Coronavirus COVID-19 *Global Health Emergency* #13

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Coronavirus: containment is now 'unlikely', says NSW health minister

“I think at this point it is fair to say that we do have an evolution happening in the spread of this virus,” New South Wales health minister Brad Hazzard said.

“We do know that containment is likely to be an unlikely outcome, so we need to work constructively with the community to continue our effort to emphasise to the community that [controlling the virus] is a partnership … Our community has to be doing everything they can do to support us in defeating what has really become a war in defeating this coronavirus.”

Coronavirus: containment is now 'unlikely', says NSW health minister
 
I’m watching Australia’s abc news and they’re saying if you have symptoms don’t go to your gp, go to emergency department at hospital.
GREAT
This article from Mondsy says...

Guardian Australia has been told that as well as Telehealth, part of the response will include establishing dedicated coronavirus clinics so that emergency hospital beds can be reserved for the most sick patients. Because the virus lives on surfaces, hospital isolation rooms will need to be disinfected thoroughly before a new patient can be given a bed, a process that can take a few hours.

States and territories will coordinate which community GP clinics will become specialised “fever clinics” to free-up hospital beds.

However, unless someone has travelled to an affected country in the past 14 days or been in close contact with an infected person, there is currently no need for concern that experiencing any cold or flu-like symptoms might be coronavirus. Anyone who is unsure can call the national coronavirus health information line.

A federal health department spokesman said calls were initially handled by contact-centre operators. “There are processes in place to transfer callers with health symptoms to the Healthdirect helpline for clinical assessment where required.”

Australian doctors brace for coronavirus outbreak as first two cases of community transmission confirmed
 
BBM:

“But the questions of our — the U.S. supply of PPE, those questions really need to go to the ASPR they have responsibility for the Strategic National Stockpile in the United States.

- Dr. Nancy / CDC telebriefing Tuesday, March 3 / source



Here are a few very quick links for notes/reference:

https://www.phe.gov/about/sns/Pages/default.aspx

Strategic National Stockpile

“Strategic National Stockpile is the nation’s largest supply of potentially life-saving pharmaceuticals and medical supplies for use in a public health emergency severe enough to cause local supplies to run out.

When state, local, tribal, and territorial responders request federal assistance to support their response efforts, the stockpile ensures that the right medicines and supplies get to those who need them most during an emergency. Organized for scalable response to a variety of public health threats, this repository contains enough supplies to respond to multiple large-scale emergencies simultaneously.”

*Much more at link

—-

ASPR (@PHEgov) on Twitter


https://www.phe.gov/about/aspr/Pages/default.aspx


ASPR Organization Chart


Office of the Assistant Secretary for Preparedness and Response - Wikipedia


ASPR TRACIE | Healthcare Emergency Preparedness Information Gateway

—-

https://www.orau.gov/sns/v11/ReceivingDistributingDispensingSNSAssets_V11.pdf


Strategic National Stockpile - Wikipedia


Strategic National Stockpile - CHEMM


https://www.washingtonpost.com/news...e-meant-to-save-us-all-in-a-bioterror-attack/


Strategic National Stockpile Fact Sheet | State Public Health | ASTHO


Strategic National Stockpile (SNS) - Radiation Emergency Medical Management


20 Years of the Strategic National Stockpile: Response History Timeline | Global Biodefense


MedicalCountermeasures.gov


Looking Ahead – Future of the Strategic National Stockpile


Lawmakers express lingering questions over strategic national stockpile transfer from CDC


Global & Disaster Medicine » Strategic National Stockpile


Strategic National Stockpile (SNS)


http://www.kdheks.gov/cphp/download/Intro_SNS.pdf


https://www.nap.edu/read/23532/chapter/3


*The above is not an exhaustive list of links by any means, just making a few quick notes for future rabbit hole purposes, sounds very interesting, jmo.

*I think I may also recall reference in one of the WHO Pressers to an International Stockpile, as related to PPE, moo, making note.
 
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@JerseyGirl I’m tagging you for review.

There are 2 women currently on the Grand Princess cruise ship (the one waiting to dock in San Francisco right now) and the women have started a YouTube channel similar to David and Sally Abel.

I won’t post it directly at this point, but the link to their channel can be found through @Kron4news if you go here: Twitter. You may have to click on “see more replies”. (ETA: Hmm, so that didn’t work for me when I just tried it...maybe try this Twitter.... ugh that’s not working either. Darn it, here is link to YouTube that can be traced back to KRON4news:
)

I could only watch the first half.... I kind of have no words at the moment :eek:

JerseyGirl, let me know if ok to discuss. I know videos like this are usually not allowed but given the nature of this “case” and the Abel’s updates I thought this was ok.

Words fail me...
 
