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*** OFFICIAL *** COVID-19 CoronaVirus Thread. Fresh epidemic fears as child pneumonia cases surge in Europe after China outbreak. NOW in USA (2 Viewers)

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This has always been true ... but I think generally overlooked. Viral load is what accounts for all those "mysterious" cases of "young, healthy" doctors and nurses getting sick and even dying from COVID.

I think "sound bite" folks think "One virus up your nose ... and it's straight to the ventilator!" Not so, and so far as I know ... a few stray viruses pretty much won't sicken anyone short of a person suffering severe immunodeficiency -- and I mean more than just "over 60 + high blood pressure".
See this is the kind of thing I need to read and take to heart.  After getting groceries today, I swear I have washed my hands a dozen times.I am going to worry myself sick vs getting this virus.

 
This topic is controversial. IMO In an ideal world, all HCW with direct patient contact would be wearing N95s, until we fully elaborate the degree to which aerosol transmission occurs. There are studies linked in this thread which prove the virus can remain aerosolized under experimental conditions, and environmental surveys which suggest the same. But we're not sure if the amount that is aerosolized represents an adequate inoculum to cause infection under normal circumstances, in a normal host.

On the other hand, epidemiologic studies suggest the lion's share is spread through droplets and fomites (like other coronaviruses), and properly worn surgical masks + good hand hygiene should mitigate most risk if directly exposed. The idea that it is spread through breathing and talking needs further study, but probably isn't a common mode of transmission. I agree with gianmarco that there would probably be a lot more people infected if this were the case, but maybe we'll find out the bulk of asymptomatic/mildly symptomatic people acquired it this way.

WHO and CDC recs are partially based on science, partially on resource availability. But nobody is truly an expert on this disease/virus, as the science is rapidly evolving. 
On a sort of related note, I'd like to know if being exposed to a small viral load and  getting an asymptomatic or mild version generates enough antibodies to then be as immune to further infection as someone who has more major symptoms.

 
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I sort of get the run on TP. What's the deal with the paper towels though? Every one of us has old shirts and #### that easily become rags. In fact, we should all do that anyway and reduce if not eliminate our paper towel usage
The best guidance after washing your hands is to dry off with paper towels so you can throw them away, not on a t-shirt that is going to be reused.

 
On a sort of related note, I'd like to know if being exposed to a small viral load and  getting an asymptomatic or mild version generates enough antibodies to then be as immune to further infection as someone who has more major symptoms.
Yeah, I have the same question.  About a week ago, my daughter (who has a mild case of asthma) started coughing a bit.  Then my son (who NEVER gets sick... like ever) started coughing too.  Then my wife felt like crap for a day.  Wonder if we all had "it" and just fought it off.  

 
End-of-day update on Covid worldometers: New cases again steady (linear) at around 75,000.  I'm sure it's been discussed in recent pages that we're over 1M.  Reported deaths increased, but that can be attributed to a big jump for France, which as discussed above, apparently added the cumulative amount from nursing homes.  U.S. also steady in new cases despite hot spots like Louisiana.  

Some concerns - India has been increasing at 20%+ per day.  If they 'take off' ...oof.  Kenya had a big jump (on a low base).   This morning's Chicago Trib had an article on sub-Saharan Zimbabwe and the challenges for a country like that: People need to scrape and hustle for food and to make a living in some manner, so they can't just socially distance.  

 
Ignoratio Elenchi said:
When you guys talk about wearing masks when out in public, is that only when going somewhere with a bunch of other people (e.g. grocery stores)?  I go for long walks 1-2x a day around my town just to get some fresh air and scenery, I don't pass many other people while I'm out and when I do we always give a wide berth so I'm never within 6 feet of anyone the entire time. Any real reason for me to be wearing a mask while doing that?
If you are not within 6 feet there isn't a need to wear a mask, thus the 6 feet rule.  I can count the number of people I see at the grocery store with masks on with one hand.  Most people aren't.   I don't.  I just make sure not to stand next to people and let them cough on me.  

 
Received today.  Not a gel like Purell, and doesn't smell great... but I feel good knowing I have it on hand.
:thumbup:

Got mine today, too.  I wasn't going to order it at first, because we do have a little bit of Purell and don't use it much (we don't leave the house much at all other than walks, so just use a lot of soap and water).  But then I realized that there's eventually going to be a point where we're consistently leaving the house again and will probably use a ton at that point.

Anyway, I had the same two reactions.  First, you notice that it's totally liquid instead of gel. And the smell is kind of weird.  But it's still much better than one of the bottles of gel we have that smells really strong.  I swear I washed the dishes a while after using that and still had the smell on my hands afterwards.  The smell from this one doesn't linger so much.

