Wuhan Coronavirus: Megathread - Got too big

[Yeeted Teet]

Ireland- 301 new cases and 3 new deaths announced. 2,121 total cases and 22 total deaths, demographic breakdowns will probably come out tomorrow but after the last update the median age of diagnosis was 46 and the median age of death was 79.

New measures are being introduced-

From tonight everyone has to stay at home under all circumstances except working in essential services, buying food or medicine, caring for vulnerable family members, or brief exercise within 2km of your home. Public transport can only be used by essential workers. All public and private gatherings are prohibited unless everyone is from a single household, including visiting family members for reasons other then caring for them. All visits to hospitals, prisons, and long term care facilities are to stop, and all non-essential medical care is being postponed. Travelling to the offshore islands is banned except for residents. "Cocooning" is being introduced for over 70's and others at an especially high risk, guidance on this will be published shortly. Pharmacists are allowed to use their own judgement to fill expired prescriptions or give more than indicated. The PM quoted the Terminator at the end of his speech, shit's getting real.

Chief Medical Officer says there are signs that the measures already in place are working but they're seeing an increase in cases in places like nursing homes which is prompting the harsher containment measures.

I think I forgot to mention it in an earlier update- over the past few days country wide rent controls have been introduced as has a temporary ban on evictions. The health service also confirmed a €200 million order for PPE which is starting to be delivered on chartered flights this week, that's more than 10 times what they normally spend on it in a year.

Pretty harsh but I'm honestly not mad about it, better these measures are brought in now than when things spiral out of control. By all accounts, most hospitals are still pretty quiet. They've been making a massive effort to clear out people who didn't need to be there to make room for ChinAIDS patients so a lot of A&Es and wards are the emptiest they've been in a long time, the numbers waiting to be admitted are the lowest in years. They may have bought us some time that we badly fucking need.

 

[Drain Todger]

From a doctor in New Orleans:

Imgur

Imgur: The magic of the Internet

imgur.com

That's full of jargon. Let me translate it.

Written by an ER MD in New Orleans.

"I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have no seen several hundred Covid 19 patients and this is what I think I know.

Clinical course is predictable. 2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.

A basic list of all the common symptoms the patients present with.

Day 5 of symptoms - increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.

Shortness of breath worsens, pneumonia begins to appear, the lung tissues are injured by the virus.

Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.

Huge amounts of cytokines damage the lungs and cause acute respiratory distress and organ failure in a very short period of time.

81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.

Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT's of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.

They have encephalopathy, kidney failure, and ketoacidosis.

China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.

Patients are suffering heart failure from the virus attacking their heart. Cardiologists are refusing to give them tissue plasminogen activator because it doesn't do any good, because the clotting caused by this virus backing up junk in the bloodstream is so severe.

Diagnostic

CXR- bilateral interstitial pneumonia (anecdotally starts most often in the RLL so bilateral on CXR is not required). The hypoxia does not correlate with the CXR findings. Their lungs do not sound bad. Keep your stethoscope in your pocket and evaluate with your eyes and pulse ox.

Many have hypoxia without any audible lung signs. Their breathing seems normal, but they are still hypoxic.

Labs- WBC low, Lymphocytes low, platelets lower then their normal, Procalcitonin normal in 95% CRP and Ferritin elevated most often. CPK, D-Dimer, LDH, Alk Phos/AST/ALT commonly elevated.
Notice D-Dimer- I would be very careful about CT PE these patients for their hypoxia. The patients receiving IV contrast are going into renal failure and on the vent sooner.

Patients have low white blood cell, platelet, and lymphocyte counts, normal procalcitonin, elevated ferritin. An elevated D-Dimer is a sign of clotting. Their liver levels are also elevated.

Basically, if you have a bilateral pneumonia with normal to low WBC, lymphopenia, normal procalcitonin, elevated CRP and ferritin- you have covid-19 and do not need a nasal swab to tell you that.

They're skipping genetic tests for the virus and going for a lab profile on these patients to diagnose.

A ratio of absolute neutrophil count to absolute lymphocyte count greater than 3.5 may be the highest predictor of poor outcome. the UK is automatically intubating these patients for expected outcomes regardless of their clinical presentation.

They're tubing people in the UK based on their labs, before they even show ARDS (because by then, it will be too late).

An elevated Interleukin-6 (IL6) is an indicator of their cytokine storm. If this is elevated watch these patients closely with both eyes.

Patients with signs of cytokine release syndrome need to be monitored continuously. Their high interleukin means their body is trying to put on the brakes, but the inflammation is spiraling out of control.

Other factors that appear to be predictive of poor outcomes are thrombocytopenia and LFTs 5x upper limit of normal.

Low platelets and high liver levels are bad.

Disposition
I had never discharged multifocal pneumonia before. Now I personally do it 12-15 times a shift. 2 weeks ago we were admitting anyone who needed supplemental oxygen. Now we are discharging with oxygen if the patient is comfortable and oxygenating above 92% on nasal cannula. We have contracted with a company that sends a paramedic to their home twice daily to check on them and record a pulse ox. We know many of these patients will bounce back but if it saves a bed for a day we have accomplished something. Obviously we are fearful some won't make it back.

