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

3,237,169 Views | 21764 Replies | Last: 2 mo ago by Stat Monitor Repairman
Zobel
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Gimme a break. I guarantee you if you sat those guys down in a room and said - unlimited budget, fast-track on any regulator requirements, a big pair of shiny scissors to cut red tape - can you shorten the duration?

If they don't say yes they're the wrong person to be in charge.

A day, a week, a month. Every project has slack. Crash it, run multiple things in parallel, get started on items that aren't on the critical path just in case, add resources.

Y'all are acting like this is the Manhattan project or something.
tehmackdaddy
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k2aggie07 said:

It's weird everyone has this desire to draw an equivalence to the flu. I don't think there's evidence favoring that.

CDC says about half the people who have the flu go see a doctor, so the flu estimates for mortality are guessing that we only see half the cases.

But what's key, at least in my mind, is not the total number of cases and deaths. What's important, I think, is the comparison of the cases we see. In other words, if you're right that requires the range of outcomes to be much broader than the flu on both sides.

Hypothetically let's say SARS-CoV-2 has more mild cases than seasonal flu, and only 1% of people who get it go see the doc. That's what we "see" so the observed guesstimate of 1% mortality is really only 0.01%, same as the flu. Is that really better if the 1% that is going to see the doc are 20% severe, 5% requiring ICU? The flu doesn't have those numbers even considering the portion that we see.
Slightly under half of those who get the flu see a doctor and approximately 1.5% are hospitalized (link).
Shanked Punt
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Yeah, asking if they can just use a "solid flu vaccine" clearly demonstrates he has a solid handle on the science in this matter.
Zobel
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That's where I got my number from. That's why I said "about half". Linked that site about 50 pages back.
OverSeas AG
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Every knee shall bow and every tongue shall confess
I am not friends with school shooters.
lunchbox
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GarlandAg2012 said:

It can definitely be pushed. What concerns me is that the CEO of a company generally knows how the sprockets are made and the risks of rushing sprocket production. Is Trump apprised of the risks associated with rushing a vaccine? Does he know why they typically go through 3 stages of testing before they are administered to the public? Has he taken the time to consider these risks when pushing for development to occur faster than normal? I sure hope so. He is known and beloved (by some) for his kneejerk, of the cuff, "get it done" style, which is fine for building golf courses or sprockets, but it is a slightly different ball of wax when it comes to drugs I think.
He could also be waiting for someone to respond with "if we had more resources..."

I'm reminded of the old adage of project management:

It can be quick with high quality, but it won't be cheap.
It can be cheap with high quality, but it won't be quick.
It can be cheap and quick, but it won't have high quality.
AgFan2015
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Bend over. MMT is coming soon..... who do you want to take it from, Red team or blue team?

No way can he veto an emergency healthcare bailout once this goes into pandemic panic mode.

GarlandAg2012
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k2aggie07 said:

Gimme a break. I guarantee you if you sat those guys down in a room and said - unlimited budget, fast-track on any regulator requirements, a big pair of shiny scissors to cut red tape - can you shorten the duration?

If they don't say yes they're the wrong person to be in charge.

A day, a week, a month. Every project has slack. Crash it, run multiple things in parallel, get started on items that aren't on the critical path just in case, add resources.

Y'all are acting like this is the Manhattan project or something.
I agree with you, but there are probably good reasons why things take time when it comes to drug development. If he's going order the deployment of a vaccine to millions of Americans shouldn't he be aware of the risks involved in rushing production of it? We just saw what happens when you try to rush the development of a test in the CDC...
GarlandAg2012
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OverSeas AG said:

GarlandAg2012 said:

It can definitely be pushed. What concerns me is that the CEO of a company generally knows how the sprockets are made and the risks of rushing sprocket production. Is Trump apprised of the risks associated with rushing a vaccine? Does he know why they typically go through 3 stages of testing before they are administered to the public? Has he taken the time to consider these risks when pushing for development to occur faster than normal? I sure hope so. He is known and beloved for his kneejerk, of the cuff, "get it done" style, which is fine for building golf courses or sprockets, but it is a slightly different ball of wax when it comes to drugs I think.
Have we seen him actually ignore the risks and order something into production here?

