g = window.googletag || {}; googletag.cmd = googletag.cmd || []; window.googletag = googletag; googletag.cmd.push(function() { var interstitialSlot = googletag.defineOutOfPageSlot('/17085479/redcafe_gam_interstitial', googletag.enums.OutOfPageFormat.INTERSTITIAL); if (interstitialSlot) { interstitialSlot.addService(googletag.pubads()); } });

SARS CoV-2 coronavirus / Covid-19 (No tin foil hat silliness please)

van der star

newprawn warrior
Scout
Joined
Dec 2, 2012
Messages
8,943
Location
San Siro
I live in a building that is inhabited predominantly by the elderly so my flatmate and I are putting up a flyer on the main entrance offering our help to all the residents with their grocery/pharmacy shopping. That way we have something to do during the quarantine and don't get bored out of our minds, and we also help reduce the overall number of people being exposed. I wish the hospital lets me back in so I can do actual work instead of this but it's all I can do right now.
 

11101

Full Member
Joined
Aug 26, 2014
Messages
21,363
Is there any research on why that is the case (after you take out the age, health, smoking, obesity factors)? It seems even some young, healthy folks end up in treatment - so has any link based on say blood type etc established?
There has been some talk of those with higher levels of ACE2 receptors getting more serious cases, but i'd be lying if i said i knew what that actually means.

The cases are hugely skewed towards the elderly though, both in number of infections and the seriousness of those infections (one might preclude the other).
 

Virgil

Full Member
Joined
Oct 23, 2013
Messages
471
I think it's obvious Trump and Boris have decided to let everyone get it and then see about what happens then .

They are not thinking about preventing it or delaying it and as far as they are concerned screw those who die as a result

You really are a sandwich short of a picnic if you truly believe that any leader of any country is taking the attitude of ‘screw those who die’
 

TMDaines

Fun sponge.
Joined
Sep 1, 2014
Messages
14,025
The lockdown measures won't be effective until next week. The people who tested positive for the virus probably got it last weekend. If the number of new cases doesn't drop in the next 2 weeks then something is wrong.
The thing is what are the economic and societal costs of the lockdown too. It's got to work or the country is paying a massive price, so many lives will be harmed just through the economic effects, let alone the health effects.
 

senorgregster

Last Newbie Standing
Joined
Jun 29, 2008
Messages
10,343
Location
Anywhere but Liverpool
There has been some talk of those with higher levels of ACE2 receptors getting more serious cases, but i'd be lying if i said i knew what that actually means.

The cases are hugely skewed towards the elderly though, both in number of infections and the seriousness of those infections (one might preclude the other).
https://www.nature.com/articles/s41368-020-0074-x

It has been reported that ACE2 is the main host cell receptor of 2019-nCoV and plays a crucial role in the entry of virus into the cell to cause the final infection. To investigate the potential route of 2019-nCov infection on the mucosa of oral cavity, bulk RNA-seq profiles from two public databases including The Cancer Genome Atlas (TCGA) and Functional Annotation of The Mammalian Genome Cap Analysis of Gene Expression (FANTOM5 CAGE) dataset were collected. RNA-seq profiling data of 13 organ types with para-carcinoma normal tissues from TCGA and 14 organ types with normal tissues from FANTOM5 CAGE were analyzed in order to explore and validate the expression of ACE2 on the mucosa of oral cavity. Further, single-cell transcriptomes from an independent data generated in-house were used to identify and confirm the ACE2-expressing cell composition and proportion in oral cavity. The results demonstrated that the ACE2 expressed on the mucosa of oral cavity. Interestingly, this receptor was highly enriched in epithelial cells of tongue. Preliminarily, those findings have explained the basic mechanism that the oral cavity is a potentially high risk for 2019-nCoV infectious susceptibility and provided a piece of evidence for the future prevention strategy in dental clinical practice as well as daily life.

Another recent paper (take with a grain of salt, I suspect peer review process is not at its best right now).

