Wuhan Coronavirus Resource Thread

g.sarkar · Post by **g.sarkar** » 23 Mar 2020 12:24

https://www.nytimes.com/2020/03/22/nyre ... pdate.html
New York Has Roughly 5% of Coronavirus Cases Worldwide
The increase in cases stems from both the rapid growth of the outbreak and significantly increased testing in the state.
March 22, 2020
Here’s what you need to know:
New York has 16,887 confirmed cases.
Police cases rise.
New Jersey has nearly 2,000 confirmed cases.
Students must move after a virus-related death.
‘It’s getting worse,’ Mayor de Blasio says.
New York has 16,887 confirmed cases.
Gov. Andrew M. Cuomo disclosed new statistics on Sunday that indicated that New York State now has roughly 5 percent of coronavirus cases worldwide.
The jump in the number of cases in New York stems from both the rapid growth of the outbreak and significantly increased testing in the state. Health officials emphasized that testing was revealing how quickly the coronavirus has spread.
New York is now an epicenter of a global pandemic.
There were 16,887 cases of the coronavirus in the state as of Sunday night, up 4,627 since Saturday, and at least 150 deaths, according to the latest figures from the city and state. As of Sunday morning, about 13 percent of people in New York State who tested positive for the virus had been hospitalized, Mr. Cuomo said.
.....
Gautam

kvraghav · Post by **kvraghav** » 23 Mar 2020 12:43

People are shifting to the Japanese model now that community spread has happened. Slowly all we can do is just manage the fever. This cannot be contained anymore.

nachiket · Post by **nachiket** » 23 Mar 2020 12:54

kvraghav wrote:People are shifting to the Japanese model now that community spread has happened. Slowly all we can do is just manage the fever. This cannot be contained anymore.

This is a wrong way to look at it. We can't stop the spread but what we can do is control the rate of new infections. Total number of infected people during the course of the pandemic can be the same. But the total number at any given time needs to be kept reasonably low or else you are looking at Italy times 1000 all around the world as the healthcare infra is overwhelmed and people are left to die because of a shortage of equipment and facilities.

nachiket · Post by **nachiket** » 23 Mar 2020 12:55

Manish_P wrote: May i ask where in mumbai are they based, Nachiket ji?

Vile Parle.

Jay · Post by **Jay** » 23 Mar 2020 13:19

disha wrote: 1. Set up tents on each and every apartment complex. 10 tents per apartment complex, each housing 3 cots and each having one ventilator (even hand pumped if need be made by a open-disseminated-jugaad) and over 40 apartment complexes in each city (hopefully with elevators), you will instantly have 1000-1200 beds. Apartment complexes already have the water, the food and the resources itself are available. Also human resources.

2. Set up tents on each 3*/4*/5* hotel. What is the difference between a hotel and a hospital minus the health care?

3. Set up tents in each indoor/outdoor stadium.

Something that is being worked out in US along the lines of what you were saying.

https://www.youtube.com/watch?time_cont ... e=emb_logo

Manish_P · Post by **Manish_P** » 23 Mar 2020 13:40

nachiket wrote:
Manish_P wrote: May i ask where in mumbai are they based, Nachiket ji?
Vile Parle.

OK. Sensible, sleepy, primarily middle-class suburb. Lot of educational institutes. Was always more law-abiding than others. Used to be primarily Maharastrian and Gujarati. Problem is it's proximity to the airport. And next door Andheri - which is one of the busiest railway stations.

kvraghav · Post by **kvraghav** » 23 Mar 2020 14:16

nachiket wrote:
kvraghav wrote:People are shifting to the Japanese model now that community spread has happened. Slowly all we can do is just manage the fever. This cannot be contained anymore.
This is a wrong way to look at it. We can't stop the spread but what we can do is control the rate of new infections. Total number of infected people during the course of the pandemic can be the same. But the total number at any given time needs to be kept reasonably low or else you are looking at Italy times 1000 all around the world as the healthcare infra is overwhelmed and people are left to die because of a shortage of equipment and facilities.

