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

do.ob

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The UK is expecting 18,000 ventilators by the end of the week. And it's built extra hospitals in key locations (including one of the largest in the world in London) which have yet to be used.

There's still plenty of capacity in terms of facilities. It's the doctors and nurses who are in short supply. But we've had 750,000 people volunteer to help the NHS so hopefully that will help.
I hope it works out, but I doubt you can staff an ICU unit with volunteers.

https://www.theguardian.com/busines...nds-britains-manufacturers-with-greatest-test

This article also sounds a lot less optimistic about the numbers.
 

Dante

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I hope it works out, but I doubt you can staff an ICU unit with volunteers.
Of course, you can't. The volunteers will be doing the menial/admin stuff. That frees up the doctors and nurses to make more efficient use of their the expertise. It's about making life easier for the medical staff who really matter.
 
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do.ob

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Of course, you can't. They'll be doing the admin stuff to free up the doctors/nurses who have the expertise.
But how many do? Supply and demand dictate that countries only train about as many doctors and nurses for that purpose as they have regular capacity and I have no idea how quickly and efficiently you can give people tl;dr training so they can cope at least with the corona-specific stuff.
 

massi83

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I hope it works out, but I doubt you can staff an ICU unit with volunteers.

https://www.theguardian.com/busines...nds-britains-manufacturers-with-greatest-test

This article also sounds a lot less optimistic about the numbers.
Of course it is possible to train nurses to operate in ICU in couple of weeks. Volunteers would obviously be working elsewhere.

There isn't some German mystery or masterclass at play. They do more testing and better protect elderly and have bigger ICU capacity at the moment. Most countries don't have a shortage of ICU units, yet. They will have later, but it is also possible to increase the capacity in coming months. The death rate is lower do to more testing and tracing contacts and younger infected.
 

Dante

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But how many do? Supply and demand dictate that countries only train about as many doctors and nurses for that purpose as they have regular capacity and I have no idea how quickly and efficiently you can give people tl;dr training so they can cope at least with the corona-specific stuff.
Supply and demand also dictated that the UK had a particular number of medical staff pre-covid 19. Just like every other country.
 

do.ob

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Of course it is possible to train nurses to operate in ICU in couple of weeks. Volunteers would obviously be working elsewhere.

There isn't some German mystery or masterclass at play. They do more testing and better protect elderly and have bigger ICU capacity at the moment. Most countries don't have a shortage of ICU units, yet. They will have later, but it is also possible to increase the capacity in coming months. The death rate is lower do to more testing and tracing contacts and younger infected.
I never said that. I assume Germany is one of the countries with better healthcare in the world but I don't think our ICU capacity is some form of "they knew all along this would happen", I also think we have been massively lucky that our initial outbreak wasn't very rapid, giving us time to react and learn from Italy's misery.

Supply and demand also dictated that the UK had a particular number of medical staff pre-covid 19. Just like every other country.
Yeah, but you can't just put an orthopaedic surgeon into an ICU and tell him "well.. you're a doctor, operate those ventilators!" You can probably re-train people, but the question is whether that will be quick enough, at least for the first wave of cases.
 

Prometheus

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It's the doctors and nurses who are in short supply. .
I wonder why? I've seen this earlier pinned in this article:
NHS workers were given a three year pay freeze to pay for the financial crisis, then trainee nurses bursaries were converted to repayable loans charged at 5.4% and 6.1% interest when the bank rate has been less than 1% for a decade, as a result there was a 30% reduction in trainee nurses in 2018, and this week NHS staff have to crowdfund for £400,000 of PPE in the absence of medical supplies and lost the claimed EU memo from January (after 4 meetings).
Boris himself lifted his fist in the air celebrating when he voted for and succeeded to block pay the 1% rise for nurses in 2007.
 
