CDC suggests bleach as a disinfectant. You dilute it with water at a certain ratio and it kills germs.
Viral dose and some speculation as to site of infection.
Low dose in your sinuses and the body’s immune system might have time to kick in before it gets to your lungs. Full face sneeze, carried in with a breath and infection site may skip directly to your lungs.
Six feet and run from people with hay fever, even if you feel like you might be judged for ‘judging’.
Interesting tidbits I learned today during my hospital stay: (seemed more appropriate to put these here than in the observation thread)
Plaquenil (hydroxychloroquine) is now considered a controlled substance at the hospital and goes through the same steps for obtaining it here at U of Michigan hospital as something like morphine. Luckily, no shortage or anything (yet).
There are currently 151 COVID-19 patients at U of M and 40+ waiting for beds. That seems really low to me but that’s what my nurse said. (Take this with a large grain of salt. Nurse was… odd to say the least.)
–
In other news, this thread has forced me to finally clear out my ignore list. I always forget what a useful feature it is 
Ellis Marsalis has died.
https://www.nola.com/entertainment_life/music/article_bbdaf4c4-7481-11ea-92ae-1758b23c65c8.html
I was more concerned with the close contact I would have with other people including some who certainly had gone to China over the break and just returned into the end of the 1st/2nd week of January. The entry is narrow and people aren’t going to be 6 feet apart there.
Chlorine bleach kills all kinds of things. Been used for decades.
Sadly, Marsalis is at least the 3rd renowned Jazz musician I have heard dying for Covid-19 in the past week or so.
Test results are pending per the posted link.
I won’t go into the politics of it, but I’m very embarrassed and distressed that the elected officials of my state, Wisconsin, haven’t put aside their differences and agreed to postpone the primary election here, still scheduled to take place next Tuesday. Huge numbers of people have requested absentee ballots, and that’s good, but it doesn’t make up for the fact that safe in-person voting should be available and isn’t.
Re: Chinese restaurants
The last restaurant I ate in before the local government orders for restaurants to go to take-out only was a Chinese restaurant. There were very few other customers there, none who looked like they could be Chinese or of such ancestry. At the time, restaurant patronage in general was already falling due to virus fears.
But yes, all of the food was hot (and therefore virus-inhospitable); the only virus concern, given the few people there, would be if there was any virus on the table or whatever other surface left by a previous customer who was infected.
He was a true master. Sadly Missed
But @fretfulmother is talking about color safe bleach, which is not chlorine bleach at all, but uses hydrogen peroxide to whiten. Several manufacturers of color safe bleach state that it does not kill germs.
@romanigypsyeyes amen to the ignore feature. I hope you’re recovering and that your little one is well.
heartbroken about Ellis Marsalis.
I thought Ian Lipkin’s episode was great, and It is amazing that he was willing to be interviewed despite being sick Covid-19, and having had a real scare with shortness of breath mere days before. I think the issue with IL-6 inhibitors is that it is best to give them after the patient is well into the innate immune response, but before the disease process gets severe. (This is in patients whose bloodwork and clinical signs are high risk for the maladaptive IL-6 response.)
In TWIV 595, Dr. Griffin explains the risk stratification for different patients, and how they can predict outcomes. He also talks about why and when he and the ICU attending decided to give Tocilizumab to a young Irish patient. Hope to get more follow up in a future episode.
Episode 596 went up today and it’s about hydroxychloroquine trials, plasma therapy, and answers to listeners questions.
Also, the MicrobeTV podcast “Immune“ posted an episode yesterday discussing “ the immune response to infection with SARS-CoV-2, including immune respones, pathogenesis, immunopathology and more.” Vincent Racaniello hosts this podcast also—busy man! I plan to listen tomorrow while walking the dog: https://www.microbe.tv/immune/
My guess-either people are mistakenly thinking color safe bleach kills germs (it doesn’t) or people who would usually buy regular bleach for their laundry are being forced to buy color-safe because others are buying the chlorine stuff in large quantity to use as a disinfectant.
The difference:
https://www.hunker.com/12562014/does-color-safe-bleach-still-kill-germs
I’ve never bought color-safe bleach so I learned something new.
Oxiclean probably is a hydrogen peroxide releaser, so it may have been on lists as useful for cleaning. It probably isn’t that people are misinformed or misguided but as usual, the devil will be in the details. Oxyclean has a lot of uses so the generic colour safe bleaches do too, I assume.
