Coronavirus Covid-19 - opšta tema

[Lo Zingaro]

Kod mene u gradu se popelo na 84 slucaja. Danas ce verovatno i okolinu Bergama proglasiti za crvenu zonu jer se slucajevi prebrzo sire. U pokrajini Veneto se cini da malo usporava. Vlada poziva sve over 65 ogodisnjake da ne izlaze na celoj teritoriji zemlje. U Lombardiji skracuju kurs za bolnicare i primaju odmah u sluzbu i pozivaju penzionisane doktore da se reaktiviraju. Sire prostor u bolnicama za intenzivnu meru jer je vec premasen broj onih koji imaju potrebu za njom. Ne postoji vise ni jedna od 20 regija u kojoj nije registrovan barem jedan slucaj zaraze. 

 

[I*m with the pilots]

12 minutes ago, lo zingaro said:

U Lombardiji skracuju kurs za bolnicare i primaju odmah u sluzbu i pozivaju penzionisane doktore da se reaktiviraju

 

Ovo je malo posto su oni u starosnoj grupi koja je podloznija svim bolestima, zar ne?

[Lo Zingaro]

7 minutes ago, I*m with the pilots said:

Ovo je malo posto su oni u starosnoj grupi koja je podloznija svim bolestima, zar ne?

Da, od 79 umrlih 90% je over 65, plus je slican postotak onih u teskom stanju.

[Lo Zingaro]

Prvo se mislilo da ce biti problema sa mestima u intenzivnoj, medjutim i nedostatak osoblja je novi problem. Ne postoji zvanicna statistika za celu Italiju ali dosta zdravstvenog osoblja je zarazeno. Problem je i nedostatak zastitne opreme za osoblje, narocito u crvenoj zoni.

[vememah]

I Britanci su najavili slično, ali sudeći po ovom članku moraće da im uvedu nekakvu obavezu pošto ogromna većina nije oduševljena takvom idejom zbog dugogodišnjeg zlostavljanja NHS-a od vlasti, pre svega konzervativaca.

 

Quote

- “No, nein, non, nej! Was a hospital physician for 32 years: never ever going back.” 
- “I left general practice due to burnout. I would not go back under any circumstances.”
- A 58-year-old former GP from Northamptonshire said he “jumped ship early” after “being repeatedly shafted by successive administrations”. He asked: “Why would I go back?”
- A former senior sister from Wigan said she still has “nightmares 12 years on about the extraordinary working conditions”. Another said: “I left nursing in disgust at the treatment of nursing and ancillary staff by a toxic and bullying management culture.” And a nurse from Cheshire said: “I still feel quite angry that I felt no option but to retire at 55.”
- A 69-year-old former GP from North Yorkshire said he would fear for his life. “It would place me in a position where I would receive a high lethal dose of the virus.”
- Another former clinician, with a long-term chronic condition, said it would be “suicide” for her to return to frontline duties.
- “GPs will be decimated by the illness as will those who come to replace them. Getting doctors back from retirement is just a government PR exercise to look as if they’re taking serious action. I’d sooner stay at home, batten down the hatches and look after my own family.”

https://www.theguardian.com/world/2020/mar/04/majority-of-retired-nhs-staff-dont-want-to-return-to-tackle-covid-19-crisis

 

I da, pitanje je da li je tu dara veća od mere s obzirom na povećani rizik za tu starosnu grupu.

Edited March 4, 2020 by vememah

[vememah]

16 hours ago, dùda said:

fala k***u da se neko konačno setio ovoga 

 

a ne, da se dozvoli špekulantima da dižu cene u nebesa i da ih kupuju oni kojima zapravo i nisu potrebne

Ta mera je nažalost samo dokaz da Francuzi nisu ozbiljno shvatili virus dok je bio pretežno samo u Kini.

[borris_]

Cerka mog kolege je u karantinu u Bremenu.

 

Njen kolega koji je bio u Italiji, bio na poslu (iako bolestan - kasljao je) 3 dana prije nego sto su mu konstatovali da je pozitivan. Uspio je zaraziti jos petero njih (i direktora firme koji ima >60). Testiraju samo one koji imaju simptome. Inace to je pacijent 0 u Bremenu.

[Tresko]

1 hour ago, I*m with the pilots said:

Ovo je malo posto su oni u starosnoj grupi koja je podloznija svim bolestima, zar ne?

Pa ti ne znaš kako misle političarski umovi u Italiji.Ti ljudi svakodnevno izreknu gomilu sranja i gluposti, na dnevnoj bazi su protivrečni samima sebi. Evo i sad, umesto da angažuju mlade doktore koji se godinama pate po specijalizacijama, koje ne mogu da završe jer ne mogu nigde da dobiju dovoljno dugačak ugovor i uglavnom sede kući ili rade kao raznosači za Amazon, oni pozivaju iz penzije doktore koji imaju 80 godina, da im rešavaju krizu sa virusom.

