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What you need to know about the virus in China "2019 Novel Coronavirus (2019-nCoV)"

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345 confirmed cases of Covid-19 in Panama as of yesterday, and 6 deaths. Victims include a 13 y/o grl, a 92 y/o man, and a 50 y/o woman doctor. The first confirmed case of Covid-19 in our district was announced today. All of the tourists who were visiting our cool, friendly rainforest mountain town during our dry season are now gone, and I am surprised that we didn't have confirmed Covid-19 cases earlier.

We have been under a night-time curfew for a few days, and over 1,000 people were arrested for curfew violations in the past 3 days. It's just after midnight here in Panama, and our "shelter in place" lockdown just started. People under 60 y/o are allowed 2 hours per day based on the last digit of their "cedula" (national I.D. card) to go out and get groceries, medicine, etc. Those of us who are 60 y/o and older have from 11am to 1pm to go out.

I paid my April rent today at my landlord's bank, got my heart med prescriptions for 2 months, and paid my cell phone for 2 months. There is a larger, new, fully stocked supermarket about 12 km down the mountain that is much less crowded then the four medium sized ones in town. No empty shelves. Until the pandemic restrictions are lifted, I will forgo my monthly trips 45km down the mountain to PriceSmart (Costco warehouse store affiliate) in the city of David, the Provincial capital with its population of 145,000 - and a lot more potential for contracting the virus.

And thanks to the many ASR members who are posting about the pandemic from around the world - your posts make it much more personal, and help to pass the time while sitting at home waiting this out.
 
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I paid my April rent today at my landlord's bank, got my heart med prescriptions for 2 months, and paid my cell phone for 2 months.
I tried to ask for more than my 30 day dose of my medication and the pharmacy said the insurance would not cover it. Can't believe we still have stupid policies like this in place. They still want to collect their monthly deductible. :(
 
Donald Trump didn't tell people to drink fish tank cleaner. He was talking about the medical form of the drug, as some trials have shown it to be effective

My respect for ASR's "no politics" rule is the only thing preventing me from writing an angry response to that situation...
 
345 confirmed cases of Covid-19 in Panama as of yesterday, and 6 deaths. Victims include a 13 y/o grl, a 92 y/o man, and a 50 y/o woman doctor. The first confirmed case of Covid-19 in our district was announced today. All of the tourists who were visiting our cool, friendly rainforest mountain town during our dry season are now gone, and I am surprised that we didn't have confirmed Covid-19 cases earlier.

We have been under a night-time curfew for a few days, and over 1,000 people were arrested for curfew violations in the past 3 days. It's just after midnight here in Panama, and our "shelter in place" lockdown just started. People under 60 y/o are allowed 2 hours per day based on the last digit of their "cedula" (nation I.D. card) to go out and get groceries, medicine, etc. Those of us who are 60 y/o and older have from 11am to 1pm to go out.

I paid my April rent today at my landlord's bank, got my heart med prescriptions for 2 months, and paid my cell phone for 2 months. There is a larger, new, fully stocked supermarket about 12 km down the mountain that is much less crowded then the four medium sized ones in town. No empty shelves. Until the pandemic restrictions are lifted, I will forgo my monthly trips 45km down the mountain to PriceSmart (Costco warehouse store affiliate) in the city of David, the Provincial capital with its population of 145,000 - and a lot more potential for contracting the virus.

And thanks to the many ASR members who are posting about the pandemic from around the world - your posts make it much more personal, and help to pass the time while sitting at home waiting this out.

Good to hear that you’re taking a pragmatic — and not panicked — approach to the situation. Hang in there.

It’s expected that shelter in place will be announced here (Travis County, TX) later today. I expect that will make the task of buying groceries even worse than it already is. Fortunately people here are doing a better job finding and utilizing local supermarkets and bodegas. But the “big box” stores are still having problems keeping their shelves stocked.
 
