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jimmy m
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21 Jan 2021, 4:05 pm

Here is the latest updates:

Progress of COVID Inoculations

According to the coronavirus vaccine tracker, the U.S. has now administered 17.18 million vaccine doses.

Globally 54.49 million vaccinate doses have been given with the U.S., China and U.K. in the top three positions. The U.S. and China are vying for first place. In this update, many other countries are starting to show up on the scoreboard. I expect India will make its presence known shortly and will be a top contender.

Source: COVID-19 Vaccine Tracker


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21 Jan 2021, 5:06 pm

Biden unveils Covid-19 plan based on 'science not politics' as he signs new initiatives

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President Joe Biden's first full day in office on Thursday focused on rolling out his national strategy to get the coronavirus pandemic under control and signing several executive actions, including ramping up vaccination supplies and requiring international travelers to provide proof of a negative Covid-19 test prior to traveling to the US.

Biden's plan starts with a national vaccination campaign in order to meet the President's goal of administering 100 million shots, which is enough to cover 50 million Americans with vaccines that require two doses, in his first 100 days in office.
"We're at Day 1," Biden said.

He said the plan was developed with input from the nation's top infectious disease expert, Dr. Anthony Fauci, among other advisers and experts. Fauci was at the event at the White House, along with Biden's Covid czar Jeff Zients.
Biden said the American public would be "hearing a lot more from Dr. Fauci again, not from the President, but from the real genuine experts and scientists."

Biden signed executive orders ramping up supplies for vaccination, testing and personal protective equipment and another boosting development of therapeutics to treat Covid-19.

The President, who has long stressed the importance of mask-wearing, signed an executive order on his first day in office requiring masks in federal buildings and on federal lands, and asked Americans to wear masks for his first 100 days in office.

Following through on his campaign proposals, Biden signed two executive orders creating a National Pandemic Testing Board to improve US coronavirus testing capacity and a Covid-19 Health Equity Task Force to ensure an "equitable" pandemic response and recovery.

Another executive order he signed enhance the nation's collection, production, sharing and analysis of data about the virus.

He directed the Federal Emergency Management Agency to offer full reimbursement to states for the cost of National Guard personnel and emergency supplies such as PPE for schools.

Biden asked the Department of Education and Department of Health and Human Services to provide guidance for safe reopening and operating of schools, childcare providers, and institutions of higher education.

He signed an executive order calling on the Occupational Safety and Health Administration to release clear guidance on Covid-19, decide whether to establish emergency temporary standards, and directs OSHA to enforce worker health and safety requirements.

Building on the order he signed Wednesday making masks mandatory on federal property, Biden also took action to require facial coverings in airports and on certain modes of transportation, including many trains, planes, maritime vessels and intercity buses.

Biden is also issuing a presidential directive to restore America's leadership, support the international pandemic response effort, promote resilience for future threats, and advance global health security and the Global Health Security Agenda.

After his swearing-in ceremony Wednesday, Biden's first action as President was to impose a mask mandate on federal property. Biden also installed a coronavirus response coordinator to oversee the White House's efforts to distribute vaccines and medical supplies. He also signed an executive order halting US withdrawal from the World Health Organization.


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jimmy m
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21 Jan 2021, 10:04 pm

Aerosol Transmission

Places like Taiwan and Hong Kong, have learned painful lessons from the SARS outbreak of 2003-2004, took precautions to prevent transmission by aerosols. Now, some countries have even put forth a full pandemic ventilation guides.

“The risk of inhalation exposure to the virus reduces the farther away one is from the virus emitter, but in enclosed spaces with low humidity, the virus can stay airborne and be carried by air currents long distances away from the source,” said Lednicky. “Many health agencies have failed to properly assess the danger posed by airborne SARS-CoV-2.”

“It is less contagious than measles but more contagious than tuberculosis, both of which are also airborne,” Jiminez added. “[Agencies] seem to fear that acknowledging it would cause fear and panic. But what really causes fear and panic is a pandemic that is out of control in many places, precisely because they are not telling people how the virus is transmitted, so that people can’t protect themselves.”

Source: Coronavirus likelier in air we breathe than surfaces touched — what scientists say we got wrong


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jimmy m
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22 Jan 2021, 9:15 am

Nursing Home Deaths

While heart disease and diabetes have been touted as among the most frequent co-morbidities, when the numbers are parsed, dementia and other mental health disorders claim more prominence as risk factors in the elderly.

