China Coronavirus Outbreak Spreads; Hundreds Infected As Human-To-Human Transmission

3,237,720 Views | 21764 Replies | Last: 2 mo ago by Stat Monitor Repairman
aezmvp
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InternetFan02 said:

scottimus said:

San Antonio Press Conference on Patient that was released:

  • Stayed at Hotel by the Airport
  • Visited Mall near Airport (North Star Mall)
  • Mall officials notified this morning
  • Went to food court, ordered food sat by herself
  • Exposure assessment based on two criteria
  • 1 Time of Exposure
  • 2 Distance of Persons at Risk to Exposure
  • 18 people identified at local Hospital she was in contact with
  • 16-low risk/ 2 Med Risk
  • 3 exposures at the hotel - low risk
  • Covid Test encompasses 2 tests of individual- upper respiratory and lower, one test came back positive, one test negative.
  • Absolutely confident Hotel exposure is confined and contained.
  • Holiday Inn at the Airport has been notified and people released.
  • CDC plan was to release people who met criteria to be released today
  • Received letter from CDC to test a 3rd time and not release people in quarantine
  • CDC test results take 48-72 hours for results from CDC
  • Advising hospitals to use masks for any patients coming in with upper respiratory symptoms.
  • Know how many people were exposed at Holiday Inn, not possible to know exposure at mall
  • She did use hotel shuttle
  • Went to Mall at 5:30 exited at 7:30..spent most of her time at food court eating by herself.
  • [San Antonio blaming CDC for releasing patient "should not have happened"]

this person was free for like a day and a half and managed to spend 2 hours at a mall food court spreading it. Un****ingbelievable.
If the person was cleared and released by CDC hard to blame them. But yeah some extra self confinement would probably be warranted. I wouldn't want to go near my wife and kids for at least another week after the 2 weeks just to be safe. But w/e. I blame the CDC there.
erudite
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http://www.gov.cn/xinwen/2020-03/02/content_5485524.htm
Here is the official Chinese state council report.
Quote:

At 23:59 on March 1, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 202 new confirmed cases, 42 new deaths (42 in Hubei), and 141 new suspected cases.

On the same day, 2837 cases were cured and discharged, 8154 were close contacts of medical observation, and 255 severe cases were reduced in severity.

As of 23:59 on March 1, according to reports from 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps, there were 32,652 confirmed cases (of which 7,110 were severe cases), 44,462 were cured and discharged, and 2,912 had died. A total of 80026 confirmed cases have been reported and 715 suspected cases have been reported. A total of 663,240 close contacts were traced, and 46,219 close contacts are still under medical observation.
There were 196 new confirmed cases in Hubei (193 in Wuhan), 2570 new cases cured and discharged in Wuhan (1958), 42 new deaths (32 in Wuhan), and 30,543 confirmed cases (25,903 in Wuhan). There were 6872 severe cases (6225 cases in Wuhan). A total of 33,757 discharged patients were cured (21,185 in Wuhan), a total of 2,803 deaths (2,227 in Wuhan), and a total of 67,103 confirmed cases (49,315 in Wuhan). There were 80 new suspected cases (70 in Wuhan) and 527 suspected cases (340 in Wuhan).

A total of 148 confirmed cases were reported from Hong Kong, Macao and Taiwan: 98 in the Hong Kong Special Administrative Region (36 discharged, 2 died), 10 in the Macau Special Administrative Region (8 discharged), and 40 in Taiwan (12 discharged, 1 died). ).
Xinjiang Production and Construction Corps - It's a group of soldiers/families that are Han Chinese who live in Xinjiang and have special rights and are paramilitary. They are allowed to keep weapons and conduct regular combat/counter terror exercises since the Muslims Uygurs don't get along with the Chinese.

Edit: March 1. Not March 2. Sorry.
rgag12
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Nuclear Scramjet said:

annie88 said:

Yep.




