Maui Dept of Health- COVID19 Important update 12 12 2020- Dr. Lorrin Pang

[Music] aloha everyone i am here at the neutral zone i am here with dr Lorrin pang our special guest he was on only a couple of weeks ago but with all that’s happening our world we thought we’d have a special edition we had enough time after thanksgiving to see what’s going on with traveling and thanksgiving and covet and the vaccines well we’d have a juicy show for you there’s a a young lady in uh in tennessee who was on an apple call with me and uh she was talking about wanting everyone

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to wear masks what do you think about that idea dr payne well uh yes that’s good and uh well don’t forget but it’s been at first at first the cdc and the feds were really against it yeah way back when really and there were three reasons there were three reasons one they didn’t think it worked well and gave a false sense of security the second reason was if we all wore masks we might use the or take the mask intended for the healthcare workers and so there’d be a shortage but then there was a big effort to talk

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about cloth mask and the final reason was if you wear a mask uh you play with it so much putting it off and on and all that that you end up touching the outside and then smearing it from your face into your eyes so don’t forget a point of infection is mucus membrane so those were the three reasons don’t you all since then you change mask every time you go anywhere you gotta keep changing depends which mask you wear some it’s good for a day or two as it plugs up with your own like this stuff that you breathe out

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yeah this is what i see that one yes but but listen in hawaii in hawaii any mask mine or yours i claim that you leave it in our ambient not air conditioned ambient temperature and humidity the germs the covey germs shouldn’t live more than five or six hours now on the mainland it might live three or four days so maybe you should change and wash the mask but in hawaii you know so yeah i have two masks or three when we say live you know i don’t want to go off on a virus thing but viruses are

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living but they’re not alive is that important to know in any way they’ll go away they become less powerful less invasive okay that statement is true but my statement that in our hawaii’s ambient humidity and temperature the viruses let’s just say disappear now a lot of times in the mummies of egypt or very cold and dry places the viruses go dormant and when you heat them up or warm up they come alive and can invade and do what they’re dormant my claim is that in hawaii’s ambient

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temperature and humidity not air conditioned they go away they’re not dormant they’re consumed by the bacteria in four to five hours wow okay so now in hawaii if you just have two masks you leave one sitting then you wear the other one then you switch off now when it gets plugged up from all your exhalation and you can’t breathe right time to wash it okay so anyway those were like the three reasons why they told us don’t wear masks but then they found out even a cloth mask is so

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effective at first they said you know the cloth mask protects that if i’m wearing the mask jason and you’re not it protects you from me whatever it was 90 but then we’ve realized it protects me from you if i’m wearing the mask and you’re not another 65 so the protection really is two ways then the cdc was pushing mask almost to the point of you know making it mandated mandated but you know they kind of got caught in their little misunderstanding they the feds they went now that we know how mask is good

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instead of saying now we know mask is good they went and said the two reasons they spoke against it was that you keep touching your face yeah and you detract from the healthcare workers that’s not that’s half the truth the real truth that they said it didn’t work and gave a false sense of security well we knew they work now they should just admit it okay and there are and let’s start by our environment here if we wear masks and uh we change them every day or every time we’re in a new environment

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that’s plenty we get a package in the mail what do we do with the package leave it outside leave it inside talk what do we deal with truthfully if the package was inter island i don’t care that’s ambient temperature and humidity in hawaii if you think the package came from a cold climate let the thing sit there for five hours then open it i see it’s that simple i mean i that’s really strong how do you get these feelings and is that you’ve done testing i know you’re out there trying to get to figure

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out what to do here what’s up that’s that there were studies which showed that this virus and other coronaviruses they actually do as the temperature starts to increase and the humidity they’re not they disappear they’re not viable they’re gone but the break point is right around air conditioned temperatures so if you go in hawaii and turn on your air conditioner i can’t vouch for how quickly the virus disappears on the surfaces you know so when we had the outbreak in that

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nursing home first thing i did was turn off their women’s air conditioner open up the window ventilation is an added benefit and all the the the workers then ppe they said oh god this is hot but all the residents said oh finally it’s not so cold or people don’t like to be cold okay but really ventilation and our ambient temperature and humidity is one of the things really that get us going here i mean i just want to keep going back to and when you’re out wear a mask for yourself

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and for others wear a mask yes well yeah no depends where you’re going out if you’re going out to the wide open spaces where you’re going to be i say 10 feet people say 6 feet i say 10 feet you got the ventilation you’re in hawaii you’re way out there it’s wide open space technically you don’t really have to wear a mask but they want you to have one because when you go back to the parking lot after walking around the beach and somebody says can you help me with my tire

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uh yeah then all these people gather around fixing the guy’s tire just have one with you when you go out now this came to a head like three months ago my daughter and wife were walking tiapolani that you know exercising walking and they kept encountering people on the oncoming path and they kept stepping off the path to keep that 10 feet and finally there were so many people and they were walking at night so there’s a very good question they said we keep encountering people and i know i’m in their breathing zone

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so i asked my daughter how you know that she said i can smell them i mean the perfume on the women the men you can smell they’re huffing and puffing so you know here they come i put on the mask oh take them off then oh here comes another guy put them on so i said well how many times he put the mask off and on they said three times in in about an hour no that was one of the other rules right you can’t keep putting the mask off and on so i said look if you’re going to do it that much keep the mask on