But the sheer amount of robberies and murders that will occur if we keep cities shut for months will outweigh the corona deaths.

chetak · Post by **chetak** » 23 Mar 2020 14:28

Over 90% Pandemic Viruses In Last 100 Years Originated From Africa Or China, But Zero From Indiahttps://swarajyamag.com/news-brief/over ... from-india via @swarajyamag

chetak · Post by **chetak** » 23 Mar 2020 14:41

Coronavirus:

Mahindra Group Offers To Convert Its Resorts Into Care Facilities, To Explore Manufacturing Ventilators

https://swarajyamag.com/insta/coronavir ... entilators via @swarajyamag

SaraLax · Post by **SaraLax** » 23 Mar 2020 14:43

Posting some real numbers in an interview given by the Health Minister of Tamilnadu state to The Chindu

Do we have a contingency plan with adequate quarantine facilities and manpower to deal with such a situation ?

There are 1,690 ventilators ready for use. A 1,000 more units are expected next week. We have 40 lakh three-ply masks, two lakh N-95 masks and thousands of units of personal protective equipment. To face any crisis that may arise, the Health Department is planning to have a reserve strength by granting leave on a rotational basis to a sizeable number of medical and para-medical staff. Orders for appointing 500 doctors, 1,000 nurses and 1,500 lab technicians will be issued soon. We have procured 10,000 cots with mattresses. Every new building inaugurated in recent times, ready-to-use buildings, etc. are being converted into isolation wards. The newly-built seven-storied Tower-III in the Rajiv Gandhi Government Hospital will be declared an isolation facility. Many existing wards are being converted into isolation wards. A piece of robotic equipment designed and developed by Hindustan University was trialled at RGGH on Sunday, and is working well. Doctors have suggested some more customisation, and the robot will soon serve patients in isolation wards by supplying medicines, food etc.

More details are revealed at this Chindu link : We are not suppressing figures regarding covid-19 says tamilnadu health minister

The Health Minister's official twitter feed : Dr.C.Vijayabaskar

tandav · Post by **tandav** » 23 Mar 2020 15:13

chetak wrote:
Over 90% Pandemic Viruses In Last 100 Years Originated From Africa Or China, But Zero From Indiahttps://swarajyamag.com/news-brief/over ... from-india via @swarajyamag

This must be hammered again and again in world media. It is the inherent compassionate veganism / vegetarianism of many / most Indians that make is a civilization where pandemics do not originate. Now we must use our civilizational skills to translate that into becoming WorldHealers

SRajesh · Post by **SRajesh** » 23 Mar 2020 15:50

https://timesofindia.indiatimes.com/ind ... 769175.cms
Does this mean Anti-CAA peacefuls will be/shall be/should be arrested.
Imagine the liberandu cry!!
But no Ummah or gummah will be supporting the peacefuls if there is action now!!

anmol · Post by **anmol** » 23 Mar 2020 15:59

srai · Post by **srai** » 23 Mar 2020 16:00

nachiket wrote:
kvraghav wrote:People are shifting to the Japanese model now that community spread has happened. Slowly all we can do is just manage the fever. This cannot be contained anymore.
This is a wrong way to look at it. We can't stop the spread but what we can do is control the rate of new infections. Total number of infected people during the course of the pandemic can be the same. But the total number at any given time needs to be kept reasonably low or else you are looking at Italy times 1000 all around the world as the healthcare infra is overwhelmed and people are left to die because of a shortage of equipment and facilities.

chetak · Post by **chetak** » 23 Mar 2020 16:17

Another official GoI site for the latest status on the corona virus cases in India.

said to update every four hours and is quite detailed with much more relevant information.

https://www.mohfw.gov.in/

kvraghav · Post by **kvraghav** » 23 Mar 2020 16:22

Why is the rate of discharge so slow? I think it takes a month for a person to be discharged from the date of confirmation.