Torontoian here. as a major social outcast and loner, the virus outbreak has effected me very little. I stay in my room most of the time anyway. if anything I find a lot of my friends online are more availible so I have more people to talk with to pass the time. along with my usual music to keep me company. hopefully I, along with the other 300,000 or so unemployed youth who live just like me in ontario can ride this storm out. I know this business is effecting other people as well, some who I know. I've heard of people getting 40 percent pay cuts, and 3 day work days. if I was in that situation I'd probably need a lawyer or something. probably better off quitting in that case...

Good luck and my thoughts and prayers go out to all ASR members and their families. stay safe guys.
 
in France the debate is centred on the treatment with chloroquine, which professor didier raoult has been talking about and successfully applying to patients for the past month.
other "specialists". are protesting against this treatment, claiming that it has not proved anything with serious cases.
While the treatment at the beginning of the disease seems to work very well, last night, the Minister of Health authorized the treatment with chloroquine. Only for serious cases!!
I don't understand it anymore.



https://www.sciencedirect.com/science/article/pii/S0924857920300996
 
in France the debate is centred on the treatment with chloroquine, which professor didier raoult has been talking about and successfully applying to patients for the past month.
other "specialists". are protesting against this treatment, claiming that it has not proved anything with serious cases.
While the treatment at the beginning of the disease seems to work very well, last night, the Minister of Health authorized the treatment with chloroquine. Only for serious cases!!
I don't understand it anymore.



https://www.sciencedirect.com/science/article/pii/S0924857920300996
Where did you get this news?
 
I tried to ask for more than my 30 day dose of my medication and the pharmacy said the insurance would not cover it. Can't believe we still have stupid policies like this in place. They still want to collect their monthly deductible. :(

We've got a good three-tier medical system here. It's free for the indigenous, and next up the chain is a low-cost insurance-based program (called Seguro Social or social security), which doesn't jack-up prices for cash patients like me,. Then at the top is a system with private hospitals that caters to the privately insured and wealthy cash clients. Panama has a close relationship with China because of our status as a Latin American finance center - and the importance of the Panama Canal to world trade. China is now helping Panama by assisting with medical advice and supplies to deal with the coronavirus. I believe that Panama can handle the coronavirus pandemic well, especially because of the proactive preventative measures we are seeing and the lockdown that starts tonight.

I am self insured, so I don't have to deal with insurance rules and restrictions. However, the public hospitals and doctor visits are cheap here, and there is a government mandated senior discount program that includes prescription drugs.

When I had a very mild heart attack 3 years ago, I drove to the local doctor's office in town. They immediately put me on a bed and ran an EKG. The doctor determined that I was having an "ischemic event" and charged me $120. No paramedic was needed for my transport paramedic, so I got a free ambulance ride to the regional hospital 45 km down the mountain. Had I needed a paramedic, the ride would have cost me $250.

Six days of strict bed rest and monitoring, and my total hospital bill was $879. Two follow-up visits with the best cardiologist in the province, including treadmill EKG and ultrasound tests added $800 more. I see the cardiologist once every four months, and that consultation plus a quickie EKG costs $65 cash. For my prescription meds, I hand the script to the pharmacist, and they give me a box with a plastic bottle or blister pack(s) of meds, hand the script back for reuse, and I pay for them with a debit card. A four months supply cost $125, which includes the 25% off March promotional discount by Farmacia Revilla - a Panama chain. When there is no larger discount in effect, I get a 15% "jubilado" (senior) discount.

No wonder so many Americans come here to retire!
 
When I had a very mild heart attack 3 years ago, I drove to the local doctor's office in town. They immediately put me on a bed and ran an EKG. The doctor determined that I was having an "ischemic event" and charged me $120. No paramedic was needed for my transport paramedic, so I got a free ambulance ride to the regional hospital 45 km down the mountain. Had I needed a paramedic, the ride would have cost me $250.
I had some chest pains and thought it was heart problem. Turns out to be nothing but kept me in the hospital to be sure. Left two days later. The bill? A cool $35,000! And I got stuck paying something like $10,000 for deductible! And we pay incredible amount of money for insurance.

