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COVID-19
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) — United States, February 12–March 16, 2020
This is an excerpt from the latest CDC report cited above and below.
OlRedHair: Yes, our younger generations need to take this situation very seriously.
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) — United States, February 12–March 16, 2020. MMWR Morb Mortal Wkly Rep. ePub: 18 March 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6912e2external icon.
Among 508 (12%) patients known to have been hospitalized, 9% were aged ≥85 years, 26% were aged 65–84 years, 17% were aged 55–64 years, 18% were 45–54 years, and 20% were aged 20–44 years. Less than 1% of hospitalizations were among persons aged ≤19 years (Figure 2). The percentage of persons hospitalized increased with age, from 2%–3% among persons aged ≤9 years, to ≥31% among adults aged ≥85 years. (Table).
Among 121 patients known to have been admitted to an ICU, 7% of cases were reported among adults ≥85 years, 46% among adults aged 65–84 years, 36% among adults aged 45–64 years, and 12% among adults aged 20–44 years (Figure 2). No ICU admissions were reported among persons aged ≤19 years. Percentages of ICU admissions were lowest among adults aged 20–44 years (2%–4%) and highest among adults aged 75–84 years (11%–31%) (Table).
Among 44 cases with known outcome, 15 (34%) deaths were reported among adults aged ≥85 years, 20 (46%) among adults aged 65–84 years, and nine (20%) among adults aged 20–64 years. Case-fatality percentages increased with increasing age, from no deaths reported among persons aged ≤19 years to highest percentages (10%–27%) among adults aged ≥85 years (Table) (Figure 2).
COVID-19 – Oklahoma 03.19.20
I’ve spent most of my life learning about what kills people. Hey, it’s a job and I love it.
The numbers in Oklahoma are blessedly small. Too small for statistical significance but there are some interesting aspects to these numbers. The 2 out of state positives are professional basketball players. We shouldn’t expect a huge increase from out of state since Oklahoma is not exactly a vacation tourist type destination and no one is traveling much nowadays. The first positives were in Tulsa county. That number hasn’t really moved much but Oklahoma county numbers have, a clear indicator of community spread.
The most disturbing numbers are the positives ages 18-64. This is not Wuhan. This is not Italy. This is not Iran. This is not Spain. This is Oklahoma.
Stay safe and act accordingly to your specific locale.
| Positive (In-State) | 29 |
| Positive (Out-of-State) | 2 |
| Negative | 378 |
| PUIs Pending Results | 110 |
| County | COVID-19 Cases by County* |
|---|---|
| Canadian | 2 |
| Cleveland | 4 |
| Jackson | 1 |
| Kay | 2 |
| Oklahoma | 14 |
| Payne | 1 |
| Tulsa | 4 |
| Pawnee | 1 |
| Total | 29 |
| Age Group, Years | COVID-19 Cases* |
|---|---|
| 00-04 | 1 |
| 05-17 | 0 |
| 18-49 | 13 |
| 50-64 | 10 |
| 65+ | 5 |
| Total | 29 |
| Age Range | 0-75 yrs |
| COVID-19 Cases by Gender | |
|---|---|
| Female | 13 |
| Male | 16 |
| Total | 29 |
Data Source: Acute Disease Service, Oklahoma State Department of Health.
*As of 2020-03-18 at 07:00 AM.
Best Practices For Social Distancing To Mitigate COVID-19 — The Skeptical Cardiologist
To flatten the curve and mitigate the impact of coronavirus we should be practicing social distancing. It is not obvious to most how this should be accomplished but there is a great article on this at The New Yorker which discusses an information sheet on the topic provided by Dr. Asaf Bitton, The New Yorker…
via Best Practices For Social Distancing To Mitigate COVID-19 — The Skeptical Cardiologist
Thank you Anthony C. Pearson, MD, FACC.