They're sending people home while they're still pneumonic, with an oxygen bottle, and sending medics out to check on them and their O2 levels, just to free up scarce beds. They know many of these patients will end up back in the hospital, but they need the beds anyway.

Luckily we are part of a larger hospital group. Our main teaching hospital repurposed space to open 50 new Covid 19 ICU beds this past Sunday so these numbers are with significant decompression. Today those 50 beds are full. They are opening 30 more by Friday. But even with the "lockdown", our AI models are expecting a 200-400% increase in covid 19 patients by 4/4/2020.

They can't even get beds fast enough. They're filling them right up.

Treatment
Supportive

worldwide 86% of covid 19 patients that go on a vent die. Seattle reporting 70%. Our hospital has had 5 deaths and one patient who was extubated. Extubation happens on day 10 per the Chinese and day 11 per Seattle.

Most of the people who have required a ventilator have died.

Plaquenil which has weak ACE2 blockade doesn't appear to be a savior of any kind in our patient population. Theoretically, it may have some prophylactic properties but so far it is difficult to see the benefit to our hospitalized patients, but we are using it and the studies will tell. With Plaquenils potential QT prolongation and liver toxic effects (both particularly problematic in covid 19 patients), I am not longer selectively prescribing this medication as I stated on a previous post.

Hydroxychloroquine is not a panacea for people who are already very sick with COVID-19. It causes heart rhythm abnormalities and is toxic to the liver, which is bad because COVID-19 patients have heart trouble and elevated liver levels already.

We are also using Azithromycin, but are intermittently running out of IV.

Do not give these patient's standard sepsis fluid resuscitation. Be very judicious with fluids as it hastens their respiratory decompensation. Outside the DKA and renal failure dehydration, leave them dry.

They are also using Azithromycin. They advise not giving IV fluids for sepsis because it fucks the lungs even more. Unless they already have diabetic ketoacidosis and their kidneys are fucked, don't give them even a drop.

Proning vented patients significantly helps oxygenation. Even self proning the ones on nasal cannula helps.

Making patients lie face-down helps air get into their lungs better.

Vent settings- Usual ARDS stuff, low volume, permissive hypercapnia, etc. Except for Peep of 5 will not do. Start at 14 and you may go up to 25 if needed

Normal ARDS setting for the ventilators, except the positive end-expiratory pressure should be set really, really fucking high to keep the alveoli from collapsing.

Do not use Bipap- it does not work well and is a significant exposure risk with high levels of aerosolized virus to you and your staff. Even after a cough or sneeze this virus can aerosolize up to 3 hours.

Don't use bilevel positive airway pressure devices. They make a mess. Aerosolized virus can float in a cloud of aerosol for hours and hours and infect people.

The same goes for nebulizer treatments. Use MDI. you can give 8-10 puffs at one time of an albuterol MDI. Use only if wheezing which isn't often with covid 19. If you have to give a nebulizer must be in a negative pressure room; and if you can, instruct the patient on how to start it after you leave the room.

Nebulizers also make a mess. Use a metered dose inhaler instead. If you do use a nebulizer, leave the room while the patient is using it, and have them start only once you're outside, otherwise, you're going to be caught in a cloud of aerosolized virus.

Do not use steroids, it makes this worse. Push out to your urgent cares to stop their usual practice of steroid shots for their URI/bronchitis.

Steroids can suppress the immune system and give the virus the upper hand. Don't do it.

We are currently out of Versed, Fentanyl, and intermittently Propofol. Get the dosing of Precedex and Nimbex back in your heads.

They're running out of painkillers, sedatives, and anesthetics and have had to seek alternatives.

One of my colleagues who is a 31 yo old female who graduated residency last may with no health problems and normal BMI is out with the symptoms and an SaO2 of 92%. She will be the first of many.

A healthy 31 year old healthcare worker with a normal weight has the symptoms and her O2 saturation is slightly lower than normal, so she's out. They're expecting this to happen to more.

I PPE best I have. I do wear a MaxAir PAPR the entire shift. I do not take it off to eat or drink during the shift. I undress in the garage and go straight to the shower. My wife and kids fled to her parents outside Hattiesburg. The stress and exposure at work coupled with the isolation at home is trying. But everyone is going through something right now. Everyone is scard; patients and employees. But we are the leaders of that emergency room. Be nice to your nurses and staff. Show by example how to tackle this crisis head on. Good luck to us all."

They're wearing a powered air purifying respirator the entire shift, and they're not even taking it off for lunch. Once they get home, they're doffing in the garage and showering off any residual virus. Their loved ones have fled the coop. They're on edge the entire time, wondering when they're also going to get sick.

Jesus. So, basically, everything I've been saying all this time is right. Bilateral viral pneumonia, ARDS progressing to lung fibrosis, myocarditis, encephalopathy, co-infections requiring antibiotics to treat, clotting, heart attacks, autoimmune injury/cytokine storm, elevated liver levels... everything but the kitchen sink.

And you need a friggin' PAPR unit to be safe. Just like I said.

You know, guys... weeks ago, I started wondering which of my coworkers was going to get it, and which ones I was never going to see again. Which faces of friends I'd known for years that I'd never see again. I sent all my findings in to management, and you know what? I got something done.

