Coronavirus COVID-19 - Global Health Pandemic #86

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  • #821
With a population of about 21.5 million, about one in 25 people in the state have now been infected. That number is closer to one in 33 nationally and one in 154 worldwide.

Florida’s resident death toll from coronavirus rose to 17,179 with the addition of 58 more reported fatalities while the state added 3,924 more positive cases of COVID-19 for a total to date of 847,821.

Florida coronavirus spread has hit 1 in 25 residents as US passes 10 million cases
 
  • #822
Iowa numbers today and recent news: As of 10:00-11:00 a.m., we had 4,212 new confirmed cases for a total of 156,816 confirmed cases of which 101,041 had recovered (+329). 3 more were reported to have passed for a total of 1,845. There are 55,775 active positive cases. 152 were hospitalized in the last 24 hrs. for a total of 1,034 (new daily record). IDPH is now current with their Iowa Covid site so I will include the link today along with the approximate age group totals from Sat. Nov.7-Mon. Nov.9. 0-17: 14,448 (+1,417); 18-40: 68,575 (+5,198); 41-60: 44,306 (+3,719); 61-80: 22,939 (+1,860); and 81+: 6,511 (+479). Nov. 9: Over 1,000 hospitalizations in Iowa, 4,212 new cases
Iowa reports 4,212 new virus cases
Iowa COVID-19 Information
Dowling Catholic mourns loss of PE teacher, assistant boys track coach
Southeast Polk bus driver dies weeks after COVID-19 diagnosis, district confirms
Several Des Moines schools consider online learning
UnityPoint Des Moines Health reports all hospitals at capacity
Hundreds of inmates test positive for virus in Iowa facility
Clear Creek Amana Community schools applying for a two-week virtual learning waiver
Janesville dismisses classes early, moving classes online due to COVID-19 related absences
Des Moines Public Schools to apply for waiver to move to 100% online learning
Center Point-Urbana schools identify 8 staff, 2 students positive for COVID-19
30 positive COVID-19 tests in Hawkeye athletics department out of nearly 600 tests
Cedar Valley hospitals beg public to wear masks, stay apart in face of 'pandemic fatigue'

Seems as if you have lots of issues with schools? Is that throughout the state...or just some districts?
 
  • #823
  • #824
I scanned the Pfizer study protocol looking for answers to questions that I had and placing notes in one post here https://pfe-pfizercom-d8-prod.s3.amazonaws.com/2020-11/C4591001_Clinical_Protocol_Nov2020.pdf

pg 19 - Indeed it does appear that collection of nasal swabs for the virus is ONLY done during the two vaccinations and if someone has potential infection through self monitored symptoms.

pg 34 - It does appear that they are going to note the differences between the control group and the vaccine group by differentiating incidence of infections (symptomatic by definition) AND severe infections.

pg 35 - States one objective is "to describe the serological responses to the ENT vaccine candidate in cases of 1) Confirmed COVID-19 2) Confirmed severe COVID-19 3) SARS-CoV 2 infection without confirmed COVID-19 . QUESTION for anyone... how can they have #3 - I don't see anywhere in that study how that group is defined.

pg 83 - Defines the times for collection of blood for immunogenicity. (testing S1-binding IgG levels and/or RBD-binding IgG levels; SARS-CoV-2 neutralizing titers) at vaccinations, 7, 14 days after, 1, 6, 12 and 24 months after second vaccinations.

pg 103 -109: Overviews how they are going to evaluate over time the titers/concentrations for secondary immunogenicity for each group.

pg 123 - Overviews the normal blood chemistries as part of the group (sorry Dr. Campbell, no vitamin D in the study)

Pg 138 - Abbreviations

I look forward to the interim study results when released by the company. Does anyone know when they said they would do such?
 
