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I think the thing to watch for now is whether or not cases ramp up in China again, and how much they ramp up, now that they are going back to work.
Better off keeping an eye on South Korea, really. How willing would China be to report a second wave?
 
Better off keeping an eye on South Korea, really. How willing would China be to report a second wave?
I think we get more of a worst-case situation out of China. We will know it if the Chinese supply chain is interrupted again. I don't expect to get accurate numbers from China, but am looking a broader indication from them as to whether or not the virus has run its course there.
 
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Governor Cuomo said today that of the New Yorkers who have tested positive, 13% require hospitalization and 25% of those (so 3% overall) require ICU treatment. 600 in the ICU currently.

He is ordering all hospitals to increase capacity by at least 50%. Asking them to try to double capacity. Sounded like they think they need to have 110% more than usual.

The hydroxycholoroquine and azithromycin trials in New York are beginning.

Cuomo is already talking about thinking about how to get people back to work. For example, maybe tell younger people to go back to work first. It's about trying to figure out a balance. Certainly not an imminent decision, but he is focused on economic reality. Unsustainable to have the economic engine turned off as it is now.

Currently, they are able to provide masks and gowns to all healthcare workers.
 
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Governor Cuomo said today that of the New Yorkers who have tested positive, 13% require hospitalization and 25% of those (so 3% overall) require ICU treatment. 600 in the ICU currently.

He is ordering all hospitals to increase capacity by at least 50%. Asking them to try to double capacity. Sounded like they think they need to have 110% more than usual.

The hydroxycholoroquine and azithromycin trials in New York are beginning.

Cuomo is already talking about thinking about how to get people back to work. For example, maybe tell younger people to go back to work first. It's about trying to figure out a balance. Certainly not an imminent decision, but he is focused on economic reality. Unsustainable to have the economic engine turned off as it is now.

Currently, they are able to provide masks and gowns to all healthcare workers.

People can work, IF THEY ARE SMART..the problem is, people are again, selfish and stupid,

Take a manufacturing line, instead of lining up shoulder to shoulder, you slow the line down a bit, and stagger the workers, office workers, if there's space, spread out, if there's not space, maybe alternate days....they might not be 100% capacity, but it's not 100% shut down......
 
Governor Cuomo said today that of the New Yorkers who have tested positive, 13% require hospitalization and 25% of those (so 3% overall) require ICU treatment. 600 in the ICU currently.

He is ordering all hospitals to increase capacity by at least 50%. Asking them to try to double capacity. Sounded like they think they need to have 110% more than usual.

The hydroxycholoroquine and azithromycin trials in New York are beginning.

Cuomo is already talking about thinking about how to get people back to work. For example, maybe tell younger people to go back to work first. It's about trying to figure out a balance. Certainly not an imminent decision, but he is focused on economic reality. Unsustainable to have the economic engine turned off as it is now.

Currently, they are able to provide masks and gowns to all healthcare workers.
I think the hydroxycholoroquine combined with the z-packs is something which will have to be tried, especially in New York. Even if it only has limited success, it could relieve some of the pressure the hospitals are beginning to experience regarding ICU capacity. I know it is anecdotal, but some patients have responded very well to this type of drug therapy. Keeping the numbers of people down going into the ICU is going to be critical for success in New York.

Glad to see Cuomo understands the economic impact of the situation.
 
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An actor on Hawaii Five-0 says he received Tamiflu, Azithromycin, an inhaler to prevent inflammation, and Hydroxychloroquine and felt it helped his recovery. He's in New York.

15 deaths in Washington today, so no luck in terms of progress there. They only reported one death yesterday, so I wouldn't be surprised if some of the deaths happened on a Sunday and didn't get reported until today.

US deaths up to 132 and the "day" (GMT) isn't over yet.
 
Governor Cuomo said today that of the New Yorkers who have tested positive, 13% require hospitalization and 25% of those (so 3% overall) require ICU treatment. 600 in the ICU currently.

He is ordering all hospitals to increase capacity by at least 50%. Asking them to try to double capacity. Sounded like they think they need to have 110% more than usual.

The hydroxycholoroquine and azithromycin trials in New York are beginning.

Cuomo is already talking about thinking about how to get people back to work. For example, maybe tell younger people to go back to work first. It's about trying to figure out a balance. Certainly not an imminent decision, but he is focused on economic reality. Unsustainable to have the economic engine turned off as it is now.

Currently, they are able to provide masks and gowns to all healthcare workers.

The 13% and 3% dont really tell us much because we have no idea how many people have the virus, but have not been tested. I.E. if you tested everyone in the state, there would likely be a much higher number of positive tests and the 13% would be significantly lower.

The 25% of hospitalizations needing ICU is pretty meaningful though.
 
