So were all those predictions of no second wave mere blind optimism?
but surely you can't just do that forever?You won’t go bankrupt. You’ll borrow money. Or print it.
But equally haven't lockdown been shown not to work they just lower the levels for a while then they come back as soon as you open up?I don’t have the answers to any of the points which are valid, but seeing the government’s own reports showing how the biggest spikes are in education and workplace settings (and having a wife/family/friends who work in education) whilst they steadfastly say they’re both staying open no matter what.
If this is the absolute redline in place then there has to be a trade-off, we cannot have schools and workplaces and pubs and restaurants and gyms and leisure centres and shops all open at the same time, no matter the arbitrary closures in place.
You either have schools open and close off other sectors, or accept that schools may have to close again.
Again, I accept there is no easy or all-encompassing answer to this, but what’s happening at present is clearly not working. We’re seeing increasing lockdown restrictions over wider areas of the country but the numbers just keep on jumping higher and higher. Hospitals are getting more and more loaded again and we need something to break this cycle, otherwise the other option is letting the virus run through us.
Lockdown was designed to ensure hospitals aren't over capacity in ICU. It's a bit of a misconception from the broad public where they think the lockdown is designed to eradicate the virus. In their goal of ensuring hospitals are functioning, they prove effective. There is a trade off against this though. The tier system is far beyond a lockdown, and is merely restrictions on activity. Whether that has proven to be the effective call in the UK will be shown in November.But equally haven't lockdown been shown not to work they just lower the levels for a while then they come back as soon as you open up?
When you say National, you mean England not UK?National lockdown got to be coming in the next week after the French and German announcements.
Too much external pressure.
Scary if true. Makes you wonder what the Ro is as that will affect what the HIT is.Latest findings from influential Imperial College London study:
- 96,000 catching the virus every day
- Doubling every 9 days
- 1 in 78 now testing positive
- Estimated R rate in London 2.86
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Confirmed as positive? Sick leave obviously, I mean you have a positive diagnosis to show for. If you're feeling well, good on you, you can simply chill.So I was confirmed today.
When it comes to work and wages etc, whats the deal.
Am I to furlough? I assume I don't take it off as sick
Agreed. Also, I would defend an individuals freedom of choice when it comes to healthcare.I'm just not sure there are enough “absolutes“ or knowns with this novel virus or potential vaccines to be saying one set of people is “right” or “wrong” and that one set of people shouldn’t be allowed a say.
For the record, I don’t agree with them and will be happy to be vaccinated once a safe vaccine is available
It's not a household budget, you can keep 'borrowing' or printing until it severely impacts the credit rating and currency. Neither are anywhere close to likely because of another lockdown more so Brexit. Rates are low and it's just another war time event where we'll pay it back over the next century along with inflation eroding it.I just don't get where the money comes from to pay for it? The countries borrowing is already basically the highest in history, add another lockdown to that and how do we pay for things like the NHS going forward?
Plus lockdowns have been shown to only be a temporary fix soon as you start to open up again it just goes to pot again.
So what do we do just keep having a lockdown every few months until we are utterly bankrupt?
Well, I guess the reason people say it is because it only cuts cases temporarily then when you open up after a couple of months you back to square 1.It's not a household budget, you can keep 'borrowing' or printing until it severely impacts the credit rating and currency. Neither are anywhere close to likely because of another lockdown more so Brexit. Rates are low and it's just another war time event where we'll pay it back over the next century along with inflation eroding it.
Further some of the cost of the increased borrowing would be needed regardless of lockdown. The furlough scheme would still be needed as would the PHE budget.
Also I can't believe we still have people saying lockdowns don't work. They cut the infection rate so yes they do work, they stop hospitals becoming overcrowded and stop the societal and economic impact of this sweeping through a country. The economic rebound we had during the summer was a result of lockdown.
Exactly. I think people don't realise that the only reason we did manage to get a bit of control on the virus from June to August was because of the lockdown. The only hope is that we can get a vaccine soon but till then lockdowns have to happen unfortunately. We will soon be having 500+ deaths a day which is incredible for a country the size of UKIt's not a household budget, you can keep 'borrowing' or printing until it severely impacts the credit rating and currency. Neither are anywhere close to likely because of another lockdown more so Brexit. Rates are low and it's just another war time event where we'll pay it back over the next century along with inflation eroding it.
Further some of the cost of the increased borrowing would be needed regardless of lockdown. The furlough scheme would still be needed as would the PHE budget.
