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Message
re: Los Angeles municipal health system no longer attempting to contain Coronavirus
Posted on 3/20/20 at 8:42 pm to LSUTigersVCURams
Posted on 3/20/20 at 8:42 pm to LSUTigersVCURams
Yeah I wouldn't bother attempting to contain the flu too.
Posted on 3/20/20 at 8:47 pm to LSUTigersVCURams
Always knew Los Angeles would be the 1st city to fall
Posted on 3/20/20 at 8:49 pm to LSUTigersVCURams
In linked article they blame federal cuts. They even admit cuts started back in 2007-2009 recession and a few years following. How long does a state with the resources & $ of California even with over 40% of its land owned by federal govt (and maintained I guess) take to adapt to cuts that mostly happened almost a decade ago and even attempted to hold a joint hearing on in 2013.
I agree that with restrictions on gatherings, school closures, and so on and no specific treatment testing all just to confirm what doctors can basically diagnose by current spread and ruling out a few things with similar symptoms and treat just like those with confirmation tests doesn't make much sense as long as the patients not critical will follow isolation protocols without an official test. It shouldn't be considered abandoning hope to contain virus or hurting chances to isolate when govts are trying to do this for everyone infected or not. It just seems like planting seeds to blame their next issue with treating patients and then their next and so on.
https://www.latimes.com/california/story/2020-03-20/coronavirus-pandemic-budget-cuts-public-health
I agree that with restrictions on gatherings, school closures, and so on and no specific treatment testing all just to confirm what doctors can basically diagnose by current spread and ruling out a few things with similar symptoms and treat just like those with confirmation tests doesn't make much sense as long as the patients not critical will follow isolation protocols without an official test. It shouldn't be considered abandoning hope to contain virus or hurting chances to isolate when govts are trying to do this for everyone infected or not. It just seems like planting seeds to blame their next issue with treating patients and then their next and so on.
quote:
In 2013, the Assembly and Senate held a joint hearing called “Are We Prepared? Assessing the Status of California’s Emergency Response Capabilities.”
There, a top California Department of Public Health official told lawmakers that local health budgets had been slashed by 30% to 40% in the previous few years.
quote:
State Sen. Richard Pan (D-Sacramento), a physician who now chairs the state Senate Health Committee, recalled at the same hearing how his home county had struggled to respond in 2009 to the H1N1 flu pandemic that killed an estimated 12,500 people in the United States, according to the CDC. He said Sacramento County public health officials told him at the time that many of the health workers who deployed to combat the flu crisis did so shortly after they were given pink slips notifying them that they would soon lose their jobs.
https://www.latimes.com/california/story/2020-03-20/coronavirus-pandemic-budget-cuts-public-health
Posted on 3/20/20 at 8:49 pm to LSUTigersVCURams
quote:
instructed doctors not to bother testing symptomatic patients if a positive result won’t change how they would be treated.
Which makes sense. The testing was more of a statistical need than anything.
Posted on 3/20/20 at 8:54 pm to brass2mouth
quote:
The testing was more of a statistical need than anything.
Not if you were trying to get life back to normal sometime soon. That ship has sailed though.
I’ll say again:
The whole “contain” thing in the thread title is the issue. People want to compare South Korea’s isolation time to see how long we might be “social distancing” but South Korea was testing tens of thousands a day and had an intense program to trace and isolate anybody who might have been in contact with a positive patient. Los Angeles just gave up any artificial hope of a similar effort.
This post was edited on 3/20/20 at 8:56 pm
Posted on 3/20/20 at 8:54 pm to LSUTigersVCURams
The headline and first sentence seem to contradict each other...
Headline: L.A. County gives up on containing coronavirus, tells doctors to skip testing of some patients...and the first sentence “ Los Angeles County health officials advised doctors to give up on testing patients in the hope of containing the coronavirus outbreak”
Headline: L.A. County gives up on containing coronavirus, tells doctors to skip testing of some patients...and the first sentence “ Los Angeles County health officials advised doctors to give up on testing patients in the hope of containing the coronavirus outbreak”
Posted on 3/20/20 at 8:54 pm to brass2mouth
I’m really hoping that it rips through Hollywood with a ferocity not seen since the Bubonic Plague
Posted on 3/20/20 at 8:55 pm to LSUTigersVCURams
How many Italian doctors do they have?
