Coronavirus - the killer flu that will wipe us out? (Vol. 5)

Coronavirus - the killer flu that will wipe us out? (Vol. 5)

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otolith

56,767 posts

206 months

Wednesday 8th April 2020
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Jimbeaux said:
ChocolateFrog said:
I'd always assumed the WHO was a just a mouthpiece with a few advisors and inspectors based out of somewhere like Geneva.

What the fk are they spending 4.8 billion dollars a year on, the GDP of a small country.
I wager if you peeled away the bloated administrative gravy train riders, it would be not so much.
Budget;

https://www.who.int/about/finances-accountability/...

anonymous-user

56 months

Wednesday 8th April 2020
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JagLover said:
We will see, but from what I have seen it is more likely the Imperial model is overstating hospitalisations and deaths not understating them.
source?


JagLover

42,738 posts

237 months

Wednesday 8th April 2020
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Thesprucegoose said:
The Government got it very wrong, there is no doubt in that, letting Cheltenham take place in hindsight was a death sentence to a lot. Combined with minimal testing it is very sad we will be hard hit on deaths, as it could have been very different, and this is what you expect a government to do.
In my view the eventual outcome is only going to be "very different" in one country or another if the healthcare system is overwhelmed or they fail to properly isolate the vulnerable.

If we need 60% to get it to develop sufficient immunity then a small percentage of that 60% will die. The timing of those deaths will vary from country to country depending on the speed of the progress of the virus.

The only countries with a different strategy available are those who closed down quickly and are willing to cut themselves off from the rest of the world until a vaccine materialises. New Zealand is an example of a country with this option.

Jimbeaux

33,791 posts

233 months

Wednesday 8th April 2020
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pneumothorax said:
It is the stuff of nightmares, staff are leaving, agency ones coming in to partially fill the gaps. If I had a sentient relative in one of these places I would have removed them weeks ago. This was predictable. You would have to actually see what I do to actually believe it.
I have a thing where I talk to any other residents as I am walking through these places en route to whoever I am seeing, there are always folk sitting around in the communal areas and they like to see a new face and have a chat. Last night I clocked one chap in the tv room, actually watching the news channel, said hello and then realised there was another resident (clearly dying) slumped in one of the other chairs, not watching anything....I suspect she will die in that chair.

It's a new reality and it is getting slightly dystopian.
I am sorry for you to have to live that as well as the residents. I remember such from Hurricane Katrina and other events in my career. It will change you in some ways forever but you will go on and be able to offer experience to others who will benefit. We are continuously molded and reshaped up until the day we punch out of life's timeclock.

Stay in Bed Instead

22,362 posts

159 months

Wednesday 8th April 2020
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Pan Pan Pan said:
Different people have different ideas on this, which is perfectly OK. Only time will prove who had the right strategy.
It seems the government have given people broadly 3 options, which was:
Go out if you cannot work from home.
Go out if you need food or medicines.
Go out for 1 hours exercise..

For some option 1 might be non negotiable.They either go to work, or they lose their job, Or they are in an occupation such as an NHS worker whose efforts are vital.
Going to work is a joy at the moment. The roads are empty, even at 8 am.

tongue out

Piha

7,150 posts

94 months

Wednesday 8th April 2020
quotequote all
Here is a link to the WHO rolling updates - https://www.who.int/emergencies/diseases/novel-cor...

Scroll to the bottom of the page to see exactly when China informed the WHO and how and when the WHO responded.

Jimbeaux

33,791 posts

233 months

Wednesday 8th April 2020
quotequote all
TheJimi said:
They absolutely could have called it earlier, imo. It was an obvious pandemic weeks before the WHO came out and announced it as one. That's not just my layman's opinion, do some digging and you'll find it's opinion of many others far better informed than I am.


As for Trump removing funding, I think that's a fairly childish gesture from a hypocritical muppet. He's more or less trying to vindicate his own downplaying of the situation by virtue of pointing at the WHO and saying "but they didn't tell me..."
That is not why; he is considering the funding pull based upon the WHO covering for Chinese misinformation. Besides, last night he stated that he will not as this is obviously not the time for such actions. Non issue, for now.

markyb_lcy

9,904 posts

64 months

Wednesday 8th April 2020
quotequote all
Piha said:
Here is a link to the WHO rolling updates - https://www.who.int/emergencies/diseases/novel-cor...

