Wuhan Coronavirus: Megathread - Got too big

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I saw on the news that Germany will allow Swedes to enter their country again. Meanwhile, the US is closing back down.

It lends credence to the multiple strains theory. I think the strain that swept through Italy a couple of months ago is different that what is in Europe now, and is also most likely different than what is in the US.
 
Honestly I have no idea what happened with Sweden. It scythed through their nursing homes, as expected. And then it just stopped.

Maybe social distancing is just in their culture.
back in reality, how is sweden doing? I heard that they gained nothing from locking down from the media but I honestly have a hard time believing that when they are so biased these days. also why are teachers bitching so much about going back to school? cant they just get another job if they cant handle the risk of teaching? my bet is they dont want to give up having so many breaks lol.

Well it’s somewhere I know quite well and I speak the langauge and Have family there, so while I’m not ‘ on the ground’ I get daily updates.
They’re doing OK. The initial outbreak was in Stockholm, and probably people using the late winter break (sportlov) to go skiing in the alps. Each region has the holiday at a slightly different time and so the areas which had it A week or two earlier didn’t get hit as hard. It’s expanded out from there and has certainly caused issues with pressure on ICU.
It’s important to note though that sweden has VERY few ICU beds - like 500 or so in the whole country. So regional places have tiny capacity and they’re Ok. Pressured yes but OK.
Schools for under 16s stayed open. Over 16 and university went online. Nursing home care was very badly hit as was the cared for at home Elderly. There’s a home care service that goes out and loads of them are of course low paid immigrants so they were already at the epicentre of spread, trained poorly and had no PPE initially. The toll among the elderly has been bad
Norway’s elderly care is still linked to the hospital system. Sweden’s is like ours - farmed our to the lowest bidder, staffed with people fresh off the boat who are treated like shit and paid badly.
Apparently there are plenty of shops shut amd the hospitality industry is nuked. But there was never lockdown and so things are limping along. It’s not perfect, but it’s better than we’ve done. Norway seems to have done better but they’re a different place entirely, far more homogeneous and smaller and richer.
 
Hi guys! I haven't been keeping up with the thread or reading the news, and I've been sitting in a box with my fingers in my ears and my eyes closed. CNN had a emergency room doctor's cousin twice removed on and he said that Cornoa tends to kill the first born most often, but if you smear lamb's blood over your door it will protect you. Any truth to that? I need to know because I tracked down a lamb on Craigslist, but I don't want to agree to buy it unless I know it's going to work.
 
Today, Walmart corporate has announced that masks will be required to shop within their stores. This includes both Walmart and Sam's Club. This policy will go into effect beginning July 20th.

Source / Archive

A Simple Step to Help Keep You Safe: Walmart and Sam’s Club Require Shoppers to Wear Face Coverings

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July 15, 2020
By Dacona Smith, Chief Operating Officer, Walmart U.S., and Lance de la Rosa, Chief Operating Officer, Sam’s Club

From the beginning of the COVID-19 pandemic, our focus and priority has been and continues to be on the health and safety of our associates, members and customers.

As the number of confirmed cases has spiked in communities across the country recently, so too have the number and types of face covering mandates being implemented. Currently about 65 percent of our more than 5,000 stores and clubs are located in areas where there is some form of government mandate on face coverings. To help bring consistency across stores and clubs, we will require all shoppers to wear a face covering starting Monday, July 20. This will give us time to inform customers and members of the changes, post signage and train associates on the new protocols.

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While we’re certainly not the first business to require face coverings, we know this is a simple step everyone can take for their safety and the safety of others in our facilities. According to the CDC, face coverings help decrease the spread of COVID-19, and because the virus can be spread by people who don’t have symptoms and don’t know they are infected, it’s critically important for everyone to wear a face covering in public and social distance.

In addition to posting clear signage at the front of our stores, Walmart has created the role of Health Ambassador and will station them near the entrance to remind those without a mask of our new requirements. Our ambassadors will receive special training to help make the process as smooth as possible for customers. The ambassadors, identifiable by their black polo shirts, will work with customers who show up at a store without a face covering to try and find a solution. We are currently considering different solutions for customers when this requirement takes effect on July 20.

To help ensure consistency with this new process, all stores will have a single entrance.

At Sam’s Clubs, associates at the entrance will follow the same process with members, politely reminding them of our requirement to wear a face covering when shopping with us. Complimentary masks will be provided if the member doesn’t have one. Or members can purchase masks in the club.