No significant disparities in ACE2 gene expression were found between racial groups (Asian vs Caucasian), age groups (>60 vs <60) or gender groups (male vs female). However, we observed significantly higher ACE2 gene expression in smoker samples compared to nonsmoker samples. This indicates the smokers may be more susceptible to 2019-nCov and thus smoking history should be considered in identifying susceptible population and standardizing treatment regimen
 

Revan

Assumptionman
Joined
Dec 19, 2011
Messages
49,924
Location
London
So can someone please clarify my understanding? I could ask the reporter at work but I fear looking like a moron. But is this UK's strategy:

- Let the infection spread to get "herd immunity"

But this means:

- up to 1% of the population may die as a consequence but that is..... OK?
The calculation is probably made that 1-2% of the population is gonna die from it anyway.

- There is no proof that if you already had it, you won't get it again or a different strand
Fair point, though it is likely that even if it returns, there will be some immunity, and so the fatality rate the second time it will be much lower. Flu and coronavirus specific colds returns, but typically not for several years. Until then, we might have a vaccine. Also, the Spanish flu (different virus, but in term of global impact, probably the closest we have to this), in the second wave it barely affected those who had it during the first wave.

- The more people that get infected, isn't there a chance it evolves quicker?
I guess so, but again, probably the calculation is done that it will inevitably happen in either case.

For what is worth, I don't agree with UK's and US' strategy. I think it is crazy. China and South Korea are showing that there are ways of controlling it, and with the other countries having a head start, it should not have been this bad.
 

Hugh Jass

Shave Dass
Joined
Apr 16, 2016
Messages
11,319
Definitely. The scary shit is the lack of available medical capacity seemingly inflating the death percentage.

I've been isolating for a couple of weeks, trying to be pre-emptive, but it's clearer the past few days that that's pointless.
People have to eat. Thus you have to go out and buy food. There is a great quote saying that any civilization is three meals away from anarchy.

There is a rumour going around in my country (Ireland) that the government will draft in the army and shut down the country for good. I have stockpiled enough food for two weeks if that happens. After that i am fecked, if it does happen.
 

11101

Full Member
Joined
Aug 26, 2014
Messages
21,363
I live in a building that is inhabited predominantly by the elderly so my flatmate and I are putting up a flyer on the main entrance offering our help to all the residents with their grocery/pharmacy shopping. That way we have something to do during the quarantine and don't get bored out of our minds, and we also help reduce the overall number of people being exposed. I wish the hospital lets me back in so I can do actual work instead of this but it's all I can do right now.
So you didn't have it then?

A friend is a doctor in Milan and is having to work from quarantine because the hospital can't afford to have them at home, they need the manpower.

What do you think of the arthritis drug they have been talking about?


So under a lockdown, how are deliveries to supermarkets handled? Do the army step in and take over?
Trucks are still allowed to drive and make deliveries. Must be a dream for them with no cars on the road.
 

DOTA

wants Amber Rudd to call him a naughty boy
Joined
Jul 3, 2012
Messages
24,504
Can somebody please tell me if im wrong , but does this mean that in italy the overall mortality rate is 13. 9 percent!:eek::eek:
The mortality rate of those who have tested positive is high. Most people who have it won't have been tested.

I'm confused as to your maths there though.
 

Hugh Jass

Shave Dass
Joined
Apr 16, 2016
Messages
11,319
A severe case of influenza feels like that. I've had one. It was awful and then I got pneumonia.

A mild case of influenza does not and is common. It's not distinguishable from a cold to the average person.
This.

They did a study about this where people thought they had a cold, but it was actually a mild case of the flu. Granted though, full on flu means you cannot get out of bed.

The last time i had full on flu, i sweating like a tank and had a headache. My vision was off as well. That was years ago so i cannot remember it exactly.

More than likely i have had the flu since then but only mild.
 

11101

Full Member
Joined
Aug 26, 2014
Messages
21,363
Can somebody please tell me if im wrong , but does this mean that in italy the overall mortality rate is 13. 9 percent!:eek::eek:
7%

They no longer test anybody who doesn't have symptoms, so you can double the confirmed cases, at least. Also the second highest number of over 65s in the world, massive smoking rates, and very sociable people. Perfect storm.
 

senorgregster

Last Newbie Standing
Joined
Jun 29, 2008
Messages
10,343
Location
Anywhere but Liverpool
This.

They did a study about this where people thought they had a cold, but it was actually a mild case of the flu. Granted though, full on flu means you cannot get out of bed.

The last time i had full on flu, i sweating like a tank and had a headache. My vision was off as well. That was years ago so i cannot remember it exactly.

