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Coronavirus Cases Are Accelerating Across U.S.

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For those of you who, like me, like data visualized in pretty pictures. This is a great graphic that illustrates how community spread works (and why we're seeing spikes post-"re-opening".) Shared from the Catawaba Co, NC governmental FB page. (Catawba is a fairly rural community, near the mountains in the west of NC.)

The good news from my EM calls today? The numbers of COVID cases hospitalized in the county where I work are almost half of what they were a week ago. ICUs are still near/at capacity, but mostly with other, non-COVID cases. There are less folks on ventilators, too, because they've been using other treatment options (like remdesivir.)

107698774_10158283516507211_4799963093957940358_o.jpg
 
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TravelTime said:
It seems to me that the best way to track these cases would be to record them wherever the testing occurred or where the death occurred, not where they caught it or what state they reside in.
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So, a thousands spring-breakers catch Covid-19 in FL, fly home, and are tested positive for Covid-19 in their Home State. How does it make any sense to record these cases in the Home State versus the hotspot source of FL?
 
CO skier said:
So, a thousands spring-breakers catch Covid-19 in FL, fly home, and are tested positive for Covid-19 in their Home State. How does it make any sense to record these cases in the Home State versus the hotspot source of FL?
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How would you record them in FL if they are not tested in FL?
 
CO skier said:
So, a thousands spring-breakers catch Covid-19 in FL, fly home, and are tested positive for Covid-19 in their Home State. How does it make any sense to record these cases in the Home State versus the hotspot source of FL?
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Which state is providing medical care for them? How would it make sense to record the cases for a different state?


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CO skier said:
So, a thousands spring-breakers catch Covid-19 in FL, fly home, and are tested positive for Covid-19 in their Home State. How does it make any sense to record these cases in the Home State versus the hotspot source of FL?
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Unfortunately this is happening all across the US. Being state to state travel is so easy and open this will happen over and over. A friend just went back to NJ from her home in SC, driving. Her family could bring it back to NJ not knowing. If her family or another then spread it wouldn’t all those cases technically be because of SC. Just impossible to keep tally of each case from state origin.
 
That's very true. You know the date when the symptoms first show however, contraction of the virus could have occurred any time within a 1-14 day period prior. Do you know where the person was each day of that two week period? And if multiple places, which point was the virus contracted? Good luck.
 
WVBaker said:
That's very true. You know the date when the symptoms first show however, contraction of the virus could have occurred any time within a 1-14 day period prior. Do you know where the person was each day of that two week period? And if multiple places, which point was the virus contracted? Good luck.
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This assumes you are not one of the 30% to 40% that are asymtomatic. So you spread it and never know you have it.
 
From a Los Angeles nurse:

I'm heading into work tonight expecting 4 out of my 4 patients to die. For my medical friends, I'm caring for 4 Covid patients all on ventilators, all on levophed/propofol drips NOT on continuous monitoring because they're not actually in an ICU (the ICU is at capacity). They're in a converted maternity unit and I'm by myself. No monitor tech, one EMT for the whole floor. If I'm not constantly in the room, I have no idea what their vitals are. I can't sit down, I can't stop at the computer station to chart. I spend an hour or two at the end of every shift trying to reconstruct some semblance of charting from scraps of paper with scribbled notes shoved into my scrub pockets. And that's only IF the oncoming nurse accepts my patients (2 of them have refused, so I have to stay after my 12 hr shift until the hospital can locate someone willing to accept responsibility for them. (It's no one's fault, we're all just trying to keep people alive) 2 of my patients have already had multiple codes, 1 has a blood pressure of 70/20 maxed out on pressors and 1 is DNR. I don't even have time to speak with the family. Some family members barely know what hospital their loved one is at. All of these patients were flown in from other overwhelmed California hospitals. I can't even take their calls because if I do, I might miss a dropping heart rate. I feel horrible about it. On Monday we will have some relief when a new group of travel nurses arrive. Until then, I'm just trying to do my best in this nightmare. No amount of "you're a hero" sentiment can ever erase the trauma of these past few days. Stay home, wear a mask, social distance. This is real and it sucks.
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Pre-existing immunity to SARS-CoV-2: the knowns and unknowns

Pre-existing immunity to SARS-CoV-2: the knowns and unknowns - Nature Reviews Immunology

Recent studies have shown T cell reactivity to SARS-CoV-2 in 20–50% of unexposed individuals; it is speculated that this is due to T cell memory to common cold coronaviruses. Here, Crotty and Sette discuss the potential implications of these findings for disease severity, herd immunity and...
www.nature.com www.nature.com
 
Ken555 said:
From a Los Angeles nurse:




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What is not mentioned is that this is generally exactly how all ICU nurses deal with ICU patients who DO NOT have COVID on a daily basis, prior to COVID outbreak, and currently, most of whom in ICU do not have COVID. Maybe not so much the anecdotes about lack of staffing, but types of patients, and outcomes the same, regardless of all the heroic intervention.

ICU is the last place you want to be, and for many if not most that end up there, the last place they will ever be.
 
DannyTS said:
Dr. Atlas: Coronavirus surges linked mostly to protests -- and proximity to US-Mexico border


www.foxnews.com

Dr. Atlas: Coronavirus surges linked mostly to protests -- and proximity to US-Mexico border

The recent surges in U.S. coronavirus cases can be traced to two key factors -- crowds of protesters and proximity to the U.S.-Mexico border, Dr. Scott Atlas, a senior fellow at The Hoover Institution, said Saturday night.
www.foxnews.com www.foxnews.com
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An MRI expert from a conservative think tank in a fox news opinion piece with no data is our expert now.

It has been widely reported that border hospitals are seeing a lot of Americans crossing the border to get health care but there is no data to support the second theory. We have been over this adnauseam. If you have no new data lets not go through this again.
 
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bluehende said:
An MRI expert from a conservative think thank in a fox news opinion piece with no data is our expert now.

It has been widely reported that border hospitals are seeing a lot of Americans crossing the border to get health care but there is no data to support the second theory. We have been over this adnauseam. If you have no new data lets not go through this again.
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The mayor of LA and the Director of Public Health Dr Barbara Ferrer said the same. But it must be fake news indeed, we all know that the protesters are immune to the virus.

www.dailymail.co.uk

Los Angeles mayor admits protests caused a spike in coronavirus cases

During a press conference, LA Mayor Eric Garcetti admitted health officials have determined that recent protests may have contributed to a spike in coronavirus cases in the city.
www.dailymail.co.uk www.dailymail.co.uk


If you had to point out that he is a conservative, you may want to do the same with all the sources you quote from either side. Unless of course it is only important when you do not agree with what they say.
 
bluehende said:
An MRI expert from a conservative think tank in a fox news opinion piece with no data is our expert now.

We have been over this adnauseam. If you have no new data lets not go through this again.
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You do understand that there is no requirement to participate. :ponder:
 
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