Wuhan virus (coronavirus) arrives in the USA

Anonymous
Anonymous wrote:Cases in Germany:

Erkelenz

https://www1.wdr.de/nachrichten/erste-corona-infektion-nrw100.html

50 year old man from Erkelenz, in North Rhein Westfallia is in critical condition. He is confirmed to have COVID19; wife also has symptoms.

According to the district administrator, the couple are in their early 50s and travel a lot for professional reasons. The health department is currently intensively investigating all possible contact persons. According to WDR information, the man was said to have had a meal recently with a business partner, who in turn was said to have had contact with a man from China.

Daycare centers and schools remain closed
As a precautionary measure, daycare centers and schools in the Heinsberg district are initially closed on Wednesday. The municipal administrations should not open either. The district has set up a crisis team. A crisis team at the state level is to be formed on Wednesday. He meets in Düsseldorf from 9 a.m.




Baden-Wurtenburg

The patient is a 25-year-old man from the Göppingen district who was probably infected during a trip to Italy in Milan. The person fell ill with flu-like symptoms after their return and then contacted the local health department. A test was carried out for corona viruses. After the positive result, the patient should be admitted to a clinic this evening and be housed and treated in isolation from the other patients.



They should try to give them blood plasma from those who recovered, it works in China, critical cases improved qickly and recovered.WHO confirmed as valid cure and way.
Anonymous
First presumptive case in South America.

A Brazilian man from Sao Paulo recently returned from a two-week stay in northern Italy.

A second test is being run to confirm.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Look, I have elderly parents. Both are not in good health. The flu, a bad cold, etc, could easily be the thing that kills either one of them. I don't see this as different from coronavirus.


And your point is? Just let everyone get it and Darwin will sort them out?


At this point, the virus is not containable. As in, it's out there already just like the flu, strep and cold viruses are out there already.

If you want zero chance of not contracting this then you are going to have to do an immediate self quarantine and hope to God that you have not already been exposed to it. Otherwise, you go on with your life and the odds are very good that you will be just fine whether you get this virus or not.



First, this isn't like the flu or strep - there are no treatments or vaccines and NO ONE has immunity to it.
Second, 15% of the cases are serious, requiring some medical care, and 5% are critical, requiring a ventilator. About 2% are fatal.
So let's extrapolate those numbers to Washington DC, assuming only adults get the virus.
So there's about 550,000 adults in DC.
Let's say 1/5 get the virus - that's 110,000.

We can round that down to 100,000
So then if the virus is just allowed to make its way through the city, with no quarantines, etc, that would lead to
15,000 requiring supportive medical care and 5,000 requiring an ICU bed (most with a ventilator, I assume)
And about 2,000 would die.
See the problem?




Whoooooooooooo HOLD YOUR HORSES!!! Scaring people much?

Where did you learn to push BS like that?

You expect 100 000 cases in 500 00 DC?

Wuhan is 11 000 000 city and has what.. 75 000 cases.

Per your “logication” and your 1/5 sick rate they need to have
2 200 000 cases total to meet your guota.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Look, I have elderly parents. Both are not in good health. The flu, a bad cold, etc, could easily be the thing that kills either one of them. I don't see this as different from coronavirus.


And your point is? Just let everyone get it and Darwin will sort them out?


At this point, the virus is not containable. As in, it's out there already just like the flu, strep and cold viruses are out there already.

If you want zero chance of not contracting this then you are going to have to do an immediate self quarantine and hope to God that you have not already been exposed to it. Otherwise, you go on with your life and the odds are very good that you will be just fine whether you get this virus or not.



First, this isn't like the flu or strep - there are no treatments or vaccines and NO ONE has immunity to it.
Second, 15% of the cases are serious, requiring some medical care, and 5% are critical, requiring a ventilator. About 2% are fatal.
So let's extrapolate those numbers to Washington DC, assuming only adults get the virus.
So there's about 550,000 adults in DC.
Let's say 1/5 get the virus - that's 110,000.

We can round that down to 100,000
So then if the virus is just allowed to make its way through the city, with no quarantines, etc, that would lead to
15,000 requiring supportive medical care and 5,000 requiring an ICU bed (most with a ventilator, I assume)
And about 2,000 would die.
See the problem?




Whoooooooooooo HOLD YOUR HORSES!!! Scaring people much?

Where did you learn to push BS like that?

You expect 100 000 cases in 500 00 DC?

Wuhan is 11 000 000 city and has what.. 75 000 cases.

Per your “logication” and your 1/5 sick rate they need to have
2 200 000 cases total to meet your guota.


