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How South Korea Reined In The Outbreak Without Shutting Everything Down

npr.org

211–220 of 287 posts

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#211
post #21

Again another article that doesn't even mention the use of masks and hand sanitizer. The cost of the epidemic now goes into the trillions, self-made cotton masks are cheap compared to the economic damage. They can be disinfected in boiling water and if everybody uses them they will help to stop the spreading of the virus. In all the countries mentioned in the article people wear masks when in public, often just again…

Sure, but it needs to be a 'proper' mask. Yesterday I was in a shop and saw 2 different people with a scarf over their mouth. You would think this is no problem, but they both had to keep this scarf up with their hands... . Seems like the most effective way to spread and receive germs. Govermnent needs to be clear what the protocol is.

Even cloth filters out 70% of respiratory virus particles. The notion that only a properly fitted N95 mask is effective is ridiculous and is probably costing lives.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#212
post #186

Earlier quoted context omitted.

The problem with use of masks in the US is that we do not have enough masks and we need them all for health care workers. If there aren't enough masks for health care workers, doctors and nurses will stop coming to work people won't be able to get medical attention the death rate will sky rocket because of lack of simple medical procedures, there will be panic in the streets, etc. For this reason our media seems to b…

You are confusing "masks" as "surgical masks" aka. N95. He is meaning just the regular masks with no filtering whatsoever, that are very easy to manufacture. Hell you can even make them yourself. The N95 however, are quite difficult to build and require specialized machines to manufacture the filtering part, somebody linked a good article to it a couple days ago. https://www.npr.org/sections/goatsandsoda/2020/03/16/8…

PPE recommendations are a bit confusing.

WHO currently says that healthcare professionals in non-AGP areas who aren't doing AGP should wear surgical mask, gloves, apron, and do a risk assessment for eye protection. All of that PPE is single use. This is the current practice in English NHS settings. See here: https://twitter.com/OutbreakJake/status/1242020875328684038

If aerosol generating procedures are happening the healthcare professional needs a fit-tested FFP3, gown, gloves, and eye protection. https://twitter.com/OutbreakJake/status/1242233685392396289?...

Surgical masks are fluid resistant, and this is an important part of their protective property. Home made cotton masks tend not to be fluid resistant.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#213

A physician from Korea recently did an AMA on Reddit and said: 'It is hard for anyone to predict what will happen in the future in this volatile situation. However, South Korean experts think that if the situation doesn't get better within the month, it will last up to 6 months. If the situation exacerbates within 6 months, it's apparent that this will become a much more difficult scenario than previously imagined. T…

honest question: why do we keep looking to physicians for guidance? They are highly trained in case by case treatment but not epidemiology. They are not taught to make population wide predictions about the future, they just diagnose and treat. They have access to some anecdata and that's about it. Professors, epidemiologists, and medical researchers have a lot more training and practice in the arena we care about.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#214
post #64

Earlier quoted context omitted.

This was a coordinated (dare I say "propaganda") campaign by US and other government officials in order to try to avoid mask shortages[1]. A noble goal, sure -- but the net result is that people are now misinformed about the efficacy of masks. The evidence very much shows that wearing masks can reduce community transmission rates of SARS-like viruses -- up to 70% even with just plain surgical masks[2]. And even if yo…

Scott Alexander has a good post on this, and he convinced me of a “good faith” explanation for the recommendations against (or, more accurately, “not in favor of”) face masks: https://slatestarcodex.com/2020/03/23/face-masks-much-more-t...

I hadn't seen that post before, and it does seem quite reasonable -- but I don't think it really vindicates the advice (nee propaganda) from government officials, unless there was no other way to alleviate shortages. The conclusion is effectively "we don't know for sure, but they do appear to help somewhat" -- which means that (all other things being equal) not recommending masks appears to be a net negative.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#215

Earlier quoted context omitted.

The problem with use of masks in the US is that we do not have enough masks and we need them all for health care workers. If there aren't enough masks for health care workers, doctors and nurses will stop coming to work people won't be able to get medical attention the death rate will sky rocket because of lack of simple medical procedures, there will be panic in the streets, etc. For this reason our media seems to b…

A lot of masks sold retail can’t be used in hospital settings in America. Many hospitals have strict rules about procurement and origination of things like N95 masks. Meanwhile, I can order comparable masks from China and have them in less than a week in quantity. It’s very much cultural as well as government response (why we are sucking so much at controlling this).

