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CDC says to expect coronavirus to spread across US

What do you do?

China was able to set up separate, massive quarantine/hospital areas, away from other hospitals and populated areas. Can we do that here?

In LA, if they end up with 100,000 cases, can we tell the LA Lakers "Hey, season's over, we're converting the stadium into a quarantine hospital until this passes". This is what CDC is concerned about - that we cannot overrun our existing hospitals with highly infectious patients, but we have to treat them somewhere.

Where? Is anyone at the head of the federal government going to help come up with options in populated areas?

We certainly aren't there yet; Italy is rapidly going in that direction with +450 cases in just one week. And many of these people seem to take 2 weeks or more to recover. We ain't got the hospital beds or quarantine areas to cover that. UNLESS we start planning for it. And it does not appear anyone is making any semblance of a contingency plan.

AND....the other thing to consider is that in China, people have been exposed to versions of these coronaviruses, likely from the same animals, for decades. What if their immune systems are more primed for recognizing them, and we Westerners are not? What if this ends up like smallpox brought to Native Americans, that wiped them out in far greater numbers.

That may not be likely, but it most certainly is possible.

No way the US can have a response like that of China, that’s just in our political nature. Right now the plan would be for for home isolation. I’m sure there are more as well.


We also have Coronavirus here as well, see a couple each week.
 
No way the US can have a response like that of China, that’s just in our political nature.

I agree; but the likely consequence from that is more rapid and widespread disease communication than in China. If it gets a foothold here, it's simply not going away. It may take a while to move across America, but unless you quarantined entire cities, it's spreading.

It's not the end of the world.
Everyone's not gonna die.
But it may end up being really really disruptive.
 
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If the tests aren’t highly sensitive do you quarantine 14 days regardless? If over half of people are asymptotic do you keep quarantined as well? This isn’t China, people would revolt.


Interesting background. The word quarantine comes from the Italian expression "quaranta giorni" , which means 40 days. This happened to be the number of days the Italians forced all ships to sit idle in port during the black plague to ensure the sailors etc didn't introduce the black plague. Everyone on board had to sit, which did lead to starvation and people breaking the quarantine. They discovered in 17th century even people who didn't have a confirmed medical diagnosis but may have been exposed needed to be quarantined. And while human rights activities have complained, it is still pretty effective. So.... the practice is historically global, not limited to China. It is for the safety of the general public. And if it goes rampant, most people would support it, certainly if they understood they are risking their community and could be kept in reasonable accommodations. This also shows that people in the 17th century with basic medical understanding tolerated it, you don't think modern people can comprehend the WHY?

And if it helps, they also reference the policy in the bible.
 
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ERqRaZNVAAAaItP
 
Hospitals are keeping an eye on the disease
Mary Greeley Medical Center in Ames has been preparing for a possible coronavirus patient for weeks.

Following recommendations from the CDC and state officials, the hospital began screening and regularly meeting about the disease, said LeAnn Hillier, an infection control coordinator with the hospital.

Hillier said health care providers have administered their protocol several times after patients showed symptoms associated with the disease.

If someone walks into the emergency room and has traveled outside of the country recently, and has symptoms such as fever, shortness of breath and difficulty breathing, hospital staff will immediately take the patient to one of the hospital's negative airflow rooms for isolation, she said.

Medical professionals seeing the patient will wear extra equipment such as respirators and special gloves, masks and gowns, Hillier said.

Hillier said the procedures hospitals use when they see a patient who may have the illness are the same as those used for any contagious disease.

"There are differences in the virus, so there’s different types of isolation needed,” Hillier said. However, the elements are essentially the same for any type of pandemic preparedness and are really what we lean on for any situation like this.”

University of Iowa Hospitals & Clinics epidemiologist Dr. Jorge Salinas said earlier this month that officials there have a protocol to identify possible cases of coronavirus. It involves staff asking every patient if they have a fever or cough and if they've traveled to China in the prior two weeks or been in contact with someone with a confirmed case of coronavirus
 
Hospitals are keeping an eye on the disease
Mary Greeley Medical Center in Ames has been preparing for a possible coronavirus patient for weeks.