  • #825
  • #826
https://www.washingtonpost.com/nation/2020/11/09/utah-emergency-masks-mandate-covid/

For months, even as coronavirus cases have dramatically risen in his state, Utah Gov. Gary R. Herbert (R) has refused to order residents to wear a mask. But on Sunday, after the state’s worst week yet and amid fears that hospitals could soon be overwhelmed, he reversed course.

In a video posted to Twitter late on Sunday — which Utah residents were alerted to watch via an emergency cellphone alert — Herbert also declared a two-week state of emergency and announced a spate of other restrictions aimed to curb infections, which the governor noted are “growing at an alarming rate.”

“Our hospitals are full,” Herbert said in the clip. “This threatens patients who rely on hospital care from everything from covid-19 to emergencies like heart attacks, strokes, surgeries and trauma. We must work together to keep infections low until a vaccine is available.”
 
  • #827
Teresa Ashby fights back tears talking about it.
Her husband Clint Nixon is in a US hospital with COVID-19. She says he contracted the virus after attending Crossroads Community Church in Fitchburg, a city in northern Massachusetts, last month.
"I'm very scared," Ms Ashby said. "Before the last service that he went to, the church held two weeks of revival services, completely packed, no masks."

Right now, the church is shut down. Last Sunday, The Fitchburg Health Department announced nearly 150 coronavirus cases have been connected to services and programs at the church on or around October 18.

"Too much hurt," she said. "We've gotten no phone calls from the pastor. Nothing."

Wife of COVID-19 patient linked to US church cluster speaks out

More Than 200 COVID-19 Cases Linked to Fitchburg Church

Fitchburg is one of 16 communities in the commonwealth considered at the highest risk for transmitting the virus, according to the state's latest weekly community-level data on the coronavirus pandemic.”

Maybe they need a community team to reach out to all church members to educate them? If they continue going there knowing it is high risk especially in their community?
 
  • #828
I don’t know whether to laugh or cry some days
More than half of Americans still plans to travel on Thanksgiving this year, Tripadvisor says
More at link
Guidelines issued by the Centers for Disease Control and Prevention suggest having a small dinner with only people who live in the same household for Thanksgiving this year amid the coronavirus pandemic. It appears, at least according to a recent survey by Tripadvisor, that the majority of Americans are ignoring those protocols.

Despite rising cases of COVID-19 in the United States, more than half of Americans that participated in the Tripadvisor survey said they planned on traveling for Thanksgiving, according to a Tripadvisor survey conducted in the middle of October. While overall travel is expected to be down by 14% from last year, 56% of respondents planned on traveling at the end of the month.
 
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  • #829
  • #830
I don’t know whether to laugh or cry some days
More than half of Americans still plans to travel on Thanksgiving this year, Tripadvisor says
More at link
Guidelines issued by the Centers for Disease Control and Prevention suggest having a small dinner with only people who live in the same household for Thanksgiving this year amid the coronavirus pandemic. It appears, at least according to a recent survey by Tripadvisor, that the majority of Americans are ignoring those protocols.

Despite rising cases of COVID-19 in the United States, more than half of Americans that participated in the Tripadvisor survey said they planned on traveling for Thanksgiving, according to a Tripadvisor survey conducted in the middle of October. While overall travel is expected to be down by 14% from last year, 56% of respondents planned on traveling at the end of the month.

That's awful! I get that they love their families but come on, people.

One of the problems I see is leaders who make regulations and then violate them. It's happened many times these past few months, perhaps the most recent was DC's Mayor, Muriel Bowser, who put Delaware on the list of "high risk" states and demanded that anyone traveling them there must quarantine when they return home. Then, she took her staff to Delaware for Biden's victory speech. She said it was "essential travel" and she exempted herself "by Mayor's order."

That's what we're dealing with. She's far from the only one, and every time it happens, citizens feel as though the rules can be broken.

I have a feeling the holidays are going to be especially tenuous.
 