More than likely i have had the flu since then but only mild.
I was beginning to suspect this. My whole life I was told you will know when you had the flu. Didn't know anyone who was diagnosed formally until a few weeks back. Four of us had identical symptoms and only had 1 or 2 days in bed.
 

horsechoker

The Caf's Roy Keane.
Joined
Apr 16, 2015
Messages
52,745
Location
The stable
The thing is what are the economic and societal costs of the lockdown too. It's got to work or the country is paying a massive price, so many lives will be harmed just through the economic effects, let alone the health effects.
Italy will go into recession I'm almost certain of that but Italy also has the oldest population in Europe and the 2nd in the world, this is why the death count is high but also it will be much higher if such drastic measure aren't put in place. The health service is struggling to cope, if businesses were to open as normal and have more people getting infected then it would collapse. The economy will suffer no doubt, but doing nothing will be far worse for the economy, well-being of citizens and the health service.

It's either you go out of business or you go out of business a bit later and your grandparents are dead.
 

UnrelatedPsuedo

I pity the poor fool who stinks like I do!
Joined
Apr 15, 2015
Messages
10,394
Location
Blitztown
Truedeau's wife has it but he's not getting tested because he doesn't have any symptoms, either.

Only a matter of time, though. Trump, Boris, and Justin will all get it.
I can’t even imagine a scenario in which world leaders aren’t getting a mandatory test every single day.

Especially in those countries in which they’re putting economic impact front and centre of health policy decisions.

They don’t need to declare a positive test if it happens. But surely they must be getting tested.
 

Fully Fledged

Full Member
Joined
May 23, 2013
Messages
16,272
Location
Midlands UK
The Tory strategy is massively risky. It has to be a Cummings invention. If the popular strategy fails governents can blame the WHO or the 'consensus'. If the Tory strategy fails then its all on them. Governments may be following the consensus against their own information for that reason though.
The Sun readers are giving him a free pass. It's all on the bat eating Chinese. Any one who has a relative die from it should just sue China.
 

Adzzz

Astrophysical Genius - Hard for Grinner
Staff
Joined
Jan 13, 2008
Messages
32,781
Location
Kebab Shop
Truedeau's wife has it but he's not getting tested because he doesn't have any symptoms, either.

Only a matter of time, though. Trump, Boris, and Justin will all get it.
Yep. Stands to reason that people in most contact with others/around the globe will get it first, also I suppose that world leaders tend to be on the older side, Trudeau aside of course.
 

Vidyoyo

The bad "V"
Joined
Jun 12, 2014
Messages
21,465
Location
Not into locations = will not dwell
I live in a building that is inhabited predominantly by the elderly so my flatmate and I are putting up a flyer on the main entrance offering our help to all the residents with their grocery/pharmacy shopping. That way we have something to do during the quarantine and don't get bored out of our minds, and we also help reduce the overall number of people being exposed. I wish the hospital lets me back in so I can do actual work instead of this but it's all I can do right now.
What a nice bunch of lads :)
 

JPRouve

can't stop thinking about balls - NOT deflategate
Scout
Joined
Jan 31, 2014
Messages
66,226
Location
France
Is there any research on why that is the case (after you take out the age, health, smoking, obesity factors)? It seems even some young, healthy folks end up in treatment - so has any link based on say blood type etc established?
The problem is that apparently viruses like the coronavirus constantly evolve and they suspect that the virus in Italy, China and France aren't exactly the same and have slightly different characteristics. They are studying them and will have answers in the future but today it's a bit early.
 

11101

Full Member
Joined
Aug 26, 2014
Messages
21,363
The lockdown measures won't be effective until next week. The people who tested positive for the virus probably got it last weekend. If the number of new cases doesn't drop in the next 2 weeks then something is wrong.
A small piece of positivity, the original lockdown towns from 3 weeks ago are seeing almost no new cases now, and Lombardy which went into lockdown ahead of the rest of Italy on Saturday saw a slowdown in new cases today. Hopefully its not a one off.
 

Ian Reus

Ended 14 years of Grand National sweepstakes
Joined
Aug 22, 2014
Messages
10,436
Location
Somewhere in South America
All schools closed in peru. Also, no hoarding, also no flights in or out.

But there isn't a national health service here so they have to mitigate through other means.