Following recommendations from the CDC and state officials, the hospital began screening and regularly meeting about the disease, said LeAnn Hillier, an infection control coordinator with the hospital.

Hillier said health care providers have administered their protocol several times after patients showed symptoms associated with the disease.

If someone walks into the emergency room and has traveled outside of the country recently, and has symptoms such as fever, shortness of breath and difficulty breathing, hospital staff will immediately take the patient to one of the hospital's negative airflow rooms for isolation, she said.

Medical professionals seeing the patient will wear extra equipment such as respirators and special gloves, masks and gowns, Hillier said.

Hillier said the procedures hospitals use when they see a patient who may have the illness are the same as those used for any contagious disease.

"There are differences in the virus, so there’s different types of isolation needed,” Hillier said. However, the elements are essentially the same for any type of pandemic preparedness and are really what we lean on for any situation like this.”

University of Iowa Hospitals & Clinics epidemiologist Dr. Jorge Salinas said earlier this month that officials there have a protocol to identify possible cases of coronavirus. It involves staff asking every patient if they have a fever or cough and if they've traveled to China in the prior two weeks or been in contact with someone with a confirmed case of coronavirus

You still just don't get it.
 
Since I am ignoring Joe can somebody read my links to him so that he can understand that protocols and procedures have been in place for weeks, contrary to his claims that nothing is being done
 
Since I am ignoring Joe can somebody read my links to him so that he can understand that protocols and procedures have been in place for weeks, contrary to his claims that nothing is being done

He’s too busy hyperventilating.
 
Since I am ignoring Joe can somebody read my links to him so that he can understand that protocols and procedures have been in place for weeks, contrary to his claims that nothing is being done

Aaand, you still don't get it
 
Interesting background. The word quarantine comes from the Italian expression "quaranta giorni" , which means 40 days. This happened to be the number of days the Italians forced all ships to sit idle in port during the black plague to ensure the sailors etc didn't introduce the black plague. Everyone on board had to sit, which did lead to starvation and people breaking the quarantine. They discovered in 17th century even people who didn't have a confirmed medical diagnosis but may have been exposed needed to be quarantined. And while human rights activities have complained, it is still pretty effective. So.... the practice is historically global, not limited to China. It is for the safety of the general public. And if it goes rampant, most people would support it, certainly if they understood they are risking their community and could be kept in reasonable accommodations. This also shows that people in the 17th century with basic medical understanding tolerated it, you don't think modern people can comprehend the WHY?

And if it helps, they also reference the policy in the bible.

Do you think if an area the size of NYC and Boston needed to be shut down they could the same way China did? No of course not people would not stand for it and would not participate....Thanks for the history lesson tough..
 
Since I am ignoring Joe can somebody read my links to him so that he can understand that protocols and procedures have been in place for weeks, contrary to his claims that nothing is being done

Here: from CDC

More cases are likely to be identified in the coming days, including more cases in the United States. It’s also likely that person-to-person spread will continue to occur, including in the United States. Widespread transmission of COVID-19 in the United States would translate into large numbers of people needing medical care at the same time. Schools, childcare centers, workplaces, and other places for mass gatherings may experience more absenteeism. Public health and healthcare systems may become overloaded, with elevated rates of hospitalizations and deaths. Other critical infrastructure, such as law enforcement, emergency medical services, and transportation industry may also be affected. Health care providers and hospitals may be overwhelmed. At this time, there is no vaccine to protect against COVID-19 and no medications approved to treat it. Nonpharmaceutical interventions would be the most important response strategy.

THIS is what you want your federal government preparing for, and someone at the helm ready to direct resources for. And national response teams prepping for.

10 cases in Iowa? Easy peasy.
100,000 cases in Iowa. You're f****d.
 
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I agree; but the likely consequence from that is more rapid and widespread disease communication than in China. If it gets a foothold here, it's simply not going away. It may take a while to move across America, but unless you quarantined entire cities, it's spreading.

It's not the end of the world.
Everyone's not gonna die.
But it may end up being really really disruptive.

Your end is the most appropriate, it will pry be disruptive just like any other virus that undergoes a genomic shift.

It will be interesting how well it moves across the US, our population density is quite a bit less than in China...unsure of the Italy region. It will also be interesting if things change with the seasons or not. More than likely not but time will tell.
 