Different countries report vastly different nursing home mortality rates. Deaths associated with patients in senior-care centers accounted for 40% of US COVID-19 deaths, 50% in Sweden, 62% in Ireland, and 80-85% of deaths in Canada -- compared to Singapore, where only 8% of deaths occurred in nursing homes. This intercountry variation is so large that Nature could not discount the importance of nursing home residence in their calculus of the significance of age in COVID-19-related deaths over 65.

"More than 134,200 people … died from Alzheimer's and other forms of dementia since March. That is 13,200 more U.S. deaths caused by dementia than expected, compared with previous years…People with dementia are dying not just from the virus but from the very strategy of isolation that's supposed to protect them. In recent months, doctors have reported increased falls, pulmonary infections, depression and sudden frailty in patients who had been stable for years. Social and mental stimulation are among the few tools that can slow the march of dementia . . . . Most residential care homes reported that the lack of social contact … coupled with the loss of care and stimulation provided by visitors the increased cognitive impairment and onset of depression which "caused them [the residents]… to … stop eating and drinking."

Source: COVID-19: Linking Age, Race, Nursing Homes, And Dementia


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22 Jan 2021, 10:02 am

Interesting development I just found on Facebook...
Image



jimmy m
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22 Jan 2021, 11:19 am

Cycle Count in PCR Tests

PCR (polymerase chain reaction) testing is successful in identifying organisms that cannot be grown in vitro or in situations where current culturing techniques lack sensitivity and/or require prolonged incubation periods Other testing methods, such as culture or serology, often do not match the level of sensitivity or timeliness of molecular testing. In some cases, alternative methods may increase the risk of false negatives or incorrect results in critical testing situations where fastidious pathogens may be difficult to grow or immune responses difficult to detect.

While the recent appearance of antigen tests has added to the panel of diagnostic solutions for COVID-19, RT-PCR has been the gold standard diagnostic approach since the beginning of the pandemic. Several of the COVID-19 RT-PCR solutions available on the market provide Ct (cycle threshold) values as part of their results data, and experts argue that these could be used as a semi-quantitative proxy for viral load in the absence of quantitative assays.

While PCR testing and Ct values can offer a deeper insight during the diagnostic process, they are not without limitations; perhaps the most important of which is the inherent inability to distinguish between live and dead organisms. The exquisite sensitivity of PCR allows for the detection of minute quantities of nucleic acid; however, this does not always correlate with the presence of live organisms. The assay will amplify nucleic acid from dead microbes as readily as from living. As dead organisms can be shed for weeks after recovery, a recovering patient might have the same positive test result as an actively infected patient. It is important to be able to distinguish between these two patients, as the positive test from the recovering patient may have no clinical relevance, while the actively infected patient may require treatment.

Source: The role of cycle threshold values in infectious disease diagnostics

So the way I read the article is that PCR testing can determine if a person is in an active viral state or if the person had the virus and is no longer infected. This difference can be seen in the following graph in relationship to a specified threshold value.

Image

So a statement that "the current cycle was much too high and resulting in any particle being declared a positive case", does not seem to be valid IMHO. But maybe someone with more expertise in this area might chime in.

It is the means of separating out those who have the virus from those who had the virus.


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jimmy m
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22 Jan 2021, 12:21 pm

Here is the latest updates:

Progress of COVID Inoculations

According to the coronavirus vaccine tracker, the U.S. has now administered 18.45 million vaccine doses.

Globally 56.74 million vaccinate doses have been given with the U.S., China and U.K. in the top three positions. The U.S. and China are vying for first place. In this update, many other countries are starting to show up on the scoreboard. I expect India will make its presence known shortly and will be a top contender. In the last week India went from a vaccination rate of 0.01 to 0.06 per hundred people. This is a minuscule percentage but in terms of actual people it amounts to 806,484 people. As a result they just passed Russia on the scoreboard.

Source: COVID-19 Vaccine Tracker


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jimmy m
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22 Jan 2021, 1:16 pm

I was watching a South Korean television station called ARANG a few minutes ago. It is interesting to get a different perspective on COVID response. In the program they highlighted an inflatable field hospital [inflatable isolation ward]. It was the size of a basketball court [450 square meters or 4,800 square feet] and had negative pressure rooms for each patient room. It is highly portable and can be placed into commission in less than one day. The mobile facility is developed by CHO Min-su of the Korean Institute of Radiological and Medical Sciences.

Image

According to one article:

* The rooms use a ventilation system that creates negative pressure to allow air to flow into the isolation room and be channelled out safely, helping prevent the spread of airborne pathogens.

* The mobile clinic modules are large greenhouse-like inflatable tents, which the institute said cost a fifth of the price of building a conventional hospital ward.

