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Coronavirus 7.0

Posted by on Mar 8, 2020 in Blog | 0 comments

As of next week there will be expanded screening ability for COVID-19 though not with unlimited capacity. The problem will be if possible but mild cases all flock to get screened they expose all those doing the screening and quickly exhaust testing kits. Most will be negative but what do you do while waiting for results? If someone is positive but well, they will be told to quarantine at home which they should be doing anyway. A better idea would be to have mildly ill people at risk stay home and quarantine there or ideally send teams to them to do the testing, fully prepared to do so. If you think about it, the people we need most if this gets bad are those in health care. Exposing them, their staff and their other patients just to get tested...

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Coronavirus 6.0

Posted by on Mar 6, 2020 in Blog | 0 comments

As the weeks roll on we are gathering more information about the virus. It seems more contagious than we thought at the outset but the spread in the US is fairly limited so far. As more testing occurs we will get a better picture of the extent of spread. Even more clear is that there are defined groups at risk. If you are not in those categories you are not at all likely to have a problem should you get infected. The data set from China is illuminating. There have been ZERO deaths in children up to age 9 and that is the case worldwide so far. Young adults up to age 40 the death rate is 0.2%, ages 40-50, 0.4%. After that the rate becomes increased to almost 21.9% if you are older than 80. This also is...

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Coronavirus 5.0

Posted by on Mar 2, 2020 in Blog | 0 comments

As predicted by the CDC there are more cases popping up around the country and the US has had our first 2 fatalities. So far though there has been only 4 cases of “community spread” where there was no known exposure that could be identified. Should that start to happen consistently then we will have a much larger outbreak. The trend of mostly mild cases is continuing and children seem to be rather under represented as an at risk group for even getting the illness. No one is sure why but my own belief is that there may be a lot more exposure to minor Coronavirus groups in their age range that serves to protect them against this one. I wanted to emphasize today that the stated mortality rate is around 3%. That seems rather alarming however we must...

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Coronavirus 4.0

Posted by on Feb 27, 2020 in Blog | 0 comments

The epidemic is evolving and following a pattern of spread similar to when the new flu virus (at the time) H1N1 hit in 2009 though so far it is nowhere near as prevalent. Also that illness started in Mexico on our own continent. The issue will be if sustained transmission occurs in communities. The first case of that type was reported yesterday. There are several factors working in our favor. First, the US is out ahead of this, second its starting late in the flu season not in October like H1N1 did. Third, they are rapidly developing treatments and vaccine strategies. There is a remote possibility though that this virus is more wide spread in the US than we think. I say that because we have had many people return to the US from zones of concern and the...

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Coronavirus Update 3.0

Posted by on Feb 15, 2020 in Blog | 0 comments

The epidemic continues though it is certainly the worst in China. It would seem it will continue there for a sustained period. The issue of course now being recognized is the spectrum of severity is vast. Many people are hardly ill at all and some have no symptoms despite testing positive. As a result, numbers are climbing quickly. In addition, the Chinese are now using different criteria for diagnosis with no confirmation testing. That makes control much more difficult but also means that the vast majority of people with the virus will be fine. This epidemic is very similar to the H1N1 swine flu and for that matter seasonal influenza, it’s just being caused by a different type of virus, now officially named CoVID-19. The amount of US cases is still amazingly low at 15 total. The CDC estimates...

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