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 dlphg9:
It's blowing my mind how some of you are going "herp ****ing derp masks don't work cuz I see everyone wearing one", but come to podunk rural Missouri and you barely see anyone with a mask. The local God damn lumber store is run by a family and one of the owners has covid, but is still there working.
It's the rural areas that are getting hit hard, because no one around here believes that it's real. God damn sick of ****ing dimwits acting like they know anything when they barely passed high school. I'm sick of this ****ing hospital/clinic not wearing masks. Stupid ****ing idiots with little to no education running things there.
Originally Posted by loochy:
It's nice to be so superior to everyonelse, eh?
The WHO is kind is like the PFF of the medical world. When they say something we like, they're geniuses. When they say something we disagree with, we disown them. [Reply]
Originally Posted by TLO:
The WHO is kind is like the PFF of the medical world. When they say something we like, they're geniuses. When they say something we disagree with, we disown them.
That may be true of many, but it certainly isn't for me. Just like many health organizations, I trust their guidance but know that they're constantly re-evaluating a dynamic situation, so their guidance may change. That's not a bad thing. [Reply]
Originally Posted by TLO:
In other, not so great news.
WHO recommends against the use of remdesivir in COVID-19 patients
WHO has issued a conditional recommendation against the use of remdesivir in hospitalized patients, regardless of disease severity, as there is currently no evidence that remdesivir improves survival and other outcomes in these patients.
This recommendation, released on 20 November, is part of a living guideline on clinical care for COVID-19. It was developed by an international guideline development group, which includes 28 clinical care experts, 4 patient-partners and one ethicist.
The guidelines were developed in collaboration with the non-profit Magic Evidence Ecosystem Foundation (MAGIC), which provided methodologic support. The guidelines are an innovation, matching scientific standards with the speed required to respond to an ongoing pandemic.
Work on this began on 15 October when the WHO Solidarity Trial published its interim results. Data reviewed by the panel included results from this trial, as well as 3 other randomized controlled trials. In all, data from over 7000 patients across the 4 trials were considered.
The evidence suggested no important effect on mortality, need for mechanical ventilation, time to clinical improvement, and other patient-important outcomes.
The guideline development group recognized that more research is needed, especially to provide higher certainty of evidence for specific groups of patients. They supported continued enrollment in trials evaluating remdesivir.
That's weird as I have heard it has been working. I personally know someone it definitely helped while they were in the hospital. I just don't get the extreme differences in findings in the medical community around medications. [Reply]
Originally Posted by Hawker007:
That's weird as I have heard it has been working. I personally know someone it definitely helped while they were in the hospital. I just don't get the extreme differences in findings in the medical community around medications.
I haven't dug deeply into the studies they used to form their recommendation, but the placebo effect is a very real and well-documented thing. It's possible that that the person you knew would have recovered just as well without it. That's why randomized, controlled trials are so important. [Reply]
Originally Posted by loochy:
It's nice to be so superior to everyonelse, eh?
Where did I come off as superior? I stated facts and I live in rural MO and have my entire life. I know these people and get to hear about the same shit all the time. People are working while they are sick with Covid or going out and about spreading it to everyone else. It's fucking sickening
I've seen plenty of people on here say everywhere l go everyone is mostly masked and cases are going up, so that means masks don't work at all! But the spread in the rural communities is out of control and Clinton, MO for example is at 30% positivity rate. Go to the Walmart there and it's business as usual. No masks, no social distancing. Just a bunch of fucking idiots spreading around a disease that may not kill them and that's all that matters to them. Not even the old people wear masks. [Reply]
Originally Posted by DaFace:
I haven't dug deeply into the studies they used to form their recommendation, but the placebo effect is a very real and well-documented thing. It's possible that that the person you knew would have recovered just as well without it. That's why randomized, controlled trials are so important.
Yeah. There is a ton of placebo effect going on in our health system. So much so our doctors are giving the credit to remdesivir. [Reply]
Originally Posted by IowaHawkeyeChief:
Please... I was on my local school board for 10 years and know the system.
Someone just graduating college, with most positions on 180 day contracts with every Holiday and break off... make 36k. I get it, be outraged, but the $36k which is similar to many states in the Midwest is Step 1 on a salary scale. Each additional year they get a step increase in addition to an association negotiated raise on those steps. Also, many have the Cadillac of healthcare plans and their retirement benefits are unbelievable. These benefits in costs equal about 35-50% of their pay.
Retirement is good because of its employee matching and the way in which it is handled (i.e. left alone from as much government influence as possible). Insurance is good but for the "Cadillac" plan the monthly deduction out of paycheck is quite astounding. The step down is usually a couple hundred bucks, a step over (post grad credits) is where the bigger raises come from. And then many schools cap the steps after a certain amount of years. So no yearly raise after 15 years unless you get more post grad credits. And in the districts I worked there was no guarantee of any other raise. The districts would try to raise the base each year but it didn't always happen and again, a very small amount.
Originally Posted by BigCatDaddy:
There are also a lot of stipends to be had. 5k for a HC and 3K for an asst coach around here. I have no clue how that would end up breaking down hourly.
I was an assistant coach for a year. Made 1500 for middle school basketball and 1500 for variety. The breakdown to an hourly wage was definitely not worth it. Now that school was on the low end of compensation by far but still. I have a buddy who is at a relatively big school in the area and he's a head coach and he puts in a lot more work than he gets paid for. [Reply]
Originally Posted by DaFace:
Yep. Crisis is over. Feel free to kiss everyone you meet on the street.
I'd rather not.
Coworker just got back to work after getting covid. She's 30ish and a big lady. But besides allergies she is healthy and has never had any problems doing things. She was always a hard worker, doing two jobs during the week and worked most weekends. She says gets exhausted quickly still, and she is still feeling the effects with breathing. Granted it's only been 2 weeks since her initial symptoms but it has definitely taken a toll on her so far. [Reply]
Originally Posted by dlphg9:
It's blowing my mind how some of you are going "herp fucking derp masks don't work cuz I see everyone wearing one", but come to podunk rural Missouri and you barely see anyone with a mask. The local God damn lumber store is run by a family and one of the owners has covid, but is still there working.
It's the rural areas that are getting hit hard, because no one around here believes that it's real. God damn sick of fucking dimwits acting like they know anything when they barely passed high school. I'm sick of this fucking hospital/clinic not wearing masks. Stupid fucking idiots with little to no education running things there.
Coworker just got back to work after getting covid. She's 30ish and a big lady. But besides allergies she is healthy and has never had any problems doing things. She was always a hard worker, doing two jobs during the week and worked most weekends. She says gets exhausted quickly still, and she is still feeling the effects with breathing. Granted it's only been 2 weeks since her initial symptoms but it has definitely taken a toll on her so far.
I'm about 2.5 weeks from recovery and I'm just starting to get my energy back. Smell and taste have been much improved this week too.
Originally Posted by dlphg9:
Where did I come off as superior? I stated facts and I live in rural MO and have my entire life. I know these people and get to hear about the same shit all the time. People are working while they are sick with Covid or going out and about spreading it to everyone else. It's ****ing sickening
I've seen plenty of people on here say everywhere l go everyone is mostly masked and cases are going up, so that means masks don't work at all! But the spread in the rural communities is out of control and Clinton, MO for example is at 30% positivity rate. Go to the Walmart there and it's business as usual. No masks, no social distancing. Just a bunch of ****ing idiots spreading around a disease that may not kill them and that's all that matters to them. Not even the old people wear masks.
Truth. Here in Clinton they are having an emergency council meeting today to decide on doing a mask mandate. I am sure it will go well. [Reply]
