Coronavirus prep
Replies
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jseams1234 wrote: »nutmegoreo wrote: »MikePfirrman wrote: »pitbullpuppy wrote: »My office has started dispensing latex gloves for the commute. We are asked not to wear them in the office. Most people are working from home already.
What is their logic in not having employees wear gloves in the office? I'm asking sincerely, I'm not sure how to word it without sounding confrontational.
It's airborne and we don't have enough gloves and masks for our first responders, do they don't want people panic buying them. The general public can wash their hands and not touch their faces. We NEED the docs, nurses, people that do X-Rays, hospital workers and first responders to have these for now. I see us in a couple of months having them for the general public (older and immuno compromised first).
What is your evidence for it being airborne? I have seen nothing to suggest this.
A critical care doctor working with COVID-19 patients addressed this in a video recently. It's "airborn" in certain hospital situations - primarily because of nebulizer use and the high pressure ventilation systems in hospitals. There was something else - something to do with how venitlators work? However, he cautioned that this information would be misunderstood by the media and general public.
"The notion of viral particles hanging in the air, ready to infect passersby, may seem scary, but to become an aerosol, droplets containing viral particles must first be transformed into a light mist, thin enough to be supported by the air. By definition, aerosols are less than 0.0002 inches (5 microns) in diameter, while typical respiratory droplets exceed this size.
"Based on what we know about other respiratory viruses, we don't think that SARS-CoV-2 gets aerosolized in everyday settings," Morris said. "Rather, aerosolization, if it happens at all for SARS-CoV-2, is likely to happen in health care settings," according to recent studies, Morris said.
This is how I am reading it as well. There are several procedures performed in hospital that will make the droplets smaller, therefore higher risk of airborne transmission. Things like trach suctioning, or pressurized air/oxygen delivery systems (CPAP/BiPAP), is what we have been told. The reason they are saying people who are symptomatic should be wearing masks is because those masks will catch the droplets from being scattered throughout the air.5 -
snowflake954 wrote: »pitbullpuppy wrote: »My office has started dispensing latex gloves for the commute. We are asked not to wear them in the office. Most people are working from home already.
What is their logic in not having employees wear gloves in the office? I'm asking sincerely, I'm not sure how to word it without sounding confrontational.
I think I can answer that. I wear them grocery shopping, put them on just before entering and take off just after paying--then throw away. I pay cash. Also take off, rolling inside out. Wearing gloves is discouraged for the general populace because it gives a false sense of safety (people touch their faces, reuse the gloves......) and can lead to contamination. Now that's what we were told, but there might be another explanation.
I do this too. I put gloves on before I enter the store and take them carefully off after aI return my cart.
So if they are wearing the gloves during their commute they should take them off before entering the office to prevent spreading.4 -
snowflake954 wrote: »snowflake954 wrote: »nutmegoreo wrote: »MikePfirrman wrote: »pitbullpuppy wrote: »My office has started dispensing latex gloves for the commute. We are asked not to wear them in the office. Most people are working from home already.
What is their logic in not having employees wear gloves in the office? I'm asking sincerely, I'm not sure how to word it without sounding confrontational.
It's airborne and we don't have enough gloves and masks for our first responders, do they don't want people panic buying them. The general public can wash their hands and not touch their faces. We NEED the docs, nurses, people that do X-Rays, hospital workers and first responders to have these for now. I see us in a couple of months having them for the general public (older and immuno compromised first).
What is your evidence for it being airborne? I have seen nothing to suggest this.
Yes, it is airborne for a minimum of 4 to 5 ft. That's why--masks. On a bus in China a man without a mask, who had the virus, sat in one of the back rows. People in the front of the bus were contaminated. The bus was not crowded. People wearing masks on the bus did not get the virus. The Chinese did extensive testing on this.
That isn't airborne. It seems pedantic, but there's a difference between aerosol and airborne.
Oh--thanks. I'm not at all sciencey and don't know the terms. Thanks for the correction. Just as long as people realize why we need "social distancing".
Absolutely! I think it is so important to follow the guidelines and precautions. I've been hesitant to bring up this part of the discussion specifically because I don't want you to think I'm being insensitive to what you are currently going through or to what is coming. And I do believe it is just starting to brew in North America. As stated there are very specific criteria for something to be considered airborne, size and weight of the contagion itself is significant.3 -
kshama2001 wrote: »T1DCarnivoreRunner wrote: »T1DCarnivoreRunner wrote: »
The US surgeon general said this on Monday.