Or you know we're trying to prevent another serious illness from becoming another seasonal flu? I would much rather deal with only the flu instead of multiple serious respiratory illnesses every damn year. If this means we have to do things we normally wouldn't do for the flu then so be it.


This thing isn't going to be contained, it became impossible the moment the first person got infected. It's going to become another seasonal upper respiratory illness just like all the other countless ones we have floating around the world.

The world is just trying to contain this thing now because 1) We are still studying it so effective treatments can be developed and made, and 2) Because the public is hyperventilating over this.

Once we have a good handle of this thing there is going to be no more effort to corral this virus. A lot of people every year will get sick with it and be treated, if necessary. I wouldn't imagine it would bring an apocalyptic strain on the healthcare system as some are worrying about, but you're free to worry about that I guess.

I'm really glad a good segment of the population is waking up to the actual severity of this thing and realizing it's going to be just another illness that's non-life threatening for 98% of people. As time goes by more and more people will realize and accept this.
Rossticus
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Hillary was just announced to speak at SXSW. Now I'm definitely in favor of cancellation...out of an abundance of caution...and in the interest of the public health.
erudite
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http://www.gov.cn/xinwen/2020-03/02/content_5485549.htm

Quote:

State Food and Drug Administration continues to approve new coronavirus detection products
2020-03-02 10 : 07
Source : Website of CFDA
[url=http://share.gwd.cegn.gov.cn/][/url] [url=http://www.gov.cn/xinwen/2020-03/02/content_5485549.htm#][/url]
Recently, the State Drug Administration expedited emergency approval of 4 new coronavirus detection products from 3 companies, including 2 chemiluminescence antibody detection reagents and 2 fluorescent PCR nucleic acid detection reagents, further enriching the detection methods of new coronaviruses. This improves the supply chain of testing reagents have been adapted/expanded to further serve the needs of epidemic prevention and control. Up to now, a total of 10 new coronavirus nucleic acid detection reagents and 4 antibody detection reagents have been approved.
The State Drug Administration will continue to expedite the emergency approval of corresponding products.
Bold- Unsure of how to translate that, sorry. Could also translate to "2 Chemical luminescence antibody check reactions."

CFDA- China Food Drug Agency, new agency, replace the old soviet styled food safety apparatus.
FTAG 2000
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wessimo said:

AG 2000' said:

Not from a news source but there's a preliminary case in DFW (Ft. Worth, specifically). Tested positive with local test kit, samples sent to CDC for CDC confirmation.




What is the source?

Someone close to the situation.
cisgenderedAggie
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It seems translated fine.
erudite
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I am not sure if either google translate or my own instincts are correct.
I'm not in the THAT PART of the medical field.
Because the edit to the post is my issue:
1) Current translation implies (natrual) chemical luminescence of some sort without reaction
2) Implies some sort of chemical reaction to bind to the antibody?
Edit: See bolded
FTAG 2000
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rgag12 said:

Nuclear Scramjet said:

annie88 said:

Yep.




Or you know we're trying to prevent another serious illness from becoming another seasonal flu? I would much rather deal with only the flu instead of multiple serious respiratory illnesses every damn year. If this means we have to do things we normally wouldn't do for the flu then so be it.


This thing isn't going to be contained, it became impossible the moment the first person got infected. It's going to become another seasonal upper respiratory illness just like all the other countless ones we have floating around the world.

The world is just trying to contain this thing now because 1) We are still studying it so effective treatments can be developed and made, and 2) Because the public is hyperventilating over this.

Once we have a good handle of this thing there is going to be no more effort to corral this virus. A lot of people every year will get sick with it and be treated, if necessary. I wouldn't imagine it would bring an apocalyptic strain on the healthcare system as some are worrying about, but you're free to worry about that I guess.

I'm really glad a good segment of the population is waking up to the actual severity of this thing and realizing it's going to be just another illness that's non-life threatening for 98% of people. As time goes by more and more people will realize and accept this.

