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Wuhan virus (coronavirus) arrives in the USA
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Anonymous
So 0.95% death rate. Less than the flu. The nutter who likes to obsess with numbers can use that until we get a better sample. 
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Anonymous
I linked to my data and there are footnotes if you want to read the reports yourself. You should be scared. People should stop saying "It's just like the flu" and start understanding WHY people are worried about this illness that is "mostly mild". Only once they understand how "mostly mild" still can be really really bad will they be willing to take the drastic steps we will need to get through this.... including school closures, which WILL have significant impact. |
Anonymous
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The US Department of Health and Human Services (HHS) estimates that 865,000 US residents would be
hospitalized during a moderate pandemic (as in 1957 and 1968) and 9.9 million during a severe pandemic (as in 1918).1 o Moderate (1958/68-like) = 64,875 would need mechanical ventilation o Severe (1918-like) = 742,500 would need mechanical ventilation1 One study estimated that US acute care hospitals own approximately 62,000 full-feature mechanical ventilators.2 Calculations suggest that around 28,883 of these ventilators (46.4%) can be used to ventilate pediatric and neonatal patients. The study also reported an additional 98,000 ventilators that are not fullfeatured but can still provide basic function.2 • Based on these numbers, the maximum number that can be potentially ventilated is around 160,000. • US: 20.5 ICU beds with mechanical ventilation capability per 100,000 population • Canada: 8.7 ICU beds with mechanical ventilation capability per 100,000 population • Australia & New Zealand: 5.4 ICU beds with mechanical ventilation capability per 100,000 population o These numbers suggest that the capacity of other countries to provide ventilation therapy might be significantly lower than our own.2 In addition, the CDC Strategic National Stockpile has an estimated 8,900 ventilators as of 2010.3 Ventilators are stored and kept as managed inventory. Malatino et al report that shipments from managed inventory “could arrive within 24-36 hours of the federal decision to deploy them.”4 The authors go on to describe the multistep process for requesting additional ventilators from the CDC Strategic National Stockpile. • Local hospitals and treatment centers make their initial request using their incident command system. • This request is then received by the local health department and emergency management agency. • The governor’s approval is sought before an official request is made to DHS or the CDC. https://www.cambridge.org/core/journals/disaster-medicine-and-public-health-preparedness/article/mechanical-ventilators-in-us-acute-care-hospitals/F1FDBACA53531F2A150D6AD8E96F144D |
Anonymous
Seasonal flu has a 0.1% fatality rate, so isn't this 9x more severe than seasonal flu? |
Anonymous
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Medical ventilators panic superspreaders do not tell you that simple internet /google search brings tone of portable easy effective ventilators that anyone can operate after reading instructions. Just think about millions of people in private homes using one now. Many people who are paralized, cancer patients, lung issues patients, terminally ill... many many more who need one for daily living who would die without one, who don’t need a hospital stay just to be on the ventilator.
Anyone, hospital or person can buy them without a prescription. So why hospitals could not get them now in large amounts to put lighter cases on them or even serious cases since the machines are fully capable. Entirely random 350 bucks example and specs... https://www.medicaldevicedepot.com/EPV200-Portable-Ventilator-p/EPV200.htm?dfw_tracker=3918-19295&gclid=EAIaIQobChMIqZ78uYLu5wIVFqSzCh2OUw5TEAQYASABEgJ-wPD_BwE Simple, lightweight, robust and affordable, the EPV200 with Assist-Control is a portable mechanical ventilator designed to provide effective ventilation for intubated or non-intubated patients, maximizing medical surge response during the initial stages of a mass casualty event. This gas-powered electronically-controlled vent is extremely easy to use, and is equipped with independent inspiratory time, tidal volume and BPM controls. It also features a built-in digital manometer and a full array of pre-set visual and audible safety alarms. The Assist-Control function triggers at less than -2 cm H2O to accommodate spontaneous breathing. The weather-resistant EPV200 will run for up to 48 hours on two D cell batteries, and is ideal for stockpiling or everyday use. The weather-restistant EPV200 will run for up to 48 hours on two D Cell Batteries, and is ideal for stockpiling or everyday use. Features and Benefits Assist-Control operation accomodates conscious or semi-conscious patients via invasive or non-invasive ventilation. Simple control interface enables treatment by a broad range of caregivers during medical surge or routine transport. Lightweight durable construction is ideal for use in transport ventilation or stockpiling Low maintenance and accessory cost ensure a low cost of ownership. Materials Included EPV200 Unit (1) 6 ft Oxygen Hose (1) 3 ft Ventilator Circuit (2) D Cell Batteries User Manual Technical Specifications Setting Parameters Ventilation Mode: Assist-Control Assist-Control: Triggers at less than -2 cm H2O Flow Rate: 12-36 LPM Breathing Rate: Adjustable. 