Coronavirus in the US

How did that New Rochelle lawyer expose and infect so many people?

Our state claims to be able to test up to 250 tests/wk with results in 24-48 hours. It provides no numbers on how many tests have been performed and how many people have been tested. As of Thursday, one of my board members called our dept of health to get her Patient tested and wasn’t able to speak with anyone nor get a return phone call to her lung center. Somehow, that does not inspire much confidence!

https://health.hawaii.gov/news/corona-virus/covid-19-daily-update-march-7-2020/

https://www.fox10phoenix.com/news/azdhs-2-additional-presumptive-positive-cases-of-covid-19-in-pinal-county

2 new cases in Pinal Co, AZ today. Both are from the same household as the previous Pinal Co case.

I wonder if Italy is less selective about ICU admissions, the age cohort information seems like those that died were mostly very old and wouldn’t get into an ICU in other UHC countries. Italy was known for taking the children in the UK that would have UK ICU care withdrawn (because tier conditions were incompatible with life), so is that a factor? The religious thing?

Already need to update my list - 1 case confirmed in VT today.

https://www.wcax.com/content/news/First-presumptive-postivie-cornoavirus-case-in-Vermont–568600781.html

Officials say the adult patient is currently hospitalized and in an airborne infection isolation room. Health officials are investigating the person’s travel and possible exposure history and are conducting contact tracing for anyone who has been in close contact with the person.

@HImom I’ve found #s for HI and added it.

CT - 53 with 42 negative and 11 pending. The 2 positives connected to CT are people who work in CT but live in NY and were tested in NY.

HI - 16 tested, 1 positive

MA - more than 700, with the ability to test 40-50 per day, 13 positives.

ME - 1, tested through CDC as the state currently lacks the capacity to test in-state. They expect to start testing in state in the coming week.

NH - 25 tests, 2 positives

RI - 45, 3 positives

VT - 28 tests, 1 positive

I do not know and have wondered the same thing.

Don’t know if it is religious but I’ve read good things about Italian healthcare both before and after Covid-19 came on the scene.

I don’t know but I was wondering about the religious aspect - services and there was a funeral and bar mitzvah that they were contact tracing.

More than half of South Korea’s cases are tied to one religious group.
In Hong Kong, there is a cluster from a temple.
In Northern Italy, there is a cluster from a funeral.

Related, here’s an interesting piece from SCMP on Covid-19 clusters.
https://multimedia.scmp.com/infographics/news/world/article/3073962/coronavirus-clusters/index.html

He was super involved in his community. Very active at Young Israelites, a congregation of 800+. Shook a lot of hands, a lot of close contact with a lot of people. Kids also got around. Most of his identified contacts are from the Jewish community. No telling who else he infected that sat next to him on the MetroNorth trains, who served him food in restaurants, had less than personal attention around him. I’m sure there are some of them so infected.

That his circle has been identified Is mainly because he became so ill from the virus. There may be other epicenters not identifiable because those in it were asymptomatic or not I’ll enough to get tested. It wasn’t easy getting tested in NY a few weeks ago. Still not easy. I know a number of folks who had colds, ailments last month that could well have been CoVid-19. There are people who are not well right now that have not been tested.

I could’ve sworn I saw something about this but can’t find the post now. Sorry if repost.

Northern Italy now under quarantine: https://www.bbc.com/news/world-middle-east-51787238

And, remember, some people are super spreaders.

We are not trying to prevent that ā€œsmall percentageā€ of severe cases because we can’t. Our immune systems have never seen this virus before. A certain percentage of us are going to get ill enough to be hospitalized, and many will be in the ICU on ventilators. That is already happening. The function of social distancing, hand washing etc. is to spread out the severe cases over time so that we don’t collapse our relatively fragile critical-care system.

My optimistic thoughts for tonight are:

  1. In NY, LabCorp is now accepting test orders for SARS-CoV-2. You still need to get a provider to order the test and swab you, but all the providers I know were ready to do that at least a month ago, so we are finally going to gather the data we need.
  2. People will see the numbers in their town/neighborhood, and that will make it easier to implement and accept community-based interventions.
  3. I don’t know if this will sound optimistic to anyone else, but I feel like this situation must be inspiring future scientists/medical workers/mathematicians. When they are asked why they went into infectious disease or global health or epidemiology, they will talk about Covid-19, and how they wanted to understand it and prevent it from happening again.

