Re: [Health] The Infectious Diseases Thread
Posted: Sat Apr 11, 2020 9:50 pm
And the least productive.
That is not dead which can eternal lie, and with strange aeons bring us some web forums whereupon we can gather
http://garbi.online/forum/
Do you have elderly parents? Grandparents?mori wrote:In a country of 330 million, sure.
For sure. I was thinking about how awful this would have been when I was a child, with very primitive computers, no internet and no game console in my house. I would have been bouncing off the walls.Zaxxon wrote: Fri Apr 10, 2020 7:18 pmIt really does help. My extended family and my workplace are both also using Zoom for happy hours.YellowKing wrote:A group of friends and I just had a virtual happy hour over Zoom where everybody brought a beer. It was a ton of fun just getting to hang out and chat for a couple of hours. We're really fortunate we have the technology to still be able to socialize in an environment where we shouldn't be able to socialize.
My daughter cried when my home lost internet connection for 2 hours and she is only 5. It is almost a month now since she stopped going to school.gbasden wrote: Sun Apr 12, 2020 4:29 amFor sure. I was thinking about how awful this would have been when I was a child, with very primitive computers, no internet and no game console in my house. I would have been bouncing off the walls.Zaxxon wrote: Fri Apr 10, 2020 7:18 pmIt really does help. My extended family and my workplace are both also using Zoom for happy hours.YellowKing wrote:A group of friends and I just had a virtual happy hour over Zoom where everybody brought a beer. It was a ton of fun just getting to hang out and chat for a couple of hours. We're really fortunate we have the technology to still be able to socialize in an environment where we shouldn't be able to socialize.
I believe one of wonderpug's points is that the curve hasn't even reached it's maxima so on what scientific basis do you say "we can relax"?
OR, we could be like all the other INTELLIGENT countries who have a handle on the virus: identify as many infected individuals as possible, do massive contact tracing on them, put all THOSE people in quarantine and repeat as needed until the virus disappears.em2nought wrote: Sun Apr 12, 2020 1:13 am I thought the whole point was it's so viral that eventually almost everybody will get it, we're just trying to ensure it won't all happen at once. ...and the unfortunate aspect of that is it will go on for longer before almost everybody has had it. ...and prolonging it gives us time to work on solutions. So it's not anywhere near over, and eventually you'll get it. ...and when you do hopefully you're one of the lucky ones and those around you are too.![]()
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Sorry to burst your bubble but we as a country need to be on the same page with respect to this virus. This time (starting the week of Easter) is a temporary reprieve at best. Since we don't have a virus all of us are still at risk of getting it so at this point we only have two options:gameoverman wrote: Sat Apr 11, 2020 6:24 pm Los Angeles county is at 8400/244. I have to admit the numbers both in this county and in the country as a whole are far lower than I thought they'd be at this point in time. We're almost at mid April and when I look around at people I don't get the feeling that the situation is that much worse, if worse at all, than what the numbers suggest. I haven't heard from any family or friends about them getting sick OR them even hearing about someone they know getting sick. That doesn't prove anything, I know that, but honestly by now I thought things would be bad enough that I'd feel personally threatened by this virus and I don't. I feel kind of optimistic, like if I keep my distance I might actually be able to skate by without getting sick.
You haven't said whether #1 was possible for the US but I would argue going to the moon was a lot harder. We have shown we can do great things if led properly.Victoria Raverna wrote: Sun Apr 12, 2020 9:08 am I think there are three strategy for COVID-19:
1. Do a lot of test, do massive contact tracing, quarantine them.
2. Just quarantine everyone (force everyone to stay at home, etc.) maybe do this for a month or more for a whole country or a whole world. Then hopefully everyone that got it die or recover. So no more COVID-19.
3. Social distancing to flatten the curve but not trying to stop COVID-19. Eventually everyone get it and maybe 2-10% die.
The problem is that number 1 and 2 are probably not possible for most countries in the world.
