Boxoffice Pro LIVE Sessions: NATO’s John Fithian on the State of the Cinema Industry During the COVID-19 Crisis – Boxoffice Pro

In the first edition of our LIVE Sessions webinars, Boxoffice Pro hosted National Association of Theatre Owners (NATO) president & CEO John Fithian and chief communications officer Patrick Corcoran. On April 3, Boxoffice Pro executive director Daniel Lora and deputy editor Rebecca Pahle moderated the live webinar, with over 600 attendees tuning in from 30 different countries, in a conversation that covered the state of theatrical exhibition during the COVID-19 crisis.

The discussion opened with NATO providing insights on its three top priorities during the crisis: providing economic assistance to affected cinema workers through government and private funds, keeping exhibitors afloat and viable by lobbying for liquidity sources during this pause, and keeping the public safe by following the guidelines and recommendations of local agencies in regards to business operations.

Of those three priorities, Fithian highlighted the importance of protecting cinema workers through public and private fundraising efforts. We are encouraging governments to help the workers by compensating for their lost wages, he says. We live in a business that is mainly hourly employees. Unlike big businesses with salaried employees, were a place where first workers come to get their first job. First and foremost, we are trying to help cover our workers so that they can pay their rent and can have groceries during the interim.

Fithian notes that liquidity is crucial for companies to stay afloat during this crisis and to welcome their workers back as quickly as possible. We have to have liquidity for our members to weather the storm, he says. They have ongoing fixed costs and no income coming in. The various loan programs being established in the United States, the various government subsidies and tax breaks that are happening around the world, are intended to get our members to the other side of this storm.

The president and CEO of NATO stressed the importance of the industry working together during this difficult period, noting the voluntary closure of many cinemas before they were legally mandated to suspend operations. Were trying to do our part to keep everybody safe, says Fithian. We shut down all of our cinemas very, very quickly. Were working with all of our governments as they support the healthcare efforts, because the faster we can get through this crisis, the faster we can get back up and running.

NATO is hoping for theaters to begin reopening in June. That would mean a two to two-and-a-half month shutdown of the theatrical exhibition industry in the United States, depending on how effective current containment measures are in slowing down the spread of the virus. NATOs chief communications officer, Patrick Corcoran, notes that timeframe could change. It depends on how the situation changes and if the curve bends downward on this pandemic. Were looking at possibly being open at the end of May, early June, in a limited way. Then ramping up to major releases, if thats possible, in July.

The reopening strategy will be inspired by efforts from different countries around the world, as each country is at a different stage in dealing with the crisis. The lessons are very similar, the timelines are very different, says Fithian. China shut down in January and Western Europe and North America didnt shut down until mid-March, so were learning from each other. Were comparing notes on how long the virus takes, on what you do to ramp back up once the virus has gone, what kind of film programming we can have when we get back up and running.

What that reopening campaign could look like depends largely on the guidance of health officials. NATO is consulting with the Center for Disease Control as well as local health departments in the United States on issues like social distancing, cleanliness, and sick employees staying home. Whether we open back up location-by-location, region-by-region, nation-by-nation remains to be seen, depending on what the health officials say is the cessation of the threat, says Fithian.

Everyone should stay in touch with their local health officials first and foremost about their recommendations and then prepare to ramp back up in steps. We anticipate that when we first open cinemas anywhere in the world well have social distancing elements involved. The 50 percent seating capacity issue is one way to address that so that people have a chance to come to the cinema but have some space between themselves. Obviously, well return to very intense cleaning procedures and anything else that health officials recommend, so that when were opening back up people know that we are careful with their health as they come to our cinemas.

In an audience poll conducted during the webinar, a majority of attendees highlighted the importance of a coordinated, industry-wide marketing campaign to encourage a return to cinemas as their most desired initiative in the coming months.

B&B Theatres executive vice president Bobbie Bagby Ford joined the conversation by emphasizing the importance of an industry-wide recovery effort to get audiences comfortable to return to cinemas. Its important that we all get our heads around that messaging so we have a united front, she says, suggesting incorporating a social media hashtag once cinemas are ready to reopen. All of us are in this industry for a reason, and if we can find a way to be united and jump forward with that messaging, its vitally important. It can be that sweet spot in American and in worldwide culture about how its time to be together. Youve been alone, youve been quarantined: now lets get out and enjoy our communities and our movie theaters.

Another major concern is content availability, particularly when it comes to the theatrical exclusivity window. With some studios moving titles whose theatrical runs were curtailed by the onset of the crisis to digital outlets, exhibitors are worried more titles might forgo a theatrical release entirely in favor of a straight-to-streaming launch. Fithian, however, believes most studios and distributors will abide by their original theatrical commitments for future films. The model is not broken. The model is simply on hold, he says.

A related problem is the availability of release dates as titles get pushed further down the schedule. This could potentially create a bottleneck for titles and crowd the marketplace. Fithian doesnt believe this will be the case, as the impact of COVID-19 is also affecting production schedules: titles originally slated for release in 2021 will likely get bumped to later dates until production can resume. Im very confident that for most distributors, almost all their movies are going to be postponed for a later theatrical release where theyll have an adequate and robust theatrical window, says Fithian.

Ultimately, once cinemas are deemed safe to reopen, NATO is confident audience demand will be there to welcome the return to business. My family is watching a lot of content at home right now, just like everybody elses. Thats the only place where you can get entertainment as people are following the right steps to stay home, stay safe, and to reduce the spread of the virus, says Fithian. All that means is they still love movies and they still love content. Its good to keep people connected to that content while theyre stuck in their homes, because once theyre out they will want to come back [to cinemas]. We strongly believe there will be a rush to cinemas to see all kinds of movies, just as people will want to reconnect with their friends and family through social experiences.

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Boxoffice Pro LIVE Sessions: NATO's John Fithian on the State of the Cinema Industry During the COVID-19 Crisis - Boxoffice Pro

Top US commander in Afghanistan meets with Taliban to discuss reduction in violence – Task & Purpose

Commander of NATO forces in Afghanistan U.S. General Austin S. Miller attends a meeting in the Kandahar Governor's Compound in Kandahar, Afghanistan, October 18, 2018.

(Reuters photo)

KABUL (Reuters) - The commander of U.S. forces in Afghanistan met Taliban leadership in Doha to discuss the need to reduce violence in the war-torn country, spokesmen for both sides said on Saturday, as continued clashes threaten to derail a fragile peace process.

The meeting between Taliban leaders and General Scott Miller, commander of U.S. forces and the NATO-led non-combat Resolution Support mission in Afghanistan, took place on Friday night. It came as the insurgent group accuses U.S. forces of breaching an agreement signed between the two sides in February.

"General Miller met with Taliban leadership last night as part of the military channel established in the agreement," a spokesman for U.S. Forces in Afghanistan told Reuters. "The meeting was about the need to reduce the violence," he said.

The February pact between the United States and the Taliban, under which international forces will withdraw in phases in exchange for Taliban security guarantees, is the best chance yet of ending the 18-year U.S. military involvement in Afghanistan.

The spokesman for the Taliban's political office in Doha also said on Twitter that the meeting discussed implementation of the agreement.

The Taliban last week accused U.S. forces of supporting Afghan security operations in some parts of the country, and warned that such support could jeopardize the agreement.

The spokesman for the U.S. forces described the latter's actions as defense of Afghan forces.

The Taliban are to sit for negotiations with an inclusive Afghan delegation as part of the agreement, but a prisoner exchange preceding the talks has hit snags.

The Afghan government released a total of 200 Taliban prisoners on Wednesday and Thursday, but the insurgent group had walked away from the exchange process saying its demand on who was to be released first was not met.

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Top US commander in Afghanistan meets with Taliban to discuss reduction in violence - Task & Purpose

One NATO country is using the coronavirus as a weapon of war – The Canary

Across the world, countries are struggling to deal with coronavirus (Covid-19). But one NATO country, Turkey, is using the pandemic as a weapon of war and a tool of repression.

Both domestically and in its war in the North East of Syria (aka Rojava), the Turkish state is seizing the opportunity of coronavirus to continue its war against majority Kurdish communities.

On 3 April,Kurdistan 24 reported that:

Shelling by Turkish-backed armed groups on Thursday caused severe damage to a water pipeline, one of their many recent intentional actions to block the crucial resource for some 460,000 civilians in Syrias northern Hasakah province

Meanwhile, UNICEFs representative in Syria Fran Equiza warned that:

The interruption of water supply during the current efforts to curb the spread of coronavirus disease puts children and families at unacceptable risk. Handwashing with soap is critical in the fight against COVID-19.

Coronavirus is already present in Syria. And a tweet from theRojava Information Centerhighlights how dire the situation is for those living there:

According a Human Rights Watch 2019 report on Turkey:

An estimated 8,500 peopleincluding elected politicians and journalistsare held in prison on remand or following conviction for alleged links with the outlawed Kurdistan Workers Party (PKK/KCK) and many more on trial but at liberty, although official figures could not be obtained.

And Reporters Without Borders describes Turkey as:

the worlds biggest jailer of professional journalists.

But not only is Turkey excluding political prisoners from its plans to release 90,000 prisoners due to the pandemic, its also using the virus as a threat. The Morning Star reported that the Arrested & Convicted Families Law Solidarity Associations Federation (Med Tuhad-Fed) claimed authorities told prisoners:

You have to obey the rules, otherwise we will bring in someone who has the coronavirus.

And as theMorning Star stated, Med Tuhad-Fed warned that:

A lack of cleaning and a refusal to refer prisoners displaying symptoms to medical units is risking a serious outbreak of Covid-19 among Turkeys bulging prison population.

The pandemic also hasnt stopped what many people would consider the normal repression communities face in Turkey. On 3 April,ANF News reported that musician Helin Blek had died as a result of undertaking a death fast. Blek was part of Group Yorum, a popular music group that had faced harassment and repression from the Turkish state.

ANF News provided background to the case:

Over the last three years, the police have raided at least eight times the dil Cultural Center in stanbul, where the band carries out its activities. During the raids, musical instruments of the band were either broken or taken away, music books damaged. According to a statement by the band, the police arrested a total of 30 people in these raids. Band members initiated a hunger strike in June 2019 in protest of these attacks. The band demands the release of its arrested members, removal of arrest warrants against some other members, termination of incessant police raids into the dil Cultural Center, and an end to arbitrary bans on their concerts and cultural events.

But mourners were not even allowed to grieve by the Turkish states. Reports on Twitter show people attacked the funeral with tear gas and water cannons:

While coronavirus means many forms of mobilisation are not available to people, there is still resistance. In particular, on 4 April, social media users took the opportunity of his 71st birthday to remind people of Kurdish leader Abdullah calans situation.

calanco-founded the Kurdistan Workers Party (PKK), which has fought for Kurdish freedom and autonomy since the 1970s. He was given a life sentence and has been imprisoned by Turkey for over 20 years and is held in solitary confinement on mral prison island.

AsThe Canary previously reported:

Turkey has now fought against the PKK for decades. And there have been biglosseson both sides (as in most conflicts, civilians were oftencaught in the middle). Today, however, the PKK and its alliescondemnall attacks on civilians. Yet since 2015, Turkish leader Recep Tayyip Erdoan has sought torepressall of his political opponents by labelling them either terrorists or terrorist sympathisers (andkillingor arresting them accordingly). European courts havecriticisedthis tactic insistingthat the PKKis aparty to an armed conflict and not a terrorist organisation. The PKK has alsoreportedlynever attacked Western targets.

London Kurdistan Soldiarty put his confinement in the context of the isolation many of us are currently experiencing:

And it reminded people of the ongoing criminalisation of Kurdish communities and solidarity activists in the UK. It also demanded the release of Daniel Burke, currently on remand in the UK, accused of terrorism for attempting to travel to Rojava:

Using coronavirus as a weapon and a threat is hideous. Although given Turkeys humanitarian record, its perhaps unsurprising. And it means that now, more than ever, we need to raise our voices for those in prisons, and for those being repressed, killed, and threatened by the Turkish state.

Featured image via Wikimedia

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One NATO country is using the coronavirus as a weapon of war - The Canary

‘Kiss the Son, lest He be angry’ | Columns – Weatherford Democrat

The title is taken from Psalm 2:12. The Psalmist gave this directive considering the reality of the sovereignty of God. He asked a question, which is as relevant today as it was when the Psalmist wrote it. Why do the nations rage and the peoples plot in vain? (Psalm 2:1)

I confess that over the recent weeks I have been angry, first with myself, then with those who profess to know the truth and live ignoring it. I ask, Have I failed to adequately teach Gods people about biblical worship? There appears to be little understanding of our need to gather for worship and whom we worship.

Our spiritual dilemma of faithfulness to Gods word versus civil directives appears to have clouded our, even my, thinking. Of course, we dont want to put others at risk for most activities, that is, except those physical needs considered essential.

The answer: confess my sins daily and constantly remind myself of the God whom we love. The one to whom we bow before in worship, our Redeemer who is the King and Head of the Church, the Lord Jesus Christ!

