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

Dr. Dwayne

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Florida also recently had spring break, and Chicago is one of the more ‘urbanized‘ cities not on the NE seaboard as they tend to sprawl out as you head west (except for places like San Fran). It was expected.

Detroit is still an outlier, and it makes me wonder if underlying factors are playing a part; like the city being in decline and all that goes along with that.
Two big schools in Michigan that probably just had a lot of students go to Florida for spring break. All those returning would go through Detroit.
 

dwd

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I'm pissed off with the amount of Americans I know on Facebook not taking this seriously and bringing up Swine Flu all the time.
 

711

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My wife takes an ACE inhibitor called Lisinopril. Does this mean that she is automatically in a higher risk group? I've told her to contact her doctor ASAP to find out but thought I'd ask here too seeing as we have experts.

@Arruda
That's interesting, and the replies from @Arruda and @Pexbo , thanks both. I take an ACE inhibitor, and a calcium blocker too. They keep my blood pressure low and stable, so I'll settle for that until told otherwise. My hypertension is hereditary, I've gone through every lifestyle/diet option, it takes medication to lower it.
 

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fergieisold

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In Ireland (where I live) as per figures released on the 26th of March, there had been 358 identified cases of Coronavirus among the 25-34 age group, 48 of whom were hospitalised. My quick maths puts that percentage at around 13%, not 3%. Which is a hell of a lot more significant. Especially when speaking about something so extremely easy to catch.

Edit: Just to make sure Ireland wasn't a random outlier, I just looked up some stats from Spain that had the percentage of confirmed 30-39 year olds who ended up in hospital at around 16%.
Biased by testing. The countries that have good testing stats suggest it is low risk.


Eh? What are you on about? Nothing I’ve said is remotely hysterical. I’m stating facts. I’m not sure where you got your stats, I think they’re a bit off but whatever, let’s assume they’re correct.

If you’re not frightened about catching a virus that gives you roughly 1 in 20 (using your stats) chance of ending up so fecked you need to be admitted to a (completely overwhelmed) hospital and hooked up to oxygen, to keep you alive, then that’s fine. Well done you.

My advice to anyone else of your age would be that it’s ok to be scared about that sort of risk. It’s normal. So don’t listen to idiots who try to tell you that your rational fear is “hysterical doom-mongering”.
no not 1 in 20. 5% of the 3.2 % end up tubed.

You will be remembered for your posting during this.
Hope so, it'll help me show I've been right.
 

Blackwidow

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My German in-laws reckon he knows something around the German death rates being massively understated - people dying through COVID-19 are having their cuase of death stated as being whatever was their existing / underlying health problem and which explains the almost unbelieveble low death rate there.
The 13 deaths in a Würzburg nursing home were all 80+ and for sure all had underlying other problems...

If you want to find a reason...
In Germany only 1200 females and 1300 males that were/are tested infected are 80+!

Until now Germany did very well to keep the virus spreading into that age group. And there is no big city that seems to be a hotspot for the virus.

------------------------

I doubt that we can take the numbers of China to judge projections about deaths in Europe - just take as example obesity rates in different coutries. Or acquired immunity to different kind of drugs.
 

711

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Yes thanks, I'd read something else like that. I guess what I'm wondering is even with using the medication I assume she is higher-risk just because of her condition? I don't know much about hypertension whether there are levels of it or you just have it or you don't.
In general I think the problem with hypertension is when people don't know they have it, or it's known but can't be treated. Hopefully Mrs Grins has it under control. Happy to be corrected by the likes of @Arruda though.
 

sullydnl

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I don’t think young people with mild symptoms are going to the hospital to be tested in the UK. The advice is to stay at home and self isolate.
Biased by testing. The countries that have good testing stats suggest it is low risk.
The stats I used were from Ireland, which has much higher testing per capita than the UK. I'm not sure what you mean by "good testing stats" in that context.
 

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In general I think the problem with hypertension is when people don't know they have it, or it's known but can't be treated. Hopefully Mrs Grins has it under control. Happy to be corrected by the likes of @Arruda though.

Yes it's definitely under control thanks to the medication. Like you it's hereditary but being over-weight is something she can control so I think this virus is abaout as good a motivator for a diet and exercise programme as one could hope for. I'm running and doing a bunch of exercise myself so I'm taking it seriously.
 

Arruda

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Yes thanks, I'd read something else like that. I guess what I'm wondering is even with using the medication I assume she is higher-risk just because of her condition? I don't know much about hypertension whether there are levels of it or you just have it or you don't.
There are grades of hypertension, which determine the treatment. And most pre-existing systemic condition like diabetes, hypertension, etc, will make the person higher-risk.

How to stratify it and quantify it is the problem, and will likely take some time until research can start ironing out tgese things. Presumably someone with well-controlled hypertension will be at lower risk.

I must state that I have little clinical experience in comparison with most doctors, as I have spent most of my short career in Pathology (cancer - and other selected diseases - diagnosis). I'm also not very up-to-date in Covid-19 treatment or other clinical aspects of the disease. I've mostly focused on epidemiology and Public Health policy.

Started working last Friday on vigilance teams, so as I get more and more in depth (and "insider") knowledge of the situation in Azores, I also have less time to focus on global aspects of the disease.
 

Grinner

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There are grades of hypertension, which determine the treatment. And most pre-existing systemic condition like diabetes, hypertension, etc, will make the person higher-risk.

How to stratify it and quantify it is the problem, and will likely take some time until research can start ironing out tgese things. Presumably someone with well-controlled hypertension will be at lower risk.

