Wuhan Coronavirus Resource Thread

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ricky_v
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Re: Wuhan Coronavirus Resource Thread

Post by ricky_v »

In poorer countries such as ecuador things are escalating, this is from guayaquil, the country's main port, open body burning.
https://twitter.com/PluralidadZ/status/ ... 56128?s=19
ranneel
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Re: Wuhan Coronavirus Resource Thread

Post by ranneel »

Some details for Mumbai:
"Worli-Koliwada in central Mumbai, Bimbisar in Goregaon in the Western suburbs and Kannamwarnagar 2 in Vikhroli are some places which have been quarantined after positive cases were reported

Read more at:
https://economictimes.indiatimes.com/ne ... aign=cppst"
Last edited by ranneel on 01 Apr 2020 10:11, edited 1 time in total.
Sanju
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Re: Wuhan Coronavirus Resource Thread

Post by Sanju »

My primary school classmate who was in ICU intubated, has been moved out of ICU on the road to recovery. He lives in New England. People who were infected early will get the best care before fatigue and overcrowding tears the system brick by brick.

Brar_w ji wishing you and your friend peace and strength to go through this tough time. Praying that his Sis recovers her health.
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Re: Wuhan Coronavirus Resource Thread

Post by sanjayc »

Gerard wrote:SC asks Centre to curb fake news on coronavirus, set up portal within 24 hours for real-time info
The Centre told the apex court that the suggestion to sprinkle water and chemicals on migrants to sanitise them does not work scientifically and is not the right way
3 out of 10 moving from cities to villages may carry coronavirus, Centre tells SC
The SC bench said it will pass a detailed order regarding food, shelter, and medical aid to migrants...
The SC suggested to SG to rope in community leaders to prevevent panic and calm those in shelter homes....
Is there any other country in the world where a Supreme Court is busy giving instructions and advice to its Executive, on a daily basis?

Apparently the doctrine of separation of powers does not apply in India?
Agree. Judges are trying to become the rulers of the country and need their wings clipped by Parliament. Their boundaries need to be laid down and those who overstep the boundary need to be impeached. Judges cannot keep behaving like the Super Government. They are not elected and not accountable to the people.
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Re: Wuhan Coronavirus Resource Thread

Post by DrRatnadip »

darshhan wrote:Italy and Spain are showing almost 10% fatality rate. Any guesses?
1) Their healthcare system is probably exhausted..
2) routine protolcols for deconamination and fumigation might have become difficult to follow due to lack of adequate manpower / overcrowding of patients.This will lead to secondary infections like central line associated infection, venti associated pneumonia and other hospital aquired infection
3) Pt dying of other cause in hospital eg cardiac problem is being labled as COVID because he/ she aquired infection in hospital.. In Italy they are checking for COVID in all deaths which may be just coincidental finding and not actual cause of death
4) One of my epidemiologist friend says western nations are not experienced enough to handle infectious diseases due to overall low incidence of same.. Lack of experience results in panick..
ricky_v
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Re: Wuhan Coronavirus Resource Thread

Post by ricky_v »

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The bot like response in each tweet timeline is hillarious.
shaun
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Re: Wuhan Coronavirus Resource Thread

Post by shaun »

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

https://www.thehindu.com/society/state- ... iiJFj4xKJw
The tidbits given in the article is something every states followed, the last I read in city like Kochi , online grocery service still down
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Re: Wuhan Coronavirus Resource Thread

Post by ramana »

somdev wrote:In Italy almost 35% of the population is above the age group 55 years and above

https://www.indexmundi.com/italy/demogr ... ofile.html

Spain around 30% above 55 years and above

https://www.indexmundi.com/spain/age_structure.html

India around 13% above 55 years and above

https://www.indexmundi.com/india/age_structure.html
Good contribution. Keep up the good work
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Re: Wuhan Coronavirus Resource Thread

Post by nvishal »

The nizamuddin tribes have spread the virus into the ghettos around India. If is not a secret that it has been difficult to get these castes to vaccinate against common diseases.

These people operate many small to medium sized retail stores outside ghettos areas. Many are secretive in their social life. Even if members die from coronavirus, they won't resister it with local authorities.

How to deal with this?
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Re: Wuhan Coronavirus Resource Thread

Post by Suraj »

nvishal wrote:The nizamuddin tribes have spread the virus into the ghettos around India. If is not a secret that it has been difficult to get these castes to vaccinate against common diseases.

