General / Off-Topic The safest place

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I doubt most people know what triage is, understand why it's done, or how it's a best practice when trying to save lives with limited resources.
However, this poses a huge ethical problem for the doctors who are forced to make choices.

I saw in interviews.
 
Plenty of things aren't needed, until they are, and a little knowledge can go a long way toward prevention of both underlying causes and of panic/outrage if that fails.

It's going to be a real shock to a lot of people once they realize that those who they perceive as needing help the most are left to drown in their own mucus in a hallway precisely because they are in worse shape than someone else who also qualifies for oxygen or a ventilator.

My in-laws are, predominantly, rural working-class people with not enough sense or education to make heads or tails of what's going on now. My surviving grandmother in-law, who was a long time smoker and is missing a lung due to cancer, is still going out and shopping like this is all some grand overreaction and nothing is wrong. She's likely to get sick and if she gets sick, she's likely to not do well. If there is any shortage of ICU beds, she is going to the bottom of the list to make room for someone more likely to survive. If she dies because of this, there will be a whole clan of well-armed people who are going to think this triage thing is some sort of conspiracy against them, or proof of medical malfeasance.

I find it difficult to condemn people for not giving the authorities information and pressuring them to do is going to result in a lot of people never showing up to any hospital at all, unless they are dragged in.

Well, that was not what I meant. I assumed the suggestion was to read-up on triage to know the various methods and approaches that have been used in the past. Honestly, I know little to nothing about triage. However, the concept of 'when resources are limited you're gonna have to make a choice, and you're probably not going to spend it on the weakest and least likely to survive.' is so incredibly obvious that I am familiar with that. But that isn't so much about studying internet resources as, well (and no offense intended) common sense.
 
This is news to me, and I agree that it's troubling. Something that has characterized the spread and statistics of the virus form country to country is its unpredictability and anomalous behavior from region to region, culture to culture.

Reports so far are similar in NL, FR and IT. This is not so much about variance, and I can assure you plenty of <50YO will require hospitalization in the US. Unfortunately. Some puzzling is why English media are not picking up on this, because there is plenty about this in Dutch, French and Italian media. My Spanish blows balls so I can't speak for that, maybe a spanish community member here knows more?

Do not get any illusions !

In times of health war, we must all stand together, but when the epidemic is over, you will once again be the public enemy No. 1

:D

Lets hope that is the case. I am reading a lot on various national forums. I see a lot of Americans gloating about the catastrophy caused by 'filthy, snobby and elitist europeans who dont respect America' and a lot of pre-emptive gloating from Europeans who cannot wait to rub the nose of the American people in the approaching disaster because they 'should have listened to their warnings about Trump'.

At this point I hope that Europe, after it recovers, immediately shifts gears to aid the US. Just like Asia immediately shift gears to help Europe when they dealt with it. It isnt much reported in western media, but when all of it started in Wuhan Taiwan and South-Korea immediately shipped masks and such to China. Now S-Korea is widely praised for their extensive testing routines; a lot of those kits were flown in by China.

This is global. I hope all elements in our communities get that.
 
Why?
If someone is a danger for any of his contacts - should he let have its ways?

I see it as someone with a gun firing in random directions. 95% of the time he will not hit anyone, but there is a 5% chance he will kill someone.
The cops will shot him down with no hesitation, right?

Edit, why is a contagious dude, that lies and is prone to infect many others, different?

For every person they call out for giving false contact information after testing positive there are a hundred more who will never get tested because they fear doing so will bring unrelated trouble upon them. The fact that they were going to order the hospital to violate patent privacy to find this individual and that the hospital turned over surveillance tapes voluntarily almost certain scared away scores of others.

Every contagious person is prone to infect many others and the goal is to improve contact tracing, not sabotage it. Many people with a delinquent payment, a warrant out for them, who are the country illegally, or who simply value their privacy, are going to read that story and categorically rule out getting tested until they are on their death beds.

This was handled extremely poorly. They should have tracked this individual down discretely and made an announcement reassuring people that their privacy would be respected, rather than demonstrating otherwise. Failing that, even ignoring this individual would have been better than scaring off others...unless the goal is to be punitive, rather than to actually safeguard public health.
 
For every person they call out for giving false contact information after testing positive there are a hundred more who will never get tested because they fear doing so will bring unrelated trouble upon them. The fact that they were going to order the hospital to violate patent privacy to find this individual and that the hospital turned over surveillance tapes voluntarily almost certain scared away scores of others.