I've heard others saying it for quite a bit longer. It's one of those "tomorrow will never come" stories, right? As long as you say "2 weeks" every day for the next several months, it can never be proven wrong.
What they've been saying is that we are following Italy's track, which of course has changed over time. I've seen nothing that disputes that.
Re the Monday statement from the surgeon general:
US surgeon general: US cases are where Italy was 2 weeks ago
by: Associated Press
Posted: Mar 16, 2020 / 09:44 AM CDT / Updated: Mar 16, 2020 / 09:44 AM CDT
WASHINGTON — The U.S. surgeon general said Monday that the number of coronavirus cases in the United States has reached the level that Italy recorded two weeks ago, a sign that infections are expected to rise in America as the government steps up testing and financial markets continue to fall.
“We are at a critical inflection point in this country, people. We are where Italy was two weeks ago in terms of our numbers,” U.S. Surgeon General Dr. Jerome Adams told Fox News. “When you look at the projections, there’s every chance that we could be Italy.”
Two weeks ago, there were 1,700 cases of coronavirus in Italy and the country had reported 34 deaths. Now, Italy is reporting an estimated 25,000 cases and more than 1,800 people have died. There are about 3,800 cases reported in the United States and so far, more than 65 people have died from coronavirus.
Read more: https://wgntv.com/news/coronavirus/us-surgeon-general-us-cases-are-where-italy-was-2-weeks-ago/
CDC says 7000 cases in US and 97 deaths. https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html?CDC_AA_refVal=https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html
However Johns Hopkins says, 7300 and 115 deaths. Ok that’s not the difference I thought I saw the other day... https://coronavirus.jhu.edu/map.html . Anyway I’m probably missing the point about Italy, we’re way past the 1700 unless that’s adjusted per capita.
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T1DCarnivoreRunner wrote: »My office has started dispensing latex gloves for the commute. We are asked not to wear them in the office. Most people are working from home already.
That's surprising. I have heard that hospitals are running out of gloves, but they normally would use nitrile rather than latex because of allergies. While this is what I have heard, I haven't seen anything reliable to confirm that is true. Does anyone know anything positively about that?
I’m allergic to latex. I have a one pair of latex sterile gloves if ya want them. 👊 a few pair of used (from class labs), nitrile gloves I’m saving for cat poop. Cuz they had c diff a few weeks ago and or coccidiosis, not sure which. Vet sorted them out with food and panacur.1 -
Meanwhile, the worldometers.info site has crashed "404 Not Found"
ETA it's back up again0 -
@snowflake954 Appreciate your reporting from the "front" ! It looks like the US is tracking pretty closely to Italy. We are in for some crappy reality very soon.
A somber note. My husband's coworker texted him last night. She lives in a rural part of OK and her 2 parents are older (70s) Dad was not in great health as it was. He has Corona. They took him to the small rural hospital and they attempted to treat him. She texted us and told my spouse that the hospital sent them home as they did not have a bed in ICU with a respirator available for him. This is what is coming. Doctors will be deciding who gets the scarce resources.
I’m in rural ok. No way I’d expect them to be able to handle it here. I’d go to dfw if I had too for care. I can only hope that he was not ill enough for a vent. I have heard some reports from the medical community (posts on med site), with the concerns that ECMO isn’t the cure. I am assuming it is the same as a vent? Or maybe not. Sorry there. It’s probably not... come to think about it. Positive pressure ventilation vs the external exchange of respirator gases through the blood... Early on 6 of 5 patients placed on ecmo died. That could be just the severity of the conditions but there was some speculation as to the change in wbc’s to fight it. Not an authority, have no back up, just a conversation I read.
These rural hospitals aren’t going to be able to quarantine folks and protect other patients unfortunately.5 -
OK - so I have an idea. Instead of relying on health officials to do all the legwork. How about we all keep a daily diary of the places we have been and the people we have been in contact with. That way if we do come down with the virus, we already have everything concisely in one place to notify others quickly to try to contain the spread. I know if someone from work called me and said, hey I just got tested positive and am sick, I would take a LOT stronger measures as far as my movements and letting others around me know.16
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What I was reading on Medpage suggested that by the time they get to ECMO your lungs are pretty much toast, and usually your heart as well since once this virus gets going it attacks your heart muscle and other organs. So it’s pretty much a Hail Mary. But they did have a handful of successes using it. It basically acts as an artificial set of lungs while your lungs heal over a period of days or weeks.@snowflake954 Appreciate your reporting from the "front" ! It looks like the US is tracking pretty closely to Italy. We are in for some crappy reality very soon.