These people operate many small to medium sized retail stores outside ghettos areas. Many are secretive in their social life. Even if members die from coronavirus, they won't resister it with local authorities.

How to deal with this?
As long as they remain clustered and die out within those clusters, there is no transmission to the wider population. Their behavior is both a curse and a blessing in this situation. That they refuse to follow public policy and public health guidelines makes them very succeptible in these situations. However, their subsequent ghettoized behavior means they keep it from spreading outside of those areas. Those who willfully reject and refuse the efforts of the state, at best should avoid affecting those who are willing to do so, and as long as that is the case, we cannot do more.
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Re: Wuhan Coronavirus Resource Thread

Post by Sachin »

tandav wrote:It appears that Kerala has been best prepared for epidemic emergencies.
The article - especially that it is in The Hindu, a pro-communist news paper - is more of propaganda. Yes, Kerala has done better in case of health care etc and there are also good moves from various government departments (for COVID-19 it is Health & Police). Kerala state also went through many "disaster recovery drills" due to the two floods and also the NIPA virus threat, and looks like good lessons have been learnt and imbibed. But that aside many of the items are pure communist propaganda and a calculated move by various main stream media outlets to belittle the efforts of other states (and off course the Yeevil Modi Sarkaar). From the incidents reported in last couple of weeks, it is now sure that northern parts of KL does not have adequate health care facilities (and people run towards Mangalore in KA), and also even a two-three day supply ban on vegetables and other items can cause big concerns across the state.
nvishal wrote:These people operate many small to medium sized retail stores outside ghettos areas. Many are secretive in their social life. Even if members die from coronavirus, they won't resister it with local authorities.
People would then start avoiding the shops of these people. And it is going to lead to more ghetto-isation. Tracking down the Tableeghi Jamaat fellows seems to be the biggest head ache for various police forces across India. And as expected the "seculars" have started the job of defending these virus carriers :roll:.
Suraj wrote:However, their subsequent ghettoized behavior means they keep it from spreading outside of those areas.
In these cases it would not be wrong for various state governments to advice people from visiting these ghettos, and interact with people from those areas[/i]. It would be Ghettoization++ , but here it may be beneficial for the rest of the population.
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Re: Wuhan Coronavirus Resource Thread

Post by Suraj »

Sachin wrote:
Suraj wrote:However, their subsequent ghettoized behavior means they keep it from spreading outside of those areas.
In these cases it would not be wrong for various state governments to advice people from visiting these ghettos, and interact with people from those areas[/i]. It would be Ghettoization++ , but here it may be beneficial for the rest of the population.

Absolutely. This was also done back when polio was finally narrowed down to a collection of uncooperative clusters, from where it took another 10-15 years to completely eradicate.
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Re: Wuhan Coronavirus Resource Thread

Post by manju »

darshhan wrote:Italy and Spain are showing almost 10% fatality rate. Any guesses?
Expected. At the start of the pandemic/epidemic the people with symptoms and the most sick are likely to be tested. Hence we are missing many with the diseases but not tested and hence not counted in the denominator.

Once the testing catches up and is made available to more people you will get the true fatality rate.

Epidemiology is all about focusing on the denominator!
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Re: Wuhan Coronavirus Resource Thread

Post by arshyam »

Something I had been looking for, for a while now. Sharing this person's painstaking work here so there is a one-stop compendium of actions taken by India to combat this virus. (not looking to make political points, rather sharing the timeline for those who might find it useful while discussing elsewhere on SM, since rona-dhona is an ongoing reality to deal with)

Image

Source: https://twitter.com/amishra77/status/12 ... 5803711488
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Re: Wuhan Coronavirus Resource Thread

Post by manju »

Sanju wrote:My primary school classmate who was in ICU intubated, has been moved out of ICU on the road to recovery. He lives in New England. People who were infected early will get the best care before fatigue and overcrowding tears the system brick by brick.

Brar_w ji wishing you and your friend peace and strength to go through this tough time. Praying that his Sis recovers her health.
Was thinking on same line.. Will the peaceful who seem to be the first to get infected in India get the best care - the early adaptors!!?
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Re: Wuhan Coronavirus Resource Thread

Post by Sanju »

Hindustan Times
Markaz leadership resisted, then NSA Ajit Doval dropped by at 2 am
The operation has moved into Phase 2. In this, security officials say the effort is to trace all the foreigners who are in India, get them medically screened and then take a close look at violation of the visa norms.
When Maulana Saad, head of Nizamuddin Markaz, refused to yield to pleas from Delhi Police and security agencies to vacate the Banglewali Masjid, Home Minister Amit Shah requested National Security Advisor (NSA) Ajit Doval to get the job done.