Every contagious person is prone to infect many others and the goal is to improve contact tracing, not sabotage it. Many people with a delinquent payment, a warrant out for them, who are the country illegally, or who simply value their privacy, are going to read that story and categorically rule out getting tested until they are on their death beds.

This was handled extremely poorly. They should have tracked this individual down discretely and made an announcement reassuring people that their privacy would be respected, rather than demonstrating otherwise. Failing that, even ignoring this individual would have been better than scaring off others...unless the goal is to be punitive, rather than to actually safeguard public health.

This is such an American thing...
 
7865 Total out of 195892 cases

4% overall rate

S. Korea 81/8320 - less than 1%

US 94/5702 - 1.6% Mostly skewed a bit by the nursing home in the Sate of Washington.
Korea numbers are probably most acurate. They have managed to control the spread and have less under reporting of infected.
A few more of the infected Koreans may still die, but 1% is a probably a good estimate.
 
Lets hope that is the case. I am reading a lot on various national forums. I see a lot of Americans gloating about the catastrophy caused by 'filthy, snobby and elitist europeans who dont respect America' and a lot of pre-emptive gloating from Europeans who cannot wait to rub the nose of the American people in the approaching disaster because they 'should have listened to their warnings about Trump'.

At this point I hope that Europe, after it recovers, immediately shifts gears to aid the US. Just like Asia immediately shift gears to help Europe when they dealt with it. It isnt much reported in western media, but when all of it started in Wuhan Taiwan and South-Korea immediately shipped masks and such to China. Now S-Korea is widely praised for their extensive testing routines; a lot of those kits were flown in by China.

This is global. I hope all elements in our communities get that.
I haven't seen too much of that, but I'm quick to strike it down wherever whenever I come across it. This is a time to set aside rivalry and pull together like most of us have never experienced. Even if it's just a good attitude we can send to our brothers and sisters, sometimes that can make all the difference. For the record though, to those disparaging American leadership; give it a frickin rest. The roll out of testing kits was pretty underwhelming, but there are reasons and they can't all be layed at his feat. Meanwhile, looking forward, America is doing as good a job as anyone else in coping. Feeling comfortable singling Trump out as being incompetent rests on the absurd premise that everyone else has done such a great job in getting it licked, which outside of authoritarian dictatorships is patently untrue.
 
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And I just found the story on CNN that details the report Ian had cited earlier concerning mortality projections in the UK and USA. In all honesty, I consider this kind of news story a wildly irresponsible example of fear mongering. Strike that: panic mongering. What value is there in the media sharing a story about a model that may turn out to be accurate, or could also turn out to be wildly inaccurate and right now only serves to frighten and confuse people? Once you get over the shock of the numbers, you realize that this article had only one purpose, and that purpose was not to be helpful. Why was this released to the media at all by the center responsible for building the model?
 
Why was this released to the media at all by the center responsible for building the model?
That is a rhetorical question, right?
I'll answer it anyway.
Of course it wasn't given to the media in that form. There are basically two possibilites.
a) the media obtained a partial information and ran with it because it fits their scaremongering agenda
b) it was given to the media but they cherry-picked only the parts that fit their scaremongering agenda

Because that's what media do. Long gone are the days when media mediated information. Nowadays they give you their opinions if you're lucky. If you're not, it's simply misinformation, doomsaying and OMB.
 
Korea numbers are probably most acurate. They have managed to control the spread and have less under reporting of infected.
A few more of the infected Koreans may still die, but 1% is a probably a good estimate.
I'd run with the numbers from S.Korea. Mainly because their percentages are most accurate as they tested the most people. I believe that almost anybody in Korea that had COVID was tested and confirmed as they tested an awful lot of people. More per hour than the rest of the world did per day, actually. So the rest of the world's numbers are skewed by the simple fact that tens or hundreds of thousands of people with COVID simply aren't and won't be tested and confirmed as actual cases and the mortality rates will appear much higher.
 
New York State currently has 13/1707 or a .76% mortality.

Early on, but reporting and data collection should be accurate.
 
Source: https://www.youtube.com/watch?v=tmhsNdW24BM


Good analysis of the rationale various countries are trying, analysed by graphs and with projections of outcome. Worth a look, even if a bit long.
eg:
  • Let's just do nothing, result high death rate, but herd immunity and shorter economic damage
  • Let's have draconian quarantines, result good low death rate, but it goes on for several months, the economy dies, and most people have no immunity at the end, so you get ANOTHER high death rate spike anyway.

