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Coronavirus

If you don't think the numbers aren't under reported, we just picked up a case here in Singapore. Foreign import.

Pasted this from the log/report that the news do here everyday:

CASE 192

Case 192 is an imported case involving a 32-year-old male American national who arrived in Singapore on Mar 10 from the US. He tested positive for COVID-19 on Friday morning and is currently warded at NCID.



We first had it some 2 1/2 months from the Chinese. Now we are getting hit from the States? Wtf!
We just can't catch a break.
Stfu. One new case and you’re whining like a baby?
 
Next Steps:
1. The task force needs to provide the public with a timeline for the privatized testing process that was the highlight of the news conference this afternoon. I believe I heard Pence say that the website will be ready Sunday night. What does that mean?
2. We need daily updates from the task force telling us how many tests have been distributed, how many tests were executed and how many came back positive. This is PM 101, they need to be out there everyday starting their pressers with that data.
3. The models have been running on this for months now. We have enough real data now from here in the US to rationalize those runs. It needs to be shared, so that the country can start to psychologically prepare itself. We don’t keep forecast models for weather related events secret.
So we can psychologically prepare ourselves? Good lord
 
I have no idea how involved testing is, or what it entails, but when we talk about overwhelming hospitals etc. maybe it's a boon that we have all of these urgent cares as potential testing sites. I swear there's an urgent care or some derivation of an urgent care on every corner in my city. The number of these strip mall urgent cares has exploded in the last five years.

There are different types of testing. The one I like the most and requires the least technical competency is a real-time test. But that's out of Korea and Taiwan -- results in 20 mins, on the spot.

The run of the mill tests is the one that Roche came out with.

You need a swab from the suspect at a clinic etc. The critical part is how you get it to the lab -- it has to be kept at a certain temperature ie it need to be kept cool or the degradation of the sample will gove the wrong results. This is the largest variable and yet the most critical. Human error is a problem here especially when you test and transport swabs at thousands per day.

That's why real-time kits are better as it takes out human error. However, I have seen conflicting numbers on their accuracy on various kits. 85% and up to 99%.

A Korean news article on testing -- its about a six weeks old and in the epidemiology world, that's a dog year ago.



 
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Hilz: sg = pussy

Better a healthy pussy than some sickly macho fecks like you in a few weeks time!

drinks-by-the-pool.jpg



Pzzz... I heard the heat kills the virus too.
 
Jesus Christ.... for the whole country? What a joke.

At the same time..... what benefits are there really for a test?


Alibaba billionaire Jack Ma just pledged to donate 500,000 coronavirus tests and 1 million face masks to the US as shortages mount

 
So the Trump administration bypassed containment and went straight into mitigation mode. More money to be made for lots of people. I should get into the act.

Most successful countries around focused on containment. Cheaper and lower impact bother on society and financially.

This will be the War on Covid then. And crazy American solution type financial budgets -- so we wonder why there is a constantly huge budget deficit.

Always choose the more difficult, expensive quadrant.
We've gone full containment:

89712854_10222178777442313_7814213741146275840_n.jpg


On Saturday, the government banned the operation of restaurants and shops with the exception of grocery stores, pharmacies, drugstores or petrol stations. The measure is valid from 6am in the morning and will last for ten days
 
We've gone full containment:

89712854_10222178777442313_7814213741146275840_n.jpg


On Saturday, the government banned the operation of restaurants and shops with the exception of grocery stores, pharmacies, drugstores or petrol stations. The measure is valid from 6am in the morning and will last for ten days

Wow. We never banned any places other than public events/gathering.

But hey-ho, containment is still 10 times cheaper than what the US will be doing in their next steps.
 
Since the US has given up containment, I think they will adopt UK's approach. Herd Immunity. This maybe your Trump/Jared's Grand Solution.


+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Herd immunity: will the UK's coronavirus strategy work?


Ministers look to have given up on containment in favour of a novel approach some experts are wary of

3500.jpg

Herd immunity is a phrase normally used when large numbers of children have been vaccinated against a disease like measles, reducing the chances that others will get it. As a tactic in fighting a pandemic for which there is no vaccine, it is novel – and some say alarming.

It relies on people getting the disease – in this case Covid-19 – and becoming immune as a result. Generally it is thought that those who recover will be immune, at least for now, so they won’t get it twice.

But allowing the population to build up immunity in this way – rather than through widespread testing, tracking down the contacts of every case and isolating them, as many other countries in Asia and Europe have chosen to do – could increase the risk to the most vulnerable: older people with underlying health problems.

