Wuhan Coronavirus Resource Thread

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Re: Wuhan Coronavirus Resource Thread

Postby Suraj » 31 Mar 2020 22:00

ritesh wrote:Not to stretch the agrument... But this is just unfair. Mod, you could have deleted the post without resorting to warning.

Right to life is water and not a rail connectivity which can / could be still achieved by going round about or circumventing it.

You are missing the point. You have NO BUSINESS making an emotional post by someone into even more than that, by willfully making it about regionalism. You were warned for your own behavior, and not because of greater or lesser concern for water vs something else.

The mods are willing to give a lot of leeway to those whom we'll first assume are simply being emotional. Literally dozens of posts in this thread have been deleted with no action against posters.

However, we offer no tolerance to those who grandstand like you did. Let that be a lesson to all - it's why your last post was left there for others to see what happens when they do that.

Do NOT prolong the argument further. Move on.

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Re: Wuhan Coronavirus Resource Thread

Postby amar_p » 31 Mar 2020 22:19

Venky36 wrote:GO reads salaries are deferred. Still a noteworthy step


hanumadu wrote:https://www.hindustantimes.com/india-news/telangana-cuts-salaries-of-govt-staff-by-10-75/story-UWILw98rZ38NUBvgRqutGM.html

Telangana cut salaries of employees and retirees. I was expecting this to happen. Other states and center will follow soon.

Bad move at a time like this when Govt servants have such a crucial role to play.

What a great message it would have sent if just CM, Ministers & MLAs cut their salaries to zero.

With all the IT-VT, construction, education, Pharma boom I'm not sure why Telegana state coffers are getting empty within 2 weeks of lockdown :roll: They havent even asked center for help before doing this.

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Re: Wuhan Coronavirus Resource Thread

Postby Suraj » 31 Mar 2020 22:21

This thread is not quite the place to discuss the economic ramifications of the lockdown. Please stick to actual data and resource discussions. There is a nascent discussion in the economics thread and also in the post-coronavirus thread.

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Re: Wuhan Coronavirus Resource Thread

Postby Arun.prabhu » 31 Mar 2020 22:24

Done.

arshyam wrote:
Zynda wrote:Not able to find my post...scanned the last 4-5 pages. Not sure how Arun was able to get hold of it...my guess, it somehow slipped through while I was editing it.

Here you go..

Original post: viewtopic.php?p=2424381#p2424381
Arun's reply: viewtopic.php?p=2424411#p2424411
Your reply to Arun: viewtopic.php?p=2424423#p2424423
My reply to you: viewtopic.php?p=2424513#p2424513

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Re: Wuhan Coronavirus Resource Thread

Postby ranneel » 31 Mar 2020 22:28

FIR against Maulana Saad head of Nizamuddin Markaz.

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Re: Wuhan Coronavirus Resource Thread

Postby shaun » 31 Mar 2020 23:31

Assam gearing up ..

Image

Image

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Re: Wuhan Coronavirus Resource Thread

Postby Karan M » 31 Mar 2020 23:34

I am sorry but that's just not good enough. They are literally right next to each other. Whole section will get infected if one is. :(

This is the reason I was hoping by now we had a standardized design for quarantines which could be replicated by taking over unoccupied flats etc.

Folks are speaking of negative pressure enclosures for infected folks, but here if this is quarantine at least max distance should be maintained and some separators between the beds.

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Re: Wuhan Coronavirus Resource Thread

Postby Sanju » 31 Mar 2020 23:37

InCanada, the cases went from close to 2000 on 22-Mar-2020 to close to 8,000 today 31-Mar-2020 (7708). EOD the numbers will be updated.

With 23% population base (as per Statscan estimate for 01-Jan-2020) the province of Quebec has the highest numbers, 3,430 (44% of cases). Followed by Ontario at 1966 ( 26% of cases). I have chosen to highlight the top 4 populous provinces.

Province--Population--Pop. %--Cases--Cases %
Quebec---8537674------23%------3430-----44%
Ontario---14711827-----39%------1966-----26%
BC----------5110917------13%------970------13%
Alberta----4413146------12%------690------09%

Canada ranks 15th in the total case numbers and in population it is ranked 39th in the world. Canadian cases are 0.9% of the the total cases and population is 0.488 % as of today (31-Mar-2020).