 
Those are the licensed professionals from out of state

Overall there 80,000 new volunteers have gone to hospitals & asked what they can do to help out

(per daily Cuomo briefing today)
Wow. These events really do bring out the best. I'd be scared ####less to go into a hospital right now, especially in NY.

 
End-of-day update on Covid worldometers: New cases again steady (linear) at around 75,000.  I'm sure it's been discussed in recent pages that we're over 1M.  Reported deaths increased, but that can be attributed to a big jump for France, which as discussed above, apparently added the cumulative amount from nursing homes.  U.S. also steady in new cases despite hot spots like Louisiana.  

Some concerns - India has been increasing at 20%+ per day.  If they 'take off' ...oof.  Kenya had a big jump (on a low base).   This morning's Chicago Trib had an article on sub-Saharan Zimbabwe and the challenges for a country like that: People need to scrape and hustle for food and to make a living in some manner, so they can't just socially distance.  
Good post. The U.S. still isn’t doing it right though is a takeaway there. Look at GA, FL and unbelievably there are still states that don’t have stay at home orders. What in the actual F are we waiting for to do this?

 
Personally, if you are not wearing a mask when you are at the grocery store or anywhere public you are taking a risk that just not may be worth it in the end. We still don’t know enough a about this virus. Why take the chance? 

 
shader said:
Whoa, Florida reported 209 deaths today.  Only had 101 total deaths previously
Good News: That was a mistake on worldometers that they have since fixed.

Bad News: Including the evening update, it was still a sizable jump of 43 deaths today up to 144. New cases increased 1235 today up to a total of 9008.

 
Ventured into the wild today

Hit the beer distributor first. Wasn’t very busy. The 3-4 women that work there (middle aged) were about 2 ft apart talking and laughing and having a good time. Paid and got out asap

Next stop was to pickup our first takeout food in weeks. Our favorite Italian spot.

Exact opposite experience there. Sanitizing wipes outside the door. Tables and chairs moved to create a larger space inside the door. 
A stack of printouts on table inside the door recommending to move the food to my own plates when I got home instead of eating out of the to go packaging,  move the packaging to the outside trash ASAP and sanatize the area where I put the box at home ASAP. 
 

Loved that.

Food was great too 👍

 
Ventured into the wild today

Hit the beer distributor first. Wasn’t very busy. The 3-4 women that work there (middle aged) were about 2 ft apart talking and laughing and having a good time. Paid and got out asap

Next stop was to pickup our first takeout food in weeks. Our favorite Italian spot.

Exact opposite experience there. Sanitizing wipes outside the door. Tables and chairs moved to create a larger space inside the door. 
A stack of printouts on table inside the door recommending to move the food to my own plates when I got home instead of eating out of the to go packaging,  move the packaging to the outside trash ASAP and sanatize the area where I put the box at home ASAP. 
 

Loved that.

Food was great too 👍
Went to the Italian place near me for takeout last night.  25% off a bottle of wine with any takeout order.  They arranged the tables so you could walk in the door and that’s it.  Bottle of sanitizer on the table and a card machine.  No cash.  Food was bagged and on a different table to the side.  Ran my card and he used a pair of kitchen tongs to hand me the receipt to sign.  Never got anywhere near me.   These guys have family in Italy, so they’re taking it seriously.

 
Went to the Italian place near me for takeout last night.  25% off a bottle of wine with any takeout order.  They arranged the tables so you could walk in the door and that’s it.  Bottle of sanitizer on the table and a card machine.  No cash.  Food was bagged and on a different table to the side.  Ran my card and he used a pair of kitchen tongs to hand me the receipt to sign.  Never got anywhere near me.   These guys have family in Italy, so they’re taking it seriously.
Il Lucano?

 
Every dinner time, the family gathers around and shares their coronavirus stories that they’ve read. It’s amazing how inaccurate most of them are, but I just stay silent. :lmao:

 
23:32: Brazil’s health ministry has determined that a 75-year-old woman who died on January 23 was infected with coronavirus, more than a month before South America’s first confirmed case.

