Author Topic: coronavirus  (Read 5695 times)

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robo

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Re: coronavirus
« Reply #345 on: March 22, 2020, 07:52:41 pm »
+1
i have doubts about how well the cdc is protecting our healthcare workers.. they are recommending hcw's to not use n95+ masks unless doing aerosolizing procedures (such as intubating an icu patient).. would they have these same recommendations if there wasn't a massive ppe shortage?

https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf

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WHO: Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19)


robo

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Re: coronavirus
« Reply #346 on: March 22, 2020, 08:09:36 pm »
+1
hospitals are telling hcw's to just wear surgical masks in covid19 patient rooms, and to only use n95 respirators when performing aerosolizing procedures.. yet the cdc states they are not sure of how much aerosol transmission occurs and even suggest a n95+ mask as the first choice..

at mgh in boston, they are now telling nurses to wear surgical masks throughout their entire shift just in case one of the nurses is infected, but they're not even testing them?!

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

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Put on a respirator or facemask (if a respirator is not available) before entry into the patient room or care area.




adarqui

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Re: coronavirus
« Reply #347 on: March 22, 2020, 09:18:41 pm »
+1
https://twitter.com/DrDenaGrayson/status/1241895246897778690

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A German virologist who interviewed >100 #coronavirus patients says that at least 2/3 with mild #COVID19 reported experiencing loss of smell and taste lasting several days.

This could be VERY helpful to identify people with otherwise no/mild symptoms and ISOLATE them.

adarqui

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Re: coronavirus
« Reply #348 on: March 22, 2020, 09:21:20 pm »
+1
i have doubts about how well the cdc is protecting our healthcare workers.. they are recommending hcw's to not use n95+ masks unless doing aerosolizing procedures (such as intubating an icu patient).. would they have these same recommendations if there wasn't a massive ppe shortage?

https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf

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WHO: Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19)


throughout the world, tons of doctors are dying too.. so probably giving that advice only because there's a shortage. similar to how they told people the masks don't work - just try to keep every1 calm/confident not having a mask.

robo

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Re: coronavirus
« Reply #349 on: March 22, 2020, 09:41:13 pm »
+1
this is a preprint (ie hasn't been peer-reviewed yet,) but so is everything we know about this virus.. but the takeaway seems to be that this virus may be spreading from aerosol transmission, they don't know yet.. but they think that if sars was 'airborne' then so hcov would probably be too..

https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v2.full.pdf

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Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared to SARS-CoV-1

...

Our results indicate that aerosol and fomite transmission of HCoV-19 are plausible, as the virus can remain viable and infectious in aerosols for multiple hours and on surfaces up to days. This echoes the experience with SARS-CoV-1, where these modes of transmission were associated with nosocomial spread and superspreading events, and provides guidance for pandemic mitigation measures.

robo

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Re: coronavirus
« Reply #350 on: March 22, 2020, 10:00:43 pm »
+1
http://www.cidrap.umn.edu/news-perspective/2020/03/commentary-covid-19-transmission-messages-should-hinge-science

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The precautionary principle suggests we should approach this organism as we would any novel highly transmissible respiratory disease—as a contact, droplet and airborne disease, but with one important caveat: Short-range aerosol transmission is also a strong possibility. Taking lessons from the little we already know about COVID-19 as well as influenza, SARS, and MERS, all of which show many similarities to COVID-19, the precautionary approach suggests that we focus on preventing short-range aerosol transmission in both public and healthcare settings.
...
In the face of supply shortages, the CDC last week changed its recommendations to allow the use of medical masks instead of respirators, saving the latter for aerosol-generating procedures. Healthcare organizations must return to using respirators for confirmed and suspected COVID-19 patients when supply chain problems are resolved. Requirements for airborne infection isolation rooms remain in place. Organizations are encouraged to designate entire units for COVID-19 patient care and develop re-use procedures for personal protective equipment.
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For healthcare organizations, the CDC recommends airborne, in addition to standard (contact) and droplet precautions, for the care of COVID-19 suspected or confirmed patients.
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High RNA concentrations (19 copies/m3) were measured in patient toilets in both hospitals. Toilet flushing is well-known as a source of aerosols.25 The Wuhan study offers no insights into the viability of these aerosols, however, as live virus was not assessed.
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Droplet transmission is probably much less important for most respiratory infectious diseases than is short-range aerosol transmission by inhalation. Aerosol particles are not all large, and they do not all immediately fall to the ground.
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Therefore, diseases that are considered "airborne" must also be capable of transmitting disease by inhalation of aerosols near the source.
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A very recent study found that SARS-CoV-2 aerosols remain viable for up to 3 hours which is similar to the viability of SARS-CoV in air and MERS-CoV. This is adequate time for exposure, inhalation, and infection to occur both near and far from a source.
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It is possible to get through this pandemic together with thoughtful, consistent, science-based and open communication and decision-making. It is possible to communicate uncertainty about the underlying science, apply the precautionary approach where uncertainty exists, and implement well-reasoned decisions about how best to limit the dissemination of COVID-19.

