Covid19 Part XVII-24,841 in ROI (1,639 deaths) 4,679 in NI (518 deaths)(28/05)Read OP

Kermit.de.frog · 12-05-2020 06:47PM

Cuomo has said 100 children are now being treated in New York State for toxic-shock like syndrome.

https://twitter.com/usnews/status/1260264842323263488

is_that_so · 12-05-2020 06:48PM

nacho libre wrote: »

With this in mind , will people travelling from Britain be exempt from quarantining when its introduced in this country?

We won't have quarantining but it's all so far away it's really impossible to say what will happen.

Eod100 · 12-05-2020 06:51PM

is_that_so wrote: »

The CMO pointed out they are important in certain care settings but may not be quite so reliable elsewhere. He gave an example of paracetamol dampening a fever. The question related to temperature testing for care homes.

Plus people could be asymptomatic or have other symptoms without fever so it does have its downsides I think

Stheno · 12-05-2020 06:51PM

Miike wrote: »

What were those comments?

Temp checks are of limited use because

1. Fever appears to be a symptom in less than 50% of cases
2. Fever can be due to something other than COVID
3. Fever can be manipulated downwards using e.g. paracetamol

Martina1991 · 12-05-2020 06:51PM

There are many links in the chain for testingÂ from GP referral, swab being taken, transport to the lab, analsysis, reporting and then contact tracing.Â

There doesn't seem to be issues with referrals.
There are enough swabs at testing centres.
The turnaround for laboratory testing has been reported as being 2 to 4 days. Capacity keeps being increased.Â There is no backlog with the actual analysis. Contact tracers are delpoyed as needed depending on the number of positive cases.
So why are people waiting longer for results?

What do we know about the system of contacting people with their test results?

I thought people with positive results are phoned and negative results are sent via text.
Fergal Bowers tweeted yesterday that an automated system will be introduced to text people their results.Â

These are just questions I've had that maybe others have info on.
- Who are the people recruited to contact patients?
- How many people are involved in this process ?
- Is process manual with people sending thousands of texts a day?
- Are they working 7 days a week?
- What hours do they work, 9-5, 8-8?
- Are there issues with no phone numbers, wrong phone numbers on referral forms e.g. landline numbers provided instaead of a mobile for texting
- Do some people not answer their phones to unknown numbers
- Is the system effected by phone network problems like coverage in rural areas

I don't know about this system. Is this where the delays lie?

is_that_so · 12-05-2020 06:52PM

Good news on possible antibody testing. System ready to go.

Colibri · 12-05-2020 06:54PM

is_that_so wrote: »

Good news on possible antibody testing. System ready to go.

Oh really? Deadly. Missed that bit, that is great news!

is_that_so · 12-05-2020 06:55PM

Martina1991 wrote: »

There are many links in the chain for testing from GP referral, swab being taken, transport to the lab, analsysis, reporting and then contact tracing.

There doesn't seem to be issues with referrals.
There are enough swabs at testing centres.
The turnaround for laboratory testing has been reported as being 2 to 4 days. Capacity keeps being increased. There is no backlog with the actual analysis. Contact tracers are delpoyed as needed depending on the number of positive cases.
So why are people waiting longer for results?

What do we know about the system of contacting people with their test results?

I thought people with positive results are phoned and negative results are sent via text.
Fergal Bowers tweeted yesterday that an automated system will be introduced to text people their results.

These are just questions I've had that maybe others have info on.
- Who are the people recruited to contact patients?
- How many people are involved in this process ?
- Is process manual with people sending thousands of texts a day?
- Are they working 7 days a week?
- What hours do they work, 9-5, 8-8?
- Are there issues with no phone numbers, wrong phone numbers on referral forms e.g. landline numbers provided instaead of a mobile for texting
- Do some people not answer their phones to unknown numbers
- Is the system effected by phone network problems like coverage in rural areas

I don't know about this system. Is this where the delays lie?