My coworkers had started disinfecting all our spaces with quaternary ammonia, according to directives handed down by management, and they were getting sick with irritated airways from breathing in the quat after hosing down seats, doorknobs, and tables with garden sprayers full of didecyldimethylammonium chloride cleaner. After I sent management my info and the EPA list of approved cleaners, they're ordering peroxide concentrate bottles for our crews. Diversey Oxivir accelerated peroxide. It has a shorter contact time than the ammonia. One minute instead of five. It's more effective against viruses and much less irritating.

So, simply by raising a big stink, I was able to make sure my coworkers got the best disinfectants they possibly could, ones that are low-impact and non-irritating to the airway and to skin.

 

[Blop]

Here’s a US hospital resource usage modeling tool you nerds can play with.

IHME | COVID-19 Projections

Explore hospital bed use, need for intensive care beds, and ventilator use due to COVID-19 based on projected deaths

covid19.healthdata.org

COVID-19

archived 27 Mar 2020 19:15:01 UTC

archive.li

 

[exYugo]

Question to all of you: How many comments have you read from your countrymen which still downplay the whole thing and basically say "We can't live like this anymore, we have to open up everything and return to our jobs." ? How can people be this dense?

 

[Ellesse_warrior]

the game is rigged and none of us get to play
good to see are elected officials wont be going with out

Spoiler: VIDEO ARCHIVE

Slap me if i'm late but, with the memeology video about all these chinks snorting and wiping their tissues on benches and handles / buttons etc... and now this :

Thailand Coronavirus Updates: Chinese Woman Caught Spitting All Over In An Attempt To Spread The SARS-Cov-2 Virus - Thailand Medical News

Thailand Coronavirus Updates : A Chinese female national was arrested for spitting all over deliberately non-stop on public transport in Thailand. It was perceived that she was trying to spread the disease to Thai nationals deliberately. The Chinese woman was arrested on Thursday (March 19)...

www.thailandmedical.news

Thailand Coronavirus Updates: Chinese Woman Caught Spitting All Over …

archived 21 Mar 2020 21:17:53 UTC

archive.li

It seems like these fucking CHINKS of DOOM are purposefully spreading this shit everywhere, MAYBE they've also done that prior to this discovery, and they went unnoticed for just having the worst habits before we even knew there was an outbreak in wuhan, travelled all around the world and done that shit on surfaces / door handles / elevator buttons as it can survive so long on metal and shit.

HOLY SHIT I'm getting enraged, these people should be considered agents of a foreign hostile country spreading a bioweapon on your territory and shot in the head on sight for doing so !

She was even spitting on the agents / police trying to arrest her, and she has been seen spitting on everything, everywhere, at every bus stop and train stop she took and stop by !

Edit : that's the memology 101 video i'm talking about :

cough.mp3

🔴Background music: https://www.youtube.com/watch?v=LGvyr-gKmhU 🔴Background visuals: https://www.youtube.com/user/hdbacks -----SUPPORT THE CHANNEL------ 🔴YouT...

www.youtube.com

NEVER ever FUCKING TRUST a CHINK entering your country or just FOREVER FORBID THEM ENTRY.

Spoiler: VIDEO ARCHIVE

Shut it down, Bobi Wine has the coronavirus anthem on lock.

Corona Virus Alert by Bobi Wine & Nubian Li HD Official Video Hd

CORONA VIRuS Alert

youtu.be

Spoiler: VIDEO ARCHIVE

Influencer reportedly hospitalized with coronavirus after licking toilet

A California social media prankster claims he was hospitalized with the coronavirus — just days after posting a video of himself licking a toilet bowl for a nauseating online challenge. The TikTok …

nypost.com

So my new theory is that corona chan was sent by god to destroy clown world. Like first Harvey Weinstein gets it, then Kathy Griffin, Madonna is freaking the fuck out that being rich won’t save her, and now this exceptional individual who does the corona challenge might die from the corona challenge.
This might be up there for the most exceptional choice of 2020.

Spoiler: VIDEO ARCHIVE

so apparently there's this total chad french med professor/microbiologist/infectious-disease-man named didier raoult (if anyone wants to translate some of his tweets de la francais for extra info) who has been talking about chloroquine/azithromycin combination, but has yet to really post a study about it. he has done at least 1 interview on youtube about his experiences treating his patients with respiratory disease (english subs):

i don't know if this is worthy of archival or not, if someone wants to then go ahead

might be interesting for you medfags out there.

Spoiler: VIDEO ARCHIVE

YouTube

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

www.youtube.com

View attachment 1203846

Uh Oh... It's beginning.

Spoiler: VIDEO ARCHIVE

Nurse interviewed by the New York Times. Pretty somber stuff, but did they really need to put the horror soundtrack on in the background? This stuff is heavy enough already you fucks.

Spoiler: VIDEO ARCHIVE

NYC removes bball hoops to enforce social distance

Mayor Bill de Blasio urges New Yorkers to practice social distancing and to stay home and he is now upping his actions in hopes of persuading more New Yorker...

www.youtube.com

We already have they're electing right wing parties and just need that final push.

