Coronavirus COVID-19 - Global Health Pandemic #56

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  • #701

Forget it. The profit margin will be at a loss. Or the prices will have to be so impossibility high that only the very rich can go out.

Add this, on top of the mandatory minimum living wage expense added to checks in Seattle. The death knell is already ringing. Very sad. There are a lot of great restaurants in Seattle. But very few, to none, that will be able to survive this.
 
  • #702
The text is blocked, can you cut and paste?
DEAR SAVVY SENIOR: Do currently offered vaccines against pneumonia provide seniors any protection against the coronavirus disease? I've always been bad about getting vaccinated, but this coronavirus pandemic is causing me to change my thinking.

— Pro-Vax Patty

DEAR PATTY: This is a great question. Because the coronavirus (COVID-19) attacks the lungs and respiratory system, many readers have asked whether the pneumonia vaccines, which are administered to millions of patients each year, might protect someone if they contract the coronavirus.

But unfortunately, the answer is no. Vaccines against pneumonia, such as pneumococcal vaccine and Haemophilus influenza type B vaccine, do not provide protection against the new coronavirus.

This virus is so new and different that it needs its own vaccine. Researchers are in the process of rapidly developing a vaccine against COVID-19, but it is expected to take at least a year before it's ready.

Having said that, you should also know that there are several other important vaccines the Centers for Disease Control and Prevention (CDC) recommends that all seniors should get up to date on after the coronavirus pandemic dies down. Here's a rundown of what they are, when you should get them, and how they're covered by Medicare.

• Flu vaccine: While annual flu shots are recommended each fall to everyone, they are very important for older adults to get because seniors have a much greater risk of developing dangerous flu complications. According to the CDC, last year up to 647,000 people were hospitalized and 61,200 died because of the flu — most of whom were age 65 and older.

To improve your chances of escaping the seasonal flu, this September or October consider a vaccine specifically designed for people 65 and older. The Fluzone High Dose or FLUAD are the two options that provide extra protection beyond what a standard flu shot offers. And all flu shots are covered under Medicare Part B.

• Pneumococcal vaccine: As previously stated, this vaccine protects against pneumonia, which hospitalizes around 250,000 Americans and kills about 50,000 each year. It's recommended that all seniors, 65 or older, get two separate vaccines — PCV13 (Prevnar 13) and PPSV23 (Pneumovax 23). Both vaccines, which are administered one year apart, protect against different strains of the bacteria to provide maximum protection. Medicare Part B covers both shots if they are taken at least a year apart.

• Shingles vaccine: Caused by the same virus that causes chicken pox, shingles is a painful, blistering skin rash that affects more than 1 million Americans every year. All people over age 50 should get the new Shingrix vaccine, which is given in two doses, two to six months apart. Even if you've already had shingles, you should still get this vaccination because reoccurring cases are possible. The CDC also recommends that anyone previously vaccinated with Zostavax be revaccinated with Shingrix because it's significantly more effective.

All Medicare Part D prescription drug plans cover shingles vaccinations, but coverage amounts and reimbursement rules vary depending on where the shot is given. Check your plan.

• Tdap vaccine: A one-time dose of the Tdap vaccine, which covers tetanus, diphtheria and pertussis (whooping cough) is recommended to all adults. If you've already had a Tdap shot, you should get a tetanus-diphtheria (Td) booster shot every 10 years. All Medicare Part D prescription drug plans cover these vaccinations.

Other vaccinations: Depending on your health conditions, preferences, age and future travel schedule, the CDC offers a "What Vaccines Do You Need" quiz at The Adult Vaccine Quiz | CDC to help you determine what additional vaccines may be appropriate for you. You also should talk to your doctor during your next visit about which vaccinations you should get.

To locate a site that offers any of these vaccines, go to HealthMap Vaccine Finder and type in your location.
 
  • #703
  • #704
I am to return to my library next Tuesday. We will be implementing curbside pick up of holds.
My office will work staggered schedules of every other day.
I'm also the head of the safety committee. Fun.
I appreciate all the help here in keeping me informed of the latest information as we all go forward.
I began reading this thread in late January and was fairly well prepared on the home front.
Sunday was the first time I went to a grocery store since Feb., and I only went because it was Mother's Day and I thought of something my Mom would enjoy.
 
  • #705
About to get interesting for us. DH is traveling to KS for his daughter (my step daughter) graduation. I wasn’t invited (long story) which is fine I’ll stay behind and take care of the farm. He’s flying. I kept a handful of n95 masks for us in case we needed to make a trip to the hospital (Farm life) I have 4 for each of us. I’m thinking now is the time to send them with him. One for each leg. Hoping he is smart about his precautions. I have to travel next week, just after he gets back. I get to drive at least and I’m going to an area with a relatively low count. This all seems like the prime time for one of us to pick it up and I’m not happy about it. We have done so much this long to avoid things and now we are stuck between rock and hard place. He admits he knows he needs to go but the thought of bringing the illness we have tried very hard to avoid back makes him uncomfortable. So he will go and I will go and we’ll have to be hyper aware again for symptoms.
 
