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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 (11 Viewers)

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NY - Cuomo - All local governments to reduce workforce by 50% , through WFH or whatever needs necessary to non -essential personel.

 
Robert Stein @BobStein_FT

Best guess now for real GDP growth in 2020:

Q1 +1.5%

Q2 -10.0% (not a typo)

Q3 +4.5%

Q4 +5.0%
One analyst, but you can check out his bio on Twitter.  Not some rando.  Will be a massive hit.  Fed's already done what it can by cutting rates to zero.  Will need substantial safety net spending ASAP to help offset this.

 
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You spend more time here than any other member of these forums. With all due respect how could your wife or family not know what this website is?  What do they think you are always typing about?

  If I am on for 10 minutes anywhere my wife is asking..what site are you on?
They know I’m on a discussion forum. But they don’t know the name of it and they certainly had no idea who Joe Bryant was. 

 
Very doubtful it would come to this in America, but:

In a martial-law situation ... what would you do if you were caught and your bike was summarily impounded? @IvanKaramazov

Bike-riding outdoors seems like a pretty safe endeavor to me -- you're likely not right up near someone while doing it, and you're in the fresh air and sunshine (usually). Just never know when the sands will shift enforcement-wise.
Just to clarify, I'm actually talking about running, not biking.  So nothing to impound except me, which I would probably not welcome.

Seriously though, literally banning people from being outside would be a stupid overreaction for huge swaths of the country.  I can understand if we're talking about Manhattan, but many of us live in places with very low population density.  Me going out for a run puts nobody at any risk of anything.  

Edit: One way to think about it is that instead of being alone inside, I'm just alone outside instead.  I'm taking my aloneness with me when I go out.

 
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https://youtu.be/E3URhJx0NSw

Joe Rogan Experience #1439 - Michael Osterholm
Not a beef:

This particular interview has been re-posted in here so many times ... I keep thinking Joe Rogan has had Osterholm on multiple times for follow-up. This is still the March 10th interview, though.

This thread moves fast ... good to have a link to this handy for those new to the thread.

 
Jersey City getting serious

highlight to me is allowing hours between 9 and 11 a.m. for seniors/disabled/pregnant folks ONLY at markets, etc. 

this is the same Mayor (Fulop) i highlighted a few days ago who went around ticketing price gougers 10k per item ... one store got hit with 90k!

this guy's gettin' #### done  :thumbup:

 
Seriously though, literally banning people from being outside would be a stupid overreaction for huge swaths of the country.  I can understand if we're talking about Manhattan, but many of us live in places with very low population density.  Me going out for a run puts nobody at any risk of anything. 
This.  I can accept my civil liberties being restricted when it's for the common good.  But absolutely not when it's not.

 
In the past 24 hours, % of case increases:

Pakistan 157%

Chile 107%

Columbia 59%

Sri Lanka 56%

Russia 48%

Portugal 35%

Malaysia 32%

Thailand 29%

Austrailia 25%

Netherlands 25%

Mexico 23%

USA 4%

Anyone using USA stats are using bogus numbers. The tests aren't available. 

 
Do not do this.

One last warning - we are not going to turn on each other here. 

If we can't keep from doing that, people won't be allowed to post here. 

I hate that as I truly want us to all be together on this. But if a few people are ruining it for everyone else, we'll be forced to limit who can post. 
Thanks Joe.  This thread has been very important to myself and my family.

 
How many of you have curtailed spending now??
I hate to be "that guy" but.....
We have estimates coming in to extend and screen in our front porch for this spring.. Cost is anywhere from $6,000 to $9,000.

But with all the uncertainty with how this is going to shake out we've decided to hold off on large purchases.
I want to think since I am in IT and our company sells applications and other items for businesses we should be ok.. But so much is unknown right now I can't justify spending that much on something that is not essential.

Which brings me back to my original question as I fear many are thinking the same thing... less buying leads to less money in the economy which leads to less buying, etc.. :oldunsure:  
I need my floors redone.  Last week I was planning on getting quotes on my kitchen and family room.  I don't want strangers in my house now.