Covid-19 – Your Daily Dose 03.18.20
The few small businesses that aren’t bankrupted by quarantines and lock downs will be destroyed by Washington’s Covid-19 legislation.
via Covid-19 Rescue Plan Should Be Vehemently Opposed, by Bruce Wilds — STRAIGHT LINE LOGIC
Remember that the concept and practice of social distancing isn’t about avoiding everything. Small businesses in your community need your patronage now more than ever. STAT news reported the following on the shelter in place order in effect in San Francisco:
“The order allows residents to leave their homes for limited purposes, such as to go to the grocery store or the pharmacy, or to go for a solitary walk or run. It also allows people to leave their homes to care for a family member or a vulnerable person in another household. People who live outside the affected counties will also be able to leave to return to their homes.”
Here’s an informative article from NPR – It’s Time To Get Serious About Social Distancing. Here’s How
It’s sad to see how many people are unable to assess risk. Do pay attention to community spread in your specific location. Follow virus statistics in your state and adjust your behavior accordingly. At the present time I am personally behaving as if a shelter in place order has been issued. Please do the same and stay safe.
| Positive (In-State) | 17 |
| Positive (Out-of-State) | 2 |
| Negative | 247 |
| PUIs Pending Results | 82 |
Data Source: Acute Disease Service, Oklahoma State Department of Health.
*As of 2020-03-17 at 08:15: AM.
Undetected cases drive virus spread in the community — Science Chronicle
Eighty-six percent of people in China who were infected with novel coronavirus (SARS-CoV-2) were not tested in the two week period before travel restrictions came into force on January 23 in Wuhan and other cities. And these undetected cases contributed to the majority of virus spread in the community, says a paper published in the journal Science. The paper says that undetected cases can expose a large population to the virus than would otherwise occur. The study found undetected cases were the source of infection for 79% of documented cases.
via Coronavirus: Undetected cases drive virus spread in the community — Science Chronicle
And this is precisely why you must stay at home as much as possible in the near term future. Limit your movements, avoid crowds, use common sense.
Lower death rate estimates for coronavirus, especially for non-elderly, provide glimmer of hope
The chance of someone with symptomatic Covid-19 dying varied by age, confirming other studies. For those aged 15 to 44, the fatality rate was 0.5%, though it might have been as low as 0.1% or as high as 1.3%. For people 45 to 64, the fatality rate was also 0.5%, with a possible low of 0.2% and a possible high of 1.1%. For those over 64, it was 2.7%, with a low and high estimate of 1.5% and 4.7%.
As physicians and researchers have seen since the start of the outbreak, many infected people never become sick.
If the link above refuses to work try this Pocket link.
A Message From Italy On Coronavirus and COVID-19 — The Skeptical Cardiologist
Last month the skeptical cardiologist asked Nicola Triglione, a native of Southern Italy who completed his cardiology fellowship in Milan to give us his perspective on the US and Italian health care systems. Since Italy is now at the European epicenter of the COVID-19 epidemic and second only to China in number of cases and deaths,…
via A Message From Italy On Coronavirus and COVID-19 — The Skeptical Cardiologist
Why Toilet Paper? — RadaJonesMD
I roll in my bed, unable to sleep. I listen to BBC talk about the craziness that took over the world, preoccupied with this one question. What question? It’s not: “Why, Corona?” For that, I already have more answers than I want. Scientists say that COVID19 is an animal virus. It spread to humans from…
COVID-19 – Your Daily Dose 03.11.20
I’ve been reading a lot of COVID-19 news articles. Here are a few of my favs.
In South Korea, public health officials screened about 100,000 people and detected over 7,300 cases. So far, the death toll is 50, which translates to a case-fatality rate of 0.7 percent. That’s still seven times worse than seasonal flu, but it’s far lower than the initial reports from China.
Impact of the epidemic in the U.S.
Now that new COVID-19 cases are being detected in the U.S. every day, it is too late to stop the initial wave of infections. The epidemic is likely to spread across the U.S. The virus appears to be about as contagious as influenza. But this comparison is difficult to make since we have no immunity to the new coronavirus.
How big will the coronavirus pandemic be? An epidemiologist answers.
Dr. Jennifer Nuzzo, a senior scholar at the Johns Hopkins Center for Health Security, is among those arguing hospitals need to change course. “It’s just not sustainable to think that every time a health care worker is exposed they have to be quarantined for 14 days. We’d run out of health care workers,” Nuzzo said.
Self-quarantines will lead to health worker shortagesSelf-quarantines will lead to health worker shortages
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