Scroll to the bottom of the page to see exactly when China informed the WHO and how and when the WHO responded.
I had a flick through. It didn’t jump out at me but does anyone have the date for which WHO declared it as a Pandemic?

otolith

56,767 posts

206 months

Wednesday 8th April 2020
quotequote all
Pan Pan Pan said:
It seems the government have given people broadly 3 options, which was:
Go out if you cannot work from home.
Go out if you need food or medicines.
Go out for 1 hours exercise..


Since I want to limit the chances of picking up CV19 to the absolute minimum, taking up 2 out of the 3 available options `might' cut my chances of getting CV19 by around a third.
I think it's unlikely that those three activities are of equal risk. I suspect that as you have written them they are in decreasing order of risk (work, shop, exercise) and that work is likely orders of magnitude riskier than exercise.

arguti

1,777 posts

188 months

Wednesday 8th April 2020
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markyb_lcy said:
TheJimi said:
markyb_lcy said:
TheJimi said:
markyb_lcy said:
Trump, a man who continued to downplay the crisis including after WHO declared it a pandemic has now said the USA will stop giving WHO money because they didn’t make the call on the pandemic early enough. This is a man whose stupidity knows no bounds and continues to surprise.

President Trump said:
They missed the call. They could’ve called it months earlier.”
Sure, he's an idiotic hypocrit, but on the single point made here about the WHO, he's not wrong.



Edited by TheJimi on Wednesday 8th April 00:20
That they could have called it earlier? How so? It can only be called a pandemic when it demonstrably is one.

Do you think he is right to pull US funding?
They absolutely could have called it earlier, imo. It was an obvious pandemic weeks before the WHO came out and announced it as one. That's not just my layman's opinion, do some digging and you'll find it's opinion of many others far better informed than I am.


As for Trump removing funding, I think that's a fairly childish gesture from a hypocritical muppet. He's more or less trying to vindicate his own downplaying of the situation by virtue of pointing at the WHO and saying "but they didn't tell me..."
Was an obvious pandemic or was obvious it was going to be a pandemic? Not exactly the same thing.

I don’t know what the WHO criteria for a pandemic actually is (and I may go and look), but are you saying WHO could have called it a pandemic based on their own criteria and data and held off on doing so?

Totally agree on the Trump funding thing, once again he’s sounding like a childish brat. Not fit for the office he holds.

Edited by markyb_lcy on Wednesday 8th April 10:05
The WHO wont allow Taiwan to join due to objections from China, then we have this gem from mid-January 2020 despite numerous Chinese doctors letting the world know it was highly contagious and as I said in my previous posts, looking at AE footage from China, you didn't have to be a rocket scientist to work out it was on its way everywhere.

From anecdotal medical reporting, this was at least 6 weeks into the Wuhan outbreak.


Ridgemont

6,655 posts

133 months

Wednesday 8th April 2020
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pneumothorax said:
A bad night in ooh gp land. My fears have been crystallised in a big way. Visited one home to palliate some poor soul, and confirm another death and was told that one floor of the home has been lost in the last week, that is 16 out of 40 residents. I saw three or four in passing that were also "on their way". No one is being let in and the ambulance service are not taking anyone out. Shocking to see. It's quite possible that this particular facility will have no paying customers in a week or two's time.
Sounds grim. BBC had a similar report earlier in the week. I can’t imagine what it’s like in those places.

markyb_lcy

9,904 posts

64 months

Wednesday 8th April 2020
quotequote all
Jimbeaux said:
TheJimi said:
They absolutely could have called it earlier, imo. It was an obvious pandemic weeks before the WHO came out and announced it as one. That's not just my layman's opinion, do some digging and you'll find it's opinion of many others far better informed than I am.