I believe that our fundamental problem is our desire to be autonomous. We think that we are the center of the universe and certainly the most important thing is our physical health. Charles Darwin, for example sought to eliminate mans need of the Creator God. His theory was purposed in proving that all creation came about through chance and natural selection. He supposed that if his theory of evolution was true then man could assume the place of God.

Most have rejected pure Darwinism. Over the years there have been many caveats made to Darwins original theory. As we have learned more about Gods wonderful and marvelous Creation, pseudo intellectuals have modified Darwins theory to accommodate the observed intricacies of our Universe.

Darwin wrote of one of the weaknesses of his theory. He admitted that the theory of evolution could not explain the complexities of the human eye. He was sure that as technology advanced, those complexities would eventually be explained in evolutionary terms. Today the functions of the human eye are known but the eyes ability to do all that it can still points to the sovereign purpose of God. As we learn more about ourselves and the world around us, Psalm 139:14a gives us great assurance that we are fearfully and wonderfully made by a sovereign Creator.

Still men suppress the truth in unrighteousness. (Romans 1:18) This is precisely the Psalmists point in Psalm 2. Faced with our true place as creatures before a sovereign Creator, we seek to be god and think that we can make ourselves safe. Especially during times such as these, Christians must remind themselves that God is sovereign. He is sovereign over everything. There is nothing that comes to pass that He hasnt ordained. But He is not the author of evil.

Gods word reveals the reality of living in Christ in all circumstances. Psalm 2: 11-12, Serve the Lord with fear, and rejoice with trembling. Kiss the Son, lest he be angry, and you perish in the way. For his wrath is quickly kindled. Blessed are all who take refuge in him.

Serving the Lord begins with worship. Worship is humble submission to God. The New Testament calls believers to offer themselves as living sacrifices that are holy and pleasing to God because that is our reasonable worship Romans 12:1. I pray that the Church will seek Gods deliverance so that we might again gather to worship and praise Him as He has commanded.

The Psalmist declared what was at stake for failure to know the truth. He said that Jesus anger, judgment and wrath would be experienced by those who persist in thinking themselves to be God. The most evident testimony that one acknowledges Christ before men is to bow before Him in worship.

This is not news. Yet, we have allowed the world to shape our behavior. Weve succumbed too often to the elevated worth of those who rule over us rather than govern us as we have elected them to do.

Jesus said to fear the one who can destroy both our bodies and souls in hell. Dont be deceived, Jesus is the Sovereign Lord. Fear Him trusting in His deliverance. He will have the final say. Christian, persevere in being a true disciple of Jesus. Remain in His word. Kiss the Son!

Lou Tiscione is the pastor of Weatherford Presbyterian Church.

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'Kiss the Son, lest He be angry' | Columns - Weatherford Democrat

Medical Aesthetics Market 2020 Emerging Technology, Opportunities, Analysis and Future Threats with Key Players like Allergan, Bausch Health Companies…

Global Medical Aesthetics Market By Product type (Aesthetic Lasers, Energy Devices, Body Contouring Devices, Facial Aesthetic Devices, Aesthetic Implants, Skin Aesthetic Devices), Application (Anti-Aging and Wrinkles, Facial and Skin Rejuvenation, Breast Enhancement, Body Shaping and Cellulite, Tattoo Removal, Vascular Lesions, Psoriasis and Vitiligo, Others), End User (Cosmetic Centres, Dermatology Clinics, Hospitals, Medical Spas and Beauty Centres), Distribution Channel (Direct Tender, Retail), Geography (North America, South America, Europe, Asia-Pacific, Middle East and Africa) Industry Trends and Forecast to 2026

Global medical aesthetics marketis projected to register a healthy CAGR of 12.1% in the forecast period of 2019 to 2026.

Get Sample Report + All Related Graphs & Charts @https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-medical-aesthetics-market

Aesthetics devices are an innovative advancement, providing a solution to patients which deal with the ingenuity of creating beauty. The medical aesthetics devices is a growing market owing to its benefits such as maintaining the youthful appearance, pain free and non-invasive beauty treatments, maintenance free skin that remains smooth and hairless without the need for shaving, waxing or unpleasant hair treatments, improving the cosmetic appearance, and technological advancement in medical aesthetics devices.

The market is showing a substantial growth in the emerging countries as these countries are adapting to the trends of urbanization. Brazil, South Africa, Thailand and many others have improved in the past one decade. People are opting different aesthetics surgeries to maintain themselves, which give them better results without any stressful physical efforts. Medical Aesthetics is one of the most trending concepts of the 21stCentury which will show a substantial increase in the future as there is a great technological advancement and innovation in the field by the companies dealing with these devices making them safer and even less invasive leading to more population opting for these procedures.

Competitive Analysis: Global Medical Aesthetics Market

Some of the major players operating in the global medical aesthetics market are Allergan, Bausch Health Companies Inc., Lumenis, Shanghai Fosun Pharmaceutical Group Co. Ltd., Cynosure, Syneron Medical Ltd, Aerolase Corp., A.R.C. Laser Gmbh, Asclepion Laser Technologies Gmbh, Btl, Cutera, Eclipse, Lutronic, Mentor Worldwide Llc, Merz Pharma, Quanta System, Sciton Inc., Sharplight Technologies Inc, Syneron Medical Ltd., Venus Concept.

Segmentation: Global Medical Aesthetics Market

Global medical aesthetics market is segmented into 4 notable segments such as product type, type of care, accessories and end user

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Product Launch:

Allergan

The company was founded in 2013 and headquartered at Dublin, Ireland. The company is focused on developing, manufacturing and commercializing branded device, biologic, pharmaceutical, surgical and regenerative medicine products for patients throughout the world. The main business segments are US Specialized Therapeutics, US General Medicine, International. The revenue of the company in healthcare sector 2018 was USD 16,550.8 Million. The company has global presence in North America, Asia Pacific, South America, Europe and Middle East & Africa.

Bausch Health Companies Inc.

The company was founded in 1959 and headquartered at Quebec, Canada. The company is engaged in manufacturing and marketing a broad range of branded and generic pharmaceuticals, over-the-counter (OTC) products and medical devices. The main business segments are Bausch + Lomb/International, Branded Rx, U.S. Diversified Products. The revenue of the company in healthcare sector 2018 was USD 8,174.8 Million. The company has global presence in North America, Europe, the Middle East, Africa, Asia Pacific and Latin America.

Luimenis

The company was founded in 1991; headquarter in Yokeneam, Israel. The company is engaged in the field of minimally-invasive clinical solutions for the Surgical, Ophthalmology and Aesthetic markets, and expert in developing and commercializing innovative energy-based technologies, including Laser, Intense Pulsed Light (IPL) and Radio-Frequency (RF). The company has global presence in North America, South America, Europe, Asia, Africa and Australia.

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Health benefits of Olive oil (1) – Daily Sun

I am sure that what comes to your mind is that small bottle of olive oil you buy for spiritual purposes. That is not the one I am referring to. The one I am talking about is Extra virgin olive oil and it can never be that cheap.

Olive oil is a liquid fat obtained from olives (the fruit of Olea europaea; family Oleaceae), a traditional tree crop of the Mediterranean Basin.

The oil is produced by pressing whole olives. It is commonly used in cooking, for frying foods or as a salad dressing. It is also used in cosmetics, pharmaceuticals, soaps, and as a fuel for traditional oil lamps and has additional uses in some religions.

In folk medicine, olive oil has been used for every thing from reducing muscle aches and hangovers, to use as an aphrodisiac, laxative and sedative.

Olive oil is naturally cholesterol, sodium and carbohydrate-free. While most people think deep green olive oil indicates a higher quality, color is not a factor. Greener oils comes from green olives (black olives yield pale oil). Olive oil coats rather than penetrate, so foods fried in olive oil are less greasy than foods fried in other oil varieties.

Of all the types of olive oil, extra virgin olive oil (EVOO) is the best because it is made by cold pressing the olive fruit. It contains higher amounts of polyphenols.

Polyphenols give olive oil its unique taste and improve its shelf life. Polyphenol intake has been associated with lower incidence of cancer and coronary heart disease (CHD).

Rich in antioxidants, vitamin K, and vitamin E, olive oil boasts a good nutritional profile. It has a higher concentration of mono-saturated fat like oleic acid and palmitoleic acid.

Because Olive oil is a major component in the Mediterranean diet, evidence shows that the Mediterranean populations have reduced risk for certain chronic diseases and extended life expectancy compared with other populations in the world.

These are some of the benefits:

Prevents inflammation and good for pain relief

The Monell Chemical Senses Center found that Ibuprofen and Extra Virgin olive oil have the same kind of anti-inflammatory properties, even though the substances are otherwise completely unrelated. Their polyphenols (a type of antioxidant) act on the same receptor in the back of your throat, which is what can cause a ticklish sensation for some when they swallow it. Olive oil is rich in polyphenols that have anti-inflammatory and antimicrobial properties. As a result, its use helps inhibit the growth of pathogenic bacteria and relieve inflammation.

Olive oil is good for weight loss

Olive oil is an excellent oil to use in the kitchen. Use it on salads, with breads and on the top of many dishes. It lowers glycemic index of the food, making it digest more slowly and keeping hunger pangs at bay during the hours after the meal. You can cook with olive oil, but only at low temperatures. A top quality olive oil is ruined by heating.

It is filled with healthy fats

The FDA reports that taking olive oil each day can reduce your risk of coronary heart disease and strokes. Olive oil is mostly monounsaturated oil, which helps to increase HDL, (good cholesterol) and decrease LDL (bad cholesterol). High quality, fresh, cold pressed, extra virgin olive oil has additional antioxidant properties that protect against heart diseases.

It contains Oleic acid

Using olive oil may protect against certain forms of cancer, especially colon cancer. Olive oil contains oleic acid and other phenols that act as antioxidants. Olive oil consumption was linked to a substantial decrease in breast cancer risk. The oleic acid and antioxidants in olive oil protected against other cancers too.

Olive oil in the Medicine cabinet

Good for Sunburn, rashes including nappy (diaper) rash, insect bites. Gently rub on a few drops of olive oil and leave uncovered. It sooths the itching and speeds the healing.

Contains beauty benefits

It has anti-aging properties, keeps hair healthy, improves nail health, can be used as makeup remover, moisturizes skin.

Manage diabetes

In a cohort study published in the journal Nutrition and Diabetes in 2017, it showed that olive oil can help in preventing and managing diabetes when included in the daily diet.

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Jewish Ethics in Medicine | The Jewish – The Jewish News

By Jill Gutmann, Special to the Jewish News

Chloroquine, the anti-malarial drug, has been in the news as a possible cure for COVID-19. The efficacy of this drug is unproven. Only one promising study out of France has suggested that the drug, in combination with an antibiotic, might prove effective. Later studies have not confirmed these findings and, in fact, have shown no statistically significant change between current treatments and the drug combination. So we should not count our chickens before they hatch. In fact, there has actually been harm done through suggesting this is a cure: Two people used the drug to treat themselves, with one dying and another in serious condition. Physicians are hoarding the drugs, and people who need the pharmaceuticals for known treatments are not able to get it.

In this pandemic that is unsettling the world, all hands are on deck to find a cure and a vaccine. The question is whether Jewish people can use experimental treatments. To answer this, one must first understand the Jewish view of medicine.

Be fruitful and multiply: fill the Earth and subdue it, and rule over the fish of the sea, the birds of the sky and every living thing that moves on the Earth (Genesis 1:28). The obligation to subdue it, and rule over [it] empowers us to seek medical assistance (The Lonely Man of Faith by R. Soloveitchik).

In fact, the Talmud goes further, describing the need to seek medical intervention: In danger, one must not rely on miracle (BT, Kiddushin 39b). The implication of these warnings is clear that one must do whatever is available and possible to try to intervene with known medicine and treatments. There is an inherent duty as a Jew to seek medical attention that is preventative and curative.

Rabbinic scholars divide treatment into two categories: those that are refuah bedukah (treatment where efficacy is proven) and refuah sheeinah bedukah (treatment where efficacy is unproven). Proven treatments must always be used. For example, a person with strep throat must take appropriate medicine to cure strep throat.

On the other hand, experimental treatments are not required to be used, as there is no known efficacy. The rabbis of the Talmud and later authorities believe a person should not intentionally place himself in danger; but if a person is going to die, the calculus shifts. In this case, experimental treatments are permissible but not mandatory.

Patients must be informed of the risks and benefits in order to make an informed decision on whether to partake in experimental treatments.

In these trying times, we might hope for the miracle of a cure, but we must be careful not to cause harm through rash action. This is going to be a marathon and not a sprint for our physicians, nurses and researchers. Our Jewish values direct us to put our trust in researchers and scientists following best practices regarding experimental treatments, with the hope of finding a treatment that is refuah bedukah.

