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Medical Musings: Is COVID a Chameleon?

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By Dr. George Roberts

The sudden unexplained deaths of a number of young men locally, albeit with possible reasonable causes, must be a cause for deep concern for us all. The likelihood that they may be directly or indirectly associated with COVID must be considered.

The suggestion that they may be precipitated by curfew-related inactivity and subsequent thrombosis is reasonable, but does not explain the seeming predilection for young males.

Females are generally more likely to get thrombotic problems, and in general sudden deaths would be more common in the elderly. Something is very rotten in Denmark. I strongly suspect the COVID virus.

Clotting problems in COVID patients and issues re inflammatory reactions in children with the virus are increasingly concerning doctors worldwide.
It is thought that cardiac or intravascular phenomena may contribute these events, and may even have caused illness and death in situations where the lung problems may have been previously blamed. We already see in New York that the initial projected ventilator requirement based on current data was overestimated. And while we are not by any means out of the woods, our ventilator capability has not yet been tested.
The recurring message is clear. The focus may be changing. We need to be vigilant, and base our reactions not only on international data, but also on historical knowledge of our local conditions, careful ongoing reviews of our current situation, and realistic evaluation of our capabilities. I find these unexpected deaths very troubling, and am sure that they are of deep concern to the powers that be.
We need to carefully investigate them, and also aggressively ramp up our testing locally to better evaluate the role of COVID, if any, in the whole mix. Until we get some answers on that front, it may be unwise to further relax the current curfew restrictions.
Otherwise, though we may not get a surge of lung disease, we could end up with a slew of dead young males as a result of as yet unfathomed COVID complications. And with more testing in our encapsulated population, we could even uncover valuable data which may significantly contribute to the international understanding of this scourge.
Oh boy, what next?

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3 responses to “Medical Musings: Is COVID a Chameleon?”

  1. With the borders open, with the country stirring, lets see what happens to the deathrate. Afterall basic everyday research at this time, was downplayed by one of the elected leaders. Its a shame that people are asked to throw common sense out of the window because some supposedly learned people dont like the narrative. Just like zika, where microcephaly was a finding that wasnt very obvious initially, we have to MORETHAN consider “PROCEEDING with CAUTION”

  2. That’s so very true, I do that the authorities that be take a closer look at what is been stated, if not we could end up with a multitude of problems, which could be complicated to solve, and which could have a rippling effect on society.

REQUEST FOR EXPRESSIONS OF INTEREST

(CONSULTING SERVICES – INDIVIDUAL SELECTION)

 

OECS MSME Guarantee Facility Project

Loan No.: IDA-62670, IDA-62660, IDA-62640, IBRD-88830, IDA-62650

Assignment Title: Senior Operating Officer (SOO)

Reference No. KN-ECPCGC-207852-CS-INDV

 

The Governments of Antigua and Barbuda, Commonwealth of Dominica, Grenada, St. Lucia and St. Vincent and the Grenadines have received financing in the amount of US$10 million equivalent from the World Bank towards the cost of establishing a partial credit guarantee scheme, and they intend to apply part of the proceeds to payments for goods, and consulting services to be procured under this project. 

The consultant will serve as the “Senior Operating Officer (SOO)” for the ECPCGC and should possess extensive knowledge of MSME lending with some direct experience lending to Micro, small and medium-sized businesses, knowledge of the internal control processes necessary for a lending operation and the ability to design and implement risk mitigation procedures. The ideal candidate should possess an Undergraduate Degree from a reputable college or university, preferably in Business, Accounting, Banking or related field, with a minimum of 5 years’ experience in lending, inclusive of MSME lending. The initial employment period will be for two years on a contractual basis. Renewal of the contract will be subject to a performance evaluation at the end of the contractual period. The assignment is expected to begin on September 30th, 2021.  The consultant will report directly to the Chief Executive Officer of the ECPCGC.

The detailed Terms of Reference (TOR) for the assignment can be viewed by following the attached link below. 

 

https://bit.ly/3iVannm

 

The Eastern Caribbean Partial Credit Guarantee Corporation (ECPCGC) now invites eligible “Consultants” to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have:

  • An Undergraduate Degree from a reputable college or university, preferably in Business, Finance, Banking or related field; and
  • Minimum of 5 years’ experience in MSME lending. Applicants should also have:
  • The ability to design and implement risk management procedures 
  • Extensive knowledge of MSME lending with some direct experience lending to small and medium-sized businesses
  • Extensive knowledge of MSME banking operations
  • Knowledge of the internal controls necessary for a lending operation and the ability to design and implement risk management procedures
  • Experience developing and presenting information in public, including responding to questions in real-time
  • Experience lending to MSMEs located in the ECCU
  • Knowledge of marketing and communicating with the MSME sector
  • Ability to draft procedures to be used in a lending operation
  • Familiarity with the mechanics of a loan guarantee program
  • Exceptional written, oral, interpersonal, and presentation skills, and
  • Proficiency in the use of Microsoft Office suite.

The attention of interested Individual Consultants is drawn to Section III, Paragraphs 3.14, 3.16, and 3.17 of the World Bank’s Procurement Regulations for IPF Borrowers July 2016, [revised November 2017] (“Procurement Regulations”), setting forth the World Bank’s policy on conflict of interest. A Consultant will be selected in accordance with the Approved Selection Method for Individual Consultants set out in the clause 7.34 of the World Bank Procurement Regulations for IPF Borrowers. 

 

Further information can be obtained at the address below during office hours 0800 to 1700 hours:

Eastern Caribbean Partial Credit Guarantee Corporation

Brid Rock, Basseterre,

St. Kitts.

Expressions of interest must be delivered in a written form by e-mail by August 11th, 2021, to [email protected]

 

For further information, please contact:

Carmen Gomez-Trigg                                                            Bernard Thomas

Chief Executive Officer                                                          Chief Financial Officer

Tel: 868-620-8144                                                                  Tel: 869-765-2385

Email: [email protected]                                          [email protected]