Coronavirus in the US

Last night at my board meeting, one of the NPs said she called our Dept of Health to test patient(s). She got NO answer and no call back, tho she gave her name and contact info and it was the phone # their lung center was given! She was very irked and didn’t have time to keep calling them to test patient(s). She sees this as a huge gap!

Ugh, 2 AIPAC conference attendees tested positive. The notice that got sent out doesn’t make it seem like they will be testing them proactively…only if they feel ill.

Anyone heard about a case in Connecticut? According to the article in this thread
http://talk.collegeconfidential.com/college-life/2177196-first-u-s-colleges-close-classrooms-as-virus-spreads-more-could-follow.html#latest
a student from Lafayette is quarantined at her home in Weston.

With the additional states today confirming first cases, 25 - half the country - now have confirmed cases.

California’s Santa Clara County confirms 4 new coronavirus cases
From CNN

Santa Clara County in Northern California has confirmed four new cases of the novel coronavirus.

The four cases were confirmed in three men and one woman. Two of the four patients are currently hospitalized and two are isolated at home.

One case comes from a close contact, one is travel-related and the other two are under investigation.

By the numbers: Santa Clara County now has 24 cases of the virus, this brings the state total to 60.

Apologies if this has been discussed and I missed it, but what percentage of adults who “test positive “ go on to develop symptoms? They must have this information for the first cruise ship quarantine. If they are collecting samples via throat swab it is possible some people will have the virus as a surface colonizer but not necessarily develop disease.

Cruise passengers not told about coronavirus test results prior to Pence announcement

Passengers aboard the Grand Princess cruise off the coast of California learned that 21 people aboard the ship tested positive for the novel coronavirus by watching Vice President Mike Pence’s announcement this afternoon.

In an audio address aboard the cruise after Pence’s news conference, the ship’s captain apologized to passengers over the loudspeaker.

“You may have heard this on the news by the media already and we apologize, but we were not given advance notice of this announcement by the U.S. Federal Government,” the captain said. “It would have been our preference to be the first to make this news available to you. These individuals will be notified of their test results as quickly as possible.”

The captain went on to say the individuals will be notified of the test results by the ship doctor as soon as possible. This includes two guests and 19 crew members" (CNN)

:angry:

I haven’t seen data from Diamond Princess. That scene was so chaotic, I bet it wasn’t collected.

Here’s info from China:

Based on all 72,314 cases of COVID-19 confirmed, suspected, and asymptomatic cases in China as of February 11, a paper by the Chinese CCDC released on February 17 and published in the Chinese Journal of Epidemiology has found that:

80.9% of infections are mild (with flu-like symptoms) and can recover at home.
13.8% are severe, developing severe diseases including pneumonia and shortness of breath.
4.7% as critical and can include: respiratory failure, septic shock, and multi-organ failure.
in about 2% of reported cases the virus is fatal.
Risk of death increases the older you are.
Relatively few cases are seen among children.

Taverngirl, there are a lot of people in self-quarantine in CT, but so far none have tested positive.

Wellesley College has sent out an email to the community that a town of Wellesley parent has tested presumptively positive for Covid-19. Also states that there have been no confirmed cases among Wellesley College students, faculty, and staff on campus or among those studying or working abroad.

“Earlier today, we learned that a Wellesley resident and parent of children who attend Wellesley Public Schools tested presumptively positive for COVID-19. While this most recent news about the outbreak certainly hits close to home, we also want to assure the community that there have been no confirmed cases among Wellesley College students, faculty, and staff on campus or among those studying or working abroad.”

WELLESLEY (CBS) – A person has tested positive for coronavirus in Wellesley Friday, according to the school department. The case has been connected to a Biogen conference in Boston, that at least five presumptive positive cases have come from.

According to letter sent Friday to parents of students at both the Upham and Wellesley middle schools, the infected person is a parent who has children in those schools and at Elmwood Christian Preschool.

An employee of Norwalk and Danbury hospitals has tested positive in CT, but he is a resident of NY.

http://connecticut.news12.com/story/41864701/lamont-employee-at-danbury-hospital-norwalk-hospital-tests-positive-for-coronavirus?fbclid=IwAR0vNfKKGEy8XbYwye60UjIktB3WA76YvmZBF6kQ25QMtpMcAzCa-aNSkoo

This is misleading. Of the Koreans who have tested positive, 0.6 percent have already died. I don’t want to be ghoulish about it, but some of those people who have tested positive will die but haven’t died yet. 0.6% is a lower bound.

From a doctor at Brigham and Women’s Hospital in Boston, on faculty in its division of health policy and public health, and an instructor at Harvard Medical School who is studying Princess Cruise numbers from Japan.

“Of the 3,711 people on board, 705 have tested positive for the virus (which, considering the confines, conditions, and how contagious this virus appears to be, is surprisingly low). Of those, more than half are asymptomatic ( as of March 4).