Jill Abromowitz Gutmann is a Jewish bioethicist, Rebbetzin of Temple Kol Ami and mom to four daughters.She has worked as an ethicist for the Centers for Disease Control and Prevention, the IsraeliMinistry of Health and the Jewish Hospital in Cincinnati, Ohio, and has taughtJewish Ethics for Melton International, the Florence Melton School of Metro Detroit and of Auckland, New Zealand.

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Jewish Ethics in Medicine | The Jewish - The Jewish News

Strongman Medicine: The Countries That Still Claim to Have No Coronavirus Cases. – Slate

Photo illustration by Lisa Larson-Walker. Photo by KCNA/Reuters.

Welcome toStrongman Medicine, a weekly column looking at how governments around the world are taking advantage of the pandemic for censorship, surveillance, and repression. Slate is making its coronavirus coverage free for all readers. Subscribe to support our journalism.Start your free trial.

After weeks of downplaying the crisis, Russia has shifted into full lockdown mode as the number of cases in the country has exceeded 10,000. There are numerous media reports of police using their new authority to detain and harass citizens. In one egregious case, a doctor who had criticized the governments response to the crisis was detained while attempting to deliver medical supplies. Anastasia Vasilyeva of the Doctors Alliance, a group backed by opposition leader Aleksei Navalny, was arrested on April 2 along with several colleagues while bringing masks and other equipment to the Novgorod region as part of a nationwide tour to assess the preparedness of health facilities. She had previously posted videos on YouTube and given media interviews criticizing the governments response. Vasilyeva was charged with violating the governments quarantine restrictions. According to Amnesty International, she was choked and punched in the abdomen while being detained in a police station overnight.

New legislation signed by President Vladimir Putin this week punishes spreading false information with up to five years in prison and violating quarantine orders with up to sevenboth rules that are rife with opportunities for abuse.

An outspoken property tycoon and member of the ruling Communist Party has been put under investigation for publishing an essay that criticized the Chinese governments handling of COVID-19.* Ren Zhiqiang, who has not been since in public since mid-March, when he posted the essay, said the virus had revealed a crisis of government and referred to Chairman Xi Jinping as a clown with no clothes on who was still determined to play emperor. Ren, the former head of a state-owned company and son of a prominent official, has courted controversy before. His party membership was suspended for a year in 2016 after he criticized Xis handling of the state media.

Human Rights Watch this week criticized the government of Uganda for a police raid on a homeless shelter serving LGBTQ people in Kampala. Like many other countries, Uganda is currently prohibiting public gatherings of more than 10 people, but that does not apply to a residence or shelter. Nonetheless, 20 people in the shelter were sent to prison, likely putting them at greater risk for the disease and ensuring they were unable to meet with lawyers because of the lockdown. Homosexuality is illegal in Uganda, and while the infamous 2014 law that would have punished it with life in prison has been annulled, discrimination is still rampant. Police searched the shelter for evidence of homosexuality but eventually decided to charge the residents with coronavirus-related offenses.

Cambodias government passed a new emergency law that human rights groups say could allow autocratic Prime Minister Hun Sen to run the country by fiat. The law creates new crimes, punishable by multiple years of jail time, of obstructing operations during a state of emergency and not respecting measures ordered by the government to address the emergencyboth of which could easily be abused to punish government critics. The country has already arrested more than a dozen people for spreading information about the disease outbreak. Hun Sen, who even before the outbreak had been criticized for clamping down on the media under the guise of fighting fake news, is one of a number of leaders, including Hungarys Viktor Orbn and the Philippines Rodrigo Duterte, using the coronavirus as pretext to assume sweeping emergency powers.

COVID-19 has touched nearly every corner of the globe, but there are still a handful of countries reporting no cases. Most are small island nations where travel bans have been effective at keeping cases out. Other examples are more suspicious.

North Korea still says it has no cases, a claim that U.S. officials describe as impossible. The Hermit Kingdoms isolation may work to its advantage here, but given the level of cross-border trade with China, it does seem very unlikely that there are no cases at all. U.S. President Donald Trump sent a letter to Kim Jong-un in March offering assistance in fighting the disease and told reporters that North Korea is going through something, though its not clear quite what he was referring to.

Tajikistan, which borders hard-hit Iran, also claims to not have a single case, though it has quarantined more than 6,000 people who traveled abroad. The virus could wreak havoc in a poor country with a weak health system, yet dictator Emomali Rahmon has taken almost no steps to institute social distancing, and held a massive public celebration for the Nowruz holiday in late March.

Then theres Turkmenistan, where even discussing the coronavirus is banned; where President Gurbanguly Berdymukhammedov, a former dentist and health minister, has suggested that his recently published book on herbal remedies could help COVID patients; and where a 7,000-person bike ride was held on Tuesday to celebrate World Health Day.*

Maybe these countries really are just extremely lucky.

Correction, April 10, 2020: This piece originally misidentified the Chinese Communist Party as the Community Party. This piece also misstated the date when Turkmenistan held a 7,000-person bike ride to celebrate World Health Day. It was Tuesday, April 7, not April 8.

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Strongman Medicine: The Countries That Still Claim to Have No Coronavirus Cases. - Slate

How UW Medicine, small business and Amazon combined to airlift key testing kits from China in coronavirus fight – Seattle Times

With his car keys, Geoff Baird attacked a box that had justcomefrom China to the parking lot at a UW Medicine office in Seattles Northgate neighborhood. Baird, who manages UW Medicines laboratories, ripped greedily into the cardboard.

Tubes and swabs! he called out, holding a vial with hot-pink liquid sloshing inside.

Amazon workers unloaded another 83 boxes filled with critical COVID-19 testing kits. Baird rushed to his lab to verify their quality.

Hopefully its not Q-tips and Kool Aid, he said.

The unboxing was a climactic scene in a frenzied, weekslong global logistics project involving Anita Nadelson, a Seattle businesswoman who typically imports items like dry erase boards; a mystery doctor who is a brother-in-law of the boss of Strawberry, a Chinese saleswoman and business contact of Nadelson; and Jeff Wilke, one of the most powerful executives at Amazon.

Their story and the international cast of characters brought together for this public-health mission illustrates the lengths authorities and scientistsare willing to take to increasetesting, perhaps the most important metric as officials consider lifting social- and physical-distancing restrictions.

If you loosen up before you have the ability to really ramp up your testing and case finding and contact tracing, this epidemic can rebound quite vigorously, said Dr. Jeff Duchin, health officer at Public Health Seattle & King County.

But without test kits, laboratories cant produce more results.

For weeks, Washington state has been short on testing kits containing nasopharyngeal (NP) swabs anda liquid that preserves specimens for diagnostic testing.

Baird, the interim chair of the University of Washington Department of Laboratory Medicine, said the UW Medicine Virology Lab can process some 5,000 specimens a day. On Tuesday, the lab processed just 1,953, according to the labs Twitter account.

We can do more testing than what we are doing, Baird said, adding that in recent weeks he had been barraged with requests from health officials and hospitals for testing kits. Its an important bottleneck.

The solution he sought underscores just how fragile the medical supply chain remains, how competitive the market for has become.

The nationwide shortages of testing materials fall into two main categories: the supplies needed to take a sample and transport it to the laboratory, and the items needed for analysis.

Its like everyone is trying to bake a cake at the same time, said Dr. Yvonne Maldonado, a professor of health research and policy at Stanford Medicine. There are shortages of everything in the recipes.

NP swabs thin sticks with furry tips that medical professionals stick up a persons nose until they can scrape the palate where the nasal and oral cavities meet are running low nationwide.

Once the sample is taken, its placed into a vial with a solution called viral transport media, meant to keep the specimen from drying and disintegrating.

Right now, orders for transport media are backlogged. To make up for the shortage, some labs have been producing their own solution. Nonetheless, many hospitals are still lacking.

Even though anyone can get tested, people who have test kits are essentially rationing them to patients with the most severe symptoms, said Cassie Sauer of the Washington State Hospital Association.

On the analysis side, a chemicals shortage has plagued testing nationally for about a month, said Omai Garner, the lab director of clinical microbiology for UCLA Health.

It has been a constant struggle, a constant negotiation with vendors, said Garner, whose lab performs about 800 COVID-19 tests a day.

Under the initial test procedure approved by the Centers for Disease Control and Prevention (CDC), labs needed a particular chemical to extract RNA from the virus, Garner said. Supplies quickly dwindled.

The federal governments approval of more types of tests partially closed that gap. Now, labs depend on commercial-testing manufacturers to provide kits with a proprietary assortment of solutions or chemicals, collectively known as reagents. The manufacturers themselves are now running short on reagents. Thats slowed the production of lab test kits.

If companies dont have enough manufacturing capabilities to meet the need, then that has to be addressed at the federal level, Garner said.

In Washington state, hospitals have mostly had to fend for themselves in the marketplace for testing supplies, Sauer said, although the state has been procuring some materials. Theres no central way to monitor facilities testing inventory in the state.

Shortages have been nearly constant. Less than a week after the COVID-19 outbreak was first identified at a King County nursing facility, local health officials already were asking for testing kits.

Public Health Seattle & King County on March 4 sent state officials a list of supplies it needed for the Life Care Center of Kirkland staff, asking for 200 nasal and throat swabs, and the same number of test tubes to transport the specimens,according to records reviewed by The Seattle Times.

During roughly two weeks in March, government agencies and healthcare organizations submitted at least 45 requests for swabs or testing supplies, according to a Times review of Washington state Military Department request logs.

The path toward new swab supplies began with a simple gesture from a friend.

Been asking my factories in China to try to get N95 masks, Nadelson, co-owner of a design firm, texted Baird on March 16. A supplier had offered 30. Is that worth having sent, or wait for more?

Better to wait, Baird wrote. N95 respirators are needed by the thousands.

The real shortage nationally is nasopharyngeal swabs, he told Nadelson, launching her on a quest.

Nadelson began by scrolling through Alibaba, the online Chinese commerce giant, then contacting and whittling down the factories she thought could provide equipment whiletexting Baird for technical advice.

We work with 25 factories in China, Nadelson said of her company, Three By Three Seattle. I know how to get anything made.

She soon settled on the most promising manufacturing prospect, and asked a trusted sales contact known to Nadelson as Strawberry, who works nearby in Shenzhen, to check out the plant.

Strawberry collected sample test kits, but struggled to ship the liquid. With air freight disrupted, it would take weeks for samples to arrive in Seattle.

Then, Strawberry hit on a promising lead. Her boss had a family connection to a doctor in Hubei, the Chinese province hardest hit by COVID-19. The doctor, whose identity is not known to Nadelson or Baird, could place an order for swabs with the factory, which also supplied health workers in Wuhan. Were they interested?

Geoff decided early on he was going to take this big leap of faith, Nadelson said. They put in an order for 80,000 kits for UW Medicine, hoping to distribute the kits throughout the state, and Seattle Childrens added to their order another 20,000 kits.

Nadelson fronted $125,000 later to be reimbursed by UW Medicine.

But layers of red tape, customs regulation and international shipping logistics problems complicated by COVID-19s impact on worldwide freight and supply chains remained troublesome, and Baird wanted the tests stateside, and fast.

He fired off an email to Jeff Wilke, CEO of Worldwide Consumer at Amazon, whose contact information Baird had from a mutual connection.

Amazon has made a humanitarian and a public relations push to source and deliver medical supplies in COVID-19s wake.

On the afternoon of March 30, Baird asked if we had any resources in China that could fly them here in a hurry, Wilke said in a statement to The Seattle Times. Amazon found space on a chartered flight last Saturday.

Baird obsessively tracked the flights progress to Seattle.

It could be the great Shanghai airlift of 2020, Baird said, while the supplies were airborne. Or, I could have bought 100 grand in packing peanuts.

After the jubilant unpacking and back at the UW Medicine Virology laboratory, the mood shifted. A crestfallen Baird met in the laboratory lobby with Dr. Jason Love, a pathologist for MultiCare hospitals in the Tacoma area.

Instead of NP swabs, the Chinese factory had sent nasal swabs, for use in the nostrils.

Cotton, Baird said, as if it were a dirty word, fearing the swabs contained material not suited for COVID-19 testing.

Im disappointed, Love said, trying to figure out how he could stretch strained supplies further.

But spirits for both men lifted on Monday amid new developments.

Baird determined both the nasal swabs, which were actually polyester, and the transport media were acceptable for COVID-19 testing.

Its going to work for us and help a lot of people, Baird said.

And a new preliminary preprint study of about 500 patients at the Everett Clinic, who sampled themselves inside their vehicles, showed that nasal swabs could be effective.

Sample collection for new coronavirus tests with nasal swabs were nearly as accurate as sampling as the NP swabs, according to test results from a study published Monday on the preprint server medRxiv, which has yet to be peer-reviewed. The preliminary study did not examine asymptomatic patients.

The Food and Drug Administration added the nasal swab sampling for COVID-19 to its clinical guidelines on March 23 and the CDC followedMarch 24.

Dr. Yuan-Po Tu, the lead author of the preprint, said sampling with nasal swabs could help preserve key personal protective equipment. Medical professionals must wear protective equipment when administering NP swabs because patients often cough or sneeze during the more invasive procedure.

