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Author Topic: Coronavirus has been declared a global pandemic  (Read 16705 times)

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #15 on: February 27, 2020, 09:23:00 PM »
Yowbarb Note: Article continues here:

https://www.statnews.com/2020/02/27/a-single-coronavirus-case-exposes-a-bigger-problem-the-scope-of-undetected-u-s-spread-is-unknown/

The new guidance also frees up hospitals to test patients with ARDS — acute respiratory distress syndrome — for which there isn’t a diagnosed cause to see if they are infected with the new virus, a move Inglesby had also called for.

The CDC developed and sent test kits to state and local labs in early February. Even then, those labs were clamoring for the ability to test and questioning why it was taking so long to develop assays for the new coronavirus.

Because the federal government declared the coronavirus outbreak an emergency, state and local laboratories are prohibited from using tests developed in-house. They could only use tests that had received an emergency use authorization from the Food and Drug Administration. In this context, that means the CDC test.

When laboratories start to use a new CDC-designed test, they have to first assess their own ability to run the tests accurately, and report back to the CDC if they are having problem getting the tests to work in their hands. It quickly became apparent that a lot of the state and local laboratories were having trouble with one part of the test, Health and Human Services Secretary Alex Azar told the House Ways and Means Committee on Thursday, adding that the CDC “probably, in retrospect, maybe over-engineered [the test] a bit.”

The CDC told the few states that weren’t having a problem to continue testing and pulled back the kits from the others, which meant that any time those states had a patient who needed to be tested, they had to send the sample to the CDC.

The organization that represents state and local labs — the Association of Public Health Laboratories — was so concerned that on Monday it asked the FDA in a letter if local labs could begin to use in-house tests, executive director Scott Becker said.

“That’s really what led us to reach out to the FDA in really a very public way saying: ‘What else can we do? Because we’re hamstrung here. We’re between a rock and a hard place,’” he told STAT.

Related: A critical question in getting a handle on coronavirus: What role do kids play in spreading it?
Becker said state and local labs have now been told that those that can run all three parts of the test should do so; those that can’t get the third part to work properly can now drop that part. Meanwhile, a next-generation test is being readied.

“I expect it to go very quickly in the next few days,” Becker said. “I really feel like yesterday” — Wednesday — “was a pivotal point and there’s some positive movement.”

Having more laboratories able to test will only solve part of the problem, however. Giving doctors and hospitals more leeway to test more patients who look like they might have Covid-19, regardless of whether they’ve traveled or not, will help further define the level of transmission in this country, experts said.

Inglesby called for a surveillance effort — designating certain hospitals or cities to test more broadly for the virus to try to assess whether there is undetected spread.

The CDC said several weeks ago such a program would be launched in six cities. But the testing problems have delayed the rollout.

Megan Thielking contributed reporting.

About the Author

Helen Branswell
Senior Writer, Infectious Disease

Helen covers issues broadly related to infectious diseases, including outbreaks, preparedness, research, and vaccine development.

 helen.branswell@statnews.com
 @HelenBranswell
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CORONAVIRUS
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Yowbarb Note: See Comments on the article page at the bottom:
 
https://www.statnews.com/2020/02/27/a-single-coronavirus-case-exposes-a-bigger-problem-the-scope-of-undetected-u-s-spread-is-unknown/

R.R. Book

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Re: Coronavirus has been declared a global pandemic
« Reply #16 on: February 28, 2020, 07:25:45 AM »
I have a problem with this paragraph, from a 10th Amendment perspective and from a belief in the scientific method, in which others are permitted and encouraged to do their own testing.  Supposing the CDC test can be superseded by a more accurate local one?  Don't individual states have credentialed hospitals, universities and scientists capable of developing their own assays?

Quote
Because the federal government declared the coronavirus outbreak an emergency, state and local laboratories are prohibited from using tests developed in-house. They could only use tests that had received an emergency use authorization from the Food and Drug Administration. In this context, that means the CDC test.

I'm uncomfortable with the power to decide who is sick and who is well falling into fewer and fewer hands...

ilinda

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Re: Coronavirus has been declared a global pandemic
« Reply #17 on: February 28, 2020, 09:05:21 AM »
I have a problem with this paragraph, from a 10th Amendment perspective and from a belief in the scientific method, in which others are permitted and encouraged to do their own testing.  Supposing the CDC test can be superseded by a more accurate local one?  Don't individual states have credentialed hospitals, universities and scientists capable of developing their own assays?