Source: S.Korea unveils inflatable isolation ward for COVID-19 patients


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22 Jan 2021, 3:06 pm

Covid variant found in UK may be more deadly than others, says Boris Johnson

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The new Covid-19 variant first detected in the UK may be more lethal than previous strains, according to the country's Prime Minister Boris Johnson.

"We've been informed that in addition to spreading more quickly... there is some evidence that the new variant... may be more associated with a higher degree of mortality," Johnson said at a news conference on Friday.

"Both the vaccines we're currently using remain effective both against the old variant and this new variant," he added.

The UK's chief scientific adviser, Patrick Vallance, elaborated on the evidence.

Vallance said patients who were hospitalized with the new variant did not appear to have a higher risk of dying compared to those hospitalized with the original form of the virus.

"However, when data are looked at in terms of... anyone who has tested positive there is evidence that there is an increased risk for those who have the new variant," he added.

Vallance added that the evidence was not yet strong and that the data remained uncertain.


Emerging evidence suggests new coronavirus variant could be problematic for vaccines
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As researchers around the world race to see if new coronavirus variants will pose a problem for the vaccines, a second study in two days says a variant from South Africa could possibly do just that.

The variant was first spotted in South Africa in October and has now been found in more than a dozen countries.

In both studies, the work was done in the lab and not in people, so more research is needed to gauge the true threat of the new variant.

In the most recent study, which was small, researchers took antibodies from six people who were hospitalized with Covid-19 before the new variant was discovered. They found to varying degrees, that antibodies for all six of the survivors were unable to fully fight off the virus.

"I think the evidence is building that these mutations -- and I think other mutations -- will emerge across the globe -- and are emerging already -- that are escaping antibodies from previous infection," Alex Sigal, a virologist at the Africa Health Research Institute and the Max Planck Institute for Infection Biology, told CNN. "It's concerning."

It's unclear whether this means someone would be vulnerable to the new variant if they'd already had Covid-19, or what this might mean for people who've been vaccinated.
Sigal's findings were very similar to those of a study released Tuesday by the National Institute for Communicable Diseases in South Africa.

"When you see two groups independently arriving at same basic answer, that good -- there's more consonance that they are correct," said Jesse Bloom, a virologist at the Fred Hutchinson Cancer Research Center.


NY could run out of COVID vaccine today, as NYC considers tapping into '2nd dose' supply
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Officials say New York could run out of COVID vaccine supplies as early as Friday.

Thousands of appointments have been cancelled, and now questions are being asked about those second doses.

So far about half a million New Yorkers have gotten their vaccine.

But with 97 percent of the state's vaccine supply now exhausted, both the city and the state are on pace to run out of vaccines.

At a Friday briefing, Gov. Cuomo said the state would run out of the allocations it has received so far by the end of the day.

Due to the shortage, city locations have already canceled or postponed 23,000 appointments.

Fifteen vaccine hubs citywide will remain closed until Sunday.


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jimmy m
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22 Jan 2021, 8:39 pm

The pace of the vaccinations is really picking up. I check the numbers at 1:21 today and now 7 hours later almost 4 million more people have been vaccinated.

Progress of COVID Inoculations

According to the coronavirus vaccine tracker, the U.S. has now administered 19.84 million vaccine doses.

Globally 60.31 million vaccinate doses have been given with the U.S., China and U.K. in the top three positions. The U.S. and China are vying for first place. In this update, many other countries are starting to show up on the scoreboard. I expect India will make its presence known shortly and will be a top contender. India has now vaccinated over a million people.

Source: COVID-19 Vaccine Tracker


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23 Jan 2021, 7:30 am

Globally over 2.1 million people have died from the Corona Virus.
America leads the death totals with 424,000 deaths and on track to reach 500,000 deaths in February.
Brazil has 200,000+ deaths. Mexico and India both have 150,000+ deaths.
The global cases of Corona Virus will pass 100 million cases within 2 or 3 days.
The deadly UK strain is spreading the virus at a much faster rate and more cases ultimately leads to more deaths as hospitals fail to cope with increased caseload.



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23 Jan 2021, 9:02 am

I am noticing a a weird pattern among the acquaintances I know who got infected:
- Both parents and grandmother of an old classmate’s husband, all the 3 died within the same week.
- Parents of a acquaintances I know, both died within same week.
- There’s news of siblings dying with the same infection, few days apart.

I am starting to wonder why it is so mild on most yet very deadly on some; killing more than one member of the same family. They say maybe it is a matter of genetics or blood type; yet those old couples often weren’t blood related tho.

Officially there’s only 3 strains detected, I read the initial viral load (number of viruses) makes a difference too; if it is too high in the first day your body gets overwhelmed quickly.

It is scary how it gets so deadly to some and still little known why.



