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Covid19 Part XVI- 21,983 in ROI (1,339 deaths) 3,881 in NI (404 deaths)(05/05)Read OP

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  • Closed Accounts Posts: 82 ✭✭ihdxwz4a3pem9j


    Surely, the health service can save the lives of ill people whose lives could be saved.

    Which of the following two is more likely to die?

    . A person with cancer awaiting life-saving surgery that has been postponed

    . A young person with Covid-19 but no serious underlying health problems

    Where I work, none of the cancer surgeries are postponed. All the operations that need to happen are still happening.

    Why is the young relevant? Should we not be trying to think of a collective society, rather than a single demographic within society.

    Saving does not always entail intubation and ventilation. Saving can entail the reduction in the spread of the virus


  • Registered Users, Registered Users 2 Posts: 5,036 ✭✭✭jackboy


    The development of accurate diagnostic testing takes time. It is not easy or straightforward. Especially for a previously unknown virus.

    There have been many comments, not only here, suggesting that tests should be quick, available to evryone, easy to use, easy to acquire, cheap to buy etc.
    Any test claiming to be any of these will be unreliable moneymaking scam.

    Antibody tests will try to measure the amount of IgG produced in response to being exposed to SARS CoV 2.

    Some barriers to developing an accurate test would include, but not limited to:
    - False positivity to the presence of other Coronavirus
    - Interference from any medication the patient is on
    - Interference from medication from patients with autoimmune conditions
    - False negativity from those on immunosuppressants
    - Blood sample interferences from haemolysis, lipaemia, icterus (how red, cloudy or jaundiced the blood sample is)
    - False reactivity from Biotin (a vitamin that patients may be taking or may be in cosmetics) This reacts will a lot of immunoassays.

    The test will give you a numerical result, but then how do you interpret it.

    Then there had to be a value set as to what will be considered a negative or positive result.
    What will be the titre that determines the clinical significance of the result.
    >100mmol/l, >500mmol/l, >1000mmol/l??

    There are so many elements to developing a reliable assay. It is anything but easy.

    There is progress being made though. There is a company launching a test in the next few weeks.


  • Banned (with Prison Access) Posts: 35 Unelected CMO


    People can shed the virus before showing symptoms... Can the virus be doing damage inside the body before symptoms even show up?

    I've ordered a pulse oximeter, should I be taking a reading regularly before getting sick just in case?

    I would. Every hour on the hour. It’s the only way to be sure!


  • Registered Users, Registered Users 2 Posts: 32,136 ✭✭✭✭is_that_so


    Could you please explain why BAME people would be affected more?
    EDIT : From a better source

    https://www.pharmaceutical-journal.com/news-and-analysis/features/a-cloud-of-doubt-over-the-sunshine-vitamin/20207521.article


  • Registered Users, Registered Users 2 Posts: 8,919 ✭✭✭GM228


    From the UK, "we value our freedom more", more than what? Potential death?

    https://twitter.com/DVATW/status/1254017491396972545?s=19


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  • Registered Users, Registered Users 2 Posts: 9,786 ✭✭✭wakka12


    Saudi Arabia reports over 1100 cases for the 7th day in a row


  • Registered Users, Registered Users 2 Posts: 20,441 ✭✭✭✭Strazdas



    I heard a doctor saying last night that recovery rates in Irish ICUs are well ahead of UK ones i.e. if you go into an Irish ICU with Covid-19, you still have a good chance of getting out alive.


  • Registered Users, Registered Users 2 Posts: 5,806 ✭✭✭An Ciarraioch


    GM228 wrote: »
    From the UK, "we value our freedom more", more than what? Potential death?

    https://twitter.com/DVATW/status/1254017491396972545?s=19

    Vance is basically a Katie-Hopkinseque headbanger - who knows why he has a blue tick.


  • Banned (with Prison Access) Posts: 4,077 ✭✭✭Away With The Fairies


    iamwhoiam wrote: »
    You should take it a few times at different times of the day to get your baseline reading
    Then make a note of the baseline and if you get sick then check if the reading is lower than your baseline
    If you are well it should be 100% , maybe a little lower if you are a smoker or have asthma. But a healthy person should be at least above 96% and ideally 100%

    Thanks for this


  • Registered Users, Registered Users 2 Posts: 909 ✭✭✭coastwatch


    Strazdas wrote: »
    I heard a doctor saying last night that recovery rates in Irish ICUs are well ahead of UK ones i.e. if you go into an Irish ICU with Covid-19, you still have a good chance of getting out alive.

    There's a huge credit due to all the frontline medical staff here.
    The ICU survival rates here seem to be 90%+.
    Not sure what accounts for the poorer outcomes else where, but I think it's around 50-60% in the UK so far.