Quote
Because the federal government declared the coronavirus outbreak an emergency, state and local laboratories are prohibited from using tests developed in-house. They could only use tests that had received an emergency use authorization from the Food and Drug Administration. In this context, that means the CDC test.

I'm uncomfortable with the power to decide who is sick and who is well falling into fewer and fewer hands...
And I am starting to wonder what is going to be the standard protocol here in the U.S., when a patient is discovered to be nCoVid positive?  Will they be sent to some "medical camp"?  Will they be quarantined at home?  Will they be hospitalized?

It seems the at-home quarantine would make the most sense assuming the patient is not critical and not in need of hospital services.  If hospital services are needed, then will everyone in the hospital be at risk because there are no "nCoVid-dedicated hospitals" here as there are now in China?  Lots  of questions and few answers.

R.R. Book

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Re: Coronavirus has been declared a global pandemic
« Reply #18 on: February 28, 2020, 10:02:02 AM »
I just thought of yet another question:

What will happen to the trending requirement to smile for the facial recognition cameras before being permitted in public places, if everyone is wearing a medical face mask?


Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #19 on: March 02, 2020, 08:29:49 PM »
As of this afternon, 100 confirmed coronavirus cases in the US.
Six deaths, all in Washingtoon state. 3,000 confirmed cornavirus deaths in the world.

https://weather.com/health/news/2020-03-02-united-states-novel-coronavirus-covid19-deaths-response

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #20 on: March 05, 2020, 09:15:27 PM »
Yowbarb Note: I have not kept up with the Coronavirus tallies and news the past few days... family events...
Looking at articles now...
...

https://www.nytimes.com/2020/03/04/books/london-book-fair-coronavirus.html

London Book Fair Canceled Over Coronavirus Fears
The annual publishing event was scheduled to begin next week, with more than 25,000 expected to attend.
...
https://www.ft.com/content/599ae600-5d90-11ea-b0ab-339c2307bcd4

Deloitte employee in London tests positive for coronavirus
Big Four accountant tells staff they can return to work in the City

https://www.ft.com/content/b95fb692-5ed5-11ea-b0ab-339c2307bcd4

HSBC sends home London research staff after coronavirus case
Bank evacuates section of Canary Wharf office for deep cleaning as employee tests positive

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #21 on: March 05, 2020, 09:43:59 PM »
Uh oh, not good... Up to the minute update on the Coronavirus statistics:
...............................

https://www.worldometers.info/coronavirus/

COVID-19 CORONAVIRUS OUTBREAK
Last updated: March 06, 2020, 05:15 GMT

view by country:  https://www.worldometers.info/coronavirus/#countries

Confirmed Cases and Deaths by Country, Territory, or Conveyance
The coronavirus COVID-19 is affecting 90 countries and territories around the world and 1 international conveyance (the Diamond Princess cruise ship harbored in Yokohama, Japan). The day is reset after midnight GMT+0.


The "New" columns for China display the previous day changes (as China reports after the day is over). For all other countries, the "New" columns display the changes for the current day while still in progress.

Yowbarb

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Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #23 on: March 05, 2020, 10:01:29 PM »
https://www.worldometers.info/coronavirus/#countries  Update March 06, 2020 0515 AM GMT

Confirmed Cases and Deaths by Country, Territory, or Conveyance

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #24 on: March 05, 2020, 10:20:37 PM »
What to Do If You Are Sick With Coronavirus Disease 2019 (COVID-19)

Call ahead to a healthcare professional if you develop a fever1 and symptoms of respiratory illness, such as cough or difficulty breathing, and have been in close contact2 with a person known to have COVID-19 or if you live in or have recently traveled to an area with ongoing spread. Tell your healthcare professional about your recent travel or contact. Your healthcare professional will work with your state’s public health department and CDC to determine if you need to be tested for COVID-19.

https://www.cdc.gov/coronavirus/2019-ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf

2Close contact is defined as—

a) being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period of time; close contact can occur while caring for, living with, visiting, or sharing a health care waiting area or room with a COVID-19 case
– or –

b) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on)
If such contact occurs while not wearing recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection), criteria for PUI consideration are met.

