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re: Coronavirus Disease 2019 (COVID-19) ***W.H.O. DECLARES A GLOBAL PANDEMIC***

Posted on 5/20/20 at 1:37 pm to
Posted by AbuTheMonkey
Chicago, IL
Member since May 2014
8712 posts
Posted on 5/20/20 at 1:37 pm to
quote:


Routine cancer screenings have plummeted during the pandemic, medical records data show

This is (actual) bad news.

quote:
Appointments for screenings for cancers of the cervix, colon, and breast were down between 86% and 94% in March


A good friend of mine is a geriatrician at a major system here in Chicago. She has been overwhelmed with this sort of thing over the last 8 weeks. Undetected heart attacks, cancer progression, etc.
Posted by wdhalgren
Member since May 2013
5641 posts
Posted on 5/20/20 at 1:45 pm to
quote:

That's literally my point. It's the way that it should work.


Maybe find some other place to house the positive nursing home patients who aren't sick enough for regular hospital care. China built completely new facilities, but in the US it's probably more practical to adapt existing structures that aren't seeing heavy use right now. Like hotels, convention centers, sports arenas, etc. They could monitor patients there until no longer infectious, or transfer to hospital if they got sicker.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/20/20 at 1:46 pm to
quote:

but it would not appear that Sweden is anywhere near herd immunity.


Are you sure we know where here immunity is with this virus? I don’t think we can say because we don’t know what percentage of the population is naturally immune.

Cases have obviously leveled off in Sweden. So is that all social distancing? Even though they aren’t as social distances as we are yet show the same general trend.
Posted by MikeD
Baton Rouge
Member since Jan 2004
8579 posts
Posted on 5/20/20 at 1:48 pm to
quote:

Are you sure we know where here immunity is with this virus? I don’t think we can say because we don’t know what percentage of the population is naturally immune.


Exactly my thoughts. It could be that vast majority of people just are not susceptible.
Posted by AmosMosesAndTwins
Lake Charles
Member since Apr 2010
19015 posts
Posted on 5/20/20 at 1:48 pm to
quote:

Maybe find some other place to house the positive nursing home patients who aren't sick enough for regular hospital care. China built completely new facilities, but in the US it's probably more practical to adapt existing structures that aren't seeing heavy use right now. Like hotels, convention centers, sports arenas, etc. They could monitor patients there until no longer infectious, or transfer to hospital if they got sicker.



Or they could employ iso units in-house which is exactly what we’re doing.
Posted by Ronaldo Burgundiaz
NWA
Member since Jan 2012
6795 posts
Posted on 5/20/20 at 1:53 pm to
Interesting timeline comparing cases of SARS 2003 with the current SARS:



Since SARS 2003 is the closest comparison we have, the second wave in winter of 2003-2004 was much smaller than the initial wave. Not a prognostication, but relevant information given how similar they are.
Posted by wdhalgren
Member since May 2013
5641 posts
Posted on 5/20/20 at 1:56 pm to
quote:

Or they could employ iso units in-house which is exactly what we’re doing.


That works too, but ideally the staff, housing structures, including amenities, laundry, food prep, dining, pharmacy and so forth, would be physically separate from Covid negative population.
This post was edited on 5/20/20 at 1:57 pm
Posted by ell_13
Member since Apr 2013
88267 posts
Posted on 5/20/20 at 2:24 pm to
quote:

quote:

Y’all want to save the most lives?

Take steps to protect the elderly. As far as the rest of us, there’s no reason we shouldn’t be able to go about things as usual taking steps we would normally take if we caught a virus. Stay home and chill till it’s over. Wash hands. Etc. that alone keeps this thing from killing hundreds of thousands which is apparently what every panicked bitch seems to think.
This is comical. You and The Boat think you’re smarter than people who have dedicated their entire life to studying infectious diseases. Peak Tigerdroppings.

This is where I get to repost everything from 10 weeks ago when i got a ton of responses like this.
Posted by SloaneRanger
Upper Hurstville
Member since Jan 2014
14204 posts
Posted on 5/20/20 at 6:37 pm to
quote:

So all the stuff about Sweden having 20% antibodies, etc. was completely wrong. In the capital, where the epidemic has been the worst, the antibody level was tested at 7.3%.



I find that hard to believe. Didn't Oschner determine that more than 8% of the population of Louisiana had the antibodies?

If this is true, what does it say about the lockdown strategy? Sweden stays open and only 7% in its largest city get infected. We shut it down and we have parts of NYC at 30%+.
Posted by Ronaldo Burgundiaz
NWA
Member since Jan 2012
6795 posts
Posted on 5/20/20 at 6:47 pm to
quote:

If this is true, what does it say about the lockdown strategy? Sweden stays open and only 7% in its largest city get infected. We shut it down and we have parts of NYC at 30%+.
That study was conducted in early April. At that time, their confirmed cases was at 9,000. They currently sit at close to 32,000 confirmed cases. Very roughly, you could extrapolate they are at 21ish% now.
This post was edited on 5/20/20 at 6:48 pm
Posted by tiger91
In my own little world
Member since Nov 2005
40251 posts
Posted on 5/20/20 at 7:40 pm to
“Ideally” isn’t always possible.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/20/20 at 7:52 pm to
LINK

This study shows exactly what I have been thinking!