That's quite optimistic. Look at the data right now:

21% infected require hospitalization. Treatment for those hospitalized is at a minimum 100% oxygen treatment for days, at a maximum - ventilator assisted breathing for up to three weeks.

What happens to the mortality rate when we are out of hospital beds/units who can provide that level of care? Or our health care workers either get infected, stop showing up, or end up quarantined (they've got 126 in quarantine in California alone from one case)?

There's 100K ventilator beds in the U.S. If this infects anywhere north of 0.03% of the total US population, that mortality rate is going to start looking a lot different.
TexasAggie_02
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Rossticus said:

Hillary was just announced to speak at SXSW. Now I'm definitely in favor of cancellation...out of an abundance of caution...and in the interest of the public health.
i say "the show must go on," and she must shake as many hands as possible
cisgenderedAggie
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Yeah, it's a protein detection assay that uses antibodies and chemical luminescent reactions.
Eric Forman
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When basically the entire medical community is clamoring that we need to take extra precaution to contain and mitigate this threat and not disregard it as "just the flu", that should be enough for people to accept that maybe some extra caution is needed. That's not to say that hysteria is the answer, but this isn't just another respiratory illness along with the countless others... this one has potential. Creating a bunker isn't the answer, but neither is shrugging your shoulders and being meh about it. Blocking the full potential of this thing should be the goal. If schools get shuttered, its not because of hysteria. If places of congregation get shut, its to do with that mitigation of spread thing. I honestly can't fathom why it has to be one of the two extreme sides on the issue.
Zobel
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This completely discounts the initial impact something like this can have when we have no innate immunity to it.

Seriously, think about it. The flu starts each year with a billion potential seed sites for continued transmission (number of annual cases worldwide). This started in December with 1.

Seasonal flu deaths this year - 81,803. Coronavirus deaths this year - 3,080.

In many years, yeah, sure if it's just another respiratory illness it will be part of the typical case load. But flu does what it does in spite of being mitigated by centuries of exposure and developed immunity (Hippocrates describes a flu-like disease in 400 BC).

Flu pandemics are caused when you have enough changes to the seasonal virus that people have diminished immunity to the new strain. So when we think of something like a bad flu pandemic, that's basically demonstrating what a virus can do to an "immunologically naive" population.

I don't think people should panic or freak out. I do think folks responsible for managing and planning hospitals and such should prepare for an increased caseload. And it would be prudent for them to plan for degrees of severity. The most severe I would think would be something like the 1918 flu pandemic, or perhaps the 1956 one. The 2009 Swine flu would be an optimistic outcome. But who knows? We might have jumped on this early enough that it fizzles. I sure hope so.
Zobel
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cisgenderedAggie said:

Yeah, it's a protein detection assay that uses antibodies and chemical luminescent reactions.
You clearly know a little about this. Please post more.
EastSideAg2002
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Rossticus said:

Hillary was just announced to speak at SXSW. Now I'm definitely in favor of cancellation...out of an abundance of caution...and in the interest of the public health.
Will people hanging from ropes or shot in the back of the head fall under coronavirus deaths for a period of time in Austin?
BowSowy
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UncoverAg00 said:

When basically the entire medical community is clamoring that we need to take extra precaution to contain and mitigate this threat and not disregard it as "just the flu", that should be enough for people to accept that maybe some extra caution is needed. That's not to say that hysteria is the answer, but this isn't just another respiratory illness along with the countless others... this one has potential. Creating a bunker isn't the answer, but neither is shrugging your shoulders and being meh about it. Blocking the full potential of this thing should be the goal. If schools get shuttered, its not because of hysteria. If places of congregation get shut, its to do with that mitigation of spread thing. I honestly can't fathom why it has to be one of the two extreme sides on the issue.
Spot on. This thread has been great with a bunch of reasonable, level-headed responses and opinions but has also been terrible with the "just the flu" guys on one side and the doomsday porn guys on the other.
FrontPorchAg
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Interesting where he thinks there are actually 100,000s of cases we don't know about.
All animals are equal, but some animals are more equal than others
Zemira
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All the ladies at work started freaking out about coronavirus today. It's going to be a long day.