As for Trump removing funding, I think that's a fairly childish gesture from a hypocritical muppet. He's more or less trying to vindicate his own downplaying of the situation by virtue of pointing at the WHO and saying "but they didn't tell me..."
That is not why; he is considering the funding pull based upon the WHO covering for Chinese misinformation. Besides, last night he stated that he will not as this is obviously not the time for such actions. Non issue, for now.
More useless hot air from him then. It’s also not the time for saying controversial things then rolling back on them <24hrs later. He should be ashamed of himself for his conduct throughout this crisis. Calling it a dem conspiracy was a particular low point.

EddieSteadyGo

12,298 posts

205 months

Wednesday 8th April 2020
quotequote all
JagLover said:
In my view the eventual outcome is only going to be "very different" in one country or another if the healthcare system is overwhelmed or they fail to properly isolate the vulnerable.

If we need 60% to get it to develop sufficient immunity then a small percentage of that 60% will die. The timing of those deaths will vary from country to country depending on the speed of the progress of the virus.

The only countries with a different strategy available are those who closed down quickly and are willing to cut themselves off from the rest of the world until a vaccine materialises. New Zealand is an example of a country with this option.
I think that is broadly true.

The only factor which would be interesting to see modelled is how the scale of testing affects the progress of the virus between now and the vaccine being available.

Let's say if you test someone and find they are positive you can isolate them and you can also find and test all of their associates. I wonder by how much the rate of progress of the virus can be slowed if you had say 10,000 vs 50,000 vs 200,000 vs 500,000 tests per day.

Ultimately this does become a game of "whack-a-mole" with the end game only being reached with either a vaccine or you reach a sufficient proportion of population being infected.

But I'm uncertain how the scale of the testing affects the rate of spread of the virus, if we are letting the economy mostly function as normal.

Jimbeaux

33,791 posts

233 months

Wednesday 8th April 2020
quotequote all
otolith said:
Jimbeaux said:
ChocolateFrog said:
I'd always assumed the WHO was a just a mouthpiece with a few advisors and inspectors based out of somewhere like Geneva.

What the fk are they spending 4.8 billion dollars a year on, the GDP of a small country.
I wager if you peeled away the bloated administrative gravy train riders, it would be not so much.
Budget;

https://www.who.int/about/finances-accountability/...
Thank you for that. However, much of those lofty broad goals sound aspirational. If the usual standards of UN monitoring and efficiency is applied, then waste, fraud, and abuse is at a high rate. I have worked with U.N. agencies around the world, not impressed.

markyb_lcy

9,904 posts

64 months

Wednesday 8th April 2020
quotequote all
arguti said:
The WHO wont allow Taiwan to join due to objections from China, then we have this gem from mid-January 2020 despite numerous Chinese doctors letting the world know it was highly contagious and as I said in my previous posts, looking at AE footage from China, you didn't have to be a rocket scientist to work out it was on its way everywhere.

From anecdotal medical reporting, this was at least 6 weeks into the Wuhan outbreak.

You missed my point though ... it might have looked like it was going to be a pandemic, but it cannot be labelled as one until it actually IS one. Prediction (albeit with strong probability) vs assertion.

Thanks for the extra info around Taiwan though. It’s unfortunate that diplomacy has to work this way but it’s the nature of the beast.

Edited by markyb_lcy on Wednesday 8th April 10:28

Gromm

890 posts

59 months

Wednesday 8th April 2020
quotequote all
Jimbeaux said:
ChocolateFrog said:
I'd always assumed the WHO was a just a mouthpiece with a few advisors and inspectors based out of somewhere like Geneva.

What the fk are they spending 4.8 billion dollars a year on, the GDP of a small country.
I wager if you peeled away the bloated administrative gravy train riders, it would be not so much.
Leaflets and updating their website. The usual.

Ridgemont

6,655 posts

133 months

Wednesday 8th April 2020
quotequote all
Stay in Bed Instead said:
pneumothorax said:
A bad night in ooh gp land. My fears have been crystallised in a big way. Visited one home to palliate some poor soul, and confirm another death and was told that one floor of the home has been lost in the last week, that is 16 out of 40 residents. I saw three or four in passing that were also "on their way". No one is being let in and the ambulance service are not taking anyone out. Shocking to see. It's quite possible that this particular facility will have no paying customers in a week or two's time.
At least one news channel was stating recently, don't go into a care home as a new resident at the moment.
Yes: was considering getting our 80yr mum into one last year. Pretty glad we didn’t though she is being an absolute pain about the shielding stuff right now.

