Wuhan Coronavirus Resource Thread

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BSR Murthy
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Re: Wuhan Coronavirus Resource Thread

Postby BSR Murthy » 10 Mar 2020 03:00

Sharing from a physician colleague:

From an ID conference in California

3/8/2020

Notes from the front lines:
I attended the Infectious Disease Association of California (IDAC) Northern California Winter Symposium on Saturday 3/7. In attendance were physicians from Santa Clara, San Francisco and Orange Counties who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases. Also present was the Chief of ID for Providence hospitals, who has 2 affected Seattle hospitals under his jurisdiction. Erin Epson, CDPH director of Hospital Acquired Infections, was also there to give updates on how CDPH and CDC are handling exposed health care workers, among other things. Below are some of the key take-aways from their experiences.

1. The most common presentation was one week prodrome of myaglias, malaise, cough, low grade fevers gradually leading to more severe trouble breathing in the second week of illness. It is an average of 8 days to development of dyspnea and average 9 days to onset of pneumonia/pneumonitis. It is not like Influenza, which has a classically sudden onset. Fever was not very prominent in several cases. The most consistently present lab finding was lymphopenia (with either leukocytosis or leukopenia). The most consistent radiographic finding was bilateral interstitial/ground glass infiltrates. Aside from that, the other markers (CRP, PCT) were not as consistent.

2. Co-infection rate with other respiratory viruses like Influenza or RSV is <=2%, interpret that to mean if you have a positive test for another respiratory virus, then you do not test for COVID-19. This is based on large dataset from China.

3. So far, there have been very few concurrent or subsequent bacterial infections, unlike Influenza where secondary bacterial infections are common and a large source of additional morbidity and mortality.

4. Patients with underlying cardiopulmonary disease seem to progress with variable rates to ARDS and acute respiratory failure requiring BiPAP then intubation. There may be a component of cardiomyopathy from direct viral infection as well. Intubation is considered “source control” equal to patient wearing a mask, greatly diminishing transmission risk. BiPAP is the opposite, and is an aerosol generating procedure and would require all going into the room to wear PAPRs.

5. To date, patients with severe disease are most all (excepting those whose families didn’t sign consent) getting Remdesivir from Gilead through compassionate use. However, the expectation is that avenue for getting the drug will likely close shortly. It will be expected that patients would have to enroll in either Gilead’s RCT (5 vs 10 days of Remdesivir) or the NIH’s “Adaptive” RCT (Remdesivir vs. Placebo). Others have tried Kaletra, but didn’t seem to be much benefit.

6. If our local MCHD lab ran out of test kits we could use Quest labs to test. Their test is 24-48 hour turn-around-time. Both Quest and ordering physician would be required to notify Public Health immediately with any positive results. Ordering physician would be responsible for coordinating with the Health Department regarding isolation. Presumably, this would only affect inpatients though since we (CHOMP) have decided not to collect specimens ordered by outpatient physicians.

7. At facilities that had significant numbers of exposed healthcare workers they did allow those with low and moderate risk exposures to return to work well before 14 days. Only HCW with highest risk exposures were excluded for almost the full 14 days (I think 9 days). After return to work, all wore surgical masks while at work until the 14 days period expired. All had temperature check and interview with employee health prior to start of work, also only until the end of the 14 days. Obviously, only asymptomatic individuals were allowed back.

8. Symptom onset is between 2-9 days post-exposure with median of 5 days. This is from a very large Chinese cohort.

9. Patients can shed RNA from 1-4 weeks after symptom resolution, but it is unknown if the presence of RNA equals presence of infectious virus. For now, COVID-19 patients are “cleared” of isolation once they have 2 consecutive negative RNA tests collected >24 hours apart.

10. All suggested ramping up alternatives to face-to-face visits, tetemedicine, “car visits”, telephone consultation hotlines.

11. Sutter and other larger hospital systems are using a variety of alternative respiratory triage at the Emergency Departments.

