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.”
But a recent study of 100 recovered coronavirus patients reveals 78 of them now have lasting cardiovascular damage even though a vast majority of them had mild cases of COVID-19 in the first place.
The study published Monday in JAMA Cardiology details the results of cardiac MRI exams of 100 recovered coronavirus patients. Twenty-eight of them required oxygen supplementation while fighting the virus, while just two were on ventilators. But 78 of them still had cardiovascular abnormalities after recovery, with 60 of them showing "ongoing myocardial inflammation," the study shows. These conditions appeared to be independent of case severity and pre-existing conditions, though JAMA researchers note these findings need a larger study.
I have a lot of questions about the study pool. What does it take to get on the Frankfurt hospital registry?
Also this:
Originally Posted by :
The findings are not validated for the use in pediatric patients 18 years and younger. They also do not represent patients during acute COVID-19 infection or those who are completely asymptomatic with COVID-19.
So rule out completely asymptomatic people.
But this is scary:
Originally Posted by :
Unlike these previous studies, our findings reveal that significant cardiac involvement occurs independently of the severity of original presentation and persists beyond the period of acute presentation, with no significant trend toward reduction of imaging or serological findings during the recovery period.
Can someone please round up Hamas to come talk to us about some of these recent studies? [Reply]
Originally Posted by suzzer99:
I have a lot of questions about the study pool. What does it take to get on the Frankfurt hospital registry?
Also this:
So rule out completely asymptomatic people.
But this is scary:
Can someone please round up Hamas to come talk to us about some of these recent studies?
You raise good questions. I'd also like to see evidence in a larger group than 100 people. I'm sorry but these 100 people studies don't mean jack shit in the grand scheme of things. [Reply]
Originally Posted by TLO:
You raise good questions. I'd also like to see evidence in a larger group than 100 people. I'm sorry but these 100 people studies don't mean jack shit in the grand scheme of things.
100 people in a truly random pool (of people who were sort of sick or w/e) can still show a lot statistically. Just the size of the pool alone isn't enough to discount it. But how the pool was chosen, what these heart issues actually mean, and a bunch of other stuff needs to be peer-reviewed. [Reply]
So this finds that 9 days is the latest you can be infectious?
That's what I'm reading. It also says some stuff in there about asymptomatic spread that I don't fully understand. It looks as though they are at least implying that asymptomatic spread may not be that common? [Reply]
Originally Posted by suzzer99:
100 people in a truly random pool (of people who were sort of sick or w/e) can still show a lot statistically. Just the size of the pool alone isn't enough to discount it. But how the pool was chosen, what these heart issues actually mean, and a bunch of other stuff needs to be peer-reviewed.
I agree. We've seen these 100 person studies before that end up being bunk though. All of the things you mentioned that need peer reviewed are the key. [Reply]
Yeah I wouldn't be shocked at all if in a week or two we start seeing articles to the tune of "So about that 100 person study..."
What bugs me is them not being crystal clear about the study pool. 99% of the public just reads "78 out of 100 patients with covid have heart problems". They don't even think of the pool or what "patient" means in this case, which I still don't know. It just means you showed up on a hospital registry. What that means is anyone's guess. [Reply]
Originally Posted by TLO:
I posted that last night. Here's a response from someone who has a lot of knowledge in the area.
So I read the article. First of all it was very few patients. Too small to really tell if it is common or not in the general population. It's just an observation they are making. And all it really says is there was inflammation observed early in the recovery process. I didn't see anything about lasting tissue damage. And it said virus was not present in the cardiac tissue.
Covid 19 is an inflammatory disease. Inflammation is bad for the cardiovascular system. That’s what they’re observing, inflamed tissue within the 100 people they observed. This is to be expected with any serious inflammation disease and shouldn’t be too alarming. A lot of the reason uncontrolled diabetes and obesity is such a risk factor, as increased inflammation = bad outcomes. [Reply]