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oh but then i can’t breathe we’ll go walk somewhere there’s not so many people oh okay or get off a little bit on the paved pathway yeah there’s grass can’t you walk on the grass oh okay i mean so the three things mask right if you’re gonna put it off and on off and on that’s like you it’s gonna get into your eyes sooner or later how do you stop let’s say now someone gets it will i have to go get tested to be able to see if i was somewhere near them i should get tested okay first of all

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maui is pushing and we adopted a pilot project yeah an app right so yourself we all got to use that app if we all use the app and i was a case and i reported to department of health department of health would ask me to put it up on the app to say i’m a case it doesn’t name me it says like my cell phone is sitting next to okay it’s me if you’re on the app it will ping you you’ve been exposed if it’s whatever six feet for 15 minutes or whatever so first of all it’s out of nowhere it

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says you’ve been exposed to a known case jason it won’t tell you who and it won’t tell you when because if it tells you who and when you might deduce it’s me and that’s privacy but it’s going to start pinging people on known cases but i have the program going on well yeah i got the program too but more of us have to wow what happens i hear it first of all two things that person the case got to be confirmed by the dui yeah that’s how we do contact tracing right and then you got the name important

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aloha safe yeah yeah yeah yeah yeah there’s two but we all got to kind of get on it i mean if only half of us on it then it’s half but better than not right okay so you’re going to be pinged but the case has to be willing to put it on the department of health doesn’t put it on there’s privacy issues like okay i’m telling people i’m the case it doesn’t name me and you can’t possibly deduce it’s me because you don’t know where it was it doesn’t say well the guy who walked in

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your living room it’s like jason in the last day you came in close contact with a case now you have to decide well what do we do you can call us you can watch yourself you should kind of stay away from people but if you get sick or you’re really nervous like well i got a big banquet in five days i’m gonna visit my parents go ahead get tested the mayor put on free testing at three sites yeah in my way we had that for a while so we have free testing if you want to go you want to stay away from people

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if you should if you get sick and you were pinged i’m going to say hey jason uh now that you’re sick maybe you could get tested why because that’s one of the markers for really having kovac being sick yeah now half the guys aren’t sick but come on if you’re sick you probably covet now you really know stay away from people and then if we test you you become a case jason can you ping the other people who contacted you it’s you know electronically right so i i saw my phone i haven’t been pinged

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yet but because our case numbers are kind of low in maui so people don’t forget about it i asked oh crap that’s what i forgot to do i gotta call back the guys who do this although it’s safe and we’re gonna put out a not a fake notice but normally you’d be notified for cases this is just a test to remind you how you get them to enroll oh god i’m glad we have the car i don’t remember to do that they they have a little script to send out now colorado has this but it was so useful for

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notifying people they started notifying people for other things and then it comes like a catch-all notification no we just want to keep it for contact oh gosh i got it i gotta do that thank you jason hey you’re welcome okay so uh here you are what about people that certainly they’re sick okay place rather than go to the hospital okay now you remember well maybe you didn’t remember but for controlling controlling covet we had those six w’s the feds had three w’s wash your hands

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watch your distance wear a mask maui stuck on three more wipe off the surfaces and disinfect them that are frequently touched when you go out head for the wide open spaces no flotillas and the final one is wellness don’t go out if you’re not perfectly well what about keeping well and doing things that make you well right well yeah yeah that’s fine we you know you got the nutrition you got the exercise and all that stuff you know that’s the next question about vaccines right okay but for for keeping well coveted

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kind of infects like everybody so it’s those six w’s now if you don’t go if if you’re not perfectly well don’t go out don’t go see people right now my daughter i just always take my daughters like well dad i i wasn’t perfectly well yesterday so i stayed away from people thank you but i’m better today oh no once if it was coveted and since she didn’t get tested if it was coved uh i think you’re shedding for about 10 days even after you get better oh so what do

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i do how do i go by hiking like are you going by yourself or somebody from your household whatever you do contact people make sure it’s way outdoors it’s almost like being by yourself now if you say well i can’t hike by myself i can’t go to the beach by the south well okay maybe you shouldn’t go to the beach but you can do it with anybody else in your household like if your boyfriend is living with her oh yeah that do if you go to the beach you’re both equally whatever your fate

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is the same you share the same fate so two of you go away go hiking make sure we don’t see you well stay away 10 feet from people you know they become your family share the same fate you’re driving the same car you share the same yeah right yep yep okay um we i looked and i see 19 numbers 19 yesterday and that was the highest i ever saw am i right uh yeah thanksgiving pre-christmas travelers what are you doing okay all right first of all there’s like two counts one is by the official one by the

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state two days later one and a half days later and we run account early every morning they give an account they’re not really kind of they’re not we really suspect those but they have to be confirmed and entered into the state system state systems called maven fine why do we jump the gun for a day and a half earlier because we got to do the contact tracing man we got to get on this so i have and i report to the mayor the early count and then the later okay sometimes the numbers don’t exactly