 
Non-China Reported Cases

2/7 - 277 reported cases

2/12 - 490 reported cases

2/17 - 893 reported cases -  5 dead 

2/22 - 1,834 reported cases - 19 dead

2/26 - 3,650 reported cases - 57 dead

2/29 - 7,155 reported cases - 109 dead - USA 68 cases - 1 dead

3/5 - 17,353 reported cases - 344 dead - USA 210 cases - 12 dead

3/9 - 33,303 reported cases - 881 dead - USA 628 cases - 26 dead

3/13 - 64,567 reported cases - 2,239 dead - USA 2,269 cases - 48 dead

3/18 - 138,059 reported cases - 5,715 dead - USA 9,301 cases - 152 dead

3/22 - 255,584 reported cases - 11,350 dead - USA 33,346 cases - 414 dead

3/27 - 514,956 reported cases - 24,048 dead - USA 104,126 cases - 1,695 dead

3/28 - 581,528 reported cases - 27,551 dead - USA 123,428 cases - 2,211 dead

3/29 - 640,507 reported cases - 30,666 dead - USA 142,047 cases - 2,484 dead

3/30 - 702,911 reported cases - 34,476 dead - USA 163,479 cases - 3,148 dead

3/31 - 777,151 reported cases - 38,846 dead - USA 188,530 cases - 3,889 dead

4/1 - 852,910 reported cases - 43,863 dead - USA 214,482 cases - 5,093 dead

4/2 - 932,707 reported cases - 49,664 dead - USA  244,320 cases - 5,897 dead 

https://docs.google.com/spreadsheets/d/1-J_vry7rclLIGooJ-Cu7OFH8rRRjB51lz1iGkwcTETc/edit#gid=0

 
Fauci on in a minute on cnn.
“Data trumps models”

Seeing what’s happening in Hong Kong, Japan & ROK, we’ve got to be careful when we reopen the country

Def gonna be a second wave in the fall; but almost certainly will be a re-emergence if we relax social distancing too soon

 
“Data trumps models”

Seeing what’s happening in Hong Kong, Japan & ROK, we’ve got to be careful when we reopen the country

Def gonna be a second wave in the fall; but almost certainly will be a re-emergence if we relax social distancing too soon
The last question addressed this. No all clear. Curve needs to be down enough nationwide and there has to be the ability to test as needed (I'm assuming antibody too), quarantine, and contact trace. This will be a long ways away imo seeing how it seems to be a cluster #### getting every state what they need. 

 
The last question addressed this. No all clear. Curve needs to be down enough nationwide and there has to be the ability to test as needed (I'm assuming antibody too), quarantine, and contact trace. This will be a long ways away imo seeing how it seems to be a cluster #### getting every state what they need. 
This seems so far off right now. Agreed there has to be a strategy before we get there.

Cuomo speaks daily about “we’re still going up the mountain” - the trend of the curve is increasing - and “the battle is at the mountaintop”, e.g., the apex of the curve. The unknown question is whether the hospital system will be over stressed at that point.

The models differ if we plateau after the apex or if we see a drop and then a plateau. My concern is how well our PPR supplies & especially ventilators hold up in 7-21 days (NY only - other states & communities will have the same battle but at a later date.)

 
if someone sneezes right on my can of tuna, and I go handling that can right away ... that's potential fomite transmission. But that's essentially a contrived situation. It seems like, rather, in the general run of life ... statistically, very few contagious people (with any illness) have recently handled food on the grocery shelves, or have recently handled your mail, or whatever. Sure, there's a non-zero chance -- but not something on which we bothered spending mental energy the recent past.

I think a lot of the "Lasts for nine days on surfaces! And a cool 17 days on a cruise ship!" is going to go away, too. Things just aren't the same in a lab as they are in real life (and on the cruise ship they found viral remnants, not actual viruses). 
Um, I hesitate to engage on this, and I have only been off my property twice in 15 days, but it seems like fomites are an issue worth avoiding. There's nothing wrong with being extra cautious, wiping down things before bringing them in. My understanding is they have twice the have life of sars2 on cardboard, which is how near everything in a grocery store is delivered. WHO said this:

Transmission may also occur through fomites in the immediate environment around the infected person.8 Therefore, transmission of the COVID-19 virus can occur by direct contact with infected people and indirect contact with surfaces in the immediate environment or with objects used on the infected person (e.g., stethoscope or thermometer). 
First time I wore mask and gloves was a failure because... I did it wrong. Second time if nothing else it stopped me from touching my face, and comforted me to wipe everything down. :shrug:

 
Czech Republic went from 0% to 100% mask usage in 10 days and brought their numbers well under control in about 14 days. They didn't do it by distributing masks to all or by their citizenry buying masks online. They did it primarily by making masks at home and then not leaving the house without them. We could start tomorrow and see people stop dying in just two short weeks. I don't know if I'm more angry or depressed.

 
Czech Republic went from 0% to 100% mask usage in 10 days and brought their numbers well under control in about 14 days. They didn't do it by distributing masks to all or by their citizenry buying masks online. They did it primarily by making masks at home and then not leaving the house without them. We could start tomorrow and see people stop dying in just two short weeks. I don't know if I'm more angry or depressed.
Mannnnn... dag'gum Guvmint ain't tellin me what ta do. I ain't wearin no mask... just like I ain't wearin no motorbike helmet. I ain't no #####."

