Ragnarok
On and On, South of Heaven
On his full show, Tucker goes into how a coronavirus outbreak in the US could get Bernie elected:
View: https://www.youtube.com/watch?v=s9ggifSGlZo
CORONA Main Coronavirus thread
- Thread starter Heliobas Disciple
- Start date
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- Tags
- coronavirus
Mark D
Now running for Emperor.
Well, the dude in charge the South Korean response to Kung Flu just committed suicide, so you know, it's probably just like the Flu.
I told a family member that very thing this morning. When the sheeple have to face a deadly pandemic, they’ll want blood for all their perceived wrongs...
ainitfunny
Saved, to glorify God.
Yeah, God put it THIS WAY: (YOU will live longer if you heed their advice!}
Exodus 20:12 New American Standard Bible (NASB)
12 “Honor your father and your mother, that your days may be prolonged in the land which the Lord your God gives you.
New American Standard Bible (NASB)
SmithJ
Veteran Member
EPIC is about 30% of the EHR market, I believe. Cerner is just as big, or bigger, I believe. But yes, they are all similar and do just what you say.
pymaf
Senior Member
I wished that we were receiving factual updates on the number and locations of confirmed and suspected cases in the USA, if it is close to my location I will take my six weeks of saved vacation time from work and pull my teenagers from school. The question that I ask myself, when is it to late?
Ractivist
Pride comes before the fall.....Pride month ended.
Just why are they not being open with the knowledge they have in hand. If they know x, they should speak it. If they work for the people, they should tell the people. BS on the panic button, BS on the markets, we are talking life and death, ours.
Last edited:
northern watch
TB Fanatic
Eva Fu @EvaSailEast 28s29 seconds ago
An internal document obtained by@EpochTimes revealed 800+ police officers and families have #coronavirus in #HubeiProvince - yet another challenge for Chinese authorities trying to contain the outbreak
An internal document obtained by
bw
Fringe Ranger
Protecting yourself will probably take three months minimum of isolation. Wherever you are in the US, the virus is no more than half an hour from you. As for too late, I don't know what to say.
bw
Fringe Ranger
They don't work for the people; they work for the system. The system eats people.
Yeah....this could be worrying. 600 or so church members in Orange County.
www.businessinsider.com
An official leading South Korea's battle against COVID-19 says he's a member of a doomsday 'cult' where a virus 'super-spreader' event occurred
"If we have another Daegu in this country, I can't imagine what would happen," a professor said since medical resources are being stretched thin.
www.businessinsider.com
Heliobas Disciple
TB Fanatic
Getting a late start today, took over an hour to catch up.
I want to comment on this because it is something very basic about COVID that is getting lost in the pages of posts.
When you have a virus that is spread when the person is asymptomatic, and can be asymptomatic and contagious for 2 weeks or more when no one even knows they are sick- when that virus can be spread through the air, through fomites left on surfaces, and in public bathrooms - when tests and temperature checks aren't picking up the disease in people with symptoms, let alone those without them yet - the ONLY way to mitigate this virus is to do a complete and total lockdown. That's why China went that route as soon as they got an outbreak in a city. (more evidence pointing to them knowing exactly what they were dealing with very early on in this process - most likely because as it was not natural). That's why Iran and Italy are going that route with reported cases under 100..... That is the ONLY way to control this. And the CDC and the Trump Admin know that that will never fly in the USA. No one is going to let Trump do a lockdown in a city unless people are dying in the street, and by then, it's too late.
Nothing short of a complete lockdown is stopping this disease. They all know it. And they will never let Trump do it, so we're all going to be exposed.
OTOH, there are things they can be doing and hopefully they are doing them. Figuring out how to do food distribution door to door or letting a few people out at a time if they do lockdown a city, (will they take over your local COSTCO/SAMS/Grocery chain warehouse and gather all food for gov't distribution?), how they will enforce martial law if it comes to that, how to manage keeping the lights and water and sewers going, and the TV and internet and cellphones to entertain the masses while they are stuck in their homes, what to do with the people who can't get their meds, especially those who need them to live and those who need them to stay sane and not become a danger to themselves or those they are locked down with, how will they recover dead bodies who aren't in a hospital and what till they do with them when they have them. These are things that need to be planned - we should be on a war planning footing now, and for the last month and a half. Hopefully they have been using this time wisely so that if they need to move to quarantining and locking down cities it goes as smoothly as possible.
HD
Trivium Pursuit
Has No Life - Lives on TB
Yes, Cerner performs the same functions. Cerner HQ in KC, I think, so that would also be one to watch for. Just checked, Epic at 28%, Cerner 26% of US market. Maybe that's in dollars. I'd heard for years a figure of 75% Epic. Maybe that's in terms of population served. EPIC is in about 10 other countries, don't know about cerner. Would be interesting if their Corona algorithms are different in other countries. Don't have any info on that.
Heliobas Disciple
TB Fanatic
mzkitty posted a link to this article in a tweet. Here it is in full:
www.fda.gov
(fair use applies)
Coronavirus Update: FDA steps to ensure quality of foreign products
For Immediate Release:
February 24, 2020
Statement From: Commissioner of Food and Drugs - Food and Drug AdministrationStephen M. Hahn M.D.
Associate Commissioner for Regulatory Affairs - Office of Regulatory Affairs Judith A. McMeekin Pharm.D.
Recently, we provided an update on FDA-wide activities we are engaged in related to the novel coronavirus outbreak: COVID-19. We continue to take a multi-pronged approach to this public health emergency, including focusing on actively facilitating efforts to diagnose, treat and prevent the disease; surveilling the medical product supply chain for potential shortages or disruptions and helping to mitigate such impacts, as necessary; and leveraging the full breadth of our public health tools, including enforcement tools to stop fraudulent activity as we oversee the safety and quality of FDA-regulated products for American patients and consumers.
Today, we are providing updated and more detailed information about the status of FDA inspections in China and the agency’s oversight of imported products from China, which have been impacted by this outbreak. While we are not able to conduct inspections in China right now, this is not hindering our efforts to monitor medical products and food safety. We have additional tools we are utilizing to monitor the safety of products from China, and in the meantime, we continue monitoring the global drug supply chain by prioritizing risk-based inspections in other parts of the world. The FDA is not currently conducting inspections in China in response to the U.S. Department of State’s Travel Advisory to not travel to China due to the novel coronavirus outbreak. We will continue to closely monitor the situation in China so that, when the travel advisory is changed, we will be prepared to resume routine inspections as soon as feasible.
We already use other tools to help complement our inspections, including import screening, examinations, sampling, and import alerts, relying on a firm’s previous compliance history, and we use information from foreign governments as part of mutual recognition agreements. Thus, at this time, we can rely on these other tools to give us comprehensive oversight of FDA-regulated products entering this country. This is all part of our agency’s risk-based approach to ensuring quality, as well as compliance with applicable FDA requirements.
