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Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 1:09 pm
by highdesert
K9s wrote: Fri Apr 10, 2020 12:47 pm
TrueTexan wrote: Fri Apr 10, 2020 11:58 am Even with the vaccine we won't achieve much due to the anti-vaxeers. Justice those that don't take the flu shots each year because "I never get the flu".
Anti-vaxxers may have a clash with reality and Darwinism in the next few years. The ones who survive will tout their survival as proof they were right and the rest will die. Will they get a religious exemption or something for the "proof of antibodies" certifications? Will they just work from home selling things online and spread fake stories?
2019 poll.
A recent online survey of more than 2,000 U.S. adults, conducted by The Harris Poll on behalf of the American Osteopathic Association [DO physicians], revealed that more than 2 in 5 American adults (45 percent) say something has caused them to doubt vaccine safety.
She believes it is possible that, since vaccines have been so effective in eradicating disease, people may have more fear of possible vaccine side effects than the actual diseases vaccines prevent.
"For some, it really might be that vaccines are viewed as the more salient threat," says Shmuts.
The survey also asked Americans to choose a statement that best represented their feelings about vaccine safety and efficacy. While the vast majority (82 percent) chose in favor of vaccines, 8 percent selected responses expressing serious doubt. An additional 9 percent said they were unsure. Physicians say those small margins can cause significant damage to public health if the doubts result in more unvaccinated people.

"Some diseases, like measles, require as much as 95 percent of the population to be vaccinated in order to achieve herd immunity," says osteopathic family physician Paul Ehrmann, DO. "Our practice considers itself a steward of public health, so we do not take new patients who refuse to vaccinate."

Ehrmann explains that herd immunity is essential to maintain, because some people cannot be vaccinated due to medical conditions including allergies, illness, or a weakened immune system. Keeping the rest of the population vaccinated protects those who are vulnerable.
https://www.infectioncontroltoday.com/v ... ine-safety


There will be anti-vaxers out there who won't get the COVID-19 vaccine, but there could also be employers who won't hire anyone who isn't vaccinated.
Can I Require My Employees to Get Vaccinated?

In short, the answer is generally yes, you can condition employment on vaccination. Even the Equal Employment Opportunity Commission — the agency responsible for enforcing the nation's Federal anti-discrimination laws — concedes this.

But there are limitations: The anti-discrimination laws prohibit you from requiring vaccinations of those employees objecting on religious grounds or because of a disability (and some state laws even permit employee refusal on "philosophical" grounds).

In these cases, you must reasonably accommodate the employee (e.g. allow them to wear a surgical mask), unless that accommodation would cause undue hardship or if it would pose a direct threat to public safety. In such a case you can discipline them, including terminating their employment for failing to vaccinate.

Further, labor laws may require you to collectively bargain with unionized employees before you have the right to impose this vaccination requirement on them. A related question employers often ask is whether they can ask their employees for vaccination records, or more simply, whether they've been vaccinated. Again, the answer is yes, but be careful.

Employers will have a legal obligation to keep this information confidential, including by maintaining it in a separate file and disclosing it on a need-to-know basis only or as required by law. They have a similar obligation if the employee discloses a disability in response to the vaccination query. Further, while the law generally does not mandate the disclosure of vaccination records to an employer, a health care provider cannot and will not disclose vaccination records to an employer without first receiving the employee's written authorization. Employers cannot force an employee to sign one, but it can make it a condition of employment.
https://www.bizjournals.com/bizjournals ... to-be.html

Employers want to protect their businesses and employees want to protect their jobs and their families.

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 1:13 pm
by CDFingers
But muh capitalism hates socialism. Whut to do?

CDFingers

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 5:28 pm
by highdesert
The reality when you have 4,778 deaths and fill up morgues and mortuaries, even in a city of 8.6 million. Refrigerated semis and at least temporary burial on New York City's Hart Island.
https://www.dailymail.co.uk/news/articl ... s-NYC.html

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 9:13 pm
by kronkmusic
Looks like JHU revised some recent numbers and it's not good. Edit: numbers seem to be in flux but the graph still looks bad, and anyone who is saying that we're "over the hump" needs to be shut up and/or ignored.
Image

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 9:43 pm
by K9s
I heard a clip of Dr Birx saying that the logarithmic curve is starting to flatten... and I was horrified that people will read that as "problem solved!" because most people have no idea what that means.

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 10:00 pm
by kronkmusic
K9s wrote:I heard a clip of Dr Birx saying that the logarithmic curve is starting to flatten... and I was horrified that people will read that as "problem solved!" because most people have no idea what that means.
Absolutely. It's like how so many people don't really understand the concept of compound interest.