Schools are most likely to remain closed till May as of now. There was a news report that a council of 10 specialists have been formed to decide next steps for patients.

Edit: On a lighter note - Trafficking supect in Hamilton hit with non-essential business fine

Hamilton police have laid trafficking charges against an alleged drug dealer - and slapped on a fine for operating a non-essential business.

Const. Jerome Stewart says drug unit officers began following an aggressive driver on Friday.

He says the driver allegedly made several stops to conduct drug deals before officers arrested him for trafficking around 8 p.m.

Stewart says police seized cocaine and cash.

He says they also issued the man a ticket under Ontario's Emergency Management and Civil Protection Act, invoked in mid-March in an effort to fight the COVID-19 pandemic.

Stewart says drug dealing is not an essential service, and the man faces a $750 fine if found guilty on that charge.
Last edited by Sanju on 31 Mar 2020 23:41, edited 2 times in total.

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Re: Wuhan Coronavirus Resource Thread

Postby milindc » 31 Mar 2020 23:39

amar_p wrote:
Venky36 wrote:GO reads salaries are deferred. Still a noteworthy step



Bad move at a time like this when Govt servants have such a crucial role to play.

What a great message it would have sent if just CM, Ministers & MLAs cut their salaries to zero.

With all the IT-VT, construction, education, Pharma boom I'm not sure why Telegana state coffers are getting empty within 2 weeks of lockdown :roll: They havent even asked center for help before doing this.


Because the state coffers are empty with all the dole outs. KCR increased the salary of govt employees 60+% when he started.
When everyone is suffering why should govt employees enjoy the free doles from tax payers. Either fire them or reduce the pay like what corporates are doing.

Only Police, and Health officials are crucial. Every other employee is just sitting on butt swatting flies at home.

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Re: Wuhan Coronavirus Resource Thread

Postby milindc » 31 Mar 2020 23:43

chetak wrote:
Bart S wrote:
Did you see news from yesterday (I think) stating that Dr. Raoult has updated his study (which initially had a very small sample size) to cover new data for about a 100 patients (still not double-blind, randomized peer reviewed yada yada, but a much bigger sample size) and the results/conclusions are broadly the same, i.e the drug combo has potential in patients under medical advice.

ICMR seems to broadly agree with that direction.

Also, let us not conflate some irresponsible people self-medicating with disastrous results, with the use of the drug combo in a hospital environment with the proper monitoring and medical care for actual patients.




double-blind, randomized peer reviewed is the ideal condition in normal times.

In this scenario of rapidly changing and fast evolving situations, no one is really waiting for papers that are "double-blind, randomized peer reviewed", no one has the time or space to do this. Anyone who is someone in this field and those whose words are respected are themselves in the thick of the fight to contain this china virus.

No one is even trusting the WHO anymore, not after that moron director general vaporized the organisation's credibility for twenty pieces of silver

Each country will have to put out some national guidelines and one assumes that countries are already in touch with one another to find a way out.


The current issue is that no patient wants to volunteer for double blinded study when it is a life or death situation (as is current case). Why would you volunteer knowing that you might be getting Placebo and even your Dr doesn't know whether it is Placebo or the drug. They are unable to find volunteers for these studies in US especially in Covid space.

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Re: Wuhan Coronavirus Resource Thread

Postby Karan M » 31 Mar 2020 23:49

somdev wrote:
Karan M wrote:I am sorry but that's just not good enough. They are literally right next to each other. Whole section will get infected if one is. :(

This is the reason I was hoping by now we had a standardized design for quarantines which could be replicated by taking over unoccupied flats etc.

Folks are speaking of negative pressure enclosures for infected folks, but here if this is quarantine at least max distance should be maintained and some separators between the beds.


Sir if everyone in quarantine is infected then the contagion stops. The idea is to keep infected mild cases or asymptomatic who have tested positive otherwise in isolation from public till the incubation and infectious period is over (7-14 days). Only critical cases will need intensive care.


