Winter is Coming - the COVID chronicles

Discussion in 'Politics' started by gwb-trading, Oct 14, 2020.

  1. gwb-trading

    gwb-trading

    'Hunker down': The fall Covid-19 surge is here
    https://www.cnn.com/2020/10/13/health/us-coronavirus-tuesday/index.html

    As predicted, the US is now grappling with a new Covid-19 surge -- one that could overwhelm hospitals, kill thousands of Americans a day by January and leave even young survivors with long-term complications.

    "We went down to the lowest point lately in early September, around 30,000-35,000 new cases a day. Now we're back up to (about) 50,000 new cases a day. And it's going to continue to rise," Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, said Tuesday.

    "This is the fall/winter surge that everyone was worried about. And now it's happening. And it's happening especially in the northern Midwest, and the Northern states are getting hit very hard -- Wisconsin, Montana, the Dakotas. But it's going to be nationally soon enough."

    Across the country, more than 30 states have reported more Covid-19 cases this past week than they reported the previous week, according to data from Johns Hopkins University.

    And Dr. Anthony Fauci, the nation's top infectious disease expert, sounded an alarm about certain states' test-positivity rates, saying they may be a good indicator that steeper climbs in case rates are ahead.

    For the whole country, test positivity averaged 5.1% over the past week as of Tuesday. But in at least 13 states, the figure was above 10%: in Alabama, Florida, Iowa, Idaho, Indiana, Kansas, Montana, Nebraska, Nevada, South Dakota, Utah, Wisconsin and Wyoming, according to the COVID Tracking Project.

    "You'd like to see (the rates) less than 3%, optimally 1% or less," Fauci, director of the National Institute of Allergy and Infectious Diseases, said at an event hosted by the College of American Pathologists.

    "We're starting to see a number of states well above that, which is often -- in fact, invariably -- highly predictive of a resurgence of cases, which historically we know leads to an increase in hospitalizations and then ultimately an increase in deaths," he said.

    In Denver, recent case counts are as "high right now as they were at the height of the pandemic back in May," Mayor Michael Hancock said Monday.

    He said hospitalizations have also soared, and residents could face tighter Covid-19 restrictions if the numbers keep going up.

    Kansas has broken its record for the highest average number of daily cases with more than 700 cases per day this past week, Gov. Laura Kelly said.

    More than 1,000 new cases were reported Tuesday in Colorado. "It's very worrisome. It's very alarming. This is our highest single-day caseload since March," Gov. Jared Polis said.

    In Wisconsin, a field hospital is opening this week to handle a rapid rise in coronavirus patients. The state recently reported record-high numbers of Covid-19 cases, hospitalizations and daily deaths.

    If Americans don't turn the tide, the US could be in for a devastating winter. The University of Washington's Institute for Health Metrics and Evaluation projects more than 135,000 people in the US could die within the next three months.

    "This winter -- this November, December, January, February -- could be the worst time in our epidemic," Hotez said. "Get ready to hunker down."

    How overwhelmed hospitals can affect all patients
    As we've seen throughout this pandemic, surges in new Covid-19 cases may lead to increased hospitalizations and deaths in the following weeks.

    At least 10 states have reported record-high Covid-19 hospitalizations since Friday, according to data from the COVID Tracking Project. Five of them -- Arkansas, Montana, North Dakota, Oklahoma and Wisconsin -- reported records on Monday.

    "Hospitals could again become overwhelmed," emergency medicine physician Dr. Leana Wen said. "And then we're not just talking about patients with coronavirus who might be in trouble. It's also about other patients who might be coming in for heart attacks and strokes and car accidents who may find a situation that's really untenable."

    Kentucky Gov. Andy Beshear expressed concern about a rising number of hospitalizations. The commonwealth reported 741 Kentuckians are currently hospitalized for coronavirus, with 170 in the intensive care unit and 90 on a ventilator, he said.

    Utah Gov. Gary Herbert said the state has seen infection rates and case counts skyrocket over the past month to the highest they've been, with new cases hovering around 1,000 per day since October 4.

    "We are utilizing 15.8% of our ICU beds to treat COVID-19 patients, more than double what we were before, and our total ICU utilization is at 69.6%," Herbert tweeted. "This leaves our hospitals precariously close to being unable to treat COVID and non-COVID patients in need of critical care."

    Some health care workers in the US still don't have adequate personal protective equipment and testing supplies, emergency medicine physician Dr. Megan Ranney said.

