Wuhan Coronavirus: Megathread - Got too big

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And now the Eastern Seaboard
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      First Presumptive Positive Case of COVID-19 Identified at RIDOH's State Health Laboratories
      The Rhode Island Department of Health (RIDOH) is announcing the state's first presumptive positive case of coronavirus disease 2019 (COVID-19). The person is in their 40s and had traveled to Italy in mid-February. RIDOH is coordinating closely with the hospital where this person is currently being treated and all infection control protocols are being followed.
      "The Rhode Island Department of Health has been preparing for weeks to ensure that we have a structure in place to, to the best of our ability, limit or prevent the spread of COVID-19 in Rhode Island. We fully anticipated having a first case of COVID-19," said Dr. Alexander-Scott. "We are not seeing widespread community transmission in Rhode Island, and the general level of risk for Rhode Islanders is still low. However, everyone in Rhode Island has a role to play in helping us prevent the spread of viruses, just like the flu. It is very important that people wash their hands regularly, cover their coughs and sneezes, and stay home if they are sick."
      Outreach to the people who were in direct contact with this individual has already begun, with extensive efforts underway to ensure that they undergo a period of 14 days of self-monitoring for symptoms at home with public health supervision (quarantine). As long as anyone exposed to the individual does not have symptoms outside of their home setting, the virus cannot spread to other people in the community. This individual's immediate family members have been self-quarantining at home since it was determined that, based on this person's travel history and symptoms, the individual met the criteria to be evaluated for COVID-19. The Centers for Disease Control and Prevention (CDC) is managing contact tracing for people on this person's return flight to the United States.
      This individual had limited travel in Rhode Island since returning from Italy. This person had not returned to their place of work since returning from Italy.
      In the past few weeks, RIDOH's State Health Laboratories worked to develop the capacity to perform testing for COVID-19 virus. In response to an urgent need, the State Health Laboratories expedited the final steps of implementation to run the test that identified this first case of COVID-19 in Rhode Island this weekend. Previously, all testing for COVID-19 was done at CDC. At this time, each presumptive positive test result must still be confirmed by the CDC Laboratories. This might change in the coming days.
      Because human coronaviruses most commonly spread through respiratory droplets, Rhode Islanders are reminded to take the same measures that healthcare providers recommend annually to prevent the spread of the flu and other viruses.
      - Get your flu shot, and make sure the people around you do the same. - Wash your hands often throughout the day. Use warm water and soap. If soap and water are not available, use alcohol-based hand gel. - Cough or sneeze into your elbow. Flu is spread through coughing or sneezing on other people or into your hands. Cover your coughs and sneezes to prevent others from getting sick. - Avoid touching your eyes, nose, or mouth. Germs spread this way. - Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious foods. - Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant.
      The CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory illnesses, including COVID-19. You should only wear a mask if a healthcare professional recommends it. A facemask should be used by people who have COVID-19 and are showing symptoms. This is to protect others from the risk of getting infected.
      If you have recently traveled from an area with widespread or ongoing community spread of COVID-19 and you have symptoms of the disease (fever, cough, shortness of breath) reach out to your healthcare provider and call ahead before going to a healthcare facility. The healthcare provider or facility will work closely with RIDOH.
      There have been more than 60 U.S. cases of COVID-19 confirmed. Globally, more than 80,000 cases have been confirmed. CDC reported the first U.S. fatality on February 29th.
      RIDOH continues to be notified by the federal government of asymptomatic travelers who are coming to Rhode Island after having been in China in the previous 14 days. These people are doing self-monitoring for symptoms for 14 days and are limiting their movement locally. (Passengers who have symptoms or who are coming from Hubei Province are not coming to Rhode Island. They are being quarantined domestically near the international airport where they landed.)
      RIDOH is coordinating with other State agencies and community organizations to support anyone doing self-quarantining to ensure that people who are remaining at home have the support services they need. This includes support with everyday needs, such as prescriptions and groceries. The organizations that have offered support include agencies throughout the Executive Office of Health and Human Services (EOHHS), the Rhode Island Food Bank, the American Red Cross, and other members of Rhode Island's Voluntary Organizations Active in Disasters (VOAD).
      The additional preparedness steps that RIDOH has taken include:
      - Establishing an Incident Command System response, which is how RIDOH and other State agencies organize to prepare for (or respond to) an urgent situation that requires extensive coordination. It includes staff from the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the Rhode Island Department of Education (RIDE), the Rhode Island Department of Human Services (DHS), the Rhode Island Department of Environmental Management (DEM), the Rhode Island Department of Education (RIDE), and Rhode Island Commerce. It also includes staff from RIDOH's State Health Laboratories, Center for Acute Infectious Disease Epidemiology, Center for Emergency Preparedness and Response, and Center for Public Health Communication, among other areas of RIDOH. - Regularly communicating with RIDOH's Infectious Disease Epidemiology Advisory Committee (IDEAC) to track any clinical and epidemiological developments related to COVID-19. (IDEAC is a group of infectious disease physicians throughout Rhode Island that provides guidance to RIDOH leadership on emerging infectious disease matters.) - Maintaining a robust system to receive and follow up on illness reports from Rhode Island healthcare providers. - Regularly sending to local healthcare providers summaries of the national situation, criteria to guide evaluation of patients, and guidance on specimen collection, testing, and reporting. - Coordinating closely with healthcare facilities and emergency medical services (EMS) providers to ensure their preparedness. - Communicating regularly to community partners, such as schools, faith leaders, and municipal officials.
      More information about COVID-19 is available in multiple languages at health.ri.gov/covid.
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I think it's good states are instituting their own testing procedures. Hopefully we'll see the necessary containment/mitigation steps taken soon rather than later, because of this.
 
