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

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scottimus
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AG
TexAgs91 said:

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."


Exactly.

Let the prophecies be fulfilled!
beanbean
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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?
Yes. There was an ebola one for sure with full panic mode.
VaultingChemist
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Coronavirus Outbreak

Quote:

The 19 firefighters who showed symptoms of "having a serious exposure to a confirmed COVID-19 patient" in King County, Washington, have been moved to isolation, according to Doug Stern, president of the International Association of Fire Fighters.

These 19 firefighters are part of the 25 CNN reported earlier were in quarantine after responding to calls at the Life Care Center nursing facility. All are firefighters with the Kirkland Fire Department.The remaining firefighters will remain in quarantine.
The Fall Guy
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Go to PM for these discussions my brain doesn't understand!!
Rapier108
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Intel, Twitter, Facebook, and Mashable have all pulled out of SXSW.

https://cbsaustin.com/news/local/intel-latest-tech-giant-backing-out-of-sxsw-over-coronavirus-travel-concerns

https://www.fox7austin.com/news/mashable-drops-out-of-sxsw-due-to-coronavirus-concerns

None of these appear to be due to the person being tested as the companies were already scaling back other event participation over 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
unimboti nkum
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I would recommend everyone read the rest of the article. You'll note that he's told the time tables multiple times, then when making statements later, appears as though he either didn't listen or forgot what he was told.


Quote:

What's remarkable about these exchanges is that Fauci has explained all of this in front of Trump and publicly. At a White House briefing on Thursday, Fauci laid out a detailed timetable for clinical testing and concluded, "So although this is the fastest we have ever gone from a sequence of a virus to a trial, it still would not be applicable to the epidemic unless we really wait about a year to a year and a half."

Trump on Monday eventually relented and set the goal posts at about a year from now. "So can you have it ready for next season, any of you?" he asked. "I mean, would you say, for the next season?"

Several CEOs said they hoped to, but Paul Stoffels, Johnson & Johnson's chief scientific officer, stepped in to clarify, saying: "Yeah. But, like many people said, we have to be very careful here. If you vaccinate several hundred million people "

"You've got to make sure it works," Trump said.

"Works and is safe," Stoffels said. "Yeah."

"And it doesn't hurt," Trump said. "Right."

Eventually, Trump turned to the efficacy of the potential vaccines, and again he seemed unfamiliar with how much is known at this point. He mentioned that seasonal flu vaccines are different every year, but that they are often somewhat ineffective.

"And yet, I hear numbers that are better than that with respect to corona," Trump said. "You think you can really knock it out and that's because you know specifically what it is, I suspect. So that's impressive."

Schleifer clarified that there's still so much that is unknown. And that's when Trump asked about whether they could just use the flu vaccine.

"But the same vaccine could not work?" he said. "You take a solid flu vaccine you don't think that would have an impact or much of an impact on corona?"

"No," Schleifer replied.

"Probably not," Fauci added.

Soon, Trump returned to his preferred months-long timetable. Asked by a reporter whether he's comfortable with this taking longer than that, Trump again sounded as though he hadn't heard everything the CEOs and experts had just told him.

"I don't think they know what the time will be," Trump said. "I've heard very quick numbers a matter of months and I've heard pretty much a year would be an outside number."



Again, Fauci had said a year to 18 months.

"But if you're talking about three to four months, in a couple of cases, and a year in other cases wouldn't you say, doctor, would that be about right?" Trump said.

When a reporter pressed on whether Trump really thought the months-long timetable was viable for a vaccine, Fauci cut in. And he actually asked that the president be educated on the timetable despite it having been told to him repeatedly.

"Would you make sure you get the president the information that a vaccine that you make and start testing in a year is not a vaccine that's deployable," Fauci said. "So he's asking the question, 'When is it going to be deployable?' And that is going to be, at the earliest, a year to a year and a half, no matter how fast you go."

Trump, though, was still skeptical.


"Do you think that's right?" he asked.

Azar emphasized that treatments but not vaccines could be available sooner, and Trump suddenly seemed more interested in that.