It is important to reiterate that inspections are one of many tools that the agency uses to inform our risk strategy for imported FDA-regulated products and to help prevent products that do not meet the FDA’s standards from entering the U.S. market. A wide variety of FDA-regulated products are imported from China, which makes it important to assure the public of the quality of these products. At this time, over 60% of FDA-regulated products imported from China are medical devices and 20% are housewares (like food packaging).
In response to the COVID-19 outbreak, the FDA will utilize, where appropriate, our authority to request records from firms “in advance or in lieu of” drug surveillance inspections in China. The Federal Food, Drug, and Cosmetic Act, as amended by the FDA Safety and Innovation Act (FDASIA) of 2012, gives the FDA authority to request records “in advance of or in lieu of” on-site drug inspections. Congress enacted this provision to improve the effectiveness and efficiency of inspections, given the increasing globalization of drug production. Along with other FDASIA provisions, this inspection record request authority was viewed as a way to “level the playing field” between foreign and domestic drug inspections by allowing the FDA to review records ahead of time and take a more risk-based approach to conducting both domestic and foreign inspections. These records will help the agency when we resume drug inspections in China. By applying the use of paper records in our risk-based inspection framework, we can prioritize our early inspections on those deemed most needed, based on the records . By doing so, we hope to rapidly assess what could become a backlog number of on-the-ground surveillance inspections this fiscal year if travel restrictions persist.
In addition to records requests, the FDA will continue working with U.S. Customs and Border Protection to target products intended for importation into the U.S. that violate applicable legal requirements for FDA-regulated products, which may come from a variety of sources, such as first time importers unfamiliar with regulatory requirements or repeat offenders trying to skirt the law. FDA has the ability through our risk-based import screening tool (PREDICT) to focus our examinations and sample collections based on heightened concerns of specific products being entered into U.S. commerce. The PREDICT screening continues to adjust risk scores as necessary throughout the COVID-19 outbreak. We are keeping a close eye out for indications of port shopping or cargo diversion and will continue our oversight of shipments through potentially higher-risk venues such as International Mail Facilities. We can refuse admission of products that fail sample testing or may violate other applicable legal requirements.
Fortunately, currently, we are not seeing the impacts of this outbreak resulting in an increased public health risk for American consumers from imported products. There is no evidence to support transmission of COVID-19 associated with imported goods and there have not been any cases of COVID-19 in the United States associated with imported goods. As noted, this remains a dynamic situation and we will continue to assess, and update guidance as needed.
We also continue to aggressively monitor the market for any firms marketing products with fraudulent COVID-19 prevention and treatment claims. The FDA can and will use every authority at our disposal to protect consumers from bad actors who would take advantage of a crisis to deceive the public, including pursuing warning letters, seizures, or injunctions against products on the market that are not in compliance with the law, or against firms or individuals who violate the law.
We know the public may have questions or concerns for the FDA as a result of this outbreak, including you and your family’s risk of exposure, or whether your critical medical products are safe and will continue to be available in the future. We assure you that the FDA is working around the clock to monitor and mitigate emerging coronavirus issues through collaborative efforts with U.S. regulators, international partners, and medical product developers and manufacturers to help advance response efforts to combat the COVID-19 outbreak.
Coronavirus Update: FDA steps to ensure quality of foreign products
Coronavirus Update: FDA steps to ensure quality of foreign products
Coronavirus Update: FDA steps to ensure quality of foreign products
For Immediate Release:
February 24, 2020
Statement From: Commissioner of Food and Drugs - Food and Drug AdministrationStephen M. Hahn M.D.
Associate Commissioner for Regulatory Affairs - Office of Regulatory Affairs Judith A. McMeekin Pharm.D.
Recently, we provided an update on FDA-wide activities we are engaged in related to the novel coronavirus outbreak: COVID-19. We continue to take a multi-pronged approach to this public health emergency, including focusing on actively facilitating efforts to diagnose, treat and prevent the disease; surveilling the medical product supply chain for potential shortages or disruptions and helping to mitigate such impacts, as necessary; and leveraging the full breadth of our public health tools, including enforcement tools to stop fraudulent activity as we oversee the safety and quality of FDA-regulated products for American patients and consumers.
Today, we are providing updated and more detailed information about the status of FDA inspections in China and the agency’s oversight of imported products from China, which have been impacted by this outbreak. While we are not able to conduct inspections in China right now, this is not hindering our efforts to monitor medical products and food safety. We have additional tools we are utilizing to monitor the safety of products from China, and in the meantime, we continue monitoring the global drug supply chain by prioritizing risk-based inspections in other parts of the world. The FDA is not currently conducting inspections in China in response to the U.S. Department of State’s Travel Advisory to not travel to China due to the novel coronavirus outbreak. We will continue to closely monitor the situation in China so that, when the travel advisory is changed, we will be prepared to resume routine inspections as soon as feasible.
We already use other tools to help complement our inspections, including import screening, examinations, sampling, and import alerts, relying on a firm’s previous compliance history, and we use information from foreign governments as part of mutual recognition agreements. Thus, at this time, we can rely on these other tools to give us comprehensive oversight of FDA-regulated products entering this country. This is all part of our agency’s risk-based approach to ensuring quality, as well as compliance with applicable FDA requirements.
It is important to reiterate that inspections are one of many tools that the agency uses to inform our risk strategy for imported FDA-regulated products and to help prevent products that do not meet the FDA’s standards from entering the U.S. market. A wide variety of FDA-regulated products are imported from China, which makes it important to assure the public of the quality of these products. At this time, over 60% of FDA-regulated products imported from China are medical devices and 20% are housewares (like food packaging).
In response to the COVID-19 outbreak, the FDA will utilize, where appropriate, our authority to request records from firms “in advance or in lieu of” drug surveillance inspections in China. The Federal Food, Drug, and Cosmetic Act, as amended by the FDA Safety and Innovation Act (FDASIA) of 2012, gives the FDA authority to request records “in advance of or in lieu of” on-site drug inspections. Congress enacted this provision to improve the effectiveness and efficiency of inspections, given the increasing globalization of drug production. Along with other FDASIA provisions, this inspection record request authority was viewed as a way to “level the playing field” between foreign and domestic drug inspections by allowing the FDA to review records ahead of time and take a more risk-based approach to conducting both domestic and foreign inspections. These records will help the agency when we resume drug inspections in China. By applying the use of paper records in our risk-based inspection framework, we can prioritize our early inspections on those deemed most needed, based on the records . By doing so, we hope to rapidly assess what could become a backlog number of on-the-ground surveillance inspections this fiscal year if travel restrictions persist.
In addition to records requests, the FDA will continue working with U.S. Customs and Border Protection to target products intended for importation into the U.S. that violate applicable legal requirements for FDA-regulated products, which may come from a variety of sources, such as first time importers unfamiliar with regulatory requirements or repeat offenders trying to skirt the law. FDA has the ability through our risk-based import screening tool (PREDICT) to focus our examinations and sample collections based on heightened concerns of specific products being entered into U.S. commerce. The PREDICT screening continues to adjust risk scores as necessary throughout the COVID-19 outbreak. We are keeping a close eye out for indications of port shopping or cargo diversion and will continue our oversight of shipments through potentially higher-risk venues such as International Mail Facilities. We can refuse admission of products that fail sample testing or may violate other applicable legal requirements.
