CORONA Main Coronavirus thread

summerthyme

Administrator
_______________
Aesop had good article on this subject a while back. ( I cannot resurrect it at the moment. Perhaps a Good Samaritan can.)

Basically, he said you can't jump into the saddle and start riding right out of school.

I tend to agree.
While absolutely true, there is LOTS of scut work they can do while learning "on the job". Admittedly, I'm not sure if the overall result will be better or worse for the experienced professionals already doing the job. But it would seem the baby nurses could do everything from changing beds to paperwork, as well as running for supplies and answering call bells, freeing up the experienced staff for the more technical aspects.

Summerthyme
 

OldArcher

Has No Life - Lives on TB
OK - POST OF THE DAY - and it needs to be screamed in large caps because this is not only bad news, it really really adds to teeth to why Nightwolf noticed that "Dr. Fauci looks like a man trying not to cry" and suggests that no matter what anyone "wants" (Trump or anyone affected by this) the virus may have weeks to go before it even levels off for round one.

Several here have posted that "gradually people will just get back to work and then reality will set in and everyone will be working" or words to that effect.

I restrained myself from saying "unless that new 'reality' includes people dropping, seizing and bleeding out beside them on the factory floor, the bus stop or the grocery counter."

I hope that does not happen, I find it as horrifying as anyone else but it WAS (and may still be) the reality in China.

This post is talking about FIRST-HAND KNOWLEDGE of factories that shut down, reopened and were then forced by the disease to shut down again in China.

And I am pretty sure that in China, they don't just send people home with a sniffle or are very happy if they call in with a "duvet day" (aka pulling a sickie).

I suspect rather strongly that people just keep working and working and working until - full stop them down.

Even the worst US Factories (often employee illegal workers) are not usually quite as extreme, and most will send people home after the first cough and registered fever.

Thank-you for all you and Nightwolf do, Melodi. Your perspectives and wisdom are greatly appreciated.

Have you and Nightwolf looked to where we're going, via PSYCARDS and/or Runes? I'll be doing both, later today...

Bless You and Yours, Milady... You bless us with your presence...

OA
 

jward

passin' thru
ɪᴀɴ ᴍ ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ


ɪᴀɴ ᴍ ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ





@MackayIM
virologist. scientist. husband. dad. reader. writer. fixer. bad typist. in no order. facts referenced. opinions mine alone. not medical advice or endorsement.





@MackayIM


"Existing diagnostic assays for SARS-CoV can detect antibodies in patients who were diagnosed with COVID-19 [SARS-CoV-2]. These assays maybe be utilized as an interim measure in epidemiological investigations" [preprint]






"this study has provided evidence that antibodies to SARS-Cov-2 cross 122 reacts to give positive results in existing SARS-CoV test assays due to the similar structural 123 proteins that it shares with SARS-CoV."



View: https://twitter.com/MackayIM/status/1242618954528374784?s=20
 

Trivium Pursuit

Has No Life - Lives on TB

Dem Rep. Told Colleagues Coronavirus Bill Is ‘Tremendous Opportunity to Restructure Things to Fit Our Vision’

Tobias Hoonhout
,
National ReviewMarch 23, 2020


fbcf8b84df9e205d28a252fb23d9f85e

House Speaker Nancy Pelosi (D., Calif.) worked to scupper the phase-three coronavirus relief package on Sunday after Majority Whip James Clyburn (D., S.C.) told caucus members last week that the bill was “a tremendous opportunity to restructure things to fit our vision.”

Clyburn’s comments came on a Thursday call featuring more than 200 House Democrats, during which caucus members laid out a list of provisions they wanted to be included in the Senate’s trillion-dollar package.

Republicans have said that Democrats have reportedly demanded increased bargaining powers for unions, as well as environmental regulations for airlines and more wind and solar tax credits.

A bit of a clap back from republicans. pic.twitter.com/8iiwtHs4HC
— Jake Sherman (@JakeSherman) March 23, 2020

Pelosi flew into Washington, D.C. over the weekend to add demands to negotiations, a move that Senate Republicans have cited as the reason why the procedural vote to fast-track the legislation fell by a party-line vote on Sunday night.

Speaking after the vote, Senate Majority Leader Mitch McConnell (R., Ky.) slammed Democrats for playing politics in a time of crisis.