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line up because sometimes we jump the gun and they turned out to be from another place not maui sometimes it was a double count like you counted the guy twice but that’s okay we’re conservative it’s not way off okay so when you see 19 uh well you were talking about yesterday i i saw 25 okay uh no no on on the early count and we moved on to 25. but look no matter how erroneous or glitched your accounts are you can follow them for trends so if you take the later count okay just follow it it went from you

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know 12 to 11 to 19 and all but i’m following the earlier count and the earlier accounts you know a week or so ago was like 24 23 25 then the early counts went down to 11 17 and to me the earlier count today is 19. it happens by dumb luck to match with your number of 19 of the later count whatever i’m used to the mid-20s okay now i was told be very careful dr peng there are some early counts that are going to approach 29 okay now while you guys talking about 19 i’m talking about 20 it doesn’t really

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matter you’re following a trend right okay so we all follow the same trend it’s going up okay we’re worried right i hope so so the first thing is to ask well are you testing more okay absolutely the more you test the more you’re going to find that’s what trump said and that’s part partially true yes we are testing more we’re so much testing that the agencies that test the the big testing sites there are three of them they’re short of supplies and they’re asking me for supplies and

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we have i don’t sell it to them i mean i give it to them but they can’t charge for it but we we didn’t hoard but four months ago we thought we would run out of some other kits so we got them and we give them to them at no charge and they don’t charge the public for them okay twice a week people i have a friend at cooler hospitals getting 12 monday they test thursday they test they’re trying that’s called interval testing because those are high transmission targets yeah high consequences so they test the

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general public i’m not going to say that let’s all test it’s free you can test once a week you can test once a day if you want but we’re going to run out of tests so first of all you see a high number because we are testing more yeah and if you look at the positivity rate i talked to the mayor about this it’s not really going up yet but just because of that he we discussed well who who are your cases dr peng is it the visitors not anymore it was initially when the counselors say

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your account was 11 or 8. there were always three or four visitors and for a while when it was several a day uh geez there was five or six visitors then it went to the residence so who are these people the 19 i would say i would say about 15 of them are contacts of cases they’re not out of the blue four of them are out of the blue like who’s that that’s new those are surprises that’s the ones you worry about i call it salt and pepper the others are contact of cases now the mayor says okay well what kind

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of contact you saw what happened in lanai right there were cases seeding into the families but when we checked them again it was all contacts family contacts stay in your house your house is already cast the same fate but just everyone stay in your house of course the numbers will go up because the household contacts would start to get sick and we diagnose them but on maui now are contacts of cases let’s say there’s like 15 of them by your account okay so now i look at maui now in the afternoon okay

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so that’s right happens to be your coincides with my account today by dumb luck 19 okay okay but the contacts are cases are not just households i say it’s mixed almost like a third are households yeah you control the household and that goes away without spreading right some of them are work that the workers you know like restaurants and so when too many workers get infected you gotta close the restaurant they can’t work anyway some were bars yeah and then a third were gatherings not the massive flotillas

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not these massive funerals just two and three you know small gatherings trying to get together and so that one the equal third third third and truthfully the areas that seem these uh cases are coming out of is it is south maui and west maui and if you say well what’s with south maui and west valley trash the travelers who come in where they go south mountain west maui are we seeing a lot of contacts in kahulu and wailuku or cases not that many but it’s not there’s one more point that

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we are seeing some cases come in haiku yeah haiku but really it’s a lot of it is sophomore west maui at first the contacts like a week ago were really associated with bars and bar hopping and the patrons of bars not the staff yet but then when we started looking in the staff of bars and the restaurants with the bar yeah there were some infected staff members too so museums or no uh there was a gym there was a gymnasium and they i didn’t know what it was but they said it was spin class that i guess confined area stuff not the

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big open spaces correct correct and you know i was just wondering okay you want to be fit i want you to be fit so when you get covered you can withstand it but first of all can you kind of go outside and do it so i asked them the the spin class i think it’s like a stationary bicycle or something can you put that outside no it’s going to get wrecked by the rain fine did you just walk did you just walk fast can you go outside i i you know people say well no no my my my sport is spin class well can you

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make a change a little bit for until the vaccine comes out i mean that’s all i’m asking and it’s kind of odd in hawaii when it’s possible to walk outside without slipping on the ice and putting on five jackets you don’t you don’t do that i mean why why wouldn’t you do that i don’t know maybe they don’t like the sun fine i have trouble with the sun so when i spear fish i go at night can you walk in the evening and in the morning but no matter where you go if you keep your

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distance and you do those things the w’s you’re good you try right yeah but you know that thing that distance six feet i like 10 feet if you’re going to huff and puff in spin class and it’s enclosed oh man you might as well just say 20 feet if you’re in a bar in close even not enclosed and the tv is on real loud and the background music is on loud and i’m shouting to you over the other guys shouting i don’t care if you’re 20 feet yeah i mean it just defeats the purpose so we know

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singing shouting huffing and puffing really really moves the germ on the exhalation but five or six hours and it’s over anyway well if that’s on a surface if i if i spray my germs all over the place i think well hopefully it’s not air conditioned uh of course some of the gyms are aren’t they you huff and puff then your air conditioned and the germs that went on your machine gee i guess it could be there one to three days well we wiped it down really all the surfaces that are always touched