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We know it may not be possible for everyone to wear a face covering. Our associates will be trained on those exceptions to help reduce friction for the shopper and make the process as easy as possible for everyone.

As we have seen in states and municipalities with mask mandates, virtually everyone either brings a mask or readily complies with the requirement, and we anticipate that to happen in other areas as well.

We know some people have differing opinions on this topic. We also recognize the role we can play to help protect the health and well-being of the communities we serve by following the evolving guidance of health officials like the CDC. We appreciate the understanding and cooperation of our customers and members in wearing face coverings to protect their safety and the safety of our associates.

We know it may not be possible for everyone to wear a face covering. Our associates will be trained on those exceptions to help reduce friction for the shopper and make the process as easy as possible for everyone.

I wonder how people are going to take this news and if more incidents like this are going to occur.

 
DeWine is giving a press conference at 5:30 today. Supposedly about what happens if Cuyahoga county reaches level 4. I get the feeling he's actually gonna lock shit down again

There are alot of us at work who think he's going to raise Butler and Hamilton to Level 4. He's probably still pissed about Butler county telling him off.
 
There are alot of us at work who think he's going to raise Butler and Hamilton to Level 4. He's probably still pissed about Butler county telling him off.
I was alright with DeWine at the beginning of all this, now he's gone full RINO. I've heard he's buddy buddy with Kasich, who's probably still butthurt drumpft called out his horrific eating habits. Wouldn't surprise me if DeWine was full never Trump and was (along with certain other governors), dragging shit out and giving bullshit directives in part to punish people for voting incorrectly Give me your puzzle pieces daddy uwu
 
Remember everyone, wear your masks.

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I'm gonna make a "mask" that just consists of ear straps and the "frame" of the mask like hipster glasses without lenses.
 
I was alright with DeWine at the beginning of all this, now he's gone full RINO. I've heard he's buddy buddy with Kasich, who's probably still butthurt drumpft called out his horrific eating habits. Wouldn't surprise me if DeWine was full never Trump and was (along with certain other governors), dragging shit out and giving bullshit directives in part to punish people for voting incorrectly Give me your puzzle pieces daddy uwu

I'm phone posting at lunch so I don't have easy access, but when DeWine was senator he worked with Hillary on a few bills I believe. He also has a school in Haiti and some ties to Bill Gates and some money people with connections to Epstein. Ohio has a human trafficking problem, since so much freight pass through the state and DeWine has done little to deal with it.

DeWine and Senator Portman are likely both Never Trumpers, but smart enough to not out right say it. The state is very much Trump Country, just look at both 2016 and 2018 voting.
 
wtf he still comes at her after being shot several times. I get why some cops still hold onto revolvers now.

10 shots, 7 misses, 3 hits, approximately. The first shot, she flinched and fired while aiming high and left. The subsequent shots, panic sets in, she keeps flinching and doesn't know where to hold. The suspect is blading his torso and is difficult to hit. She keeps shooting high and to the left. As the suspect's hand grabs her gun, she finally scores one hit, probably to the lower abdomen judging by how he hunches, and then, she finds that her weapon has not cycled because she fired it while the slide was immobilized by the suspect's hand. Fortunately for this officer, the suspect did not maintain a firm grip on the weapon and attack with his other hand. Once she regained retention of the weapon, she stepped back, cleared the malfunction... and then missed three more times before finally putting two kill shots into him.

A revolver won't fix this. In fact, it will make it worse because of the anticipation of the recoil producing flinch. There is one device I can think of on the market that can fix this. It’s called the MantisX. It's a little light rail attachment for a pistol that uses an accelerometer to tell you exactly what you're doing wrong.


only on the principle of throwing so much shit at the wall that some of it inevitably smeared in place.

Someone else I know IRL just died of COVID-19. He had pneumonia and kidney failure.