12. Health Departments (CDPH and OCHD) state the Airborne Infection Isolation Room (AIIR) is the least important of all the suggested measures to reduce exposure. Contact and droplet isolation in a regular room is likely to be just as effective. One heavily affected hospital in San Jose area is placing all “undifferentiated pneumonia” patients not meeting criteria for COVID testing in contact+droplet isolation for 2-3 days while seeing how they respond to empiric treatment and awaiting additional results.

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Re: Wuhan Coronavirus Resource Thread

Postby Sicanta » 10 Mar 2020 03:01

All of Italy under quarantine now, 'except for work travel and emergency'.

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Re: Wuhan Coronavirus Resource Thread

Postby sanjaykumar » 10 Mar 2020 03:21

^^Thanks for the ID conference report.

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Re: Wuhan Coronavirus Resource Thread

Postby Sicanta » 10 Mar 2020 03:23

Deleted
Last edited by Sicanta on 10 Mar 2020 03:26, edited 1 time in total.

Amber G.
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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 03:24

Meanwhile from Israel:
11 new cases in Israel. (total 50)

All people entering Israel now must be quarantined. Prime Minister Benjamin Netanyahu said: "After a day of complex discussions, we have made a decision: Whoever arrives in Israel from abroad will enter quarantine for 14 days. This is a difficult decision but it is essential to maintaining public health, which takes precedence over everything. This decision will be in effect for two weeks. At the same time, we will make decisions to safeguard the Israeli economy"

May paanwala sources say that there was lot of pressure from Pence/DT to not to single out USA. Initially Israel just wanted to include only "hotspots" (which included USA).. so they included all the countries so that USA is not named.

<Won't be surprised> if Similar discussions are happening in India. USA should have been ready..after all we knew this particular virus for at least 8 weeks and should have been ready. CDC in last 2-3 years has really became a place where technical excellence is not valued as much as politics.

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Re: Wuhan Coronavirus Resource Thread

Postby saip » 10 Mar 2020 04:36

BSRMurthy, just curious about point 2. If I had live flu vaccine, will that inhibit this Covid19 infection?

hanumadu
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Re: Wuhan Coronavirus Resource Thread

Postby hanumadu » 10 Mar 2020 05:12

The common flu virus stops spreading as it gets warmer. What about those who are already infected? Will infected people get cured of influenza if temperatures rise or does they have to go through the regular duration of flu infection of 3 days or 7 days or what ever it is?

What is the duration of infection of COVID19 for those who are getting cured? If we can somehow prolong the life of those infected till april or may, is there a chance of them getting better?

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Re: Wuhan Coronavirus Resource Thread

Postby ramana » 10 Mar 2020 05:17

SaiP. Flu masks the COVID-19 is what I understood.

Hanumadu, the incubation is 1-14 days and recovery is 2 weeks.
COVID -19 Onset is sudden.
No sore throat vs others flu and common cold.
No runny nose

There is a poster on my Twitter line.

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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 05:20

saip wrote:BSRMurthy, just curious about point 2. If I had live flu vaccine, will that inhibit this Covid19 infection?

NO. (definitely not against Covid19) -- Flu vaccine is a good idea anyway. (this year's version will work against nasty strain H1N1 which is going around - which may be even more important)

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Re: Wuhan Coronavirus Resource Thread

Postby hanumadu » 10 Mar 2020 05:36

ramana wrote:SaiP. Flu masks the COVID-19 is what I understood.

Hanumadu, the incubation is 1-14 days and recovery is 2 weeks.
COVID -19 Onset is sudden.
No sore throat vs others flu and common cold.
No runny nose

There is a poster on my Twitter line.


Thanks Ramana.

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Re: Wuhan Coronavirus Resource Thread

Postby sanjaykumar » 10 Mar 2020 06:02

saip wrote:BSRMurthy, just curious about point 2. If I had live flu vaccine, will that inhibit this Covid19 infection?


My post disappeared. That is a good question, there may be some cross protection. I would like to see the Italian dataon odds ratio of Wuhan virus infection and immunisation status. I am assuming they have a vigorous influenza vaccination campaign as well and they use the same antigens/vaccines. I am not familiar with China's vaccination programmes.

