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Covid 19 Part XXXI-187,554 ROI (2,970 deaths) 100,319 NI (1,730 deaths)(24/01)Read OP

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Comments

  • #3392
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    TonyMaloney wrote: »
    Would it be a record?

    If not for general admissions, then for admissions for a single ailment?
    I don’t think we have good statistics on that, especially with regard to day to day admissions. Chronic conditions such as heart failure and COPD account for large numbers of admissions per year, often with the same patient being admitted multiple times per year. Heart failure is estimated to account for 20,000 admissions per year and COPD admissions account for about 18,000 admissions per year.

    Many infectious diseases are notifiable but I’m not sure how well the data is captured apart from for influenza which is usually captured in hospitals as suspected cases are tested on admission but patients are not tested routinely in community cases. To date there has been 6,230 admissions for Covid. Last year (last 12 month influenza season), there were 4332 admissions for influenza in total with a shorter length of hospital stay and a lower percentage requiring ICU care, and a lower mortality rate.


  • #3393
    bloopy
    Registered Users, Registered Users 2 Posts: 1,332 ✭✭✭bloopy


    TonyMaloney wrote: »
    Would it be a record?

    If not for general admissions, then for admissions for a single ailment?

    Is it known whether the numbers are admissions because of covid or is it admissions which are later discovered to have covid?


  • #3394
    ixoy
    Moderators, Entertainment Moderators Posts: 18,044 Mod ✭✭✭✭ixoy


    Dempo1 wrote: »
    Pretty depressing state of affairs, we were being told around Christmas how successful at surpressing the virus we we're, indeed number 1 in the European charts. I'm doubting NPHET will be mentioning that again for a while
    NPHET weren't trumpeting at the time. They wanted the government to be far more cautious. I thought we could get away with it more but then I made the mistake that people would be as cautious as I was being.


  • #3395
    Ficheall
    Registered Users, Registered Users 2 Posts: 9,038 ✭✭✭Ficheall


    Steve012 wrote: »
    Hadn't heard that one mill shots a month!, excellent news.
    I'll believe that when I see it... I thought we were hoping for 135k by February?


  • #3396
    Ficheall
    Registered Users, Registered Users 2 Posts: 9,038 ✭✭✭Ficheall


    Dempo1 wrote: »
    Pretty depressing state of affairs, we were being told around Christmas how successful at surpressing the virus we we're, indeed number 1 in the European charts. I'm doubting NPHET will be mentioning that again for a while

    https://www.breakingnews.ie/ireland/ireland-has-worst-coronavirus-infection-rate-in-europe-1062214.html
    Dunno if it was NPHET that were spreading that message too enthusiastically - that would be the gov't who wanted the public to like them and the people who wanted their Christmas.


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  • #3397
    normanoffside
    Registered Users, Registered Users 2 Posts: 10,229 ✭✭✭✭normanoffside


    ixoy wrote: »
    NPHET weren't trumpeting at the time. They wanted the government to be far more cautious. I thought we could get away with it more but then I made the mistake that people would be as cautious as I was being.

    They were absolutely trumpeting it. Tony was putting out graphs every press conference to tell us we were the best in Europe

    https://twitter.com/CMOIreland/status/1337818967788957700


  • #3398
    Wesekn.
    Closed Accounts Posts: 120 ✭✭Wesekn.


    bloopy wrote: »
    Is it known whether the numbers are admissions because of covid or is it admissions which are later discovered to have covid?

    Would surely be a mix


  • #3399
    fits
    Registered Users, Registered Users 2 Posts: 14,057 ✭✭✭✭fits


    Gabriel Scally just tweeted about this paper. Looks like covid is affecting male fertility

    https://twitter.com/gabrielscally/status/1348343393605312513?s=21


  • #3400
    ShyMets
    Closed Accounts Posts: 1,469 ✭✭✭ShyMets


    TonyMaloney wrote: »
    Would it be a record?

    If not for general admissions, then for admissions for a single ailment?

    Its easily forgotten now but TB was a massive and until the 50's a death sentence.

    I'll try to dig out the article but it stated that in the 30's/40's an average of 3/4 thousand were hospitalised with it each year


  • #3401
    Ficheall
    Registered Users, Registered Users 2 Posts: 9,038 ✭✭✭Ficheall


    normanoffside wrote: »
    They were absolutely trumpeting it. Tony was putting out graphs every press conference to tell us we were the best in Europe
    Mentioning it to highlight that lockdowns DO work despite certain quarters still somehow denying it? I don't think they were "We're the best, we can let our guard down now" messages. Pretty sure if Tony had ignored the fact we were the best, you would have people whinging about his "doom mongering". Perhaps they did anyway. Perhaps even on this very forum.


