Health Service Comes under severe strain. Capullo. Which is common physically and verbally abuse me all my race. For good morning welcome to the program my name is kevin owen here at the Arts International worldview center with the latest 30 minute update this 20th of march and were starting with the grim latest to to stakes on the coronavirus pandemic there are now more than 240000 confirmed cases worldwide and the death toll is approaching 10000. As it stands today italy is now the country worst hit by the covert 1000 pandemic fatalities that have surged beyond 3400 thats great to the loss of life in china Prime Minister has epic contest says the nationwide lockdown could now need to be extended after a couple of. In the Northern City of bergen mode the army has been called in to help move coffins of the victims out of the area this video posted on social media shows military trucks arriving the city cemeteries have become overwhelmed by the sheer number of dead was in the lumber the
Mustread document. So sort of a heady responsibility. Saying take this manual thats been harold in some way revolutionary, at least evolutionary, and update it. He said in the process of doing that, you need to speak with the original authors to get their insight, what intellectual process did they go through and Lessons Learned in writing this. I said, all right, sir, ill do it. So general petraeus at that time, cia, came down and spent the day. We had a conference. We talked about all of the processies, both intellectual and physical that they went through in writing the manual. Went out to other authors. Got their input. About six months later, i went back and said, hey, sir, were looking at this. I have a new vision of how we want do the manual. We want to change bits and pieces of it. Awning. Did you talk to the original authors . Yes, sir. He said, well, did you talk to all of them . I said, i think so. In fact so far, ive spoken with 100 of the five original authors of that docu
Pandemic. I wrote an article about this, and i will talk about some of the things i mentioned in that new england journal of medicine article. The reason i believe it is necessary, if you look at some sufficient the challenge that is we face, about ending the hiv despite all of the great results, there is a thing called a care continuum. I dont want to spend time, i spoke to similar audiences about that it we dont do well, access into the system, retention in the system, and adherrence to therapy, and look at as a country, we are doing really, really badly about the number of people infected, and the percent of those who are in a health care system, stay in a system, get on therapy, stay on therapy, and drop their viral load to the point where they dont infect anybody else. We have a long way to go, even though we are doing well. One example is, circ cision, circ cision now, if you look at the numbers, started off 55 to 60 effective. In long term follow up. 73 effective. I cant imagine
The right is color. Now, i tell folks thats not nearly a slick marketing ploy. It is a slick marketing ploy. But in some ways it denote he the difference between the world that we fought and that we thought about during the cold war and world we have to think now. What were saying now is, lets describe the environment. I told you that the future that we built early in battle for and the army that i grew up in and still have a big part of it, i road the battle formation into baghdad. So it has served us quite well over these decades. It was what . An environment i describe as known. We are saying the few tour we have to operate in from now on is unknown. So the first question, because if you build an army to deal with the known, thats a very Different Army than you build with deal with the unknown. So what were saying is, i dont know where were going to fight next. I dont know who the enemy is. And i definitely dont know who the coalition is. So we look at the definition of that word co
The clinics have traditionally for 12 years worked on the care transformation and focused on that level. In february of 2012, we became an aco and we will have over 200,000 patients in and 1800 providers. We had rapid growth and thats a challenge to sustaining this. We have been successful and as an aco and surprisingly so. In the interim report, we did not save money for medicare and we did by a lot. So with that it kind of was the accumulation of a good year in the commercial and governmental setting and also with our own employers and employees. We have an initiative working direct low with them going on as part of this work. Part of the reason kind of taking off about this is here and its here to stay. One of the reasons we were successful is we have been saying that my leader who many of you probably know said that for ten years. We have been planning and i would add for those of you in the Service World like we are in iowa, you dont have to wait. You can do it now and make it wor