Coronavirus in the US

There are 14 cases near me. There was a case in a hospital three miles from my house. I would love to find out that they’ve tested 5000 people in my area and only found three more today, because I know they found three more today, on top of two more yesterday, and it would be nice to know there weren’t a lot of other cases that they just haven’t found yet.

Right now, those of us over 50 are ordered to stay away from large gatherings. I have a wedding coming up which I’d like to go to, and I sure would like to know that the government was aggressively testing, discovering and isolating the cases, so I don’t get sick.

SO YES OF COURSE I WANT TO KNOW HOW MANY TESTS THEY ARE DOING

Just got a call from son - Amazon is requesting Seattle employees to work from home through the end of March unless something requires them to be at the office. This was sent out tonight following a King County announcement.

@BunsenBurner - empty buses!

https://www.nytimes.com/2020/03/02/nyregion/coronavirus-new-york.html. A woman in Manhattan who just returned from Iran has tested positive.

There is a good article int he WaPo about the case in New Rochelle and how it spread, but its behind a paywall.

@silverpurple, raising my hand here in Westchester. As in, I know someone who’s in quarantine.

Not yet in the confirmed count of 11 for NY, but very likely to be. And another in self-quarantine.

Mayor of Ft Lee NJ announced the first “presumptive” case of C19 late yesterday. Ft Lee is across the GW bridge from NYC and also has a significant Korean-American community, but no word on how they believe it was transmitted.

My FiL was dx w pneumonia yesterday at his doctor’s office, and advised to not seek further care at a hospital or urgent care unless absolutely necessary.

In Westchester, not just New Ro schools: https://abc7ny.com/5985621/

“Hastings-on-Hudson School District announced Wednesday that it will close all its schools Thursday and Friday to sanitize the building, making it the first public school district in the area to do so.”

When is the trip? I don’t know what is best to do about it. I am questioning upcoming college visits and hope to get some in soon before things get worse than they are. I don’t think that we can compare being out and about in the general public to the risk of medical workers in China who were in gear and got it because they were often doing very high risk things like inserting breathing tubes and things like that, which is very, very high risk.

I wonder how many people, if they got droplets from a sneeze or cough of an infected person directly into their eyes, nose, or mouth, would get the virus. Would it be 100% would get it? Would some not get it? I know not all would get very sick, but how many would be exposed and not get anything?

I think probably people who drive cabs and people in car pools who are getting it are likely getting sneeze or cough or spittle droplets on them or on their hands and then infecting themselves. I do think hand washing and not touching one’s face helps a lot.

What Doctors Treating Covid-19 in Wuhan Say About Coronavirus

https://www.bloomberg.com/news/articles/2020-03-05/what-doctors-treating-covid-19-in-wuhan-say-about-the-virus

“From most of the publications right now the median incubation period is five to seven days, with the longest incubation period as 14 days,” said Du Bin, a member of China’s team of experts overseeing coronavirus treatment. “There’s no data showing that an incubation period longer than 14 days ever existed.”

‘There’s also no evidence so far that people who have recovered and later test positive again for the virus can pass it on to others, according to Du,…’

Morning news is reporting that there is a second strain of the virus in China, and that the mortality rate could be as high as 3.8% (if for sure the deaths reported are due to COVID-19).

My neck of the woods, Westchester County, and I’m less than 3 miles from where the lawyer And family featured in this Covid-19 lives. I’ve not been there for some weeks, however. My Favorite Starbucks is right on the North Ave that is now pretty much deserted. I wouldn’t be frequenting restaurants in the area if I were back there; in fact, it’s probably a good idea to cut down on eating out, avoiding crowds and close contact with others.

New Rochelle schools not closed because the kids with the virus did not attend them. The two private schools where the quarantined kids from the two families affected are closed. Two other school districts have decided to shut down their schools to do a thorough cleaning and sanitizing, possibly because some of their students may be in the circle of friends of the affected kids.

I’m being a bit more careful at my locale even though there has been no sign of the virus here or in adjoining states. I wouldn’t be a bit surprised if it is lurking about and simply has not been diagnosed. It takes someone getting very ill or directly within the circle if someone affected to get tested. The New Ro lawyer would likely not have been found with the virus had he not become so terribly ill. Even so, he had to be considered in serious condition and transferred to another hospital that could handle higher risk patients before he was tested. As a result, staff at the first hospital are in quarantine, and who knows how many there at Lawrence Hospital while he was there picked up the virus indirectly? We’ll likely know in the next 2 weeks who catches this virus from him and his family and his contacts during his contagious period. A number of those folks likely to be walking about right now undiagnosed, and some of them in their local businesses and usual venues. Highly likely those eateries have been serving someone who is infected from this cluster. Give it time. So, yes, I’m not interested in hanging out in the Wyakagyl part of New Rochelle where it is a known fact that most of those known to have Covid-19 have been frequenting.

