Good article, but doesn't mention the other reason that covid-19 is never going completely away: animal reservoirs. We know that dogs, cats, hamsters, guinea pigs, mink, white-tailed deer, a gorilla, and a tiger have been found to have been infected with covid-19. It is implausible that it will ever cease to have an animal reservoir, especially given the finding in Canada of 30% of white-tailed deer having it. Of dis…
The Coronavirus Is Here Forever
221–230 of 1001 posts
Re: The Coronavirus Is Here Forever
#222Earlier quoted context omitted.
> how does covid transmit It seems likely that they were drinking sewage-contaminated water. Ingestion of contaminated water is the source of a staggering variety of illnesses for both humans and animals. Souce: I work in environmental monitoring.
Which towns in Canada are dumping untreated sewage into the water? As far as I'm aware every province has an environmental ministry that doesn't grant exemptions from sewage treatment. So if it's still ongoing...
In very rural areas, especially on reservations, I believe water and sewage treatment is an ongoing issue.
Re: The Coronavirus Is Here Forever
#223Earlier quoted context omitted.
These herd immunity thresholds assumed that vaccinated people do not transmit the virus, but it appears that they do. Vaccines seem to be very efficient at preventing complications, which is great and good enough to neutralise this virus. But they don't seem to have made a dent into this summer's cases numbers. It doesn't look like vaccines will prevent the virus from circulating. Hospitalisation rates have been pret…
"It doesn't look like vaccines will prevent the virus from circulating." Do you have some numbers? As far as I know, it indeed supresses the virus from circulating, it just doesn't stop it completely. Here in my area, which started early with broad vaccinations - the numbers are way down.
Nope, it does not. Check your facts again with the Delta variant.
Re: The Coronavirus Is Here Forever
#224Earlier quoted context omitted.
Returning to normal is a terrible idea when COVID patients are overwhelming hospitals across the world. How can things be normal if our healthcare systems are nearing collapse? You might be willing to accept the risk of getting sick on your behalf, but by advocating a return to 'normal' before we have the capabilities to deal with this virus, you are advocating for putting even more stress on healthcare systems acros…
Are they really overwhelming hospitals? This keeps being repeated but most hospitals operate at about 80% capacity as-is. Places in Tennessee and Florida are currently, with COVID-19, operating at about 80%. [0] If we look at Israel, which has a very high vaccination rate, we see that they're supposedly running out of hospital space. [1] But the article linked doesn't say _anything about their actual numbers atm_ and…
Here are a few different articles from around the gulf coast states that speak to this:
https://www.khou.com/article/news/health/coronavirus/houston...
https://www.npr.org/2021/08/19/1029260134/alabama-hospitals-...
Something that may be a little confusing as well is what does "full" mean. Both morally and legally, it is very difficult for a hospital to turn someone away. Rather than turn someone away, the hospital will have new people wait, attempt to make more room, and provide less care to more people. This leads to the question: Is a hospital full if they're stashing patients in hallways and providing hallway care? Within an ICU, typical care is either one nurse to two patients or one to one depending on the reason for the ICU stay. At the moment, the ratios are 3-4 to 1, which is not the standard of care, but the best they can do. Does this count as a hospital being full?
On a more personal note, my wife is an ICU physician. At the moment, I'm writing this from a hotel room because I started traveling with her to help alleviate the stress from her work. On this trip, she will do seven days of twelve hour shifts in a row. The hospital has asked us to stay for longer, but we're exhausted and have work elsewhere. This sort of thing does not happen during flu season, so I will assert strongly that we are still not close to the realm of normal.
In a direct answer to your manpower question, this hospital does not have enough staff. They don't have enough physicians and they don't have enough nurses. Recently, this particular hospital acquired multiple new ECMO units, which do absolutely help with care. They can't use them. They don't have the nurses.
As one more anecdote, a friend of my wife who is also an ICU physician called the other day with a story from her unit. She just admitted a patient who spent six days waiting in the ER with COVID. They had no available, staffed beds until then.
Now, to be sure, I am just another voice on the internet. You can choose to believe me or not and that's fine. I will say that getting news from what actually occurs in the hospital is difficult. Reporters are people too and they're not necessarily trained to understand the nuance of hospital reality. That doesn't mean what they report isn't useful, but it may be frustratingly incomplete.
Some questions that may help with any personal investigation:
1. What are the number of staffed bed available in the hospital? Beds are different than staffed beds, but they are sometimes used synonymously. Right now, with the lack of staff, it may not be.