The 13% and 3% dont really tell us much because we have no idea how many people have the virus, but have not been tested. I.E. if you tested everyone in the state, there would likely be a much higher number of positive tests and the 13% would be significantly lower.

The 25% of hospitalizations needing ICU is pretty meaningful though.
25% of the 13%. So 3.25% are ICU cases which fits in with the mortality rate.
 
Another hot spot developing is Louisiana.

Trump basically echoed Cuomo today by suggesting a shutdown can't go on forever. Of course, he did it in his style so the more he tried to explain, the less coherent he became. Listen to Cuomo's press conference today (youtube) if you prefer the straightforward explanation. (Cuomo basically saying you would start with those who have recovered and the young being allowed to go back to a more normal life.) But both Trump and Cuomo appear correct that you can't just shut down the economy forever. There has to be a balance.

Which means more people will die.

Seems to me you try to hold down the curve for awhile, maybe through April and allow the manufacturing of ventilators, PPE, etc., to ramp up, along with more testing. But after that, we really have to find more of a balance.

It's really going to suck.

There was an editorial by 2 doctors in the Wall Street Journal who are treating patients with hydroxycholoroquine and azithromycin and basically said that though it isn't a cure-all, it does appear to make a difference. They said we can't wait for all the studies to be done months from now and they just have to let it rip. Article is behind a paywall, but another website had some excerpts: "We have a drug with an excellent safety profile but limited clinical outcomes—and no better alternatives until long after this disaster peaks. We can use this treatment to help save lives and prevent others from becoming infected. Or we can wait several weeks and risk discovering we didn’t do everything we could to end this pandemic as quickly as possible."

Interesting thing is they said it should be used on those with mild symptoms and on exposed healthcare providers with no symptoms: "Emergency rooms run the risk of one patient exposing a dozen nurses and doctors. Instead of exposed health workers getting placed on 14-day quarantine, they could receive hydroxychloroquine for five days, then test for the virus. That would allow health-care workers to return to work sooner if they test negative.”
 
Comment from my doctor friend. Even if New York were to get all the ventilators they need, he doubts there will be enough IC doctors and respiratory therapists to take care of them.

Also said anyone given hydroxycholoroquine has to be monitored because it can lead to lethal arrhythmia.

His hospital issued an order that only rheumatologists and pulmonologists are permitted to prescribe it. Other doctors started writing prescriptions.

Supposedly made here and Israel is donating 6 million doses.
 
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25% of the 13%. So 3.25% are ICU cases which fits in with the mortality rate.

Right, but that's of people who've tested positive, not of people who have contracted the virus. We have no idea how many people have contracted the virus because the people who are being tested are the sickest. There's going to be a lot of people who never get tested because they only ever have mild or no symptoms.
 
Right, but that's of people who've tested positive, not of people who have contracted the virus. We have no idea how many people have contracted the virus because the people who are being tested are the sickest. There's going to be a lot of people who never get tested because they only ever have mild or no symptoms.
Presumably the numbers actually go down when considering untested people and those that don't get medical attention for mild symptoms.
 
Another hot spot developing is Louisiana.

Trump basically echoed Cuomo today by suggesting a shutdown can't go on forever. Of course, he did it in his style so the more he tried to explain, the less coherent he became. Listen to Cuomo's press conference today (youtube) if you prefer the straightforward explanation. (Cuomo basically saying you would start with those who have recovered and the young being allowed to go back to a more normal life.) But both Trump and Cuomo appear correct that you can't just shut down the economy forever. There has to be a balance.

Which means more people will die.

Seems to me you try to hold down the curve for awhile, maybe through April and allow the manufacturing of ventilators, PPE, etc., to ramp up, along with more testing. But after that, we really have to find more of a balance.

It's really going to suck.

There was an editorial by 2 doctors in the Wall Street Journal who are treating patients with hydroxycholoroquine and azithromycin and basically said that though it isn't a cure-all, it does appear to make a difference. They said we can't wait for all the studies to be done months from now and they just have to let it rip. Article is behind a paywall, but another website had some excerpts: "We have a drug with an excellent safety profile but limited clinical outcomes—and no better alternatives until long after this disaster peaks. We can use this treatment to help save lives and prevent others from becoming infected. Or we can wait several weeks and risk discovering we didn’t do everything we could to end this pandemic as quickly as possible."

Interesting thing is they said it should be used on those with mild symptoms and on exposed healthcare providers with no symptoms: "Emergency rooms run the risk of one patient exposing a dozen nurses and doctors. Instead of exposed health workers getting placed on 14-day quarantine, they could receive hydroxychloroquine for five days, then test for the virus. That would allow health-care workers to return to work sooner if they test negative.”


Zero surprise given Bourbon St. was still going nuts even more recently than Florida spring break if memory serves me correctly. I could be off by days, it's all unfortunately a blur.

If anything, it's helping us see that density and contact is a problem (duh), but also that even moderate self-quarantine is a huge boon.