**USA - 26,473 new cases totaling 215,003 and 1,049 new deaths totaling 5,102.
ITALY - 4,783 new cases totaling 110,574 and 727 new deaths totaling 13,155.
Lockdown measures extended to 13 April.
SPAIN - 8,195 new cases totaling 104,118 and 923 new deaths totaling 9,387.
Spain is “effectively in a phase of stabilization". Salvador Illa, minister of Health cited the increase in the total number of cases at 8%, the lowest percentage rise since Spain declared the state of emergency on March 14. The new figure is down from the average 20% rate recorded between March 15 and 25.
CHINA - 36 new cases totaling 81,554 and 7 new deaths totaling 3,312
GERMANY - 6,173 new cases totaling 77,981 and 156 new deaths totaling 931.
FRANCE - 4,861 new cases totaling 56,989 and 509 new deaths totaling 4,032.
Two medicalized high-speed trains transferred 36 coronavirus patients from Paris to western France on Wednesday to relieve overburdened hospitals.
IRAN - 2,988 new cases totaling 47,593 and 138 new deaths totaling 3,036.
15,473 patients have recovered and have been released from hospitals while 3,871 patients are in critical condition.
UK - 4,324 new cases totaling 29,474 and 563 new deaths totaling 2,352.
The biggest intensive care unit in the country will open doors this week - 4K beds in the ExCel Center in London - built in about a week. The field hospital is called NHS Nightingale. “We will be receiving patients from ICUs across London - just patients who are sedated and ventilated, and need to be cared for in an ICU.”
SWITZERLAND - 1,163 new cases totaling 17,768 and 55 new deaths totaling 488.
Re: testing, “There are no bottlenecks any more,” Koch, head of the Federal Office of Health’s communicable diseases division. “We did 16,000 tests since yesterday.”
**TURKEY - 2,148 new cases totaling 15,679 and 63 new deaths totaling 277.
BELGIUM - 1,189 new cases totaling 13,964 and 123 new deaths totaling 828.
NETHERLANDS - 1,019 new cases totaling 13,614 and 134 new deaths totaling 1,173.
“At the moment, around 4,000 tests per day are being carried out,” the Health Ministry said. The number of validated labs have been expanded – from 15 to 41. Those labs will be capable of carrying out 29,000 tests per day.
AUSTRIA - 531 new cases totaling 10,711 and 18 new deaths totaling 146.
S. KOREA - 101 new cases totaling 9,887 and 3 new deaths totaling 165.
CANADA - 1,119 new cases totaling 9,731 and 13 new deaths totaling 114.
PORTUGAL - 808 new cases totaling 8,251 and 27 new deaths totaling 187.
*BRAZIL - 1,163 new cases totaling 6,880 and 41 new deaths totaling 242.
An indigenous woman in a village deep in the Amazon rainforest has contracted the coronavirus, the first case reported among Brazil’s more than 300 tribes.
ISRAEL - 734 new cases totaling 6,092 and 6 new deaths totaling 26.
AUSTRALIA - 285 new cases totaling 5,048 and 3 new deaths totaling 23.
SWEDEN - 512 new cases totaling 4,947 and 59 new deaths totaling 239.
NORWAY - 236 new cases totaling 4,877 and 5 new deaths totaling 44.
CZECH REPUBLIC - 281 new cases totaling 3,589 and 8 new deaths totaling 39.
IRELAND - 212 new cases totaling 3,447 and 14 new deaths totaling 85.
DENMARK - 247 new cases totaling 3,107 and 14 new deaths totaling 104.
CHILE - 293 new cases totaling 3,031 and 4 new deaths totaling 16.
MALAYSIA - 142 new cases totaling 2,908 and 2 new deaths totaling 45.
*RUSSIA - 440 new cases totaling 2,777 and 7 new deaths totaling 24.
- ECUADOR - 456 new cases totaling 2,758 and 19 new deaths totaling 98.
POLAND - 243 new cases totaling 2,554 and 10 new deaths totaling 43.
ROMANIA - 215 new cases totaling 2,460 and 10 new deaths totaling 92.
JAPAN - 206 new cases totaling 2,384 and no new deaths totaling 57.
LUXEMBOURG - 141 new cases totaling 2,319 and 6 new deaths totaling 29.
PHILIPPINES - 227 new cases totaling 2,311 and 8 new deaths totaling 96.