“All of a sudden, the Democratic leader and the speaker of the House shows up and we’re back to square one,” McConnell said, saying the shift amounted to “obstruction.”

“We’re fiddling here, fiddling with the emotions of the American people, fiddling with the markets, fiddling with our health care. The American people expect us to act tomorrow,” McConnell said. “And I want everybody to fully understand if we aren’t able to act, it’ll be because of our colleagues on the other side continuing to dicker when the country expects us to come together and address this problem.
Jackals waiting for the Coronavirus lion to weaken their prey for them.
 

jward

passin' thru
Trevor Bedford
@trvrb



A thread on #SARSCoV2 mutations and what they might mean for the #COVID19 vaccination and immunity, in which I predict it will take the virus a few years to mutate enough to significantly hinder a vaccine. 1/12

I'm writing this thread because I have a bunch of mentions talking about 100s of "strains" and no ability to vaccinate against them. I want to clarify scientific usage of strain vs mutation. 2/12

RNA viruses such as influenza mutate very rapidly. The molecular machinery they use to replicate in the body is highly error prone. 3/12

If you follow a transmission chain in which one person with flu infects another person and they infect another person and so on, you'll find that the virus mutates about once every 10 days across its genome. 4/12

Almost all of these mutations will have little to no effect on virus function. Evolution weeds out the mutations that "break" the virus and mutations that make a virus replicate better are extremely rare. 5/12

For influenza, the major driver of evolution is immunity. Mutations will occasionally appear that cause people's existing immunity to no longer protect as well against a newly emerged mutant virus. 6/12

This is why the strain used in the influenza vaccine needs to be updated by the @WHO every year. Here you can see evolution of influenza H3N2 over the past 12 years and the amount of "antigenic drift", ie evolution relevant to vaccines and immunity. nextstrain.org/flu/seasonal/h… 7/12
Importantly, this evolution takes takes place over years. When pandemic swine flu emerged in 2009, it took the virus a solid 3 years before we saw any evidence at all of antigenic drift. nextstrain.org/flu/seasonal/h… 8/12
If I had to guess, I would predict that #SARSCoV2 will behave similarly to existing seasonal coronaviruses in its ability to mutate to avoid vaccines and immunity. 9/12

Here we see that seasonal coronaviruses may behave similarly to seasonal flu in which frequent mutations to spike protein (the protein targeted by immunity) are observed (microbiologyresearch.org/content/journa…,


Genetic drift of human coronavirus OC43 spike gene during adaptive evo Coronaviruses (CoVs) continuously threaten human health. However, to date, the evolutionary mechanisms that govern CoV strain persistence in human populations have not been fully understood. In this … https://www.nature.com/articles/srep11451
). 10/12

Here's @firefoxx66's analysis of seasonal coronavirus OC43 where we see frequent mutations to spike protein. nextstrain.org/community/next… 11/12
So, my prediction is that we should see occasional mutations to the spike protein of #SARSCoV2 that allow the virus to partially escape from vaccines or existing "herd" immunity, but that this process will most likely take years rather than months. 12/12

Todd Graham (@MetroGram) | Twitter
 

Trivium Pursuit

Has No Life - Lives on TB
People who suffer from hypertension appear to be very susceptible to the coronavirus, according to figures from Italy’s epidemiology institute.

The institute is releasing details about who is dying from the disease in Italy, which has seen the most fatalities of any country. One of the interesting details refers to the victims’ underlying health conditions, so-called comorbidities.

The data up to 20 March shows that almost 75% of people who died suffered from hypertension, or high blood pressure. Almost 34% had diabetes. Only 1.2 % of cases had no comorbidities.


717.jpg

Photograph: Epicentro ISS
The data shows the vast majority are aged over 70.


===
.
And I just started taking blood pressure medication five days ago...
 

jward

passin' thru
More people on the ground, rising to the occasion and gettin' er done! This is how we get to the other side :: applaudin ::

Stephen Lapinsky

@StephenLap


(With permission) Extubation #COVID19 patient inside a large plastic bag to contain cough. Bag prefilled with Heliox to keep it open. Pulled behind patient to below shoulders. Tavish mask in bag. ETT pulled from outside bag, kept inside bag, air evacuated by suction after.
Discussing infection control prior to extubation of #COVID19 pt. RT came up with Heliox bag idea (based on Twitter intubation pictures). 1. Tried it over volunteer head 2. Extubated non-COVID: & refined procedure 3. Volunteer trial again 4. Then COVID extubation went smoothly