Two days ago I started thinking that the next 3 weeks would be perfect time to redo the two full bathrooms.  New tile floors, vanities, sinks, etc.  But now I don't think the stores are going to be open and not sure I should be out doing non-essential shopping.

Not to mention all of the planned trips/outings/games/concerts/dinners/movies that we would typically be doing. 

This economy is screwed.

 
Numbers Update

I know this is a time of great panic, and I don't want to minimize anyone's suffering if they've experienced a loss due to this virus.  But I want to take a second to point out a positive

Total number of confirmed global cases = 170,150
Total number of confirmed global deaths = 6,513
Total number of confirmed recoveries = 77,254

On a planet of 7.8 BILLION people, the numbers show that if you are one of the few that contracts it, chances are pretty dang good you'll recover (especially if you're not in a high risk group).  The more we find out about it, those numbers could get even better.

It's ok to try and post silver linings right?  Or are we in 'We're all doomed' mode forever?

 
In the past 24 hours, % of case increases:

Pakistan 157%

Chile 107%

Columbia 59%

Sri Lanka 56%

Russia 48%

Portugal 35%

Malaysia 32%

Thailand 29%

Austrailia 25%

Netherlands 25%

Mexico 23%

USA 4%

Anyone using USA stats are using bogus numbers. The tests aren't available. 
That said, the US number is indeed growing quite rapidly day by day. IIRC four or five days ago it was about 1000 cases, now almost 4000 (at worldometers)

 
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I need my floors redone.  Last week I was planning on getting quotes on my kitchen and family room.  I don't want strangers in my house now.

Two days ago I started thinking that the next 3 weeks would be perfect time to redo the two full bathrooms.  New tile floors, vanities, sinks, etc.  But now I don't think the stores are going to be open and not sure I should be out doing non-essential shopping.

Not to mention all of the planned trips/outings/games/concerts/dinners/movies that we would typically be doing. 

This economy is screwed.
You didn't even mention China buying up stocks at dirt-cheap prices

 
Just to clarify, I'm actually talking about running, not biking.  So nothing to impound except me, which I would probably not welcome.

Seriously though, literally banning people from being outside would be a stupid overreaction for huge swaths of the country.  I can understand if we're talking about Manhattan, but many of us live in places with very low population density.  Me going out for a run puts nobody at any risk of anything.  

Edit: One way to think about it is that instead of being alone inside, I'm just alone outside instead.  I'm taking my aloneness with me when I go out.
Last I heard, this thing is almost definitely droplet only rather than airborne. Even from my bunker, I can agree that you going for a run isn’t risky for anyone. 

 
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Our two young daughters were pretty pumped at the prospect of no school.  Wife and I told them that we were going to have fun, but that they’d still have “school” each day with us as their teachers.  This wasn’t going to be all fun and games with no structure or learning.

Well, fifteen minutes into Day 1 and we both just decisively agreed to announced that today has been declared a Snow Day.  Home school has been canceled for the day.  

God bless parents that home school.  

 
you are way off.  worst case, this kills 11+M Americans (assume population = 330M, 70% infection rate, and 5% fatality rate from those infected).  That would dwarf the #1 cause of death: heart disease, at 647k.
Sure, in a world which no one has a clue how viruses are spread and take zero actions such numbers are possible.  Ebola could have killed millions too according to early predictions, but we are a little be smarter than that and took appropriate responses.  We will not be anywhere close to the magnitude suggested by worst-case scenarios and it only serves are fear-mongering to suggest that.    

 
Seriously though, literally banning people from being outside would be a stupid overreaction for huge swaths of the country.  I can understand if we're talking about Manhattan, but many of us live in places with very low population density.  Me going out for a run puts nobody at any risk of anything.  

Edit: One way to think about it is that instead of being alone inside, I'm just alone outside instead.  I'm taking my aloneness with me when I go out.
I agree with you. There are loads of safe ways to maintain social distance outdoors.