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and did you wipe it down between every i mean between all the patrons or i don’t know so the patrons can protect themselves with gloves or something they could for the surfaces before the breathing holy cow means nothing and puffing with or without mask man i mean wow you measure just well i think the difference between a closed gymnasium like an anytime fitness small space and a planet fitness which is a big open space the social distancing between machines the ventilation and the ambient storage

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i don’t know these places so i don’t know when you say planet fitness or whatever okay i don’t know yeah but i don’t go to bars either people are starting to get afraid that i see and a lot of people say we’re moving off island because the airlines are going to say we can’t get on an airline without vaccination so we’re already planning on selling our place what do you hear about that stuff okay the the com the commercial settings like a store in airlines oh dmv division motorways it’s their place

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they can tell you you don’t want to own a mass you don’t come in okay all right so the airlines can say that right now jason you don’t come on my plane unless you wear a mask the vaccines are not quite there yet they’re still feeling experimental but once the fda gives them non-experimental approval probably six or seven months from now minimum minimum then these agencies have the right to tell people you don’t get a vaccine you don’t come in okay it’s their right now they might dissuade

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a lot of people from giving the business but what about people that won’t take vaccines staying healthy and there’s alternative ways that people have devised to i don’t want to say be the vaccine but stay healthy and be not in the line of whatever this is okay more technical that i understand if you don’t take the vaccine you got two choices here you can try not to get infected or if you say well i think i might get infected here i’m glad some of you took the vaccine but i’m afraid of side effects so if you

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do get infected you’re going to try to survive right now it turns out that they looked at all the risk factors even in the old people not all people don’t do well right not all the old people but they don’t do well and they said maybe it’s all those risk factors in the old people hypertension diabetes low immune and after they removed all these other factors they were still left with just the fact that you’re old so what they’re trying to tell you is just the fact that you’re all healthy

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healthy old people they still have a higher risk now not as bad as unhealthy people but still have a higher risk so if you’re going to try to wing it don’t take the vaccine you’re either going to dodge infection or hope you can survive all right that’s a good plan and uh now now if you do get infected then congratulations maybe you got a natural vaccine you got infected right but it’s still kind of controversial how long the protection lasts after the vaccine and after a natural infection

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okay well there are a lot of people that won’t take vaccines so yeah more and more i mean i keep seeing stories people that i wasn’t thinking would even be that way or also anti-vaccine but you’re saying after seven after you get an approval of non-scientific non-experimental yes when the true test will come whether you take it or not correct because they will start telling you you need proof of vaccine before you come in here okay so that’s pretty much our timeline right i guess yeah yeah i wonder what

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the airlines are gonna do and that seven months is minimum i mean i’m pretty sure we’re not gonna have something before now it might take two years but uh they i don’t think they can regulate this for sure before seven months we heard that qantas did it and they’re from australia maybe yes but that’s kind of interesting because well if they make people get the vaccine for coming on especially their own flight crew and there’s midterm side effects five or six months later yikes people

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are gonna say what have you done you know um the military ran into problems like that before yeah they mandated the smallpox vaccine the new one yeah and after a while i think nine or 12 months they looked and they said holy cow the side effects on your heart pericarditis so it’s kind of like so they stopped it they they stopped it so it’s not like a slam dunk here what do you uh forecasting right now for the short term and then the longer term i mean here we have christmas coming up imminently

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and then you know that we’re going into a 2021 what do you foresee from alien our tourism plan what do you see going on okay first of all there is one school of thought just protect with the vaccine the people who are at highest risk so highest risk will be the elderly yeah and the highest risk of transmitting to the elderly uh are the health care workers so we’re going to race around and try to protect at least that group probably by they call it like super bowl now i don’t know what date is super bowl what is

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that february 3rd or something so a lot of people said okay and again there’s lots of people how much resistance say it a third no vaccine that means a third of them are there potentially i’m i’m how many people are not going to take it you think i’m surprised it seems to be about half wow and that’s on first pass but after we get it going and then you find out like i took the vaccine but you didn’t how am i i’m okay then they might change their mind so at any time this half that didn’t take the vaccine

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could say okay we want it now i’m sorry but i was planning on the next group so they get to always cut in line as they change their mind i was surprised though half said they’re not going to get it not yet okay now that’s the workers who work with healthcare and elderly even elderly now the elderly might want it okay because look jason it’s kind of like altruistic the staff that work in a nursing home they’re trying not to give it to the elderly guy but they themselves might weather a

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infection okay so it’s altruistic right that they got it to protect the elderly guy the elderly guys might get maybe like 90 because they have direct direct benefit okay so a lot of this is protecting the ones most vulnerable and then the rest of us kind of like weather through you’ve heard the stories that the the vaccine only helps one type of culvert that it’s changing and mutating so constantly you hear that stuff or yes now that’s that that’s probably true because they chose a target which is

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called conserved that means all covet has been very had been mutating uh but that target they chose the spike and the spike protein that seems to be common conserved amongst all of them right i mean it seems to be conserved so at least they chose a common so far target even though the other parts are mutating but if they ever are have mutations on that spike protein whoa time for a new target okay now the concept of the mrna vaccine this is a new kind of action easy to make it’s easy enough