View: https://twitter.com/StephenLap/status/1242087577978646539?s=20
 

Trivium Pursuit

Has No Life - Lives on TB

Fighting Coronavirus: Medical Students Near Graduation Pushing To Get On Frontlines

by Rick BooneMarch 23, 2020 at 10:43 pm

CALIFORNIA (CBS13) — As California fights the coronavirus, there’s another danger that’s fast approaching towards the state: a nursing and medical staffing shortage that could cripple the healthcare system just when we need it most.
Medical students near graduation day are pushing Governor Newsom to change the rules so they can get to the frontlines right now.

As many as 14,000 graduating nurses are waiting on the sidelines, pleading with the governor for their early certification now, versus next month.

“I’m so ready, I’ve been preparing for 19 months, I don’t want to do anything else with my life,” nursing student Ryane Panasewicz said.

Panasewicz, who’s just a few weeks from graduating as a nurse, is on a mission to change California’s medical requirements and save lives in this pandemic.
READ: Hospital Taking Donations Amid Nationwide Supply Shortage
She and a fellow student lobbied that change to lawmakers with an online petition, and so far she’s gotten 90,000 signatures.

“Because we want to graduate and get out there. So this is our way to kinda push back,” she said.

Right now, for a nurse to graduate in the state, they must have hours of on the ground hospital training, known as clinical rotations. But with the coronavirus surging, those rotations have been suspended while career medical professionals focus on the influx of COVID-19 patients.

Some hospital employees agree with the students. Some nurses were protesting Monday to highlight the fact that they’re running thin on everything from equipment to people.

“We’re afraid that too many people are going to start getting sick and there won’t be anyone to take care of the patients anymore,” registered nurse Diane McClure said.

Across the country, several states have waived clinical rotations for graduating nursing students, while others are considering the decision. On Monday, Governor Newsom said he’s now warming up to the idea.

“We believe the ability to get fourth-year medical students into the system… getting someone that’s almost finished getting their nursing degree, get them licensed earlier,” Newsom said.

If he rescinds the requirement, some 14,000 new medical professionals could flow into hospitals immediately. It’s a change students say could have a healing impact on us all.

“I’m very optimistic he’s going to make some changes this week,” Panasewicz said.

There’s also a push to call up retired and reserve doctors and nurses to help battle the virus.
Further proof that nurses are the utterly amazing human beings that I see in action in hospitals every 2 months or so.
 

jward

passin' thru




Global Biodefense
@GlobalBioD



FDA Allows Emergency Use of Investigational Convalescent Plasma for Critical COVID-19 Patients | Global Biodefense https://bit.ly/3drmDZd
View: https://twitter.com/GlobalBioD/status/1242660035370590208?s=20


********************************
FDA Allows Emergency Use of Investigational Convalescent Plasma for Critical COVID-19 Patients
by Global Biodefense
24 Mar 2020



