Wuhan virus (coronavirus) arrives in the USA

Anonymous
The situation in Germany:
OK on supplies for now as they have been stocking up the past 4 weeks in anticipation, but need to lock up masks and disinfectant as people are stealing them. Staff shortages in the future might be helped with student nurses and retirees. Drive through testing and out patient clinics being planned.

https://rp-online.de/nrw/panorama/coronavirus-nrw-kliniken-muessen-desinfektionsmittel-wegschliessen_aid-49323487

The spread of the corona virus in North Rhine-Westphalia ensures that materials such as respiratory masks and disinfectants are stolen in hospitals. "The clinics are required to lock their inventory," said the spokesman for the hospital company NRW, Lothar Kratz, our editorial team. "We are aware of cases in which disinfectants were taken from donors, for example." This is also reported by a Duisburg clinic that has closed its warehouse as a precaution. The medical director says: "We are currently stealing everything that people think can help against Covid-19." A whole range of disinfectants was stolen from the warehouse at the University Hospital in Münster.

The Malteser Kliniken in Duisburg are currently blocking their breathing masks and disinfectants. However, donors continued to hang in the toilets and rooms as well as in the corridors, says a spokesman: "Right now it is important to have clean hands." In the Lukas hospital in Neuss, there have been reports of theft of disinfectants from the entrance hall. The demand outside of hospitals is currently so high that bottlenecks are quite possible in the coming weeks, adds Kratz. A query at the clinics in the past week showed that the supply fluctuated.

If the corona virus spreads further, there could also be difficulties for doctors and nursing staff in the clinics. Last week, the Hermann Josef Hospital in Erkelenz, the Maria Hilf clinics in Mönchengladbach and the Cologne University Hospital had to send dozens of employees into quarantine at home. According to a spokesman in Erkelenz, the intensive capacity is currently limited. In addition, operations that are generally unnecessary could be postponed. "Postponements from elective surgery are normal in epidemic cases and generally in more urgent emergencies," says a spokesman for the German Hospital Society. The professional association for nursing professions is critical of the possible effects.

Given the spread of the virus, there are special protective measures in many places. For example, in Gangelt in the district of Heinsberg, where there are a particularly large number of infections, in Düsseldorf and in the hospital in Kleve, separate outpatient clinics have already been set up in which infected people can possibly be tested. The employees there work in protective clothing. "With this precautionary measure, we want to enable effective diagnostics and protect the health of our employees and patients," said the spokesman for the clinic in Kleve, Christian Weßels.

At the University Clinic in Münster, it has even been possible since Friday to be tested without leaving your own car. According to spokeswoman Anja Wengenroth, a separate outpatient clinic was set up in three containers in addition to the emergency department. At the main entrance to the clinic, those affected can report from the car and then be directed there. Employees in protective clothing come to the car and start a conversation. "If a test is necessary, a swab is taken," Wengenroth says, "while the person concerned remains in the car." Afterwards, until the test result is available, he is sent to home quarantine - and only admitted to the clinic when the test is done turns out positive.

According to the NRW hospital company, students or already retired clinic staff could help in an emergency. According to Lothar Kratz, it is currently being discussed how "in the event of a critical escalation" medical students in the last year of training and former employees "can be involved in the care." Medical staff from the German Red Cross are also available. The North Rhine Association has increased the task force and is in contact with the Ministry of the Interior and the Ministry of Health. "For example, we can provide medical staff for hospitals and emergency rooms if they experience staff shortages," says spokesman Andreas Brockmann.

The decision should be made by the clinics and the responsible health authorities. So far, this has not been queried, says Brockmann. However, DRK employees are already active in the Heinsberg district and support the establishment and operation of the central outpatient clinic there. In addition, the district of Euskirchen, in cooperation with the German Red Cross, has set up its own coronavirus hotline, also to "avoid uncertainty or even fear."

Anonymous
News from Germany:

Doctors (private practice) offices feel unprotected. Lack supplies (masks and disinfectant) and warn they will need to close offices. 3M ramping up production but expect they demand will exceed supply. Large events are cancelled.

The respiratory disease Covid-19, which is caused by the virus, is usually mild, but the uncertainty seems to be great in parts of the population. Disinfectants and face masks are out of stock in many places. This complicates work in the practices, which hardly get any more supplies. "If the delivery bottlenecks continue like this, I see the basic care of my practice at risk," says Christoph Wehrbein, ear, nose and throat doctor from Korschenbroich: "For example, I still have three liters of disinfectant for myself and my six employees. After that it's over for the time being. ”The doctor warns:“ I have to follow hygiene rules. If I can't do that, I have to close the practice for the time being.

