COVID-19

[RDU Irish]

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Crucial piece of misinformation circulating is "99% will be fine." Even if 1-2% dead seems to you no big deal, in existing outbreak countries, 15-20% require hospitalization, 5-10% ICU. Imagine that share of an entire population. That is devastating. This isn't just about deaths. <a href="https://t.co/xgzcYtdgM7">pic.twitter.com/xgzcYtdgM7</a></p>— Ari Schulman (@AriSchulman) <a href="https://twitter.com/AriSchulman/status/1238498087624151040?ref_src=twsrc%5Etfw">March 13, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

How do those stats change when the enormous faded blue section gets added? Vast majority of flu data is extrapolated - none of this is. How about age and underlying health? How about in countries where any semblance of cleanliness is common?

This is an upper respiratory virus very similar to the flu and when it is all said and done I would bet the mortality is similar to those who catch the flu. Coronavirus has been around forever, we haven't even tried to make a vaccine b/c it is traditionally a mild affliction. Common sense theory out there that kids are not impacted by this thing b/c they have built corona immunity from years of exposure - the older and more removed from cesspools known as schools and daycares the less your body's ability to deal. Just like flu vaccines are never spot on but the exposure to the "cousin" if you will reduces the severity when faced with the real deal.

IMO - Normal healthy folks need to grow a sack and go about their lives while older and compromised health folks need to take normal flu season precautions. My folks should do what they always do and isolate from the world, me and my family don't need to change squat. We have an enormous population of walking dead that is only increasing - now we can't even play sports outside like golf b/c boomers gotta be "safe". Elite athletes need to run and hide from a mild illness (to them)? These folks have virtually no chance of anything but feeling crappy for a bit before back to 100%. Won't see the media follow up with a single person who tests positive with mild to no symptoms - only focus on the ICU cases and scare the crap out of everyone.

I mean - Fred Hoiberg YEAH HE HAS THE FLU!!!! WHAT A RELIEF. You dumbFs - he spread the flu to an entire arena and put tons of people at risk with a disease that kills TENS OF THOUSANDS IN THE US PER YEAR OF ALL AGES. Half a million people die of the flu around the world every damn year. Why is that a risk to be celebrated but this thing gets red carpet treatment? Snowflakes + Boomers = WE ARE ALL GOING TO DIE

 

[NDRock]

How do those stats change when the enormous faded blue section gets added? Vast majority of flu data is extrapolated - none of this is. How about age and underlying health? How about in countries where any semblance of cleanliness is common?

This is an upper respiratory virus very similar to the flu and when it is all said and done I would bet the mortality is similar to those who catch the flu. Coronavirus has been around forever, we haven't even tried to make a vaccine b/c it is traditionally a mild affliction. Common sense theory out there that kids are not impacted by this thing b/c they have built corona immunity from years of exposure - the older and more removed from cesspools known as schools and daycares the less your body's ability to deal. Just like flu vaccines are never spot on but the exposure to the "cousin" if you will reduces the severity when faced with the real deal.

IMO - Normal healthy folks need to grow a sack and go about their lives while older and compromised health folks need to take normal flu season precautions. My folks should do what they always do and isolate from the world, me and my family don't need to change squat. We have an enormous population of walking dead that is only increasing - now we can't even play sports outside like golf b/c boomers gotta be "safe". Elite athletes need to run and hide from a mild illness (to them)? These folks have virtually no chance of anything but feeling crappy for a bit before back to 100%. Won't see the media follow up with a single person who tests positive with mild to no symptoms - only focus on the ICU cases and scare the crap out of everyone.

I mean - Fred Hoiberg YEAH HE HAS THE FLU!!!! WHAT A RELIEF. You dumbFs - he spread the flu to an entire arena and put tons of people at risk with a disease that kills TENS OF THOUSANDS IN THE US PER YEAR OF ALL AGES. Half a million people die of the flu around the world every damn year. Why is that a risk to be celebrated but this thing gets red carpet treatment? Snowflakes + Boomers = WE ARE ALL GOING TO DIE

Seems to me, nobody really knows. Will take quite a while to figure out the true infection rate, mortality rate, etc... Maybe this is a complete overreaction, maybe it's not. We'll find out. One good thing is we're learning how prepared our county is for something like this. That is if we can quit playing politics about it and truly assess our current capabilities and what changes need to be made.

 

[Sea Turtle]

How do those stats change when the enormous faded blue section gets added? Vast majority of flu data is extrapolated - none of this is. How about age and underlying health? How about in countries where any semblance of cleanliness is common?