Fortunately, currently, we are not seeing the impacts of this outbreak resulting in an increased public health risk for American consumers from imported products. There is no evidence to support transmission of COVID-19 associated with imported goods and there have not been any cases of COVID-19 in the United States associated with imported goods. As noted, this remains a dynamic situation and we will continue to assess, and update guidance as needed.
We also continue to aggressively monitor the market for any firms marketing products with fraudulent COVID-19 prevention and treatment claims. The FDA can and will use every authority at our disposal to protect consumers from bad actors who would take advantage of a crisis to deceive the public, including pursuing warning letters, seizures, or injunctions against products on the market that are not in compliance with the law, or against firms or individuals who violate the law.
We know the public may have questions or concerns for the FDA as a result of this outbreak, including you and your family’s risk of exposure, or whether your critical medical products are safe and will continue to be available in the future. We assure you that the FDA is working around the clock to monitor and mitigate emerging coronavirus issues through collaborative efforts with U.S. regulators, international partners, and medical product developers and manufacturers to help advance response efforts to combat the COVID-19 outbreak.
mzkitty
I give up.
2 hr 28 min ago
White House submits $1.25 billion emergency request to address coronavirus
The White House has requested $1.25 billion in emergency funding to address coronavirus, as well as the ability to tap an additional $535 million in emergency funds already appropriated.
This letter, obtained by CNN, was sent to the Hill just a short time ago.
The Trump administration expects “to allocate at least $2.5 billion in total resources” for the response effort. Much of that would come from shifting already appropriated money from agency accounts.
White House submits $1.25 billion emergency request to address coronavirus
The White House has requested $1.25 billion in emergency funding to address coronavirus, as well as the ability to tap an additional $535 million in emergency funds already appropriated.
northern watch
TB Fanatic
ReutersVerified account @Reuters 15s15 seconds ago
The S&P 500 and the Dow suffered their biggest one-day percentage losses in two years after a surge in coronavirus cases outside China fanned worries about the global economic impact of a potential pandemic https://reut.rs/2TaBJJg
The S&P 500 and the Dow suffered their biggest one-day percentage losses in two years after a surge in coronavirus cases outside China fanned worries about the global economic impact of a potential pandemic https://reut.rs/2TaBJJg
jward
passin' thru
OMG. which kind- nail gun to back of head, three times, or the non arkancided variety? Come to think o' it, surprised there isn't far more of this going on. Both kinds.
marsh
On TB every waking moment
I disagree. So far, the HHS/CDC visible actions have been avoidance - Stop certain travel, quarantine travelers, educate at-risk elders and those with co-morbidities in personal isolation and infection control strategies, . They have utterly failed in getting local testing activated to gauge the success of their strategy and to identify community hot spots where spread is happening. Then, school closures, event cancellations and the like could be employed.
They should have already started minimization strategies: Infection control training and supply of health care workers, including in-take and at the clinical level. Training and equipment for EMTs, First Responders and LE (including jail personnel.) Rehashing hand washing, no toughing, social distancing and cough etiquette at schools. Monitoring of incidences of school sickness. PSA's for adults on same. Presentations/videos on taking care of sick people at home. Briefings with business groups on with bulleted action plans for preparation: cross training, identifying supply chain sources, risk assessment and finding alternate sources. Working from home. Meetings by streaming or other services. Stockpiling of oxygen and anticipated extra needed supplies and equipment. Pass necessary legislation to allow for changes in public meetings or services and to limit liabilities for work around innovation, alternative medicine or practice beyond scope of usual license during an emergency.)
Mitigation of impact: Helping physicians find drug alternatives for patients with a reliance on a certain drug that will dwindle in supply. (EX: Not having them suddenly faced with cold turkey on a heart medicine.) Making sure that isolation in some sort of assisted intermediate care facility is possible. (Utilization of closed hospitals, nursing facilities etc.) Computer learning for school kids. Streaming church services. Finding, alternatives, work arounds (For instance, can Scuba gear be repurposed to aid in breathing?)
I am not one just to say it is just inevitable. Not much we can do. It is just that this is not just a HHS/CDC/Public Health issue. They need to bring the community in so they "own the plan" and can broaden its scope beyond the medical,because it will effect the social and economic fabric in other ways.
Countrymouse
Country exile in the city
So every time I post, I have to leave the thread totally and then come back in and re-open it (and TRY to find my place) to see my post in its correct place?
I hope this is just a glitch and will be fixed soon---the other site didn't do this and it's maddening. It's like posts keep "moving" around on the thread and I never am sure which page I'm on.
Leigh19717
Senior Member
Do you have a link?
jward
passin' thru
...Certain the lord understands shutting down in person services during pandemics...
Reuters
@Reuters
4m
South Korea to test 200,000 members of church at centre of coronavirus outbreak https://reut.rs/2VlffYO
View: https://twitter.com/Reuters/status/1232156773706084353?s=20
Reuters
@Reuters
4m
South Korea to test 200,000 members of church at centre of coronavirus outbreak https://reut.rs/2VlffYO
View: https://twitter.com/Reuters/status/1232156773706084353?s=20
jward
passin' thru
Oliver Darcy
@oliverdarcy
Rush Limbaugh: “It looks like the coronavirus is being weaponized as yet another element to bring down Donald Trump. Now, I want to tell you the truth about the coronavirus. ... The coronavirus is the common cold, folks.” https://rushlimbaugh.com/daily/2020/02/
this coronavirus thing, I want to try to put this in perspective for you. It looks like the coronavirus is being weaponized as yet another element to bring down Donald Trump. Now, I want to tell you the truth about the coronavirus. (interruption) You think I’m wrong about this? You think I’m missing it by saying that’s… (interruption) Yeah, I’m dead right on this. The coronavirus is the common cold, folks.
The Drive-By Media hype of this thing as a pandemic, as the Andromeda strain, as, “Oh, my God, if you get it, you’re dead.” Do you know what the — I think the survival rate is 98%. Ninety-eight percent of people get the coronavirus survive. It’s a respiratory system virus. It probably is a ChiCom laboratory experiment that is in the process of being weaponized. All superpower nations weaponize bioweapons. They experiment with them. The Russians, for example, have weaponized fentanyl. Now, fentanyl is also not what it is represented to be.
If you watch cop shows, then you probably… Stick with me on this. If you watch cop shows, you probably believe that just the dust from a package of fentanyl can kill you if you’re in the same room with it. Not true. Not true. Even the cheap kind of fentanyl coming from China that’s used to spike heroin… They use fentanyl ’cause it’s cheap. It gives a quick hit, doesn’t last very long, which is really cool if you’re trying to addict people.