  • #706
Hurricane Season Is Expected to Be Particularly Active This Year, and Coronavirus Could Make It Worse

13 May 2020

The start of the U.S. Atlantic hurricane season is just over two weeks away and forecasters are expecting particularly high activity this year. With warmer than usual conditions anticipated in the North Atlantic this summer, meteorologists have predicted that the season could produce eight or more hurricanes.

While forecasters cannot predict how many hurricanes—if any—will make landfall, the potential for dangerous storms to strike the southern and eastern coasts poses an additional problem for authorities already grappling with the COVID-19 pandemic.

Experts say that the pandemic is straining the capabilities of The Federal Emergency Management Agency (FEMA)—the government agency responsible for disaster coordination—and other organizations involved in responding to natural disasters

Read more: Hurricane season is expected to be particularly active this year, and coronavirus could make it worse

Thread to discuss 2020 Hurricane Season: 2020 Hurricane Season Starting Early, "High Activity" Expected This Year
 
  • #707
With California's leaders proclamations since last Friday, the writing is on the wall and we have to leave.
Our income has been cut to 40% of what it was, and we were on a very slippery slope even before this. We were holding our own, but, certainly not thriving.
Now, it is plain old unsubstanable.
Just the facts.
We certainly won't be the only ones losing our business and fleeing California.
I predict a huge crash in California. Yeah, we have tech companies here, but even they have been leaving for less expensive States. My daughter is a head hunter for computer technicians.
Once a job applicant learns the true costs of working and living in California they often decline, even 6 figure salaries.
So, we've got to go. We cannot survive the plans that our governor has in store for us.
We're looking at coastal North Carolina.
Anyone live in NC? If you have input, I'd love to hear. I'M please
Kali

Haven't been there in several years, but you'll have to adjust to dealing with hurricane season. Cost of living is probably lower than CA, depending on where you settle. California has a much better system for health care coverage for the uninsured. Most southern states, including NC, have little to nothing in the way of Medicaid - its give mostly to children, rarely to anyone else. So if you move there as uninsured, you'll be on your own. That applies to most southern states these days. <modsnip> I have a friend who moved there from Cali a couple of years ago and she likes it ok. She lives in a senior apartment complex where many of the residents are also from out of state.
 
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  • #708
Reopening archives, libraries,and museums (REALM) project page is here:

Reopening Archives, Libraries and Museums (REALM) Information Hub: A COVID-19 Research Project

They are running lab tests with commonly used materials. And FYI, we got an email earlier this week stating that there is not certainty that a 72 hour quarantine of materials is safe. We are advised for now to quarantine materials for up to a week.

Our library is going to open up limited hours for curbside service June 1st unless the governor’s orders change. Beyond that, we will begin to prepare for allowing the public back in. All children’s toys and every chair will go into storage. We will advertise it as a “get in and get out” situation. Our entire front desk will be behind plexiglass. Patrons and employees will be required to wear masks (and I think this will be the case no matter what state guidance is at that point because too many of us are high risk).

Sounds like a nightmare. I'll be interested to hear how many patrons there are. Is this a publically funded library? jmo
 
  • #709
CIA Believes China Tried to Stop WHO Declaring Public Emergency

CIA Believes China Tried to Stop WHO Declaring Public Emergency

Tom O'Connor
8 hrs ago
...
The CIA believes China tried to prevent the World Health Organization from sounding the alarm on the coronavirus outbreak in January—a time when Beijing was stockpiling medical supplies from around the world. A CIA report, the contents of which were confirmed to Newsweek by two U.S. intelligence officials, said China threatened the WHO that the country would stop cooperating with the agency's coronavirus investigation if the organization declared a global health emergency.

It was the second such report from a Western intelligence service and is likely to further inflame tensions between the United States and China over a pandemic that has killed 280,000 people worldwide—more than a quarter of them American.

The first report, a German intelligence assessment published by Der Spiegel last week, accused Chinese President Xi Jinping of personally applying pressure on WHO Director-General Tedros Adhanom Ghebreyesus on January 21.
...

WHO Statement on false allegations in Der Spiegel
 
  • #710
From May 8, those going to Bishan-Ang Mo Kio Park will be reminded to practise safe distancing by a robot. For two weeks, it will trawl the park to reduce the need for physical contact and human patrols. It is on trial to deliver medicine

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  • #711
CoVid's actual name is SARS-CoVid-2. CoVid IS SARS.

