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Clinical features of patients infected with 2019 novel coronavirus

thelancet.com

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Re: Clinical features of patients infected with 2019 novel coronavirus

#51

Post by DanBC »

spats1990 wrote: post #47
simongray wrote: post #34

Earlier quoted context omitted.

> and that's why the West is decaying. Who cares about your morals when there's an epidemic ? This kind of bait is not needed on Hacker News. Keep that on reddit or facebook or whatever.

In fairness, the GP is bait too. It's just more thoughtful bait with paragraph breaks. It's basically elegant finger wagging. Decay of the west bit aside, the parent has a point. Do you freak patients out by getting them to sign things when they are already in quarantine and fearing for their lives? Or do you prioritise research and response? related: "Conducting Research in Disease Outbreaks" https://www.ncbi.nlm.ni…

But even that document talks about the need to get consent from patients if you're going to use them in medical research.

Re: Clinical features of patients infected with 2019 novel coronavirus

#52

Post by raxxorrax »

danieltillett wrote: post #46
raxxorrax wrote: post #44

Earlier quoted context omitted.

Nothing about this is a war situation. This just reads like reactionary fear mongering.

...and exactly how do you know this?

I don't know, Coronaviridae have neither oil nor WMD?

There might be cause for some concern like for any form of disease, but calling it a war is ridiculous and inappropiate to describe the situation. Even a well intentioned reading of the statement leaves much to wish for.

The common cold kills more than 50,000 people a year. 90% of media reports are intentionally worded to dramatize the situation, so I don't think anything warrants this classification with respect to the people deceased.

This reaction is precisely the reason why some might think about restricting information about infections or simliar health hazards to the public.

Re: Clinical features of patients infected with 2019 novel coronavirus

#53

Post by danieltillett »

raxxorrax wrote: post #52
danieltillett wrote: post #46

Earlier quoted context omitted.

...and exactly how do you know this?

I don't know, Coronaviridae have neither oil nor WMD? There might be cause for some concern like for any form of disease, but calling it a war is ridiculous and inappropiate to describe the situation. Even a well intentioned reading of the statement leaves much to wish for. The common cold kills more than 50,000 people a year. 90% of media reports are intentionally worded to dramatize the situation, so I don't think…

So you think the Chinese government has put 50 million people into lockdown just to dramatise the situation for some sort of media beat up?

If we are lucky the problem is not as bad as it appears, but so far nothing I have seen suggests this is anything other than very, very serious.

Re: Clinical features of patients infected with 2019 novel coronavirus

#54

Post by rdtsc »

sanxiyn wrote: post #21
rdtsc wrote: post #13

> 27 (66%) patients had direct exposure to Huanan seafood market (figure 1B https://www.thelancet.com/journals/lancet/article/PIIS0140-6... ). Market exposure was similar between the patients with ICU care (nine [69%]) and those with non-ICU care (18 [64%]). The symptom onset date of the first patient identified was Dec 1, 2019. None of his family members developed fever or any respiratory symptoms. No epidemiologica…

Chinese CDC collected environmental samples from the market and some of them tested positive. So it's a little more than "the market happened to be there", although your point about the first patient identified is valid. http://www.xinhuanet.com/english/2020-01/27/c_138735677.htm

> Thirty-three of the 585 environmental samples collected from the Wuhan's Huanan Seafood Wholesale Market were found

But what’s the chance that sick people would have gone to the market when they were infectious and handled animals, produce, raw meat etc.

Having watched footage of some of the wet market I have no doubt it would be place for germs to spread efficiently. But it is still useful to figure out how the whole thing originated.

Re: Clinical features of patients infected with 2019 novel coronavirus

#55

Post by pvaldes »

rdtsc wrote: post #54
sanxiyn wrote: post #21

Earlier quoted context omitted.