 
Numbers Update

I know this is a time of great panic, and I don't want to minimize anyone's suffering if they've experienced a loss due to this virus.  But I want to take a second to point out a positive

Total number of confirmed global cases = 170,150
Total number of confirmed global deaths = 6,513
Total number of confirmed recoveries = 77,254

On a planet of 7.8 BILLION people, the numbers show that if you are one of the few that contracts it, chances are pretty dang good you'll recover (especially if you're not in a high risk group).  The more we find out about it, those numbers could get even better.

It's ok to try and post silver linings right?  Or are we in 'We're all doomed' mode forever?
So of those that are through this thing (recovered or not), 7.7% have died.  Regardless of high risk or not, no idea how you could be happy about those odds for the outcome from contracting a virus.

 
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Our two young daughters were pretty pumped at the prospect of no school.  Wife and I told them that we were going to have fun, but that they’d still have “school” each day with us as their teachers.  This wasn’t going to be all fun and games with no structure or learning.

Well, fifteen minutes into Day 1 and we both just decisively agreed to announced that today has been declared a Snow Day.  Home school has been canceled for the day.  

God bless parents that home school.  
I kid you not in the last two minutes it actually just started snowing here.  Nostradamus!!   :lmao:

 
Numbers Update

I know this is a time of great panic, and I don't want to minimize anyone's suffering if they've experienced a loss due to this virus.  But I want to take a second to point out a positive

Total number of confirmed global cases = 170,150
Total number of confirmed global deaths = 6,513
Total number of confirmed recoveries = 77,254

On a planet of 7.8 BILLION people, the numbers show that if you are one of the few that contracts it, chances are pretty dang good you'll recover (especially if you're not in a high risk group).  The more we find out about it, those numbers could get even better.

It's ok to try and post silver linings right?  Or are we in 'We're all doomed' mode forever?
Also, I noticed a few times where the news would report "cases" and this case figure would include those recovered and unfortunately, passed away.  

Wouldn't it be a lot more relevant to report "cases" as CURRENT cases only?  People that are fully recovered or passed away aren't entirely relevant to the future spread of this, right?

 
Our two young daughters were pretty pumped at the prospect of no school.  Wife and I told them that we were going to have fun, but that they’d still have “school” each day with us as their teachers.  This wasn’t going to be all fun and games with no structure or learning.

Well, fifteen minutes into Day 1 and we both just decisively agreed to announced that today has been declared a Snow Day.  Home school has been canceled for the day.  

God bless parents that home school.  
:lol: Right...  I'm 100% sure my kids will be on their tablets/phones all day today.

 
Mayor of New Orleans is trying half-measures and the honor system to keep bars and restaurants closed. Restaurants asked to close at 9:00 and bars at midnight, all enforced by random police checks. Her hand will be forced soon, though.
The same thing is happening in Miami Beach. Early closing and reduced capacity at restaurants. The most touristy  part of Ocean Drive is closed to prevent large crowds. Shutting it down completely is a last resort, whose time may come. But there will be tremendous economic consequences to workers and the county tax base which depends on tourist taxes. 

 
Very doubtful it would come to this in America, but:

In a martial-law situation ... what would you do if you were caught and your bike was summarily impounded? @IvanKaramazov

Bike-riding outdoors seems like a pretty safe endeavor to me -- you're likely not right up near someone while doing it, and you're in the fresh air and sunshine (usually). Just never know when the sands will shift enforcement-wise.
Uh... I... mountain bike.   :scared:

 
I guess just trying to gauge the risk of the virus transferring on food/wrappers/bags/containers that may have touched or "coughed on" by restaurant workers or delivery folks.
Was our 16th anniversary last night. 

I had reservations at a really nice place in town, but while out running around with the girlfriend I asked if she wanted to stay in, she said she really did.

So we canceled our reservations and ordered GrubHub from a local Thai place. Requested a "noncontact delivery" so they set it on my front porch. Threw on nitrile gloves and brought it in to the kitchen. 
 

1) wiped exterior bag down with Clorox wipe. 
2) Opened bag and wiped down exterior of each container with a wipe. 
3) Wiped down the counter and Tossed the gloves and wipes. 
 