Go listen to the doctor yourself.

Well, since you cannot relay what you heard, what I read from CDC is that these trials are scheduled to run thru early 2023.

Now, if the drug turns out to work well and in most patients, they might cut the study short and approve it within 6-12 months for full release - what will their throughput be for it?

Right now, they have small-scale production capability, because the only need is for trial patients, maybe in the few thousands. Has the US government indicated it will assist with ramping up production? What will it cost? Who will pay? Which country will get dibs? Highest payer? If the US pushed money into the effort, would we get reduced drug costs?

Those certainly are down-the-road questions; and it's good we have immediate options to try out - this was one of my first criticisms of this administration in not having someone at the helm pushing this publicly and within government ranks to happen quickly.

Remember, we're already ~3 months into this (earliest cases started December 1, 2019), and many of these activities probably could have and should have been handled in December or even early January before it even became 'national news'. PART of that Rapid Response function was an onsite CDC presence - IN CHINA - to catch early warnings of anything that came up. And again, that capability vanished in 2018 when Trump eliminated the organization and funding. So, my suspicion here is we lost about ~1 month on this from the get go. And CDC is still waiting for the $2.5B to ramp up other activities. Gilead might have already had 1 month's worth of data today, had CDC been given the opportunity to work on this directly in China in January. Cest la vie.
 
Well, since you cannot relay what you heard, what I read from CDC is that these trials are scheduled to run thru early 2023.

If you want to know what he said just listen to the press conference. There’s plenty of info about Remdesivir available as I mentioned earlier. A vaccine isn’t expected until next year at the earliest. I’m guessing months with luck with remdesivir as a therapeutic.
 
Do you think if an area the size of NYC and Boston needed to be shut down they could the same way China did? No of course not people would not stand for it and would not participate....Thanks for the history lesson tough..
On 9/11/01, the nyc pd shut down all transportation in and out of the city. This shutdown included all tunnels, bridges and public idea of transportation. No one could leave. It’s not out of question that the nyc govt is beyond locking people withIn the city.
 
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Yeah. See this is exactly why it looks like the US does not have a problem.

https://www.ucdavis.edu/news/coronavirus-patient-and-precautions-uc-davis-medical-center


David Lubarsky, vice chancellor of Human Health Sciences and CEO of UC Davis Health, and Brad Simmons, interim CEO and chief operating officer for UC Davis Medical Center, sent the following letter to UC Davis Health employees on Feb. 26:

Today we learned a patient we are treating here at UC Davis Medical Center for the novel coronavirus (COVID-19) is being investigated by the Centers for Disease Control and Prevention (CDC) as possibly the first patient to have received the infection from exposure in the community.

This patient was transferred to us from another Northern California hospital. Since the patient arrived with a suspected viral infection, our care teams have been taking the proper infection prevention (contact droplet) precautions during the patient’s stay.

Upon admission, our team asked public health officials if this case could be COVID-19. We requested COVID-19 testing by the CDC, since neither Sacramento County nor the California Department of Public Health is doing testing for coronavirus at this time. Since the patient did not fit the existing CDC criteria for COVID-19, a test was not immediately administered. UC Davis Health does not control the testing process.

Sunday (Feb. 23), the CDC ordered COVID-19 testing of the patient, and the patient was put on airborne precautions and strict contact precautions, because of our concerns about the patient’s condition. Today the CDC confirmed the patient’s test was positive.

This is not the first COVID-19 patient we have treated, and because of the precautions we have had in place since this patient’s arrival, we believe there has been minimal potential for exposure here at UC Davis Medical Center.

We are proud of our health care workers who have been working to care for this patient and are committed to saving this patient’s life. Just as when a health care worker has a small chance of exposure to other illnesses, such as TB or pertussis, we are following standard CDC protocols for determination of exposure and surveillance. So, out of an abundance of caution, in order to assure the health and safety of our employees, we are asking a small number of employees to stay home and monitor their temperature. We are handling this in the same way we manage other diseases that require airborne precautions and monitoring. We are in constant communication with the state health department and the CDC and Sacramento County Public Health about the optimal management of this patient and possible employee exposures.
 
