Coronavirus COVID-19 - Global Health Pandemic #70

[Tadpole12]

S, Thought provoking, but will keep mum.

 

[Reasonable & Just]

With CDC Sidelined, Some States Lose Access To Timely COVID-19 Hospital Data

"The directive came as a surprise to hospitals, according to Kansas Hospital Association spokesperson Cindy Samuelson.

"From our perspective, these changes are big," Samuelson says. "We only found out Tuesday, and we had to update the data by Wednesday night — so, less than 48 hours."

The Missouri Hospital Association currently does not have access to the new HHS system, according to Dillon. He says the new system is also significantly different from the CDC system.

"The new datasets for reporting are not identical and, in several cases, are ill-defined," Dillon says. "That has complicated hospitals' efforts."

In the wake of the announcement, the Missouri Department of Health and Senior Services posted a notice on its website warning that the daily and weekly hospital metrics would be temporarily halted.

"The State of Missouri will be unable to access critical hospitalization data during the transition. While we are working to collect interim data, situational awareness will be limited," the notice says. (The notice is also posted on the Missouri Hospital Association website.)

Dillon says the hospital association hopes to have "within a few days or weeks" the hospital and coronavirus data that had been available through the CDC.

"However, in the short term, we'll be very much in the dark," Dillon says.

The hospital association will create an alternative reporting system for hospitals, according to Dillon, and it plans to continue producing weekly reports, despite the uncertainty about data."


Keep in mind, this is how HHS determines remdesivir allocations. The chaos of this 48-hour implementation was not necessary.

 

[zecats]

My granddaughter is so much better today! The prednisolone made a huge difference!
Crisis averted. It was really scary. The before and after pics are amazing!
She is on the mend! Thank you for all your comments. Maybe, I'll sleep tonight!
I edited my avatar. This is my sweet grandbaby!
Moo

SO happy to hear this. And I do love this avatar, so much better. She's adorable.

 

[tresir2012]

Sorry if you already posted it, I’m struggling to catch up properly!! Are we likely to see a reduction in the overall death rate, as a result? I hope so

I just edited and added some info to my post. Yes, I am hoping it will end up reducing England figures, which would be some welcome good news anyway. MOO.

 

[BayouBelle_LA]

Yes, a holy mess! ....offering a different perspective.

CDC has issued guidance for reopening cities, states and schools. They are on the CDC website. I've read most.

Each state, city and county are encouraged by our health guru's to follow the guidance.

Cities, counties and states are arguing among themselves. Wear mask, don't wear mask, open schools, online schools, already lawsuits are being filed.

As some states, cities and counties do not apply or follow the guidance I ask myself..... How would the federal government go about enforcing an executive order to follow CDC guidance? Would the feds send in federal marshals? Would this it be handled in the court system? Would the Supreme Court decide?

There are many things I wish my elected state and local officials would do per the CDC guidance. I'm open here with my criticism. I'm just trying to invision federal intervention.

Moo....

Thanks for this perspective.

I think the Supreme Court would have to decide. Can you imagine how bogged down that would get.

Many people don’t understand federalism and the division of powers. The federal government cant’t force laws upon the states. It’s not that easy. Thus the pickle we are in.

Let’s not forget the Tenth Amendment to the United States Constitution.

The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.

 

[tresir2012]

With CDC Sidelined, Some States Lose Access To Timely COVID-19 Hospital Data

"The directive came as a surprise to hospitals, according to Kansas Hospital Association spokesperson Cindy Samuelson.

"From our perspective, these changes are big," Samuelson says. "We only found out Tuesday, and we had to update the data by Wednesday night — so, less than 48 hours."

The Missouri Hospital Association currently does not have access to the new HHS system, according to Dillon. He says the new system is also significantly different from the CDC system.

"The new datasets for reporting are not identical and, in several cases, are ill-defined," Dillon says. "That has complicated hospitals' efforts."

In the wake of the announcement, the Missouri Department of Health and Senior Services posted a notice on its website warning that the daily and weekly hospital metrics would be temporarily halted.

"The State of Missouri will be unable to access critical hospitalization data during the transition. While we are working to collect interim data, situational awareness will be limited," the notice says. (The notice is also posted on the Missouri Hospital Association website.)

Dillon says the hospital association hopes to have "within a few days or weeks" the hospital and coronavirus data that had been available through the CDC.

"However, in the short term, we'll be very much in the dark," Dillon says.