11-12 million people in Lima and it is estimated only 40% have health insurance.
It is also estimated that out of the million or so Venezuelan migrants, only 2% have health insurance.
This could look like an apocalyptic by the time it sweeps through.

And it is 30 degrees daily here until around June.

28 cases in Lima now.
 

horsechoker

The Caf's Roy Keane.
Joined
Apr 16, 2015
Messages
52,745
Location
The stable
A small piece of positivity, the original lockdown towns from 3 weeks ago are seeing almost no new cases now, and Lombardy which went into lockdown ahead of the rest of Italy on Saturday saw a slowdown in new cases today. Hopefully its not a one off.
Yeah it might be that lombardy is ahead in the process compared to other regions. The region desperately needs fewer cases due to hospitals struggling.
 

11101

Full Member
Joined
Aug 26, 2014
Messages
21,363
https://www.nature.com/articles/s41368-020-0074-x

It has been reported that ACE2 is the main host cell receptor of 2019-nCoV and plays a crucial role in the entry of virus into the cell to cause the final infection. To investigate the potential route of 2019-nCov infection on the mucosa of oral cavity, bulk RNA-seq profiles from two public databases including The Cancer Genome Atlas (TCGA) and Functional Annotation of The Mammalian Genome Cap Analysis of Gene Expression (FANTOM5 CAGE) dataset were collected. RNA-seq profiling data of 13 organ types with para-carcinoma normal tissues from TCGA and 14 organ types with normal tissues from FANTOM5 CAGE were analyzed in order to explore and validate the expression of ACE2 on the mucosa of oral cavity. Further, single-cell transcriptomes from an independent data generated in-house were used to identify and confirm the ACE2-expressing cell composition and proportion in oral cavity. The results demonstrated that the ACE2 expressed on the mucosa of oral cavity. Interestingly, this receptor was highly enriched in epithelial cells of tongue. Preliminarily, those findings have explained the basic mechanism that the oral cavity is a potentially high risk for 2019-nCoV infectious susceptibility and provided a piece of evidence for the future prevention strategy in dental clinical practice as well as daily life.

Another recent paper (take with a grain of salt, I suspect peer review process is not at its best right now).

No significant disparities in ACE2 gene expression were found between racial groups (Asian vs Caucasian), age groups (>60 vs <60) or gender groups (male vs female). However, we observed significantly higher ACE2 gene expression in smoker samples compared to nonsmoker samples. This indicates the smokers may be more susceptible to 2019-nCov and thus smoking history should be considered in identifying susceptible population and standardizing treatment regimen
I posted a few pages ago that Italy is noticing smokers are more than twice as likely to end up in intensive care.
 

JPRouve

can't stop thinking about balls - NOT deflategate
Scout
Joined
Jan 31, 2014
Messages
66,226
Location
France
7.2% case fatality rate.

That's genuinely terrifying. 1 out of every 14 people who've caught the disease there are dead.
Not exactly. Those are the people that have been tested, many haven't because they don't have symptoms that require a visit to the doctor.
 

Drawfull

Full Member
Joined
Jan 24, 2014
Messages
4,887
Location
Just close your eyes, forget your name
Why are people still getting on cruise ships?
Not sure why they're still getting on, but my parents (70 and 65) went away last week for 5 weeks Rio to Lisbon. They dithered to the last minute, literally picked the phone up to cancel transfer to airport but went in the end. Now they wish they hadn't. Possible silver lining for them is that it's a small boat, there's extensive screening and the last segment includes the transatlantic part which will almost certainly be cancelled (3 hospital beds, minimal medical staff on board). If the ship gets to Lisbon, they're looking at saying feck it and flying back to UK private. I have told them they're idiots on all counts.
 

BusbyMalone

First Man Falling
Joined
May 22, 2017
Messages
10,362
So is Italy particularly unfortunate in this in terms of the severity of it, or is this something that is likely to be replicated in the UK?
 

Raw

Full Member
Joined
Oct 31, 2013
Messages
25,456
Location
Manchester, UK
Some absolute tit was pretending to cough on a pretty busy train I'm on now, got promptly shouted at.
 

The Firestarter

Full Member
Joined
Apr 8, 2010
Messages
28,348
So is Italy particularly unfortunate in this in terms of the severity of it, or is this something that is likely to be replicated in the UK?
If your government continues with its ineptitude, you may not only reach italy levels but Iranian as well.