Coronavirus COVID-19 - Global Health Pandemic #75

Status
Not open for further replies.
  • #881
Ohio updates travel advisory states | NBC4 WCMH-TV

Of the four states on this week’s travel advisory, Mississippi has the highest positivity rate, 23 percent. Nevada is next at 18 percent, then Florida at 16 percent, and finally Idaho at 15 percent.

Ohio’s positivity rate is 4 percent.
 
  • #882
I'm glad they did. But there is an enormous difference between "contract tracing" and giving reporters information in the hopes that people see them. I'm discouraged but unsurprised. There is no way to contract trace the number of people in Sturgis last week.
I doubt the Sturgis riders would have left their contact info with anyone - or whether anyone tried to collect it. IMO most likely they will be showing up sick back in their home state, and whether they contracted it in Sturgis, or stopping at a bar on the way home, etc, will never be determined or shared.
 
  • #883
The US is contact tracing in every state.

The Health Dept contacts each positive person.

It is up to the Covid positive person to give the names and if available the phone number or any information to the contract traced.

Could it be the person did not, for whatever reason give the state health dept contact tracer your husband's information? I know some have not wished to give out the information for privacy reasons.

MOO...

This is absolutely not happening here in California, not in my county and not in Los Angeles County, either. I have participated in contact tracer training, and a former student of mine is in fact a contact tracer inside the Health Department. She has shown me all kinds of evidence that not everyone is contacted. In fact, as of June 1, she had a list of many people who had CoVid, and they still hadn't figured out what to do about those cases - no contact. County Board of Supervisors made a lukewarm recommendation to follow CDC recommendations - that has not happened.

Contact tracing means different things to different people, but the first step is alerting the sick person that they are sick (and as you may know, several states are 2-3 weeks behind in doing this - which is not contact tracing, at all - it makes contact tracing nearly impossible). I think we're now at 2-3 days before contacting the patient - but only ⅓ of patients respond to Public Health with any information that would aid in contact tracing.

The patients are notified by Quest Labs OR by Public Health, depending on how they did their tests. Not everyone goes to the public tests, many (like me) would prefer an Rx and to have one's doctor prescribe and review.

My best friend's brother tested positive in another state, 7 days ago. It took 5 days post-swab for him to get the results, which arrived with a court order mandating him to stay home. But there was no attempt to get contact information from him (and he had just been at a family gathering - naturally he warned them, and then, my friend warned anyone she was in contact with; her brother and sister, however, only told their immediate family members).

No contact tracing (big city, Western state). I am part of a group of Arizonans (mostly Northern Arizona) and they've been waiting 20+ days for their test results. They are teachers and students, they're continuing to work at their regular jobs (masked, socially distant) but the ones who tested positive were not asked for information about who they were contact with (yet).

Santa Clara County, OTOH, knew what contact tracing was and started immediately back in March...big differences in numbers. We can't even get official data on how many L.A. Marathon participants were positive...but we know it was quite a few, as they posted about it on SM - but no announcements went out warning people who participated to go get tested (obviously, the infected runners would not know the names of other people).

So if you live in a state where contact tracing is happening routinely, be glad.
 
  • #884
This is how it should work in California.

Contact tracing - Coronavirus COVID-19 Response

Contact tracing
Last updated August 17, 2020 at 5:03 PM

Contact tracing is an important step in slowing the spread of COVID-19. It’s when health workers notify you that you’ve been in close contact with an infected person. They will tell you how to quarantine or isolate and get tested. Public health departments have used contact tracing for decades to fight infectious disease.

Introducing California Connected, our state’s contact tracing program.

CAConnected_Logo_Tag_4C--en.png

Under this program, health workers will talk to those who have tested positive. They’ll alert anyone they may have exposed, keeping names confidential. They’ll:

  • check symptoms
  • offer testing
  • discuss next steps like quarantine, self-isolation, and medical care.
Continued at link.
 
  • #885
Catching up on WHO Conferences, Director General’s opening remarks for Aug 6 and Aug 10:

Aspen conference moderated by Lester Holt / conference was geared more towards the situation in the US:
WHO Director-General's opening remarks at the media briefing on COVID-19 - 6 August 2020
Aspen Security Forum/WHO Press Briefing
6 August 2020
  • العربية
  • 中文
  • Français
  • Русский
  • Español
Your Excellencies,

Distinguished guests,

Dear colleagues and friends,

It is an honour to partner with the Aspen Security Forum for our regular press conference.