tandav · Post by **tandav** » 23 Mar 2020 16:41

Resources on common anti influenza food supplements may be relevant. Curcumin (Haldi) is a well known anti influenza / anti bacterial / anti viral supplement. Inhibition mechanism in influenza appears to be curcumin analogues preferentially binding to the cell binding site such as ACE2 site. Upping the intake of Curcumin, Galangal, Ginger etc may provide prophylaxis

https://www.sciencedirect.com/science/a ... 4609010553
http://web.nchu.edu.tw/pweb/users/taiwa ... h/9906.pdf
https://www.google.com/url?sa=t&rct=j&q ... 1hdrojs5jW

schinnas · Post by **schinnas** » 23 Mar 2020 16:54

SC expresses satisfaction on Central Govt's coronavirus efforts
https://timesofindia.indiatimes.com/ind ... 772290.cms

It would have been better if they also clarified that it is the job of the executive and courts have no room to interfere unless there is gross mis-management or some constitution principles being violated by the govt.

syam · Post by **syam** » 23 Mar 2020 17:20

anmol wrote: ~~the best news I heard.~~

What a great news! It reduced so much stress personally. I don't like being sitting duck while sh*t is happening out there. what more, even local rmp guy can issue the medicine.

nvishal · Post by **nvishal** » 23 Mar 2020 17:21

Philippines Man Dies in Mumbai After Recovery From Coronavirus, Govt Says Not a COVID-19 Death.

https://www.news18.com/news/india/phili ... 47157.html

People who recovered from covid19 have to cope with damages inside the body

chola · Post by **chola** » 23 Mar 2020 17:23

chetak wrote:
Coronavirus:

Mahindra Group Offers To Convert Its Resorts Into Care Facilities, To Explore Manufacturing Ventilators

https://swarajyamag.com/insta/coronavir ... entilators via @swarajyamag

It is war footing now. During WWII, all the big American industrial complexes creating white goods for civilian use switched over to creating war goods. Some of them like Jeep, Spam and Hersey candy bars became global sellers even after the war ended. But government has to lead. FDR opened up the US treasury for American firms making that transition.