President Duterte warned he would order the country’s police and military to shoot dead anyone “who creates trouble” during a month-long lockdown of the island of Luzon. Philippine National Police (PNP) Chief has directed police to provide assistance and security to health workers in the wake of attacks in the southern provinces. On March 27, a male nurse was reportedly splashed with chlorine while walking in Cebu City. On the same day, a front-liner in a hospital in Tacurong City, Sultan Kudarat was attacked by a group of five who splattered bleach all over his face.
PAKISTAN - 180 new cases totaling 2,118 and 1 new death totaling 27.
*INDIA - 601 new cases totaling 1,998 and 23 new deaths totaling 58.
THAILAND - 120 new cases totaling 1,771 and 2 new deaths totaling 12.
SAUDI ARABIA - 157 new cases totaling 1,720 and 6 new deaths totaling 16.
INDONESIA - 149 new cases totaling 1,677 and 21 new deaths totaling 157.
Next week, a new coronavirus emergency hospital will open on the uninhabited island of Galang, a re-purposed former Vietnam war era refugee camp as part of efforts to rapidly augment health care capacities. It’s believed the infection rate could be substantially higher than official data.
SOUTH AFRICA - 27 new cases totaling 1,380 and no new deaths totaling 5.
PERU - 258 new cases totaling 1,323 and 8 new deaths totaling 38.
PANAMA - 136 new cases totaling 1,317 and 2 new deaths totaling 32.
*DOMINICAN REPUBLIC - 175 new cases totaling 1,284 and 6 new deaths totaling 517.
ICELAND - 85 new cases totaling 1,220.
MEXICO - 121 new cases totaling 1,215 and 1 new death totaling 29.
ARGENTINA - 79 new cases totaling 1,133 and 5 new deaths totaling 32.
COLOMBIA - 159 new cases totaling 1,065 and 1 new death totaling 17.
SERBIA - 160 new cases totaling 1,060 and 5 new deaths totaling 28.
SINGAPORE - 74 new cases totaling 1,000.
*ALGERIA - 131 new cases totaling 847 and 14 new deaths totaling 58.
*UAE - 150 new cases totaling 814 and 2 new deaths totaling 8.
*UKRAINE - 149 new cases totaling 794 and 3 new deaths totaling 20.
EGYPT - 69 new cases totaling 779 and 6 new deaths totaling 52.
HONG KONG - 51 new cases totaling 7166.
Hong Kong ordered the closure of all beauty parlors, clubhouses, nightclubs, karaoke rooms and mahjong centers. The decision comes after at least four people were infected following a party at a karaoke bar. A new wave of infections began in the past two weeks from imported cases. Last week, the city banned gatherings of more than four people in public places and ordered the closure of fitness centers and cinemas.
NEW ZEALAND - 61 new cases totaling 708.
MOROCCO - 37 new cases totaling 654 and 3 new deaths totaling 39.
1st cases - Caribbean Netherlands (2)
Couple interesting articles here on US shipments of PPE and respiratory equipment going overseas, both at the federal level and private industry.
Sure would be nice if somebody in charge would make sure domestic emergency medical equipment needs are met first before sending stuff overseas.
“The government has yet to curtail exports by U.S. companies, however—roughly 280 million masks in warehouses around the U.S. were purchased by foreign buyers on Monday alone, according to Forbes. A FEMA spokesperson said the agency “has not actively encouraged or discouraged U.S. companies from exporting overseas,” noting that various U.S. agencies are coordinating their activities with their overseas counterparts.”
https://www.politico.com/news/2020/03/31/pence-task-force-coronavirus-aid-157806
“Many countries moved swiftly to shore up supplies for a potential pandemic. Global Trade Alert reported that from January 1 through March 11, 24 countries, including South Korea and Germany, moved to ban exports of vital health care products in a bid to shore up domestic supply.
…
The U.S. government has placed no restrictions on exports of medical supplies while continuing to impose financial penalties on the import of personal protective gear, protective goggles, pulse oximeters, hand sanitizer, and other medical products from China. On March 10 and 12, President Donald Trump temporarily lifted tariffs, in place since 2017, on some of these medical products.”
LA mayor asks residents to use non-medical grade masks as health workers face shortage
CNN
Residents of Los Angeles should wear non-medical grade face coverings when in public, the city’s mayor Eric Garcetti said in a news conference Tuesday.