> I can order comparable masks from China

Why would you buy safety critical equipment from China? There are good reasons those hospitals have such strict requirements.

http://www.xinhuanet.com/english/2020-03/12/c_138870714.htm

> A joint law enforcement operation by government agencies including the State Administration for Market Regulation (SAMR) was launched in early February, with over 80 million defective face masks and 370,000 other faulty PPE items seized, SAMR official Yang Hongcan told a press conference Thursday.

https://elpais.com/sociedad/2020-03-25/los-test-rapidos-de-c...

(350,000 tests supposed to have 80% specificity but actually have something like 30%).

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#216
post #21

Again another article that doesn't even mention the use of masks and hand sanitizer. The cost of the epidemic now goes into the trillions, self-made cotton masks are cheap compared to the economic damage. They can be disinfected in boiling water and if everybody uses them they will help to stop the spreading of the virus. In all the countries mentioned in the article people wear masks when in public, often just again…

Sure, but it needs to be a 'proper' mask. Yesterday I was in a shop and saw 2 different people with a scarf over their mouth. You would think this is no problem, but they both had to keep this scarf up with their hands... . Seems like the most effective way to spread and receive germs. Govermnent needs to be clear what the protocol is.

sure, but this seems like a minor quibble. Much cheaper for govt to manufacture and distribute simple surgical or cotton masks than shutdown entire GDP/forgo all tax revenue. The masks in question are not complicated to produce, whereas respirators and n95 are.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#217

Italy, Veneto Region: our first delivery of masks for our family (3) just got volun-delivered. They are single-use and it is very emphasised on an accompanying sheet that they will not stop the virus, they are for when you have to absolutely go out, as we are still on lockdown: transgression of which has gone from €260 in fines up to €4000. Of course, when the masks were delivered a whole bunch of people immediately…

The lockdown hasn't been effective at slowing the spread (of known cases) in Italy. So perhaps increasing the fine will stop the virus. Brilliant.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#218

So have Thailand, the Philippines and Indonesia (440 million people). They've all had fewer cases than Luxembourg so far. I've yet to see a good explanation for it, other than maybe the premise about seasonal temps and humidity (northern vs southern hemisphere). There's no evidence they're massively lying about their numbers (which would show up in the form of a demolished hospital system and thousands dead of pneumo…

Italy has a very old and sick population. More of their seniors are already on life support with several other diseases. I would expect less developed countries with poorer access to healthcare to have fewer very vulnerable individuals.

Side note: when at the time of death you have 4 or more illnesses, and one of them is CV, on what basis is the cause of death attributed to just a single condition? It seems Russia has taken a different stance to the West in this regard but it's not clear to me which is correct. It doesn't seem ideal to ignore co morbidities.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#219

Earlier quoted context omitted.

The doctors in my fiancée's department (ophthalmology and optometry at a major state university) have been officially prohibited from wearing masks, even if they provided a mask themselves. They are right in front of all of their patients' faces.

Why? Wondering what the reasoning is for this? Family member works in a similar dept at large hospital and they have stopped seeing patients.

Jealousy. Can’t have some people seen having masks when others can’t get them.

Re: How South Korea Reined In The Outbreak Without Shutting Everything Down

#220

Earlier quoted context omitted.

Statistics is not the only purpose of testing! If physical distancing is successful in reducing the reproduction number (R0), you will then want to track, trace and isolate every case to prevent further outbreaks when you relax the rules. That means a lot of testing.

OP said "better understanding of the virus' properties, like the distribution of symptoms, severities, and mortality rate" Random and self-selecting testing doesn't seem to offer much in that. Imagine going to a Nics game and asking everyone there who they support, chances are you'll get a lot of Nics fans. How does that give you a better indication of mortality rate or severity if you have no idea how many people ac…

The purpose of random testing or testing of more people who have exposure but no symptoms would be to limit household spread by separating people from their households or having the households act differently knowing that they'll be constantly exposed.
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