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  • #3402
    [Deleted User]
    Posts: 0 ✭ [Deleted User]


    I heard of an issue, in one institution anyway, whereby a couple of vaccines had to be administered to admin staff who never interact with patients. The reason being that once the vial is opened it has to be used on whoever is available there and then in the premises to receive the vaccine. In the case I heard, the medical staff were, for some reason, not available to take up the vaccine as planned for. I'd imagine plenty other examples like this might be happening because of the practicalities around its administration.


  • #3403
    Ficheall
    Registered Users, Registered Users 2 Posts: 9,038 ✭✭✭Ficheall


    fits wrote: »
    Gabriel Scally just tweeted about this paper. Looks like covid is affecting male fertility
    There were mutterings of that back last Jan/Feb - had hoped it would prove ill-founded..


  • #3404
    caveat emptor
    Closed Accounts Posts: 5,134 ✭✭✭caveat emptor


    Latest HPSC report. You cans the breakdown by age admitted to hospital etc. Not great.

    539032.png


  • #3405
    podgeandrodge
    Site Banned Posts: 5,975 ✭✭✭podgeandrodge


    normanoffside wrote: »
    They were absolutely trumpeting it. Tony was putting out graphs every press conference to tell us we were the best in Europe

    https://twitter.com/CMOIreland/status/1337818967788957700

    When he wasn't "thanking the young people" for the low figures, like the Pope.


  • #3406
    bloopy
    Registered Users, Registered Users 2 Posts: 1,332 ✭✭✭bloopy


    Wesekn. wrote: »
    Would surely be a mix

    I imagine it is. Just wondering what the ratio is.


  • #3407
    Jim_Hodge
    Registered Users, Registered Users 2 Posts: 12,140 ✭✭✭✭Jim_Hodge


    ShyMets wrote: »


    Its easily forgotten now but TB was a massive and until the 50's a death sentence.

    I'll try to dig out the article but it stated that in the 30's/40's an average of 3/4 thousand were hospitalised with it each year

    It was a different type of hospitalisation and treatment though, involving sanitoria rather than hospitals. It was not a sure death sentence but an average of 4 to 5000 died per year from 1912 to the peak in 1917. Many did survive it including several of my aunts and uncles


  • #3408
    Wesekn.
    Closed Accounts Posts: 120 ✭✭Wesekn.


    fits wrote: »
    Gabriel Scally just tweeted about this paper. Looks like covid is affecting male fertility

    https://twitter.com/gabrielscally/status/1348343393605312513?s=21

    Has he got someone tweeting for him

    He must be tweeting nonstop


  • #3409
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    bloopy wrote: »
    Is it known whether the numbers are admissions because of covid or is it admissions which are later discovered to have covid?
    The current surges across all hospitals are largely due to admissions because of Covid. A smaller and smaller fraction of cases diagnosed are being admitted, mainly those requiring oxygen or incapable of self care with no one to provide assistance at home.

    Some (over a thousand patients to date) who would previously have been kept in hospital in past years with other respiratory illnesses of similar severity are now being sent home to help create hospital capacity. Those with mild to moderate symptoms who have support or can self-care can be sent home with remote monitoring several times a day. Given a oxygen monitor connected to online monitoring which is reviewed by nurse specialist/doctors on at least a daily basis and also triggers an alert to treating physician if parameters deteriorate.


  • #3410
    ixoy
    Moderators, Entertainment Moderators Posts: 18,044 Mod ✭✭✭✭ixoy


    Deleted User wrote: »
    I heard of an issue, in one institution anyway, whereby a couple of vaccines had to be administered to admin staff who never interact with patients. The reason being that once the vial is opened it has to be used on whoever is available there and then in the premises to receive the vaccine. In the case I heard, the medical staff were, for some reason, not available to take up the vaccine as planned for. I'd imagine plenty other examples like this might be happening because of the practicalities around its administration.
    Multiple stories going around of admin staff getting it ahead of the likes of nurses and doctors, despite the former being in the fourth group. On one level, yes - it's probably got to do with giving it out to who is available. On the other hand, why on earth wasn't it scheduled to give it to nurses and doctors first? Seems a few only found out about it after the vaccines were gone, which smacks of complete incompetence on management's side.


  • #3411
    fits
    Registered Users, Registered Users 2 Posts: 14,057 ✭✭✭✭fits


    ixoy wrote: »
    Multiple stories going around of admin staff getting it ahead of the likes of nurses and doctors, despite the former being in the fourth group. On one level, yes - it's probably got to do with giving it out to who is available. On the other hand, why on earth wasn't it scheduled to give it to nurses and doctors first? Seems a few only found out about it after the vaccines were gone, which smacks of complete incompetence on management's side.