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 10:58 pm
by featureless
Today is a grim milestone. 500,000 cases and passed 2,000 deaths per day for the first time. Hang on to yer britches, we're in fer a shit show.

Re: New SARS type virus spreading in China

Posted: Fri Apr 10, 2020 11:27 pm
by lurker
S3 cc 1,696,139 d 102,753 r 376,669
US cc 500,399 d 18,758 r 28,837
NC cc 4,090 d 84
RC cc 75 d 2

Cuba cc 564 d 15 r 51

new cases slowed a bit on the 3rd but picked up again on the 6th. we've seen this before. in the hour since i posted this there are 900+ new cases in the US, now 501,301

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 8:47 am
by highdesert
How long can a nation of 327 million people endure with work and schools closed, lost jobs, and people still dying from a pandemic with no proven treatment?
...the Imperial College London report from mid-March, which predicted 2.2 million deaths in the US without social distancing measures — a finding that triggered lockdowns on both sides of the Atlantic Ocean — projected a first round of shutdowns could last five months. The university’s modelers suggested that, after a couple of months off, social distancing might then need to pick up again on Sept. 20.

“We are probably looking at five- to six-month phases, done in different ways and times in different places across the country,” pandemic expert Irwin Redlener of the Columbia University's Mailman School of Public Health told BuzzFeed News. “Putting people through that process will be extremely difficult.” A recent spate of think tank reports and scientific presentations expand the Imperial College scientists’ vision, suggesting that cities, counties, and towns will need to enact public health lockdowns of varying lengths, with stops and starts based on if and when coronavirus cases hint at rising again.
Lipsitch suggested that cycles of turning social distancing restrictions on and off could also be triggered by hospital capacity in a city or state, with loosening happening when hospitalizations fall to 0.2 per 10,000 people and turned back on again when they reach 0.75 per 10,000 people.

This threshold rests on the nationwide average of empty ICU beds, around 0.9 per 10,000 people, but that number varies widely across the country; some rural counties having zero critical care beds. Doubling ICU beds across the country is one measure that would allow for longer pauses between restarts of tighter restrictions.
Other experts have suggested we might see the establishment of a waiting room approach to daily life. Testing could be required before entering the grocery store or other essential businesses, especially if rapid tests become widespread, Baylor molecular virologist Joseph Petrosino told BuzzFeed News. “You pull into the parking lot, and a drive-through testing center takes a sample. And then you wait in the car with your phone until you are cleared to work,” he said.

Such testing would start with health care workers, and then expand as capacity increases. For this to work, we will need to develop a widely available, nationwide genetic test for the active presence of the virus, something still missing from the US response. South Korea has pioneered this sort of approach, with widespread testing allowing better control of its outbreak, at least so far.
https://www.buzzfeednews.com/article/da ... new-normal

Much of Europe is still on coronavirus lockdown, with severe restrictions on movement and penalties for those who transgress. But not Sweden. Restaurants and bars are open in the Nordic country, playgrounds and schools too, and the government is relying on voluntary action to stem the spread of Covid-19.
But the Swedish government is confident its policy can work. Foreign Minister Ann Linde told Swedish TV on Wednesday that Trump was "factually wrong" to suggest that Sweden was following the "herd immunity" theory -- of letting enough people catch the virus while protecting the vulnerable, meaning a country's population builds up immunity against the disease.

Sweden's strategy, she said, was: "No lockdown and we rely very much on people taking responsibility themselves." The country's state epidemiologist, Anders Tegnell, also pushed back against Trump's criticism that Sweden was doing badly. "I think Sweden is doing okay," he told CNN affiliate Expressen. "It's producing quality results the same way it's always done. So far Swedish health care is handling this pandemic in a fantastic way."
Sweden's actions are about encouraging and recommending, not compulsion. Two days after Spain imposed a nationwide lockdown on March 14, Swedish authorities were encouraging people to wash hands and stay at home if sick. On March 24, new rules were introduced to avoid crowding at restaurants. But they very much stayed open. So did many primary and secondary schools. Gatherings of up to 50 people are still permitted.
Much of Sweden's focus has been to protect the elderly. Anyone aged 70 or older has been told to stay at home and limit their social contact as much as possible. One Swedish government official said that on the whole people supported the government's approach, but many were "upset about the fact that no ban on visiting homes for elderly was set until recently [April 1], and now the virus is widely spread among these homes, causing the death toll to rise."
As for deaths, by April 8, coronavirus accounted for 67 fatalities per 1 million Swedish citizens, according to the Swedish Health Ministry. Norway had 19 deaths per million, Finland seven per million. The number of deaths rose 16% on Wednesday.