NIAID Makes New Images of SARS-CoV-2 Available for COVID-19 Coverage









The FDA is facilitating access to convalescent plasma, antibody-rich blood products that are taken from blood donated by people who have recovered from the COVID-19 virus, that could potentially shorten the length, or lessen the severity, of the illness. The agency will be using multiple pathways to support these efforts and has posted information for investigators wishing to study convalescent plasma for use in patients with serious or immediately life-threatening COVID-19 infections through the process of single patient emergency Investigational New Drug Applications for individual patients. The FDA also is actively engaging with researchers to discuss the possibility of collaboration on the development of a master protocol for the use of convalescent plasma, with the goal of reducing duplicative efforts.
Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including the 2009-2010 H1N1 influenza virus pandemic, 2003 SARS-CoV-1 epidemic, and the 2012 MERS-CoV epidemic.
Although promising, convalescent plasma has not been shown to be effective in every disease studied. It is therefore important to determine through clinical trials, before routinely administering convalescent plasma to patients with COVID-19, that it is safe and effective to do so. Clinical trials have been initiated to this aim and are one way for patients to obtain access to convalescent plasma, but such trials may not be readily available to all patients in potential need during the COVID-19 response.
The Food and Drug Administration (FDA) therefore today authorized access to COVID-19 convalescent plasma for use in patients with serious or immediately life-threatening COVID-19 infections through the process of single patient emergency Investigational New Drug Applications (eINDs) for Individual patients under 21 CFR 312.310. This process allows the use of an investigational drug for the treatment of an individual patient by a licensed physician upon FDA authorization. This does not include the use of COVID-19 convalescent plasma for the prevention of infection.
COVID-19 convalescent plasma must only be collected from recovered individuals with a prior diagnosis of COVID-19 documented by a laboratory test if they are eligible to donate blood. Required testing must be performed and the donation must be found suitable. Donors must also have resolved all symptoms at least 14 days prior to donation and have a verified negative follow-up test.
  • Eligible patients for use under expanded access provisions:
    • Must have laboratory confirmed COVID-19
    • Must have severe or immediately life-threatening COVID-19, for example:1
      • Severe disease is defined as:
        • dyspnea,
        • respiratory frequency ≥ 30/min,
        • blood oxygen saturation ≤ 93%,
        • partial pressure of arterial oxygen to fraction of inspired oxygen ratio < 300, and/or
        • lung infiltrates > 50% within 24 to 48 hours
      • Life-threatening disease is defined as:
        • respiratory failure,
        • septic shock, and/or
        • multiple organ dysfunction or failure
    • Must provide informed consent
How to obtain authorization for use of COVID-19 convalescent plasma
  • For request that are not highly time sensitive (response from FDA provided within 4 to 8 hours), the requesting physician may contact FDA by completing form 3926 and submitting the form by email to CBER_eIND_Covid-19@FDA.HHS.gov.
    • The completed form should include a brief clinical history of the patient, including: diagnosis, current therapy, and rationale for requesting the proposed investigational treatment in order to meet the expanded access use requirements of 21 CFR 312.305 and 312.310.
    • The form should include information regarding where the COVID-19 convalescent plasma will be obtained.
    • Providers should complete the form to the extent possible, and FDA will work with the provider if additional information is required.
    • FDA will review the request and, upon approval, FDA will send the requesting physician a confirmatory email that includes the emergency IND number.
  • In the event of an emergency that is highly time sensitive (response required in less than 4 hours) or where the provider is unable to complete and submit form 3926 due to extenuating circumstances, the provider may contact FDA’s Office of Emergency Operations at 1-866-300-4374 to seek verbal authorization.
    • If verbal authorization is given, the requestor must agree to submit an expanded access application (e.g., form 3926) within 15 working days of FDA’s authorization of the use.
In addition to the above, FDA is continuing to work with its government partners including the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) to develop master protocols for use by multiple investigators in order to coordinate the collection and use of COVID-19 convalescent plasma.
1Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. Published online February 24, 2020. doi:10.1001/jama.2020.2648
Source: Food and Drug Administration


posted for fair use
 

TorahTips

Membership Revoked
The AHA's own conclusions are unarguable, at minimum. There's no higher authority regarding whether this is, or is not something severe that hospitals in this country will be facing. This will be only the 5th time in my 18 years here that I have put someone on ignore. But the second time for this thread...
I also used the IGNORE button for the first time ever on that person.
 

Trivium Pursuit

Has No Life - Lives on TB

'Blow Up the Bridges': Some Wealthy Manhattanites Are Knowingly Bringing Wuhan Coronavirus to the Hamptons
Matt Vespa
Matt Vespa

|
@mvespa1
|
Posted: Mar 24, 2020 1:15 PM


'Blow Up the Bridges': Some Wealthy Manhattanites Are Knowingly Bringing Wuhan Coronavirus to the Hamptons'Blow Up the Bridges': Some Wealthy Manhattanites Are Knowingly Bringing Wuhan Coronavirus to the Hamptons

Source: AP Photo/John Minchillo
New York City represents over half of all of the 40,000+ cases of Wuhan coronavirus infections in the United States. There are hordes of wealthy people in the city. So, where would Manhattanites go at this time? The Hamptons. And the locals here are not happy. As New York Post columnist Maureen Callahan wrote, it’s all-out class warfare as the elite and entitled are making life hell for the locals.

She wrote that these folks, who landscape and tend to the super-rich during the summer months are not tolerant of this spring invasion, where grocery stores are wiped out and ditzy folks refuse to listen to the rules. One woman who tested positive for the Wuhan virus in the city didn’t adhere to protocol. She was told to remain in the city, but hopped on public transportation, didn’t alert anyone of her infection, and arrived at a hospital in the Hamptons demanding admission.

