as if it were Christmas and Easter combined.

Our Analysis:

H7N9 is low risk with medium impact. Its had every chance to go Global and has not. If it appears NATURALLY in the USA, hot points for infection are river deltas like San Francisco, Houston, and New Orleans

MERS is a low to medium risk with medium impact. MERS has had several chances to breakout at HAJJ and has not. But since MERS outbreaks have previously occurred 6 months out of phase with HAJJ, mostly in Spring camel birthing season, a human infection carry over into October might allow HAJJ to be fuel to the fire. That said, the spread of MERS seems to be tied to behaviors related to Eastern toilet habits and Islamic palliative care,

EBOLA is High Risk with High Impact. The experts at the ARMY's Aerobiological Science center report that Ebola has an airborne stability like Flu, and that Winter type weather may allow for airborne spread to occur. One must also consider the Airborne implications of Ebola victims have co-infections with Cold, Flu, Tuberculosis, or even seasonal allergies. All these factors make for the potential of an EXPLOSIVE number of Ebola cases in cold weather climates.

Source and background info:

Award is for the development of an adjuvanted pandemic influenza vaccine.

Advanced All-Hazards Stockpile Ventilator

preparation for potential pandemic outbreak of H7N9 and/or novel Middle East Coronavirus.

Doxycycline Injection

Doxycycline Hyclate Injection Shortage

Compositions and methods for treating hemorrhagic virus infections and other disorders

Mobile Modified Atmosphere Killing Trailers

Emergency Aero-Medical Services

US ARMY Says EBOLA = FLU in Airborne Stability, Needs Winter Weather To Go Airborne

[H7N9 Vaccine] New Information, Its MORE Dangerous Than Previously Thought

[ALERT!] ALL 300 Million American Citizens WILL Be Given TWO Experimental Adjuvant Laced H7N9 Vaccinations!

BIRD FLU: US Government quietly orders 600 Million syringes stockpiled in 10 Cities

CDC Contracting With Poison Control Centers and 2-1-1 to Create Public 'Phone-In' Bird Flu Triage Centers

Systems & Intrinsic Disorder: MERS-CoV's "Hard Shell" Is Key To Understanding Its Epidemiology

The Best High Throughput "No Touch" Ebola Fever Thermometer

The latest and greatest "no touch" fever thermometer with the potential highest victim through-put rate is the the VisioFocus made by Tecnimed in Italy. The thermometer directly displays a person's temperature on their forehead as the temperature is being taken.

The beauty of this display feature is that medical personnel do not have to touch or take their eyes off the person being measured. This lack of handling and fumbling with the thermometer means that any group of people being scanned can be more rapidly moved through the queue.

The draw backs to these types of no touch thermometers is that they measure skin temperature and an offset is automatically applied to determine core body temperature (oral, anal, or axial). Environmental conditions can alter heat transfer rates off of the skin, thereby making measurements less accurate.

The thermometer is also able to measure the temperature of household objects, such as baby milk bottles. This capability also allows the device to be rapidly calibrated if the thermometer has undergone a rapid temperature swing, such as from a cold winter day to a warm inside room. The unit displays in both degrees Fahrenheit and Celsius.

Another obvious drawback to the unit is that one can not take one's own temperature without the aide of a mirror to make sure the thermometer is at the right focal distance away from the forehead or eyelid.

For greater insight watch the video.

PANDEMIC ALERT: US Military In All-Out-Rush To Get Flu Vaccine by August; Sites "Real Harm" & "Unusual and Compelling Urgency"

The Defense Logistics Agency has placed a no-bid order for Influenza Vaccine based on  "Unusual and Compelling Urgency".  The order states that 70% of the vaccine order must be met by August and the remainder in September. Much of the information about the order is "redacted" aka SECRET.

The contract for the vaccine states:

"In the absence of timely delivered vaccine, the Government faces real harm and expense"

The obvious explanation for such a sudden off-season demand for flu-vaccine is the detection of H1N1 Swine Flu. The detections were made in the ILLEGAL IMMIGRATION camps which have been set up on military bases.

It seems clear that the US Military sees a real threat of a severe influenza pandemic resulting from the massive border crossings and pandemic breeding grounds surrounding the detention camps on military bases.

Of course the risk is not just limited to the Military; the procurement contract also states:

"The use of this authority is necessary because the current supplier of the subject vaccine is unable to meet all the technical requirements of the vaccine. [redacted] The Government must secure an order by July 2, 2014 in order to meet the Services' required delivery time frames of 70% of quantity delivered by August 29, 2014 and the remaining quantity by September 30, 2014."

Given the manufacturing problems referenced at the current manufacturer, we expect the public will experience a shortage of Flu Shots. We are also concerned that the Flu shots which will be made available may not be up quality standards.