This is an upper respiratory virus very similar to the flu and when it is all said and done I would bet the mortality is similar to those who catch the flu. Coronavirus has been around forever, we haven't even tried to make a vaccine b/c it is traditionally a mild affliction. Common sense theory out there that kids are not impacted by this thing b/c they have built corona immunity from years of exposure - the older and more removed from cesspools known as schools and daycares the less your body's ability to deal. Just like flu vaccines are never spot on but the exposure to the "cousin" if you will reduces the severity when faced with the real deal.

IMO - Normal healthy folks need to grow a sack and go about their lives while older and compromised health folks need to take normal flu season precautions. My folks should do what they always do and isolate from the world, me and my family don't need to change squat. We have an enormous population of walking dead that is only increasing - now we can't even play sports outside like golf b/c boomers gotta be "safe". Elite athletes need to run and hide from a mild illness (to them)? These folks have virtually no chance of anything but feeling crappy for a bit before back to 100%. Won't see the media follow up with a single person who tests positive with mild to no symptoms - only focus on the ICU cases and scare the crap out of everyone.

I mean - Fred Hoiberg YEAH HE HAS THE FLU!!!! WHAT A RELIEF. You dumbFs - he spread the flu to an entire arena and put tons of people at risk with a disease that kills TENS OF THOUSANDS IN THE US PER YEAR OF ALL AGES. Half a million people die of the flu around the world every damn year. Why is that a risk to be celebrated but this thing gets red carpet treatment? Snowflakes + Boomers = WE ARE ALL GOING TO DIE

People like to panic and when you don't follow suit, you get the mob treatment. A lot of people are going to be disappointed in a few weeks when absolute calamity didn't happen.

 

[PerthDomer]

https://jamanetwork.com/journals/jama/fullarticle/2763188

To all you assholes who insist on travel and say "not me"

FYI there are 20 yos whose only comorbidity is vaping that are intubated. It also seems clear China fudges their numbers and Iran much moreso.

 

[GowerND11]

All schools in PA off for the next two weeks, will not have to make up the days.

I'm interested in what is going to happen at my school. We are already off next week for our Spring Break. Curious about the following week. Due to the fact it's a juvenile justice facility, and the boys are living there isolated from everywhere else, we may go back before these two weeks.

 

[NDRock]

People like to panic and when you don't follow suit, you get the mob treatment. A lot of people are going to be disappointed in a few weeks when absolute calamity didn't happen.

People panicking in Nashville? I'm actually heading there tomorrow from the Chattanooga area and have seen zero panic here. Just want to be ready if you guys have gone crazy.

 

[Jimmy3Putt]

If this happened to me I would literally grab two handfuls of whatever was in her cart and run away from the lady. If she abandoned her cart to run after me I would hope the other customers would grab her shit too.

I would've grabbed what I wanted and casually walked away.

 

[Sea Turtle]

People panicking in Nashville? I'm actually heading there tomorrow from the Chattanooga area and have seen zero panic here. Just want to be ready if you guys have gone crazy.

For the most part people are only panicking when it comes to grocery shopping.

 

[317Irish]

I don’t know what this thread is anymore, but for anybody that is interested: Roth IRA limits are $6,000/yr for individuals under 50

 

[NDRock]

I don’t know what this thread is anymore, but for anybody that is interested: Roth IRA limits are $6,000/yr for individuals under 50

Yep, think the Roth 401k limit is $19,500

 

[PerthDomer]

Deaths up 25% in italy today.

 

[Legacy]

N-95 masks are not required to reduce the risk of transmission. Our hospital system is only requiring them when performing aerosolized procedures such as bronchoscopy, intubation, suctioning airways, etc. Otherwise surgical masks are required for all isolated patients.

