74 thoughts on “C-19 Chat Post – April 27 2020”

  1. Still can’t make heads or tails out of weekend numbers. I want to believe we are on the downside but not really sure.

    Some sites showing the world has passed 3 million cases.

    1. yes, surpassed 3 million worldwide and the USA will surpass 1 million today and that is only tested/confirmed cases.

    1. The fact that the U.S. isn’t exactly on board (if I understand correctly) doesn’t give me much comfort, although I guess I can understand the hesitation given the experience with the WHO.

  2. There is some cautious room for optimism from yesterday’s numbers. I’ve analyzed them carefully. Tests were down, but positivity rates are down, too. Not so much in Massachusetts (still hovering in the 16% range), but nationwide it’s at 11.5%. Still too high, but much better than a few weeks ago.

    Nevertheless, the tallies yesterday were off on both tests and deaths. Not just here. Sweden reported 2 deaths yesterday. It had been reporting an average of 120 deaths daily for the past week.

    I wrote a brief article on transient drops in confirmed cases and deaths: the “Sunday effect.” https://www.forbes.com/sites/joshuacohen/2020/04/27/transient-drops-in-reported-new-coronavirus-cases-sunday-effect/#5b22006a5811

    1. Your article substantiates what I have thought was true. I once worked in a business where we always seemed to have a problem with weekend counts. The actual numbers would never “true up” until Tuesday AM.

      1. Perhaps it would be in the best interest not to bother even recording weekend cases for the time being and begin again on Mondays or Tuesdays. Especially since the numbers end up being considerably “lower” only produce false hope.

  3. Hopefully the link works for you – this is a short clip from a 60 Minutes piece last night featuring a biologist discussing the “panic-neglect cycle” of biological threats. There are growing calls in the scientific community for a national “infectious disease forecasting center” modeled on the National Weather Service. It sure makes a lot of sense to me. The parallels between the two fields are strong.

    https://twitter.com/i/status/1254554833241149440

    1. Brilliant. How many times in the past few weeks have we compared covid to weather? I can hear some now …through complete lack of understanding..claim nws doesn’t do a good job.

  4. Philip, your point is well taken. I was in the camp of getting my hopes up a month ago when I saw the `good’ numbers on weekends. Then I quickly realized it was false hope.

  5. Good news here in CT with hospitalizations on the decline for 4 days in a row. 44 fewer hospitalizations yesterday than the day before with all counties reporting drops (including Hartford County which had been peaking).

    In NY, lowest daily death toll reported since late March and in NJ, the lowest daily death toll reported since April 5.

    Cuomo now talking about allowing some businesses in Upstate NY to reopen after the stay at home order expires on May 15.

  6. I would caution that any large scale (statewide openings) for any future phase in our areas will be coordinated with all the states in the Northeast. Some states (such as NY may reopen some areas on a limited basis. Anything else is would be foolish imho.

  7. To cheer up a gloomy Monday, here’s another installment of “Songs to Get You Through This – Part 2” by the Holderness Family…

    https://youtu.be/mnCQ3QntY0Y

    I have been loving the parody videos and vlogs they have been posting through all this…this guy really is funny.

  8. From NWH and Gregg Meyers chief Clinical Officer, Partners, and Interim president Newton Wellesley Hospital. Good news. We do need to pay close attention to his last sentence

    In line with the prediction I shared with you a few weeks ago, just this past week we have seen our COVID-19 hospitalizations begin to level off, interrupting a near-daily increase since our first cases in early March. Below are the numbers as of April 24, compared to the number on April 17 in parentheses:

    · We have 83 COVID-19 positive inpatients (115 on April 17).
    · 19 patients currently require critical care (23 on April 17).

    In addition, we have discharged 203 patients who are now on their way to recovery, and we have been sharing the updated number each day with our colleagues as a constant reminder of the life-changing impact they are making.
    We have also had 112 total employees test positive across clinical and nonclinical roles. We continue to see fewer infections in employees providing direct care to COVID-19 positive patients, suggesting viral transmission is more prevalent in the community than in our hospital. This is a testament to the precautions we are taking not only for confirmed cases but for any inpatients we consider to be persons under investigation, whom we suspect have the illness but have not yet been able to confirm with a lab test (currently 32).