According to top home ministry officials, Doval reached around 2.00 am on March 28-29 night at the markaz and convinced Maulana Saad to get the occupants to be tested for the Covid-19 infection and be quarantined. Shah and Doval knew about the situation building up since the security agencies had tracked down the nine test positive Indonesians at Karimnagar, in Telangana, to the markaz on March 18 itself.

The security agencies had sent an alert on the markaz infection the very next day to all state police and subsidiary offices.
While the markaz allowed 167 Tablighi workers to be hospitalised on March 27, 28 and 29, it was only after the intervention of Doval that the Jamaat leadership yielded to cleaning up of the masjid. Doval, for the past decades, has built very close connections with the various Muslim movements in India and abroad. He is on a first name basis with virtually all the Muslim ulemas and spends time with them to form a national strategy for India.

The operation has now moved into Phase 2. In this, security officials say the effort is to trace all the foreigners who are in India, get them medically screened and then take a hard look at violation of the visa norms. There were 216 foreign nationals in the markaz in Delhi but there are over 800 more in different parts of the country. Most of them are nationals of Indonesia, Malaysia and Bangladesh.
Read the rest of the article from the link.
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Re: Wuhan Coronavirus Resource Thread

Post by Sanju »

Hindustan Times Source

This is my summary of the source as we cannot copy the whole article due to copyright issues:

Mar 13: Delhi Govt gives the order that there should not be any religious/politcal/social gathering, despite which 3400 people approx., gather at Nizamuddin Markaz.

Mar 16: Cm Kejriwal further reduces the number to 50...Markaz continues regardless.

Mar 20: Indonesians (10) test positive in far away Telangana where they went after the event in Delhi.

Mar 22: Janata curfew is announced by the PM

Mar 23: 1500 people leave the Markaz

Mar 24: India under lockdown

Mar 25: 100 still remaining at the location, Jamaat officials go to SDM's office to transfer their workers

Mar 26: Attendee Preacher dies in Srinagar. Local Govt. calls Jamaat officials for a meeting.

Mar 27: 6 Covid-19 cases taken away to be quarantined in neighbouring Haryana.

Mar 28: SDM visits with WHO team and take away 33 people and kept at RG Cancer Hospital isolation ward. ACP (Lajpat Nagar) sends notice to Jamaat to vacate.

Mar 29: Jamaat refuses to vacate citing no new people in the Markaaz and referring to PM's address to stay where you are.

Mar 29/30: In the night Delhi Police and Health officials remove people and sen them to hospitals & quarantine locations.

Mar 31: 1,548 removed by EOD.
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Re: Wuhan Coronavirus Resource Thread

Post by Sanju »

Hindustan Times
‘By first available flight’: Centre orders deportation of foreign Jamaat workers
In its advisory to states, the government has said that any foreigner member of Tabligh Jamaat found free from Covid-19 should be immediately deported by the first available flight.
The advisory further says that foreign teams of the Jamaat are on tour to the hinterland of India, and appear to be potential carriers of the coronavirus disease.

“TJ activists from India had reportedly attended a religious congregation (February 27 to March 1) in a mosque in Kuala Lampur, Malaysia. Open domain reports indicated that several of those who attended the congregation had tested positive for Covid-19. Hence, thorough screenings of these who arrived from Malaysia is urgently needed,” the advisory says.

“Presently, it is estimated that about 2000 foreigners, on tourist visa, from over 70 countries are spread all over the country for Tabligh work. Their period of stay in this country is upto six months. Tabligh headquarters at Nizamuddin (Delhi) is reportedly in the process of calling the foreign Tabligh teams from different states and sending them back to their respective countries,” it adds.
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Re: Wuhan Coronavirus Resource Thread

Post by sum »

The only "silver lining" if it can be called that will be the near decimation of this org in India with security agencies getting a free hand since they are very secretive and generally untouched in the name of "secularism"
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Re: Wuhan Coronavirus Resource Thread

Post by Rahul M »

They will simply morph into a new name and continue.
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Re: Wuhan Coronavirus Resource Thread

