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BDFL - Memuneh
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  #2444020 22-Mar-2020 18:46
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@shanes:

 

freitasm:

 

NSW and VIC going into lockdown

 

 

I'm getting a server runtime error when clicking on this link.

 

 

Sorry, please try again.





 

 

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  #2444021 22-Mar-2020 18:47
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I was thinking. If they get a working vaccine for this, can we look forward to anti vaccination people risking a further outbreak because they think the vaccine came from the devil or some other nonsense?





 
 
 
 


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  #2444022 22-Mar-2020 18:48
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Batman:
tdgeek:

 

True, but why are aircraft landing and bringing more in? To date, they allow them in, we count them a few days later at 1pm. There isn doctor petition asking fir Alert Level 4. We are aghast at the 14 or so per day we see. Where do they come form? The airport. Surely we close the airport and while there, we also shut down domestic flights, see how that goes.

 



They bringing citizens home and tourists back to their countries. I thought you had no concerns about incoming flights a few days ago.

 

Incorrect. Ive been stating that all the numbers that we see each day at 1pm are due to the incoming flights, aka importing the virus. The doom and gloom I see is what  would exist if each day the new cases we see that are now 67 are all CT, proving that its running wild here. As the media stated today we have cases in the length and breadth of NZ. If that was all CT we have a problem. But they are cases we are happy to import. Its not up to me to decide that we tell overseas Kiwis, sorry tough bickies. A call was made to get Kiwis home. I accept that, but the issue is, all the new cases are that source, not CT. If all cases to date are imports and not CT then IMHO its being managed. When these dry up, and Ill check incoming flights tomorrow, then we won't need to test 1500 a day that are traveller based. Same with not needing to close contact the traveller cases that test positive. All of that resource will be on CT tests. Right now, there might be TWO CT's. 


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  #2444023 22-Mar-2020 18:50
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MikeB4:

Yes I am and it hurts a lot.

 

Use as many technology options as you can -  we are overseas on our own and self isolated so we understand your challenges.

 

I am actively calling family everyday - just to checkin as my Mum is in her 70s and staying home as much as she can.


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  #2444025 22-Mar-2020 18:55
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tdgeek:

 

gchiu: We seriously need to get a coalition war time govt in place. The labour led coalition are making too many mistakes that we are all going to pay heavily for.

 

For the 43rd time, MoH is driving this. Not the PM. PM and every other MP is not qualified. As to the management of this crisis, both communication and financial management Im more than happy with. 

 

 

The PM needs to get independent advice.

 

The UK PM was about to lead the UK down a path of disaster by their own experts.

 

 


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  #2444029 22-Mar-2020 19:01
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mattwnz:

 

I really do wonder if people who should be self isolating , including those that came in before the deadline, are all self isolating. There wasn't a requirement to before the deadline from all countries, but after the borders were closed, the Prime Minister then said all incoming visitors should self isolate for the balance of 14 days they have been inside NZ.  I would also expect any workplace to require it after this Prime Minsiter said this, due to the workplace risk. 

 

 

Probably not. The odds of having it is very low, so the ones that dont bother cos its so inconvenient, there probably aren't too may leaks. But there will be leaks. As AUS is locking down two states, we follow them or they follow us, I can see some changes very soon. 


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  #2444030 22-Mar-2020 19:03
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I am not particularly happy with the governments response to date. For example Marist just closed, this is just another example of the public LEADING THE GOVT. 

There are a few very vulnerable people in my family and I go out this weekend to get supplies and the general public's behaviour indicates to me that they just do not seem to care.  

 

 

 

There are a few key things. I feel we need to go with the doctors advice, and start shutting down these services. I been reading articles about what they did in Singapore and Taiwan, South Korea and China and although some of the measure seem draconian, I fear that there is a really bad community spread out there, and these people are the same people up at pak n save with their dirty hands they sneezed into earlier on trolleys and everyone is coming trough in their masses.... Its recipe for disaster.

 

 

 


1) Send ALL people home where possible to isolate at home

 

2) Educate them to actually use SOAP and wash their hands properly when they get back home.

 

3) People need to remember to be more self aware, and not touch their face etc. And dont be afraid to go overboard with the soap. 

 

4) My sister went out on saturday and said it was just like a regular saturday with people down at the coffee shops reading a newspaper etc. 

 

I cant trust the general public to self isolate.

 

 

 

This is going to turn into a disaster, our health system is NOT as good as Italy's % per population. But really some people need a kick up the rectum as they just don't understand that this is an absolute disaster and we are all in this together, and we all need to protect ourselves and our vulnerable. Im doing it for the 10% of the population who may likely die. And I am begging others to do the same.

 

 

 

 

 

 

 

 


 
 
 
 


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  #2444031 22-Mar-2020 19:04
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tdgeek:

 

 

 

Probably not. The odds of having it is very low, so the ones that dont bother cos its so inconvenient, there probably aren't too may leaks. But there will be leaks. As AUS is locking down two states, we follow them or they follow us, I can see some changes very soon. 

