Covid-19

Honestly, I’m genuinely shocked that Mobile hasn’t had a case turn up yet. I know that tests handed out by the CDC are hard to come by; the urgent care closest to my house was only issued 10 of them. However, with the Alabama state docks AND the Carnival Fantasy both here in Mobile, you can’t tell me that someone hasn’t been exposed yet. We just don’t know it.
 
Dude. I posted this pages and pages ago.
Aww shucks, apologies Dame. Wasn't trying to step on your toes.

If it helps, the link I posted references the ChinaXiV study. It's an Chinese news source that contradicted the narrative the CCP is now pushing. Though it looks like it's been changed.

I remember a similar but older article, mentioning personnel from the Wuhan Institute of Virology being exposed to 'drops of bat blood on their arm'. The article then mentioned that the Wuhan Virology personnel spread the virus to the market. It basically read as a, "mea culpa, it was an accident"; I guess the CCP changed it up.
The study published on ChinaXiv, a Chinese open repository for scientific researchers, reveals the new coronavirus was introduced to the seafood market from another location, and then spread rapidly from market to market. The findings were the result of analyses of genome-wide data, sources of infection and the route of spread of 93 samples of the novel coronavirus collected from 12 countries across four continents.
 
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Honestly, I’m genuinely shocked that Mobile hasn’t had a case turn up yet. I know that tests handed out by the CDC are hard to come by; the urgent care closest to my house was only issued 10 of them. However, with the Alabama state docks AND the Carnival Fantasy both here in Mobile, you can’t tell me that someone hasn’t been exposed yet. We just don’t know it.
I'm guessing it is everywhere by now. I mean if my Sis has it then that is pretty close to home. My Nephew just flew out to Utah for a Ski trip so it is in Utah now I'm sure. I think it is gonna get bad. My parents both in their 70s are staying home because I pulled rank and ordered them to. LOL I stocked them up with 250 cans of soup. Since the elderly are more susceptible to the virus.
 
I'm guessing it is everywhere by now. I mean if my Sis has it then that is pretty close to home. My Nephew just flew out to Utah for a Ski trip so it is in Utah now I'm sure. I think it is gonna get bad. My parents both in their 70s are staying home because I pulled rank and ordered them to. LOL I stocked them up with 250 cans of soup. Since the elderly are more susceptible to the virus.
Good on you man! At least you're taking precautions, seems like a large chunk of our population has decided to stick their heads in the sand and hope this goes away.
 
Good on you man! At least you're taking precautions, seems like a large chunk of our population has decided to stick their heads in the sand and hope this goes away.
A lot of us have elderly family members we just gotta stay vigilant. I think we're gonna lose a lot of people sadly and with the virus surviving for days on surfaces and 3 hours airborne I just can't see any good coming of this.
 
My parents live in Greenville, SC, and I also basically ordered them to stay at home. They are 68 and 70, respectively. Got them set up with grocery delivery from Publix and told them they should consider every trip out a risk to their health until we seem to have a better grip on whats going on. There are so many older folks out there though that don't care, or that don't have anyone to look after them.
 
Detailed report on risk factors for mortality:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltext

Background
Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described.

Methods
In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death.

Findings
* 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital.

* 91 (48%) patients had a comorbidity, with:
  1. hypertension being the most common (58 [30%] patients)
  2. followed by diabetes (36 [19%] patients), and
  3. coronary heart disease (15 [8%] patients).
* Multivariable regression showed increasing odds of in-hospital death associated with:
  1. older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043)
  2. higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p<0·0001), and
  3. d-dimer greater than 1 μg/mL (18·42, 2·64–128·55; p=0·0033) on admission.
* Median duration of viral shedding was 20·0 days (IQR 17·0–24·0) in survivors, but SARS-CoV-2 was detectable until death in non-survivors.

* The longest observed duration of viral shedding in survivors was 37 days.

Interpretation
The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future.
 
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Detailed report on risk factors for mortality:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltext

Background
Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described.

Methods
In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death.

Findings
* 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital.
* 91 (48%) patients had a comorbidity, with:
1. hypertension being the most common (58 [30%] patients)
2. followed by diabetes (36 [19%] patients), and
3. coronary heart disease (15 [8%] patients).
* Multivariable regression showed increasing odds of in-hospital death associated with:
1. older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043)
2. higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p<0·0001), and
3. d-dimer greater than 1 μg/mL (18·42, 2·64–128·55; p=0·0033) on admission.
* Median duration of viral shedding was 20·0 days (IQR 17·0–24·0) in survivors, but SARS-CoV-2 was detectable until death in non-survivors.
* The longest observed duration of viral shedding in survivors was 37 days.