In fact the 2020 vaccine has been about 35% effective against the flu, so statistically the vaccine will not protect you against the flu.

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Re: Wuhan Coronavirus Resource Thread

Postby sanjaykumar » 10 Mar 2020 06:04

^^Actually with the Wuhan virus there is a smoldering/indolent period (subacute) for upto two weeks, influenza symptoms are acute onset.

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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 06:08

ramana wrote:AmberG, Where in Northern California?
Placer County has issues.

My sons (and family) live in the Bay area, the hospital where she goes regularly is on the east-bay - Martinez -- The locality is close to the base where they were isolating lot of cases and the hospital is sort of a place of concern.
(Obviously we have known this for weeks and are/were concerned)

Part which is really unbelievable -- everyone is calling it a scandal -- is extremely incompetent administration - looks like whole CDC and other admin post is taken up by yes men who know nothing about medical stuff but are royal trump followers.

Anyway now they are letting the testing kits ( about a million right away) get distributed. But CDC could have made them ready weeks/months ago - like India or Korea etc did..

My DIL, BTW, has (finally) gotten a test (They changed, the testing criteria) , But I think it is criminal to let these paper pushers make testing "process" so hard that even doctors and nurses (some of whom have had contact with those who have even been tested positive) were finding to get tested very hard. America is not poor, or resource bounded why this criminal red tape?

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Re: Wuhan Coronavirus Resource Thread

Postby BSR Murthy » 10 Mar 2020 06:17

saip wrote:BSRMurthy, just curious about point 2. If I had live flu vaccine, will that inhibit this Covid19 infection?

Point 2 is referring to co-infection, ie., getting simultaneously infected with both influenza and Covid 19. That possibility is very low. Meaning if some one has flu symptoms and tested positive for influenza, it’s just that and do not look for Covid-19 in such patients. That does not imply flu vaccination will protect against Covid-19.

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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 06:24

Folks - For symptoms / prevention/ how to isolate/ etc... worldometer, or any other site will give very good link: Book mark it:
Here is one CDC site .. https://www.cdc.gov/coronavirus/2019-ncov/about/symptoms.html
Or https://www.worldometers.info/coronavirus/coronavirus-symptoms/#ref-1


They are written very nicely -- Use caution to make sure you are getting reliable data or ask your doctor etc ..(quite a bit of misinformation on the net).

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Re: Wuhan Coronavirus Resource Thread

Postby sanjaykumar » 10 Mar 2020 06:27

It is low partially because testing terminates once there is a diagnosis. Just picked up an anaplasmosis and Epstein Barr virus coinfection.

The flu vaccine may reduce common corona virus infections. Those who have been vaccinated may have a lower risk of the common cold in the winter season.

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Re: Wuhan Coronavirus Resource Thread

Postby BSR Murthy » 10 Mar 2020 06:34


sudarshan
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Re: Wuhan Coronavirus Resource Thread

Postby sudarshan » 10 Mar 2020 06:36

The worldometer site gives stats on active infections and serious infections for each country. Some countries only report active infections, no stats on serious or critical ones (Iran is one example).

The fraction of serious infections, the world over, is stated as 13% currently (as compared to total active cases). It started off around 20% or 25% (don't remember exactly).

Now, please take out the China data, and calculate the fraction of serious/ critical infections vs. active infections, for the rest of the world. It comes to less than 4% (3.9xx%), excluding countries such as Iran, Algeria, Bahrain, Qatar, etc., which don't report the number of serious cases.

The individual countries or areas which have the highest fractions of serious/ critical cases are:

Mexico-------17%
Singapore----15%
Poland--------12%
Hong Kong----11%
Costa Rica---11%
San Marino---10%
Italy------------9%
Japan----------8%

And decreasing down to fractions of a % for many countries. China has a really high fraction, like 27%. The large number of cases in China (still) is skewing the fraction up, the rest of the world doesn't seem that high. I also think the initially high 20% to 25% fraction of serious/ critical to active cases, might have been due to the high fraction in China, now that China is winding down, the fraction is also reducing.