Callahan also added that someone flew a private jet into East Hampton and didn’t tell anyone until he landed. One local suggested they “blow up the bridges” to stop the mass influx of city dwellers (via NY Post):

The year-round residents, the locals who serve and clean and landscape for the super-rich in the summertime — and put up with all manner of entitlement and terrible behavior in exchange for good money — are silent no more.




The issue is quite simple. The local health care systems are not equipped to handle this influx of people in the offseason. New Jersey Gov. Phil Murphy also made similar remarks concerning folks in New Jersey who are thinking about fleeing to their summer residences along the coast. Don’t do it.
New York City, duking it out with LA for the title of most self absorbed.
 

Trivium Pursuit

Has No Life - Lives on TB
I know we've re-hashed this to death, but with all the news coming out of Italy, and some of the other hot zones in the US, I just can't figure those people out. How they still think flu is worse. Do they just not watch or read any news? Or do they know, but it doesn't serve their agenda? I like Rush Limbaugh and I've always thought he was an astute person, but he is one of those people who think it's a nothingberger and is just some vast left-wing conspiracy to bring down Trump. I know some really intelligent, conservative, liberty loving people in the the meat world who are blowing this off. I find it most perplexing. Mind boggling actually.
I think we have seen signs both that the intelligence of the planet has been somewhat overestimated, and the success at least in this country of 70 plus years of the public schooling agenda.
 

Hfcomms

EN66iq
In case people didn't notice Trump said all the New York people, plus all the rest who flex the big cities should self isolate for 14 days. Ain't happening. I have seen story after story highlighting the lethal impact of the stupid American. The disease is out of control because we took steps to INCREASE ITS SPREAD. How many cases will be on New York City two weeks from now. All these people left New York city just like back in january when cases just started popping up from nowhere until you figured out it was the ones without symptoms that did the real damage. We have 3 days in New York city before it is over.

I always resist the temptation to go full doom Doug. But this time.........

I‘m not a doctor and I didn’t stay in a holiday inn express last night either. The army trained me well in NBC operations and the lion’s share was in contamination avoidance and decontamination operations. Much of it doesn’t matter if your talking nuclear, chemical or biological. With a novel virus (no immunity fire blocks) and being extremely virulent and with no real pharmaceutical treatments available what you are left with if you don’t want to catch this is exactly what they have been saying. Not only social distancing but isolating yourself to the greatest possible decree.

Honey Badger virus doesn’t give a pitcher of warm spit about the constitution, civil rights or personal liberty. It doesn’t care if your a saint or a sinner. Doesn’t care if your a rule maker or a rule breaker. Doesn’t care if your rich, famous and powerful or if your down and out living on the streets. The virus doesn’t care about the economy or banking system and certainly doesn’t care about bloviating politicians pounding their chests. Honey Badger cares about one thing and one thing only. It only wants to replicate itself and seek new victims...period!

To that end if you want to avoid Honey Badger’s cares and caresses you have to be alert, aware, think on your feet and reduce exposure risk to the best of your ability. I don’t envy Trump or the position he is in but regardless of what he says or does in another two weeks we are not going to recognize this country if we don’t stay the frell home.
 

Trivium Pursuit

Has No Life - Lives on TB

Global Biodefense
@GlobalBioD



FDA Allows Emergency Use of Investigational Convalescent Plasma for Critical COVID-19 Patients | Global Biodefense https://bit.ly/3drmDZd
View: https://twitter.com/GlobalBioD/status/1242660035370590208?s=20


********************************
FDA Allows Emergency Use of Investigational Convalescent Plasma for Critical COVID-19 Patients
by Global Biodefense
24 Mar 2020