  • #831
Cambridge dry ice supplier getting ready to help ship coronavirus vaccine once approved
More at link
CAMBRIDGE, MASS. (WHDH) - A dry ice supplier in Cambridge is getting ready to play a crucial role in delivering a coronavirus vaccine once it gets approved.

Acme Dry Ice owner Marc Savenor says he is replenishing his dry ice supply so his trucks are ready for when a vaccine gets the green light to be distributed.

“We’re part of the supply chain of actually saving lives and shipping the vaccine around the country,” he said. “Dry ice is negative 109 degrees below zero. It’s compressed CO2, which is the main product for shipping the vaccines, which have to be held at minus-80 degrees Celsius, which is negative 109-degree Fahrenheit, so the dry ice is the perfect marriage for the vaccines.”



How a COVID vaccine might work -- and the challenges of distributing it
As drug companies around the world rush to develop candidates for coronavirus vaccines, Pfizer announced encouraging early data from its own trials Monday. What do the preliminary results show, and even if they are borne out, what challenges remain with regard to production and distribution of the vaccine? Science correspondent Miles O’ Brien joins William Brangham to discuss.


Also recommend the 60 minutes episode linked upthread about vaccine distribution etc (I thought it was pretty interesting)
Eta link
Inside the Operation Warp Speed effort to get Americans a COVID-19 vaccine
 
  • #832
Massachusetts/yesterday’s news/more at links


Pandemic worsens across New England, leading many to wonder what went wrong — and whether there is time to reverse course - The Boston Globe

Pandemic worsens across New England, leading many to wonder what went wrong — and whether there is time to reverse course
In a troubling reversal of summertime trends, November has seen COVID-19 cases surge in all six New England states.

More than 1,000 new COVID-19 cases each day in Massachusetts. A nursing home outbreak in Maine. Record peaks in infections in Connecticut. In Vermont and New Hampshire, the single highest daily caseloads since spring. In Rhode Island, the highest rate of positive tests since May.

While the nation was held rapt by a cliffhanger election, the coronavirus pandemic has surged to record levels across the United States. And this time — unlike the country’s summertime surge, when outbreaks were concentrated in the Sun Belt — New England is feeling the virus’s full wrath.

In the past week, each state has seen its own version of a pandemic nightmare unfold, seemingly with no end in sight. Surging transmission across the region has left governors scrambling to introduce new restrictions and residents wondering what went wrong.

Experts said that New England’s summertime success might have created a false sense of security, preventing officials and residents alike from seeing the approaching surge in time to stop it. Now, the region must act immediately to curb or reverse the dangerous trend, they said.

“I think we got lulled into it,” said Dr. Ashish Jha, dean of the Brown University School of Public Health. “Many of us [epidemiologists] started speaking up in September that we’ve got to act. . . . I think people thought we were being a bit alarmist, but you want to act early and not wait. We still need to act. We still need to do a lot more. But it’s going to be much more painful now, and if we decide to wait a couple more weeks, it’ll be that much more painful yet.”

On Monday, the country passed a grim milestone, with more than 10 million known cases of COVID-19 reported since February. On four of the past five days, the CDC’s count of newly-reported cases has surpassed 100,000, a height not reached in the first eight months of the pandemic.

New England states have seen troubling trends of their own.






Doctors issue warnings about coming weeks, months for COVID-19 | Boston.com

Local doctors are issuing dire warnings about the COVID-19 pandemic in the coming weeks and months in the United States, reminding the public and elected officials that actions have to be taken immediately to save lives.

“We are entering the hardest days of the pandemic,” Dr. Ashish Jha, dean of the Brown University School of Public Health wrote Monday. “The next two months will see a lot of infections and deaths.”

That must be remembered along with the emergence of “light at the end of the tunnel,” the doctor wrote. On Monday, Pfizer announced that early data on its COVID-19 vaccine suggests the shot may be 90 percent effective.