Based on the Centers For Disease Control recent online Pandemic Influenza training modules, the CDC is expecting a strong anti-illegal-immigrant backlash as 27% of CDC's Pandemic course is soley about stigmatization of "special populations".

The CDC has two plans of attack regarding the Stigmatization of"Special populations" spreading Pandemic Influenza.

1. "raise awareness and understanding among the dominant group about stigmatization or"

2. "wait for the pandemic to become so pervasive in the dominant group that it eliminates the distinctions by race, ethnicity, profession, or other identifiable characteristics."

By default it seems the initial reaction from Public Health authorities is to choose Political Correctness over human lives. In that regard, the US, Canada, and Mexico have just entered into a Pandemic agreement to ensure that signatories strive to share Pandemic information with each other prior to sharing it with the public.

"The Declaration indicates that these countries intend to:

• exchange with each other statements and plans pertaining to health emergencies before releasing them to the public; 

• notify other proper authorities of their respective countries when the Declaration is cited;

• hold meetings as they deem necessary in order to amend and review the Declaration; and

• perform a communications test every year to refine joint coordination. (Press Release, supra.)"

As it stands, the Defense Department is prepping for an Influenza Pandemic and indications are that if such a pandemic does occur the public will not be informed in time to take useful precautions.

We expect that an pandemic outbreak is most likely to start in camps where the Department of Homeland Security [DHS] is concentrating illegal aliens. Prime among those high risk disease locations is Los Fresnos, Tx where the DHS has just sent 50,000 toothbrushes, shoes, shirts, bras, and panties.

Sources:

Influenza Vaccine
Contract Award Number: SPE2DP14C0002 
Agency: Defense Logistics Agency

http://emergency.cdc.gov/cerc/cerconline/pandemic/index.html

http://www.loc.gov/lawweb/servlet/lloc_news?disp3_l205404053_text

http://www.hhs.gov/news/press/2014pres/05/wha-declaration-us-canada-mexico-en.pdf

DHS Sets Up Refugee Camp: Sends ~50,000 Toothbrushes, Socks, Shoes, Bras, Panties, & Shirts to Los Fresnos, Tx

US Navy Orders Field Deployable H7N9 Rapid Tests For Special Investigations and Surveillance

  Arbor Vita:

"The Navy specified that the test be simple enough for non-laboratory personnel to use in field conditions. The alarming spread of the virus necessitated that such a test be available."

Solicitation Number: W911QY14P0209:

 "calls for the procurement of 400 A/H7N9 rapid assay tests that can be deployed through NHRC's surveillance network. The objective of this effort is to test specimens from ongoing surveillance programs and from special investigations of respiratory illness among military personnel and civilians."

Analysis:

The key take-away from this procurement is the limited number of detection kits ordered. Four-hundred kits seems like a rather minuscule supply if the US Navy is expecting a  H7N9 pandemic. But given that each kit is capable of performing 10 tests, one might surmise that having 4000 individual H7N9 test kits forward deployed to areas where the sampling will be done by "non laboratory personnel" is a sign that the USN sees a risk and wants to get an early lead if things start to go south. It will be interesting to see if the general public ends up being force fed a much higher level of concern about H7N9 than the Navy seems to be taking.

Sources:

Rapid Test Kits for A/H7N9 Influenza: Solicitation Number: W911QY14P0209

www.arborvita.com/latest_news/AVC-press-release_20140521_Arbor-Vita-Corporation-s-A-H7N9-Influenza-Rapid-Test-authorized-for-Emergency-Use-by-FDA.pdf

http://www.arborvita.com/h7n9-infuenza-detection-test.html

ALERT! CDC Threatening Pilots With Legal Action For Not Reporting Sick Travelers On Interstate Or International Flights

The Centers For Disease Control has released a flyer which threatens Airline pilots with legal action if they do not report ill travelers. The document specifies that both International and Interstate passengers must be reported if they are ill.  Obviously this action is an indication that either a pandemic is underway or one is expected, and that air travel will be how the pandemic spreads. (STAY OUT OF AIRCRAFT RESTROOMS)

As we have previously reported, The US government is showing major concern for a devastating 'zero day' pandemic exploit and is significantly increasing Federal Quarantine Station capacity/ capability. The CDC has also ordered its employees to prepare for a National / International disaster.

The obvious candidates for CDC's actions are MERS, EBOLA, H7N9 Bird Flu and H1N1 Swine Flu. Of these only EBOLA seems to be of any immediate (albeit fleeting) threat, and as such the Department of Defense has deployed EBOLA detection kits to National Guard units in all 50 states and to military units in South Korea.

Of  the other threats, MERS and H7N9 are primarily adapted to their locations/cultures of origin/mass detection, and as such the threat of ongoing chain infection-transmission outside those locales/cultures seems low. Albeit, current MERS protocol involves quarantining all health care personnel who had initial contact with the infected person, meaning even a few cases could shut down the health care system.  In regards to H1N1, the possibility of a more severe 2nd wave in the Fall should not be discounted.

