Frankly, the CDC has been a complete failure. I personally know of a fairly high up epidemiologist there that was in thick of shit in West Africa during the Ebola outbreak and know that him, his team, and many others at the CDC were laughing COVID19 off as recently as a month ago.so you would say the above results are reliable? why isn't the CDC on top of things
The lack of awareness is just mind-boggling
Iranians ignore requests to stay home for new year celebrations
Holiday destinations report thousands of cars despite advice to self-isolate as Covid-19 spreadswww.theguardian.com
Essay from Josh Lerner, MD after the CDC loosens guidelines for all of us on the front lines.
"In one of the most vivid scenes in the HBO miniseries "Chernobyl" (among many vivid scenes), soldiers dressed in leather smocks ran out into radioactive areas to literally shovel radioactive material out of harm's way. Horrifically under-protected, they suited up anyway. In another scene, soldiers fashioned genital protection from scrap metal out of desperation while being sent to other hazardous areas.
Please don't tell me that in the richest country in the world in the 21st century, I'm supposed to work in a fictionalized Soviet-era disaster zone and fashion my own face mask out of cloth because other Americans hoard supplies for personal use and so-called leaders sit around in meetings hearing themselves talk. I ran to a bedside the other day to intubate a crashing, likely COVID, patient. Two respiratory therapists and two nurses were already at the bedside. That's 5 N95s masks, 5 gowns, 5 face shields and 10 gloves for one patient at one time. I saw probably 15-20 patients that shift, if we are going to start rationing supplies, what percentage should I wear precautions for?
Make no mistake, the CDC is loosening these guidelines because our country is not prepared. Loosening guidelines increases healthcare workers' risk but the decision is done to allow us to keep working, not to keep us safe. It is done for the public benefit - so I can continue to work no matter the personal cost to me or my family (and my healthcare family). Sending healthcare workers to the front line asking them to cover their face with a bandana is akin to sending a soldier to the front line in a t-shirt and flip flops.
I don't want talk. I don't want assurances. I want action. I want boxes of N95s piling up, donated from the people who hoarded them. I want non-clinical administrators in the hospital lining up in the ER asking if they can stock shelves to make sure that when I need to rush into a room, the drawer of PPE equipment I open isn't empty. I want them showing up in the ER asking "how can I help" instead of offering shallow "plans" conceived by someone who has spent far too long in an ivory tower and not long enough in the trenches. Maybe they should actually step foot in the trenches.
I want billion-dollar companies like 3M halting all production of any product that isn't PPE to focus on PPE manufacturing. I want a company like Amazon, with its logistics mastery (it can drop a package to your door less than 24 hours after ordering it), halting its 2-day delivery of 12 reams of toilet paper to whoever is willing to pay the most in order to help get the available PPE supply distributed fast and efficiently in a manner that gets the necessary materials to my brothers and sisters in arms who need them.
I want Proctor and Gamble, and the makers of other soaps and detergents, stepping up too. We need detergent to clean scrubs, hospital linens and gowns. We need disinfecting wipes to clean desk and computer surfaces. What about plastics manufacturers? Plastic gowns aren't some high-tech device, they are long shirts/smocks...made out of plastic. Get on it. Face shields are just clear plastic. Nitrile gloves? Yeah, they are pretty much just gloves...made from something that isn't apparently Latex. Let's go. Money talks in this country. Executive millionaires, why don't you spend a few bucks to buy back some of these masks from the hoarders, and drop them off at the nearest hospital.
I love biotechnology and research but we need to divert viral culture media for COVID testing and research. We need biotechnology manufacturing ready and able to ramp up if and when treatments or vaccines are developed. Our Botox supply isn't critical, but our antibiotic supply is. We need to be able to make more plastic ET tubes, not more silicon breast implants.
Let's see all that. Then we can all talk about how we played our part in this fight. Netflix and chill is not enough while my family, friends and colleagues are out there fighting. Our country won two world wars because the entire country mobilized. We out-produced and we out-manufactured while our soldiers out-fought the enemy. We need to do that again because make no mistake, we are at war, healthcare workers are your soldiers, and the war has just begun."
-Josh Lerner, MD.
The Japanese government is useless. The rate of new cases is slowly rising and they are actually lifting restrictions. The recommendation for organizers of large gatherings is "make your own decision whether to hold/cancel events". They seem paralyzed to make tough decisions.Schools in Japan set to reopen after the spring holiday in early April.
