Coronavirus thread for June

Here is the most comprehensive return to play document I could find from a national youth soccer league:

https://www.boysecnl.com/wp-content/uploads/2020/05/ECNL-x-Return-to-Play-Recs.-V5-Doc.pdf

Goalkeepers can use their hands in Phase 4. Training goalkeepers for two phases without allowing them to use their hands doesn’t sound much like training at all.

Interesting, soccer is a contact sport, I think any position would require a ton of face to fact contact.

And I posted a follow up, no mask while they are on the field either.

More not good news.

‘Arizona’s largest health system reaches capacity on ECMO lung machines as COVID-19 cases in the state continue to climb’

“Hospitalizations in Arizona of patients with suspected and confirmed COVID-19 have hit a new record and the state’s largest health system has reached capacity for patients needing external lung machines.

Arizona’s total identified cases rose to 25,451 on Saturday according to the most recent state figures. That’s an increase of 4.4%, since Friday when the state reported 24,332 identified cases and 996 deaths.

Some experts are saying that Arizona is experiencing a spike in community spread, pointing to indicators that as of Saturday continued to show increases — the number of positive cases, the percent of positive cases and hospitalizations.

Also, ventilator and ICU bed use by patients with suspected and confirmed COVID-19 in Arizona hit record highs on Friday, the latest numbers show.

Statewide hospitalizations as of Friday jumped to 1,278 inpatients in Arizona with suspected and confirmed COVID-19, which was a record high since the state began reporting the data on April 9. It was the fifth consecutive day that hospitalizations statewide have eclipsed 1,000.”

“Maricopa County’s confirmed case total was at 12,761 on Saturday according to state numbers.

“We are seeing some indicators that the number of cases in Maricopa County are starting to rise,” county spokesman Ron Coleman said this week in an email. “This is in addition to an increase from increased testing.”

The number of Arizona cases likely is higher than official numbers because of limits on supplies and available tests, especially in early weeks of the pandemic.

The percentage of positive tests per week increased from 5% a month ago to 6% three weeks ago to 9% two weeks ago, and 11% last week. The ideal trend is a decrease in percent of positives tests out of all tests.”

https://www.azcentral.com/story/news/local/arizona-health/2020/06/06/arizona-coronavirus-banner-health-reaches-capacity-ecmo-lung-machines/3163102001/

That ecmo lead is ridiculous. The ventilator shortage isn’t sexy enough? Look at PPE before we get overexcited by ecmo. I would expect ECMO availability for even potentially recoverable disease vs post op is limited. Do we even know if all insurance would even cover ECMO? Is ECMO even successful for the COVID 19 variable immune pathologies? The bleeders? the clotters? Meh. It is already an extraordinary and highly limited RX.

Summary: BREAKING: Meatpacking COVID cases double to 20,000 since Trump declares them an essential service. (Source: Andy Slavitt on Twitter)

Full article (from USA Today): Coronavirus outbreaks at U.S. meatpacking plants continue to soar as the beleaguered industry ramps up production, scales back plant closures and tries to return to normal in the weeks after President Donald Trump declared it an essential operation.

Trump’s April 28th executive order followed the industry’s dire warnings of meat shortages and invoked the Defense Production Act to compel slaughterhouses and processing plants to remain open.

The order had a chilling effect on the steady drumbeat of closures that had come to symbolize the crisis throughout April and early May. Nearly three dozen coronavirus-affected plants temporarily shuttered in the month leading up to Trump’s executive order. In the five weeks since then, just 13 have closed, according to tracking from the Midwest Center for Investigative Reporting.

Meat production, which had briefly tanked, quickly rebounded after the order to near pre-coronavirus levels and quelled consumer fears of pork, beef and poultry shortages.

But the number of coronavirus cases tied to meatpacking plants has more than doubled since then, topping 20,400 infections across 216 plants in 33 states, according to tracking from USA TODAY and the Midwest Center for Investigative Reporting.

At least 74 people have died.

That’s despite widespread implementation of protective measures like temperature checks, plastic barriers and social distancing meant to curb the virus’ spread inside the plants. Some of the recent outbreaks happened at facilities that had taken such steps.

Tyson Foods, for example, announced in mid-April it was providing face masks to all employees and installing barriers between workers. Since then, 24 of its plants have reported outbreaks, including two in Iowa that sickened more than 800 workers total. The company had just five plants with outbreaks prior to the announcement of safety measures.

Likewise, Smithfield Foods said it was installing barriers, adding more hand sanitizing stations and “enhancing cleaning and disinfection” at its facilities after an outbreak at Sioux Falls, South Dakota, plant in early April. Since then, 11 of its plants have reported outbreaks, including one in southern California in late May. It had just one plant outbreak prior to the announcement of safety measures.

Other plants have implemented no protective measures or have failed to enforce them.

One federal meat inspector in the Midwest told USA TODAY that workers in several plants she visits on the job were not wearing masks and practiced only limited social distancing. Some, she said, had also recently tested positive for COVID-19.

“I’m thinking, ‘Wow,’ I don’t think I’m safe here,” said the inspector, who agreed to an interview on the condition of anonymity because she was not authorized to speak to the media.

I don’t see how it’s possible that all these stories of increasing cases could be true. Didn’t we learn on this very thread (or maybe the May one) that COVID is “basically done”?