UPDATE 5/27/14: CDC just created a job openings for a
"Public Health Advisor (Quarrantine Program)" sic

Job Title:Public Health Advisor (Quarrantine Program)

Department:Department Of Health And Human Services

Agency:Centers for Disease Control and Prevention

Job Announcement Number:HHS-CDC-D3-14-1125484

 https://www.usajobs.gov/GetJob/ViewDetails/370536200

Sources:

MERS-CoV Infection Via Diarrhea & Eastern Toilet Habits, What You Need To Know

MERS Likely Spread Via Islamic Palliative Healthcare

US Government Showing Major Concern For A Devastating ZERO DAY Pandemic Exploit

DoD Has Deployed EBOLA Detection Kits to National Guard Units In All 50 States

CDC Orders Its Personnel to Prepare Their Families For National / International Disaster

US Licensing LIVE Rabies Based EBOLA Vaccine, Preps Pandemic Quarantine Stations & Injury Fund

MERS-CoV Infection Via Diarrhea & Eastern Toilet Habits, What You Need To Know

The best translatability guide we have for the MERS-CoV  outbreak is likely the SARS-CoV outbreak in China. In that regard, it has been "found that SARS case-patients may have high concentrations of virus in stools during the 2nd week of illness and continue to shed the virus in feces until at least 26 days after onset of symptoms."

Its important to note that feces and bathrooms were noted as a being a source for SARS-CoV spread, and that the CDC lists diarrhea as one of MERS-CoV's key symptoms.  It is also important to note that in the Eastern world, where MERS is most prevalent, toilet hygiene is very different from the Western world. One key difference (as explained in the video below) which is likely to cause the spread of MERS-CoV is the Eastern method of  using water and a bare hand to remove feces from the posterior.

The Eastern method of cleaning one's posterior of feces is prone to aerosolize CoV, and it also leads to direct contamination of the hand, which leads to CoV spread to surfaces via fomites. This vector may explain why CoV is seemingly readily being spread among health care workers in Saudi Arabia.

In that regard its plausible to assume that as MERS spreads from the Eastern world to the Western world, one is most likely to become infected in restrooms and food handling facilities. The obvious most dangerous common places for MERS-CoV infection would be Aircraft and Hospital restrooms. 

Overall we see the deadly pandemic risk from MERS as being low, especially given that MERS has had at least two HAJJ cycles to spread across the world. HOWEVER when one combines poor hospital infection control and MERS tendency to infect and kill health care workers, it is possible that MERS-CoV could end up shutting down hospitals. The worst case scenario is an overlapping H7N9 and MERS-CoV outbreak. Edited to add that MERS is most likely to be spread Globally during the HAJJ cycle starting in October, which in turn means that Hospitals could be shutting down from MERS-CoV infections right as the Flu season starts to kick off.

If you are concerned about MERS-CoV (and we're not yet concerned) one of the best countermeasures is to wash with a CHG containing surgical wash/scrub such as Hibiclens. CHG will protect your hands from contagion for at least 6 hours after use.

Sources:

http://www.cdc.gov/coronavirus/mers/interim-guidance.html

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3322913/

Saudi Arabia: Etiquette of the Saudi Toilet

BUY IT NOW! H7N9 FLU Pandemic Will Spark Run On CHG

DoD Has Deployed EBOLA Detection Kits to National Guard Units In All 50 States

]

On April 8th Congress was informed by the the Department of Defense [DoD] that because of emerging threats JBAIDS hemorrhagic fever assays have been deployed to National Guard units of all 50 States.

. "By partnering with the U.S. Army Medical Research and Materiel Command and the Food and Drug Administration, we have made accessible additional diagnostic assays for high
consequence, low probability biological threat agents for use during declared public
health emergencies. This collaboration has facilitated the availability of viral hemorrhagic fever diagnostic assays for use during a declared emergency and adds
previously unavailable preparedness capabilities to this fielded system...

......To address the need for a near term capability to combat emerging threat materials,
we have already provided Domestic Response Capability kits to the National Guard weapons of mass destruction civil support teams resident in all 50 states. These
kits provide emerging threat mitigation capability that includes detection, personnel
protection, and decontamination."

It is unclear how real or imminent the threat may be, but it is clear that a massive surge of Governmental spending and preparedness has occurred since Hemorrhagic H7N9 Bird Flu came on the scene in 2013 and those preparedness activities are accelerating as EBOLA has started to gain momentum in Africa. (see links below)

There are multiple vignettes one could put forth for these governmental activities ranging from simple wasteful defense spending, to airborne mutated EBOLA, or an expected biological first strike prelude to WW3. The preparations seem to lean towards the latter.

Rather than worry about the situation, the best course of action is be aware of the unusual military equipment which would be utilized in a defense situation, as such information will provide leading edge risk mitigation actionable information to threats that may result in mass panic or mass quarantine.

