Covid19 Part XIX-25,802 in ROI (1,753 deaths) 5,859 in NI (556 deaths) (21/07)Read OP

Rob A. Bank · 05-07-2020 03:43PM

A new disease described

The New England Journal of Medicine has had 2 papers, an editorial and a podcast in a recent issue devoted to the new inflammatory disease associated with Covid-19 infection - multisystem inflammatory syndrome in children (MIS-C).
BTW ‘Children’ means up to the age of 21

Dufort and colleagues describe 99 cases from 106 hospitals in New York State and Feldstein and colleagues report 186 cases from 26 U.S. states over a 2-month period. This is a fair chunk of the 1000 cases of MIS-C which had been reported worldwide.

MIS-C occurs 2 to 4 weeks after infection with SARS-CoV-2 and may have a connection with the development of immunity.

The disorder is uncommon (2 in 100,000 persons <21 years of age) as compared with SARS-CoV-2 infection diagnosed in persons younger than 21 years of age over the same period (322 in 100,000).

Most patients have recovered with intensive care support. A small percentage of patients have received extracorporeal membrane oxygenation support, and 2 to 4% have died.

The most critically ill have prominent cardiac involvement with coronary-artery aneurysms in 10 to 20%. There is concern that children meeting current diagnostic criteria for MIS-C are the “tip of the iceberg,” and a bigger problem may be lurking below the waterline.

You do NOT want to emerge from childhood with coronary artery aneurysms.

Yet another nasty surprise thrown up by this damn virus.

The Editorial with links to the articles.

Eod100 · 05-07-2020 03:50PM

Jim_Hodge wrote: »

That makes no sense. The size of the virus is known precisely.

I think they mean in transmission but am open to correction

ACitizenErased · 05-07-2020 03:52PM

Testing starting at the airports apparently?

hmmm · 05-07-2020 03:52PM

Rob A. Bank wrote: »

You do NOT want to emerge from childhood with coronary artery aneurysms.

Yet another nasty surprise thrown up by this damn virus.

This is one of the points the "it's just a flu" crowd are missing - either because they don't understand it, or are too scared to understand it.

Yes this disease might kill granny who they don't much care about ("beyond economic use" as was said in the restrictions thread), and may be unlikely to kill yourself, but there are plenty of reports of people who are suffering long-term effects from being infected who would be described in the stats as "recovered". Many of these people will be in and out of hospitals for the rest of their lives. It would be very wise to avoid getting this virus whatever age you are.

Jim_Hodge · 05-07-2020 03:53PM

Eod100 wrote: »

I think they mean in transmission but am open to correction

No. It means physical size of the virus and droplets and the impact on filtration systems. It's BS.

owlbethere · 05-07-2020 04:00PM

Rob A. Bank wrote: »

A new disease described

The New England Journal of Medicine has had 2 papers, an editorial and a podcast in a recent issue devoted to the new inflammatory disease associated with Covid-19 infection - multisystem inflammatory syndrome in children (MIS-C).
BTW ‘Children’ means up to the age of 21

Dufort and colleagues describe 99 cases from 106 hospitals in New York State and Feldstein and colleagues report 186 cases from 26 U.S. states over a 2-month period. This is a fair chunk of the 1000 cases of MIS-C which had been reported worldwide.

MIS-C occurs 2 to 4 weeks after infection with SARS-CoV-2 and may have a connection with the development of immunity.

The disorder is uncommon (2 in 100,000 persons <21 years of age) as compared with SARS-CoV-2 infection diagnosed in persons younger than 21 years of age over the same period (322 in 100,000).

Most patients have recovered with intensive care support. A small percentage of patients have received extracorporeal membrane oxygenation support, and 2 to 4% have died.

The most critically ill have prominent cardiac involvement with coronary-artery aneurysms in 10 to 20%. There is concern that children meeting current diagnostic criteria for MIS-C are the “tip of the iceberg,” and a bigger problem may be lurking below the waterline.

You do NOT want to emerge from childhood with coronary artery aneurysms.

Yet another nasty surprise thrown up by this damn virus.

