SARS CoV-2 coronavirus / Covid-19 (No tin foil hat silliness please)

Its impossible to look too far into the future, we are still catching up to the virus and we need to analyse it to a greater degree before knowing our next move.
What happens if immunity lasts a few months? What damage does it leave and would the danger be greater to younger people second time around?
This isnt a Brexit strategy where we can negotiate with it, if we dont get a hold on this then millions could die from waves that seems to travel in close cycles to each other if they are indeed worried about winter reinfections.
The way we live our life has changed until we get a vaccine, its just how it is.
That is the cold hard fact.
I very much agree things can't get totally back to normal for quite some time, I have not once argued against that.

The part I'm contesting is that this level of lockdown is sustainable, it just isn't. A medium has to be found somewhere and I don't envy the person tasked with finding it.
 
For people who thinks government lied about their number, they should really look beyond simple numbers.

Why is it impossible for "ANY" government in the world to come up with a correct number:
1. Test kit isn't 100%
2. There are people that choose not to go to hospital and get tested / treated, and before we blame them you need to know that you can step a foot into the NHS and never comes out again, it's not an easy steps to take.
3. There are people died before getting tested, while academically we need to know the cause of why they die it's not economically and time efficient to bother with the dead. We barely have enough resources for the living.
4. The Coordination of data, there are hundreds if not thousands of death occuring at one time it's a data collection nightmare even for the most advance country. Numbers are probably lagging behind. Paperwork no matter how little has to be filled, and when there's hundred deaths in a day it could take a toll.
5. There are other priorities for NHS rather than giving the dead extra time. My pastor who died from COVID can't even get a proper burial, no last bath, no last rite.
6. There are thousands of people involved in those data. Nurse/Doctors/head of hospital/clerks/city council/family members etc. These are real people with relatives we're talking about. If they die their relatives will know, will check with the hospital, and there's little room for them to be swept under the rug. You can't just erase John and Jane from the dead list. People will check.
7. Test kit are precious, yes not everybody who feels a light wobble can get tested in some poorer countries. They prioritise those that are clearly bordering on serious symptoms as proper testing needs time and resources. So there will be confusion in the field. Should we categorize those that complains chest pain as Corona? Or Something else? Would that classify as underreporting? Or sane reporting?
8. Unless your country is a masochist I doubt they'd gonna be successfully swepting deaths under the rug. Even if you don't believe certain government these are real human being losing their loved ones. The people involved will not keep quiet if this indeed happens. Can you imagine Japanese doctors/officials all play along with this evil scheme?
9. There are communities watching them, there's the press, there's scholars, there are police, morticians, gravediggers, you can't really hushed up people dying by the dozens. The numbers we see in the websites is the culminations of tens of steps verified by hundreds of people.
 
The reason why Asian countries get people to wear the mask is to protect the public. If everyone wears a mask that person infecting others would decrease a lot. That way it's controlled and the community spread is also controlled.
The mask is not to stop other person getting it usually. I really don't understand why health officials come out and say so. Health workers need the FfP2 masks which are respirators.
If everyone wears a mask this is going to get control a lot sooner.
 
3 weeks of lockdown here and people are already acting stupid. Lots are rebelling against rules saying it’s just a glorified flu and more people die in car accidents, without understanding how the curve works. Also most seem to be in love with Sweden approach saying it works amazingly even though it doesn’t. As I said before, in a couple of months you will have to use some force to keep people at home.
 
I love Germany man, used to live in Minden, and if anyone was gonna make a “success” of this it was you guys, think everyone would have put their mortgage on that.

I still wonder how you have so many serious/critical yet so few daily deaths, are you doing something better than other health services? The UK aren’t overwhelmed yet and they are still losing a much higher rate of critically ill.

Unless the critically ill numbers on worldometers are just incorrect for Germany.