Juncker going off on those "idiot Italians" as he would probably say is all we need. Man can't help himself/

Spoiler: VIDEO ARCHIVE

Videos from March 25, not previously archived

Spoiler: Global coronavirus cases surpassed 400,000

Spoiler: Global National_ March 24, 2020 _ COVID-19 aid legislation gets bogged down in politics

Spoiler: Winnie The Last Adventure

Plus one of the PDF's from March 25, not previously archived.

And remember,

Read this thread if you don't know how to : https://kiwifarms.net/threads/archival-tools.6561/

 

[XYZpdq]

From a doctor in New Orleans:

Imgur

Imgur: The magic of the Internet

imgur.com

That's full of jargon. Let me translate it.



A basic list of all the common symptoms the patients present with.



Shortness of breath worsens, pneumonia begins to appear, the lung tissues are injured by the virus.



Huge amounts of cytokines damage the lungs and cause acute respiratory distress and organ failure in a very short period of time.



They have encephalopathy, kidney failure, and ketoacidosis.



Patients are suffering heart failure from the virus attacking their heart. Cardiologists are refusing to give them tissue plasminogen activator because it doesn't do any good, because the clotting caused by this virus backing up junk in the bloodstream is so severe.



Many have hypoxia without any audible lung signs. Their breathing seems normal, but they are still hypoxic.



Patients have low white blood cell, platelet, and lymphocyte counts, normal procalcitonin, elevated ferritin. An elevated D-Dimer is a sign of clotting. Their liver levels are also elevated.



They're skipping genetic tests for the virus and going for a lab profile on these patients to diagnose.



They're tubing people in the UK based on their labs, before they even show ARDS (because by then, it will be too late).



Patients with signs of cytokine release syndrome need to be monitored continuously. Their high interleukin means their body is trying to put on the brakes, but the inflammation is spiraling out of control.



Low platelets and high liver levels are bad.



They're sending people home while they're still pneumonic, with an oxygen bottle, and sending medics out to check on them and their O2 levels, just to free up scarce beds. They know many of these patients will end up back in the hospital, but they need the beds anyway.



They can't even get beds fast enough. They're filling them right up.



Most of the people who have required a ventilator have died.



Hydroxychloroquine is not a panacea for people who are already very sick with COVID-19. It causes heart rhythm abnormalities and is toxic to the liver, which is bad because COVID-19 patients have heart trouble and elevated liver levels already.



They are also using Azithromycin. They advise not giving IV fluids for sepsis because it fucks the lungs even more. Unless they already have diabetic ketoacidosis and their kidneys are fucked, don't give them even a drop.



Making patients lie face-down helps air get into their lungs better.



Normal ARDS setting for the ventilators, except the positive end-expiratory pressure should be set really, really fucking high to keep the alveoli from collapsing.



Don't use bilevel positive airway pressure devices. They make a mess. Aerosolized virus can float in a cloud of aerosol for hours and hours and infect people.



Nebulizers also make a mess. Use a metered dose inhaler instead. If you do use a nebulizer, leave the room while the patient is using it, and have them start only once you're outside, otherwise, you're going to be caught in a cloud of aerosolized virus.



Steroids can suppress the immune system and give the virus the upper hand. Don't do it.



They're running out of painkillers, sedatives, and anesthetics and have had to seek alternatives.



A healthy 31 year old healthcare worker with a normal weight has the symptoms and her O2 saturation is slightly lower than normal, so she's out. They're expecting this to happen to more.



They're wearing a powered air purifying respirator the entire shift, and they're not even taking it off for lunch. Once they get home, they're doffing in the garage and showering off any residual virus. Their loved ones have fled the coop. They're on edge the entire time, wondering when they're also going to get sick.

Jesus. So, basically, everything I've been saying all this time is right. Bilateral viral pneumonia, ARDS progressing to lung fibrosis, myocarditis, encephalopathy, co-infections requiring antibiotics to treat, clotting, heart attacks, autoimmune injury/cytokine storm, elevated liver levels... everything but the kitchen sink.

And you need a friggin' PAPR unit to be safe. Just like I said.

You know, guys... weeks ago, I started wondering which of my coworkers was going to get it, and which ones I was never going to see again. Which faces of friends I'd known for years that I'd never see again. I sent all my findings in to management, and you know what? I got something done.

My coworkers had started disinfecting all our spaces with quaternary ammonia, according to directives handed down by management, and they were getting sick with irritated airways from breathing in the quat after hosing down seats, doorknobs, and tables with garden sprayers full of didecyldimethylammonium chloride cleaner. After I sent management my info and the EPA list of approved cleaners, they're ordering peroxide concentrate bottles for our crews. Diversey Oxivir accelerated peroxide. It has a shorter contact time than the ammonia. One minute instead of five. It's more effective against viruses and much less irritating.

So, simply by raising a big stink, I was able to make sure my coworkers got the best disinfectants they possibly could, ones that are low-impact and non-irritating to the airway and to skin.

lol new orleans has doctors?

 

[Archeopthryx]

The problem with this especially if you work in a SOC is your network is in theory not secure, you have a VPN and your firewall not your SOCs office defences. When you are trying to monitor over 1000 clients with a work model that is not suited its a lot harder e.g. I use 5 monitors now I am down to 2, so efficiency is cut a lot. You cannot meet effectively with your clients due to GCHQ they survey everything so face to face is good for security reasons. The people around you like the receptionist are great though as they are your team - I work in a really good workplace so it is very family centric.