Yes, but you need more spacing and physical separation, so that one individual doesnt infect everyone.

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Re: Wuhan Coronavirus Resource Thread

Postby Suraj » 31 Mar 2020 23:54

Karan M wrote:
somdev wrote:Sir if everyone in quarantine is infected then the contagion stops. The idea is to keep infected mild cases or asymptomatic who have tested positive otherwise in isolation from public till the incubation and infectious period is over (7-14 days). Only critical cases will need intensive care.

Yes, but you need more spacing and physical separation, so that one individual doesnt infect everyone.

That depends on whether it's a quarantine facility for those who are asymptomatic, or a facility to hold those who are already exhibiting symptoms that need bed-based care.

The picture suggests the latter, which means the lack of physical separation isn't really meaningful. Those who have been potentially affected but are asymptomatic or mildly symptomatic should by procedure stay in isolation in their own homes, rather than being in any sort of environment - with or without 6ft distancing, where they could be contagious.

As such, I don't see much wrong with that picture.

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Re: Wuhan Coronavirus Resource Thread

Postby madhu » 31 Mar 2020 23:59

ranneel wrote:FIR against Maulana Saad head of Nizamuddin Markaz.

Is this not unfair? The Tablighi Jamaat held a religious congregational program in Nizamuddin West, Delhi from 13 to 15 March when no sec 144 was there. Even lockdown happend later. How can Maulana Saad be charged? How can anyone think that madarasa mind even understand pandamic?

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Re: Wuhan Coronavirus Resource Thread

Postby nam » 01 Apr 2020 00:00

We seems to have uncovered this Delhi get together and positive cases based on these lot, are coming in fast. This is good, in the sense, we know the source and the "flower" has now blossomed. The media ho ha, will allow for some aggressive contact tracing.

We might see more such source. I do remember there was a prayer in temple in Kerala, where a large crowd got together. Another one which has a potential is the movement of migrant people. I hope they are been isolated at the destination.

3-4 days more, before the effect of lock-down trickles in. We will know if we have managed it or not, in 3-4 days.

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Re: Wuhan Coronavirus Resource Thread

Postby madhu » 01 Apr 2020 00:03

niran wrote:
madhu wrote:
This 8nfo is not for "those who must know", it is for we normal people. Since you are so confident we like to see the source. As our understanding is this virus started in early december.

please read up Chinese Advisory, there are very many available on internet too, best place is to look into online versions of local newspapers. all are in Cheena language though

Sorry could not find. Can you plz post the link. So that i can read directly?

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Re: Wuhan Coronavirus Resource Thread

Postby g.sarkar » 01 Apr 2020 00:14

https://www.ndtv.com/world-news/h-1b-wo ... ys-2203304
"Most H-1B Workers From India...": Visa Holders' Petition Fearing Layoffs
The H-1B visa is a non-immigrant visa that allows US companies to employ foreign workers in speciality occupations that require theoretical or technical expertise.
WorldPress Trust of IndiaUpdated: March 31, 2020

Washington: Fearing massive layoffs in America due to the coronavirus crisis that is hitting businesses around the globe, foreign technology professionals holding H-1B visas, the most sought after among Indians, have demanded the Trump administration extend their permissible post-job loss limit to stay in the US from the existing 60 to 180 days.
....
Gautam

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Re: Wuhan Coronavirus Resource Thread

Postby disha » 01 Apr 2020 00:43

Karan M wrote:I am sorry but that's just not good enough. They are literally right next to each other. Whole section will get infected if one is. :(


The above I believe are isolation, quarantine wards. I think once you test positive for coronavirus, you are isolated into the above quarantine facility. Here, till you develop ARDS, all you have to do is rest, relax, read news, play cards and pray that you do not get ARDS. Maybe take your regular BP med and eat healthy food (no junk food and no butter chicken). Once one gets ARDS they will be shifted to ICU and hooked up to a ventilator to force oxygen into the lungs.

In the quarantine, social distancing will not matter.

The above is a great and cheerful facility.

