It has been subsequently reported that the origin of these cases has a possible connection to the first European local transmission that occurred in Munich, Germany, on 19 January 2020, consistent with phylogenetic analysis of viral genome.[30][31][32] The 38-year-old man was asymptomatic for weeks, reportedly led an active social life and potentially interacted with dozens of people before spreading the virus at Codogno Hospital
I even read US people are going to buy weapons like crazy ... I do not know if they are afraid somebody comes and steal their stock of toilet paper or if the pretend to kill the virus by shooting
Normally I would dismiss those guys who hoard guns and ammo as lunatics however watching this unfold makes them look not quite as crazy. I would not be hugely surprised if some areas start to have problems with groups of people going around robbing others of supplies or taking advantage of the quarantines and distractions keeping law enforcement busy to start looting businesses. Unfortunately there are always those who will take advantage of any situation to help themselves, we see it all the time, a natural disaster hits and people start looting stores, stealing TVs and computers and stuff like that which is obviously not essential.
See thatverticalhorizontal red line - that is the surge critical care capability [US]. See how, that line is crossed under ALL of the NPI scenarios?! That is what I want somebody to tell me that I have read wrong. Please. If I am reading it correctly AND they are right with their analysis, we have a VERY limited window to develop effective PI, period, beginning, middle and end of headline.
No, you didn't read it wrong. I think the US has few time left to act in a drastic manner, if the aim is to prevent what is happening to other countries who have acted as-needed. Aside from the medical cases and complications, the problem with this virus is:Unless a country is willing to take very drastic isolation measures before they appear to be needed, as perceived by the general population, the filling up of its medical infrastructure will be caught in speed by the virus, and you're heading straight for the wall. It's not policy or politics, it's math.
- high infection rate and highly contagious
- long incubation period of up to 14 days
If you would able to really take a snapshot of the exact real number of people infected right now, then it's maybe x100 times the current reported number. It's just that these people currently present no symptoms at all and happily infect others. But they will in two weeks. And in two weeks, the actual number of infected individuals will again be a multiple higher than what is being measured then. This goes on until about 60-70% of everyone has been infected, and then it goes down.
And yes, I'm certainly no expert in the matter, but from what I read it seems the US is heading for the opposite, i.e. underestimating it and taking too few measures.
So, the prediction of the NOV surge, as described, is a very big issue. If you (i.e., anybody) has read the report, knows a good deal about modelling, and can comment on the confidence of that prediction, I would sure like to hear about it.
You mean horizontal line. But, no, you haven't read it wrong. Critical Care facilities are not sized to cope with this. In the UK Critical Care beds (at 8 per 100,000 population) get overflowed in anything other than a mild flu season. I doubt the US is in any better situation despite having 14 critical care beds per 100,000.Yes, I meantverticalhorizontal lin and made that correction twice. I'm not asking for an explanation of hospital bed number or surge capability. That information is available from many other sources and has been for a very long time. Nor is it particularly helpful to simply state "not sized to cope with this", because, in my opinion, it simply sounds too smug. It is the details of the *this* that are up for reasonable discussion, otherwise a simple - "we're fuxored" is sufficient and need not be embellished upon.
What is under intensive scrutiny here is the accuracy of the calculations. Take a step back. What the Brits have done here is characterized the disease with particular respect to required care by the Health Institutions. Further, the course of that load requirement has been projected under different non-pharmacological interventions (NPI).
So, the prediction of the NOV surge, as described, is a very big issue. If you (i.e., anybody) has read the report, knows a good deal about modelling, and can comment on the confidence of that prediction, I would sure like to hear about it.
Too complex to do anything other than guess at really. Many of the figures used as assumptions in the Imperial study are provisional (moreso than in science in general, which is always to some extent provisional). I see no reason to treat the Imperial study as anything less than "the best predictions we can make at the moment". We've no better working hypothesis, and I fully expect Imperial to revise their model (or someone else to build a similar but revised model) as more data becomes available and assumptions can be refined in the light of new data.