To reach herd immunity, about 60% of the population would need to get ill and become immune, according to Sir Patrick Vallance, the government’s chief scientific adviser. Though it could need as much as 70% or more. Even scientists who understand the strategy are anxious. “I do worry that making plans that assume such a large proportion of the population will become infected (and hopefully recovered and immune) may not be the very best that we can do,” said Martin Hibberd, professor of emerging infectious disease at the London School of Hygiene & Tropical Medicine.

“Another strategy might be to try to contain [it] longer and perhaps long enough for a therapy to emerge that might allow some kind of treatment. This seems to be the strategy of countries such as Singapore. While this containment approach is clearly difficult (and may be impossible for many countries), it does seem a worthy goal; and those countries that can should aim to do.”

The government’s “nudge unit” seems to favour this strategy. Dr David Halpern, a psychologist who heads the Behavioural Insights Team, said on BBC News: “There’s going to be a point, assuming the epidemic flows and grows, as we think it probably will do, where you’ll want to cocoon, you’ll want to protect those at-risk groups so that they basically don’t catch the disease and by the time they come out of their cocooning, herd immunity’s been achieved in the rest of the population.”



tenor.gif



A boffin, Timothy Gowers' view:

 
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Hopefully the rest of us get big numbers soon. The Indiana State Health Commissioner held a press conference Friday:

She said more tests are on the way and Indiana labs, schools, and companies are working on developing their own tests for the virus.

“Indiana State Department of Health is trying to reserve our testing for those individuals that are the most severely ill,” said Box.​
 
Hopefully the rest of us get big numbers soon. The Indiana State Health Commissioner held a press conference Friday:

She said more tests are on the way and Indiana labs, schools, and companies are working on developing their own tests for the virus.

“Indiana State Department of Health is trying to reserve our testing for those individuals that are the most severely ill,” said Box.​

I have a great idea. Why not buy from the Koreans and Chinese? :rolleyes:
 
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We think no test is vastly superior to a small false positive rate.

Trump has said he is concerned with making the numbers look low when he said that is why he did not want the cruise ship passengers brought into the country.

It's just crazy seeing what's happening from afar. My doctor friends of mine are discombobulated and confused. I am lost for an explanation.
It was very factual and dry here. The opposition here was silent. It's about your neighbours, parents and the vulnerable.

82million uninsured and underinsured will be left to suffer the decisions and inactions of the government.

Personally, it's very sad to see it all happening. The shit should hit the fan in say, three weeks if its to follow the Italian trajectory?
 
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I think your timeline is gonna prove to be accurate. We just have to hope we see a gradual rate and not an explosion.
 
I think your timeline is gonna prove to be accurate. We just have to hope we see a gradual rate and not an explosion.

The US is on the same trajectory as Italy. Only like 3-4 weeks behind.

Italy's first case was just six weeks ago today. Today its 17,660 as of yesterday with a 7.1% fatality rate. Thats due to a very old population and also its healthcare infrastructure is running at 200%
 
Since the US has given up containment, I think they will adopt UK's approach. Herd Immunity. This maybe your Trump/Jared's Grand Solution.


+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Herd immunity: will the UK's coronavirus strategy work?


Ministers look to have given up on containment in favour of a novel approach some experts are wary of

3500.jpg

Herd immunity is a phrase normally used when large numbers of children have been vaccinated against a disease like measles, reducing the chances that others will get it. As a tactic in fighting a pandemic for which there is no vaccine, it is novel – and some say alarming.

It relies on people getting the disease – in this case Covid-19 – and becoming immune as a result. Generally it is thought that those who recover will be immune, at least for now, so they won’t get it twice.

But allowing the population to build up immunity in this way – rather than through widespread testing, tracking down the contacts of every case and isolating them, as many other countries in Asia and Europe have chosen to do – could increase the risk to the most vulnerable: older people with underlying health problems.

To reach herd immunity, about 60% of the population would need to get ill and become immune, according to Sir Patrick Vallance, the government’s chief scientific adviser. Though it could need as much as 70% or more. Even scientists who understand the strategy are anxious. “I do worry that making plans that assume such a large proportion of the population will become infected (and hopefully recovered and immune) may not be the very best that we can do,” said Martin Hibberd, professor of emerging infectious disease at the London School of Hygiene & Tropical Medicine.

“Another strategy might be to try to contain [it] longer and perhaps long enough for a therapy to emerge that might allow some kind of treatment. This seems to be the strategy of countries such as Singapore. While this containment approach is clearly difficult (and may be impossible for many countries), it does seem a worthy goal; and those countries that can should aim to do.”