Again they are on about this lasting for 6 months, one of the companies has 100% market share in how cyber security is handled for small to medium companies but also handles insurance too and doing that from home is nigh on impossible.

I feel bad the the tech guys its not fun lol.

If you can get enough tech guys you may outsource this shit and DELL it old school style. Offer some VPN and office suite and voila you got the next new thing in the industry and get ready for that WEWork money. Then bail for the love of god bail before it gets bad because of the corpo-bureaucracy.

 

[Revo]

Cases in New Zealand only continue to increase, as Ardern's boondoggle that she could have avoided simply by excluding carriers drags on.

Police are harassing surfers, of all the people they could target. Clearly, people exercising in a natural disinfectant is a great threat to public health. Doesn't quite sound right, does it? Perhaps keeping out foreigners and actually quarantining disease-carrying New Zealanders would have been smarter than destroying small businesses and harassing people who just want to surf alone?

Meanwhile, while up until a few days ago, horseface Ardern was pretending that community transmission wasn't happening, her government explicitly told the organizers of a conference that was affected by her admission of a coronavirus carrier that they should go ahead with having people that person likely infected spread out throughout the country. Disgusting, but par for the course for horseface.

Coronavirus: Inside the cattle conference cluster of 17 confirmed cases

About 400 delegates went sightseeing, despite an attendee testing postive for Covid-19.

www.stuff.co.nz

Easy to understand why. The people this will effect? Real New Zealanders, who Ardern couldn't care less about. Rural New Zealanders, who she hates even more. Hell, most of them probably own guns!

Let them die, says the horsefaced cunt.

OK bro, clearly sovereign citizen nonsense is equivalent to taking advantage of your rights under New Zealand law that have not been affected by this event.

I would suggest reading while walking. It's not hard if you roll along slowly.

Archive of stuff article : https://archive.vn/eWBqb

Hungary goes into lockdown against coronavirus

Hungary goes into lockdown against coronavirus

index.hu

Grocery stores, pharmacies, markets, and drugstores will remain open, but people above 65 will only be allowed to visit these places between 9:00 AM and noon, while others will be banned from entering during this time.

Hungary goes into a soft lockdown. You can go out for most things:

• Work,
• Taking children to daycare,
• Fulfilling medical needs,
• Individual sports activities and recreational walks,
• Weddings and funerals,
• Shopping for groceries, medication, pet food, drugstore items, tobacco, and fuel,
• Administrative procedures that require personal presence,
• Walking pets and caring for animals,
• Fulfilling parental rights and obligations,
• Participating in religious activities,
• Having haircuts and manicures,
• Using cleaning and hygienic services,
• Car and bicycle repair services,
• Veterinary services,
• Postal, shipping, banking, financial, and insurance services,
• Providing assistance to those who are unable to take care of themselves.

Fine for not doing one of those many and mostly unnecessary things: 5000 to 500.000 HUF, basically 17 to 17.000 USD fines. Military police is being deployed to enforce it, but I feel it is quite too lenient.

(Emphasis is mine)

Number of confirmed coronavirus cases in Hungary reaches 300

Number of confirmed coronavirus cases in Hungary reaches 300

index.hu

300 cases, 34 recoveries, 10 deaths. This is quite impressive that the deaths are not above the recovered, since our healthcare is running on very old equipment.

This poor fellow took a year to learn Hungarian, only to die here. He had no underlying conditions we know of. He was 37 years old. Yeah boomer remover my asshole. Tards.

British deputy ambassador dies of COVID-19 in Hungary

Steven Dick is the tenth victim of the coronavirus in Hungary.

index.hu

Germany tried to stop a shipment of masks that went through Germany to Hungary, but backed off.

Orban told the EU that if they are not willing to help, than they should at least get out of the way.



Honestly.... I don't care about the bottom tier of the third world. If their society can't function in a civilised manner, than we don't need so many of them. That is not genocide, that is evolution. They should have either adapted to white cultural standards, or kept their population low so that plagues can't hit them hard. We did not force them to be like this, so we are not to blame, and thus, not responsible for them. Tough luck. This is now every country for itself.

Racism was the good guy trying to prevent us from coofing to death all along. But we did not listen, because it was a foul tasting medicine and we wanted to believe the world is all about hugs and sunshine and love. Well, turns out it is not. Life is a bitch.

1.Hungary goes into lockdown against corona virus :

http://archive.li/VjKSC

2.Number of confirmed coronavirus cases in Hungary reaches 300 : http://archive.li/9a45Z
3.British deputy ambassador dies of COVID-19 in Hungary. :http://archive.li/tf0Ia

Not sure if they was already posted

Twitter

1.Archive of Deadline (Hollywood)'s tweet : http://archive.li/nhYJc
2.Archive of DH article : http://archive.li/noG3J

Some Bongland Good News:

Dyson's Boffins designed a new ventilator in 10 days, using bits from their existing range such as an air purifyer and other gubbins The Government's asked for 10,000 once regulatorally approved.

UK's ventilator capacity has risen by 60% from 5,000 to 8,715 in a manner of days.

Brewdog, the "Punk Brewers" who run lots of crowd funded bars and other neat stuff, swapped their distillery production to hand sanitizer and are calling it "BrewGel" and Ineos are building two hand sanitizer factories, one in the UK and one in Germany in a matter of days.