Are you sure about the situation in the UK?
https://www.nytimes.com/2018/01/03/world/europe/uk-national-health-service.html

Maybe you understand a bit of German, here is an article about how Germany has 9000 free ICU beds with another 8400 available within 24h and a central system to manage capacities and patient allocation efficiently. That has to count for something. Anecdotally I also heard before the crisis that some of our hospitals are very eager to ventilate patients who are all but gone anyway, if there is some wider truth to that maybe our personnel has wider experience with the kind of care that corona cases require.
I wouldn't say our politicians reacted super quick, but once Italy gave everyone a stern warning Merkel came out with decisive language and said that 70% could catch it and that this will be the biggest challenge since WW2, maybe that made the most vulnerable, for whom the virus is most lethal take better precautions than their UK counterparts and their enviroment.

https://www.sueddeutsche.de/politik/coronavirus-kliniken-anzahl-betten-1.4865776
 
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Are you sure about the situation in the UK?
https://www.nytimes.com/2018/01/03/world/europe/uk-national-health-service.html

Maybe you understand a bit of German, here is an article about how Germany has 9000 free ICU beds with another 8400 available within 24h and a central system to manage capacities and patient allocation efficiently. That has to count for something.
I wouldn't say our politicians reacted super quick, but once Italy gave everyone a stern warning Merkel came out with decisive language and said that 70% could catch it and that this will be the biggest challenge since WW2, maybe that made the most vulnerable, for whom the virus is most lethal take better precautions than their UK counterparts and their enviroment.

https://www.sueddeutsche.de/politik/coronavirus-kliniken-anzahl-betten-1.4865776

Wasn’t the UK report from last Jan?

Wouldn’t surprise me if the German’s are just better, but it’d be nice to know how they are better.

Obviously they are miles better prepared with their health services and ICU capacity than any other country in Europe, which should come as a shock to no-one.
 
Wasn’t the UK report from last Jan?

Wouldn’t surprise me if the German’s are just better, but it’d be nice to know how they are better.

Obviously they are miles better prepared with their health services and ICU capacity than any other country in Europe, which should come as a shock to no-one.

Haha you're right, I looked for a quick update and didn't check the date. My mistake. Still does look good for the current crisis though if the system got overloaded during regular flu season.
I wouldn't heap too much praise on the German system, having such an excessive amount of ICU beds was probably as much mismanagement as it was human kindness.
 
Are you sure about the situation in the UK?
https://www.nytimes.com/2018/01/03/world/europe/uk-national-health-service.html

Maybe you understand a bit of German, here is an article about how Germany has 9000 free ICU beds with another 8400 available within 24h and a central system to manage capacities and patient allocation efficiently. That has to count for something. Anecdotally I also heard before the crisis that some of our hospitals are very eager to ventilate patients who are all but gone anyway, if there is some wider truth to that maybe our personnel has wider experience with the kind of care that corona cases require.
I wouldn't say our politicians reacted super quick, but once Italy gave everyone a stern warning Merkel came out with decisive language and said that 70% could catch it and that this will be the biggest challenge since WW2, maybe that made the most vulnerable, for whom the virus is most lethal take better precautions than their UK counterparts and their enviroment.

https://www.sueddeutsche.de/politik/coronavirus-kliniken-anzahl-betten-1.4865776
The UK is expecting 18,000 ventilators by the end of the week. And it's built extra hospitals in key locations (including one of the largest in the world in London) which have yet to be used.

There's still plenty of capacity in terms of facilities. It's the doctors and nurses who are in short supply. But we've had 750,000 people volunteer to help the NHS so hopefully that will help.
 
The UK is expecting 18,000 ventilators by the end of the week. And it's built extra hospitals in key locations (including one of the largest in the world in London) which have yet to be used.

There's still plenty of capacity in terms of facilities. It's the doctors and nurses who are in short supply. But we've had 750,000 people volunteer to help the NHS so hopefully that will help.

I hope it works out, but I doubt you can staff an ICU unit with volunteers.

https://www.theguardian.com/busines...nds-britains-manufacturers-with-greatest-test

This article also sounds a lot less optimistic about the numbers.
 
I hope it works out, but I doubt you can staff an ICU unit with volunteers.
Of course, you can't. The volunteers will be doing the menial/admin stuff. That frees up the doctors and nurses to make more efficient use of their the expertise. It's about making life easier for the medical staff who really matter.
 
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Of course, you can't. They'll be doing the admin stuff to free up the doctors/nurses who have the expertise.

But how many do? Supply and demand dictate that countries only train about as many doctors and nurses for that purpose as they have regular capacity and I have no idea how quickly and efficiently you can give people tl;dr training so they can cope at least with the corona-specific stuff.
 
