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Discussion thread V - COVID-19 (new coronavirus)

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  • Presumably the money is more to get the data rather than to process it.
    That said, I've no idea whether there is any public access to this information, health records are subject to the HIPAA rules..

    Her claims that the case and death numbers are getting massaged is most troublesome, as that seems possible, given most victims have comorbidities. It seems pretty pointless though, as the virus rebound elsewhere makes the state numbers individually irrelevant.

    Comment


    • So there's a name for the chronic COVID cases - long haulers. Some never test positive like Carolyn the RV'er I posted about above. At least she had 3 MD's, one a specialist in hematology who all agreed she was sick for months from COVID. A doctor in the article below says a lot of sufferers are being medically gaslighted which is devastating.
      Since getting nutritional status testing and correction by an ND helped Carolyn, I hope more patients can explore that option. Most US states allow patients to order tests themselves online. I've had good experience with Ultalabs and Requestatest. The results are reviewed by a doctor then if something is out of range, you are supposed to see your own doctor. There are some MD's who do this work. They might be in the field of functional medicine. Maybe nutritionists, too.

      https://www.usatoday.com/story/news/...ts/3207573001/
      Never forget Excalibur.
      “‘i love myself.’ the quietest. simplest. most powerful. revolution ever.” ---- nayyirah waheed
      Avatar: Franz Marc, Liegender Hund im Schnee 1911 (My posts are not intended as advice or professional assessments of any kind.)

      Comment


      • What is going on in Miami?
        I was looking at some of the Worldometer data and Florida had 8,530 new cases and 9,585 yesterday, per capita this is pretty close to NY city at its peak. Of todays cases Miami-Dade (pop. 2.7m) accounted for 2,152 that is more than the total for the UK, Spain, Italy & Germany.
        Last edited by JJackson; June 29th, 2020, 06:15 AM.

        Comment



        • How to use Beijing emergency response level to be adjusted to second-level centralized air conditioning and ventilation system?


