Coronavirus COVID-19 - Global Health Pandemic #44

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I am not a questimater.
But if we accept a small percentage of deaths because the world has partially closed down, and consider that death rate acceptable, then the other part of the equation is what would have happened had the world not closed down. Would that death rate have been acceptable?
I know there is no answer, but we have a lot more than just COVID 19 deaths to deal with.
I have friends in southern Italy who own several tourist hostels, and believe me they are happy with the "shutdown". Even though they are monetarily hurting beyond belief, they know they have not had to face death like so many of their countrymen a little further north.
 
'Why are doctors being told to let us die in hospital? We're all being betrayed"

Dr Jon Hastie, who has Duchenne Muscular Dystrophy, fears if he contracts Covid-19 he will not be saved as doctors have been told to make "brutal"
decisions


"The guidance recommends that critical care is denied to people that might take longer to recover from Covid-19.

"In essence, thousands of the most vulnerable people will be denied treatment and left to die.

"I’m Jon, I’m 39 and I have Duchenne muscular dystrophy, a rare genetic muscle wasting condition.

"I started using a wheelchair when I was ten years old, and my muscles have gradually deteriorated.

"Now I use a ventilator to breathe. Based on my current health, I could live another 15 years.

"If I get sick and go to the hospital, under this guidance, I will likely be denied critical care, based on an assumption that I will take longer to recover.

"I’m angry about this, but most of all, I’m just scared.

"My life is valuable, I have a PHD, I’m the CEO of a small charity supporting others with my condition and I volunteer for NHS England.

"And I have a husband and a loving family. I don’t want to die.

Why are doctors being told to let us die in hospital - we're all being betrayed

I really feel for people like Jon who have significant health problems and are worried sick about catching coronavirus. Everyone’s life matters and people should not be denied life saving treatment because they unfortunately have health issues. I understand there aren’t enough ventilators for everybody and not everyone can be saved but it is extremely difficult to accept.

I am nearly 36 and have a frailty score of 5 because I walk with crutches due to botched spinal surgery in 2006 and I also have Crohn’s Disease. I’m concerned that I wouldn’t be given a ventilator and it would go instead to an able bodied person. I’m terrified of catching the coronavirus because despite my health problems like Jon I still want to live. I’m not ready to die yet there are still things I want to do in life.
 
I have been disturbed by the idea that a ventilator is "magical" and once a person is off one, they are alive and good to go. I have worked with children who were on ventilators, many recovered, with brain damage, vision loss, significant gross and find motor delays.

People should be informed that maybe, they don't want to be on a ventilator.

Opinion | What You Should Know Before You Need a Ventilator
Oh my, mickey2942! I had no idea about that! I worry so much about my tiny special needs grandson who turns one next week - he already has all of those things to some extent. I can't image if he had to be put on a ventilator! Such an important article - thank you for posting the link.
 
Another thing - in addition to many not being able to be tested at all - that is skewering the Covid death total is the fact that current tests show an almost 30% rate of inaccuracy in determining the presence of the virus. The totals are showing very low, I think.
 
'Why are doctors being told to let us die in hospital? We're all being betrayed"

Dr Jon Hastie, who has Duchenne Muscular Dystrophy, fears if he contracts Covid-19 he will not be saved as doctors have been told to make "brutal"
decisions


"The guidance recommends that critical care is denied to people that might take longer to recover from Covid-19.

"In essence, thousands of the most vulnerable people will be denied treatment and left to die.

"I’m Jon, I’m 39 and I have Duchenne muscular dystrophy, a rare genetic muscle wasting condition.

"I started using a wheelchair when I was ten years old, and my muscles have gradually deteriorated.

"Now I use a ventilator to breathe. Based on my current health, I could live another 15 years.

"If I get sick and go to the hospital, under this guidance, I will likely be denied critical care, based on an assumption that I will take longer to recover.

"I’m angry about this, but most of all, I’m just scared.

"My life is valuable, I have a PHD, I’m the CEO of a small charity supporting others with my condition and I volunteer for NHS England.

"And I have a husband and a loving family. I don’t want to die.

Why are doctors being told to let us die in hospital - we're all being betrayed

I really feel for people like Jon who have significant health problems and are worried sick about catching coronavirus. Everyone’s life matters and people should not be denied life saving treatment because they unfortunately have health issues. I understand there aren’t enough ventilators for everybody and not everyone can be saved but it is extremely difficult to accept.

I am nearly 36 and have a frailty score of 5 because I walk with crutches due to botched spinal surgery in 2006 and I also have Crohn’s Disease. I’m concerned that I wouldn’t be given a ventilator and it would go instead to an able bodied person. I’m terrified of catching the coronavirus because despite my health problems like Jon I still want to live. I’m not ready to die yet there are still things I want to do in life.

Of course it's difficult to accept. The younger ones may catch the disease, most don't seem to suffer much and get over it. The older ones , check stats, are somewhat sicker but get better care. You, me and Jon wil die if we catch it, AND INFLATE THE NUMBERS, and we will get little to no care. Social Security and insurance companies will benefit. Hell, we're lucky IF we get buried in a trench, Central Park or not.

The Answer, My Fried, ain't blowing in the wind, my ashes are.
 