A onaj guverner Lombardije nije u stanju čak ni da stavi masku na lice(ima video gde se muči 10 minuta da stavi masku, koju je prvo nabijao na oči). I kad vidiš da takvi vode računa o tvom zdravlju i životu, strah te uhvati.

[vememah]

Uvodni govor šefa SZO na KZŠ juče:

Quote

WHO Director-General's opening remarks at the media briefing on COVID-19 - 3 March 2020

3 March 2020

Good afternoon, and thank you once again for joining us in person and also online.

Today is my birthday, and I’ve been given a very good gift from DRC, from my own continent Africa. We have now had two weeks without a single reported case of Ebola, and there are currently no patients receiving treatment.

This is very good news not just for me, but for the whole world – I remember how the whole world was worried about Ebola – and especially for the thousands of health workers who have sacrificed so much in the fight against Ebola, and for making sure we’re where we are. But as one epidemic looks like ending, one front of the fight closing, another is becoming increasingly complex.

There is now a total of 90,893 reported cases of COVID-19 globally, and 3110 deaths.

In the past 24 hours, China reported 129 cases, the lowest number of cases since the 20th of January.

Outside China, 1848 cases were reported in 48 countries. 80% of those cases are from just three countries: the Republic of Korea, the Islamic Republic of Iran and Italy.

12 new countries have reported their first cases, and there are now 21 countries with one case.

122 countries have not reported any cases.

The actions these newly-affected countries take today will be the difference between a handful of cases and a larger cluster.

We understand that people are afraid and uncertain. Fear is a natural human response to any threat, especially when it’s a threat we don’t completely understand.

But as we get more data, we are understanding this virus, and the disease it causes, more and more.

This virus is not SARS, it’s not MERS, and it’s not influenza. It is a unique virus with unique characteristics.

Both COVID-19 and influenza cause respiratory disease and spread the same way, via small droplets of fluid from the nose and mouth of someone who is sick.

However, there are some important differences between COVID-19 and influenza.

First, COVID-19 does not transmit as efficiently as influenza, from the data we have so far.

With influenza, people who are infected but not yet sick are major drivers of transmission, which does not appear to be the case for COVID-19.

Evidence from China is that only 1% of reported cases do not have symptoms, and most of those cases develop symptoms within 2 days.

Some countries are looking for cases of COVID-19 using surveillance systems for influenza and other respiratory diseases.

Countries such as China, Ghana, Singapore and elsewhere have found very few cases of COVID-19 among such samples – or no cases at all.

The only way to be sure is by looking for COVID-19 antibodies in large numbers of people, and several countries are now doing those studies. This will give us further insight into the extent of infection in populations over time.

WHO has developed protocols on how these studies should be done, and we encourage all countries to do these studies and share their data.

The second major difference is that COVID-19 causes more severe disease than seasonal influenza.

While many people globally have built up immunity to seasonal flu strains, COVID-19 is a new virus to which no one has immunity. That means more people are susceptible to infection, and some will suffer severe disease.

Globally, about 3.4% of reported COVID-19 cases have died. By comparison, seasonal flu generally kills far fewer than 1% of those infected.

Third, we have vaccines and therapeutics for seasonal flu, but at the moment there is no vaccine and no specific treatment for COVID-19. However, clinical trials of therapeutics are now being done, and more than 20 vaccines are in development.

And fourth, we don’t even talk about containment for seasonal flu – it’s just not possible. But it is possible for COVID-19. We don’t do contact tracing for seasonal flu – but countries should do it for COVID-19, because it will prevent infections and save lives. Containment is possible.

To summarize, COVID-19 spreads less efficiently than flu, transmission does not appear to be driven by people who are not sick, it causes more severe illness than flu, there are not yet any vaccines or therapeutics, and it can be contained – which is why we must do everything we can to contain it. That’s why WHO recommends a comprehensive approach.

These differences mean we can’t treat COVID-19 exactly the same way we treat flu.

But there are enough similarities to mean that countries are not starting from scratch. For decades, many countries have invested in building up their systems to detect and respond to influenza.

Because COVID-19 is also a respiratory pathogen, those systems can, should and are being adapted for COVID-19.

But we are concerned that countries’ abilities to respond are being compromised by the severe and increasing disruption to the global supply of personal protective equipment – caused by rising demand, hoarding and misuse.

Shortages are leaving doctors, nurses and other frontline healthcare workers dangerously ill-equipped to care for COVID-19 patients, due to limited access to supplies such as gloves, medical masks, respirators, goggles, face shields, gowns, and aprons.

We can’t stop COVID-19 without protecting our health workers.

Prices of surgical masks have increased six-fold, N95 respirators have more than tripled, and gowns cost twice as much.

Supplies can take months to deliver, market manipulation is widespread, and stocks are often sold to the highest bidder.

WHO has shipped nearly half a million sets of personal protective equipment to 27 countries, but supplies are rapidly depleting.

WHO estimates that each month, 89 million medical masks will be required for the COVID-19 response; 76 million examination gloves, and 1.6 million goggles.

