Coronavirus in the US

I read this just after getting a text from my dad’s patient advocate:

“yes it is very scary. It is beginning to get real for a lot of people. A friend of mine lives in Manhattan with her husband and 12 y/o son. They have gone above and beyond in taking all precaution. They did not go out to store or anywhere else during social distancing except to get outside 3xweek to walk outside, always careful to keep ) 6ft distance. They consistently wore masks while out and wiped down everything touched and used Hand sanitizer . They have two older children from separate universities who flew in from different parts of country. Both are in ( their 2nd week) of separate Airbnbs for two week period to err on side of caution.
My friend tested positive 3 days ago. She has fever, deep cough , difficult breathing when she moves, staying isolated in her room. Health care worker came to home , she met person at door, had her nasal swab taken and worker was outta there. After positive result a doctor ordered a nebulizer and meds be delivered on stoop. The nebulizer helps open her lungs, but her cough remains . the same. The Day she developed low grade fever and what felt like scratchy throat the family of 3 had gone on bike ride. She stated before they got halfway down block she knew she could not make it due to fatigue. Her 12 year old also said his legs " felt heavy and tired" they returned to apartment. Within 3 hrs she developed other symptoms listed above.
Her husband developed a low grade temp and diarrhea same day That lasted 4 days but now he is much better??. The 12 y/o refused food, had low grade temp, went to bed and slept 14 hrs without waking once. He is on day 4, appetite returned day 3 and fatigue has lifted.
Only one in family tested was my friend and only because a physician heard her repeatedly cough during telephonic interview.
Physicians are telling them their presumption is all three have virus and they are seeing 3 common but different presentations. As well as three different severity of virus. Their physician feels her husband and son have experienced the worst but she must remain quarantined in room for now. Her two older children are not permitted to enter their apartment until further notice.
My friends husband was lucky enough to be able to rent both Airbnb for another month for each child.”

Talking about masks, this is a long video but worth watching.

From the youtube description:

https://www.youtube.com/watch?v=BoDwXwZXsDI&feature=youtu.be

Several of the Asian countries have been testing anyone flying into their countries.

At this point, I don’t think Ohio should be considered a Stay at Home state.

"Religious gatherings were exempted from Ohio’s stay-at-home order, issued Sunday by Republican Gov. Mike DeWine. Solid Rock, an Ohio megachurch whose Cincinnati location hosted an event for evangelical supporters of President Donald Trump last month, held an in-person service on Sunday and said on its website that it would exert a constitutional right to continue meeting.

“We do believe that it is important for our doors to remain open for whomever to come to worship and pray during this time of great challenge in our country,” the church stated, noting that it wants to “help keep people safe.”

DeWine needs to stop pandering to his base: abortions are now considered “non-essential medical procedures” and prohibited, and churches are able to continue to hold massive services. SMH

https://www.phillytrib.com/religion/states-differ-on-exempting-worship-from-coronavirus-closures/article_1dec6213-619a-52e7-a89d-2cb1a16ac265.html

@CTTC:

I think you are referring to me. It is very easy to judge other people and be nasty behind a computer screen. You really do not know anything about me.

Yes, I had 100 N95 masks. They have been given away to my elderly relatives and staff who take public transportation to work everyday. As far as the sanitizers, I have also given to other people who still need to get out everyday.
I asked D1 if she got a regular delivery time from Freshdirect (reserved for people with delivery pass). She said no because it should go to people who needs it. I guess I must have done something right.

NYS hospitalization and ICU numbers
[Cuomo said to look at the numbers over a period of time. Some cases may be reported a day later. Never the less, the numbers do offer some hope regarding the steepness of the curve]

Daily NEW ICU admissions:
3/21 143
3/22 140
3/23 135
3/24 215
3/25 192
3/26 374 (!!)
3/27 172

Daily NEW Hospitalized
3/21 637
3/22 586
3/23 714
3/24 736
3/25 1248
3/26 1154
3/27 847

How a German who loves America and made America his new home sees America today in the midst of the coronavirus crisis (from The Atlantic):
https://www.theatlantic.com/ideas/archive/2020/03/stayed-germany/608980/

From The New York Times, “Medical Expert Who Corrects Trump Is Now a Target of the Far Right”:

https://www.nytimes.com/2020/03/28/technology/coronavirus-fauci-trump-conspiracy-target.html?action=click&module=Spotlight&pgtype=Homepage

NYS numbers

Total number of cases 52,318 (+7,681)