In that regard, spotting the field use of the biomedical equipment shown below is an extremely strong indicator that a Biodefense operation is underway. Pay special attention to the JBAIDS device shown below, its presence at any medical or field facility is prima facie evidence of a high risk medical event of disastrous proportion. For mobile applications the JBAIDS device is carried in the Bio sampling vehicles shown below.

Joint Biological Agent Identification and Diagnostic System [JBAIDS]

JOINT BIOLOGICAL POINT DETECTION SYSTEM (JBPDS)

Alternate Vehicle 

Source Information:

HOUSE ARMED SERVICES COMMITTEE 
SUBCOMMITTEE ON INTELLIGENCE, EMERGING THREATS AND CAPABILITIES 
SECOND SESSION, 113TH CONGRESS 

US Licensing LIVE Rabies Based EBOLA Vaccine, Preps Pandemic Quarantine Stations & Injury Fund

US Government Showing Major Concern For A Devastating ZERO DAY Pandemic Exploit

Until Gaëtan Dugas or Other Flying Rats Catch Ebola, The North American Risk Remains Low

[PANDEMIC WARNING] Public Health Service PRE-ORDERS 2,900 of Its HIGHEST Medals & Ribbons Awards

ALERT! CDC Orders Its Personnel to Prepare Their Families For National / International Disaster

Pandemic Alert! CDC Desires Info On H7N9 & MERS TWEETS in Real Time AND 5 Years Historical

US Government Showing Major Concern For A Devastating ZERO DAY Pandemic Exploit

The US Government [USG] is showing great concern that a nationally devastating pandemic may be at hand. Specifically USG is preparing for a zero day exploit of a transmittable pathogen with no known cure or available vaccination. In that regard, USG is taking the following steps.

1) The CDC is upgrading capacity and capability at Quarantine Stations throughout the United States.

2) USG is prepping CDC, HHS, and et al, to relocate and continue operations within 12 hours of their primary operating locations being wiped out.

3) USG is now maintaining a year round stockpile of vaccine producing eggs, for the sole purpose of rapidly responding to Zero Day threats.

4) CDC has accepted an UNSOLICITED proposal from Genentech for a nationwide proprietary antiviral distribution network.

5) USG is tying in all pandemic operations and public health operations across all levels of government with law enforcement via the Department of Homeland Security 

Its unclear if these actions are specifically tied to H7N9 Bird Flu, but USG did VASTLY start increasing its biomedical counter measure capability in conjunction with H7N9's appearance. Our own opinion is that things like H7N9 have happened thousands of times before but gone unnoticed. 

The only thing we really know for sure is that Biomedical industry is getting a lot of money and near term job security thrown at it via tax payer dollars, and that kind of money is not spent without some sort of medical mandate being forced upon the citizenry.

However, there are some intriguing hints in some of the contracts the government is releasing (as we listed above), the following quote indicates all these actions are taking place as a result of a recent inflection point.

"A changing threat environment and recent events emphasize the need for COOP capabilities that will enable AHRQ to continue its essential functions across a broad spectrum of emergencies. COOP planning establishes operational procedures to sustain essential functions if normal operations are not feasible and guides the restoration of AHRQ to full operational status following an emergency. The AHRQ COOP Plan will provide for attaining operational capability within 12 hours and sustaining operations for up to 30 days or longer as the result of a catastrophic event or a national security emergency"

If we had to make a guess, it would appear that the world's players are pre positioning the men and equipment on their chess boards in preparation for the outbreak of World War III. And seemingly, part of USG's chess preparation involves readying for the first volleys (natural or otherwise) of that conflict to be biological in nature.

In the end its not clear if there is an imminent biological threat, but cost effective preparation for such an event is wise. It is also wise to be prepared to have health care mandates forced upon you, regardless of their true necessity.

Sources:

Medicine Is getting the IDENTICAL Takeover That The Financial & Military Systems Got In Prelude to WW1

AHRQ Continuity of Operations Plan (COOP) Support

Dynamic Year-Round supply of Embryonated Eggs for Pandemic Influenza Preparedness

Professional Support Services to Detect and Control Emerging and Zoonotic Infectious Diseases

https://www.fbo.gov/utils/view?id=f98e54b651a0b03170fb7afb26548f38

Tamiflu Distribution Network

Division of Microbiology & Infectious Diseases: Regulatory Affairs Support

Critical Infrastructure Support Services

Has the CDC Detected An Imported H7N9 Case Via Chinese New Year Travel? We'll Find Out Soon Enough

IF a H7N9 case entered the USA via international travel related to Chinese New Year Celebrations, AND IF it was detected, we are in the time frame in which a public H7N9 announcement would be expected. Those are a lot of IFs. It's also a big IF if it would have any immediate impact.