Compared to the TFTA facility in SF Bay Area (or rather Silicon Valley)

Image
Last edited by disha on 01 Apr 2020 00:49, edited 1 time in total.

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Re: Wuhan Coronavirus Resource Thread

Postby shaun » 01 Apr 2020 00:48

29th march 35000 tests
30th march 38442 tests
31st march 42788 tests

"Till now we have tested 42,788 samples, including 4,346 samples that were tested yesterday. It represents 36% of our capacity. 123 labs have been made functional, 49 private labs have been given permission. Yesterday 399 patients were tested in private labs,” said the ICMR Scientist.

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Re: Wuhan Coronavirus Resource Thread

Postby shaun » 01 Apr 2020 00:55

disha wrote:The above is a great and cheerful facility.

Compared to the TFTA facility in SF Bay Area (or rather Silicon Valley)



Right ... 8)

https://pbs.twimg.com/media/EUWZ0WJUUAA ... name=large

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Re: Wuhan Coronavirus Resource Thread

Postby disha » 01 Apr 2020 00:58

Zynda wrote:As of today, total cases in India is 1,586 with 239 cases alone added today. I think we are already or beginning state of Community Transition...


Nope. What you saw was Samuday Vishesh (Community Special) transmission. That is what the numbers reflect.

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Re: Wuhan Coronavirus Resource Thread

Postby V_Raman » 01 Apr 2020 01:07

Was there any request to the Tablighi Jamaat folks in Delhi to cancel the event originally?

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Re: Wuhan Coronavirus Resource Thread

Postby sudarshan » 01 Apr 2020 01:33

The line is that "80% of those infected will have mild symptoms, the remaining 20% will progress to severe symptoms." Is this really true? It seemed to be based off China data. The current worldometer data shows 95% of infected people having mild symptoms, and 5% being classified as severe. Individual countries actually have more optimistic stats than this. What gives?

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Re: Wuhan Coronavirus Resource Thread

Postby hanumadu » 01 Apr 2020 01:53

V_Raman wrote:Was there any request to the Tablighi Jamaat folks in Delhi to cancel the event originally?


Are they idiots that they don't understand the situation or law that prohibits congregation?

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Re: Wuhan Coronavirus Resource Thread

Postby Cain Marko » 01 Apr 2020 01:58

Karan M wrote:I am sorry but that's just not good enough. They are literally right next to each other. Whole section will get infected if one is. :(

This is the reason I was hoping by now we had a standardized design for quarantines which could be replicated by taking over unoccupied flats etc.

Folks are speaking of negative pressure enclosures for infected folks, but here if this is quarantine at least max distance should be maintained and some separators between the beds.

At least put a damn plastic curtain between beds...

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Re: Wuhan Coronavirus Resource Thread

Postby Cain Marko » 01 Apr 2020 01:59

sudarshan wrote:The line is that "80% of those infected will have mild symptoms, the remaining 20% will progress to severe symptoms." Is this really true? It seemed to be based off China data. The current worldometer data shows 95% of infected people having mild symptoms, and 5% being classified as severe. Individual countries actually have more optimistic stats than this. What gives?

At this point I think nobody knows. There is too much variation country to country that is hard to control for.

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Re: Wuhan Coronavirus Resource Thread

Postby Karan M » 01 Apr 2020 02:10

Even for a quarantine facility, the above is not ideal. The point of quarantine is to quarantine you from others who are at risk due to you, and also quarantine you from them. The point is to not get symptomatic Covid at all.

Of course social distancing matters in quarantine! Quarantine is to determine if you have symptomatic CV - how does locking you up right next to a carrier help. Does putting people who are sick in close proximity to many others who are not, seem correct? Its not.

The TFTA facility in SF is equally badly designed, and will also lead to problems.


disha wrote:
Karan M wrote:I am sorry but that's just not good enough. They are literally right next to each other. Whole section will get infected if one is. :(


The above I believe are isolation, quarantine wards. I think once you test positive for coronavirus, you are isolated into the above quarantine facility. Here, till you develop ARDS, all you have to do is rest, relax, read news, play cards and pray that you do not get ARDS. Maybe take your regular BP med and eat healthy food (no junk food and no butter chicken). Once one gets ARDS they will be shifted to ICU and hooked up to a ventilator to force oxygen into the lungs.