Paul · Post by **Paul** » 23 Mar 2020 17:25

IBM got into the Machine gun mfg business in WWII

hanumadu · Post by **hanumadu** » 23 Mar 2020 18:14

http://ministryoftextiles.gov.in/sites/ ... ipment.pdf

Ministry of Health & Family Welfare, & Ministry of Textiles
Joint Press Brief on Supply of Body Coveralls (Personal Protective Equipment),
N-95 Masks, and 2-ply/3-ply Surgical Masks for healthcare professionals to
combat COVID-19 cases.
It is unfortunate that certain sections of the media are spreading misinformation on the
efforts of the Government in augmenting the supplies of Body Coveralls, N-95 Masks,
and 2-ply/3-ply Surgical Masks required for healthcare professionals dealing COVID-19
cases. Since Body Coveralls (PPE) is a specialized protective suit meant for high level
of protection to the health professionals, it has stringent technical requirements as
prescribed by Ministry of Health & Family Welfare.
Over the last 45 days, Ministry of Health & Family Welfare and Ministry of Textiles are
attempting to locate adequate number of sources who can produce and supply the
requirement of Body Coveralls for the government. During the last week of January
2020, the technical standard for the Coveralls was prescribed as per WHO class-3
exposure pressure in accordance with ISO 16003 or its equivalent. Such materials are
manufactured by a few international companies, who expressed their inability to supply
on account of a complete glut in stocks and ban of exports by the source countries.
Only a limited quantity was offered and procured by the procurement organization of the
Ministry of Health & Family Welfare. Starting from 30th January, wide outreach has been
attempted through various meetings and interactions with the Chambers of Commerce
various Textiles Associations, medical textiles manufacturers and suppliers; in inviting a
higher participation of the such manufacturers having adequate capacity to partner with
the government and offer their proto-types for testing. M/s HLL Lifecare Limited is the
designated single-window procurement agency for the hospitals and healthcare
organisations under the Ministry of Health & Family Welfare, Government of India. Five
indigenous manufacturers came forward and offered fabric proto-types for testing at the
accredited laboratory of South India Textiles research association (SITRA) at
Coimbatore. All these attempts were directed at indigenous development of
manufacturing sources as international supplies could not be possible. The testing was
done at SITRA between 2nd February to 25th February 2020, and the results of the
fabric samples were referred to the technical experts to consider and decide on the
technical requirements for COVID-19, considering the information on nature and
characteristics of SARS-COVID-2 virus known by to the medical experts.
Ministry of Health & Family Welfare finalised the technical requirement on 2nd March
2020, based on the indigenous availability of materials and the technical requirement
for a high level of protection of the healthcare professionals who would deal with the
COVID-19 cases, in consultation with medical experts in the field. The specification was
published on the official website of HLL Lifecare Ltd on 5
th March 2020, inviting
manufacturers having adequate capability to participate in the procurement process. So
far, proto type garments of six Indian manufacturers have passed the prescribed tests
conducted at SITRA, and two more manufacturers are forthcoming as on date. In
addition, more and more manufacturers have been invited to offer their proto type
samples, and come forward to meet the requirement of the government. It is for
information of all that the technical specification, prices, and quantity required are
published on the official website of HLL Lifecare Limited (http://www.lifecarehll.com) and
every potential manufacturer in the country is invited to participate in the endeavour of
the government. The supply of Body Coveralls from indigenous manufacturers
according the MoH&FW’s revised technical requirement dated 2nd March 2020, has
already commenced.
Further, in order to maintain a strong reserve of these essential medical products;
Government has issued orders banning of exports on all personal protective equipment
including Body Coveralls, N-95 Masks, 2-ply/3-ply Surgical Masks on 31st January 2020.
On request from the industry, and on the assurance that adequate supply of 2-ply/3-ply
Surgical Masks at reasonable prices would be ensured, Government lifted the ban on
exports of Surgical Masks on 8th February. However, the ban on exports was reimposed on 19th March 2020, on all 2-ply/3-ply Surgical Masks and the raw materials
required for manufacture of such products. The export ban on Body Coveralls and N-95
Masks has since been in force since 31st January 2020, a fact in contravention to the
misleading information published in the media.
It is assured that Ministry of Health & family Welfare, Department of Pharmaceuticals,
and Ministry of Textiles are continuously working with various industry bodies,
stakeholders and manufacturers on 24x7 basis, to streamline the supply chain, remove
bottlenecks and maintain a steady supply of all materials required for the healthcare
professionals.

hanumadu · Post by **hanumadu** » 23 Mar 2020 18:18

All medical equipment manufacturing must be removed from reserved for small scale industry cr@p and all labour laws must be liberalized for medical equipment manufacturing.

It must be mandated that a portion of medical equipment must be procured from India itself.

nvishal · Post by **nvishal** » 23 Mar 2020 18:18

CNN: Nigeria records chloroquine poisoning after Trump endorses it for coronavirus treatment.

https://www.cnn.com/2020/03/23/africa/c ... index.html

hanumadu · Post by **hanumadu** » 23 Mar 2020 18:25

I thought the coveralls of the medical staff is made of plastic, but from the above release, it is made of some sort of cloth. What kind of cloth is it? And how hard is it to make it in India? Why are we importing it when it seems we have 6 companies that passed specification in a short period of time.

habal · Post by **habal** » 23 Mar 2020 18:27

maybe those are patented weaves. Well, this is emergency and time to break out of such restrictions.