I want to extend my sincerest thanks to Aspen and NBC for inviting Dr. Mike Ryan, Dr. Maria Van Kerkhove and I to speak with you today.

The events of the last seven months are a tragic reminder of the insecurity and instability that disease can cause.

The COVID-19 pandemic has changed our world.

It has stress tested our political, economic, cultural and social infrastructure.

And found us wanting.

It has pushed the limits of health systems both weak and strong, leaving no country untouched.

It has humbled all of us.

The world spends billions every year preparing for potential terrorist attacks but we've learned lessons the hard way that unless we invest in pandemic preparedness and the climate crisis, we leave ourselves open to enormous harm.

===

Since WHO was created over seven decades ago, we have worked to galvanise collective international public health action to build a healthier and safer future for humanity.

From ending smallpox, to bringing polio to the brink of eradication; from rolling out treatment for HIV, TB and malaria to millions of people across the world, to responding to hundreds of emergencies.

Building up all health systems and ensuring health for all is our best shot at delivering on the goal of global health security.

Fifteen years ago, the global community came together and adopted the International Health Regulations (2005).

Its implementation by 196 state parties was a major step in the coordination of international action to enhance global health security.

Following WHO being notified of an atypical strain of pneumonia circulating in Wuhan Province, China; the International Health Regulations was triggered and the world was subsequently informed of the outbreak in early January.

The genome was mapped within the first week of January.

In the second week of January, it was publicly shared and WHO published how to build a PCR test for COVID-19 from our partner lab in Germany.

In the third week, WHO identified and began contracting for validated production of quality PCR tests.

And by the first week of February, WHO began shipping tests to over 150 labs around the world, which enabled the world to track and trace the virus around the world quickly.

And it was under the IHR – International Health Regulations – that WHO declared a Public Health Emergency of International Concern on 30 January – WHO’s highest health security alert under international law.

At that time, there were fewer than 100 cases and no deaths outside of China.

Today, more than 18.5 million cases of COVID-19 have been reported to WHO and seven hundred thousand lives have been lost.

No country has been spared. Low, middle and high-income countries have all been hit hard. The Americas remain the current epicentre of the virus and have been particularly hit hard.

Just three countries have reported over half of all cases.

No single country can fight this virus alone.

Its existence anywhere puts lives and livelihoods at risk everywhere.

It’s never too late to turn outbreaks around and many countries have done just that. It’s never too late to turn the situation around.

Our best way forward is to stick with science, solutions and solidarity and together we can overcome this pandemic.

===

COVID-19 has also exposed how misinformation poses one of the greatest security threats of our time.

Misinformation can spread faster than the virus itself.

Since the beginning of this pandemic, WHO has been working to address misinformation.

We’ve worked with all major tech companies to counter myths and rumour with reliable, evidence-based advice.

Last month, WHO brought experts together from across the world to hold the first conference on how best to tackle the COVID-19 infodemic.

Through our daily situation reports and regular media engagements WHO offices have kept the world informed. Myself, Maria and Mike have ourselves done more than 90 press briefings.

We have on a weekly basis, briefed our Member States to present the latest scientific knowledge, answer their questions, and to share and learn from their experiences with COVID-19.

WHO will continue to support everyone, everywhere and work with leaders, communities and individuals to foster global solidarity, suppress the virus and save lives and livelihoods.

===

Even as we fight this pandemic, we just ended the second largest and probably the most difficult and complicated Ebola outbreak in history in the Democratic Republic of the Congo.

We are applied lessons from previous outbreaks and innovations developed and researched ethically in conflict situations to bring the deadly disease under control.

And just this week our team in Lebanon is responding to the large explosion that has killed more than 130 people and injured at least 5,000.

Whether it’s COVID-19, disease outbreaks or responding to humanitarian and natural disasters, all are intrinsically linked to global health security.

===

While health has often been viewed as a cost, the first coronavirus pandemic in history has shown how critical health investment is to national security.

And universal health coverage is essential to our collective global health security.

Building back stronger health systems will require political will, resources and technical expertise in high- and low-income countries alike.

That is why WHO’s highest priority is to support all countries to strengthen their health systems so that everyone, everywhere can access quality health services when they need them.

===

COVID-19 has already taken away so much.

We must seize this moment to come together in national unity and global solidarity to control COVID-19, address antimicrobial resistance and the climate crisis.

For all our differences, we are one human race sharing the same planet and our security is interdependent - no country will be safe, until we’re all safe.

I urge all leaders to choose the path of cooperation and act now to end this pandemic!