Also I can't believe we still have people saying lockdowns don't work. They cut the infection rate so yes they do work, they stop hospitals becoming overcrowded and stop the societal and economic impact of this sweeping through a country. The economic rebound we had during the summer was a result of lockdown.
What you define as "working" is different from the people who designed the approach, and the people who implemented the approach, so surely that would suggest what you define as "working" is not appropriate?Well, I guess the reason people say it is because it only cuts cases temporarily then when you open up after a couple of months you back to square 1.
So you're saying the country can just borrow and borrow, let business close for an extended period, furlough millions of people and pay 80% of their wages, without real long term effect or consequence for people or the country?
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Wow I expect Dido Harding’s husband will come down on this like a tonne of feathersTweet
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Wow I expect Dido Harding’s husband will come down on this like a tonne of feathers
good old Limmy. I’d still much rather a tonne of feathers was dropped on me than a tonne of steel though.
It's in a scientists group, yet it's more like a statement for the masses. It's not a convo.Tweet
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Half of them look like the overweight diabetics the virus will be licking its lips at, the other half look like Millwall fans who are upset they haven't been able to have a fight for the last 6 months.
Ignoring the general corona denialism and conspiracy theories for a second, where does the idea come from that hospitals are just making stacks of cash for treating corona patients? Usually there's a grain if truth that people then spin into a grand yarn of a conspiracy but that seems an odd one. I thought most people trusted healthcare professionals anyway?303 dead yesterday here, cases on steep rise too. Read a story about a lady whose husband died at 30 last week, he suffocated at home but wouldn't allow to get himself tested as he did not believe covid-19 existed and didn't want hospital to get extra money for covid diagnosis (tons of money of course), his wife shared those beliefs. She's now suing hospital for putting covid in his death certificate (she doesn't have any proof the did that but she thinks they did it to boost their numbers and get more money). We are doomed. This all feels surreal.
This is idiotic. Economy is down the drain, people have no income which means less taxes, consumption is at an all time low but yeah, government makes a ton of money from the pandemic. Read a theory that government makes all that money on VAT from sales of sanitary products, this is how idiotic all those theories are.Ignoring the general corona denialism and conspiracy theories for a second, where does the idea come from that hospitals are just making stacks of cash for treating corona patients? Usually there's a grain if truth that people then spin into a grand yarn of a conspiracy but that seems an odd one. I thought most people trusted healthcare professionals anyway?
True, we have to invest, it is unfortunate that then UK credit rating has recently been downgraded twice due to Brexit. But we can still invest in minimising impact of the virus.It's not a household budget, you can keep 'borrowing' or printing until it severely impacts the credit rating and currency. Neither are anywhere close to likely because of another lockdown more so Brexit. Rates are low and it's just another war time event where we'll pay it back over the next century along with inflation eroding it.
Further some of the cost of the increased borrowing would be needed regardless of lockdown. The furlough scheme would still be needed as would the PHE budget.
Also I can't believe we still have people saying lockdowns don't work. They cut the infection rate so yes they do work, they stop hospitals becoming overcrowded and stop the societal and economic impact of this sweeping through a country. The economic rebound we had during the summer was a result of lockdown.
Some pretty wild theories alright! That's a shame. You do kind of intuitively assume that when confronted with the reality of a situation, people are able to peek behind the curtain of a conspiracy theory, but invariably a lot of people just decide to double downThis is idiotic. Economy is down the drain, people have no income which means less taxes, consumption is at an all time low but yeah, government makes a ton of money from the pandemic. Read a theory that government makes all that money on VAT from sales of sanitary products, this is how idiotic all those theories are.
Nobody trust healthcare professionals here anymore, people think they are all corrupt and only want to make money from covid. Recent poll suggested that more people trust their friends and family about covid-19 than healthcare professionals.
A guy I know recently told me that hospitals are doing great now because they get twice as much money as before while not doing anything as they are all completely empty except for actors pretending to be sick from covid.
No, it's getting worse as situation progresses. The sad reality is we will have thousands of people dying from it with a lot of others denying that it even exists and laughing at all the reports. This pandemic has opened my eyes to how susceptible people are to conspiracy theories (as long as it makes them look 'enlightened') and how little analytical skills an average person here has.Some pretty wild theories alright! That's a shame. You do kind of intuitively assume that when confronted with the reality of a situation, people are able to peek behind the curtain of a conspiracy theory, but invariably a lot of people just decide to double down
Honestly I couldn’t care less if all the covidiots contracted it and died. The world would be a better place. Unfortunately they would also continue to infect lots of other people who may not be covidiotsTweet
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The coronavirus struck the United States earlier this year with devastating force. In April, it killed more than 10,000 people in New York City. By early May, nearly 50,000 nursing home residents and their caregivers across the country had died.