Look, no one knows exactly how it will play out but it’s stupid to minimize the risks/ridicule preparations. Also it’s impossible to extrapolate from wuhan as there’s no way the restrictive measures in place would work here.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Look, I have elderly parents. Both are not in good health. The flu, a bad cold, etc, could easily be the thing that kills either one of them. I don't see this as different from coronavirus.


And your point is? Just let everyone get it and Darwin will sort them out?


At this point, the virus is not containable. As in, it's out there already just like the flu, strep and cold viruses are out there already.

If you want zero chance of not contracting this then you are going to have to do an immediate self quarantine and hope to God that you have not already been exposed to it. Otherwise, you go on with your life and the odds are very good that you will be just fine whether you get this virus or not.



First, this isn't like the flu or strep - there are no treatments or vaccines and NO ONE has immunity to it.
Second, 15% of the cases are serious, requiring some medical care, and 5% are critical, requiring a ventilator. About 2% are fatal.
So let's extrapolate those numbers to Washington DC, assuming only adults get the virus.
So there's about 550,000 adults in DC.
Let's say 1/5 get the virus - that's 110,000.

We can round that down to 100,000
So then if the virus is just allowed to make its way through the city, with no quarantines, etc, that would lead to
15,000 requiring supportive medical care and 5,000 requiring an ICU bed (most with a ventilator, I assume)
And about 2,000 would die.
See the problem?




Whoooooooooooo HOLD YOUR HORSES!!! Scaring people much?

Where did you learn to push BS like that?

You expect 100 000 cases in 500 00 DC?

Wuhan is 11 000 000 city and has what.. 75 000 cases.

Per your “logication” and your 1/5 sick rate they need to have
2 200 000 cases total to meet your guota.


They have been quarantined by the military. And likely underreport.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:CDC just issued policies including school tele-learning, telework focus, cancelling large gathering.

Better get your TP asap (though if the water is off, not sure how great that is?)


These are POSSIBLE recommendations IF we had a pandemic. Jesus, you guys have a hard time separating actual news from hypotheticals.


Please stop thinking it is a hypothetical. There WILL BE outbreaks in the United States, people WILL BE quarantined, and there WILL BE cancelations of school and social gatherings. It's just a question of when.

Other countries (except maybe Iran) are doing what they can to slow the spread of the disease, to give everyone time to prepare and to give scientists and medical professionals time to create a vaccine and treatments. The WHO doctor that just returned from China is calling for a Manhattan Project type of collaboration among scientists. https://threadreaderapp.com/thread/1232323122654826497.html

Everyone personally should be using this time to prepare themselves and their families - both materially and psychologically - for something they've never seen before. A complete disruption of our lives. Think the worst snowstorm to ever hit Washington - a foot of snow falling every day for a month - prepare for that. Maybe it won't happen here, but just be prepared.


The US colleges had a huge return of Chinese students studying in the US in the month of January, right in the middle of the worst of this. Can you explain why there are virtually NO cases in US colleges?


I don't know the answer but is it hitting the young adults and children? Maybe it's just not being reported but the kids seem to have been spared.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:The goal is to slow virus until vaccine developed or maybe ramp up ventilators.


Also, antiviral treatment and to flatten the epidemic curve so the medical system doesn't become completely swamped (like it did in Wuhan).


Mostly this.

A vaccine under the most optimistic scenario is a year away. Ventilators don't manufacture themselves and even if we could ramp up production we'd probably need parts from China.

The best hope is to flatten the curve so we can treat in an orderly fashion without getting swamped. This takes sometimes strong containment measures.


So basically shut down schools, shopping centers, movie theaters, public transportation, college campuses, day care, businesses for a year until an antiviral can be developed?

Come on, you know that's crazy. Wash your hands. And if you have health issues it might be good to avoid crowds for the time being.


Not exactly fair to our elderly people, or people with diabetes who need to show up at work. Or anyone else who has "health issues" (which is pretty much anyone over the age of sixty).


Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Look, I have elderly parents. Both are not in good health. The flu, a bad cold, etc, could easily be the thing that kills either one of them. I don't see this as different from coronavirus.


And your point is? Just let everyone get it and Darwin will sort them out?


At this point, the virus is not containable. As in, it's out there already just like the flu, strep and cold viruses are out there already.

If you want zero chance of not contracting this then you are going to have to do an immediate self quarantine and hope to God that you have not already been exposed to it. Otherwise, you go on with your life and the odds are very good that you will be just fine whether you get this virus or not.