Well from watching Shogun I thought the South Koreans were probably like the Japanese and therefore much more clean and less like to transmit the virus than those of us of European decent. The Germans, I obviously thought it was their superior Aryan blood that's keeping them healthy. LOL I'm not sure where you read anything political in my post, or anything at all about going back to work.raydude wrote: Sun Apr 12, 2020 8:47 am JESUS FUCKING CHRIST ON A STICK DO YOU THINK SOUTH KOREA AND GERMANY HAS SO FEW CASES BECAUSE THEY ALL WERE EXPOSED?
The devil's in the details, because it may depend on how each country chooses to report their data on COVID-19 case fatality rates.raydude wrote: Sun Apr 12, 2020 8:47 am JESUS FUCKING CHRIST ON A STICK DO YOU THINK SOUTH KOREA AND GERMANY HAS SO FEW CASES BECAUSE THEY ALL WERE EXPOSED?
express.co.uk wrote:The coronavirus mortality rate in Germany might be much higher than is being officially recorded.
The latest figures from the Robert Koch Institute show that Germany has a case fatality rate (CFR) of 0.3 percent, while the World Health Organisation (WHO) figures from Italy seem to show a CFR of nine percent. The case fatality rate from coronavirus in Germany records the underlying health conditions as the cause of death, instead of reporting the death as the result of the pathogen. Doctor John Lee, a recently retired professor of pathology and a former NHS consultant pathologist, said: "The data on COVID-19 differs wildly from country to country.
"Italy has 69,176 recorded cases and 6,820 deaths, a rate of 9.9 percent.
"Germany has 32,986 cases and 157 deaths, a rate of 0.5 percent.
"We ought to suspect a systematic error, that the COVID-19 data we are seeing from different countries is not directly comparable."
The former pathologist argues the death rate is not being calculated uniformly across the world, he said: "Recording cases where there was a positive test for the virus is a very different thing to recording the virus as the main cause of death."
Unlike in Italy, there is currently no widespread postmortem testing for the novel coronavirus in Germany.
The Robert Koch Institute said those who were not tested for COVID-19 in their lifetime but are suspected to have been infected with the virus “can” be tested after death, but in Germany’s decentralised health system this is not yet a routine practice.
As a result, it is theoretically possible there could be people who may have died in their homes before being tested and who do not show up in the statistics.
The last time Ethan was in school was Jan 30th. He is in a year round school. He missed the last day of school for being sick. 3 weeks later was admitted to the hospital for almost 3 weeks. The friday before he was discharged schools were cancelled, and next monday he starts distance learning for a month. He hasn't seen his friends since January...Victoria Raverna wrote: Sun Apr 12, 2020 8:17 amMy daughter cried when my home lost internet connection for 2 hours and she is only 5. It is almost a month now since she stopped going to school.gbasden wrote: Sun Apr 12, 2020 4:29 amFor sure. I was thinking about how awful this would have been when I was a child, with very primitive computers, no internet and no game console in my house. I would have been bouncing off the walls.Zaxxon wrote: Fri Apr 10, 2020 7:18 pmIt really does help. My extended family and my workplace are both also using Zoom for happy hours.YellowKing wrote:A group of friends and I just had a virtual happy hour over Zoom where everybody brought a beer. It was a ton of fun just getting to hang out and chat for a couple of hours. We're really fortunate we have the technology to still be able to socialize in an environment where we shouldn't be able to socialize.
"Epidemiologist declares smashing testicles 'key breakthrough' in fight against COVID-19"Smoove_B wrote: Sun Apr 12, 2020 5:23 pm I've completed both undergraduate and graduate level courses in epidemiology. I helped write and teach an epidemiology refresher course for people working in public health in NJ. I have worked on actual disease outbreaks, following CDC protocol for investigation to try and figure out what happened. I would rather slam my testicles in a drawer repeatedly than debate, discuss or try to communicate anything public health related to the anti-vaccination community.
So what's this long-term plan then? Is it just false hope?Kasey Chang wrote: Sun Apr 12, 2020 4:52 pm I had to become an amateur epidemiologist to debate some antivaxxers online.From what I understand, you deal with epidemics two ways:
1) Containment -- limit infection vectors, block infected people from getting in and/or quarantine them. Then do massive tracing efforts to identify sources, as well as step up surveillance to detect other possible incoming vectors. This is called "early detection" (duh).