What draws our eyes to this question is recent BARDA activity related to PERMAVIR stockpiles, HHS's desire to track all TWEETS about H7N9, and CDC's recent positioning to let large orders for mechanical ventilators.

Frankly we believe it's likely H7N9 entered San Francisco by Valentine's day, carried in by Americans returning home from Chinese New Year celebrations in Mainland China. The best place for H7N9 to initially have spread in the USA would have been during the Chinese New Year parade and activities in San Francisco on 2/15 -2/16.

"According to a recent survey, this year plans to travel abroad for Chinese respondents, 29% of people choose to travel to the United States. Among them, 46 percent plan to the United States as a destination for Chinese tourists to California, 31 percent plan to go to New York, there are some Chinese tourists planning to go to Boston."

Did H7N9 make it into the USA? Our best guess is yes, BUT we think the odds of detection are low as the Bay Area is swamped with a H1N1 outbreak and deaths. The real point of concern would be if H7N9 made it into the Bay Area wild life, as its river delta and surrounding large human population fit the profile of outbreak locations in China.

Unfortunately, research studies of the Bay Area have shown that

 "Waterfowl in California can spread the avian influenza virus (AIv) during summertime when wetland temperatures are warm and waterfowl densities are low.

Researchers with the USGS and partners found low pathogenic (LP) AIv in water and waterfowl fecal samples collected in the California Central Valley during summer, indicating on-going infections in resident waterfowl, persistent shedding and active transmission of AIv.

Despite previous research suggesting that colder temperatures and increased bird densities as waterfowl congregate during migration are most favorable to the survival of these viruses, the recent findings suggest that high summer water temperatures do not prevent its circulation.l"

this means if H7N9 is imported into the Bay Area it can persist to seed a Fall 2014 H7N9 outbreak.
Other locations fitting that profile are Houston, and possibly New Orleans.

Of course this doesn't mean that we should hold our breath for an imminent announcement from the CDC that H7N9 has been detected in the USA, it only means that you should not be surprised if that is what happens (this year or next).

Sources:

Technical Announcement:Low Pathogenic Avian Influenza Transmitted During Summer in California Wetlands

US-Chinese New Year rush off New York "shopping" in Massachusetts visiting campus

CHINATOWN COMMUNITY STREET FAIRYEAR OF THE HORSELUNAR YEAR 4712

Pandemic Alert! CDC Desires Info On H7N9 & MERS TWEETS in Real Time AND 5 Years Historical

CDC Preps MASSIVE Ventilator Order, References Radiological Event And Pandemic Influenza

#BARDA seeks to extend the shelf life of it IV #Peramivir antiviral stockpile to 2019 #H7N9 #H1N1 #ASPR #BirdFlu https://t.co/In8EmVHnNM
— Potrblog.com (@Potrblog) February 18, 2014

BUGOUT ALERT! CDC Preps MASSIVE Ventilator Order, References Radiological Event And Pandemic Influenza

[VIDEO TO FOLLOW SOON]

Plutonium Lung or Pneumonia of Unknown Etiology (look for these latter words)

On February 24th the CDC put out a Solicitation tasking all Mechanical Ventilator manufacturers to provide CDC with information in preparation for a MASSIVE order for ventilators.

"Mechanical ventilators are a critical life-saving non-pharmaceutical medical countermeasure for patients experiencing respiratory failure that could result from the consequences of a pandemic influenza, emerging infectious disease or other chemical, biological or radiological event. These events can quickly overwhelm the hospital resources of the locale and the region. In a public health emergency resulting in respiratory failure for a large number of patients, hospitals will need to surge the medical capabilities needed to provide mechanical ventilation"

Based on the solicitation, CDC wants manufactures to be able to deliver 5000 ventilators each on a non-surge capacity.The CDC also wants manufactures to address their capability to rapidly and massively increase surge production over a 12 week surge capability, including identifying raw material sources.
CDC wants all this information by March 18th.

So the following things immediately come to mind:

(1) The DOE WIPP site released a Plutonium Cloud on Valentine's Day which we calculate to have been 330,000,000 Becquerel in size, released over an approximate 30 second period in an estimated 10,000 cubic meters of air. All of which rapidly shot Northwest towards Denver. We also see a significant risk of additional explosions and more significant releases (see more info below)

(2) Pandemic H7N9 avian influenza. The Government has been prepping for H7N9 like it was the Zombie Apocalypse. REPORTED cases in China have trickled off recently; there may be another up tick tied to the their celebration of Women's Day on 3/8/14. Provided that information is not being withheld we would not expect such a pandemic till Fall 2014

(3) CDC just released an order on COTS tools to establish a TWITTER firehose, with 5 years of historical data. The demonstrated purpose was for H7N9 and MERS information Fusion. The 5 year historical legacy makes less sense for an outbreak of H7N9 or MERS this year, but it does make a lot of sense for identifying NUCLEAR and Medical bloggers of influence.