EDIT: Except for Italy, the remaining countries in the above list (including Japan) have pretty small numbers of cases. The 17% in Mexico, for instance, is based on a sample of 6 active cases. Maybe they just aren't testing and finding all active cases over there.
Last edited by sudarshan on 10 Mar 2020 07:47, edited 1 time in total.

sanjaykumar
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Re: Wuhan Coronavirus Resource Thread

Postby sanjaykumar » 10 Mar 2020 06:38

We are not referring to total immunity. A vaccine that is 20% effective may break a pandemic. I would like the mathematicians to do some useful modelling to support or refute this. What is the threshold of efficacy, not for individual protection but for the herd?

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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 06:40

^^^
BSR Murthy wrote:https://www.google.com/amp/s/www.businessinsider.com/trump-asked-if-flu-vaccine-could-stop-coronavirus-2020-3%3famp

I saw that -- The ignorance up there matched his arrogance (DT was literally saying "All doctors are telling me how come I know so much about it etc" and surrounded by yes men who will not speak up ... Never saw it in USA (or India) before.. Of course he has repeatedly said it was all a hoax /sign/

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Re: Wuhan Coronavirus Resource Thread

Postby Vayutuvan » 10 Mar 2020 06:44

Amber G. wrote:CDC in last 2-3 years has really became a place where technical excellence is not valued as much as politics.

Amber G. ji, any evidence or it is just the general "Trump is anti-science" perception that is making people say that?

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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 06:52

Did anyone see Trump/Pence press conf today?
My take - The groveling of Pence in praise of "deal leader" was nauseating ..Never saw North Korean type tamasha before.
They did announce that more test-kits will be available but other than that nothing encouraging. No one at the top gives any confidence. No one said anything encouraging except *everyone* telling how great the dear leader is. /sigh/

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Re: Wuhan Coronavirus Resource Thread

Postby rahulm » 10 Mar 2020 07:08

Last edited by rahulm on 10 Mar 2020 07:09, edited 1 time in total.

Amber G.
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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 07:08

Vayutuvan wrote:
Amber G. wrote:CDC in last 2-3 years has really became a place where technical excellence is not valued as much as politics.

Amber G. ji, any evidence or it is just the general "Trump is anti-science" perception that is making people say that?

Not really, take ANY kind of objective measure. Who is at the top. What do they know.

Simple example I gave - Korea (or UK or Germany or Singapore enough for them) was ready to get 10,000+ test kits per day.. US till March 1 less than 500 kits in all this time !
(We used to be (and our labs and schools are still) #1 by far in technically ).

Take Canada, in Alberta - everyone who goes to ER gets a swab of the throat and you get results (for Covid29 and Flu) almost right away.
Here in the Bay area (not far from Stanford) a doctor (my DIL) gets tested, after some haggling, and test result will take about 3-4 days...

Not an isolated case - can give many examples ..
Here is another
Look up DST, or Principal Scientific Adviser for Modi in India - compare that to Trump's counter parts ...

More discussion may be OT here, but for the current crisis IMO the main reason we (US) were not prepared is our own fault.

Or Steven Chu (Nobel Laureate)'s post is now held by Rick Perry..



How many posts (is there ANY) are occupied by people who are qualified, and one can make up their own mind.
***
Coming back to topic of CV - Here is just one example of the leadership .
..
DHHS Secretary Alex Azar Says He "Could Not Give a Number" As to How Many Americans Have Been Tested for Coronavirus; Secretary Azar Fails Even to Give a Number for Direct-from-CDC Tests Conducted at Public Health Labs—Though These Must Be Reported to the CDC

Have you seen this kind of DHHS Sec anytime before?
Last edited by Amber G. on 10 Mar 2020 08:34, edited 2 times in total.

BSR Murthy
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Re: Wuhan Coronavirus Resource Thread

Postby BSR Murthy » 10 Mar 2020 07:13

“Will a flu shot protect against developing a severe case of COVID-19?

People often compare COVID-19 to influenza, and it’s true that the two diseases share some similarities, says Yale Medicine infectious disease specialist Manisha Juthani, MD. A major difference is that the flu is preventable by vaccine, and, so far, COVID-19 is not, she says.

