Wuhan virus (coronavirus) arrives in the USA

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My sibling is an ER nurse in one of the states of the DMV. her hospital has a patient they are pretty sure has it but they’re waiting on CDC to confirm so I don’t want to say which state.

She said she heard it’s in NC and the person was taken to Duke because he/she was in bad shape.

https://www.wric.com/health/virginia-health-official-on-coronavirus-outbreak-these-viruses-are-mutating-and-evolving/amp/

Doesn’t the article say that the person has mild respiratory symptoms and is in good shape?

I think for some yes and some critical. I thought the person in Seattle is improving. Article said he would be discharged last week. Not sure what happened.

My friends headed up the whole Ebola crisis in Liberia. When they worry, I worry

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, people have been cured - https://twitter.com/LeeAnneP8/status/1220901331696672768?s=20

Let's be accurate: The tweet you're linking to refers to numbers of people "treated and discharged." That's not equivalent to "cured." And the information seems to come from the Chinese government so--no way to know if it's true. They have quite the vested interest in saying people are being treated and sent home.

DP. Nepal also released its patient and they don’t have a vested interest.

Also, from a public health degree p.o.v., the word cured is not used when we are talking about viruses. We look at symptoms and viral load.

We also simply know that there are no viruses that I am aware of that are universally fatal. Even Ebola, pretty much the worst of the worst, doesn’t kill everyone who gets it - even if left untreated. This is a viral pneumonia, which is nasty, but people get and survive pneumonia all the time. Even the worst flu pandemics (which often kill through secondary pneumonia) kill only a small fraction of the people it infects. This is bad enough without fake news and wild imagination. If this is a horrible, terrible, almost unimaginably bad plague it will kill something like 5-10 percent of those it infects. There is no indication yes it is that virulent. Contagious, yes. Virulent...unknown.

2-4 percent is enough to cause concern. I think it’s about what can be done to minimize impact. Small percent doesn’t mean don’t take steps to minimize spreading this further.

Of course. This virus may be nasty, and the CDC and WHO and NIH are working overtime to figure out how to respond. As a public health person (not a virologist or epidemiologist) my understanding is that with something like this that spreads like flu or the common cold, quarantine is unrealistic and does little. Maybe it slows down the pace of pandemic spread, giving nations time to stand up their responses. What will be really important is how people who are sick are treated - what helps, figuring out when people are most infectious to others and isolating them at that point, nursing care during illness. For all of us - hand washing, hand washing, hand washing.

https://youtu.be/LvPHIqy4zCY

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My sibling is an ER nurse in one of the states of the DMV. her hospital has a patient they are pretty sure has it but they’re waiting on CDC to confirm so I don’t want to say which state.

She said she heard it’s in NC and the person was taken to Duke because he/she was in bad shape.

https://www.wric.com/health/virginia-health-official-on-coronavirus-outbreak-these-viruses-are-mutating-and-evolving/amp/

Doesn’t the article say that the person has mild respiratory symptoms and is in good shape?

I think for some yes and some critical. I thought the person in Seattle is improving. Article said he would be discharged last week. Not sure what happened.

My friends headed up the whole Ebola crisis in Liberia. When they worry, I worry

What are they saying now?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My sibling is an ER nurse in one of the states of the DMV. her hospital has a patient they are pretty sure has it but they’re waiting on CDC to confirm so I don’t want to say which state.

She said she heard it’s in NC and the person was taken to Duke because he/she was in bad shape.

https://www.wric.com/health/virginia-health-official-on-coronavirus-outbreak-these-viruses-are-mutating-and-evolving/amp/

Doesn’t the article say that the person has mild respiratory symptoms and is in good shape?

I think for some yes and some critical. I thought the person in Seattle is improving. Article said he would be discharged last week. Not sure what happened.

My friends headed up the whole Ebola crisis in Liberia. When they worry, I worry

What are they saying now?

So far nothing. I’m assuming watch and wait.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, people have been cured - https://twitter.com/LeeAnneP8/status/1220901331696672768?s=20

Let's be accurate: The tweet you're linking to refers to numbers of people "treated and discharged." That's not equivalent to "cured." And the information seems to come from the Chinese government so--no way to know if it's true. They have quite the vested interest in saying people are being treated and sent home.

DP. Nepal also released its patient and they don’t have a vested interest.

Also, from a public health degree p.o.v., the word cured is not used when we are talking about viruses. We look at symptoms and viral load.