But it doesn’t kill people the way it’s projected on TV. It can if you OD on it. But inhaling a little fentanyl dust is not going to cause you to lose consciousness and stop breathing as they depict on cop shows. It’s dangerous. Don’t misunderstand. But it isn’t the way it’s portrayed in popular criminal TV shows, cop shows, and so forth and so on. The coronavirus is the same. It’s really being hyped as a deadly Andromeda Strain or Ebola pandemic that, “Oh, my God, is going to wipe out the nation. It’s going to wipe out the population of the world.”
The stock market’s down like 900 points right now. The survival rate of this is 98%! You have to read very deeply to find that number, that 2% of the people get the coronavirus die. That’s less than the flu, folks. That is a far lower death statistic than any form of influenza, which is an annual thing that everybody gets shots for. There’s nothing unusual about the coronavirus. In fact, coronavirus is not something new. There are all kinds of viruses that have that name. Now, do not misunderstand. I’m not trying to get you to let your guard down.
Nobody wants to get any of this stuff. I mean, you never… I hate getting the common cold. You don’t want to get the flu. It’s miserable. But we’re not talking about something here that’s gonna wipe out your town or your city if it finds its way there. This is a classic illustration of how media coverage works. Even if this media coverage isn’t stacked, even if this is just the way media normally does things, this is a hyped, panic-filled version. It’s exactly how the media deals with these things to create audience, readership, interest, clicks, what have you.
It originated in China in a little — well, not a little town. It’s a town that is 11 million people, Wuhan, China. One of the reasons they’re able to hype this is that the doctor what warned everybody about it came down with it and died. So if a doctor got it, “Oh, my God, Rush! A doctor got it? You can’t possibly be right if a doctor can’t protect himself.” He didn’t know what he was dealing with. He discovered it back in December. I’m telling you, the ChiComs are trying to weaponize this thing. Here’s the story on Russians and fentanyl.
Fentanyl is a very, very powerful opiate — and for those of you that haven’t had any experience with opiates, the people that get addicted to ’em take them and they get very euphoric. They kill pain. They do wonderful things. But they make you very, very euphoric. They act like speed. Other people take ’em, and they hate ’em. It makes ’em vomit, throw up, feel nauseous. It doesn’t do anything for ’em. They’re never gonna get addicted.
So in Moscow the Chechens, way back… I’m gonna go back now — what is it — maybe 10 years or longer. A bunch of Chechen rebels took over an opera house and had a bunch of Russian hostages in there and made all kinds of threats — and Putin, unbeknownst to anybody, had weaponized fentanyl. He’d turned it into a gas, an invisible gas. He just put it in the ventilation system of this opera house or whatever it was (I’m giving you the sketchy, short version of this) and everybody in there fell asleep and died. You know, in a drug overdose, you stop breathing.
That’s what… It slows down your respiratory system so much that you stop breathing. That’s what an OD is, and everybody in that place, including the Chechens — Pfft! — had no idea what happened to ’em. It’s not violent. You just fall asleep for unknown reasons at the amounts that Putin weaponized and put in there. If you take a normal dose of fentanyl that you get from a doctor in a hospital, it’s not gonna kill you, obviously. But the amount they weaponized — and up to this time, nobody had ever weaponized fentanyl.
Nobody had ever made it into an invisible, odorless, colorless gas, until it was discovered that the Russians had done it. Well, every nation is working on things like this, and the ChiComs obviously in their lab are doing something here with the coronavirus — and it got out. Some people believe it got out on purpose, that the ChiComs have a whole lot of problems based on an economy that cannot provide for the number of people they have. So losing a few people here or there is not so bad for the Chinese government.
There could be anything to explain this.
But the way it’s being used… I believe the way it’s being weaponized is by virtue of the media, and I think that it is an effort to bring down Trump, and one of the ways it’s being used to do this is to scare the investors, to scare people in business. It’s to scare people into not buying Treasury bills at auctions. It’s to scare people into leaving, cashing out of the stock market — and sure enough, as the show began today, the stock market — the Dow Jones Industrial Average — was down about 900 points, supposedly because of the latest news about the spread of the coronavirus.
And if you go deeper into China, you will see that all of the high-tech Silicon Valley firms are said to be terribly exposed. “They could be suffering a disastrous year. Why, you may not be able to buy a new iPhone of any model this whole year! Do you know that? Because the coronavirus is so bad that the factories may never open — and if they do, they may not be anywhere near full capacity.” So Apple may not be able to release any new product. You think that’s not gonna panic investors? It most certainly is.
So Apple is trying to do what they can to suggest that these rumors are not true. They got new products coming this year. But the tech media hates Apple. They love anti-Apple stories. They love anything that will let them report that Apple’s on its last legs. Of course, that’s not true. Warren Buffett came out today and said, “Apple is the best run company ever.” He’s a big stockholder. So people will say he’s biased about it. But the bias you have to pay attention to is how much money he invested. He got $36 billion in Apple stock that Berkshire Hathaway has.
They sold $800 million of Apple stock last week, and everybody said, “Oh, my God, he’s getting out!” No, he’s not. He’s got $36 billion. He sold $800 million. No big deal. He wanted to allocate it somewhere else. So this is… I think the coronavirus is an effort to get Trump. It’s not gonna work. It’s one of the latest in a long line of efforts that the Drive-By Media’s making to somehow say that Trump and capitalism are destroying America and destroying the world. Just keep in mind where the coronavirus came from.
It came from a country that Bernie Sanders wants to turn the United States into a mirror image of: Communist China. That’s where it came from. It didn’t come from an American lab. It didn’t escape from an American research lab. It hasn’t been spread by Americans. It starts out in a communist country. Its tentacles spread all across the world in numbers that are not big and not huge, but they’re being reported as just the opposite. Just trying to keep it all in perspective.
BREAK TRANSCRIPT
RUSH: Here’s Neil in Orlando. Great to have you on the program, sir. Hello.
CALLER: Hello, Rush. Man, I’m blessed to have the chance to talk to you. I cannot believe it. So you were talking about the coronavirus a little bit a while ago, and what’s the one thing that disappeared when the coronavirus came out?
RUSH: Well, let me see. What one thing? Just hang on. What disappeared? What disappeared? What disappeared? Oh, the protests in Hong Kong went away.
CALLER: Yes. That’s it.
RUSH: That’s a big…
CALLER: Yup.
RUSH: (whispering) Talent on loan from God.
CALLER: That sure is.
RUSH: That’s probably the big one, the protests in Hong Kong.
CALLER: That’s my take from it. I don’t know. I’ve got a friend over there that sends me stuff. But there’s a lot… We don’t want to start any conspiracy theories, but this will be my only time I ever get through to you ’cause I’ve been calling since ’92. But I just want to say about your talent on loan from God: Just in the time, I was on hold listening to you, and it got me to the point where I just wanted to say that Trump got no notice about Russian meddling like Sanders did. So why not? I wonder about that. When Carter was president, my first home buying — I was a first-time home buyer — the rate was 13.33%. I’ll never forget it, and that was a first-time homeowner!