In his victory speech to the American public on Saturday night, President-elect Joe Biden announced he was forming a team of scientists and experts to take his plan for tackling the pandemic and convert it into a “blueprint” for actions he can take when he is in office. He unveiled the members of the advisory board on Monday.

But local public health experts and epidemiologists are emphasizing that action is needed before Jan. 20, 2021, to save lives.






COVID-19 surge concerns growing in Massachusetts
BOSTON —

Surging coronavirus case counts are leading doctors to make a new push to convince Massachusetts residents to take action to protect themselves and their families.

Experts fear the summer's lower case numbers caused people to relax far too much, and they're trying to sound the alarm as infections climb.


Worcester is just one city seeing the highest levels of the virus since May. Free testing centers are being set up to control the spread -- with hundreds lining up Monday at the Mercantile Center.

Doctors and local leaders are urging everyone to fight the virus by adhering to social distancing guidelines and wearing masks.

They're most concerned about unmasked gatherings in people's homes -- particularly among young people.




New Hampshire
‘Substantial’ community coronavirus transmission reported in 8 New Hampshire counties
BERLIN, N.H. —

Eight of New Hampshire’s 10 counties are now seeing substantial transmission of COVID-19, according to state officials.

New Hampshire has seen more than 1,000 new cases in just the last five days.


Berlin Mayor Paul Grenier said that until recently, COVID-19 was a southern New Hampshire problem, but that’s not true anymore.

He anticipates a proposed mask mandate for the city will pass and hopes it prompts citizens in the city to take the crisis more seriously.

“There is community transmission and we need to get a handle on it,” Grenier said.

In an interview with WMUR last week, Grenier said that if COVID-19 got a grip in Berlin, it could get bad very quickly.

“I have a Catholic Charities-operated nursing home. We have a county-operated nursing home. Collectively, they are licensed for about 180 beds. I have the state correctional facility. I have a federal correctional facility in town,” Grenier said.


Vermont
Vermont Gov. Issues Quarantine Order, Compliance Checks
Gov. Phil Scott is implementing quarantine requirements for anyone traveling to Vermont and deploying state police and other officials to conduct compliance checks amid a spike in coronavirus cases.

"I know it's disappointing, but it's more important than ever to be vigilant, to wear a mask, stay six feet apart, avoid non-essential gatherings and follow our travel policy," Scott said. "We can change our trajectory, but we'll need to dig deep and double our efforts so we can protect the most vulnerable and keep our schools and economy open."

Anyone entering Vermont is now required to quarantine for 14 days or for seven days with a negative test after Scott suspended the state's travel map Tuesday, which allowed people from counties with low levels of community spread to visit without restrictions.

Scott is deploying assets including the state police, the division of fire safety, the Department of Liquor and Lottery and potentially local and county officials to conduct compliance checks. Officers in plainclothes will conduct randomized compliance and education assessments, officials said Tuesday, with a focus on locations frequented by out-of-state visitors, lodging facilities and indoor settings.
 
  • #833
Fitchburg church ~schools
With city facing spike in COVID-19 cases, Fitchburg schools delay hybrid learning until January



FITCHBURG - With COVID-19 numbers spiking in the city, due in large part to an outbreak connected to Crossroads Community Church, school officials have delayed the switch to hybrid learning.

The latest start date for hybrid, with some in-person learning, is Jan. 4. The district had been hoping to make the move on Nov. 16.

Meantime, Fitchburg schools will continue with remote learning, according to a letter sent to families on Tuesday.

In recent weeks, Fitchburg's COVID-19 count has increased markedly, with a case count of 231 reported by the state last week. A majority of those positive tests are tied to Crossroads Community Church. The city Health Department has said an outbreak can be traced to services and programs at the Ashby State Road church on or about Oct. 18.

In the letter to parents, Schools Superintendent Robert M. Jokela said he has consulted with Mayor Stephen DiNatale and city Health Director Stephen D. Curry.