We also simply know that there are no viruses that I am aware of that are universally fatal. Even Ebola, pretty much the worst of the worst, doesn’t kill everyone who gets it - even if left untreated. This is a viral pneumonia, which is nasty, but people get and survive pneumonia all the time. Even the worst flu pandemics (which often kill through secondary pneumonia) kill only a small fraction of the people it infects. This is bad enough without fake news and wild imagination. If this is a horrible, terrible, almost unimaginably bad plague it will kill something like 5-10 percent of those it infects. There is no indication yes it is that virulent. Contagious, yes. Virulent...unknown.

2-4 percent is enough to cause concern. I think it’s about what can be done to minimize impact. Small percent doesn’t mean don’t take steps to minimize spreading this further.

Of course. This virus may be nasty, and the CDC and WHO and NIH are working overtime to figure out how to respond. As a public health person (not a virologist or epidemiologist) my understanding is that with something like this that spreads like flu or the common cold, quarantine is unrealistic and does little. Maybe it slows down the pace of pandemic spread, giving nations time to stand up their responses. What will be really important is how people who are sick are treated - what helps, figuring out when people are most infectious to others and isolating them at that point, nursing care during illness. For all of us - hand washing, hand washing, hand washing.

https://youtu.be/LvPHIqy4zCY

Ground zero very different than 2nd, 3rd, 4th exposure.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, people have been cured - https://twitter.com/LeeAnneP8/status/1220901331696672768?s=20

Let's be accurate: The tweet you're linking to refers to numbers of people "treated and discharged." That's not equivalent to "cured." And the information seems to come from the Chinese government so--no way to know if it's true. They have quite the vested interest in saying people are being treated and sent home.

DP. Nepal also released its patient and they don’t have a vested interest.

Also, from a public health degree p.o.v., the word cured is not used when we are talking about viruses. We look at symptoms and viral load.

We also simply know that there are no viruses that I am aware of that are universally fatal. Even Ebola, pretty much the worst of the worst, doesn’t kill everyone who gets it - even if left untreated. This is a viral pneumonia, which is nasty, but people get and survive pneumonia all the time. Even the worst flu pandemics (which often kill through secondary pneumonia) kill only a small fraction of the people it infects. This is bad enough without fake news and wild imagination. If this is a horrible, terrible, almost unimaginably bad plague it will kill something like 5-10 percent of those it infects. There is no indication yes it is that virulent. Contagious, yes. Virulent...unknown.

2-4 percent is enough to cause concern. I think it’s about what can be done to minimize impact. Small percent doesn’t mean don’t take steps to minimize spreading this further.

Of course. This virus may be nasty, and the CDC and WHO and NIH are working overtime to figure out how to respond. As a public health person (not a virologist or epidemiologist) my understanding is that with something like this that spreads like flu or the common cold, quarantine is unrealistic and does little. Maybe it slows down the pace of pandemic spread, giving nations time to stand up their responses. What will be really important is how people who are sick are treated - what helps, figuring out when people are most infectious to others and isolating them at that point, nursing care during illness. For all of us - hand washing, hand washing, hand washing.

Precisely!!

Hard to isolate if incubation is long.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Yes, people have been cured - https://twitter.com/LeeAnneP8/status/1220901331696672768?s=20

Let's be accurate: The tweet you're linking to refers to numbers of people "treated and discharged." That's not equivalent to "cured." And the information seems to come from the Chinese government so--no way to know if it's true. They have quite the vested interest in saying people are being treated and sent home.

DP. Nepal also released its patient and they don’t have a vested interest.

Also, from a public health degree p.o.v., the word cured is not used when we are talking about viruses. We look at symptoms and viral load.

We also simply know that there are no viruses that I am aware of that are universally fatal. Even Ebola, pretty much the worst of the worst, doesn’t kill everyone who gets it - even if left untreated. This is a viral pneumonia, which is nasty, but people get and survive pneumonia all the time. Even the worst flu pandemics (which often kill through secondary pneumonia) kill only a small fraction of the people it infects. This is bad enough without fake news and wild imagination. If this is a horrible, terrible, almost unimaginably bad plague it will kill something like 5-10 percent of those it infects. There is no indication yes it is that virulent. Contagious, yes. Virulent...unknown.

2-4 percent is enough to cause concern. I think it’s about what can be done to minimize impact. Small percent doesn’t mean don’t take steps to minimize spreading this further.