I hope it works out, but I doubt you can staff an ICU unit with volunteers.

https://www.theguardian.com/busines...nds-britains-manufacturers-with-greatest-test

This article also sounds a lot less optimistic about the numbers.
Of course it is possible to train nurses to operate in ICU in couple of weeks. Volunteers would obviously be working elsewhere.

There isn't some German mystery or masterclass at play. They do more testing and better protect elderly and have bigger ICU capacity at the moment. Most countries don't have a shortage of ICU units, yet. They will have later, but it is also possible to increase the capacity in coming months. The death rate is lower do to more testing and tracing contacts and younger infected.
 
But how many do? Supply and demand dictate that countries only train about as many doctors and nurses for that purpose as they have regular capacity and I have no idea how quickly and efficiently you can give people tl;dr training so they can cope at least with the corona-specific stuff.
Supply and demand also dictated that the UK had a particular number of medical staff pre-covid 19. Just like every other country.
 
Of course it is possible to train nurses to operate in ICU in couple of weeks. Volunteers would obviously be working elsewhere.

There isn't some German mystery or masterclass at play. They do more testing and better protect elderly and have bigger ICU capacity at the moment. Most countries don't have a shortage of ICU units, yet. They will have later, but it is also possible to increase the capacity in coming months. The death rate is lower do to more testing and tracing contacts and younger infected.

I never said that. I assume Germany is one of the countries with better healthcare in the world but I don't think our ICU capacity is some form of "they knew all along this would happen", I also think we have been massively lucky that our initial outbreak wasn't very rapid, giving us time to react and learn from Italy's misery.

Supply and demand also dictated that the UK had a particular number of medical staff pre-covid 19. Just like every other country.

Yeah, but you can't just put an orthopaedic surgeon into an ICU and tell him "well.. you're a doctor, operate those ventilators!" You can probably re-train people, but the question is whether that will be quick enough, at least for the first wave of cases.
 
It's the doctors and nurses who are in short supply. .
I wonder why? I've seen this earlier pinned in this article:
NHS workers were given a three year pay freeze to pay for the financial crisis, then trainee nurses bursaries were converted to repayable loans charged at 5.4% and 6.1% interest when the bank rate has been less than 1% for a decade, as a result there was a 30% reduction in trainee nurses in 2018, and this week NHS staff have to crowdfund for £400,000 of PPE in the absence of medical supplies and lost the claimed EU memo from January (after 4 meetings).
Boris himself lifted his fist in the air celebrating when he voted for and succeeded to block pay the 1% rise for nurses in 2007.
 
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I never said that. I assume Germnay is one of the countries with better healthcare in the world but I don't think our ICU capacity is some form of "they knew all along this would happen", I also think we have been massively lucky that our initial outbreak wasn't very rapid, giving us time to react and learn from Italy's misery.
Yes. A good healthcare system. But not as good as the UK's according to both the WHO and Commonwealth Fund.
https://www.who.int/healthinfo/paper30.pdf
https://interactives.commonwealthfund.org/2017/july/mirror-mirror/
 
I wonder why? I've seen this earlier pinned in this article:
Boris himself lifted his fist in the air celebrating when he voted for and succeeded to block pay the 1% pay rise for nurses in 2007.
That's the root cause, yes. But the effect is what I'm talking about, and the effect is what's on-topic.
 
The future has to be looked at and potential situations that may rise.

The cold hard reality is, lockdown for any serious length of time can't happen, it will cost too many lives. If for argument sake we can close down the world for around a year/until this virus dies or mutates to low risk and still have a healthy situation to come out of it, ofcourse I'd be firmly on board with it no matter what but that won't be the case.


Okay then, let's say for argument sake we lock down till the virus either completely dies or heads to very low risk, and for further argument sake let's say that takes a year.

The world reopens with 60% of businesses gone (and let's be clear, that's a wildly optimistic estimate), who pays the taxes that keep the NHS running? Who pays the taxes that keep the many many families who can't find a job because there are none fed?

