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Discussion thread V - COVID-19 (new coronavirus)

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For any water system that has not been in use for a while think Legionella bacteria as well as COVID.
 
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......
 
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.
 
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/what-doctors-know-about-lingering-symptoms-from-coronavirus
 
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/looking-forward-understanding-long-term-effects-covid-19
 
JJackson said:
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.
Click to expand...

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
 
The time to increase in deaths will be several weeks lagging behind increase in cases usually by 2-3 weeks. Hospitalizations is more useful right now to look at severity usually lagging. Some places are not reporting hospitalizations as acurately.

In addition, I hope that deaths will be lower as we are seeing younger population positive now. They are still getting sick so time will tell.
 
gs we are also getting a lot better at treating this. While no new wonder drug or vaccine has been found a much better understanding of how, when and in what combinations and dosages to use what we do have. Hydrochloroquine, Remdisivir and various Steroids all had reported contra-indications but now all have a place at some point for some patients.
 
@blacknail: Merci,

? 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 : ?M?me les passeurs nous traitaient mieux que ?a?

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

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

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

Enfin, un brin de v?rit?, 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 pr?sentent , comme des sur-femmes et ou sur -hommes, ne le sont pas, dans l'immense majorit? des cas ... J'ai demand? 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 ?tre plus t?t. J'avais demand? de l'eau , ce qui m'a ?t? refus?, mais j'ai pu d?guster leur attitude , vis ? vis de ce type de chien. Refuser de l'eau , pour un chien ag? , dont je connais l'histoire m?dicale, d?sormais , est un des reflets de ce qui doit ?tre chang?. Ce sont les acteurs , dit form?s, de la gestion des fourri?res animales, pour le compte des maires et Pr?fet. 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 ...
 
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.
 
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.
 
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.
 
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