The ExCel Centre in London is being turned over into the NHS Nightingale Hospital adding a crucial 4,000 beds to London's Capacity (around 1/3-1/2 of all UK Cases are in London).

Amazon and Boots are ready to sell and home deliver millions of the home testing kits should they prove reliable across the whole of Bongland, and will be given priority shipping.

Most of the insanity in Supermarkets of hoarding seems to be going down now matters are being enforced and settled.

1.Dyson designs new ventilator 'CoVent' in 10 days after Government orders 10,000 to help tackle coronavirus pandemic: http://archive.li/fj01A#selection-4255.17-4255.147
2.UK chemicals firm plans to build two hand sanitiser factories in 10 days :https://archive.vn/grcOn#selection-1365.1-1365.74
3.NHS Nightingale: video shows scale of London coronavirus hospital :https://archive.vn/FZ0rD#selection-1357.1-1357.67
4.Coronavirus home test kits: Where can you get them and when? : https://archive.vn/G2Fsk#selection-541.0-541.60

View attachment 1204940

They've also clarified that it's a policy they drafted in case it was needed, but is not currently in effect.

Archive of Vox Populi's tweet : https://archive.vn/qFSIY

The youngest UK death was apparently fake news.

Chloe Middleton: death of 21-year-old not recorded as Covid-19

Source says coroner linked death to coronavirus but hospital took different view

www.theguardian.com

tl;dr she had a heart attack "at the weekend" and the hospital couldn't resuscitate her. Her family have deleted posts saying she had no health conditions. Sounds like drugs and the family hoped to cover it up.

Archive of The Guardian article : https://archive.vn/R4n97

Some thoughts.

Seeing one set of police fight another set of police is highly unusual. Beijing will not be happy about this. They like to maintain the fiction that all China is working together, that all are brothers and sisters (least the Han Chinese).

Not surprised at all about re-closing the movie theaters. Am sure the ChiCom Flu is still making its' rounds throughout the country, and nothing the Chinese say can be believed. Am certain the numbers of sick and dead are orders of magnitude higher than reported.

Have seen where the Russians are doing their own disinformation. Please...this is already hitting Russia. Believe this will hit Russia much worse than it has hit the USA. The Russian medical system is simply not up to dealing with the numbers of very sick people that will be overwhelming their hospitals.

Check this out and figure the odds of the ChiCom Flu wrecking the Russian medical system.

Health care system in Russia

Услуги

www.ap-companies.com

While we're at it, the ChiCom Flu will also impact the Russian military heavily, probably worse than in the USA. Soldiers live in crowded barracks. Most officers live with their families in small apartments in apartment complexes. Great for spreading the virus. A little PL - retired US senior officer. From what I have seen of Russian officer housing, could not imagine a single US officer living in such "style". I sure as hell never did, even as a new second lieutenant. Doubt Russian military medical care, except for the top officers, is any better than downtown.

Readiness will suffer. Can see high-ranking officers sitting in Strategic Rocket Forces' missile silos due to illnesses of the regular officers manning the silos. Not only that, but in the Russian military officers do many tasks that in the US/UK/EU/Japan/Korea are done by noncommissioned officers (sergeants/petty officers). For example, the crew chief of a US military aircraft is the guy/gal that makes sure all repairs/maintenance are complete and the plane is ready to fly. Then when the aircraft returns from the mission that crew chief is there to learn of any problems that came up during the flight. In the US military crew chiefs are noncommissioned officers, and not real high-ranking ones at that. The Russians use commissioned/warrant officers as crew chiefs - one per plane. So in a squadron of 24 fighters you have 24 officer crew chiefs, plus the pilots and other officer specialties. The Russian noncommissioned officer corps is rather lacking. Same issues throughout the Russian military.

Interesting article about how the Russians are developing a noncommissioned officer corps. When you see the salary figures one Russian ruble equals one US cent.

Russian Armed Forces

The Russian enlisted education system is unlike the U.S. system. It is not designed to develop well rounded leaders, it is instead designed to develop technically proficient professionals.

www.armyupress.army.mil

Matter of fact, the ChiCom Flu will affect military readiness to varying extents in every country it hits.

Just saw a thing from our county health department saying even though there are only 27 cases in the county, the county plans to extend their shelter-in-place past 7 April. Yeah, we'll see how people put up with that.


Something on how the ChiCom Flu is affecting Iran.

Coronavirus Delivers Another Devastating Blow to the Iranian Regime

BESA Center Perspectives Paper No. 1,507, March 27, 2020EXECUTIVE SUMMARY: The coronavirus pandemic has hit Iran hard, and not only on the health front. The virus is the latest in a succession of

besacenter.org

And in the "People are Pricks" department, walked by Walmart this morning, hoping to find my Outshine bars. No luck. Good supplies of eggs, tard cum, bread and water. Supplies of asswipe and paper towels, but no tissues. Supply of fresh meat/poultry fair, frozen meats/poultry very thin. Employees had a lot of food out on the floor, stocking as best they could.

