Coronavirus COVID-19 - Global Health Pandemic #81

[10ofRods]

Maybe if it is very windy?


ETA I have found a source that mentioned this distance in April but at that time WHO were not recommending masks then, so it really is not surprising the general public have not universally accepted it, even now. That was 4 months into the pandemic by then and they already had this info about the distances. So why were WHO against masks then?

Actually, if it's windy, wind disperses your virions (if you have them) into a much wider cone - yes they carry further, but you, by yourself (unless you are quite feeble) can easily get virions 20 feet away from yourself by speaking loudly or singing (etc). Eventually they will move even further - and yes, air currents matter.

So anyone downwind of anyone else (whether through wind or more likely, ventilation systems) is at more risk.

Masks change all that.

WHO makes its decisions based on many factors (often opaque). Cost is one. Political pressure is another. I wouldn't use WHO as my source of advice.

Lancet, JAMA, NEJM, etc - Science, Nature, even National Geographic have better facts.

IMO.

 

[gitana1]

If we cannot keep our elderly in care homes safe, or our leaders and government safe, then nobody is safe.

That is true.

 

[Janeumayer]

He did have the red Covid eyes during the debate. Maybe he was showing no other symptoms but I had mentioned to my husband during the whole debate that there was something not right with Trump’s demeanor. He seemed agitated from the get go, as if someone had injected him with testosterone or an energy boost shot.

 

[Trino]

Delta adds customer health screening and mask acknowledgment requirement to check-in

Seems the Congressmen may not have lied if Delta got high approval. Someone needs to acknowledge responsibility for this poor decision, and everyone on that flight should be tested.

 

[LaborDayRN]

Delta adds customer health screening and mask acknowledgment requirement to check-in

I imagine that will be for us "regular folks".

 

[cass523]

“The president’s vitals over the last 24 hours were very concerning, and the next 48 hours will be critical in terms of his care,” Mr. Meadows told the reporters, asking not to be identified by name. “We’re still not on a clear path to a full recovery.”

In keeping with the ground rules he had set, Mr. Meadows’s remarks were attributed, in a pool report sent to White House journalists, to a person familiar with the president’s health. But a video posted online captured Mr. Meadows approaching the pool reporters outside Walter Reed after the doctors’ televised briefing and asking to speak off the record, making it clear who the unnamed source was.

The comments infuriated the president, according to people close to the situation, and he intervened directly to counter the perception that he was sicker than the White House had admitted. Within hours, he posted a message on Twitter saying, “I am feeling well!” and called his friend and personal lawyer Rudolph W. Giuliani to have him convey a message to the outside world. “I’m going to beat this,” Mr. Trump told him.

By evening, the president released a four-minute video meant to reassure the nation, showing him sitting at a conference table at the hospital and wearing a suit jacket but no tie. He looked wan and sounded less energetic than usual in a rambling message that included campaign talk and boasts about his record.

Trump’s Symptoms Described as ‘Very Concerning’ Even as Doctors Offer Rosier Picture

 

[10ofRods]

Just to clarify < modsnip>


If you are breathing and you are in a closed room, after about an hour, if you are infectious, the viral load will be detectable everywhere - with a more dense cloud of virions around you.

I'm not sure why this is so hard to visualize. Go get a handful of flour and throw it in the air. It's going to go everywhere but have more particles near its source. It's no different than blood spatter analysis.

Keep doing this. In the end the entire room will have lots of flour and it'll be hard to find a single part of it that isn't floury.

CoVid stays airborne longer than flour (by a longshot - maybe several hours? maybe longer? we don't really know but nursing home data is suggestive that it's at least 24 hours).

CoVid stays airborne longer (twice as long?) in dry weather. Hence the fear about winter and indoor air.

If you have CoVid and are in the infectious stage (from 2 days after you got it until...we don't know how long, but in my book, I'd count a month out), then you're breathing out 100,000 virions at your peak - per breath, not per minute.