To clarify, (from CDC Prevention Guidelines Database :

Droplet Precautions
In addition to Standard Precautions, use Droplet Precautions, or the equivalent for a patient known or suspected to be infected with microorganisms transmitted by droplets (large-particle droplets {larger than 5 um in size} that can be generated by the patient during coughing, sneezing, talking, or the performance of procedures). Category IB

Patient Placement
Place the patient in a private room. When a private room is not available, place the patient in a room with a patient(s) who has active infection with the same microorganism but with no other infection (cohorting). When a private room is not available and cohorting is not achievable, maintain spatial separation of at least 3 ft between the infected patient and other patients and visitors. Special air handling and ventilation are not necessary, and the door may remain open. Category IB

III. Airborne Precautions
In addition to Standard Precautions, use Airborne Precautions, or the equivalent, for patients known or suspected to be infected with microorganisms transmitted by airborne droplet nuclei (small-particle residue {5 um or smaller in size} of evaporated droplets containing microorganisms that remain suspended in the air and that can be dispersed widely by air currents within a room or over a long distance). Category IB

Patient Placement
Place the patient in a private room that has (1) monitored negative air pressure in relation to the surrounding area, (2) 6 to 12 air changes per hour, and (3) appropriate discharge of air outdoors or monitored high-efficiency filtration of room air before the air is circulated to other areas in the hospital. (23) Keep the room door closed and the patient in the room. When a private room is not available, place the patient in a room with a patient who has active infection with the same microorganism, unless otherwise recommended, (23) but with no other infection. When a private room is not available and cohorting is not desirable, consultation with infection control professionals is advised before patient placement. Category IB

While the flu viruses are smaller than 5 ums, the respiratory droplets that convey them are typically 5 microns or larger. The larger droplets settle more quickly and usually don't travel more than three feet. Smaller droplets than 5 microns stay in the air longer and disperse over greater distances.

Applicable diseases for (Source)

Airborne Precautions
Airborne precautions are required to protect against airborne transmission of infectious agents.

Diseases requiring airborne precautions include, but are not limited to: Measles, Severe Acute Respiratory Syndrome (SARS), Varicella (chickenpox), and Mycobacterium tuberculosis. Airborne precautions apply to patients known or suspected to be infected with microorganisms transmitted by airborne droplet nuclei.

Preventing airborne transmission requires personal respiratory protection and special ventilation and air handling.

These CDC guidelines for "Suspected or Confirmed Coronavirus Disease 2019" (link below) include use of PPE, recommendations about supply chain disruption, transport, and recommendations regarding need for an airborne infection isolation room (AIIR).

- AIIRs are single-patient rooms at negative pressure relative to the surrounding areas, and with a minimum of 6 air changes per hour (12 air changes per hour are recommended for new construction or renovation).
- Air from these rooms should be exhausted directly to the outside or be filtered through a high-efficiency particulate air (HEPA) filter directly before recirculation.
- Room doors should be kept closed except when entering or leaving the room, and entry and exit should be minimized.
- Facilities should monitor and document the proper negative-pressure function of these rooms.

CDC Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings

 

[317Irish]

Yep, think the Roth 401k limit is $19,500

Your right on that. In my defense I was speaking specifically to everyone on this board who may have... umm.. overfunded their Roth IRA and could be facing the 6% tax on anything over $6k.

 

[Irish#1]

Wife and I went out for dinner. Stopped at Kroger to get some Pepsi. Pepsi was wiped out. Walked back to the meat department and only a couple of lonely steaks left. Lunch meat, bacon, chicken, hamburger, pork chops, etc. all gone.. Dairy pretty much wiped out of eggs, milk, butter and cheese. Not a bit of toilet paper, paper towels or napkins left.

 

[ACamp1900]

Wife and I went out for dinner. Stopped at Kroger to get some Pepsi. Pepsi was wiped out. Walked back to the meat department and only a couple of lonely steaks left. Lunch meat, bacon, chicken, hamburger, pork chops, etc. all gone.. Dairy pretty much wiped out of eggs, milk, butter and cheese. Not a bit of toilet paper, paper towels or napkins left.

Economy is booming after all

 

[Bishop2b5]

Wife and I went out for dinner. Stopped at Kroger to get some Pepsi. Pepsi was wiped out. Walked back to the meat department and only a couple of lonely steaks left. Lunch meat, bacon, chicken, hamburger, pork chops, etc. all gone.. Dairy pretty much wiped out of eggs, milk, butter and cheese. Not a bit of toilet paper, paper towels or napkins left.

My wife got home from Denver today and we went to the grocery store. Meat's still plentiful as is dairy and most other things. Toilet paper is almost all gone and they have signs saying only two packages per customer... and were more than double their normal price. Paper towels are plentiful so we stocked up just in case. Schools are closed next week. Otherwise most people here in our town seem to be taking it all in stride and not overreacting much.

 

[NDShark]

For what good reason?

Also, Trump asked for $2.5 B. Congress upped it to $8 B.

Waiting on your response

 

[BGIF]

Alabama joined the nation today with its first CV-19 case. By the end of the day there were a half dozen cases.