Some Swedish researchers are demanding the government must be stricter. This week several prominent Swedish clinicians wrote an open letter lamenting that large numbers of people are visiting bars, restaurants and shopping malls, even ski slopes. "This unfortunately is translating into a death toll that continues to climb in Sweden."
Some opponents of the government's policy fear that reliance on voluntary behavior will cause a much faster spike in cases, potentially overwhelming the health care system. Sweden also has one of the lowest ratios of critical care beds per capita in Europe, and the government official who spoke with CNN said that supplies of protective equipment are only just staying ahead of demand. In some ways, however, Sweden is better prepared to weather the storm than other countries. Some 40% of the country's workforce worked from home regularly, even before the virus struck and Sweden has a high ratio of people living on their own, whereas in southern Europe it's not uncommon to have three generations under one roof.

Emma Grossmith, a British employment lawyer working in Stockholm, says another factor in Sweden's favor is a generous social welfare net that means people don't feel obligated to turn up for work if their young child is sick. State support kicks in on day one of absence from work due to a child being sick. "The system here was already well set up to help people to make smarter choices which ultimately benefit the wider population," she told CNN.
The next month will determine whether the Swedish system got it right.
https://www.cnn.com/2020/04/10/europe/s ... index.html

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 9:27 am
by lurker
a big source of ambiguity in this situation is the lag between our measures and the virus' response. without universal testing in real time, if it takes two or three weeks for new cases to show up at the ICU, it' going to be unclear whether any specific action is having the desired effect. same thing with the mortality rate. it takes longer to recovr than to die, so we don't really know what the actual mortality rate is. i'm sure the numbers and dates are out there somewhere, but not very accessible to us.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 10:05 am
by highdesert
lurker wrote: Sat Apr 11, 2020 9:27 am a big source of ambiguity in this situation is the lag between our measures and the virus' response. without universal testing in real time, if it takes two or three weeks for new cases to show up at the ICU, it' going to be unclear whether any specific action is having the desired effect. same thing with the mortality rate. it takes longer to recover than to die, so we don't really know what the actual mortality rate is. i'm sure the numbers and dates are out there somewhere, but not very accessible to us.
Yup, a lot of variables. We could have a vaccine or off label drugs before we get a real time test and with every test there are false positives and false negatives. If we got an instant test, I see it being reserved at first for health care workers to get them cleared, then other emergency services and essential workers, employers who will want to test employees every morning... It's the 20% who get the virus that require hospitalization that fills up ERs and ICUs. And experts are looking at the long term damage in patients who have survived the virus. https://www.latimes.com/science/story/2 ... eart-liver

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 10:15 am
by featureless
Good points. We won't be open by the end of April, that's for sure.

My aunt was admitted to the hospital last night. Still no test, but she's got the symptoms. She lives alone and her oxygen had dropped to 93 and temp was 103. My cousins can't care take for risk of exposure of themselves and families, so ER it is.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 10:43 am
by highdesert
featureless wrote: Sat Apr 11, 2020 10:15 am Good points. We won't be open by the end of April, that's for sure.

My aunt was admitted to the hospital last night. Still no test, but she's got the symptoms. She lives alone and her oxygen had dropped to 93 and temp was 103. My cousins can't care take for risk of exposure of themselves and families, so ER it is.
Sorry to hear about your aunt featureless, sending good thoughts. Smart to get her to the hospital with that low an oxygen level and fever, she has a respiratory infection of some sort. Even if your cousins were all health care workers, she needs to be in a hospital.

Agreed we won't be open by the end of April or May 1st as Donnie wants. It's not really in his hands, state and local officials and even employers drive it more.
“When this started, the private sector basically shut the economy down before Trump told them to,” said Justin Wolfers, an professor of economics and public policy at the University of Michigan. “It turned out that what the federal government did was not very relevant — the government can’t force you to take risks you don’t want to take,” he added. “It couldn’t on the way down and it also can’t on the way up.”
Administration officials concede that even their most optimistic plans would not open the entire country at once. And while corporate leaders are eager to reopen, polls show an overwhelming majority of Americans accept the restrictions because they appear to be working.

“Some places will be able to think about opening on May 1, most of the country will not, to be honest with you,” Surgeon General Jerome Adams told Fox News on Friday. “That’s how we’ll reopen the country. Place by place, bit by bit, based on the data.”

