Coronavirus in the US

^^^Speaking of lessons, here are two:

  1. We shouldn’t have downplayed the threat of this virus, which resulted in slow responses at all levels (we’re still a step or two too slow responding to this fast-moving crisis even at this juncture) and the lack of awareness of the disease’s seriousness among Americans (some Americans are still not taking this virus as seriously as they should);

  2. We should have encouraged (rather than discouraged) Americans to wear face masks in crowded places (certainly in NYC). Masks would have significantly reduced transmissions in those places, many of which have become the sources of new outbreaks. Asian countries have done much better controlling this disease and this is one of the primary reasons.

CRAP. My parents’ caregiver must not have taken her temperature before she came in the house last night. After about an hour and a half, she told my parents she felt hot. She has a fever, chills, and headache. We’re praying it’s the flu, which is rampant in Austin, also. OMG. I need to ask my son the last time he saw her. I think she just works on weekends so it’s probably been a week.

Asian countries are also more intuned to wearing face masks as stated previously
They wear them for pollution also. They are also part of the design culture. This is from 2013 https://www.scmp.com/lifestyle/health/article/1254691/fashion-forward-face-masks-big-hit-china-amid-soaring-air-pollution.

So wearing a mask for this virus is just second nature for them. It might become second nature for us in the future.

@MaineLonghorn keep us posted. Hoping you get reassurance or at least information soon.

I find myself agreeing with everything I read on both sides of the “companion for birthing mother” discussion. @BunsenBurner @romanigypsyeyes @austinmshauri and others.

Especially the description of 27 hours of the baby shoving his bony little head past each vertebra in back labor, which DS16 did to me (now he’s living it up outside of my body with no guilt whatsoever :wink: ).

I really feel for all aspects of this, as I have relatives who are HCP on the front lines and also a sister due with a baby in a few weeks.

For some of these issues, it’s possible there is no “right” answer.

The smoking rate between men and women in Spain is very close, yet men are still dying more of Covid19, as they are in other countries.

https://www.washingtonpost.com/health/2020/03/26/men-are-getting-sicker-dying-more-often-covid-19-spain-data-shows/#comments-wrapper

But I wonder if historical smoking rates were different and that is why older men are more vulnerable.

Women on average develop heart disease later than men so that might be a factor as well.

The World Health Organization position on childbirth and Covid-19: https://www.who.int/news-room/q-a-detail/q-a-on-covid-19-pregnancy-childbirth-and-breastfeeding

It is a matter of maternal and child safety, both during labor and the postpartum period. There isn’t enough staff to give every laboring woman and new mom-baby duo the care they need, especially now. The hospital guidelines I’ve seen require the partner to be screened for Covid-19. I think Cuomo made the right decision here.

https://news.uchicago.edu/story/state-level-data-misses-growing-coronavirus-hot-spots-us-including-south

UChicago researchers find clusters in Arkansas, Georgia, Mississippi
Though urban areas like New York City are getting the lion’s share of media attention for their coronavirus outbreaks, there are rapidly forming hot spots across the United States, including in southern states such as Arkansas, Tennessee and Mississippi, according to a group of data scientists at the University of Chicago.

By looking at data at the county level rather than state level, they were able to find trends that were “hidden” in the larger view, they said. The results, compiled in an interactive visualization, are a way to more efficiently track coronavirus clusters and direct urgently needed resources.

“County-level visualizations show a dramatically more detailed pandemic landscape, where aggregate data alone can miss local hot spots of surging COVID cases,” said Marynia Kolak, assistant director of health informatics at the Center for Spatial Data Science at the University of Chicago. “If you only look at state-level data, a county cluster would have to be extreme to show up, and by then you’re already too late for many of these prevention measures.”

As of March 23, they found significant clusters in Detroit and New Orleans, as well as in Little Rock and Pine Bluff, Arkansas; Greenville, Mississippi; Nashville, Tennessee; Atlanta and Albany, Georgia; and Columbia, South Carolina. The Chicagoland area is in the top five of nationwide coronavirus clusters when considering total confirmed cases alone.

One number they pay attention to is the number of confirmed cases per million people in the area. While New York and New Jersey were still the highest at 1,444 cases per million people, Albany and New Orleans were not far behind at 527 and 508, respectively.

“While high case numbers in population-dense, high-travel areas like New York City, New Jersey and Seattle are of course a focus of concern, local hot spots in areas with limited hospital infrastructure can be easily overlooked," said Xun Li, the assistant director of data science at the CSDS. “Even in the past few days we watched clusters emerge in areas like Albany, Georgia and spin up very rapidly. Now we’re getting reports that ICUs are at or over capacity there.”

The hospitals are not relying on untrained partners to provide medical care to birthing mothers, regardless of what politicians claim. I would focus far less on an idealized birthing experience and more on the end goal, safe delivery of the child and mother, and to get discharged as quickly as safely possible.

I read something about that a while ago. Some think it may be related to estrogen. Estrogen somehow surpasses the virus.

@milee30 That’s an excellent article. I’ve been wondering about that. Thanks for posting.

That’s true, but look what happened in the Czech Republic. I posted this video yesterday

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

Let me quote a comment from a person living there (from the youtube site):

Here is their curve. Keep in mind people still work there. They do have curfew, and gatherings are banned Schools, restaurants, and such are closed.
https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_the_Czech_Republic

Most of the masks are homemade. There is a video of the former’s first lady sewing masks!

This indeed is one thing we can ALL do to protect ourselves and others.

Not sure if this was posted yesterday. Orleans parish has the highest death rate (per capita) for Covid19, by far. (see the chart in the article). Richmond county, NY is second, that is Staten Island. I find that curious considering that population density is less on Staten Island than the other boroughs of NYC. Staten Island’s death rate is still less than half of what Orleans Parish’s is.

As for Orleans parish, even if you subtract the deaths from Lambeth House, it is still the highest. Chronic health conditions surely play a role.

https://www.nola.com/news/coronavirus/article_907e7d92-6fa3-11ea-9fcd-f3c3cf974ef1.html

@romanigypsyeyes I can’t imagine what you are going through right now with all the uncertainties. All the best to you and your family.

New episode of TWIV is up, with Daniel Griffin.

http://www.microbe.tv/twiv/

(also Friday’s episode with Ian Lipkin–who currently has Covid-19–is very informative. He emphasizes that with aggressive steps in the US–nation wide isolation + aggressive testing–this could be gone in 6 weeks. The longer we dither around without a strong, unified approach, the longer the illness will stick around and the more people it will kill)

What do you mean gone? Completely eradicate? No coming back when we fully reopen?

A doctor explains, with some salty language, how Covid19 attacks the lungs, how devastating it can be, and how it can kill you. He draws things out and uses props to help in the explanation.

https://www.youtube.com/watch?v=4J0d59dd-qM

Not eradicated but mostly gone and with aggressive testing, we would have the ability to put out any flare ups that happen proactively, rather than waiting for the whole country to become impacted. But you can listen for yourself…

This is already happening here, and it will likely happen in your neck of the woods:

https://www.seattletimes.com/seattle-news/health/when-surgeries-are-canceled-hospitals-triage-medical-care-to-make-room-for-coronavirus-patients/

Quite scary. Stay healthy, everyone.

About differential responses to the coronavirus by sex:

https://www.sciencedirect.com/science/article/pii/S0896841111001259

Females have two X chromosomes of course, while males of course only have one. (Note that the article does not address coronaviruses directly, but the point remains that different biology may underlie the differential responses by sex to the coronavirus.)