COVID COVID-19 Coronavirus Containment Efforts

[Mary Conrads Sanburn]

My family consists of myself (Mary), husband (Cliff), dog (Gracie) and cat (Merlina) We are all doing well!
If you have pets:

• CDC is aware of a small number of pets worldwide, including cats and dogs, https://www.oie.int/en/scientific-expertise/specific-information-and-recommendations/questions-and-answers-on-2019novel-coronavirus/ to be infected with the virus that causes COVID-19, mostly after close contact with people with COVID-19.
• Based on the limited information available to date, the risk of animals spreading COVID-19 to people is considered to be low.
• It appears that the virus that causes COVID-19 can spread from people to animals in some situations.
• Treat pets as you would other human family members – do not let pets interact with people or animals outside the household. If a person inside the household becomes sick, isolate that person from everyone else, including pets.
• This is a rapidly evolving situation and information will be updated as it becomes available.

https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/pets.html

 

[anorlunda]

This may be the reason why other professionals are suggesting that contact tracing starts as soon a patient shows up and not when the tests come back

That diagram helped. I see the point. Tracing must begin before testing. That makes testing secondary in importance. A negative test terminates tracing, not a positive test starts tracing.

 

[atyy]

I am a bit surprised at the range of answers and comments here. No one seems to be thinking in terms of using Technology to lessen the probability of infection. Waiting for a vaccine that may never come is not a solution. Accepting that many 'old people' will die is hardly ethical and the young people in favour of this strategy will be old themselves one day (if something else hasn't;t got to them by then).

The term 'herd immunity' has been mis-used ever since the virus arrived; it assumes we accept a total change in demographic in the near future and that doesn't get my vote.

R could instantly be reduced of we all walked round in 'Space Suits' but, for some reason, that is not considered. Perhaps because we would 'look silly'?? There must be an appropriate régime that involves more than Washing Hands and never going to the Pub. It's not as if the Economy doesn't matter so where are all the ideas?

The pub as it was will have to wait for a very long time. But many expect they could be open to some degree. South Korea reopened its pubs and nightclubs with a recommendation that people wear masks and social distance. This seems not to have been followed, leading to a new outbreak, and closure of the pubs and nightclubs. https://www.forbes.com/sites/donald...ter-lifting-rules-on-distancing/#5686ca94690c

South Korea has had another outbreak at a warehouse. According to this article, South Korean officials think here was not strict compliance with infection control measures, but I haven't yet found further detail on what the non-compliance was. https://www.bbc.com/news/world-asia-52845015

Pubs in Germany are being allowed to gradually reopen.
https://www.dw.com/en/the-local-pub-the-germans-living-room/a-53438514
https://www.thelocal.de/20200529/from-bars-to-gyms-whats-reopening-in-berlin-in-june

 

[kyphysics]

U.S. week/weekend of protests that have turned chaotic (sometimes with people not wearing masks in these crowds (including a reporter I saw) might lead to a COVID-19 spike.

The protests during a medical pandemic that's killed over 100,000 seems immoral to me. This is despite siding with the reason behind the protests (I'm with them in spirit, but this was not the way to voice your concerns). These protesters will be going back to their communities now after having gathered in giant groups all across the U.S.

They are almost all young - the people they could be carrying the virus back to and vulnerable are old. Pisses me off.

 

[kyphysics]

https://www.nytimes.com/2020/05/31/health/protests-coronavirus.html
Will Protests Set Off a Second Viral Wave?

We're in a viral pandemic and this is happening all over America! What are the odds we don't see a giant spike in cases and deaths after this week's events?

 

[DennisN]

We're in a viral pandemic and this is happening all over America! What are the odds we don't see a giant spike in cases and deaths after this week's events?

A good question. It's a very unfortunate situation.