New York City, the nation’s economic capital and the area hit hardest by the pandemic, is expected to stay under a virtual shutdown until at least June 1, Mayor Bill de Blasio, a Democrat, told a news conference Thursday.
Newsom, a Democrat, has declared that California will chart its own course, relying less on the White House and leveraging its considerable economic power as “a nation-state.” Newsom was the first governor to issue a formal stay-at-home order, on March 19, a step credited with preventing the type of spread that overwhelmed New York. Los Angeles County officials on Friday extended stay-at-home orders through at least May 15.

Governors in 42 states, comprising the vast majority of the U.S. population, have issued stay-at-home orders. Mayors in some of the other eight states issued their own restrictions.
https://www.latimes.com/politics/story/ ... -obstacles

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 11:14 am
by Stiff
kronkmusic wrote: Fri Apr 10, 2020 9:13 pm Looks like JHU revised some recent numbers and it's not good. Edit: numbers seem to be in flux but the graph still looks bad, and anyone who is saying that we're "over the hump" needs to be shut up and/or ignored.
Image
I think New York is stabilizing, but other states that are late with their stay home order are catching up. I think several states don’t even have a mandatory stay home order, just an advisory.

I’m less worried about overly positive people who think we’re over the hump, I’m more worried about the morons who still think it’s an overblown media hoax. Yes, there are plenty of them, and they vote.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 11:23 am
by kronkmusic
Stiff wrote:
kronkmusic wrote: Fri Apr 10, 2020 9:13 pm Looks like JHU revised some recent numbers and it's not good. Edit: numbers seem to be in flux but the graph still looks bad, and anyone who is saying that we're "over the hump" needs to be shut up and/or ignored.
Image
I think New York is stabilizing, but other states that are late with their stay home order is catching up. I think several states don’t even have a mandatory stay home order, just an advisory.
While I agree in spirit, I wouldn't go so far as to say that NY is stabilizing, they're still getting new cases, new hospitalizations, and new deaths every single day, it's just that the rate at which that is happening is beginning to slow as people follow the shelter in place orders. Definitely moving in a better direction any way you slice it.

I know much of our population is very, very stupid, but I'm hoping that in this one instance people won't see the slightest glimmer of light and think "it's all better now! See, it really was overhyped just like Fox News told us!"

I have a bad feeling that with so much pressure to "reopen the economy" we're going to see an eye-of-the-hurricane effect, where people feel and are being led to believe by some that we're in the clear because the sky is looking a little more blue for a few hours.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 11:45 am
by featureless
Thanks, highdesert. Her chest x-ray was good, and her oxygen was brought back up. Test was finally administered, probably get the results by Christmas! Doc said she'd make it through and discharged her.

I understand the hospital is the last place anyone wants to be, but we really need some sort of quarantine care in place for folk without resources. I remain baffled at US healthcare (not the brave practitioners, just the system).

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 11:57 am
by lurker
hope your aunt makes it through ok.
i've come to think that some variation on medicare for all would be in the best interests of the american people. everyone still gets paid except corporate health care insurance executives. that's fine, let them find another scam. home and auto insurance, maybe.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 12:04 pm
by featureless
Thanks, lurker.

This pandemic is showing the vast weaknesses in our systems, care for profit being one of them.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 12:47 pm
by K9s
featureless wrote: Sat Apr 11, 2020 12:04 pm Thanks, lurker.

This pandemic is showing the vast weaknesses in our systems, care for profit being one of them.
Hope your aunt recovers and soon, featureless. I hope to see no more posts from you or anyone else about knowing/being anyone with C-19.

The virus isn't racist or classist, but it shows the racial and caste system of healthcare and poverty in America. It is a system that seems to work in a roaring economy but it never really worked well for half the people. A lot of things have become exposed in the past few years to everyone willing to listen and believe. Let's see how people react.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 12:49 pm
by K9s
The U.S. has surpassed Italy for the most confirmed covid-19 deaths in the world, a figure experts have called 'an underestimation'

The U.S. toll is now 19,424, surpassing Italy's total. But the Centers for Disease Control and Prevention counts only deaths in which the virus is confirmed in a laboratory test and has called the American figure "an underestimation."

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 4:03 pm
by featureless
Thanks, K9. I think she'll pull through. She's otherwise very healthy for a mid 70s American.

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 4:21 pm
by kronkmusic
Damn, best of luck to your aunt!

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 4:32 pm
by featureless
Thanks, Kronk.

Back on topic, we've "achieved" 20,000 deaths today. :(

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 4:42 pm
by lurker
so much winning, are we tired of winning yet?

Re: New SARS type virus spreading in China

Posted: Sat Apr 11, 2020 6:21 pm
by featureless
lurker wrote: Sat Apr 11, 2020 4:42 pm so much winning, are we tired of winning yet?
Funny, I was always more interested in how the game was played than winning. :)