He COULD do that, but we do not know that he WILL do that. People like to speculate on him all the time... but so far we have not had war with China, North Korea, and are extracting ourselves out of other places (See agreement with Taliban this past Saturday.) He may bluster a lot, but if you watch him, the bluster is part of his negotiation technique, it does not seem to be the action that he takes.

Maybe I will be wrong about this and he creates a zombie vaccine that kills us all, but I sure doubt it.
I agree we will not be zombies. I also don't think there will be a vaccine available for a year, maybe slightly under. I'd be shocked (and extremely happy and impressed) if there is a vaccine by August.
redd38
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Mr.Infectious said:



Bend over. MMT is coming soon..... who do you want to take it from, Red team or blue team?

No way can he veto an emergency healthcare bailout once this goes into pandemic panic mode.




A $4.5 million bill?
Ol_Ag_02
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GarlandAg2012 said:

k2aggie07 said:

Gimme a break. I guarantee you if you sat those guys down in a room and said - unlimited budget, fast-track on any regulator requirements, a big pair of shiny scissors to cut red tape - can you shorten the duration?

If they don't say yes they're the wrong person to be in charge.

A day, a week, a month. Every project has slack. Crash it, run multiple things in parallel, get started on items that aren't on the critical path just in case, add resources.

Y'all are acting like this is the Manhattan project or something.
I agree with you, but there are probably good reasons why things take time when it comes to drug development. If he's going order the deployment of a vaccine to millions of Americans shouldn't he be aware of the risks involved in rushing production of it? We just saw what happens when you try to rush the development of a test in the CDC...


So now he's going to order an unproven vaccine to millions of Americans?

You TDS people are certifiable.
OverSeas AG
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Every knee shall bow and every tongue shall confess
I am not friends with school shooters.
cisgenderedAggie
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Tanya 93 said:

OverSeas AG said:

Tanya 93 said:

Furlock Bones said:

in fact, i bet most people on this board have worked for a CEO that constantly pushed project deadlines forward.
How many of them are projects involving human subjects?


Would you let your child be a first to get the vaccine in June?


I get that... but there is nothing wrong with asking the questions, looking to see if there are better faster ways to do things. That doesn't mean you do them or you ignore the risks. But asking the questions SOMETIMES leads to new way of doing things, and sometimes it does not.
And asking the question over and over again when being repeatedly told the same thing doesn't change the time line.

He does seem quite clueless on how this magically can't be produced in a matter of weeks.


Completely disagree. I work in clinical drug development [R&D] and every time I've had the pleasure of interacting with a CEO regarding my projects, this same song and dance happens. Things can be pushed and they know it. Usually they're trying to get someone to be creative and trick them into talking about something that might have a small chance of working. People have a natural tendency to want to deliver when challenged and CEOs tend to know this.

Then that becomes the new deadline and no one sleeps for weeks.
deddog
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GarlandAg2012 said:

It can definitely be pushed. What concerns me is that the CEO of a company generally knows how the sprockets are made and the risks of rushing sprocket production.
So now Trump is CEO of the pharmaceutical companies? He's supposed to know the inner workings of how the pharmaceutical industry work?

And if he does ask any questions "OMG he's stupid"
Give it a rest
If Trump didn't push, you guys would whine that he didn't push them at all.
There's no winning with whiners.
GarlandAg2012
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Ol_Ag_02 said:

GarlandAg2012 said:

k2aggie07 said:

Gimme a break. I guarantee you if you sat those guys down in a room and said - unlimited budget, fast-track on any regulator requirements, a big pair of shiny scissors to cut red tape - can you shorten the duration?

If they don't say yes they're the wrong person to be in charge.