See CDC’s updated Interim Healthcare Infection Prevention and Control Recommendations for Persons Under Investigation for 2019 Novel Coronavirus.

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #25 on: March 05, 2020, 10:26:14 PM »
https://www.cdc.gov/coronavirus/2019-ncov/community/index.html

Preventing COVID-19 Spread in Communities

Protect yourself and your community from getting and spreading respiratory illnesses like coronavirus disease 2019. Everyone has a role to play in getting ready and staying healthy.

handwashing icon
Practice everyday preventive behaviors! Stay home when sick. Cover coughs and sneezes. Frequently wash hands with soap and water. Clean frequently touched surfaces.


https://www.cdc.gov/coronavirus/2019-ncov/community/home/cleaning-disinfection.html  Disinfecting your home (more on this , future posts)

R.R. Book

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Re: Coronavirus has been declared a global pandemic
« Reply #26 on: March 06, 2020, 04:57:56 AM »
Barb, One thing that I like to do at home is keep a wash basin in the kitchen sink filled during the day with hot soapy water plus a few drops of alcohol.  It needs to be changed periodically, and helps not only to keep dishes washed throughout the day, but also permits instant hand washing without touching a faucet afterwards. 

In the bathrooms, I like to wipe the whole sink down after each use, and then toss the cloth in the laundry right away.

Hand towels need to be changed regularly, as well, both in bathrooms and in kitchen  :)

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #27 on: March 06, 2020, 03:29:48 PM »
RR - sounds like a good plan...
Some of these items are likely disappearing now...

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #28 on: March 06, 2020, 03:31:18 PM »
https://www.telegraph.co.uk/global-health/science-and-disease/pandemic-what-meaning-how-coronavirus-uk-impact/

Coronavirus outbreak: What is a pandemic and what happens if one is declared?
Is the coronavirus now a pandemic — and what does that mean?
Plus, what is the possible impact on the global economy?

By Josh White and Sarah Newey,
GLOBAL HEALTH SECURITY REPORTER
6 March 2020 2:43pm

Yowbarb

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Re: Coronavirus has been declared a global pandemic
« Reply #29 on: March 06, 2020, 05:02:25 PM »
Yowbarb Note: WHO, The World Health Organisation says we are not there yet, we are not calling it a pandemic yet...

https://www.telegraph.co.uk/global-health/science-and-disease/pandemic-what-meaning-how-coronavirus-uk-impact/

Coronavirus outbreak: What is a pandemic and what happens if one is declared?
Is the coronavirus now a pandemic — and what does that mean? Plus, what is the possible impact on the global economy?

By Josh White and Sarah Newey,
GLOBAL HEALTH SECURITY REPORTER
6 March 2020 2:43pmWhat is a pandemic?

A pandemic, a word from the Greek pan ("all") and demos ("people"), is the term used by disease experts when epidemics are growing in multiple countries and continents at the same time.

Despite the fear the word evokes, "pandemic" refers to the spread of a disease, not its potency or deadliness.

The World Health Organisation defines the term as "an outbreak of a new pathogen that spreads easily from person to person across the globe".

This means a disease outbreak will only be called a pandemic when it is widespread, over several countries or continents, and usually affecting a large number of people. The disease must also be infectious – cancer affects many people around the world, but it is not infectious and so is not a pandemic.

A pandemic also has self-sustaining lines of infection – so if there is an increasing number of cases in Europe and the United States with no clear connection to China, that will fit the definition of a pandemic.

What’s the difference between a pandemic and an epidemic?
An epidemic refers to an event in which a disease is actively spreading. Usually, this is an outbreak that has grown out of control but is often within one country or location.

A pandemic is an epidemic on a far greater geographic scale that affects a much large number of people.

So is the coronavirus a pandemic?

Given that the virus has now spread to over 30 countries and across multiple continents, many experts believe the situation satisfies the WHO’s definition of a pandemic. But the UN agency has repeatedly insisted that we are "not there yet", suggesting we are instead fighting a series of epidemics.

"For the moment, we are not witnessing the uncontained global spread of this virus and we are not witnessing large-scale severe disease or deaths," Dr Tedros Adhanom Ghebreyesus, the WHO director general, said.

"Does this virus have pandemic potential? Absolutely it has. Are we there yet from our assessment? Not yet."

 

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