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  • Registered Users, Registered Users 2 Posts: 15,057 ✭✭✭✭briany


    joeguevara wrote: »
    I’m in my sitting watching tv and the noise of the street outside is crazy. Saw a friend post on Facebook ‘lockdown, what lockdown, it’s like a June bank holiday out there’.

    People like him are why the economy will be frozen for three more weeks.


  • Closed Accounts Posts: 82 ✭✭ihdxwz4a3pem9j


    coastwatch wrote: »
    There's a huge credit due to all the frontline medical staff here.
    The ICU survival rates here seem to be 90%+.
    Not sure what accounts for the poorer outcomes else where, but I think it's around 50-60% in the UK so far.

    There is a thread railing against Covid, stating that it has been blown out of all proportion.

    However, by putting the social restrictions in place, the spread was curbed. This meant that we were able to focus and optimise the treatments of the incoming patients, rather than having to implement some disaster-type triage situation, where we were forced to only treat some, and with depleted resources.

    Another aspect that hasn’t been remarked on, is the degree of planning and training happening behind the scenes. We have designed work-flows to optimise things for the Covid-patients. People are being trained on how to don PPE. Genuine consideration is going into ensuring that the health-service works well in this scenario. If the spread happened too quickly, we would never have been able to achieve this


  • Closed Accounts Posts: 3,947 ✭✭✭0gac3yjefb5sv7


    briany wrote: »
    People like him are why the economy will be frozen for three more weeks.

    I don't know where everyone is seeing these things. People are out walking yes but that's allowed and expected. People still staying 2m away as well.


  • Closed Accounts Posts: 3,220 ✭✭✭cameramonkey


    Could you please explain why BAME people would be affected more?


    They dont absorb VIT Dfrom the sun as efficiently as light skinned people . in the Northern latitudes particularly they suffer from VIT D deficiency.


  • Registered Users, Registered Users 2 Posts: 300 ✭✭keynes


    coastwatch wrote: »
    There's a huge credit due to all the frontline medical staff here.
    The ICU survival rates here seem to be 90%+.
    Not sure what accounts for the poorer outcomes else where, but I think it's around 50-60% in the UK so far.


    Demographic profiles are very different in say London and Dublin. Large minority population in UK and their survival rates are disproportionately lower


  • Registered Users, Registered Users 2 Posts: 528 ✭✭✭sterz


    Denmark, who opened up a little over the last couple of weeks, reports 235 new cases.

    While low enough that is the most new daily cases in over two weeks. With 15 deaths that is also the most in a week and a half.

    Be interesting to see their trajectory over the next week and I'm sure our govt will be watching keenly.

    Is it? According to Worldometers, there were 15 deaths reported on April 17th and 14 reported on April 22nd. Your post makes it out to be much worse than it actually is.

    https://www.worldometers.info/coronavirus/country/denmark/


  • Closed Accounts Posts: 3,220 ✭✭✭cameramonkey


    Strazdas wrote: »
    I heard a doctor saying last night that recovery rates in Irish ICUs are well ahead of UK ones i.e. if you go into an Irish ICU with Covid-19, you still have a good chance of getting out alive.


    I suppose it depends on the care in the ICU and the clinical decision made on who to admit to the ICU.


  • Registered Users, Registered Users 2 Posts: 32,136 ✭✭✭✭is_that_so


    They dont absorb VIT Dfrom the sun as efficiently as light skinned people . in the Northern latitudes particularly they suffer from VIT D deficiency.
    Yeah, have heard this from Brazilian acquaintances, common problem for them in Ireland.


  • Registered Users, Registered Users 2 Posts: 20,441 ✭✭✭✭Strazdas


    I suppose it depends on the care in the ICU and the clinical decision made on who to admit to the ICU.

    Yes, that is definitely a factor. We can't be sure the same type of people are being admitted.


  • Closed Accounts Posts: 82 ✭✭ihdxwz4a3pem9j


    I suppose it depends on the care in the ICU and the clinical decision made on who to admit to the ICU.

    Genuinely, from what I have observed of the system, ICUs in Ireland are top-class! We are lucky to have such a good system!

    Admission criteria to ICU is fairly homogenous in the UK and Ireland. It is based on clinical judgement. The admission criteria to ICU is very fair here. The assessment is made on the basis of whether or not somebody can get better following the current illness, and whether or not they are fit enough to be able to tolerate and more importantly benefit from the treatments (if somebody is very frail before the illness, they might not have the physical reserve). A GP wouldn’t give a medicine to a patient unless they thought that it would actually work for/not harm the patient. It is the same principle for ICU admission


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  • Registered Users, Registered Users 2 Posts: 11,818 ✭✭✭✭fullstop


    1) the evidence they presented at the briefing on thursday re traffic volumes and movement of people.
    2) evidence from Dublin bus of increased passenger numbers.
    3) have a look out the window.