Costco is getting hit hard because they are the primary bulk shopping store most middle Americans shop at.

Most smaller chain grocery stores are still relatively well stocked save for hand sanitizer and maybe TP.

Masks are where people are really going to find scarcity. Most Chinese nationals and students did a clean sweep through suppliers a month ago and then resellers went through the rest. As others in this thread have mentioned, hand sanitizer is now around $100 an once on online marketplaces.

Don't be suprised if you see people ripping out and stealing sanitizers at cashiers and other hand stations at local stores to sell online. It has hit the price point where its become tempting to price gougers.

Edit: Spelling and grammer.

Costco is also utterly beloved by the pan-Asian community everywhere I've ever been, that's a bit of a factor.
 
@Consenticles, El Comandante is in your boat as well. *waves hello* Here in Loonyland Adderall requires an in-person doctor visit every 30 days to renew because some stupid state politicians reeeeeeeeeeee'd the fuck out ages ago about adderall being a gateway drug or some horseshit.

Also, the benzo antipsychotics, fuck yeah I really don't want a fucking psychotic crash, went through one a little over a decade ago when a previous psychdoc fucked up, and it is fucking horrifying. Just look at the severe schizos (fortunately I'm rather mild, at least for now) who take their meds for a while and then drop off and go completely batshit, after a while their brains don't respond to anything and they end up sleeping in doorways and ranting to their imaginary friends on street corners.

And the "key ingredient" to all this shit is made in...you guessed it.

Food is the easy part. What happens when everybody's fucking meds run out? It's not just crazies, you have diabetics who will literally FUCKING DIE without their insulin, you have heart failure patients, you have the guys on dialysis, all the transplantees dependent on antirejection dope, all of it made in China. What with the way our civilization has gone, I suppose it was inevitable that something like this would come along to wipe out all the exceptionals.
Speaking of which, where is PrEP manufactured? The homos might be in trouble.
 
USPS worker in western Washington tests positive for coronavirus

Ok, I’ve looked and did not see this posted already. Hope I’m not late again.
 
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I wonder if now is the time to invest in manufacturing firms after this all blows over there might be some reinvestment back in the West for "resilience" purposes.
all I can say is Donald Trump is right. Close our borders and give us our manufacturing jobs back.
 
Also remember that when the 1st of the month falls on a weekend, the welfare people get their cards loaded up the Friday before.
Food stamps are doled out depending on last number of your SS# so it's spread between the 1st and 15th (in my state at least).
We never go grocery shopping during the first week of any given month because of this.
If you're on a budget it's the worse time to shop. Stores always raise prices at the beginning of the month.
 
