Coronavirus COVID-19 - Global Health Pandemic #86

[CSIDreamer]

Why do we have more underlying conditions? Is it obesity-based? I've heard in the past that Americans are more obese than citizens of just about any other country.

Diabetes is rampant, too. IMO because I seem to remember something like 33 million Americans have type 2 diabetes. Jmo

Coronavirus Disease 2019 (COVID-19)

 

[dixiegirl1035]

@margarita25 and others who love these folks' pressers for information -Dr. Mike and Dr. Maria did an EXCELLENT!!! Q&A yesterday. MOO

I hope that Dr. Tedros is doing well while he is in quarantine.

They are still pounding from what they said from the very beginning as pandemic control is so very basic if folks would just da*m listen.

If you test and trace and quarantine, you don't have to lock down. You don't have to affect the economy or affect others that are being kicked out of hospitals and ICU's for other conditions. Once the hospitals are overwhelmed, there is no choice other than to do a lockdown so avoid by doing the alternative BEFORE that happens.

Issue now is that high rates aren't staggering across countries, they are now happening all at the same time.

Some new ideas that are being presented by WHO... MOO

This is a very long video... for listening while cooking and/or gardening

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[GRT]

If this is real -- it's going to be very hard to eradicate this virus.

A team of researchers and doctors has now reported the case of one woman with leukemia who had no symptoms of COVID-19 but 70 days after her first positive test, she was still shedding infectious SARS-CoV-2 particles.

Startling Case Study Finds Asymptomatic COVID-19 Carrier Who Shed Virus For 70 Days

 

[dixiegirl1035]

If this is real -- it's going to be very hard to eradicate this virus.



Startling Case Study Finds Asymptomatic COVID-19 Carrier Who Shed Virus For 70 Days

One case reported out of 49 million? I don't believe that this infinitesimal statistic from immunocompromised persons is going to drive a difference in eradication of the virus from immunocompromised individuals, yet something that is MOO always something to look for in immunocompromised individuals. (MOO, I have said since the early days, it will potentially be endemic, therefore I consider eradication moot)

 

[musicaljoke]

One case reported out of 49 million? I don't believe that this infinitesimal statistic from immunocompromised persons is going to drive a difference in eradication of the virus from immunocompromised individuals, yet something that is MOO always something to look for in immunocompromised individuals. (MOO, I have said since the early days, it will potentially be endemic, therefore I consider eradication moot)

It doesn't have to be endemic. Don't give up yet. If you need to be cheered on, take a look at Australia.

 

[weepingangel]

is asthma considered a risk factor? Because I think I know more people with asthma than without. ( only sort of exaggerating)

Diabetes is rampant, too. IMO because I seem to remember something like 33 million Americans have type 2 diabetes. Jmo

Coronavirus Disease 2019 (COVID-19)

 

[ColyH]

I grew up in a religious household and even attended a Christian school and I can tell you that many churches believe that the government is out to get them. I am sure they are thinking the government unleased this virus just to get them. On saying that there are also many churches who are following the guidelines and putting the safety of the community first. Lets not let the actions of a few churches determine how we feel about all churches.

 

[dixiegirl1035]

It doesn't have to be endemic. Don't give up yet. If you need to be cheered on, take a look at Australia.

Sorry, realist here in looking at how different Australia is and don't see that as a world baromometer at all. Yes, I cheer on Aussie land with @SouthAussie and a few others but those are out of the norm MOO. Unless all approach as such and have such successes..... that's my issue as not happening AT ALL. Moo.

 

[HongKongPhooey]

I grew up in a religious household and even attended a Christian school and I can tell you that many churches believe that the government is out to get them. I am sure they are thinking the government unleased this virus just to get them. On saying that there are also many churches who are following the guidelines and putting the safety of the community first. Lets not let the actions of a few churches determine how we feel about all churches.

Good point.

Our local village church has not held any services since March. I dont attend church myself, but I really do miss the church bells ringing on a Sunday morning. It is open for individual prayer, just not services (or bell ringing)

 

[Seenit]

is asthma considered a risk factor? Because I think I know more people with asthma than without. ( only sort of exaggerating)

Yes, my understanding is asthma is considered high risk.

