Posted on 02/23/2020 1:57:16 PM PST by Vermont Lt
Figured we would start numbering the threads.
Some points to keep in mind:
1. This thing is not just the flu. 2. 1/10th of the worlds population is in some sort of lockdown. 3. Generally, we dont buy the Chinese numbers But if anything they are low. 4. Everyone is welcome to post, but dont bore us with your you are panicking posts. They are tedious.
Its Sunday night and the Walking Dead is back. Lets talk Coronavirus.
South Korea ran 90,000 tests over basically this past weekend.
WE don’t even HAVE a working test in 46 states still.
And our testing guidelines only test for recent arrivals from China. Nobody else.
Even WITH the evidence from Iran and Italy that the ‘recent arrival’ criteria is useless now.
If I ran a mortuary, I would absolutely REFUSE any body from anyone who died of pneumonia or sepsis at this point.
Refuse.
That’ll get the elites attention. Morgues full of unclaimed bodies.
Coronavirus patients long ventilator stays put strain on hospitals
/ Mon, February 24, 2020 / 11:04 am
https://www.thejakartapost.com/life/2020/02/24/coronavirus-patients-long-ventilator-stays-put-strain-on-hospitals.html
CORONAVIRUS UPDATE: Coronavirus outbreak nearing pandemic tipping point as infections soar, say experts.
Pandemic fits the Disease X category: World Health Organisations coronavirus warning.
World on Edge as Cases Rise Outside of China; Five Dead in Italy Outbreak; Cases Spike in Iran.
Chinas Xi Jinping Sounds Alarm Over Virus Outbreak at Partys Doorstep.
North Korea reportedly quarantines 380 foreigners in bid to prevent coronavirus outbreak.
Kuwait, Bahrain, Iraq report coronavirus cases linked to Iran.
Coronavirus Live Updates: Outbreaks Around the World Raise Fears of Pandemic.
Trumps fury over coronavirus patients being repatriated may be justified. “The way the evacuation was conducted seems to point more to a rushed addressing of the discontent of the passengers (who had been kept in very uncomfortable conditions on the ship) than due diligence.”
Coronavirus deaths near 2,600 in China.
Large parts of China ease coronavirus curbs, many report no new cases.
Stock markets slump as coronavirus spreads in Europe business live.
World economy shudders as Coronavirus threatens global supply chains.
Dow futures drop nearly 700 points as coronavirus spread stirs fears of global economic impact.
UPDATE: A Hong Kong friend emails:
Hoping not to jinx it, but pretty good news.
Only two cases in Hong Kong in the past week or so.
(Since the 14th, one case on the 18th and one on the 20th).That comes down to:
1 – Hong Kong shut the border with China
2 – People know the protocol after dealing with SARS 17 years ago.
3 – People wear masks, etc. out of courtesy to others as much as for themselves – so 99% are wearing masks within 4-6 feet of other people.
4 – Doctors being hyper-vigilant. As there are still many unknowns, confirmed and sick patients will not only have to be cleared of their symptoms and signs (such as X-ray and various tests) but also (most important) at least TWO molecular tests free of the virus in their respiratory system before they can be released (although they are not sick).People doing lots of hiking in the great outdoors with good weather of late while shopping malls remain empty.
Fingers crossed. I’d like nothing better than to see this fizzle.
Funny this comes from Jakarta.
There are “no cases” in Jakarta. Because they pray to allah to keep them safe. No kidding...this is what their health minister said last week.
Shaking my head.
Imagine. In a hospital in this country in one of the 46 states without kits...there is a patient on ventilator. That has this. And nobody in the hospital is using any precautions to prevent its spread. Because no testing...Because the patient didn’t recently return from China and the CDC doesn’t approve testing for anyone who didn’t recently return from China...
Imagine this patient dies. The mortuary is now a biohazard zone. The embalmer has it now. It’s all over the funeral home...
But hey, at least that person didn’t recently return from China, so we can’t test for it and our number of dead remains 0.