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Dante

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I never said that. I assume Germnay is one of the countries with better healthcare in the world but I don't think our ICU capacity is some form of "they knew all along this would happen", I also think we have been massively lucky that our initial outbreak wasn't very rapid, giving us time to react and learn from Italy's misery.
Yes. A good healthcare system. But not as good as the UK's according to both the WHO and Commonwealth Fund.
https://www.who.int/healthinfo/paper30.pdf
https://interactives.commonwealthfund.org/2017/july/mirror-mirror/
 

Dante

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I wonder why? I've seen this earlier pinned in this article:
Boris himself lifted his fist in the air celebrating when he voted for and succeeded to block pay the 1% pay rise for nurses in 2007.
That's the root cause, yes. But the effect is what I'm talking about, and the effect is what's on-topic.
 

Withnail

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The future has to be looked at and potential situations that may rise.

The cold hard reality is, lockdown for any serious length of time can't happen, it will cost too many lives. If for argument sake we can close down the world for around a year/until this virus dies or mutates to low risk and still have a healthy situation to come out of it, ofcourse I'd be firmly on board with it no matter what but that won't be the case.


Okay then, let's say for argument sake we lock down till the virus either completely dies or heads to very low risk, and for further argument sake let's say that takes a year.

The world reopens with 60% of businesses gone (and let's be clear, that's a wildly optimistic estimate), who pays the taxes that keep the NHS running? Who pays the taxes that keep the many many families who can't find a job because there are none fed?

And I'm not "apathetic" about the deaths that will occur, not least because at some point a lockdown will actually start causing more deaths in the moment too, get to that in a second. I've already said I'm on board with the measures at the minute, it's just not remotely sustainable for this to be a long term thing. Even factoring out the devastating long term effects, hospitals will at some point while the virus is still prelevant be inundated with patients who attempt suicide, are victims of domestic violence, come into complication due to severe stess etc (all of those things are going up already) and that will keep rising further while the country are on house arrest, what will that do? Further take away staff from Covid areas, take more ventilators so someone with the virus will be denied it, in others words totally defeating the object of lock down in the first place.

I want in a perfect world no lives lost atall but tragically that's not possible, so the next best thing is as many lives saved as humanly possible, a lock down for any serious amount of time won't be how that's achieved.

I fully agree with the measures presently because at this moment in time they are protecting the NHS and saving lives, but it will get to a point where it starts doing the complete opposite, not just in the long run but the immediate present as explained above.
Schools and Uni's may be closed but the students aren't on holidays.

My step-son is still doing school work. It's not as much as he'd usually be doing but if this turns into a long term thing I'm sure they school will assign more work and do some kind of online classroom.

Aren't Universities switching to online lectures to keep the whole thing rolling?
 

FireballXL5

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Christ. If I catch this I’m fooked
I suffered similar symptoms last July. Was literally slipping away when the paramedics got to me. My lungs had basically stopped functioning due to infection.
If everyone could experience that level of panic and shock for just 30 seconds, trust me, they'd be staying indoors.
 

do.ob

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Yes. A good healthcare system. But not as good as the UK's according to both the WHO and Commonwealth Fund.
https://www.who.int/healthinfo/paper30.pdf
https://interactives.commonwealthfund.org/2017/july/mirror-mirror/
The first link appears to use data from the previous millennium. But that being said I'm not informed enough to adequately compare the level of health care in different countries.
And I don't really see the relevance of the second study in terms of the current crisis. to me it seems like (assuming doctors in rich countries are all fairly capable) it's all about capacity in this case. I mean who cares it a doctor could give you better counselling than elsewhere if they don't have a bed or time to treat you?
 

Dante

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The first link appears to use data from the previous millennium. But that being said I'm not informed enough to adequately compare the level of health care in different countries.
And I don't really see the relevance of the second study in terms of the current crisis. to me it seems like (assuming doctors in rich countries are all fairly capable) it's all about capacity in this case. I mean who cares it a doctor could give you better counselling than elsewhere if they don't have a bed or time to treat you?
Luckily, the UK does have enough beds and volunteers are helping to free up time.
 

Fosu-Mens

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The first link appears to use data from the previous millennium. But that being said I'm not informed enough to adequately compare the level of health care in different countries.
I don't really see the relevance of the second study in terms of the current crisis. to me it seems like (assuming doctors in rich countries are all fairly capable) it's all about capacity in this case. I mean who cares it a doctor could give you better counselling than elsewhere if they don't have a bed or time to treat you?
When the number of people who needs a ventilator (or a similar lung breathing machine) exceeds the number of available machines, then you are f*cked and you start seeing a spike in the number of deaths relative to the number in critical condition.