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really jason just to switch to the new target that you want so you got the concept you got people we got enough experience with the safety of a rna vaccine so if it does mutate well go go pick the new spike protein it shouldn’t be that hard okay have you um i don’t know if we’ve ever talked about you ever look at hho hydrogen they found in china maybe you’ve seen the video or not of patients that were on ventilators and they switched them to hho breathing gas and it stopped the inflammation

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in their lungs and they were getting better and better and better have you seen that wait why do what’s hho that you mean h2o that’s water did you mean electrolyte if you electrolyze water okay create hho which is water but slightly modified there’s a guy that on my website does an explanation chemically of why it works you know tyler from the hydrogen institute see these machines behind me there’s a guy on maui making machines for this hhl and then suddenly covet broke out people

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that use it are getting great do i think we probably i touched it but it was way before it was time okay i would rather take a known drug off the shelf that’s known to be safe and see if it protects covin they’re pulling one already quite a safe drug quite cheap ivermectin it’s been used in the third world for worms and stuff like that strange it’s also used i think well never mind that there are other drugs that we are known to be safe so i’d rather take a known safe drug and see if it affects covet they tried

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to do that with chloroquine right chloroquine well this is something that’s why i said hydrogen is not specifically because of covalent and safe and everything else but it’s been found effective to to uh bring down inflammation in the lungs which is what was really critical but you have to show me that it’s safe oh yeah yeah widely used i mean you guys showed me an animal models and sometimes you it’s in the united states and all over the world now okay but uh but sometimes you might give

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it to the wrong time in a covet some guys who are sick they don’t have enough immunity some guys have too much immunity i mean i mean they’re both sick and you could try to figure out which is which well this is that’s maybe a different subject because yeah but uh the reason i was bringing it up is i haven’t heard anyone talking about natural preventative things and things that are good on a general basis for people to improve their condition so that when they get it can you have

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covert and not get sick sort of yet can you not pass it or you do pass it if it’s in you know i don’t know we don’t know about that there’s a lot of guys who don’t get sick a lot of kids but they can pass it i mean that’s why that’s why we have coven the the easy ones have been solved so of course yeah the kids can pass it i see what do you think is the most what do you think is the most important thing for people to know right now because there’s a lot of a question

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about like i said what’s going on with hawaii tourism you think is going to keep on keeping on are we going to keep on increasing safely as soon as it can be your question in hawaii is if we open the economy like oahu and now we have have terrorism yeah we opened the flights can we operate at that higher level and not rise i think that now when people say oh i’m always in the double digits uh that that’s not real helpful 11 is a double digit the so it’s 99. um it would be nice if we held at the

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mid-20s okay yes it it would be nice if you had five a day three a day but the question is can you hold it at the mid-20s why can’t we just drive it down to five because you open the economy yeah because you allow flights to come in and these are the seating cases that jump into your community why i didn’t see that i would say for every case you know about there’s maybe four or five you don’t that jump into the economy why do you think you didn’t know about it you think that tourist is going to say

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hey check me man i might have covered why isn’t there a second if you don’t i mean i was because because that’ll deter tourism according to the business guys right a mandatory second test quarantine to the second test now you get a second test how long were you planning to stay here jason a week no surprise to you you’re positive you’re here 10 days and we will ground it so the flight won’t fly you and everybody you contact the rest of your group if they’re negative right now they’re

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here for 14 days if they turn positive what about taking what have you turned it to four days you know josh green was tough the question of how do you eliminate those things that get through what’s the answer can’t you can’t it’s as simple as that with a single pre-travel test the longer before you come here yeah the less effective it is i mean why did you get a pre-travel test two months before oh because you got all this infection since then so in general the longer before well why did they push it back

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because they couldn’t get the result in three days because because the labs are busy on the mainland they got so much coverage so why don’t we push it to get a test one day before you come nobody can turn it around that quickly and they’re also doing you’re doing temperature when they arrive even though they’ve been tested too many asymptomatics coming in and too many guys with the temperature fluctuate look if it was easy we wouldn’t even be having this discussion right we would have solved it

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right welcome but it’s worth it’s worth talking about for the public is why i bring it up i like to think that most people ask these stupid questions yeah forget the cost and then administration what is ideal if god said jason why do you want idea would be periodic tests every two days every one day if you want and it moves i don’t care where you travel when you travel you keep getting repeat tests how’s that in fact that was one of the proposals you have the saliva test oceanette

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we get a salavikas every morning cheap easy it’s quick read well not that quick to read and every morning if you’re negative go out have a good time it’s like a daily thing because every hour you could change if i test you now and you’re truly negative hey in an hour you might be positive because incubation is grew he grew in you and that and if you’re quarantined in 10 days you’re over i mean i’m i’ll do it but i’m thinking if you get it and you think about the extended trip you talked

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about staying here 10 days is that because you figure in 10 days you’re not able to transmit it and you stick your butt on a plane or if you’re sick you’re sick about 10 days and can’t what is that for everybody to know that’s got it i think that’s important to understand because we don’t know why is it so important to not know who’s got it because of the stigma when you try trying to figure out how to isolate this thing separate it so it goes away you know don’t we have to know

40:59

wait you you asked two questions at once why do we not name the person and then you asked about reducing from a 14 to a 10 day quarantine no no i was thinking the not naming is because of the stigma correct that okay but the the 14 day when you were talking about if someone was planning on staying three days and they take that second test and now instead of staying seven days they’d have to stay 10 days if you’re infected you’re infectious for 10 days if you’re inoculated but not yet sick we gotta