In the quarantine, social distancing will not matter.

The above is a great and cheerful facility.

Compared to the TFTA facility in SF Bay Area (or rather Silicon Valley)

Image

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Re: Wuhan Coronavirus Resource Thread

Postby Karan M » 01 Apr 2020 02:12

Cain Marko wrote:
Karan M wrote:I am sorry but that's just not good enough. They are literally right next to each other. Whole section will get infected if one is. :(

This is the reason I was hoping by now we had a standardized design for quarantines which could be replicated by taking over unoccupied flats etc.

Folks are speaking of negative pressure enclosures for infected folks, but here if this is quarantine at least max distance should be maintained and some separators between the beds.

At least put a damn plastic curtain between beds...


Exactly. One of the IA quarantine facilities had physical dividers and spacing. It was not at all ideal but at least much better. This is given what we've learnt of CV and its traces being found in air even in negative pressure facilities and the fact an entire choir in LA got taken out by a few folks merely singing and none had cough or symptoms.

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Re: Wuhan Coronavirus Resource Thread

Postby Karan M » 01 Apr 2020 02:14

somdev wrote:
Karan M wrote:
Yes, but you need more spacing and physical separation, so that one individual doesnt infect everyone.


People who will be sleeping in these beds are all infected because they have tested positive and hence put into isolation. Only carers attending them will be corona negative and they will be wearing personal protective equipment. Sort of 2 weeks jail for the infected and tested.


This works insofar that there is one strain which is equally bad for everyone. If there are multiple strains of the virus, then its going to obviously go worse. The best way to do things is isolate each patient, but clearly we don't have the infra. By now we should have had a standardized layout for quarantine and the layout should have been shared with builders and large firms like L&T who can do the negative pressure filtration system, and with emergency decree we should be able to take over unoccupied flats etc where we can do room by room set ups. We can still do it. Aim would be to centralize patients but also keep them away from the other patients who may not have the same viral load.

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Re: Wuhan Coronavirus Resource Thread

Postby darshhan » 01 Apr 2020 02:17

Italy and Spain are showing almost 10% fatality rate. Any guesses?

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Re: Wuhan Coronavirus Resource Thread

Postby g.sarkar » 01 Apr 2020 02:38

Most probably age of the population is a contributing factor. Also, that population may be suffering from other diseases such as hypertension and diabetes, when compared to the Chinese population.
Gautam

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Re: Wuhan Coronavirus Resource Thread

Postby anmol » 01 Apr 2020 03:41

Chinese students in US shipped 3.4 million personal protective equipment to Wuhan during coronavirus outbreak: report

  • US is running out of PPEs and the need is so dire that health workes are buying them on ebay
  • Hospitals are running out of hospital gowns, face shields and especially respiratory N95 face masks
  • Chinese students associations raised funds to send home PPEs between January and February
  • Trump administration sent in nearly 17.8 tons of masks, respirators and other vital materials to China
By Johnlee Varghese
UpdatedMarch 31, 2020 23:40 +08

In the month of January and February, when Coronavirus was at its peak in China, the Chinese students in the US shipped close to 3.4 million personal protective equipment (PPE) to Wuhan - the epicenter of the COVID 19 outbreak, a report has revealed.

The Chinese student Associations in America had then given a call to raise funds to buy PPEs and the campaign was being coordinated from Alabama.As per a report published in the February 6 edition of The Economic Observer, a Beijing-based Chinese newspaper, reported of how 'young heroes of China" the Chinese students raised money and sent in 3.4 million PPE to Wuhan.As per the data from CNBC, there are roughly 370,000 Chinese students studying at various universities in America.

The issue currently has become a controversy as the US is experiencing a sudden spike in demand for personal protective equipment (PPE) and there seems to be a shortage. Many health workers over the week have a complaint about a lack of masks and gloves.A report in NPR observed that there were a "dire shortages of personal protective equipment (PPE) including hospital gowns, face shields, and especially respiratory N95 face masks" in the US.The shortage of PPE is so bad that one New Jersey doctor described it to CNN as "sending medical professionals like lambs to the slaughterhouse."