COVID-19 patients present to the ER with fever, dry cough, and shortness of breath. Body aches are common. When the ER docs put a pulse oximeter on these patients, they can see that they're deoxygenating. Their O2 saturation is dropping rapidly. Someone with normal respiration and pulse has an O2 sat of greater than 95%. These patients are below 90% and dropping rapidly. Some of them are below 70% and turning blue in the face. When they go to perform lab work and tests on these patients, this is what they generally find:
  • Hypokalemia (low blood potassium)
  • Abnormal AST/ALT levels (liver enzymes are messed up)
  • High ferritin (there are lots of iron storage proteins floating freely in the blood)
  • High troponin (usually, this is indicative of heart damage)
  • High C-reactive protein (lots of inflammation)
  • High D-dimer (lots of breakdown products indicative of blood clots)
  • Lymphopenia (low lymphocytes)
  • Thrombocytopenia (low platelets)
  • Albuminuria (albumin in urine)
  • Hematuria (blood in urine)
SARS-CoV-2 does the following things to the human body:
  • It down-regulates ACE2, leading to an excess of Angiotensin II and a cascade of AT1R-promoted inflammation, oxidative stress, fibrosis, and coagulopathy.
  • It may attack cells through the CD147 receptor as well.
  • It promotes excess aldosterone secretion, leading to hypokalemia.
  • It decimates T lymphocytes in the body, leading to lymphopenia.
  • It reduces interferon and blunts the innate immune response.
  • It promotes endothelial dysfunction and reduces nitric oxide bioavailability by interfering with its synthesis.
  • It causes abnormalities in iron metabolism.
  • It interferes with lipid metabolism and the urea cycle.
  • It can promote cell-to-cell fusion and the formation of giant, multinucleated cells.
  • It promotes cytokine storms with a very severe inflammatory profile dominated by up-regulation of IL-6, IL-10, and TNF-α, among other things.
And, from those basic mechanisms, this is how COVID-19 actually manifests (some of these complications are much rarer than others):
  • Endotheliitis
  • Viremia
  • Sepsis
  • Encephalitis
  • Meningitis
  • Guillain-Barre
  • Rash
  • Conjunctivitis
  • Coagulopathy
  • Hypoxemia
  • Seizure
  • Stroke
  • Delirium
  • Cardiomyopathy
  • Heart attack
  • Pulmonary embolism
  • Pulmonary edema
  • Pulmonary fibrosis
  • Hemoptysis
  • Bilateral pneumonia
  • Myositis and Rhabdomyolitis
  • Mild hepatitis
  • Acute kidney injury
  • Viral colitis
  • Orchitis
  • Kawasaki disease (in children)
This isn't just "throwing shit at the wall". That isn't even a comprehensive list of what it can do. Because of the ubiquity of its entry receptors, SARS-CoV-2 attacks a wide variety of human cell lines and it does so voraciously. It can actually do all of those things, or a combination of any of them. In fact, COVID-19 is so variable in its effects, people sometimes present to the ER with gastrointestinal or neurological symptoms without any respiratory signs whatsoever, and then later develop pneumonia. There is a possibility that SARS-CoV-2 may even attack bone marrow and the immature blood cells within.

SARS-CoV-2 colonizes the body through a number of routes. It can land on the olfactory nerve and enter the brain directly from there. It can land in the eyes and cause conjunctivitis. It can be breathed in and colonize the respiratory tract. It can even colonize the GI tract before anything else.

COVID-19, as a disease process, proceeds approximately like this in severe and critical cases:
  1. SARS-CoV-2 enters the body through any of a number of routes.
  2. The virus gets into the lining of blood vessels and causes endotheliitis and viremia, infecting the endothelium and circulating in the bloodstream.
  3. The virus suppresses the innate immune response by reducing T cell populations and inhibiting interferon, allowing it to replicate with impunity.
  4. In the process of down-regulating ACE2 and increasing Ang II, the virus promotes tons of inflammation, oxidative stress, fibrosis, and coagulopathy.
  5. Nitric oxide, which ordinarily has a lifespan of a few seconds in the body, is reduced in a number of ways, such as by production of peroxynitrite due to the superoxide release promoted by Ang II, and also by SARS-CoV-2's interference with carbamoyl phosphate.
  6. The body's iron metabolism goes crazy from the lack of nitric oxide signaling and from the inflammation. Free iron is released, causing even more cytotoxicity and sequestering even more nitric oxide.
  7. Endothelial permeability increases due to the eNOS dysfunction and all the ICAM-1 and VCAM-1 floating around.
  8. Capillaries start leaking into the alveoli, precipitating pulmonary edema and pneumonitis.
  9. The endothelium flips the fuck out and thinks that it's damaged. Micro-clotting starts occurring everywhere to try and "repair" the damage. Antiphospholipid antibodies are often present in the blood. The endothelium releases von Willebrand factor to try and patch what it perceives as a bunch of holes everywhere. Platelets are urged by the body to form clots.
  10. The micro-clotting triggers pulmonary shunt in the lungs and the patient starts deoxygenating.
  11. Hypoxic damage to various vital organs starts to occur, leading to multiple organ failure.
  12. In the case of a hypoxic brain, seizure, collapse, abnormal posturing, and the fencing response may occur, just like a drowning victim, but this only happens to about 1 in 200 confirmed, symptomatic cases.
  13. Viremia passes the virus into these organs and promotes inflammation in each of them. It is sometimes difficult to tell apart hypoxic damage and direct inflammation caused by the virus.
  14. There is inflammation everywhere and the lungs are starting to scar over.
  15. Sepsis and kidney failure starts to set in.
  16. Blood clots promoted by the virus can have lethal consequences, like stroke, heart attack, or pulmonary embolism.
  17. When death occurs, it is usually because a great big clot went where it wasn't supposed to, or because disseminated intravascular coagulation occurred. In extreme cases, severe hypoxemia or multiple organ failure can lead to death as well.
The typical course of the virus is about a week of flu-like symptoms followed by a latent phase of a day or two which then leads to the crazy cytokine storm death spiral described above, which usually lasts about 4 days to a week before the patient recovers or expires. The time from infection to death/recovery can be from 11 days all the way out to a month or two. Some people have been symptomatic for longer than three months. When they recover, many people have lingering lung and brain damage and chronic fatigue, just like SARS.

