2019 Novel Coronavirus Covid-19 Discussion

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#2535273 5-Aug-2020 16:17

Early days but if real, looks promising so far

https://www.reuters.com/article/us-health-coronavirus-relief-hldg-neuror/relief-neurorx-say-emergency-treatment-with-rlf-100-helps-critically-ill-covid-patients-idUSKBN24Y0OR

vexxxboy

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#2535320 5-Aug-2020 16:20

DS248:

Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19)

https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916

".. revealed cardiac involvement in 78 patients (78%) and ongoing myocardial inflammation in 60 patients (60%), which was independent of preexisting conditions, severity and overall course of the acute illness, and the time from the original diagnosis."

not surprising , Influenza gives much the same results.

Common sense is not as common as you think.

GV27

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#2535335 5-Aug-2020 16:44

Batman:

I think you need a time machine... I'm linking the "news".

It's the 'managing expectations' bit that is the real news tbh. Covid19 ads are back on, Bloomfield will always give a blunt answer if asked but the tone is basically prepare for the worst, hope for the best - and it's notably less optimistic than it was previously.

mattwnz

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#2535344 5-Aug-2020 16:52

I don't think this interview with Trump over their Covid 19 response and testing rates has been posted already. I think it is a must watch to get an insight of how they are dealing with this virus. In places, it was one of the most bizarre interviews that I have seen. I had to keep reminding myself that this was a serious interview. The interviewers facial expressions were classic. It almost reminded me an Ali G interview from years ago.

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

wellygary

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#2535346 5-Aug-2020 16:57

mattwnz:

I don't think this interview with Trump has been posted already. In places, it was one of the most bizarre interviews that I have seen. I had to keep reminding myself that this was a serious interview. The guys facial expressions were classic.

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

Ahh .. the "You can’t do that? " train wreck....

sbiddle

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#2535350 5-Aug-2020 17:07

Fred99:

We should probably do sewage testing - but that's going to be complicated because of positive samples from known active cases in isolation.

Yes there would be some cases in Auckland - because that's where the positive cases now are.

We could test every other town and city in NZ that doesn't have isolation hotels.

tdgeek

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#2535411 5-Aug-2020 17:56

Time Machine not required. For those that follow the "news" this has always been said. But if its about clickbait, yeah.

One minute its going well. Then Victoria has an outbreak as they never went after eradication, they went after the economy, then you read today we may end up like them. Boring as.

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tdgeek

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#2535414 5-Aug-2020 17:58

GV27:

Batman:

I think you need a time machine... I'm linking the "news".

It's the 'managing expectations' bit that is the real news tbh. Covid19 ads are back on, Bloomfield will always give a blunt answer if asked but the tone is basically prepare for the worst, hope for the best - and it's notably less optimistic than it was previously.

From day one, it will happen, there is no confusion. The tact now is most Kiwis think covid-19 was last years news. In reality nothing has changed. Border is good, leaks can and WILL happen

mattwnz

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#2535417 5-Aug-2020 18:10

tdgeek:

From day one, it will happen, there is no confusion. The tact now is most Kiwis think covid-19 was last years news. In reality nothing has changed. Border is good, leaks can and WILL happen

Yes leaks will happen, and the key is to make sure those leaks are detected as soon as possible. So a belts and braces approach is needed in the community to detect those leaks. Obviously testing and tracing peoples movements is the key for this, and it looks like they are finally getting it, with al the Covid advertising that is now occurring.

tdgeek

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#2535422 5-Aug-2020 18:15

mattwnz:

tdgeek:

From day one, it will happen, there is no confusion. The tact now is most Kiwis think covid-19 was last years news. In reality nothing has changed. Border is good, leaks can and WILL happen

Yes leaks will happen, and the key is to make sure those leaks are detected as soon as possible. So a belts and braces approach is needed in the community to detect those leaks. Obviously testing and tracing peoples movements is the key for this, and it looks like they are finally getting it, with al the Covid advertising that is now occurring.

100%. Its understandable that no one wants to get a test as it was over ages ago (public mentality) If a CT turned up anywhere, I feel that those in that area would dive in deep to comply. Kiwis are conservative. Mask, get the app etc, I can easily see that as we don't what level 4, people would act. Thats just my opinion.

tdgeek

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#2535475 5-Aug-2020 20:34

BusinessHelen Clark calls for private sector to ramp up border quarantine Getting the private sector involved in quarantine will ease the bottleneck of capacity constraints, former PM says.

https://www.stuff.co.nz/business/industries/122357203/private-sector-partnerships-needed-to-ease-capacity-choke-point-helen-clark-says

Cant agree with that. Its tough enough to keep the border somewhat watertight, we dont really want a high volume, wholesale, business venture doing it.