NIAID Makes New Images of SARS-CoV-2 Available for COVID-19 Coverage









The FDA is facilitating access to convalescent plasma, antibody-rich blood products that are taken from blood donated by people who have recovered from the COVID-19 virus, that could potentially shorten the length, or lessen the severity, of the illness. The agency will be using multiple pathways to support these efforts and has posted information for investigators wishing to study convalescent plasma for use in patients with serious or immediately life-threatening COVID-19 infections through the process of single patient emergency Investigational New Drug Applications for individual patients. The FDA also is actively engaging with researchers to discuss the possibility of collaboration on the development of a master protocol for the use of convalescent plasma, with the goal of reducing duplicative efforts.
Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including the 2009-2010 H1N1 influenza virus pandemic, 2003 SARS-CoV-1 epidemic, and the 2012 MERS-CoV epidemic.
Although promising, convalescent plasma has not been shown to be effective in every disease studied. It is therefore important to determine through clinical trials, before routinely administering convalescent plasma to patients with COVID-19, that it is safe and effective to do so. Clinical trials have been initiated to this aim and are one way for patients to obtain access to convalescent plasma, but such trials may not be readily available to all patients in potential need during the COVID-19 response.
The Food and Drug Administration (FDA) therefore today authorized access to COVID-19 convalescent plasma for use in patients with serious or immediately life-threatening COVID-19 infections through the process of single patient emergency Investigational New Drug Applications (eINDs) for Individual patients under 21 CFR 312.310. This process allows the use of an investigational drug for the treatment of an individual patient by a licensed physician upon FDA authorization. This does not include the use of COVID-19 convalescent plasma for the prevention of infection.
COVID-19 convalescent plasma must only be collected from recovered individuals with a prior diagnosis of COVID-19 documented by a laboratory test if they are eligible to donate blood. Required testing must be performed and the donation must be found suitable. Donors must also have resolved all symptoms at least 14 days prior to donation and have a verified negative follow-up test.
  • Eligible patients for use under expanded access provisions:
    • Must have laboratory confirmed COVID-19
    • Must have severe or immediately life-threatening COVID-19, for example:1
      • Severe disease is defined as:
        • dyspnea,
        • respiratory frequency ≥ 30/min,
        • blood oxygen saturation ≤ 93%,
        • partial pressure of arterial oxygen to fraction of inspired oxygen ratio < 300, and/or
        • lung infiltrates > 50% within 24 to 48 hours
      • Life-threatening disease is defined as:
        • respiratory failure,
        • septic shock, and/or
        • multiple organ dysfunction or failure
    • Must provide informed consent
How to obtain authorization for use of COVID-19 convalescent plasma
  • For request that are not highly time sensitive (response from FDA provided within 4 to 8 hours), the requesting physician may contact FDA by completing form 3926 and submitting the form by email to CBER_eIND_Covid-19@FDA.HHS.gov.
    • The completed form should include a brief clinical history of the patient, including: diagnosis, current therapy, and rationale for requesting the proposed investigational treatment in order to meet the expanded access use requirements of 21 CFR 312.305 and 312.310.
    • The form should include information regarding where the COVID-19 convalescent plasma will be obtained.
    • Providers should complete the form to the extent possible, and FDA will work with the provider if additional information is required.
    • FDA will review the request and, upon approval, FDA will send the requesting physician a confirmatory email that includes the emergency IND number.
  • In the event of an emergency that is highly time sensitive (response required in less than 4 hours) or where the provider is unable to complete and submit form 3926 due to extenuating circumstances, the provider may contact FDA’s Office of Emergency Operations at 1-866-300-4374 to seek verbal authorization.
    • If verbal authorization is given, the requestor must agree to submit an expanded access application (e.g., form 3926) within 15 working days of FDA’s authorization of the use.
In addition to the above, FDA is continuing to work with its government partners including the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) to develop master protocols for use by multiple investigators in order to coordinate the collection and use of COVID-19 convalescent plasma.
1Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. Published online February 24, 2020. doi:10.1001/jama.2020.2648
Source: Food and Drug Administration


posted for fair use
Excellent. Desperation is forcing a clue, as with New York starting to use IV vitamin C.
 

raven

TB Fanatic
Amazon employees in NY, FL, KY, TX, MI and OK test positive for COVID-19
Fulfillment centers in New York, Florida, Kentucky, Texas, Michigan and Oklahoma have been closed down.

Amazon workers in at least six warehouses across the United States have tested positive for COVID-19, according to the Washington Post.

In line with local media reports, in the past few days fulfillment centers in New York, Florida, Kentucky, Texas, Michigan and Oklahoma have been closed down for cleaning and workers suspected of being in contact with those who tested positive have been quarantined.

“We are supporting the individuals, following guidelines from local officials, and are taking extreme measures to ensure the safety of all the employees at our sites,” Amazon spokeswoman Lisa Levandowski said in an emailed statement to the Post.