It’s not just the smart choice, it's the right choice and it’s the only choice we have

I thank you so much once again.

WHO Director-General's opening remarks at the media briefing on COVID-19 - 6 August 2020


Aug 10 WHO Briefing:

WHO Director-General's opening remarks at the media briefing on COVID-19 - 10 August 2020
10 August 2020
  • العربية
  • 中文
  • Français
  • Русский
  • Español
Good morning, good afternoon, good evening,

This week we’ll reach 20 million registered cases of COVID-19 and 750,000 deaths.

Behind these statistics is a great deal of pain and suffering.

Every life lost matters.
I know many of you are grieving and that this is a difficult moment for the world.

But I want to be clear, there are green shoots of hope and no matter where a country, a region, a city or a town is – it’s never too late to turn the outbreak around.

There are two essential elements to addressing the pandemic effectively:

Leaders must step up to take action and citizens need to embrace new measures.

Some countries in the Mekong Region, New Zealand, Rwanda, and many island states across the Caribbean and the Pacific were able to suppress the virus early.

New Zealand is seen as a global exemplar and over the weekend Prime Minister Jacinda Ardern celebrated 100 days with no community transmission, while stressing the need to remain cautious.

Rwanda’s progress is due to a similar combination of strong leadership, universal health coverage, well-supported health workers and clear public health communications.

All testing and treatment for COVID-19 is free in Rwanda, so there are no financial barriers to people getting tested.

And when people test positive for the virus, they’re isolated and health workers then visit every potential contact and test them also.

Getting the basics right provides a clear picture of where the virus is and the necessary targeted actions to suppress transmission and save lives.

This means that where there are cases, the government can quickly implement targeted measures and focus control efforts where they are needed most.

Other countries like France, Germany, the Republic of Korea, Spain, Italy, and the UK had major outbreaks of the virus but when they took action, they were able to suppress it.

Many countries globally are now using all the tools at their disposal to tackle any new spikes.
Over the last few days, UK Prime Minister Boris Johnson put areas of northern England under stay at home notifications, as clusters of cases were identified.

In France, President Macron introduced compulsory masking in busy outdoor spaces of Paris in response to an increase in cases.

Strong and precise measures like these, in combination with utilising every tool at our disposal are key to preventing any resurgence in disease and allowing societies to be reopened safely.

And even in countries where transmission is intense, it can be brought under control by applying an all of government, all of society response.

Chains of transmission have been broken by combination of rapid case identification, comprehensive contact tracing, adequate clinical care for patients, physical distancing, mask wearing, regular cleaning of hands and coughing away from others.

Whether countries or regions have successfully eliminated the virus, suppressed transmission to a low level, or are still in the midst of a major outbreak; now is the time to do it all, invest in the basics of public health and we can save both lives and livelihoods.

In the countries that have done this successfully, they are using a risk based approach to reopen segments of societies, including schools.

And as they do so, they must remain vigilant for potential clusters of the virus.

We all want to see schools safely reopened but we also need to ensure that students, staff and faculty are safe. The foundation for this is adequate control of transmission at the community.

My message is crystal clear: suppress, suppress, suppress the virus.

If we suppress the virus effectively, we can safely open up societies.

===

As countries work to suppress COVID-19, we must further accelerate our work to rapidly develop and equitably distribute the additional tools we need to stop this pandemic.

Just over three months ago we launched the ACT Accelerator as the fastest and most effective way to do this.

It is the only end-to-end, global solution that combines public and private sector expertise in research and development, manufacturing, procurement and delivery for the tools needed to address the pandemic’s cause.

The ACT-Accelerator has already harnessed the international public health ecosystem in a unique way of working, with early proof of its potential.

The accelerator supported vaccines are in Phase 2/3 trials.

A Global Vaccines Facility is engaging over 160 countries.

The first therapy for severe COVID – dexamethasone - is in scale-up.

Dozens of other promising therapies are under analysis.

Over 50 diagnostics are in evaluation, including potentially game-changing rapid antigen tests.

And a comprehensive framework for allocating these scarce tools for greatest global impact, is under consultation.

The coming 3 months present a crucial window of opportunity to scale-up the work of the ACT-Accelerator for global impact.

However, to exploit this window we have to fundamentally scale up the way we are financing the ACT-Accelerator and prioritize the use of new tools.

There is a vast global gap between our ambition for the ACT-Accelerator and the amount of funds that have been committed.

While we’re grateful for those that have made contributions, we’re only 10% of the way to funding the billions required to realise the promise of the ACT Accelerator.