    "We're quite fearful for what we are heading into," she said.

    Nationwide, hospitalizations have been ticking up -- 35,072 were reported Monday, and the daily count has climbed relatively steadily since a recent low of about 28,600 on September 20.

    13% increase in child Covid-19 cases in 2 weeks
    More children are also being diagnosed with Covid-19, according to the American Academy of Pediatrics and the Children's Hospital Association.

    Their latest report found a 13% increase in child cases reported from September 24 to October 8 -- with more than 77,000 new reported infections.

    The report looked at data from health departments in 49 states, New York City, the District of Columbia, Puerto Rico and Guam. Children represented about 10.7% of Covid-19 cases in the states that reported cases by age, the report said.

    The news comes as many schools have returned to in-person instruction and are navigating challenges that come with new infections.

    There's no "one-size-fits-all" strategy to safely returning to classrooms, Fauci said.
    The decisions should be based on how widespread infections are in the community and how much surveillance is required, Fauci said.

    "When schools are prepared, when they have a plan, when everyone is universally wearing masks, when they're testing people in a surveillance way to get people who are infected out of the system, (and) they know what to do when they're confronted with a person a child or older students who gets infected -- it can work," he said.

    A vaccine trial is paused, but that's 'completely expected'
    As Americans wait for a safe and effective vaccine, Johnson & Johnson has paused the advanced clinical trial of its experimental vaccine because of an unexplained illness in one of the volunteers, the company announced.

    The drugmaker said Tuesday that it didn't know immediately know whether the ill volunteer had received the vaccine candidate or a placebo, and that it had little information about the illness itself.
    Johnson & Johnson said that it learned of the illness Sunday and immediately informed the study's independent Data Safety Monitoring Board (DSMB), which is reviewing the illness.

    "It's not at all unusual for unexpected illnesses to occur in large studies over their duration," and sometimes they have nothing to do with the drug candidate, Mathai Mammen, global head of research at Johnson & Johnson's pharmaceutical division, Janssen, said Tuesday in the company's third-quarter earnings call.

    As of Tuesday morning, the study was still blinded, meaning neither those directly administering the drugs or placebos nor the volunteers know which volunteers are receiving which elements of the study, Mammen said. The DSMB can "unblind" the study to investigate the illness if necessary, he said.

    This kind of pause isn't immediately concerning, said Dr. Ashish Jha, dean of the Brown University School of Public Health.

    "This is completely expected, and it's just a reminder how ridiculous it is to try and meet a political timeline of having a vaccine before November 3," Jha said, referring to President Donald Trump's wishes to have a vaccine ready for the public by Election Day.

    "The Johnson & Johnson trial is the biggest trial of the vaccine that I know of -- 60,000 people," Jha said. "Within that trial, you'd expect a few pauses."

    This is the second Phase 3 Covid-19 vaccine trial to hit the pause button in the US. AstraZeneca's vaccine trial was paused last month because of a neurological complication in a volunteer. While that trial has resumed in other parts of the world, it remains paused in the US while health officials investigate.

    Fauci said Tuesday that current efforts toward vaccine development are "on a really good track" despite the Johnson & Johnson news.

    "A couple of the vaccines are very close to getting some sort of information," Fauci said during a call with the nation's governors, according to audio of the call obtained by CNN.

    Fauci mentioned vaccines being tested by Moderna and Pfizer. "We're getting to the point where we're almost being able to look at the first look at the data, which is a predetermined thing done by the data and safety monitoring board," he said.

    The vaccine effort, more broadly, "is on really a good track," he said. "We should know by November or December whether or not we have a safe and effective vaccine. ... It is conceivable that we might even know before then."

    When a vaccine does become available, health experts have said it's crucial that enough people become immunized for the preventative to be effective -- and many are worried that won't be the case.

    "I'm extremely worried about how politicized this situation is around the vaccine and how people are reacting to it," Moncef Slaoui, the scientific head of the US government's initiative to develop a vaccine as soon as possible, said Tuesday.

    "We will be fully transparent: People will understand exactly the performance of the vaccines, their safety and their benefit," Slaoui said in an interview on Fox News.

    "And I hope people will realize that the only way really to allow us to move away and control this pandemic will be through mass vaccination," he said.
     
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  2. Buy1Sell2

    Buy1Sell2

    [​IMG]
     
  3. Tsing Tao

    Tsing Tao

    "Flatten the curve!"

    Remember that?
     
