Coronavirus in the US

Crew members on Florida cruise ship tested for coronavirus
From CNN

"The Regal Princess is currently being held off the Florida coast as crew members, who previously served aboard the Grand Princess, are tested for novel coronavirus, according to Broward County. The crew members are being tested at the request of the Centers for Disease Control.

The US Coast Guard (USCG) told CNN they were notified of a no sail order for the Regal Princess by the Department of Health and Human Services and Centers for Disease Control and Prevention. A USCG crew delivered coronavirus test kits to the ship this morning.

The Regal Princess’ captain told passengers aboard the ship that they would await results of the test before docking."

In real terms, CDC has not kept up with inflation, but total dollars have increased. Note the 2019 dip was a one-time transfer to another Public Health Service office.

https://cdn.factcheck.org/UploadedFiles/cdc-budget.jpg

I read that Trump’s budget that he put forth called for cuts to the CDC that did not happen, so there weren’t cuts in that sense, but if you get rid of the pandemic team and don’t replace them, that is a type of cut in terms of response capability to situations like this. I didn’t think of the inflation issue. Yes, a zero budget increase is a cut in the sense that costs rise each year.

Ha, about NYS being on top of things. My story from yesterday was about my call to NY State Department of Health yesterday afternoon. While I have had no one-on-one exposure to any of the group in Westchester who have this, I haven’t had any one-on-one exposure to anyone who has been sick at all, so whatever I have is the result of community exposure. And like most other people in Westchester, I’ve been out and about in the community, so plenty of chance for exposure during crowded train rides, shopping lines etc. Yet the attitude I’ve received so far is very passive, and along the lines of well, you can check with the hospital if you WANT, and you can see if they’d ALLOW you to be tested.

So I’m confused.

On the one hand we have the CDC briefings etc, where they make it very clear that there can be community transmission, and that even someone with MILD symptoms can transmit the disease, and if you infect someone who is over 80 years old, they have a 15% chance of DYING. This seems to me to be telling us to be extremely cautious. And if you look at the list of symptoms, someone with a simple cold with a fever hits the majority of the symptoms on that list.

On the other hand, we have how the NYS Department of Health is carrying this out. Since I didn’t have direct contact with one of the known people, and my symptoms were not significant, they kind of blew me off.

I get it. Practicalities. Look at the symptoms of a cold. They are so similar to this virus. So what, is everyone in Westchester with a cold and a fever supposed to get tested? Where do we draw the line? Especially if there aren’t many tests available, you want to keep them for people who are very sick. But doesn’t this fly in the face of the CDC advice? Isn’t it URGENT to find out if a person just has a cold or if they are a transmitter of the virus? Is everyone with a cold and a fever supposed to stay at home? That doesn’t seem very practical, and I don’t think people would stay at home if they think they aren’t that sick so they probably don’t have it.

Not to be Captain Obvious, but not only do we need a lot of tests, but they need to be made easily available in spaces where people feel like they won’t be exposed to other things, and know they won’t have to pay anything. South Korea has it right with drive-through testing, so people who have these symptoms can quickly ascertain whether they can get on with their daily lives or whether they need to stay home to protect our elderly and vulnerable.

I’d also like to know if you have it, just how quickly can you stop isolating after you feel better? And what is better? Fever gone, or everything gone? I know you can go out once you come back with 3 good tests, but if you aren’t getting ANY tests, and you are just self-isolating, when can you stop? No one gave me any answers to anything and just passed the buck. It would be a shame to go through the effort of self-isolating and coming out too soon, yet if you think you probably just have a cold, how long are you really going to stay isolated?

And I’d like to know, if you get it, are you now immune in the future? And if you are, does it mean you won’t be a carrier either? I think we don’t know the answers to this yet, but it would be helpful to know.

And @WayOutWestMom the NY Times article was behind a paywall so I couldn’t read it, so I might not be using the terminology right at all about quarantine vs isolation, but I think everyone can figure out I’m talking about simply choosing to stay put and not have contact with others, and it is not being done pursuant to an order.

** 2 more coronavirus cases confirmed in New Jersey **
From CNN
Two additional cases of the coronavirus have been confirmed in New Jersey, the state’s department of health posted today, bringing the state-wide total to six.

Thirty-one individuals have tested negative and there are 27 persons under investigation, the state said.

** Connecticut confirms its first case of coronavirus
From CNN

The first confirmed case of coronavirus in Connecticut has been announced by the state’s department of health.