The hospital association will create an alternative reporting system for hospitals, according to Dillon, and it plans to continue producing weekly reports, despite the uncertainty about data."


Keep in mind, this is how HHS determines remdesivir allocations. The chaos of this 48-hour implementation was not necessary.

And as it was known about since April apparently. Presumably Dr. Fauci and other CDC knew it was coming down since April IMO. Also, the hospitals can report to the state and they upload the data as far as it was explained on the last thread. Not sure who or if the ball was dropped but I thought this was all resolved. Apparently not ?

 

[dixiegirl1035]

With CDC Sidelined, Some States Lose Access To Timely COVID-19 Hospital Data

"The directive came as a surprise to hospitals, according to Kansas Hospital Association spokesperson Cindy Samuelson.

"From our perspective, these changes are big," Samuelson says. "We only found out Tuesday, and we had to update the data by Wednesday night — so, less than 48 hours."

The Missouri Hospital Association currently does not have access to the new HHS system, according to Dillon. He says the new system is also significantly different from the CDC system.

"The new datasets for reporting are not identical and, in several cases, are ill-defined," Dillon says. "That has complicated hospitals' efforts."

In the wake of the announcement, the Missouri Department of Health and Senior Services posted a notice on its website warning that the daily and weekly hospital metrics would be temporarily halted.

"The State of Missouri will be unable to access critical hospitalization data during the transition. While we are working to collect interim data, situational awareness will be limited," the notice says. (The notice is also posted on the Missouri Hospital Association website.)

Dillon says the hospital association hopes to have "within a few days or weeks" the hospital and coronavirus data that had been available through the CDC.

"However, in the short term, we'll be very much in the dark," Dillon says.

The hospital association will create an alternative reporting system for hospitals, according to Dillon, and it plans to continue producing weekly reports, despite the uncertainty about data."


Keep in mind, this is how HHS determines remdesivir allocations. The chaos of this 48-hour implementation was not necessary.

Has Cuomo spoken to this?

 

[zecats]

Our county was founded on rights and we've been battling over rights since.

This is a good thing, think how far we have come since 1776 and we still have a long way to go to be fair and just for all.

Agreed, listening and following the direction of our health leaders should come from the very top. If not, then our next layer - our state, next our local level.

My biggest disappointment is my local leaders. These are the folks I go to church with, served on PTO, see regularly in my small community, they are my friends.

I always been confident they have the best interest of our citizens. Most feel that they do, by keeping the tax base flowing and businesses open. Some of us feel they've put money over public health.

This is even dividing communities, destroying long term friendships, and breeding hate.

I've come to accept some folks ain't gonna wear a mask no matter who says to. Virginia now has the State Mask Patrol and folks still won't wear a mask.

Moo...

I hear ya, and I understand what you're saying. You make some good points. It can tough losing friends and discovering how different people can be to our images of them.

Living in a state where people are complying though, allows me to see it's possible, and helpful, and can get us back to where we all want to be if we work together. Myself and my daughter and SIL and grandson lived in the same house with DH while he was sick. We wore masks when around him, stayed a certain distance from him..and none of us became infected. (That we know of, I should clarify.)

What I don't understand is what "rights" are being violated by asking people to wear a mask. Here in NJ, again, there are considerations for health issues and for people who are exercising and those who can stay a certain distance apart. Exactly how much time is required out of a day to wear something to protect yourself and others, only when inside or when social distancing is not possible? For the sake of stopping the spread of this virus? It doesn't seem that much to ask. IMO

 

[Sundog]

The National Academies of Science, Engineering and Medicine weigh in on the reopening of schools, particularly for K-5

https://www.nationalacademies.org/n...-grades-k-5-while-weighing-risks-and-benefits

 

[margarita25]

This is the video where Chris Cuomo talks about his lingering effects, including new onset of depression. There’s other good stuff at this video too- Tom Hanks speaks.

Eta: He is so smart, caring and frankly gorgeous imo. Lucky wife he has.

 

[CoverMeCagney]

I hear ya, and I understand what you're saying. You make some good points. It can tough losing friends and discovering how different people can be to our images of them.

Living in a state where people are complying though, allows me to see it's possible, and helpful, and can get us back to where we all want to be if we work together. Myself and my daughter and SIL and grandson lived in the same house with DH while he was sick. We wore masks when around him, stayed a certain distance from him..and none of us became infected. (That we know of, I should clarify.)