What is even worse is the fact that back in January when the World Health Organization raised alarm on the need for PPE in China, the Trump administration sent in nearly 17.8 tons (more than 35,000 pounds) of "masks, gowns, gauze, respirators, and other vital materials" to China.

Coronavirus in the US

The novel coronavirus strain that causes COVID 19 first surfaced in central China sometime in late November-December in 2019. The deadly virus since then has become a global pandemic that has infected over 770,000 people worldwide. The situation is so dire that the US, Italy, and Spain now have more coronavirus cases compared to mainland China.

In the US, which already has the highest number of reported infections in the world, researchers claim that even if social distancing guidelines were to be followed "perfectly" the death toll in the nation could reach 100,000 to 200,000.

The United States currently has over 160,000 cases and the coronavirus deaths have crossed over 3,000 to overtake the official figures of China - where the government claims 3,305 died of COVID 19, the Chinese figures though are under scrutiny.

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Re: Wuhan Coronavirus Resource Thread

Postby brar_w » 01 Apr 2020 03:47

Karan M wrote:Even for a quarantine facility, the above is not ideal. The point of quarantine is to quarantine you from others who are at risk due to you, and also quarantine you from them. The point is to not get symptomatic Covid at all.



This is an overflow set up for non acute positive COVID 19 patients. This could be patients who test positive, are hospitalized at one point or another from it or any other complication but have not yet deteriorated to a point where they need higher level of care or those who can be shifted down from an ICU or a step down facility. These types of overflow facilities are not going to be treated as either shared spaces for COVID 19 and non COVID 19 patients or as just pure quarantine facilities where the homeless can go (regardless of their COVID 19 diagnosis) to to comply with a stay at home restrictions. Those naturally would have to be designed differently. They are building these across America using the National Guard and the military field hospital and logistical equipment. Others have built similar set ups as well.Patients will be sent from the hospital to these facilities to make room in the hospital for more critical patients, or in some cases positive patients may directly be moved here if they don't have another place to go and/or are at an elevated risk for hospitalization. What Assam has done is in line what others around the world have done in response to the same anticipated issue of positive patients saturating hospital beds.

New York's Javits Center is similarly built using the same equipment from the NG but they've added a screen but it too will be used just for positive non-acute cases. The US Army Corps of engineers is building more technical capability, such as negative pressure rooms more akin to an ICU, in hotel rooms student dorms in the University systems in some of the impacted cities. But that is a 7-10 day or longer process given the legal and logistical work required.

https://youtu.be/csfCKuy5HH8?t=26

Javits convention center in NYC -

Image

London and other major cities are building these as well and it will be needed when the hospitals begin to get flooded with + COVID19 patients across the spectrum of symptoms.
Last edited by brar_w on 01 Apr 2020 06:38, edited 6 times in total.

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Re: Wuhan Coronavirus Resource Thread

Postby BSR Murthy » 01 Apr 2020 03:52

somdev wrote:Not everyone requires ventilation or extracorporeal membrane oxygenation (ecmo) ... many can survive using CPAP if used at the very onset of respiratory distress and is non-invasive. F1 team is making a low cost CPAP.
https://www.bbc.co.uk/news/health-52087002

I have seen this story making rounds on WhatsApp.
CPAP devices have been linked to spread of Covid-19 by aerosolization.
So, no place for this modality in Covid patients.
Not So Fast Using CPAPs In Place Of Ventilators. They Could Spread The Coronavirus

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Re: Wuhan Coronavirus Resource Thread

Postby Rampy » 01 Apr 2020 04:33



Chinese propaganda machine has started a new play, i got messages to donate 100 masks for NYC for $270 and all of them are shipped from China. First ship things out and now get your market ready by asking know idiots and buy and donate

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Re: Wuhan Coronavirus Resource Thread