RUSH: I know. I know.
CALLER: That was a deal!
RUSH: I know. I know.
CALLER: That was a deal at 13.33%!
RUSH: I bought my first shack, you know, at that time in Overland Park, Kansas. I had no business buying it. But everybody said, “You gotta buy! Don’t rent. You’re throwing money away if you rent.”
CALLER: Mmm-hmm.
RUSH: So, you know, my one time I became a conformist, it got me. I didn’t want to live in this shack! I never wanted to move into this shack. But it’s what I bought, so I had to move into the thing.
CALLER: And one more —
RUSH: I didn’t even want people to take me home. I didn’t want people to see this shack that I lived in. One day, we’re playing football — the Chiefs front office, the Royals front office — after the baseball season. Thursday afternoon flag football. George Brett’s playing and he offered to take me home. I said (chuckles), “No, George, I’m fine.” I didn’t want Brett to see where the shack was. So, yeah, 13% interest rates during Carter, and it was bad. Carter actually coined the term “malaise” to describe his own administration and its effect on the American economy!
We had “the misery index” and all of that.
But look, back to the coronavirus for just a second. That is true that the Hong Kong protests strangely subsided as the news of the coronavirus expanded — and I’ll tell you, it is a way… If you are a totalitarian government and you need to control your population, one of the best ways of doing it is unleashing something they think is a deadly disease and then you, as the dictator, have the “safety solutions.” You have the ability to round people up from their homes and take ’em to so-called health camps.
Be very leery of this, folks.
It probably is not what the media’s leading you to believe it is.
jward
passin' thru
Vincent Lee
@Rover829
Reuters: KOREAN AIR SAYS ONE CABIN CREW MEMBER TESTED POSITIVE FOR CORONAVIRUS
bw
Fringe Ranger
No. The page you are on ends in a multiple of 40 (the default). Additional posts after that page have higher numbers and have a visible border to show you where the old page ended. When you see the border (not hard once you notice it), just scroll all the way to the bottom and click Next. Then you'll be in the correct start of the next page.
This is not a glitch. It's an attempt to help you see what's been posted while you were reading that page. If the page you were on didn't fill the whole range of 40, the new posts are in the right place on the current page. It's like a preview of new stuff. If it bothers you, find the border I mentioned and just scroll past it.
This is a fast-moving thread. When you post, your post might be several pages past the post you are replying to. The easiest way to navigate is to always use the "Reply" hotlink. That puts the post you are replying to in your new post. Then, when your new post comes up, just click on the arrow in the post you're replying to (top left of your new post) and it takes you back where you were. Easy peasy.
Last edited:
blackjeep
The end times are here.
This action doesn't align with the President's statements that everything is fine. Stampeding the sheeple is to be avoided at all costs.View attachment 183790
2 hr 28 min ago
White House submits $1.25 billion emergency request to address coronavirus
The White House has requested $1.25 billion in emergency funding to address coronavirus, as well as the ability to tap an additional $535 million in emergency funds already appropriated.
This letter, obtained by CNN, was sent to the Hill just a short time ago.
The Trump administration expects “to allocate at least $2.5 billion in total resources” for the response effort. Much of that would come from shifting already appropriated money from agency accounts.
White House submits $1.25 billion emergency request to address coronavirus
The White House has requested $1.25 billion in emergency funding to address coronavirus, as well as the ability to tap an additional $535 million in emergency funds already appropriated.www.cnn.com
DazedandConfused
Veteran Member
Setting out there all alone ! make a bet we hear about a accidental fire on board while it is being cleaned and repaired. Before the fire could be brought under control the damage will be beyond repair, insurance pays the owner and she is sold for scrap..COVID-19: 188 Indonesians from World Dream cruise ship to be quarantined on uninhabited island
Budi Sutrisno
The Jakarta Post
Jakarta / Tue, February 25, 2020 / 06:25 am
A passenger wearing a facemask looks out from the cabin of the World Dream cruise ship at the Kai Tak cruise terminal in Hong Kong on Feb. 5. (AFP/Philip FONG )
Indonesia plans to evacuate 188 citizens working as crew members aboard the World Dream cruise ship to an island off Java amid concerns over the coronavirus, the government has said.
Coordinating Human Development and Culture Minister Muhadjir Effendy confirmed the repatriation plan on Monday following a meeting with President Joko “Jokowi” Widodo and Health Minister Terawan Agus Putranto at the State Palace.
He said the Dr. Soeharso naval hospital ship had headed to the sea off Riau Island on Sunday to pick up the Indonesians abroad the ship, which had anchored in international waters near the province’s Bintan Island to facilitate the transfer of the crew members.
Muhadjir said all of the Indonesian evacuees would be brought to Sebaru Island, which is part of the Thousand Islands regency in Jakarta, for observation.
“Sebaru is an […] uninhabited island,” Muhadjir said. “We consider it safe, because there are no inhabitants on the island and it has good facilities that we can just utilize.”
The World Dream has suspended its operations after docking in Hong Kong earlier this month, where it had spent days in quarantine at Kai Tak Cruise terminal after three Chinese nationals who had been onboard the ship between Jan. 19 and 24 tested positive for the virus, Reuters reported.
The ship’s 1,800 passengers had disembarked in Hong Kong on Feb. 9, leaving onboard some 1,814 crew members, including Indonesians, according to World Dream’s operator Dream Cruises.
Michael Goh, the Dream Cruises’ president, said that Hong Kong authorities had confirmed that all passengers and crew who sailed on the last voyage had gone through extensive health examinations, including body temperature checks.
All samples taken from the 1,814 crew members were negative of coronavirus and all passengers who had left the ship after the last trip had showed no symptoms associated with COVID-19 infection, Goh said in a statement as quoted by Antara.
He said Dream Cruises was working closely with local and regional authorities to facilitate the transfer and return of crew members given the diversity of their nationalities.
The repatriation of citizens aboard the World Dream came as the government planned the evacuation of dozens of Indonesian crew members of coronavirus-stricken Diamond Princess, who were still reported healthy after being quarantined with the ship for two weeks.
At least nine of 78 Indonesian crew members on the cruise ship tested positive for coronavirus alongside some 600 other infected people who had boarded the vessel.
Minister Terawan, however, said that in the meantime the government would focus on evacuating Indonesian citizens of the World Dream.
“We now concentrate on the World Dream, because that is the closest to us. This has the smallest risk. We always take the smallest risk first and we will manage to provide good quarantine facilities,” Terawan said.
Terawan said the government had decided to conduct the evacuation by sea in order to anticipate the spread of the virus if any was found.
“This medical aspect must be considered well, not emotionally. It must be one at a time, for the safety of the country since we are still in the green zone,” he added.
Indonesia has yet to confirm any coronavirus cases in the country to date. The far-flung virus, which has spread to some 30 countries, has killed more than 2,500 people in China and infected more than 77,000 worldwide.