    Although we continue to face significant challenges, we are making progress. Assuming we continue on this trajectory, we will see the curve continue to flatten, which is good news. Yet, despite the downward trend, we must remain cautious and extraordinarily vigilant with symptom self-monitoring by our employees; impeccable and consistent use of personal protective equipment, hand hygiene and social distancing; and continued education to patients before admission, during their stay and after discharge. The tail of our curve may be long and arduous, and we remain committed to diligently battling COVID-19 in support of the communities we serve.

  9. Mark, to your point, the numbers today from NY are good. I’m really pleased not to see a spike. Let’s wait and see what tomorrow brings, but I’m hopeful for NY. NJ has been up and down. Today’s numbers look improved compared to last week. Need to see more consistency, though. CT’s numbers are moving in the right direction and more consistently than NJ.

    Upstate NY and certainly some of the Northern counties can partially reopen soon. My guess is NYC, Long Island, Westchester, will remain pretty much closed until some time in June, and even then it’ll be a slow reopening with public gatherings of 25 or more banned until September.

    Concerned about Tennessee, Georgia, Wisconsin and several other states that are now trending in the wrong direction. Here’s where we need as much caution as possible in terms of reopening. Also, concerned about Southern California, which had been doing well but has trended in the wrong direction lately.

  10. Captain, if you are reading, Sutton and Uxbridge students have IEP access. I know Uxbridge is going to new topics this week. Not sure about Sutton. My grand in Uxbridge who has an IEP has many more daily zooms than her sister. My grand here doesn’t want to do zooms as it upsets him to see the kids he can’t be with (he has always loved school), but his mom and his IEP teacher talk regularly. I mentioned going back in August but it seems teachers contracts would all have to be rewritten.

    All of that said….there wil never be enough words to thank each and every teacher for all you are doing to keep this time as “normal” for your kids. And to the moms and dads who have now become assistant teachers…especially those who continue to work while taking on another full time job….you are amazing.

  11. Numbers not so great in Latin America, South America, and Africa. Some of these nations are not well positioned to handle an epidemic.

    When we speak of opening up the economy in a given state, I often feel as though many think that will do the trick, forgetting that every state’s future is wrapped up in interstate and global commerce. Whether its fruit and vegetables from CA or wines and nuts from South Africa or minerals, iron and steel from Brazil, it’s looking like a slow and stretched out rebound.

    1. Green beans from Honduras or Guatemala. Banannas from Panama, Ecuador,
      Peru , Venezuela and Columbia. guacamole and lemons from Mexico
      and on and on and on…..

  12. My recap thus far. I’m really pleased with Europe’s progress. Italy and the Netherlands, especially.

    I’m pleased with what I’m seeing in the U.S. for the most part. However, tests are down, and way down in a number of states. This could be weather-related. May in fact impact testing today as well, so the numbers tomorrow may be a bit off. Probably need to wait until the Wednesday data to be sure of a downward trend line off of the long plateau we’ve been on. I’m so hoping this week we turn the corner. I realize we have done so in terms of hospitalizations and ICU usage. But, it’s the numbers of new cases that concern me as that will keep funneling patients into the hospitals, and a percentage of these patients will die. This is what we’ve been seeing for 4 or 5 weeks in Italy, France, and Spain. We’re 2-3 weeks behind them.

    Below is a unique coronavirus era `performance’ of the Dutch national anthem on King’s Day in the Netherlands. The Netherlands is my second homeland. I love their anthem. It has added meaning this week as the Dutch celebrate remembrance (4 May) and liberation (5 May) day to remember 5 years of brutal occupation by the Nazis and the country’s liberation 75 years ago.

    https://www.youtube.com/watch?v=UAzU2LVjE0Q&feature=youtu.be

    And then for those of you who are interested, here’s what it’s like in the Netherlands on a normal 4th of May (this one was recorded in 2009) when the country remembers the fallen soldiers, the persecuted, and the executed. I’ll never forget these moments as long as I live. The country truly goes silent for 2 minutes. Everything. Trains and cars stop. When I first experienced this in 1981 I realized what it was like for Europeans to have been the battlefield, to have had invasions, occupations, and millions dead. We’re very lucky in the U.S. Our country has never had to face that kind of externally imposed hardship.