  • Registered Users, Registered Users 2 Posts: 4,756 ✭✭✭SleetAndSnow


    The fact that Saudi Arabia is reporting over 1000 cases for the last few days, i think that is the final nail in the coffin for "heat stops the virus" Its 38 degrees there at the moment. Will be interesting to see how it develops.

    Brazil, while cooler, is still 27 degrees or so but it does have high humidity and is also reporting plenty of cases so humidity not doing anything else (same with singapore). While this post may seem stupid, there are people that were listening to Trump saying Humidity kills the virus and stuff so it just needs to be confirmed for them :)... just incase..


  • Closed Accounts Posts: 3,220 ✭✭✭cameramonkey


    Genuinely, from what I have observed of the system, ICUs in Ireland are top-class! We are lucky to have such a good system!

    Admission criteria to ICU is fairly homogenous in the UK and Ireland. It is based on clinical judgement. The admission criteria to ICU is very fair here. The assessment is made on the basis of whether or not somebody can get better following the current illness, and whether or not they are fit enough to be able to tolerate and more importantly benefit from the treatments (if somebody is very frail before the illness, they might not have the physical reserve). A GP wouldn’t give a medicine to a patient unless they thought that it would actually work for/not harm the patient. It is the same principle for ICU admission


    Do you think that decision making process would change if they wanted to keep spare capacity in the ICU system because of a fear of overload?


  • Registered Users, Registered Users 2 Posts: 25,235 ✭✭✭✭Kermit.de.frog


    The UK govt is set to issue new warning to the public today as the government is said to be increasingly alarmed that more and more people are choosing to ignore advice.

    Ironically the people ignoring it are the very people who would be responsible for prolonging it.

    The UK has reported another 781 new deaths so far today (NI yet to be included).

    Brings total figure to over 20,000.

    The FT says the real number is somewhere north of 45,500.


  • Registered Users, Registered Users 2 Posts: 2,336 ✭✭✭CruelSummer


    fullstop wrote: »
    1) the evidence they presented at the briefing on thursday re traffic volumes.
    2) evidence from Dublin bus of increased passenger numbers.
    3) have a look out the window.

    I’m sorry but I don’t think the type of headlines from Tony, Leo, etc., regarding the ‘bold public’ are helpful at all. They’re actually really annoying me every time I hear them & I would have considered myself a supporter of the current government and their team during this crisis.
    There is no one sick at all in my locality, the hospitals are not busy, neither are the doctors. I don’t believe we should be locked down to this extent given the current set up.
    It makes no sense to destroy our lives & economy.
    The infections are spreading in care and nursing homes - a specific set of measures for these people & other people deemed vulnerable to the virus needs to be drawn up.
    Dare I wonder are the HSE & government using headlines like non compliance to scaremonger and cover their incompetent approach to the nursing home sector?
    Look at our European counterparts, they’ve all loosened their restrictions. Even the U.K. have and they were much worse than us. Why have we not followed suit?


  • Closed Accounts Posts: 82 ✭✭ihdxwz4a3pem9j


    Do you think that decision making process would change if they wanted to keep spare capacity in the ICU system because of a fear of overload?

    The hospitals genuinely will move mountains generally to ensure that patients who are deemed good candidates for ICU receive ICU-care. I am always amazed by the resourcefulness when required. I think that there would be a large proliferation of critical care beds if the need arises.


  • Registered Users, Registered Users 2 Posts: 19,870 ✭✭✭✭road_high


    briany wrote: »
    People like him are why the economy will be frozen for three more weeks.

    Three more weeks? Lol, are you deliberately being naive? Try three more years if this nonsense keeps up.


  • Registered Users, Registered Users 2 Posts: 25,235 ✭✭✭✭Kermit.de.frog


    To put it in perspective for the UK - the only figures they are reporting are hospital deaths

    EWYfXsuXgAcCiPs?format=png&name=900x900

    It's a scandal in it's own way that they are not reporting deaths as we do for all environments. That's political. They don't want to scare the public.


  • Registered Users, Registered Users 2 Posts: 2,336 ✭✭✭CruelSummer


    The UK govt is set to issue new warning to the public today as the government is said to be increasingly alarmed that more and more people are choosing to ignore advice.

    Ironically the people ignoring it are the very people who would be responsible for prolonging it.

    The UK has reported another 781 new deaths so far today (NI yet to be included).

    Brings total figure to over 20,000.

    The FT says the real number is somewhere north of 45,500.

    I actually thought they’d lifted some restrictions after reading headlines from the daily mail today re people re emerging out of their apartments.


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  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno




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