My concerns would be elsewhere. If the Imperial study is accurate (and for argument's sake lets take it as such) I fear it is short-sighted. I say this because if we achieved the effective level of control interventions to make things start to follow the Imperial graphs (on either the green or brown traces), as the general population sees a levelling off of infection rates they will become less compliant with the control measures. So we won't be waiting around for the putative September cut off of control measures to generate those peaks in Nov-Dec, they will happen sooner as folks take a more laissez-faire attitude to the controls.
Look at the difficulties we have here, among a group mostly made up of educated scientists and engineers, at getting some people to take this seriously enough. Imagine then, the difficulty getting "Bert the builder" or "Karen the data entry clerk" to continue taking preventative measures for five months that have financial and social costs to them when in three months time "I haven't seen people dropping like flies. I reckon it's all exaggerated, I'm going back to work/down the bar/whatever".
To maintain Imperial's controls for the next five months as they envisage, is going to require a level of coercion that the west is unaccustomed to and is likely to be increasing resistant to if the apparent disease spread is temporarily halted. The public will accept restrictions if they see "the enemy at the gate", they won't be so happy to do so if the "enemy" appears to them not to be materialising even though that is part of the plan and they've been told that. It will require a massive education drive to convince the public that this is just "holding back the flood" and continued isolation and other measure are still required; and this happens at a time when public confidence in government in the West is probably at the lowest I've seen it in my lifetime.
You mean horizontal line. But, no, you haven't read it wrong. Critical Care facilities are not sized to cope with this. In the UK Critical Care beds (at 8 per 100,000 population) get overflowed in anything other than a mild flu season. I doubt the US is in any better situation despite having 14 critical care beds per 100,000.Yes, I meantverticalhorizontal lin and made that correction twice. I'm not asking for an explanation of hospital bed number or surge capability. That information is available from many other sources and has been for a very long time. Nor is it particularly helpful to simply state "not sized to cope with this", because, in my opinion, it simply sounds too smug. It is the details of the *this* that are up for reasonable discussion, otherwise a simple - "we're fuxored" is sufficient and need not be embellished upon.
What is under intensive scrutiny here is the accuracy of the calculations. Take a step back. What the Brits have done here is characterized the disease with particular respect to required care by the Health Institutions. Further, the course of that load requirement has been projected under different non-pharmacological interventions (NPI).Well, even if the numbers are off by a factor of 4 then "we're fuxored" still applies. Over here they are already moving patients to different hospitals in order to distribute the load across the country and they are building triage tents in front of some hospitals. We ain't seen nothing yet!
Also the NPIs can only last for so long otherwise the economy will collapse and probably cause more deaths due to lack of electricity, water, sanitation, etc. Imagine getting a Cholera epidemic on top.
If there is some view on having a working vaccine I'm sure it will be fast-tracked and likely administered as part of a trial. AFAIK this is often the case in cancer treatments so people get the latest & greatest medicines.
The example of cancer treatment is, hopefully, not a good example here. In cases of the last stages of a terminal conditions, approval of unapproved medication is more likely because of compassionate use. I can't think of any compassionate use medicine that is not "self-medicating" that is approved in thousands of cases - but maybe I will not be able to say that next year.
Regarding elections: I'd say it is likely that these will be postponed. Not just in the US but everywhere in the world. You can't have a change of government in a crisis this large. Even if it is possible to organise a vote then whatever candidates say or promise will be lost in the noise from the Corona virus.
Regarding elections: I'd say it is likely that these will be postponed. Not just in the US but everywhere in the world. You can't have a change of government in a crisis this large. Even if it is possible to organise a vote then whatever candidates say or promise will be lost in the noise from the Corona virus.
Another effective method might be to post on forum a photo of the face of their hoarders with their trolley of loot.Yes yes I got one !