COVID-19 is not a "lung disease". It is a blood and vascular disease first and a lung disease second. It causes inflammation and clotting. The way it's treated is by giving patients supplemental oxygen or mechanical ventilation and then putting them on blood thinners, trying carefully to balance anticoagulation against hemorrhaging, while also trying to suppress the inflammation and opportunistic bacterial infections with antivirals, steroids, and antibiotics.

Everything I dredged up about the virus came from peer-reviewed articles in reputable medical journals.






This is the lung out of a critically-ill COVID-19 patient who needed a lung transplant:


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This lump of hemorrhaging scar tissue came from the chest of a 20 year old Hispanic female. The tissue is basically unrecognizable as a human lung. It looks like jerky.

People have a choice. They can wear a mask and look like a cuck, or they can have meatloaf lung. Vanity or health. 80 cent mask, or huge medical bills. Pick one.

@eternal dog mongler could probably vouch for the scientific accuracy of most of this.
 
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wtf he still comes at her after being shot several times. I get why some cops still hold onto revolvers now.

She's also the perfect example of the core problem with forced "diversity" in Police and Firefighting. Look at her. She is a fairly petite framed woman. Maybe 5'4" tops? He almost doubles her in weight. She literally has no non lethal option in this scenario. She has no non lethal option in almost any combative scenario. She either shoots the nutcase or she gets brutalized.
 
It matters now but it won’t in five years time. I don’t say that to brush it aside, but to give context. What matters when you leave school is the path you take and how you react to life. Nobody cares about things like that once you’re a few years out of school. What dictates success is being smart enough (not even genius level, just smart enough to be a little ahead) and then a combination of work, good judgement, personal skills, and grit.
It sounds like a cliche but it isnt. Nobody looks at my CV and only judges my list of degrees. They look at where I’ve worked, what I’ve worked on and how I present myself, and talk to people I’ve worked with over the years. People don’t hire people on their grades past the first year or two.
So dont sweat the perfection. Grit and an ability to react to setbacks and get back up will get you far further. Get some treatment and get back up. Allow yourself to be annoyed a bit, then move on

The situation around corona is concentrating people’s mental states - it’s stopping people from going out, blowing off steam and releasing tension. It’s stopping people from getting out into nature (at the risk of sounding like an old hippy, nature is important for the psyche.) There is an epidemic of mental ill health brewing under these conditions of lockdown. Humans are not meant to sit indoors all day for weeks on end.




I know, it’s not easy. Find something to do with your hands that absorbs the mind as well and creates a state of ‘flow’ (apart from the obvious ;) .) draw, paint, carve, print lino, sew, paint 40k figures, learn a language, read that ridiculously thick book on something obscure you've never had time to start. Restore something old. Anything - what doesn’t matter, as long as it’s absorbing and you enjoy it.

I’m hearing more and more people say similar things and the level of mental illness, stress etc is alarming. A lot of people are very close to snapping. Don’t snap - don’t be manipulated, find some calm.
I wonder if people who spend most of their time on the internet normally will be relatively sane after this, as they're already accustomed to such a routine. Is that why the Twitterati are overwhelmingly pro-lockdown?
 
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