          June 24, 2020 06:39


            This article comes from HC Home Grid
            Due to the new epidemic in Beijing, the response level has also been adjusted. On June 16, 2020, the response level of public health emergencies in Beijing was adjusted from level three to level two. Relevant personnel in middle and high-risk street villages and new development markets are strictly prohibited from leaving Beijing. Other personnel insist on not leaving Beijing unless necessary. Those leaving Beijing must hold a negative nucleic acid test within 7 days.
            So under the second-level response level, how to use the centralized air conditioning and ventilation system? On June 23, the Beijing Center for Disease Control and Prevention issued guidelines for the prevention and control of centralized air-conditioning and ventilation systems during the new coronary pneumonia epidemic (Fourth Edition) (hereinafter referred to as "Guidelines (Fourth Edition)"). Guidance on disinfection methods.
            Before using the centralized air conditioning and ventilation system, the operation and management department of the air conditioning and ventilation system should understand the type, supply range, and fresh air intake of the centralized air conditioning and ventilation system.
            In the centralized isolation of medical observation places, overseas personnel diversion places, airports, railway stations, subways, large wholesale markets, commercial complexes and other places with complex personnel structures and high mobility, as well as various fields in medium and high-risk areas. One of the three requirements, the centralized air conditioning and ventilation system can be used. For the all-air centralized air conditioning and ventilation system, the return air system should be closed to use fresh air. The premises (buildings) of the central air conditioning and ventilation system should be operated for 1 hour before or after the daily opening; the air-water centralized air conditioning and ventilation system, Each room must be independently ventilated; a centralized air-conditioning ventilation system equipped with air purification and disinfection devices (removing particulate matter, gaseous pollutants and microorganisms) should be strictly operated in accordance with the instructions of the product during operation to ensure that the operation effect meets the requirements of national health standards.
            Perform regular cleaning, disinfection or replacement of the equipment and components such as filters, tuyere, air handling unit, surface cooler, heater (wet), and condensate pan of the running centralized air conditioning and ventilation system. When using a centralized air conditioning and ventilation system, care should also be taken to ensure that all rooms in the building have air circulation and sufficient fresh air supply; during epidemic outbreaks, priority should be given to opening windows to adopt natural ventilation, and conditional exhaust fans and other exhaust devices can be opened to Strengthen indoor air flow; it is recommended to prefer quaternary ammonium salt disinfectants for metal parts that need to be disinfected.
            "Guideline (Fourth Edition)" also gives the disinfection method of the central air conditioning and ventilation system. The filter, tuyere, air handling unit, surface cooler, heater (wet) device, condensate pan, and air pipe should be cleaned first and then disinfected.
            The specific disinfection method is that the filter can be disinfected by spraying or wiping with quaternary ammonium salt disinfectant or 500mg/L chlorine disinfectant. The tuyere and air treatment unit can be wiped and disinfected with chemical disinfectants. The metal parts are preferably quaternary ammonium salt disinfectants, which are disinfected according to the concentration specified in the instructions for surface disinfection. Non-metal parts are preferred with 500mg/L chlorine disinfectant. The surface cooler and heater (wet) can be sterilized by spraying or wiping with quaternary ammonium salt disinfectants, and disinfected according to the concentration specified in the instructions for surface disinfection. The condensate tray can be sterilized by spraying or wiping with quaternary ammonium disinfectants, and disinfected according to the concentration specified in the instructions for surface disinfection. The air pipe can be spray disinfected by chemical disinfectant, and the metal pipe wall is preferably quaternary ammonium salt disinfectant, which is used for disinfection according to the concentration specified in the manual for surface disinfection. The non-metallic pipe wall is preferably 500mg/L chlorine disinfectant.
            When confirmed cases and suspected cases of new coronavirus pneumonia are found, the centralized air conditioning and ventilation systems corresponding to the active areas of the confirmed and suspected cases should be shut down immediately, and the centralized air conditioning and ventilation systems in the above areas should be immediately cleaned and disinfected.




          https://tech.sina.com.cn/e/2020-06-2...k8663341.shtml

          Comment


          • JJackson
            JJackson commented
            Editing a comment
            For any water system that has not been in use for a while think Legionella bacteria as well as COVID.

        • Originally posted by JJackson View Post
          What is going on in Miami?
          I was looking at some of the Worldometer data and Florida had 8,530 new cases and 9,585 yesterday, per capita this is pretty close to NY city at its peak. Of todays cases Miami-Dade (pop. 2.7m) accounted for 2,152 that is more than the total for the UK, Spain, Italy & Germany.
          I don't know what is going on except it appears many people were not wearing masks and were gathering in large groups. Also - don't forget - this is summer in Florida. Very hot. Most people are spending a large portion of their time indoors. This is opposite of what other parts of the country do in summer.

          Comment


          • JJackson
            JJackson commented
            Editing a comment
            Thanks Sharon.

        • Hellooooooo! fellow flu trackers, hope you are all doing well.

          So I have a question and hoping one of you may have a direction to look for data that would support this or data that doesn't support it. It was mentioned to me today that asymptomatic COVID19 folks are seeing long term health effects like lung scaring (I asked based on what data or study and they didn't have anything). I should add that most times I get comments like this it is from a family member who heard it on social media or a news story so I always put on my science hat and ask them the logical questions to calm them down. Anyway, I have not seen any studies or data yet on long term effects for asymptomatic COVID19 folks, but I haven't' really been looking for that yet and figured it might be too soon to see this type of analysis. I'll look but thought I would toss it out there to all of you just in case one of you has come across something. Anyone come across a study on this yet? Would it be safe to assume that it would need to come out of China or Italy? I should add I do recall seeing some discussions early on about the severe cases in China, but they were more in a wait and see mode since it was way to early to understand long time effects, etc.

          Any comments would be great. Thanks......