The Editorial with links to the articles.

And the American Mr. Know-it-all aka gobsh1te or trump came out and said 99% of US coronavirus cases are harmless. I don't know how there isn't someone there in America to take that man down and out.

stephenjmcd · 05-07-2020 04:01PM

ACitizenErased wrote: »

Testing starting at the airports apparently?

Suggested by Eamon Ryan but there was no expansion on it other than targeted testing and not of everyone.
I presume by targeted he means high risk areas

owlbethere · 05-07-2020 04:01PM

hmmm wrote: »

This is one of the points the "it's just a flu" crowd are missing - either because they don't understand it, or are too scared to understand it.

Yes this disease might kill granny who they don't much care about ("beyond economic use" as was said in the restrictions thread), and may be unlikely to kill yourself, but there are plenty of reports of people who are suffering long-term effects from being infected who would be described in the stats as "recovered". Many of these people will be in and out of hospitals for the rest of their lives. It would be very wise to avoid getting this virus whatever age you are.

The 'its only a flu brigade' are too self absorbed to care about anyone beyond themselves.

ACitizenErased · 05-07-2020 04:02PM

stephenjmcd wrote: »

Suggested by Eamon Ryan but there was no expansion on it other than targeted testing and not of everyone.
I presume by targeted he means high risk areas

Radio stations in Cork say its starting soon

is_that_so · 05-07-2020 04:04PM

ACitizenErased wrote: »

Testing starting at the airports apparently?

It's been considered for about a month. The challenge there is when passenger numbers rise and they will. That's one reason why countries operate a quarantine/isolation approach instead.

stephenjmcd · 05-07-2020 04:05PM

ACitizenErased wrote: »

Radio stations in Cork say its starting soon

Probably based off this but he didn't give a time frame for it to begin just that 20th July phase 4 now looks like the date for the green list to come into effect

https://www.rte.ie/amp/1151471/

is_that_so · 05-07-2020 04:06PM

stephenjmcd wrote: »

Suggested by Eamon Ryan but there was no expansion on it other than targeted testing and not of everyone.
I presume by targeted he means high risk areas

Very easy for testing levels to overwhelm the system. All far too vague TBH. I can see the CMO or acting CMO saying it wouldn't be a very
effective use of resources.

stephenjmcd · 05-07-2020 04:08PM

is_that_so wrote: »

Very easy for testing levels to overwhelm the system. All far too vague TBH.

Yup, 15k capacity across the system per day and with the regular testing of health care workers, hosptial admissions and the daily referals it doesn't leave alot of capacity in the current system to add airports into it

polesheep · 05-07-2020 04:13PM

owlbethere wrote: »

The 'its only a flu brigade' are too self absorbed to care about anyone beyond themselves.

This really boils my pi*s. Along with the 'selfish young people' line that's constantly used. The reality is the opposite. Older people who enjoyed an unbridled youth are acting selfishly by admonishing young people who are trying to salvage a part of their lives that is all too fleeting. And I'm saying this as someone on the wrong side of 60.

Stheno · 05-07-2020 04:17PM

stephenjmcd wrote: »

Yup, 15k capacity across the system per day and with the regular testing of health care workers, hosptial admissions and the daily referals it doesn't leave alot of capacity in the current system to add airports into it

What tests are the Austrians using in their airport that give a result in a couple of hours does anyone know?

cnocbui · 05-07-2020 04:18PM

MOst of the people who die are already passed the average life expectancy, with severe health problems that make it reasonable to contemplate they likely wouldn't have had long to go anyway.

If the mortality was mostly among 2-10 year old healthy children, then it would be a totally different level of awful. A lot of people are acting as if this were the age group affected.

Renjit · 05-07-2020 04:24PM

cnocbui wrote: »

MOst of the people who die are already passed the average life expectancy, with severe health problems that make it reasonable to contemplate they likely wouldn't have had long to go anyway.

If the mortality was mostly among 2-10 year old healthy children, then it would be a totally different level of awful. A lot of people are acting as if this were the age group affected.