By having the patient collect the specimen themselves, all you need is a surgical paper mask and you just stand back and you watch, Tu said.

Michael Teng, an associate professor in internal medicine at the University of South Florida who was not involved in the preliminary report, said its findings track with similar studies of other respiratory viruses, and added that nasal swabs could be less effective at detecting the virus in people without symptoms, an important consideration as public health strategies increasingly rely on broader testing.

Baird said there is no perfect sampling method. All tests have false negative rates because the virus lives in the lungs primarily.

Also on Monday, experts began to suggest COVID-19 cases may have crested in volume and started to trend downward. That eases demand on test kits.

Love on Wednesday said he was feeling more optimistic about swab supply because his lab was no longer maxing out its machinerys capability. COVID-19 testing needs have fallen off at his hospitals significantly.

Duchin said health officials would take 20,000 of the swabs procured by Baird and Nadelson, saying they would fill gaps in supply at places like shelters and long-term care facilities.

Also on Monday, a package arrived that buoyed Bairds mood. It included samples of NP swabs from one of the first factories Nadelson contacted in March.

Theyre perfect, Baird said. I think weve opened up a supply line.

Staff reporters Ryan Blethen and Daniel Gilbert contributed to this report.

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How UW Medicine, small business and Amazon combined to airlift key testing kits from China in coronavirus fight - Seattle Times

Clinical trial launches to evaluate antimalarial drugs for COVID-19 treatment – Washington University School of Medicine in St. Louis

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Cigna/Express Scripts provided the drugs; open to COVID-19 patients at Barnes-Jewish Hospital

Antimalarial drug, hydroxychloroquine is one of the drugs being tested in COVID-19 patients.

Washington University School of Medicine in St. Louis is launching a clinical trial for patients hospitalized with COVID-19 at Barnes-Jewish Hospital. The trial will investigate the effectiveness of different combinations of the antimalarial drugs chloroquine and hydroxychloroquine and the antibiotic azithromycin in treating ill patients infected with the novel coronavirus.

Express Scripts, a Cigna company, has donated these medications to the School of Medicine in an effort to accelerate research for a COVID-19 treatment.

The Food and Drug Administration recently gave emergency approval for hospitals across the country to use the two antimalarial drugs to treat severe cases of COVID-19. However, this treatment strategy remains unproven.

There have been only a few small studies that have evaluated chloroquine and hydroxychloroquine in patients with COVID-19 infection, and the results are unclear, said infectious disease specialist Rachel M. Presti, MD, PhD, an associate professor of medicine who is co-leading the trial. We need additional trials to understand whether the drugs are effective. We are pleased to be able to offer this clinical trial to patients with COVID-19 in the St. Louis region. Were grateful to Cigna and Express Scripts for the generous donation of these drugs. Our goal is to determine if any of these medications, alone or in combination, decrease the severity or duration of respiratory symptoms.

Respiratory symptoms of COVID-19 include dry cough and shortness of breath. According to the Centers for Disease Control and Prevention (CDC), people should seek medical attention if symptoms progress to difficulty breathing, persistent pain or pressure in the chest, confusion or inability to arouse, and bluish lips or face. This trial is only for patients who are ill enough to be admitted to the hospital. The researchers plan to enroll 500 patients over the course of the study.

To accelerate research for a COVID-19 treatment, we are supporting one of the top medical schools in the country in their efforts to quickly implement a clinical trial, said Steve Miller, MD, chief clinical officer, Cigna. This trial will help to establish whether these drugs are effective and, if so, to determine the optimal doses to help minimize the symptoms of COVID-19.

Patients with confirmed cases of COVID-19 who choose to enroll in the trial will be randomly assigned to one of four treatment groups: One group will receive chloroquine alone; a second group will receive hydroxychloroquine alone; a third group will receive chloroquine and azithromycin; and a fourth group will receive hydroxychloroquine and azithromycin.

All three medications are generic formulations long used to treat other conditions. Chloroquine and hydroxychloroquine are used for the prevention and treatment of malaria. They also are prescribed, often in combination with other medications, for autoimmune disorders, such as lupus and rheumatoid arthritis. Azithromycin is an antibiotic used to treat many types of infections caused by bacteria, including respiratory, skin, ear and eye infections.

In past research, chloroquine and hydroxychloroquine showed some effectiveness against related coronaviruses MERS and SARS. All three drugs have side effects that are well-known. Hydroxychloroquine and chloroquine in particular can cause heart rhythm problems. Presti said patients will be carefully screened for abnormal heart rhythms before being administered these drugs. These drugs also have been associated with vision loss and psychiatric side effects, but Presti said such effects are not typically seen in short-term use of the drugs.

Presti is co-leading this clinical trial with Jane OHalloran, MD, PhD, an assistant professor of medicine at Washington University. All COVID-19 related research is coordinated by the COVID task force appointed by David H. Perlmutter, MD, executive vice chancellor for medical affairs and the George and Carol Bauer Dean of the School of Medicine. The task force is led by Jeffrey Milbrandt, MD, PhD, the James S. McDonnell Professor and head of the Department of Genetics; William G. Powderly, MD, the J. William Campbell Professor of Medicine and director of the Institute for Clinical and Translational Sciences (ICTS); and Sean Whelan, PhD, the Marvin A. Brennecke Distinguished Professor and head of the Department of Molecular Microbiology.

The clinical and translational research related to COVID-19 at the School of Medicine harnesses a breadth of resources of the ICTS, which were deployed to bring this study forward in less than two weeks. Washington Universitys ICTS is part of the Clinical and Translational Science Award (CTSA) nationwide network funded by the National Center for Advancing Translational Sciences (NCATS).

This work is supported by The Foundation for Barnes-Jewish Hospital; and the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH), grant number UL1TR002345.

Washington University School of Medicines 1,500 faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Childrens hospitals. The School of Medicine is a leader in medical research, teaching and patient care, ranking among the top 10 medical schools in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Childrens hospitals, the School of Medicine is linked to BJC HealthCare.

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Clinical trial launches to evaluate antimalarial drugs for COVID-19 treatment - Washington University School of Medicine in St. Louis

As India Exports Hydroxychloroquine, Punjab Faces Acute Shortage Of The Medicine Due To Panic Buying – Outlook India

Ever since rumours started floating around that Hydroxychloroquine could help improve immunity against Covid-19, Patients of joint pain and malaria diseases which it actually cures -- are not getting enough tablets of the medicine in Punjab, due to acute shortage at stores and short supply from the manufacturing companies.

Chemist associations and the drug control department have admitted that the medicine has been completely sold out at majority of medical stores as people bought it in bulk, believing that it is a magic pill to protect them against Coronavirus.

I have been getting calls from chemists from all over Punjab for its supply but I am not able to help them. Most of the shops have run out of the medicine. The lockdown has also severely hit the supply chain across the state, which is causing a lot of trouble, said Surinder Duggal, President, Punjab Chemist Association.

Duggal says that Zirakpur city, which supplies 90 per cent of the medicines in Punjab, doesnt have enough labourers to load and unload the medicines. Besides, the stock available with the whole-sellers is very limited, he added.

Pradeep Mattu, Drug Controller of Punjab, blames panic buying for the shortage. By the time government imposed restrictions on its sale, people had already hoarded it like anything. If one person buys 200 tablets without any ailment, thinking that it will improve his immunity against COVID-19, scarcity is natural, Mattu said.

The union government imposed restrictions on the sale of Hydroxychloroquine onMarch 25, 2020, when it realised that the medicine was overselling due to the misconception that it can improve immunity against Coronavirus. The government immediately regulated its sale with a provision that no chemist can sell it without a doctors prescription.

After reports that Hydroxychloroquine showed positive effects on COVID-19 infected patients in France, and a consequent tweet from the US President, calling it a game-changer, the news went viral on social media. It is a generic drug which was available over the counter, so people have gone for crazy buying it, said T.V. Narayana, National President, Indian Pharmaceutical Association.

He said that if an individual takes this medicine, thinking that it improves immunity, he or she is completely mistaken as this can cause adverse side-effects.

The Centre has already assured that India has enough raw material and manufacturing capacities to meet the domestic demand for Hydroxychloroquine. The United States has requested India to export Hydroxychloroquine to treat COVID 19 patients in the country. The Centre has reportedly decided to export the medicine to friendly countries to fulfil their needs.

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As India Exports Hydroxychloroquine, Punjab Faces Acute Shortage Of The Medicine Due To Panic Buying - Outlook India

Stanford researchers devise treatment that relieved depression in 90% of participants in small study – Stanford Medical Center Report

There was a constant chattering in my brain: It was my own voice talking about depression, agony, hopelessness, she said. I told my husband, Im going down and Im heading toward suicide. There seemed to be no other option.

Lehmans psychiatrist had heard of the SAINT study and referred her to Stanford. After researchers pinpointed the spot in her brain that would benefit from stimulation, Lehman underwent the therapy.

By the third round, the chatter started to ease, she said. By lunch, I could look my husband in the eye. With each session, the chatter got less and less until it was completely quiet.

That was the most peace theres been in my brain since I was 16 and started down the path to bipolar disorder.

In transcranial magnetic stimulation, electric currents from a magnetic coil placed on the scalp excite a region of the brain implicated in depression. The treatment, as approved by the FDA, requires six weeks of once-daily sessions. Only about half of patients who undergo this treatment improve, and only about a third experience remission from depression.

Stanford researchers hypothesized that some modifications to transcranial magnetic stimulation could improve its effectiveness. Studies had suggested that a stronger dose, of 1,800 pulses per session instead of 600, would be more effective. The researchers were cautiously optimistic of the safety of the treatment, as that dose of stimulation had been used without harm in other forms of brain stimulation for neurological disorders, such as Parkinsons disease.

Other studies suggested that accelerating the treatment would help relieve patients depression more rapidly. With SAINT, study participants underwent 10 sessions per day of 10-minute treatments, with 50-minute breaks in between. After a day of therapy, Lehmans mood score indicated she was no longer depressed; it took up to five days for other participants. On average, three days of the therapy were enough for participants to have relief from depression.

The less treatment-resistant participants are, the longer the treatment lasts, said postdoctoral scholarEleanor Cole, PhD, a lead author of the study.

The researchers also conjectured that targeting the stimulation more precisely would improve the treatments effectiveness. In transcranial magnetic stimulation, the treatment is aimed at the location where most peoples dorsolateral prefrontal cortex lies. This region regulates executive functions, such as selecting appropriate memories and inhibiting inappropriate responses.

For SAINT, the researchers used magnetic-resonance imaging of brain activity to locate not only the dorsolateral prefrontal cortex, but a particular subregion within it. They pinpointed the subregion in each participant that has a relationship with the subgenual cingulate, a part of brain thatis overactive in people experiencing depression.

In people who are depressed, the connection between the two regions is weak, and the subgenual cingulate becomes overactive, said Keith Sudheimer, PhD, clinical assistant professor of psychiatry and a senior author of the study. Stimulating the subregion of the dorsolateral prefrontal cortex reduces activity in the subgenual cingulate, he said.

To test safety, the researchers evaluated the participants cognitive function before and after treatment. They found no negative side effects; in fact, they discovered that the participants ability to switch between mental tasks and to solve problems had improved a typical outcome for people who are no longer depressed.

One month after the therapy, 60% of participants were still in remission from depression. Follow-up studies are underway to determine the duration of the antidepressant effects.

The researchers plan to study the effectiveness of SAINT on other conditions, such as obsessive-compulsive disorder, addiction and autism spectrum disorders.

The depression Lehman woke up to almost two years ago was the worst episode she had ever experienced. Today, she said, she is happy and calm.

Since undergoing SAINT treatment, she has completed a bachelors degree at the University of California-Santa Barbara; she had dropped out as a young woman when her bipolar symptoms overwhelmed her studies.

I used to cry over the slightest thing, she said. But when bad things happen now, Im just resilient and stable. Im in a much more peaceful state of mind, able to enjoy the positive things in life with the energy to get things done.

Graduate student Katy Stimpson and Brandon Bentzley, MD, PhD, a medical fellow in psychiatry and behavioral sciences, are also lead authors.

Other Stanford co-authors are former lab manager MerveGulser; graduate students Kirsten Cherian, Elizabeth Choi, HaleyAaron and AustinGuerra; Flint Espil, PhD, clinical assistant professor of psychiatry and behavioral sciences; research coordinators Claudia Tischler, Romina Nejad and Heather Pankow; medical student Jaspreet Pannu; postdoctoral scholars Xiaoqian Xiao, PhD, James Bishop, PhD, John Coetzee, PhD, and Angela Phillips, PhD; Hugh Solvason, MD, PhD, clinical professor of psychiatry and behavioral sciences; research manager JessicaHawkins; BooilJo, PhD, associate professor of psychiatry and behavioral sciences; Kristin Raj, MD, clinical assistant professor of psychiatry and behavioral sciences; CharlesDeBattista, MD, professor of psychiatry and behavioral sciences; JenniferKeller, PhD, clinical associate professor of psychiatry and behavioral sciences; and AlanSchatzberg, MD, professor of psychiatry and behavioral sciences.