I’m more conscious about touching my face these days and washing my hands a bit longer. Avoiding direct contact with others. I’m face to face with clients at my job, but am more aware of contact and I clean my desk with bleach wipes between clients. I’ve always had clients with colds, coughs, sniffles, blowing nose and with kids with such symptoms. Had few with pink eye last month. All my coworkers have been sick with colds and coughs this season, and have worked days very much showing symptoms Not breaking out the n95 masks yet, but yes, am more aware of sanitary measures and trying to make them a matter of habit.

I’m not in the heightened state of fear that I would have been a few years ago when I had fragile and elderly parents living with us. I don’t have direct contact with anyone in that category these days, so I don’t feel like Im putting high risk folks in danger. I’d be a lot more careful if I were in that diet of contact. The clients are my only possible such contact, and I am a good arm’s length. away from them. I don’t think I’ll be giving as many hugs when greeting older relatives for a while. I don’t want to transmit anything to them. I’ve no reason to believe I have this virus presently; no symptoms but that can change in an instant.

I have tickets for a flight to SanDiego first weekend of April and will see how that goes. American hasn’t announced anything about the flight yet. If it’s not advisable to fly and flights being cancelled, I may not go. As of now, it looks like a go for me.

The virus is transmitted through coughing and maybe even breathing for someone that’s highly viral. the cab driver doesn’t actually have to be sneezed on with visible droplets to be infected. I can imagine 10 minutes in an enclosed space like a hospital room or a cab with someone coughing in a highly viral situation can spread the disease much faster than someone with no symptoms. Lawyer in New York’s neighbor got sick when driving him to the hospital.

Right, the other public district closed in Westchester is Mount Vernon, not New Ro. In both districts, students have had exposure to some degree to one of the confirmed cases, and the schools are (for now) closed for cleaning.

So…should my family member really be flying to Seattle on April 2?

I read this morning that two college basketball teams cancelled their travel and play in Seattle.

The decisions about travel are very difficult. I wish the answers were more clear.

I have so many questions. Ugh. Working in NYC, moving through the freaking Port Authority every day. We have a tour of Princeton tomorrow for S23. Seems like no way to avoid this.

My understanding is that the Fort Lee case is related to the Westchester case in New York. He was asymptomatic himself, but was discovered because of contact tracing.

The reports from China say that most of the healthcare workers (HCW) who got Covid-19 got it at the beginning of the epidemic when it was unknown or unclear what was going on with the mysterious pneumonia. Also, due to shortages of gear, the HCW were not well protected, especially in Wuhan, the outbreak center.

As for here in the US, there are HCW who did not suit-up when the Westchester man first went for care, and I’m sure that scene has been repeated all over. It is hard to shift people, especially at the clinic/doctor’s office level, into protection mode. Even in hospitals, it is hard to get people to be proactive/preventative before the threat becomes obvious.

I am worried about the fact that the US does not have enough protective gear for HCW. Reports are that we have 1% of the masks we will need for a year if this becomes a “full blown” pandemic: https://www.businessinsider.com/usa-1-percent-3-billion-face-masks-needed-coronavirus-pandemic-2020-3

As for hand washing, all reports are that it is very effective. My awareness is up when I’m out, and I constantly have to touch stuff that many other people have touched and/or coughed on. The trick is to maintain awareness until I can use hand-sanitizer or best, wash my hands. Exposure is definitely lowered this way.

However, we have kids in school, and I don’t think they can be expected to be so careful. Despite the fact that DH is in ICU’s in multiple hospitals everyday, he is OCD about protective gear, so the most likely way for him to get Covid-19 is probably from our kids.

That’s really good to hear. With some viruses, just being pregnant puts you at extreme risk. You’re so close to the baby birthing finish line, we all want you and Jedi baby to stay healthy!

Just anecdotal, but nurses on my nursing forum are reporting things like the following: patients/families/visitors have been stealing masks (for example, at stations where masks are available to visitors for reasons other than coronavirus, they are taking handfuls rather than the one mask). People have been going into stock rooms and stealing masks and sanitizers. So security have taken all masks usually available to HCW in the stock room and locked in other places, where they have to jump through hoops to get them. Some nurses are being told they won’t be given masks for the near future period.Remember, coronavirus is NOT the only contagious risk to health care workers.

Patients/families/visitors have been stealing the hand sanitizers mounted outside of patient rooms.

Every man for himself, screw the health care team.

That’s pretty sad to hear. Healthcare workers are on the front line. If they aren’t protected, we’re all at risk. It takes collective community efforts to control this communicable disease.