People can be infected with as few as 1000 - but get sicker if they get way more. That's what we call viral load. 1000 virions would be a good thing for some people seeking immunity - if they are healthy.

100,000 virions (one big sigh when someone is near you) can be enough. For sure.

Leaning over to whisper into someone's face? For 30 seconds (3 breaths?) might give them 300,000 virions.

Wet virions go to ground faster - so talking, singing, shouting, etc are worse in many spaces than sniffling around - sneezing is bad, but no worse really (since people usually try to stifle it) than talking.

Singing and any other deep lung activity is worse because that's where CoVid replicates. In the pockets of the lungs, in the epithelial cells.

 

[squareandrabbet]

Do you have a link for these other drugs he was taking? The vitamin D helps the absorption of the Zinc. I know that because I take Calcium and Vit D combined for the same reason. The D vitamin helps the absorption of the mineral.

His doctor said it, working backwards here:

Donald Trump still "fatigued" after taking experimental antibody cocktail, famotidine for COVID, doctor says

"In a health update, Trump's physician, Sean Conley, confirmed that Trump received a single 8 gram dose of Regeneron's polyclonal antibody cocktail. Additionally, the president has also been taking zinc, vitamin D, famotidine, melatonin and a daily aspirin."

Famotidine is a heartburn/gastritis med. He may take it as a matter of course on-label; he may take it because some of the other stuff he's on is giving him heartburn; or some third reason I don't know about. The daily aspirin could be for heart health and maybe also precedes the COVID.

 

[gitana1]

That's awesome. It's the same in NJ, and quite frankly, businesses will not let you inside unless you have a mask on and have it on correctly. I'm grateful for the diligence put in by our governor.

*No thanks to a certain fund raiser that was recently held with no regard for any mask wearing or the social distancing rules in our state.

That’s not the case here in OC. Our county supervisor thinks COVID is a joke.

No one at any store seems to stop people from coming in without masks. One weirdo at one of my local grocery stores has his truck completely covered in car chalk about how masks are stupid, COVID is ridiculous and no one is going to tel him to wear a mask. I’ve seen him twice go right in the store without one. No one at the store says a damn thing.

Most people do wear masks. However, a significant enough minority do not wear them properly (nose and/or mouth showing), or wear ineffective masks or none at all. I would say about 1 in 10? It depends on the store. And location. In the wealthier areas more people tend to wear masks. Even just a couple miles from the other locations.

 

[LaborDayRN]

Just to clarify for the nth time:

If you are breathing and you are in a closed room, after about an hour, if you are infectious, the viral load will be detectable everywhere - with a more dense cloud of virions around you.

I'm not sure why this is so hard to visualize. Go get a handful of flour and throw it in the air. It's going to go everywhere but have more particles near its source. It's no different than blood spatter analysis.

Keep doing this. In the end the entire room will have lots of flour and it'll be hard to find a single part of it that isn't floury.

CoVid stays airborne longer than flour (by a longshot - maybe several hours? maybe longer? we don't really know but nursing home data is suggestive that it's at least 24 hours).

CoVid stays airborne longer (twice as long?) in dry weather. Hence the fear about winter and indoor air.

If you have CoVid and are in the infectious stage (from 2 days after you got it until...we don't know how long, but in my book, I'd count a month out), then you're breathing out 100,000 virions at your peak - per breath, not per minute.

People can be infected with as few as 1000 - but get sicker if they get way more. That's what we call viral load. 1000 virions would be a good thing for some people seeking immunity - if they are healthy.

100,000 virions (one big sigh when someone is near you) can be enough. For sure.

Leaning over to whisper into someone's face? For 30 seconds (3 breaths?) might give them 300,000 virions.

Wet virions go to ground faster - so talking, singing, shouting, etc are worse in many spaces than sniffling around - sneezing is bad, but no worse really (since people usually try to stifle it) than talking.

Singing and any other deep lung activity is worse because that's where CoVid replicates. In the pockets of the lungs, in the epithelial cells.

