Coronavirus in the US

There are 1.1 million doctors in the USA, and almost 3 million nurses. Considering that only a portion of them are treating COVID 19 patients, or possibly infect patients, that should help for about a week, which is enough time to to produce another 40-50 million. if they are also distributed to other front line people, we’re talking a few days, since you only likely need them in the worst hit areas.

So long as they do not end up being auctioned off at $300 a mask, because, you know, free market…

A racetrack and a college: Where Gov. Cuomo is looking to open temporary hospitals
From CNN’s Adrienne Vogt

New York Gov. Andrew Cuomo announced that the following locations are among those being assessed to become temporary hospital facilities during the coronavirus pandemic:

Bronx: New York Expo Center
Queens: Aqueduct Racetrack
Brooklyn: Brooklyn Cruise Terminal
Staten Island: College of Staten Island

New York Gov. Andrew Cuomo said he will seek to build another four more temporary hospitals in the state to combat coronavirus.

He said that will increase hospital capacity by 4,000 beds. The state has already started working with the federal government to build four temporary hospitals.

Cuomo said, “I’m going to ask the President today to authorize” the additional hospitals.

Some context: Gov. Cuomo says New York will need 140,000 beds for the apex. There are currently 53,000 beds.

New York governor says state is looking at possible apex in 21 days

New York Gov. Andrew Cuomo said the state is looking at “about 21 days for a possible apex” for the peak number of coronavirus cases.

He continued: “So we want to do everything we can to be ready for that increased capacity that could hit us in 21 days and ramp up the hospital capacity.”

New York state schools will stay closed until at least April 15

New York Gov. Andrew Cuomo just announced that all schools across the state will remain closed until April 15.

Schools had originally been scheduled to reopen next week, but now, they’ll stay closed for another two weeks. Officials will reassess the situation at that time.

“School should remain closed. I don’t do this joyfully,” Cuomo said at a news conference. “It only makes sense to keep the schools closed.”

CNN

@“Cardinal Fang”

The drug combo is being used in France and the USA. With clinical trials in high gear. I hope it works.

I would guess all the other scientists and doctors must be charlatans or easily hoodwinked as well.

It’s just so strange to me that since it was mentioned with some hope at a press conference there is so much energy being used to discredit the work or strange hope that it is a failure.

DC mayor announces member of staff has died from coronavirus
CNN

Washington, DC, Mayor Muriel Bowser just announced that one of her staffers has died from coronavirus.

“A member of my team who worked in the office of legal counsel recently tested positive for Covid-19 and he passed away this morning," she said at a news conference.

She continued: "My prayers right now are with his family, his entire team and of course we will be supporting them during this very difficult time.”

Mayor Bowser did not give any further details on the staffer.

Massachusetts governor tells everyone coming into the state to quarantine for 14 days
From CNN’s Sarah Jorgensen

Massachusetts Gov. Charlie Baker announced today that all travelers arriving to the state are to self-quarantine for 14 days.

The governor said all travelers will receive flyers with info at Boston’s Logan Airport as well as other transportation hubs.

Drivers will also see this on message boards and at rest stops instructing travelers to quarantine.

“Do not travel to our communities especially if you have symptoms,” Baker said at an ongoing news conference.

FEMA working on getting resources to New York, US surgeon general says
From CNN Health’s Gisela Crespo

US Surgeon General Dr. Jerome Adams said Friday on “CBS This Morning” that the Federal Emergency Management Agency has sent a team to New York City to help allocate resources.

“You heard Governor Cuomo say, look, we have actually resources, they’re just mismatched,” Adams told CBS’ Gayle King. “So we sent a team, a FEMA team to help New York City to make sure the resources are getting to where they need.”

“We need to make sure we get right resources to the right people, and that’s what we’re committed to doing,” Adams said.

[ Cuomo says he actually needs more resources. ]

raises hand

Oh, oh, I know someone who said the virus will go away!

“It’s going to disappear. One day, it’s like a miracle, it will disappear”

also

“It will go away. Just stay calm. It will go away… Be calm. It’s really working out. And a lot of good things are going to happen.”

https://www.vox.com/policy-and-politics/2020/3/13/21176535/trumps-worst-statements-coronavirus

(And yeah I’ll take hard truth over “Feels not reals” any day.)