Post by niran »

darshhan wrote:Italy and Spain are showing almost 10% fatality rate. Any guesses?
different strain from Desh
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Re: Wuhan Coronavirus Resource Thread

Post by DrRatnadip »

Getting test for COVID in private hospitals is easier now as private labs are involved.. time lag between sample collection and getting actual report is considerable though.. I ordered test of three pts since last week.. Got reports after 2 days..
Many senior physicians and pulmonologists I met recently are very happy with GOI efforts exept unavailability of PPE kits.. I summerized opinions of people working in areas affected with pandemic..
1)Though they expect more cases in coming days nobody expects too many deaths in India..
2) Indians appear immune against severe form of disease.. Endemic arboviral infections gives cross immunity against other RNA viruses.. Almost universal BCG immunization is also positive factor
3) Our physicians and ICU staff is well trained in managing viral ARDS due to routine management of swine flu and other similar forms of ARDS
4) This infection has overall improved general understanding about handwashing, social distancing in public. This will decrease incidence of other transmittable diseases in India.
5) Expenditure towards health sector will hopefully increase as we significantly lag behind developed nations in this regard.
6) Many expect COVID 19 will become endemic disease in India.

These are general opinions of people working in COVID affected area I gathered during daily interaction..
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Re: Wuhan Coronavirus Resource Thread

Post by Mollick.R »

To highlight & as well as have it for future record purpose too...
Mods may remove the post or shift it to any other thread as per their discretion.

"How INDIAN corporates are helping in coronavirus fight"- Part-2

(Part-1 is available at page no 100 of this thread)
Mukesh Ambani donates additional Rs 500 cr to PM's emergency fund

NEW DELHI: Billionaire Mukesh Ambani on Monday gave an additional Rs 500 crore to the Prime Minister Narendra Modi's PM-CARES Fund on top of the multi-crore initiative of the country's first COVID-19 hospital as he leads the Indian industry in pledging resources to fight the crisis. Ambani's Reliance Industries said that besides donating Rs 500 crore to the the PMCARES Fund, it will also provide Rs 5 crore each to the governments of Maharashtra and Gujarat to support their fight against the coronavirus pandemic.

These are in addition to the 100-bedded dedicated coronavirus hospital in Mumbai, manufacturing 1 lakh protective face masks per day, 50 lakh free meals to the needy through non-governmental organisations (NGOs) and fuel to emergency vehicles carrying Covid-19 patients.

The need of the hour is to support marginalised and daily wage communities, she said adding that "through our meal distribution
programme, we aim to feed lakhs of people daily across the country."

Earlier this month, Reliance had announced a host of measures to aid with the ongoing coronavirus outbreak, including continued pay to
temporary workers, setting up a dedicated Covid-19 hospital and ramping up face-mask production.


https://economictimes.indiatimes.com/ma ... 905667.cms
Fighting coronavirus: L&T donates Rs 150 cr, TVS Motor 25 cr to PM-CARES

L&T and TVS Motor join a list of other corporates including Tata Group and Reliance Industries who have come forward to offer their support to fight this unprecedented crisis. Engineering and construction giant Larsen & Toubro (L&T) on Monday announced Rs 150 crore donation to the PM-CARES Fund to fight the coronavirus outbreak and said it has set aside over Rs 500 crore per month to support about 1.60 lakh contract workers.

TVS Motor Company on Monday said it will donate Rs 25 crore to the PM's Relief Fund (PM-CARES) for battle against COVID-19 pandemic.
The company is contributing on behalf of various group firms like TVS Credit Services Ltd, Sundaram-Clayton Ltd and others, it said.
This is in line with the company's continuous endeavour to ensure prosperous and sustainable communities, TVS Motor Company said in a statement.
The contribution is in addition to the ongoing activities being already undertaken through Srinivasan Services Trust (SST), the CSR arm of the group, it added. SST is implementing various measures ranging from manufacturing and supplying supportive equipment, such as masks, to provide cooked meals to healthcare workers and police officers.


https://www.business-standard.com/artic ... 500_1.html

https://www.businesstoday.in/current/co ... 99731.html
Coronavirus pandemic | Wipro, Azim Premji Foundation commit Rs 1,125cr
Out out of this, Rs 1,000 will come from Azim Premji Foundation and the rest from Wipro and Wipro Enterprises.


Software major Wipro, Wipro Enterprises and Azim Premji Foundation have together committed Rs 1,125 crore towards the coronavirus outbreak.