 

[sophiecentaur]

The pub as it was will have to wait for a very long time. But many expect they could be open to some degree. South Korea reopened its pubs and nightclubs with a recommendation that people wear masks and social distance. This seems not to have been followed, leading to a new outbreak, and closure of the pubs and nightclubs. https://www.forbes.com/sites/donald...ter-lifting-rules-on-distancing/#5686ca94690c

South Korea has had another outbreak at a warehouse. According to this article, South Korean officials think here was not strict compliance with infection control measures, but I haven't yet found further detail on what the non-compliance was. https://www.bbc.com/news/world-asia-52845015

Pubs in Germany are being allowed to gradually reopen.
https://www.dw.com/en/the-local-pub-the-germans-living-room/a-53438514
https://www.thelocal.de/20200529/from-bars-to-gyms-whats-reopening-in-berlin-in-june

Three examples of countries that managed to show a convincing reduction in Covid numbers but they all found that 'just behave yourselves as before ' is not a viable strategy.
I appreciate that the figures are important and we need to know where we are and the majority of posts talk of little else but why do we not see a bunch of (sometimes loony) physical schemes for improved (and acceptable) barrier methods. Relaxing the lockdown measures without replacing them with something else can only result in worse performance. I guess there are a lot of politicians with a naive feeling that a vaccine will turn up very soon and that will sort things out for them but, as we all know, the timescale for vaccine development has always been much longer than the few months that we hear quoted.

 

[atyy]

I appreciate that the figures are important and we need to know where we are and the majority of posts talk of little else but why do we not see a bunch of (sometimes loony) physical schemes for improved (and acceptable) barrier methods.

I guess my point was that maybe we already have all the means (wash hands, social distancing, wear surgical masks if distancing is not possible) - the question is whether people behave responsibly.

Is there still a shortage of surgical masks in the UK?

 

[mfb]

10 days without new case in New Zealand.

This may be the reason why other professionals are suggesting that contact tracing starts as soon a patient shows up and not when the tests come back

With 9 days between test and test result that certainly seems advisable. Reducing that time would help, too.

On the personal level, everyone can aid the contact tracing: Make a running list of contacts (if known) or places where you had contact with strangers. It's much more reliable than trying to remember where you were a week ago. If you show symptoms then the known contacts can be informed quickly, some of the other contacts might be found by a tracing team later.

----

Chile, Peru and Brazil see rapidly increasing case counts, daily new cases are still going up. Here is a comparison.
Brazil at 2/3 the US population now has more new confirmed cases than the US, and per capita it reached the peak of the US numbers without signs of slowing down. And all that despite concerns that they still don't take testing seriously, or that favelas are simply ignored in the government response (Portuguese article).

 

[bob012345]

U.S. week/weekend of protests that have turned chaotic (sometimes with people not wearing masks in these crowds (including a reporter I saw) might lead to a COVID-19 spike.

The protests during a medical pandemic that's killed over 100,000 seems immoral to me. This is despite siding with the reason behind the protests (I'm with them in spirit, but this was not the way to voice your concerns). These protesters will be going back to their communities now after having gathered in giant groups all across the U.S.

They are almost all young - the people they could be carrying the virus back to and vulnerable are old. Pisses me off.

The anger over what happened to Mr. Floyd is so great, and rightfully so, that it overcomes fear of getting sick or concern of spreading the illness to family and friends. Perhaps pent-up frustrations over Covid-19 added fuel to that. But will it spark a huge second wave? I doubt it. The virus appears to be weakening. These are mostly young healthy people and they are constantly moving around even in big crowds. That should limit exposure to random people. Of course scientists should monitor this situation and see what really happens.

 

[PeroK]

Chile, Peru and Brazil see rapidly increasing case counts, daily new cases are still going up. Here is a comparison.
Brazil at 2/3 the US population now has more new confirmed cases than the US, and per capita it reached the peak of the US numbers without signs of slowing down. And all that despite concerns that they still don't take testing seriously, or that favelas are simply ignored in the government response (Portuguese article).

Potentially the global pandemic is just starting. It's largely under control in all the major western countries, except the UK and US. Places like India, Pakistan & Bangladesh (combined population of about 2 billion) have been successful at controlling it so far, but they can't stay locked down forever. The cases are increasing exponentially in all three countries.

Last week there were 110,000 new cases per day worldwide, which is higher than it's ever been.

 

[bhobba]

The anger over what happened to Mr. Floyd is so great, and rightfully so, that it overcomes fear of getting sick or concern of spreading the illness to family and friends.

I did see a video where police sent out to control a riot took off their riot gear and turned it into a peaceful march lead by the police. Everyone regardless of race and/or country was appalled at what they saw - that is not why we have police - they should be a positive force for societal cohesion.

Thanks
Bill

 

[kyphysics]

The anger over what happened to Mr. Floyd is so great, and rightfully so, that it overcomes fear of getting sick or concern of spreading the illness to family and friends. Perhaps pent-up frustrations over Covid-19 added fuel to that. But will it spark a huge second wave? I doubt it. The virus appears to be weakening. These are mostly young healthy people and they are constantly moving around even in big crowds. That should limit exposure to random people. Of course scientists should monitor this situation and see what really happens.