"Saudi Arabia on Thursday halted travel to the holiest sites in Islam over coronavirus fears just months ahead of the annual Hajj pilgrimage, as the Middle East recorded more than 220 confirmed cases.

The extraordinary decision by Saudi Arabia prevents foreigners from reaching the holy city of Mecca and the Kaaba, the cube-shaped structure the world's 1.8 billion Muslims pray towards five times a day. It also said travel was suspended to Prophet Muhammad's mosque in Medina."

https://www.aljazeera.com/news/2020...mecca-medina-coronavirus-200227054424029.html

And in Japan -"Prime Minister Shinzo Abe on Thursday asked all elementary, junior high and high schools nationwide to close from Monday through the students’ spring break, which typically ends in early April.

“Efforts have been made to prevent the spread of infection among children in each region, and these one or two weeks will be an extremely critical period,” Abe told a meeting of key Cabinet ministers on the coronavirus outbreak crisis."

https://www.japantimes.co.jp/news/2020/02/27/national/hokkaido-coronavirus-school/#.XlfAnW5Fw5s
 
Holy chit. The freakin Pope may have it!

https://www.dailymail.co.uk/news/ar...ght-illness.html?ico=pushly-notifcation-small

llness forces the Pope to cancel an event in Rome a day after showing solidarity with coronavirus sufferers and shaking hands with congregation at weekly audience
  • Pope Francis cancelled an event Thursday due to a 'slight indisposition'
  • Comes a day after he was seen coughing and blowing his nose during Mass
  • Earlier in the day he met crowds where he kissed faces and touched hands
  • Italy is currently in the midst of a coronavirus outbreak, with towns in lockdown
Pope Francis has been forced to cancel a planned Mass in Rome with other clergy after suffering a 'slight illness'.

The Vatican said the 83-year-old pontiff had a 'slight indisposition' that meant he did not attend an event at the St John Lateran basilica in Rome on Thursday morning.

A spokesman said Francis would continue with the rest of his day's business, but preferred to stay within the Vatican rather than travel across the city.

There was no word from the Vatican about the nature of his illness, but the pope was seen coughing and blowing his nose during the Ash Wednesday Mass.
 
Hospitals are keeping an eye on the disease
Mary Greeley Medical Center in Ames has been preparing for a possible coronavirus patient for weeks.

Following recommendations from the CDC and state officials, the hospital began screening and regularly meeting about the disease, said LeAnn Hillier, an infection control coordinator with the hospital.

Hillier said health care providers have administered their protocol several times after patients showed symptoms associated with the disease.

If someone walks into the emergency room and has traveled outside of the country recently, and has symptoms such as fever, shortness of breath and difficulty breathing, hospital staff will immediately take the patient to one of the hospital's negative airflow rooms for isolation, she said.

Medical professionals seeing the patient will wear extra equipment such as respirators and special gloves, masks and gowns, Hillier said.

Hillier said the procedures hospitals use when they see a patient who may have the illness are the same as those used for any contagious disease.

"There are differences in the virus, so there’s different types of isolation needed,” Hillier said. However, the elements are essentially the same for any type of pandemic preparedness and are really what we lean on for any situation like this.”

University of Iowa Hospitals & Clinics epidemiologist Dr. Jorge Salinas said earlier this month that officials there have a protocol to identify possible cases of coronavirus. It involves staff asking every patient if they have a fever or cough and if they've traveled to China in the prior two weeks or been in contact with someone with a confirmed case of coronavirus
These sound like great steps for a disease that is only in China. However, we have a confirmed case of infection via the community - not exposure from China. It is incubating in the US right now. We must expect many many more such cases.

The questions they ask patients need to be updated, we need a plan for temporary increase in bed capacity when a localized outbreak happens, the procedures need to assume it could be Covid 19, we need to ramp up stockpiles of equipment and supplies like masks and gowns, and we need to manufacture and distribute many thousands of tests.

Asking if you have been to China or know someone who has was a good question three weeks ago. Not today.
 
I’m guessing months with luck with remdesivir as a therapeutic.

Only if it's available. It is not formally approved, and supplies are targeted for studies, not general use.