 

[CoverMeCagney]

Yes, my understanding is asthma is considered high risk.

I think any respiratory illness must be a big issue when trying to treat Covid cases. How are you and your family all managing? Hope you’re all doing ok

 

[Trino]

I grew up in a religious household and even attended a Christian school and I can tell you that many churches believe that the government is out to get them. I am sure they are thinking the government unleased this virus just to get them. On saying that there are also many churches who are following the guidelines and putting the safety of the community first. Lets not let the actions of a few churches determine how we feel about all churches.

How can they possibly feel the government is out to get them when they are considered a charity that pays no taxes?

 

[anneg]

is asthma considered a risk factor? Because I think I know more people with asthma than without. ( only sort of exaggerating)

Here is what CDC says:
Coronavirus Disease 2019 (COVID-19)

Having moderate-to-severe asthma might increase your risk for severe illness from COVID-19.

Actions to take

Keep your asthma under control by following your Asthma Action Plan.

Continue your current medicines, including any inhalers with steroids in them (“steroids” is another word for corticosteroids). Know how to use your inhaler. Avoid your asthma triggers.

Make sure that you have at least a 30-day supply of your medicines.

Call your healthcare provider if you have concerns about your condition or feel sick. If you don’t have a healthcare provider, contact your nearest community health centerexternal icon or health department.

Have another member of your household who doesn’t have asthma clean and disinfect your house for you. When they use cleaning and disinfecting products, have them:
-Make sure that people with asthma are not in the room.
-Avoid using disinfectants known to trigger asthma attacks.
-Open windows or doors and use a fan that blows air outdoors.
-Always follow the instructions on the product label.
-Spray or pour spray products onto a cleaning cloth or paper towel instead of spraying the product directly onto the cleaning surface (if the product label allows).

 

[10ofRods]

is asthma considered a risk factor? Because I think I know more people with asthma than without. ( only sort of exaggerating)

At first, it was thought that it could be. Now, my understanding is that it is not considered a high risk factor. It's in the second group of risk factors at this recent CDC update:

Coronavirus Disease 2019 (COVID-19)

Obviously, if a person had one of the issues in the first group (such as body mass over 30) and also had one from the second group, that would be combined into a higher possibility of a severe course of the disease. Mild asthma is not considered a risk factor (which is what most people have).

Also worth noting that moderate to severe asthma is in the same second tier of risk factors as being overweight (BMI between 25.1 and 30).

So yeah, most of us know quite a few people with at least one of the moderate risk factors.

 

[gitana1]

I grew up in a religious household and even attended a Christian school and I can tell you that many churches believe that the government is out to get them. I am sure they are thinking the government unleased this virus just to get them. On saying that there are also many churches who are following the guidelines and putting the safety of the community first. Lets not let the actions of a few churches determine how we feel about all churches.

You’re very right. I’d venture to guess the majority of churches in the nation are following their state guidelines. And some are going beyond.

 

[gitana1]

One case reported out of 49 million? I don't believe that this infinitesimal statistic from immunocompromised persons is going to drive a difference in eradication of the virus from immunocompromised individuals, yet something that is MOO always something to look for in immunocompromised individuals. (MOO, I have said since the early days, it will potentially be endemic, therefore I consider eradication moot)

Also, just like the reports that the virus was found on surfaces of the Diamond Princess weeks after it docked (or whatever), that doesn’t mean that the amount of shedding is enough to infect someone.

(What was found in the surfaces was RNA and couldn’t infect someone).

Also like how the virus is found in the air up to four hours after someone coughs into a room, for example. But the amount of viral load decreases radically very quickly and the amount found four hours later is highly unlikely to be able to infect anyone.

I try to be reasonable about this virus. It’s clearly serious and deadly but I will admit that it’s easy to grab onto something and see it through an alarmist lens when the reality may be different.

 

[gitana1]

It doesn't have to be endemic. Don't give up yet. If you need to be cheered on, take a look at Australia.