A somber note. My husband's coworker texted him last night. She lives in a rural part of OK and her 2 parents are older (70s) Dad was not in great health as it was. He has Corona. They took him to the small rural hospital and they attempted to treat him. She texted us and told my spouse that the hospital sent them home as they did not have a bed in ICU with a respirator available for him. This is what is coming. Doctors will be deciding who gets the scarce resources.
I’m in rural ok. No way I’d expect them to be able to handle it here. I’d go to dfw if I had too for care. I can only hope that he was not ill enough for a vent. I have heard some reports from the medical community (posts on med site), with the concerns that ECMO isn’t the cure. I am assuming it is the same as a vent? Or maybe not. Sorry there. It’s probably not... come to think about it. Positive pressure ventilation vs the external exchange of respirator gases through the blood... Early on 6 of 5 patients placed on ecmo died. That could be just the severity of the conditions but there was some speculation as to the change in wbc’s to fight it. Not an authority, have no back up, just a conversation I read.
These rural hospitals aren’t going to be able to quarantine folks and protect other patients unfortunately.
We have community transmission in my county as of today. Yay!
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My company is still requiring us all to come into the office even though 90% of us can do the same job from home. It is very frustrating.11
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nutmegoreo wrote: »snowflake954 wrote: »snowflake954 wrote: »nutmegoreo wrote: »MikePfirrman wrote: »pitbullpuppy wrote: »My office has started dispensing latex gloves for the commute. We are asked not to wear them in the office. Most people are working from home already.
What is their logic in not having employees wear gloves in the office? I'm asking sincerely, I'm not sure how to word it without sounding confrontational.
It's airborne and we don't have enough gloves and masks for our first responders, do they don't want people panic buying them. The general public can wash their hands and not touch their faces. We NEED the docs, nurses, people that do X-Rays, hospital workers and first responders to have these for now. I see us in a couple of months having them for the general public (older and immuno compromised first).
What is your evidence for it being airborne? I have seen nothing to suggest this.
Yes, it is airborne for a minimum of 4 to 5 ft. That's why--masks. On a bus in China a man without a mask, who had the virus, sat in one of the back rows. People in the front of the bus were contaminated. The bus was not crowded. People wearing masks on the bus did not get the virus. The Chinese did extensive testing on this.
That isn't airborne. It seems pedantic, but there's a difference between aerosol and airborne.
Oh--thanks. I'm not at all sciencey and don't know the terms. Thanks for the correction. Just as long as people realize why we need "social distancing".
Absolutely! I think it is so important to follow the guidelines and precautions. I've been hesitant to bring up this part of the discussion specifically because I don't want you to think I'm being insensitive to what you are currently going through or to what is coming. And I do believe it is just starting to brew in North America. As stated there are very specific criteria for something to be considered airborne, size and weight of the contagion itself is significant.
Please don't ever hesitate to post on anything. If I'm off base, I want to know it. There are very knowledgeable people on here and I love to read their posts--you are one.
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I thought this was interesting: The local authorities (county/township) closed the parks, got pleas not to do it, and opened them again. They had asked people not to be using the parks/trails generally, but that's changed. There still will not be restrooms, etc., but they're now considering the outdoor areas open for use, and asking people to avoid clustering, exercise caution about touching shared equipment, understand that routine maintenance will be reduced/eliminated, etc. It will be interesting to see how this plays out.
I'll mention that this is a metro area of a mid-sized city, not a super-concentrated population center. Even under peak use in summer, much of the parks'/trails' land area is pretty sparsely covered with people, mostly at close to "social distancing appropriate" separation, except for beaches, picnic areas, sports fields, playgrounds. It's still cold-ish here, so usage is seasonally way less than that now (we're somewhere in the 30F-50F temperature range, mostly, now, but it's quite variable).6 -
snowflake954 wrote: »nutmegoreo wrote: »snowflake954 wrote: »snowflake954 wrote: »nutmegoreo wrote: »MikePfirrman wrote: »pitbullpuppy wrote: »My office has started dispensing latex gloves for the commute. We are asked not to wear them in the office. Most people are working from home already.
