***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.”

[TLO]

Missouri numbers yesterday (According to MO DHSS website)

Cases in Missouri: 4,388

Total Deaths: 114

Patients tested in Missouri (by all labs): approximately 47,680
As of 2:00 p.m. CT, April 13

Missouri numbers today

Cases in Missouri: 4,686

Total Deaths: 133

Patients tested in Missouri (by all labs): approximately 47,680 (not yet updated for 4/14/20

['Hamas' Jenkins]

Originally Posted by patteeu

You mean a political agenda of saving lives?

Touting the efficacy of a drug without evidence which has not yet been demonstrated and wasn't apparent weeks ago is actively harmful.

[petegz28]

Originally Posted by Fish

Wow. Manhattan, KS just canceled summer. I wonder if other KS cities will follow...

Manhattan is also making other changes to reduce costs:
- Cancel the 2020 swimming pool season
- Cancel the 2020 youth and adult sports leagues
- Cancel parks and recreation sponsored camps, activities and events
- The Arts in the Parks concert season cancelled
- Continued closure of City facilities and attractions to the public
- Delaying some planning and infrastructure projects
- Eliminating travel and reducing training budgets
- Selective hiring freeze of new employees

https://www.wibw.com/content/news/Ma...569626821.html

Wow WTF? It's ****ing April and shit.

[TLO]

Originally Posted by BigRedChief

Public service announcement:
If you have asthma or COPD and use an albuterol inhaler for acute Shortness of breath or maintenance, I'd recommend you get stocked up on your inhalers ASAP. Get a couple of months supply if you dont already have that much in your possession.

What's the news? Are these being prescribed as treatments or something?

[dirk digler]

Originally Posted by BigRedChief

I posted a couple of lengthy posts just a couple of pages back on how we were doing this 20+ years ago. This is a well known option.


If these Dotors are just now using this technique they are ****ing idiots need to lose their license. This would be a level of incompetence akin to a patient is short of breath, but don't give them some oxygen. This is a 100% agreed to step by the medical community. a no-doubt decision.

This is a novel virus no one knows how to fight this so they were originally trying things that China and Italy have long been doing. Lots of doctors are trying different things to combat this so I don't think they are incompetent.

[Rain Man]

Originally Posted by Fish

Wow. Manhattan, KS just canceled summer. I wonder if other KS cities will follow...

Manhattan is also making other changes to reduce costs:
- Cancel the 2020 swimming pool season
- Cancel the 2020 youth and adult sports leagues
- Cancel parks and recreation sponsored camps, activities and events
- The Arts in the Parks concert season cancelled
- Continued closure of City facilities and attractions to the public
- Delaying some planning and infrastructure projects
- Eliminating travel and reducing training budgets
- Selective hiring freeze of new employees

https://www.wibw.com/content/news/Ma...569626821.html

That seems more economic than pandemic. I'd never thought about this, but the synergy is that cuts for economic reasons might coincidentally help extend the pandemic measures if it cancels events and sports, and those are usually early on the chopping block.

[TLO]

Age Ranges of Deaths Number of Deaths
Under 20 0
20-29 0
30-39 3
40-49 4
50-59 14
60-69 24
70-79 39
80+ 49

[BryanBusby]

Originally Posted by petegz28

Wow WTF? It's ****ing April and shit.

People have to plan things out in advance, Pete.

[Discuss Thrower]

Originally Posted by Rain Man

That seems more economic than pandemic. I'd never thought about this, but the synergy is that cuts for economic reasons might coincidentally help extend the pandemic measures if it cancels events and sports, and those are usually early on the chopping block.

[dirk digler]

Originally Posted by O.city

https://twitter.com/scottgottliebmd/...581031428?s=21

Interesting read

This would make sense and be similar to what Hamas was talking about in regards to the angiotensin pathway iirc

I posted about that a week or so ago that alot of doctors anecdotally were seeing lots of clotting with covid patients. There are also seeing it in the autopsy's. Some people suggest start patients on aspirin prior to hospitalization as a possible treatment.

[Donger]

Deaths today already surpassed yesterday. But, I guess that's to be expected.

[SupDock]

Originally Posted by BigRedChief

I posted a couple of lengthy posts just a couple of pages back on how we were doing this 20+ years ago. This is a well known option.


If these Dotors are just now using this technique they are ****ing idiots need to lose their license. This would be a level of incompetence akin to a patient is short of breath, but don't give them some oxygen. This is a 100% agreed to step by the medical community. a no-doubt decision.

I'm not trying to be disagreeable, but proning awake non-ventilated patients isn't a standard of care that I am aware of. I'm not saying there isn't a place for it, but using it as a technique to avoid mechanical ventilation in a non-ICU setting seems sketchy.

Is there data to suggest it reduces need for invasive ventilation? I would think it depends on the patients trajectory, as delaying intubation can be dangerous. If someone is on the floor, proning may just delay the inevitable, and have higher risk of profound hypoxia if their condition rapidly changes.

[TLO]

Originally Posted by Donger

Deaths today already surpassed yesterday. But, I guess that's to be expected.

Why is that to be expected?

[Donger]

Originally Posted by TLO

Why is that to be expected?

Because deaths lag new cases and hospitalizations. By what, 10 to 14 days, I think?

[dirk digler]

Originally Posted by SupDock

I'm not trying to be disagreeable, but proning awake non-ventilated patients isn't a standard of care that I am aware of. I'm not saying there isn't a place for it, but using it as a technique to avoid mechanical ventilation in a non-ICU setting seems sketchy.

Is there data to suggest it reduces need for invasive ventilation? I would think it depends on the patients trajectory, as delaying intubation can be dangerous. If someone is on the floor, proning may just delay the inevitable, and have higher risk of profound hypoxia of there condition rapidly changes.

According to the article I posted a page or 2 back, NY doctors are now proning covid patients and giving them oxygen instead of putting them on vents right from the start. It seems to be helping.