Coronavirus COVID-19 - Global Health Pandemic #70

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Wow...


Less than three weeks after reopening its borders to international visitors, the Bahamas on Sunday announced that it is closing all of its airports and seaports to tourists from the United States, effective Wednesday.

Bahamasair, the country’s national carrier, will cease all outgoing flights to the United States immediately, Prime Minister Hubert Minnis said in a national address Sunday.

Outgoing commercial flights will still be permitted to accommodate visitors scheduled to leave the Bahamas after Wednesday, he said. Visitors from Canada, the United Kingdom and the European Union will still be permitted to visit as long as they can show proof of a negative COVID-19 RT PCR test from an accredited laboratory taken within 10 days of their arrival.


Read more here: https://www.miamiherald.com/news/nation-world/world/americas/article244340147.html#storylink=cpy
 
I found these old pics from 1918 and 1920 quite fascinating. It seems that masks were a major part of the fight against the Influenza pandemic back then. I guess some things don't change that much.

Army-hospital.jpg


Source: When the Spanish flu struck in 1918 and its impact here - The Suffolk Times

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Source: NoCookies | The Australian

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Source: Face mask fashion, and the value of vaccination: lessons from the Spanish flu
 
Oregon:
https://www.kgw.com/mobile/article/...lmed/283-5179531d-bae2-4d7e-8df2-b08969100efc
Here are the 13 Oregon ZIP codes that had the most new COVID-19 cases last week
July 16

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'We really need help': Coronavirus overwhelms rural Oregon

“The coronavirus has torn through the small Oregon community where farmers grow crops such as potatoes, onions and grains. In Umatilla County, where Pendleton is located, the rate of people testing positive for COVID-19 is about 16%. That's a measure of how widespread the disease is in the community, and the World Health Organization recommends it stay below 5%.

In the county with a population of 77,000, the virus has infected more than a thousand people and killed nine, overwhelming its limited resources and employees.

“I’m tired,” said Griggs, who's working as a contact tracer.

The pandemic sweeping through major U.S. cities is now wreaking havoc on rural communities, with some recording the nation's most new confirmed cases per capita in the past two weeks. The virus is infecting thousands of often impoverished rural residents every day, swamping struggling health care systems and piling responsibility on government workers who often perform multiple jobs they never signed up for.

Officials attribute much of the spread in rural America to outbreaks in workplaces, living facilities and social gatherings. Food processing plants and farms, where people typically work in cramped quarters, have proven to be hot spots.”

[...]

“Officials recognize that rural case numbers are low compared with city totals, but even a slight increase can push a small community over the edge.

“We’ve discovered we are getting really overwhelmed by the rapid numbers in the rise we are seeing now,” Umatilla County Commissioner George Murdock said. “We really need help.”

The county has received guidance, contact tracers, case investigators and equipment from the state, but Murdock says more help might be necessary. Officials need housing alternatives for people who have COVID-19 or are living with multiple families and field teams to serve at-risk residents and distribute federal aid to poor families, he said.”
 
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I don't claim to know the answer, but I am beginning to wonder if the "Swedish Method" might be the best way?
I think I know what you mean. LOL. Herd immunity. I think the slow way to herd immunity is what the UK is doing. As long as our public health service can cope and we can minimize the serious cases and deaths using whack a mole where necessary, I am hoping we have the vaccine by September. It's looking hopeful IMO.
 
‘COVID is punching us in the mouth and we're adapting,’ says LAC+USC chief medical officer
July 17

“LA County’s hospitalization rate has jumped more than 30% in the past three weeks, according to the LA Times.”

[...]

“We are finding it increasingly difficult to find non-impacted hospitals. ... There's [sic] 10,000 different pandemics burning across 10,000 counties in the United States. ... We all need to recognize that we all play a role, and that physical distancing, wearing your masks, washing your hands is part of a community sense of responsibility.

We understand that you can't just shut the economy down forever because that will kill people too. And I don't envy leadership in trying to balance these forces. But when the health care system becomes overwhelmed, that's when really society runs into serious problems. ... Our doctors, and nurses, and respiratory therapists, and phlebotomists are coming to work every day going into the danger zone. We need the public to work with us to control the rate at which patients are coming to the hospital.””

[...]

“More what we see are problems of spread within families that are living in crowded environments, where it's difficult to self isolate at home.

… We do have to be sensitive and respectful to the fact that there is economic damage that this virus causes. And people can die from the virus, but they can also starve to death, and people have to make a living. And that's that balance that's very hard to strike. But I think [it] becomes imbalanced when we allow the cases to progress at a rate that the health system simply can't handle anymore.””
 
No improper debate imo. :)

It is good to know how the covid financial assistance works. After all, we will all have to bear the brunt of these loans for many years to come.