Cases will continue until there is a vaccine, and likely even afterwards. Was anyone in doubt on that?
Increasing cases don’t really concern me unless they lead to increasing hospitalizations. Otherwise, we are all just building our antibodies up

The numbers in that Newsweek article don’t seem to match those in this report directly from the Florida DOH website:
http://ww11.doh.state.fl.us/comm/_partners/action/report_archive/state/state_reports_latest.pdf
For those interested, check out the second page of the report. The number of lab reports received was very high for June 3 - 5 (note that the tests are logged on the date they are received by the DOH, not the date when the test samples were actually collected. Therefore, we don’t know exactly when the cases occurred). The percent positivity averaged 5.08% for those three days, and the percent positivity for new cases averaged 3.35%. I would say that the Florida numbers are not great, but not as dire as indicated by the Newsweek article.

Honestly I don’t know how you have such a casual attitude about this. More cases is not good (given so many sacrifices have been made), even flat number is not good either. They are not just “cases”, they are deaths too. Bc the number of death is proportional to the number of cases.

For all of you who need the DMV, do you have other commercial alternative available? We have ABC Title and the Notary Shoppe which can do many of the DMV services. It costs more, but the last time I went to DMV is took 5 hours!

Doing the quick math on the meat packing workers who have gotten it (20,400/74), 1 in every 276 has died so far. This presumes no more of those already sick will die.

As jobs go, seems that’s a very dangerous one at the moment - even with precautions.

I wonder how it compares to other essential workers.

@Nhatrang , I am not casual, just realistic. Once a contagious disease occurs, people will continue to get infected with that disease until an effective vaccine is identified and implemented or herd immunity occurs naturally. I do not know any doctors who dispute that. Deaths may rise if those newly infected are among the groups most likely to have severe complications, or they may not if the newly infected are disproportionately healthy young people.
Many more would need to be infected and develop antibodies than currently the case for herd immunity to work, but some areas, like NYC, may be closer to achieving that.

quote, 1 in every 276 has died so far

[/quote]

It’s reasonable to expect more deaths, but it’s also reasonable to think that the 20,400 cases number is low, as case numbers are everywhere else. If 74/20,400 die, that’s a case fatality rate* of 0.36%, but most likely there are many other as yet unidentified cases.

*Case fatality rate is the death rate among known cases, and does not include undiagnosed cases.

The number that struck me was 216 meatpacking plants, 74 deaths. One of three meatpacking plants has a death.

@Nhatrang did you think there weren’t going to any more cases? No matter when we reopen, there will be a spike in cases as more people are exposed. Even my friends who are the most vocal ‘stay at home, have everything delivered, clear out the national parks so I can go and not run into you germ spreaders’ group have started coming out. They justify it by only going out with others they KNOW are germ free, but that’s fooling themselves. How do you know the waiter is ‘clean’, the person you meet up with for a walk hasn’t been to the gas station, your cousin hasn’t been to a protest? No one can stay isolated forever.

Imagine if this were 1960 and the first case of measles was reported. NO ONE had ever had them before and there were no vaccines. It’d still be highly contagious to children (as measles were) but also to all the parents, the grandparents, the older people who had other conditions and never been exposed. The deaths would not have been spread over years and years but hit all at once in 1960. Not many deaths for the children but boy the older population would be hit hard.

Same is happening here, and this first wave is only showing about 6% with antibodies. When the 94% come out of their homes, the number who get the virus will spike.

Not everyone coming out. A lot of the smart minds are not, which gives me pause.

“Casual” ? What a polite way to put it. You have a future in diplomacy :wink:

Interesting interview with neuroscientist and computer modeling expert Professor Friston (UCL) on what we see in the COVID data. He argues that the assumption that only 20% of the population is actually susceptible to catching COVID best fits the observed data. Interestingly, that is roughly the penetration that was achieved (very quickly) in NYC. Worth watching for sure imo.

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

It’s reasonable to expect more deaths, but it’s also reasonable to think that the 20,400 cases number is low, as case numbers are everywhere else. If 74/20,400 die, that’s a case fatality rate* of 0.36%, but most likely there are many other as yet unidentified cases.

*Case fatality rate is the death rate among known cases, and does not include undiagnosed cases.

The number that struck me was 216 meatpacking plants, 74 deaths. One of three meatpacking plants has a death.

[/quote]

That assumes the deaths are spread out. They may not be. And the CFR of 0.36% assumes no one else of those 20,400 dies. We don’t know that the rest recovered.

Future cases for both survivors and deaths could modify the current rate or confirm it.

I’m also wondering what the rate is for those with lingering, potentially lifelong, side effects. It’s more common to see various rates of death, but not so common to see rates of side effects - just anecdotes.

Social distancing, except in stores and restaurants where required, has really loosened up around here (middle Tennessee). People are choosing to do what matters to them- whether it be a protest or getting together with friends. With all the news coverage of protesters shoulder to shoulder and many unmasked, it’s hard to convince oneself to stay in the backyard. I saw large groups of young runners this morning (cross country teams, I presume) running shoulder to shoulder and lots of pairs of walkers with no distance between them. We’re getting together with friends tonight for happy hour on someone’s deck with a small nod to social distancing- no hugs etc- but probably closer than 6 feet.

Natural selection favors three groups:

The genetically strongest (body overcomes the virus)

The luckiest (body never comes across the virus)

The smartest (body avoids the virus)

Anyone not sure they’re in the top two or willing to take their chances with them has to aim for the third.