Garcetti emphasized that all medical-grade N95 masks were reserved for front-line workers in hospitals and clinics.
“Please do not get medical grade or surgical masks, or N95 masks. We must not contribute to the shortage of these essential personal protective equipment for medial personnel and first responders,” he said.
Face coverings, like a bandanna, are only effective with safe physical distancing, he added. There are currently 8,155 cases of the virus in California.
Global debate on face masks: Despite the regular use of masks in Asian countries such as China and South Korea, Western governments have been slow to embrace them to stop the spread of the virus.
But with the number of new cases remaining low or stable in Asia, it appears that more countries in the West may change their approach.
Trump says UK, Canada will come to get their citizens from cruise ships
CNN
President Donald Trump said on Wednesday that the UK and Canada were making plans to repatriate their citizens from two Holland America cruise ships currently off the coast of Florida.
“We are looking at the two ships. And we have Canada notified, lot of Canadians, a lot of British on the ship, they are coming to take the people that are on the ship back to their homeland,” he said.
“Canada is coming, the UK is coming. And we have Americans and we have some people that are quite sick and we’re taking care of that, I’m speaking with the governor about that.”
Two cruise ships off Florida coast: Both the Zaandam and the Rotterdam are currently on their way to Florida, and have requested permission to disembark guests.
“We appreciate the support of President Trump in resolving the humanitarian plight of our guests,” Holland America said in a statement. “Holland America Line calls for compassion and reason in the review and approval of our disembarkation plan by Florida officials.”
Since March 22, 83 passengers and 136 crew onboard the Zaandam have exhibited flu-like symptoms. Eight passengers have tested positive for the novel coronavirus.
Four people on the Zaandam have died, but the cause of their deaths is unknown.
On the Rotterdam, 14 passengers have exhibited flu-like symptoms.
[ It’s the right thing to do. ]
First coronavirus death in Asia’s largest slum
From journalist Esha Mitra in New Delhi, CNN
A 56-year-old man who died due to coronavirus-related illness is the first person to die from the disease in Asia’s largest slum, Dharavi, in the Indian financial capital of Mumbai.
The patient, who had no travel history, tested positive for coronavirus on Wednesday and died the same evening while being transferred to a local hospital, Kiran Dighavkar, an official with Mumbai’s Brihanmumbai Municipal Corporation (BMC) told CNN.
“People who had been in contact with him and are perceived to be “high risk” have been asked to (be) home quarantined,” Dighavkar said, adding the swabs of his family members and neighbors have been collected and sent for testing.
The BMC will be providing food to the residents of the densely-populated Dharavi slum as they are not allowed to leave the area until all the test results come back, Dighavkar said.
The BMC has been routinely carrying out disinfection drives in Mumbai’s slums and public areas, according to the official.
This is the second coronavirus-related death overall reported in Mumbai’s slums since the outbreak began, BMC officials confirmed with CNN.
Australia will impose huge fines for illegally exporting PPE
From CNN’s Joshua Berlinger
The Australian government will punish people convicted of illegally exporting masks, hand sanitizer or other personal protective equipment with hefty fines, officials said.
Home Minister Peter Dutton’s office said in a statement yesterday that the fines were one of several new measures being adopted by the government to keep dwindling medical supplies inside the country.
More than 5,000 people in Australia, including Dutton himself, have contracted the virus.
Authorities have amended customs regulations to “stop exploitative exports of essential goods,” and the country’s Biosecurity Act to require the Australian Border Force to surrender medical supplies in their custody to the national stockpile.
Violating the customs law is punishable by a fine of up to 210,000 Australian dollars ($128,275), while those found guilty of violating the Biosecurity Act could face up to five years in prison and a fine of up to 63,000 Australian dollars, Dutton’s office said ($38,480).
“These measures have become necessary because we have seen a small number of individuals engaging in the bulk purchasing of essential goods from retail outlets in Australia, with the intent of profiteering from exploitative exporting and price gouging,” the statement read.
Like many countries around the world, Australia is currently dealing with a shortage of equipment needed to protect medical workers treating patients who have contracted the novel coronavirus.
“We’ve taken the steps to protect Australia’s interest, to stop unauthorized, inappropriate exporting of those things that we rely upon for our health care and so on at present,” trade minister Simon Birmingham said in an interview with Australia’s ABC News yesterday.
Other countries like the United States and South Korea have enacted similar measures or are considering them.