The world is shutting down and Japan be like 💁🏻🤷🏻♂️
The lack of awareness is just mind-boggling
Iranians ignore requests to stay home for new year celebrations
Holiday destinations report thousands of cars despite advice to self-isolate as Covid-19 spreadswww.theguardian.com
Schools in Japan set to reopen after the spring holiday in early April.
The world is shutting down and Japan be like 💁🏻🤷🏻♂️
The Japanese government is useless. The rate of new cases is slowly rising and they are actually lifting restrictions. The recommendation for organizers of large gatherings is "make your own decision whether to hold/cancel events". They seem paralyzed to make tough decisions.
Yeah. I think the latest assumption is that the actual death rate might be ~0.5% but 26 would probably mean <0.1%?honestly, I doubt its 26, but totally believe higher than 2.3, and that its less lethal than we think.
German virologist Prof. Dr. Drosten (government consultant in this crisis) said the main reason is that Germany does much!!!! more testing than other countries. So case mortality seems lower and is more realistic in Germany because other countries don't detect the mild cases.
Why did Germany do much more testing?
- its free because of our statutory health insurance system
- strong and stable healthcare system
- health insurance companies have insane amounts of money
- many specialists / doctors in this field
Source NDRinfo Podcast (in German language)
A bad healthcare system could be protected by a very good first responds by the government.
"We do not have sufficient resources and especially staff because apart from everything else now the staff are beginning to get sick."
About 70% of those treated at the hospital for Covid-19 are surviving, he added
This year's medical school graduates have also been told they can start working as fully qualified doctors immediately, months ahead of schedule, as Italy's authorities grapple with the crisis..
"In the city of Wuhan after one month since the adoption of the lockdown policy, we see a decreasing trend from the peak of the disease," Sun Shuopeng said. "Here in Milan, the hardest-hit area by Covid-19, there isn't a very strict lockdown: public transportation is still working and people are still moving around, you're still having dinners and parties in the hotels and you're not wearing masks."
"I don't know what everyone is thinking."
He advised Italians to stop all "economic activities and cut the mobility of people," calling on everyone to just stay at home.
"We need every citizen to be involved in the fight of Covid-19 and follow this policy."
The test is "free" since 28 Jan.Why did Germany do much more testing?
- its free because of our statutory health insurance system
- strong and stable healthcare system
- health insurance companies have insane amounts of money
- many specialists / doctors in this field
Any new theories as to why some countries are disproportionately affected? I used to think it's pollution, but France, Spain are not that polluted.
You both touched the ball?We played doubles but never touched each other as far as I can tell. I'm having no other symptoms outside the breathing difficulties and a headache. I am also in physiotherapy but who knows what can happen there.
First off, I'm so sorry you're going through this right now. I think you did all the right things, and since you don't have a fever, it could be related to something else. We just gotta take it day by day. Germany seems the best country in the world that is handling their patients, so you don't have to worry about that at least. Just get some rest, try watching some movies or doing something to preoccupy yourself and get better. Best of luck and please give us updates.Okay, I hope you guys can comfort me a little bit. I'm not someone to fall into panic quickly and I usually never see the doctors, but I'm having pain breathing and it's been getting worse for a couple of days now. It's been especially painful in the mornings and I got up at 6 AM twice now. I had my final tennis practice with twelve people before facilities were shut down last Friday in Germany, and there I was in contact to someone who was in Tirol for skiing. He said he had finished his quarantine for two weeks though I'm not a 100% sure if he was infected or not (I think he wasn't). I was very close to leaving the practice but didn't, because I had read that those two weeks reduces the likelihood of a spread to about 1-2%. We played doubles but never touched each other as far as I can tell. I'm having no other symptoms outside the breathing difficulties and a constant headache. I am also in physiotherapy but who knows what can happen there.
I have read that some people have very different symptoms with Corona virus, so I guess that would not be too unnormal. I don't want to put a strain on our healthcare system here in Germany but what if it all gets worse? I had real trouble breathing this morning and it scared me :/ I was in contact with my doctor yesterday and he called me in sick for seven days and ordered me to stay home. If I had fever, I should contact him right away. Things is I never have fever even when I catch a cold or get the flu. Maybe I have something entirely different from Corona (I thought it might be a blocked nerve in the back or something at first), but I'm not sure you get a serious diagnosis here at the moment outside of Corona tests. Corona tests here are only conducted if you have been in direct contact to a confirmed infected case OR if you have been in the hotspot regions yourself and show symptoms. I can understand they need to limit things somewhere but if Coronavirus is spreading as quickly as it is, many people will potentially not be tested.