Gerhard Steiner, general practitioner and chairman of the Neuss district office of the North Rhine National Association of Statutory Health Insurance Physicians, emphasizes: “We have put on face masks and disinfectants for emergency practices in the Rhein district of Neuss. So they are taken care of first. ”But there are bottlenecks especially with the special face masks that protect against the virus. Steiner warns patients not to just walk into their practices. "If you have no symptoms at all, I will send you straight back home, otherwise I would not be able to maintain regular care at all." Basically, the patient should register in advance by telephone.

In a fire letter in the Ruhr area, general practitioners complain about the lack of protective clothing and disinfectants. The general practitioners and paediatricians should be "sent unprotected to the front," it says in the letter that the Medical Quality Association Witten, an amalgamation of most doctors from the Ruhr area city, to Federal Health Minister Jens Spahn and his North Rhine-Westphalian counterpart Karl-Josef Laumann (both CDU) sent. The newspaper "WAZ" had previously reported.

When asked about the supply shortages, the NRW Ministry of Health only reports: "The Ministry is currently examining all options as to how existing material can be better distributed or procured."

The technology group 3M with its headquarters in Neuss has already started up the production of protective equipment. Among other things, 3M produces millions of face masks every month. "We work with customers, dealers, governments and medical agencies around the world to bring 3M deliveries where they are most needed, prioritizing areas affected by the coronavirus," said a company spokeswoman. Despite massive increases in production, worldwide demand for protective equipment is currently exceeding the supply. "We assume that this will continue to be the case in the foreseeable future."

The director of the Institute for Hygiene and Environmental Medicine at Charité Berlin, Petra Gastmeier, calls it "a question of solidarity" that private individuals do not use disinfectants or protective equipment for the benefit of medical personnel.

In almost all federal states there are now proven infections with the new corona virus. More than half of the 196 cases confirmed by the Robert Koch Institute have been reported in NRW. There are also initial infections in Düsseldorf and Neuss. Large events are canceled due to the spread of viruses - such as the Leipzig Book Fair. It should take place from March 12th to 15th.



https://rp-online.de/nrw/coronavirus-in-deutschland-arztpraxen-fehlt-infektionsschutz_aid-49344365
Anonymous
So there is now a second person in New Hampshire who tested positive after being exposed by the first patient, who was told to self-isolate but instead attended an invitation-only event. What a jerk and probably an indication of how this will go in the U.S.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:For those that claim it's no worse than a flu:
"About 60% of U.S. adults have at least one underlying health condition, Tom Frieden, former director of the U.S. Centers for Disease Control and Prevention, told reporters on Monday." https://www.statnews.com/2020/03/03/who-is-getting-sick-and-how-sick-a-breakdown-of-coronavirus-risk-by-demographic-factors/
So many of us are screwed.


Perhaps, my mild immune-suppressive drugs will work in my favor!

This was said about pregnant women not getting pneumonia:

“ It may be that immuno-suppression is actually helpful. Some of the most serious symptoms of Covid-19 result from an immune system on the rampage rather than a lethargic one, Chinese scientists found: An extreme immune response called cytokine storm, a flood of immune cells and the biochemicals they produce, tears through lung tissue.”


I earlier posted a thread from reddit that is the only discussion I've seen of this topic. One interesting thing is that Chinese doctors have experimented with Plaquenil, used for some autoimmune diseases like lupus, to treat COVID-19

Let me know if you'd like me to dig it up and repost.


Found it:

https://www.reddit.com/r/COVID19/comments/fbk41g/any_peerreviewed_sources_suggest_that_people_with/
Anonymous
Anonymous wrote:So there is now a second person in New Hampshire who tested positive after being exposed by the first patient, who was told to self-isolate but instead attended an invitation-only event. What a jerk and probably an indication of how this will go in the U.S.


Oh wow. Hope this is not true.
Anonymous
In one of the RI cases, the person was serving food at a soup kitchen a few days before diagnosis.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Neat article on the detective work involved in Seattle. Really explains the genomic makeup of the virus mutations and how they track them.

https://bedford.io/blog/ncov-cryptic-transmission/




This is the most interesting thing I’ve read about the virus, thank you for posting!


It's cute that we at least have a couple of cases where contact tracing, aka "detective work" can be performed, even though we've waited all the way to the broad community-acquired phase just barely get started on testing, at which point contact tracing is pointless.


Contact tracing? Did you even read the article? It was genomic epidemiology based on sequencing of the virus.
Anonymous
Iran temporarily frees 54,000 prisoners to prevent the spread of coronavirus

One suspects this will probably end with unleashing a lot of people already infected into the general population. There have been reports that several prisons in Iran have had outbreaks.