I must state that I have little clinical experience in comparison with most doctors, as I have spent most of my short career in Pathology (cancer - and other selected diseases - diagnosis). I'm also not very up-to-date in Covid-19 treatment or other clinical aspects of the disease. I've mostly focused on epidemiology and Public Health policy.

Started working last Friday on vigilance teams, so as I get more and more in depth (and "insider" knowledge) of the situation in Azores, I also have less time to focus on global aspects of the disease.

I appreciate your efforts as do the rest of us.

Like I said, I've stressed that she contact her own doctor to find out what her risk-level is. It sounds to me like it's not something to stress about.
 

Nanook

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The stats I used were from Ireland, which has much higher testing per capita than the UK. I'm not sure what you mean by "good testing stats" in that context.
https://www.bbc.co.uk/news/world-europe-52035604

To be tested in Ireland now you’d need to have two major symptoms so there’s likely thousands of people with mild cases who were never tested and recovered. I’ve also read that potentially 20-50% of cases may be asymptomatic.
 

Cardboard elk

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Studies reveals that Covid-10 is found in urine, feces and blood. Although at this stage nobody knows if you can get high enough viral loads to get infected through any of these, it seems it can't be ruled out either.

A statement in a Norwegian newspaper about the topic:

"Doctor and specialist in medical microbiology, Péter A. Csángó, believe it is important not to rule out the dangers of the possibility that the new coronavirus, SARS-CoV-2 can infect via feces. A thorough scientific approach is required. If the virus infects via feces, one must look to what extent it infects through water, says Csángó. ..And - if it does infect via water, just imagine the consequence, he adds."

I add the norwegian article as source to verify that this is not something I made up, also another link from JAMA that shows they have found Covid-19 in urine, blood and feces.

https://www.dagbladet.no/nyheter/finner-viruset-i-avforing/72295964
https://jamanetwork.com/journals/jama/fullarticle/2762997

Still a lot we do not know about this virus. Hopefully viral loads is not high enough to infect through water contamination etc, but one should at least be very wary of toilets, imo.
 
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sullydnl

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https://www.bbc.co.uk/news/world-europe-52035604

To be tested in Ireland now you’d need to have two major symptoms so there’s likely thousands of people with mild cases who were never tested and recovered. I’ve also read that potentially 20-50% of cases may be asymptomatic.
Yes, that is the case since the 25th. The stats I posted were released on the 26th, collated from all the tests prior to the change in criteria.
 

Sied

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What's happened to Italy's stats after the 20th?
 

Nanook

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Yes, that is the case since the 25th. The stats I posted were released on the 26th, collated from all the tests prior to the change in criteria.
The point is the number of confirmed cases in Ireland is an underestimate and probably a large one. It’s misleading to look at what percentage of those who died or ended up in hospital from only the confirmed cases.
 

Sparky Rhiwabon

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I'm pissed off with the amount of Americans I know on Facebook not taking this seriously and bringing up Swine Flu all the time.
Sure, many more people died from Swine Flu than this, but there are still valid parallels
 

Withnail

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British people are some of the most obedient and subservient to government in Europe, I don’t know why people imagine we’re some country of closet revolutionaries.
It's bizarre. People have this idea that everyone will lose the head and run riot.

It doesn't happen. In times of crisis people generally look after out for each other and follow the rules.
 

TheReligion

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The Police would lose a nationwide push. Very quickly.
British people are some of the most obedient and subservient to government in Europe, I don’t know why people imagine we’re some country of closet revolutionaries.
Pretty much this. Although I'd say civilised too. The vast majority are adhering to the lock down with minimal enforcement and are praising the police. I don't see why this would escalate to rioting at this point but if it did, as in previous years, it would be quelled in a couple weeks max.
 

UnrelatedPsuedo

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It's bizarre. People have this idea that everyone will lose the head and run riot.

It doesn't happen. In times of crisis people generally look after out for each other and follow the rules.
My Police comment was a p1ss take.

If, in 2 months people are still inside, and food starts to run short... there will be riots though. Without question.
 

Arruda

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Christ. WUM's are the ones spreading doom. I'm one of the ones trying to look at the situation and not get people shitting themselves.
Where the feck did you get the idea that 5% of the hospitalized go to ICU? Are you making it up as you go? I don't know the real number, but that is an absurdly low estimate.

On the surface it looks like 20-40%.
 

JPRouve

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Where the feck did you get the idea that 5% of the hospitalized go to ICU? Are you making it up as you go? I don't know the real number, but that is an absurdly low estimate.

On the surface it looks like 20-40%.
We can use the figures for Occitanie. Currently 1823 people have been tested positive, 697 are hospitalized and 210 are in ICU/reanimation. So around here it's closer to 30% than 5%.
 

C3Pique

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Question for the experts: why do all of the curve models assume that the ICU capacity is static? Surely if the peak can be delayed by 4-6 months this gives time to increase ICU capacity by converting standard wards to ICUs?
 

Sparky Rhiwabon

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What are you on about? :lol:
You're saying that people are comparing Covid to Swine Flu. I'm saying that just because Covid hasn't killed anywhere near as many people yet, it could do in time so the comparisons are not ridiculous.
 

711

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Pretty much this. Although I'd say civilised too. The vast majority are adhering to the lock down with minimal enforcement and are praising the police. I don't see why this would escalate to rioting at this point but if it did, as in previous years, it would be quelled in a couple weeks max.
And that's without the army even getting out of bed. Plus if ever there were a call for volunteers for a militia there would be literally millions in the queue.