Posted on 02/26/2020 6:24:22 PM PST by DouglasKC
The UC Davis Medical Center is treating a patient who may be the first person in the country to have contracted the novel coronavirus (COVID-19) from community exposure.
The California Department of Public Health reported Wednesday the individual is a resident of Solano County who had no known exposure to the virus through travel or close contact with a known infected individual.
An email sent out Wednesday by two UC Davis officials said the patient arrived at the medical center in Sacramento last Wednesday but was only tested for the virus on Sunday despite a request made by med center officials that the Centers for Disease Control and Prevention conduct a test when the patient was admitted.
“Today the CDC confirmed the patient’s test was positive,” said the email from David Lubarsky, vice-chancellor of human health services, and Brad Simmons, interim CEO of UC Davis Medical Center.
“This is not the first COVID-19 patient we have treated, and because of the precautions we have had in place since this patient’s arrival, we believe there has been minimal potential for exposure here at UC Davis Medical Center,” the email said.
Nevertheless, a small number of medical center employees have been asked to stay home and monitor their temperatures.
Lubarsky and Simmons said the patient was transferred to UC Davis from “another Northern California hospital” on Wednesday, Feb 19.
“When the patient arrived, the patient had already been intubated, was on a ventilator, and given droplet protection orders because of an undiagnosed and suspected viral condition,” the email said.
“Since the patient arrived with a suspected viral infection, our care teams have been taking the proper infection prevention precautions during the patient’s stay.
“Upon admission, our team asked public health officials if this case could be COVID-19. We requested COVID-19 testing by the CDC, since neither Sacramento County nor (the California Department of Public Health) is doing testing for coronavirus at this time. Since the patient did not fit the existing CDC criteria for COVID-19, a test was not immediately administered,” said the email, which added that, “UC Davis Health does not control the testing process.”
On Sunday, the CDC ordered COVID-19 testing of the patient and the patient was put on airborne precautions and strict contact precautions. The positive test results were announced on Wednesday.
“We are proud of our health care workers who have been working to care for this patient and are committed to saving this patient’s life,” the email said.
“Just as when a health care worker has a small chance of exposure to other illnesses, such as TB or pertussis, we are following standard CDC protocols for determination of exposure and surveillance. So, out of an abundance of caution, in order to assure the health and safety of our employees, we are asking a small number of employees to stay home and monitor their temperature.
“We are handling this in the same way we manage other diseases that require airborne precautions and monitoring. We are in constant communication with the state health department and the CDC and Sacramento County Public Health about the optimal management of this patient and possible employee exposures,” the email said.
“As we regularly handle patients with infectious diseases, we have robust infection control protocols in place to handle this patient and others with more frequently seen infectious diseases. In this case, we are dedicated to providing the best care possible for this patient and continuing to protect the health of our employees who care for them.”
The CDC announced on Wednesday that a case of novel coronavirus of “unknown origin” — without a relevant travel history or exposure to another known patient — had been diagnosed in a patient in Northern California but did not indicate what city or county the case was in.
In a press released issued Wednesday evening, the state Department of Public Health revealed the individual was from Solano County.
“The health risk from novel coronavirus to the general public remains low at this time,” the release said. “While COVID-19 has a high transmission rate, it has a low mortality rate. From the international data we have, of those who have tested positive for COVID-19, approximately 80 percent do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date. California is carefully assessing the situation as it evolves.”
“Keeping Californians safe and healthy is our number one priority,” said State Public Health Officer Dr. Sonia Angell.
“This has been an evolving situation, which California has been monitoring and responding to since COVID-19 cases first emerged in China last year. This is a new virus, and while we are still learning about it, there is a lot we already know.
“We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California. That’s why California has been working closely with federal and local partners, including health care providers and hospitals, since the outbreak was first reported in China — and we are already responding.”
This would be the first known instance of person-to-person transmission in the general public in the United States, according to Angell.
Previously known instances of person-to-person transmission in the United States include one instance in Chicago, Ill., and one in San Benito County. Both cases were after close, prolonged interaction with a family member who returned from Wuhan, China, and had tested positive for COVID-19, the disease caused by novel coronavirus. As of Wednesday, including this case, California has had seven travel-related cases, one close contact case and now one community transmission.
They won’t all have it at the same time, some multiple of the number of total beds and ventilators can be treated. Any treatment that can shorten their hospital stay and especially their ventilator time, will increase that multiple. At least in one reported US case remdisivir did just that. And it seemed to be safe in past trials against ebola, just not as effective as another candidate ebola drug. Whether that case was random luck or an effective drug we don’t yet know... but we might know in a month. If it works I bet Trump can speed it to market faster than liberals can lie about it.
