Coronavirus COVID-19 - Global Health Pandemic #87

Status
Not open for further replies.
  • #421
I find it utterly irresponsible that a doctor on the WH pandemic task force would send out a tweet like this after the governor of a state is trying to control the spread/deaths/hospitalizations/stress on medical professionals.

Scott Atlas: Trump coronavirus adviser urges Michigan to 'rise up' against new Covid-19 measures - CNNPolitics

White House coronavirus task force member Dr. Scott Atlas criticized Michigan's new Covid-19 restrictionsin a tweet shortly after they were announced Sunday evening, urging people to "rise up" against the new public health measures.

"The only way this stops is if people rise up," Atlas said. "You get what you accept. #FreedomMatters #StepUp"

It’s frightening. She’s desperately trying to save lives and this man is calling that an assault on freedom worth a revolt.

He doesn’t even have anything to do with epidemiology, by the way.

In the meantime, a traveling nurse did an hour long FB live about her time in El Paso treating COVID patients. How the sickest would be put in a room to die, where doctors refused to go for fear of infection (but nurses I guess weren’t that valuable) and dead bodies would be placed in the room with the live but dying people, because there’s not enough space for the bodies. However, a doctor’s wife who got it got top of the line care. The very best. She was the only one to make it out alive of the ICU while the nurse was there for a month:

A nurse in a strained El Paso hospital says the sickest COVID-19 patients are put in a doctor-less room called 'the pit' where they are given 3 chances to be revived before workers let them die
 
  • #422
It’s frightening. She’s desperately trying to save lives and this man is calling that an assault on freedom worth a revolt.

He doesn’t even have anything to do with epidemiology, by the way.

In the meantime, a traveling nurse did an hour long FB live about her time in El Paso treating COVID patients. How the sickest would be put in a room to die, where doctors refused to go for fear of infection (but nurses I guess weren’t that valuable) and dead bodies would be placed in the room with the live but dying people, because there’s not enough space for the bodies. However, a doctor’s wife who got it got top of the line care. The very best. She was the only one to make it out alive of the ICU while the nurse was there for a month:

A nurse in a strained El Paso hospital says the sickest COVID-19 patients are put in a doctor-less room called 'the pit' where they are given 3 chances to be revived before workers let them die

bbm: Not sure if I'm a realist or have become a tad more cynical over the past few years, but that just sounds like "the way it is" these days. It's about who you know and how many connections to "power" you have that determines the outcome. Especially when resources are scarce. imo
 
  • #423
Last March, as the coronavirus was tearing across Spain, Lídia Bayona Gómez started to suffer bouts of vomiting and coughing.

A nursing home worker, she treated herself as a potential Covid-19 case, isolating and getting herself tested. The results came back negative, twice. With her weight dropping and her urine turning red, she made repeated attempts to see a doctor and in late April, on a phone consult, one told her to stay home and prescribed medicine for gastroenteritis and a urinary tract infection.

But the pain kept getting worse and in late June, her sister took her to an emergency hospital unit. In mid-July, she underwent a 12-hour surgery to remove two cancerous tumors, one from an ovary and the other from the bile ducts. She died in the hospital nine days later, at age 53.

It was not an isolated tragedy.

Hospitals and other health care centers have been forced to devote most of their resources to Covid-19 patients, and doctors are warning that a growing number of cases of cancer and other serious illnesses are going undetected, which could end up costing many more lives. That toll is beginning to be reflected in lawsuits.
Spain’s Other Covid Casualties: Undetected Cancer Cases

That’s awful!

I read of a case out here in CA where the doctors kept testing a guy for COVID. He kept coming up negative but had the symptoms and was very sick. He had typhus! They figured it out when he talked about his job as a dog trainer. Typhus from fleas is a thing. Luckily it’s easily treatable with antibiotics.
 