First, this isn't like the flu or strep - there are no treatments or vaccines and NO ONE has immunity to it.
Second, 15% of the cases are serious, requiring some medical care, and 5% are critical, requiring a ventilator. About 2% are fatal.
So let's extrapolate those numbers to Washington DC, assuming only adults get the virus.
So there's about 550,000 adults in DC.
Let's say 1/5 get the virus - that's 110,000.

We can round that down to 100,000
So then if the virus is just allowed to make its way through the city, with no quarantines, etc, that would lead to
15,000 requiring supportive medical care and 5,000 requiring an ICU bed (most with a ventilator, I assume)
And about 2,000 would die.
See the problem?




Whoooooooooooo HOLD YOUR HORSES!!! Scaring people much?

Where did you learn to push BS like that?

You expect 100 000 cases in 500 00 DC?

Wuhan is 11 000 000 city and has what.. 75 000 cases.

Per your “logication” and your 1/5 sick rate they need to have
2 200 000 cases total to meet your guota.


They have been quarantined by the military. And likely underreport.


They also kept it secret until it was everywhere.
Heavy smokers.
Have problem with testing.
Kept changing testing rules.
Hospitals were crawling with people waiting in miles of line giving it to each other.

Hubei province has 75 000 cases while other provinces have only single or double digits but no more then one thousand.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:The goal is to slow virus until vaccine developed or maybe ramp up ventilators.


Also, antiviral treatment and to flatten the epidemic curve so the medical system doesn't become completely swamped (like it did in Wuhan).


Mostly this.

A vaccine under the most optimistic scenario is a year away. Ventilators don't manufacture themselves and even if we could ramp up production we'd probably need parts from China.

The best hope is to flatten the curve so we can treat in an orderly fashion without getting swamped. This takes sometimes strong containment measures.


So basically shut down schools, shopping centers, movie theaters, public transportation, college campuses, day care, businesses for a year until an antiviral can be developed?

Come on, you know that's crazy. Wash your hands. And if you have health issues it might be good to avoid crowds for the time being.


Not exactly fair to our elderly people, or people with diabetes who need to show up at work. Or anyone else who has "health issues" (which is pretty much anyone over the age of sixty).




No one said you take strong containment measures to wait for an antiviral.

You take strong containment measures to slow down the spread, i.e., to flatten the curve, so that there are resources available to treat those who get sick. That way you can have a steady supply of hospital beds that you wouldn't have if you have huge waves of people all getting sick and needing hospital care at the same time.

Also, around 5% need ICU care with ventilators. ICU beds are far fewer than regular beds, ventilators are a somewhat scarce commodity, and nurses specialized in this type of care also are not plentiful. If the curve is flattened you get smaller groups of people needing this type of care over a longer period of time but you do not overwhelm the health system with a huge surge happening in all in the same short period of time.

If you want your elderly loved ones who catch this disease to have a chance at survival, you want the curve flattened.

By the way, we already have antivirals that China and others have experimented with and for which they have had positive responses. We don't need to wait for the development of some other antivirals; there are known ways to treat this disease even though we hope the world gets better at it.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Look, I have elderly parents. Both are not in good health. The flu, a bad cold, etc, could easily be the thing that kills either one of them. I don't see this as different from coronavirus.


And your point is? Just let everyone get it and Darwin will sort them out?


At this point, the virus is not containable. As in, it's out there already just like the flu, strep and cold viruses are out there already.

If you want zero chance of not contracting this then you are going to have to do an immediate self quarantine and hope to God that you have not already been exposed to it. Otherwise, you go on with your life and the odds are very good that you will be just fine whether you get this virus or not.



First, this isn't like the flu or strep - there are no treatments or vaccines and NO ONE has immunity to it.
Second, 15% of the cases are serious, requiring some medical care, and 5% are critical, requiring a ventilator. About 2% are fatal.
So let's extrapolate those numbers to Washington DC, assuming only adults get the virus.
So there's about 550,000 adults in DC.
Let's say 1/5 get the virus - that's 110,000.
We can round that down to 100,000
So then if the virus is just allowed to make its way through the city, with no quarantines, etc, that would lead to
15,000 requiring supportive medical care and 5,000 requiring an ICU bed (most with a ventilator, I assume)
And about 2,000 would die.
See the problem?


So you are assuming you can use the #s from China? No other country has a valid sample size yet.


You don't really need to argue much about China's numbers.

I don't know what the DC hospital numbers are, but on average in the US hospitals have about 25 ventilators per 100,000 population.

Go nuts and say the DC area has 100,000 people and 50 ventilators.