The South Korean government declared a "special care zone" around Gyeongsan, a city of about 275,000 people 250 kms (150 miles) southeast of Seoul, promising extra resources such as face masks and warning against travel there.

Gyeongsan has seen a spike in new cases in recent days, many of them linked to a fringe Christian group at the center of the South Korean outbreak. Similar zones have been declared around neighboring Daegu city and Cheongdo County.

South Korea declares new 'special care zone' as coronavirus spreads
 
Hong Kong warns residents not to kiss pets after dog contracts coronavirus

“Pet owners need not be overly concerned and under no circumstances should they abandon their pets,”
said Hong Kong’s department of agriculture.

Hong Kong warns residents not to kiss pets after dog contracts coronavirus


Hysterical pet owners are asking vets to put their animals down over fears they will contract coronavirus

Many are fearing that their animals will come into contact with the disease which could then infect them and their families.

However, the World Health Organisation said there is no reason for concern as the virus is unable to spread from dogs to humans.

Aussies are asking for their animals to be put down over coronavirus fears | Daily Mail Online


 
Public health physician Dr Nicola Spurrier said the baby in Adelaide is the daughter of a 40-year-old woman hospitalised in the Flinders Medical Centre with the virus. The woman arrived in Adelaide from Iran via Kuala Lumpur on Sunday.

“The little bub, the child of the mother that is currently in Flinders Medical Centre, has tested positive but I am very pleased to report that the child is well and both mother and baby are doing well in that facility,” Spurrier said.

Coronavirus: baby girl in Adelaide tests positive as Australian cases rise to 53 | Coronavirus outbreak | The Guardian

Thank you for this update @Henry2326 I was wondering how they were doing.
 
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Three more coronavirus cases have been confirmed in Scotland bringing the total in the UK to 90.

The total in Scotland is now six, with the three new cases all thought to have caught it from known carriers of the deadly bug.

Chief Medical Officer for Scotland, Dr Catherine Calderwood, gave details of the new patients' locations.

"The patients are currently clinically well and are receiving appropriate clinical care," she said.

"The patients are from the Forth Valley, Greater Glasgow & Clyde and Grampian areas.

Three more coronavirus cases confirmed in Scotland bringing UK total to 90


There is a case where I live now. It is frightening.



 
Gene sequencing at Beijing hospital found coronavirus in the cerebrospinal fluid of a 56-year-old confirmed COVID-19 patient with encephalitis. 1st case of #Covid19 causing encephalitis. Beijing Ditan Hospital warns novel coronavirus could attack central nervous system

COVID-19 patients could also see complications related to severe respiratory distress syndrome, myocardial damage, kidney injury and other organ damage. COVID-19 patients who have shown nervous disorders were relatively rare compared with respiratory and cardiac complications.
Joël Mossong on Twitter
Wow. This virus is very effective at attacking all the vital organs it seems. So very dangerous!
 
Three more coronavirus cases have been confirmed in Scotland bringing the total in the UK to 90.

The total in Scotland is now six, with the three new cases all thought to have caught it from known carriers of the deadly bug.

Chief Medical Officer for Scotland, Dr Catherine Calderwood, gave details of the new patients' locations.

"The patients are currently clinically well and are receiving appropriate clinical care," she said.

"The patients are from the Forth Valley, Greater Glasgow & Clyde and Grampian areas.

Three more coronavirus cases confirmed in Scotland bringing UK total to 90


There is a case where I live now. It is frightening.



Very close for me now too. Worrying. Very worrying.
 
Not sure about any of you guys, but it seems that I’m a hypochondriac from hell.

I keep feeling my forehead, face and neck for a fever (with very clean hands of course :D ).

:drama:

I didn’t buy a thermometer and now I’m thinking I should get one, if anything to quell my own anxiety LOL.


(ETA: @dixiegirl1035, you were talking the other day about missing all the old emojis here...I miss that “drama” emoji LOL.

You know what other old emoji I really miss? “ :lookingitup: “...that was the cute guy with glasses behind the desk typing, iirc. He might have even had coffee lol.)
I miss those too. I liked the smiley cheerleaders to welcome new members.
 
Hong Kong warns residents not to kiss pets after dog contracts coronavirus

“Pet owners need not be overly concerned and under no circumstances should they abandon their pets,” said Hong Kong’s department of agriculture.

Hong Kong warns residents not to kiss pets after dog contracts coronavirus


Hysterical pet owners are asking vets to put their animals down over fears they will contract coronavirus

Many are fearing that their animals will come into contact with the disease which could then infect them and their families.

However, the World Health Organisation said there is no reason for concern as the virus is unable to spread from dogs to humans.

Aussies are asking for their animals to be put down over coronavirus fears | Daily Mail Online
Oh no....... How heartbreaking!
 