The research was supported byCharles R. Schwab, the Marshall and Dee Ann Payne Fund,the Lehman Family Neuromodulation Research Fund, the Still Charitable Fund,the Avy L. and Robert L. Miller Foundation, a Stanford Psychiatry Chairmans Small Grant, the Stanford CNI Innovation Award, the National Institutes of Health (grants T32035165 and UL1TR001085), the Stanford Medical Scholars Research Scholarship, the NARSAD Young Investigator Awardand the Gordie Brookstone Fund.

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Stanford researchers devise treatment that relieved depression in 90% of participants in small study - Stanford Medical Center Report

Dr. Trump’s medicine show: Why is he pushing an unproven drug? Follow the money – Salon

Donald Trump only cares about Donald Trump. He doesn't care about you or the country.He only cares about exploiting this crisis to bail out his business and to get himself re-elected, thereby shielding himself from a series of indictments thatsurely awaithim if he loses. The sooner we embrace this easily-observable fact about Trump, the better equipped we'll be to evaluate his decisions during these overlapping health and financial calamities.

The "Trump is all about Trump" maxim goes a long way to explaining his obsessive beer-funneling of a malaria drug called hydroxychloroquine down the gullets of COVID-19 victims.

So far, there have been two public appearances by Trump that have genuinely rattled me. There was his seemingly endless and deeply disturbing CPAC address in early March of 2019: a herky-jerky, stream-of-consciousness creepshow a Willy Wonka ride into the dark, twisted world of Trump's increasingly haunted and demented brain. I've never seen a presidential speech more harrowing and unnerving than that one until the Saturday, April 4, episode of the Trump Show.

There was one particular chunk of Saturday's fact-free campaign commercial, aired across all the major networks, that rivaled anything from his CPAC remarks of more than a year ago. About an hour into Trump's delusional attempt to frame himself as competent, the president craned his head forward and, using a high-pitched whisper-voice, begged COVID-19 victims to take hydroxychloroquine as if his life depended on it.

It was one of the most bizarre moments not just in the history of this wobbly wacky-shack presidency, but in the entire history of presidential politics. Trump's pupils were dilated, punctuating his bugged-out eyesand, as usual, his hands were flapping back and forth as if to squeeze an invisible accordion to the tune of a dissonant polka played at half speed. The sound of his voice could best be compared with a greasy Aqualung weirdo in an unmarked van coaxing children into the back with the promise of candy bars if they acquiesce.

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"What do you have to lose?" the president rationalized in that breathless tone, "I'll say it again: What do you have to lose? Take it. I really think they should take it. But it's their choice and it's their doctor's choice, or the doctors in the hospital. But hydroxychloroquine try it, if you'd like."

There was much more to it, and the text alone doesn't do justice to the freakishness of the moment. But as I watched the president disintegrating into a cartoonish back-alley drug dealer from a 1980s after-school special, two thoughts occurred to me: 1) We're completely screwed if this shell of a man is re-elected, and 2) Why is he so obsessed with selling this malaria drug?

The corollary to the "Trump only cares about Trump" rule is that he's done nothing to earn the benefit of the doubt, so our negative assumptions about his motives ought to be considered accurate until proven otherwise. As I've said from the beginning, I absolutely hope I'm wrong about Trump, but so far, he's proved many of my worst concerns about his poseur presidency to be true. So, in this case, if Trump's pushing an unproven cure with this much vigor, then he's very likely benefiting financially somehow.

Trump is always engaged in one con or another, so he's certainly wired for a scam like this. Andthe downturn in the economy due to the pandemic has reached the books of the Trump Organization where Eric Trump and DonaldJr. are racing around like the Skipper and Gilligan struggling to guide the USSMinnow out of that freak Pacific storm. We learned the other day that the Trumps are laying off 1,500 workers, an unemployment bloodbath, while closing 17 locations mainly hotels and restaurants. Likewise, the Trumps are desperately begging their creditors to back off, creditors that includeDeutsche Bank and Palm Beach County, to whom the Trump Organization owes a pile of money.

SoTrump's businesses are under duress like everyone else's, motivating him to grab whatever cash is nearby. Apparently there's good money in pharmaceuticals.

The top manufacturer of hydroxychloroquine is Novartis. Back in early 2017, soon after the inauguration, Novartis agreed to pay Michael Cohen, Trump's former attorney-slash-fixer, $100,000 per month for lobbying access to the new president. The cash payouts were sent to Cohen's shell company, Essential Consultants, which was also a reputed slush fund for Trump. You might recall thatthe president used Essential Consultants as an intermediary foralleged hush-money payments to adult film star Stormy Daniels. Indeed, some of those checks were signed by Trump while in the White House.

Andno, this isn't somekooky conspiracy to frame Trump. Novartis executives admitted to lobbying Trump with cash payments after they, along with AT&T and several others, were exposed publicly.

All told, Novartis paid Trump more than a million dollars during the year-long agreement, paid out throughCohen's dubious company. Novartis is one of the primary manufacturers of hydroxychloroquine. Two-plus-two equals "what do you have to lose?"

All this is just for starters. The question now is whether Trump has entered into another agreement with a different pharmaceutical corporation, or whether Trump is priming the pump for a renewal of the old one with Novartis. There might be another angle we haven't considered yet. It's difficult to tell at this point, but the history is there. The players, including Cohen and Novartis, have confessed publicly and apologized.

Trump is treating this drug like he's the national spokesman, paid on commission, yet to date there isno peer-reviewed evidence that hydroxychloroquine actually works against COVID-19. In fact, it could have serious side effects contradicting Trump's whispery, "What do you have to lose?" pitch. Of course it's possible that Dr. Trump's snake oilmight work for some patients. We simply don't know. But there's a lot to lose for thosewho might experience a series of horrendous side effects taking the wrong medication for the wrong illness has a tendency to do that. Knowing all this, it's ludicrous that the U.S. government under Trump has already invested in 29 million pills, absent any clear information that they're usefulagainst the current plague.

No wonder Trump wouldn't allow Dr. Anthony Fauci, ofthe National Institute of Allergy and Infectious Diseases, to answer a reporter's question about the efficacy of hydroxychloroquine during Sunday's Trump Show. He knew that Fauci might, at the very least, contradict Trump's drug-dealer-ish rationalizations, and, as you know, coffee's for closers.

Meanwhile, we learned on Mondaythat the White HouseCOVID-19 task force erupted into an argument over the drug recently, with economic adviser Peter Navarro presenting Trump with several shoddy studies thatFauci observedwere "anecdotal" and unscientific, largely due to thelack of control groups. Who should we believe? The scientist with 40 years of experience in his current role, orTrump and Navarro, two guys with zero experience in science, one of whom hasa known history of taking money from the one of the drug's primary manufacturers? The answer is obvious to anyone outside the Trump death cult. But as Amanda Marcotte wrote on Monday, the Trump teamcould be setting up Fauci as a scapegoat for this entire pandemic, in allthis, so we shouldn't expect the actual expert to win the debate over Trump's snake oil.

In case you're wondering why the United States has the greatest number of COVID-19 victims worldwide, and nearly 11,000 deaths as of Tuesday morning, it might be because the president has prioritizedhis side hustle over actually doing the job, relentlessly pitching an unproven drug like the world's most annoying late-night infomercial host. To be clear, he's never been capable of doing the job in the first place, so his various side hustles are all he's got. Consequently, he's wedging his cumbersome bulk between doctors and patients, urging people without medical degrees to second-guess the experts.

Trump's No. 1 priority is always Trump, and he's turning hydroxychloroquine into the new "freedom fries." If you're a member of the cult, you're being commanded to take the drug. Maybe it's to own the libs, maybe it's so Trump can get paid. Either way, take it. It'll make you feel good and all the cool kids are doing it. But if it doesn't work and you die, it'll be someone else's fault. What do you have to lose?

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Dr. Trump's medicine show: Why is he pushing an unproven drug? Follow the money - Salon

Preventive medicine specialists position themselves against the olgico serological passport ‘| Society – The Union Journal

The Spanish Society of Preventive Medicine, Public Health and Hygiene (Sempsph) has positioned itself this Friday against any form of ser serological passport that identifies who has passed the coronavirus infection. This can be known through a test that reveals whether the person has the antibodies that protect him against the pathogen because he has already been in contact with it.

There are several public and legal health criteria, but one of the most important is that this type of passport encourages people to become infected, summarize Sempsph sources.

The document calls on administrations not to propose measures that suppose a stratified limitation of freedoms and fundamental rights for health reasons; attending to the constitutional principles of non-discrimination, to the principles of equality, relevance and proportionality .

In a document published on its website, the society that groups Spanish preventivists recalls the confidential nature of any clinical information and that the legislation protects workers from companies when it comes to being required on whether they have past the disease.

Only in the case of healthcare employees, nursing homes and similar equipment should their serological status be taken into account and always for the purposes of better care.

The community of Castilla y Len, as well as some researchers, have advocated in recent days for the creation of this type of certificate, a safe-conduct that would allow its holders to return to normal life before the rest of the population.

The Ministry of Health, however, has been opposed to this type of initiative that is now beginning to be considered in light of the relaxation of the isolation measures that will follow the decrease in cases and deaths registered after a month of confinement.

At the moment, it is not known how long people who have recovered from infection with SARS-CoV-2, the virus that causes Covid-19, are immune to the virus. In the first SARS, which disappeared after causing nearly 800 deaths two decades ago, it would approach 10 years. MERS, another coronavirus that mainly strikes the Middle East, this period is shorter, about two years.

The Sempsph considers that the decreasing trend of new cases in Spain advises the planning of progressive de-escalation of some of the isolation measures adopted by the Government. The document avoids establishing stages and deadlines and opts for an adaptive response that allows accelerating or regressing back to normal according to the evolution of the disease and a hypothetical upswing in cases.

Regarding the use of masks by the population, the document recommends them when considering that the available evidence with SARS supports their use: The use of any type of mask reduced the transmission of infection [del SARS] in the general population. Also, the evidence seems to indicate that a use by the general population, instead of only symptomatic people, can reduce community transmission of the infection.

Among other measures in the field of care, the 54 pages of the document call on the authorities to adopt a series of measures before beginning the de-escalation of isolation, including having the capacity, including staffing, to double the number of patients treated in the ICU if necessary .

It also calls on the Government to have the ability to evaluate large numbers of symptomatic patients safely in facilities such as outdoor tents or vehicles. Likewise, to have sufficient Personal Protective Equipment (PPE) for all health workers and socio-sanitary centers and a sufficient number of surgical masks to provide all patients, in both cases even if they were duplicated the cases.

In terms of public health, preventivists consider that administrations must have the means to recover and generalize the progressive tracking of contacts of those infected and have facilities such as medicalized hotels for those infected who are not hospitalized who cannot comply with insulation measures in the home .

Society also requires administrations to organize in order to carry out rapid tests on possible cases and symptomatic contacts in the first 24 hours after the patient detects the onset of symptoms.

Information about the coronavirus

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Preventive medicine specialists position themselves against the olgico serological passport '| Society - The Union Journal

Medicine delivery offer – The Tribune India

Chandigarh

Shruti Choudhry, former Congress MP from Bhiwani-Mahendragarh, has launched an initiative to deliver medicines to the people. The cost of medicines and expenses on delivery are being borne by her. She said she had started the service for people of Dadri, Bhiwani and Mahendragarh. Those in need could WhatsApp their prescription on the number 09812195558 with name, address and contact number, she said. In a video posted in several WhatsApp groups, she said, With this lockdown, it is not possible for everyone to have stock of medicines in villages. With public transport shut, they cannot go out and procure these from far-off places. In case anyone in Dadri, Bhiwani and Mahendragarh is in need of medicines, I will get medicines delivered on their doorstep. TNS

AMBALA

Timings for services fixed

Ambala City SDM Gauri Midha has fixed timings for those providing essential services. As per the order, door-to-door supply of milk and newspapers has been allowed till 8 am and shops providing essential services and commodities, including chemists, will remain open from 9 am to 5 pm. Home delivery of essential items has been allowed and chemists operating in hospitals and nursing homes can remain open 24x7. The order has stipulated opening of fruit and vegetable market till 9 am. The mandi will remain closed to the general public. Milk dairies and vendors can remain open for the public from 9 am to 5 pm. The order will remain in force till April 14. tns

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Medicine delivery offer - The Tribune India

French Medicine Academy: How to make Covid-19 mask The French National Academy of Medicine, an – The Connexion

It advises (after washing hands with soap or hydroalcholic gel) simply folding a paper napkin intoan accordion shape and placinga rubber band at each end, over which the edge of the towel is folded beforebeingstapled.

You can watch this step-by-step video to make yours:

Many videos are available on the internet to make a mask but most of them require sewing, unlike this one.

Professor Daniel Garin from the Academy and former head of virology for France's army health service said:"The principle of this mask is not to filter, but simply to prevent the spread in the air of saliva particles that are potentially contaminated by the virus."