    It’s just not going to be possible to get everyone vaccinated in the order they should be. You can’t be holding back defrosted vials. Main thing is that all hospital staff get it reasonably quickly.


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  • #3412
    ixoy
    Moderators, Entertainment Moderators Posts: 18,044 Mod ✭✭✭✭ixoy


    fits wrote: »
    It’s just not going to be possible to get everyone vaccinated in the order they should be. You can’t be holding back defrosted vials. Main thing is that all hospital staff get it reasonably quickly.
    The issue is that nurses weren't being given any notice to even try and get the vaccine when it became available. They should be the priority, and efforts made towards this, because they're the ones we can't afford to have sick as they're already contracting it in high numbers.

    And as to defrosted vials - they survive in the fridge for a few days so it could surely have been done a bit better, work around shifts, etc. It requires a bit of logistics planning but there's enough people in there surely to manage it.


  • #3413
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    bloopy wrote: »
    I imagine it is. Just wondering what the ratio is.
    The mix is now largely skewed towards those admitted because of Covid.

    Elective procedures are being cancelled and those small number of admissions which may be going ahead are screened in advance and if Covid was detected, that person would not be admitted. As community numbers increase, the relative contribution of hospital acquired infections to the overall number of patients admitted with Covid has fallen.

    In any case if a person is in hospital regardless of the reason for hospitalisation, Covid will add to the complexity of their hospital stay by adding to their medical complications, the need for isolation and the need for additional infection control precautions and may delay their discharge to another facility or to home if another vulnerable person at home or person is dependent on outside help for self-care.


  • #3414
    WhiteMemento9
    Registered Users, Registered Users 2 Posts: 1,575 ✭✭✭WhiteMemento9


    fits wrote: »
    Gabriel Scally just tweeted about this paper. Looks like covid is affecting male fertility

    https://twitter.com/gabrielscally/status/1348343393605312513?s=21

    There was a similar Chinese study that presented similar findings in September.

    Conclusion
    We highlighted that male fertility might be highly vulnerable to SARS‐CoV‐2 infection. Infection with this novel virus not only seriously threatens an individual's overall health, but also might lead to male infertility. Perspectives gained from multi‐organ research during the recent epidemic raises the possibility that damage to the male reproductive tract might be an underappreciated result of SARS‐CoV‐2 infection. Therefore, more attention should be paid to the effects on male fertility of SARS‐CoV‐2 infection, and should this causal link between SARS‐CoV‐2 infection and male infertility be confirmed, male patients should consider cryopreserving their spermatozoa to preserve fertility.

    https://onlinelibrary.wiley.com/doi/full/10.1111/andr.12907


  • #3415
    spookwoman
    Registered Users, Registered Users 2 Posts: 10,059 ✭✭✭✭spookwoman


    HSE Operations report

    1499 +146
    127 ICU +7 down to 1 Paed CC
    5 deaths
    69 ventilated -2


    4 Hospitals over 100 patients each

    CUH 135 +9
    UHL 122 +13
    Beaumont 104 -7
    GUH 102 +27

    10 Hospitals with 0 ICU beds available, 38 adult ICU beds available and 11 paed


  • #3416
    Neamhshuntasach
    Registered Users, Registered Users 2 Posts: 2,183 ✭✭✭Neamhshuntasach


    bloopy wrote: »
    Is it known whether the numbers are admissions because of covid or is it admissions which are later discovered to have covid?

    I've mentioned it here a number of times as I get it first hand from my wife. A lot are the numbers are not people coming in with symptoms related to Covid and end up hospitalised. They are acquired in hospital. In her hospital there are over 100 with covid in general beds. She said a majority were in for other ailments. Her own uncle is one of those included in the figures. Ended up in hospital with pneumonia. Shook that and then got covid.

    The ICU in her hospital is pretty much people moved to ICU while already admitted to hospital for either something else and acquired covid. Or came in with bad covid symptoms and were eventually moved. She didn't do a survey or nothing. But said the age of those in ICU would be quite old. Not to imply that makes it ok or anything. You just don't see much stats for the age profile of those in ICU and I've seen the question asked her a few times.

    In her own words, the pressure is just the same as most winters. Not much phases her and of course every medical professional can have a different take. She said it's the effect it is having on treatments and patients overall that gets to her the most. She can't do what herself and colleagues want to do because of covid dominating so much.


  • #3417
    FintanMcluskey
    Registered Users, Registered Users 2 Posts: 8,624 ✭✭✭FintanMcluskey


    Neamhshuntasach wrote: »
    I've mentioned it here a number of times as I get it first hand from my wife. A lot are the numbers are not people coming in with symptoms related to Covid and end up hospitalised. They are acquired in hospital. In her hospital there are over 100 with covid in general beds. She said a majority were in for other ailments. Her own uncle is one of those included in the figures. Ended up in hospital with pneumonia. Shook that and then got covid.