IndraD · Post by **IndraD** » 23 Mar 2020 18:34

In Europe: countries are seizing on masks & PPE coming from China to Italy & other countries by ship, its free for all!

hanumadu · Post by **hanumadu** » 23 Mar 2020 18:45

Tender and specifications for coveralls and goggles. The tender is for 3 lakhs coveralls and goggles.
http://www.lifecarehll.com/file/downloa ... 5f5hX-GfXg

Specification
1. Coverall (Garments) - Medium and large size, along with Shoe cover
 Impermeable to blood and body fluids
 Single use
 Avoid culturally unacceptable colors e.g. black.
 Light colors are preferable to better detect possible contamination
 Thumb/finger loops to anchor sleeves in place
 Quality compliant with following standard
a. Meets or exceeds ISO 16603 class 3 exposure pressure, or equivalent
Note: Bidders shall quote for the Complete knitted coverall (for head to toe) or Complete
knitted coverall up to ankle with separate price for feet/shoe cover.
2. Coverall (Garments) - Medium and large size, along with Shoe cover
 Impermeable to blood and body fluids
 Single use
 Avoid culturally unacceptable colors e.g. black.
 Light colors are preferable to better detect possible contamination
 Thumb/finger loops to anchor sleeves in place
 Quality compliant with following standard
a. Garments must be tested for Synthetic Blood Penetration Resistance Test
conducted at SITRA, Coimbatore for fabric, Garment, complete knitted
suit and feet/Shoe cover. The test report must be submitted along with
this bid.
Note: Bidders shall quote for the Complete knitted coverall (for head to toe) or Complete
knitted coverall up to ankle with separate price for feet/shoe cover.

madhu · Post by **madhu** » 23 Mar 2020 18:47

anmol wrote:

i think this is still preliminary research. probably given as sympathetic drug. i dont even see a good paper that is randomized, controlled double blind test.

Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial

Background
Chloroquine and hydroxychloroquine have been found to be efficient on SARS-CoV-2, and reported to be efficient in Chinese COV-19 patients. We evaluate the role of hydroxychloroquine on respiratory viral loads.

Patients and methods
French Confirmed COVID-19 patients were included in a single arm protocol from early March to March 16th, to receive 600mg of hydroxychloroquine daily and their viral load in nasopharyngeal swabs was tested daily in a hospital setting. Depending on their clinical presentation, azithromycin was added to the treatment. Untreated patients from another center and cases refusing the protocol were included as negative controls. Presence and absence of virus at Day6-post inclusion was considered the end point.

Results
Six patients were asymptomatic, 22 had upper respiratory tract infection symptoms and eight had lower respiratory tract infection symptoms.

Twenty cases were treated in this study and showed a significant reduction of the viral carriage at D6-post inclusion compared to controls, and much lower average carrying duration than reported of untreated patients in the literature. Azithromycin added to hydroxychloroquine was significantly more efficient for virus elimination.

Conclusion
Despite its small sample size our survey shows that hydroxychloroquine treatment is significantly associated with viral load reduction/disappearance in COVID-19 patients and its effect is reinforced by azithromycin.

nam · Post by **nam** » 23 Mar 2020 18:47

In the area of testing: our headache on the west has apparently carried out around 2k-2.5k test with 800+ positive case! 30-35% infection ratio! I think it was spreading way before they started testing. Chinis & Iran returned Paks must have been spreading it before they even bothered to test.

Compare to that 15K test in our case with 430 cases. 3% infection ration.

chola · Post by **chola** » 23 Mar 2020 19:00

I'm beginning to think that containing the thing is a hopeless endeavor unless you are willing to cripple your economy permanently with a never-ending lockdown.

The moment any kind of communications for trade and travel is opened up again, the thing will be re-introduced.

The best course might be a managed infection rate so that the population receives immunity at a rate that doesn't overwhelm the health system. Trying to wall off the virus completely is looking like it is impossible.

https://www.cnn.com/2020/03/23/asia/hon ... index.html

Hong Kong (CNN)Only a week ago, Hong Kong seemed like a model for how to contain the novel coronavirus, with a relatively small number of cases despite months of being on the front lines of the outbreak.

That was in large part thanks to action taken early on, while cases were spreading across mainland China, to implement measures that are now familiar throughout the world: virus mapping, social distancing, intensive hand-washing, and wearing masks and other protective clothing.

...