I figure the food is cooked hot so it should be okay barring a direct sneeze/cough. Nothing you can do about that. The gloves/wipe down should take care of any handling-contamination. 

Overkill? Maybe. But easy/cheap insurance. YMMV :)

 
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Our two young daughters were pretty pumped at the prospect of no school.  Wife and I told them that we were going to have fun, but that they’d still have “school” each day with us as their teachers.  This wasn’t going to be all fun and games with no structure or learning.

Well, fifteen minutes into Day 1 and we both just decisively agreed to announced that today has been declared a Snow Day.  Home school has been canceled for the day.  

God bless parents that home school.  
I’ve got big plans with my third grader. We ordered a kids learn French kit and she’s going to memorize her multiplication tables from 1-12. She’ll prolly end up watching Frozen 2 500 times. 

 
Sure, in a world which no one has a clue how viruses are spread and take zero actions such numbers are possible.  Ebola could have killed millions too according to early predictions, but we are a little be smarter than that and took appropriate responses.  We will not be anywhere close to the magnitude suggested by worst-case scenarios and it only serves are fear-mongering to suggest that.    
you literally said worst case, this doesn't sniff top 10.  maybe you have a different understanding of "worst case" than I do.

ETA: regarding the bolded above: if true, thats thanks due to social distancing and stores closing - the exact things you are claiming are killingthe economy.  You don't get to cry about the measures being taken at the same time claim the benefit from said measures.

 
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One of my buddies is an MD and has been treating Coronavirus patients for the last 72 hours. He sent out an email sharing his experience. I figure I'd share here. 


 
Hey everyone,

I thought I would write this to shed some light on my own experience with Coronavirus over the last 72 hours in my ER. Currently I work in White plains and I was supposed to start a new position in their observation unit March 1st ( this is basically a urgent care) within the ER but they asked me if would volunteer for their "COVID" station and without hesitation I agreed. 

First of all it has been affecting all ages except people under 17 years old and the sickest patients that I have seen have been females from 20 - 40 years old with no previous medical history.

The contagiousness of a disease is recorded by something called an R value. Currently the R value of coronavirus is a 2 to 4 meaning its on the same wavelength as the FLU. Just because you have been in direct contact with someone or even sleep next to someone does not mean that you are going to acquire it. It is spread through something called droplet meaning that a regular mask will help but you need something called an N - 95 mask which lets smaller particles through for true protection. If you really want pure protection you need a PAPR( powered air purifying respirator) which is something that I wear when evaluating patients  

The virulence of the disease has been interesting to me. I have sent home multiple people with just mild cough and body aches. The persons who have been really sick have been presenting more with abdominal pain . Temperature has not really been indicative of COVID 19. Their are 2 main things I am seeing on lab values that are correlating with worse morbidity and that is lymphopenia and elevated liver functions primarily AST and alk phos. ( going back to above probably related to the abdominal pain.) 

The course of the disease is also very indolent until day 3 - 5  where a very small amount of patients are presenting with ARDS ( acute respiratory distress syndrome) this is a fancy word for meaning patients lungs are filling up with fluid due to something called interstitial capillary leak. We have intubated a handful of healthy young individuals due to this progression. We have not had any deaths at our hospital yet however we have needed the help of positive airway pressure these are those masks that people wear called BIPAP ( very similar to the CPAP masks that you use for sleep apnea. ) If you continue to need more airway pressure then you have to be intubated and  may require something called ECMO ( extra corporal membrane oxygenation : fancy word for a lung machine.) It basically bypasses your lungs and breathes for you. We have had only 1 case over the last weekend requiring this.

Overall in a 72 hour period of seeing coronavirus patients the majority of them are coming in complaining of cough / malaise ( not feeling well). Few have been healthy young adults requiring intubation.

The things we have found out about treating these patients is that NOT giving IV fluids is key ( this is something that goes against every principle about acute care medicine ) . Also some medications that have been helping are antivirals ( ketruda ) something we use for AIDS and also hydroxychloroquine something we use for rheumatological disease like arthritis. Steroids do not seem to help so far from what I have observed. 