          Comment


          • JJackson
            JJackson commented
            Editing a comment
            flatlander I have not seen anything solid yet. If you follow the link to TWiV ( https://www.microbe.tv/twiv ) and look for any that have Daniel Griffin as a Guest. Daniel is a MD, researcher and infectious disease specialist for a massive medical practice in the NY area and has been coming on once a week with an update in what they have been finding in his hospital network. There is one per week going back to the early NY cases following the treatments they have been using what works, or does not. In the more recent episodes they are beginning to see the late stage thrombolic problems in discharged and non-hospitalised cases, Kawasaki like syndrome in children and longer term lung damage. Each report is about 30mins and, if you have time I would listen in chronological order for a fuller understanding of how it is all unfolding.

          • Shiloh
            Shiloh commented
            Editing a comment
            https://www.npr.org/sections/goatsan...l-asymptomatic

          • flatlander
            flatlander commented
            Editing a comment
            Thank you everyone for your responses. Still listening to TWIV and it is Interesting to hear the changes throughout this process as they learn new information.

            Seems it is still unknown at this point the long term effects. Makes sense if you think about it, we are still very new into this virus. Really hope long term effects are minimal to none.

        • What doctors know about lingering symptoms from coronavirus

          Jun 30, 2020 11:41 AM EDT

          With over 2 million cases in the U.S. since the coronavirus pandemic began in late December, there are now many people who have recovered from COVID-19. At the same, there have been reports of people who continue to have long-term side effects from the infection. I am a professor and physician and I specialize in infectious diseases of adults. I not only care for patients with bacterial, parasitic and viral infections – including COVID-19 – but actively teach and perform research into diseases that infectious pathogens cause.

          Here I offer a summary of what is known today about recovering from COVID-19 – and where there are important gaps in our knowledge.

          https://www.pbs.org/newshour/health/...om-coronavirus

          Comment


          • flatlander
            flatlander commented
            Editing a comment
            Thanks for this as well


        • Looking forward: Understanding the long-term effects of COVID-19

          June 03, 2020

          NHLBI-funded researchers tackle big questions with large study of patients hospitalized with COVID-19

          The doctors on the front lines of the coronavirus pandemic may be aware of the health impacts that face survivors of mass shootings or natural disasters, but the highly contagious virus—one of the deadliest in history—is forcing them to grapple with a new question: if people who have beaten the disease should worry about their long-term health.

          It is a question that’s front and center not just for doctors caring for patients, but also for researchers, many of whom are working frantically to understand the long-term effects of SARS-CoV-2—the virus that causes the coronavirus disease 2019 (COVID-19)—even as they try to develop effective therapies to beat it.

          No small charge, but NHLBI is forging a way to help.

          ...The current scientific literature documenting COVID-19 cases in the U.S. is scattered. But one large report from China, issued in late February, described roughly 44,000 people with confirmed cases of COVID-19. Although most had mild symptoms of the disease, nearly 20 percent were critically ill with lung injury that made breathing difficult. Among the critically ill, many experienced cardiomyopathy and catastrophic arrythmias, prompting a call for more research to study the outcomes and long-term health problems that many patients will face.

          https://www.nhlbi.nih.gov/news/2020/...fects-covid-19

          Comment


          • flatlander
            flatlander commented
            Editing a comment
            Thank you, interesting read.

        • Originally posted by JJackson View Post
          What is going on in Miami?
          I was looking at some of the Worldometer data and Florida had 8,530 new cases and 9,585 yesterday, per capita this is pretty close to NY city at its peak. Of todays cases Miami-Dade (pop. 2.7m) accounted for 2,152 that is more than the total for the UK, Spain, Italy & Germany.
          JUNE 30, 2020
          UPDATED JULY 01, 2020 06:59 AM
          Excerpts:

          Miami-Dade is the state’s hardest hit county with more than 36,000 cases and nearly 1,000 deaths to date. On Tuesday, more than 1,200 patients with COVID-19 filled local hospital beds — more than at any point during the pandemic.

