DC: First COVID-19 Case Confirmed

[Anonymous]

Anonymous wrote:

Anonymous wrote:Patients are most contagious when showing symptoms, they are now saying

Is this new? This is where it started like 6 wks ago for those of us who were following then and then it became - oh no asymptomatic spread totally happens. Where did you hear/read this?

I'll try and find it for you -- hold on....

[Anonymous]

Anonymous wrote:

Anonymous wrote:Patients are most contagious when showing symptoms, they are now saying

Is this new? This is where it started like 6 wks ago for those of us who were following then and then it became - oh no asymptomatic spread totally happens. Where did you hear/read this?

Me again. It's coming from the CDC.

Can someone spread the virus without being sick?

People are thought to be most contagious when they are most symptomatic (the sickest).
Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It seems like they are only testing people experiencing actual complications. Which I kind of understand, you don't need the entire city to be showing up to the ER for a minor cold just to confirm whether or not you are infected. Just stay home until you are either recovered or need to seek medical care.

My understanding - having read everything I can on this recently - is that they really need to test extensively in order to get a handle on the scope of the problem. They can’t make intelligent decisions about school closings, businesses shutting down, etc unless they know the scope.

Obviously closing schools has a host of downsides, but if the alternative is a lot of people dying from an overloaded health care system they might need to pull the trigger on it.

Without data, they are flying blind.

Adding that having everyone go to an ER probably isn’t a good idea, what Korea is doing with drive by testing seems really on point.

+1

Counties should set up testing clinics in parking lots.

[Anonymous]

Anonymous wrote:

Anonymous wrote:It seems like they are only testing people experiencing actual complications. Which I kind of understand, you don't need the entire city to be showing up to the ER for a minor cold just to confirm whether or not you are infected. Just stay home until you are either recovered or need to seek medical care.

My understanding - having read everything I can on this recently - is that they really need to test extensively in order to get a handle on the scope of the problem. They can’t make intelligent decisions about school closings, businesses shutting down, etc unless they know the scope.

Obviously closing schools has a host of downsides, but if the alternative is a lot of people dying from an overloaded health care system they might need to pull the trigger on it.

Without data, they are flying blind.

USC just shut down in-person classes. They can all telework

[Anonymous]

Updated DC info:

Coronavirus Data
Data From the DC Public Health Lab Last Update: March 7, 2020 at 9:15 pm

Number of patients being monitored by DC Health and tested for COVID-19 (PUIs): 11
Number of negative results: 10
Number of pending results: 0
Number of presumptive positive results: 1
Number of presumptive positive results from other lab: 1

[Anonymous]

Anonymous wrote:
Updated DC info:

Coronavirus Data
Data From the DC Public Health Lab Last Update: March 7, 2020 at 9:15 pm

Number of patients being monitored by DC Health and tested for COVID-19 (PUIs): 11
Number of negative results: 10
Number of pending results: 0
Number of presumptive positive results: 1
Number of presumptive positive results from other lab: 1

Not horrible

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It seems like they are only testing people experiencing actual complications. Which I kind of understand, you don't need the entire city to be showing up to the ER for a minor cold just to confirm whether or not you are infected. Just stay home until you are either recovered or need to seek medical care.

My understanding - having read everything I can on this recently - is that they really need to test extensively in order to get a handle on the scope of the problem. They can’t make intelligent decisions about school closings, businesses shutting down, etc unless they know the scope.

Obviously closing schools has a host of downsides, but if the alternative is a lot of people dying from an overloaded health care system they might need to pull the trigger on it.

Without data, they are flying blind.

USC just shut down in-person classes. They can all telework

I guess the daughter of that actress can do her fake rowing from home then!

[Anonymous]

Anonymous wrote:

Anonymous wrote:
Updated DC info:

Coronavirus Data
Data From the DC Public Health Lab Last Update: March 7, 2020 at 9:15 pm

Number of patients being monitored by DC Health and tested for COVID-19 (PUIs): 11
Number of negative results: 10
Number of pending results: 0
Number of presumptive positive results: 1
Number of presumptive positive results from other lab: 1

Not horrible

Are you kidding? They have only tested 11 people.

[Anonymous]

Anonymous wrote:

Anonymous wrote:
Updated DC info:

Coronavirus Data
Data From the DC Public Health Lab Last Update: March 7, 2020 at 9:15 pm

Number of patients being monitored by DC Health and tested for COVID-19 (PUIs): 11
Number of negative results: 10
Number of pending results: 0
Number of presumptive positive results: 1
Number of presumptive positive results from other lab: 1

Not horrible

Numbers are great when you don’t test anyone.

[Anonymous]

Absolutely terrible; should be testing 1000x that.

And now DC is moving goalposts to "widespread" community transmission. How do they know if it's widespread or not when they're not testing?!

[Anonymous]

I was exposed to someone with Coronavirus (tested positive) and was told that I “didn’t meet criteria” to be tested. I have self-quarantined myself but this is ridiculous. If they don’t test, they don’t know how many people are infected.

[Anonymous]

Anonymous wrote:I was exposed to someone with Coronavirus (tested positive) and was told that I “didn’t meet criteria” to be tested. I have self-quarantined myself but this is ridiculous. If they don’t test, they don’t know how many people are infected.

PP here - not in DC

[Anonymous]

Smoker?

[Anonymous]

Anonymous wrote:Most common symptoms (based on the data out of China)

Fever, fatigue, dry cough, loss of appetite, muscle aches, shortness of breath starting around day 5 and respiratory symptoms progressing fairly rapidly with presentation to hospital with respiratory concerns typically about day 7.

Least common symptoms (less than 10% of cases):
Dizziness, nausea, vomiting, headaches, diarrhea, abdominal pain, runny nose, sore throat, coughing up sputum / blood.

Sources: Wang et al ( n = 138), Chen et al ( n = 99), and Huang et al ( n = 41). All found similar symptom profiles.

I am very suspicious my DS had this in early February as did many kids at school. Lots of absences. Like events cancelled because too many participants were out sick. And email notices that kid would be absent bounced back because the person you sent it to was out sick. My DC's symptoms: out of nowhere high fever, chills, exhausted, slept for over a day, aches, dry cough, dizzy, slight soar throat. Strep and flu tests were negative. It did not progress to respiratory, though the dry cough lingered. I rarely take this kid to the doctor for a sick visit. Glad I did, as it is in the records and I'm sure every office is reviewing their cases histories.

[Anonymous]

Is it just DC that isn’t testing bc is they’re waiting for widespread community spread? Are Va and Md being more aggressive about it? I know there is a testing kit issue but it sounds like that’s being resolved w the 1.1 mil out this wk, 4 mil next wk etc but here it sounds like the DC Department of Health is the one saying no.