Another important factor to help "contain" the disease is to keep the R0 below 1 --> Lockdown, all non-critical jobs or tasks etc should be stopped or done from home. People in public wearing masks etc.

As long as you are not going above the ICU/ventilator threshold in a set region and the R0 is going down or is below 1, then you have done as well as you can. If you are still seeing an increasing R0 2-3 weeks after measures are taken, then you are not doing enough.
 

do.ob

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When the number of people who needs a ventilator (or a similar lung breathing machine) exceeds the number of available machines, then you are f*cked and you start seeing a spike in the number of deaths relative to the number in critical condition.

Another important factor to help "contain" the disease is to keep the R0 below 1 --> Lockdown, all non-critical jobs or tasks etc should be stopped or done from home. People in public wearing masks etc.

As long as you are not going above the ICU/ventilator threshold in a set region and the R0 is going down or is below 1, then you have done as well as you can. If you are still seeing an increasing R0 2-3 weeks after measures are taken, then you are not doing enough.
I completely agree with you. I think (guess) Germany's high ICU bed count is a major reason why our death rate is still so low. Though I'm not sure we will ever know the true rate of infection, as even the best efforts in testing are deemed insufficient. I still have this faint hope that the virus is actually far more infectious/spread than we assume and a lot of people already got through it with mild/no symptoms.
 

do.ob

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The last bit about heart failure... that is what my wife told me she saw a Covid patient die from yesterday.
I think it's scary to even think of what those nurses and doctors in the eyes of the storm will experience. From their perspective maybe even worse than a WW. And the cynic in me is certain they will not be rewarded for their personal mental suffering but inadequately supported or even left alone.
 

Sparky Rhiwabon

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I know we've officially got another week of lockdown in the UK but how long do we reckon it will go on for?

And how do we reckon it'll be lifted? All at once? Phased? If so how? What about shops and pubs etc?
 

Drawfull

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I know we've officially got another week of lockdown in the UK but how long do we reckon it will go on for?

And how do we reckon it'll be lifted? All at once? Phased? If so how? What about shops and pubs etc?
It'll be phased but I can only guess how. There were quotes over the weekend saying the restriictions may be able to start being lifted end of May. I think realistically, August is more likely for large lifting of restrictions.
 

Carolina Red

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I think it's scary to even think of what those nurses and doctors in the eyes of the storm will experience. From their perspective maybe even worse than a WW. And the cynic in me is certain they will not be rewarded for their personal mental suffering but inadequately supported or even left alone.
There was a nurse yesterday who is a PRN (if necessary) ICU nurse who also works in cancer research who told my wife “if I’d known I was treating Covid patients I would have called out!”... my wife reminded her that they’re currently the Covid Ward and asked her what the hell she expected. That nurse called out today... her replacement is a nurse fresh out of school that doesn’t know how to run the medications that the ICU requires.
 

Infordin

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Has anyone else read the claims out there that Advil (ibuprofen) makes coronavirus far worse?
 

SalfordRed18

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I know we've officially got another week of lockdown in the UK but how long do we reckon it will go on for?

And how do we reckon it'll be lifted? All at once? Phased? If so how? What about shops and pubs etc?
My heart says end of April, my head says sometime in may.

It'll be phases, and when pubs etc open, it will be with restrictions.
 
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Btw, I see that today there is news in Norway that Sweden might have twice as many dead as have been reported? Is that correct? I don't understand how the reporting can be so off and the swedish press so late at discovering this :rolleyes: Maybe swedish press is finally awakening. You guys really need to toughen up restrictions now to avoid complete chaos in Stockholm at least.
Guessing you've seen the update on this @Cardboard elk ?

https://www.aftonbladet.se/nyheter/a/zGJ8gv/mindre-efterslapning-av-dodstalen-an-tidigare

Spekulationen om det dubblerade dödstalen visade sig dock sakna grund enligt nyhetsbyrån själva som strax efteråt publicerade ett förtydligande.