          In Miami-Dade, where more than 1,000 new cases a day have been reported since June 25, public health experts have used hospital admission data to measure the severity of the resurgence.

          Jackson Health System, the county’s public hospital network, reported 265 total patients in the hospital with the disease on Tuesday.

          Speaking via video at a meeting of Jackson Health’s board of trustees Tuesday, CEO Carlos Migoya said the hospital system has seen “a dramatic increase” in patients in the past two weeks.

          Dr. Allan Feingold, a pulmonary specialist at South Miami Hospital, which is part of Baptist Health, said in an email Tuesday that the data provided by the health department did not reveal the recent increase in hospital admissions across South Florida.

          Feingold said that he and other Baptist Health doctors were scheduled to meet with the health department to talk about the limitations of the health department’s data and how to improve reporting of key metrics that can give doctors and public health experts more information to work with.



          https://www.miamiherald.com/news/cor...243899367.html

          Comment


          • Interesting read....



            How Fauci, 5 other health specialists deal with covid-19 risks in their everyday lives

            By Marlene Cimons
            July 3, 2020 at 10:00 a.m. EDT

            https://www.washingtonpost.com/healt...c93_story.html

            Comment


            • strange lack of deaths in the recent US-wave : http://magictour.free.fr/us-us.GIF
              is it milder now ? Also in Sweden,Israel but not in Azerbaijan,Romania,Serbia
              I'm interested in expert panflu damage estimates
              my current links: [url]http://bit.ly/hFI7H[/url] ILI-charts: [url]http://bit.ly/CcRgT[/url]

              Comment


              • Ronan Kelly
                Ronan Kelly commented
                Editing a comment
                I suspect that while testing was limited in the initial outbreaks in the US, we are now testing younger folk and finding more of the milder cases. I suspect that 10,000 confirmed cases now is a much better reflection of actual cases than 10,000 confirmed cases was back in March/April. As a result we will see perhaps 25-50% as many deaths per confirmed case now as we did then.

              • Ronan Kelly
                Ronan Kelly commented
                Editing a comment
                Looking at the covid tracking project, we were only doing 150k tests per day in April vs 650k now.

              • kiwibird
                kiwibird commented
                Editing a comment
                I just read a report on Serbia that the patients had to take their own medication to hospital with them - including Vitamin C. A doctor whose parents became ill treated them at home because the situation in the hospital was so dire.

            • New York Times: 239 Experts With One Big Claim: The Coronavirus Is Airborne


              The W.H.O. has resisted mounting evidence that viral particles floating indoors are infectious, some scientists say. The agency maintains the research is still inconclusive.

              https://www.nytimes.com/2020/07/04/h...-airborne.html

              Comment


              • flatlander
                flatlander commented
                Editing a comment
                I wonder rather than spending all this time writing a letter and talking with the media if they shouldn't just set up studies and collect data? I have been listening to the WHO calls for months now and they have a constant theme, their stances are all data driven. Now one could argue how much data is needed, it seems they like to see large amounts of it but they do listen to data at some point. Without contact tracing showing spread I don't see them moving on this one.

                This is very simplified, but you could easily take the grocery stores in the US and set up studies there. Monitor air samples, people, etc. conduct a detailed trace of folks.

                However I would add that public places as well as offices, etc. all have airflow and change over requirements via OSHA requirements so one can't assume that the airflow is non existent indoors.