Coronavirus vs. SARS: How Do They Differ?

"Both COVID-19 and SARS are caused by coronaviruses. The virus that causes SARS is known as SARS-CoV, while the virus that causes COVID-19 is known as SARS-CoV-2."

The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2

same species: Severe acute respiratory syndrone-related coronavirus
same Genus: Betacoronavirus

Severe acute respiratory syndrome-related coronavirus - Wikipedia

Betacoronavirus - Wikipedia


"Lineage B, (subgenus Sarbecovirus) includes SARSr-CoV (which includes all it's strains such as SARS-CoV, SARS-CoV-2 and Bat SL-CoV-WIV1)"

ETA: FMI
 
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  • #712
  • #713
Thanks! I have a plastic small one on order (yah Amazon) but their sloping backyard won’t accommodate anything much bigger. I had a pool company go last week assess and provide an estimate for an above ground but would have to bring in dirt and remove two pines to make it level enough. I’m still exploring options.

What about a swim spa?
 
  • #714
  • #715
Tragedy as two cleaners at one NHS hospital lose lives after contracting coronavirus



Tragedy as two cleaners at one NHS hospital lose lives after contracting coronavirus

Martyn Halle & Ryan Merrifield
3 hrs ago
Two cleaners from the same south London hospital have died after contracting coronavirus, according to reports.

Salih Hasan and Fyngs Mullings both worked at St George's Hospital in Totting for the private cleaning giant Mitie.

Their deaths again raise the issue of increased risk run by low-paid front line workers.

The firm confirmed two of the cleaners died from the killer bug, while a third unnamed employee, who is also believed to have died from COVID-19, is yet to be confirmed.

They worked as part of the cleaning team looking after wards and corridors at the hospital.
 
  • #716
Well, my son had to suck it up and wear a mask yesterday. My grandson fell off their bed and broke his right collarbone/clavicle. He called and asked of it was safer to go to urgent care or if he should go to ER.
ER... sigh... My son said they questioned him repeatedly about travel and exposure, took their temps several times and after about 2 hours they went to x-ray.
Broken.
So, my son's fiance has to find an orthopedic and make an appointment for a "later date".
I guess this is a lesson that life, in fact does go on and we can only quarantine to a point.
Poir little guy is only 15 months old! It makes me sad to know he has a broken bone.
Moo
 
  • #717
Doctors do recommend that people over a certain age get the pneumonia vaccine, however, to safeguard against a secondary infection as a result of being sick with COVID-19. I am not sure if the age is 60 or 65, but most pharmacists will give the shot and charge your health plan.
In UK it is 65. But they do not routinely give it, only if you request or you are in vulnerable group.
 
  • #718
Well, my son had to suck it up and wear a mask yesterday. My grandson fell off their bed and broke his right collarbone/clavicle. He called and asked of it was safer to go to urgent care or if he should go to ER.
ER... sigh... My son said they questioned him repeatedly about travel and exposure, took their temps several times and after about 2 hours they went to x-ray.
Broken.
So, my son's fiance has to find an orthopedic and make an appointment for a "later date".
I guess this is a lesson that life, in fact does go on and we can only quarantine to a point.
Poir little guy is only 15 months old! It makes me sad to know he has a broken bone.
Moo

Oh, poor little man! A broken collarbone would be bad enough in ‘normal’ times. I wish him a steady recovery ❤️
 
  • #719
Well, my son had to suck it up and wear a mask yesterday. My grandson fell off their bed and broke his right collarbone/clavicle. He called and asked of it was safer to go to urgent care or if he should go to ER.
ER... sigh... My son said they questioned him repeatedly about travel and exposure, took their temps several times and after about 2 hours they went to x-ray.
Broken.
So, my son's fiance has to find an orthopedic and make an appointment for a "later date".
I guess this is a lesson that life, in fact does go on and we can only quarantine to a point.
Poir little guy is only 15 months old! It makes me sad to know he has a broken bone.
Moo
Awww...poor little guy. I hate it when our babies get hurt. We can't even explain it to them. Give him a virtual hug for me.
❤️
 
  • #720
It's not that difficult for doctors to know the difference. Did you read my link about how it can be distinguished upon x-ray (or MRI if a hospital has one)?

Easy peasy. Also, you can just take blood from someone and the lab can tell the difference. That's what hospitals do.

A person who has CoVid and has glass-like shards ini their lungs...that was caused by CoVid. If the person also has strep, then they have another, secondary condition (probably due to a weakened immune system - we all have strep in our bodies but most of us don't get pneumonia until we get old enough that our immune systems are pooping out - which is probably related to something called telomeres...and that's likely in the genes we were born with).