Do you have your state tests to show that testing only those who are the sickest and medical practitioners are giving us majority positive tests? I’ve yet to see any results showing that.

From what I’ve see most folks who think they have it don’t. They have something else - even in hot spots.

Colds, flus, generic bugs are still circulating - not to mention allergies and stress likely being factors for some.

Until we have an antibody test to use on a population of people, those who are saying any sort of number have it or have had it are guessing. If the majority they were testing with symptoms or contact were positive then it would be more likely it’s at or near the apex.

There are some out there spreading it either with or without symptoms. That’s the sad part. Well, that and those who get it severely with all it entails.

Pence says opening US by Easter is “aspirational”
From CNN’s Betsy Klein

Vice President Mike Pence downplayed President Trump’s Easter timeline for having the country “opened up” in a CNBC interview today.

“The President expressed really an aspirational goal as we continue to follow the data,” he said.
“He would love to see it around Easter but whenever that day is that we can responsibly open up portions of the country," Pence added,

Some background: Earlier this week, President Trump said he wants the nation “opened up and just raring to go by Easter.” But few health experts — which is just more than two weeks away — will be sufficient in containing the spread of coronavirus.

More than 500 NYPD employees have tested positive for coronavirus
From CNN’s Pervaiz Shallwani

At least 512 New York Police Department employees have tested positive for coronavirus as of Friday morning, a senior NYPD official tells CNN, up 161 from an official update by the NYPD Thursday evening.

Of the 512, 442 are uniformed members of the forces, and 70 are civilian members, according to the source.

4,122 – about 11% of the NYPD work force – are out sick, the official tells CNN.

US epidemiologist: “I do not know what the national plan is” on coronavirus
From CNN’s Adrienne Vogt

An infectious disease epidemiologist says there is still confusion over a concerted national plan for responding to the coronavirus.

“We still don’t have a plan. I do not know what the national plan is for responding to this virus. Until we get that, it is a piecemeal situation,” said Dr. Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

Since there are so many areas affected by the coronavirus all at once, Osterholm said “we’re in trouble” from a supply standpoint.

“We’re all going to need these ventilators all at the same time. We’re going to need the protective equipment for employees all at the same time, and we’re just not going to have it,” he told CNN’s Jim Sciutto.

Multiple sources told CNN that there is frustration among employees within the Federal Emergency Management Agency over being brought into the coronavirus response too late, as well as communication discrepancies between the agency and the White House.

TSA screened 8% of the passengers it usually does yesterday
From CNN’s Gregory Wallace

Airport security screeners are currently seeing only a sliver of the traffic they saw this time last year.

Yesterday, the Transportation Security Administration screened only 8% of the people that it did on the same day in 2019, according to newly-released numbers from the agency.

It counted 203,858 people passing through its checkpoints.

This marked the first day in the coronavirus outbreak that the agency has screened less than 10% of last year’s traffic.

The figures are one way to measure the dramatic drop in people traveling. When March began, the agency was screening slightly more people than it did on the same day last year.

Members of both parties are angry with this GOP lawmaker who could delay the stimulus bill vote
From CNN’s Haley Byrd, Manu Raju and Betsy Klein

Members of political parties are furious with Rep. Thomas Massie, a Republican from Kentucky, for not being clear about whether he will object to the coronavirus stimulus bill passing on voice vote, with some former top aides also saying the Kentucky Republican is endangering the safety of his colleagues.

Rep. Eric Swalwell, a House Democrat from California, said about Rep. Massie: “It’s not about him. I don’t want to make an insignificant person more significant.”

"Dear @RepThomasMassie: If you intend to delay passage of the #coronavirus relief bill tomorrow morning, please advise your 428 colleagues RIGHT NOW so we can book flights and expend ~$200,000 in taxpayer money to counter your principled but terribly misguided stunt. #thankyou,” Rep. Dean Phillips, a Minnesota Democrat, tweeted Thursday night.

Rep. Pete King, a New York Republican, tweeted on Friday morning: “Heading to Washington to vote on pandemic legislation. Because of one Member of Congress refusing to allow emergency action entire Congress must be called back to vote in House. Risk of infection and risk of legislation being delayed. Disgraceful. Irresponsible.”

And Brendan Buck, a former top aide to House Speaker Paul Ryan, said Friday that Massie is “legitimately threatening the health of his colleagues, many in their 60s or 70s even 80s, for a stunt on a bill he knows is going to pass.”