But while a flu vaccine won’t prevent or reduce severity of COVID-19, public health authorities strongly advise everyone to get their annual flu shot. In addition to preventing or mitigating the severity of flu, the vaccine may simplify the evaluation of patients during the flu season who may have a more serious condition.”

https://www.yalemedicine.org/conditions/covid-19/

While we do not yet have data on Covid-19 patients and their flu vaccination status, I would think such subset data should be available sometime soon. It would be great if common flu vaccine can moderate Covid 19 illness if not outright prevent the disease, but, I would very much doubt that possibility.

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Re: Wuhan Coronavirus Resource Thread

Postby disha » 10 Mar 2020 07:28

Amber G. wrote:My take - The groveling of Pence in praise of "deal leader" was nauseating ..Never saw North Korean type tamasha before. ... /sigh/


Have you seen the grovelling done in praise of CA Gov Gavin Newsom on his presser on Wuhan virus & availability of test kits?

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Re: Wuhan Coronavirus Resource Thread

Postby chola » 10 Mar 2020 07:39

I guess the oversight regarding Italy isn't just in the US. Yes, how is this possible at this stage?

https://www.independent.co.uk/travel/news-and-advice/coronavirus-italy-flight-uk-quarantine-gatwick-heathrow-airport-a9387072.html


CORONAVIRUS: PASSENGERS ENTERING UK FROM ITALY FACE ‘ZERO CHECKS’ AT AIRPORT
‘How can this be possible?’ says returning traveller

Helen Coffey

People entering the UK from Italy face “zero checks” for coronavirus at the airport, according to passengers.

Journalist Federico Gatti tweeted a picture of passport gates at Gatwick with no staff manning them on Sunday 8 March, writing: “Just landed in London from Milan. Zero checks. No info. How can it be possible?”

It follows the Italian government announcing that the entire Lombardy region, which includes Milan, plus 14 provinces including Modena, Parma, Piacenza, Reggio Emilia, Rimini, Padua and Venice are under quarantine.

The lockdown applies to approximately 16 million people – more than a quarter of Italy’s whole population.

Other travellers confirmed the lack of checks at the airport on social media.

...


It is just a matter of time before it is everywhere in Europe and North America. Because there seems to be willful blindness when the threat source is a western nation like Italy.

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Re: Wuhan Coronavirus Resource Thread

Postby Amber G. » 10 Mar 2020 08:30

Here is some article about the concerns about testing kits and US, I was talking about in brf.. Some details..

How testing failures allowed coronavirus to sweep the U.S.

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Re: Wuhan Coronavirus Resource Thread

Postby Mort Walker » 10 Mar 2020 08:39

Amber G. wrote:Did anyone see Trump/Pence press conf today?
My take - The groveling of Pence in praise of "deal leader" was nauseating ..Never saw North Korean type tamasha before.
They did announce that more test-kits will be available but other than that nothing encouraging. No one at the top gives any confidence. No one said anything encouraging except *everyone* telling how great the dear leader is. /sigh/


You're letting personal bias get in the way of facts. The one thing the administration can be faulted on is the delay of getting kits, but to put in perspective the administration has done many things correctly. First the travel restrictions to/from China on Feb.2nd expanded further on Feb. 29th. Quarantined and evacuated persons coming into the US were brought into 15 different military bases which was setup in early February. Early on there was sufficient concern that COVID-19 was a Chinese biological warfare experiment gone awry. In Dec. 2019, the US Army Biological Warfare Center in Fort Derrick, MD began ramping up operations for biodefense, which is beyond the scope of the CDC.

Image

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Re: Wuhan Coronavirus Resource Thread

Postby srin » 10 Mar 2020 08:48

I'm concerned about the spread in US. I came back to desh last week after 2 weeks in the Khan-dom, including Bay area (including RSA Conf) and Mid-West.