"Well, I think treatment, in many ways, might be more exciting," Trump said, adding: "So the treatment, I mean, just for the media so the treatment element of it goes faster than the vaccine element of it, which, in my opinion, in this case, would be better."
Soso nikinombiki maaki dii.
Rapier108
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VaultingChemist said:


The cruise ship seems like it was a safer place than that nursing home.

Thankfully all of the first responders who might have been exposed have been isolated for a while.
"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
Eric Forman
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I'm not gonna lie, it's rather entertaining watching you Republican and Democrats go at each other. Couple that with the utter Democrat meltdown lately and 2020 has been far more entertaining than I deserve. I might actually pop some popcorn.
samurai_science
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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...
We already know some of these vaccines for SARs related viruses make those who taken them MORE susceptible to the virus.


That's why you have to be careful
FamousAgg
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cisgenderedAggie said:

Virus is too small for a surgical mask to filter out, that much is true. Surgical masks are for keeping your sputum in.


The problem with the surgical mask isn't the size of holes in the material but that it doesn't seal against the face. The air will take the path of least resistance which is around any gaps in the material.

The N95 should seal much better and force the air to flow through the material. Yes, the virus is smaller than the material can filter, but the virus isn't crawling through the mask material, it would likely contaminate the outside of the mask.

No I'm not wearing either one, or recommending anyone wear them other than healthcare professionals at this time.
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FTAG 2000
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unimboti nkum said:

I would recommend everyone read the rest of the article. You'll note that he's told the time tables multiple times, then when making statements later, appears as though he either didn't listen or forgot what he was told.


Quote:

What's remarkable about these exchanges is that Fauci has explained all of this in front of Trump and publicly. At a White House briefing on Thursday, Fauci laid out a detailed timetable for clinical testing and concluded, "So although this is the fastest we have ever gone from a sequence of a virus to a trial, it still would not be applicable to the epidemic unless we really wait about a year to a year and a half."

Trump on Monday eventually relented and set the goal posts at about a year from now. "So can you have it ready for next season, any of you?" he asked. "I mean, would you say, for the next season?"

Several CEOs said they hoped to, but Paul Stoffels, Johnson & Johnson's chief scientific officer, stepped in to clarify, saying: "Yeah. But, like many people said, we have to be very careful here. If you vaccinate several hundred million people "

"You've got to make sure it works," Trump said.

"Works and is safe," Stoffels said. "Yeah."

"And it doesn't hurt," Trump said. "Right."

Eventually, Trump turned to the efficacy of the potential vaccines, and again he seemed unfamiliar with how much is known at this point. He mentioned that seasonal flu vaccines are different every year, but that they are often somewhat ineffective.

"And yet, I hear numbers that are better than that with respect to corona," Trump said. "You think you can really knock it out and that's because you know specifically what it is, I suspect. So that's impressive."

Schleifer clarified that there's still so much that is unknown. And that's when Trump asked about whether they could just use the flu vaccine.

"But the same vaccine could not work?" he said. "You take a solid flu vaccine you don't think that would have an impact or much of an impact on corona?"

"No," Schleifer replied.

"Probably not," Fauci added.

Soon, Trump returned to his preferred months-long timetable. Asked by a reporter whether he's comfortable with this taking longer than that, Trump again sounded as though he hadn't heard everything the CEOs and experts had just told him.

"I don't think they know what the time will be," Trump said. "I've heard very quick numbers a matter of months and I've heard pretty much a year would be an outside number."



Again, Fauci had said a year to 18 months.

"But if you're talking about three to four months, in a couple of cases, and a year in other cases wouldn't you say, doctor, would that be about right?" Trump said.

When a reporter pressed on whether Trump really thought the months-long timetable was viable for a vaccine, Fauci cut in. And he actually asked that the president be educated on the timetable despite it having been told to him repeatedly.

"Would you make sure you get the president the information that a vaccine that you make and start testing in a year is not a vaccine that's deployable," Fauci said. "So he's asking the question, 'When is it going to be deployable?' And that is going to be, at the earliest, a year to a year and a half, no matter how fast you go."