  • #424
bbm: Not sure if I'm a realist or have become a tad more cynical over the past few years, but that just sounds like "the way it is" these days. It's about who you know and how many connections to "power" you have that determines the outcome. Especially when resources are scarce. imo

Yeah. I mean I’m sure that’s probably true everywhere when it gets super impacted. It scares me. Those are valuable, human lives and we can’t seem to get a handle on this in order to save them.
 
  • #425
For the best results in virus tracking, the covid tests must be free. Many places they are, but some places they're not and if a person doesn't have access to a free testing site, they may opt not to get tested at all.

Patients are finding that these fees can pop up even when they don’t actually set foot in the facility. Multiple patients at one Texas emergency room had $1,684 facility fees tacked onto their drive-through coronavirus tests. A patient in New York faced a $1,394 charge for her test at a tent outside a hospital. The majority of the bill was the facility fee. The investigative news site ProPublica has reported on how facility fees can sometimes cost as much as 10 times the coronavirus test itself.
How to Avoid a Surprise Bill for Your Coronavirus Test
 
  • #426
Moncef Slaoui was on MSNBC today:
@mitchellreports

On Moderna/Pfizer vaccines, Moncef Slaoui: "These are exceptional data. It's remarkable we have independent confirmation of the level of protection achieved, for instance, in the Pfizer vaccine, with the Moderna vaccine...These are using technologies that are very similar, so I think it increases substantially the level of confidence this data are real and true and will continue to be confirmed.

On how COVID vaccines work, Slaoui: "You inject the template that help make the viral protein that will then be produced as if our bodies were serving as a factory to make the antigen, and that antigen as it's made, stimulates our immune system. ..which makes an immune response that effectively we now see is as good as, if not sometimes better than that produced when we make the antigen in a fermenter."

On vaccines, Slaoui: "We know we have enough vaccine doses b/w the two vaccines to immunize about 20 million people during the December in the 2nd half of the month. Going forward month on month about 25 more million individuals each time with two vaccine doses."

On transition/COVID & vaccine distribution, Slaoui: "Our focus to make sure we save people's lives. Anything that may slow that process or create any disruption is something that worries us appropriately."

On COVID vaccine, Slaoui: "We’re not injecting the live virus. In fact none of the virus we have in our portfolio has currently a live virus in the sense that it is able to multiply and amplify itself."

On Dr. Atlas comments, Slaoui: "I think it's important everyone understands their behavior impacts not only themselves and risk of infection but others around them and people they love. I hope people use judgment to wear a mask, wash their hands, & keep their distance."
 
  • #427
Colorado:

Boulder County hits new daily high in coronavirus cases; governor moves emergency operations to Level 1


“Polis said the return to Level 1 is due to the rise in cases across the state, according to a news release from the governor’s office. The state has four levels of emergency operations. Level 1 brings together all state agencies, federal partners and the voluntary organizations that serve the state’s communities in crisis, the release said. This will allow the Emergency Operations Center to better coordinate and synchronize the state’s response to the pandemic, the release said.“

[...]

“All general hospitals, according to the executive order, must submit a plan to the state with their maximum surge bed count by Wednesday, the release said. Hospitals must also complete a surge plan to the CDPHE by Nov. 20. That plan must include:
  • A detailed plan to potentially increase bed capacity by at least 50% and provide staffing and medical equipment for such increase
  • Strategies to increase the number of ICU beds by transitioning medical and surgical beds to ICU beds if needed
  • A detailed staffing plan, sufficient to provide adequate care for all beds, including those in use or available to patients other than COVID-19 patients
  • A mandate for elective procedures to be actively managed, reduced and/or delayed if there is a surge of COVID-19 infections in the county or municipality in which the Facility is located“
 
  • #428
Are Dogs Spreading SARS-CoV-2? Study Finds Living With a Dog Increases Risk of Contracting COVID-19

[In this study, the effect of certain variables—gender, age, educational level, type of residence, size of household, cohabitation with children or adolescents, the presence of workers among the household members, the presence of domestic workers in the home during lockdown, or having any type of pet other than a dog—was found to have no statistical significance.