WHO has guidelines on how to rationalize the use of personal protective equipment in health facilities and manage supply chains effectively.

We’re also working with governments, manufacturers and the Pandemic Supply Chain Network to boost production and secure supplies for critically affected and at-risk countries.

Globally, it is estimated that PPE supplies need to be increased by 40 per cent.

We continue to call on manufacturers to urgently increase production to meet this demand and guarantee supplies.

And we have called on governments to develop incentives for manufacturers to ramp up production. This includes easing restrictions on the export and distribution of personal protective equipment and other medical supplies.

Once again, this is a question of solidarity. This cannot be solved by WHO alone, or one industry alone. It requires all of us working together to ensure all countries can protect the people who protect the rest of us.

I thank you.

https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---3-march-2020

Edited March 4, 2020 by vememah

[vememah]

Dakle, na nekih 100.000 slučajeva u celom svetu već postoje nestašice opreme i problemi s nedostatkom lekara u najkritičnijim zemljama. Teško je i zamisliti kakav haos će nastati ako/kad u svetu bude milion, deset ili sto miliona zaraženih.

 

Nije uopšte nemoguće da će Kina, bude li uspela da zadrži zarazu kod sebe pod kontrolom, nadoknaditi dobar deo ekonomskih gubitaka izvozeći opremu u ove "pametne" zemlje što su namerile da puste da se praktično svi pre ili kasnije zaraze.

Edited March 4, 2020 by vememah

[gone fishing]

vrlo je kontradiktoran, prvo kaže kako se ovaj virus teže prenosi od gripa (upitno koliko je to tačno jer po nekim istraživanjima ovaj virus može da preživi i do 9 dana na kontaminiranim površinama što grip ne može) a onda moli farmaceutsku industriju da hitno poveća proizvodnju zaštitne opreme

[duda]

ovi naši epidemiolozi su juče rekli neke zanimljive stvari

recimo, virus se ne širi svuda jednako

u celoj Kini se nije širio kao u Wuhanu, tj provinciji Hubei

 

u Italiji se recimo širi isto dosta, dok takav slučaj nije sa ostalim područjima

 

oni tvrde da to nije do zaštite i preduzetih mera već do prirode virusa, tj, ne ponaša se svuda isto, nije im baš najjasnije zašto je to tako , ali je to definitivno konstatovano

takođe su rekli da je epidemiju sezonskog gripa nemoguće zaustaviti merama kojima su recimo Kinezi obuzdali ovaj virus, što će reći, corona nema takvu sposobnost širenja kao virus sezonskog gripa

 

usput, rekli sau da su žabari pogubljeni i da loše hendluju krizu (kao, mi bi bolje )

 

e da, virus navodno zaobilazi decu a izgleda i crnce 

 

ed.

ovo što kaže @gone fishing

rekli su da je neko izvalio to sa 9 dana, to kao u nekim laboratoriskim uslovima, da nema šanse toliko da preživi, govorili su nešto o 2-3 sata

Edited March 4, 2020 by dùda

[mlatko]

mutira, ovaj (orginalni?) tip u Wuhanu je bas gadno mutirao i srecom lokalizovali su ga zasad

Inviato dal mio Mi 9 Lite utilizzando Tapatalk

[vememah]

17 minutes ago, gone fishing said:

vrlo je kontradiktoran, prvo kaže kako se ovaj virus teže prenosi od gripa (upitno koliko je to tačno jer po nekim istraživanjima ovaj virus može da preživi i do 9 dana na kontaminiranim površinama što grip ne može) a onda moli farmaceutsku industriju da hitno poveća proizvodnju zaštitne opreme

Pa zdravstveni radnici su ogromnom većinom imuni na grip, a ako se i razbole, minimalne su šanse da će imati komplikacije. Zašto je to kontradiktorno?

 

A ovo o tome da se korona virus teže prenosi pretpostavljam da se odnosi na to da se može suzbiti nemedicinskim merama tj. teranjem velikog dela populacije da gotovo sve vreme provede kod kuće, proverama temperature na svim javnim mestima i teranjem zaraženih u kućni ili bolnički karantin, pošto svakako svi podaci govore da se lakše prenosi ako se ne preduzimaju nikakve mere.

Edited March 4, 2020 by vememah

[Lo Zingaro]

57 minutes ago, vememah said:

Dakle, na nekih 100.000 slučajeva u celom svetu već postoje nestašice opreme i problemi s nedostatkom lekara u najkritičnijim zemljama. Teško je i zamisliti kakav haos će nastati ako/kad u svetu bude milion, deset ili sto miliona zaraženih.

 

Nije uopšte nemoguće da će Kina, bude li uspela da zadrži zarazu kod sebe pod kontrolom, nadoknaditi dobar deo ekonomskih gubitaka izvozeći opremu u ove "pametne" zemlje što su namerile da puste da se praktično svi pre ili kasnije zaraze.

Mi (firma) smo upravo narucili 500000 maski iz Kine, prva posiljka stize avionom sledece nedelje.