"These resources will help enable the dedicated medical and service fraternity in the frontline of the battle against the pandemic and in mitigating its wide-ranging human impact, particularly on the most disadvantaged of our society," as per a company statement. Of the Rs 1,125 crore, Wipro's commitment is Rs 100 crore, Wipro Enterprises Ltd's is Rs 25 crore, and that of the Azim Premji Foundation is Rs 1,000 crore, it added.


https://www.moneycontrol.com/news/busin ... 95271.html
Bhushan Kumar’s T-Series contributes Rs 12 crore for Covid-19 relief, Randeep Hooda and Jay Patel donate Rs 1 crore

Bollywood actor Randeep Hooda and T-series’ boss Bhushan Kumar are among those who have announced contribution for coronavirus relief fund. Randeep partnered with entrepreneur and philanthropist Jay Patel to contribute Rs 1 crore to the Prime Minister’s Citizen Assistance and Relief in Emergency Situations (PM CARES) fund launched by Prime Minister Narendra Modi.

Hooda, who has been actively involved in a number of environmental and social causes, said, “We salute the heroes who are serving against the life-threatening coronavirus disease round the clock without fear – doctors, nurses, police and daily needs suppliers. The world is going through a pandemic with extreme effects of a virus that has not been experienced by any of us living today.”

T-Series head honcho Bhushan Kumar has donated Rs 11 crore to the PM CARES fund. He shared on Twitter, “Today, we are all at a really crucial stage & it’s extremely important to do all we can to help. I, along with my entire @TSeries family pledge to donate Rs. 11 crores to the PM-CARES Fund. We can & will fight this together, Jai Hind. @PMOIndia @narendramodi #IndiaFightsCorona.”

In addition to this, Kumar contributed another Rs 1 crore to the Maharashtra chief minister’s relief fund. “In this hour of need, I pledge to donate Rs. 1 crore to the CM’s relief fund along with my family at @Tseries.

https://www.hindustantimes.com/bollywoo ... PKpFM.html

[
b]Over 2.5 lakh SBI employees to donate Rs 100 crore to PM-CARES Fund[/b]

In the fight against COVID-19, around 2,56,000 employees of State Bank of India (SBI) have decided to contribute two days' salary to the PM's National Relief Fund. With this, the employees of India's largest bank will contribute about Rs 100 crore to the PM-CARES Fund. "It is a matter of pride for State Bank of India that all our employees voluntarily came forward to pledge their two days' salary to the PM-CARES Fund. We at SBI would keep continuing our support to the government in all its endeavours to address the challenges of this pandemic," SBI Chairman Rajnish Kumar said.

The bank added that at this time of crisis, SBI was committed to providing the best possible banking services to its customers. In addition to that, the state-owned lender last week committed 0.25 per cent of its 2019-20 annual profit as CSR initiative to fight COVID-19.

https://www.businesstoday.in/sectors/ba ... 99742.html
Bharti Airtel pledges Rs 100 crore for India's battle against coronavirus

As the country grapples with increasing number of coronavirus cases, Bharti Airtel has contributed Rs 100 crore to the PM-CARES Fund and the procurement of other essential items including masks and personal protective equipment. Prime Minister Narendra Modi had announced the emergency relief fund on Saturday last week to invite contributions from the citizens as the country continues to battle COVID-19.
"These are extremely challenging times as the world battles the biggest healthcare crisis of the modern era in the form of COVID-19 epidemic. As a nation, our immediate priority is to collectively support the efforts of the government to mitigate the impact of this crisis," Bharti Airtel said in a statement.

Bharti Enterprises, along with its subsidiaries Bharti Airtel, Bharti Infratel and others, will make this contribution collectively. "A significant portion of the corpus will be immediately contributed to the PM-CARES Fund," the company said. It added the balance amount was being directed towards sourcing of masks, PPE and other key equipment for the doctors, healthcare workers and essential services personnel who are at the forefront of this massive battle. "Over a million N-95 masks are being procured and will be made available on an immediate basis," the company said.
Bharti Airtel employees will also make personal voluntary contributions towards the cause through a platform set up by the company. "Bharti companies will match the amount contributed by their employees, and the same will be contributed towards the COVID-19 initiatives," the company added. The company said its network teams were working round the clock to ensure India's digital backbone continued to operate seamlessly and people stayed connected.

https://www.businesstoday.in/current/co ... 99724.html
rahulm
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Re: Wuhan Coronavirus Resource Thread

Post by rahulm »

^^ Great to hear. The delay maybe because samples are collected from hospitals and labs and send to Thyrocare Mumbai and report takes 2 days? Thyrocare has a B2B model and I believe is a backend aggregator for these tests. Happy to be corrected.
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Re: Wuhan Coronavirus Resource Thread

Post by chola »

This is a pretty harrowing response. But herd immunity might an advantage for any military that has it over ones that don't?