ā€œwho served him food in restaurantsā€¦ā€ a[re the NY attorney with the virus. ]

Wasn’t sure whether he was someone who ate in most restaurants. Sort of get the impression he keeps kosher and that May have limited which ones he went to. But probably would still have gone to Starbucks ( most of my Orthodox friends will go to Starbucks and drink coffee or tea. )

** 4 new cases confirmed in Oregon on 3/7 **

https://www.kptv.com/news/four-new-presumptive-covid–cases-confirmed-in-oregon/article_6b58cd8a-60ab-11ea-87e9-63b9b699f156.html

Four new presumptive cases of COVID-19 were confirmed in Jackson, Klamath and Washington counties…

Three of the new cases are travel related and the other involved contact with a person who had tested positive for COVID-19, health officials said.

On Friday, Oregon State Public Health Laboratory tested 42 samples from 22 people which yielded four presumptive cases and 18 negative cases.

Brings Oregon’s total to 7.

@menloparkmom yes you are right. I was going to update but the thread moved on.

I heard drew Pinsky say last night the worst years seen recently was like 80k. I was using the numbers that were year to date that from a few weeks ago. I’ve seen it quoted at 36k this year so far.

In any case, it’s a lot. My larger point being in terms of health threats and how we react to things, it’s interesting how people are reacting to this versus as opposed to the clear and persistent threat.

Read the clusters article linked upthread! Then you will realize why we need to shut down large gatherings.

Here it is again: https://multimedia.scmp.com/infographics/news/world/article/3073962/coronavirus-clusters/index.html

The US is still struggling to get test kits out, meanwhile in Singapore:

https://www.scmp.com/week-asia/health-environment/article/3073905/coronavirus-singapore-launches-new-fast-track-swab

Coronavirus: Singapore launches new fast-track swab test kits for inbound travellers

Researchers say the domestically developed kits are more than 99 per cent accurate and take less than half the time of tests currently used in hospitals

Singapore has begun using a new swab test that could determine within hours if a person has been infected with coronavirus, as the city state ramps up measures to tackle the outbreak. Visitors entering the Lion City who have a fever or respiratory symptoms, but are not defined as being a ā€œclinical suspect caseā€, have had to undergo the test since Thursday.

ā€œThe Covid-19 swab test kit deployed at checkpoints allows us to … extend testing to lower-risk, symptomatic travellers,ā€ the health ministry said ā€œThe added precautions we are taking will help to reduce the risk of imported cases in Singapore.ā€

Doctors worldwide have been scrambling to design tests that can offer an early diagnosis of the coronavirus…teams in Hong Kong and Macau have come up with solutions that they say take about 30 to 40 minutes to detect the virus.

Singaporeā€˜s swab test…shows results within three hours…an accuracy of more than 99 per cent and yields a faster result compared to tests used in hospitals, which typically take seven hours. [note: I’ve read many state labs in the US take 24 hours - or sending it to CDC can take days]…health ministry has not disclosed the price of the new testing kits, but said that those currently used in hospitals cost around S$270 (US$195) – even though testing is free for all suspected cases.

The kits are part of a raft of measures implemented by Singapore’s leaders in recent days in what they call a ā€œnew phaseā€ of the city state’s fight against the coronavirus, despite what seems to be a slowing rate of new cases. ā€œIn this new phase, border controls will become less effective because you cannot identify a clear epidemic centre outside Singapore any more,ā€ he said. ā€œSo as border controls become less effective, we have to redouble our efforts within Singapore. "

Let’s not forget that the lawyer himself got infected locally, and many of the cases may very well be linked to the original source and not the lawyer himself.

We’re about nine days behind Italy.

What is Singapore going to do if there are loads of +ve results in the airport? Send them back? If that was the case then the screening seems a great idea, but as that seems kind of a stretch, what is the plan? The +ves would have already had so many points of contact, focusing on the tests is going to be seen as futile unless they are sealing Singapore off.