What I don't understand is what "rights" are being violated by asking people to wear a mask. Here in NJ, again, there are considerations for health issues and for people who are exercising and those who can stay a certain distance apart. Exactly how much time is required out of a day to wear something to protect yourself and others, only when inside or when social distancing is not possible? For the sake of stopping the spread of this virus? It doesn't seem that much to ask. IMO

I totally agree; it's possible if people stop being so indignant about it, and it shouldn't be too much to ask.

To simplify, it seems American rights primarily protect an individuals wants and needs above all else, whereas most other countries' rights are in place to protect society as a whole. Different mindset, different social conditioning, different outlook... and I think this is one reason why the US is struggling on the mask mandate front.

My own opinion, of course. I hope I was tactful enough.

 

[CharlestonGal]

I hear ya, and I understand what you're saying. You make some good points. It can tough losing friends and discovering how different people can be to our images of them.

Living in a state where people are complying though, allows me to see it's possible, and helpful, and can get us back to where we all want to be if we work together. Myself and my daughter and SIL and grandson lived in the same house with DH while he was sick. We wore masks when around him, stayed a certain distance from him..and none of us became infected. (That we know of, I should clarify.)

What I don't understand is what "rights" are being violated by asking people to wear a mask. Here in NJ, again, there are considerations for health issues and for people who are exercising and those who can stay a certain distance apart. Exactly how much time is required out of a day to wear something to protect yourself and others, only when inside or when social distancing is not possible? For the sake of stopping the spread of this virus? It doesn't seem that much to ask. IMO

It isn't much to ask. People are being contrary just to be contrary, imo. Some seem to pride themselves on not being "told what to do." Many also seem unable to grasp the concept of exponential spread of contagious disease or termination of transmission lines. Or public health in general. jmo

 

[Sundog]

In Ohio, K-12 schools received $44o million in direct federal funding from the CARES Act, and higher education received $190 million directly from the federal government. There is some discretion on how the schools and universities can use the money.

In addition to the federal aid to Ohio's public schools and universities, the state of Ohio received federal CARES Act funding directly, for their distribution to K-12 and universities - in the amount of $100 million for K-12 schools and $200 million for colleges and universities. This is all federal CARES Act money.

"Gov. Mike DeWine said funding could be used to enhance distance learning, to offset costs of social distancing changes or for COVID-19 testing."

https://patch.com/ohio/across-oh/officials-request-funding-ohio-schools

 

[Mo Thuairim]

Coronavirus symptoms fall into six different groupings, study finds

Symptoms of Covid-19 appear to fall into six different groupings, researchers have revealed, in work they say could help to predict whether a patient will end up needing a ventilator or other breathing support.

The team say the findings could give healthcare providers several days advanced warning of demand for hospital care and respiratory support.

But it could also help flag patients at risk of becoming seriously ill, meaning home support, such as an oxygen meter or nurse visits, could be provided so that any deterioration is spotted quickly and hospital attendance is prompt. At present, the team added, the average time to get to hospital with Covid-19 is 13 days.

“Anything you can do earlier to stop people coming in half-dead is going to increase the chance of survival and also stop clogging up hospital beds unnecessarily,” said Prof Tim Spector of King’s College London, a co-author of the work.

(...)

The six groupings, or “clusters”, are:

• Cluster 1: Mainly upper respiratory tract symptoms, such as a persistent cough, with muscle pain also present. About 1.5% of patients in this group required respiratory support, with 16% making one or more trips to hospital. This was the most common cluster of symptoms, affecting 462 participants.

• Cluster 2: Mainly upper respiratory tract symptoms, but also a greater frequency of skipped meals and fever. Of patients in this group 4.4% required respiratory support, with 17.5% making one or more trips to hospital.

• Cluster 3: Gastrointestinal symptoms such as diarrhoea, but few other symptoms. While only 3.7% of patients in this group later needed respiratory support, almost 24% made at least one visit to hospital.

• Cluster 4: Early signs of severe fatigue, continuous chest pain and cough. Of patients in this group 8.6% required respiratory support, with 23.6% making one or more trips to hospital.

• Cluster 5: Confusion, skipped meals and severe fatigue. Of patients in this group 9.9% required respiratory support, with 24.6% making one or more trips to hospital.

• Cluster 6: Marked respiratory distress including early onset of breathlessness and chest pain, as well as confusion, fatigue and gastrointestinal symptoms. Almost 20% of this group needed respiratory support and 45.5% made one or more visits to hospital. But this was the least common symptom cluster, affecting 167 participants.