As soon as it becomes wet, the maskshould be thrown awayand since it could be infected, itshould only be touchedby the elasticbands.

The Academy (Acadmie nationale de mdecine) also stressed that the FFP2 mask, commonlyknown asduck beakmasksshould be reserved for medical staff asthis type of maskprotectsagainst catchingCovid-19, while the classic surgical mask only protects the environmentaround the wearer.

Professor Garin added: "If everyone wears a mask, it will prevent contamination around you."

Recommendations on wearing a mask(or not)have evolvedin Franceduring the Covid-19 epidemic.

The mask shortage has also influenced the decisions of the government, which saidthe wearing of masks by the general public served no purpose and that masks were only useful formedical staff at the beginning of the epidemic.

However, in the last few days, the government, and health minister Olivier Vran has said that France needs to make more masksand there has been debate about the widespread wearing of masks for all being part of deconfinement.

Some cities such as Nice or Canneshave said they want to make the wearing of masks obligatory but the Interior Minister, Christophe Castaner has asked all the prefects to withdraw these orders. He said that this was "a problematic subject" and the usefulness of masks has not been medically proven.

The Academy of Medicine recommends that public authorities make the wearing of masks compulsory for everyone for short outings during the period of confinement or for future outings at the end of confinement.

The governmentspokesperson Sibeth Ndiaye said: "We will take a decision on the possible extension of the wearing of masks to the entire population as soon as we can build it on a scientific consensus."

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French Medicine Academy: How to make Covid-19 mask The French National Academy of Medicine, an - The Connexion

IU School of Medicine student shares COVID-19 experience to warn young people they arent invincible – Fox 59

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INDIANAPOLIS, Ind. -- A 27-year-old, soon-to-be doctor, has a warning for all young adults: You are not invincible to COVID-19.

Hes sharing his story in hopes that people who are not taking this seriously begin to realize they too are at risk.

As a fourth-year medical student, David Vega says he prioritized his health. He thought he was invincible to COVID-19, but his outlook changed one month ago.

Very, very scary and the most sick Ive ever felt in my life, Vega explained.

Vega says he could have done more to protect himself. He wrote about his experience for his fellow Indiana University students and staff, to let them know this is serious.

I felt that it would be good to share my story, he added, Especially after seeing there are a lot of young people who are not taking it seriously.

As he detailed his experience, he stated, Sure, Ill wash my hands, Ill social distance after that party, I thought. Looking back, there were too many opportunities for me to have caught this virus. I did not take my health seriously.

After returning from his two-month long global medicine elective in Africa and a week stay in Florida with friends, he knew something wasnt right.

My main symptoms were fever, chills, fatigue, complete muscle and body aches. This lasted about a week, week and a half, and I think thats the scary part, said Vega.

He first thought, maybe its just a bad case of the flu, but he was wrong. He tested positive for COVID-19 and the next 13 days were unimaginable.

Were seeing more and more people admitted to the hospital between ages of 20-44. A lot of those are going to the ICU and being put on ventilators, explained Vega, A lot of them are dying, I was one of the lucky ones.

He continued to detail day by day the symptoms and what he was feeling in his story for the university. He wrote, After waiting SEVEN ENTIRE DAYS in self-quarantine, I finally received my results: positive for COVID-19, continue self-quarantine for another seven days. Ironically, this arrived an hour before receiving my Match Day residency assignment for emergency medicine at the University of Miami. March 20th was certainly a big day of results for me.

Vega wishes he would have listened, but hes not alone.

This is serious business, its a serious infection and it can kill people, said Dr. John Christenson, a Clinical Pediatrics Professor at IU School of Medicine.

Christenson added that hes witnessed young people believing theyre untouchable by congregating, not wearing masks, and barely social distancing.

When you look at the number of cases in Indiana, there are more than 4,000 people who have been infected and a large number of people who have died from this. If you look at hospitals nationwide, youll find adolescents admitted to those hospitals, in intensive care on ventilators, said Christenson.

As for Vega, he will soon begin his residency and he has plans to take his battle with COVID-19 as a learning experience as he prepares to help his own patients.

Seeing the need and seeing now that I have experienced it myself, I understand a lot more about it and have developed some sort of immunity to it, I would say it confirmed my calling even more, said Vega.

According to the CDC, one out of five people hospitalized from COVID-19 are young adults.

Click here to read Vegas full warning to young people.

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IU School of Medicine student shares COVID-19 experience to warn young people they arent invincible - Fox 59

Brunello Cucinelli on the Opportunity Ahead Post-Coronavirus – WWD

MILAN For the philosophical entrepreneur Brunello Cucinelli, the coronavirus pandemic marks the start of a new time.

Only Cucinelli would use the release of his luxury brands first-quarter figures on Thursday which saw a 2.3 percent drop in preliminary revenues as COVID-19 spread first in China and then to the rest of the world as an opportunity to talk as much about humanity, Creation and a process of renewal than the details of financials and store openings. His Letter to Investors for the New Time echoes many of the themes Cucinelli has stated over the years and the tenets on how he tries to run his company.

Cucinellis letter is the second by a major Italian fashion figure to address the changes taking place as the pandemic rages worldwide, and the latest to address how the industry will be transformed by the crisis. Giorgio Armani last week wrote an open letter to WWD expressing his thoughts on the need for the fashion system to adopt a new methodology one that is slower and more sustainable.

In Cucinellis case, his letter was more about how the pandemic is transforming us as individuals, bringing into perspective what is important in ones life. Too many things we have learned in such a short time; too many things we thought indispensable have turned out to be superfluous, too many feelings we thought dormant re-emerged like new springs, he wrote, adding that in the letter he wanted to focus on those changes that slowly but surely, from day-to-day perhaps without us even realizing it yet are almost reshaping our human structure, showing us just how beautiful the world can be, that very same world that we took for granted until yesterday.

Until a few days ago, the time that flows from one daily action to the next was driven by the frantic urgency of an ongoing haste and frenzy without a conscious reason; today time has changed its pace like in a melody where every musical beat falls where the score of Creation wants it to be, and generates a music of memories and future that we wont easily forget, Cucinelli went on. How many times, in yesterdays life, our words stole the space of feelings, forgetting that the first truly universal word is the example of a life led with moderation! How many times, wrapped up in a life that we believed to be the best possible, somewhere, perhaps even in our dreams, we wondered if our behavior was not completely respectful of Creation, and for a moment we thought that maybe we were acting against nature?

But instead of being pessimistic about the crisis that is devastating lives and economies worldwide, Cucinelli expressed optimism over the renewal that will result. That extends to his own company, even though it saw first-quarter revenues drop to156.7 million euros from 160.4 million last year, with the first three months of 2020 almost a tale of two parts. In a statement accompanying the results, the businessman said the year started off strongly and remained so until the end of February, apart from China, where the pandemic had already taken hold.In China, revenues during the quarter fell 27.1 percent to 11.2 million euros, or 7.2 percent of the total. The first signs of improvement in China were seen in the first 10 days of March and over the past few days, following the gradual normalization of the health situation and the reopening of stores, as well as a desire to restart.

There were declines in other major markets as well, including Italy, where revenues fell13.9 percent to 24.4 million euros, impacted by the full closures of stores in the second part of the quarter, andEurope, which decreased 2.2. percent to 51 million euros, representing 32.5 percent of the total, with remarkable growth until the beginning of March. Sales rose in North America, which was up 9.5 percent to 50.8 million euros with a sharp improvement until stores had to close in the second half of last month, and were up 6.6 percent in the rest of the world to 19.3 million euros.

Despite the first-quarter drop in sales, the company believes its strengths will allow it to maintain the strategy and vision it laid out in its 2019-28 plan. The company said these strengths include: the flexibility of its manufacturing structure, which is fully Italian (75 percent of it is located in the Umbria region) and made up of 364 high-quality artisanal laboratories employing about 5,000 people; a strong partnership with all its main suppliers; the importance of the wholesale channel, which represented around 45 percent of total sales last year; the low level of debt, and a sound trust-based relationship with our customers hinged around the protection of their human privacy.

Our company structure has been planned for delivering balanced growth in the three-year period 2020-21-22, Cucinelli said in his statement with the results, cautioning that, we may have to wait another two or three months to get an overview of the whole year, but at the same time the fall/winter 2020 wholesale order backlog is very significant, and in this regard the strong reliability of our partners and hopefully ours, too reassures us a lot.

That said, the company admitted that COVID-19 will make it impossible for it tofully deliver the economic objectives we had set ourselves for 2020, with a much greater impact in the second quarter than in the first three months of the year.

However, in Cucinellis view, these challenges are only momentary ones. In his view, the new time that will emerge is brimming with fabulous opportunities, a bearer of new lifeblood, a creator of ideas revolving around a renewed desire for life. I know that there will be economic growth; I know that enthusiasm will make our hearts soar. But at the end of this all we will be different; we too, like time, will be somehow new.

Something has been transformed and it will make us see things and life in a different, beautiful, enchanted light, his letter on this new time stated. That very same bread, which we took for granted yesterday, will now be a new surprise, a warning to remind us of those who do not have any bread, and should have it. In every man we will recognize another man: our brother.

Something has changed, and it will reveal us that family is the bud of society. And so water, the fields of wheat, the orchards, and the animals that feed us, will take on a new look, they will be full of a meaning that is their natural, fair, balanced one, they will become almost sacred. This value is that of the rhythm of Creation, which beats in our hearts.

Cucinelli then turned to a theme that has occupied him for years: balance in ones life and balance in business. He believes the post-COVID-19 era provides the world a fascinating opportunity for us to restore the relationship between humanism and technology, between consumption and the economy, between the spirit and harmony, between profit and giving back. I have always imagined our life as the relationship between us and our destiny, which like the ring of a planet, or in the shape of an enormous wheel turns slowly but steadily, carrying some good and some pain on its every spoke, and always, always, the spoke of our cherished opportunities.

He went on: The new time is this opportunity: to redress our relationship with Creation according to its rules, the rules of simple use and not waste or consumption, respect for human dignity, fair work, and everything in the world that is worthy of being called human.

I have no doubt about this new time, a time that will speak to us with a silent and piercing language, a time as new as we will be. One day, thinking back to this lazy, idle time, for a while we will perceive it with a sort of revulsion, but then unexpectedly, maybe on a spring day like today, in the early morning, when the last night stars go out in the sky, when the painful memories overwhelm us, we will be surprised to feel almost a sense of fondness, an inconceivable warmth towards todays times, and we will then realize that with time we end up loving even our sorrows, because they taught us our new life.

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Brunello Cucinelli on the Opportunity Ahead Post-Coronavirus - WWD

Passover Is an Awful Story But Humanists Can Wield It Well – Patheos

Lets begin with a story. I dont talk as much about Judaism here, in part because Ive known more Jewish atheists than Jewish theists, and even at a young age the Jewish people in my community (Toronto) articulated awareness that many of Judaisms central stories didnt happen. Major Israeli/Jewish media outlets like Haaretz, The Jerusalem Post, andJewish Journal are quite blunt about this, every Passover in particular: archaeological data makes plain the earthly fabrications in this supernatural tale.

But maybe I should talk more about Judaism, because it was my first real site of understandinghumanism, too long before I fully understood the wide reach of that term. I was charmed by Judaism as a child because of its high valuation of study, intellectual discourse, and the resolving of moral quandaries in a community of peers. Obviously, Orthodox Judaism wasnt great, but I admired what reform and liberal Judaism in particular had done to open up the faith in recent decades.

Here, I thought, was a faith and identity that knew its holidays and stories were more about using ritual to foster a sense of community, even and especially when ones community was persecuted with terrible frequency throughout history. Here was a faith and identity that welcomed new intel, and championed critical thought.

It helped, too, that Judaism didnt have much competition in this regard at least, from my exposure-sets growing up. Whereas the more prominent forms of Judaism embrace questioning, and readily cede flawed concrete details to open up room for mystery, other dominant monotheisms in my purview (Christianity, Catholicism, Islam) could not give up flawed core details as readily, and as such more often clashed with the fruits of empirical inquiry. For many of the loudest of these other faiths, the core stories needed to be true in a way that made embrace the mystery synonymous with just shut up about all the inaccuracies and let Jesus / Allah into your heart.

So, okay, I have a bit of a soft spot for Judaism even though, to be clear, there are forms of Islam and Christianity that also emphasize the figurative nature of their tales, too.

But every Passover, Im still reminded that its not enough simply to acknowledge that the Passover story is a fiction, because the Passover story itself is easily one of the least humanistic stories that the Abrahamic faiths have given us.

Can it be reclaimed? Of course. It already is, say, by Jewish women, who know full well how male-child oriented the original Exodus narrative is, along with the Passover rituals around it. But humanists (spiritual and secular alike) can push further still, since Israeli archaeologists and literary scholars are among the most open about how deeply fabricated Biblical stories are. As such, we have all the tools at our hands

a) to think deeper about reprehensible tales like the Passover story;

b) to come to a more humanistic understanding of why they exist; and

c) to decide what to do with that knowledge now.