Trump, though, was still skeptical.


"Do you think that's right?" he asked.

Azar emphasized that treatments but not vaccines could be available sooner, and Trump suddenly seemed more interested in that.

"Well, I think treatment, in many ways, might be more exciting," Trump said, adding: "So the treatment, I mean, just for the media so the treatment element of it goes faster than the vaccine element of it, which, in my opinion, in this case, would be better."


As we've covered, CEO doing CEO things. He's pushing them to do better, to find out what they need from him to shorten the runway.

How many of the same lib shill talking head articles stating the same thing differently are you going to post? Don't politic this informative thread up please, take your Trump attacks elsewhere.
Ol_Ag_02
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Hillary would have this under control by now.
ntxVol
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Rapier108 said:

VaultingChemist said:


The cruise ship seems like it was a safer place than that nursing home.

Thankfully all of the first responders who might have been exposed have been isolated for a while.
It is crazy to me how this thing just pops up in seemingly random places. Next thing you know, we will have 700 cases tied to this one place.

gonemaroon
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It's wrecking havoc on elderly with conditions - this is a real shame.
Emotional Support Cobra
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I might get some of my social security after all!
deddog
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AG 2000' said:



As we've covered, CEO doing CEO things. He's pushing them to do better, to find out what they need from him to shorten the runway.

How many of the same lib shill talking head articles stating the same thing differently are you going to post? Don't politic this informative thread up please, take your Trump attacks elsewhere.
One warning for that user, and repeated the same post like a parrot.
Ag2000, put that user on Permanent Ignore, and please don't quote :-)
cone
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more info seems to be seeping out today:

- not airborne or not a major factor in spread

- fomite and droplet spread. and the thing that makes this so damn pesky is that it lasts longer on surfaces than you think

- this is good because it means hand washing and social distancing and mitigation practices can work and would not necessary crater the economy. i think demand will still go low out of paranoia and businesses will have to show that they are disinfecting their surfaces daily.

- it's not as infectious as we once thought (coming out of Wuhan). the R0 might be sub 2.0

- the attack on close contacts was much less in casual settings and only 10% in family settings over two weeks

- my read on this is that population density and mass transit and general hygiene without early mitigation actions is what drives this thing to outbreak

- large gatherings and events will absolutely need to be cancelled

i hope i'm not being too upbeat. effectively, this is like a cross between the stomach flu and the regular flu that is +10x more likely to kill you and +10x more likely to send you to the hospital for pneumonia

so it's still bad and we're going to spend a long time untangling this knot, but it's potentially less catastrophic if we treat it with respect.
IrishTxAggie
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Emotional Support Cobra said:

I might get some of my social security after all!
That's morbid... but I did chuckle
IrishTxAggie
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Appreciate your, what appears to be, solid understanding and knowledge of this. You come off unbiased and cover the good with the bad
cisgenderedAggie
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cone said:

more info seems to be seeping out today:

- not airborne or not a major factor in spread

- fomite and droplet spread. and the thing that makes this so damn pesky is that it lasts longer on surfaces than you think

- this is good because it means hand washing and social distancing and mitigation practices can work and would not necessary crater the economy. i think demand will still go low out of paranoia and businesses will have to show that they are disinfecting their surfaces daily.

- it's not as infectious as we once thought (coming out of Wuhan). the R0 might be sub 2.0

- the attack on close contacts was much less in casual settings and only 10% in family settings over two weeks

- my read on this is that population density and mass transit and general hygiene without early mitigation actions is what drives this thing to outbreak

- large gatherings and events will absolutely need to be cancelled

i hope i'm not being too upbeat. effectively, this is like a cross between the stomach flu and the regular flu that is +10x more likely to kill you and +10x more likely to send you to the hospital for pneumonia

so it's still bad and we're going to spend a long time untangling this knot, but it's potentially less catastrophic if we treat it with respect.


