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 'Hamas' Jenkins:
If you think an industry that uses blood boys and team physicians (whose best interests are almost always in contrast with the patient's) are bastions of expert medical advice then it's no wonder you're as misinformed as you are.
Supplements make almost no difference based solely upon their very low bioavailability. If you can get it from diet, then eat it; otherwise, you're just stressing your kidneys and liver for very very little gain.
The vitamin C myth is based entirely upon the mistakes of Linus Pauling, and repeated studies have shown no benefit. In fact, supplementation is an indicator of increased mortality in some cases (B12, for example). The body needs oxidative stress during cancer treatment because it is that stress that aids in lipid peroxidation and increased death of malignant cells.
I have no idea why you are talking about blood boys. Team physician was just the whole orthopedic surgeon dealio. [Reply]
BREAKING: #Italy PM #Conte announces the restriction zone will be extended to cover the whole country. No longer just a red zone in the north - all of Italy.
Originally Posted by mac459:
Cause when I was in his office last week getting my shoulder checked. We talked about anti vax people, people who use essential oils, people who think the government is out to **** them. So when you started on your tear of Vitamin C it reminded me of that so I text my friend who is a ortho surgeon. Are you incapable of understanding he is my friend, that is a ortho surgeon? He isn’t just an ortho surgeon that I see at appointments, we golf, we hang out, we text each other, screen shot shit that we find funny. Holy ****ing shit, I can’t believe I have to explain this out to someone, who claims to be friends with an ortho surgeon
What kind of dipshit thinks I was texting his ad an ortho surgeon and not my friend? Holy **** you are stupid. LMFAO. WTF LOL :-)MAO BRB TRYL
You didn’t describe a team ortho surgeon is, you got damn troglodyte. You said teams don’t have an official ortho surgeon, unless they buy the title. That’s not explaining, that’s making shit up.
I don't believe a word you are saying. Team orthopedic surgeon is usually the first line to have something looked at by a team and is great for marketing the doctor.. Surgery and the physician chosen is up to the athlete. This is a dead subject. I know you just want to be a part of something but move on. [Reply]
Originally Posted by TLO:
So how long do we have to wait to get approval if Remdesivir works? It's not a new drug, so couldn't it be approved fairly quickly?
You'd get increased rollout through compassionate exemptions fairly quickly, and broader approval in maybe 4-6 months, but that's a very rough guess based upon past history and other previously untreatable epidemics (AIDS). The closest analogue is probably AZT, which was approved in 1987, in record time (6 months). However, early doses were far too high and people who took it often suffered substantial side effects (cytopenias, mostly) from such large doses.
You'd need large urban or academic centers in most cases. Quick, accurate testing (without the substantially high false positive rates of the original tests), likely confirmed by CT, which appears to be the gold standard at this point.
Since there aren't other standards of care, you could treat against placebo, then see how patients did in comparison, but remember that in a disease with a small case fatality rate, marginal decreases would lead to statistically significant declines based upon how you interpret the data.
Here's an example: 1000 people get coronavirus and 970 live without remdisivir. 1000 people get coronavirus and 990 live with it. What's my relative risk reduction?
My event rate (death) is 3% in the control group and 1% in the experimental group. My absolute risk reduction is only 2%, but my relative risk reduction is (0.03-0.01)/(/0.03) is 66.7%, which means that I've reduced my risk of death by 2/3. Now, how many people do I need to treat to avoid 1 death? In that case, I take 1/absolute risk reduction, which is 1/(0.02), which is 50. Thus, for every 50 patients I treat with remdisivir, I prevent one excess fatality. That's pretty good from a pharmacoeconomic standpoint, but if you're treating millions of people, that's going to be a substantial financial outlay. [Reply]
Originally Posted by BIG_DADDY:
I have never done a vitamin C drip as I am rarely sick. I just posted what I had read during the week.
I have done hyperbaric IV ozone before and liked it a lot. MOF I am considering getting an EWOT therapy setup but need to finish my due diligence. Have you ever done either?
Why would I pay substantial money for a treatment that has no known medical benefit and unknown potential risks? I'm a medical professional, not a moron. [Reply]
BREAKING: #Italy PM #Conte announces the restriction zone will be extended to cover the whole country. No longer just a red zone in the north - all of Italy.
Originally Posted by BIG_DADDY:
I don't believe a word you are saying. Team orthopedic surgeon is usually the first line to have something looked at by a team and is great for marketing the doctor.. Surgery and the physician chosen is up to the athlete. This is a dead subject. I know you just want to be a part of something but move on.
Kind of like how nobody believes you hang out with Arthur. Just like nobody should believe anything you say because you write something, then when questioned. Make shit up, like
“ There is no official orthopedic surgeons for teams unless they buy the title.”
Then after you say that, you then turn around and say teams have an ortho surgeon. Which is it? Do they have a team ortho or not?
I have been a part of a lot of things, calling out a fucking dipshit on the internet is a hobby I do while I watch it rain. [Reply]
Originally Posted by srvy:
Russia seems to be skating by not a care in the world and yet surrounded by it.
Russia is the kind of place I would assume that could just call it a huge spike in viral pneumonia cases and be actually able to cover it up. Unless they're hospitals also get overwhelmed like Italy's. [Reply]
Originally Posted by TLO:
So what did Italy do wrong?
Well right now they seem to be the worst case outside of China (except maybe Iran but who knows). And I posted earlier itt the kind of crazy draconian things China was doing to stop the spread.
Italy seems to be figuring out the hard way what it needs to do to stop the spread. [Reply]
Originally Posted by :
For Philadelphia, the fallout was swift and deadly. Two days after the parade, the city’s public health director Wilmer Krusen, issued a grim pronouncement: “The epidemic is now present in the civilian population and is assuming the type found in naval stations and cantonments [army camps].”
Within 72 hours of the parade, every bed in Philadelphia’s 31 hospitals was filled. In the week ending October 5, some 2,600 people in Philadelphia had died from the flu or its complications. A week later, that number rose to more than 4,500. With many of the city’s health professionals pressed into military service, Philadelphia was unprepared for this deluge of death.