What evidence do you have the virus is weakening? I'm assuming you mean the virus' current strands are weaker than the earlier ones, no? Or, did you mean the curve has been weakening (meaning flattening)?

I think the positives from the protests, such as overwhelming mask wearing (I think 90-95% of people wore them from what I saw in photos) and often a lot of "moving around" are countered by other factors, such as:

-massive numbers of people
-lots of yelling and chanting
-very tight quarters
-incidents that undoubtedly involved police arrest or physical confrontation, where lots of contact involved could have spread the virus. Going to jail is a way to spread/get the virus more easily I'm guessing.

Yes, the protesters were young and likely won't get sick, but they could be going home and back to their jobs at the grocery store, the cell phone stores, a restaurant, etc. and spreading it to customers and older people.

 

[russ_watters]

I just learned that it takes the Philippine government an average of 13 days to do Contact Tracing. I find it a bit slow. What is the advisable number of days to find all exposed individuals?

0 would be optimal.

[edit] Ok, I'm not totally following the graphic you posted on a separate post, but it includes additional processes beyond contact tracing. What is possible/optimal is a roughly zero elapsed time between completion of a test (or decision a person is worth tracing) and completion of contact tracing.

Note that the delay until testing only applies to a first case in a tree. For all others in the tree, the duration of the entire process can be negative depending on where you start counting (they are traced prior to becoming infectious) and the contact tracing itself zero. And it becomes predictive.

 

[anorlunda]

Please everyone. COVID touches on many side issues. In this thread let's stay more narrowly focused on the topic as stated in the title.

 

[bob012345]

Please everyone. COVID touches on many side issues. In this thread let's stay more narrowly focused on the topic as stated in the title.

Is discussing what to do about the massive nationwide riots as related to their pandemic implications just a side issue and not focusing on containment?

 

[russ_watters]

Is discussing what to do about the massive nationwide riots as related to their pandemic implications just a side issue and not focusing on containment?

There is nothing to do about the riots as pertains to COVID-19.

 

[anorlunda]

Is discussing what to do about the massive nationwide riots as related to their pandemic implications just a side issue and not focusing on containment?

IMO a side issue. Although it impacts "covid-19-coronavirus-containment-efforts" it is not a containment effort. We could just as easily get diverted by how alcohol contributes to lax social distancing. There's plenty to talk about within the narrower focus.

 

[bob012345]

There is nothing to do about the riots as pertains to COVID-19.

I completely disagree but we don't have to discuss it.

 

[bob012345]

0...

What evidence do you have the virus is weakening? I'm assuming you mean the virus' current strands are weaker than the earlier ones, no? Or, did you mean the curve has been weakening (meaning flattening)?

I mean the former. The claim was made by an Italian doctor but is still controversial.

https://www.dailymail.co.uk/news/article-8376105/Is-Covid-19-really-potent.html
https://orthospinenews.com/2020/05/...ations-may-be-weakening-this-is-virology-101/

 

[russ_watters]

I completely disagree but we don't have to discuss it.

I mean, you can pm me or another moderator if you think there is a relevant perspective worth discussing and I/we will consider it.

 

[bob012345]

I mean, you can pm me or another moderator if you think there is a relevant perspective worth discussing and I/we will consider it.

I'm happy to move on. Thanks though.

 

[mfb]

Last week there were 110,000 new cases per day worldwide, which is higher than it's ever been.

Averaged over the week from May 24 to May 31: 20,000 in the US, 20,000 in Brazil, 9000 in Russia, 7000 in India, 5000 in Peru, 4000 in Chile, 3000 in Mexico, 1800-2300 each in the UK, Iran, Pakistan, Saudi Arabia, Qatar and Bangladesh. 800-1400 each in South Africa, Colombia, Turkey, Egypt, Canada, Belarus, France, Kuwait, both of these groups are sorted in descending order.
Notable low new case counts in countries with over 10,000 confirmed cases: China (+0.008%/day); Switzerland (+0.06%/day); Austria, Ireland, Italy (+0.2%/day); Israel, Germany, Japan, Spain (+0.25%/day)

 

[kadiot]

That diagram helped. I see the point. Tracing must begin before testing. That makes testing secondary in importance. A negative test terminates tracing, not a positive test starts tracing.