And this is only part of the global investment needed to ensure everyone everywhere can access the tools.

For the vaccines alone, over $100 billion dollars will be needed.

This sounds like lot of money and it is.

But it’s small in comparison to the 10 trillion dollars that have already been invested by G20 countries in fiscal stimulus to deal with the consequences of the pandemic so far.

===

I would like to close by saying a few words about the explosion in Lebanon that last Tuesday killed over 150 people, injured more than 6,000 and left over 300,000 people homeless.

To the people of Beirut, the health workers and emergency workers on the ground: our thoughts are with you and we will continue to support you.

From our strategic stockpile in Dubai, WHO immediately sent surgical and major trauma supplies. We released funds from the contingency fund for emergencies.
And our staff are on the ground are supporting the assessment of the impact on the health sector with Lebanese and other UN partners.

We are shipping $1.7 million dollars worth of PPE items to support COVID-19 and humanitarian supplies that were destroyed by the blast.

We are also working closely with national health authorities to enhance trauma care, including through the deployment and coordination of qualified emergency medical teams.

We’re also mitigating the COVID-19 impact, addressing psychosocial needs and facilitating the rapid restoration of damaged health facilities.

We have issued an appeal for $76 million US dollars and ask for your solidarity and support to the Lebanese people.

I thank you.

The above are only the DG’s opening remarks transcribed, still working on bringing forward some important notes from the post Q&A with Dr. Mike, Dr. Maria and Dr. Hayward from Aug 10th.
 
Last edited:
  • #886
I just learned that an assisted living facility near me (in NC) has had a COVID outbreak among staff and residents, and 4 residents have died. I sure hope there won't be more.

Also, there is a long-term nursing care facility in a retirement community in my county that has had a recent outbreak among staff and residents. Contract tracing has been done, and no deaths have been reported, thank goodness.

It's terrible when this happens to such vulnerable groups.
 
  • #887
  • #888
It's so frustrating that, once the U.S. decided not to pursue virus eradication, that a plan wasn't put in place to deal with this massive chasm between people that will take their chances in public and people who are comfortable in isolation. Here is another case - if the campus was "open," classrooms would be full, yet the administration is coming from a different place. It seems like we are way beyond the point of saying "young people need to take this seriously!" Otherwise I see an endless cycle of open a school, close when one person tests positive and then broadcast images of kids at a massive house party. And this applies to everything. It's exhausting reading the same stories, with the expectation that it will be different "next time."
I am not sure what point you are making here. It was not one case, it was a rapid spread which indicates quite a few cases and as to the parties, they would not occur if the school was not open for in person teaching. MOO.
 
  • #889
This is absolutely not happening here in California, not in my county and not in Los Angeles County, either. I have participated in contact tracer training, and a former student of mine is in fact a contact tracer inside the Health Department. She has shown me all kinds of evidence that not everyone is contacted. In fact, as of June 1, she had a list of many people who had CoVid, and they still hadn't figured out what to do about those cases - no contact. County Board of Supervisors made a lukewarm recommendation to follow CDC recommendations - that has not happened.

Contact tracing means different things to different people, but the first step is alerting the sick person that they are sick (and as you may know, several states are 2-3 weeks behind in doing this - which is not contact tracing, at all - it makes contact tracing nearly impossible). I think we're now at 2-3 days before contacting the patient - but only ⅓ of patients respond to Public Health with any information that would aid in contact tracing.

The patients are notified by Quest Labs OR by Public Health, depending on how they did their tests. Not everyone goes to the public tests, many (like me) would prefer an Rx and to have one's doctor prescribe and review.

My best friend's brother tested positive in another state, 7 days ago. It took 5 days post-swab for him to get the results, which arrived with a court order mandating him to stay home. But there was no attempt to get contact information from him (and he had just been at a family gathering - naturally he warned them, and then, my friend warned anyone she was in contact with; her brother and sister, however, only told their immediate family members).

No contact tracing (big city, Western state). I am part of a group of Arizonans (mostly Northern Arizona) and they've been waiting 20+ days for their test results. They are teachers and students, they're continuing to work at their regular jobs (masked, socially distant) but the ones who tested positive were not asked for information about who they were contact with (yet).

Santa Clara County, OTOH, knew what contact tracing was and started immediately back in March...big differences in numbers. We can't even get official data on how many L.A. Marathon participants were positive...but we know it was quite a few, as they posted about it on SM - but no announcements went out warning people who participated to go get tested (obviously, the infected runners would not know the names of other people).