US was way too late in doing this, mainly due to Trump's refusal to lock down the borders which could have been done as early as January, and lack of testing (CDC can't get the right kits out on time, and refusal to license existing kits from Asia)
Taiwan, on the other hand, escaped relatively unscathed despite proximity to China. You can do your own research on why. There's a paper about it.
2) Once containment failed, the only thing to do is known as "control and mitigation", Social Distancing is basically a control-and-mitigation tactic, trying to slow the spread. Medical system brace for the worst by calling up reserve personnel and stage equipment (such as all the rush for ventilators and masks). Public fear and emergency measures such as "shelter in place" will be implemented to "carrot and stick' the public into compliance.
Hopefully, after a while, we can conclude that the disease is eliminated (which just means "it's no longer a major public health issue").
NOTE: This is different from "eradicated". Despite hundreds of years of medical science, we've only managed to eradicate smallpox. EVERYTHING ELSE is still with us.
I think the fundamental attitude of the US population is simply not ready for COVID-19, and the Trump Whitehouse attitude simply made things worse. US is NOT ready for a massive "tracking" effort of COVID-19 cases in January, all the blab about "privacy" notwithstanding. But Trump tweeting /talking that it's nothing to worry about in January? Criminal. We had MONTHS of advance warning. A good chunk of this shelter-in-place may have been avoided had we done something earlier.
from the article wrote:Instead, a collection of governors, former government officials, disease specialists and nonprofits are pursuing a strategy that relies on the three pillars of disease control: Ramp up testing to identify people who are infected. Find everyone they interact with by deploying contact tracing on a scale America has never attempted before. And focus restrictions more narrowly on the infected and their contacts so the rest of society doesn’t have to stay in permanent lockdown.
Wonder how many times we have to repeat this line for the bots to pick it up and suddenly people will see it and it will eventually be a "news" article someplace?wonderpug wrote: Sun Apr 12, 2020 8:18 pm "Epidemiologist declares smashing testicles 'key breakthrough' in fight against COVID-19"
I didn't have expectations of those things when I was a child. There was a period in upper elementary school where it would have been tough but after about age 12 it would have been fine as I would have just read anything I could get my hands on (and my parents were readers so we had books), played games, or invented worlds for D&D (I doubt that my brother and I would have played much with just the two of us but we would have talked about it forever).gbasden wrote: Sun Apr 12, 2020 4:29 am For sure. I was thinking about how awful this would have been when I was a child, with very primitive computers, no internet and no game console in my house. I would have been bouncing off the walls.
When I was a kid there was no cable tv, there was pay tv(ON and Select). The Atari and Intellivision consoles were what we had. One landline, three different phones throughout the house but all hooked to the same line. Even so I think the stress would have come from my dad. Assuming his work was shut down, having him around all day probably would not have made my mom happy. He also liked to spend time with his friends, which would have been impossible for him since his favorite places would be shut down. He liked to drink with his friends, I have no idea if he would have drank by himself at home but if he tried it I think things would have boiled over since I don't think my mom would have gone for that. He would have stressed out by the first weekend.Madmarcus wrote: Sun Apr 12, 2020 11:26 pmI didn't have expectations of those things when I was a child. There was a period in upper elementary school where it would have been tough but after about age 12 it would have been fine as I would have just read anything I could get my hands on (and my parents were readers so we had books), played games, or invented worlds for D&D (I doubt that my brother and I would have played much with just the two of us but we would have talked about it forever).gbasden wrote: Sun Apr 12, 2020 4:29 am For sure. I was thinking about how awful this would have been when I was a child, with very primitive computers, no internet and no game console in my house. I would have been bouncing off the walls.