===COVID-19: 188 Indonesians from World Dream cruise ship to be quarantined on uninhabited island - National - The Jakarta Post
Indonesia plans to evacuate 188 citizens working as crew members aboard the World Dream cruise ship to an island off Java amid concerns over the coronavirus, the government has said.www.thejakartapost.com
To be filed as an odd story.
===
.
Countrymouse
Country exile in the city
This just in:
Researchers have recently started using lawyers instead of rats in their lab experiments. You don’t get so attached to them, and there are some things a rat just won’t do.
(Told to me by a lawyer . . . )
I remember that joke being shared by Robin Williams in "Hook."
jward
passin' thru
-
The new coronavirus: What is it and how does it behave?
Kate Kelland
3 Min Read
LONDON (Reuters) - The new coronavirus that emerged in Wuhan, China, in December has infected tens of thousands of people in China and beyond and triggered alarm around the world. (here) Here is what we know about the disease it causes and how it spreads:
* Like other coronaviruses, the new virus - which causes a disease now called COVID-19 - is transmitted from person to person via droplets when an infected person breathes out, coughs or sneezes. It can also spread via contaminated surfaces such as door handles or railings.
* Scientists in China who studied swabs from infected patients say the new coronavirus behaves quite like flu viruses, suggesting it may spread more easily than previously thought.
* COVID-19 infection has an incubation period of between one and 14 days, and a study in the Journal of the American Medical Association has found new evidence that the virus can be spread asymptomatically.
* A World Health Organization-led team of investigating scientists in China has said that the epidemic there peaked between Jan. 23 and Feb. 2 and has been declining steadily since then.
* They also found that the case-fatality rate is between 2% and 4% in Wuhan and 0.7% outside Wuhan.
* Infectious disease and virus specialists estimate that each infected person in the epidemic is infecting, on average, two to three other people.
* The WHO said on Monday that the COVID-19 outbreak was not out of control globally and does not have a large-scale death toll, so it was “too early” to speak of a pandemic.
* Coronavirus infections have a wide range of symptoms, including fever, coughing, shortness of breath and breathing difficulties. Mild cases can cause cold-like symptoms, while severe cases can cause pneumonia, severe acute respiratory illness, kidney failure and death.
* Coronaviruses are a family of viruses that get their name from what they look like under a microscope - they are spherical and their surfaces are covered with “crown”-like spikes.
* Animal viruses can mutate or combine with other viruses to create new strains capable of being passed to people. Scientists say the new coronavirus originated in bats and then passed to humans, possibly via an intermediary animal species.
* Genetic data suggests the new coronavirus is the result of viral recombination - a process where more than one virus infects the same cell at the same time and creates a “recombinant” virus strain.
Reporting by Kate Kelland in London; Additional reporting by Julie Steenhuysen in Chicago and Stephanie Nebehay in Geneva; Editing by Matthew Lewis
Our Standards:The Thomson Reuters Trust Principles.
posted for fair use
www.reuters.com
The new coronavirus: What is it and how does it behave?
Kate Kelland
3 Min Read
LONDON (Reuters) - The new coronavirus that emerged in Wuhan, China, in December has infected tens of thousands of people in China and beyond and triggered alarm around the world. (here) Here is what we know about the disease it causes and how it spreads:
* Like other coronaviruses, the new virus - which causes a disease now called COVID-19 - is transmitted from person to person via droplets when an infected person breathes out, coughs or sneezes. It can also spread via contaminated surfaces such as door handles or railings.
* Scientists in China who studied swabs from infected patients say the new coronavirus behaves quite like flu viruses, suggesting it may spread more easily than previously thought.
* COVID-19 infection has an incubation period of between one and 14 days, and a study in the Journal of the American Medical Association has found new evidence that the virus can be spread asymptomatically.
* A World Health Organization-led team of investigating scientists in China has said that the epidemic there peaked between Jan. 23 and Feb. 2 and has been declining steadily since then.
* They also found that the case-fatality rate is between 2% and 4% in Wuhan and 0.7% outside Wuhan.
* Infectious disease and virus specialists estimate that each infected person in the epidemic is infecting, on average, two to three other people.
* The WHO said on Monday that the COVID-19 outbreak was not out of control globally and does not have a large-scale death toll, so it was “too early” to speak of a pandemic.
* Coronavirus infections have a wide range of symptoms, including fever, coughing, shortness of breath and breathing difficulties. Mild cases can cause cold-like symptoms, while severe cases can cause pneumonia, severe acute respiratory illness, kidney failure and death.
* Coronaviruses are a family of viruses that get their name from what they look like under a microscope - they are spherical and their surfaces are covered with “crown”-like spikes.
* Animal viruses can mutate or combine with other viruses to create new strains capable of being passed to people. Scientists say the new coronavirus originated in bats and then passed to humans, possibly via an intermediary animal species.
* Genetic data suggests the new coronavirus is the result of viral recombination - a process where more than one virus infects the same cell at the same time and creates a “recombinant” virus strain.
Reporting by Kate Kelland in London; Additional reporting by Julie Steenhuysen in Chicago and Stephanie Nebehay in Geneva; Editing by Matthew Lewis
Our Standards:The Thomson Reuters Trust Principles.
posted for fair use
The new coronavirus: What is it and how does it behave?
The new coronavirus that emerged in Wuhan, China, in December has infected tens of thousands of people in China and beyond and triggered alarm around the world. (https://www.reuters.com/live-events/coronavirus-6-id2921484) Here is what we know about the disease it causes and how it spreads:
www.reuters.com
Doomer Doug
TB Fanatic
Some odds and ends for your viewing pleasure.
One: The October of 1987 "Stock Market Crash," was 500 points or SOME 25% of the total value of 2000 points, versus a 3 percent decline today. When we get a 20 plus percent decline in one day we will know the economic fecal material has hit the rotating blade.
Two: I write about this in my wordpress blog in more detail but the Lenovo Laptop I am typing on right now, and set up earlier this afternoon, has increased in price since last week from $399 to $517, and the memory went from $49 to $131, and the 2 year warranty went from $69 to $139. THE TOTAL COST OF MY LENOVO LAPTOP WAS $517, AND THE NEW COST FOR ANYBODY TODAY WILL BE $787, ALMOST $300 MORE IN LESS THAN A WEEK.
Three: In addition to the difficulty looming on the supply side, we are also looking a staggering price increases for whatever China can scrounge up to ship here. Yep, it is likely too late to buy China products at the "old" prices now that the President's Day sales are finished.
One: The October of 1987 "Stock Market Crash," was 500 points or SOME 25% of the total value of 2000 points, versus a 3 percent decline today. When we get a 20 plus percent decline in one day we will know the economic fecal material has hit the rotating blade.