It is unfortunate we are not as prepared as we could have been, given the many years we've been planning for pandemic influenza. But rather than criticizing past decisions, I am hopeful we can move forward together in a way that ensures our healthcare and other high-priority workforces have the highest degree of protection possible. And perhaps we'll make better decisions going forward, once this pandemic is over.
« Last Edit: March 22, 2020, 10:04:54 pm by robo »

adarqui

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Re: coronavirus
« Reply #351 on: March 22, 2020, 10:14:34 pm »
+2
former olympian got it:

https://twitter.com/Cameronvdburgh/status/1241825208647983105

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2/ I have been struggling with Covid-19 for 14 days today. By far the worst virus I have ever endured despite being a healthy individual with strong lungs(no smoking/sport), living a healthy lifestyle and being young (least at risk demographic)
4:32 PM · Mar 22, 2020·Twitter for iPhone
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Cameron van der Burgh
@Cameronvdburgh
·
5h
Replying to
@Cameronvdburgh
3/ Although the most severe symptoms(extreme fever) have eased, I am still struggling with serious fatigue and a residual cough that I can’t shake. Any physical activity like walking leaves me exhausted for hours.
Cameron van der Burgh
@Cameronvdburgh
·
5h
4/ The loss in body conditioning has been immense and can only feel for the athletes that contract Covid-19 as they will suffer a great loss of current conditioning through the last training cycle. Infection closer to competition being the worst.
Cameron van der Burgh
@Cameronvdburgh
·
5h
5/ Athletes will continue to train as there is no clarification re summer Games and thus are exposing themselves to unnecessary risk - and those that do contract will try rush back to training most likely enhancing/extending the damage/recovery time.
Cameron van der Burgh
@Cameronvdburgh
·
5h
6/ Please, look after yourself everyone! Health comes first - COVID-19 is no joke!

robo

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Re: coronavirus
« Reply #352 on: March 22, 2020, 10:17:00 pm »
+1
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30152-3/fulltext


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Taking the right measures to control COVID-19

...

On Jan 20, 2020, China declared the disease a second-class infectious disease but has introduced management measures for a first-class infectious disease (considered the most dangerous category of infection). Most areas of the country have adopted public health first-level response measures (considered the highest level of response). In the face of the rapidly spreading disease and a large number of infected people, there is an urgent need for effective infection prevention and control measures. However, some of the measures that have been introduced have no scientific basis and have proven to be ineffective.
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Although surgical masks are in widespread use by the general population, there is no evidence that these masks prevent the acquisition of COVID-19, although they might slightly reduce the spread from an infected patient. High-filtration masks such as N95 masks and protective clothing (goggles and gowns) should be used in hospitals where health-care workers are in direct contact with infected patients.5
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Third, the practice of blocking traffic and lockdown of villages is of no value for the prevention and control of COVID-19.
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The risk of transmission with brief contact (less than 15 min face-to-face contact) or infection onset after 14 days of exposure to a known infected person (the estimated maximum incubation period) is low and should not be over-exaggerated.
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Most importantly, we need to communicate the epidemiology and risks of COVID-19 clearly, both to health-care workers and to the general population, and to implement infection prevention and control measures that are based on sound scientific principles.
« Last Edit: March 22, 2020, 10:19:21 pm by robo »

adarqui

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Re: coronavirus
« Reply #353 on: March 22, 2020, 11:12:46 pm »
0
florida is def going to get fucked. especially where i'm located. not good.

https://twitter.com/drkomanduri/status/1241921160792735744

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Just looked at the latest #Florida data and still 13% positive in #Dade, 12% positive in #Broward and 15% in #PalmBeach suggest late start in testing, undertesting and huge reservoir of infected patients who will rapidly cause upswing in hospitalizations here. Not good. #COVID19

adarqui

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Re: coronavirus
« Reply #354 on: March 22, 2020, 11:50:22 pm »
0
intense. city is adjacent to me.

<a href="http://www.youtube.com/watch?v=nWCSW-X3HsE" target="_blank">http://www.youtube.com/watch?v=nWCSW-X3HsE</a>

adarqui

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Re: coronavirus
« Reply #355 on: March 22, 2020, 11:58:33 pm »
0
solid/quick interview w/ Fauci

https://www.sciencemag.org/news/2020/03/i-m-going-keep-pushing-anthony-fauci-tries-make-white-house-listen-facts-pandemic

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Q: You have not said China virus. [Trump frequently calls the cause of the spreading illness, known as coronavirus disease 2019 (COVID-19)  a “China virus” or a “Chinese virus.”]
A: Ever.
Q. And you never will, will you?
A: No.

lol nice.

adarqui

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Re: coronavirus
« Reply #356 on: March 23, 2020, 12:33:32 am »
0
oh shit.

https://twitter.com/realDonaldTrump/status/1241935285916782593

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WE CANNOT LET THE CURE BE WORSE THAN THE PROBLEM ITSELF. AT THE END OF THE 15 DAY PERIOD, WE WILL MAKE A DECISION AS TO WHICH WAY WE WANT TO GO!

eek!!! not a good sign considering the things to come.

adarqui

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Re: coronavirus
« Reply #357 on: March 23, 2020, 01:37:30 am »
0
golbert loses sense of smell (for now)

it's one of the symptoms: losing sense of smell & taste

https://sports.yahoo.com/rudy-gobert-jazz-coronavirus-sense-smell-taste-nba-003729686.html


robo

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Re: coronavirus
« Reply #359 on: March 23, 2020, 10:23:33 am »
+1
loss of smell is the leading symptom for hcov19