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  4. gwb-trading

    gwb-trading

  5. gwb-trading

    gwb-trading

    Once again -- let's review the 5 points of why a lock-down period is necessary again -- it goes beyond "flatten the curve" as some try to apply it only to reducing hospital loading.. Let's list the 5 points with some pass/fail results for each:

    1) To prevent the overloading of hospital resources - where the number of COVID-19 patients is greater than capacity to treat them. (The U.S. was generally success with this)
    2) To provide time to obtain the necessary number of COVID-19 test kits and get a testing process in place to meet the necessary capacity before re-opening. (U.S. Failed badly)
    3) To get proper Contact Tracing in place for COVID-19 prior to re-opening. This includes getting the necessary systems in place and getting people hired for the positions. (Fail - we still don't have contract tracing)
    4) To reduce the effective infection rate (R) to below 0.8 in a community before opening. (This is indicated by a positive test rate below 5% in the U.S. as the closest approximation. We cannot know the real R rate without contract tracing. Plenty of communities are still above a 5% positive test rate - Fail)
    5) To reduce the total number of infections in the community to reduce the number of vector starting points when re-opening that must be traced and quarantined. (Fail - community infection is still widespread)

    All-in-all the lockdown failed in the U.S. because we failed to meet the success criteria of 4 of the 5 points that define the requirements of a proper lockdown and phased re-opening. This simply allowed COVID to spread rapidly after communities opened up. This is due to a failed federal, state, and local government response in the U.S. to the largest public health threat in over 100 years.

    The entire concept of the strategy is to stop a novel pandemic from spreading though the community when the lockdown ends. This is done by reducing the total number of infections in the community to a low number and reducing the effective infection rate (R) to below 0.8. If either of these measures increase above a designated threshold then you lockdown or take mitigation measures again. The intent is very much to "extinguish the virus" in a community -- as much as possible.

    When the 5 steps above are applied properly people will not catch a disease when they come out of lockdown - the entire intent of the policy is to try to ensure they don't get the disease when they come out of lockdown. The intent is not to "put the date off when they catch it". The intent is to minimize the number of people who get sick while still allowing the re-opening of businesses, schools, and sports because the overall COVID infection rate in a community is low.

    These type of mitigation measures -- including cycling in & out of lockdown/mitigations -- will be kept in place on a community or state basis until a vaccine is developed. Just like it was for polio in the 1940s and early 1950s in the U.S.
     
    Last edited: Oct 14, 2020
  6. LacesOut

    LacesOut

    Cases!!! Masks don’t work!!
    Sweden!
     
    smallfil likes this.
  7. Ricter

    Ricter

    Absolutely fucking pathetic for a wealthy, "exceptional" country with just 4% of the world's population. Unreal.
     
  8. I know right? So many fat, unhealthy old people getting sick and dying. This is a fat nation. Even without Covid, people are dying like flies from eating too much and not exercising.
     
    smallfil likes this.
  9. jem

    jem

    I suspect you are making shit up again...

    California was the first state to shutdown or one of the first...

    Please show us where Newsome first told us about all these things you say were the necessary 5 points of shutdown...


    Newsom said the shutdown was being ordered so that hospitals could prioritize the deliver of health care to the high risk and so that hospital workers could gather the necessary PPE. I just read his declaration.
    At the time I remember no such 5 points... but maybe you are telling the truth.

    Please link to the first time... we were told the shutdown was not about flattern the curve so that hospitals could serve Covid patients.

    This was the fear mongering shit I recall...


    https://www.politico.com/states/cal...e-in-nations-strictest-state-lockdown-1268248

    "California announced Thursday that the state had 675 positive confirmations and 16 deaths as of Wednesday night. Some outlets, like The New York Times and San Francisco Chronicle, have counted more than 1,000 cases in California using different tracking methods. The actual number is believed to be higher because testing remains limited.

    The measures are intended both to shield vulnerable residents and to maintain California’s health care systems’ capacity to handle an influx of new patients. Earlier in the day, Newsom laid out a grim scenario if California does not respond decisively: 56 percent of the state’s residents, or some 22 million people, could contract the virus in the next eight weeks.



     
    smallfil likes this.
  10. Tsing Tao

    Tsing Tao

    Actually, no they won't. For example, Florida won't be going back into any lockdown phase. Places like NYC can reap what they sow as they are still mainly locked down. Eventually their citizens will revolt as more and more truth about how the virus just isn't that bad comes to light.

    Polio. LOL
     
    #10     Oct 14, 2020