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 Donger:
I haven't seen any numbers on vents. Are you saying that doctors are more hesitant to vent someone now as opposed to before? If so, why?
Yes, some have shown promise.
Being on a vent is hard on the lungs. I believe they have put more emphasis on just using an oxygen mask and not a tube. [Reply]
Originally Posted by Chief Pagan:
Being on a vent is hard on the lungs. I believe they have put more emphasis on just using an oxygen mask and not a tube.
I thought the purpose of ventilators was to physically provide the breathing action, hopefully when the patient was no longer capable of breathing without it.
I would hope that doctors weren't venting people who could still breathe on their own. [Reply]
Originally Posted by Marcellus:
You can attempt to argue it all you want but you are going to be wrong.
Its not about race, its about culture and multi family homes. Also Hispanic is not a race.
You know what I meant when I said race. I just don't think Hispanics are doing anything more than any other ETHIC GROUP as far as spreading this. I've seen whites, blacks and Hispanics all equally not follow the rules as far as social distancing.
It's truly been a team effort as far as spreading this shit. You simply sound like a closet racist w your post. With all due respect I'm not saying you are. [Reply]
Originally Posted by PAChiefsGuy:
You know what I meant when I said race. I just don't think Hispanics are doing anything more than any other ETHIC GROUP as far as spreading this. I've seen whites, blacks and Hispanics all equally not follow the rules as far as social distancing.
It's truly been a team effort as far as spreading this shit. You simply sound like a closet racist w your post. With all due respect I'm not saying you are.
As of June 12, 2020, age-adjusted hospitalization rates are highest among non-Hispanic American Indian or Alaska Native and non-Hispanic black persons, followed by Hispanic or Latino persons.
Non-Hispanic American Indian or Alaska Native persons have a rate approximately 5 times that of non-Hispanic white persons,
non-Hispanic black persons have a rate approximately 5 times that of non-Hispanic white persons,
Hispanic or Latino persons have a rate approximately 4 times that of non-Hispanic white persons.
Originally Posted by TLO:
I'm not going to list everything, but here's some highlights.
1. Not putting everyone on a ventilator. Remember when ventilators were a major concern? Notice that they aren't anymore?
2. Remdesivir
3. Covelesant plasma
4. Dexamethasone
5. Various other drugs/treatments that are showing promise but aren't widely studied yet
Compared to - "Oh shit - we have no idea what this disease is or how to treat it"
Yeah I'd say we're in a better place.
Originally Posted by :
Yeah, olds are protecting themselves better, so lower average age of people needing vents. Better treatment protocols for the virus itself. Better medical management of the disease processes. Heart damage and micro clotting were a huge surprise at the beginning of this thing. Now we are treating those things before they become issues.
We are also flat out getting better at all the daily shit we need to do. Dialysis in isolation rooms, proning, putting in arterial and central lines, having IV pumps and ventilator controls outside the room for quick access, transporting isolation patients to ct, mri, or surgery, and a hundred other little things. Shit that used to be a giant production for covid patients (if they were done at all) are being done in basically the same amount of time it takes for a normal patient.
Originally Posted by Donger:
I thought the purpose of ventilators was to physically provide the breathing action, hopefully when the patient was no longer capable of breathing without it.
I would hope that doctors weren't venting people who could still breathe on their own.
My understanding is that they learned they can let oxygen levels get much lower than they thought without it causing catastrophic damage. I don't know the numbers, but it's like they used to vent people below 85% and now they're OK with 75% or whatever. [Reply]
Originally Posted by DaFace:
My understanding is that they learned they can let oxygen levels get much lower than they thought without it causing catastrophic damage. I don't know the numbers, but it's like they used to vent people below 85% and now they're OK with 75% or whatever.
My wife had horrible asthma as a child and it reared its ugly head again after she was done breastfeeding our son.
She remembered what it felt like when she had the attacks as a child and went to seek medical attention from her doctor.
When she got there, she was at 83%. They thought the oximeter was broken at first.
Outside of being really scared and having tingling lips and fingers, she was fully functional. Before that day, I always thought that being in the mid 80's was like on the verge of death. [Reply]
Originally Posted by Donger:
I thought the purpose of ventilators was to physically provide the breathing action, hopefully when the patient was no longer capable of breathing without it.
I would hope that doctors weren't venting people who could still breathe on their own.
They could breathe on their own but were unable to oxygenate well enough , they are tolerating a lower threshold of hypoxia than they were before. I think they initially though early. Ent had better results but it didn’t seem to as being on vent has some pretty bad side affects as well . [Reply]
Originally Posted by Pants:
My wife had horrible asthma as a child and it reared its ugly head again after she was done breastfeeding our son.
She remembered what it felt like when she had the attacks as a child and went to seek medical attention from her doctor.
When she got there, she was at 83%. They thought the oximeter was broken at first.
Outside of being really scared and having tingling lips and fingers, she was fully functional. Before that day, I always thought that being the mid 80's was like on the verge of death.
My son when he was hospitalized with RSV at 3 weeks hit 37 as we were about to be discharged. [Reply]