Was over at the asswipe department talking with an employee. He was wearing a mask. Told me he asked some woman to watch where she coughed. She replied, "Who are you to tell me what to do?" No-good lousy cunt. Should have called the police. Employee lives with elderly mother with health issues, and has a brother with health issues. Man isn't paid enough for what he does. We agreed China needs to pay for all this.

The President has signed the stimulus bill into law. Video of AOC babbling. Just STFU, sow.

https://www.msn.com/en-us/news/news...-pain/ar-BB11NlNe?li=BBnb7Kz&ocid=mailsignout

1. Health care system in Russia : https://archive.vn/EW1CU#selection-391.0-391.28
2. Russian Armed Forces : https://archive.vn/G2lEi#selection-1521.0-1521.20
3. Coronavirus Delivers Another Devastating Blow to the Iranian Regime : https://archive.vn/VX6ls
4.Trump signs $2 trillion coronavirus bill into law as companies and households brace for more economic pain : https://archive.vn/MhqaR

 

[MrBlueSocks]

Title 3 of the US code cements in stone the date of presidential elections. Moving that date would be a Herculean task and would likely cause a constitutional crisis.

Bloody good excuse to roll out internet voting or some such, isn't it though.
Voting website that you can't see the code for "for security" , and none of those messy ballot papers being all bad for the environment...

 

[Gustav Schuchardt]

Nigel Farage on Boris Johnson and Matt Hancock testing positive

https://www.youtube.com/watch?v=h4EU8xlE69M

Local mirror

 

[EmuWarsVeteran]

I forgot to mention on the list of good news. The IFEMA hospital's finally fully operational. Still waiting on some of those separators but they're mostly cosmetic, beds are separated by 3 meters, should be enough, piping, organization, zoning, gas, oxygen, all up to standards for a modern hospital. Fully stocked on medication, gear, emergency contingents, 3 days it took and as opposed to that chink shit it's a real functioning fucking hospital. I mean, it has no ICUs and no specialist equipment (xrays and all that palava) so it's a "campaign hospital", but fuck, that's all you need in an emergency anyway. China eat your heart out.

Some thoughts.

Seeing one set of police fight another set of police is highly unusual. Beijing will not be happy about this. They like to maintain the fiction that all China is working together, that all are brothers and sisters (least the Han Chinese).

Not surprised at all about re-closing the movie theaters. Am sure the ChiCom Flu is still making its' rounds throughout the country, and nothing the Chinese say can be believed. Am certain the numbers of sick and dead are orders of magnitude higher than reported.

Have seen where the Russians are doing their own disinformation. Please...this is already hitting Russia. Believe this will hit Russia much worse than it has hit the USA. The Russian medical system is simply not up to dealing with the numbers of very sick people that will be overwhelming their hospitals.

Check this out and figure the odds of the ChiCom Flu wrecking the Russian medical system.

Health care system in Russia

Услуги

www.ap-companies.com

While we're at it, the ChiCom Flu will also impact the Russian military heavily, probably worse than in the USA. Soldiers live in crowded barracks. Most officers live with their families in small apartments in apartment complexes. Great for spreading the virus. A little PL - retired US senior officer. From what I have seen of Russian officer housing, could not imagine a single US officer living in such "style". I sure as hell never did, even as a new second lieutenant. Doubt Russian military medical care, except for the top officers, is any better than downtown.

Readiness will suffer. Can see high-ranking officers sitting in Strategic Rocket Forces' missile silos due to illnesses of the regular officers manning the silos. Not only that, but in the Russian military officers do many tasks that in the US/UK/EU/Japan/Korea are done by noncommissioned officers (sergeants/petty officers). For example, the crew chief of a US military aircraft is the guy/gal that makes sure all repairs/maintenance are complete and the plane is ready to fly. Then when the aircraft returns from the mission that crew chief is there to learn of any problems that came up during the flight. In the US military crew chiefs are noncommissioned officers, and not real high-ranking ones at that. The Russians use commissioned/warrant officers as crew chiefs - one per plane. So in a squadron of 24 fighters you have 24 officer crew chiefs, plus the pilots and other officer specialties. The Russian noncommissioned officer corps is rather lacking. Same issues throughout the Russian military.

Interesting article about how the Russians are developing a noncommissioned officer corps. When you see the salary figures one Russian ruble equals one US cent.

Russian Armed Forces

The Russian enlisted education system is unlike the U.S. system. It is not designed to develop well rounded leaders, it is instead designed to develop technically proficient professionals.

www.armyupress.army.mil

Matter of fact, the ChiCom Flu will affect military readiness to varying extents in every country it hits.

Just saw a thing from our county health department saying even though there are only 27 cases in the county, the county plans to extend their shelter-in-place past 7 April. Yeah, we'll see how people put up with that.


Something on how the ChiCom Flu is affecting Iran.

Coronavirus Delivers Another Devastating Blow to the Iranian Regime

BESA Center Perspectives Paper No. 1,507, March 27, 2020EXECUTIVE SUMMARY: The coronavirus pandemic has hit Iran hard, and not only on the health front. The virus is the latest in a succession of

besacenter.org

And in the "People are Pricks" department, walked by Walmart this morning, hoping to find my Outshine bars. No luck. Good supplies of eggs, tard cum, bread and water. Supplies of asswipe and paper towels, but no tissues. Supply of fresh meat/poultry fair, frozen meats/poultry very thin. Employees had a lot of food out on the floor, stocking as best they could.