Two: I write about this in my wordpress blog in more detail but the Lenovo Laptop I am typing on right now, and set up earlier this afternoon, has increased in price since last week from $399 to $517, and the memory went from $49 to $131, and the 2 year warranty went from $69 to $139. THE TOTAL COST OF MY LENOVO LAPTOP WAS $517, AND THE NEW COST FOR ANYBODY TODAY WILL BE $787, ALMOST $300 MORE IN LESS THAN A WEEK.
Three: In addition to the difficulty looming on the supply side, we are also looking a staggering price increases for whatever China can scrounge up to ship here. Yep, it is likely too late to buy China products at the "old" prices now that the President's Day sales are finished.
JMG91
Veteran Member
I'm not saying that Rush is wrong--he's probably right on one level--but unless the entire world's media is freaking out their countries in order to destroy Donald Trump as well, the reactions of other countries' governments just does not line up with this being not that big of a deal. I mean, don't get me wrong, I'm sure that this was planned by someone, somewhere, and they are making full use of this crisis, but that doesn't mean that they aren't willing to kill off a whole bunch of us to do it.
This "church" doesn't believe Jesus is God. It believes their 80+ year old pedophile leader supercedes Jesus, and that we are all living in the afterlife. After 144,000 "true believers" are here, the "holy spirit"---that they believe is a gang of angels---will "posess" the church and usher in a new heaven and earth.
pops88
Girls with Guns Member
marsh
On TB every waking moment
18:21 min
Dr John Campbell
Monday morning news
•Feb 24, 2020
Doomer Doug
TB Fanatic
I also watched the whore CBS media evening news, which even had a puff piece on Jessie Smollet and one also on Kobe Bryant. They opened with Weinstein being rolled out in his walker as a convicted sex offender, balanced by Kobe the guy who likely raped the motel manager and in between all of that they put some serious, serious level mind hysteria on the Sheeple. Yep, one slug from the stock market, economy which the sheeple focus on laser like intensity, and then Italy sliding into chaos, and a few more pandemic blurbs. The sheeple are getting prepping, I can sense it.
Countrymouse
Country exile in the city
For a while there, some great "news hounds" here were "CATCHING" those reports with 4 numbers, each in a different color, that were put up in ERROR and then QUICKLY taken down, but that showed the TRUE figures of those DEAD and those SICK in Wuhan.
Have any of those "oops" reports been caught and put up LATELY?
Macgyver
Has No Life - Lives on TB
My wife woke up to a meeting notice this morning.
They're offices over there are in Milan.
Everyone is to work from home.
Co-worker says Chinese brought the fru over by using alternate airports. Apparently Italy had already banned flights from China.
Grocery stores were getting wiped out.
Schools are closed.
They're offices over there are in Milan.
Everyone is to work from home.
Co-worker says Chinese brought the fru over by using alternate airports. Apparently Italy had already banned flights from China.
Grocery stores were getting wiped out.
Schools are closed.
marsh
On TB every waking moment
10:05 min
MEDCRAM Dr Seheult
Coronavirus Epidemic Update 24: Infections in Italy, Transmissibility, COVID-19 Symptoms
•Feb 24, 2020
Referenced in video
https://gisanddata.maps.arcgis.com/ap...
https://www.worldometers.info/coronav...
https://nucleuswealth.com/articles/up...
https://jamanetwork.com/journals/jama...
DNA transcription and translation YouTube video that Dr. Seheult referenced: https://youtu.be/2BwWavExcFI
jward
passin' thru
Snippet and link to study
Full study found: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30079-5/fulltext
Full study found: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30079-5/fulltext
| Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study |
| Implications of all the available evidence The mortality of critically ill patients with SARS-CoV-2 pneumonia at 28 days is considerable. The survival time of non-survivors is likely to be within 1–2 weeks after ICU admission. Older patients (>65 years) with comorbidities and ARDS are at increased risk of death. The severity of SARS-CoV-2 pneumonia poses great strain on critical care resources in hospitals, especially if they are not adequately staffed or resourced. Outcomes The primary outcome was 28-day mortality after ICU admission. Secondary outcomes were incidence of SARS-CoV-2-related acute respiratory distress syndrome (ARDS). ARDS and shock were defined according to the guidance of WHO for novel coronavirus disease 2019 (COVID-19). 6 Acute kidney injury was identified on the basis of serum creatinine. 11 Cardiac injury was diagnosed if the serum concentration of hypersensitive cardiac troponin I (hsTNI) was above the upper limit of the reference range (>28 pg/mL), measured in the laboratory of Jin Yin-tan Hospital. Statistical analysis The aim of this study is to report the clinical courses and clinical outcomes of critically ill patients being cared for in the hospital during the study period. There were, therefore, no formal hypotheses being implemented to drive the sample size calculation and we included the maximum number of patients who met the inclusion criteria. We expressed descriptive data as mean (SD) or median (IQR) for continuous variables and number (%) for categorical variables. We assessed differences between survivors and non-survivors using two-sample t test or Wilcoxon rank-sum test depending on parametric or non-parametric data for continuous variables and Fisher's exact test for categorical variables. We used a Kaplan-Meier plot for survival data. Tests were two-sided with significance set at α less than 0·05. The Stata/IC 15.1 software (StataCorp, College Station, TX, USA) was applied for all analyses. Results By Jan 26, 2020, 710 patients had been admitted to Wuhan Jin Yin-tan hospital with confirmed SARS-CoV-2 pneumonia, of whom 658 (93%) were considered ineligible, including three patients who had cardiac arrest immediately after admission. 52 (7%) critically ill patients were included in this study (figure 1). All patients were residents of Wuhan City and were transferred from other hospitals. The mean age was 59·7 years (SD 13·3), and 27 (52%) were older than 60 years (table 1). 35 (67%) patients were men. 17 (33%) patients had a history of exposure to the Huanan seafood market, and 10 (19%) had exposure to patients with confirmed or highly suspected SARS-CoV-2 infection. 21 (40%) patients had chronic diseases, including cerebrovascular diseases in seven (13·5%) patients, all of whom died at 28 days. All patients had bilateral infiltrates on chest x-ray. Discussion We report on 52 critically ill patients with confirmed SARS-CoV-2 infection, characterised by severe hypoxaemia. 32 (61·5%) of critically ill patients had died at 28 days. Of all included patients, 37 (71%) required mechanical ventilation and 35 (67%) had ARDS. Since no specialised medication to treat SARS-CoV-2 infection has been identified at this time, the mainstay of treatment has been supportive care. Patients are being treated in isolation, and their close contacts are being quarantined. For non-critically ill patients, close follow-up is likely to be sufficient to manage the disease. 1 , 2 , 3 For critically ill patients, however, aggressive treatments and intensive care are needed. To our knowledge, this is the first study to characterise critically ill patients infected by SARS-CoV-2. In three previously published studies of crtically ill patients, the patient numbers were too small to summarise the characteristics and mortality of these patients with SARS-CoV-2 pneumonia. 