41:37

wait i mean once you become positive or put it this way once you’re become positive sick or not you’re probably infectious for 10 days so i detected you as positive okay now you got to go away from us for 10 days but all the people traveling with you they’re not positive yet so how long do we have to wait for them to present as positive 14 days but they’re not even positive well too bad they got stuck here 14 days and if they’re positive turn positive on day 13 jason and i said see i told you he

42:13

turned positive on day 13 i was right once he turns positive then he’s he’s stuck here another 10 days what do we do with those people yeah good question what do we do with them they they’re we block the flight so they don’t fly back cdc blocks them oh let’s see can you find a place to stay the hotel is supposed to take them but they weren’t planning to pay that much and they got to get back to start or whatever take care of the kids so you kind of screwed up their vacation

42:41

right right of course okay so if you have a mandatory second test who’s gonna come here knowing you can do that to him if it’s positive that’s why big island with a mandatory second test that’s a whole different kind of people who go to big island if the if returning residents say man if i have to stay here like 25 days i can handle that i’m a returning resident but a visitor so the visitor industry says that kind of stuff shuts down the visitors okay wow well what about uh hotels

43:21

planning long-term visitors until afternoon let’s say they even have the room and the setup for them who pays for that when all of a sudden there’s somebody who has to stay here extra whatever 10 days who’s going to pay for that the visitor or the hotel or is it 50 50. well you hear them talking about having an a uh deep pocket long time traveler that would solve and you’d eliminate a lot of people there’s no choice well at first the hotels weren’t stepping up after i met

43:57

a couple hotels on how he really stood up stepped up they didn’t take not only did they take their own positive guys they took positive guys from other hotels but them at us if you flood our sights and we can’t take any more people isolation once they’re positive quarantined once they’re exposed then what are we gonna do well the whole the visitor industry said not our problem dr pang it’s yours okay well how much is this worth to you when the visitors don’t come because

44:30

they can’t get home not only that but we don’t have a place for them so how much is it worth you want to open the economy to visitors like we got to take these cases if you’re not going to can you help us cover the visitors because you wanted the visit their industry open everybody’s got to have skin in the game here including the visitor and how they feel they have to well now they are the american yelled at people because our sites were getting loaded and the poor hotel who said we’ll take them all any

45:09

other hotel oh hika is getting loaded too and like wow so where are you going to take all these people who come in positive or uh that not just that but hey check this out jason to make it even worse a guy comes a family comes in that did the right thing there all negative three days before coming they had a good time but then there was somebody who came in and their result was pending or supposed his results positive right okay you you you got to stay 10 days and all the people who you expose got to stay 14. you know what

45:49

they pulled the seating plan on the plane and they found this family who did the right thing but they happened to sit next to buddy somebody who turned positive and that family was stuck here for 14 days they did the right thing man they’re all negative or having a good time you sat next to like uh some positive guy so didn’t the airline said they would space them out well i guess now maybe they wanted to say that but maybe they didn’t i don’t know but there’s one airline that really does

46:17

space them out and so that if you’re positive well who sat next to you nobody okay there are other airlines who sat next to you well look look there’s five guys call them up tell them they’re exposed i’m sorry but they did the right thing but they were exposed to the guy next to him they’re here 14 days well what are we going to do about that i mean i know it’s not your problem it’s everybody’s problem you right you really want to know what we’re going to do about it right so they

46:41

called me up and said hey there was no fault of their own half of my staff said well they should have known i said really they should have known that if they sat next to a guy and they did the right thing and now we ground them for 14 days the whole family seven of them right so i thought and we got the clearance of people that to sweep in their time here because now they’re here for 14 days right cdc blocked the return flight so i said look i’ll tell you what i’m gonna i’m gonna test you every other day

47:11

i could test you every day but i’ll touch you every other day you guys and then as long as you’re negative you can at least stay in maui for 14 days and enjoy maui how’s that my father was mad as he but then he says okay okay i get it i see you’re trying to make some compromise okay okay we go we test them like every other day right and they get to enjoy maui right okay the first time we test them the guy who sat next to the other guys was positive then we thought oh your whole family like seven

47:46

you all share the same fate now the father goes holy crap thanks thanks for testing that’s why you have these rules try just these other three because we tested and it was a rapid read they were like three out of four positives okay so the father went from being angry to so thankful thank you for finding this so the thing really does make sense yes you sat next to a case affected your family because of the rules and i was trying to give you a break you’re all infected did the hotel pick it up well the hotel was so what

48:23

it says real complicated the hotel says holy crap now we got to do this i don’t care i think the mayor picked it up the father said he would help pick it up he was thankful we diagnosed them but jason let’s put a little sting in this not so easy yeah the family turns positive all of you guys you’re staying stuck you know 10 days okay before it was 14 days because you were exposed but now that you’re positive 10 days right except for the boy the boy was negative so the mom says because of the boy

48:56

we have to stay here 14 days in case he incubates and i said it’s even worse if he’s positive on day 13 i’ll stick another 10 days for a positive case so the mom says well what do we do what do we do who tells us we separate the boy right now so he cannot be positive 13 days but the boy said i’d stay with mom the mom says he’s staying with me fine if you infect the boy on day 13 i had another 10 days okay so the father goes dr mc first of all thank you for helping with the family like what the hell