Just think of it this way. When you go to a store or a crowded place? You drop a good one and they'll stay well clear of you.
What type of quarantine would we call that?
http://freerepublic.com/focus/chat/3819771/posts?page=267#267
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We are well and truly screwed.
A *CHINESE* source — backed up by the French — confirm the significance of, though not the origin of, those amino acid sequences the Indian researchers talked about.
When looking at the genome sequence of the new coronavirus, Professor Ruan Jishou and his team at Nankai University in Tianjin found a section of mutated genes that did not exist in Sars, but were similar to those found in HIV and Ebola.
Instead of hooking up to the ACE2 receptor, the novel coronavirus has a cleavage site on the spike. This tricks something called the furin enzyme, on human cells, to cleave the spike at that point — allowing the viral membrane and the human cell’s membrane to join, effectuating the entry of the virus into the cell.
Guess which viruses actively have their own Furin? Ebola and AIDS.
Guess which viruses DON’T have anything like this?
“The mutation could not be found in Sars, Mers or Bat-CoVRaTG13, a bat coronavirus that was considered the original source of the new coronavirus with 96 per cent similarity in genes, it said.”
Remember — confirmed by the French, too, Chinese source.
Meanwhile, a study by French scientist Etienne Decroly at Aix-Marseille University, which was published in the scientific journal Antiviral Research on February 10, also found a “furin-like cleavage site” that is absent in similar coronaviruses.
1 3/4 trillion (at least) of economic activity shut down; I would assume there's a LOAD of bargains on Wall St to take advantage of. How much of a trickle effect would you predict say for Apple? Or Samsung? Or Disney? Or Walmart?
Mind you, most of the items for the 4th of July weren't produced this month for delivery in April.
If I am having trouble breathing but can still swallow I am taking my remaining oxycodone tablets...don’t want intubation. You never fully recover.
Why? I didn’t see anything...
Vaporware?
I dont understand any of that..so bottom line...it’s indicative of a possible bioweapon..
but is there something in all of it that could explain why it seems to attack Asians more if the ACE2 part of it isn’t important.
Source please?
The hospital claims to have treated previous COVID-19 patients.
Makes me wonder if this guy was being treated for complications from the Flu at UC Davis and then caught COVID-19 at the UC Davis Hospital.
Unless someone comes up with something better? There it is.
When it’s the “only way,” do what’s rational and reasonable to the best of your ability. What we don’t need is panic and people acting irrationally. There’s already too much of that on the left. Multiple historical episodes with hundreds of deaths show why “crying fire in a crowded theater” is the proverbial exception to free speech.
“What type of quarantine would we call that? “
The Frank Gallagher quarantine.
https://www.youtube.com/watch?v=2F3Z092tv8k
I know that. I'm just saying the result would be Bernie and the end of our country as we know it.
Imagine the tin foil theories.
Source for what?
UC Davis Medical Center will likely resemble a ghost town within 24 hours.
I left out doctors because even in critical care they probably only spend at most 10-20 minutes per day per patient. It is the 24/7 monitoring that is the issue. You will also have stain on lab services as blood work is usually done at least 2X per day while in the ICU. Luckily most hospitals have switched to digital x rays, although I am unsure if there are portable digital x ray machines.
Folks, in between your vapors, remind yourself that the vast majority of people who get infected with this WILL RECOVER. Take a deep breath and relax!
BTW, influenza is still killing lots more people. You should be more worried about that based of the number of deaths.
This mass hysteria is truly breathtaking to behold.
20% of everyone who contracts it will need hospitalization.
BTW, influenza is still killing lots more people. You should be more worried about that based of the number of deaths.
This spreads MUCH more easily than influenza. And nobody has any immunity to it. It's a brand new virus to the human body. It's logical to think that many more people will be infected than are infected by influenza. In an average year 60 million people get infected by the flu. If 60 million people get infected by this in a year it will mean that 12 million will have to be hospitalized. There are only 964,000 TOTAL hospital beds in America.
This mass hysteria is truly breathtaking to behold.
The "mass hysteria" in S. Korea, Italy, China and everyplace else where they have quarantined entire towns is because they know this will kill their medical system. Why else do you suppose they are taking such drastic measures to contain this? Is it all hysteria or do you think these governments are doing what they need to do to contain a virus?
25,000 people have died from influenza in the past 4 months.
The WHO says 650,000 people die from influenza each year worldwide, with 5 million becoming seriously I’ll. Why didn’t you get hysterical over these numbers?
It’s amazing what you Coronavirus Groupies ignore.
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