My country is going to try to stabilise (end it, in areas where it can) the covid assistance by the end of September - if that is humanly possible.
My view is that any borrowing private individuals or governments can get at interest rates less than the rate of inflation is usually a good move anyway. Borrowing money for a vaccine seems like a good investment. just heard on our BBC news on the radio that UK has invested/negotiated with several vaccine companies to secure doses. I will find a link and add it to the post.

UK signs deals for 90 million virus vaccine doses

This is a link for signing up to help the NHS in the UK with their research -

Sign up to be contacted for coronavirus vaccine studies

Here's another link regarding other virus and vaccine news.

Coronavirus Breaking News
 
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I don't claim to know the answer, but I am beginning to wonder if the "Swedish Method" might be the best way?

Just curious why you would think the Swedish method, which has one of the highest death rates in the world, is preferrable to the Norway method, which has one of the lowest death rates in the world?
 
Wow, just wow, very powerful, informative, interesting opening remarks from the Director General (as usual) in last Monday’s briefing (catching up on last week’s press conferences). Doc T, Dr. Mike and Co. never cease to impress and inspire me, and I am SO grateful for them, all they have done, how hard they have worked, and continue to work, how consistently they have communicated with us and answered everyone’s questions from around the World and exhibited strong leadership...These poor guys have been doing this 3 times a week every week since January (they have just changed to twice a week), in addition to everything else they somehow manage to do. I hope they are getting enough rest, etc. and I look forward to the day they can relax for a bit!

WHO Director-General's opening remarks at the media briefing on COVID-19 - 13 July 2020
13 July 2020
Source

“Good morning, good afternoon and good evening.

Yesterday, 230,000 cases of COVID-19 were reported to WHO.

Almost 80% of those cases were reported from just 10 countries, and 50% come from just two countries.

Although the number of daily deaths remains relatively stable, there is a lot to be concerned about.

All countries are at risk of the virus, as you know, but not all countries have been affected in the same way.

There are roughly four situations playing out across the world at the moment.

The first situation is countries that were alert and aware – they prepared and responded rapidly and effectively to the first cases. As a result, they have so far avoided large outbreaks.

Several countries in the Mekong region, the Pacific, the Caribbean and Africa fit into that category.

Leaders of those countries took command of the emergency and communicated effectively with their populations about the measures that had to be taken.

They pursued a comprehensive strategy to find, isolate, test and care for cases, and to trace and quarantine contacts, and were able to suppress the virus.

The second situation is countries in which there was a major outbreak that was brought under control through a combination of strong leadership and populations adhering to key public health measures.

Many countries in Europe and elsewhere have demonstrated that it is possible to bring large outbreaks under control.

In both of these first two situations, where countries have effectively suppressed the virus, leaders are opening up their societies on a data-driven, step-by-step basis, with a comprehensive public health approach, backed by a strong health workforce and community buy-in.

The third situation we’re seeing is countries that overcame the first peak of the outbreak, but having eased restrictions, are now struggling with new peaks and accelerating cases.

In several countries across the world, we are now seeing dangerous increases in cases, and hospital wards filling up again.

It would appear that many countries are losing gains made as proven measures to reduce risk are not implemented or followed.

The fourth situation is those countries that are in the intense transmission phase of their outbreak.

We’re seeing this across the Americas, South Asia, and several countries in Africa.

The epicentre of the virus remains in the Americas, where more than 50% of the world’s cases have been recorded.

But we know from the first two situations that it’s never too late to bring the virus under control, even if there’s been explosive transmission.

In some cities and regions where transmission is intense, severe restrictions have been reinstated to bring the outbreak under control.

WHO is committed to working with all countries and all people to suppress transmission, reduce mortality, support communities to protect themselves and others, and support strong government leadership and coordination.

===

Let me blunt, too many countries are headed in the wrong direction.

The virus remains public enemy number one, but the actions of many governments and people do not reflect this.

The only aim of the virus is to find people to infect.

Mixed messages from leaders are undermining the most critical ingredient of any response: trust.

If governments do not clearly communicate with their citizens and roll out a comprehensive strategy focused on suppressing transmission and saving lives;

If populations do not follow the basic public health principles of physical distancing, hand washing, wearing masks, coughing etiquette and staying at home when sick;

If the basics aren’t followed, there is only one way this pandemic is going to go.

It’s going to get worse and worse and worse.

But it does not have to be this way.

Every single leader, every single government and every single person can do their bit to break chains of transmission and end the collective suffering.

I am not saying it’s easy; it’s clearly not.

I know that many leaders are working in difficult circumstances.

I know that there are other health, economic, social and cultural challenges to weigh up.