So lets get cracking, shall we?

Yes, the Passover story is also part of the Christian Bible, butwere not engaging in in the dangerously anti-Semitic dogwhistling of Judeo-Christian elisions anymore in this column. As such, were looking at Shemot (Names), Vaeira (And I Appeared), and Bo (Come!), traditional weekly readings from Shemot or Exodus thesecondbook of the Torah. Im taking my quotes from a bilingual translation on Sefaria.org, which uses a plainer English than my favourite, a version you can read onMechon Mamre, which has a similarly poetic quality to the KJV.

I want to mention, though, that one key aspect of this storys awfulness exists in both versions: the hardening of Pharaohs heart by YHWH. Its just present alotmore in the original version of this tale.

Theres also a lot more about Moses (unsurprisingly) in Shemot. Moses is told by YHWH to ask Pharoah to let his people go out into the wilderness to worship their god, but Pharoah doesnt recognize YHWH as a god, and thinks his Jewish subjects are looking for an excuse to cut and run from their labours. He then makes their labours even harder as punishment, and Moses despairs of ever being made a prophet, when he only seems to be making things worse for his people.

Thats when YHWH tells him: See, I place you in the role of God to Pharaoh, with your brother Aaron as your prophet. You shall repeat all that I command you, and your brother Aaron shall speak to Pharaoh to let the Israelites depart from his land. But I will harden Pharaohs heart, that I may multiply My signs and marvels in the land of Egypt.

(Oh, and FYI: Aaron plays a huge role here, being very important to Judaism and its hierarchies, while the Christian Bible is big on streamlining characters. Now you know what HBO producers were up to in their past lives!)

And thats our first place of moral repugnance, obviously because right from the beginning all the suffering about to occur is created by a god who refuses to let Pharoah yield in full, so that he (YHWH) can make a great story about all the trauma later.

We know what comes next, of course. Signs and marvels happen to include a series of plagues, each nastier than the last. In the Hebrew Bible, though, its Aaron whos effecting most of them with his rod: lots of magical stick-work in this tale! More importantly, though, Pharaohrelents after the insects. He gives up and starts negotiating: Fine, fine, worship in the city. (In the city! Hes proposing a path to integrating different religious beliefs!) But Moses haggles, arguing that they cant worship with objects forbidden to the Egyptians in Egyptian lands, or theyll be stoned by the locals. FINE, says Pharaoh, do it outside the city but stay close, and first plead with your god to stop the plague of insects.

Pharaoh doesnt actually release the Israelites to worship, though, even after Moses has gained mercy from YHWH over the insects; and so next comes a pestilence of livestock one in which YHWH promises Moses that all Israelite livestock will be fine. Then come boils, and then hail (where, again, Israelite land is spared).

We then get a reaffirmation, in the Hebrew Bible, as to why this agony continues, because:

Then the LORD said to Moses, Go to Pharaoh. For I have hardened his heart and the hearts of his courtiers, in order that I may display these My signs among them, and that you may recount in the hearing of your sons and of your sons sons how I made a mockery of the Egyptians and how I displayed My signs among themin order that you may know that I am the LORD.

In other words: Everyones suffering right now because I wanted you guys to have a cool story to pass on through the generations about how badass I am, and how I totes humiliated the Egyptians that one time.

Nice gods our ancestors chose, eh?

Once more in the Hebrew Bible, then, Pharaoh is agonized by the trauma of the plagues, and begs for Moses and Aaron to intervene to make it stop which, they do, and YHWH does. But even after doing so

The LORD caused a shift to a very strong west wind, which lifted the locusts and hurled them into the Sea of Reeds; not a single locust remained in all the territory of Egypt.

But the LORD stiffened Pharaohs heart, and he would not let the Israelites go.

Then the LORD said to Moses, Hold out your arm toward the sky that there may be darkness upon the land of Egypt, a darkness that can be touched.

OH, COME ON, YHWH, YOU ABSOLUTE UNMENSCH.

Forget about Let my people go! let pharaohgo!

Quit hardening his heart just so you can show off!

But YHWH doesnt, and so we come to the critical pestilence for Passover: the murdering of firstborn sons. The Israelites prepare to take flight from Egypt so quickly that there isnt time to leaven bread for their passage, which underpins some of the rituals associated with the holiday. But, uh, lets take a closer look, first, at this horrible situation the Israelites are leaving:

And the LORD said to Moses, I will bring but one more plague upon Pharaoh and upon Egypt; after that he shall let you go from here; indeed, when he lets you go, he will drive you out of here one and all.

Tell the people to borrow, each man from his neighbor and each woman from hers, objects of silver and gold.

The LORD disposed the Egyptians favorably toward the people. Moreover, Moses himself was much esteemed in the land of Egypt, among Pharaohs courtiers and among the people.

Moses said, Thus says the LORD: Toward midnight I will go forth among the Egyptians, and every first-born in the land of Egypt shall die, from the first-born of Pharaoh who sits on his throne to the first-born of the slave girl who is behind the millstones; and all the first-born of the cattle.

And there shall be a loud cry in all the land of Egypt, such as has never been or will ever be again; but not a dog shall snarl at any of the Israelites, at man or beastin order that you may know that the LORD makes a distinction between Egypt and Israel.

What the ever-loving fudge is this.

Remember, most folks distill this story for Passover to We were slaves in Egypt, and then Moses set us free by the will of G-d. But even before modern archaeology came along to illustrate that a) bonded servitude was different back then, and b) Israelites of the period had a different social standing uh, what kind of oppressed people are in such good favour with their neighbours that those helpful Egyptians are all, Oh, sure, you want to borrow silver and gold from us? No problem! Oh, hey, Moses! My man! For sure well help what do you need?

Now, the Christian Bible simplifies the reprehensible elements of this story to just having innocent firstborns killed willy-nilly by YHWH,but you have to grant that the Torah is at least honest and upfront about the nationalistic pissing contest here. To hell with the (neighbourly!) Egyptians who suffer so that the Israelites can rebuild their own land. Egyptian humiliation, far more than Israelite salvation, is the explicit point of this tale.

One scene for the seder, for instance, involves the idea of there being four different sons (four different reactions a child might have to why Passover is celebrated); and one of them, the wicked son, is supposed to be answered in a passive-aggressive way that suggests that, while YHWH did these things for the respondents benefit, probably the son would have been left to die with all the rest in Egypt, because of his resistance to the practice of gratitude. Ick and double-ick.

Yes, some liberal Jews try to spin this awful scripting as a positive because hey, hes being reminded of his offense, but he still has a seat at the table! No ones kicking him out! Is this really much different, though, than, say, a queer person being allowed to sit at the table with people convinced theyre hell-bound? OK theatre; lousy humanism.

So how on Earth can this story be redeemed?

How on Earth can Passover be made a site of humanistic practice?

As already noted, plenty of reform and liberal Judaism already works to this end by putting to one side as many horrible bits of this story as possible, focussing instead on a simplistic notion of Passover being about a time of suffering at last coming to an end, and gratitude for that deliverance from oppression.

However, we could all benefit from learning about why such a story came into being in the first place because inthatstory, the origin of the Passover story we gain a great deal of insight about human nature. Inthatstory, we learn the importance of looking at whos telling the tale to understand how human beings can be led into religious nihilism.

Ive already linked at the outset to three Jewish news outlets frank talk about Passovers history, so here Ill simply focus on the lesson from King Josiah. Indeed, sometimes it gobsmacks me how much this one dude shaped our modern mythologies if he existed, that is, since there are some contradictory details around the time of his rule (e.g. repairing the Temple seems to have happened earlier); but scholarly consensus is that its fair to assume he did.

Either way, as the story goes, when Josiah invested in Temple upgrades, his priest Hilkiah conveniently found a whole new book of divine ordinances (a precursor to Deuteronomy) that pushed for a massive nationalistic project, in which Josiah banned the worship of other gods from the preceding pantheon (including Baal, of the harvest: nice dude, all about them fertility rituals), dismantled their altars, desecrated the graves of their priests, and centralized worship of YHWH by reinstating Passover rituals as an expressly public affair involving sacrifices at the freshly elevated Temple.

Now, was it Josiah who benefitted most from this project? Or was it Hilkiah, a priest of YHWH who conveniently found the text that promised great suffering for those who didnt return to the proper worship of his god? Those sorts of details, we can never know for sure, although human nature and a study of geopolitics from that era makes personal gain mighty probable as a motivator.

However, wecan trace aspects of the modern Passover storyto spring-orientedfood rituals, including one for the first cereal crop of the season, which couldnt be leavened because there was no starter from preceding doughs after a winter of eating through reserves, and another for the use of lambs ahead of spring flock movements. (Generally, too, animal sacrifice had strong preceding roles in Israelite communities, all the way back to Mesopotamian pre-history.)

We also know that the story was reinstated with some critical shifts in location for the ritiuals, with what was once more of an at-home affair with localized sacrifices becoming a centralized act of community-wide worship. This is a logical step for the consolidation of state power, similar to how many other civilizations established strong states. The Torah doesnt even hide this in its description of Josiahs reforms and why should it? A mandatory return to the collectivized worship of a warmongering pantheon god was simply King Josiahs (and his priests) way of shoring up sovereign rule.

(Or, again, at least thats the way the Torah tells it, but recent archaeological discovers have illustrated that this centralization plan wasnt as uniform as Torah makes it out to be; another, sanctioned temple existed near Temple Mount in the same era.)

However, thats just a history of the time the story was first reconstituted for state-building purposes.

Whatever its true origins, we also know that something vitally humanistic happened to this tale over the course of subsequent Jewish history, because as the Jewish people were subsequently persecuted, driven from their homes, and slaughtered throughout succeeding centiries, the Passover story alsogaineda measure of truth at least figuratively for a scattered and traumatized people longing for safety. Longing for home. As such, while the original story might have been pure consolidation-of-power rhetoric, it later gave strength to Jewish communities in the wake of unconscionable horror; and then later to other peoples also given the story (albeit more often through the Christian retelling) in their own persecutions and enslavements.

So should this reprehensible tribalist tale be expunged entirely?

Its a bit of a silly question, I know, because the Passover talecantbe expunged entirely; its part of our collective history now. However, if it isntthis nasty bit of nationalistic rhetoric being bandied about at family functions, there will always be something else. (Certain national responses to pandemic, for instance, make clear that geopolitical pettiness doesnt simply disappear in the absence of faith.) And so, since the Passover story is alreadyso well known; because its mythopoetic vocabularyis already widespread why not wield it more humanistically?

Why not teach the story, that is but do so by telling it plainly, in full light of how it was created, and the purposes it served?

Why not walk the next generation through all the ways that power-plays like the one fictionalized between Egypt and Israel in the Passover tale required everyday people on both sides to suffer? Good neighbours, too! The kind who lent gold and silver because they were asked, and still woke the next day to grieve the deaths of their children.

Why not reflect on how those power disparities persist today? How dynastic and plutocratic systems continue in todays nation-state paradigm?

Why not keep the theme of gratitude, but reframe its practice as something that compels a widening of the table, after we ourselves are free, so that we can liberate others from oppression, too?

Even better, why not come up with ways in which we can seek to be freed together from tyrannical and egotistical rule?

Some truly awful stories underpin our society, and some of the worst have chauvinism at their core. The Passover story in particular, as it reads in Torah, is one of relentless tribalist cruelty so that a god might show Egypt that Israel is #1, and give the Israelites a story to tell for years to come. Its a nasty, brutish bit of nationalistic rhetoric exploited precisely for that aim by King Josiahs court! and yet it gained a measure of thematic truth over time, as horrific traumas were later visited upon Jewish peoples, as well as upon other demographics who also find strength from simplified versions of the tale.

And so, yes, the act of reshaping of this vicious tale is already underway.

Humanism, though, can take this reshaping a step further if we refrain from simply condemning the story on its own, awful merits; and if we refrain, too, from trying to spin as much of the good out of it as possible, while ignoring the bad. Rather, we need to face the storys nihilism head-on, so that we can expand our storytelling scope to include the storys political provenance and purpose, and then interrogate the many kinds of suffering left out of its redemption arc.

Why? Because history is a vital tool for 21st-century humanistic practice including the history of stories on which weve built whole cultures. And because the world of King Josiah is not beyond us yet. Because too many supposed democracies continue to imperil average citizens (up to and including via modern plagues, like our current pandemic) to advance their nationalistic and corporate projects.

But when humanists of every stipe and creed come together, we can instead advance a world where the Moseses, Aarons, Pharaohs, and YHWHs among us no longer matter anywhere near as much as the voices of everyday citizens. Not only can we, either, but we must because, Egyptian and Israelite alike, every one of us deserves a system of government that can adequately protect and provide justice to all.

Warmth to you and yours, then, as you seek to keep justice in your communities especially amid the pestilence upon us now, but also in whatever world we build after.