I didn't have those expectations either, but I was almost always over at a friends house, had a friend over, or was out having dirtclod wars in the desert. I love reading, but it would have been that and TV, and we only had 3 channels. And my sister was four years younger and we had nothing in common.Madmarcus wrote: Sun Apr 12, 2020 11:26 pmI didn't have expectations of those things when I was a child. There was a period in upper elementary school where it would have been tough but after about age 12 it would have been fine as I would have just read anything I could get my hands on (and my parents were readers so we had books), played games, or invented worlds for D&D (I doubt that my brother and I would have played much with just the two of us but we would have talked about it forever).gbasden wrote: Sun Apr 12, 2020 4:29 am For sure. I was thinking about how awful this would have been when I was a child, with very primitive computers, no internet and no game console in my house. I would have been bouncing off the walls.
There is a third possibility that could get us moving again sooner: A safe, effective treatment. There are currently 95 drugs in phase 1 clinical trials. The first results will start coming in by the end of April. Most of those candidates will get knocked out. Some will go on to bigger trials. There's a slim chance that one or more will emerge as clear winners. It's not something you want to bet the economy on, but it could happen.Paingod wrote: Mon Apr 13, 2020 8:27 am
My boss is saying things like "re-open by the end of April" but I know it can't be accurate. Without either herd immunity from massive exposure and recovery OR widespread vaccination, I think any attempt to return to normal just re-creates pandemic flow as people who are sick mingle with the healthy again and start the spread all over again. Because of the piecemeal, half-assed response in the US we won't be able to get this under control until we can vaccinate against it... so I'm not hopeful for a return to normal operations in 2 weeks, but I'll take the paychecks and stay off unemployment for as long as I can.
The first thing to do is to get everybody who *can* be tested, well, tested. And track down the infected, so we can have the surveillance network working. We need to identify and shrink the population of "spreaders" who may be spreading COVID-19 unwittingly because they are asymptomatic. As we've learned, you can be asymptomatic for 2 weeks, and during which, you ARE basically Typhoid Mary. And the only way to find these spreaders is to test... or isolate everyone else and hope they basically identify THEMSELVES by falling sick.raydude wrote: Sun Apr 12, 2020 9:26 pm
So what's this long-term plan then? Is it just false hope?
from the article wrote:Instead, a collection of governors, former government officials, disease specialists and nonprofits are pursuing a strategy that relies on the three pillars of disease control: Ramp up testing to identify people who are infected. Find everyone they interact with by deploying contact tracing on a scale America has never attempted before. And focus restrictions more narrowly on the infected and their contacts so the rest of society doesn’t have to stay in permanent lockdown.
World Health Organization officials said not all people who recover from the coronavirus have the antibodies to fight a second infection. This raises concerns that patients don’t develop immunity after surviving Covid-19.
“With regards to recovery and then re-infection, I believe we do not have the answers to that. That is an unknown,” Dr. Mike Ryan, executive director of WHO’s emergencies program, said at a press conference at the organization’s Geneva headquarters on Monday.
A preliminary study of patients in Shanghai found that some patients had “no detectable antibody response” while others had a very high response, said Dr. Maria Van Kerkhove, WHO’s lead scientist on Covid-19. Whether the patients who had a strong antibody response were immune to a second infection is “a separate question,” she added.
One thing I think might allow us to re-open for business, and I think is also something reasonably possible, is that the capacity of hospitals to handle a larger patient load is increased enough to make everyone confident that surges in cases aren't a deal breaker. A place like NYC is probably too populated for that to work, but what about other areas of the country? I can foresee a time when state governors announce that their state is prepared to handle X thousands of cases and let's get started on rebuilding the economy. I think that's likelier to happen sooner than developing a vaccine or herd immunity.Kraken wrote: Mon Apr 13, 2020 10:15 amThere is a third possibility that could get us moving again sooner: A safe, effective treatment.Paingod wrote: Mon Apr 13, 2020 8:27 am
My boss is saying things like "re-open by the end of April" but I know it can't be accurate. Without either herd immunity from massive exposure and recovery OR widespread vaccination, I think any attempt to return to normal just re-creates pandemic flow as people who are sick mingle with the healthy again and start the spread all over again. Because of the piecemeal, half-assed response in the US we won't be able to get this under control until we can vaccinate against it... so I'm not hopeful for a return to normal operations in 2 weeks, but I'll take the paychecks and stay off unemployment for as long as I can.