(4) Lots of the Government's prep work for Influenza and Nuclear disaster overlap. We have covered much of the Pandemic aspect this year; but the Nuke aspect has not gone unnoticed and we have referenced that the Government seems to be preparing for a Plutonium Fizzle event. The outcome from a fizzle event and the release of weapons grade Plutonium dust from the WIPP site in New Mexico share similar outcomes.

So is this prep specifically for the Nuclear event in New Mexico? We don't know. But we do know that the primary shortage tied to this year's H1N1 outbreak was a shortage of ECMO (artificial lung) machines. A technology and manpower a step above mechanical ventilators.

One thing we know for sure, it would be wise risk mitigation to be able to IMMEDIATELY escape upwind of the WIPP site within a moments notice for anyone living within a 200 mile zone. This means having a P100 mask and items to sustain comfort immediately available and transportable (along with a plan to get out).

We expect that the DOE WIPP site should be tracking levels of Hydrogen, Methane, & VOC's from increased radiolysis occurring in the WIPP mine. But, this does not mean they will alert you. DOE denied the Plutonium release for DAYS.

Alternative media is just now reporting the size of the Plutonium release, we first quantified and reported the size of that Plutonium release over 1 week ago. People did not want to believe there was a massive release because of Normalcy Bias, don't make that mistake again!

Sources:

Mechanical VentilatorsSolicitation Number: 2014-RFI-16388

Pandemic Alert! CDC Desires Info On H7N9 & MERS TWEETS in Real Time AND 5 Years Historical

TIME ZERO Plutonium Cloud was 330 MILLION Becquerels in Size; DOE Claims Current Releases Safe--BUT

DEADLY WARNING: Initial Plutonium Cloud Size ~110 MILLION Bq, On Going Releases @ ~6,667 Bq PER MINUTE

POTRBLOG Reverse Engineers U.S. Radiological Disaster CONOPS & Identifies Nuclear Threats

Plutonium Fission Fizzle Bomb: Uncle Sam Upgrading Emergency Triage Capability

[PANDEMIC WARNING] Public Health Service PRE-ORDERS 2,900 of Its HIGHEST Medals & Ribbons Awards

ALERT! CDC Orders Its Personnel to Prepare Their Families For National / International Disaster

Pandemic Alert! CDC Desires Info On H7N9 & MERS TWEETS in Real Time AND 5 Years Historical

The Department of Health and Human Services (HHS) released a solicitation on monitoring Twitter in real time for tweets on H7N9 and MERS.

"Please demonstrate how your tool can continually monitor and send alerts based on user-made search criteria. Focus on MERS or H7N9"

One of the most disturbing aspects is that they also want 5 year historical capability too. Another key aspect is an API to allow data to be shared across Fusion centers. In short, what is going on is further development of the Government's C4ISR capability in regards to Public Health / ObamaCare.

The issue with Public Health emergencies is that the Government believes that Constitution does not apply to them. The most concerning scenario is one where CDC officials identify a Pandemic in progress before the public becomes aware of the outbreak. Having 5 year historical records of H7N9 and MERS tweets will allow them to identify those individuals who will break the news on Social Media and potentially interfere or contradict the desired official narrative. 

In a prelude too and during a severe Pandemic, contrarian bloggers and Twitter users with influential capability should expect to have their Constitutional Rights VIOLATED.

For those unaware, the Government has spooled up for a H7N9 pandemic in a massive way. Our personal assessment is that the near term risk of a massive / deadly H7N9 outbreak in the USA is low, but that the impact would be high. The Government's actions tend to point more to their belief that such an outbreak is a sure thing.

Sources:

Social Media AnalysisSolicitation Number: 02182014

The FEDS Are Going C4ISR Crazy For H7N9:

Healthcare and Public Health (Federal) Threat Operations Center (HTOC)

ALERT! CDC Orders Its Personnel to Prepare Their Families For National / International Disaster

The CDC is launching "READY CDC" a training and verification program designed to make sure that CDC personnel have prepared their families for a National or International Disaster. Their reasoning is as follows:

"ensuring staff are prepared to respond to disasters is ensuring that the workforce has their personal and family preparedness plans in place. Research has shown that individuals are more likely to respond to an event if they perceive that their family is prepared to function in their absence during an emergency."

Now notice the key phrase in that quote  

"if they perceive that their family is prepared". 

We take that to mean that the level of preparations required to be effective in their envisioned scenario are so overt as to scare the crap out of the people needing preparations, and as such CDC personnel would be likely to choose to stay with their families as opposed to "responding"; thereby defeating the purpose of the Ready CDC effort.

The obvious candidate for such a situation is anything which has the capability to reproduce and spread in an unpredictable manner, aka a pandemic such as H7N9. 