Scott3

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#2535491 5-Aug-2020 21:21

tdgeek:

BusinessHelen Clark calls for private sector to ramp up border quarantine Getting the private sector involved in quarantine will ease the bottleneck of capacity constraints, former PM says.

https://www.stuff.co.nz/business/industries/122357203/private-sector-partnerships-needed-to-ease-capacity-choke-point-helen-clark-says

Cant agree with that. Its tough enough to keep the border somewhat watertight, we dont really want a high volume, wholesale, business venture doing it.

Yeah, it is a bit odd.

"told an Auckland audience there was no reason why borders could not be reopened provided a mandatory two week quarantine remained in place."

"The only issue was the "choke point" of limited quarantine capacity"

Seems to be working on the assumption that the two week isolation is perfect protection.

Sad reality is that it is not, and the consequences of a leak can be harsh, as seen in Victoria. There are substantial risk's of cross infection in isolation. - we only need to look at examples where an infected person took an elevator alone once, and subsequent elevator riders got infected leading to a large cluster. Same could happen in managed isolation, where an arriving guest infects a guest towards the end of their say, who is subsequently released into the community. There also is substantial risk posed by those directly exposed to arrivals (hotel staff, airside airport staff, security staff, drivers etc), and risk posed by those exempt from isolation (NZ based aircrew, diplomats, freight boat crew etc.).

Quadrupling the numbers of arrivals would substantially increase the risk of community transmission in NZ.

As such it is important we keep arrival numbers low to stack odds in our favor. (That said, we should be aware that out current border quota is stranding kiwi's overseas in distress, something that we need to be mindful of)

The suggestion that the private sector should run managed isolation is a little strange. Would require law changes to give private workers similar powers as police etc. I don't think the general public would be on board with passing such a high consequence activity to the private sector (which is generally incentive's to minimize costs, and unlikely to be charged the full economic damage of a slip up)

Alternatively we could take steps to massively improve our border protection. For example we could take a double wall approach, where everybody who has had been within 10m of a new arrival, is isolated for 14 days and tested as well. This would require airport staff, drivers, customs officers etc to work on a 6 week on (incl 2 weeks isolation), 4 weeks off basis, and be isolated from the general community when working. Doable but expensive. Could double the cost of of international arrivals (currently around $7000 per person on average). Also could do cheaper stuff, like people in isolation being required to stay in their rooms for the entire 14 days, and getting rid of exemptions (NZ based intl air crew, Diplomats etc).

Batman

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#2535502 5-Aug-2020 22:03

calls for "mask drills"

https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=12353964

ezbee

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#2535505 5-Aug-2020 23:09

Dear John Key, and Helen Clark,

Overseas students , no problem let Universities manage it 'safely' ... How may one ask ?
Open the boarder let private enterprise manage it 'safely' ... How ?
Matching detail on how that is 'precisely' achieved seems to have been omitted.

Not magical thinking here ?

Whangamomona Hotel may be isolated , but not a silver bullet once you dig into the detail of the whole operation.
I was eyeing Dunedin's Forsyth Barr Stadium,
A whole bunch of army surplus cots, and all those surplus office partitions, now so many work at home.
Thats how they look in some countries.

Private enterprise, ah, the magical prisons, that turned out to be fight clubs, cos they did not really have a plan.
Don't forget Aged Care, Private Enterprise where mixing staff around homes and infected and non infected , and who needs expensive PPE.

I don't intend to demonise Private enterprise, that's where my lifes work has been,
but don't throw term around like, 'well there you go job done, all perfect'.
Eyes wide open. Lets see the 'how' and examine first , lift the bonnet up take a look.
I'm sure a few here can rattle off IT deployment disasters that consumed millions and delivered little.

The story of the fake bomb detectors. When its safety critical, life and death surely not... Surely yes.... Best of British !
https://www.bbc.com/news/uk-29459896

Simpsons Monorail.
https://www.youtube.com/watch?v=ZDOI0cq6GZM

Mines the coat with the snake oil in the pocket....

DS248

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#2535506 5-Aug-2020 23:10

Batman:

calls for "mask drills"

https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=12353964

re: Health Minister Chris Hipkins today told the Herald there was "considerable ongoing work" on preparations for any future community cases.

"Simulated scenario events are obviously an option, but are not something we would announce in advance - you don't get advance notice of outbreaks after all," he said.

"I expect to have more to say about the issue of masks in coming days."

That is not the case in other similar situations such as EQ & Fire drills. In those cases it is normal for the impacted population to be advised in advance but not necessarily given the date/timing. Springing a major exercise out of the blue with no forewarning is asking for problems.

If they want the population to suddenly don masks, use sanitizer etc for a scenario simulation then they should already be encouraging acquisition of personal supplies and for people to be otherwise better prepared.

Seems a lot of preparation time has already been squandered.

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