"We understand and recognize the frustration this prolonged hardship has place on students, families and staff over the last eight (8) months," the superintendent wrote.
 
  • #834
Ran across this, sharing because I find it interesting
to see it explained this way.

The lost six weeks when US failed to contain virus

Having watched Asian and European countries struggle against Covid-19, the US was slow to ramp up testing and order its residents to stay at home. We look at this crucial time period and what exactly was done to prevent the outbreak.

Produced by the BBC's Franz Strasser, narrated by Hannah Long-Higgins

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Thanks for posting this video illustrating the timeline of the slow response by the U.S. in the first six weeks. It makes clear why so many of us are both sad and mad.
 
  • #835
Vermont Gov. Issues Quarantine Order, Compliance Checks
Gov. Phil Scott is implementing quarantine requirements for anyone traveling to Vermont and deploying state police and other officials to conduct compliance checks amid a spike in coronavirus cases.

"I know it's disappointing, but it's more important than ever to be vigilant, to wear a mask, stay six feet apart, avoid non-essential gatherings and follow our travel policy," Scott said. "We can change our trajectory, but we'll need to dig deep and double our efforts so we can protect the most vulnerable and keep our schools and economy open."

Anyone entering Vermont is now required to quarantine for 14 days or for seven days with a negative test after Scott suspended the state's travel map Tuesday, which allowed people from counties with low levels of community spread to visit without restrictions.

Scott is deploying assets including the state police, the division of fire safety, the Department of Liquor and Lottery and potentially local and county officials to conduct compliance checks. Officers in plainclothes will conduct randomized compliance and education assessments, officials said Tuesday, with a focus on locations frequented by out-of-state visitors, lodging facilities and indoor settings.

RSBM. Our grandson attending university in California told us he does not think he will be able to go home to Vermont for Christmas. He only has a 2-week break between quarters, and considering the risks of air travel and the Vermont quarantine, plus of course not wanting to spread the virus to the rest of his family, he's planning to remain in CA.

We wouldn't be able to travel to Vermont anyway. I can't wait until we all can be together in person again, hopefully sometime next year once we all can be vaccinated.
 
  • #836
Barring a new Amendment to the Constitution, we're going to run into the same issue in the future if another pandemic looms.

The Atlantic explains why:

Within states, the president has little to no power to act, because of states’ sovereign rights to exercise their police powers. The president cannot direct a governor to implement or withdraw an order to stay at home or to close businesses such as bars, restaurants, and theaters. Even in a national emergency, governors retain primary authority to control the spread of an infectious disease within their states. However, as governors’ powers extend only to their states’ borders, they can limit intrastate movement (through travel restrictions, mass quarantines, or isolation orders), but cannot restrict interstate travel.

It's a real problem, but I'm not sure we have the support behind amending the Constitution.
BBM

Although states have sovereign rights and the President cannot direct a Governor to implement orders to stay home, close businesses, etc, he does have tremendous influence over governors and citizens by what he says and does. We all remember that he deliberately minimized the pandemic and his tweets to “Liberate Michigan” and other states after they implemented science-based responses to the pandemic. We all remember his refusing to wear a mask and not promoting it. While there are no guarantees that more governors would have followed science more quickly if the President had used his position to promote safe practices, he didn’t even try and resisted the approaches that could have made the difference. He wasn’t helpless, despite states’ rights.
JMO
 
  • #837
  • #838
I scanned the Pfizer study protocol looking for answers to questions that I had and placing notes in one post here https://pfe-pfizercom-d8-prod.s3.amazonaws.com/2020-11/C4591001_Clinical_Protocol_Nov2020.pdf

pg 19 - Indeed it does appear that collection of nasal swabs for the virus is ONLY done during the two vaccinations and if someone has potential infection through self monitored symptoms.

pg 34 - It does appear that they are going to note the differences between the control group and the vaccine group by differentiating incidence of infections (symptomatic by definition) AND severe infections.