    Start viewing at 2:30 with taps, followed by 2 minutes of silence, then the national anthem.

    https://www.youtube.com/watch?v=emwrAatSvDs&t=21s

  13. According to China, there are no more Covid-19 patients in Wuhan hospitals.

    Can we believe this as true??

  14. Mass general simulator suggests keeping the order in place till at least Another 12 weeks or it could be deadly .

      1. Indeed it is and coming from a legitimate source . I can definitely see this happening . I’m thinking the Governor is going to be smart about this . The Governor probably won’t go full throttle at once but I think he should just eliminate all guesses and just say closed for 12 weeks like the above is saying . He should at least include past Memorial Day weekend in his extension if he goes the little at a time route .

  15. Arod I would love your feedback on the link that Vicki posted above . It is an unbelievable eye opening article

    1. This alone has me shaken. “But if the state’s current restrictions were allowed to expire in four weeks and replaced by “minimal restrictions,” on May 25, the simulator predicts catastrophe.”

      1. Exactly Vicki . I’ve read a lot of articles but this one was just mouth dropping & hopefully this gets to the Governor for him to read . It’s basically saying open now & your are – well you guys fill in the blanks !!

    2. For the record. I only found the link because of you SSk…so credit goes to you. Again thank you.

  16. Philip, at this point I find the Chinese numbers not credible. Sure, they instituted an airtight lockdown. But, 3 new cases today. Come on. That just can’t be true.

    What has Mayor Walsh up at night are the test positivity rates in places like East Boston: 46%! That’s why Boston will be shut down for the foreseeable future. I can see the Western part of the state partially reopening before metro Boston.

  17. There has to be another solution to July 20th.

    Look, I back science. I’m not advocating the state open May 4th. We need more time.

    But this started March 13th and enough people won’t mentally make it to July 20th. That is just a realistic reality.

    There’s got to be a more middle road approach with a few to perhaps 4 or so more weeks of stay at home. But during this time, the testing has to come up to snuff to get to a point of identification, isolation and tracking with then a slow re-opening.

    Enough people aren’t going to make it to July 20th.

    1. Governor will probably extend to say June 4th so Memorial Day will be covered in the order & re-evaluate at that time .

        1. We are thinking Humarock end of August is off so I’d say you are right. Risk is who was there before you. No way you can be sure all is cleaned and you need to use same beds

      1. Yes, given our cases per day, numbers in hospital in ICU, stay at home past Memorial Day, where you’ll create large crowds seems warranted and reasonable.

      1. Sadly true. I’m just throwing out there that we had better come up with an alternative because slowly over time, you’ll get to a majority of people who will struggle to support that. 4 months is a long time, mentally, financially. Even here in frozen New England, you start introducing better weather in June, people will want to get out. So, I hope a middle road approach can be found with much increased testing, the continuance of public social distancing practices and some easing of restrictions. But, the clock for a majority of public support for the current approach is ticking. It’s got a 2-4 week window of support, after that, I’m not so sure.

  18. I’ve been to Myles Standish the last 2 weekends during the sunny day of the weekend, packed. Thankfully, it’s huge, so easy to be very distant from everyone.

    Plymouth, by the waterfront, oh my goodness, packed !!

    I thought I saw a story from Salisbury that the officials had to close that road recently leading to the beach, because it was busy on a recent weekend.

    That’s kind of where I base my opinion about time running out with an increasing number of people’s support for this. I just think it’s not good to think the majority will support this til July 20th. Another 3,4 weeks, I think the majority support that. Another 12 weeks, I’m very skeptical.

    1. You might not want to hear my opinion of these folks. So for now I will just repeat….

      Our grandparents and often our parents or friends were asked to go to war. The vast majority of us are being asked to sit on our couch.

      1. Oh, no doubt. I’m not saying whether that view I’m describing is correct. It probably is selfish. Unfortunately though, I don’t think that’s going to stop public support of current stay at home advisories from starting to decline once we get past Memorial Day. So, I think we’re going to need something else in 3-4 weeks from now that is a slow change, that has science to its method and offers people some cautious hope.

        1. I agree Tom. That support is waning rapidly. Throw some
          decent weather at this (read that as this Sunday) and
          watch out.

        2. I understand and think you are correct with regard to many. I suspect our leaders will do what they can to that end.

Comments are closed.