And I'm not "apathetic" about the deaths that will occur, not least because at some point a lockdown will actually start causing more deaths in the moment too, get to that in a second. I've already said I'm on board with the measures at the minute, it's just not remotely sustainable for this to be a long term thing. Even factoring out the devastating long term effects, hospitals will at some point while the virus is still prelevant be inundated with patients who attempt suicide, are victims of domestic violence, come into complication due to severe stess etc (all of those things are going up already) and that will keep rising further while the country are on house arrest, what will that do? Further take away staff from Covid areas, take more ventilators so someone with the virus will be denied it, in others words totally defeating the object of lock down in the first place.

I want in a perfect world no lives lost atall but tragically that's not possible, so the next best thing is as many lives saved as humanly possible, a lock down for any serious amount of time won't be how that's achieved.

I fully agree with the measures presently because at this moment in time they are protecting the NHS and saving lives, but it will get to a point where it starts doing the complete opposite, not just in the long run but the immediate present as explained above.

Schools and Uni's may be closed but the students aren't on holidays.

My step-son is still doing school work. It's not as much as he'd usually be doing but if this turns into a long term thing I'm sure they school will assign more work and do some kind of online classroom.

Aren't Universities switching to online lectures to keep the whole thing rolling?
 
Christ. If I catch this I’m fooked

I suffered similar symptoms last July. Was literally slipping away when the paramedics got to me. My lungs had basically stopped functioning due to infection.
If everyone could experience that level of panic and shock for just 30 seconds, trust me, they'd be staying indoors.
 
Yes. A good healthcare system. But not as good as the UK's according to both the WHO and Commonwealth Fund.
https://www.who.int/healthinfo/paper30.pdf
https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

The first link appears to use data from the previous millennium. But that being said I'm not informed enough to adequately compare the level of health care in different countries.
And I don't really see the relevance of the second study in terms of the current crisis. to me it seems like (assuming doctors in rich countries are all fairly capable) it's all about capacity in this case. I mean who cares it a doctor could give you better counselling than elsewhere if they don't have a bed or time to treat you?
 
The first link appears to use data from the previous millennium. But that being said I'm not informed enough to adequately compare the level of health care in different countries.
And I don't really see the relevance of the second study in terms of the current crisis. to me it seems like (assuming doctors in rich countries are all fairly capable) it's all about capacity in this case. I mean who cares it a doctor could give you better counselling than elsewhere if they don't have a bed or time to treat you?
Luckily, the UK does have enough beds and volunteers are helping to free up time.
 
The first link appears to use data from the previous millennium. But that being said I'm not informed enough to adequately compare the level of health care in different countries.
I don't really see the relevance of the second study in terms of the current crisis. to me it seems like (assuming doctors in rich countries are all fairly capable) it's all about capacity in this case. I mean who cares it a doctor could give you better counselling than elsewhere if they don't have a bed or time to treat you?

When the number of people who needs a ventilator (or a similar lung breathing machine) exceeds the number of available machines, then you are f*cked and you start seeing a spike in the number of deaths relative to the number in critical condition.

Another important factor to help "contain" the disease is to keep the R0 below 1 --> Lockdown, all non-critical jobs or tasks etc should be stopped or done from home. People in public wearing masks etc.

As long as you are not going above the ICU/ventilator threshold in a set region and the R0 is going down or is below 1, then you have done as well as you can. If you are still seeing an increasing R0 2-3 weeks after measures are taken, then you are not doing enough.
 
When the number of people who needs a ventilator (or a similar lung breathing machine) exceeds the number of available machines, then you are f*cked and you start seeing a spike in the number of deaths relative to the number in critical condition.

Another important factor to help "contain" the disease is to keep the R0 below 1 --> Lockdown, all non-critical jobs or tasks etc should be stopped or done from home. People in public wearing masks etc.

As long as you are not going above the ICU/ventilator threshold in a set region and the R0 is going down or is below 1, then you have done as well as you can. If you are still seeing an increasing R0 2-3 weeks after measures are taken, then you are not doing enough.

I completely agree with you. I think (guess) Germany's high ICU bed count is a major reason why our death rate is still so low. Though I'm not sure we will ever know the true rate of infection, as even the best efforts in testing are deemed insufficient. I still have this faint hope that the virus is actually far more infectious/spread than we assume and a lot of people already got through it with mild/no symptoms.