What is their logic in not having employees wear gloves in the office? I'm asking sincerely, I'm not sure how to word it without sounding confrontational.
It's airborne and we don't have enough gloves and masks for our first responders, do they don't want people panic buying them. The general public can wash their hands and not touch their faces. We NEED the docs, nurses, people that do X-Rays, hospital workers and first responders to have these for now. I see us in a couple of months having them for the general public (older and immuno compromised first).
What is your evidence for it being airborne? I have seen nothing to suggest this.
Yes, it is airborne for a minimum of 4 to 5 ft. That's why--masks. On a bus in China a man without a mask, who had the virus, sat in one of the back rows. People in the front of the bus were contaminated. The bus was not crowded. People wearing masks on the bus did not get the virus. The Chinese did extensive testing on this.
That isn't airborne. It seems pedantic, but there's a difference between aerosol and airborne.
Oh--thanks. I'm not at all sciencey and don't know the terms. Thanks for the correction. Just as long as people realize why we need "social distancing".
Absolutely! I think it is so important to follow the guidelines and precautions. I've been hesitant to bring up this part of the discussion specifically because I don't want you to think I'm being insensitive to what you are currently going through or to what is coming. And I do believe it is just starting to brew in North America. As stated there are very specific criteria for something to be considered airborne, size and weight of the contagion itself is significant.
Please don't ever hesitate to post on anything. If I'm off base, I want to know it. There are very knowledgeable people on here and I love to read their posts--you are one.
I value your insight and personal experiences on this particular topic. Thank you for continuing to share your thoughts.4 -
Yesterday, we were told that we were welcome to work from home, but it was our choice. Today, the service center manager was going around and asking why we were choosing to work from here because he was having to report the non-physical workers who were still here and why. The CEO put together a video that was released this afternoon that basically says the company is requesting anyone who can work from home to do so, saying that while we need to do what we can to keep the lights on and do what we can to keep customer service up, at the same time he does not want that to be done to the detriment of company employees, and if it comes to it, the company will suspend some non-essential operations until this is under control. I did rather appreciate his concern.
I needed to work out of hte office tomorrow anyway, and I told my supervisor that I'd just finish the day out at my home after picking up the equipment I needed to get tomorrow. I have vacation already planned for Friday and Monday is a day off for me anyway, but I'm gathering up everything I think I'll need in preparation for working from home next week.
Meanwhile, I think my pastor is FINALLY started to catch on to the seriousness of this. After talking to the local health department and doctors, he agreed to cancel church services tonight. However, he is still on the fence about Sunday itself and the 3 day special services planned for the beginning of next week. *shakes head* He asked my mother, who is the custodian of the church, what her thoughts were, and she responded in asking him what his gut said. He admitted his gut said to cancel, so she told him "there's your answer". Especially since the first speaker is supposed to be coming out of North Carolina, and the second from Florida. I'm just thinking that right now is not a good time to be traveling interstate, both for the congregation's sake and for the sake of the speakers themselves.6 -
Some idiot on my local city bulletin board wanted to know the NAME of the person who tested positive in our city. I told her in no uncertain terms that that goes against privacy laws (HIPAA) as well as being rude. 12
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SummerSkier wrote: »OK - so I have an idea. Instead of relying on health officials to do all the legwork. How about we all keep a daily diary of the places we have been and the people we have been in contact with. That way if we do come down with the virus, we already have everything concisely in one place to notify others quickly to try to contain the spread. I know if someone from work called me and said, hey I just got tested positive and am sick, I would take a LOT stronger measures as far as my movements and letting others around me know.
Google already knows all of this about us. Even if you have an iPhone, Google Maps collects location data in the background - that's why they make it for iPhone.
If anybody asks them too, they can query their data to find out who's been in the same place at the same time with you. As long as you both have your phones, which covers most people. I hope they're doing that.4 -
I thought this was interesting: The local authorities (county/township) closed the parks, got pleas not to do it, and opened them again. They had asked people not to be using the parks/trails generally, but that's changed. There still will not be restrooms, etc., but they're now considering the outdoor areas open for use, and asking people to avoid clustering, exercise caution about touching shared equipment, understand that routine maintenance will be reduced/eliminated, etc. It will be interesting to see how this plays out.