 

 

One confirmed case is a nurse in rest home that arrived in NZ on the 10th  March and was working on the 15th in the resthome. https://www.stuff.co.nz/national/health/coronavirus/120475675/coronavirus-nurse-at-auckland-rest-home-tests-positive-11-residents-isolated


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  #2444032 22-Mar-2020 19:04
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canine:

 

MikeB4: @gchui one thing I would love to get is an answer regarding continuing to take Humira during this outbreak. I have received yes, no maybe.

 

Here are some med papers and discussions regarding TNF-alpha blockers and SARSCoV2.

 

A couple of US MDs who have AS and on TNF blockers talking about potential benefit of continuing injections if infected...

 

https://www.reddit.com/r/ankylosingspondylitis/comments/fdpl8e/lets_talk_about_what_little_we_know_about_tnf/ 

 

https://www.tandfonline.com/doi/pdf/10.1185/030079903125002757?needAccess=true

 

https://onlinelibrary.wiley.com/doi/full/10.1002/1521-4141(200109)31:9%3C2566::AID-IMMU2566%3E3.0.CO;2-L#.Xl7gUzya0j4.twitter

 

Also, more positivity, research out in December '19 falsifying ~30% cancer risk warnings...

 

https://www.medpagetoday.com/rheumatology/generalrheumatology/83892 

 

 

 

 

If you're on a biologic, you're immunosuppressed and need to isolate.  Solid tumors are not increased but non-melanoma skin cancer definitely is.

 

Whether TNF-i give some protection against a cytokine storm is as far as I know untested in controlled trials.

 

However, tocilizumab, and IL-6 inhibitor used in rheumatoid arthritis has been just licensed for use in cytokine storm situations.

 

If I were on a TNF-i I would isolate.  If I had radiographic axial spondyloarthropathy, then I know many of these people can come off TNF-i for a long time before relapse, or can reduce the dosing period.  But we don't have the evidence about any purported protection so the advice is to keep on your meds and stay safe.

 

If you could change your blood group to O, then that would be good too, but that's impossible.


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  #2444033 22-Mar-2020 19:07
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mattwnz:

tdgeek:


 


Probably not. The odds of having it is very low, so the ones that dont bother cos its so inconvenient, there probably aren't too may leaks. But there will be leaks. As AUS is locking down two states, we follow them or they follow us, I can see some changes very soon. 



One confirmed case is a nurse in rest home that arrived in NZ on the 10th  March and was working on the 15th in the resthome. 



That's disgusting.




 

 

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  #2444034 22-Mar-2020 19:07
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Has the Government released what it considers "essential" businesses are?

 

 


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  #2444035 22-Mar-2020 19:10
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Geektastic: I was thinking. If they get a working vaccine for this, can we look forward to anti vaccination people risking a further outbreak because they think the vaccine came from the devil or some other nonsense?

 

Yes.

 

But I suspect that a long-acting vaccine isn't ever coming, and whatever they might be able to produce is still a year away. Vaccinating billions of people with a rushed / not properly tested vaccine is a very dumb idea.

 

By that time the disease will be endemic/seasonal, impossible to eradicate if there's only a vaccine that gives a couple of years and/or incomplete protection.
More important than a vaccine right now is finding an effective treatment. Some of the companies making biologics are working on it.  (ie replicate human antibodies to the virus, test for safety, then use the stuff on severe cases first). 


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  #2444036 22-Mar-2020 19:12
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shanes:

 

tdgeek:

 

True, but why are aircraft landing and bringing more in? To date, they allow them in, we count them a few days later at 1pm. There isn doctor petition asking fir Alert Level 4. We are aghast at the 14 or so per day we see. Where do they come form? The airport. Surely we close the airport and while there, we also shut down domestic flights, see how that goes.

 

 

We allowed that spike of possible cases by letting those back without self isolation last week, I think most of us thought that was a bad move then, and in hindsight JA has asked them to self isolate as well, a bit late for that... 

 

From what I can make out the number of flights will be dwindling and probably more manageable, there is no need to stop them, just make sure that they are abiding by the isolation... my 73 year old mother will be on one of those flights in the next few days, I'm sure that news of old ladies being forced out on the streets in a foreign country, just because we wouldn't let her home and lock her in her house would be great...

 

 

I agree. The issue is these cases are allowed and imported. We manage them. But when I read, oh no another 14 cases, then doom and gloom. These cases are expected, they arent CT. It is contained. If we stopped all flights two weeks ago, how many new  cases would we add each day? After 14 days, zero. So we need to acknowledge that we accept these cases as collateral damage for allowing Kiwis back home. WE are nit adding 14 CT;s every day, thats my point.


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  #2444037 22-Mar-2020 19:14
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The other thing I'd point out is that patients who have AS ( radiographic axial spondyloarthropathy) often have significant loss of respiratory reserve due to restrictive lung disease.  So, that is a significant factor. So, you might as well stay on your biologics and just practice absolute isolation until we see if community transmission can be halted.


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  #2444038 22-Mar-2020 19:14
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mattwnz:

 

shanes:

 

in hindsight JA has asked them to self isolate as well, a bit late for that... 

 

They should have required it was backdated to get all those people who bet the deadline, were made to go into self isoaltion, and not just asked of them. CT in Oz was also ready occurring at that stage.

 

 

I agree but it probably hasn't mattered a great deal. We find the traveler cases, we count them, they are now or already were self isolating. 


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