Anyway we digress. Back to COVID-19 and the fact that our governor has put us on stay home order, shutting down a lot of businesses completely for two weeks.
 
My friend the senior intensive care specialist was troubled by the high ICU mortality rate he observed in e.g Italy and wondered if they are not admitting too many hopeless cases.
 
España tendría ya más de medio millón de infectados: éste el modelo estadístico que lo sugiere
[Spanish] https://www.elespanol.com/ciencia/s...s-modelo-estadistico-sugiere/476954002_0.html

Spain would already have more than half a million infected: this is the statistical model that suggests it
https://translate.google.es/translate?sl=es&tl=en&u=https://www.elespanol.com/ciencia/salud/20200324/espana-medio-millon-infectados-modelo-estadistico-sugiere/476954002_0.html

[ To carry out this calculation - and that of all countries - the researchers led by Adam Kucharski, author of the book, among others, The rules of contagion (not yet published in Spanish), mathematicians have relied on rate data Estimated lethality (CFR) released by the European Center for Disease Prevention and Control (ECDC)... ]

Adam Kucharski
New analysis from @cmmid_lshtm (led by @timwrussell) provides some rough initial estimates for the % of symptomatic COVID-19 cases that might have been detected/reported in different countries (focusing on those with >10 deaths)... 1/ https://cmmid.github.io/topics/covid19

covid-19-modelo-estadistico-numero-infectados-Adam-Kucharski.png
 
Sorry, I just saw the quote and didn’t look at the article.
I guess I took it out of context.

This makes it clearer:

"The differences between ICU beds may be technological capabilities (e.g. ability to provide specific organ support) or staffing, or both [4*]. While many consider an ICU bed one in which a patient can receive mechanical ventilation, this definition is by no means universal. For example, American ICU beds are often defined by staffing availability while Belgian beds are defined by the characteristics of the patients themselves [4*]. Beds in the UK, Australia, and New Zealand may be Level 2 (high-dependency) or Level 3 (full intensive care), but both types of beds are categorized and counted as ICU beds"
 
My friend the senior intensive care specialist was troubled by the high ICU mortality rate he observed in e.g Italy and wondered if they are not admitting too many hopeless cases.

That may well be the case but on the other hand if I was having resporatory problems and was gasping to cling on to life or organs failing I figure I would be glad to be put in a coma and just hoping to get out alive (small chance of that) without too much damage to the body instead of dying a horrible death at home in a 'natural' way.
Where 'natural' is extremely sick and fighting for each breath untill the body can't no more and loved ones in panic from a large distance not being able to help in any way.

So... I hope I never get in this situation and no one ever has to 'triage' me and says: he's probably going to die so no care for him.
That's what the current policy is about. Trying to estimate to not overload the available ICU beds till there finally is a cure.

I expect once the lockdown is lifted in Wuhan the whole thing starts again in 2 weeks or so when looking at the numbers only a very small percentage of the Hubei provence has gotten the virus. It will be far less than 60% so those that didn't catch it due to the lockdown will be exposed again.

In essence this will continue till the vast majority of the population is innoculated. It looks like this may take a year or so at least. Then the whole world must also be given this vaccin.

This isn't going to be over in a month or 2 I fear.
Also not China who has been at this for almost 5 months now.
 
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...Certainly not exponential which was a lot of people feared...

Since 1st March the US numbers look almost perfectly exponential.
There is no hint that the curve has flattened.
At this rate there will be ~100 million cases within a month.
That would mean probably more than 1 million fatalities.
The curve must flatten eventually, of course, if only because practically everyone is infected.
But since it hasn't even started to flatten yet may I ask what was the point of your post?

US cases.png
 
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