0, 5-30 breaths per minute. Tidal Volume: Adjustable. 200-1200 ml Inspiratory Time: Selectable. 1 or 2 seconds PEEP: External. 0-20 cm H2O (with PEEP adapter) FiO2: 100% Manometer Readout: Digital. 0-99 cm H2O Airway Pressure Limit: Fixed. 60 cm H2O Alarms High Airway Pressure: Fixed. 45 cm H2O Low Airway Pressure/Circuit Disconnect: Fixed. 9 cm H2O Low Source Gas: Fixed. Activities at approx. 40 psi (275 kPa) Low Battery: Activates when approx. 2 hours run time remain. Alarm Volume: Approx 60 dB at 1 meter Alarm Silence: Yes 110 Seconds Power Characteristics Power Source: Pneumatic with electronic controls and alarms Power Input: Pneumatic. 40-87 psi O2 and 2 D cell batteries Internal Battery Type: D cell batteries Operating Time: Based on average adult settings of 10 BPM, 640 ml tidal volume, 2 second inspiratory time. Oxygen: Dependent on source capacity. Approx. 65 on D cylinder. Battery Life: 48 hours of continuous use. Physical Characteristics Dimensions: 3.5" x 7.0" x 9.3" (88.9 mm x 177.8 mm x 236.2 mm) Weight: 3.1 lbs (1.4 kg) with batteries Temperature Ranges: Operating: -15 to 122° F (-9 to 50°C) Storage: -40 to 140° F (-40 to 60°C) Enclosure: ABS plastic with seals to prevent water ingress Shock Resistance: 30" drop Vibration Resistance: 100 G Water Resistance: Spill and rain resistant |
Anonymous
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I think the US is hoping to somehow get through the spring semester without too much panic.
People in the US are so volatile. They will protest ANYTHING. Our country is very divided. |
Anonymous
REFERENCES 1. US Department of Health and Human Services. Supplement 7: antiviral drug distribution and use. In: HHS Pandemic Influenza Plan. Washington, DC: HHS; 2005. https://www.cdc.gov/flu/pdf/professionals/hhspandemicinfluenzaplan.pdf. Accessed May 3, 2018. 2. Rubinson L, Vaughn F, Nelson S, et al. Mechanical ventilators in US acute care hospitals. Disaster Med Public Health Prep 2010;4(3):199-206. http://dx.doi.org/10.1001/dmp.2010.18. Accessed May 3, 2018. 3. Huang HC, Araz OM, Morton DP, et al. Stockpiling ventilators for influenza pandemics. Emerg Infect Dis 2017;23(6):914-921. 4. Malatino EM. Strategic National Stockpile: overview and ventilator assets. Respir Care 2008;53(1):91-95. 5. Ajao A, Nystrom SV, Koonin LM, et al. Assessing the capacity of the US health care system to use additional mechanical ventilators during a large-scale public health emergency. Disaster Med Public Health Prep 2015;9(6):634-641. |
Anonymous
The limiting factor seems to be the number of respiratory therapists. My neighbor is a respiratory therapist and she pulls long shifts and often comes home exhausted. She is over 60 years old and would be at great risk herself. |
Anonymous
Panic super spreader strikes yet again! Hey, you will keep scaring us at this rate you can give yourself panic attack andbe the first person here needing a ventilator |
Anonymous
So how many ventilations do we need? Where did you get that #? Super reliable data, right?
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Anonymous
I'm saying that I have elderly parents and if it's not one thing, it's another. |
Anonymous
First of all they are probably made in China... Secondly... we'd need them right away! Just order like, 50,000 of them? And then we'd need someone to care for the patients who are using them because hospitals are already stretched thin on a good day. So who do you think? Well since schools are going to be closed, draft the Teach for America teachers who are otherwise not working. Convert the schools into overflow wards and train the young, healthy Teach for America teachers to monitor severely ill patients with pneumonia on these $300 ventilators, and give them a call button to call the respiration therapist on duty if the patients experience difficulty? Maybe one Teacher retrainee could monitor 3 ventilator patients? What do you think? |
Anonymous
Again, where is the epidemic? |
Anonymous
The problem isn't the lack of ventilators per se although certainly at least tripling them would be great. The problem is lack of ICU beds and staff as well. |
Anonymous
Can you please point out statistics this year of pneumonia cases compared to last year? Hospitals overflowing with patients? Really? |