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 SAUTO:
thats what is super scary to me. their numbers are going up while testing less percentage of the people showing symptoms.
thats my point in all this donger
During this transition stage towards doing less testing, this also might not show up immediately in the numbers since I am guessing their could be a 1-2 day lag from when someone was tested, test results were known, and test results were submitted to the State. Numbers today could very well reflect when full blown testing was being done, or at a minimum, the numbers today has a good percentage of the reported totals when greater testing was in place. Just like the social distancing, I am guessing we need to give time to see the effects if any. [Reply]
Originally Posted by DJ's left nut:
I don't disagree with any of this. I'm simply saying all sides have to be heard in these discussions.
You speak to the long-term impacts being felt for years, I think that will be even MORE stark in mental health instances. Or family stability. I don't think this is political but it does come in part from my ideology - I think family stability is absolutely massive in long-term health and education outcomes (which then drive further positive outcomes across the board). I think the data on that is largely unassailable. Much of this comes from families that have the financial wherewithal to provide; we all know that money troubles are HUGE forces in family instability.
When you start to impact a family's ability to provide and start to shake their family dynamics at their cores, that has immense long-term impact. Many, if not most, will eventually rebound to normalcy. But many will not. And those impacts will be felt for years. Potentially generations.
Almost certainly moreso than losing a grandparent would.
My sister's an emergency room physician in Houston. My wife's an NP at University Hospital. Shit, anyone who lives in Columbia has connections with dozens of front-line healthcare workers. Virtually every one of my friends or their spouses works in healthcare in some way (I'm hard pressed to think of a single one who doesn't at the moment). I'm well aware of the fear they're facing and certainly endorse efforts to protect them.
But again, that cannot be the only place we make policy decisions from.
I agree that we can't be myopic in our viewpoint and I share most, if not all, of your sentiments. These are all bad choices, the debate exists in degree.
My fear is that we end up with a half-assed measure that combines the economic destruction of a shutdown with the human destruction of near-unchecked spread because we couldn't commit to a decision for a sustainable period of time. [Reply]
Originally Posted by ptlyon:
See, that's bullshit. How do they know it's Coronavirus and not the flu or a cold? That sways the numbers. And if they are doing it, how many others are counted like that.
MO had strict guidelines in order for you to get a test, like super strict. [Reply]
Originally Posted by SAUTO:
i agree here. but opening everything back up and spreading it further isnt going to do anyone's mental health any favors...
Who said just open everything up?
I'm saying our responses simply aren't nearly targeted enough. We're sweeping people up in this net who have no need to be. Not at this time.
And I think we're doing that in large part because we aren't focusing nearly enough on the negative outcomes of the decisions being made.
We're burning social capital on areas that don't need it right now. Keep that powder dry because you MAY need it in short order.
I don't care what NYC does - they're in the shit and whatever their local leadership decides to do is aces by me. But heavy-handed month-long, state wide shutdown orders being issued across the country right now are having impacts on millions of people who simply didn't need to take the hit yet. And by doing so, you're going to make things harder and harder on people that some are willing to consider mere collateral damage. [Reply]
Originally Posted by 'Hamas' Jenkins:
I'm terribly sorry for this. That is awful.
oh man...you dont even know how fucked up it was.
she couldnt just steal the narcotics for some reason, she didnt give her her other meds throughout the ordeal either...
i mean the seizure meds are bad enough and could kill her but no antibiotics made her go septic in a matter of days and then get endocarditis for the 2nd time. 6 weeks in ICU on a vent. 8 weeks getting iv antibiotics at home by mom got it mostly taken care of. [Reply]
Originally Posted by KCChiefsFan88:
The prevalence of Type 2 Diabetes is much greater than Type 1 Diabetes in the United States... 90-95% of diabetics in the US have Type 2.
Originally Posted by 'Hamas' Jenkins:
I agree that we can't be myopic in our viewpoint and I share most, if not all, of your sentiments. These are all bad choices, the debate exists in degree.
My fear is that we end up with a half-assed measure that combines the economic destruction of a shutdown with the human destruction of near-unchecked spread because we couldn't commit to a decision for a sustainable period of time.
And the flipside is that we come down too hard, don't get any kind of meaningful spread that allows people to recover and go back to work, and the timeline for this drags on indefinitely to little real public health benefit other than holding the water back for as long as possible. Which will still serve to drown everyone if/when the dam breaks.
I agree that everything involved in this conversation is a discussion of bad choices. But my point is that too many people are plugging their ears to an entire set of outcomes because they're more concerned by the other set. That's just not a viable method of making decisions.
It's impossible to find a balance if your thumb is on the scale. [Reply]
Originally Posted by SAUTO:
oh man...you dont even know how ****ed up it was.
she couldnt just steal the narcotics for some reason, she didnt give her her other meds throughout the ordeal either...
i mean the seizure meds are bad enough and could kill her but no antibiotics made her go septic in a matter of days and then get endocarditis for the 2nd time. 6 weeks in ICU on a vent. 8 weeks getting iv antibiotics at home by mom got it mostly taken care of.
She has been arrested, and charged with attempt murder correct? [Reply]
Originally Posted by DJ's left nut:
Who said just open everything up?
I'm saying our responses simply aren't nearly targeted enough. We're sweeping people up in this net who have no need to be. Not at this time.
And I think we're doing that in large part because we aren't focusing nearly enough on the negative outcomes of the decisions being made.
We're burning social capital on areas that don't need it right now. Keep that powder dry because you MAY need it in short order.
I don't care what NYC does - they're in the shit and whatever their local leadership decides to do is aces by me. But heavy-handed month-long, state wide shutdown orders being issued across the country right now are having impacts on millions of people who simply didn't need to take the hit yet. And by doing so, you're going to make things harder and harder on people that some are willing to consider mere collateral damage.
but IMO at least , you can lessen that hit in other places by shutting them down.
the incubation period is fucking us in this instance. terribly bad. by the time the numbers are spiking it's spread so far it's almost impossible to get it reigned in.
if you wait to shut down you're probably fucked [Reply]
Originally Posted by SAUTO:
oh man...you dont even know how fucked up it was.
she couldnt just steal the narcotics for some reason, she didnt give her her other meds throughout the ordeal either...
i mean the seizure meds are bad enough and could kill her but no antibiotics made her go septic in a matter of days and then get endocarditis for the 2nd time. 6 weeks in ICU on a vent. 8 weeks getting iv antibiotics at home by mom got it mostly taken care of.
My memory is you live in a fairly small town, no? Not 1,000 by any means, but not 100,000 either.
I know there's increased discussion of opioid abuses in rural America but unless you spend time with people who live in a real small, insulated community, you don't realize just how pervasive drug abuse has become.
The little town where my buddy's farm is, where we used to go out and hang out with the locals and drink/fish/shoot in HS, I won't go into as an adult outside of heading into the local cafe or sale barn. It bubbles right under the surface but people are committing violent felonies for their fix. It's fucking awful.
Sounds like some of that is at play here with your stealin' nurse. Sorry to hear about it. Such an odd thing for someone to become a pediatric nurse and then actively seek to hurt a child. [Reply]