Excellent description. Very easy to visualize. I've been thinking of it as smoke around a house fire. There is dense smoke thick, dense smoke at the location of the house but it becomes less dense that farther it travels. It's still smoke (and can make an asthmatic like me cough) but it's not as dense.

 

[cass523]

Dr issued memo clarifying timeline-Rose Garden

4:58

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Looks like ABC News pulled the video

 

[LaborDayRN]

His doctor said it, working backwards here:

Donald Trump still "fatigued" after taking experimental antibody cocktail, famotidine for COVID, doctor says

"In a health update, Trump's physician, Sean Conley, confirmed that Trump received a single 8 gram dose of Regeneron's polyclonal antibody cocktail. Additionally, the president has also been taking zinc, vitamin D, famotidine, melatonin and a daily aspirin."

Famotidine is a heartburn/gastritis med. He may take it as a matter of course on-label; he may take it because some of the other stuff he's on is giving him heartburn; or some third reason I don't know about. The daily aspirin could be for heart health and maybe also precedes the COVID.

Protective Effect of Aspirin on COVID-19 Patients - Full Text View - ClinicalTrials.gov
In summary, the early use of aspirin in covid-19 patients, which has the effects of inhibiting virus replication, anti-platelet aggregation, anti-inflammatory and anti-lung injury, is expected to reduce the incidence of severe and critical patients, shorten the length of hospital duration and reduce the incidence of cardiovascular complications.

 

[mickey2942]

Minnesota Congressmen on Air Force One with Trump and Hicks flew to MN on Delta commercial flight. Delta policy states that the airline will not allow anyone knowingly exposed to COVID-19 in the past 14 days to travel. Delta not telling the truth? Would you have flown on this flight, knowing these three Congressmen had been exposed to coronavirus?

Another Delta spokesman said there was “a conversation with passengers” about the congressmen’s presence.

But a 30-year-old passenger from Washington, D.C., who asked that his name not be used said Saturday that there was no such conversation and that he and his fiancée were given no option to leave the plane, which he said they would have done had they had that choice.

He also expressed distress that food and drink service continued during the flight, which means the congressmen would have removed their masks if they ate or drank.

Minnesota Republicans fly Delta home from D.C. after COVID-19 exposure

Coronavirus Disease 2019 (COVID-19)

They didn't follow CDC contact tracing guidelines. They were a contact to a positive case, even if they tested negative, they still need to quarantine for 14 days.

 

[MimosaMornings]

That’s not the case here in OC. Our county supervisor thinks COVID is a joke.

No one at any store seems to stop people from coming in without masks. One weirdo at one of my local grocery stores has his truck completely covered in car chalk about how masks are stupid, COVID is ridiculous and no one is going to tel him to wear a mask. I’ve seen him twice go right in the store without one. No one at the store says a damn thing.

Most people do wear masks. However, a significant enough minority do not wear them properly (nose and/or mouth showing), or wear ineffective masks or none at all. I would say about 1 in 10? It depends on the store. And location. In the wealthier areas more people tend to wear masks. Even just a couple miles from the other locations.

GA had issues with their mask mandate and contact tracing for a large private school.

Mayor of Atlanta and Governor of Georgia fighting over a mask mandate.

Georgia Governor, Atlanta Mayor Make Headway in Fight Over Coronavirus Restrictions, Mask Mandate

And in a wealthy suburb, contact tracing shut down and no repercussions.

The Race to Investigate a Coronavirus Outbreak at a Georgia Prep School

 

[gitana1]

Apparently a report has been linked saying they did social distance and wear masks. Unless you have a link stating different?

So they just don’t wear masks or socially distance ANYWHERE else but they for some reason suddenly strictly did so at this one event?

Nah. I’m not buying that.

 

[10ofRods]

He seemed healthy and normal to me in that video. Not sick at all. All that treatment has paid off.

Oh, he sounded sick to me. And we don't know if he's experiencing fatigue (doesn't show on camera), or can't taste/smell. He's sitting up.