Just today, the latest edition of the State of Food Security and Nutrition in the World was published, which estimates that almost 690 million people went hungry in 2019.

While it’s too soon to assess the full impact of COVID-19, the report estimates that 130 million more people may face chronic hunger by the end of this year.

There are no shortcuts out of this pandemic.

We all hope there will be an effective vaccine, but we need to focus on using the tools we have now to suppress transmission and save lives.

We need to reach a sustainable situation where we have adequate control of this virus without shutting down our lives entirely, or lurching from lockdown to lockdown; which has a hugely detrimental impact on societies.

===

I want to be straight with you: there will be no return to the “old normal” for the foreseeable future.

But there is a roadmap to a situation where we can control the disease and get on with our lives.

But this is going to require three things:

First, a focus on reducing mortality and suppressing transmission.

Second, an empowered, engaged community that takes individual behaviour measures in the interest of each other.

And third, we need strong government leadership and coordination of comprehensive strategies that are communicated clearly and consistently.

It can be done. It must be done. I have said it before and I will keep saying it.

No matter where a country is in its epidemic curve, it is never too late to take decisive action.

Implement the basics and work with community leaders and all stakeholders to deliver clear public health messages.

We weren’t prepared collectively, but we must use all the tools we have to bring this pandemic under control. And we need to do it right now.

Together, we must accelerate the science as quickly as possible, find joint solutions to COVID-19 and through solidarity build a cohesive global response.

Science, solutions and solidarity.

I thank you.”

Monday, July 13, 2020
Press briefings
(1 week ago from today / PC from last Monday)

 
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Nearly all coronavirus cases now in Victoria may have link to hotel quarantine, inquiry told

Nearly all coronavirus cases now in Victoria may have link to hotel quarantine, inquiry told

Josh Taylor

4 hrs ago
...
The inquiry heard on Monday that there is evidence that many if not all of the current cases of coronavirus could be linked to the hotel outbreaks.

“Information already available to the inquiry suggests the possibility of a link between many of the cases of coronavirus identified in the Victorian community in the past few weeks, and persons who were quarantined under the hotel quarantine program,” Neal said.

“Comments made by the chief health officer to the media have suggested that it might even be that every case of Covid-19 in Victoria in recent weeks, could be sourced to the hotel quarantine program.”

The inquiry will look at what decisions were made to implement the hotel quarantine in its original form, who made those decisions and oversaw the implementation, decision making around contractual arrangements and the suitability of service providers under those contracts.
 
All of our tests have been negative. I’m actually currently sitting at urgent care with my youngest waiting on yet another rapid test result which I am sure will also be negative. Alas, if you come to urgent care with any symptom of covid (and let’s face it, that’s pretty much any symptom you can think of), you get swabbed. Sigh.

So the only thing we might be over-inflating would be the number of negative test results. I’ve heard they have some sort of system not to double count the positives but I have doubts as to how accurate that might be. They did stop counting rapid test results which is dumb IMO because nobody with a positive rapid test is also wasting their time on a PCR test unless they end up in the hospital. So, if anything, the number of positives should be far higher.


All PCR and antibodies are tracked on a state level by labs directly to SHD. Its just a "test" count. (Just like our national flu surveillance program)

"Patients" are counted by diagnosis by local HD.

All HC workers are required by law to report communicable disease to the local health dept. Once HD has a "diagnosis" the patient is "counted", entered into the State tracking system, followed, and contract tracing begins on a local level.

Some states do a break down of confirmed/unconfirmed but are required by CDC to report as active in the total.

Basically we are running two separate count systems. One for total test at the state level and one for patients by local health depts.


Moo... I think we are capturing the positive "patients"because two entirely separate systems are being used.

Until your post, I never thought about the number of rapid "test" performed not being tracked and counted. Counting rapid test could give a false low positivity rate for communities. NHs, EMTs, etc are using rapid test to screen employees, some on a daily basis.
 
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US scientists rebuke Trump over coronavirus response and other affronts

US scientists rebuke Trump over coronavirus response and other affronts

Emily Holden in Washington

2 hrs ago
...
More than 1,200 members of the US National Academy of Sciences have rebuked Donald Trump’s “denigration of scientific expertise”, an unusual move for a community which has historically avoided the political sphere.

Related: Short and to the point: five Fauci quotes to get you through the week

The co-organizers of an open letter seeking to “restore science-based policy in government” say they have rapidly gained signatures during the coronavirus pandemic.

Scientists have watched the Trump administration downplay the crisis and ignore expert advice, including the need to wear masks and the dangers of using unproven drugs.

