Posted on 04/05/2020 2:40:05 PM PDT by Future Useless Eater
Mr. President, Please recommend at least 5 states tentatively "re-open" the day after Easter, based on recent data.
The following five states practice good social distancing (proven by their low daily percentage increase) and have the highest percentages of (formerly infected) citizens, deemed now NOT-contagious.
State % "Recovered"
MN 50.9%
SD 35.8%
ND 33.9%
ME 30.7%
NH 23.2%
One of these states in particular, MN, now had MORE 'recovered-positive cases' (440) on 04/04 than it had 'Total-Cases' seven days prior, which implies this state's hospitals are employing the most effective treatment-acceleration protocols.
(IE, Infected citizens in MN are now recovering (on average) in less than 7 days.
Your task force should start the "back to business" process soon, perhaps at first in the lowest-risk states, with federal guidelines for maintaining the good results seen so far.
Data sources:
https://web.archive.org/web/20200404204954/https://www.health.state.mn.us/diseases/coronavirus/situation.html
https://web.archive.org/web/20200328210714/https://www.health.state.mn.us/diseases/coronavirus/situation.html
https://www.worldometers.info/coronavirus/country/us/
@realDonaldTrump @Mike_Pence #wwg1wga
Amen to that! Wisconsin NEEDS to get back to Business! We’re having to dump milk onto fields and into manure pits! 2020 WAS to be a rebuilding year for our dairy farmers!!
SAVE THE CHEESE!
All states that voted for President Trump can re-open. The lazy Blue states that produce little and consume much, can continue under quarantine. ;)
Please no. There are many freepers I disagree with. You need a select a few. Others need to be filtered. I think potus already has an algorithm or something for tuning into freep land.
Have you seen this from 2017?
I wonder if upstate NY could be part of that soft reopening. The restaurants could wait that little bit later, but most other places in Watertown, Odgensburg, Central Leatherstocking, and elsewhere could be feasible. You wonder though about areas like Rochester, Utica, Syracuse, and Buffalo.
Birx used a disputed Bill Gates-funded model for the White Houses Coronavirus effort. Gates is a big proponent for a population lockdown scenario for the Coronavirus outbreak.
Our priority is the health and safety of our citizens so we must stay locked down to insure their safety
Ya sure, until the Feds turn off the $$$ spigot.
LOL, I could easily ID by the scarf...
Trump doesn’t open or close states. 9 are open now. It’s up to the governors.
We are not going to ever devise a one size fits all plan for the US; we are too diverse. Why can’t local areas manage? States, and communities?
governors have emergency powers if the president doesn’t supercede them
Republicans can go back to work now, Democrats can go back to work after Jan 21st of next year.
President Trump will be sworn in Jan 20, 2021!
Covid-19 The tipping point?
Tom Jefferson, Carl Heneghan, March 30, 2020
A quick look at the distribution of SARS 2 cases around southern Europe shows that viral circulation is widespread. [1] Higher incidence may be explained (at least in part) by the old adage seek and thou shall find. Translated into technospeak, its ascertainment bias.[2]
If you test, test, test you will find. [3] Epidemics are no strangers to ascertainment bias. In the spring of 1918 military censorship ensured that most information relating to a mysterious acute respiratory syndrome was suppressed. Except for places like Spain which had not joined the war and had no censorship. So selective release of information made it look like most cases came from the Iberian peninsula hence the name Spanish flu.
Technospeak notwithstanding, there can be little doubt that Covid 19 may be far more widely distributed than some may believe. At the time the first symptomatic case was diagnosed In Vo Euganeo, Italy, about 3% had already been infected most were asymptomatic. [4]
Nor can there be little doubt that the price of lockdown to society and economic paralysis is likely to be paid for generations to come. In the short term economic devastation seems certain, imposing a heavy penalty on us and probably successive generations.