Chinese CDC collected environmental samples from the market and some of them tested positive. So it's a little more than "the market happened to be there", although your point about the first patient identified is valid. http://www.xinhuanet.com/english/2020-01/27/c_138735677.htm

> Thirty-three of the 585 environmental samples collected from the Wuhan's Huanan Seafood Wholesale Market were found But what’s the chance that sick people would have gone to the market when they were infectious and handled animals, produce, raw meat etc. Having watched footage of some of the wet market I have no doubt it would be place for germs to spread efficiently. But it is still useful to figure out how the wh…

> what’s the chance that sick people would have gone to the market when they were infectious

Is not impossible and is a question that must be answered. Good point.

Re: Clinical features of patients infected with 2019 novel coronavirus

#56

Post by biolurker1 »

azalemeth wrote: post #28

> "Suspected patients were isolated using airborne precautions in the designated hospital, Jin Yin-tan Hospital (Wuhan, China), and fit-tested N95 masks and airborne precautions for aerosol-generating procedures were taken. > This study was approved by the National Health Commission of China and Ethics Commission of Jin Yin-tan Hospital (KY-2020-01.01). > Written informed consent was waived by the Ethics Commission o…

It's truly amazing how you fail to see the forrest for not even a tiny bush

Re: Clinical features of patients infected with 2019 novel coronavirus

#57

Post by hatenberg »

azalemeth wrote: post #28

> "Suspected patients were isolated using airborne precautions in the designated hospital, Jin Yin-tan Hospital (Wuhan, China), and fit-tested N95 masks and airborne precautions for aerosol-generating procedures were taken. > This study was approved by the National Health Commission of China and Ethics Commission of Jin Yin-tan Hospital (KY-2020-01.01). > Written informed consent was waived by the Ethics Commission o…

As we see with Vaccines, sometimes prioritizing the good of all is necessarily to keep society from killing itself.

Re: Clinical features of patients infected with 2019 novel coronavirus

#58

Post by jiofih »

DanBC wrote: post #50
jiofih wrote: post #48

Earlier quoted context omitted.

What is terrifying is the thought of treatment of those very patients, and prevention/cure for the rest of the world being held back by selfish concerns like yours. Can’t wait for the new pleghma privacy law!

The concern is not about privacy, but about forced treatment against your will. That's a big deal, and most countries have strict law in place to stop it happening in most situations. There are some exceptions for people who are unable to make that choice, but this is limited to people who are not conscious, or who have severe learning disability, or who are currently severely mentally ill.

How exactly did we go from a scientific paper waivering requirements to use patient data, to forced treatment? I’m lost.

Re: Clinical features of patients infected with 2019 novel coronavirus

#59

Post by emayljames »

rdtsc wrote: post #54
sanxiyn wrote: post #21

Earlier quoted context omitted.

Chinese CDC collected environmental samples from the market and some of them tested positive. So it's a little more than "the market happened to be there", although your point about the first patient identified is valid. http://www.xinhuanet.com/english/2020-01/27/c_138735677.htm

> Thirty-three of the 585 environmental samples collected from the Wuhan's Huanan Seafood Wholesale Market were found But what’s the chance that sick people would have gone to the market when they were infectious and handled animals, produce, raw meat etc. Having watched footage of some of the wet market I have no doubt it would be place for germs to spread efficiently. But it is still useful to figure out how the wh…

The onset of symptoms can take upto 8 days.

Re: Clinical features of patients infected with 2019 novel coronavirus

#60

Post by rdtsc »

emayljames wrote: post #59
rdtsc wrote: post #54

Earlier quoted context omitted.

> Thirty-three of the 585 environmental samples collected from the Wuhan's Huanan Seafood Wholesale Market were found But what’s the chance that sick people would have gone to the market when they were infectious and handled animals, produce, raw meat etc. Having watched footage of some of the wet market I have no doubt it would be place for germs to spread efficiently. But it is still useful to figure out how the wh…

The onset of symptoms can take upto 8 days.

Yeah. And the virus is transmittable before that. I think it's part of what makes it insidious. There is a time when people don't feel sick so they travel around and spread it.
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