I told them to wash their hands. They are like what about everyone else? Wash your hands, stay away from people coughing. Wear gloves if you are that panicked.

Sheesh.
Bullpen Chias
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I don't like how people have gravitated to the flu as reason not to worry. Why not pick heart disease or cancer if you want a show horse you can ride even longer?
cisgenderedAggie
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Happy to explain when I can. Trying to whole back natural tendency to stir the pot on this thread, but it's tough.
Zobel
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Eh to be fair because it is a virus that is transmitted by respiratory means vs a mosquito or contact or an STD.
Tailgate88
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Sorry - can anyone summarize whether Facemasks are desired or effective to prevent catching Coronavirus? You see lots of pictures in the media of people wearing them but my wife said she read they really wouldn't be that effective. Appreciate the input from those more knowledgeable than I on here...

aginlakeway
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Tailgate88 said:

Sorry - can anyone summarize whether Facemasks are desired or effective to prevent catching Coronavirus? You see lots of pictures in the media of people wearing them but my wife said she read they really wouldn't be that effective. Appreciate the input from those more knowledgeable than I on here...


Facemasks keep you from spreading it. They won't prevent you from getting it.
Eric Forman
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Mtn_Guide said:




Interesting where he thinks there are actually 100,000s of cases we don't know about.


I don't think Dr. Drew is wrong, but I also think that maybe some are mis-characterizing what he's saying. Indeed, the media is hyper-fixated on the chaos and frenzy of this epidemic. But he also stated that we should be listening to the medical community. So what's the medical community saying?... basically, we can still beat this thing, but 1) time is running out and 2) we need international cooperation and efforts to get in front of this. These actions, as advised by medical folks who are in the know, isn't the same as the flu because it presents unique problems that the flu doesn't have. That said, the key point from Dr. Drew's message is to stop buying into the media frenzy (truth) and strictly listen to the medical community (also truth), The message of the medical community is clear -- we need to take steps to contain this thing; some of those steps are shared with the containment of the flu, but be clear some are not. Don't think this is the end of the world, because its not... but also don't think that this will be no different than any other seasonal flu. We need to be prepared and responsive if our medical leaders advise us that we need to community quarantine (shut schools, work from home). That's not hysteria, that's slowing this **** down.
cisgenderedAggie
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Tailgate88 said:

Sorry - can anyone summarize whether Facemasks are desired or effective to prevent catching Coronavirus? You see lots of pictures in the media of people wearing them but my wife said she read they really wouldn't be that effective. Appreciate the input from those more knowledgeable than I on here...




Effective if used correctly, potentially worse if not. If they weren't useful, US Surgeon General wouldn't be upset about supply issues.

The other side of the issue is that they are completely useless for protecting you if you don't have risk of exposure. Health care workers that may be working with infected have much higher risk of exposure that most people, especially if they are keeping good hygeine.

That said, I will still be wearing mine if I still have to fly to Newark in a couple of weeks.
FTAG 2000
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Just the flu is so dumb.

There's a yearly vaccine for the flu that gives our communities some level of immunity. No such thing exists for this.

I Like Mike
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The problem is you can get it through any mucus membranes, so facemasks without eye pro is a moot exercise. Goggles and facemask can mitigate likelihood of contraction, but if you forget to wash hands, take off mask and touch mouth, you are infected.
DTP02
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Mtn_Guide said:




Interesting where he thinks there are actually 100,000s of cases we don't know about.


I don't think he's wrong, but I think the emphasis needs to be on "right now." The risk of catching this is extremely low in the US right now, but that's likely to change over the next several weeks.

The panic and hysteria at this stage is likely just artificially prolonging and increasing the impact this will have on the economy.