The Navy is composed of mostly healthy young people. The idea is the death rate would be very low.

https://www.stripes.com/news/pacific/he ... s-1.624433

TOKYO — The Navy should encourage herd immunity for crews on aircraft carriers in the western Pacific, rather than quarantine sailors ashore who need to be ready for action in the South China Sea, a defense expert and former Navy warship captain said Wednesday.

The San Diego-based USS Theodore Roosevelt aircraft carrier, which has been operating in the western Pacific, diverted to Guam last week after sailors aboard tested positive for coronavirus.

Their commander, Capt. Brett Crozier, wrote to Navy leaders Monday asking that sailors be quarantined and isolated ashore. The virus has sickened 150 to 200 sailors on the ship
...
That was in response to this:
https://www.sfchronicle.com/bayarea/art ... 167883.php
The captain of a nuclear aircraft carrier with more than 100 sailors infected with the coronavirus pleaded Monday with U.S. Navy officials for resources to allow isolation of his entire crew and avoid possible deaths in a situation he described as quickly deteriorating.

The unusual plea from Capt. Brett Crozier, a Santa Rosa native, came in a letter obtained exclusively by The Chronicle and confirmed by a senior officer on board the aircraft carrier Theodore Roosevelt, which has been docked in Guam following a COVID-19 outbreak among the crew of more than 4,000 less than a week ago.

“This will require a political solution but it is the right thing to do,” Crozier wrote. “We are not at war. Sailors do not need to die. If we do not act now, we are failing to properly take care of our most trusted asset — our Sailors.”
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Re: Wuhan Coronavirus Resource Thread

Post by rgosain »

Chola if the readiness of the USN in the WPacific is being compromised and degraded by this virus then the PRC without firing a shot, have degraded the preparedness and the ability of the USN to to operate in that theatre. The habit of the PRC of nurturing these viruses, and then letting them loose on the world in order to exploit the ensuing chaos, should be considered a failure of deterrrence. Instead what we have are the media and academia soft soaping the PRC.
Last edited by rgosain on 01 Apr 2020 17:08, edited 1 time in total.
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Re: Wuhan Coronavirus Resource Thread

Post by rgosain »

del
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Re: Wuhan Coronavirus Resource Thread

Post by sajo »

DrRatnadip wrote:Getting test for COVID in private hospitals is easier now as private labs are involved.. time lag between sample collection and getting actual report is considerable though.. I ordered test of three pts since last week.. Got reports after 2 days..
Many senior physicians and pulmonologists I met recently are very happy with GOI efforts exept unavailability of PPE kits.. I summerized opinions of people working in areas affected with pandemic..
1)Though they expect more cases in coming days nobody expects too many deaths in India..
2) Indians appear immune against severe form of disease.. Endemic arboviral infections gives cross immunity against other RNA viruses.. Almost universal BCG immunization is also positive factor
3) Our physicians and ICU staff is well trained in managing viral ARDS due to routine management of swine flu and other similar forms of ARDS
4) This infection has overall improved general understanding about handwashing, social distancing in public. This will decrease incidence of other transmittable diseases in India.
5) Expenditure towards health sector will hopefully increase as we significantly lag behind developed nations in this regard.
6) Many expect COVID 19 will become endemic disease in India.

These are general opinions of people working in COVID affected area I gathered during daily interaction..
Sir, first of all thanks your family for being a frontline combatant for this pandemic. Regarding PPE, are private hospitals not carrying any stocks of their own which can be utilized?
Also, despite claims of it being otherwise, the newspapers carry reports of COVID19 deaths in people who have no history of travel or contact with anyone who had here. Eg : The Erandwane guy who passed away in Deenanath or the Anganwadi sewika who is intubated at Bharati. So is Pune already in the community transmission phase?
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Re: Wuhan Coronavirus Resource Thread