But as the virus continued its rampage over the summer and fall, infecting nearly 8.5 million Americans, survival rates, even of seriously ill patients, appeared to be improving. At one New York hospital system where 30 percent of coronavirus patients died in March, the death rate had dropped to 3 percent by the end of June.
Doctors in England observed a similar trend. “In late March, four in 10 people in intensive care were dying. By the end of June, survival was over 80 percent,” said John M. Dennis, a University of Exeter Medical School researcher who is first author of a paper about improved survival rates in Britain, accepted for publication in the journal Critical Care Medicine. “It was really quite dramatic.”
Though the virus has been changing slowly as it spreads, and some have speculated that it has become more easily transmissible, most scientists say there is no solid evidence that it has become either less virulent, or more virulent. As elderly people sheltered inside and took precautions to avoid infection, however, more of the hospitalized patients were younger adults, who were generally healthier and more resilient. By the end of August, the average patient was under 40.
Were the lower death rates simply a function of the demographic changes, or a reflection of real progress and medical advances in treatment that blunted the impact of the new pathogen?
Researchers at NYU Langone Health who zeroed in on this question, analyzing the outcomes of more than 5,000 patients hospitalized at the system's three hospitals from March through August, concluded the improvement was real, not just a function of changing demographics. Even when they controlled for differences in the patients’ age, sex, race, underlying health problems and severity of Covid symptoms — like blood oxygen levels at admission — they found that death rates had dropped significantly, to 7.6 percent in August, down from 25.6 percent in March.
“This is still a high death rate, much higher than we see for flu or other respiratory diseases,” said Dr. Leora Horwitz, director of NYU Langone’s Center for Healthcare Innovation & Delivery Science and senior author of the paper in Journal of Hospital Medicine. “I don’t want to pretend this is benign. But it definitely is something that has given me hope.”
Other doctors agreed. “The mortality rates are way lower now,” said Dr. Robert A. Phillips, author of a research letter in JAMA that compared the first and second surges of Covid-19 patients in Houston. But he emphasized that the disease remains “not only deadly — 10 times more deadly probably than a bad influenza — but it also has long-term complications. You don’t have that from the flu.”
While the studies evaluated the death rate, they did not assess the burden of what Dr. Phillips called “post-Covid syndrome,” which leaves many patients with lasting respiratory and neurologic problems, cardiac complications, and other lingering issues.
“It’s relatively easy to measure death, but that doesn’t capture all the other health issues,” said Dr. Preeti Malani, an infectious disease expert at the University of Michigan. Many hospital patients face grueling and protracted recoveries and may require long-term care, while even those who had mild bouts of disease are often left with continuing health problems, like headaches, chronic fatigue or cognitive problems. “It will take a long time to understand the full clinical spectrum of this disease.”
The study from England analyzed the outcomes of 14,958 critical care and intensive care patients hospitalized throughout England from March 1 to May 30. Even after adjusting for differences in age, sex, ethnicity and underlying health conditions, the authors concluded survival improved by about 10 percent each week after the end of March for patients in critical care and high intensity care units (the English study did not adjust for severity of Covid-19 illness at admission).
A combination of factors contributed to the improved outcomes of hospital patients, the authors of the two studies and other experts said. As clinicians learned how to treat the disease, incorporating the use of steroid drugs and non-drug interventions, they were better able to manage it.
The researchers also credited heightened community awareness, and patients seeking care earlier in the course of their illness. Outcomes may also have improved as the load on hospitals lightened and there was less pressure on the medical staff, both of which had been overwhelmed by a surge of patients in the spring.
“We don’t have a magic bullet cure, but we have a lot, a lot of little things, that add up,” Dr. Horwitz said. “We understand better when people need to be on ventilators and when they don’t, and what complications to watch for, like blood clots and kidney failure. We understand how to watch for oxygen levels even before patients are in the hospital, so we can bring them in earlier. And of course, we understand that steroids are helpful, and possibly some other medications.”
For clinicians combating the disease, caused by a new pathogen that was unknown before it emerged in Wuhan, China, late last year, the learning curve has been steep. Doctors shared information and gleaned insights from a barrage of studies shared with unprecedented speed, but there were also missteps. At first, the focus was on the illness’ effects on the lungs; understanding the deleterious impact on other organs came later.