pneumothorax

1,356 posts

233 months

Wednesday 8th April 2020
quotequote all
I posted this on 4/3/2020

"Interesting thread, the main part of my job (out of hours GP) is visiting the frail and elderly in nursing homes and they are truly sitting ducks for this. I was in a large home in central London last night and if this gets in to any of these facilities, then it's going to be a disaster (think that cruise ship ++++) and some interesting decisions will be necessary. If even a small percentage of the folk in one home get properly sick then the nearest hospital's critical care will be rapidly overwhelmed. Central London has more of these places than you would know, unless you did. Rather than just advising hand washing etc, If I was to give one piece of advice to the NHS, I would effectively separate these folk from the rest of us for the next month or two, no visitors and staff under strict conditions and with some outside expertise on site with PPE all over the places.
111, as usual is being overwhelmed by the worried well, it always is but over the last week it has gone ballistic, and so the potentially actual cases are being obscured. Old, multi co-morbid Patients are not calling (they generally don't) and this is the real at risk group"

I am no genius and even I could see this coming. Utterly predictable. The folk in these places with some quality of life should have been moved at onset. I think that when this all gets looked at in the future, this particular issue is going to be considered the least humane thing we have done.

Jimbeaux

33,791 posts

233 months

Wednesday 8th April 2020
quotequote all
markyb_lcy said:
Jimbeaux said:
TheJimi said:
They absolutely could have called it earlier, imo. It was an obvious pandemic weeks before the WHO came out and announced it as one. That's not just my layman's opinion, do some digging and you'll find it's opinion of many others far better informed than I am.


As for Trump removing funding, I think that's a fairly childish gesture from a hypocritical muppet. He's more or less trying to vindicate his own downplaying of the situation by virtue of pointing at the WHO and saying "but they didn't tell me..."
That is not why; he is considering the funding pull based upon the WHO covering for Chinese misinformation. Besides, last night he stated that he will not as this is obviously not the time for such actions. Non issue, for now.
More useless hot air from him then. It’s also not the time for saying controversial things then rolling back on them <24hrs later. He should be ashamed of himself for his conduct throughout this crisis. Calling it a dem conspiracy was a particular low point.
Let's be objective. Especially seeing what makes it through the media these days. Look past what he says or bloviates about and look at actions. He closed the EU and Chinese off from travel and was called 'Xenophobic" and the usual leftist monikers, he turned out to be correct. While later than he should have, he did institute all of the correct protocols of social distancing, public-private partnerships, Emergency Declaration releasing FEMA funds, the 2 trillion dollar bridge programs for employers, etc. He did much of this before the UK did to be honest.
You must also understand that what he can make the states do is limited, that is up to Governors. We have a different form of government that limits his control over the citizens as a whole. so why such vitriol aimed our way?

i4got

5,667 posts

80 months

Wednesday 8th April 2020
quotequote all
pneumothorax said:
I posted this on 4/3/2020

"Interesting thread, the main part of my job (out of hours GP) is visiting the frail and elderly in nursing homes and they are truly sitting ducks for this. I was in a large home in central London last night and if this gets in to any of these facilities, then it's going to be a disaster (think that cruise ship ++++) and some interesting decisions will be necessary. If even a small percentage of the folk in one home get properly sick then the nearest hospital's critical care will be rapidly overwhelmed. Central London has more of these places than you would know, unless you did. Rather than just advising hand washing etc, If I was to give one piece of advice to the NHS, I would effectively separate these folk from the rest of us for the next month or two, no visitors and staff under strict conditions and with some outside expertise on site with PPE all over the places.
111, as usual is being overwhelmed by the worried well, it always is but over the last week it has gone ballistic, and so the potentially actual cases are being obscured. Old, multi co-morbid Patients are not calling (they generally don't) and this is the real at risk group"

I am no genius and even I could see this coming. Utterly predictable. The folk in these places with some quality of life should have been moved at onset. I think that when this all gets looked at in the future, this particular issue is going to be considered the least humane thing we have done.
I'm no expert on nursing homes but are the under the remit of the NHS? I just assumed most of them were private companies.
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