Regarding elections: I'd say it is likely that these will be postponed. Not just in the US but everywhere in the world. You can't have a change of government in a crisis this large. Even if it is possible to organise a vote then whatever candidates say or promise will be lost in the noise from the Corona virus.
FWIW, I seriously doubt that the election in the US will be delayed under any circumstances. I'm sure that even in Europe you've seen the hatred and bitterness and the numerous false accusations and even an attempted impeachment that had been directed at Donald Trump and many others in his administration.
ANY attempt to delay the elections will be seen by his enemies as an attempt to seize power and there's no telling where that will lead. OTOH It's past time that the US implemented a modern secure voting system that wouldn't require everyone to show up in person. The banks and other businesses have secure online and telephone systems, it's about time that our voting system was as secure as those systems.
We do have a process for mail-in voting. I expect that they will resort to that system for this election but you can be sure that some group will shout and scream that mail-in voting is unaffordable and racist and that it will disenfranchise them.
Regarding elections: I'd say it is likely that these will be postponed. Not just in the US but everywhere in the world. You can't have a change of government in a crisis this large. Even if it is possible to organise a vote then whatever candidates say or promise will be lost in the noise from the Corona virus.
FWIW, I seriously doubt that the election in the US will be delayed under any circumstances. I'm sure that even in Europe you've seen the hatred and bitterness and the numerous false accusations and even an attempted impeachment that had been directed at Donald Trump and many others in his administration. ANY attempt to delay the elections will be seen by his enemies as an attempt to seize power and there's no telling where that will lead. OTOH It's past time that the US implemented a modern secure voting system that wouldn't require everyone to show up in person. The banks and other businesses have secure online and telephone systems, it's about time that our voting system was as secure as those systems.
We do have a process for mail-in voting. I expect that they will resort to that system for this election but you can be sure that some group will shout and scream that mail-in voting is unaffordable and racist and that it will disenfranchise them.
This helps explain the actions taken by government leaders in the last few days. Brace for impact!
https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf
Regarding elections: I'd say it is likely that these will be postponed. Not just in the US but everywhere in the world. You can't have a change of government in a crisis this large. Even if it is possible to organise a vote then whatever candidates say or promise will be lost in the noise from the Corona virus.
FWIW, I seriously doubt that the election in the US will be delayed under any circumstances. I'm sure that even in Europe you've seen the hatred and bitterness and the numerous false accusations and even an attempted impeachment that had been directed at Donald Trump and many others in his administration. ANY attempt to delay the elections will be seen by his enemies as an attempt to seize power and there's no telling where that will lead. OTOH It's past time that the US implemented a modern secure voting system that wouldn't require everyone to show up in person. The banks and other businesses have secure online and telephone systems, it's about time that our voting system was as secure as those systems.
We do have a process for mail-in voting. I expect that they will resort to that system for this election but you can be sure that some group will shout and scream that mail-in voting is unaffordable and racist and that it will disenfranchise them.
Daughter in France now has the symptoms of the corona virus, after someone at her work got it. She cannot go to hospital because the hospitals are now overwhelmed and there a serious lack of testing capability. The streets are in lock-down by law, but some people are ignoring it. The disease appears to be a lot more widespread than these figures are showing...
https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6
I don't think we will ever know how many people got this virus. Like the 1919 flu, the final figures will be just estimates.
Daughter in France now has the symptoms of the corona virus, after someone at her work got it. She cannot go to hospital because the hospitals are now overwhelmed and there a serious lack of testing capability. The streets are in lock-down by law, but some people are ignoring it. The disease appears to be a lot more widespread than these figures are showing...
https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6
I don't think we will ever know how many people got this virus. Like the 1919 flu, the final figures will be just estimates.
Actually the banking systems aren't secure at all. World wide banks get robbed from billions of euros/dollars every year due to digital fraud. To the banks this is just cost of doing business.
Daughter in France now has the symptoms of the corona virus, after someone at her work got it.
Can you get her back to Australia? Even being held on an island for two weeks, having medical care is better than staying in France and waiting for it to progress.