The most effective hygiene measure in helping to reduce the prevalence of the disease was to disinfect products purchased from the market once back home (which reduced the risk by 94%).

...
Among mobility variables that were studied, those with the greatest effect in terms of increasing the prevalence of the virus were working outside the home (which increased the risk by 76%) and the use of public transport (particularly the underground system or tram network). A higher prevalence of the disease was also detected among those surveyed who had purchased their basic products at a supermarket and then used the home delivery service, compared to those who brought their shopping home themselves (the risk increased by 94% among the former group).]
 
  • #429
It amazes me how much conflicting information and misleading, or worse, completely wrong information about Covid.

An example of this:
1. Person has Covid, follows all Isolation protocols. Is released from Isolation by the Department of Health for his county. They have been monitoring his symptoms via an email program, follow up phone call. He can go back to work.

His employer wants to see a "negative test" before HR will let employee come back to work. He gets a test, it is POSITIVE!

Yes, because the virus is still in his system. But according to the CDC, he is no longer considered "contagious". Apparently, the PCR test will register the Covid virus for up to 12 weeks after the person is symptom free.

Great, even the CDC website is confusing.
Coronavirus Disease 2019 (COVID-19)

And this is interesting, that various entities are requiring a negative Covid test. When, people may test positive for months after having Covid. Waiting for the lawsuits on this issue.
Negative COVID-19 test required for Washington, DC, visitors from high-risk states: Mayor

The thing is that we do not know how long people are contagious. 14 days is either a guess or an average. World record for remaining capable of infecting others (intact virions, newly minted in the lungs, breathed out into the air) is 72 days.

A negative test generally means "not infectious," but I can't find a single study that proves that (probably not possible to prove it's always the case). But if the test is positive, well...I'd consider the person to still be contagious...

It would be fascinating to learn...down the road...that all those people cleared to go back to work after 10 or 14 days were still infectious in a significant percentage of cases. Given that some people can shed virions and be completely asymptomatic, it would also be interesting to know how long they do that (but since they don't go in for testing or treatment, it will be very difficult to figure out).
 
  • #430
The thing is that we do not know how long people are contagious. 14 days is either a guess or an average. World record for remaining capable of infecting others (intact virions, newly minted in the lungs, breathed out into the air) is 72 days.

A negative test generally means "not infectious," but I can't find a single study that proves that (probably not possible to prove it's always the case). But if the test is positive, well...I'd consider the person to still be contagious...

It would be fascinating to learn...down the road...that all those people cleared to go back to work after 10 or 14 days were still infectious in a significant percentage of cases. Given that some people can shed virions and be completely asymptomatic, it would also be interesting to know how long they do that (but since they don't go in for testing or treatment, it will be very difficult to figure out).

Well, the problem is that we are at a point, that if we don't let folks go back to work, there won't be any nurses, police officers, TSA agents, grocery store workers, teachers, on and on...we are at that "null" option.

And they did release President Trump to go back to work quite rapidly after his positive Covid test.
 
  • #431
  • #432
Colorado woman who spent 65 days on ventilator survives COVID | 9news.com
Barbara Gould spent months in the hospital, and is alive today because doctors agreed to let her undergo a new treatment for the novel coronavirus.

—-


Wow, you read my mind, I was just putting together the same list lol and was going to flag @Sillybilly on this - reporting to your post to request this be added to post 1 of each thread, as we do in other threads.

eta: actually the links aren’t working. I’ll help fix this, standby. :)
eta2: posted below and reported.
 
Last edited:
  • #433
Since the start of the COVID-19 pandemic, more than 1 million infants, children and adolescents have been diagnosed with the illness, according to data released Monday by the American Academy of Pediatrics and Children’s Hospital Association, which are tracking data reported by state health departments.

