Reply to CORONAVIRUS/COVID-19 NEW MEGA THREAD

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Ireland, which has 43 cases, is shutting down all schools and universities.

Their per capita rate is relatively low, especially for Europe, 8.7, but there is definitely a trend beginning for countries to avoid an Italy situation by taking non-pharmaceutical containment measures much more proactively.[/quote]

The Irish health system is overloaded on daily basis. They can't afford to get to Italy's level. They have people in beds in hallways and closets on the regular. Smart move (although Leo Varadker announced it while on his St Patrick's trip to DC!)[/quote]

Weird,they are ranked 13/195.  https://www.newstalk.com/news/ireland-places-13th-in-global-healthcare-system-ranking-535281#:~:text=[/quote]

this is from January: 
https://www.thejournal.ie/hospital-system-under-pressure-4955866-Jan2020/

and it's an annual occurrence. They don't have the staff or the beds full stop. The quality of the staff is wonderful, they just don't have enough. The HSE is literally always trying to play catch up and cancelling procedures is not uncommon at all. They are right to close everything now before it gets out of hand. [/quote]

I posted in the Italy thread, but there appears to be no correlation between the WHO rankings of the "quality" of health systems and number of critical care (ICU) beds per capita, which is what matters now.  I've seen this discussed elsewhere, but Forbes has an article today with numbers, and the UK, for example, has 6.6 critical care beds per 100,000 population, Italy has 12.5 and the US has 34.7.  Germany has 29.2.  I've seen reports that the north of Italy has even fewer beds per capita.  That's not to say that our system won't get overwhelmed, as well, but we've got a  more excess capacity to start with.  We also have plans to use the VA system in case of pandemic, and I doubt they have anything similar.  It may turn out that one by-product of our decentralized, expensive system is a lot of excess capacity that may come in handy in this situation. [/quote]

I also thought it was interesting that the nurse in the AMA thread said that their hospital was holding non-critical Coronavirus patients in ICU, because the rooms were negative airflow and could avoid exposing others in the hospital.  That's the kind of thing you can do early on if you have lots of excess capacity. It will be interesting to see if this, combined with the fact that we know what we're dealing with much earlier in the process, helps avoid the Italy situation here.  [/quote]

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