As of about 11 pm West Virginia was the only state I saw listed without a diagnosed case.

 

[Sea Turtle]

It will be interesting to see if there are 70 million cases in this country and 15 thousand deaths like the Swine flu in 2009.
I don't remember this kind of media hysteria and shutting everything down then.

 

[Cali_domer]

It will be interesting to see if there are 70 million cases in this country and 15 thousand deaths like the Swine flu in 2009.
I don't remember this kind of media hysteria and shutting everything down then.

Nothing like this. Crazy.

 

[PerthDomer]

Swine flu's just not this deadly. Italian mortality cases jumped 25% today

 

[PerthDomer]

https://www.worldometers.info/coronavirus/#countries We're where Italy was on March 2. Their death rate jumped 25% in one day today.

 

[Irish YJ]

Swine flu's just not this deadly. Italian mortality cases jumped 25% today

S Korea's deaths are still less than 1% of active cases. 0.0089 or 0.89%.
Guessing when testing catches up here in the US, we'll be similar to SKO or smaller.

My extended family here in the US, has family in both N and S Italy. Hearing a lot of stuff second hand. One thing that caught my attention is that they have always laughed at Italy being ranked top 5 in the world for health care. They all come to the US for anything of substance.

 

[PerthDomer]

By containing it South Korea's not having to triage/stretched as thin as italy. If you can't tube someone 1% mortality goes to 5%. Additionally South Koreans are a skinny people with little diabetes and heart disease. Also additionally for the very young you go balls to the walls to keep them alive. I'm a peds intensivist and have seen someone survive Purpura Fulminans with renal failure 4 limb amputation an ECMO run of over a month followed by weeks on a vent. It will take time to see younger mortality. They take a week longer to get severe and are more likely to make it through the primary phase (ARDS) some then begin to improve but die of fulminant heart failure. The young will do better as they always do but they will suffer.

Furthermore mild disease means anything from fever and body aches to hallucinating with fever barely being able to move and taking a month to recover.

Moderate disease is admission for oxygen or hydration

Severe is the ICU probably with intubation.

If you run the numbers for 18 to 49 with China's numbers at a 0.25% mortality getting to 10% of the population you get 35k dead. The flu killed 2800 in that age bracket. Our young adults have more comorbidities and 10% is a low end infection rate.

This will be painful.

 

[Legacy]

Perhaps China's numbers are correct but one probably cannot rely too much on theirs. India seems ready. WHO on India's preparedness

Initial numbers:
- One in seven patients develops difficulty breathing and other severe complications, while 6% become critical.
- About 10-15% of mild-to-moderate patients progress to severe and of those, 15-20% progress to critical.
- progression from mild or moderate to severe can occur “very, very quickly". A matter of hours between admission with supplemental oxygen to intubation?

Ward isolation with dedicated equipment, supplies and staff seems reasonable for areas hit hard, especially with significant numbers of flu patients on a floor. ECMO has been tried with mixed results.

If China's an example and the numbers are finally decreasing, it may be three months or more.

 

[BGIF]

So much for bitcoin being the currency of the future.

History a hundred years from now might well record that during the Covid Invasion of 2020, toilet paper became civilization's currency. It was the fabric that held societies together.

Remarkably there was no issue over the carbon footprint of this necessity. Green or denier alike became cornhuskers.

Start planting.

 

[Jimmy3Putt]

So much for bitcoin being the currency of the future.

History a hundred years from now might well record that during the Covid Invasion of 2020, toilet paper became civilization's currency. It was the fabric that held societies together.

Remarkably there was no issue over the carbon footprint of this necessity. Green or denier alike became cornhuskers.

Start planting.

I'm ahead of the curve for this one:

 

[Henges24]

So much for bitcoin being the currency of the future.

History a hundred years from now might well record that during the Covid Invasion of 2020, toilet paper became civilization's currency. It was the fabric that held societies together.

Remarkably there was no issue over the carbon footprint of this necessity. Green or denier alike became cornhuskers.

Start planting.

Who would have thought that during an apocalypse toilet paper would be the first thing to go?

 

[Irish2155]

I'm ahead of the curve for this one:

Then the country runs a shortage of little plastic baggies....

 

[Legacy]

Spain joined Italy in lockdown and
Hospitals are canceling elective surgeries to make space for a potential flood of coronavirus patients


Restaurants, cafes and concert venues are getting pummeled as coronavirus forces social distancing