More on testing kits for reference file re: the FDA specifically; (Part 1 & 2 earlier posts re: CDC & “test kits” here):

—-

For Immediate Release:
February 29, 2020

Coronavirus (COVID-19) Update: FDA Issues New Policy to Help Expedite Availability of Diagnostics

——


FDA:
Coronavirus Disease 2019 (COVID-19)



“What's new
  • March 2, 2020:Coronavirus (COVID-19) Update: FDA and CDC take action to increase access to respirators, including N95s, for health care personnel - In a joint effort, the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention took action to make more respirators, including certain N95s, available to health care personnel. Currently, the majority of respirators on the market are indicated for use in industrial settings. Today’s action allows certain National Institute for Occupational Safety and Health (NIOSH) approved respirators not currently regulated by the FDA to be used in a health care setting by health care personnel during the coronavirus (COVID-19) outbreak, thereby maximizing the number of respirators available to meet the needs of the U.S. health care system.



  • February 27, 2020:Coronavirus (COVID-19) Supply Chain Update - FDA has been closely monitoring the supply chain with the expectation that the COVID-19 outbreak would likely impact the medical product supply chain, including potential disruptions to supply or shortages of critical medical products in the U.S. A manufacturer has alerted us to a shortage of a human drug that was recently added to the drug shortages list. The manufacturer just notified us that this shortage is related to a site affected by coronavirus. The shortage is due to an issue with manufacturing an active pharmaceutical ingredient used in the drug. It is important to note that there are other alternatives that can be used by patients. We are working with the manufacturer as well as other manufacturers to mitigate the shortage. We will do everything possible to mitigate the shortage.

  • February 25, 2020: The National Institutes of Health began a randomized controlled trial for the treatment of COVID-19 patients. While sponsors are usually expected to allow 30 days between submission and initiation of an initial IND protocol to allow for safety review, FDA has been using both pre-IND discussions and highly expedited initial review to allow such trials to begin as soon as possible. We continue to work with interested sponsors to help expedite any additional clinical trials for COVID-19 medical countermeasures that may be appropriate.

  • February 24, 2020: Coronavirus Update: FDA steps to ensure quality of foreign products - FDA continues to take a multi-pronged approach to this public health emergency, including focusing on actively facilitating efforts to diagnose, treat and prevent the disease; surveilling the medical product supply chain for potential shortages or disruptions and helping to mitigate such impacts, as necessary; and leveraging the full breadth of our public health tools, including enforcement tools to stop fraudulent activity.”
—-


FDA - Testing / Feb. 3, 2020

Coronavirus Disease 2019 (COVID-19)


—-

(*Tagging “FDA”, “test kits”, “testing kits”, not to be confused with “text neck”, which I have now...)


(ETA / for reference:

“How do you get text neck?

What are the chances you’re reading this article from your handheld device, engaging in the serious but harmful position text neck?”

Fix Text Neck with These 6 Exercises and Lifestyle Tips

:) )
 
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Australia’s travel ban on people arriving from China and Iran has been extended to include those coming from South Korea as the coronavirus outbreak ramps up.

Prime Minister Scott Morrison made the announcement this afternoon, adding there will also be tougher checks in place for people arriving from Italy, due to the high number of COVID-19 cases in emerging in the country.

“Today, we made a decision in relation to travel bans to continue the travel bans in relation to mainland China and in relation to Iran. We have also today decided that we will put in place a travel ban in relation to the Republic of Korea,” Mr Morrison said.

“We will also put in place what our enhanced screening measures to deal with those travellers that have come from Italy.”
Travel ban extended to South Korea
 
The deadly coronavirus is becoming a subject of increasing concern around the world - except, it seems, where it began.
Google data show that as search results around the illness increase across the rest of the world, it decreases in China.
Google Trends shows that, proportionately, Australia ranks at number 10 in worldwide searches on the coronavirus.
How worried is Australia about the coronavirus compared to the world?
 
More late night random musings...

The advancement of technology is great and all, but more on as far as “social distancing” goes, did we really need anything “in the big scheme of things” to make us any more of a “robotic society”, more glued to our phones and computers than we already are, some having to possibly mandatorily study and work from home exclusively with no other choice?

Seriously, the art of face to face human conversation...yeah I know people can “FaceTime” and all...I’m sure going to miss happy hour. :D

Sigh...

Going back to the other thread now, I’m still only about half way through, grrr. No wonder I have text neck.

And if we are going to be even more glued to all our devices, then maybe we really need to start thinking more about this “text neck” business, lol. Ergonomics, all that stuff. Seriously. My neck can’t take it anymore.

—-

More on this test kit business (pull hair); again, sorry for any rehash/repeat but it’s really important for all of us in the US to have this all very straight moving forward, imo:


“Our next question comes from Sheila Kaplan. Your line is open.

… what the contaminant was that was found in the test kits, please.

Sheila, we could not hear the first part of your question. Please repeat.