A day, a week, a month. Every project has slack. Crash it, run multiple things in parallel, get started on items that aren't on the critical path just in case, add resources.

Y'all are acting like this is the Manhattan project or something.
I agree with you, but there are probably good reasons why things take time when it comes to drug development. If he's going order the deployment of a vaccine to millions of Americans shouldn't he be aware of the risks involved in rushing production of it? We just saw what happens when you try to rush the development of a test in the CDC...


So now he's going to order an unproven vaccine to millions of Americans?

You TDS people are certifiable.
Sorry, "order the deployment" sounds worse than what I meant. How about "change protocol to fast track", in other words cut corners. Taking some sort of executive action to speed up the development in a way that goes around the usual trial process.
GarlandAg2012
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deddog said:

GarlandAg2012 said:

It can definitely be pushed. What concerns me is that the CEO of a company generally knows how the sprockets are made and the risks of rushing sprocket production.
So now Trump is CEO of the pharmaceutical companies? He's supposed to know the inner workings of how the phameceutical industry work?

Give it a rest
If Trump didn't push, you guys would whine that he didn't push them at all.
There's no winning with whiners.

You're making my point for me. I'm not the one who clapped him on the back for being a good CEO in this situation. I'm saying the same thing as you, he is Chief Executive of the US, but not an experienced pharma CEO so using the same playbook might not be advisable.
AgFan2015
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Thanks Obamacare!!!
AgResearch
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Mr.Infectious said:




I call BS. It takes 2-3 weeks for my insurance (BCBS) to negotiate the bill and send me an EOB. Usually longer when an ER visit is involved. No way they've received a bill if they "just went" and actually have insurance.

Edit: Maybe an HMO?
deddog
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GarlandAg2012 said:



Sorry, "order the deployment" sounds worse than what I meant. How about "change protocol to fast track", in other words cut corners. Taking some sort of executive action to speed up the development in a way that goes around the usual trial process.
I'm pretty sure any US President, Republican or Democrat would do it if they thought it helped.
OverSeas AG
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Every knee shall bow and every tongue shall confess
I am not friends with school shooters.
Ol_Ag_02
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GarlandAg2012 said:

Ol_Ag_02 said:

GarlandAg2012 said:

k2aggie07 said:

Gimme a break. I guarantee you if you sat those guys down in a room and said - unlimited budget, fast-track on any regulator requirements, a big pair of shiny scissors to cut red tape - can you shorten the duration?

If they don't say yes they're the wrong person to be in charge.

A day, a week, a month. Every project has slack. Crash it, run multiple things in parallel, get started on items that aren't on the critical path just in case, add resources.

Y'all are acting like this is the Manhattan project or something.
I agree with you, but there are probably good reasons why things take time when it comes to drug development. If he's going order the deployment of a vaccine to millions of Americans shouldn't he be aware of the risks involved in rushing production of it? We just saw what happens when you try to rush the development of a test in the CDC...


So now he's going to order an unproven vaccine to millions of Americans?

You TDS people are certifiable.
Sorry, "order the deployment" sounds worse than what I meant. How about "change protocol to fast track", in other words cut corners. Taking some sort of executive action to speed up the development in a way that goes around the usual trial process.


Also... changing protocols to fast track doesn't necessarily mean cutting corners.

Have some of you people never worked on a project with a tight deadline before?
flown-the-coop
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Understanding that the flu and coronavirus are from different lineages does not on the surface negate an idea that one drug such as an existing flu vaccine may be effective on both. But Shanked Punt knows all.

My dogs take same anti-anxiety meds I do. What flipping mad scientist thought that would work. Of course, that doc may have just thought "my wife is a beeyatch, so is my female dog. Lets give this a try...".
Rapier108
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flown-the-coop said:

Understanding that the flu and coronavirus are from different lineages does not on the surface negate an idea that one drug such as an existing flu vaccine may be effective on both. But Shanked Punt knows all.
And as we've already seen, drugs used against other viruses, specifically HIV and Ebola, have proven effective at stomping on the Kung Flu.
"If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves." - Sir Winston Churchill
fooz
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Mr.Infectious said:



Bend over. MMT is coming soon..... who do you want to take it from, Red team or blue team?