He has a fever, according to his doctors. His blood oxygen was 96% - which, if that's normal for him, cool - but it means his lungs aren't strong. At 95%, a person should really consult a doctor or even go to the ER.

This is what is so mysterious about CoVid is that a case like Trump's, which appears moderate or even mild, can certainly turn for the worst.

It would certainly be moderate if he hadn't had regeneron -which is a lot like getting a post-infection vaccine; you and I have no chance of getting or the remdesivir (which you and I can't get except under extreme circumstances)...he would certainly be more ill.

I am optimistic that he will do well - although even with those drugs on board, the post-CoVid syndrome effects are real. It's almost impossible for me to believe he doesn't have lung pathologies at this time (his problems with breathing - now much resolved through those drugs).

 

[gitana1]

VEKLURY® (remdesivir)| Official Website for US HCPs

Granted Emergency Use Authorization (EUA) by the FDA for the treatment of COVID-191
VEKLURY® (remdesivir) is authorized for use under an EUA only for the treatment of adult and pediatric patients hospitalized with suspected or laboratory-confirmed COVID-19, and for whom use of an intravenous (IV) agent is clinically appropriate. VEKLURY must be administered via IV infusion.

EUA Fact Sheets
VEKLURY is an investigational drug, and there is no Prescribing Information. However, the FDA has authorized distribution of this investigational drug with Fact Sheets for healthcare providers, and patients and caregivers.

Download Fact Sheets Here:
FOR HEALTHCARE PROVIDERSFOR PATIENTS AND CAREGIVERS
SARS-CoV=severe acute respiratory syndrome coronavirus.
Important Information
The Secretary of the Department of Health and Human Services has declared a public health emergency that justifies the emergency use ofVEKLURY (remdesivir) to treat coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 infection. In response, the US Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for the unapproved product, VEKLURY, for the treatment ofCOVID-19.

• VEKLURY is an investigational drug that has not been approved by the FDA for any use. It is not yet known if VEKLURY is safe and effective for the treatment of COVID-19.
• The distribution of VEKLURY has been authorized only for the treatment of hospitalized patients with COVID-19. This use is authorized only for the duration of the declaration that circumstances exist justifying the authorization of the emergency use, unless the authorization is terminated or revoked sooner.
• The FDA issued this EUA, requested by Gilead Sciences and based on their submitted data. The FDA Letter of Authorization for the EUA is available here.

So it looks like that is why POTUS went to hospital. It is only authorized for hospital use.

It’s good to know for everyone else.

 

[gitana1]

Emergency Use Authorization is different from FDA approval

Are you trying to say the information on the FDA's website is inaccurate and can't be trusted?

C'mon...

I found info to indicate it is authorized on an emergency basis for ALL patients regardless of severity. It’s linked in one of my earlier posts. @tresir2012 is right.

 

[Trino]

Something to get us through these times...

Author: Elena Mikhalkova, Russian author, poet

My grandmother once gave me a tip:
In difficult times, you move forward in small steps.
Do what you have to do, but little by little.
Don't think about the future, or what may happen tomorrow.
Wash the dishes.
Remove the dust.
Write a letter.
Make a soup.
You see?
You are advancing step by step.
Take a step and stop.
Rest a little.
Praise yourself.
Take another step.
Then another.
You won't notice, but your steps will grow more and more.
And the time will come when you can think about the future without crying.

 

[Lilibet]

So they just don’t wear masks or socially distance ANYWHERE else but they for some reason suddenly strictly did so at this one event?

Nah. I’m not buying that.

If you’re talking about the fundraising event at Bedminster, here is a link supporting the fact that very few wore masks...

Another source says that the attendees at the roundtable were tested for coronavirus when they arrived and that no one wore masks.

Three attendees told CNN that most people at the events were not wearing masks; all three say they have not been contacted by any contact tracers.

President Trump took photos, had roundtable with donors at fundraiser hours before testing positive for coronavirus - CNNPolitics