Speaking of which, where is PrEP manufactured? The homos might be in trouble.
according to this, gilead makes the name-brand Truvada, while there are lots of generic producers of PrEP. according to this, most drug manufacturers are actually located in the US, Europe, and East Asia (and some in India). i would assume that at least some of PrEP manufacturing (i.e., gilead) is in china but probably not all of it. now of course with supply chain breakdown, we'll see exactly what this will mean down the pipe for actual drug manufacturers, whether they can either make the actual product or even ship it due to port closures. so this won't only apply to PrEP, but perhaps even to more mundane medication like ibuprofen and acetaminophen, not to mention things like hospital-grade medications. (i'm sure @Otterly, @Secret Asshole, and @eternal dog mongler probably could give a better read on this)

I wonder if now is the time to invest in manufacturing firms after this all blows over there might be some reinvestment back in the West for "resilience" purposes.
all I can say is Donald Trump is right. Close our borders and give us our manufacturing jobs back.
neither of you are gunna want to find out how to bring those jobs back for any duration of time.
 
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according to this, gilead makes the name-brand Truvada, while there are lots of generic producers of PrEP. according to this, most drug manufacturers are actually located in the US, Europe, and East Asia (and some in India). i would assume that at least some of PrEP manufacturing (i.e., gilead) is in china but probably not all of it. now of course with supply chain breakdown, we'll see exactly what this will mean down the pipe for actual drug manufacturers, whether they can either make the actual product or even ship it due to port closures. so this won't only apply to PrEP, but perhaps even to more mundane medication like ibuprofen and acetaminophen, not to mention things like hospital-grade medications.



neither of you are gunna want to find out how to bring those jobs back for any duration of time.
How nigga?
 
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I wonder if now is the time to invest in manufacturing firms after this all blows over there might be some reinvestment back in the West for "resilience" purposes.

Oh yeah, The Orange God Emperor will look like a fucking genius after Americans go a few months without all the shit that comes from China. He'll say, "See you fucktarded commies? THIS is why we need to manufacture shit in Murica!" and even most Democrats will admit he has a point.
 
Not sure if this was brought up already and some days late but


An annual mass wedding ceremony in the Philippines saw face masks and health checks included in the proceedings this year.
The precautions have been brought in due to the threat of coronavirus.
The city of Bacolod, Philippines saw 220 couples married in the government-sponsored event.


What's worse than coronavirus? Not ordering Chinese takeout, apparently.

I wonder how they feel about the Taiwanese and South Koreans that feel strongly about the Chinese now because of the outbreak. I recall an Asian news site calling it “Chinese-phobia”.

>hot
>nurse
>brave enough to fight the outbreak in fucking wuhan of all places
>has given up on finding a boyfriend without guvernmental intervention

Imma bet either she's such an autist as to have literally 0 social skills or she's such a total unrelenting bitch that no sane man would stay in the same room as her for over quarter an hour.

She could be this type:

2DE0A1F5-E8C3-4DA9-A3EC-8E5CF65208B3.jpeg


 
Oh yeah, The Orange God Emperor will look like a fucking genius after Americans go a few months without all the shit that comes from China. He'll say, "See you fucktarded commies? THIS is why we need to manufacture shit in Murica!" and even most Democrats will admit he has a point.
yup at least the most important shit.
 
I don't think anyone has ever really said "we don't want manufacturing to come back" but the truth is all those companies are private entities. They can't be forced to come back if they don't want to. Opening up some plants here for stability makes sense but if common sense was a factor we wouldn't be in this situation to began with.
 
I don't think anyone has ever really said "we don't want manufacturing to come back" but the truth is all those companies are private entities. They can't be forced to come back if they don't want to. Opening up some plants here for stability makes sense but if common sense was a factor we wouldn't be in this situation to began with.
Though technically some posters touch on the us having regulation to make sure some of the important shit in the military can still be manufactured in the USA.
 
Though technically some posters touch on the us having regulation to make sure some of the important shit in the military can still be manufactured in the USA.
I can agree with this. I was horrified to find how much of our medicine is outsourced. But really our whole medical infrastructure needs improvement.
 
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Just found these FAQs about the WuFlu.



FAQs About COVID-19
— Answers to frequently asked questions based on the latest medical research and public health data
by Molly Walker, Associate Editor, MedPage Today February 29, 2020

What about mild or asymptomatic cases of COVID-19?
A case study seemed to confirm the presence of asymptomatic transmission within China, where a woman was afebrile with no chest CT abnormalities or laboratory abnormalities. She did not develop the virus, while five of her relatives did.

An earlier report out of Germany found a woman traveling to Germany from China with vague symptoms resulting in a cluster of cases arising out of that meeting.