Large scale preparations are taking place all across the Government; whether or not these actions are justified we don't know. But they are worthy of note; especially when they start ordering medals and ribbons for nearly 50% of their employees and the major battle isn't even fully engaged.

Sources:

Ready CDC—New—Office of Public Health Preparedness and Response (OPHPR), Centers for Disease Control and Prevention (CDC).

[PANDEMIC WARNING] Public Health Service PRE-ORDERS 2,900 of Its HIGHEST Medals & Ribbons Awards

MASSIVE ALERT! HHS Forces Doomsday Prepping on ALL Medicare & Medicaid Providers

[PANDEMIC WARNING] Public Health Service PRE-ORDERS 2,900 of Its HIGHEST Medals & Ribbons Awards

You know its a bad sign when the Commissioned Corps of the Public Health Service (CCPHS) which is trying to increase its personnel ranks to 6000 members, makes an order for 2,900 of their highest awarded medals and ribbons for a Public Health crisis they haven't even fought yet. Especially when there are only 5,000 to 6,000 people in the Commissioned Public Health service to begin with. When a military organization is preparing to give half of its Commissioned personal the highest class of medals possible, you have to wonder how many will be given posthumously. We checked if they had ever placed an order like this before and we found none.

From the chart below, you can see they want these medals to arrive in 30 day cycles up to 120 days after the initial order. Its likely they will also award many other lower level medals that individual officers will have to purchase themselves. However, the roughly 3000 medals in this purchase order are considered so high in merit that the Government is willing to pay for the medals. Certainly seems like they are planning to claim so sort of major victory with an order quantity of that size

All of the Medals are for services beyond the call of duty, many are specifically awarded for the functional equivalent of achievement during battle

Standing out in the purchase order are 35 Distinguished Service Medals, the very highest medal the CCPHS can award.

"Distinguished Service Medal (DSM)
This is the highest PHS Commissioned Corps award. Criteria
includes outstanding contributions to the mission of the PHS.
Such achievement may range from the management of a major
health program, to an initiative resulting in a major impact on
the heath of the Nation. Can also be conferred for a one-time
heroic act resulting in great savings to life, health, or property."

Also notable in the purchase order are 250 Field Medical Readiness Badges, which requires that the recipient took part in a deployment that was not part of the normal job criteria.

Of course none of this is happening in a vacuum, as we previously reported the CDC has created an entirely new division for the purpose of nationalizing State and Local level public health employees during times of crisis. Part of that involves the CCPHS increasing its manpower level by an additional 1000 officers. 

But all of this is just one spoke in the massive C4ISR nationalization of the health care system that is underway as things unfold. The Government doesn't like to let a good crisis go to waste, and H7N9 may provide the excuse to nationalize healthcare in away only possible in totalitarian society.

Sources:

Awards and Medals for the Commissioned Corps of the Public Health ServiceSolicitation Number: 14-233-SOL-00121

The FEDS Are Going C4ISR Crazy For H7N9: Immediate Nationwide Automatic Upload of Flu Test Results

Medicine Is getting the IDENTICAL Takeover That The Financial & Military Systems Got In Prelude to WW1

WOW! CDC Creates New Division To CONTROL State And Local PANDEMIC Response!

http://dcp.psc.gov/PDF_docs/CCPM_P67.pdf

http://dcp.psc.gov/CCMIS/COAP_Criteria.aspx#10

As of Today, H7N9 Avian Influenza Is Sixty-One TIMES More Infective than H5N1

One of the things that first drew our eye towards H7N9 was how much more infective it seemed to be than H5N1. The government has long exposed a fear of H5N1 turning into a mass killer of humanity. When killer human H7N9 first appeared in 2013, the government was quick to take notice. One of the first things that happened that gave away the Feds level of H7N9 concern was a MASSIVE over funding of the Vaccine Injury Trust Fund; that really grabbed our eye.  Since then, the Feds have been prepping for H7N9 like it was the end of the world; they are even nationalizing the entire chain of command for Public Health response.

So now that H7N9 has been around for roughly a year, we have a chance to measure its functional rate of infectability using China's history of H5N1 detections vs the current level of H7N9 detections. Churning through those numbers, we conservatively calculate that H7N9 is 61 more times infective H5N1.

To make the comparison as apples to apples as possible, we limited H5N1's detection period to the post SARs timeframe when China's enhanced surveillance for Pneumonias of Unknown Etiology (PUE) took effect.

From 2005 through 2014, during a 98 month period China detected 44 H5N1 cases.

From Feb 2013 through Feb 2014, during a nearly 12 month period China detected 330 H7N9 cases.

Ratioing the relative monthly infection rates, H7N9 comes out as 61 times as infective.

Frankly,  H7N9 doesn't becoming immediately concerning to us until it becomes at least 1000 times more infective than H5N1.  As it stands now, what has happened with H7N9 may have happened many, many times before, but went undetected because there was no PUE surveillance. 