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23 Jan 2021, 9:42 am

The_Face_of_Boo wrote:
I am noticing a a weird pattern among the acquaintances I know who got infected:
- Both parents and grandmother of an old classmate’s husband, all the 3 died within the same week.
- Parents of a acquaintances I know, both died within same week.
- There’s news of siblings dying with the same infection, few days apart.

I am starting to wonder why it is so mild on most yet very deadly on some; killing more than one member of the same family. They say maybe it is a matter of genetics or blood type; yet those old couples often weren’t blood related tho.


Conoravirus infections spread very easily between family members because of their close physical contact. In general people let their guard down when they are inside their home. If one member contracts the virus, other members of the household become infected. Homes are indoor spaces and the virus is spread primarily indoors.

There are many things one can do to reduce the indoor threat within the home. These include ventilation, using UVC sanitizers in the HVAC ductwork to kill the virus and reduce the overall viral load. Install HEPA filter in the home. Use stand alone UVC or HEPA filters. Maintain humidity levels above 40% RH. If someone within the household shows symptoms wear an N95 mask. And many other approaches.


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Last edited by jimmy m on 23 Jan 2021, 9:58 am, edited 1 time in total.

jimmy m
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23 Jan 2021, 9:54 am

There are several variants of COVID. These include the U.K. variant, the South African variant and the Brazil variant.

There was a report published the other day that said that the U.K. variant was more deadly. What the report said was:

Patrick Vallance told a news conference that "there is evidence that there is an increased risk for those who have the new variant." He said that for a man in his 60s with the original version of the virus, "the average risk is that for 1,000 people who got infected, roughly 10 would be expected to unfortunately die." "With the new (U.K.) variant, for 1,000 people infected, roughly 13 or 14 people might be expected to die," he said. But Vallance stressed that "the evidence is not yet strong."

So essentially the trend data is fairly weak and the increase in lethality is not great.

But the article then went on to say:

But Vallance said scientists are concerned that variants identified in Brazil and South Africa could be more resistant to vaccines.

If the vaccines that are coming online prove ineffective or less effective at preventing transmission for those two variants then the world is in big trouble. If the natural immunity that individuals receive after being infected and surviving the original virus disappears for these two variants, then the world is in big trouble. This is the current threat and cause for concern.

UK chief scientist says new virus variant may be more deadly


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jimmy m
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23 Jan 2021, 11:49 am

China is Expanding Current Lockdown to Parts of Hong Kong

Officials placed 10,000 residents under COVID-19 lockdown Saturday in a crowded district in Hong Kong. Secretary for Home Affairs Tsui Ying-wai said 3,000 civil servants were deployed in the Jordan area of the Yau Tsim Mong district of Hong Kong to test the 10,000 residents amid the lockdown. Officials sealed off about 200 buildings in the district from 4 a.m., the South China Morning Post reported.

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Peter Parks/AFP via Getty Images

Source: COVID-19: Government declares lockdown in Hong Kong


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23 Jan 2021, 11:56 am

jimmy m wrote:
There are several variants of COVID. These include the U.K. variant, the South African variant and the Brazil variant.

There was a report published the other day that said that the U.K. variant was more deadly. What the report said was:

Patrick Vallance told a news conference that "there is evidence that there is an increased risk for those who have the new variant." He said that for a man in his 60s with the original version of the virus, "the average risk is that for 1,000 people who got infected, roughly 10 would be expected to unfortunately die." "With the new (U.K.) variant, for 1,000 people infected, roughly 13 or 14 people might be expected to die," he said. But Vallance stressed that "the evidence is not yet strong."

So essentially the trend data is fairly weak and the increase in lethality is not great.

But the article then went on to say:

But Vallance said scientists are concerned that variants identified in Brazil and South Africa could be more resistant to vaccines.

If the vaccines that are coming online prove ineffective or less effective at preventing transmission for those two variants then the world is in big trouble. If the natural immunity that individuals receive after being infected and surviving the original virus disappears for these two variants, then the world is in big trouble. This is the current threat and cause for concern.

UK chief scientist says new virus variant may be more deadly

If the worst does happen we face stark choices both society and individuals.

Some sort of lockdowns and social distancing becoming permanent and the resulting drag on the economy and mental health. We would continue to adapt but I can not envision adapting to a point that the “new normal” would be as mentally healthy and productive as the old one.

Let the disease and natural herd immunity do their things. That would mean accepting overt ableism and ageism. Sickness, death, grieving will be permanent drags on mental health and the economy.

Unfortunately we probably will choose the worst of both worlds or not choose at all due to division of opinion and political instability becoming greater over this fundamental choice.


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