49:31

i mean slowly stay extra time in maui what’s the problem and besides making atari one after 10 days they’re immune right and he kind of put this in perspective sharp guy not a not a medical guy san francisco uh software guy he goes well i know dr peng in your career you’ve had to tell people worse things like you have malignant melanoma he says all you have to do is say we’re going to ground you in maui for 14 days so you know what if they’re living in a vacation rental and they have this problem what

50:05

do you do with them then where there’s no okay you remember that hotel who’s willing to take all from the other ones that hotel is taking that kind of problem right being kicked out and taking it it’s a nice hotel i’m not allowed to name them no no but some hotels are stepping up to take guys being kicked out from other places right wow and then sometimes if there’s no room to go we put them in our quarantine site isolation site and i go check on those people and you know it’s like

50:39

near the airport there’s old parking lot surrounded by a fence and i tell them walk a perimeter four times in the morning four times in the evening you need exercise because you guys go and get covered and you know what they say hey man from ten o’clock to three o’clock it’s hell it’s hot down here there’s like the airport on asphalt but you know what they said you’re absolutely right we come out we hit that chair space ourselves out twilight in hawaii we saw a side of

51:05

halloween we never saw before just sit outside quietly at twilight at dawn and i told him get out of twilight and then walk around the perimeter kind of big place um four times otherwise when your covet shows up as symptoms you ain’t you’re going to have a tough time now here’s another fun question that was administration um we’ve got a whole season here what do you think is going to happen well while who’s getting it’s hard to control this thing we’re we’re talking about controlling maui and

51:39

maybe you’re doing an excellent job this thing is getting out of control and we’ll learn losing space and running out of space what do you figure we can do to be our best case scenario or okay we see the numbers going up yeah the trend yeah we also see that the positivity rate is not so high because we’re doing more testing i get it nonetheless maybe the numbers are going up so the next question is who is going up remember lanai wow but the numbers really went up quickly but we knew we could control it

52:20

because all the contacts was family members so everybody stay in your own house and it did not go from the pacific islanders the families to outside maybe one or two so that’s the first question who is going up and when it’s mixed some are family some are little small gatherings not big flotillas they seem to get the message and then some is like occupational okay so we are just going to try to preach the six w’s again and see if that can control it otherwise we have to start to slow down the

52:54

economy instead of stay at home i don’t know safer at home uh you know the rules hey but you know some of these rules at least in hawaii safe at home stay at home i always want them to go outdoors kind of by themselves right and if you say wait i gave a stay-at-home order so the mayor and i talked about this um can we let them go out now take a mask because in the parking lot and helping the guy fix this flat tire and all that crap you’re going to get covered in your face but can we please on maui get out

53:32

psychological physical activity a little bit each day and no covet and really isn’t that what you came to hawaii for the outdoors i mean really did we come to hawaii to whoop it up in bars well i didn’t but if you need that i’m asking you to change your behavior and i hate to say this man but did we come to in hawaii can we not do indoor gymnasium indoor exercises for a while until this is controlled hey i do physical activity i could do tai chi indoors i could do taji outdoors ours is outdoors

54:11

oh it’s so hot try in the evening when you’re supposed to do tai chi oh it might rain really skip a day right or you know step under the alumni in fact that’s what we do right okay so but i didn’t do this for quit i was just doing this okay because i don’t like indoor indoor activities well i want to make sure that i mention this girl’s name because she was terrific cassandra in tennessee she was in tennessee and when she heard i was in maui and she helped me she said wear a mask i think

54:47

that’s still i think those people on the mainland are headed to any kind of sanity like you’re opposing you think how are they going to do it how are they going to stop it okay first of all the thing on the mainland in the winter it’s depressing okay i really need to get out so even when i was in college on the mainland med school i got out rain or shine colder now and i was in new jersey then down in new orleans but that’s not really kind of like the mainland okay then san francisco then washington dc

55:22

i have to get out i think the folks on the mainland should get out put on i mean for your own sanity plus you get to exercise and breathe heavily if you say i gotta exercise fine can you do it outside not in the basement with junior here so really oh and then we lived in europe yeah that was cold and dark i got out okay so do you think we’re gonna wrestle this thing down to uh whatever in 2021 or am i just fooling myself that would be interesting if we vaccinate all the older people and all the susceptible people

56:08

and then try to keep it from them by vaccinating all the people who get close to the medical guys the nursing home guys we still might have covet cooking in our community yeah and why is that let me try to explain this because people keep coming up with this and saying well that doesn’t make sense look jason if we have 20 people let’s say our our community is 20 people right and i said hey you guys you got to do that 6ws and we all do it then you kind of wipe it out and it’s gone right but if you got 20 people and

56:45

kovitz in there and half the guys do it oh and half the guys don’t do it okay then these guys mask up and you think it’s gone so we stopped wearing masks but these guys never eradicated it and they give it to this guy okay so now one guy out of the 10 because it’s 10 10 got it okay but these guys didn’t quite do it they stopped masking and they’re still susceptible so he gives it to him and he gives it to him he gives it to him i just ping pongs back and forth i think that’s our community so is that