No way can he veto an emergency healthcare bailout once this goes into pandemic panic mode.


I call BS
Dddfff
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The guy he's quoting is a chicken little with no blue check. Worthless.
OverSeas AG
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Every knee shall bow and every tongue shall confess
I am not friends with school shooters.
JB!98
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Is there a TexAgs thread on Ebola, Zika, H1N1, etc., that I can compare this one to? Were we all going to die back then?
TrustTheAwesomeness
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k2aggie07 said:


A day, a week, a month. Every project has slack. Crash it, run multiple things in parallel, get started on items that aren't on the critical path just in case, add resources.

Y'all are acting like this is the Manhattan project or something.
According to your suggestions, this SHOULD BE the Manhattan Project. Maybe we should also take all of the key scientists and doctors to a secret site in New Mexico to keep them safe....
Rapier108
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JB!98 said:

Is there a TexAgs thread on Ebola, Zika, H1N1, etc., that I can compare this one to? Were we all going to die back then?
Multiple ones on Ebola from the 2014 outbreak.
"If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves." - Sir Winston Churchill
cisgenderedAggie
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It's not that out of the box. Many of them are designed around shared molecular mechanisms, so it's worth a try. Much of clinical drug development is operational, so there's ways to push the timelines...but every project has a critical path that can't be shrunk or optimized any further.

I'm kind of surprised that the response to timeline negotiation didn't result in some discussion about minimizing regulatory barriers to only the most critical (eg, is it worth hanging up this method validation because someone hasn't done all the freeze-thaw and storage stability testing that FDA guidance requires).
Zemira
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I can tell how many of you have worked and haven't worked for a big company in corporate America with a CEO.

Just because Trump keeps asking questions doesn't mean he doesn't understand. He is trying to see if anyone in the room has had a lightbulb moment that might be new, innovative or shorten the timeline. You want American innovation, but not in the government? Hell, the government is a bloated bureaucracy. It could use some innovation and a cut down on delays. This is a critical time for the disease's spread. If he didn't ask if there was more that could be done, if it could be done quicker or something they hadn't thought of, then I would be upset. Yeah he's not an expert on infectious disease and pandemics, but those experts he has are. To make any headway they need to be creative and alot of times people need to be pushed or they play it safe. Without our privatized healthcare system with corporations running the pharmaceutical companies and the medical suppliers do you think we would get the new vaccines that could be ready for testing Ina few weeks? Whichever company manages to find a good vaccine will be able to print money.
OverSeas AG
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Every knee shall bow and every tongue shall confess
I am not friends with school shooters.
TexAgs91
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PJYoung said:

Iran
Quote:

"Frankly, the unwillingness of the Islamic Republic of Iran to restrict large-scale visits to these shrines is criminal in the case of this illness," said Amir A. Afkhami, a medical doctor and historian at George Washington University who has studied the Iranian response to previous epidemics.

"The government is putting religious prestige and public image ahead of public safety," he said of the leadership's overall response. "It is unprecedented even in the annals of the Islamic Republic."

Sid Farkas
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Shanked Punt said:

Yeah, asking if they can just use a "solid flu vaccine" clearly demonstrates he has a solid handle on the science in this matter.
Imagining an alternate universe where a drunk president Hillary is getting a shot of Valium while taking another bite off of her third emotional support burrito of the day...and waxing all scientific about science and stuff
FTAG 2000
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Tanya 93 said:

Furlock Bones said:

in fact, i bet most people on this board have worked for a CEO that constantly pushed project deadlines forward.
How many of them are projects involving human subjects?


Would you let your child be a first to get the vaccine in June?

Depends. Are we talking under current BS 1.5% fatality numbers, or under China weld everyone's doors shut and let it burn out when they all die numbers?

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