pg 35 - States one objective is "to describe the serological responses to the ENT vaccine candidate in cases of 1) Confirmed COVID-19 2) Confirmed severe COVID-19 3) SARS-CoV 2 infection without confirmed COVID-19 . QUESTION for anyone... how can they have #3 - I don't see anywhere in that study how that group is defined.

pg 83 - Defines the times for collection of blood for immunogenicity. (testing S1-binding IgG levels and/or RBD-binding IgG levels; SARS-CoV-2 neutralizing titers) at vaccinations, 7, 14 days after, 1, 6, 12 and 24 months after second vaccinations.

pg 103 -109: Overviews how they are going to evaluate over time the titers/concentrations for secondary immunogenicity for each group.

pg 123 - Overviews the normal blood chemistries as part of the group (sorry Dr. Campbell, no vitamin D in the study)

Pg 138 - Abbreviations

I look forward to the interim study results when released by the company. Does anyone know when they said they would do such?

Thanks for diving into the Pfizer publication @dixiegirl1035 so the rest of it don’t have to! I think the “green light” for me personally will be when Dr Fauci gets vaccinated by a vaccine approved by the FDA. He has said previously that he will examine the data that leads the FDA to approve it (I believe it was in the interview with Rolling Stone). So he will “trust the FDA, but verify.” As I’ve said previously, at this point Dr Fauci is the only one I trust...but I am very impressed with the task force President-elect Biden has assembled and I hope he can persuade Dr Fauci to join after Jan. 20.
JMO MOO
 
  • #839
[URL='https://www.reuters.com/article/us-health-coronavirus-eli-lilly-fda/u-s-allows-emergency-use-of-eli-lillys-covid-19-antibody-therapy-idUSKBN27P35L']https://www.reuters.com/article/us-health-coronavirus-eli-lilly-fda/u-s-allows-emergency-use-of-eli-lillys-covid-19-antibody-therapy-idUSKBN27P35L[/URL]
U.S. allows emergency use of first COVID-19 antibody drug

(Reuters) - U.S. regulators on Monday authorized emergency use of the first experimental antibody drug for COVID-19 in patients who are not hospitalized but are at risk of serious illness because of their age or other conditions.

The FDA granted the EUA to Eli Lilly's monoclonal antibody based on trial data. The drug, bamlanivimab (how do you pronounce that?), given by a one-time infusion, "reduced the need for hospitalization or emergency room visits in high-risk COVID-19 patients."

Good news! I guess the Regeneron antibody cocktail is likely to get a similar approval soon.
 
  • #840
Iowa numbers and news today: As of 10:00-11:00 a.m., we had 4,441 new confirmed cases of which 102,914 had recovered (+1,873). 27 more were reported to have passed for a total of 1,872. There are 58,343 active positive cases. 49.9% of test results were positive in the last 24 hrs. 166 were hospitalized in the last 24 hrs. for a total of 1,135 (+101 new daily record). Here are the daily age group totals (I'm short 1 in a group): 0-17: 14,944 (+496); 18-40: 70,315 (+1,740); 41-60: 45,580 (+1,274); 61-80: 23,616 (+677); & 81+: 6,764 (+253). Nov. 10: 4,441 new COVID-19 cases in Iowa, 27 more deaths and 1,873 recoveries
90 Iowa counties report high positivity rate
Iowa COVID-19 Information
Gov. Reynolds announces new mitigation restrictions for indoor and outdoor crowds
UIHC discussing vaccine distribution as Pfizer gives good news
IMO: some of these school districts could be new since the governor's pc this morning mentioned 27 school districts had requested online waivers since Nov. 1.
Cedar Rapids Community School District switching to online learning, requesting 2-week waiver
Benton Community School District moving to online learning starting Wednesday
College Community School District requests temporary online learning waiver
UPDATE: Janesville moving classes online, virtual learning approved through Nov. 23
 
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