57:17

the american way are we yes because we are so independent we can’t do everything all at once and it’s ping-ponging and i i put that oh we shut down that community like like lanai okay lanai they did it they got rid of it but it’s gonna come back because they didn’t all get it they’re not all gonna get vaccinated they’ll come back to lanai right let’s just take lanai and hana let’s just say lanai right they travel back for it then they give it some to hana haunted mascot

57:44

but they didn’t completely wipe it out there’s some guys in there then they gave it to lanai could ping-pong back forever even that family i told you junior who couldn’t get away from mom gee he’s positive on day 13. well who’s he going to give it to thank god the entire family was positive so they’re kind of immune but you get it right this thing could what do you call that uh round robin i just musical chairs in our community so it may be from part of future life and everything

58:13

is going to be six feet for the next decade until herd immunity happens in 2027. uh maybe not maybe not though because if you protect all that susceptible people if they have heard immunity and stay in their little nursing homes and all that then who cares what happens except you know the rest of the community ping-ponging and never quite doing it let’s go visit grandma uh i don’t think so i don’t think so even little grandma the joy of my life is to see my grandchild i don’t think so because you haven’t you

58:48

haven’t eradicated it but wait a minute you vaccinated grandma okay then go grandma have a good time so you see how it is if you can vaccinate the susceptibles and it’s ping-ponging around the community so what well because of the head i mean i know people that are so determined that are older determined not to take the vaccines i mean seriously large groups including all kinds of you know professionals every kind of people so what do we do well we give it to the ones who want it we literally short supply

59:27

and after a while we start to publish the side effects you know and the benefits then maybe the guys who are reluctant at first will say i want it but maybe a little kid will say i want it i said no no no this is for grandpa who just changed his mind oh by the way as it goes in the community ping-ponging forever it’s not exactly benign is it look at the publications out of korea out of the people who got kobe the normal people not the old guys right 25 continued to shed the virus for longer than three months maybe five

01:00:06

months or six months the virus wasn’t dead they keep shedding it they’re not infectious like your internal virus what do you think the long-term consequences of that are i have no idea look up long-term consequences of covet infection they could talk about brain fog whatever so just because you didn’t die in the first three weeks and there’s so many people like that 25 of the infections so it’s not exactly wonderful that the community keeps a constant reservoir although you’ve separated off the

01:00:48

elderly there is still something odd about this long-term infection so i’m sounds like we’re gonna do another show and give the public an update but um you know you are welcome here with me on this um i know that we’re hopefully educating people here and all around the world i hope that this has that kind of reach and i’ve been very appreciative of you over the years and being open to talk about things that are i don’t know i just want to remarks one message with you some people say dr

01:01:27

frank i know about long-term infections really really like what uh chickenpox it might show up as saying shingles but episodic right oh yeah well i know about long-term infections too parasites go study the parasitic diseases that stay in your body for years tell me schistosomiasis malaria tell me that doesn’t affect you it’s your body response to him right although the infection in you might not hurt you your response trying to control it you’re not going to be real happy so this disease is not well known

01:02:00

in the long term yet got it yeah so i hope that you have a safe and careful okay gotta get back to a party where the vaccine drive throughs or driving in yeah any important things that are timely that people need to know except follow the six w’s and uh and don’t don’t go too much uh if you’re going to the bar can you not do bar hopping go bar to bar to bar if you’re going to parties on the holidays can you not do party hopping like new year’s you know new year’s all right i gotta

01:02:35

see this guy before new year’s hey and then i gotta go see this and this and this i mean wow you gotta see five guys can’t you just stay here and i finally told these people before i go fit you know it’s kind of insulting to the host you come here i just drink and i gotta see these other guys just go one place and stay there honor the host don’t do bar hopping or party hopping or or hopping popping yeah no hopping you know um it’s always a pleasure and it’s fun but we’re talking about serious things

01:03:09

thank you for uh being so clear about it if people have any questions there any way they can or where they should be looking for it they can always try to contact through me but do you have a spot uh well you can well actually uh they’ve been calling my office and you know you’re trying to answer do you like the maui strong side is that helpful maui strong.net i think i don’t know that much about them but usually the mayor if you call the mayor’s office he tells me these interesting and puzzling things and we

01:03:43

try to deal with that um i can tell you we do answer the phone maybe that’s why they keep calling us but because the mayor’s office has not been responsive to me in a number of things but covert being one also um a lot of times you can post that on their their website though you can type in the questions say you know what the heck is going on here okay um so because sometimes they the calling it gets tied up when they’re always in meetings you know i guess so uh anything else you want to

01:04:13

say before we uh sign off nope let’s try to get through this without without you know burning down burning down relationships as you can see the green frog behind me has a uh santa’s hat and a mask yes that’s uh remember kermit the frog you’re old enough to remember kermit the frog yeah but i never understood that show he should be having two masks one in each hand that you alternate right it’s not easy being green well i’ve no idea remember that part yeah it’s a pleasure having you on thank

01:04:52

you for doing this i hope we um you can always call me but i’m going to call you in a while if it’s appropriate and sure again okay okay thank you very much for joining us okay bye thank you guys for joining us it’s always a pleasure having you here at the neutral zone you