Post by DrRatnadip »

https://m.timesofindia.com/city/pune/si ... 922140.cms

Many congratulations to courageous efforts by ICU team.. They have used combination anti viral/ anti malarial and anti biotic medications to treat ARDS.. Doctors aren't waiting for all sort of studies and relying on their clinical judgement and experience is good thing.. I was sick of one group publishing xyz drug is effective which was next day refused by other expert group finding faults in previous study.. Though peer reviwed scientific studies are important i believe treating physician is best judge regarding what drugs to be administered to perticular patient..
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Re: Wuhan Coronavirus Resource Thread

Post by sajo »

DrRatnadip wrote:https://m.timesofindia.com/city/pune/si ... 922140.cms

Many congratulations to courageous efforts by ICU team.. They have used combination anti viral/ anti malarial and anti biotic medications to treat ARDS.. Doctors aren't waiting for all sort of studies and relying on their clinical judgement and experience is good thing.. I was sick of one group publishing xyz drug is effective which was next day refused by other expert group finding faults in previous study.. Though peer reviwed scientific studies are important i believe treating physician is best judge regarding what drugs to be administered to perticular patient..

Thats great news! Her details (name etc) including the names of the Doctor who treated her initially were circulated in Social media which I personally found distressing, like names of wanted people are being circulated.
chola
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Re: Wuhan Coronavirus Resource Thread

Post by chola »

DrRatnadip wrote: 1)Though they expect more cases in coming days nobody expects too many deaths in India..
2) Indians appear immune against severe form of disease.. Endemic arboviral infections gives cross immunity against other RNA viruses.. Almost universal BCG immunization is also positive factor
3) Our physicians and ICU staff is well trained in managing viral ARDS due to routine management of swine flu and other similar forms of ARDS
4) This infection has overall improved general understanding about handwashing, social distancing in public. This will decrease incidence of other transmittable diseases in India.
5) Expenditure towards health sector will hopefully increase as we significantly lag behind developed nations in this regard.
6) Many expect COVID 19 will become endemic disease in India.

Wonderful news, Doctor saar! Can number 2 allow India to loosen up social distancing sooner rather than later and get the economy running again? (In the US, they've just added 30 more days.)

Much thanks for the info on the ground!
DrRatnadip
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Re: Wuhan Coronavirus Resource Thread

Post by DrRatnadip »

[/quote] Sir, first of all thanks your family for being a frontline combatant for this pandemic. Regarding PPE, are private hospitals not carrying any stocks of their own which can be utilized?
Also, despite claims of it being otherwise, the newspapers carry reports of COVID19 deaths in people who have no history of travel or contact with anyone who had here. Eg : The Erandwane guy who passed away in Deenanath or the Anganwadi sewika who is intubated at Bharati. So is Pune already in the community transmission phase?[/quote]

Private hospitals have stocks of PPE.. Its just not enough.. It is not available in market..
Lockdown was fairly early in pune and I dont think we are in community transmission phase yet..
DrRatnadip
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Re: Wuhan Coronavirus Resource Thread

Post by DrRatnadip »

chola wrote:
DrRatnadip wrote: 1)Though they expect more cases in coming days nobody expects too many deaths in India..
2) Indians appear immune against severe form of disease.. Endemic arboviral infections gives cross immunity against other RNA viruses.. Almost universal BCG immunization is also positive factor
3) Our physicians and ICU staff is well trained in managing viral ARDS due to routine management of swine flu and other similar forms of ARDS
4) This infection has overall improved general understanding about handwashing, social distancing in public. This will decrease incidence of other transmittable diseases in India.
5) Expenditure towards health sector will hopefully increase as we significantly lag behind developed nations in this regard.
6) Many expect COVID 19 will become endemic disease in India.

Wonderful news, Doctor saar! Can number 2 allow India to loosen up social distancing sooner rather than later and get the economy running again? (In the US, they've just added 30 more days.)

Much thanks for the info on the ground!
I dont think it will be good idea to loosen up lockdown so early especially after seeing nizamuddin incident .. I think we must find ways to
1) increase isolation period in high risk groups ex elderly and those with known co morbidities
2) slowly allowing low risk groups i.e. young healthy individuals to resume routine activities .
If we can achieve this then we will get herd immunity without much sacrifice
Locking up Total population for extended periods will be counter productive.. But selective isolation of high risk groups is practically very difficult... Hope experienced members here can come with some suggestions..
chola
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Re: Wuhan Coronavirus Resource Thread

Post by chola »

DrRatnadip wrote:
chola wrote:

Wonderful news, Doctor saar! Can number 2 allow India to loosen up social distancing sooner rather than later and get the economy running again? (In the US, they've just added 30 more days.)