I can't imagine that any doctor can't diagnose strep-based pneumonia via serology or other labwork. And, in the Standard of Care here in California, IV antibiotics that treat bacterial pneumonia are started right away with CoVid patients, because even if they don't have it - they are now prone to all strep infections - and not just in the lungs.

IMO. Were you surprised that one thing can have two causes? It's often even more than that (if we try to trace medical things back to their root causes).
I'm not surprised by anything when I read a doctor can puncture someone's lung when giving them an injection for arthritis. Regarding the different pneumonia that Covid patients get, the difficulties were explained in the article I posted I think. But I will have to go back and remind myself of it again as I have posted and read a lot of links. All I know is I will be asking for my free pneumonia jab when I get my free flu jab in September and getting my OH to get it too. If it gets rid of one of the pneumonias then that's one less to worry about if we did get CV19.

Here's the link I originally posted.

Differentiating viral from bacterial pneumonia - CEBM

Advice from the link.

MANAGING SUSPECTED OR CONFIRMED PNEUMONIA IN ADULTS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC
In the UK, the National Institute for Health and Care Excellence (NICE) has produced rapid guidelines for managing suspected or confirmed pneumonia in adults in the community during the COVID-19 pandemic. The guidance makes specific reference to differentiating viral COVID-19 pneumonia from bacterial pneumonia as follows:

COVID‑19 viral pneumonia may be more likely if the patient: A bacterial cause of pneumonia may be more likely if the patient:
  • presents with a history of typical COVID‑19 symptoms for about a week
  • has severe muscle pain (myalgia)
  • has a loss of sense of smell (anosmia)
  • is breathless but has no pleuritic pain
  • has a history of exposure to known or suspected COVID‑19, such as a household or workplace contact.
  • becomes rapidly unwell after only a few days of symptoms
  • does not have a history of typical COVID‑19 symptoms
  • has pleuritic pain
  • has purulent sputum.
Expert opinion added suggestions include*

Viral pneumonia more likely if Bacterial Pneumonia more likely if
  • Insidious onset
  • Lower temperature
  • Tachycardia or tachypnea out of proportion to the temperature
  • A paucity of physical findings on pulmonary exam disproportionate to the level of disability
  • Bilateral positive lung finding
  • Acute onset
  • Higher temperature
  • Unilateral positive lung findings
*Viral Pneumonia. [Updated 2019 Dec 25]. StatPearls Publishing; 2020 Jan-. Available from: Viral Pneumonia - StatPearls - NCBI Bookshelf

If management can be maintained in the community, NICE goes on to suggest that:

  • As COVID‑19 pneumonia is caused by a virus, antibiotics are ineffective.
  • Do not offer an antibiotic for treatment or prevention of pneumonia if:
    • COVID‑19 is likely to be the cause and
    • symptoms are mild.
  • Offer an oral antibiotic for the treatment of pneumonia in people who can or wish to be treated in the community if:
    • the likely cause is bacterial or
    • it is unclear whether the cause is bacterial or viral and symptoms are more concerning or
    • they are at high risk of complications because, for example, they are older or frail, or have a pre-existing comorbidity such as immunosuppression or significant heart or lung disease (for example bronchiectasis or COPD), or have a history of severe illness following a previous lung infection.
  • When starting antibiotic treatment, the first-choice oral antibiotic is:
    • doxycycline 200 mg on the first day, then 100 mg once a day for 5 days in total (not in pregnancy)
    • alternative: amoxicillin 500 mg 3 times a day for 5 days.
  • Do not routinely use dual antibiotics.
  • For the choice of antibiotics in penicillin allergy, pregnancy and more severe disease, or if atypical pathogens are likely, see the recommendations on the choice of antibiotic in the NICE antimicrobial prescribing guideline on community-acquired pneumonia.
  • Start antibiotic treatment as soon as possible, taking into account any different methods needed to deliver medicines to patients during the COVID‑19 pandemic
  • Do not routinely offer a corticosteroid * unless the patient has other conditions for which these are indicated, such as asthma or COPD.
  • Safety net and review as appropriate
*Corticosteroids were widely used during the 2002-3 SARS outbreak. However, in a subsequent systematic review, including 29 low-quality studies of steroid use, reported on 25 studies that were inconclusive and four reported possible harm from steroid use. A further evidence review did not support corticosteroid treatment, reporting no evidence of net benefit with corticosteroids in “respiratory infection due to RSV, influenza, SARS-CoV, or MERS-CoV”, and that corticosteroids probably impair clearance of SARS-CoV.

CONCLUSIONS
Distinguishing viral pneumonia from bacterial pneumonia is difficult. There are important cues in history and the examination that can help differentiate the two. The clinician should be aware that the coexistence of viral and bacterial pneumonia increases the risk of death.

(My note. Please refer to the actual link as info is in table format which did not replicate above)
 
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