IMO we still have to do more, but it's a huge step in the right direction. I mean, can you imagine if Coachella still went off? That place is it's own ecosystem of diseases even without a pandemic! But just shutting down sporting events, huge gatherings in general is nice. We just have to continue to find ways to make places like NYC and DTLA "more like" the spacious midwest in terms of people contact.
 
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Some different views from medical researchers. They are not as panicked as our media and politicians.

Dr. Jeffrey Klausner from UCLA. Hot spots should be isolated. The risk is very low. Time to calm down and dial it down. Klausner does not expect this coronavirus to be a seasonal virus. From 1 to 10 on the worried scale, Klausner says he is a 2.

UCLA doctor explains the risk level of the coronavirus

Dr. David Katz of Yale University

Society has stopped for coronavirus, but does it have to?

Stanford Nobel Prize winner's take. It isn't as bad as the media is making it out to be in the United States.

Nobel Prize winner shares some good news about the coronavirus pandemic
 
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Better off keeping an eye on South Korea, really. How willing would China be to report a second wave?
The interesting thing about Korea is that they never had stay at home or shelter in home type orders.
Yeah they still have the school closures and many people working from home, but nothing close to what we're seeing here.
For the most part, businesses were running, restaurants were open and some even checked customers' temperatures before accepting them.
Something we couldn't imagine doing here because some people think that's discrimination.

They have mass testing that give results within hours and everyone wears masks everywhere.
They disinfect public spaces (bus stations, subways etc)
And they trace the footsteps of the people who test positive and test everyone who may have been in contact, another thing I can't imagine happening in the US.

One thing to note about masks is that it's very common and normal to wear masks for flu season or bad air quality that nobody needed to tell them to start wearing them once the virus started going around.
 
China easing restrictions in Hubei province today.

Just in time for Singapore and Hong Kong to re-impose theirs fearing a second wave.

I believe Spain has reported its final numbers for today. 385 deaths vs. 539 yesterday. Would be nice to see a trend start to emerge in Europe. All eyes on Italy today.

Edit: Nope, I was wrong. Deaths in Spain now at 489 today.
 
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The interesting thing about Korea is that they never had stay at home or shelter in home type orders.
Yeah they still have the school closures and many people working from home, but nothing close to what we're seeing here.
For the most part, businesses were running, restaurants were open and some even checked customers' temperatures before accepting them.
Something we couldn't imagine doing here because some people think that's discrimination.

They have mass testing that give results within hours and everyone wears masks everywhere.
They disinfect public spaces (bus stations, subways etc)
And they trace the footsteps of the people who test positive and test everyone who may have been in contact, another thing I can't imagine happening in the US.

One thing to note about masks is that it's very common and normal to wear masks for flu season or bad air quality that nobody needed to tell them to start wearing them once the virus started going around.


South Korea was way ahead of this thing and their healthcare is phenomenal in relation to ours, no shortages of equipment to handle this, and their emergency response was probably best-in-the world in this case as you note.

And...people listen.
 
Gov. Cuomo at his press conference today basically said that they aren't bending the curve. Cases are doubling every three days. He expects cases in New York will apex in only 14 to 21 days.

They have 53,000 beds. They will need 140,000. Hospitals will increase existing beds by 50% to 100% percent. Temporary hospitals will add thousands of additional beds. Looking to use dorms and hotels to make up the difference.

Currently about 750 patients on ventilators in ICUs. They have 3,000 ICU beds currently. They estimate they will need 40,000 in 2 to 3 weeks.

They have procured another 7,000 ventilators. FEMA is giving them 400.

Cuomo really unloaded on the Feds for not releasing to New York the 20,000 ventilators it has in reserve. Says they are the epicenter of the crisis. They should all be sent to New York and then after they apex, the ventilators can be sent elsewhere.

Says they are experimenting with splitting ventilators so they can serve two patients at a time. Two sets of hoses.
 
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Zero surprise given Bourbon St. was still going nuts even more recently than Florida spring break if memory serves me correctly. I could be off by days, it's all unfortunately a blur.

If anything, it's helping us see that density and contact is a problem (duh), but also that even moderate self-quarantine is a huge boon.

IMO we still have to do more, but it's a huge step in the right direction. I mean, can you imagine if Coachella still went off? That place is it's own ecosystem of diseases even without a pandemic! But just shutting down sporting events, huge gatherings in general is nice. We just have to continue to find ways to make places like NYC and DTLA "more like" the spacious midwest in terms of people contact.

I read about how local Louisiana leaders were telling people to go and enjoy Marxist Gras because there wasn’t any added threat from coronavirus. I couldn’t find the exact article but here’s one.

'There is no heightened danger': New Orleans officials give update on coronavirus

New Orleans seems to have been a big hot spot.
 
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