I also think he's right that there are likely hundreds of thousands of cases worldwide that haven't been documented, including a substantial number (hundreds, surely) in the US.
tysker
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Quote:

21% infected require hospitalization. Treatment for those hospitalized is at a minimum 100% oxygen treatment for days, at a maximum - ventilator assisted breathing for up to three weeks.
Is this true for all cases globally or just the places like China with higher rates of smoking, more pollution and lesser cultural hygiene standards?
Houston Lee
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NOTHING HAS CHANGED

1-Wash your hands
2-Don't touch your face if you can avoid it
3-Disinfect and wipe down high traffic areas
Repeat
Repeat
Repeat...
MetoliusAg
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crud. Sorry to hear this.



We have it here in WA state with 2 confirmed fatalities. But more worrisome are WA state's multiple other cases that the authorities are not certain how or who was the carrier.
A is A
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AG
that guy is pissed.
FTAG 2000
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tysker said:

Quote:

21% infected require hospitalization. Treatment for those hospitalized is at a minimum 100% oxygen treatment for days, at a maximum - ventilator assisted breathing for up to three weeks.
Is this true for all cases globally or just the places like China with higher rates of smoking, more pollution and lesser cultural hygiene standards?
Tracking globally that way.

But that's the conservative number.

For example, in both Singapore and Italy, those numbers are higher (Italy at 35%, Singapore at 32%).

No details on smoking / hygiene in either, though Italy would stereotypically would be bad on the smoking and hygiene front.

Singapore has all their patient data online, you can go look at case history, treatment, etc. from their Ministry of Health site. Haven't looked at that since Friday, and wasn't really paying attention to any subdetail like the smoking situation (and don't know how they really are about hygiene there).
rgag12
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k2aggie07 said:

This completely discounts the initial impact something like this can have when we have no innate immunity to it.

Seriously, think about it. The flu starts each year with a billion potential seed sites for continued transmission (number of annual cases worldwide). This started in December with 1.

Seasonal flu deaths this year - 81,803. Coronavirus deaths this year - 3,080.

In many years, yeah, sure if it's just another respiratory illness it will be part of the typical case load. But flu does what it does in spite of being mitigated by centuries of exposure and developed immunity (Hippocrates describes a flu-like disease in 400 BC).

Flu pandemics are caused when you have enough changes to the seasonal virus that people have diminished immunity to the new strain. So when we think of something like a bad flu pandemic, that's basically demonstrating what a virus can do to an "immunologically naive" population.

I don't think people should panic or freak out. I do think folks responsible for managing and planning hospitals and such should prepare for an increased caseload. And it would be prudent for them to plan for degrees of severity. The most severe I would think would be something like the 1918 flu pandemic, or perhaps the 1956 one. The 2009 Swine flu would be an optimistic outcome. But who knows? We might have jumped on this early enough that it fizzles. I sure hope so.


I didn't say there wouldn't be hospitalizations, especially early when like you said humanity is encountering this for the first time. I certainly don't think this virus will fizzle, it's going to infect a lot of us at some point. However it's my own belief looking at what's transpired so far that the US' medical infrastructure will not be overwhelmed with a slight uptick in hospitalizations due to Coronavirus. A place like India may struggle more than us, but if you've seen the Netflix show "pandemic" you know they struggle with the flu already.
gigemJTH12
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DTP02 said:

gigemJTH12 said:

Have a trip to Vegas planned in a few weeks. I'm assuming this thing is going to be so blown up by then that my wife is not going to let that happen. Vegas is probably the worst place to be right now.


I'm not going to freak out about this thing when no one on my family is high risk, but I definitely wouldn't take a trip to Vegas. That's just asking for trouble, and will probably be right around the time this thing is really hitting the US hard. I would expect Vegas to be on the leading edge of infections with all the Asian tourists. Be surprised if there's not already quite a bit of cornavirus floating around the strip.


Exactly what I'm thinking
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