Originally Posted by Bwana:
Once again, don't come in this thread with some kind of political agenda, or you will be shown the door. If you want to go that route, there is a thread about this in DC.
Originally Posted by Dartgod:
People, there is a lot of good information in this thread, let's try to keep the petty bickering to a minimum.
We all have varying opinions about the impact of this, the numbers, etc. We will all never agree with each other. But we can all keep it civil.
Thanks!
Click here for the original OP:
Spoiler!
Apparently the CoronaVirus can survive on a inanimate objects, such as door knobs, for 9 days.
California coronavirus case could be first spread within U.S. community, CDC says
By SOUMYA KARLAMANGLA, JACLYN COSGROVE
FEB. 26, 2020 8:04 PM
The Centers for Disease Control and Prevention is investigating what could be the first case of novel coronavirus in the United States involving a patient in California who neither recently traveled out of the country nor was in contact with someone who did.
“At this time, the patient’s exposure is unknown. It’s possible this could be an instance of community spread of COVID-19, which would be the first time this has happened in the United States,” the CDC said in a statement. “Community spread means spread of an illness for which the source of infection is unknown. It’s also possible, however, that the patient may have been exposed to a returned traveler who was infected.”
The individual is a resident of Solano County and is receiving medical care in Sacramento County, according to the state Department of Public Health.
The CDC said the “case was detected through the U.S. public health system — picked up by astute clinicians.”
Officials at UC Davis Medical Center expanded on what the federal agency might have meant by that in an email sent Wednesday, as reported by the Davis Enterprise newspaper.
The patient arrived at UC Davis Medical Center from another hospital Feb. 19 and “had already been intubated, was on a ventilator, and given droplet protection orders because of an undiagnosed and suspected viral condition,” according to an email sent by UC Davis officials that was obtained by the Davis Enterprise.
The staff at UC Davis requested COVID-19 testing by the CDC, but because the patient didn’t fit the CDC’s existing criteria for the virus, a test wasn’t immediately administered, according to the email. The CDC then ordered the test Sunday, and results were announced Wednesday. Hospital administrators reportedly said in the email that despite these issues, there has been minimal exposure at the hospital because of safety protocols they have in place.
A UC Davis Health spokesperson declined Wednesday evening to share the email with The Times.
Since Feb. 2, more than 8,400 returning travelers from China have entered California, according to the state health department. They have been advised to self-quarantine for 14 days and limit interactions with others as much as possible, officials said.
“This is a new virus, and while we are still learning about it, there is a lot we already know,” Dr. Sonia Angell, director of the California Department of Public Health, said in a statement. “We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California.”
It is not clear how the person became infected, but public health workers could not identify any contacts with people who had traveled to China or other areas where the virus is widespread. That raises concern that the virus is spreading in the United States, creating a challenge for public health officials, experts say.
“It’s the first signal that we could be having silent transmission in the community,” said Lawrence Gostin, director of the World Health Organization Collaborating Center on National and Global Health Law. “It probably means there are many more cases out there, and it probably means this individual has infected others, and now it’s a race to try to find out who that person has infected.”
On Tuesday, the CDC offered its most serious warning to date that the United States should expect and prepare for the coronavirus to become a more widespread health issue.
“Ultimately, we expect we will see coronavirus spread in this country,” said Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases. “It’s not so much a question of if, but a question of when.”
According to the CDC’s latest count Wednesday morning, 59 U.S. residents have tested positive for the new strain of coronavirus — 42 of whom are repatriated citizens from a Diamond Princess cruise. That number has grown by two since Messonnier’s last count Tuesday, although the CDC was not immediately available to offer details on the additional cases.
More than 82,000 cases of coronavirus have been reported globally, and more than 2,700 people have died, with the majority in mainland China, the epicenter of the outbreak.
But public health leaders have repeatedly reminded residents that the health risk from the novel coronavirus to the general public remains low.
“While COVID-19 has a high transmission rate, it has a low mortality rate,” the state Department of Public Health said in a statement Wednesday. “From the international data we have, of those who have tested positive for COVID-19, approximately 80% do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date.”
CDC officials have also warned that although the virus is likely to spread in U.S. communities, the flu still poses a greater risk.
Gostin said the news of potential silent transmission does not eliminate the possibility of containing the virus in the U.S. and preventing an outbreak.
“There are few enough cases that we should at least try,” he said. “Most of us are not optimistic that that will be successful, but we’re still in the position to try.”
Originally Posted by Chief Pagan:
I am not in the everything is over let's open everything up camp, but I think it would be ok to start slowly experimenting a little.