How infectious is the COVID-19 coronavirus?
Research out of China found a similar viral load in symptomatic and asymptomatic patients, which may suggest patients can transmit the virus whether they have mild or severe disease.

Earlier reports said that the World Health Organization estimated the R-0 as 1.4 to 2.5. By contrast, the R-0 for measles is 12-18, while the R-0 for seasonal influenza is a little over 1.

How virulent is COVID-19?
Cases out of China had previously reported a mortality rate of around 2%, but experts stated that once more mild cases have been reported, that number was expected to go down. Outside of China, a mortality rate of about 0.8% has been reported.

Research out of China of hospitalized patients suggested that the majority of cases (around 80%) have mild, non-severe disease. Around 6% met a composite outcome of severe outcomes and/or death, with 5% admitted to the ICU, 2.3% requiring ventilation, and 1.4% who died.

What are early symptoms of COVID-19?
A large study of hospitalized patients in China found two-thirds of patients presented with a cough, and only around 40% presented with a fever (though fever later developed in the hospital). Gastrointestinal symptoms, such as diarrhea and vomiting, were rare, and reported in under 5% of cases.

It appears not all patients present with symptoms, with research out of Germany finding patients testing positive for COVID-19, despite being afebrile and reporting no symptoms on symptom screeners.

How is COVID-19 diagnosed?
Patients who present with fever and respiratory symptoms associated with travel to countries with local transmission of COVID-19 (as listed on the CDC website), or who are close contacts of travelers recently returning home from affected countries, or who present with fever and acute respiratory symptoms of unknown origin, where causes such as influenza have been ruled out.

A patient is swabbed, then the sample is tested via reverse transcription polymerase chain reaction (RT-PCR) to determine presence of viral RNA (serology tests are not yet available). All positive tests are sent to CDC for confirmation.

What does severe disease look like?
Nearly all hospitalized patients develop pneumonia. Abnormalities on chest CT imaging were common among more severe patients, with "ground-glass opacity" present for around 60% of severe patients. More severe patients have also required supplemental oxygen, and in some cases, mechanical ventilation.

How is the disease treated?
In China, researchers reported the majority of patients received IV antibiotics. They have also been treated with antiviral oseltamivir (Tamiflu), which is FDA approved to treat influenza, as well as supplemental oxygen.

What are the drug/vaccine prospects?
Investigational therapies include antiviral remdesivir, which is currently being investigated in several clinical trials, as well as lopinavir/ritonavir (Kaletra), a protease inhibitor used to treat HIV, as well as the development of monoclonal antibodies from the serum of recovered patients.

Several companies and public health agencies have vaccines in development, including the National Institute of Allergy and Infectious Diseases. Phase I trials for a vaccine are likely a couple months away, with a timeline of 12-18 months for a vaccine to be ready for wide-scale deployment.

What is the prognosis for patients with COVID-19?
Reports out of China indicate disease is much more severe in older patients, with the highest mortality rate among adults age 80 and older. Patients with other comorbidities are also the most at risk. The disease appears to be less severe among younger patients. Although only limited data has been reported, children seem to acquire milder forms of the infection.

There are no confirmed reports of the disease being transmissible via vertical transmission, from a pregnant woman to her baby during the third trimester of pregnancy.

What are the long-term sequelae of COVID-19?
It is unclear what the long-term sequelae of the disease are. Many patients have been hospitalized with the illness for weeks outside of China, out of an abundance of caution and for public health reasons.
 
I don't think anyone has ever really said "we don't want manufacturing to come back" but the truth is all those companies are private entities. They can't be forced to come back if they don't want to. Opening up some plants here for stability makes sense but if common sense was a factor we wouldn't be in this situation to began with.

There has been the occasional article about how you don't want manufacturing in your country because it's dirty and icky and employs those people. It's not a commonly held view, though.

Bringing it back to the virus response, Ever since I heard Wilbur Ross say the focus was repatriating the supply chain, I felt the masterstroke (at least PR-wise) would be to offer no-interest and/or guaranteed loans for equipment related to re-establishing supplies affected by the outbreak. If you did it just right you could even put in a claimback clause saying 'if you move this production out of the country in x years, the tooling and equipment are ours now'. Even if it couldn't be sold to the workers in an employee buyout, cheap sales at GSA auction could make for good effects for small business.

I don't pretend this is a perfect or even a wise policy, but it'd be a power move.
 
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