Are there any links to data for these? If not, can you share where this comes from? The first and only time I've seen the definitive statement on nonairborne and lower R0 is from that WHO twitter post, just stated with no supporting information.
cone
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i hope i'm right

it does seem like this thing can absolutely get loose in confined spaces with very sick people quickly if those helping the sick don't have adequate PPE

that was a big story out of Wuhan and look at the old folks home and the firefighters

i hope people will becoming increasingly paranoid about sick people

sick people need to self-quarantine and get tested
VaultingChemist
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Another nursing home....
Zemira
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IrishTxAggie said:

Emotional Support Cobra said:

I might get some of my social security after all!
That's morbid... but I did chuckle
I think the whole thread has a morbid vibe.

Personally with the advent of modern healthcare we have managed to hold off any major pandemics since the Spanish Flu and people are living so much longer into their 80s and 90s. I think we are probably about 50-60 years past due for a major pandemic.
cone
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cisgenderedAggie
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Thank you!
cone
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here's the deal. i think we can get this thing closer and closer to sub 1 with discipline, global instant communication, inconvenience, and accepted economic losses.

we can, but will we?
The Fall Guy
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Just ate at a Thai place in Austin.

Totally empty. I asked the owner and said people are not eating at Asian restaurants as much during this virus.

Well my son and I had a wonderful dinner.

Go support your local restaurants and stop being a twit
Eric Forman
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I guess this is where I don't understand. I thought that the R0 was essentially a simple metric to measure the transmission rate and generally speaking a value close to or below 1 wouldn't be considered pandemic levels. Up until today, the CFR coupled with a R0 made this thing kinda scary. Now, I don't know. Obviously I'm misunderstanding, so I'very open to someone pointing me to a reference or simply explaining how critical this value is in the grand scheme of things. Up to this point I thought it was more important than what it appears now. Basically, given all the updated #'s, I'm now struggling to understand how this explains the quarantines and their necessity.
Nuclear Scramjet
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scottimus
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The Fall Guy said:

Just ate at a Thai place in Austin.

Totally empty. I asked the owner and said people are not eating at Asian restaurants as much during this virus.

Well my son and I had a wonderful dinner.

Go support your local restaurants and stop being a twit
User name checks out...
aggiepanic95
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Nuclear Scramjet said:





And that would be.......?
cone
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well that's the thing. they initially thought it was R0 of 6.0 and airborne like the measles.

it's probably closer to norovirus in spread

R0 and IFR are pretty much the levers of severity. (if fingers crossed not as airborne as first suspected) we can control R0 through hygiene and social distancing and in the worst cases mass quarantine. we can attempt to control IFR via treatment protocols and vaccines and antivirals.

we don't have a lot of ammo against IFR and this thing tears through the older cohort like a buzz saw.

we do have a lot of ammo against R0 but it can come at significant economic cost

so it's not hopelessly grim, but there's going to be a lot of dead older folks and a lot of economic loss before this is done.

it's not zombie apocalypse, but it's going to be an asswhip. at least, that's what i'm hopeful for.
txaggie_08
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aggiepanic95 said:

Nuclear Scramjet said:





And that would be.......?

Look at South Korea.
cisgenderedAggie
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UncoverAg00 said:

I guess this is where I don't understand. I thought that the R0 was essentially a simple metric to measure the transmission rate and generally speaking a value close to or below 1 wouldn't be considered pandemic levels. Up until today, the CFR coupled with a R0 made this thing kinda scary. Now, I don't know. Obviously I'm misunderstanding, so I'very open to someone pointing me to a reference or simply explaining how critical this value is in the grand scheme of things. Up to this point I thought it was more important than what it appears now. Basically, given all the updated #'s, I'm now struggling to understand how this explains the quarantines and their necessity.


Not an epidemiologist, but...

R0 is almost certainly some kind of population statistic and a representation of nothing more than observed pattern. As such, it's value is going to fluctuate, and likely completely change as more data are available. I also don't think it's representative of any kind of fixed physiological processes. Also as such, it's almost certainly going to be confounded by environmental, behavioral, and circumstantial factors.

To cone's point, it's probably not suggestive that every thing is peachy. Just that there are things that can be made manageable, even without pharmacological interventions.
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