Anyway, I'm living by myself pretty far from the family and I was hoping to find some emotional comfort here. Can't even enjoy games much at the moment.
Some striking quotes:
One of the Chinese experts helping:
I really fucking hope that when this dies down, we finally start to take Coronaviruses seriously. This is the third time in the last twenty years that a Coronavirus has taken off, with this one being the worst. This will happen again, its not a matter of if, but when.
Hopefully, we'll be more prepared next time.
in one way but due to sheer huge number of people being infected evwr a low fatality rate is overwhelming I guessCould this potentially be good news? Maybe it means a much lower hospitalization/fatality rate than assumed?
Even if you caught it, its too late. As long as you are not in the risk group I'd say play it save and follow orders. Measure twice daily morning and 5 pm and try your best to get better. If you get worse: Call your doctor, even without fever.That's inevitable, isn't it? I have asked the organizer of our practice but he didn't say anyone else reported sick. But then the guy only played doubles with two of us during these two hours.
As long as humans are around, viruses and epidemics will always come. The West has been caught flat footed, as it's being a century since the West has been effected this badly.
I thought this was known. Any fatality rate is bad news. And its more and more younger people tooCould this potentially be good news? Maybe it means a much lower hospitalization/fatality rate than assumed?
Just report it like everyone is doing.Apparently the beach near my place is packed with fuckwits from Sydney and tourists who have left the city because Bondi is closed.
Even if you caught it, its too late. As long as you are not in the risk group I'd say play it save and follow orders. Measure twice daily morning and 5 pm and try your best to get better. If you get worse: Call your doctor, even without fever.
Not "wanting to put a strain on the healthcare system" is heroic, but its no use when doctors miss crucial information over it. If you feel really, really miserable, then its healthcares job to take care of you.
We are already at a point were we cant track the infection anymore, although its not public admitted. It could be the way to that place where you were infected. Who knows.
The first patient was a 75 year-old female Singapore Citizen. She was admitted to the National Centre for Infectious Diseases (NCID) on 23 February for pneumonia, and was confirmed to have COVID-19 infection on the same day. She had been cared for in the intensive care unit (ICU) since admission to NCID. She developed serious complications and eventually succumbed to the infection after 26 days in the ICU on 21 March at 7.52am. She had a history of chronic heart disease and hypertension.
The second patient was a 64 year-old male Indonesian national. He was admitted in critical condition to the ICU at NCID on 13 March, after arriving in Singapore from Indonesia on the same day, and was confirmed to have COVID-19 infection on 14 March. He had been cared for in the ICU since 13 March. He developed serious complications and eventually succumbed to the infection after nine days in the ICU on 21 March at 10.15am. Prior to his arrival in Singapore on 13 March, he had been hospitalised in Indonesia for pneumonia, and had a history of heart disease.
Meanwhile most people in Europe and US are still being misinformed that "masks don't work". I can't even... I realize there's shortage currently but this misinformation of public created a stigma against masks which are crucial to contain this virus
Washing hands is important, but it's not gonna do a thing if someone with a virus breathes or talks close to you.
Holy shit, they haven't shut down the schools? My extreme condolences, god damn.
Could this potentially be good news? Maybe it means a much lower hospitalization/fatality rate than assumed?
Hmm why does Germany have about the same number of cases, but we have so many more deaths? https://www.worldometers.info/coronavirus/#countries
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idk how many tests Germany is doing but its most likely much better than where the US is at.
A bad healthcare system could be protected by a very good first responds by the government.
Surely, eventually numbers rise, but a prevention in spreading are essential.
The amount of Dead could be due to healthcare quality, while the amount of infected represents governmental reaction. If one is to slow it affects the other.
To be fair: Germany had a bad, slow first response given that they could have cheated off the others how to NOT do it.
Germany is doing 160k tests a week and currently has tested over 300k people. For reference: Italy has tested around 200k people.
Number of tests has a direct impact on the death rate. The Us is only testing people who show symptoms, or even only people who need hospitalization. The shadow figure is much higher in the US. If the US would test more, their cases would be 10 times higher and their death rate much lower.My question wasn't about number of cases. My point was that Germany and the U.S. have about the same number of reported cases right now (roughly 19.8k), but Germany has had 68 deaths while the U.S. has had 275 deaths. So there's something about the patient demographic or treatment that is keeping deaths much lower in Germany.