***NON-POLITICAL COVID-19 Discussion Thread***

[JakeF]

A couple of reminders...

Originally Posted by Bwana

Once again, don't come in this thread with some kind of political agenda, or you will be shown the door. If you want to go that route, there is a thread about this in DC.

Originally Posted by Dartgod

People, there is a lot of good information in this thread, let's try to keep the petty bickering to a minimum.

We all have varying opinions about the impact of this, the numbers, etc. We will all never agree with each other. But we can all keep it civil.

Thanks!

Click here for the original OP:

Spoiler!

Apparently the CoronaVirus can survive on a inanimate objects, such as door knobs, for 9 days.

California coronavirus case could be first spread within U.S. community, CDC says
By SOUMYA KARLAMANGLA, JACLYN COSGROVE
FEB. 26, 2020 8:04 PM

The Centers for Disease Control and Prevention is investigating what could be the first case of novel coronavirus in the United States involving a patient in California who neither recently traveled out of the country nor was in contact with someone who did.

“At this time, the patient’s exposure is unknown. It’s possible this could be an instance of community spread of COVID-19, which would be the first time this has happened in the United States,” the CDC said in a statement. “Community spread means spread of an illness for which the source of infection is unknown. It’s also possible, however, that the patient may have been exposed to a returned traveler who was infected.”

The individual is a resident of Solano County and is receiving medical care in Sacramento County, according to the state Department of Public Health.

The CDC said the “case was detected through the U.S. public health system — picked up by astute clinicians.”

Officials at UC Davis Medical Center expanded on what the federal agency might have meant by that in an email sent Wednesday, as reported by the Davis Enterprise newspaper.

The patient arrived at UC Davis Medical Center from another hospital Feb. 19 and “had already been intubated, was on a ventilator, and given droplet protection orders because of an undiagnosed and suspected viral condition,” according to an email sent by UC Davis officials that was obtained by the Davis Enterprise.

The staff at UC Davis requested COVID-19 testing by the CDC, but because the patient didn’t fit the CDC’s existing criteria for the virus, a test wasn’t immediately administered, according to the email. The CDC then ordered the test Sunday, and results were announced Wednesday. Hospital administrators reportedly said in the email that despite these issues, there has been minimal exposure at the hospital because of safety protocols they have in place.

A UC Davis Health spokesperson declined Wednesday evening to share the email with The Times.

Since Feb. 2, more than 8,400 returning travelers from China have entered California, according to the state health department. They have been advised to self-quarantine for 14 days and limit interactions with others as much as possible, officials said.

“This is a new virus, and while we are still learning about it, there is a lot we already know,” Dr. Sonia Angell, director of the California Department of Public Health, said in a statement. “We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California.”

It is not clear how the person became infected, but public health workers could not identify any contacts with people who had traveled to China or other areas where the virus is widespread. That raises concern that the virus is spreading in the United States, creating a challenge for public health officials, experts say.

“It’s the first signal that we could be having silent transmission in the community,” said Lawrence Gostin, director of the World Health Organization Collaborating Center on National and Global Health Law. “It probably means there are many more cases out there, and it probably means this individual has infected others, and now it’s a race to try to find out who that person has infected.”

On Tuesday, the CDC offered its most serious warning to date that the United States should expect and prepare for the coronavirus to become a more widespread health issue.

“Ultimately, we expect we will see coronavirus spread in this country,” said Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases. “It’s not so much a question of if, but a question of when.”

According to the CDC’s latest count Wednesday morning, 59 U.S. residents have tested positive for the new strain of coronavirus — 42 of whom are repatriated citizens from a Diamond Princess cruise. That number has grown by two since Messonnier’s last count Tuesday, although the CDC was not immediately available to offer details on the additional cases.

More than 82,000 cases of coronavirus have been reported globally, and more than 2,700 people have died, with the majority in mainland China, the epicenter of the outbreak.

But public health leaders have repeatedly reminded residents that the health risk from the novel coronavirus to the general public remains low.

“While COVID-19 has a high transmission rate, it has a low mortality rate,” the state Department of Public Health said in a statement Wednesday. “From the international data we have, of those who have tested positive for COVID-19, approximately 80% do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date.”

CDC officials have also warned that although the virus is likely to spread in U.S. communities, the flu still poses a greater risk.

Gostin said the news of potential silent transmission does not eliminate the possibility of containing the virus in the U.S. and preventing an outbreak.

“There are few enough cases that we should at least try,” he said. “Most of us are not optimistic that that will be successful, but we’re still in the position to try.”

[JakeLV]

Originally Posted by Donger

Sorry if a repost:

https://www.cnn.com/2020/04/14/healt...ing/index.html

(CNN)On Friday, Dr. Mangala Narasimhan received an urgent call. A man in his 40s with Covid-19 was in a dire situation, and her colleague wanted her to come the intensive care unit at Long Island Jewish Hospital to see if he needed to be put on life support.

Before I come over there, Narasimhan told the other doctor, try turning the patient over onto his stomach and see if that helps.

Narasimhan didn't need to go the ICU. The flip worked.

Doctors are finding that placing the sickest coronavirus patients on their stomachs -- called prone positioning - helps increase the amount of oxygen that's getting to their lungs.

"We're saving lives with this, one hundred percent," said Narasimhan, the regional director for critical care at Northwell Health, which owns 23 hospitals in New York. "It's such a simple thing to do, and we've seen remarkable improvement. We can see it for every single patient."

[petegz28]

Originally Posted by Monticore

Not really some new treatment though.