That last part is good news.
In that case (someone in the ICU on a vent with no known cause) trust me, the nursing staff is all gowned up with masks.
This is the case during a normal flu season.
Since the days of Aids, the nurses have been hyper-vigilant in the ICU units. In many cases the ICU IS the isolation ward. Obviously in the larger hospitals there are special rooms. Not so much in rural and community hospitals.
This thing needs more than ‘gowned up with masks’. That protocol did nothing to protect the health care workers in China before they knew what this was.
In the case of the ICU being the isolation ward...it’s not just for infectious stuff. My dad was in there after a heart attack. There was no ‘isolation’ for him. All the ICU rooms were connected via sliding door to a central desk.
It only takes one case and everybody else in the ICU will have this, shared air supply like that ship.
Oman - 2 cases.
So now we have cases in Iran, Bahrain, Kuwait, Oman, Iraq (suspected) and Afghanistan
Oman reports first two cases of coronavirus - TV
Reuters
February 24, 2020
9:12 AM EST
Yes the Iranians figured that one out fast... the first day it was regular hospital garb, the second was the hazmat type suits.
Isn’t it hot in those places?
(just asking, it is February, I know all of them aren’t hot hot hot all the time)
How many of our health care workers are currently being exposed becuase we have no testing capability?
Well, it’s hard to say (for me anyway). I’m not an “expert” in the auto industry, for example. The answer likely vary from “field” to field. But...
Consider auto production. Out of all the major US manufacturers (including producers the size of, say, Subaru), is there so much as one car model that uses less than 100 essential components dependent in some way or another on China? I don’t “know” the answer, but I have a very strong “suspicion”.
Singapore still has a handle on it due to contact tracing and lots of lots of testing. Being PROACTIVE versus reactive is making a huge difference here.
TWO MORE CASES DISCHARGED ONE NEW CASE OF COVID-19 INFECTION CONFIRMED
24TH FEB 2020
Two more cases of COVID-19 infection have been discharged from hospital today (Cases 46 and 87). In all, 53 have fully recovered from the infection and have been discharged from hospital.
2. As of 24 February 2020, 12pm, the Ministry of Health (MOH) has confirmed and verified one more case of COVID-19 infection in Singapore which is linked to the cluster at The Life Church and Missions Singapore.
Links between previous cases found
3. Further epidemiological investigations and contact tracing have uncovered links between previously announced and new cases. This was made possible with the assistance of the Singapore Police Force.
Five of the locally transmitted confirmed cases (Cases 31, 33, 38, 83 and 90), as well as Cases 8 and 9, are linked to The Life Church and Missions Singapore (146B Paya Lebar Road).
Nine of the confirmed cases (Cases 19, 20, 21, 24, 25, 27, 28, 34 and 40) are linked to Yong Thai Hang (24 Cavan Road).
Three of the confirmed cases (Cases 30, 36 and 39) are linked to the private business meeting held at Grand Hyatt Singapore from 20 to 22 January.
Five of the confirmed cases (Cases 42, 47, 52, 56 and 69) are linked to the Seletar Aerospace Heights construction site.
23 of the confirmed cases (Cases 48, 49, 51, 53, 54, 57, 58, 60, 61, 62, 63, 66, 67, 68, 70, 71, 73, 74, 78, 80, 81, 84 and 88) are linked to the Grace Assembly of God.
4. Investigations on these clusters are ongoing. In addition to the clusters, our investigations have identified the following links between cases:
Case 44 is linked to Cases 13 and 26;
Case 72 is linked to Cases 59 and 79;
Case 50is linked to Cases 55, 65 and 77;
Case 75 is linked to Case 41; and
Case 86 is linked to Case 82.
5. Contact tracing is underway for the other nine locally transmitted cases to establish any links to previous cases or travel history to mainland China.
About the confirmed cases
Case 90
6. Case 90 is a 75 year-old female Singapore Citizen who has no recent travel history to China. She is currently warded in an isolation room at the National Centre for Infectious Diseases (NCID). She is linked to the cluster at The Life Church and Missions Singapore.