It seems to be what they called "complex" cases in the community that brings down their average. This seems to be around difficulty in communications or initial missing data.

caveat emptor · 12-05-2020 06:57PM

Herd immunity. Humans are not animals. Interesting.

https://twitter.com/drericding/status/1260261130066432002?s=21

Eod100 · 12-05-2020 06:57PM

nacho libre wrote: »

With this in mind , will people travelling from Britain be exempt from quarantining when its introduced in this country?

I don't think they're related? I think government's current official line is that anyone coming into Ireland will have to including UK but don't think it includes NI.

Know Johnson and Macron have agreement that they won't impose it on each other so not sure will there be political pressure to change that when travel opens up more.

is_that_so · 12-05-2020 06:57PM

Colibri wrote: »

Oh really? Deadly. Missed that bit, that is great news!

Well it seems the system is ready to go but still some reliability testing on possible candidates. Sounds like it will be fairly soon.

Stheno · 12-05-2020 06:59PM

Martina1991 wrote: »

There are many links in the chain for testingÂ from GP referral, swab being taken, transport to the lab, analsysis, reporting and then contact tracing.Â

There doesn't seem to be issues with referrals.
There are enough swabs at testing centres.
The turnaround for laboratory testing has been reported as being 2 to 4 days. Capacity keeps being increased.Â There is no backlog with the actual analysis. Contact tracers are delpoyed as needed depending on the number of positive cases.
So why are people waiting longer for results?

What do we know about the system of contacting people with their test results?

I thought people with positive results are phoned and negative results are sent via text.
Fergal Bowers tweeted yesterday that an automated system will be introduced to text people their results.Â

These are just questions I've had that maybe others have info on.
- Who are the people recruited to contact patients?
- How many people are involved in this process ?
- Is process manual with people sending thousands of texts a day?
- Are they working 7 days a week?
- What hours do they work, 9-5, 8-8?
- Are there issues with no phone numbers, wrong phone numbers on referral forms e.g. landline numbers provided instaead of a mobile for texting
- Do some people not answer their phones to unknown numbers
- Is the system effected by phone network problems like coverage in rural areas

I don't know about this system. Is this where the delays lie?

Key issue seems to be the fact that there is no central IT system to manage this

I suppose you could compare it to the pre NIMIS days of xray where if I had an xray done in Naas a physical copy would have to be sent to my consultant if I had follow up treatment in Beaumont, or even in the same hospital they'd have to pull the physical xray, whereas now last time I had a fracture it was just pulled up in the screen in all the different departments i went to

It will not be an easy task to integrate all the disparate systems in this case.

However one thing that confuses me is that Cullain de Gascun said today that prior to this they had a fully integrated system for ordering, processing and reporting on the results of tests, so I would wonder why that could not have been extended but it's probably more complex than that

podgeandrodge · 12-05-2020 07:01PM

bodhrandude wrote: »

An interesting debunking discussion that was sent to me through a friend in Facebook, stating the most deaths could have been avoided if we boosted our immune systems with vitamin d, c and zinc and the use of the drug hydroxychloride. Perhaps more for the Conspiracy Theory Covid thread but give it a watch.

pjohnson wrote: »

Strange why the loops still bother on youtube since they cant monetize on it.

pjohnson wrote: »

Chairwoman of the Irish Freedom Party.

That sums things up re. her reliability.

Can you explain precisely where she is wrong, do you work in this field? Or do you measure the opinion of a medical expert (be she right, wrong, or in-between) by her political views?

Stheno · 12-05-2020 07:03PM

is_that_so wrote: »

Good news on possible antibody testing. System ready to go.

Yes it was good to hear that they are actively planning for this and at scale from what Tony said

Eod100 · 12-05-2020 07:04PM

podgeandrodge wrote: »

Can you explain precisely where she is wrong, do you work in this field? Or do you measure the opinion of a medical expert (be she right, wrong, or in-between) by her political views?

What medical expertise does she have?