IMO it will likely be endemic but without the punch it currently has. I remain confident that the pandemic will resolve. As they all do. But much more quickly. Either through mutations, vaccines, education and/or more and more effective treatments, or all of the above.

But it’s a coronavirus (most of which are endemic, right?), highly contagious and it’s everywhere now. So I’m not sure the genie can be put back in the bottle. But I do think we can take away the genie’s power.

I’m not a scientist though. But that’s my sense.

 

[10ofRods]

Oh boy!

It seems to me that we need to approach the church leaders and convince them if we're going to stand any chance of convincing their parishoners.

Who is the "we" in your proposal? State officials? Chance encounters? A concerted effort by volunteers (how would that get done)?

Most of us do not personally know these leaders, so a cold call from some random person like you or me isn't going to result in much change - or do you think it would?

Society-at-large can't approach people, there have to be specific encounters and teaching moments. How would you propose to arrange this for the thousands of defiant church leaders? Truly curious.

 

[gitana1]

Yes, my understanding is asthma is considered high risk.

The CDC states that those with moderate to severe asthma may be at higher risk of complications. But the data isn’t certain yet. It seems logical that asthma would make someone susceptible though. But the warning have evolved with other conditions being more serious than asthma. That was a relief for me since I’m asthmatic!

COVID-19 and Asthma: What Patients Need to Know | AAAAI

Here’s a list of the conditions that are known to be high risk and might be high risk. Asthma is the latter:

Coronavirus Disease 2019 (COVID-19)

 

[10ofRods]

Also, just like the reports that the virus was found on surfaces of the Diamond Princess weeks after it docked (or whatever), that doesn’t mean that the amount of shedding is enough to infect someone.

(What was found in the surfaces was RNA and couldn’t infect someone).

Also like how the virus is found in the air up to four hours after someone coughs into a room, for example. But the amount of viral load decreases radically very quickly and the amount found four hours later is highly unlikely to be able to infect anyone.

I try to be reasonable about this virus. It’s clearly serious and deadly but I will admit that it’s easy to grab onto something and see it through an alarmist lens when the reality may be different.

The virus is made of RNA. Whether it is infectious or not isn't related to whether RNA is found - it's the state that the RNA is in, as I understand it.

If the RNA has been broken into pieces, it's not infectious (and this can happen immediately upon collision with a surface 0r the virions can float gently onto some surfaces and remain viable for...quite some time, usually said to be 72 hours).

Broken up bits of RNA are not viable. It is still easily determined that the bits belong to Coronavirus - but they are not infectious.

I agree with you that it's highly unlikely that someone would be infected by CV either by touch (on most surfaces, after a few hours) or by virions still floating around after a few coughs hours before.

However, the big threat is breathing in an enclosed space. In a space the size of the average bedroom, an adut will continue to breathe out live virions if they are infected and those virions will mount in number creating the potential for a very high viral load in that space. Same for hospital rooms.

At a house party, in a place with a positivity rate of 10% (there are places with much higher positivity rates in the US), then if there are 200 people, 20 of them will breathe out about 100,000 virions in normal breathing, more if talking or laughing. So even if the whole house is used for the party, if there's not good ventilation (and there rarely is - the air needs to exchange 4-5X per hour to get close to keeping this event non-infectious), within an hour, the entire place is center of contagion. Nearly everyone will be exposed, many will become transmitters (and many of them will be asymptomatic).

Churches, obviously, fall into the same category as a house party (and may be even less well ventilated than some homes, depending on the church). How long does the air remain infectious? No one knows. Would I want to go into that space after only 4-5 hours? No way. It's possible that in frequently used spaces (like churches), the waves of infectiousness overlap and are fairly continuous (which is why we see 100 people in a congregation infected after 1-2 events).

Would there still be live virions in that space (if it was not occupied for 3 days)? Probably a few. If a person's immune system wasn't at optimum, yep, they could still get Covid. For example, someone with the flu is thought to be way more susceptible to acquiring Covid in this manner, although we won't know for sure until flu season is more under way.