If the Chinese are even moderately forth coming with information, by May we should know if H7N9 is exponentially more infectious than H5N1. Our government expects that it will be.

Source info:

http://www.who.int/influenza/human_animal_interface/EN_GIP_20140124CumulativeNumberH5N1cases.pdf

Insidious Federal Funding Foretells Forced Flawed FLU Inoculations

ALERT! FEMA Seeks BioMedical Disposal Capability To Support 1,000 TENT HOSPITALS, On 24 Hours Notice

Canadians LIED About H5N1 Patient Not Having Respiratory Symptoms

Over and over again the Canadians reported that a young lady who died of H5N1 bird Flu after returning from China did NOT have respiratory symptoms.

"The patient’s initial symptoms included fever, malaise and headache. There were no respiratory symptoms, which are common in H5N1 infections."

Based on a new CDC report now shows that that information was a flat out lie.

"The patient initially sought care for respiratory symptoms;"

 "During the return flight on December 27, 2013, the individual experienced symptoms of
malaise, chest pain, and fever and presented to the local Emergency Department on December
28, 2013"

Prima Facie evidence that the  Canadians officials deliberately hid that she had chest pain symptoms and that she did have respiratory symptoms.  

So why did Canadian Officials lie?  Obviously and not surprisingly they didn't think that their subjects could handle the truth. But more importantly, such deceptions are done to allow those who do know the facts to control and constrain a supply chain that might be heavily over taxed and burdened by public reaction.

The Canadian health care system likely decided it was cheaper to risk the lives of Canadian airline passengers than it was to pay for all those people running to there government paid health care system for treatment.  Now with ObamaCare expect no different from our own government.

The rule is clear NEVER EVER NEVER accept your government's assurance of safety or lack of risk, as the sole basis for not visiting a doctor if their is some chance you were exposed to a transmittable disease. Furthermore, don't let your doctor accept the government's assurance either; make your doctor think for him or herself.


It is safe to assume that the Canadians initially thought that this was a H7N9 case and that to prevent rumors of a H7N9 case spreading,  her probable cause of death was listed as meningoencephalitis to cover the situation up.

"The patient initially sought care for respiratory symptoms; however, the probable cause of death was listed as meningoencephalitis, an unusual outcome for HPAI A(H5N1) infections in humans"

Sources:

http://wwwnc.cdc.gov/eid/article/20/5/14-0164_article.htm

"Common" Cold May Have Helped Spread H5N1 In Chinese Canadian Victim

An Airplane Toilet Is A PRIME Place To Spread Bird Flu

Chinese Susceptibility to H7N9 Infection Appears Bi-Modal in Distribution

(A video with more detail is to follow tomorrow.)

From a pattern recognition systems standpoint, it appears as the Chinese population's susceptibility to H7N9 infection is bi-modal in distribution. A smaller percentage of the population is readily infected with H7N9, a larger percentage of the population requires a longer dwell time and/or closer exposure to a H7N9 infected environment before becoming infected. These longer dwell times occur during paid national holidays, and infection rates soar.

The system seems to function in the following manner.

(1) There is an avian environmental presence of H7N9

(2) Some individuals are more readily susceptible to catching environmental H7N9

(3) The readily susceptible and H7N9 detectable human population is not ubiquitous enough to sustain chain detectable transmission
(4) During paid holidays increased contaminated interpersonal dwell time increases infectious momentum.
(5) Increased infectious momentum allows the less susceptible to be come infected.
(6) The newly infected less susceptible people increase the opportunity for infection in the more susceptible population and infections spike.
(7) Infection rates in the less susceptible population dampen out as the paid holiday forcing function ends

When we look at a chart of cumulative H7N9 infection dates (see chart below) it is clear that explosive increases in H7N9 detections are tied to paid Chinese National Holidays. It also appears that the infections tend to taper off after the spike, and that they are seasonal in nature.

Of course the question remains, what specifically about human interaction on paid holidays is making the less susceptible all of a sudden vulnerable to infection? We don't know. It could be different immune system responses among the population. It could be that the less susceptible population culturally, normally keeps increased interpersonal distance except during holidays periods. It could be that the infection pool is truly zoonotic in nature and that the transmission chains are also zoonotic.

Based on this conjecture, we expect to see a large spike in H7N9 detections to start as Chinese New Year ends. And we expect that spike to start tapering off in early March. We then expect to see an additional spike tied to International Women's day on March 8th.

If there is no H7N9 spike tied to the Chinese Lunar New Year celebrations, it is reasonable to assume that wet market mitigation actions are responsible, and as a result a prime driver for infection is poultry. However if there is a spike and a follow up spike tied to Women's day, it would tend to indicate that H7N9 is Human to Human and that asymptomatic cases are minimal. Conversely, a Lunar New Year Spike and no Women's day spike might tend to indicate that H7N9 is Human to Human but that it is also wide spread and asymptomatic.