Twenty-nine individuals have tested negative, and eight test results are pending, the state government posted this afternoon.

[not the 2 NYers who worked in CT previously reported]

The US Army suspends travel for soldiers and families to and from South Korea and Italy
From CNN

The US Army is suspending travel for US soldiers and their families to and from South Korea and Italy.

This new order will have the greatest impact on soldiers and families who have been ordered to move to their next duty station.

@melvin123

I posted the NYS testing protocols yesterday and your situation does t appear to encompass any of them.

Posting them again.

In NY there is a protocol for who can be tested.

testing for COVID-19 shall be authorized by a health care provider when:
Ā· An individual has come within proximate contact (same classroom, office, or gatherings) of another person known to be positive; or
Ā· An individual has traveled to a country that the CDC has issued a Level 2 or Level 3 Travel Health Notice, and shows symptoms of illness; or
Ā· An individual is quarantined (mandatory or precautionary) and has shown symptoms of COVID-19 illness; or
Ā· An individual is symptomatic and has not tested positive for any other infection; or
Ā· Other cases where the facts and circumstances warrant as determined by the treating clinician in consultation with state and local department of health officials

https://www.governor.ny.gov/sites/governor.ny.gov/files/atoms/files/Interim_Testing_Guidance_COVID-19.pdf#_blank

ITALY - 1,492 new cases for a total of 7,375. 133 new deaths for a total of 366.
The death toll in the northern Italian region of Lombardy has risen over the past day to 257 from 154, up 103. :open_mouth: :cry:

Thats also not true. John Bolton eliminated ONE position from his WH reports; the rest of the functions of the pandemic team were moved to other federal agencies.

A couple of updates for the State of Washington:

Governor Inslee says they’re considering mandatory measures :

https://www.cbsnews.com/news/washington-coronavirus-governor-jay-inslee-exploring-whether-mandatory-measures-needed/

The Gates Foundation is developing at home test kits for the Seattle area:

https://komonews.com/news/coronavirus/gates-foundation-to-help-with-coronavirus-testing-in-seattle

And for San Diego: passengers from the Grand Princess will be disembarked tomorrow and Tuesday, and California residents will be transferred to Clovis and Miramar for testing and 14 day quarantine.

Politics aside, Ben Carson came across terribly in his interview with George Stephanopolous this morning. Hear for yourself https://www.rawstory.com/2020/03/i-dont-want-to-ben-carson-freaks-out-america-by-refusing-to-reveal-plan-for-cruise-ship-patients/
His comments were very poor and unhelpful. The docs who spoke after him agreed, and even suggested his comments and advice could make the situation worse.

The CDC hasn’t authorized the largest private lab in NY State to process the tests. It’s up and ready to go, according to Cuomo at his press conference this morning.

Is there some reason for this?

Yes, anyone who has a fever should stay home.

Fever with the common cold is rare, by the way.

From a Public Health perspective, no, unless that person presents other symptoms. ā€˜Fear’ is not a good reason to spend resources. And that is why NYS (and others) have testing protocols.

By definition, anyone with a fever should always stay home. And this has always been true.

Italian doctors warn Europe of coronavirus impact on hospitals:

It likely takes longer for younger people to get pneumonia and start having trouble breathing and oxygenating their blood.

Article: https://www.independent.co.uk/news/health/coronavirus-italy-doctors-intensive-care-deaths-a9384356.html

:frowning:

Let me try again. The US government is acting imperfectly, motivated not only by public health concerns. In this regard, it is not better than the Chinese government.

Just looked up on this site:
https://www.nj.gov/health/

NJ has only tested a grand total of 37 people with 6 positives. Not sure if it’s due to the lack of testing kits or the lack of training. Unbelievable.

Speculation on my part: Incompetence. And now, since Cuomo pointed it out and said he didn’t need the feds, but the feds shouldn’t get in the way - it probably won’t be approved since it will make the federal government look bad if NY came up with something instead of the feds.

MODERATOR’S NOTE:
May I once again remind users that this is not a debating society and that posts that beat the dead horse will just get removed.

I’ve read that the Gates foundation is close to an in-home testing kit for use in Washington. The kit would then be mailed to a lab for testing, with positive results relayed to public health officials. Seems like that could be useful all over.

https://www.usnews.com/news/best-states/washington/articles/2020-03-08/gates-foundation-to-help-with-coronavirus-testing-in-seattle