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

There's no what aboutery. The whole point of opening up these field hospitals is to deal with the excess strain that COVID-19 poses. If we have so much excess capacity that the hospital is pretty much empty, then we are probably being too picky about who we admit.

We really should only need to pick and choose who goes into hospital when we are already operating at maximum. If we are not at maximum, we should relax those selection procedures so even more people can have adequate medical attention and we can save more lives.

The Nightingale should be at least half-full. If not with already seriously ill people then at least with those who are at the highest risk of being seriously ill.

The only time our hospitals should ever remain empty is when we have 0 deaths from COVID-19.

They should hopefully always be empty.

They’re emergency capacity measures. If they’re empty, measures are working.

You have no clue what you’re talking about and you’ve still taken a point of position.
 
My question is, if there is excess capacity and our health system isn't being overwhelmed, why are there 900+ people a day still dying? The main reason for a high death count in other countries is due to the health system being overwhelmed so ours must be a different reason.

There are apparently many different mutations some of which are more deadly than others. New York City has been identified as having the most deadly strain whilst Washington State had a weaker strain. Think Italy were identified as having the most deadly strain too.

The nightingale clinical admission, certainly the London one, is to receive lower risk Covid patients. It would suggest it would be those stronger patients, or those exiting the worst part of the virus on the lungs. The HSJ has some good articles which covers this and gives insight into how the London hospitals are improving capacity, certainly in ICU.

She’s saying that they’re bringing in intubated patients straight from ICU that are not conscious and their job is to get them breathing on their own again. I’m guessing these patients are pretty seriously ill but beyond the most dangerous point so it makes space in ICU for those in greater danger.
 
A pal said it's their "way of life".

There's culture, and there's horrifically unhygienic barbaric.

Absolutely sickening stuff. Even some people here said they can do what they want in their own country.
 
Wow. That makes me want to go full Rambo and rescue all the dogs.

You would be tempted to go and buy them all as pets wouldn't you!

How do they even round these dogs up? Are people selling their pets?!
 
Absolutely sickening stuff. Even some people here said they can do what they want in their own country.

The previous pandemics originating from there were unfortunate, but there's no getting away from this one - something needs to change.
 
You would be tempted to go and buy them all as pets wouldn't you!

How do they even round these dogs up? Are people selling their pets?!

Yep, I’d buy the lot of them if possible.

You’d imagine most are strays and gathered up through opportunism.

Just appalling.
 
Yep, I’d buy the lot of them if possible.

You’d imagine most are strays and gathered up through opportunism.

Just appalling.

A few of them looked really healthy Labrador types, that can't be wild.
Just makes it even worse.

I'm surprised some of the dogs weren't looking a bit more panicked, with dead dogs on the top of their cage. Horrific.

It does make you want to get over there and storm the camp, but I suppose just like south americans who harvest and sell plants that are used for cocaine, these locals have only this way to make money.
Doesn't make it right, but explains why.
 
A few of them looked really healthy Labrador types, that can't be wild.
Just makes it even worse.

I'm surprised some of the dogs weren't looking a bit more panicked, with dead dogs on the top of their cage. Horrific.

Dogs are accepting and trusting. So sad. Watching again I think you’re right. Unless they have been bred and raised for this?
 
What about this vaccine by the scientists at Oxford university? It seems that they are so confident that they have ordered manufacturing too.
 
Dogs are accepting and trusting. So sad. Watching again I think you’re right. Unless they have been bred and raised for this?

Probably just a mix of wild dogs in the main, but also a few people selling their pets in - although of course dogs as pets isn't anywhere as big a thing as in the west. Otherwise they wouldn't be selling them as meat!

They don't strike me as being the patient types to rear dogs for this? Would take too long.
 
What about this vaccine by the scientists at Oxford university? It seems that they are so confident that they have ordered manufacturing too.

I thought the same as you, but am sure I read that you have to start production as soon as possible to minimise any time lag.
Sounds bonkers logic to me, as what if they don't pass the tests!
 
