Wuhan virus (coronavirus) arrives in the USA

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My niece was here this past weekend. She’s a pharmacist and has studied in China. She had strep, and had to go to the hospital for testing (note not a local doctor, school doc, etc). She said the hospital had blood on the floor and dirty, tattered blankets given from person to person. NOT the same standards as here in the US or Europe. She ended up getting a yeast infection from the antibiotic, had to go BACK to the hospital to get treated. Here, we’d go by OTC yeast cream at CVS or similar. She said the process was so complicated to simply get treated for a yeast infection she nearly stole the cream from the pharmacy at the hospital. She just wanted to get OUT of that filthy place. And this was in a large city, not a rural town.

Now ask yourself why there’s such pandemonium, death, and spread in China. You will NOT see the same problems here. I think, too, people are forgetting that the flu pandemic happened in 1918 when the medical care, etc was not nearly as advanced as it is here.

Look how studied this already is in our Western countries. It’s nothing short of remarkable how fast our country has mobilized to attack this.

THIS. A lot of people acting like chicken little here simply cannot comprehend what it's like for medical care in the eastern world, even in the big cities or the "nicer" hospitals. The whole -- OMG it's going to be soooo bad in America when it happens that maybe it's better to get it now when there's only a few cases (WTF?? that theory circulated here yesterday) -- seems to ignore the fact that in the US NO hospital -- not even a small town one passes around sheets and blankets from person to person unless they've first been laundered at x degrees for y timeframe -- all of which are required guidelines. To say nothing about healthcare professionals changing gloves and masks like every 2 seconds when they go patient to patient; in the scenes we're seeing in China the drs. are in biohazard suits yet I wouldn't be surprised at all if they are just wearing those suits for their own protection but then going person to person with the same gloves etc. on -- thus infecting someone with a lesser virus with this one. It's also why I don't get why people there are standing shoulder to shoulder in hospitals "to get checked." Don't they risk catching it between just the crowds and also the lack of infection control by whoever is seeing them? But I think a lot of it is cultural -- there are definitely eastern cultures where the DOCTOR'S definitive word is what matters . . . if he says they're ok, then they must be ok to say nothing of the fact that they just spent hours in large crowds and the guy who ok-ed them may or may not have been wearing those gloves all morning.

Somewhat surprisingly, there are not that many general practitioners in China and very few stand alone clinics/doctors' offices. So people go to hospitals, which we know are huge vectors of disease, for everything.

sounds like MSF should be mobilized. would China accept that?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My niece was here this past weekend. She’s a pharmacist and has studied in China. She had strep, and had to go to the hospital for testing (note not a local doctor, school doc, etc). She said the hospital had blood on the floor and dirty, tattered blankets given from person to person. NOT the same standards as here in the US or Europe. She ended up getting a yeast infection from the antibiotic, had to go BACK to the hospital to get treated. Here, we’d go by OTC yeast cream at CVS or similar. She said the process was so complicated to simply get treated for a yeast infection she nearly stole the cream from the pharmacy at the hospital. She just wanted to get OUT of that filthy place. And this was in a large city, not a rural town.

Now ask yourself why there’s such pandemonium, death, and spread in China. You will NOT see the same problems here. I think, too, people are forgetting that the flu pandemic happened in 1918 when the medical care, etc was not nearly as advanced as it is here.

Look how studied this already is in our Western countries. It’s nothing short of remarkable how fast our country has mobilized to attack this.