In Bergamo, Italy, clinicians reflected on how to prepare for the next outbreak. Their view is that focussing on hospitals is the wrong way to manage COVID. [5]
The symptoms of COVID-19 are unusual, wide-ranging, and in some cases can be severe: over-referral can lead to significant numbers either turning up or sent into hospital. The disease then spreads rapidly in hospital settings. [5] Healthcare workers have both a higher risk of exposure, and of being the vectors of onwards transmission as happened in the 2002-3 SARs outbreak.
Because there are no licensed treatments for COVID-19 non-pharmaceutical interventions, management of complications and early recognition of those deteriorating and most likely to benefit from hospitalisation, should be the mainstay of management.
Changing the emphasis from hospitals to the community could avert a disaster for the wider population. Care in the home setting restricts movements of the infected. All those with a fever and a cough should stay at home; they could be prescribed pulse oximeters, and oxygen could be delivered to severely affected cases; rescue antibiotics prescribed along with daily video-monitoring could be used to detect deterioration. In the older population, the mildly ill and the recovering, food supplies should be delivered at home.
Older Patients admitted to hospital are at greater risk of delirium, pressure sores, adverse effects of new medications, malnutrition and hospital-acquired infections. [6] An older person admitted to hospital runs the risk of never seeing the light of day again. This is probably the clearest message coming from Italy.
Lockdown is going to bankrupt all of us and our descendants and is unlikely at this point to slow or halt viral circulation as the genie is out of the bottle. What the current situation boils down to is this: is economic meltdown a price worth paying to halt or delay what is already amongst us?
Tom Jefferson is a senior associate tutor and honorary research fellow, Centre for Evidence-Based Medicine, University of Oxford.
Carl Heneghan is Professor of Evidence-Based Medicine and Director of the Centre for Evidence-Based Medicine.
https://docs.google.com/document/d/1FWCUd_3sET8wwWzP1bNnXVsQ-euyo3JpoD0QeHFDWhY/edit
Disclaimer: the article has not been peer-reviewed and the sources cited should be checked. The views expressed in this commentary represent the views of the authors and not necessarily those of the host institution, the NHS, the NIHR, or the Department of Health. The views are not a substitute for professional medical advice.
References
1 [No title]. https://www.ecdc.europa.eu/sites/default/files/documents/Communicable-disease-threats-report-28-mar-2020_0.pdf (accessed 29 Mar 2020).
2 Ascertainment bias Catalog of Bias. Catalog of Bias. 2017.https://catalogofbias.org/biases/ascertainment-bias/ (accessed 29 Mar 2020).
3 WHO Director-Generals opening remarks at the media briefing on COVID-19 16 March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-1916-march-2020 (accessed 30 Mar 2020).
4 Crisanti A, Cassone A. In one Italian town, we showed mass testing could eradicate the coronavirus | Andrea Crisanti and Antonio Cassone. the Guardian. 2020.http://www.theguardian.com/commentisfree/2020/mar/20/eradicated-coronavirus-mass-testing-covid-19-italy-vo (accessed 29 Mar 2020).
5 [No title]. https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080 (accessed 30 Mar 2020).
6 Older Patients: Common Risks for Seniors in the Hospital. https://www.parentgiving.com/elder-care/older-patients-at-risk-in-the-hospital/ (accessed 30 Mar 2020).
yes!!!
Summary:
- At https://www.healthweather.us/?mode=Atypical you find a map of the US which indicates - discounting the expected influence of the flu - which have more than the historically predictable number of people with fevers in each county (for which they have data).
- Below that map, you find a graph of % of US population which had a fever, vs. time since February 15.
- Whittle also showed a map showing the change by county in the number of people having fever over the past week.
The upshot is that the number of people having a fever got atypically high when Covid hit - but since the institution of social distancing, that number has dropped below what historical data would lead you to expect.
So much so that it seems likely that the public reaction to Covid has saved more lives than Covid itself has carried off. Because so many fewer people than expected have contracted the flu this past month.
Quarantine Ny, Michigan, and Louisiana for an additional week. Open the rest of the country and make mask wearing mandatory for 2 weeks.
Wow, very interesting!
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