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

This is the most serious disease outbreak of our generations and there are too many retards that refuse to believe it.

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It is an anecdote to you because you haven’t read up about a lot more cases out there like him.

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There haven’t been a lot more cases out there like him.

WHO says that a sore throat and runny nose are atypical symptoms of covid-19

Only 5% of people with it report those symptoms

The main symptoms are cough and fever. Yes

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This is the most serious disease outbreak of our generations and there are too many retards that refuse to believe it.

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*sigh*

And the other side of the coin are those who are pushing and believe statements like “it will kill half a million people”.

This isn’t an apocalypse.

Because there’s capacity for the flu. This adds to that capacity, sure. And the strain on hospitals is a valid concern because of that. So how do you deal with it? Wash your hands as much as you should have been doing. Go about your daily life otherwise. Have the hospitals get ready for more people to deal with using risk assessments which they already do so it won’t be something new to them to perform another one. Address the risks.

Going back to my point... What this guy did doesn’t make him an a-hole. He doesn’t deserve to be sued. He doesn’t deserve to be doxed.

Put it this way. If my six year old has a cough with no other symptoms but my overreacting wife calls a hotline and we are “asked” to stay home for 14 days without leaving and get him tested... I’m leaving. Call me selfish. I don’t care. If after the test he’s positive (since the symptoms vary so much right?), then sure I’ll stay home to protect friends and coworkers.

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This is the most serious disease outbreak of our generations and there are too many retards that refuse to believe it.

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People just wont react until it reaches their communities.

When it hasnt effected you directly, you can throw every excuse out there. Oh, China is a 3rd world country. Oh, China has a high smoking population. Oh, China has the worst air pollution in the world. Then it hits Italy. Oh, Italy has an older population. Oh, Italy may be more 1st world but they dont have the healthcare system that other western countries. The excuses are running out and its in America now. Those people wont have the excuses when people they are close to are dying.

From an ID conference in California

3/8/2020

“Notes from the front lines:
I attended the Infectious Disease Association of California (IDAC) Northern California Winter Symposium on Saturday 3/7. In attendance were physicians from Santa Clara, San Francisco and Orange Counties who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases. Also present was the Chief of ID for Providence hospitals, who has 2 affected Seattle hospitals under his jurisdiction. Erin Epson, CDPH director of Hospital Acquired Infections, was also there to give updates on how CDPH and CDC are handling exposed health care workers, among other things. Below are some of the key take-aways from their experiences.

1. The most common presentation was one week prodrome of myaglias, malaise, cough, low grade fevers gradually leading to more severe trouble breathing in the second week of illness. It is an average of 8 days to development of dyspnea and average 9 days to onset of pneumonia/pneumonitis. It is not like Influenza, which has a classically sudden onset. Fever was not very prominent in several cases. The most consistently present lab finding was lymphopenia (with either leukocytosis or leukopenia). The most consistent radiographic finding was bilateral interstitial/ground glass infiltrates. Aside from that, the other markers (CRP, PCT) were not as consistent.

2. Co-infection rate with other respiratory viruses like Influenza or RSV is <=2%, interpret that to mean if you have a positive test for another respiratory virus, then you do not test for COVID-19. This is based on large dataset from China.

3. So far, there have been very few concurrent or subsequent bacterial infections, unlike Influenza where secondary bacterial infections are common and a large source of additional morbidity and mortality.

4. Patients with underlying cardiopulmonary disease seem to progress with variable rates to ARDS and acute respiratory failure requiring BiPAP then intubation. There may be a component of cardiomyopathy from direct viral infection as well. Intubation is considered “source control” equal to patient wearing a mask, greatly diminishing transmission risk. BiPAP is the opposite, and is an aerosol generating procedure and would require all going into the room to wear PAPRs.

5. To date, patients with severe disease are most all (excepting those whose families didn’t sign consent) getting Remdesivir from Gilead through compassionate use. However, the expectation is that avenue for getting the drug will likely close shortly. It will be expected that patients would have to enroll in either Gilead’s RCT (5 vs 10 days of Remdesivir) or the NIH’s “Adaptive” RCT (Remdesivir vs. Placebo). Others have tried Kaletra, but didn’t seem to be much benefit.

6. If our local MCHD lab ran out of test kits we could use Quest labs to test. Their test is 24-48 hour turn-around-time. Both Quest and ordering physician would be required to notify Public Health immediately with any positive results. Ordering physician would be responsible for coordinating with the Health Department regarding isolation. Presumably, this would only affect inpatients though since we (CHOMP) have decided not to collect specimens ordered by outpatient physicians.

7. At facilities that had significant numbers of exposed healthcare workers they did allow those with low and moderate risk exposures to return to work well before 14 days. Only HCW with highest risk exposures were excluded for almost the full 14 days (I think 9 days). After return to work, all wore surgical masks while at work until the 14 days period expired. All had temperature check and interview with employee health prior to start of work, also only until the end of the 14 days. Obviously, only asymptomatic individuals were allowed back.

8. Symptom onset is between 2-9 days post-exposure with median of 5 days. This is from a very large Chinese cohort.

9. Patients can shed RNA from 1-4 weeks after symptom resolution, but it is unknown if the presence of RNA equals presence of infectious virus. For now, COVID-19 patients are “cleared” of isolation once they have 2 consecutive negative RNA tests collected >24 hours apart.

10. All suggested ramping up alternatives to face-to-face visits, tetemedicine, “car visits”, telephone consultation hotlines.

11. Sutter and other larger hospital systems are using a variety of alternative respiratory triage at the Emergency Departments.

12. Health Departments (CDPH and OCHD) state the Airborne Infection Isolation Room (AIIR) is the least important of all the suggested measures to reduce exposure. Contact and droplet isolation in a regular room is likely to be just as effective. One heavily affected hospital in San Jose area is placing all “undifferentiated pneumonia” patients not meeting criteria for COVID testing in contact+droplet isolation for 2-3 days while seeing how they respond to empiric treatment and awaiting additional results.

Feel free to share. All PUIs in Monterey Country so far have been negative.”

Martha L. Blum, MD, PhD

Shortness of breath for sure

If you have any members that are at particular high risk such as COPD, very elderly, cardiovascular disease, immune compromised, etc...

I would invest in a oxygen saturation meter (aka pulse oximeter). They are maybe $15 at the pharmacy. If they have shortness of breath monitoring the oxygen saturation is also another data point to tell you their status. If it starts dropping they need to get to the hospital ASAP.

If you want more info just let me know

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Put it this way. If my six year old has a cough with no other symptoms but my overreacting wife calls a hotline and we are “asked” to stay home for 14 days without leaving and get him tested... I’m leaving. Call me selfish. I don’t care. If after the test he’s positive (since the symptoms vary so much right?), then sure I’ll stay home to protect friends and coworkers.

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To clarify, you have a cough and traveled to a hot zone like Italy or China. You left out that key part. That is where his child was when she developed the cough.

CivilTiger I'm not him BUT I'd say from what I've read here cough and increased difficulty breathing.