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SARS-CoV-2 and COVID-19


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1 minute ago, Lhalo said:

It'll be interesting to see what the Newport Beach City Council does tonight. They're voting whether to close their beaches for the next 3 or 4 weekends. If they vote no it would be a big "fuck you" to Newsom.

To be fair to Newport with how most of the beach parking is I wouldn't blame them for closing the beach.  When they blocked off the meters on PCH in HB a few weeks back naturally everyone going down parked on the numbered streets by houses and residents started to complain.  In Newport parking is mostly by houses so that's a clusterfuck for those that live there and want to get out and at least go for a walk.  I was hesitant to go for a ride on Sunday along the bike trail after seeing articles saying they were expecting large crowds because I didn't want to have to dodge people walking and dragging all their stuff but it felt closer to being down there in September/October than it did a summer day as far as crowds went. 

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We are certainly lucky that the disease appears to be a lot less lethal than originally thought. But it is still significantly more lethal that the common flu. It is also significantly more infectious than the common flu.

https://www.washingtonpost.com/health/antibody-tests-support-whats-been-obvious-covid-19-is-much-more-lethal-than-flu/2020/04/28/2fc215d8-87f7-11ea-ac8a-fe9b8088e101_story.html

Results from coronavirus antibody tests have started to trickle in, and they bolster the consensus among disease experts that the virus is significantly more lethal than seasonal flu and has seeded the most disruptive pandemic in the last century.

“I think it is the worst pandemic since 1918,” said Cecile Viboud, an epidemiologist at the National Institutes of Health’s Fogarty International Center, alluding to the “Great Influenza” pandemic that claimed an estimated 675,000 lives in the United States.

The new serological data, which is provisional, suggests that coronavirus infections greatly outnumber confirmed covid-19 cases, potentially by a factor of 10 or more. Many people experience mild symptoms or none at all, and never get the standard diagnostic test with a swab up the nose, so they’re missed in the official covid-19 case counts.

Higher infection rates mean lower lethality risk on average. But the corollary is that this is a very contagious disease capable of being spread by people who are asymptomatic — a challenge for communities hoping to end their shutdowns.

A medical worker walks outside the University Hospital of Brooklyn on April 27 in New York City. (Stephanie Keith/Getty Images)

The crude case fatality rates, covering people who have a covid-19 diagnosis, have been over 6 percent globally as well as in the United States. But when all the serological data is compiled and analyzed, the fatality rate among people who have been infected could be less than 1 percent.

But as infectious disease experts point out, even a seemingly low rate can translate into a shockingly large death toll if the virus spreads through a major portion of the population.

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Newsom/California have outlined a re-opening plan for California. Some of this looks a little generic. I think the key goals before moving to Stage 2 is really the highlight/crux of the plan. 

https://www.latimes.com/california/story/2020-04-28/california-reopening-plan-stores-schools-first-sports-concerts-last

STAGE 1: Safety and preparedness

Goal: Making work as safe as possible for those on the front lines

This phase is now underway.

  • Continue to build out testing and contact-tracing capabilities and hospital surge capacity.
  • Continue to make workplaces as safe as possible for essential workers.
  • Work on adaptations to the physical setting and workflow in hospitals and other settings.
  • Build a safety net for essential workforce.
  • Make PPE more widely available.
  • Incorporate individual behavior changes.
  • Prepare safety guidelines for an expanded force of front-line workers.

Stage 2: Lower-risk workplaces reopen
Goal: Creating opportunities for lower-risk sectors to make adaptations and reopen.

In this phase, modified school programs and child care reopen as well as the following sectors and spaces:

  • Retail (with curbside pickup, for example)
  • Manufacturing
  • Offices (when teleworking is not possible)
  • Additional public spaces

An expanded workforce safety net could mean:

  • Wage replacement so workers can stay home when sick.

Adaptions for reopened schools and child-care facilities could mean:

  • Summer programs and an earlier start to the next academic year, in July or August.

What’s needed to get from Stage 1 to Stage 2?

Government actions:

  • Enacting policies that allow people to stay home when they’re sick.
  • Providing guidance on how to reduce coronavirus risk.

Business actions:

  • Provide wage replacement so workers can stay home when sick.
  • Implement adaptations to lower-risk workplaces.
  • Allow employees to continue to work from home when possible.

Individual actions:

  • Use safety precautions, such as physical distancing and wearing masks.
  • Avoid all nonessential travel.
  • Support and care for people who are at high risk.

Key goals to hit before moving to Stage 2:

  • Hospitalization and ICU trends are stable.
  • Hospital surge capacity can meet demand.
  • There’s sufficient PPE to meet demand.
  • Testing capacity is sufficient to meet demand.
  • There’s contact-tracing capacity statewide.

The transition to Stage 2 will occur through a statewide modification to the stay-at-home order.

Opportunity for regional variations

During Stage 2, counties may choose to relax stricter local orders at their own pace.

Following Stage 2, once a statewide COVID-19 surveillance system is made possible through testing, further regional variations could be supported.

The state will consult and collaborate closely with local governments.

Stage 3: Higher-risk workplaces reopen
Goal: Open higher-risk environments with adaptations and limits on the size of gatherings.

The following sectors reopen:

  • Personal care (hair and nail salons, gyms)
  • Entertainment venues (movie theaters, sports without live audiences)
  • In-person religious services (churches, weddings)

Stage 4: Stay-at-home order ends


Goal: Reopen the highest-risk workplaces.

At this point, therapeutics will have been developed and other key goals met. These events and sites will then reopen:

  • Concerts
  • Convention centers
  • Sports events with live audiences
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23 minutes ago, Catwhoshatinthehat said:

https://www.yahoo.com/finance/news/the-new-taxes-coming-to-finance-all-that-stimulus-spending-180206720.html

Get ready to take take it up the wazoo at the federal and state level to pay for all the stimulus and to "open" California again.

Hey the economy's destroyed so let's tax the shit out of everyone. Genius!

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1 minute ago, Catwhoshatinthehat said:

That’s the reality of decades of deficit spending and adding maybe 6T or more to the national debt because of COVID-19. Sooner or later it’s time to pay the piper. 

We'll default before we ever pay that off. Paying off the national debt along with unfunded liabilities is unpossible. We can't even balance a budget let alone gain a surplus.

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35 minutes ago, Catwhoshatinthehat said:

https://www.yahoo.com/finance/news/the-new-taxes-coming-to-finance-all-that-stimulus-spending-180206720.html

Get ready to take take it up the wazoo at the federal and state level to pay for all the stimulus and to "open" California again.

Austerity from the federal level.  And Austerity for state and local government to receive federal aid would be a start.  Then we could talk about taxes.

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30 minutes ago, Lhalo said:

We'll default before we ever pay that off. Paying off the national debt along with unfunded liabilities is unpossible. We can't even balance a budget let alone gain a surplus.

Before that happens the countries credit rating will get downgraded, the USD will no longer be the currency oil is pegged to and the middle class will get taxed into oblivion among other things. Before we even default that fallout will make us long for the great recession and COVID-19 days. 

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