On the Diamond Princess, six deaths have occurred among the passengers, constituting a case fatality rate of 0.85 percent. Unlike the data from China and elsewhere, where sorting out why a patient died is extremely difficult, we can assume that these are excess fatalities—they wouldn’t have occurred but for SARS-CoV-2. The most important insight is that all six fatalities occurred in patients who are more than 70 years old. Not a single Diamond Princess patient under age 70 has died. ”

8 cases of coronavirus confirmed in Colorado*

"The number of “presumptive” coronavirus cases health officials are aware of quadrupled on Friday in Colorado following the governor’s announcement of the first case on Thursday.

One of the cases is out of El Paso County. At least six of the cases had an international travel history, according to the Colorado Department of Public Health and Environment. The state said it is working with the CDC to figure out flights that may have had a COVID-19 case.

The patient in the first case recently skied at Keystone and Vail after arriving in Colorado on Feb. 29 at DIA.

BREAKDOWN OF THE KNOWN COVID-19 CASES IN COLORADO
EL PASO COUNTY:
-One case in a man in his 40s. The investigation is ongoing.
The man recently traveled to California and immediately self-isolated. Health officials would not provide more details on where he lives, citing privacy reasons. His family is also under quarantine. This man did not travel internationally.

DENVER COUNTY
-One case in a man in his 40s. The investigation is ongoing.
-One case in a woman in her 70s, exposed during international travel.

DOUGLAS COUNTY
-One case in a school-aged female, exposed during international travel.
-One case in a woman in her 40s, exposed during international travel.
-One case in a woman in her 70s, exposed during international travel.
*Two cases are in the Castle Rock and one is in Highlands Ranch

EAGLE COUNTY
-One case in a woman in her 50s, exposed during international travel.

SUMMIT COUNTY
-One case in a man in his 30s, an out-of-state resident who was exposed during international travel or through contact with an out-of-state case."

https://www.kktv.com/content/news/BREAKING–568535251.html

“Pence said the crew members of the ship were likely exposed during two previous trips, adding that he expects that the estimated 1,150 crew members will be quarantined on board the ship.” (Al Jazeera)

Not going on a cruise right now is a common sense action and should not need some higher authority advice. My grandmother who finished only 4th grade could have told them that. In general, going on a cruise when you are old and sick is a gamble, even more so these days. I understand that people did not want to lose their money for tickets bought probably months in advance but self preservation should prevail.

Regarding safeguarding nursing home residents. You would think we learned something from norovirus which is also quite contagious and deadly to this vulnerable population. For example:

https://www.ncbi.nlm.nih.gov/m/pubmed/23079758/

Mortality due to noro outbreaks in nursing homes can be quite high. State health departments have specific guidelines for handling noro outbreaks, and nursing homes staff know that noro is something they need to be super careful about. And still noro can hit hard.

@emilybee. Thanks for posting about Indian Wells. They had it on their Facebook page and it showed up on my Newsfeed. We are a group of 10 women in our 60’s. None of us has said yet that they want a refund as they won’t be going. I can’t really see healthy 60 year olds not attending gatherings, or going to the mall occasionally, or flying and all the other warnings.

Heck all the candidates for POTUS are in their 70’s and some have underlying health problems and are still out in large crowds and doing all the usual things. That 60 plus people with no underlying health problems should hibernate seems excessive to me.

New York state coronavirus cases quadruple to 44, thousands under ‘precautionary quarantine’

The number of coronavirus cases in New York state has quadrupled over the last 48 hours to 44, Gov. Andrew Cuomo announced Friday. “The number will continue to go up because it’s mathematics,” Cuomo said at a news briefing. “The more you test, the more you will find.” Cuomo used Twitter to revise the state’s case count from 33 released earlier Friday to 44.

The state reported 11 cases Wednesday evening, 22 on Thursday, 33 Friday afternoon and 44 Friday evening — a fourfold increase over the previous 48 hours. There are roughly 2,700 people in New York City under ‘precautionary quarantine’ with more than 1,000 others also in voluntary isolation across the state, Cuomo said." (CNBC)

"Of the 21 positive tests, 19 are crew members and two are passengers, Pence said, adding that the ship will be brought to a non-commercial port and every person tested. “Those who need to be quarantined will be quarantined,” Pence said. " (CNBC)

Shouldn’t that be ALL of them?

Nebraska confirms its first presumptive case of the coronavirus

"Nebraska Governor Pete Ricketts said in a news release that the first presumptive positive case of the virus had been reported to the Nebraska Department of Health and Human Services (DHHS).

The patient is a woman in her 30s from Nebraska’s Douglas county who recently returned from the UK at the end of February.

She started experiencing symptoms and was hospitalized at Methodist Hospital on March 5. After public health officials received notification that she could possibly have the virus on Thursday, they immediately ordered testing for the virus, which came back positive.

Currently, she is being transferred from the progressive care unit at Methodist Hospital to the Biocontainment Unit at Nebraska Medicine / the University of Nebraska Medical Center (UNMC). " (CNN)

Certain to get good care there.

Thank you @suteiki77 I read too fast - thought she was confirmed to have it.