For instance trying to get the K through 6 grade opened back up. This age group probably isn't doing great online and it is hard on parents regarding the child care.
Since kids don't appear to be ending up in hospitals that often I think you could choose a handful of schools and give those parents and teachers the option of going back.
If you started small you could test like crazy for the virus and see how it goes.
I don't think opening all the schools all at once would be a good idea.
Originally Posted by dlphg9:
Thats just not a smart idea. Kids will spread this shit like wildfire. I honestly could see schools being closed for pretty much all of next year as well.
Originally Posted by Monticore:
Yeah kids are not renowned for their hand hygiene , I wouldn't want to guess and a potential return date .
I don't think Chief Pagan has been around elementary kids much. :-)
Originally Posted by Bugeater:
Parents everywhere just cringed.
Those kids may not die but they will bring it home to their families. Who will then spread it into the community where other people will die.
Originally Posted by petegz28:
Chris Cuomo has a schpiel on Facebook where he said his doctor told him similar which was don't lay on your back. Lay on your side and as much as it hurts to take deep breaths.
Originally Posted by Monticore:
They have been proning patients for a while now so I am unsure if any change in numbers will attributed to that , I hope any reduction we see is because we are on the downside of this thing.
Some of these articles make it seem that these physicians have discovered a medical breakthrough but some of these practices have been in use elsewhere for quit some time.
It was SOP in every hospital I ever worked in to put a COPD or pneumonia patient that was struggling on their side or belly when presented to the ER. If a patients sats dropped on the floor the nurses would have them turn on their side first. That was 20+ years ago. [Reply]
Originally Posted by Monticore:
They have been proning patients for a while now so I am unsure if any change in numbers will attributed to that , I hope any reduction we see is because we are on the downside of this thing.
Some of these articles make it seem that these physicians have discovered a medical breakthrough but some of these practices have been in use elsewhere for quit some time.
What they were doing in the beginning was once their oxygen was low put them on a vent immediately.
This article is about what they wished they knew when this first started a month ago.
Originally Posted by :
Just about a month ago, people stricken with the new coronavirus started to arrive in unending ranks at hospitals in the New York metropolitan area, forming the white-hot center of the pandemic in the United States.
Now, doctors in the region have started sharing on medical grapevines what it has been like to re-engineer, on the fly, their health care systems, their practice of medicine, their personal lives.
Doctors, if you could go back in time, what would you tell yourselves in early March?
“What we thought we knew, we don’t know,” said Dr. Nile Cemalovic, an intensive care physician at Lincoln Medical Center in the Bronx.
Medicine routinely remakes itself, generation by generation. For the disease that drives this pandemic, certain ironclad emergency medical practices have dissolved almost overnight.
The biggest change: Instead of quickly sedating people who had shockingly low levels of oxygen and then putting them on mechanical ventilators, many doctors are now keeping patients conscious, having them roll over in bed, recline in chairs and continue to breathe on their own — with additional oxygen — for as long as possible.
The idea is to get them off their backs and thereby make more lung available. A number of doctors are even trying patients on a special massage mattress designed for pregnant women because it has cutouts that ease the load on the belly and chest.
Originally Posted by dirk digler:
What they were doing in the beginning was once their oxygen was low put them on a vent immediately.
This article is about what they wished they knew when this first started a month ago.
We avoided putting anyone with COPD on a vent unless they were at the point where death was imminent. Especially first time patients that have never been on a ventilator. The patients body and lungs love being able to fully breathe better than they have in years.
This was a semi-new approach back in my day from the old one to just put the patient on a vent earlier to help them get over this acute crisis sooner and back to normal faster. [Reply]
There was a study of pregnant women (I believe in NY) that had serological studies done and they found 15% had antibodies to Sars COv 2. I think they were tested as well and some tested positive with no symptoms. So that's good news. [Reply]
Originally Posted by dlphg9:
Thats just not a smart idea. Kids will spread this shit like wildfire. I honestly could see schools being closed for pretty much all of next year as well.
Originally Posted by Mecca:
It's like that in my house, 1 kid doing their work 1 kid not.
The leadership in our school is outstanding. They will call the kid and parents when work doesn't get turned in.
The local cell and internet provider stepped up to the plate and installed free internet in every kid's house that doesn't have it for FREE.
Gotta love small communities that have their shit together.
In contrast, the large cities around us have a very good plan installed, but the students and parents aren't stepping up the plate. It's just a huge contrast in culture and accountability. [Reply]