So what? If it works or helps then that is good

[Monticore]

Originally Posted by petegz28

So what? If it works or helps then that is good

I mean they have been using this method most likely from the start, it is not new science they discovered this week so would mostly likely not change our trajectory since it was already common practice.

[petegz28]

Originally Posted by Monticore

I mean they have been using this method most likely from the start, it is not new science they discovered this week so would mostly likely not change our trajectory since it was already common practice.

I am sure they have....

[loochy]

Originally Posted by Monticore

I mean they have been using this method most likely from the start, it is not new science they discovered this week so would mostly likely not change our trajectory since it was already common practice.

They should probably put the people on some kind of rotating device, kind of like a spit.

[Kiimo]

April 14, 2020

I would love to report that we're through the worst of it, and we can all start to think about getting back to normal. But that wouldn't be the truth.

Los Angeles County had 31 deaths from COVID-19 on Sunday alone - the highest daily total yet. And here in the Valley, we've now got more than 1,500 confirmed cases - more than in all of Kansas, Arkansas or Idaho.

Yikes re: The Valley

[MahiMike]

Originally Posted by dirk digler

so what are they magically dying from?

The hospitals have been told to report almost all deaths as Covid-19 so as to inflate the numbers. It's already been proven in the number of deaths in Italy. Same is happening here.

[O.city]

It's a great time to figure out what works as we start opening back up, unlike before when we seized our asses up so tight.

As you loosen up you can see what is going ok and what may cause more spread.

[Monticore]

Originally Posted by petegz28

I am sure they have....

Some guys just like having their name in the paper, I was talking to our ER doc about this 2 months ago, so if our hillbilly doctors way up here knew about it, I would assume most Respirologist have.

[Monticore]

Originally Posted by MahiMike

The hospitals have been told to report almost all deaths as Covid-19 so as to inflate the numbers. It's already been proven in the number of deaths in Italy. Same is happening here.

We have already debunked this, try another conspiracy.

[SAUTO]

Originally Posted by petegz28

Yeah, I have not heard that one. Got some info?

Me either. All I’ve heard is that they definitely can

[underEJ]

We've started planning a return to work if the May 15th extension holds, and it is pretty interesting to think about the reality. We have a project team of 250 people working from home at about 70% productivity. When the go ahead happens it will not be to immediately bring all 250 back into the office where only 50 have private offices and 200 have open seating. All of those desk cubes are way too close together until a vaccine exists. We are probably looking at overhauling the way we space plan forever. Meeting rooms are also inadequate so we will continue remote meetings, and allocate those spaces to more private work areas. It is alot to think about. We are also just one project at a large company so our team in interspersed with other crews who so far have been less productive (our project was the farthest into production so everyone was pretty self sufficient already.) The biggest question is how many can come back in the space we have?

[dirk digler]

New Study

https://www.medrxiv.org/content/10.1....10.20060699v1

No evidence of clinical efficacy of hydroxychloroquine in patients hospitalized for COVID-19 infection with oxygen requirement: results of a study using routinely collected data to emulate a target trial

Background: Treatments are urgently needed to prevent respiratory failure and deaths from coronavirus disease 2019 (COVID-19). Hydroxychloroquine (HCQ) has received worldwide attention because of positive results from small studies.

Methods: We used data collected from routine care of all adults in 4 French hospitals with documented SARS-CoV-2 pneumonia and requiring oxygen ≥ 2 L/min to emulate a target trial aimed at assessing the effectiveness of HCQ at 600 mg/day. The composite primary endpoint was transfer to intensive care unit (ICU) within 7 days from inclusion and/or death from any cause. Analyses were adjusted for confounding factors by inverse probability of treatment weighting.

Results: This study included 181 patients with SARS-CoV-2 pneumonia; 84 received HCQ within 48 hours of admission (HCQ group) and 97 did not (no-HCQ group). Initial severity was well balanced between the groups. In the weighted analysis, 20.2% patients in the HCQ group were transferred to the ICU or died within 7 days vs 22.1% in the no-HCQ group (16 vs 21 events, relative risk [RR] 0.91, 95% CI 0.47-1.80). In the HCQ group, 2.8% of the patients died within 7 days vs 4.6% in the no-HCQ group (3 vs 4 events, RR 0.61, 95% CI 0.13-2.89), and 27.4% and 24.1%, respectively, developed acute respiratory distress syndrome within 7 days (24 vs 23 events, RR 1.14, 95% CI 0.65-2.00). Eight patients receiving HCQ (9.5%) experienced electrocardiogram modifications requiring HCQ discontinuation.

Interpretation: These results do not support the use of HCQ in patients hospitalised for documented SARS-CoV-2-positive hypoxic pneumonia.

[BleedingRed]

Originally Posted by Monticore

We have already debunked this, try another conspiracy.

Uh it hasn't been debunked. And Season Flu doesn't just stop killing people because there is a new virus on the block.

[PAChiefsGuy]

Originally Posted by underEJ

We've started planning a return to work if the May 15th extension holds, and it is pretty interesting to think about the reality. We have a project team of 250 people working from home at about 70% productivity. When the go ahead happens it will not be to immediately bring all 250 back into the office where only 50 have private offices and 200 have open seating. All of those desk cubes are way too close together until a vaccine exists. We are probably looking at overhauling the way we space plan forever. Meeting rooms are also inadequate so we will continue remote meetings, and allocate those spaces to more private work areas. It is alot to think about. We are also just one project at a large company so our team in interspersed with other crews who so far have been less productive (our project was the farthest into production so everyone was pretty self sufficient already.) The biggest question is how many can come back in the space we have?

I think a lot of companies are going to have to change their office settings until a vaccine comes out. Will be interesting to see what gyms do.