I'll mention that this is a metro area of a mid-sized city, not a super-concentrated population center. Even under peak use in summer, much of the parks'/trails' land area is pretty sparsely covered with people, mostly at close to "social distancing appropriate" separation, except for beaches, picnic areas, sports fields, playgrounds. It's still cold-ish here, so usage is seasonally way less than that now (we're somewhere in the 30F-50F temperature range, mostly, now, but it's quite variable).
I ran at the park yesterday. I’m in Memphis, also a mid-sized city. I don’t think I will be running at the park anymore. Our parks are still open, including the restrooms, and were shoulder-to-shoulder with people. Large families were crowding the trails and several times I had to pass within a foot of someone unless I wanted to go off-trail which isn’t always possible. The parking lot was completely full, which usually only happens on weekends when the weather is exceptionally nice. Once I got onto the Greenline traffic was a lot sparser since few of the visitors have the fitness level to go that far, but getting there took me way too close to way too many people.
I feel like the kids are home, people are home, they don’t know what to do with themselves and nothing else is open, so they are crowding the parks. There was an article about the Children’s Museum of Memphis being overcrowded about a week ago, but it’s been closed now. Regardless, I’m in a high risk category so I will be running my neighborhood instead from now on, unless I can find a safe place to pee with access to the Greenline away from the normal park buildings. Unfortunately I don’t think I can manage without a restroom!7 -
So my job has officially decided to let people work from home even if they are not high risk as long as their jobs can be done from home. Finally! I was so worried about my coworkers! We have a close team. I was allowed to start working from home due to medical reasons, but I hated leaving them in the office. So I feel so much better now.
Update on stats in Indiana.
Tested - 193
Positive - 39
Deaths - 2
There has been a second positive case in my county and word on the street is that it may have been a child from a daycare. If so, that is scary. The amount of possible transmission from that case would be huge.5 -
NorthCascades wrote: »SummerSkier wrote: »OK - so I have an idea. Instead of relying on health officials to do all the legwork. How about we all keep a daily diary of the places we have been and the people we have been in contact with. That way if we do come down with the virus, we already have everything concisely in one place to notify others quickly to try to contain the spread. I know if someone from work called me and said, hey I just got tested positive and am sick, I would take a LOT stronger measures as far as my movements and letting others around me know.
Google already knows all of this about us. Even if you have an iPhone, Google Maps collects location data in the background - that's why they make it for iPhone.
If anybody asks them too, they can query their data to find out who's been in the same place at the same time with you. As long as you both have your phones, which covers most people. I hope they're doing that.
you're assuming everyone has a phone connected to the internet at all times. I know quite a few folks who barely have a cell phone, let alone a smart phone.6 -
I live in Riverside County in So Cal and we just watched a 75 minute news conference broadcast from KTLA which serves LA/Inland Empire. There are 19 cases here now, 3 deaths and 2 new cases today, one in the small city north of us (Corona) and one in the small city south of us (Eastvale). Neither are particularly high density. It was really interesting seeing how the county has pepared and continues to prepare for the spread of the virus.
You might remember that March Air Reserve Base (in Riverside County) quarantined the passengers and crew from a plane coming from China a couple of months ago. I’m relieved to see that they are so on top of it although I’ve refused to panic regardless.
They were very, very seriously asking people to practice social distancing in a very big way and for those of us over 65 (we are 70 and 72) to not leave our homes unless it was an absolute emergency. We are now being told to have neighbors shop for us or have groceries or food delivered.
They reported on the availability of protective gear for 1st responders, hospital capabilities, testing availability etc. They really covered everything including mental health and what they are doing to help the homeless here. They’ve only had the capability to test 700 so far because of kit and accompanying product that goes with the testing availability but are hoping to ramp that up this week. Right now only one drive thru testing station which they are primarily using to test 1st responders and a few folks sent by their primary care docs. They’re only able to test 60 per day right now.
They've also set up a website so we can get reliable and current information regarding the area we live in.....very helpful.
We’ve never ordered food or groceries online, or had food delivered other than the occasional pizza, lol, so I get to learn something new!
Stay well everyone!
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