There was nothing in US, if you exclude the hand sanitizer at the United checkin kiosks.
OTOH, entering India, there was the typical form filling but two levels of checks, one a forehead thermometer and two, IR camera and then, an interview by a medical officer on where I'd travelled etc. At that time, they were mostly bothered about East Asian countries, Italy and Iran.

That said, I don't know how any amount of sanitizer can help if, at the security check, one has to keep bags, electronics and jackets in the same bin where you keep your shoes !

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Re: Wuhan Coronavirus Resource Thread

Postby Rishi_Tri » 10 Mar 2020 09:05

Just to put things into perspective:

During 2017-18 season (about December'17 to March'18) in US almost 49 Million people had flu, 1 million were hospitalized, and almost 80,000 fatalities were reported.

https://www.wsj.com/articles/this-flu-s ... 1547243712

If the administration is behaving in a certain fashion, its because flu or a similar pandemic has a very different dimension in US.

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Re: Wuhan Coronavirus Resource Thread

Postby Cain Marko » 10 Mar 2020 09:06

chola wrote:I guess the oversight regarding Italy isn't just in the US. Yes, how is this possible at this stage?

https://www.independent.co.uk/travel/news-and-advice/coronavirus-italy-flight-uk-quarantine-gatwick-heathrow-airport-a9387072.html


CORONAVIRUS: PASSENGERS ENTERING UK FROM ITALY FACE ‘ZERO CHECKS’ AT AIRPORT
‘How can this be possible?’ says returning traveller

Helen Coffey

People entering the UK from Italy face “zero checks” for coronavirus at the airport, according to passengers.

Journalist Federico Gatti tweeted a picture of passport gates at Gatwick with no staff manning them on Sunday 8 March, writing: “Just landed in London from Milan. Zero checks. No info. How can it be possible?”

It follows the Italian government announcing that the entire Lombardy region, which includes Milan, plus 14 provinces including Modena, Parma, Piacenza, Reggio Emilia, Rimini, Padua and Venice are under quarantine.

The lockdown applies to approximately 16 million people – more than a quarter of Italy’s whole population.

Other travellers confirmed the lack of checks at the airport on social media.

...


It is just a matter of time before it is everywhere in Europe and North America. Because there seems to be willful blindness when the threat source is a western nation like Italy.

This is UNBELIEVABLE :shock:

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Re: Wuhan Coronavirus Resource Thread

Postby sudarshan » 10 Mar 2020 09:10

srin wrote:That said, I don't know how any amount of sanitizer can help if, at the security check, one has to keep bags, electronics and jackets in the same bin where you keep your shoes !


Hah! There you go. Not just your shoes, but the shoes of hundreds of others before you on the same day. And if those bins aren't regularly cleaned, well.... Americans don't have this sense of footwear being unclean. In India, you leave them outside as much as possible, definitely don't go tramping around the house wearing them, most definitely don't get into bed with them (cuddling your pets in bed with you to ensure a good dose of nasties). Americans do all of those. Their sense of hygiene is *#$#@(!## ass-backwards. I've seen guys keep their cell phones and wallets deep inside their street shoes, while working out in the gym. How do you avoid smearing your face and ears with germs after an experiment like that?

I guess the best thing to do is to wipe down your own baggage and electronics after taking them out of those (dust)-bins. Either that, or they need to start selling shoes in airports, and ensure everybody has a new pair before boarding, just leave your old pair behind. That way the security can be sure there's no weapons in those shoes. Somebody suggest this to Nike, I'm sure they'll flip for the idea.

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Re: Wuhan Coronavirus Resource Thread

Postby mappunni » 10 Mar 2020 09:37

The first case in the North Dallas area

https://www.nbcdfw.com/news/local/frisco-father-has-presumptive-positive-case-of-coronavirus/2327285/

Now the news is that the man post-visit California has visited the local Costco in Frisco TX

The school district is now disinfecting the building where his kids go to school.

https://dfw.cbslocal.com/2020/03/09/frisco-isd-disinfects-school-parent-testing-positive-coronavirus/

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Re: Wuhan Coronavirus Resource Thread

Postby Mort Walker » 10 Mar 2020 10:46

mappunni wrote:The first case in the North Dallas area

https://www.nbcdfw.com/news/local/frisco-father-has-presumptive-positive-case-of-coronavirus/2327285/

Now the news is that the man post-visit California has visited the local Costco in Frisco TX

The school district is now disinfecting the building where his kids go to school.

https://dfw.cbslocal.com/2020/03/09/frisco-isd-disinfects-school-parent-testing-positive-coronavirus/


Maybe a travel ban on California and Washington State is needed.