“I hope no one forgets what he’s done here,” Buck wrote.

Democratic congressman Thomas Suozzi of New York said his message to Massie is: “Cut it out.” He also said there’s “anxiety” about being here and his family isn’t happy that he’s here.

Now President Trump has weighed in on Massie. In a Tweet this morning, Trump called on Republicans to “throw Massie out” of the party.

Some context: The House is currently debating the $2 trillion stimulus bill for the next couple hours. Leadership is hoping to pass the measure by a voice-vote shortly thereafter. The fear right now is that Massie — who has not committed to voting yes — could prevent the House from approving the bill by voice vote, forcing them instead to cast a roll-call vote in person.

Massie is among about 50 members who are in the House chamber now, sitting quietly. He has not responded to multiple requests for comment from CNN.

Alabama governor orders all nonessential business to close
CNN

Alabama Gov. Kay Ivey announced Friday she is ordering the closure of all nonessential businesses in the state due to the coronavirus outbreak.

All nonessential businesses are being asked to close at 5 p.m. on Saturday.

Ivey said they have broken their nonessential businesses into four categories:

Entertainment, athletic venues, nonessential “close contact” service establishments, and nonessential retail stores.
The businesses will remain closed through April 17.

Ivey went on to say that she will not be issuing a statewide shutdown.

As of Friday morning, Alabama has recorded 540 cases of coronavirus.

Italy has not reached coronavirus peak, health official says
From CNN’s Livia Borghese in Rome and Sharon Braithwaite in London

Italy has not reached the peak of coronavirus contagion, director of Italy’s National Health Institute Silvio Brusaferro said Friday during a press conference.

Brusaferro said that Italy “has not reached the peak [of contagion], we have signs that the curve is slowing down which make us assume that we are close to this. We expect that we could reach the peak these coming days. We are not in a descending phase, but the growth is slowing down.”

“We must not delude ourselves that a slowdown of the spread may lead us to slow down the measures of social distancing that we have adopted,” Brusaferro added.
“If we had to decide today, I consider inevitable the extension of the measures, because we are not in a markedly declining phase, we are still in a containment phase,” Franco Locatelli, president of the National Health institute said referring to the government containment measure that are in force till April 3.

Both Locatelli and Brusaferro are part of the technical and scientific committee that advises the government on the measures to take to stop the spread of the virus.

UK’s Health Secretary tests positive for coronavirus
CNN

Matt Hancock, the UK’s Secretary of State for Health and Social Care, has tested positive for coronavirus, he confirmed in a video posted to Twitter on Friday.

“Following medical advice, I was advised to test for #Coronavirus,” Hancock said in a statement published to Twitter. I‘ve tested positive. Thankfully my symptoms are mild and I’m working from home & self-isolating. "

Coronavirus outbreaks will be worse in Detroit, Chicago and New Orleans next week, surgeon general says
From CNN’s Jacqueline Howard

Certain coronavirus “hot spots” in the United States are expected to see the pandemic hit even harder next week, US Surgeon General Dr. Jerome Adams said on CBS.

“We also see hot spots like Detroit, like Chicago, like New Orleans that will have a worse week next week than what they had this week,” Adams said this morning.
“The virus and the local community are going to determine the timeline. It’s not going to be us from Washington, DC. People need to follow their data, they need to make the right decisions based on what their data is telling them,” Adams added.

He said the US has seen a significant increase in testing, which is “good news.”

“We’re approaching a million tests. We’re trying to give people the data so that they can make informed decisions about where they are on their timeline and what they should be doing,” he said.

During a White House briefing yesterday, Vice President Mike Pence said that “in partnership with commercial labs across America, this morning we received word that 552,000 tests have been performed and completed all across the United States.”

Adams also said Friday that as the coronavirus pandemic continues, each region in the United States might experience differences in case numbers and deaths.

“Everyone’s curve is going to be different,” Adams said. “New York is going to look different than Boise, Idaho or Jackson, Mississippi, or New Orleans.”

101-year-old Italian coronavirus patient released from hospital
From CNN’s Valentina DiDonato in Rome and Sharon Braithwaite in London

A 101-year-old man who tested positive for coronavirus has been released from hospital, Gloria Lisi, the deputy mayor of Rimini, Italy, said in a statement Thursday.