Wonder if people living in densely populated areas now will want to move to more rural areas when this over.

It's already happening where I am. Everyone who owns a piece of property has had their kids come home with trailers. The trouble is the rural areas do not have the infrastructure to take care of an influx of people. The hospital is tiny, the grocery store brings in enough food for the locals and the truck comes in twice a week. There isn't shelf space to double the population. There are just a few places where people have to gather, and they are all small. The post office is about 20 feet square. The bank has two tellers, sometimes only one.
 
Another thing - in addition to many not being able to be tested at all - that is skewering the Covid death total is the fact that current tests show an almost 30% rate of inaccuracy in determining the presence of the virus. The totals are showing very low, I think.

I don't think that information is exactly as you describe it.

The molecular tests ( RT-PCR, and NAAT) are very sensitive and specific

The RT-PCR tests ( Roche, Cepheid) are extremely sensitive and specific, like almost 99% IF the sample is truly nasopharyngeal (the painful, back of the nose test) and not just a swab of the inside of the front of the nose.

The Abbott test (NAAT) is as sensitive and specific, I have read, although the data has not yet been released publicy. And again, it depends on sampling of the nasopharynx, not the nose.

It's the rapid serologic tests that have a high false negative rate. Up to 35%. So that means that the negative tests need to be confirmed by the better molecular method.

We don't yet have enough data to know what the serologic tests mean, as the first patient in the US was only found 10 weeks ago and it usually takes at least 24+ weeks to have any idea of how antibody tests relate to immunity.
 
Iowa news today: Three more deaths, 78 new COVID-19 cases in Iowa Monday 78 new postive tests and 3 more passed. We now have 946 positve cases and 25 passed. 99 in hospital and 284 have recovered.
Governor has also ordered new closures and gathering restrictions will be enforced now (imo we'll see how that goes).
Reynolds orders additional closures amid COVID-19 outbreak in Iowa Also at the bottom of this article it talks about auctions as previously being restricted and that absolutely did not happen! After horse auction takes place, Iowa governor announces ban ETA-I guess she restricted the number after it was already too late.
 
What do you think the death rates would have been had the world not "closed down"?

I am so encouraged to see the positive effect that containment and mitigation measures seem to be having in some hot spots, for example Washington, Los Angeles. (Note to add source links as eta so moo for now)

Dr. Mike was talking about how what we see now at the moment is really exposure from two weeks ago (paraphrasing) - he used a wonderful analogy of looking through a telescope and the light you’re seeing is really from eons before (paraphrasing).

We have seen the positive effects of isolation, contact tracing, all that stuff.

These measures will be so important to implement when we venture back out into zombie land should there be any flare ups. As Dr. Fauci has stated, in order to suppress the second wave, we will need to immediately implement the above measures, and the good thing is now there’s a system in place, so if there’s a hot spot, bam, attack it.

I’m quiet relieved after listening to the recent WHO conferences (2 more to go). As I mentioned last night, there is so much collaborative data coming in from around the world and so much is being learned.

When this first went down in Wuhan, remember how amazing it was to see the global sharing of information being set up? Scientists from all over the world entering their data...

Another note, that Dr. Mike has mentioned a lot that lockdowns are only a piece of the puzzle (paraphrasing) - there must be a “comprehensive strategy which is an all of government approach”, community approach, etc. etc.

Gosh I hope everyone is watching these WHO Conferences.

Press briefings

—-

ETA / quick reference re: NY / Italy / Spain:

“Reports showed the number of people dying appeared to be slowing in New York City, Spain and Italy. The news was cautiously welcomed by leaders, who also noted that any gains could easily be reversed if people did not continue to adhere to strict lockdowns.

“Hundreds of people are passing away each day from the pandemic, but less so than previous days, giving markets hope that the lockdown measures are finally starting to prove effective,” Jeffrey Halley of Oanda said in a commentary.”
-more at link

Shares rebound on glimmers of progress in battling virus
 
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Many of the numbers remain misleading as many people still cannot get tested.

Also the death totals are skewed because if the deceased had not tested positive they are not included in the count. They may not have been tested at all because of the reason above.

There is some truth to this, but not for all regions. Some places are including "presumed positive", based on symptoms.
 
Out of over 60,000,000 people, 16,523 died. This isn't a third or a quarter of a good-sized city, yet the world has closed down and everyone is wringing their hands. Yes, it is bad, lots of people are dying, but statistically, it's a drop in the bucket. Does anyone have the stats from flu deaths?

During the plague years, 1300s, 1/3 of the world died. This just doesn't compute to me. Sorry, it just does not.
Your comparing the death total of a couple of months to a plague that lasted around several years. They did not have the medical knowledge, sanitary conditions, and communication access that we have now. Let Covid-19 run it's course unchecked like they did and you will see the same death totals that they did.

"The flu has caused more deaths than coronavirus" is a misleading statement. It's like saying the Lakers average 100 ppg with LeBron James averaging 35 ppg and his teammates combined average 65 ppg. If your the opposing coach who are you going to worry about, Lebron or his teammates? There are a millions of different strands of viruses that causes the flu but this particular strand is the one that is causing more problems than the other strands.
 
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