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Re: Wuhan Coronavirus Resource Thread

Postby Avarachan » 10 Mar 2020 10:49

Regarding the coronavirus in the U.S., my opinion is that the situation is about to explode. There are three reasons for this.

1) There is now community transmission in many different parts of the U.S. It's not just in a few big cities. I was startled by the case of a school employee in Georgia.
2) The Trump administration seems more interested in propping up the U.S. economy than in stopping the disease's spread. I was shocked two days ago by an interview with Vice President Pence. The interviewer asked him if the elderly should avoid air travel. He refused to say yes! This is insane with this many instances of community transmission existing.
3) Ordinary Americans simply aren't taking this seriously enough. There is now community transmission in the Washington DC area (the Episcopal church in Georgetown, etc.). Nonetheless, large conferences there are still occurring.

Regarding the situation in the U.S., I recommend these articles:

https://www.theamericanconservative.com ... ity-trump/

https://www.theamericanconservative.com ... ard-truth/

India needs to stop flights from the U.S. while there is still time. Because the medical infrastructure in India isn't good, India will experience a nightmare if community transmission starts.

partha
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Re: Wuhan Coronavirus Resource Thread

Postby partha » 10 Mar 2020 13:44

Rishi_Tri wrote:Just to put things into perspective:

During 2017-18 season (about December'17 to March'18) in US almost 49 Million people had flu, 1 million were hospitalized, and almost 80,000 fatalities were reported.

https://www.wsj.com/articles/this-flu-s ... 1547243712

If the administration is behaving in a certain fashion, its because flu or a similar pandemic has a very different dimension in US.

Downplaying by comparing this to flu by Trump was irresponsible. Covid-19 is more dangerous than flu:

* No vaccine or treatment yet
* Rate of spread is much higher compared to flu
* Spreads before symptoms show up
* Hospitalization rate is 10%. Taking the above example, about 5 million people will need ICU admission. What's the total ICU capacity of US? About 100K.

Sicanta
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Re: Wuhan Coronavirus Resource Thread

Postby Sicanta » 10 Mar 2020 14:30

Coronavirus in Kerala: Six more test positive, number of cases rise to 15, CM orders shutdown

http://m.timesofindia.com/articleshow/7 ... aign=cppst

This mainly includes the unfortunate who came in contact with the family of 3 who returned from Italy and hid their status.

3 more cases in karnataka

rsingh
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Re: Wuhan Coronavirus Resource Thread

Postby rsingh » 10 Mar 2020 15:30

ramana wrote:


I saw that Immigration asks which flight you arrived on and not where are you coming from and list all flights.
Second when we visited Rome two years back they stamped the passport.
So the EU not stamping passport could be oversight or bogus.


The DMO is not taking responsibility for any failures on the govt's part.


Saar if one is citizen of one of the EU countries, passports are not stamped.Intra EU flights are treated as local flights. If one is flying -in from non EU country (with EU passport), again it is not stamped as they have automatic scanners of passports. Similarly when one is flying out (with EU passport), passports are scanned and no exit stamping is needed.

Krita
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Re: Wuhan Coronavirus Resource Thread

Postby Krita » 10 Mar 2020 15:36

Sicanta wrote:Coronavirus in Kerala: Six more test positive, number of cases rise to 15, CM orders shutdown

http://m.timesofindia.com/articleshow/7 ... aign=cppst

This mainly includes the unfortunate who came in contact with the family of 3 who returned from Italy and hid their status.

3 more cases in karnataka

A two year old toddler's condition is reported as critical. This does not sound good. As per the info on Worldmeter, the number of critical cases in India is zero till now.


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