From CNN's Mohammed Tawfeeq

Iran announced Tuesday that it will temporarily release more than 54,000 prisoners in an attempt to prevent the spread of coronavirus, according to Iran's semi-official news agency ISNA citing Iran's Judiciary spokesperson Gholamhossein Esmaili.

The spokesperson said that the release of prisoners is under the supervision of Iran's Health Ministry, ISNNA said in its report.

"The health of the prisoners is very important for us regardless of their status as security prisoners or regular prisoners." Esmaili said as quoted on ISNA.

https://www.cnn.com/asia/live-news/coronavirus-outbreak-03-03-20-intl-hnk/index.html
Anonymous
Anonymous wrote:
Anonymous wrote:So there is now a second person in New Hampshire who tested positive after being exposed by the first patient, who was told to self-isolate but instead attended an invitation-only event. What a jerk and probably an indication of how this will go in the U.S.


Oh wow. Hope this is not true.


https://www.nbcboston.com/news/coronavirus/2nd-presumed-case-coronavirus-new-hampshire/2240615/
Anonymous
World Bank announces up to $12 billion in support for countries affected by coronavirus


According to a release, the international financial institution said the package aims to help member countries respond and “lessen the tragic impacts" of coronavirus, also known as covid-19. “We are working to provide a fast, flexible response based on developing country needs in dealing with the spread of COVID-19,” World Bank Group President David Malpass said.

https://www.cnn.com/asia/live-news/coronavirus-outbreak-03-03-20-intl-hnk/index.html
Anonymous
Anonymous wrote:
Anonymous wrote:Poor guy.
My take on this:

1, he traveled=tired, stressed, exhausted
2. He was very active and worked on many projects = stressed tired, exhausted
3. When he Felt bit sick at first he might have taken some pain killers that stopped any possible fever from even developing
4. This could kill him.

Stress lowered his immune system, he just might have taken pills to not feel sick.. he overdid it. Body could not handle Stress and CV and without rest and fever to fight it.

You need to respect even normal flu, flu and CV trashes the heart.

Considering his job he had access to any meds. He underestimated need to rest on first light symptom with CV, It is those who medicate themselves and try to just go about the business that end up in the worse condition in the middle age group.

Respect the body need to rest. It can not do anything else. The CV takes ALL the resourcess.



I think the "stress kills" theory is really reaching. The guy "traveled" to his girlfriend/boyfriend's house in Parma on Tuesday night. That's a 1.5 hour car ride, hardly rigorous and grueling.

He sounds like a busy professional, felt run down and tired but didn't even have a fever on Wednesday. Then a "breathing crisis" came on suddenly and he was hospitalized in Parma, which hadn't seen a lot of coronavirus cases and might not have recognized that's what they were dealing with at first.

It seems that he wasn't known to have heart issues or lung disease or diabetes. I think he was just [b]unlucky[/b. Some people will be. 62 sure isn't old.


Well OK.. point for you. 1.5 hour ride not a big deal...unless you are not well. At 60 they will find something possibly hypertension considering the lifestyle. I will tell you one thing.. it is kind of fast for the lungs to kill so
I would put money on heart problems. Because ...”unlucky” is not what killed him.
Anonymous
Anonymous wrote:World Bank announces up to $12 billion in support for countries affected by coronavirus


According to a release, the international financial institution said the package aims to help member countries respond and “lessen the tragic impacts" of coronavirus, also known as covid-19. “We are working to provide a fast, flexible response based on developing country needs in dealing with the spread of COVID-19,” World Bank Group President David Malpass said.

https://www.cnn.com/asia/live-news/coronavirus-outbreak-03-03-20-intl-hnk/index.html


I just hope countries won” t be rewarded in per case manner but some equal distribution as if they link money to the sase number they will motivate and inxite number and case manipulation and that would be bad.
Anonymous
Anonymous wrote:World Bank announces up to $12 billion in support for countries affected by coronavirus


According to a release, the international financial institution said the package aims to help member countries respond and “lessen the tragic impacts" of coronavirus, also known as covid-19. “We are working to provide a fast, flexible response based on developing country needs in dealing with the spread of COVID-19,” World Bank Group President David Malpass said.

https://www.cnn.com/asia/live-news/coronavirus-outbreak-03-03-20-intl-hnk/index.html


Someone said lately that when the media scream like that someone is about to get paid... some wisdom in it.
Anonymous
8% of Iran's parliament (23 out of 290 members) have COVID-19.

Open parliament sessions continue to be suspended.

https://www.cnn.com/asia/live-news/coronavirus-outbreak-03-03-20-intl-hnk/index.html
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