Much thanks for the info on the ground!
I dont think it will be good idea to loosen up lockdown so early especially after seeing nizamuddin incident .. I think we must find ways to
1) increase isolation period in high risk groups ex elderly and those with known co morbidities
2) slowly allowing low risk groups i.e. young healthy individuals to resume routine activities .
If we can achieve this then we will get herd immunity without much sacrifice
Locking up Total population for extended periods will be counter productive.. But selective isolation of high risk groups is practically very difficult... Hope experienced members here can come with some suggestions..
Understood, Doctor. I was thinking after the current 21 days we can loosen quicker than later. And hopefully not add more days of confinement like in the West.

I totally agreed with you on both 1) and 2). Allow the low risk groups to resume activities while isolating the high risk ones.

I most agreed with you that extended periods of total isolation is counterproductive. There are too many in society that needs to work to survive. Eventually, they'll need to come out and find work to survive. 21 days is already a lifetime of hardship for many. More than that and I worry greatly.

If there is a built-in immunity then the GOI should take that into account. From a medical POV, is there any reasonable way to test the immunity theory and get a firm enough answer to allow government policy to be based on it, Sir?
madhu
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Re: Wuhan Coronavirus Resource Thread

Post by madhu »

DrRatnadip sir,
whats your opinion about use of splitter for ventilator? i see that FDA has approved it for COVID19 patients. The reason i am asking is my friend owns a small 3D printer. thought of creating one and test.
i had floated this idea in my company when they asked for ideas. however one of the guy sent me a link that objects use of one ventilator to multiple people. here is the link.
the problem being a mechanical engineer i have no idea about that standard and what are the requirement that i need to comply with.
vijayk
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Re: Wuhan Coronavirus Resource Thread

Post by vijayk »

Is it possible to give BCG booster shots for senior citizens?
sajo
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Re: Wuhan Coronavirus Resource Thread

Post by sajo »

vijayk wrote:Is it possible to give BCG booster shots for senior citizens?
This was the exact query I had. Dr. Google tells me it has varied efficacy but dosage is mentioned. Maybe just not routine.
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Re: Wuhan Coronavirus Resource Thread

Post by brar_w »

chola wrote:This is a pretty harrowing response. But herd immunity might an advantage for any military that has it over ones that don't?

The Navy is composed of mostly healthy young people. The idea is the death rate would be very low.
Chola if the readiness of the USN in the WPacific is being compromised and degraded by this virus then the PRC without firing a shot, have degraded the preparedness and the ability of the USN to to operate in that theatre.
The Chinese Navy had its impacted vessels as well and their own readiness would also have likely suffered on account of the nation grappling with the virus for the last 2.5 months. The same will be with the USN. They've actually maintained a fair bit of ops tempo and did a FONOPS and at sea (in that theater) weapon launches just a few weeks ago.If there is a need they'll have to fight sick but the real problem, reading between the lines, is that the civilian demand in the US is consuming most of the resources like test kits, PPE, and other infrastructure and the fact that the USN is deployed worldwide at multiple bases so its not like the force is concentrated on a few ships in a few bases in the US. This will be a pretty big challenge to confront particularly in that theater, particularly given the fact that Trump fired the last Secretary of the Navy and a new one hasn't yet been fully confirmed. I expect Japan and South Korea to help out with this.
chola wrote:(In the US, they've just added 30 more days.)
The IHME model which Drs. Birx and Fauci are currently using, and Trump referenced yesterday, as a base case, assumes that the US stays in a 100% lockdown through end of May. We aren't even at a 100% lockdown currently so I don't see how they'll completely rip that band aid off by end of April as they currently claim. Would be interesting to study the impact of all this on divorce rates.
Last edited by brar_w on 01 Apr 2020 19:32, edited 2 times in total.
chola
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Re: Wuhan Coronavirus Resource Thread

Post by chola »

^^^ Brar ji, true on the chini navy being clobbered as well. Worse since they had to deal with even longer.

I have not followed the chini mil side as much since the Wuhan virus but I do recall reading two month ago that the their new carrier was undergoing quarantine. This new carrier was very active until then tooling around the SCS and the Taiwan Strait wringing out its new crew. The thing had not moved from its berth in Dalian for months now the last I checked.
https://mobile.twitter.com/PLANavyNews/ ... 2686844936
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