The government’s “nudge unit” seems to favour this strategy. Dr David Halpern, a psychologist who heads the Behavioural Insights Team, said on BBC News: “There’s going to be a point, assuming the epidemic flows and grows, as we think it probably will do, where you’ll want to cocoon, you’ll want to protect those at-risk groups so that they basically don’t catch the disease and by the time they come out of their cocooning, herd immunity’s been achieved in the rest of the population.”



tenor.gif



A boffin, Timothy Gowers' view:


Any Rand’s vision may be coming true.
 
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Thats due to a very old population and also its healthcare infrastructure is running

Italy has 3.17 hospital beds per thousand, US has 2.8.

I am curious if activating national guard medical support companies would help or hurt the situation? It would allow the creation of more beds, but if it only steals trained people from existing facilities it may hurt.
 
Italy has 3.17 hospital beds per thousand, US has 2.8.

I am curious if activating national guard medical support companies would help or hurt the situation? It would allow the creation of more beds, but if it only steals trained people from existing facilities it may hurt.

Italy has universal healthcare and yet...

The Covids ain't picky on who their hosts are. The hard cold fact is that the uninsured and under-insured Americans wont choke up the healthcare infrastructure/capacity. And may not cause the healthcare infra to crash like the Italians.
 
How Italy spiraled from a perfectly healthy country to near collapse in 24 days as the coronavirus took hold
  • Wracked by the coronavirus pandemic, Italy’s healthcare system is crumbling.
  • The country’s aging population, coupled with a lack of adequate medical resources, is overwhelming doctors and forcing them to make impossible decisions about which patients to save.
  • The entire country is on lockdown, and more than 1,000 people have died. Here’s how the situation got so dire so quickly.
This week, doctors in Italy have been forced to make choices that no one, least of all people who have taken an oath to protect lives, should face: Who lives and who dies?

As the country’s coronavirus caseload has skyrocketed – more than 15,000 people have been infected and at least 1,000 have died – healthcare workers on the front lines are confronting a worst-case confluence of a contagious new virus, an aging population, and shortage of hospital beds.

Doctors are now prioritizing young and mostly healthy COVID-19 patients because their chances of survival eclipse those of the elderly.

“We do not have free beds in intensive care units,” Lorenzo Casani, the health director of a clinic for elderly people in Lombardy, told Time. Doctors, he added, must “make this horrible choice and decide who is going to survive and who is not going to survive … who is going to get a monitor, a respirator, and the attention they need.”


The tragic triage is reminiscent of the choices made on a battlefield, and indeed, Italy is now at war.

The country reported its first coronavirus case less than four weeks ago, on February 20. Now the scale of the country’s outbreak is second only to China’s.

In response, Italian officials seem to have tried everything: They shut down schools, ordered shops to close, emptied the country’s wildly popular tourist destinations, quarantined dozens of cities, and then expanded that “red zone” to lock down the entire country of 60 million people.

“We all must give something up for the good of Italy. There is no more time,” Prime Minister Giuseppe Conte said in a televised address.

‘From one day to another, it was empty’
Isabella Castoldi, a 25-year-old resident of Florence, told Business Insider that when news of the coronavirus emerged in Italy, few people she knew took the threat very seriously.

“We underestimated the coronavirus,” Castoldi said.



 
How Italy spiraled from a perfectly healthy country to near collapse in 24 days as the coronavirus took hold
  • Wracked by the coronavirus pandemic, Italy’s healthcare system is crumbling.
  • The country’s aging population, coupled with a lack of adequate medical resources, is overwhelming doctors and forcing them to make impossible decisions about which patients to save.
  • The entire country is on lockdown, and more than 1,000 people have died. Here’s how the situation got so dire so quickly.
This week, doctors in Italy have been forced to make choices that no one, least of all people who have taken an oath to protect lives, should face: Who lives and who dies?

As the country’s coronavirus caseload has skyrocketed – more than 15,000 people have been infected and at least 1,000 have died – healthcare workers on the front lines are confronting a worst-case confluence of a contagious new virus, an aging population, and shortage of hospital beds.

Doctors are now prioritizing young and mostly healthy COVID-19 patients because their chances of survival eclipse those of the elderly.

“We do not have free beds in intensive care units,” Lorenzo Casani, the health director of a clinic for elderly people in Lombardy, told Time. Doctors, he added, must “make this horrible choice and decide who is going to survive and who is not going to survive … who is going to get a monitor, a respirator, and the attention they need.”


The tragic triage is reminiscent of the choices made on a battlefield, and indeed, Italy is now at war.

The country reported its first coronavirus case less than four weeks ago, on February 20. Now the scale of the country’s outbreak is second only to China’s.