Bald and bankrupt's update

stephenjmcd · 05-07-2020 04:24PM

Stheno wrote: »

What tests are the Austrians using in their airport that give a result in a couple of hours does anyone know?

Is that still in play there ? I know they've opened up without tests to EU countries now.

No idea what ones they were using before though.

is_that_so · 05-07-2020 04:25PM

Stheno wrote: »

What tests are the Austrians using in their airport that give a result in a couple of hours does anyone know?

According to this back in May it's a €190 test or quarantine.

https://www.euronews.com/2020/05/06/coronavirus-travellers-charged-190-at-vienna-airport-to-avoid-14-day-covid-19-quarantine

Here's the airport link. Sounds to me like they don't want anyone visiting at all.
https://www.viennaairport.com/pcrtest

cnocbui · 05-07-2020 04:33PM

Renjit wrote: »

Bald and bankrupt's update

Would you like me to describe in detail the final months, days and hours of my brothers life due to a late missed cancer diagnosis? I can assure you it makes baldies time look like an absolute picnic.

The virus suppression measures will come with severe costs beyond the merely economic. Some of them will be horrific beyond your imagining.

Martina1991 · 05-07-2020 04:34PM

Stheno wrote:

What tests are the Austrians using in their airport that give a result in a couple of hours does anyone know?

Small lab loacted in Vienna airport.

â‚¬190 a go.

Open Monday to Friday 9 to 5. Book in advance. Results between 3 to 6 hours.

Weekends open 10 to 4. Results available the next day.

I can't imagine the have a large capacity. And the price would probably deter a lot of people.

Stheno · 05-07-2020 04:35PM

stephenjmcd wrote: »

Is that still in play there ? I know they've opened up without tests to EU countries now.

No idea what ones they were using before though.

Dunno tbh havent kept up with all the news

I've no plans to go away anywhere on holiday this year so I'm ignoring that side of things

ACitizenErased · 05-07-2020 04:40PM

Renjit wrote: »

Bald and bankrupt's update

Christ that's terrible, I'm a big fan of his channel

ZX7R · 05-07-2020 04:49PM

stephenjmcd wrote: »

Probably based off this but he didn't give a time frame for it to begin just that 20th July phase 4 now looks like the date for the green list to come into effect

https://www.rte.ie/amp/1151471/

Excellent article.
When is phase 4 due to be implemented.
My head's empty my son special needs is having a bad day.

Juwwi · 05-07-2020 04:49PM

ACitizenErased wrote: »

Christ that's terrible, I'm a big fan of his channel

He's not over 80 or obese , if he ended up on a ventilator its just the luck of the draw with this virus it seems.

A bit of an eye opener its too easy to get complacent .

Stheno · 05-07-2020 04:50PM

ZX7R wrote: »

Excellent article.
When is phase 4 due to be implemented.
My head's empty my son special needs is having a bad day.

20th July is phase 4

Renjit · 05-07-2020 04:52PM

cnocbui wrote: »

Would you like me to describe in detail the final months, days and hours of my brothers life due to a late missed cancer diagnosis? I can assure you it makes baldies time look like an absolute picnic.

The virus suppression measures will come with severe costs beyond the merely economic. Some of them will be horrific beyond your imagining.

You are shifting the goalposts now.

JP Liz V1 · 05-07-2020 04:52PM

ACitizenErased wrote: »

Must say this new government doesn’t seem to be off to a great start - first with all the travel issues and now the pubs. They’re very very quiet.

Kelleher (FF) returned no quaranting self isolation, plus CowenGate

ACitizenErased · 05-07-2020 05:00PM

Juwwi wrote: »

He's not over 80 or obese , if he ended up on a ventilator its just the luck of the draw with this virus it seems.

A bit of an eye opener its too easy to get complacent .

He is a smoker and massively heavy drinker though, it's not as if he's a healthy person.

Plumbthedepths · 05-07-2020 05:16PM

Stheno wrote: »

Might as well just put you on ignore at this stage

Probably the best thing you will do today. ;-)

Covid19 Part XIX-25,802 in ROI (1,753 deaths) 5,859 in NI (556 deaths) (21/07)Read OP

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