Of course. This virus may be nasty, and the CDC and WHO and NIH are working overtime to figure out how to respond. As a public health person (not a virologist or epidemiologist) my understanding is that with something like this that spreads like flu or the common cold, quarantine is unrealistic and does little. Maybe it slows down the pace of pandemic spread, giving nations time to stand up their responses. What will be really important is how people who are sick are treated - what helps, figuring out when people are most infectious to others and isolating them at that point, nursing care during illness. For all of us - hand washing, hand washing, hand washing.

Precisely!!

Hard to isolate if incubation is long.

I read a few days to a week before someone shows symptoms.

[Anonymous]

Anonymous wrote:It may have been here in the U.S. already. It's easy for a flu-like virus to hide during flu season.

[Anonymous]

Anonymous wrote:

Anonymous wrote:It may have been here in the U.S. already. It's easy for a flu-like virus to hide during flu season.

It's here.
https://www.cnbc.com/2020/01/24/cdc-confirms-second-us-case-of-coronavirus-chicago-resident-diagnosed.html

U.S. health officials said Friday they diagnosed a second patient with the China coronavirus — a Chicago woman who returned from Wuhan with the infection, and they are monitoring dozens of other potential cases here.

There are 63 cases being monitored in the U.S. that stretch across 22 states, including the first patient in Washington state and the new case in Illinois, said Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My sibling is an ER nurse in one of the states of the DMV. her hospital has a patient they are pretty sure has it but they’re waiting on CDC to confirm so I don’t want to say which state.

She said she heard it’s in NC and the person was taken to Duke because he/she was in bad shape.

https://www.wric.com/health/virginia-health-official-on-coronavirus-outbreak-these-viruses-are-mutating-and-evolving/amp/

Doesn’t the article say that the person has mild respiratory symptoms and is in good shape?

I think for some yes and some critical. I thought the person in Seattle is improving. Article said he would be discharged last week. Not sure what happened.

My friends headed up the whole Ebola crisis in Liberia. When they worry, I worry

About Ebola?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My sibling is an ER nurse in one of the states of the DMV. her hospital has a patient they are pretty sure has it but they’re waiting on CDC to confirm so I don’t want to say which state.

She said she heard it’s in NC and the person was taken to Duke because he/she was in bad shape.

https://www.wric.com/health/virginia-health-official-on-coronavirus-outbreak-these-viruses-are-mutating-and-evolving/amp/

Doesn’t the article say that the person has mild respiratory symptoms and is in good shape?

I think for some yes and some critical. I thought the person in Seattle is improving. Article said he would be discharged last week. Not sure what happened.

My friends headed up the whole Ebola crisis in Liberia. When they worry, I worry

What are they saying now?

So far nothing. I’m assuming watch and wait.

They don't have enough information yet. I was in contact (for three days, in DC) with someone from the China province that on the lock down now two weeks ago. I called CDC to find out what should I do, and basically was told nothing, just wait. They don't even have testing kits yet in hospital.

[Anonymous]

Anonymous wrote:

Anonymous wrote:It may have been here in the U.S. already. It's easy for a flu-like virus to hide during flu season.

Of course it is here already. So many Chinese student went home for winter break and now they all back in schools, American University, Georgetown University, GW. I am sure some of them have cold or flu like symptoms.

[Anonymous]

Love them or hate them, Breitbart has a very informative article:

https://www.breitbart.com/national-security/2020/01/24/china-confirms-wuhan-virus-infections-provinces/

[Anonymous]

Good article that gives info and puts this virus in perspective. https://www.usatoday.com/story/news/health/2020/01/24/coronavirus-versus-flu-influenza-deadlier-than-wuhan-china-disease/4564133002/

“When we think about the relative danger of this new coronavirus and influenza, there’s just no comparison,” said Dr. William Schaffner, a professor of preventive medicine and health policy at Vanderbilt University Medical Center. “Coronavirus will be a blip on the horizon in comparison. The risk is trivial.”

[Anonymous]

Anonymous wrote:Good article that gives info and puts this virus in perspective. https://www.usatoday.com/story/news/health/2020/01/24/coronavirus-versus-flu-influenza-deadlier-than-wuhan-china-disease/4564133002/

“When we think about the relative danger of this new coronavirus and influenza, there’s just no comparison,” said Dr. William Schaffner, a professor of preventive medicine and health policy at Vanderbilt University Medical Center. “Coronavirus will be a blip on the horizon in comparison. The risk is trivial.”

Let’s do more to lessen the blip where possible.