In response, Italian officials seem to have tried everything: They shut down schools, ordered shops to close, emptied the country’s wildly popular tourist destinations, quarantined dozens of cities, and then expanded that “red zone” to lock down the entire country of 60 million people.

“We all must give something up for the good of Italy. There is no more time,” Prime Minister Giuseppe Conte said in a televised address.

‘From one day to another, it was empty’
Isabella Castoldi, a 25-year-old resident of Florence, told Business Insider that when news of the coronavirus emerged in Italy, few people she knew took the threat very seriously.

“We underestimated the coronavirus,” Castoldi said.


I hope this doesn’t lead to the collapse of the EU . Even if we get the Coronavirus contained I could see this putting a tremendous strain on the European economy, which should make some world leaders very happy.
 
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The director infection prevention at IU Health University Health was interviewed in the the Indy Star. One telling passage:

Even the NFL season could be affected. With the Colts' first preseason game still five months away, it's too soon to say one way or the other, Beemer said.

"I wish I could give you a great answer here, but it's going to have to be wait and see."
Later he said it could be a full year before sports get back, but admits that is the pessemistic end of the spectrum.
 
The director infection prevention at IU Health University Health was interviewed in the the Indy Star. One telling passage:

Even the NFL season could be affected. With the Colts' first preseason game still five months away, it's too soon to say one way or the other, Beemer said.

"I wish I could give you a great answer here, but it's going to have to be wait and see."
Later he said it could be a full year before sports get back, but admits that is the pessemistic end of the spectrum.

The experts in Singapore think its till the end of 2020. We are getting both re-infections back into the community and imports.
 
You don’t think a POTUS who lies constantly and has no credibility is an issue?

Presidents come and go in 8 years tops. Which is more systemically detrimental: an incompetent, lying, (insert pejorative here) President who last for 4 to 8 years, or a group of House and Senate members who also do all of the above, but last 30 to 40 years?

Take the politics out of it. Who has shaped where we are at in this country more? Trump and Obama or Pelosi and McConnell? I would argue the latter, they have longevity. Pelosi has been in the house since 1987. She has led the House Democrats since 2003. McConnell has been in the Senate since 1985 and part of the Republican Senate Leadership since 2003. That is 2 powerful people who have been in office through Reagan, Bush, Clinton, Bush, Obama, and Trump. I am 41 and that represents 6 of the 7 Presidents who have held office in my lifetime.

People like McConnell and Pelosi are the ones who really control the direction of the country. The whiplash nature of our current politics is due to them, and those like them, being completely unserious about their true job.

As to the media, when you turn the news into entertainment and a sporting event, you have 50% of the people you are supposed to be informing tuning you out because you play for the wrong team. And this is where everyone jumps in and says..."but, but, but, my news is better..." Great. You get a Giant Douche while the other people are eating a Turd Sandwich. You go ahead and feel superior with that. I don't.

I view Trump as a hammer to break some of the conventional thinking up. A hammer is not always the perfect tool, but sometimes it is the only tool that is available. He has challenged some long held conservative doctrine on economics that I have not always 100% bought into. The response to him is causing much needed realignment within our political system. There seems to be a "Never Trump" section of the right and a "Never Bernie" section of the left (what I would call the classic leadership of the Democratic and Republican Parties) that hold some similar views on economics that are forming. I don't see either of those two as all that interested in some of the social issues that drive politics. They play the game. Then there is the Progressive/Socialist (Bernie/AOC) left and the, for lack of a better term Trump right. When you compare some of their talking points, particularly on economics, you could find some strange bedfellows if we could break those groups into 3 select parties.

But to come full circle, our Presidents are a blip on the timeline whose Presidencies are often more defined by events outside of their control or by whomever they have to work with in Congress and the narrative by which the media treats them. So I conclude that often the most influential people in the direction or directionless trajectory of the country are often those that only 1 state or even 1 single district can vote for.
 
How Italy spiraled from a perfectly healthy country to near collapse in 24 days as the coronavirus took hold
  • Wracked by the coronavirus pandemic, Italy’s healthcare system is crumbling.
  • The country’s aging population, coupled with a lack of adequate medical resources, is overwhelming doctors and forcing them to make impossible decisions about which patients to save.
  • The entire country is on lockdown, and more than 1,000 people have died. Here’s how the situation got so dire so quickly.
This week, doctors in Italy have been forced to make choices that no one, least of all people who have taken an oath to protect lives, should face: Who lives and who dies?