They first tested asymptomatic healthcare workers and found positive asymptomatic cases on nasal swab. Next, they went back and tested for antibodies. Only 25% of those asymptomatic patients developed antibodies despite effectively defeating the virus!

This means the antibody studies are likely under representing how many people have been infected or were exposed and brushed it off without developing antibodies.

BIG BIG news.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 5/20/20 at 7:57 pm to
You should have antibodies if you’re shedding virus. You didn’t “defeat” it in that sense. Something is fricky
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/20/20 at 8:02 pm to
quote:

You should have antibodies if you’re shedding virus. You didn’t “defeat” it in that sense. Something is fricky


This study was done in Birmingham. This isn’t a preprint out of China.

I agree it seems strange, but don’t you think it’s possible T cell immunity could be eliminating the virus before a humoral response can even happen? Or perhaps it occurs at levels that aren’t being detected by the test.
Posted by Sasquatch Smash
Member since Nov 2007
25958 posts
Posted on 5/20/20 at 8:02 pm to
quote:

You should have antibodies if you’re shedding virus. You didn’t “defeat” it in that sense. Something is fricky



What about that South Korean report showing that previously infected people that test positive for a second time aren’t shedding infectious virus?
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 5/20/20 at 8:19 pm to
But your tcells didn’t really defeat it if it got a hold enough to cause shedding

It’s possible as the other poster is alluding that you still shed non infectious rna for weeks after “infection” but it still kinda begs the question how long does it take for that process to occur?

I’m worried about false positives/negatives in the assays
This post was edited on 5/20/20 at 8:20 pm
Posted by GOP_Tiger
Baton Rouge
Member since Jan 2005
21138 posts
Posted on 5/20/20 at 8:24 pm to
quote:

hat study was conducted in early April. At that time, their confirmed cases was at 9,000. They currently sit at close to 32,000 confirmed cases. Very roughly, you could extrapolate they are at 21ish% now.


LINK

I wish I could find an exact date, but this news story says "late April," so I don't think that you're correct.
Posted by Ronaldo Burgundiaz
NWA
Member since Jan 2012
6795 posts
Posted on 5/20/20 at 8:43 pm to
Re: Efficacy of lockdowns:

On April 30, FiveThirtyEight published this article as part of a series polling infectious-disease researchers from institutions around the United States about various coronavirus-related topics.

In light of the Georgia reopening move, they asked 17 experts how many cases the state would have per day for the week ending May 16.

quote:

The consensus forecast of 1,044 new confirmed cases per day in two weeks suggests that Georgia will see a substantial worsening of the virus’s spread as a result of reopening. The daily number of new confirmed cases is forecast [with 90% confidence] to be somewhere between 579 and 2,292, with six experts indicating that an increase to 2,000 or more new cases a day is plausible.


Georgia's COVID-19 Daily Status Report ( LINK)shows, as of the time I'm writing this, average per day week ending May 16: 492

The average - less than half as much as the consensus forecast - was even outside the 90% confidence interval of the expert forecast. It might be tempting to throw out the May 10 number as an outlier, but weekend lulls are absorbed by testing during the week. it's not an outlier, it's a consistent part of the bigger picture - the weekend numbers are low each week.

FiveThirtyEight also asked them to predict what the numbers would be for the same week if Georgia had remained under the stay home order:

quote:

Experts believe that the spread of COVID-19 could have been reduced had Georgia not relaxed its stay-at-home order. Under this scenario, experts predicted that Georgia would have seen only 487 new cases per day for the week ending on May 16, a reduction of more than 50 percent in new daily cases compared with the estimates in the open regime.

There was also less uncertainty among experts in their predictions for Georgia’s new daily cases in the world where Georgia did not relax stay-at-home orders. Experts would have expected between 273 and 1,156 new cases per day, representing a spread half as large as the one for the new-case forecast without the stay-at-home orders.


Georgia's real numbers (admittedly preliminary at this point) while open are almost dead on for the expert predictions for a continued lockdown - 492 vs 487.

Credit is not mine. It goes to one of the few sane Redditors left.
This post was edited on 5/20/20 at 8:44 pm
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/20/20 at 8:44 pm to
quote:

But your tcells didn’t really defeat it if it got a hold enough to cause shedding


You don’t think it’s possible that the T cells could contain the infection to the pharynx and result in such a mild infection that the amount of antibodies you produce aren’t detectable?

That would be “defeating” the virus aka surviving.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 5/20/20 at 8:47 pm to
Tcells defeating the virus to me means it infected very few cells and shed almost no new infectious material and overtook very little cellular machinery. Opsonization never occurred because no, or very few, cells expressed the “I’m fricking infected” markers.

I am not an immunologist by any stretch but I wouldn’t consider any infection lasting longer than a few hours to a day as “defeating” the virus.
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