In the latest affront to the scientific world, the White House is reportedly seeking to block funding for testing and tracing, which scientists widely agree is critical to slowing the spread of the coronavirus.
On Sunday, Trump called the nation’s top infectious disease expert, Anthony Fauci, a “little bit of an alarmist”.
...
“It’s one thing for the political establishment not to respond very well to a crisis that happens around the world,” Manski said. “It’s quite another thing to be actively denigrating the science and making things up routinely.”

Trump has recently attacked guidelines for school reopening from the Centers for Disease Control and Prevention (CDC), calling them expensive and impractical.

In response, four former directors of the CDC wrote an op-ed in the Washington Post, warning that “public health experts face two opponents: Covid-19, but also political leaders and others attempting to undermine” their work.

“These repeated efforts to subvert sound public health guidelines introduce chaos and uncertainty while unnecessarily putting lives at risk,” they said.
 
The companies providing the money often apply pressure to pursue the therapies they can profit most from. Research and drug development need to be as independent as possible to achieve real progress.


Our colleges and universities would not be able to fund research and labs without RD money from drug companies. These are our new fresh minds, future discoverers. Many discoveries are made by our colleges and universities.

Any drug, therapy or vaccine still has to pass the FDA process. We may be fast tracking these vaccines but the FDA is not reducing any of the requirements for approval.
 
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Imo, the jury is still out on the blood type relation. I’ve seen reports go both ways:

Harvard / July 17:

“”This evidence should help put to rest previous reports of a possible association between blood type A and a higher risk for COVID-19 infection and mortality,” Dua said.”

COVID and Blood Type

eta: I see @slowpoke posted the same thing:


—-

Your blood type might not matter at all for COVID-19 risk, new studies suggest

—-

Blood types and coronavirus: Are certain types more vulnerable to Covid-19? - CNN

—-

Re: test,

I wonder if it’s similar to this?

Breakthrough: New Blood Test Detects Positive COVID-19 Result in 20 minutes

There are also saliva tests, and I saw one company from Sweden on the news the other day producing a breath test that detects gases.

Saliva Tests: How They Work and What They Bring to COVID-19

Coronavirus (COVID-19) Update: FDA Authorizes First Diagnostic Test Using At-Home Collection of Saliva Specimens

New COVID-19 Saliva Test Is Born in Columbia Fertility Clinic

Pilot Program Offers Free Saliva COVID-19 Testing For Tarrant County Residents

Coronavirus saliva test in Houston located near NRG | khou.com

—-

In South Africa, COVID-19 Breath Test Trial Set for June

Ohio State researchers testing breathalyzer to detect COVID-19

Team to develop Breathalyzer-like diagnostic test for COVID-19

BGU researcher develops one-minute COVID-19 breath test

Breath of Hope: COVID-19 breathalyzer testing in development | Children's Hospital of Philadelphia

—-
FDA:
Coronavirus Testing Basics

What Takes So Long? A Behind-The-Scenes Look At The Steps Involved In COVID-19 Testing
March 30

Answers to common questions about COVID-19 testing | Norton Healthcare Louisville, Ky.
May 19

CDC / Information for Laboratories about Coronavirus (COVID-19)
July 3


I've also got eyes on this, as well. Of course, I'm B positive.
 
I promise you there is a spectacular collaboration from scientists all over the world. Don’t worry about this, my friend. Last I heard there are 166ish entities, iirc, There is a strong network of data sharing among scientists and labs globally which has been in place since the beginning and it’s continuously being strengthened and growing. I also promise you that WHO is not only focused laser focused on this global collaboration, but also on equitable distribution, with a prioritized focus on health workers and others who are most vulnerable. This is all part of the ACT Accelerator, COVAX, and it is an amazing collaboration.











Source:
COVID-19 -Media, Maps, Videos, Timelines, CDC/WHO Resources, etc. ***NO DISCUSSION***

—-

Take a look at this WHO Technical Update just on the vaccines, COVAX and the ACT Accelerator. This is all so unprecedented and really magnificent. I highly, highly recommended watching this, as I have only noted snippets above and didn’t provide transcriptions for all the speakers:

LIVE: COVID-19 ACT-Accelerator Technical Update and Press Briefing / June 26


The NIH director was ask about the Russian hack by Chuck Todd Sunday am. He kinda chuckles and says....Don't know why they would have hacked, all the information is out there. We've very transparent.

Also ask, if he would fire Fauci. He said, Christine Grady was Dr Fauci's real boss and might have something to say about that and laughed.

The NIH director is so entertaining and reminds me so much of Dr Fauci. He did a national pitch to join clinical trials for the vaccine, Chuck kept trying to interrupt him and he just kept going.

A must watch.... NBC could have selected a better headline MOO, it was mostly about the vaccine.


NIH Director: States 'didn’t really pay that much attention to CDC recommendations'
 
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