The team said the first two clusters seem to be “milder” forms of Covid-19.

(Details of study at link)

 

[ilovewings]

Here’s what I would like to say to those politicians who don’t want to mandate the wearing of masks. Please tell your constituents the following: “The Covid-19 pandemic is real and many people are dying. If you are a good patriotic American who wants to do the right thing during a national crisis, you must wear a mask. I’m certain that all good Americans will find this a small price to pay in order to ensure the health and future prosperity of our great nation.” This is just my humble opinion and suggestion and MOO.

This is the least that those who run our government should do. It does not involve all that much. Let’s stop the wishy-washy, “It could be a good idea to wear a mask.” IMO

Also, this is not a mandate, just changing the narrative away from those who think only wimps wear masks.

You make far too much sense- so of course that will never happen LOL

 

[tresir2012]

It certainly looks that way from the news media. From up here in Canada, the mainstream US media reports so much on division, political conflict, scandal, incompetence and conspiracy. The words used in the headlines are warlike: "attack", "force", "battle", "opponents", rather than calming words like "problem-solving", "negotiation", "cooperation","colleagues". It creates the perception that the US is in a civil war on practically every subject under the sun. I don't know whether those headlines genuinely reflect the reality that everyone is at war with each other, or do they inflame or even create that perception?

I don't think it's any surprise that all governments, everywhere, are feeling their way through this pandemic, it's not a situation anyone really expected to go through. And people were not necessarily elected because they had the qualities that would be needed in this circumstance. IMO it's more important to muddle through together than have mutiny on board the ship.

I agree. We must all

Keep Calm and Carry On


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Keep Calm and Carry On was a motivational poster produced by the British government in 1939 in preparation for World War II. The poster was intended to raise the morale of the British public, threatened with widely predicted mass air attacks on major cities. Wikipedia

Sorry, cannot get rid of the weird uploads below

 

[ilovewings]

It certainly looks that way from the news media. From up here in Canada, the mainstream US media reports so much on division, political conflict, scandal, incompetence and conspiracy. The words used in the headlines are warlike: "attack", "force", "battle", "opponents", rather than calming words like "problem-solving", "negotiation", "cooperation","colleagues". It creates the perception that the US is in a civil war on practically every subject under the sun. I don't know whether those headlines genuinely reflect the reality that everyone is at war with each other, or do they inflame or even create that perception?

I don't think it's any surprise that all governments, everywhere, are feeling their way through this pandemic, it's not a situation anyone really expected to go through. And people were not necessarily elected because they had the qualities that would be needed in this circumstance. IMO it's more important to muddle through together than have mutiny on board the ship.

actually a pandemic has been expected by epidemiologists for quite a while. That is why there was a playbook left by prior administrations for all subsequent administrations, so they would be prepared: there was also a Pandemic task force (or whatever they were called) which was disbanded by Trump- this is NOT A POLITICAL MESSAGE: just a fact. I will leave it at that.

 

[ilovewings]

It isn't much to ask. People are being contrary just to be contrary, imo. Some seem to pride themselves on not being "told what to do." Many also seem unable to grasp the concept of exponential spread of contagious disease or termination of transmission lines. Or public health in general. jmo

Unfortunately this pandemic has brought out the worst of people (and sometimes the best), and has revealed how dumb some people really are- some are not dumb and are just being contrary and for many it is a political statement to follow their leader. I think you also hit on an important fact: some people seem unable to grasp the concept of a pandemic, what it actually is (as you so well describe)- they just don't get it- maybe they are too stupid to get it, i don't know; how could anybody call a hoax, an illness that has killed 140,000 and sickened over 3 million in our country alone? i mean you have to be a dunce !!!

 

[musicaljoke]

I noticed on the webpage of the district where I currently sub (and formerly worked as a teacher) that there is such a thing...a form that went out to parents for input. Not so sure teachers were offered the same courtesy. I see many of my colleagues posting on FB about their fears in returning and in trying to understand the guidelines for reopening they have recently received.

It will be a tremendous challenge for teachers to enforce the guidelines plus prepare and present lessons for the kids.

 

[BayouBelle_LA]

<modsnip: Quoted post was removed>

It will be 1 week tomorrow since our governor has mandated that we wear masks in public spaces. Everybody that I've seen has been complying. I've been out and about quite a bit in South Louisiana.