However, speculation about the double death toll proved to be unfounded, according to the news agency itself, which soon afterwards published a clarification.
Still not sure why some people want to play off country vs. country like it's the European hunger games. The ICU situation in Sweden still appears very stable, so it's uncertain if there is any need for tougher measures just yet, if ever. All countries are doing their best I'm sure, and Norway appear to be doing a cracking job so be pleased and proud. Norway appear to have protected their elderly incredibly well.

I also hear that Denmark are meeting tomorrow to discuss gradually reopening the country again, possibly starting off with some schools. That's excellent news if so. More below:

The Danes may begin to see a way back to a more recognizable Denmark.

Prime Minister Mette Frederiksen (S) is working on Sunday, according to Berlingske's information, to talk about the plan for the first cautious reopening of the country, which will happen in connection with a press conference - perhaps already Monday.

The same goes for TV 2.

However, nothing is nail-biting, as working on a plan is associated with uncertainty and several factors that can develop rapidly.

In that case, a presentation of the first early reopening will take place just over three weeks after the prime minister closed large parts of Denmark on March 11 as a consequence of the pervasive corona epidemic.

However, it is likely that the first stage of a reopening will be less extensive than many Danes hope, because both the challenges and the uncertainty are open to society.

At the same time, politicians as well as authorities will have a persistent look at the development of coronas-infected and hospitalized patients, which can have a decisive influence on the pace of a reopening.

On Monday, it will also be a week ago that after a meeting with the other party leaders on a Danish exit strategy, Mette Frederiksen first mentioned the possibility of a reopening after Easter.

"I hardly dare say what I intend to say today, but now I say it: If we Danes for the next two weeks over Easter continue to stand together by staying away, and if the numbers remain stable and sensible in the next two weeks, the government will begin a gradual, quiet and controlled opening of our community again on the other side of Easter, "the prime minister said on that occasion.

Among other things, the Danes must continue to keep distance from each other in the coming time and in a budding spring and not exceed the set limits for assemblies of more than ten people. It is all about breaking the so-called infection chains.

Without in any way presenting an actual plan, Mette Frederiksen aired at the press conference on Monday, what considerations are being made in the government summit and with the authorities on how a concrete reopening can happen.

"When we open our society again, we have to do it gradually and we have to make it staggered," the prime minister said:

“For example, we may have to work, educate and attend school at different times of the day. We have to distribute beyond the hours of the day, we have to prevent rush hour in public transport, and when we go to work, it has to be in a different way than we are used to. "

Many questions remain.

Following the optimistic tone at the press conference on Monday, several parliamentary politicians have loudly marveled at the government's action with, on the one hand, proclaiming a possible reopening after Easter, while at the same time asking the government to pass yet another far-reaching emergency law containing the possibility of further restrictions on the Danes .

A cautious reopening of the country, according to Berlingske's information, is about how to create the most value through a modest opening of society.

Here, for example, it may be about questions about whether it makes good sense to let the smallest children come to school so that their parents can get back to work or whether it is rather about reopening parts of the public sector.

From several sides, clarification has been sought for the future.

For example, the Chair of the Danish Teachers' Association, Anders Bondo Christensen, believes that there is a need for Minister of Education Pernille Rosenkrantz-Theil to make a decision on the exams for the oldest pupils in primary school.

In the current situation, the teachers recommend that the graduation exams be canceled, the Danish Teachers' Association writes in a press release.

"I understand that the minister is in a difficult situation with great uncertainty, but there is a need for a clear announcement now, so that students and teachers know how to act," says Anders Bondo Christensen.
 

Classical Mechanic

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I love Germany man, used to live in Minden, and if anyone was gonna make a “success” of this it was you guys, think everyone would have put their mortgage on that.

I still wonder how you have so many serious/critical yet so few daily deaths, are you doing something better than other health services? The UK aren’t overwhelmed yet and they are still losing a much higher rate of critically ill.

Unless the critically ill numbers on worldometers are just incorrect for Germany.
Saw this in The Guardian earlier. Thought it would be an issue in the UK all along because too much oversight and permissions still come from central government here. One of the things the regions are always asking for is more power to run themselves.

https://www.theguardian.com/world/2...-logic-is-helping-it-win-the-coronavirus-race