Miike · 12-05-2020 07:05PM

Stheno wrote: »

Temp checks are of limited use because

1. Fever appears to be a symptom in less than 50% of cases
2. Fever can be due to something other than COVID
3. Fever can be manipulated downwards using e.g. paracetamol

Cheers Stheno, I'll catch the briefing later on periscope. Was just curious what they had to say about it :pac:

ednwireland · 12-05-2020 07:06PM

nacho libre wrote: »

With this in mind , will people travelling from Britain be exempt from quarantining when its introduced in this country?

not a hope too many business links between the countries for that

ElTel · 12-05-2020 07:10PM

is_that_so wrote: »

Yeah, there is a plan but no details on when it will start. Will be done by the end of June, I read from de Gascun.

That's sero testing for antibodies.
I don't see the point in maximizing swab testing for covid19. Save it for continuous testing of front line workers and care homes. As restrictions ease include higher risk groups (bus and train drivers for example) even if they don't show symptoms.
If we relax the testing criteria for joe public too much, the new positive cases will have almost no impact on hospital admissions. I think the man hours and personnel needed for these positive cases could be better utilized as the restrictions ease.

s1ippy · 12-05-2020 07:10PM

stephenjmcd wrote: »

It's not really that narrow, all you need is 1 symptom, that's pretty broad

You have to have a respiratory symptom. Many won't.

pjohnson · 12-05-2020 07:11PM

podgeandrodge wrote: »

Can you explain precisely where she is wrong, do you work in this field? Or do you measure the opinion of a medical expert (be she right, wrong, or in-between) by her political views?

Shes been wrong in her previous shíte about this virus aswell. She is a crack

Rob A. Bank · 12-05-2020 07:13PM

Stheno wrote: »

Temp checks are of limited use because

1. Fever appears to be a symptom in less than 50% of cases
2. Fever can be due to something other than COVID
3. Fever can be manipulated downwards using e.g. paracetamol

So what the CMO is saying is that it's perfectly OK to let a Covid-19 case with a temperature, and therefore shedding virus, through at the airport !

He prefers to see another cluster start... with all the headaches of trying to trace contacts at the airport, on whatever means of transport the case used to leave the airport, the hotel or home the case went to, etc. etc.

Bloody ridiculous !

coastwatch · 12-05-2020 07:14PM

Martina1991 wrote: »

There are many links in the chain for testing from GP referral, swab being taken, transport to the lab, analsysis, reporting and then contact tracing.

There doesn't seem to be issues with referrals.
There are enough swabs at testing centres.
The turnaround for laboratory testing has been reported as being 2 to 4 days. Capacity keeps being increased. There is no backlog with the actual analysis. Contact tracers are delpoyed as needed depending on the number of positive cases.
So why are people waiting longer for results?

What do we know about the system of contacting people with their test results?

I thought people with positive results are phoned and negative results are sent via text.
Fergal Bowers tweeted yesterday that an automated system will be introduced to text people their results.

These are just questions I've had that maybe others have info on.
- Who are the people recruited to contact patients?
- How many people are involved in this process ?
- Is process manual with people sending thousands of texts a day?
- Are they working 7 days a week?
- What hours do they work, 9-5, 8-8?
- Are there issues with no phone numbers, wrong phone numbers on referral forms e.g. landline numbers provided instaead of a mobile for texting
- Do some people not answer their phones to unknown numbers
- Is the system effected by phone network problems like coverage in rural areas

I don't know about this system. Is this where the delays lie?

I would guess that all the effort goes into contacting the positive cases, and the follow on contact tracing.
With the current positivity rates of around 3.3%, that would mean there are 10000s each week that need to be told of their negative results. I think the communication of negative results is being automated, text msg or email.

Eod100 · 12-05-2020 07:15PM

s1ippy wrote: »

You have to have a respiratory symptom. Many won't.