1 , 2 , 5 Like SARS-CoV and Middle Eastern respiratory syndrome (MERS)-CoV, SARS-CoV-2 is a coronavirus that can be transmitted to humans, and these viruses are all related to high mortality in critically ill patients. 12 However, the mortality rate in patients with SARS-CoV-2 infection in our cohort is higher than that previously seen in critically ill patients with SARS. In a cohort of 38 critically ill patients with SARS from 13 hospitals in Canada, 29 (76%) patients required mechanical ventilation, 13 (43%) patients had died at 28 days, and six (16%) patients remained on mechanical ventilation. 8 17 (38%) of 45 patients and 14 (26%) of 54 patients who were critically ill with SARS infection were also reported to have died at 28 days in a Singapore cohort 13 and a Hong Kong cohort, 14 respectively. The mortality rate in our cohort is likely to be higher than that seen in critically ill patients with MERS infection. In a cohort of 12 patients with MERS from two hospitals in Saudi Arabia, seven (58%) patients had died at 90 days. 15 Since the follow-up time is shorter in our cohort, we postulate that the mortality rate would be higher after 28 days than that seen in patients with MERS-CoV. The fundamental pathophysiology of severe viral pneumonia is severe ARDS. Men and people of an older age (>65 years) are more likely to develop ARDS than women or those of a younger age. 16 Therefore, it is reasonable that the mortality at 28 days of severe SARS-CoV-2 pneumonia is similar to the mortality of severe ARDS, which is near 50%. 17 With a substantial increase in the number of critically ill patients infected by SARS-CoV-2, more provisional ICUs are being established in Wuhan, China. Qualified specialists are coming to Wuhan from other provinces of China and are currently working in these provisional ICUs, fever clinics, and newly constructed hospitals. 18 As the clinical capacity to treat patients improves, the mortality of critically ill patients with SARS-CoV-2 pneumonia is expected to decrease. As mentioned in previous studies, nearly 70% of patients infected by SARS-CoV-2 were men. 1 , 2 The patients are older in our study than in previous studies. 1 , 2 We observed that non-survivors were older than survivors. Based on previous studies, evidence suggests that older, male patients are the most susceptible to SARS-CoV-2 infection, 2 which is supported by our data. As previously reported, patients with a history of cerebrovascular disease are at increased risk of becoming critically ill or dying if they have SARS-CoV-2 infection. 2 , 5 In our cohort, fever is the most common symptom in patients with SARS-CoV-2 pneumonia, which is in accordance with previous studies, but not all patients had fever. 1 , 2 , 5 We also found that fever was not detected at the onset of illness in six (11·5%), and that it was in fact detected 2–8 days later. The delay of fever manifestation hinders early identification of patients infected with SARS-CoV-2—if patients are asymptomatic identification of suspected cases is more difficult. 19 , 20 The median duration from onset of symptoms to radiological confirmation of pneumonia was 5 (3–7) days, meaning that early or repeated radiological examinations are useful in screening patients with SARS-CoV-2 pneumonia. 4 As for laboratory tests, lymphocytopenia occurred in more than 80% of critically ill patients in our cohort. Lymphocytopenia is a prominent feature of critically ill patients with SARS-CoV infection because targeted invasion by SARS-CoV viral particles damages the cytoplasmic component of the lymphocyte and causes its destruction. 21 Additionally, lymphocytopenia is also common in the critically ill patients with MERS infection, which is the result of apoptosis of lymphocytes. 22 , 23 Therefore, we postulate that necrosis or apoptosis of lymphocytes also induces lymphocytopenia in critically ill patients with SARS-CoV-2 infection. In a previous study, mainly in non-critical patients infected with SARS-CoV-2, 35% of patients had only mild lymphocytopenia, 2 suggesting that the severity of lymphocytopenia reflects the severity of SARS-CoV-2 infection. Mechanical ventilation is the main supportive treatment for critically ill patients. The PaO2/FiO2 ratio was lower in our patients than in patients admitted to Zhongnan Hospital. 5 The substantial difference in PaO2/FiO2 ratio between survivors and non-survivors in our study, indicates this ratio is associated with the severity of illness and thus prognosis. Barotrauma seems less severe in patients with SARS-CoV-2 infection who are being mechanically ventilated than that seen in mechanically ventilated patients with SARS-CoV. In our study, barotrauma occurred in only one (2%) patient, who had been hospitalised for nearly 1 month, and they are currently on a ventilator and receiving ECMO. In patients with SARS, barotrauma occurred in about 25% of patients on mechanical ventilation. 14 The lower occurrence of barotrauma in our cohort is probably related to the widely accepted strategy of protective ventilation in mainland China. 24 At the same time, prone position and ECMO have been used to treat patients with SARS-CoV-2 pneumonia. Without solid evidence, nearly half of the patients were given antiviral agents, and more than half were given intravenous glucocorticoids. Patients treated with lopinavir were from an ongoing clinical trial registered on Chinese Clinical Trial Registry (ChiCTR2000029308). Remdesivir was given to the first patients with SARS-CoV-2 pneumonia in the USA. 4 Trials on remdesivir are about to recruit both mild to moderate patients (NCT04252664) and severe patients (NCT04257656) infected with SARS-CoV-2. Although, intravenous glucocorticoids were commonly used in patients with severe SARS or MERS pneumonia, their efficacy remains controversial and their use to treat SARS-CoV-2 infection is also controversial. 5 , 25 An ongoing clinical trial (NCT04244591) might shed some light on the safety and efficacy of these drugs as treatment. This study has several limitations. First, only 52 critically ill patients were included. However, the population from which they were sampled was much larger than that of the three studies previously published. 1 We included all the critically ill patients being cared for in the ICU of Jin Yin-tan hospital who met the inclusion criteria. Due to the exploratory nature of the study, which was not driven by formal hypotheses, the sample size calculation was waived. Instead, we hope that the findings presented here will encourage a larger cohort study or potentially some randomly controlled trials. Second, some specific information from the ICU was missing, such as mechanical ventilation settings. The data on radiographical examination, supportive treatment, living status, and the duration from ICU admission to death, however, are indisputable. Third, this is a retrospective study. The data in this study permit a preliminary assessment of the clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia. Further studies are still needed. In conclusion, the mortality of critically ill patients with SARS-CoV-2 pneumonia is high. The survival term of the non-survivors is likely to be within 1–2 weeks after ICU admission. Older patients (>65 years) with comorbidities and ARDS are at increased risk of death. The severity of SARS-CoV-2 pneumonia poses great strain to hospital critical care resources, especially if they are not adequately staffed or resourced. |
Doomer Doug
TB Fanatic
I will see if I can now do this kind of stuff on my new Lenovo laptop.
Countrymouse
Country exile in the city
Two points about the above:
1. Maybe the above (which I bolded) is EXACTLY what they will be discussing doing in that CLOSED briefing tomorrow to the Senate;
2. Maybe when the lockdown IS put into effect, they'll be going door to door (as they are in China) not only to "identiy the sick" BUT TO IDENTIFY THOSE WHO ARE "HOARDING" FOOD