7. She reported onset of symptoms on 9 February and had sought treatment at a general practitioner (GP) clinic on 9 February, 17 February and 23 February. She was conveyed in an ambulance to the emergency department at Tan Tock Seng Hospital on 23 February, where she was immediately isolated. Subsequent test results confirmed COVID-19 infection on 23 February afternoon.
8. Prior to hospital admission, she had mostly stayed at her home at Bishan Street 12.
Update on condition of confirmed cases
9. To date, a total of 53 cases have fully recovered from the infection and have been discharged from hospital. Of the 37 confirmed cases who are still in hospital, most are stable or improving. Seven are in critical condition in the intensive care unit.
Update on contact tracing for confirmed cases
10. Contact tracing for the confirmed cases is ongoing. Once identified, MOH will closely monitor all close contacts. As a precautionary measure, they will be quarantined for 14 days from their last exposure to the patient. In addition, all other identified contacts who have a low risk of being infected will be under active surveillance, and will be contacted daily to monitor their health status.
11. As of 24 February 2020, 12pm, MOH has identified 2,842 close contacts who have been quarantined. Of these, 856 are currently quarantined, and 1,986 have completed their quarantine.
Health advisory
12. Singaporeans are advised to defer all travel to Hubei Province and all non-essential travel to Mainland China, and Daegu city and Cheongdo county in the Republic of Korea. MOH also reminds the public to continue to exercise caution when travelling to the rest of the Republic of Korea.
13. All travellers should monitor their health closely for two weeks upon return to Singapore and seek medical attention promptly if they feel unwell. Travellers should inform their doctor of their travel history. If they have a fever or respiratory symptoms (e.g. cough, shortness of breath), they should wear a mask and call the clinic ahead of the visit.
14. Travellers and members of the public should adopt the following precautions at all times:
Avoid close contact with people who are unwell or showing symptoms of illness;
Observe good personal hygiene;
Practise frequent hand washing with soap (e.g. before handling food or eating, after going to toilet, or when hands are dirtied by respiratory secretions after coughing or sneezing);
Wear a mask if you have respiratory symptoms such as a cough or shortness of breath;
Cover your mouth with a tissue paper when coughing or sneezing, and dispose the soiled tissue paper in the rubbish bin immediately; and
Seek medical attention promptly if you are feeling unwell.
15. MOH will continue to monitor the situation closely. As medical practitioners are on the lookout for suspect cases, Singapore is likely to see more cases that will need to be investigated.
Double gloved, full face mask over the n95.
I think they are doing well.
And if you are in podunk Vermont, in a 50 bed hospital on the Canadian border...the ICU has like six beds.
You cannot possibly believe they are going to have a negative pressure isolation room do you? Most ERs with isolation rooms just have them on the other side of the ED—and most of the time they are occupied by psych patients.
This is my experience.
If they really needed to be isolated in the rural areas they were air transported to Dartmouth Hitchcock.
If you go to larger cities larger hospitals they are more used to dealing with the nasty stuff. But that places are going to be filled up with time of year.
Manufacturing is toast until this is over.
At this point I’m worried about ‘trivial’ stuff. Like whether Kroger (and walmart and target and king soopers and etc) has enough oil filters (and air filters and belts and what not) set aside for their fleet to keep it running close to normal...if we can’t get any more for several months.
Yes, Oman is subtropical, hot and dry. But the use of AC may make a difference
So. This might be de facto rural genocide.
Cities and rich communities can afford the isolation rooms and bunny suits...poor communities and states not so much.
Ya. I suspect the ‘hot and dry’ only helps if you don’t have electricity and an a/c.
Otherwise it’s full wuhan.
Especially in the hospitals. Those are one of the first things that get a/c when countries become electrified.
IIRC that’s how SARS spread in several countries. It basically walked through entire hospitals before they realized what it was.
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