            • @blacknail: Merci,

              à mettre en liens avec ceci:

              Covid-19: Ventilation caused virus spread in pork plant


              https://www.pigprogress.net/Finisher...dures-603063E/

              et cela

              Esclavage moderne en Champagne : «Même les passeurs nous traitaient mieux que ça»

              https://www.liberation.fr/france/202...que-ca_1793385

              les grands corps, exemple les pompiers , dans cette crise n'ont pas vraiment brillé. Il me semble urgant que des audits neutre soient initiés :


              https://amp-ouest--france-fr.cdn.amp...avirus-6894642

              Enfin, un brin de vérité, ce corps les pompiers, a besoin de restaurer son image , vu les manquements sur ce dossier et bien d'autres. Ces membres que l'on présentent , comme des sur-femmes et ou sur -hommes, ne le sont pas, dans l'immense majorité des cas ... J'ai demandé conseil , pour une chienne ( type doberman) , cela m'a permis de voir l'un d'entre eux descendre de camion: le chauffeur. La retraite cela devrait être plus tôt. J'avais demandé de l'eau , ce qui m'a été refusé, mais j'ai pu déguster leur attitude , vis à vis de ce type de chien. Refuser de l'eau , pour un chien agé , dont je connais l'histoire médicale, désormais , est un des reflets de ce qui doit être changé. Ce sont les acteurs , dit formés, de la gestion des fourrières animales, pour le compte des maires et Préfet. Comme, en certains lieux, ces structures ne doivent voir passer que moins de 50% de ce qui devrait , un vrai audit me semble le minimum ...

              Comment


              • Are protests unsafe? What experts say may depend on who’s protesting what

                By MICHAEL POWELL
                THE NEW YORK TIMES |
                JUL 06, 2020 AT 12:02 PM
                ...
                Nicholas A. Christakis, professor of social and natural science at Yale University, noted public health is guided by twin imperatives: To comfort the afflicted and to speak truth about risks to public health, no matter how unpleasant.

                These often-complementary values are now in conflict. To take to the street to protest injustice is to risk casting open doors and letting the virus endanger tens of thousands, he said. There is a danger, he said, in asserting that one moral imperative overshadows another.
                ...
                When he was a hospice doctor in Chicago and Boston, he said, he saw up close how isolation deepened the despair of the dying — a fate now suffered by many in the pandemic, with hospital visits severely restricted. For epidemiologists to turn around and argue for loosening the ground rules for the George Floyd marches risks sounding hypocritical.

                “We allowed thousands of people to die alone,” he said. “We buried people by Zoom. Now all of a sudden we are saying, never mind?”
                ...
                https://www.sun-sentinel.com/coronav...j24-story.html
                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


              • https://www.thesun.co.uk/news/120518...s-south-korea/

                The strain mutated from the early clade of Covid-19, thought to have originated in Wuhan, which raged across Asia in the early days of the pandemic, according to Arirang News.

                Out of the seven strains of the virus, the G strain is said to be three to six times more capable of infecting human cells, according to the scientific journal Cell.

                Analysis of 526 genetics samples diagnosed with Covid-19 showed 313 which contained the GH strain.

                The GH strain has largely been circulated across Europe and the US, with the South Korean government claiming that the virus was brought in "by foreign visitors" who entered the country between March and April.

                GH is now the dominant strain in South Korea, Europe, North America and South America, Chosun Ilbo reports.
                ...snip
                “The only security we have is our ability to adapt."

                Comment


                • JJackson
                  JJackson commented
                  Editing a comment
                  Nothing to see here. This S D614G claim has been popping up in the press from time to time and with the Cell paper has gained a new lease of life. D614G is an ancestral mutation , having occurred right at the outset of the outbreak, with the D and G forms both continuing to circulate without one outperforming the other. One of the G strain happened to be first to arrive in Europe where it spread rapidly and then went on to start the US East coast outbreak. The West Coast was independently seeded by the D strain and, as in China, they co-circulate with neither demonstrating a fitness advantage.
                  Yes the cell paper shows, in-vitro, better infection but this can not be extrapolated to an meaningful statement about how it behaves in a human.
                  Yes there are more G sequences in the database but this says a great deal about the number of whole genome sequences being generated in Europe and the US and which countries are exporting cases to new areas and nothing about which strains are best adapted to infect humans or cause severe disease.
                  Last edited by JJackson; July 9th, 2020, 12:21 PM.
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