Overall I have been asked a million questions and I made a small Q and A here :

Can children get it?

I have seen zero people under the age of 17 with coronavirus. I believe this is because the virus likes to attack mature lymphocytes which are not yet competent in children so they are not being affected.

Is the virus only affecting the elderly?

Definitely not. The sickest patients at our hospital have been young healthy women from the ages of 20 - 40

Is there medications to combat this?

no there are none currently that a proven effective however we are using 2 medications which may help. Chloroquine helps to block viral entry into the cells. Keytruda is something called a protease inhibitor used in HIV / AIDS patients to help stop the replication of the virus.

What are the most typical symptoms?

Cough and fever. There have been multiple presentations of the disease so it is hard to diagnose just by physical exam. 

Can you get tested for it? and should you get tested for it?

Yes you can get tested for it. I have tested over 50 people the last 3  days and the turnaround time was about 2 days however this will be prolonged with more tests being taken.  However testing does not change your overall outcome of the disease. If you are experiencing significant signs of shortness of breath we will admit you to the hospital. If you are experiencing typical flu like symptoms the smartest thing is to remain at home and try and ride it out.  

What is the mortality rate?

Its impossible to determine because we cannot accurately say how many people have the disease since most are walking around asymptomatic. However you can calculate the case fatality rate which is 3.4 % from multiple sources I have read 

Will hospitals be able to handle this?

yes. for now. My hospital has done a great job of creating negative pressure beds which helps stop the spread of the virus and they have given us the highest level of protective gear. They have moved out as many patients as possible to gear up for this upcoming week. 

Is there a vaccine for it?

No. Vaccines take a while for virus'

Is the Quarantine necessary ?

Yes for now. This helps hospitals not be overwhelmed especially if we need ventilators / ECMO machines to help those in real need.

How long is the quarantine?

We are mandating 2 weeks

I have included a great one page summary of Coronavirus that was forwarded to me from a friend who is currently working at an ICU in Seattle. Overall I believe the government did the right thing of shutting everything down so we could get a hold of this thing and understand its true potential. Only time will tell to see how this virus truly behaves over the next week. I hope this was insightful for those who have been worried. As of right now I am not that concerned about it but this may change... I have only been dealing with this disease for 72 hours. 

Stay safe everyone I hope this helps from my own personal experience. Feel free to share this with friends if it helps put them at ease. Also if anyone has any questions feel free to ask 

xxx xxxxxx MD
Every health care professional who is on the front lines of this thing deserve a ton of respect and applause. Stay safe everyone.  


 
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So if those that are through this thing (recovered or not), 7.7% have died.  Regardless of high risk or not, no idea how you could be happy about those odds for the outcome from contracting a virus.
Not happy, but also not in the camp that looks at this thing like an insta-kill if you get it.  There's balance to be seen here if you don't want to be a "glass half empty" kind of guy.

This thing isn't killing everyone it touches, and even less so if you're younger.

I've just noticed a pattern lately of people thinking this will definitely kill you if you get it and I'm hoping to chill some of that anxiety.

 
Much like events, then schools, then ski resorts, the dominos have started falling for restaurant/bars being shut down at a state level.  A few days from now I bet that is the norm.

 
I just hope the good lessons people are learning now translate once this is over.

If people can get in the habit of good hygiene, washing their hands, covering their mouths when sneezing, etc., it could have a positive impact on the number of cases of other illnesses like the flu

 
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How many of you have curtailed spending now??
I hate to be "that guy" but.....
We have estimates coming in to extend and screen in our front porch for this spring.. Cost is anywhere from $6,000 to $9,000.

But with all the uncertainty with how this is going to shake out we've decided to hold off on large purchases.
I want to think since I am in IT and our company sells applications and other items for businesses we should be ok.. But so much is unknown right now I can't justify spending that much on something that is not essential.

Which brings me back to my original question as I fear many are thinking the same thing... less buying leads to less money in the economy which leads to less buying, etc.. :oldunsure:  
I mentioned in another thread that I had just started house hunting before everything went crazy. We are putting in an offer on a house today. I have no idea if this is the right move or not. It's certainly incongruous with my usual appetite for risk. Just keeping finger crossed that fortune will favor the bold here.