Earlier this month, Amazon employees working in warehouses in both Spain and Italy tested positive for COVID-19 after contracting the coronavirus. In light of such news, the Amazon workforce started a petition last week, calling on the organization to take further precautions to better protect their workers against the viral spread. 1,500 employees have since signed the petition.

Amazon says they are following the instruction of health officials regarding proper protocols in which to continue operations, taking the relevant precautions to protect their workers in the process.

“We are going to great lengths to keep the buildings extremely clean and help employees practice important precautions such as social distancing and other measures,” Amazon spokeswoman Kelly Cheeseman said, according to the Post. “Those who don’t want to come to work are welcome to use paid and unpaid time off options and we support them in doing so.”

Amazon already started delaying shipments of non-essential items to the United States for up to one month - prioritizing deliveries of medical supplies and basic household items in an attempt to get a handle on customer demand as a result of the coronavirus outbreak.
But, but, but . . . I thought they were essential personnel.
 

Mixin

Veteran Member
And I just started taking blood pressure medication five days ago...
IIRC, it depends on which one you take. I think the calcium channel blockers are ok. Maybe it was MedCram that discussed it.

One of the cases I've been following posted this on his FB:

The latest update in my wife. I just spoke with the nurse and they are currently doing dialysis. Her heart rate is still good and they are going to see if they can wean her off the blood pressure medication that’s been raising her blood pressure. Her kidneys still have no function but her O2 level is up in the low 90’s but the ventilator is still at 100%. If O2 level stays up the may try to start lowering the ventilator pressure.

 

Macgyver

Has No Life - Lives on TB
I'm also in Colorado, north of Denver, and there is a national guard installation about a mile from my house. I have been making a point of walking past it on my daily dog walk, just to get a heads up if the guard is starting to prepare for deployment. As of today, place is still quiet, no lights on, no vehicles in the parking lot. I'll post a note if that changes.

Steve308
Not a bad idea.
The NG armory in N Philly was quiet last Thursday when I went by.
Sunday the one in Woodbridge NJ was empty other than a few parked ecnobox gov fleet cars.
I'm going to drop tax crap off latter today, I'll make a short detour and check the one near me.
 

Haybails

When In Doubt, Throttle Out!
I think you may have to limit visits for a few weeks. Would your ex go along with that? If they've already visited since she's been back, don't worry about it, they've already been exposed if they're going to be exposed. water under the bridge. But if they haven't been there since she's been home, keep them away for a while. And they'll have to stay away from your ex too if he's living with his mother. Hopefully he's sane and reasonable and won't give you issues over this. Adding my prayers for your situation.

HD
Thanks for your prayers.

Just for clarification :) I'm a "He" and my Ex is a "She".

We're all well adjusted and mature . . . so, there's no trouble or stress or issues in that regard.


HB
 

jba48

Veteran Member
Some blood pressure meds may be fine, as stated above by Mixin. The highly suspect ones are the ace inhibitors. The names of those often end with the suffix -pril. Accupril, Lisinopril, etc.
Dang. I'm 56 and on Ramipril. Does anyone know if the dosage matters? I think mine is pretty low. Wonder if I should just stop taking it. Or is it too late?
 

TxGal

Day by day
Dang. I'm 56 and on Ramipril. Does anyone know if the dosage matters? I think mine is pretty low. Wonder if I should just stop taking it. Or is it too late?

I started taking Lisinopril last month, also a low dose, after months of trying to convince my primary care MD that it was just stress and anxiety due to a seriously ill family member. It is, at least most of it, but that doesn't lessen the damage HBP can do. Do not stop taking your meds without speaking with your MD!!

I've read articles that say it can negatively and positively affect the nasties with coronavirus - they don't really seem to know. You do know, though, what HBP can and often does do. Not a good time to be having a stroke...no time is a good time.
 
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Haybails

When In Doubt, Throttle Out!
Just a quick gentle reminder: please post something (ANYTHING) along with a web link (URL). There's been a long standing TB2K policy of "No Blind Links". We see a URL on a post - it might be easy to 'assume' the destination or content . . . but, many of us are TRAINED not to just "click and pray/hope". So, a comment about the destination or even a screen capture image.

Additionally, in this day and age of on the fly edits - what you saw, and then posted with a blind link, may be completely different that what we see by following the blind link.

Thanks,

Carry on.


HB
 
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