As of Nov. 12, a total of 1,039,464 children have tested positive for COVID-19 since the onset of the pandemic. In the one-week period ending Nov. 12th, there were 111,946 new cases in children, which is substantially larger than any previous week in the pandemic. The increase tracks surges in the virus in communities across the U.S.

“As a pediatrician who has practiced medicine for over three decades, I find this number staggering and tragic. We haven’t seen a virus flash through our communities in this way since before we had vaccines for measles and polio,” said AAP President Sally Goza, MD, FAAP. “And while we wait for a vaccine to be tested and licensed to protect children from the virus that causes COVID-19, we must do more now to protect everyone in our communities. This is even more important as we approach winter, when people will naturally spend more time indoors where it is easier for the virus to be transmitted.”
More Than 1 Million Children in U.S. Diagnosed with COVID-19
 
  • #434

I'm sorry about the links! I saw they were active but failed to make sure they worked properly. Good to have you backing me up and fixing things!
 
  • #435
  • #436
When COVID vaccine becomes available Stop & Shop will offer it for free

Hours after Moderna announced its vaccine candidate was nearly 95% effective at preventing the spread of COVID-19 on Monday, Stop & Shop announced it will be administrating free immunizations when a vaccine is available.

Through a partnership with the U.S. Department of Health & Human Services meant to maximize access to a vaccine across, Stop & Shop said Monday that when a vaccine is approved for use in the United States it will be available at more than 250 of its pharmacy locations across the Northeast.

“We’re proud to do our part in the fight against COVID-19 by joining this critical effort led by HHS - and by making the vaccines accessible for our customers as soon as safe and effective options become available,” Director of Pharmacy at Stop & Shop Katie Thornell said in a statement. “This move to become an early provider is part of our commitment to be a trusted health resource within our communities.”


The vaccine will be administered to Stop & Shop customers at no cost, the grocery chain said.
 
  • #437
  • #438
The thing is that we do not know how long people are contagious. 14 days is either a guess or an average. World record for remaining capable of infecting others (intact virions, newly minted in the lungs, breathed out into the air) is 72 days.

A negative test generally means "not infectious," but I can't find a single study that proves that (probably not possible to prove it's always the case). But if the test is positive, well...I'd consider the person to still be contagious...

It would be fascinating to learn...down the road...that all those people cleared to go back to work after 10 or 14 days were still infectious in a significant percentage of cases. Given that some people can shed virions and be completely asymptomatic, it would also be interesting to know how long they do that (but since they don't go in for testing or treatment, it will be very difficult to figure out).

I agree that length of contagiousness is likely not certain, and is still being studied. Jumping off this post, as we know, the CDC has been bullied, and “handcuffed” according to one top doctor, (if anyone would like links again for reference, let me know), and while this is a dynamic situation and new information is constantly being learned, I have found certain changes in CDC guidance to be questionable, jmo. Of course, IANAD.

Now, wrt to infectiousness, in one of my contact tracing courses several months ago, we were taught that a symptomatic person is infectious the whole time that they are exhibiting symptoms. They even used the example that if someone is sick for a month, they are infectious this whole time. (I can’t tell you which exact course this was from because I have taken several, but it would likely be from the Johns Hopkins, Purdue or ASTHO training).

Additionally, the guidance also changed wrt positive patients breaking isolation, from 72 hours to 24 hours with no fever. I have never been comfortable with this, jmo.
 
Last edited:
  • #439
Dr. Megan Ranney warns against indoor Thanksgiving gatherings | Boston.com
Sbm more at link

Megan Ranney, an emergency room physician for Brown Emergency Medicine and director of the Brown Lifespan Center for Digital Health, raised concerns on Twitter over the weekend about the attitude toward holiday gatherings, flagging a recent survey in which 38 percent of Americans said their plans included 10 people or more.

“This gives me heart palpitations,” Ranney wrote, sharing the poll. “Folks. DON’T DO IT. This is going to light a million new fires and devastate families across the country.