Contact tracing is evolving. Because we know asymptomatic close contacts may test negative early on, the decision to isolate are made on a clinical and case to case basis. Quarantine and isolation can be test-informed, but should start even before tests are back especially if there is a high probability of infection.

 

[PeroK]

Averaged over the week from May 24 to May 31: 20,000 in the US, 20,000 in Brazil, 9000 in Russia, 7000 in India, 5000 in Peru, 4000 in Chile, 3000 in Mexico, 1800-2300 each in the UK, Iran, Pakistan, Saudi Arabia, Qatar and Bangladesh. 800-1400 each in South Africa, Colombia, Turkey, Egypt, Canada, Belarus, France, Kuwait, both of these groups are sorted in descending order.
Notable low new case counts in countries with over 10,000 confirmed cases: China (+0.008%/day); Switzerland (+0.06%/day); Austria, Ireland, Italy (+0.2%/day); Israel, Germany, Japan, Spain (+0.25%/day)

France had one or two anomalous days this week, which may have been some back counting of cases. Their average was 300-400 cases per day for the previous fortnight. They had about 20,000 new cases in the whole of May. Here's a weekly summary of average cases per day:

Cases	USA	UK	Spain	Italy	France	Germany	Russia	Brazil	India	Iran
07-Apr​	30,839​	4,299​	6,574​	4,256​	6,722​	5,122​	737​	1,188​	565​	2,569​
14-Apr​	30,390​	5,519​	4,588​	3,843​	4,439​	3,507​	1,944​	1,604​	877​	1,755​
21-Apr​	28,897​	5,024​	4,303​	3,067​	3,325​	2,320​	4,523​	2,545​	1,228​	1,418​
28-Apr​	30,219​	4,586​	3,993​	2,650​	1,769​	1,637​	5,814​	4,260​	1,606​	1,112​
05-May​	28,838​	4,835​	2,633​	1,644​	663​	1,014​	8,830​	5,974​	2,582​	1,055​
12-May​	24,429​	4,496​	2,708​	1,172​	1,096​	881​	10,982​	8,984​	3,556​	1,542​
19-May​	23,135​	3,194​	1,326​	783​	413​	665​	9,671​	13,469​	4,598​	1,977​
26-May​	22,099​	2,344​	701​	551​	305​	494​	8,914​	17,211​	6,331​	2,130​

 

[PeroK]

Here is an example of the strictly enforced UK COVID-19 containment efforts:

 

[kadiot]

Here is an example of the strictly enforced UK COVID-19 containment efforts:

View attachment 263995

"In all three questions, the evidence appears to support the measures. For example, on average, staying 1 meter away from other people appears to reduce your chance of catching Covid-19 by 80%. Wearing a mask or face covering appears to reduce your risk by up to 85%. And wearing goggles or a face shield seems to reduce it by up to 78%."

https://edition.cnn.com/2020/06/01/...KnCp2_tiwjuRGf9F7U01Po4UtfIY2GTgOL2NB1PUayjgo

 

[russ_watters]

Here is an example of the strictly enforced UK COVID-19 containment efforts:

View attachment 263995

I don't understand peoples' fixation with the beach as a potential hotspot. There's not much more inhospitable a place to virus transmission than a beach, and people really do work hard to social distance on a beach.

A buddy of mine who lives in Huntington Beach, Ca complains about this constantly, but I have a suspicion it's really a cover for the parking situation.

 

[Vanadium 50]

Here's another of the hated Sweden-Denmark comparisons. I added UK and Germany for fun.

This is the 7-day running average of fatalities, normalized to the peak and (this is new) plotted against the days since the peak.

My conclusions:

1. The curves are closer to each other than I guessed before making the plot.
2. Our pariah nation, Sweden, is presently doing better than Norway, Germany and the UK. It's getting harder and harder to say "Every life matters! We need to get off the blue curve!"
3. Our pariah nation, Sweden, is not doing hugely better than Norway, Germany and the UK. It sums to 4%. or 179 people. I'm willing to believe that this is a downward fluctuation, and maybe the true value is not -4% but really +1 or +2% but not much more than that.
4. The upward part of the curve has some interesting features.

 

[Vanadium 50]

I don't understand peoples' fixation with the beach as a potential hotspot.

Or a swimming pool. Dousing onesself with chlorine seems like a good thing.