Can you please tell us what the contaminant was that was found in the original CDC test kits?

Messonnier: So i think you’re talking about a report in AXIOS that attributed some issues with the CDC test kits to a contaminant. What I can say about that is contamination is one possible explanation but there are others. And I can’t really comment on what is an ongoing investigation. Our focus is on moving forward. That is on making sure that the test kits we are sending out now are well done and making sure that our state and local health department partners have access to the full resources of CDC to diagnose cases.

Next question, please.

Our next question comes from John Bonnefield with CNN. Your line is open.

Hi. Thank you for taking my question. Can you explain to us why CDC isn’t somehow aggregating the testing that’s being done by public health labs to provide a national figure for the number of tests that are being conducted and on the number of PUIs? Right now, what I’m inferring is there’s not going to be any kind of national figure and that’s very different than what we have been seeing from places like South Korea where they’ve been routinely updating on a national level? Are you not asking public health labs to communicate this information to you or is there really no way for us to expect a national figure at all?

Messonnier: I’m sorry and I’m really glad you asked that question so I can correct that misunderstanding. Of course we will be aggregating data on a daily basis and will have daily case counts up on our website. What I meant to comment on is that sometimes our numbers come up on our website by noon but when there’s a case that’s reported from a state at 5:00, we don’t go back and reupdate our numbers. It waits until the next day. We update your numbers everyday. We are certainly going to be aggregating national numbers. We are certainly going to be providing a national and state specific picture of what’s going on, but sometimes you all in the media are covering individual cases that are being reported that aren’t on our counts yet because we’re, again, we’re updating them only once a day. It’s just otherwise really difficult to continue to update the numbers when basically cases are getting confirmed and reported all night long. So, definitely going to be providing national data and state level data. But if you see, for example, a news report from the state that’s coming out in half an hour, we’re not going to go back and reupdate the numbers that came up on CDC’s website at noon. Does that help? Okay. I’m hoping that helps.

Okay. Last question, please.

Our final question comes from Mike Stobbe with the Associated Press. Your line is open.

Hi. Thank you for taking my call. Many things I want to ask but I’ll just ask two. In reference to your response to Sheila Kaplan’s question, I take it from your response that there’s an investigation going on and that you haven’t established what the problem was with the reagent in the kits. Is that what you’re saying? Or do you know what the problem was? And the second question, if I may, as you know over the weekend researchers at Fred Huchinson Cancer Center in the University of Washington said they had done a study that had suggested that the virus was circulating for weeks in Washington and perhaps that was related to the lack of availability of tests or the testing criteria it suggests that the spread of the virus may have been worse because of some of the policies or availability of test kits that were in place based on federal decisions. So, could you speak to that? Thank you.

Messonnier: Sure. So, in reference to the first question, you know, clearly it’s a priority at CDC and every level of our organization to make sure that our state and local health department, public health labs have access to the best tools possible. And our focus right now is moving forward to make sure that the test kits that they’re getting from us meet the high quality standards that we and FDA hold ourselves to and we are very confident in the kits that are being sent out now. There will be time in the future, I think, to look back and think about what we — what happened when, but our focus today is on — is how we’re moving forward. The second question is, is a really intense question. Researchers in Seattle were looking at the genetic sequencing of the strains that have been in Seattle and having an interesting hypothesis of how transmission might have worked. What I would say is that it’s really interesting finding and interesting research. There are alternate hypothesis for the same finding, for example, the sequences of the most recent strains coming out of Seattle actually also I understand match strains that were identified from later in the outbreak from China. So I think this is another place where I’m happy to see so much research going on, but I still think that it’s in the hypothesis phase and we’ll need to wait for more data to come in to really fully understand how valid that hypothesis is and how to interpret it. I’m really happy that researchers all around the country and all around the world are doing this kind of work because we’re clearly going to learn a lot from it.”

Source / Tuesday March 3 CDC Telebriefing
—-

*Previous “testing kit” reference quotes re: both the CDC and FDA Parts 1,2,3 here.

(*Tagging “test kits”, “testing kits”, “CDC”, “FDA”)
 
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I’m watching Australia’s abc news and they’re saying if you have symptoms don’t go to your gp, go to emergency department at hospital.
GREAT

That doesn’t sound right at all. In the U.S. we are being told to call our doctor for instructions and not just show up at their office or the emergency room.
The information here in Sweden is similar to the US. Here persons who suspect they have the virus shall call 1177, a health informations number, and talk with the nurse there. The nurse will get in contact with the infectious disease department in the district where the person lives, and learn where the person/patient is to go to get tested. Usually it's to the closest hospital with an infectious disease department, where there are rooms with entry directly from the outside, like this at our hospital: Här tas prover på misstänkt coronavirus varje dag
The patient shall NOT go to the emergency room, or the gp/local health care centre.
 
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