 
Very happy with it thus far. Organic/Grass Fed is what I always choose to eat.  Here is what I got in my last box for $149.00

(1) Ribeyes : 2 x 10 oz steaks
(1) Tri-Tip : 1 x 1.5 lbs tri-tip
(1) Sirloin Cap : 1 x 1.5 lbs sirloin cap
(1) Boneless Pork Chops : 4 x 8 oz chops
(1) Wild Alaskan Sockeye Salmon : 1 x 2 lbs pack
(1) Scallops : 1 lb bag

Plus I got these addons via different offers:

Free Ground Beef For Life of Membership - (2 lbs)
Bacon For Life - 1lb
WINGS FOR LIFE - 3lbs
DRUMSTICKS FOR LIFE - 5lbs
What's this now?

 
I just hope the good lessons people are learning now translate once this is over.

If people can get in the habit of good hygiene, washing their hands, covering their mouths when sneezing, etc., it could have a positive impact on the number of cases of other illnesses like the flu
The other thing, so far, is that people are learning to stay home when they're sick and not come to the ER just because they don't feel good. 

It would be amazing if this "stuck" and became more of the new normal. 

 
So we canceled our reservations and ordered GrubHub from a local Thai place. Requested a "noncontact delivery" so they set it on my front porch. Threw on nitrile gloves and brought it in to the kitchen. 

1) wiped exterior bag down with Clorox wipe. 
2) Opened bag and wiped down exterior of each container with a wipe. 
3) Wiped down the counter and Tossed the gloves and wipes. 

I figure the food is cooked hot so it should be okay barring a direct sneeze/cough. Nothing you can do about that. The gloves/wipe down should take care of any handling-contamination. 

Overkill? Maybe. But easy/cheap insurance. YMMV :)
We won't be doing delivery like this at all ... but why would:

- handling the bags/containers like normal
- thorough hand-washing
- transferring food to our own plates (dumping out onto plates, using our own clean utensils, etc.)
- discarding their bags/containers, and then
- thorough hand-washing before eating 

... be any less safe? Where is the hole in the fence?

 
There was a movie called "Love In The Time Of Cholera".

I think I'll write a book called "Job Searching In The Time Of Coronavirus".

Recruiter: Would you like to work on a project in Pittsburgh?

Me: You mean hop on a plane twice a week and go from MSP to PIT?

Recruiter: Yeah, why not?

Me: :mellow:

 
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For those interested in developing a self-sustaining skill while stuck at home, for several months this idea has been on my mind to try this gardening hack in the spring:  wicking tubs.

There are variations on this design that seem to scale to whatever setting and space you have through the size of the container.  But I'm going to try 1-2 of these and see how it goes.  Maybe gardening needs its own thread here?   

 
I mentioned in another thread that I had just started house hunting before everything went crazy. We are putting in an offer on a house today. I have no idea if this is the right move or not. It's certainly incongruous with my usual appetite for risk. Just keeping finger crossed that fortune will favor the bold here.
We are the opposite.  Were getting ready to put in an offer on a home but decided to wait and ride things out.  Our lending broker is frustrated and thinks we're crazy, though of course he has a stake in us not delaying and I'm sure he's getting worried about feeling the squeeze.

 
fatguyinalittlecoat said:
Yeah, Maryland just shut’em all down
I just skipped like 8 pages, so, sorry if this is honda, but Washington did as well.

https://www.kiro7.com/news/local/coronavirus-gov-inslee-issues-statement-statewide-shutdown-restaurants-bars-expands-ban-large-gatherings/XIDPHMLVOJAAREQ5YCL75367PU/

SEATTLE — Gov. Jay Inslee announced he will temporarily shut down restaurants, bars and entertainment and recreational facilities statewide -- such as gyms and movie theaters -- due to the coronavirus. Restaurants will be take-out and delivery only.

The order will last until March 31.

He will also expand the protection to limit the size of large gatherings to just 50 people

 
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