Now, however, Hong Kong is providing a very different object lesson -- what happens when you let your guard down too soon. The number of confirmed cases has almost doubled in the past week, with many imported from overseas, as Hong Kong residents who had left -- either to work or study abroad, or to seek safety when the city seemed destined for a major outbreak earlier this year -- return, bringing the virus back with them.

...

On Monday, Hong Kong Chief Executive Carrie Lam announced that all non-residents would be barred from the territory as of Wednesday, the latest addition to a raft of new measures.

This is a pattern playing out across parts of Asia -- mainland China, Singapore, Taiwan -- that were among the first to tackle the outbreak. All are now introducing new restrictions as a sudden wave of renewed cases begins to crest.

Compared to major cities in the West, like London or New York, residents in Hong Kong can sometimes feel as if they're living in the future. Many of the measures enacted in the Asian metropolis back in February are now being rolled out in European and American cities.

But this latest lesson may be a bitter pill to swallow, as it indicates that quarantines and social distancing must continue well beyond the initial wave of cases, if another round of infections is to be avoided.

nam · Post by **nam** » 23 Mar 2020 19:11

It is. The only way out is testing kit, which gives rapid result and isolate them. It will help in reduction of the spread, but not completely.

Continue this until a vaccine is available in 18 months.

nam · Post by **nam** » 23 Mar 2020 19:57

We have 8 death so far. UK deaths jumped from 10 to 21 in a day.

In the next few days, it will tell us if it is out of control or not. If the death rate can be maintained at 2-3 per day, we would have flattened the curve.

If we are going to see 10+, then it is out of control.

vera_k · Post by **vera_k** » 23 Mar 2020 20:09

Indian firms get big US orders for chloroquine to fight COVID-19

US Food and Drug Administration (FDA) has partially lifted a three-year-old ‘import alert’ on Ipca’s two plants to import the medicine

chola · Post by **chola** » 23 Mar 2020 20:14

^^^ Great news! India and Indian pharmaceuticals can lead the world out of this and establish a leading position in this space.

manju · Post by **manju** » 23 Mar 2020 20:21

Kati wrote:Pardon me, if this has been posted before:

Covid-19 Is Traveling Along the New Silk Road
https://www.wired.com/story/covid-19-is ... silk-road/

That was my first thought when Italy numbers went up. It is travelling along the Silk route..

May be we should popularize "Corona virus is travelling along OBOR"

manju · Post by **manju** » 23 Mar 2020 20:24

btw.. it had a major connecting dot - Iran.. the old persia which was transit point on the silk road - the OBOR!

manju · Post by **manju** » 23 Mar 2020 20:46

https://www.wired.com/story/covid-19-is ... silk-road/

"What do Iran and Italy have in common today? They are two major anchors of China’s Belt and Road Initiative—also known as the 21st century’s new Silk Roads.

manju · Post by **manju** » 23 Mar 2020 20:53

kvraghav wrote:Let's also remember all hot countries are doing well when compared to cold weathered ones.

During 1918 Flu Pandemic (Aka spansih flu) which also originated in China, most casualties were in India.. 1.6 croro.. i.e 6% of population
IN 1918, the epidemic was actually a pandemic that affected not just the subcontinent but the entire globe. The disease, influenza, claimed between 50 and 100 million lives worldwide—possibly more than both world wars combined—and India was the country that bore the greatest burden of death. Though other countries lost a higher fraction of their populations—Western Samoa (now Samoa) lost 22 percent, for example, compared to 6 percent in India—because of the larger size of the Indian population, that 6 percent translated into a staggering slew of death. Between 1918 and 1920, an estimated 18 million Indians lost their lives to influenza or its complications, making India the focal point of the disaster in terms of mortality. Asia as a whole experienced some of the highest flu-related death rates in those years, but the story of how the disease ravaged the continent is relatively unknown. The 1918 flu pandemic has been called the “forgotten” pandemic, and ironically the continent that seems to have forgotten it most thoroughly is the one that bore the brunt of it.