Was over at the asswipe department talking with an employee. He was wearing a mask. Told me he asked some woman to watch where she coughed. She replied, "Who are you to tell me what to do?" No-good lousy cunt. Should have called the police. Employee lives with elderly mother with health issues, and has a brother with health issues. Man isn't paid enough for what he does. We agreed China needs to pay for all this.

The President has signed the stimulus bill into law. Video of AOC babbling. Just STFU, sow.

https://www.msn.com/en-us/news/news...-pain/ar-BB11NlNe?li=BBnb7Kz&ocid=mailsignout

Russia has two aces up their sleeve. Cold and geography. Corona seems to spread less in cold regions, and all viri spread less on arid rural regions, so russia has good natural defenses. Still that only makes it slower to come, it doesn't stop it, but it's worth considering.

Question to all of you: How many comments have you read from your countrymen which still downplay the whole thing and basically say "We can't live like this anymore, we have to open up everything and return to our jobs." ? How can people be this dense?

Stopped hearing that shit around here but... yeah.

1585335631795.png 1585335620960.png Lolcows may represent all of the worst of humanity but the existence of them and their stupid decisions is a sign of a healthy civilization that values freedom. exceptional people that don't do what they're told even with good reason are the last bastion of defense of a free society.

"Exhibition", so they did the same thing as madrid. Fuck building new foundations, better to grab an already habitable space, reinforce piping, variable control, habitability, add the hospital equipment and turn it into a hospital. And guessing by the russian pics they're doing the same thing.

Hey remember when the chink apologists defended their stupid deathhouse made with prefab? Remember when I said the west had protocols for this shit? Remember that? Wanna guess why all governments had the same idea? It's cause that's how campaign hospitals are made. Hey china! Ever thought of not sucking?! Yeah I know you didn't!

 

[Dog-O-Tron 5000v5.0]

View attachment 1205052

View attachment 1205051



Lolcows may represent all of the worst of humanity but the existence of them and their stupid decisions is a sign of a healthy civilization that values freedom.

exceptional people that don't do what they're told even with good reason are the last bastion of defense of a free society.

Not only is it 4000 beds and 4 days, they even have a nice facade, signage, logos. Damn classy UK. I bet the Javitts Center doesn't have all that.

 

[Token Weeaboo]

has this been posted?

https://i.4pcdn.org/pol/1581137153492.png

fake?

Archive of the image

 

[DewsLit]

GW Hospital Uses Innovative VR Technology to Assess Its First COVID-19 Patient
Podcast included as mp3
Source | Archive

The George Washington University Hospital received its first COVID-19-positive patient on Wednesday, March 18, 2020. The man, in his late 50s, was transferred from another hospital after his initial symptoms (fever, cough, shortness of breath) quickly escalated. He was connected to a ventilator at that hospital, but eventually required a more-intensive intervention.
“What we’re seeing is that there was rapid and progressive damage to the lungs so that he needed higher levels of support from that ventilator and it got to the point where he needed maximal support from the ventilator,” said Dr. Keith Mortman, Chief of Thoracic Surgery at GW Hospital, in an interview for the hospital’s podcast, HealthCast. "That was when the outside hospital reached out to our expert team here at GW and the patient was transferred to us for something called ECMO, which stands for extracorporeal membrane oxygenation.”

A 360° Virtual Reality fly-through showing the extent of damage to the lungs (yellow) from COVID-19 for a patient seen by Dr. Keith Mortman at George Washington University Hospital.

Spoiler: Archive | Dr. Mortman GWUH - Lung Damage from COVID-19

 

[Plaguemine]

Tldr China sells """donated""" items and suprise, most of it is garbage

 

[Francis E. Dec Esc.]

Texas National Guard troops could do door-to-door checkups in Dallas (archive)

According to Judge Clay Jenkins, this is just for 'contact tracing'. (archive)

 

[Shitpiss Babylord]

Not only is it 4000 beds and 4 days, they even have a nice facade, signage, logos. Damn classy UK. I bet the Javitts Center doesn't have all that.

She's a big old place, The Excel.
Well suited for the task, I'd say, huge amount of open plan space, but with loads of service corridors, toilets, kitchens, meeting rooms and the like.

 

[Slap47]

Not only is it 4000 beds and 4 days, they even have a nice facade, signage, logos. Damn classy UK. I bet the Javitts Center doesn't have all that.

British culture is all about being retarded for a long time and then having a "finest hour".

 

[JosephStalin]

Ya think? Ya think?

WHO chief's questionable past comes into focus following coronavirus response

 

[Fluoxetine Man]

https://archive.vn/dOFJ1

Yeah. That genie is never getting back in the bottle.
This is not about a stupid virus at all.
Climate change? Oh, you're on lock down until ___ target is met. BTW we'll cut off your power for a bit to reduce load.
Socially disagree with this? Lockdown!
Oh, you're worried about your jobs? Your job isn't essential, you just earned yourself a lockdown!

Talkin' out of turn? That's a lockdown. Lookin' out the window? That's a lockdown. Starin' at my sandals? That's a lockdown. Locking up the school canoe? Oh, you better believe that's a lockdown!