Postby BSR Murthy » 01 Apr 2020 05:02

somdev wrote:
BSR Murthy wrote:I have seen this story making rounds on WhatsApp.
CPAP devices have been linked to spread of Covid-19 by aerosolization.
So, no place for this modality in Covid patients.
Not So Fast Using CPAPs In Place Of Ventilators. They Could Spread The Coronavirus


Good info thanks. Here CPAP seems to contribute to aerosolisation. On the contrary, for ventilation the patient needs intubation which is again a high risk aerosol exposure procedure for doctors attending Covid19 patients. It’s a catch 22 situation


Yes, there's risk of aerosolization with intubation at the time of intubation and there are ways to mitigate the situation with covering the patient with various covers, but, CPAP is a continuous blowing machine spreading the virus not just during the placement of the mask.
Image


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Re: Wuhan Coronavirus Resource Thread

Postby tandav » 01 Apr 2020 08:14

It appears that Kerala has been best prepared for epidemic emergencies.

https://www.thehindu.com/society/state- ... iiJFj4xKJw

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Re: Wuhan Coronavirus Resource Thread

Postby mappunni » 01 Apr 2020 08:19

tandav wrote:It appears that Kerala has been best prepared for epidemic emergencies.

https://www.thehindu.com/society/state- ... iiJFj4xKJw


Joke, I suppose! :(( :(( :((

DrRatnadip
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Re: Wuhan Coronavirus Resource Thread

Postby DrRatnadip » 01 Apr 2020 08:59

BSR Murthy wrote:
somdev wrote:Not everyone requires ventilation or extracorporeal membrane oxygenation (ecmo) ... many can survive using CPAP if used at the very onset of respiratory distress and is non-invasive. F1 team is making a low cost CPAP.
https://www.bbc.co.uk/news/health-52087002

I have seen this story making rounds on WhatsApp.
CPAP devices have been linked to spread of Covid-19 by aerosolization.
So, no place for this modality in Covid patients.
Not So Fast Using CPAPs In Place Of Ventilators. They Could Spread The Coronavirus

When patient shown signs and symptoms of respiratory distress high flow nasal oxygen and NIV are tried for short time (around one hour). If Pt does not improve then intubation with endotracheal tube is needed.
Non invasive ventilation can not be used in altered mental status,multiorgan failure and shock..
It can lead to lung injury due to increased transpulmonary pressure.. It usualy fails to prevent intubation in ARDS pts ,It just delays it..
NIV with Proper interface fitting should not lead to widespread aerosolization but proper interface fitting is not always possible..

Most patients who are on CPAP will evantualy need ventilater.. So CPAP can not substitute ventilater..

g.sarkar
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Re: Wuhan Coronavirus Resource Thread

Postby g.sarkar » 01 Apr 2020 09:22

https://www.nytimes.com/2020/03/31/worl ... nk-a737c70
Coronavirus Live Updates: White House Projects Grim Toll for Americans
The scientists leading the administration’s fight estimated the virus could kill between 100,000 and 240,000 in the United States. New data suggests many as 25 percent of infected people may not show symptoms.
RIGHT NOW The Centers for Disease Control said it was reviewing its guidance on wearing masks as new data suggests people with no symptoms are infecting others.
Models predicting expected spread of the virus in the U.S. paint a grim picture.
The top government scientists battling the coronavirus estimated Tuesday that the deadly pathogen could kill between 100,000 and 240,000 Americans, in spite of the social distancing measures that have closed schools, banned large gatherings, limited travel and forced people to stay in their homes.
Dr. Anthony S. Fauci, the nation’s leading infectious disease expert, and Dr. Deborah L. Birx, who is coordinating the coronavirus response, displayed that grim projection at the White House on Tuesday, calling it “our real number” but pledging to do everything possible to reduce those numbers even further.
The conclusions generally match those from similar models by public health researchers around the globe.
As dire as those predictions are, Dr. Fauci and Dr. Birx said the number of deaths could be much higher if Americans do not follow the strict guidelines to keep the virus from spreading, and they urged people to take the restrictions seriously.
......
Gautam
I made a run to the pharma today. Finally the number of cars on the streets of Merced is much less than usual. But it might be too late, we are in for it now.


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