THIS. A lot of people acting like chicken little here simply cannot comprehend what it's like for medical care in the eastern world, even in the big cities or the "nicer" hospitals. The whole -- OMG it's going to be soooo bad in America when it happens that maybe it's better to get it now when there's only a few cases (WTF?? that theory circulated here yesterday) -- seems to ignore the fact that in the US NO hospital -- not even a small town one passes around sheets and blankets from person to person unless they've first been laundered at x degrees for y timeframe -- all of which are required guidelines. To say nothing about healthcare professionals changing gloves and masks like every 2 seconds when they go patient to patient; in the scenes we're seeing in China the drs. are in biohazard suits yet I wouldn't be surprised at all if they are just wearing those suits for their own protection but then going person to person with the same gloves etc. on -- thus infecting someone with a lesser virus with this one. It's also why I don't get why people there are standing shoulder to shoulder in hospitals "to get checked." Don't they risk catching it between just the crowds and also the lack of infection control by whoever is seeing them? But I think a lot of it is cultural -- there are definitely eastern cultures where the DOCTOR'S definitive word is what matters . . . if he says they're ok, then they must be ok to say nothing of the fact that they just spent hours in large crowds and the guy who ok-ed them may or may not have been wearing those gloves all morning.

While I appreciate the sentiment, I also feel like maybe you've never been to the Children's ER in the middle of the night during flu season ... I was there in December for a croup attack with my child and it was elbow to elbow with sick kids and disorganized/understaffed. Was later told this was due to two trauma patients being flown in, but if that's all it takes to tap out of capacity, then it's in fact hard to see how the system would work all that well in a pandemic here.

It was elbow to elbow with the same population density as China? And when you kid was seen, they had on the same gloves they'd had on to see the 15 prior patient and your kid was given the same blankets used by other kids and put onto a gurney that someone else had just been on? I'm thinking no . . . .

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My niece was here this past weekend. She’s a pharmacist and has studied in China. She had strep, and had to go to the hospital for testing (note not a local doctor, school doc, etc). She said the hospital had blood on the floor and dirty, tattered blankets given from person to person. NOT the same standards as here in the US or Europe. She ended up getting a yeast infection from the antibiotic, had to go BACK to the hospital to get treated. Here, we’d go by OTC yeast cream at CVS or similar. She said the process was so complicated to simply get treated for a yeast infection she nearly stole the cream from the pharmacy at the hospital. She just wanted to get OUT of that filthy place. And this was in a large city, not a rural town.

Now ask yourself why there’s such pandemonium, death, and spread in China. You will NOT see the same problems here. I think, too, people are forgetting that the flu pandemic happened in 1918 when the medical care, etc was not nearly as advanced as it is here.

Look how studied this already is in our Western countries. It’s nothing short of remarkable how fast our country has mobilized to attack this.

THIS. A lot of people acting like chicken little here simply cannot comprehend what it's like for medical care in the eastern world, even in the big cities or the "nicer" hospitals. The whole -- OMG it's going to be soooo bad in America when it happens that maybe it's better to get it now when there's only a few cases (WTF?? that theory circulated here yesterday) -- seems to ignore the fact that in the US NO hospital -- not even a small town one passes around sheets and blankets from person to person unless they've first been laundered at x degrees for y timeframe -- all of which are required guidelines. To say nothing about healthcare professionals changing gloves and masks like every 2 seconds when they go patient to patient; in the scenes we're seeing in China the drs. are in biohazard suits yet I wouldn't be surprised at all if they are just wearing those suits for their own protection but then going person to person with the same gloves etc. on -- thus infecting someone with a lesser virus with this one. It's also why I don't get why people there are standing shoulder to shoulder in hospitals "to get checked." Don't they risk catching it between just the crowds and also the lack of infection control by whoever is seeing them? But I think a lot of it is cultural -- there are definitely eastern cultures where the DOCTOR'S definitive word is what matters . . . if he says they're ok, then they must be ok to say nothing of the fact that they just spent hours in large crowds and the guy who ok-ed them may or may not have been wearing those gloves all morning.

Somewhat surprisingly, there are not that many general practitioners in China and very few stand alone clinics/doctors' offices. So people go to hospitals, which we know are huge vectors of disease, for everything.

sounds like MSF should be mobilized. would China accept that?

Is MSF Medicine Sans Frontier? Like Doctors w/o Borders -- IDK if those are the same organizations. Who knows at this point? Yesterday China turned down the US's offer to send medical help so really who knows.