NYC 29,766 (+4,368)
Westchester 7,875 (+688) [less testing than in the last couple of days]
Nassau 5,537 (+880)
Suffolk 4,138 (+753)
Rockland 1,896 (+439)
Orange 1,101 (+190)
Erie 318 (+99)
Dutches 262 (+37)
Albany 195 (+8)
Monroe 192 (+32)

Testing
Total number of tests in the last 24 hours 17,412 [44% came back positive]

NYC 7,948 [55% positive]
Wescthester 1,588 [43%]
Nassau 1,827 [48%]
Suffolk 1,690 [44.5%]
Rockland 1,078 [41%]
Orange 498 [38%]
Albany 101
Monroe 253
Onondaga 352
Erie 370

Not sure if this is in response to my question about who will get the 15 minute Abbott lab test, when it becomes available. How many can be produced? How quickly? Who will get them? Will there be the ridiculous “if you don’t kiss my ring I won’t help your city or your state” nonsense from higher up? Or will there be a bidding war as has reportedly occurred with other supplies? Yes, its promising, but there are still many, many hurdles to jump. Just wish people would stay the heck home.

This quote is what VP Pence says at every Coronavirus task force presser that I have heard. I don’t recall ever hearing it before that.

Good news. After visa processing for foreign medical doctors was suspended recently, it will now resume for the 4,200 doctors in the recent Match.

In a communication today, the U.S. Department of State (DOS) signaled that it would resume processing of J and H visa applications for medical professionals seeking to enter the United States. In its communication, DOS encouraged individuals with an approved U.S. non-immigrant or immigrant visa petition (I-129, I-140, or similar) or a certificate of eligibility in an approved exchange visitor program (DS-2019) to review the website of their nearest embassy or consulate for procedures to request a visa appointment.

The communication follows a March 18 announcement that the United States was suspending routine visa processing for immigrant and non-immigrant visas, including the J and H visas, at embassies and consulates worldwide due to the COVID-19 (Coronavirus) pandemic.

Since the March 18 announcement, ECFMG|FAIMER has been in close contact with DOS to raise awareness of the impact of the suspension in visa issuance on the 4,200+ foreign national physicians selected in the March 20 Match to participate in U.S. programs of graduate medical education (GME) beginning July 1. The addition of these physicians to health care teams at teaching hospitals across the United States is critical to meeting our health care needs and combating the current COVID-19 health care crisis.

“We are encouraged that our close relationship and communications with DOS on this issue have resulted in this positive development,” said ECFMG|FAIMER President and CEO William W. Pinsky, MD. “There are still significant obstacles to getting these physicians here, and we can now shift our focus to addressing these other issues.”

The J and H are the most common visa classifications used by foreign national physicians to participate in U.S. GME programs. ECFMG|FAIMER is designated by DOS as the sole J-1 visa sponsor of foreign national physicians in U.S. GME programs. Currently, ECFMG|FAIMER sponsors close to 12,000 physicians at teaching hospitals across the nation, where they engage in medical specialty training and provide supervised patient care.

Source: https://www.ecfmg.org/news/2020/03/27/department-of-state-signals-visa-processing-for-medical-professionals-will-move-forward/?utm_source=social&utm_medium=twitter&utm_term=ecfmgprez&utm_campaign=visa-dos

@1NJParent The far right. Whoever that is really, are complete morons.

The leftists, whoever they are really, have also been bashing Fauci on twitter. They don’t like he agrees with or supports trump on many matters. They are morons too.

Fauci is doing a good job. I think trump is working hard too. Cuomo is doing a good job. Inslee is trying his best. Pence has been excellent. Newsom is all over this. Birxn great Fauci phenomenal. Navarro is an unsung hero right now. Minuchin did great work. I appreciate chuck schumer stepping up. McConnell got the votes together. Nancy pelosi after a false start really showed good leadership.

I support some of these people across a broad array of issues. I don’t with others.

However at this time I can step away from this for this moment in time and be appreciative. And supportive.

Also pushing for more.

None is mutually exclusive.

The only things I am sure isn’t working in my best interests.

Coronavirus.
Hyperbole.
Partisanship.
Political motives in reporting.
Chinese apparatchiks.

Good news: Henry Schein will make several hundred-thousand 15 minute finger-prick tests available by March 30, and significantly increase availability in April:

https://www.longislandpress.com/2020/03/27/henry-schein-to-distribute-rapid-covid-19-tests/

This is an antibody test. For detecting current infection with Covid-19, the test works best if the patient is in the second week, due to the IGG antibodies they produce. It is very accurate for determining past infection if the person is three weeks or more past the original contagion, due to particular IGM antibodies.

They will start distributing the test to hospitals, doctors’ offices and other healthcare institutions on Monday.