I thought the same as you, but am sure I read that you have to start production as soon as possible to minimise any time lag.
Sounds bonkers logic to me, as what if they don't pass the tests!

Or they are supremely confident.
 
it's better to mass manufacture loads of vaccines, worst case scenario you've wasted a bunch of expensive stuff best case you save loads of people

this should also be the case for basically a lot of metamedicinal decisions even outside pandemics, see how hard the lack of PPE has fecked us all
 
it's better to mass manufacture loads of vaccines, worst case scenario you've wasted a bunch of expensive stuff best case you save loads of people

I think they know what they are doing. I think they are confident about it.
 
Hi there are many issues regarding Nightingale not having many patients. They do not offer all of what an ITU does and therefore have very specific admission criteria and strict exclusionary ones too.

Frail patients with extensive comorbidities often require input from different teams, imaging modalities, dialysis machines and would not be suitable for transfer. Most likely the patients most suitable are those ventilated who are "stable" (maybe those who need a bit a time to wean off) but not with complex other issues. COVID19 causes massive inflammation, coagulation defects, secondary infections & multi-organ failure. You need ITU beds for such patients and patients who are stable could potentially be transferred to Nightingale to free up space.

The reason a lot of people would still die despite "capacity" is because we know that intubation is something that frail patients would not do well on. On the new respect forms or Treatment Escalation Plans (TEPs) we discuss resuscitation but also ceiling of intervention. Decisions to palliate are made in line with wishes from patients and family which is as much a medical decision as much as line with the advanced care planning we discuss with them.

Hi there, it sounds like you are a healthcare professional! If you are, thank you for all that you do.

Just very quickly if you can, do you think the Nightingale was an appropriate use of the healthcare budget if the target population for its use was indeed so small? Is this population projected to get bigger in a few weeks or do you think it will almost never be used to its full extent (4000 patients)? In that case, should the government have built a smaller centre and repurposed the budget for key ITU improvements to cope better, or was there no scope for that?

Just for your info, I am a medical writer and am currently working on a project related to the economic impact of COVID-19 on healthcare budgets, so thanks a lot for your insight. If you are not a HCP, feel free to give your opinion anyway :)
 
What about this vaccine by the scientists at Oxford university? It seems that they are so confident that they have ordered manufacturing too.

A colleague of mine passed the medical for this two weeks ago & he starts next week.
 
They must be so confident to order manufacturing it now.

They're about 80% confident of success they say, and given their approach is similar to vaccines that they've produced successfully to combat some diseases before.
 
A pal said it's their "way of life".

There's culture, and there's horrifically unhygienic barbaric.

I'm not sure what's worse in that clip, the smiling dogs, unaware of their fate, or the hacked up bits of meat all mixed in, dumped on a dirty table. While some worker, not even wearing gloves comes and man handles it?!

Then you've got random guys with flame throwers heating bodies up.

I had a wry smile when spotting two people with masks on. Yes, yes, you're the two wise people there!!

When this whole mess is sorted out, something needs to change over there in a big way
.

They really do need to change. China has basically fecked the entire world in the backside.
 
Hi there, it sounds like you are a healthcare professional! If you are, thank you for all that you do.

Just very quickly if you can, do you think the Nightingale was an appropriate use of the healthcare budget if the target population for its use was indeed so small? Is this population projected to get bigger in a few weeks or do you think it will almost never be used to its full extent (4000 patients)? In that case, should the government have built a smaller centre and repurposed the budget for key ITU improvements to cope better, or was there no scope for that?

Just for your info, I am a medical writer and am currently working on a project related to the economic impact of COVID-19 on healthcare budgets, so thanks a lot for your insight. If you are not a HCP, feel free to give your opinion anyway :)

I'm a GP trainee/junior doctor working in Leicester, was working in Psychiatry but re-deployed to A&E and medical covid wards. I'm also a biomedical scientist. I believe Nightingale was appropriate from the numbers we were seeing/anticipating but there were alternative avenues explored that I think would have been sufficient such as converting private hospitals, community hospitals into covid wards for overflow in addition to theatres used for elective surgical cases converted to makeshift ITU beds. I know in Leicester certainly that was an avenue being explored had we had more cases. I would have thought that for most places that would have been sufficient. I don't know whether Nightingale is logistically easier for governments and hospital trusts to build and transfer patients to.

In hotspots like London and Birmingham the rate of cases/hospital admissions was quite steep initially and we had no idea social distancing in terms of success rate so as a contingency given what we know about the disease in terms of ventilator dependance even in young patients who had no previous medical issues being a significant feature I can see the rationale of Nightingale hospitals.
 
All the people looking at the barbarism and unhygeinic conditions of a wet market should look at undercover farm and slaughterhouse videos from any country worldwide, including the US, Canada, Australia, Italy, etc.
What's also revealing is how different the reactions are when it's done in a fellow first-world country (all upvoted comments without responses)

well, one thing is for sure...none of these pigs will ever suffer from an iron deficiency...the way they bite those bars i mean u know?...oh and another thing, i notice those grated slatted floors are PERFECT for weeding out the runts...AND one more thing..i just may have to concede on pigs intelligence...it does appear that some of these pigs are indeed picking up on the english language...many do seem to have the word ‘weeeeeeeee’ down pat!
...
Hey, I like ham.
...
Ooh pork pies
...
I'm craving bacon. I wish we could choose how tender our meat is. Haha
...
Pigs are more intelligent than vegans: they eat pork !

from this video in Italy.

Meat-eaters who cry about Chinese animals disgust me.
 
Last edited:
All the people looking at the barbarism and unhygeinic conditions of a wet market should look at undercover farm and slaughterhouse videos from any country worldwide, including the US, Canada, Australia, Italy, etc.
What's also revealing is how different the reactions are when it's done in a fellow first-world country (all upvoted comments without responses)



from this video in Italy.

Meat-eaters who cry about Chinese animals disgust me.

I dare say it's not pretty in any meat production factory.

But when a country has unleashed a number of pandemics, culminating in a world affecting one with no end in sight, that's where the focus needs to be.
 
A pal said it's their "way of life".

There's culture, and there's horrifically unhygienic barbaric.

I'm not sure what's worse in that clip, the smiling dogs, unaware of their fate, or the hacked up bits of meat all mixed in, dumped on a dirty table. While some worker, not even wearing gloves comes and man handles it?!

Then you've got random guys with flame throwers heating bodies up.

I had a wry smile when spotting two people with masks on. Yes, yes, you're the two wise people there!!

When this whole mess is sorted out, something needs to change over there in a big way.
They are absolute cnuts. I hate moral relativism masked behind a veneer of multi culturism.
 
They are absolute cnuts. I hate moral relativism masked behind a veneer of multi culturism.

You are responsible for worse every day.

I dare say it's not pretty in any meat production factory.

But when a country has unleashed a number of pandemics, culminating in a world affecting one with no end in sight, that's where the focus needs to be.

That video I linked showed widespread cannibalism of dead and dying pigs by other pigs.
Mad Cow happened by cows eating infected cows in England.
 
New publication from Louis Pasteur Institute in France. These guys know their shit.

tl;dr version.

Abstract
France has been heavily affected by the SARS-CoV-2 epidemic and went into lockdown on the 17th March 2020. Using models applied to hospital and death data, we estimate the impact of the lockdown and current population immunity. We find 2.6% of infected individuals are hospitalized and 0.53% die, ranging from 0.001% in those <20y to 8.3% in those >80y. Across all ages, men are more likely to be hospitalized, enter intensive care, and die than women. The lockdown reduced the reproductive number from 3.3 to 0.5 (84% reduction). By 11 May, when interventions are scheduled to be eased, we project 3.7 million (range: 2.3-6.7) people, 5.7% of the population, will have been infected. Population immunity appears insufficient to avoid a second wave if all control measures are released at the end of the lockdown
 
So are we down to 136 deaths yesterday.

No, the majority of deaths from yesterday are yet to be reported. The main swathe will usually be reported tomorrow, gradually dwindle down to a single digit stream after about a week and peter out altogether in around a fortnight.