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Passover Is an Awful Story But Humanists Can Wield It Well - Patheos

Lockdown lessons from the history of solitude – The Conversation UK

When the poet John Donne was struck down by a sudden infection in 1623 he immediately found himself alone even his doctors deserted him. The experience, which only lasted a week, was intolerable. He later wrote: As sickness is the greatest misery, so the greatest misery of sickness is solitude.

Its hard to believe now, but until relatively recently, solitude or the experience of being alone for significant periods of time was treated with a mixture of fear and respect. It tended to be restricted to enclosed religious orders and was thus a privileged experience of a male elite. Change was only set in motion by the Reformation and the Enlightenment, when the ideologies of humanism and realism took hold and solitude slowly became something that anyone could acceptably seek from time to time. Most people in the West are now used to some regular form of solitude but the reality of lockdown is making this experience far more extreme.

I have spent the last few years researching the history of solitude, looking into how people in the past managed to balance community ties and solitary behaviours. This has never seemed more relevant.

Take the example of my own community. I live and now work in an old house in an ancient Shropshire village in England. In the 11th-century Domesday Book it was recorded as a viable community, on a bluff of land above the River Severn. Over the centuries, its self-sufficiency has declined. Now it has no services beyond the church on Sunday.

But it has long displayed a collective spirit, mostly for seasonal entertainment and the maintenance of a village green, which contains the ruins of a castle built to keep the Welsh in Wales. Planning was taking place for a formal ball in a marquee on the green this autumn, which has yet to be cancelled. In the meantime, the Neighbourhood Watch group, in place to deal with very rare criminal activity, has delivered a card to all residents, offering to help with picking up shopping, posting mail, collecting newspapers, or with urgent supplies. There is a WhatsApp group where many locals are offering support.

For the first time in generations, the attention of the inhabitants is not focused on the resources of the regions urban centres. The nearby A5, the trunk road from London to Holyhead and thence to Ireland, no longer goes anywhere important. Instead, the community has turned inwards, to local needs, and the capacity of local resources to meet them.

This experience of a small British settlement reflects the condition of many in Western societies. The COVID-19 crisis has led us to embrace new technologies to revitalise old social networks. As we begin to come to terms with the lockdown, it is important to understand the resources at our disposal for coping with enforced isolation.

This article is part of Conversation InsightsThe Insights team generates long-form journalism derived from interdisciplinary research. The team is working with academics from different backgrounds who have been engaged in projects aimed at tackling societal and scientific challenges.

History can assist with that task. It can give a sense of perspective on the experience of being alone. Solitude has only become a widespread and valued condition in the recent past. This gives some support to our capacity to endure the COVID-19 lockdown. At the same time, loneliness, which can be seen as failed solitude, may become a more serious threat to physical and mental well-being. That failure can be a state of mind, but more often is a consequence of social or institutional malfunctions over which the individual has little or no control.

At the beginning of the modern era, solitude was treated with a mixture of exaggerated respect and deep apprehension. Those who withdrew from society imitated the example of the fourth-century desert fathers who sought spiritual communion in the wilderness.

St Anthony the Great, for example, who was made famous in a biography by St Athanasius around the year 360 CE, gave away his inheritance and retreated into isolation near the the River Nile, where he lived a long life subsisting on a meagre diet and devoting his days to prayer. Whether they sought a literal or metaphorical desert, the solitude of St Anthony and his successors appealed to those seeking a peace of mind that they could no longer locate in the commercial fray.

As such, solitude was conceived within the frame of a particular Christian tradition. The desert fathers had a profound influence on the early church. They conducted a wordless communion with a silent God, separating themselves from the noise and corruption of urban society. Their example was institutionalised in monasteries which sought to combine individual meditation with a structure of routine and authority that would protect practitioners from mental collapse or spiritual deviation.

In society more broadly, the practice of retreat was considered suitable only for educated men who sought a refuge from the corrupting pressures of an urbanising civilisation. Solitude was an opportunity, as the Swiss doctor and writer Johann Zimmermann, put it, for self-collection and freedom.

Women and the less well-born, however, could not be trusted with their own company. They were seen to be vulnerable to unproductive idleness or destructive forms of melancholy. (Nuns were an exception to this rule, but so disregarded that the 1829 Catholic Emancipation Act, which specifically criminalised monks and monasteries, did not mention convents at all.)

But over time, the risk register of solitude has altered. What was once the practice of enclosed religious orders and the privileged experience of a male elite has become accessible to almost everyone at some stage in their lives. This was set in motion by the twin events of the Reformation and the Enlightenment.

Attitudes were changing by the time Donne, poet and Dean of St Pauls Cathedral, was struck down by that sudden infection and deserted by all and sundry. He wrote that the instinctive response of the healthy to the afflicted did nothing except increase his suffering: When I am but sick, and might infect, they have no remedy but their absence and my solitude. But he found solace in a particularly Protestant conception of God. He saw the supreme being as fundamentally social:

There is a plurality of persons in God, though there be but one God; and all his external actions testify a love of society, and communion. In heaven there are orders of angels, and armies of martyrs, and in that house many mansions; in earth, families, cities, churches, colleges, all plural things.

This sense of the importance of community was at the heart of Donnes philosophy. In Meditation 17, he went on to write the most famous statement of mans social identity in the English language: No man is an island, entire of itself; every man is a piece of the continent, a part of the main.

In the Catholic church, the tradition of monastic seclusion was still the subject of periodic renewals, most notably in this era with the founding of the Order of Cistercians of the Strict Observance, more commonly known as the Trappists, in 1664 France. Within the walls of the monastery, speech was reduced to an absolute minimum to allow the penitent monks the greatest opportunity for silent prayer.An elaborate sign language was deployed to enable the monks to go about their daily business.

But in Britain, the work of Thomas Cromwell had devastated the enclosed orders, and the tradition of spiritual withdrawal was pushed to the margins of religious observance.

In the era following Donnes time of anguish, the Enlightenment further emphasised the value of sociability. Personal interaction was held to be the key to innovation and creativity. Conversation, correspondence and exchanges within and between centres of population, challenged structures of inherited superstition and ignorance and drove forward inquiry and material progress.

There might be a need for withdrawal to the closet for spiritual meditation or sustained intellectual endeavour, but only as a means of better preparing the individual for participation in the progress of society. Prolonged, irreversible solitude began to be seen essentially as a pathology, a cause or a consequence of melancholy.

Towards the end of the 18th century, a reaction to this sociability set in. More attention began to be paid, even in Protestant societies, to the hermit tradition within Christianity.

The Romantic movement placed emphasis on the restorative powers of nature, which were best encountered on solitary walks. The writer Thomas De Quincey calculated that in his lifetime William Wordsworth strode 180,000 miles across England and Europe on indifferent legs. Amidst the noise and pollution of urbanising societies, periodic retreat and isolation became more attractive. Solitude, providing it was embraced freely, could restore spiritual energies and revive a moral perspective corrupted by unbridled capitalism.

Read more: Walking with Wordsworth on his 250th birthday

At a more everyday level, improvements in housing conditions, domestic consumption and mass communication widened access to solitary activities. Improved postal services, followed by electronic and eventually digital systems, enabled men and women to be physically alone, yet in company.

Increasing surplus income was devoted to a widening range of pastimes and hobbies which might be practised apart from others. Handicrafts, needlework, stamp-collecting, DIY, reading, animal and bird breeding, and, in the open air, gardening and angling, absorbed time, attention and money. Specialised rooms in middle-class homes multiplied, allowing family members to spend more of their time going about their private business.

And although monasteries had been explicitly excluded from the epochal Catholic Emancipation Act of 1829, Britain subsequently witnessed a bitterly contested revival of enclosed orders of both men and women.

By the early 20th century, declining family size combined with council houses began to supply working-class parents and children with domestic spaces of their own. Electric light and central heating meant that it was no longer necessary to crowd around the only source of warmth in the home. Slum clearances emptied the streets of jostling crowds, and adolescent children began to enjoy the privilege of their own bedroom.

In middle-class homes, domestic appliances replaced live-in servants, leaving the housewife, for good or ill, with her own society for much of the day. The motor car, the aspiration of the middle class between the wars, and increasingly the whole of the population in the second half of the 20th century, provided personalised transport, accompanied by privately-chosen radio and later musical entertainment.

After 1945, society more broadly began to self-isolate. Single-person households, a rare occurrence in earlier centuries, became both feasible and desirable. In our own times, nearly a third of UK residential units have only one occupant. The proportion is higher in parts of the US and even more so in Sweden and Japan.

The widowed elderly, equipped for the first time with adequate pensions, can now enjoy domestic independence instead of moving in with children. Younger cohorts can escape unsatisfactory relationships by finding their own accommodation. Around them a set of expectations and resources have developed, making solitary living both a practical and a practised way of life.

Living by yourself, for shorter or longer periods, is itself no longer seen as a threat to physical or psychological well-being. Instead, concern is increasingly centred on the experience of loneliness, which in Britain led to the appointment of the worlds first loneliness minister in 2018, and the subsequent publication of an ambitious government strategy to combat the condition. The problem is not being without company itself, but rather, as writer and social activist Stephanie Dowrick puts it, being uncomfortably alone without someone.

In late modernity, loneliness has been less of a problem than campaigners have often claimed. Given the rapid rise both of single-person households and the numbers of elderly people, the question is not why the incidence has been so great but rather, in terms of official statistics, why it has been so small.

Nonetheless, the official injunction to withdraw from social gatherings in response to the escalating threat of the COVID-19 pandemic throws renewed attention on the often fragile boundary between life-enhancing and soul-destroying forms of solitary behaviour. This is not the first time governments have attempted to impose social isolation in a medical crisis quarantines were also introduced in response to the medieval plague outbreaks but it may be the first time they fully succeed. No one can be sure of the consequences.

So we should take comfort from the recent history of solitude. It is certain that modern societies are much better equipped than those in the past to meet such a challenge. Long before the current crisis, society in much of the West moved indoors.

In normal times, walk down any suburban street outside the commute to work or school, and the overriding impression is the absence of people. The post-war growth of single-person households has normalised a host of conventions and activities associated with the absence of company. Homes have more heated and lighted space; food, whether as raw materials or takeaway meals, can be ordered and delivered without leaving the front door; digital devices provide entertainment and enable contact with family and friends; gardens supply enclosed fresh air to those who have one (now made still fresher by the temporary absence of traffic).

By contrast, the pattern of living in Victorian and early 20th-century Britain would have made such isolation impossible for much of the population. In working-class homes, parents and children passed their days in a single living room and shared beds at night. Lack of space continually forced occupants out into the street where they mixed with neighbours, tradesmen and passers-by. In more prosperous households, there were more specialised rooms, but servants moved constantly between family members, ran errands to the shops, dealt with deliveries of goods and services.

The history of solitude should also encourage us to consider the boundary between solitude and loneliness because it is partly a matter of free will. Single-person households have expanded in recent times because a range of material changes made it possible for young and old to choose how they lived. At the opposite end of the spectrum, the most extreme form of modern solitude, penal solitary confinement wreaks destruction on almost everyone exposed to it.

Much will now depend on whether the state engenders a spirit of enlightened consent, whereby citizens agree to disrupt their patterns of living for the sake of their own and the common good. Trust and communication police the boundary of acceptable and unacceptable isolation.

It is a matter of time. Many of the forms of solitude which are now embraced are framed moments before social intercourse is resumed. Walking the dog for half an hour, engaging in mindful meditation in a lunch break, digging the garden in the evening, or withdrawing from the noise of the household to read a book or text a friend are all critical but transient forms of escape.

Those living alone experience longer periods of silence, but until lockdown was imposed, were free to leave their home to seek company, even if only in the form of work colleagues. Loneliness can be viewed as solitude that lasts too long. For all the science driving current government policy, we have no way of knowing the cost to peoples peace of mind of isolation that continues for months on end.

We must remember that loneliness is not caused by living alone itself, but the inability to make contact when the need arises. Small acts of kindness between neighbours and support from local charities will make a great difference.

There is an expectation that, for good or ill, the experience of the COVID-19 epidemic will be standardised. Outside the lottery of infection, most will endure the same constraints on movement, and, through quasi-wartime financial measures, enjoy at least the same basic standard of living. But by circumstance or temperament, some will flourish better than others.

More broadly, poverty and declining public services have made it much more difficult to gain access to collective facilities. Last-minute funding changes by government will struggle to compensate for underinvestment in medical and social support over the last decade. Not everyone has the capacity or income to withdraw from places of work or the competence to deploy the digital devices which will now be critical for linking need with delivery. The more prosperous will suffer the cancellation of cruises and overseas holidays. The less so are in danger of becoming isolated in the full and most destructive meaning of the term.

Some may suffer like Donne. Others may enjoy the benefits of a change of pace, as Samuel Pepys did during another bout of plague-induced quarantine a few years after Donne. On the last day of December 1665, he reviewed the past year: I have never lived so merrily (besides that I never got so much) as I have done this plague-time.

David Vincents book A History of Solitude will be published by Polity on April 24.

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Lockdown lessons from the history of solitude - The Conversation UK