2. Are the ICUs in the Level 1, 2, or 3 trauma centers full? Trauma center designation gives information about the number and type of staff that a hospital is required to keep available 24-hours a day. Generally speaking, the large trauma centers have better staff and better equipment. Even if there is an ICU bed available in a regional medical center, it doesn't mean it can provide the care required. Simply, they may not have the equipment or specialists required for care. As long as the large hospitals in the cities are full then transfer is not possible and overall medical care in that region is reduced.
Re: The Coronavirus Is Here Forever
#225Earlier quoted context omitted.
Returning to normal is a terrible idea when COVID patients are overwhelming hospitals across the world. How can things be normal if our healthcare systems are nearing collapse? You might be willing to accept the risk of getting sick on your behalf, but by advocating a return to 'normal' before we have the capabilities to deal with this virus, you are advocating for putting even more stress on healthcare systems acros…
Are they really overwhelming hospitals? This keeps being repeated but most hospitals operate at about 80% capacity as-is. Places in Tennessee and Florida are currently, with COVID-19, operating at about 80%. [0] If we look at Israel, which has a very high vaccination rate, we see that they're supposedly running out of hospital space. [1] But the article linked doesn't say _anything about their actual numbers atm_ and…
https://www.texastribune.org/2021/08/10/coronavirus-texas-ho...
As the pandemic started, ~70% of ICU bed use was normal, since then its been around 80~90% and now approaching 100%.
https://covid-texas.csullender.com/
So yes it is overwhelming hospitals. Even if you're vaccinated, this should scare you.
Re: The Coronavirus Is Here Forever
#226Earlier quoted context omitted.
> how does covid transmit It seems likely that they were drinking sewage-contaminated water. Ingestion of contaminated water is the source of a staggering variety of illnesses for both humans and animals. Souce: I work in environmental monitoring.
Which towns in Canada are dumping untreated sewage into the water? As far as I'm aware every province has an environmental ministry that doesn't grant exemptions from sewage treatment. So if it's still ongoing...
Re: The Coronavirus Is Here Forever
#227Earlier quoted context omitted.
> how does covid transmit It seems likely that they were drinking sewage-contaminated water. Ingestion of contaminated water is the source of a staggering variety of illnesses for both humans and animals. Souce: I work in environmental monitoring.
Which towns in Canada are dumping untreated sewage into the water? As far as I'm aware every province has an environmental ministry that doesn't grant exemptions from sewage treatment. So if it's still ongoing...
That's from 2009 but it seems unlikely to have been completely resolved since then given the scale of the issue (200 billion litres a year).
Re: The Coronavirus Is Here Forever
#228Good article, but doesn't mention the other reason that covid-19 is never going completely away: animal reservoirs. We know that dogs, cats, hamsters, guinea pigs, mink, white-tailed deer, a gorilla, and a tiger have been found to have been infected with covid-19. It is implausible that it will ever cease to have an animal reservoir, especially given the finding in Canada of 30% of white-tailed deer having it. Of dis…
Unpopular opinion but as countries get majority vaccinated they have to learn to not be as scared of it.
Re: The Coronavirus Is Here Forever
#229Good article, but doesn't mention the other reason that covid-19 is never going completely away: animal reservoirs. We know that dogs, cats, hamsters, guinea pigs, mink, white-tailed deer, a gorilla, and a tiger have been found to have been infected with covid-19. It is implausible that it will ever cease to have an animal reservoir, especially given the finding in Canada of 30% of white-tailed deer having it. Of dis…
Unpopular opinion but as countries get majority vaccinated they have to learn to not be as scared of it.
And they will have had every opportunity to get vaccinated, so we shouldn't optimize for them.
Re: The Coronavirus Is Here Forever
#230Earlier quoted context omitted.
You're saying society should keep wearing masks everywhere literally forever? That's so insane I can't tell whether you're even serious.
Is there a particular reason you think that people shouldn't keep wearing masks everywhere literally forever, or is it just that it hurts your feelings? Barely a century ago, it wasn't common for doctors to wash their hands, because it hurt doctors' feelings. Dr. Charles Meigs, an obstetrician, said, "Doctors are gentlemen and a gentleman's hands are clean." But, of course, factually they weren't clean, factually the…
This scenario [1] is a specific instance of using chlorinated lime to clean your hands after dealing with cadavers, which is a totally different scenario. In fact, he apparently references this as an alternative to "normal hand washing". The mid-19th century is not the middle ages, we knew about washing hands.
> Semmelweis's key claim was that physicians contaminated their hands with "cadaveric particles" in the morgue while conducting autopsies. He pointed out that ordinary washings with soap did not remove these particles, because the hands could retain a stench for several days in spite of such washings.
[1] https://en.wikipedia.org/wiki/Contemporary_reaction_to_Ignaz...