Interpretation
The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future.
Nice! Lots of good info! At the risk of sounding like an alarmist. I'm wondering what the rate of fatality is for those that don't seek or aren't given medical treatment. Neat to see the duration of viral shedding. Thanks dude!
 
Aww shucks, apologies Dame. Wasn't trying to step on your toes.

If it helps, the link I posted references the ChinaXiV study. It's an Chinese news source that contradicted the narrative the CCP is now pushing. Though it looks like it's been changed.

I remember a similar but older article, mentioning personnel from the Wuhan Institute of Virology being exposed to 'drops of bat blood on their arm'. The article then mentioned that the Wuhan Virology personnel spread the virus to the market. It basically read as a, "mea culpa, it was an accident"; I guess the CCP changed it up.

Naw, no toe damage. It's true the narrative continues to change to save whatever is left of the Chinese government's face.

I was referencing the theme of "Oops. Maybe" coming from studies released by the Chinese themselves. I think there will be a slow trickle of new articles admitting semi-truths which will resemble an 8-card Monte game run by a Wuhan market live octopus.
 
Lots of schools closing...……. I think it is finally time to teach our children from home. Like them new fangled online colleges except this will be for Elementary, middle, and High school. What say you?

No need to read this. It is just a school closing announcement.


Dear Cobb Schools Families,

We have been committed to keeping our community updated about the rapidly developing situation with COVID-19. Throughout the process, we have relied on the guidance from the Georgia Department of Health, Centers for Disease Control and Prevention, as well as, as our state leaders.

In accordance with Governor Kemp’s guidance today and to best prioritize student and staff safety, effective Monday, March 16th, Cobb Schools will be closed.

The school closures include all school building activities, athletics/sports, extracurricular school activities, and trips.

While our school buildings will be closed, the education process will not stop. All staff will work remotely to best support students, including delivering digital and physical instructional resources to students while they’re at home.

The decision to close schools was not easy. After already closing one school as a result of a positive case of COVID-19 and now the news of the first confirmed COVID-19 related death in Cobb County and Gov. Kemp’s recommendations, we knew the time had come to transition students to digital learning and close our schools.

We know that you may have questions regarding how the school closure will impact you, and we will work to provide you the answers.

We will continue to keep our community updated on the next steps during the school closure process as we turn to our digital learning resources.

We know this is a very difficult time for our school families and the community. We will work together to get through this unprecedented time.

More information will be communicated on Friday, March 13 to all our families and staff. Please continue to stay updated on http://www.cobbk12.org/covid/
 
Lots of schools closing...……. I think it is finally time to teach our children from home. Like them new fangled online colleges except this will be for Elementary, middle, and High school. What say you?

No need to read this. It is just a school closing announcement.


Dear Cobb Schools Families,

We have been committed to keeping our community updated about the rapidly developing situation with COVID-19. Throughout the process, we have relied on the guidance from the Georgia Department of Health, Centers for Disease Control and Prevention, as well as, as our state leaders.

In accordance with Governor Kemp’s guidance today and to best prioritize student and staff safety, effective Monday, March 16th, Cobb Schools will be closed.

The school closures include all school building activities, athletics/sports, extracurricular school activities, and trips.

While our school buildings will be closed, the education process will not stop. All staff will work remotely to best support students, including delivering digital and physical instructional resources to students while they’re at home.

The decision to close schools was not easy. After already closing one school as a result of a positive case of COVID-19 and now the news of the first confirmed COVID-19 related death in Cobb County and Gov. Kemp’s recommendations, we knew the time had come to transition students to digital learning and close our schools.

We know that you may have questions regarding how the school closure will impact you, and we will work to provide you the answers.

We will continue to keep our community updated on the next steps during the school closure process as we turn to our digital learning resources.

We know this is a very difficult time for our school families and the community. We will work together to get through this unprecedented time.

More information will be communicated on Friday, March 13 to all our families and staff. Please continue to stay updated on http://www.cobbk12.org/covid/
KY Gov Andy Beshear told all KY PSD Superintendents to be prepared for instructions to come, few hours later counties are closing schools left and right. My counties PSD has a whole month off with online resources for school work.
 
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