Early on, physicians were placing patients on mechanical ventilators to assist with their breathing; over time they learned to position patients on their stomachs and provide them with supplemental oxygen through less invasive means, and postpone ventilation or avoid it altogether if possible.
By mid-June, clinical trials in England had proven that treatment with a cheap steroid drug, dexamethasone, reduced deaths of patients on ventilators by one-third, and death in patients getting supplemental oxygen by one-fifth. But the early recommendations from China and Italy were “to absolutely not use steroids, even though a lot of us thought it made sense to use them,” said Dr. Gita Lisker, a critical care physician at Northwell Health. “I think it’s making a big difference. But when we started with this in March, the data and recommendations from China and Italy were saying, ‘Do not use them, steroids are bad.’”
Doctors also weren’t aware at first that the Covid-19 illness caused by the new virus caused life-threatening blood clots. Now patients are put on blood thinners early on in treatment when necessary.
But the other problem in the spring was that hospitals in hard-hit areas like New York City were overwhelmed. Doctors who hadn’t worked in critical care for many years were being drafted to care for seriously ill patients, nurses were short-staffed, and equipment was in short supply. “There was a sheer overwhelming tidal wave that overtook the health care system,” Dr. Lisker said. “You had critical care units run by doctors who hadn’t done critical care in 10 years, or even ever.”
She added, “There is no question that whether you lived or died in April, some of it had to do with what unit you landed in.”
Indeed, she said, “The whole idea of flattening the curve was to avoid overwhelming the health care system.”
Medical experts are worrying that the surges in cases around the country could reverse or roll back those gains. The number of hospitalized Covid patients has increased by 40 percent over the last month, and more than 41,000 patients are now hospitalized in the United States. Hospital administrators in Idaho, Utah and Kansas City, Mo., have warned they are already close to capacity. Some have turned ambulances away, and others are drawing up plans to ration care if they run out of beds and have said they may be forced to transfer patients to facilities in other states.
“If you compare the number of people who are dying from every 100 cases diagnosed in the U.S., it’s obviously substantially lower than it was in the summertime, and a lot lower than it was in the springtime,” said Tom Inglesby, the director of the Center for Health Security at Johns Hopkins University.
But, he added that the lessening death rate was not assured to remain steady, given the resurgence in higher caseloads. “If hospitals that aren’t prepared for large numbers of people have to deal with a large influx of Covid patients, or small hospitals get pulled into it, we should expect that mortality could change unfortunately,” he said. “That’s a warning.”
Though some have speculated that the virus is less virulent than it once was, experts say there is no evidence that is the case. The improvements in survival are “a testament to modern medical care,” said Dr. Howard Markel, a physician and medical historian at the University of Michigan.
“The virus is still just as stealthy and dangerous as it was,” Dr. Markel said. “We’re just getting better at managing it.”
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I just don't get where the money comes from to pay for it? The countries borrowing is already basically the highest in history, add another lockdown to that and how do we pay for things like the NHS going forward?
Plus lockdowns have been shown to only be a temporary fix soon as you start to open up again it just goes to pot again.
So what do we do just keep having a lockdown every few months until we are utterly bankrupt?
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I think that's a great idea, can't think of any recent scenarios where it's gone horribly wrong for Britain to do that.We are all now well aware of the risks, along with the precautions to take to minimise your own personal risk - I think now is the time for the government to say - ''over to you guys, do as you please''
Is that really true?The stats are definatley being 'massaged' lets say.
If you die from any regular death but you have had Covid at some point in the last 28 days - then you are logged as being killed as a Covid death, which is ridiculous.
Lockdowns inevitably take the pressure away from the NHS but having spoke to an ICU nurse, its not even 10% as busy as it was a few months back - despite what stats are being thrown out there.
We are all now well aware of the risks, along with the precautions to take to minimise your own personal risk - I think now is the time for the government to say - ''over to you guys, do as you please'' except those at risk of dying from it, diabetics and so on.... they must be told to shield. Might not seem fair, but the chances of your average Joe needing a ventilator is incredibly slim. He will just be a tad poorly for a week or 2 and in many cases, will be well enough to work from home, whereas an asthmatic will almost certainly need the care.
In UK? Statuary sick pay unless your company is specifically doing anything different or are still able to work from home. £95/week.So I was confirmed today.
When it comes to work and wages etc, whats the deal.
Am I to furlough? I assume I don't take it off as sick