According this press release, the initial focus is on getting the test to healthcare workers: http://investor.henryschein.com/news-releases/news-release-details/henry-schein-announces-availability-coronavirus-2019-covid-19?fbclid=IwAR1RyJBKxBLeRwffXv11XO4ArgPNmiDQX5htshibMGG4UuswJOEEubGVk0I

“For customers interested in more information about the Standard Q COVID-19 IgM/IgG Rapid Test, please contact Henry Schein at (844) 211-0140.” I assume that means commercial customers, but I don’t know. Heathcare workers could also contact their employers or providers to ask when they could take a Standard Q COVID-19 IgM/IgG Rapid Test.

@privatebanker how is your state doing? I have family there but haven’t heard any updates recently. Hope you and your wife are well.

I’m sure it has been mentioned, but you don’t necessarily need to test everyone individually. You could, for example at an airport, pool 10 passengers samples together, and test once. If negative, they are all released. If positive, do them individually.

Of course, exact protocols and numbers will vary for technical reasons.

@Qtinfo

Thanks for asking. I hope you and everyone here on this thread is ok.

So update from R.I. and Boston College area.

Scary news first. 19 kids from BC who travelled abroad tested positive. Many of my daughters friends currently tested positive. She is sick and her suite mate is as well. She stayed close to campus in a vacated sublet from her dorm to avoid coming home because of my wife. She has a fever, body aches and a dry cough. We told her to assume she caught it from her friends she was with recently.

We are fine at home on extreme lockdown.

The state reported its first death today. Still seems like cases are pretty low. Not sure it’s accurate.

Governor is stopping all cars with ny plates at border. ACLU isn’t filing a suit but they issued a press release against the practice. They are also going door to door of all recent arrivals, not sure how they know, and telling them they are in a forced 14 day quarantine. Mostly the wealthy beach communities with oos homeowners.

On the flip side my sister took my elderly mom for a drive through a local public state park on the water. She said it was packed and people playing hackysack. I just don’t understand humans.

Thanks for asking. What’s happening in your area. Probably a good idea for everyone to weigh in.

First death of infant in connection with coronavirus reported in the US
From CNN’s Hollie Silverman

An Chicago baby is the first infant death in the US associated with coronavirus, Illinois Department of Public Health Director Dr. Ngozi Ezike said Saturday.

“There has never before been a death associated with COVID-19 in an infant. A full investigation is underway to determine the cause of death,” Ezike said. “We must do everything we can to prevent the spread of this deadly virus. If not to protect ourselves, but to protect those around us.”
An investigation into the cause of death is underway, Ezike said.

The death of a child younger than one year with coronavirus has previously been reported in China. That child had a pre-existing condition.

Trudeau announces additional Canadian travel restrictions starting Monday
From CNN’s Liz Turrell

Canadian Prime Minister Justin Trudeau said Saturday that he will be increasing travel restrictions in Canada for anyone showing symptoms of coronavirus.

As of Monday at noon, people showing any signs whatsoever of COVID 19 will be denied boarding on all domestic flights and intercity passenger trains," Trudeau announced.
Officials have encouraged people to stay home, especially if they are developing or have developed symptoms of the virus, Trudeau said.

“You need to stay home, you need to isolate, you need to not travel,” he said.

Trudeau added that while Canadians have been largely respecting the travel restrictions, the additional restriction will help “formalize some of the domestic travel rules.”

30% of coronavirus patients hospitalized in Canada are under 40
From CNN’s Paula Newton

Canadian health officials revealed Saturday that younger generations account for 30% of all coronavirus hospitalizations.

“Please note that 30% of those hospitalized are under 40 years of age. We continue to keep a close eye on the severity of the disease because although there will be day to day fluctuations, a sustained trend of increased severity could point to a higher rate of infection in vulnerable populations or that the health system is being overwhelmed,” said Dr. Theresa Tam, Canada’s chief public health officer.
Other notable observations from the Public Health Agency of Canada analysis showed that people over 60 were more likely to be hospitalized with 56% going to hospital for treatment. Of those, more than half were admitted to intensive care.

The information showed that most of the new cases in Canada were from community transmission and not from travel.

“We have now completed tests for over 184,000 people in Canada which is more than 84,000 additional people tested since Monday. In terms of the severity of Covid 19 in Canada, the percentage of cases that require hospitalization is approximately 7%. About 3% are critically ill and 1% of cases have been fatal,” Tam said.

Perhaps I’m not understanding but how would sampling random pools of 10 travelers insure nobody who is positive gets into the country and can wander around freely?

When? In 2024? Seems a little early to be campaigning for that election.