So if you live in a state where contact tracing is happening routinely, be glad.

We have good contact tracing here, but I am noticing the (lesser) amount of cases that have unknown sources. Presumably these people have not been in contact with any person or any location that clearly has/had exposure to the virus - and perhaps are picking the virus up through surface contact somewhere else?

Another thing I am noticing is the different 'strains' of the virus. For example, they know that 99% of Victoria's cases stem from the breach at the quarantine hotel, and the strain of covid from the covid-positive person who participated in the breach.

They also know the people in NSW who caught this same Victorian strain - from being exposed to the spread in Victoria via an interstate travelller.
And they know that a different strain in NSW originated from travellers coming in from the US.

Presumably, the virus has mutated differently in different geographical zones and thereby caused different identifiable strains? I don't quite understand this.
 
  • #890
It seems to be "hit and miss". Our county has a rigorous Contact Tracing program, and every single Covid case is assigned a case manager. Contacts are followed up with phone calls. And several people have been served orders of isolation and quarantine by the sheriffs office. If a specific spot, restaurant has been identified as a "hot spot", the
newspaper has that information on the front page.

So, it could be that we have less cases, or that the team here has put a priority on Contact Tracing, that is why we have less cases.

Our county in Ohio has excellent contract tracing as well.
 
  • #891
Another sad result of covid ... they are reporting on our morning TV that there has been a 33% uptick in domestic violence during covid. They also say that most of these cases are first time offences.

Source: Ch7 TV news
 
  • #892
We have good contact tracing here, but I am noticing the (lesser) amount of cases that have unknown sources. Presumably these people have not been in contact with any person or any location that clearly has/had exposure to the virus - and perhaps are picking the virus up through surface contact somewhere else?

Another thing I am noticing is the different 'strains' of the virus. For example, they know that 99% of Victoria's cases stem from the breach at the quarantine hotel, and the strain of covid from the covid-positive person who participated in the breach.

They also know the people in NSW who caught this same Victorian strain - from being exposed to the spread in Victoria via an interstate travelller.
And they know that a different strain in NSW originated from travellers coming in from the US.

Presumably, the virus has mutated differently in different geographical zones and thereby caused different identifiable strains? I don't quite understand this.

I believe they found the same in U.S. - cases in CA and WA were genetically traced to Asia, whereas cases in the North East came from Europe.
 
  • #893
Manchester 'faces 1930s-style homelessness' as eviction ban ends

Manchester 'faces 1930s-style homelessness' as eviction ban ends

Richard Partington Economics correspondent

1 hour ago
Homelessness on the streets of Greater Manchester could reach levels not seen since the 1930s after a ban on evictions is ended by the government next week, Andy Burnham has warned.

Demanding immediate action from Boris Johnson’s government before the moratorium on eviction proceedings runs out on Sunday, the mayor of Greater Manchester said a “perfect storm” was coming together to unleash a dramatic rise in homelessness during the pandemic.
 
  • #894
I believe they found the same in U.S. - cases in CA and WA were genetically traced to Asia, whereas cases in the North East came from Europe.

Yes, and it has something to do with the genomes. Maybe 10ofRods - or someone in the know - will weigh in here at some point and explain a little more.
 
  • #895
  • #896
  • #897
  • #898
BostonGlobe.com reporting today that all students from six months old in day care and on up to students in colleges and universities in Massachusetts will be required to have a flu shot.

The vaccine will be required by Dec. 31 for anyone older than six months old in child-care centers, pre-school, kindergarten, K-12 schools, and colleges and universities, unless they have a religious or medical exemption, are home-schooled, or are a higher education student living off campus and taking remote-only classes.

The full story is on today's BostonGlobe.com
 
  • #899
Local Officials in China Hid Coronavirus Dangers From Beijing, U.S. Agencies Find

Local officials in China hid coronavirus dangers from Beijing
Very upsetting article

Oh boy ... "Local officials often withhold information from Beijing for fear of reprisal, current and former American officials say."


From another article:
"Beijing has maintained it acted swiftly to contain the virus and warn the world, ousting several local party officials it said were to blame."
Chinese Officials’ Cover-Up Of Coronavirus Revealed In US Government Report
 
Last edited:
  • #900
Status
Not open for further replies.

Guardians Monthly Goal

Members online

Online statistics

Members online
52
Guests online
1,368
Total visitors
1,420

Forum statistics

Threads
636,627
Messages
18,700,582
Members
243,782
Latest member
Labrys
Back
Top