If 5,000 of them need a ventilator, evern spread out over 8 weeks... there won't be enough ventilators.

Even if only 1,000 needed a ventilator... 100 each week... there wouldn't be enough. Only half would get treatment.

And that's not taking into account that people who get severely ill with this are in the hospital for 3-4 weeks.

That's why people are freaking out about the number of ventilators in this country.

This is completely a known problem. There's a limit to how many ventilators we have, and you need people trained to use them. And willing to use them. And not sick themselves with coronavirus.

There's a reason people have been worried about this disease spreading. People who keeps saying "It's just like the flu and you don't worry about the flu" don't really know what they are talking about.

Here's a link to some data -- it was for a hypothetical exercise but the data should be accurate:

http://www.centerforhealthsecurity.org/our-work/events/2018_clade_x_exercise/pdfs/Clade-X-ventilator-availability-fact-sheet.pdf
Anonymous
Anonymous wrote:

Whoooooooooooo HOLD YOUR HORSES!!! Scaring people much?

Where did you learn to push BS like that?

You expect 100 000 cases in 500 00 DC?

Wuhan is 11 000 000 city and has what.. 75 000 cases.

Per your “logication” and your 1/5 sick rate they need to have
2 200 000 cases total to meet your guota.



Without community mitigation, those numbers are accurate.

But of course once people start getting sick and dying, schools get closed which slows spread tremendously. Large gatherings are cancelled. People stop taking trips. That slows spread, but eventually yes all those people should come down with the illness eventually. Unless there is a vaccine.
Anonymous
Anonymous wrote:
Go nuts and say the DC area has 100,000 people and 50 ventilators.


That should be DC area has 500,000 people and 250 ventilators (let's say)

How many would they need each week, if the first group to get severely ill needs a ventilator for 2 weeks or three weeks?

How many patients can be treated each month?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Look, I have elderly parents. Both are not in good health. The flu, a bad cold, etc, could easily be the thing that kills either one of them. I don't see this as different from coronavirus.


And your point is? Just let everyone get it and Darwin will sort them out?


At this point, the virus is not containable. As in, it's out there already just like the flu, strep and cold viruses are out there already.

If you want zero chance of not contracting this then you are going to have to do an immediate self quarantine and hope to God that you have not already been exposed to it. Otherwise, you go on with your life and the odds are very good that you will be just fine whether you get this virus or not.



First, this isn't like the flu or strep - there are no treatments or vaccines and NO ONE has immunity to it.
Second, 15% of the cases are serious, requiring some medical care, and 5% are critical, requiring a ventilator. About 2% are fatal.
So let's extrapolate those numbers to Washington DC, assuming only adults get the virus.
So there's about 550,000 adults in DC.
Let's say 1/5 get the virus - that's 110,000.
We can round that down to 100,000
So then if the virus is just allowed to make its way through the city, with no quarantines, etc, that would lead to
15,000 requiring supportive medical care and 5,000 requiring an ICU bed (most with a ventilator, I assume)
And about 2,000 would die.
See the problem?


So you are assuming you can use the #s from China? No other country has a valid sample size yet.


You don't really need to argue much about China's numbers.

I don't know what the DC hospital numbers are, but on average in the US hospitals have about 25 ventilators per 100,000 population.

Go nuts and say the DC area has 100,000 people and 50 ventilators.

If 5,000 of them need a ventilator, evern spread out over 8 weeks... there won't be enough ventilators.

Even if only 1,000 needed a ventilator... 100 each week... there wouldn't be enough. Only half would get treatment.

And that's not taking into account that people who get severely ill with this are in the hospital for 3-4 weeks.

That's why people are freaking out about the number of ventilators in this country.

This is completely a known problem. There's a limit to how many ventilators we have, and you need people trained to use them. And willing to use them. And not sick themselves with coronavirus.

There's a reason people have been worried about this disease spreading. People who keeps saying "It's just like the flu and you don't worry about the flu" don't really know what they are talking about.

Here's a link to some data -- it was for a hypothetical exercise but the data should be accurate:

http://www.centerforhealthsecurity.org/our-work/events/2018_clade_x_exercise/pdfs/Clade-X-ventilator-availability-fact-sheet.pdf


You keep speculating about ventilators without any verified data and you are just scaring people.
Anonymous
South Korea now has over 1000 cases.

Latest numbers in put them at 1,146 cases, 11 dead.
Anonymous
You keep speculating about ventilators without any verified data and you are just scaring people.


+1

And annoying people who realize your numbers are BS.

Forum Index » Health and Medicine
Go to: