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CoronaVirus in US - Updates & Discussion

US health official warns of dangerous second wave
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The US has reported the most coronavirus cases in the world
A second wave of coronavirus cases in the US could be even worse than the first, the country's top health official has warned.

Centers for Disease Control and Prevention (CDC) director Robert Redfield said the danger was higher as a fresh outbreak would likely coincide with the flu season.

It would put "unimaginable strain" on the US health care system, he said.

The US has seen more than 800,000 cases - the highest in the world.

More than 45,000 people have so far died with coronavirus across the US, according to a tally kept by Johns Hopkins University.

California had its highest one-day rise in new cases on Monday while New Jersey, the worst-hit US state apart from New York, saw its highest increase in deaths in one day.


In an interview with the Washington Post, Mr Redfield said that "there's a possibility that the assault of the virus on our nation next winter will actually be even more difficult than the one we just went through".

He urged officials in the US to prepare for the possibility of having to confront a flu and a coronavirus epidemic at the same time.



'Really, really difficult'

Mr Redfield stressed the importance of getting flu shots. He said that getting vaccinated "may allow there to be a hospital bed available for your mother or grandmother that may get coronavirus".

The CDC chief said that coronavirus had arrived in the US as the regular flu season was subsiding. He argued that if it had arrived at the peak of the winter influenza season, "it could have been been really, really, really, really difficult".

His warning comes as several US states are moving to ease lockdown restrictions.

Mr Redfield said that social distancing remained key to curb the spread of the virus and urged officials to keep stressing its importance even as restrictions on movement were lifted.

He said recent anti-lockdown protests were "not helpful".

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Media captionCoronavirus: Michigan residents protest governor's stay-at-home orders
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At an anti-lockdown protest in Denver a man wearing scrubs challenged demonstrators

He urged state and federal officials to step up tests to identify those who have coronavirus and the people they have had contact.

He said that the Centers for Disease Control planned to hire more than 650 people - more than doubling its current staff - to help with contact tracing among other things.

The CDC was also exploring the possibility of using Census Bureau workers to help with contact tracing he said.
 
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Total confirmed cases in the US:

825,306

Total deaths:

45,075

Total recovered:

75,673


Last updated: 4/22/20 at 8:39 AM

SOURCE Johns Hopkins University; WHO; CDC; USA TODAY
 
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Looks like the next grim milestone of "900000" total cases will be reach within this week
Updates: "849,047" total cases along with "47,426" death toll

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https://www.theguardian.com/world/2...-killing-americans-weeks-earlier-than-thought

This news is very significant because :
1. Deaths on Feb 6& 17 by Coronavirus in the US is way earlier than the official Feb27 death.
2. The doctors are saying it means these people received the infection atleast 2-3 weeks earlier ( viz mid January)
3. Further damaging the US narrative, the doctors are saying none of the dead had any travel or contact with people who travelled, meaning they got community transmission(stage3). This may put the first infections in the US timeline the same as China .
4. The doctors are saying there are likely may more such deaths. They are saying since the CDC guidelines in the beginning were to test only those with travel history, it would have missed those who aquired it from the community like the above examples.
Combining the above data with the desperate blame game of the US , their open hostility to China and their history of leaky biological warfare ( eg anhrax spore mailed everywhere after 9/11) it won't be a stretch to imagine a renegade group within the administration owing allegiance to Steve Bannon/Bolton et all released it in the US or China.
 
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The figures below are based on data from the Johns Hopkins University Center for Systems Science and Engineering. These numbers are updated every 15 minutes but may differ from

other sources due to differences in reporting times. For up-to-the-minute updates, follow our live coverage.

................................................Cases …per 100K residents Deaths …per 100K residents


New York................................ 263,754 ....1,356........ 19,453............... 100
New Jersey............................. 95,914 ......1,080........ 5,150.................. 58
Massachusetts........................ 42,944....... 623.......... 2,182.................. 32
California............................... 37,710....... 95............ 1,440................... 4
Pennsylvania.......................... 36,212....... 283.......... 1,673................... 13
Illinois................................... 35,109....... 277.......... 1,565.................... 12
Michigan.............................. 33,966......... 340.......... 2,813.................... 28
Florida................................ 28,586......... 133........... 927 4
Louisiana............................ 25,258....... 543............. 1,473 32
Connecticut........................ 22,469....... 630............. 1,544 43
Texas................................ 21,774....... 75............... 569 2
Georgia............................. 21,102........ 199............ 846 8
Maryland.......................... 14,775...... 244.............. 698 12
Ohio................................ 14,117....... 121.............. 610 5
Washington...................... 12,494....... 164.............. 692 9
Indiana........................... 12,438........ 185............. 666 10
 
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World War II veteran dies of COVID-19 100 years after twin brother succumbed to Spanish flu




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WWII veteran Philip Kahn dies of COVID-19. — Twitter


NEW YORK: A 100-year-old World War II veteran has died of the new coronavirus a century after his twin brother was killed in the 1918-19 Spanish flu pandemic, US media reports said.

Philip Kahn fought at the Battle of Iwo Jima and helped with aerial surveys after the atomic bombing of Hiroshima and Nagasaki, Newsday said Wednesday in its online edition.

Kahn and his twin Samuel were born in December 1919 and Samuel died of the Spanish flu not long after, the Long Island newspaper said, quoting his family.

His grandson Warren Zysman said Kahn had been afraid of another pandemic coming along during his lifetime.

"It was something he brought up quite frequently," Zysman told CNN.

"I would have conversations with him, he would say to me, 'I told you history repeats itself, 100 years is not that long of a period of time.'"

Kahn experienced coronavirus symptoms such as coughing before his death on April 17 and knew he might have it, Zysman told CNN.

"He talked about his brother a lot in the last few days," Zysman said.

Kahn enlisted in the US Army Air Corps pilot training program in 1940, and after the United States entered the war he served in the Pacific -- at the Battle of Iwo Jima and later in the firebombing raids over Japan, Newsday said. He was awarded two bronze stars.

"War is terrible," he told Newsday on his 98th birthday in 2017.

"Soldiers get killed, but the civilians suffer, too, and the women and children suffer the worst."

Kahn was buried Monday at New Montefiore Cemetery in West Babylon, Long Island, Newsday said.

Kahn is not the only person to die from the new coronavirus after losing a sibling to the 1918-19 Spanish flu.

A 96-year-old woman who died in San Antonio, Texas on April 14 lost an older sister to the pandemic, News4SA reported, although she never knew her sibling.

The deadliest pandemic in modern history, Spanish flu killed an estimated 50 million victims and infected around 500 million around the world.
 
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The figures below are based on data from the Johns Hopkins University Center for Systems Science and Engineering. These numbers are updated every 15 minutes but may differ from

other sources due to differences in reporting times. For up-to-the-minute updates, follow our live coverage.

................................................Cases …per 100K residents Deaths …per 100K residents


New York................................ 263,754 ....1,356........ 19,453............... 100
New Jersey............................. 95,914 ......1,080........ 5,150.................. 58
Massachusetts........................ 42,944....... 623.......... 2,182.................. 32
California............................... 37,710....... 95............ 1,440................... 4
Pennsylvania.......................... 36,212....... 283.......... 1,673................... 13
Illinois................................... 35,109....... 277.......... 1,565.................... 12
Michigan.............................. 33,966......... 340.......... 2,813.................... 28
Florida................................ 28,586......... 133........... 927 4
Louisiana............................ 25,258....... 543............. 1,473 32
Connecticut........................ 22,469....... 630............. 1,544 43
Texas................................ 21,774....... 75............... 569 2
Georgia............................. 21,102........ 199............ 846 8
Maryland.......................... 14,775...... 244.............. 698 12
Ohio................................ 14,117....... 121.............. 610 5
Washington...................... 12,494....... 164.............. 692 9
Indiana........................... 12,438........ 185............. 666 10



do you have any understanding of the fact how these death numbers also include people dying off heart attacks,diabetes,cancer only because they carried covid 19 virus with them symptoms or no symptoms....they are being counted as 'probable corona deaths' by CDC.

However the same benchmark is not applied to Flu deaths for of the same above ailments.
Which makes us believe the Flu deaths are way higher than reported and Corona death numbers are exaggerated.


Why doesn’t CDC base its seasonal flu mortality estimates only on death certificates that specifically list influenza?
Seasonal influenza may lead to death from other causes, such as pneumonia, congestive heart failure, or chronic obstructive pulmonary disease. It has been recognized for many years that influenza is underreported on death certificates. There may be several reasons for underreporting, including that patients aren’t always tested for seasonal influenza virus infection, particularly older adults who are at greatest risk of seasonal influenza complications and death. Even if a patient is tested for influenza, influenza virus infection may not be identified because the influenza virus is only detectable for a limited number of days after infection..
https://www.cdc.gov/flu/about/burden/faq.htm


That takes us to the first few COVID19 serological tests in the world that have concluded Corona and Flu death rates to be nearly same.
 
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The challenge is the virus is mutating. So far, there are at least 3 mutants. Making vaccines in such situation is a difficult job. God knows which mutant is under consideration for shots, it's already been 6 months and we don't have a cure for 1.
 
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Keeping pace as usual to the next grim milestone of "900,000" cases within this week
Updates: "879,435" total cases along with "49699" death toll

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Alarmed as Covid patients' blood thickened, New York doctors try new treatments

Reuters
April 23, 2020


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J Mocco, MD, Director of Mount Sinai's Cerebrovascular Centre, David Reich, MD and President and COO of The Mount Sinai Hospital, and Hooman Poor, MD, an ICU doctor pose together outside the hospital in Manhattan, New York City, April 17. — Reuters


As the novel coronavirus spread through New York City in late March, doctors at Mount Sinai Hospital noticed something strange happening to patients' blood.

Signs of blood thickening and clotting were being detected in different organs by doctors from different specialties. This would turn out to be one of the alarming ways the virus ravages the body, as doctors there and elsewhere were starting to realise.

At Mount Sinai, nephrologists noticed kidney dialysis catheters getting plugged with clots. Pulmonologists monitoring Covid-19 patients on mechanical ventilators could see portions of lungs were oddly bloodless. Neurosurgeons confronted a surge in their usual caseload of strokes due to blood clots, the age of victims skewing younger, with at least half testing positive for the virus.

“It's very striking how much this disease causes clots to form,” Dr J Mocco, a Mount Sinai neurosurgeon, said in an interview, describing how some doctors think Covid-19, the illness caused by the coronavirus, is more than a lung disease. In some cases, Mocco said, a stroke was a young patient's first symptom of Covid-19.

As colleagues from various specialties pooled their observations, they developed a new treatment protocol. Patients now receive high doses of a blood-thinning drug even before any evidence of clotting appears.

“Maybe, just maybe, if you prevent the clotting, you can make the disease less severe,” said Dr David Reich, the hospital president. The new protocol will not be used on certain high-risk patients because blood thinners can lead to bleeding in the brain and other organs.


'Funny you mentioned that'

In the three weeks beginning mid-March, Mocco saw 32 stroke patients with large blood blockages in the brain, double the usual number for that period.

Five were unusually young, under age 49, with no obvious risk factors for strokes, “which is crazy”, he said. “Very, very atypical.” The youngest was only 31.

At least half of the 32 patients would test positive for Covid-19, Mocco said.

Meanwhile, Dr Hooman Poor, a Mount Sinai lung specialist, found himself working a late shift with 14 patients on ventilators. The ventilator readings were not what he expected.

The lungs did not seem stiff, as is common in pneumonia. Instead, it seemed blood was not circulating freely through the lungs to be aerated with each breath.

Poor ran into a kidney doctor that night, who remarked that dialysis catheters were often getting blocked with clots.

“And I said, 'It's funny that you mentioned that because I feel like all these patients have blood clots in their lungs,'” Poor recalled.

Reich, the hospital president, told Poor about the surge in strokes seen by Mocco and said the two doctors should team up, setting off days of discussions and meetings with the hospital's department heads.

At 2:46am on Easter Sunday, Poor sent Mocco his first draft of what would become the new treatment protocol.


Doctors share findings

As their wards began to overflow with Covid-19 patients, the Mount Sinai doctors read papers describing similar findings from doctors in China's Hubei province and other hard-hit areas, and discussed them with their peers in phone calls and webinars.

Mocco called neurosurgeons he knows elsewhere in the country. At Philadelphia's Thomas Jefferson University Hospital, Dr Pascal Jabbour had begun to see a similar surge in strokes among people with Covid-19. The way his patients' blood congealed reminded him of congenital conditions such as lupus, or certain cancers.

“I've never seen any other viruses causing that,” Jabbour said.

In Boston, the Beth Israel Deaconess Medical Centre began a clinical trial earlier this month to see if tPA, an anti-clotting drug, could help severely sick Covid-19 patients.

Clotting can develop in anyone who gets very sick and spends long periods of time immobile on a ventilator, but doctors say the problem seemed to show up sooner in Covid-19 patients as a more direct consequence of the virus.

At Mount Sinai, patients in intensive care often receive the blood-thinning agent heparin in weaker prophylactic doses. Under the new protocol, higher doses of heparin normally used to dissolve clots will be given to patients before any clots are detected.

The treatment joins a growing toolbox at the hospital, where some patients are receiving the antibody-rich plasma of recovered Covid-19 patients or experimental antiviral drugs.

The American Society of Hematology, which has also noted the clotting, says in its guidance to physicians that the benefits of the blood-thinning therapy for Covid-19 patients not already showing signs of clotting are “currently unknown”.

“I certainly wouldn't expect harps to play and angels to sing and people to just rip out their intravenous lines and waltz out of the hospital,” said Reich. “It's likely going to be something where it just moderates the extent of the disease.”
 
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