The man, referred to as “Mr. P” in the statement, was born in 1919 — in the middle of another tragic world pandemic.

“A hope for the future of all of us in the body of a person over one hundred years old, when the sad chronicles of these weeks mechanically tell us every day of a virus that is raging especially among the elderly. Mr. P. made it. The family brought him home yesterday evening. To teach us that even at 101 years the future is not written,” Lisi said.
Mr. P. was hospitalized in Rimini last week after testing positive for Covid-19.

Rimini registered 1,189 coronavirus cases as of Thursday, according to the Italian Civil Protection Department.

And yet for some mind boggling reason Harry and Meghan have decided now is a good time to move from their temporary residence in Victoria, B.C. to relocate to L.A.

https://www.theglobeandmail.com/world/article-prince-harry-and-meghan-move-to-los-angeles-reports/

It’s strange to me that someone like you, a person used to dealing in facts and numbers, will defend anyone hyping an unproven cure brought forward by a charlatan.

Hydroxychloroquine may or may not work for coronavirus, but it does work for certain auto-immune diseases. People who are helped by the drug are losing access to it because people who very likely won’t be helped by it are getting it.

We should be guided by sound science. Non-charlatan studies are already emerging for hydroxychloroquine, and they’re not finding effectiveness.

v

It’s also very strange for me that so much energy is being used to defend the lies and horrible disgusting behaviors that are HARMFUL to the public during this crisis. Normally it’s just noise in the background for me, something we have to endure until the next guy got elected. But when lives are at stake, can you blame others for not ignoring? You are complaining about biases and you are doing the exact same thing (which is totally fine by me by itself). Feel free to have opinions, which you have plenty, but complaining about how unfair it is is kind of hypocritical, isn’t it?

For me personally, this is NOT about politics. It’s about policies and methods, we can all agree or disagree on what policies are good/bad and what behaviors/methods are disgusting and harmful. Make your case just like other making theirs and move on to the next.

Yeah, I don’t get it either. There are plenty of US docs who are on board with using the anti-malarials for COVID treatment. It may help, or it may not. But since there is no other treatment, why not offer it to the elderly, while the healthy younger folks can participate in a double-blind study?

Chloroquine has been around for 70 years, so we have 7 decades of its use to know with near certainty the side effects and who should not take it (heart disease?); moreover it’s dirt cheap.

(As an aside, I believe that Governor Cuomo’s mandate – study participants only – is unethical; if the drugs combo is found to help and a bunch of New Yorkers die while the study is ongoing…)

China’s success at dealing with it with a very strong 2 month lock down/stay put. That makes me think that if we had handled it better, we would be in a much better place now and also that the world could handle it and minimize it. No reason to just give up. the worse it gets, the more hospital overload, the more fatalities including those of doctors who are a precious resource, the worse for the economy. if we had done more early on we would have had less impact on the economy. The more we mess up and don’t handle it the worse impact it will have in my opinion.

Hit close to home last night. I learned my step-brother – who is 51 yo and has 53% lung capacity b/c of cystic fibrosis – is working again as a respiratory therapist to treat COVID patients in the hospital.

He only gets a single set of PPE per 12 hour shift; normally with infectious patients he would change after a single patient. We’re terrified for him, but I also am in awe of his bravery and service.

OMG, @AlmostThere2018. All the frontline health care providers are heroes. He’s putting his life on the line. Bravo.

They’re taking it away from people who actually need it and can benefit from it.

That’s not quite fair. The goal of any scientific trial is in some sense, to “discredit” a previous result, or at least to be totally neutral. Hope has no place in the business of rational double-blind trials. (Hope is subtracted out with the placebo effect.)

like ventilators. You know they are needed for other things too. This is an emergency.

@bluebayou

“…But since there is no other treatment…”

Researchers are working with Remdesivir (source: https://www.cdc.gov/coronavirus/2019-ncov/hcp/therapeutic-options.html )

Also, convalescent plasma treatment (source: https://www.biospace.com/article/fda-expedites-use-of-convalescent-plasma-treatment-for-covid-19-patients-with-life-threatening-conditions/ )

Johns Hopkins Global Health Now reported China sent 90 tons of convalescent plasma to Italy.

https://www.globalhealthnow.org/2020-03/covid-19s-stop-gap-solution-until-vaccines-and-antivirals-are-ready

I have not been able to find an update on its efficacy.