It's a sudden onset of fever, cough or shortness of breath at the moment, right?

podgeandrodge · 12-05-2020 07:17PM

bodhrandude wrote: »

An interesting debunking discussion that was sent to me through a friend in Facebook, stating the most deaths could have been avoided if we boosted our immune systems with vitamin d, c and zinc and the use of the drug hydroxychloride. Perhaps more for the Conspiracy Theory Covid thread but give it a watch.

Eod100 wrote: »

What medical expertise does she have?

Sorry, perhaps medical is wrong of me. So her qualification is in molecular genetics and her PhD in immunology.
A Google tells me she's contributed to many interesting publications such as the obviously important "Ligand-directed targeting of lymphatic vessels uncovers mechanistic insights in melanoma metastasis" which, by its words alone, tells me she must be very bright

Then she's a Professor of Translational Sciences, which seemingly is "the process of turning observations in the laboratory, clinic, and community into interventions that improve the health of individuals and populations – from diagnostics and therapeutics to medical procedures and behavioral interventions".

She sounds like someone whose opinion might reasonably worth listening to. But what would I know. Or most on here!

pjohnson wrote: »

Shes been wrong in her previous shíte about this virus aswell. She is a crack

So as asked, can you tell me why she is wrong? I genuinely would like to know. I'm not even saying she's right, but I don't close my mind to someone based on her political persuasion.

And who hasn't been wrong on Covid at some stage anyway? Apart from you of course I'm sure

GeorgeBailey · 12-05-2020 07:20PM

bodhrandude wrote: »

An interesting debunking discussion that was sent to me through a friend in Facebook, stating the most deaths could have been avoided if we boosted our immune systems with vitamin d, c and zinc and the use of the drug hydroxychloride. Perhaps more for the Conspiracy Theory Covid thread but give it a watch.

That lad realised there was feck all money to be got talking about computers but plenty in being a right-wing nut

pjohnson · 12-05-2020 07:21PM

GeorgeBailey wrote: »

That lad realised there was feck all money to be got talking about computers but plenty in being a right-wing nut

You cant get monetized for shítehawking on Youtube. They refuse the application.

ACitizenErased · 12-05-2020 07:23PM

David Quinn with the Sunday Times basically asking the CMO to prepare for all-out riots

Stheno · 12-05-2020 07:24PM

Rob A. Bank wrote: »

So what the CMO is saying is that it's perfectly OK to let a Covid-19 case with a temperature, and therefore shedding virus, through at the airport !

He prefers to see another cluster start... with all the headaches of trying to trace contacts at the airport, on whatever means of transport the case used to leave the airport, the hotel or home the case went to, etc. etc.

Bloody ridiculous !

Jesus Christ, way to misinterpret something

He said they are of limited use, not that we'll do anything you suggested

It could well be that if they so introduce screening at airports, and someone has a temperature it flags them up as needing to be tested and possibly quarantined whilst awaiting results

And on the flip side what about the other half of infected people who dont have a temperature? Do you let them just swan on through?

The solution is likely more complex if we do allow travellers in tbh

nacho libre · 12-05-2020 07:28PM

is_that_so wrote: »

We won't have quarantining but it's all so far away it's really impossible to say what will happen.

So what is the point of being cautious by easing restrictions slowly, if we are just going to allow people from one of the worst affected countries in Europe in without them having to quarantine upon arrival. They'll have their temperature checked at the airport, but that's not of much use if less than 50 per cent of infected people present with this symptom.

stephenjmcd · 12-05-2020 07:30PM

s1ippy wrote: »

You have to have a respiratory symptom. Many won't.

1 of them symptoms, it's pretty broad. Fever, cough or shortness of breath is a very large majority cases.

1. A patient with acute respiratory infection (sudden onset of at least one of the following: cough, fever, shortness of breath) AND with
no other aetiology that fully explains the clinical presentation;
OR
2. A patient with any acute respiratory illness AND having been in close contact1 with a confirmed or probable2
COVID-19 case in the last
14 days prior to onset of symptoms

Covid19 Part XVII-24,841 in ROI (1,639 deaths) 4,679 in NI (518 deaths)(28/05)Read OP

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