Posted on 3/20/20 at 8:56 pm to bigpapamac
quote:
The whole “contain” thing in the thread title is the issue. People want to compare South Korea’s isolation time to see how long we might be “social distancing” but South Korea was testing tens of thousands a day and had an intense program to trace and isolate anybody who might have been in contact with a positive patient. Los Angeles just gave up any artificial hope of a similar effort.
People wonder why this is under control in South Korea and out of control in Italy.
This is example A.
Posted on 3/20/20 at 9:01 pm to LSUTigersVCURams
quote:
instructed doctors not to bother testing symptomatic patients if a positive result won’t change how they would be treated.
Ok but what if you are required to have a positive COVID test for financial compensation?
If you don’t have that documentation you aren’t getting money.
Posted on 3/20/20 at 9:08 pm to Mr Personality
The homeless population in California is about to get devastated.
Posted on 3/20/20 at 9:08 pm to Tiger1242
quote:
I mean if it’s not going to change treatment, makes sense to me
They are using common sense. We do not have enough tests to test everyone. Maybe we will in the future but not now. They are focusing primarily on the groups at most risk which make sense. Go see your PCP if you aren't feeling good. In the event that they may suspect you could have it, it doesn't change how they treat you. Stay home until you are better. Issue is (outside of having enough tests) a lot of people do the opposite of this and in turn infect others in general when it comes to being ill.
This post was edited on 3/20/20 at 9:35 pm
Posted on 3/20/20 at 9:16 pm to Tigerbait357
quote:
They are using common sense. We do not have enough tests to test everyone. Maybe we will in the future but not now. They are focusing primarily on the groups at most risk which make sense. Go see your PCP if you aren't feeling good. In the event that they may suspect you could have it, it doesn't change how they treat you. Stay home until you are better
You are correct. Problem is we are so far behind the 8-ball in testing that this is the best option we have.
quote:
Issue is a lot of people do the opposite of this and in turn infect others.
Nah the issue is we that we were caught flat footed and have no tests and have zero chance to get proactive like other nations (ie South Korea) have been able to.
Posted on 3/20/20 at 9:18 pm to genuineLSUtiger
quote:
I’m really hoping that it rips through Hollywood with a ferocity not seen since the Bubonic Plague
Only if you promise it'll make a u-turn across the country and tear through Appalachia next.
Posted on 3/21/20 at 7:37 am to Tiger1242
Q posted several times "Rigged for Red". These tests could be rigged to show false positives, and even if they are not rigged, as someone said, if you get sick stay home.
Posted on 3/21/20 at 7:39 am to LSUTigersVCURams
So L.A. goes back to normal and we get to see how that plays out in one of the largest cities.
Posted on 3/21/20 at 8:15 am to LSUTigersVCURams
quote:This is how you get a high CFR, only testing the most problematic cases.
not to bother testing symptomatic patients if a positive result won’t change how they would be treated
Imagine if we only did a flu swab on the elderly and those already hospitalized. The flu would look like the plague.
This post was edited on 3/21/20 at 8:24 am
Posted on 3/21/20 at 8:55 am to Ronaldo Burgundiaz
quote:I ran the numbers to further drive this point home.
Imagine if we only did a flu swab on the elderly and those already hospitalized. The flu would look like the plague.
CDC estimates 12,000 - 61,000 deaths per year and 140,000 - 800,000 hospitalizations per year due to the flu.
Since we know that the CDC likes pimping these numbers, we will take the minimum estimate for deaths and a middle of the road for hospitalizations.
12,000/400,000 = 3% CFR
Folks, if we tested the flu like we are testing CV19, the numbers would be practically the same.
Posted on 3/21/20 at 8:55 am to LSUTigersVCURams
Yes, while Vanderbilt continues to test 1000 per day. They need no more epidemiologic data wHile other parts of the country are starving for supply.
Posted on 3/21/20 at 9:59 am to genuineLSUtiger
quote:
We are transitioning to a more Soviet style economy. More central control and vastly reduced small business ownership. We are trending third world across a range of metrics
Pull your fricking tampon out, jesus.
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