Coronavirus May 2020 - Observations, information, discussion

I never once wiped down any of my groceries. I did put the bags on the floor instead of the counter to be emptied. I washed my hands a couple of times as I put everything away and was careful not to touch my face, but that’s it. DH usually gets the mail. He would quarantine everything for 24 hours, but if it was a package with something we were expecting, we would open it, remove the item, and then wash our hands. Over-babying our immune systems could very well make us vulnerable to many other germs later on. I was never going for ISO cleanroom standards personally, but I figure what others do with their groceries is their business.

@MaineLonghorn has something changed that now you believe Maine will see tons of tourists? A week ago, you were concerned that the whole tourist season would be lost this year in Maine.

What has changed?

Outbreaks in nursing homes were not caused by repatriated patients - in any state. Covid was spread unknowingly by asymptomatic staff who were infected outside the nursing homes (probably by their family) . It was spread because there was a huge lack of PPE and testing in March and April. Not a single visitor was allowed in a Mass or Connecticut nursing home since early March. The majority of nursing home deaths happened in April. But carry on.

Entirely possible but I prefer to wait for the facts to come out, or at least listen to the other side. And if she was fired for not publishing important data, then she’ll have an easy whistleblower complaint. Let’s see if it gets filed.

We have seen what’s happened to whistleblower complaints lately…

In 2019, Florida had 131 million vistors, of which 63 million (a little under half) visited in July - December. So every three months, Florida sees as many tourists as Maine sees in a year. Hard to tell how C19 will impact those numbers for each state this year, though.

https://www.visitflorida.org/resources/research/

Medscape has an excellent summary if what’s known about COVID, but its a pdf. Not sure if its shareable. But uts very helpgul.

From Florida …

https://www.miamiherald.com/news/health-care/article242844471.html

Is it somewhere in here?
https://www.medscape.com/resource/coronavirus

However, many of the linked pages are behind a paywall.

Oh, no - it’s worse than outbreaks being caused by repatriated patients. In New York, nursing homes were forced to accept random, previously nonresident C19 positive patients that were turfed from hospitals. The nursing homes were not allowed to refuse C19 positive patients if they had a bed available. So nursing homes were seeded with infectuous patients by design, to free up hospital space.

https://www.wsj.com/articles/new-york-sent-recovering-coronavirus-patients-to-nursing-homes-it-was-a-fatal-error-11589470773

After mounting criticism and thousands of deaths in New York nursing homes—including several individual facilities that have lost more than 50 residents—the state on Sunday reversed the mandate, which said nursing homes couldn’t refuse to accept patients from hospitals who had been diagnosed with Covid-19. New York now says hospitals can send patients to nursing homes only if they have tested negative for the virus.

The policy before the U-turn is one of several decisions the state made that are now coming under fire, as New York’s death toll tied to nursing homes rises, to 5,398 presumed and confirmed fatalities as of May 12, more than any other state and a significant part of New York’s total deaths…

In New York, decisions at the state level show that officials didn’t always make nursing homes a priority. For weeks, even as their residents were dying, some facilities couldn’t access testing and protective equipment for staff, industry officials said. Mr. Kim, the New York Assembly member, said his office was scrambling to procure gear for short-handed nursing homes in his district.

New York has stopped short of steps taken by other states weeks ago, such as sending National Guard teams into nursing homes to help with decontamination, testing, staffing and other tasks…

The original order on hospital transfers to nursing homes came on March 25 and was first reported in The Wall Street Journal.

The day the policy was issued, Mr. Cuomo was closely focused on an expected huge shortfall in hospital capacity amid surging coronavirus cases. He said in a press conference that day the state was looking at options such as hotels and former nursing homes.

Mr. Cuomo didn’t mention the nursing-home directive, which said patients referred from a hospital couldn’t be denied admission or readmission to a nursing home “based on a confirmed or suspected diagnosis of Covid-19,” and that nursing homes couldn’t require incoming patients to be tested.

The governor over the following weeks defended the March 25 policy and said repeatedly that nursing homes shouldn’t accept patients if they believed they couldn’t care for them. The directive was meant to protect those infected with coronavirus from discrimination, a state official said.

Nursing-home groups and physicians warned about the order’s potential effects. AMDA, the Society for Post-Acute and Long-Term Care Medicine, said that admitting infected patients represented a “clear and present danger” to nursing-home residents.

Christopher Laxton, executive director of the group, said that he is “completely convinced there has been a higher level of spread in nursing homes, and both acute illness and death, because of” the New York directive.

The governor is opening up things earlier than expected in 12 out of 16 counties. Acadia National Park is in one of those counties. People are supposed to quarantine but the governor has so far said that won’t be enforced.

X

A girl can dream! :wink:

The problem with the politicization is that it makes it hard to learn from someone else’s successes or failures, you have to make all the decisions blind. Florida did some things very right, which is what the article @Midwest67 posted says, including getting PPE to nursing homes very early in the game. Other states and other countries have done some things right and some things disastrously wrong. We can assign blame and vote out the bad guys later, but for now it would be nice to see what works and copy that elsewhere. And see what failed and avoid that elsewhere.

Those of us that survive this will be living with it for a while, maybe forever. Best to learn where and how we can. About both prevention and treatment.

Back from the beach! The parking lots are still not open. I parked on an access road. The long wide beach was not crowded. People were sitting but spaced out. The no sitting rule was not enforced. It’s ridiculous anyway.

But with parking lots closed, some were parking along PCH. With Memorial day crowds, unless the parking lots open, people will park along PCH and run across 4 lanes of traffic and there will be pedestrian deaths.

Yes, and something else that struck me as a bit different in approach was the effort to get PPEs to the nursing homes.

We have a Center for Disease Control to control diseases. I regret that we didn’t have more CDC guidelines on issues like nursing homes, so that under-resourced states didn’t have to make decisions on the fly without having time to examine best practices from other areas.

Still-infectious patients shouldn’t have been discharged to nursing homes. Nursing home workers should have gotten adequate PPE, and training in best practices for infection control. Nursing home workers should have been prohibited from working at more than one facility. These should have been national standards, so state governments wouldn’t have to figure out everything from nothing, and potentially get some things wrong with lethal results.

It would probably be better to put up an article that’s not about politics and politicians if you want a non-political discussion. Just saying.

Its a commentary entitled “A Quick Summary Of The COVID-19 Literature So Far” by Eric A. Myerowitz, M.D. and Aaron G. Richterman, MD, MPH. I am not having luck linking it here- perhaps someone else can have better luck?

found here: https://www.medscape.com/resource/coronavirus

I actually do agree you shouldn’t overbaby your immune system. I lived in Africa as a kid and drank a lot of dubious water growing up. I eat stuff that falls on the floor. I hardly ever get sick. But I’m good with being extra clean in one small aspect of my life.

@ucbalumnus -Here it is: Its an excellent summary of what they know so far (with tables and a graph).

https://www.medscape.com/viewarticle/930588 and yesterday’s youtube update https://www.youtube.com/watch?v=ECGfZ9hvU-Q Its over an hour long but at about minute 53 they discuss that disease transmission drops off precipitously after day 5 of symptom onset, which it good news, IMO.