 
This seems so far off right now. Agreed there has to be a strategy before we get there.

Cuomo speaks daily about “we’re still going up the mountain” - the trend of the curve is increasing - and “the battle is at the mountaintop”, e.g., the apex of the curve. The unknown question is whether the hospital system will be over stressed at that point.

The models differ if we plateau after the apex or if we see a drop and then a plateau. My concern is how well our PPR supplies & especially ventilators hold up in 7-21 days (NY only - other states & communities will have the same battle but at a later date.)
Looking at Italy it appears cases plateau. I had hoped with all measures in place there the case numbers would be decreasing but they are holding steady (though below the peak). 

 
If you are not within 6 feet there isn't a need to wear a mask, thus the 6 feet rule.  I can count the number of people I see at the grocery store with masks on with one hand.  Most people aren't.   I don't.  I just make sure not to stand next to people and let them cough on me.  
I think a grocery store may merit a mask although I have gone a few times without one.  I feel like I have been much closer than 6ft with people when there. 
 

I also think the likelihood of contracting this from delivered food and packages/mail is pretty slim. But it doesn’t hurt to leave them outside a while, leave them in the garage overnight, and then wash your hands well after each time you handle them. 

 
:hifive:

All that map shows is when stay at home orders went into place, not how people are abiding.  If you look at the counties in NC where the orders went into place on the 25th to 28th, they all are white like the NE counties.  

Furthermore, how do counties have 0% travel?  First responders and medical staff are still going to work and presumably own cell phones.

 
Czech Republic went from 0% to 100% mask usage in 10 days and brought their numbers well under control in about 14 days. They didn't do it by distributing masks to all or by their citizenry buying masks online. They did it primarily by making masks at home and then not leaving the house without them. We could start tomorrow and see people stop dying in just two short weeks. I don't know if I'm more angry or depressed.
Doesn’t just about everyone in China wear a mask?

Im asking because I really don’t know 

 
I think a grocery store may merit a mask although I have gone a few times without one.  I feel like I have been much closer than 6ft with people when there. 
 

I also think the likelihood of contracting this from delivered food and packages/mail is pretty slim. But it doesn’t hurt to leave them outside a while, leave them in the garage overnight, and then wash your hands well after each time you handle them. 
For me, mask is on whenever I'm around people in public... which is very rare. Using Shipt (groceries), and amazon/Walmart for everything.

Hitting the liquor store tomorrow to grab more beer, champagne, and wine.. will wear one. 

Don't wear one when our walking/jogging. 

Our home life is absolutely "normal" in that we aren't behaving any differently once home (washing hands more than normal, etc). Same when relaxing in the yard, grilling, etc. 

We DO open all packages in the garage. We don't bother sanitizing contents. We DO sanitize the surface we open them on periodically and wash our hands after opening, 

We DO open all groceries on one "dirty" counter and transfer to a "clean" counter. Then dispose of bags, sanitizer counter and wash hands. All produce is washed, 

Frankly it's becoming kinda fun. She works in the office, I work in the living room so I can watch the news/market. I prep a brunch daily at 11am (her choice).

We go for a 45min walk/jog nightly at 5 then I prep dinner. We'll watch movies/TV, play cards, etc nightly. Some nights we are watching live streams of bands. 

Shes drinking a couple glasses of Wine per night. I'm not drinking much at all. Couple drinks a couple nights a week, might hit my vape pen or have a gummy once or thrice a week. 

I have a good buddy who comes by maybe once a week for drinks. Keeps his distance and is being very careful himself. He's solo and lonely... we get after it drinking on those nights.
 

We're ordering takeout or delivery from family owned local restaurants every Friday night, and may expand it to twice a week to try to help support them more. 

We're lucky in that both our jobs seem pretty stable. We both enjoy our jobs and can work very effectively remotely, possibly more so. We're saving a good bit of cash through this. 

Overall it's been pretty easy, honestly. It's like a mini vacation, I miss sports, hitting bars with my buddies, cookouts, Hitting the casino, going out to eat. I have several group text threads with various circles of close friends that are very active and filling some of that social gap. 

That said it's really not a huge sacrifice to do our part to help stop this. 
 

 
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Czech Republic went from 0% to 100% mask usage in 10 days and brought their numbers well under control in about 14 days. They didn't do it by distributing masks to all or by their citizenry buying masks online. They did it primarily by making masks at home and then not leaving the house without them. We could start tomorrow and see people stop dying in just two short weeks. I don't know if I'm more angry or depressed.
What kind of mask can you make at home that protects you?

 
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