As the country’s coronavirus caseload has skyrocketed – more than 15,000 people have been infected and at least 1,000 have died – healthcare workers on the front lines are confronting a worst-case confluence of a contagious new virus, an aging population, and shortage of hospital beds.

Doctors are now prioritizing young and mostly healthy COVID-19 patients because their chances of survival eclipse those of the elderly.

“We do not have free beds in intensive care units,” Lorenzo Casani, the health director of a clinic for elderly people in Lombardy, told Time. Doctors, he added, must “make this horrible choice and decide who is going to survive and who is not going to survive … who is going to get a monitor, a respirator, and the attention they need.”


The tragic triage is reminiscent of the choices made on a battlefield, and indeed, Italy is now at war.

The country reported its first coronavirus case less than four weeks ago, on February 20. Now the scale of the country’s outbreak is second only to China’s.

In response, Italian officials seem to have tried everything: They shut down schools, ordered shops to close, emptied the country’s wildly popular tourist destinations, quarantined dozens of cities, and then expanded that “red zone” to lock down the entire country of 60 million people.

“We all must give something up for the good of Italy. There is no more time,” Prime Minister Giuseppe Conte said in a televised address.

‘From one day to another, it was empty’
Isabella Castoldi, a 25-year-old resident of Florence, told Business Insider that when news of the coronavirus emerged in Italy, few people she knew took the threat very seriously.

“We underestimated the coronavirus,” Castoldi said.


Hillz: Italians are pussies
 
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But to come full circle, our Presidents are a blip on the timeline whose Presidencies are often more defined by events outside of their control or by whomever they have to work with in Congress and the narrative by which the media treats them. So I conclude that often the most influential people in the direction or directionless trajectory of the country are often those that only 1 state or even 1 single district can vote for.
I'm guessing you were happy to have McConnell around to keep Obama in check. I'm grateful for Pelosi being in a position to do the same with Trump.
 
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Spain going full lockdown now like Italy. All businesses closed other than groceries, drug stores, e.t.c....

That may well be us in 7-10 days.
 
Spain going full lockdown now like Italy. All businesses closed other than groceries, drug stores, e.t.c....

That may well be us in 7-10 days.
Trump live now, saying he's fine with people panic buying, retail outlets closing, and making excuses (and now veering away from the question) about him continuing to shake hands.

Now he's beating up on Powell.

Pence now sucking Trump's ass.

Oh bla dee, Oh bla dah, Life goes on...
 
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Presidents come and go in 8 years tops. Which is more systemically detrimental: an incompetent, lying, (insert pejorative here) President who last for 4 to 8 years, or a group of House and Senate members who also do all of the above, but last 30 to 40 years?

Take the politics out of it. Who has shaped where we are at in this country more? Trump and Obama or Pelosi and McConnell? I would argue the latter, they have longevity. Pelosi has been in the house since 1987. She has led the House Democrats since 2003. McConnell has been in the Senate since 1985 and part of the Republican Senate Leadership since 2003. That is 2 powerful people who have been in office through Reagan, Bush, Clinton, Bush, Obama, and Trump. I am 41 and that represents 6 of the 7 Presidents who have held office in my lifetime.

People like McConnell and Pelosi are the ones who really control the direction of the country. The whiplash nature of our current politics is due to them, and those like them, being completely unserious about their true job.

As to the media, when you turn the news into entertainment and a sporting event, you have 50% of the people you are supposed to be informing tuning you out because you play for the wrong team. And this is where everyone jumps in and says..."but, but, but, my news is better..." Great. You get a Giant Douche while the other people are eating a Turd Sandwich. You go ahead and feel superior with that. I don't.

I view Trump as a hammer to break some of the conventional thinking up. A hammer is not always the perfect tool, but sometimes it is the only tool that is available. He has challenged some long held conservative doctrine on economics that I have not always 100% bought into. The response to him is causing much needed realignment within our political system. There seems to be a "Never Trump" section of the right and a "Never Bernie" section of the left (what I would call the classic leadership of the Democratic and Republican Parties) that hold some similar views on economics that are forming. I don't see either of those two as all that interested in some of the social issues that drive politics. They play the game. Then there is the Progressive/Socialist (Bernie/AOC) left and the, for lack of a better term Trump right. When you compare some of their talking points, particularly on economics, you could find some strange bedfellows if we could break those groups into 3 select parties.

But to come full circle, our Presidents are a blip on the timeline whose Presidencies are often more defined by events outside of their control or by whomever they have to work with in Congress and the narrative by which the media treats them. So I conclude that often the most influential people in the direction or directionless trajectory of the country are often those that only 1 state or even 1 single district can vote for.
What has he done economically that you agree to?
 
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