“DO NOT DO INDOORS THANKSGIVING with people who aren’t part of your immediate household,” she added. “I’m begging you.”

The doctor emphasized there is “so much evidence” that both small and large “family” gatherings drive the spread of COVID-19, pointing to a Maine wedding that led to 177 infections and 7 deaths, a three-week family gathering where 11 individuals of 14 staying in a house got sick, and a New Jersey family get together that resulted in the deaths of five of its members.

“I could go on, and on, and on,” Ranney wrote of the examples. “The short version, though? JUST DON’T DO IT. You are putting your family’s and your own health at risk.”




Right now, our hospitals and our ERs are at the breaking point and we are on the edge of what is the worst possible thing for a health care provider, which is to not be able to help,” she said. “We are literally running out of beds in the hospital. We’re running out of intensive care unit beds, dialysis machines. We are exhausted. We are seeing our colleagues get sick.”

When a patient is really sick with COVID-19, Ranney stressed it is “not like watching an episode of E.R.,” packed with excitement and drama.

“It is a quiet and sad death,” she said. “We are looking at patients who can’t see their families to say goodbye. It’s just the beeping of a machine, the sound of a ventilator, and those last ditch efforts we make to try to save them, knowing that there’s so little that we can do.

It is an absolutely heartbreaking moment for all of us in health care, not just doctors and nurses. But all of our support staff, our techs, our respiratory therapists. Even the housekeeping staff. They’re just worn out and tired and scared of what’s coming next.”
 
Last edited:
  • #440
Iowa numbers and news today: As of 10:00-11:00 a.m., we had 2,335 new "confirmed" cases of which 108,174 are recovering (+294). 6 more were reported to have passed for a total of 1,991. There are 78,846 active postive cases with a 24 hr. positivty rate of 43%. 243 were hospitalized in the last 24 hrs. for a total of 1,392 (new daily record +113). Here are the daily age groups increases (numbers all match today): 0-17: 17,806 (+273); 18-40: 80,535 (+864); 41-60: 53,096 (+654); 61-80: 27,789 (+428); &
81+: 7,750 (+116). Nov. 16: 2,335 new COVID-19 cases in Iowa, six more deaths, record hospitalizations continue
Iowa COVID-19 Information Daily case number updated at 11:00 a.m.
Iowa COVID-19 Information Current hospital data. I have noticed that their info. only goes back to July 2020.
* On a side note, I'm not really sure how KWWL is figuring out the 24 hr. positivity rates since the numbers released each day IMO are are results from several days of tests. Also, IMO the smaller new confirmed case total today is most likely a reflection of the Test Iowa sites being closed on Veteran's Day. Sadly, I think the numbers will be back over 4,000+ in a day or two.
Gov. Reynolds to give live address to Iowans on COVID-19 Monday evening/ This could be something big or maybe not. However, this is the 1st time since last March that she is having a pc later in a day other than a Tues./Thurs. and all of those were either at 2:00 p.m. or 11:00 a.m.
IDPH looking for vendor to assist with contact tracing as cases surge statewide
'This is a disaster': Iowa Public Health Association asks Reynolds for mask mandate
Iowa religious leaders call on Reynolds to sign mask mandate
Polk County Health says workers overwhelmed ahead of holiday
CIML Schools Ask For Statewide Winter Sports Delay Until January | who13.com
Iowa worst in nation for flu-like illnesses
Coronavirus in Iowa: How IDPH calculates the 14-day positivity rate Found this from a few days ago. If you live in the US, you should be able to read it free.
COVID-19 at Iowa universities and colleges: Latest updates on cases
 
Status
Not open for further replies.

Guardians Monthly Goal

Members online

Online statistics

Members online
124
Guests online
1,904
Total visitors
2,028

Forum statistics

Threads
636,869
Messages
18,705,388
Members
243,948
Latest member
Master834
Back
Top