And, as I'd already noted: Before Trump dissolved the capability, CDC had boots on the ground in China to assist and monitor realtime threats. We did not learn about this threat until January - whereas it had been going on in China since December 1.

We lost a full month to get out ahead; had CDC been there to see firsthand, then trials on this drug might already be a month in the works, instead of just starting this week. THAT is what lack of preparation does. And it is 100% on this administration on the delay - they killed the capability.
 
Holy chit. The freakin Pope may have it!

https://www.dailymail.co.uk/news/ar...ght-illness.html?ico=pushly-notifcation-small

llness forces the Pope to cancel an event in Rome a day after showing solidarity with coronavirus sufferers and shaking hands with congregation at weekly audience
  • Pope Francis cancelled an event Thursday due to a 'slight indisposition'
  • Comes a day after he was seen coughing and blowing his nose during Mass
  • Earlier in the day he met crowds where he kissed faces and touched hands
  • Italy is currently in the midst of a coronavirus outbreak, with towns in lockdown
Pope Francis has been forced to cancel a planned Mass in Rome with other clergy after suffering a 'slight illness'.

The Vatican said the 83-year-old pontiff had a 'slight indisposition' that meant he did not attend an event at the St John Lateran basilica in Rome on Thursday morning.

A spokesman said Francis would continue with the rest of his day's business, but preferred to stay within the Vatican rather than travel across the city.

There was no word from the Vatican about the nature of his illness, but the pope was seen coughing and blowing his nose during the Ash Wednesday Mass.

Toldja

God is pissed off.
 
Yeah. See this is exactly why it looks like the US does not have a problem.

https://www.ucdavis.edu/news/coronavirus-patient-and-precautions-uc-davis-medical-center


David Lubarsky, vice chancellor of Human Health Sciences and CEO of UC Davis Health, and Brad Simmons, interim CEO and chief operating officer for UC Davis Medical Center, sent the following letter to UC Davis Health employees on Feb. 26:

Today we learned a patient we are treating here at UC Davis Medical Center for the novel coronavirus (COVID-19) is being investigated by the Centers for Disease Control and Prevention (CDC) as possibly the first patient to have received the infection from exposure in the community.

This patient was transferred to us from another Northern California hospital. Since the patient arrived with a suspected viral infection, our care teams have been taking the proper infection prevention (contact droplet) precautions during the patient’s stay.

Upon admission, our team asked public health officials if this case could be COVID-19. We requested COVID-19 testing by the CDC, since neither Sacramento County nor the California Department of Public Health is doing testing for coronavirus at this time. Since the patient did not fit the existing CDC criteria for COVID-19, a test was not immediately administered. UC Davis Health does not control the testing process.

Sunday (Feb. 23), the CDC ordered COVID-19 testing of the patient, and the patient was put on airborne precautions and strict contact precautions, because of our concerns about the patient’s condition. Today the CDC confirmed the patient’s test was positive.

This is not the first COVID-19 patient we have treated, and because of the precautions we have had in place since this patient’s arrival, we believe there has been minimal potential for exposure here at UC Davis Medical Center.

We are proud of our health care workers who have been working to care for this patient and are committed to saving this patient’s life. Just as when a health care worker has a small chance of exposure to other illnesses, such as TB or pertussis, we are following standard CDC protocols for determination of exposure and surveillance. So, out of an abundance of caution, in order to assure the health and safety of our employees, we are asking a small number of employees to stay home and monitor their temperature. We are handling this in the same way we manage other diseases that require airborne precautions and monitoring. We are in constant communication with the state health department and the CDC and Sacramento County Public Health about the optimal management of this patient and possible employee exposures.


Yep; lack of top-down preparations.

Local hospitals and clinics are doing what they can, but it's slower and later than it could have been. Kits could have been distributed regionally for same-day use.

As I've already noted: CDC no longer had boots on the ground in China to observe this firsthand when it broke out in December. We likely lost a full month in response time.

The antiviral drug could have started trials in mid-January, not end of February. Testing on the accuracy of the diagnostics could have been over a month in advance.

This is what a clown-show administration does: they didn't cause the outbreak, but they made us much much slower in responding to it. Lost time means the difference between regional or local control, and full on pandemic.

Thanks, Trump.
 
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