[Anonymous]

UAE reported their first case yesterday. It is now four cases. They are all from the same family, who recently arrived from China.

[Anonymous]

This site reports that that the vaccine has been developed already!
Is this credible? Can anyone find any info to confirm this?

But the lab that produced it says the vaccine won't be ready for human use for at least a year.

Scientists Have Already Developed a Coronavirus Vaccine
“We have already produced the vaccine, but it will take a long time to test,” Yuen Kwok Yung, chair of infectious diseases at the University of Hong Kong, told the South China Morning Post, revealing that his team had isolated the previously unknown virus from the city’s first imported case.

https://www.vice.com/en_us/article/y3mw37/scientists-have-already-developed-a-coronavirus-vaccine

[Anonymous]

Anonymous wrote:This site reports that that the vaccine has been developed already!
Is this credible? Can anyone find any info to confirm this?

But the lab that produced it says the vaccine won't be ready for human use for at least a year.

Scientists Have Already Developed a Coronavirus Vaccine
“We have already produced the vaccine, but it will take a long time to test,” Yuen Kwok Yung, chair of infectious diseases at the University of Hong Kong, told the South China Morning Post, revealing that his team had isolated the previously unknown virus from the city’s first imported case.

https://www.vice.com/en_us/article/y3mw37/scientists-have-already-developed-a-coronavirus-vaccine

It's not that hard to develop a theoretical vaccine, but testing it takes much longer. They just added the coronavirus proteins to an existing vaccine.

[Anonymous]

Anonymous wrote:

Anonymous wrote:This site reports that that the vaccine has been developed already!
Is this credible? Can anyone find any info to confirm this?

But the lab that produced it says the vaccine won't be ready for human use for at least a year.

Scientists Have Already Developed a Coronavirus Vaccine
“We have already produced the vaccine, but it will take a long time to test,” Yuen Kwok Yung, chair of infectious diseases at the University of Hong Kong, told the South China Morning Post, revealing that his team had isolated the previously unknown virus from the city’s first imported case.

https://www.vice.com/en_us/article/y3mw37/scientists-have-already-developed-a-coronavirus-vaccine

It's not that hard to develop a theoretical vaccine, but testing it takes much longer. They just added the coronavirus proteins to an existing vaccine.

But we did not have it until Australians was able to grow in the lab couple days ago without which
we could not even start because there was no material?

[Anonymous]

Anonymous wrote:

Coronavirus Infections Surpass SARS Epidemic

Jan. 29, 2020, at 9:46 a.m.


https://www.usnews.com/news/world-report/articles/2020-01-29/wuhan-coronavirus-infections-surpass-sars-epidemic-in-china?context=amp

Well that happened fast.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Coronavirus Infections Surpass SARS Epidemic

Jan. 29, 2020, at 9:46 a.m.


https://www.usnews.com/news/world-report/articles/2020-01-29/wuhan-coronavirus-infections-surpass-sars-epidemic-in-china?context=amp

Well that happened fast.

How long was SARS around from the beginning to the end more less?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Coronavirus Infections Surpass SARS Epidemic

Jan. 29, 2020, at 9:46 a.m.


https://www.usnews.com/news/world-report/articles/2020-01-29/wuhan-coronavirus-infections-surpass-sars-epidemic-in-china?context=amp

Well that happened fast.

How long was SARS around from the beginning to the end more less?

About six months. From February 2003 to July 2003.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Coronavirus Infections Surpass SARS Epidemic

Jan. 29, 2020, at 9:46 a.m.


https://www.usnews.com/news/world-report/articles/2020-01-29/wuhan-coronavirus-infections-surpass-sars-epidemic-in-china?context=amp

Well that happened fast.

It appears to be more infectious but less serious than SARS.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My niece was here this past weekend. She’s a pharmacist and has studied in China. She had strep, and had to go to the hospital for testing (note not a local doctor, school doc, etc). She said the hospital had blood on the floor and dirty, tattered blankets given from person to person. NOT the same standards as here in the US or Europe. She ended up getting a yeast infection from the antibiotic, had to go BACK to the hospital to get treated. Here, we’d go by OTC yeast cream at CVS or similar. She said the process was so complicated to simply get treated for a yeast infection she nearly stole the cream from the pharmacy at the hospital. She just wanted to get OUT of that filthy place. And this was in a large city, not a rural town.