So- how to scale the effort? It's looked at in the video.

https://www.sciencedaily.com/releases/2020/03/200305132039.htm <- paper on basic science research, leading to the promise of a medicine already available as a treatment.
 
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UV light kills the virus, it only survive in a cold and wet climate, so 4 - 8 C, it’s not so much airborne as we first imagined, it stays on surfaces and when you touch it and later touch your face you will be infected.

That’s why washing your hands is important, use gloves if you can, place a bucket outside your home and drop them before you enter, burn the gloves afterwards. Do your laundry often to keep them clean, if you can’t use hot water, add vinegar to the soap. If you share your house with animals control where they go and what they eat.

one of my neighbors needed some assistance yesterday, an as he is an elderly person, lost his wife a few years back, we decided to take him in while this crazy thing is going on, basically he had to strip, take a shower and we gave him new clothes and after my brother-in-law gave the ok after the medical he is now part of our little group.

as I said we are in contact with our community, and no one can just pop in uninvited, not even Kevlar will protect, we will check on his place daily just in case some critter decide to invade it. Interesting times for sure.

kung flu fighting !

 
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UV light kills the virus, it only survive in a cold and wet climate, so 4 - 8 C, it’s not so much airborne as we first imagined, it stays on surfaces and when you touch it and later touch your face you will be infected.

That’s why washing your hands is important, use gloves if you can, place a bucket outside your home and drop them before you enter, burn the gloves afterwards. Do your laundry often to keep them clean, if you can’t use hot water, add vinegar to the soap. If you share your house with animals control where they go and what they eat.

one of my neighbors needed some assistance yesterday, an as he is an elderly person, lost his wife a few years back, we decided to take him in while this crazy thing is going on, basically he had to strip, take a shower and we gave him new clothes and after my brother-in-law gave the ok after the medical he is now part of our little group.

as I said we are in contact with our community, and no one can just pop in uninvited, not even Kevlar will protect, we will check on his place daily just in case some critter decide to invade it. Interesting times for sure.

kung flu fighting !

This virus and situation is an incitement to the paranoia.

How can we think of everything ?

How not to exhaust ourself from doing everything ?

It is almost impossible during 24 hours not to put our hand to our face.

A moment of inadvertence is always possible. One study saysthat an average, a person puts their hand to the face 3000 times a day.

A crazy story this Corona.
 
Why was this released to the media at all by the center responsible for building the model?

Research such as this is done by universities and other tax-funded institutions. As a scientist, your career is dependent on publications in peer-reviewed journals. Each journal has an impact factor, which is roughly speaking an indication of how frequently articles in this journal are cited by others. The higher the impact factor, the higher the prestige of the journal. These journals are published by private corporations. Universities have subscriptions, which allows staff and student to study the articles. People outside of academia do not have access to them, so they need to pay per article. Typically about $40.

Now this is an issue: you already paid for the article via your taxes. Why should you pay pay for it again, and even to a corporation? Scientist did the work and aren't being paid by the corporation for their submission, peer-review is done by other scientists who also ain't being paid for it, so this makes no sense. As such there are two solutions:

1) Open-access journals: the reader doesn't pay, the scientist who wants to publish does. A potential issue here is that it can lead to a slippery slope where journals accept weaker and weaker papers because they get paid no matter if anyone reads them. As such these journals tend to have the aura of low quality, which makes it less interesting to publish quality science in.

2) Press services: universities have press statements and packages so that the media can present results to the public. And that is where you run into your issue: science is not particularly well-presented by for-profit media in a culture where people expect literally everything to be presented as the trailer to a new action movie. "This new DANGER hides in PLAIN SIGHT. Is YOUR family in DANGER? Find out after these commercials!"

And here we are. When the people prefer entertainment over news, that inevitably results in the news devolving into entertainment. Which is cool when it is about football, your average weather report, and so on. But when you need real news, this is not so good.
 
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In France they begin to move patients from one region to another depending on whether hospitals are saturated or not.

For example from north to south by military aircraft.

Corona.jpg
 
Neither of these is correct. If you sneeze it remains contagious in the air for up to three hours. The virus survives up to 56C (obviously your body is warmer than 4-8C), with ideal temperatures in the 8-15C range, which is slighly below SARS' ideal conditions.

I thought you were exaggerating with 3 hours. Then I read this;


“Given the small size of bioaerosol droplets (diameter less than the width of a human hair), they can remain suspended in the air for prolonged periods of time, from seconds to weeks,”
 
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