Now ask yourself why there’s such pandemonium, death, and spread in China. You will NOT see the same problems here. I think, too, people are forgetting that the flu pandemic happened in 1918 when the medical care, etc was not nearly as advanced as it is here.

Look how studied this already is in our Western countries. It’s nothing short of remarkable how fast our country has mobilized to attack this.

THIS. A lot of people acting like chicken little here simply cannot comprehend what it's like for medical care in the eastern world, even in the big cities or the "nicer" hospitals. The whole -- OMG it's going to be soooo bad in America when it happens that maybe it's better to get it now when there's only a few cases (WTF?? that theory circulated here yesterday) -- seems to ignore the fact that in the US NO hospital -- not even a small town one passes around sheets and blankets from person to person unless they've first been laundered at x degrees for y timeframe -- all of which are required guidelines. To say nothing about healthcare professionals changing gloves and masks like every 2 seconds when they go patient to patient; in the scenes we're seeing in China the drs. are in biohazard suits yet I wouldn't be surprised at all if they are just wearing those suits for their own protection but then going person to person with the same gloves etc. on -- thus infecting someone with a lesser virus with this one. It's also why I don't get why people there are standing shoulder to shoulder in hospitals "to get checked." Don't they risk catching it between just the crowds and also the lack of infection control by whoever is seeing them? But I think a lot of it is cultural -- there are definitely eastern cultures where the DOCTOR'S definitive word is what matters . . . if he says they're ok, then they must be ok to say nothing of the fact that they just spent hours in large crowds and the guy who ok-ed them may or may not have been wearing those gloves all morning.

While I appreciate the sentiment, I also feel like maybe you've never been to the Children's ER in the middle of the night during flu season ... I was there in December for a croup attack with my child and it was elbow to elbow with sick kids and disorganized/understaffed. Was later told this was due to two trauma patients being flown in, but if that's all it takes to tap out of capacity, then it's in fact hard to see how the system would work all that well in a pandemic here.

Most small regional hospitals would be quickly overwhelmed by as little as 10 highly infectious critically ill patients. Larger, non-major trauma center hospitals by 50 such patients. Some hospitals would need to discharge some recovering patients quicker.

Still better than the developing world. I worked on a cholera outbreak in a small Andean hospital (50 beds). People were on blankets in the hallways by day 2. By day 3, people were outside the hospital. Ran out of basic supplies for rehydration soon after. People without well family members to tend to them died the fastest.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Coronavirus Infections Surpass SARS Epidemic

Jan. 29, 2020, at 9:46 a.m.


https://www.usnews.com/news/world-report/articles/2020-01-29/wuhan-coronavirus-infections-surpass-sars-epidemic-in-china?context=amp

Well that happened fast.

It appears to be more infectious but less serious than SARS.

More infectious and more serious than SARS.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Coronavirus Infections Surpass SARS Epidemic

Jan. 29, 2020, at 9:46 a.m.


https://www.usnews.com/news/world-report/articles/2020-01-29/wuhan-coronavirus-infections-surpass-sars-epidemic-in-china?context=amp

Well that happened fast.

It appears to be more infectious but less serious than SARS.

We really don't know anything yet how this develop as for some reason we don't hear about people who got well
and what does it mean? Any complications? Free of complications? What age, what health conditions.
Seems like China is not sharing much about this. Until we see how the cases here fare we won't know.

[Anonymous]

I have a question. The Chinese CDC reported something like 1400 new cases and 250 severe cases of corona virus today.

What does it mean clinically for a case to be severe? Requiring breathing assistance?

Presumably the truly mild cases don’t even get reported or tested.

In typical flu seasons n, how many cases of flu that present at a hospital would be severe?