    The ICU in her hospital is pretty much people moved to ICU while already admitted to hospital for either something else and acquired covid. Or came in with bad covid symptoms and were eventually moved. She didn't do a survey or nothing. But said the age of those in ICU would be quite old. Not to imply that makes it ok or anything. You just don't see much stats for the age profile of those in ICU and I've seen the question asked her a few times.

    In her own words, the pressure is just the same as most winters. Not much phases her and of course every medical professional can have a different take. She said it's the effect it is having on treatments and patients overall that gets to her the most. She can't do what herself and colleagues want to do because of covid dominating so much.

    Always interesting to hear an alternative view from someone in healthcare like your OH.

    It would be interesting to have the accurate hospital acquired figures


  • #3418
    TonyMaloney
    Registered Users, Registered Users 2 Posts: 2,150 ✭✭✭TonyMaloney


    Neamhshuntasach wrote: »
    I've mentioned it here a number of times as I get it first hand from my wife. A lot are the numbers are not people coming in with symptoms related to Covid and end up hospitalised. They are acquired in hospital. In her hospital there are over 100 with covid in general beds. She said a majority were in for other ailments. Her own uncle is one of those included in the figures. Ended up in hospital with pneumonia. Shook that and then got covid.

    The ICU in her hospital is pretty much people moved to ICU while already admitted to hospital for either something else and acquired covid. Or came in with bad covid symptoms and were eventually moved. She didn't do a survey or nothing. But said the age of those in ICU would be quite old. Not to imply that makes it ok or anything. You just don't see much stats for the age profile of those in ICU and I've seen the question asked her a few times.

    In her own words, the pressure is just the same as most winters. Not much phases her and of course every medical professional can have a different take. She said it's the effect it is having on treatments and patients overall that gets to her the most. She can't do what herself and colleagues want to do because of covid dominating so much.

    You have mentioned this before. Weeks ago I think, but to be fair lockdowns have ruined my sense of time.

    But even if it was just a few days ago, what your fictional doctor wife told you is way out of date and you should stop sharing it. If she were real she'd be mortified


  • #3419
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    spookwoman wrote: »
    HSE Operations report

    1499 +146
    127 ICU +7 down to 1 Paed CC
    5 deaths
    69 ventilated -2


    4 Hospitals over 100 patients each

    CUH 135 +9
    UHL 122 +13
    Beaumont 104 -7
    GUH 102 +27

    10 Hospitals with 0 ICU beds available, 38 adult ICU beds available and 11 paed
    Crazy to see over 100 patients in some of the main hospitals but even more shocking is seeing the number of patients in smaller hospitals such as Castlebar, Letterkenny, and Drogheda.

    As a percentage of their total hospital beds, the figures are staggering. There are only 3 ICU beds in Castlebar and 5 in Letterkenny if those places are fully staffed.


  • #3420
    Sofa King Great
    Registered Users, Registered Users 2 Posts: 872 ✭✭✭Sofa King Great


    Neamhshuntasach wrote: »
    I've mentioned it here a number of times as I get it first hand from my wife. A lot are the numbers are not people coming in with symptoms related to Covid and end up hospitalised. They are acquired in hospital. In her hospital there are over 100 with covid in general beds. She said a majority were in for other ailments. Her own uncle is one of those included in the figures. Ended up in hospital with pneumonia. Shook that and then got covid.

    The ICU in her hospital is pretty much people moved to ICU while already admitted to hospital for either something else and acquired covid. Or came in with bad covid symptoms and were eventually moved. She didn't do a survey or nothing. But said the age of those in ICU would be quite old. Not to imply that makes it ok or anything. You just don't see much stats for the age profile of those in ICU and I've seen the question asked her a few times.

    In her own words, the pressure is just the same as most winters. Not much phases her and of course every medical professional can have a different take. She said it's the effect it is having on treatments and patients overall that gets to her the most. She can't do what herself and colleagues want to do because of covid dominating so much.
    Is this a different uncle to the one who caught it in hospital after coming off his bike a few months back?


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  • #3421
    majcos
    Registered Users, Registered Users 2 Posts: 596 ✭✭✭majcos


    Deleted User wrote: »
    I heard of an issue, in one institution anyway, whereby a couple of vaccines had to be administered to admin staff who never interact with patients. The reason being that once the vial is opened it has to be used on whoever is available there and then in the premises to receive the vaccine. In the case I heard, the medical staff were, for some reason, not available to take up the vaccine as planned for. I'd imagine plenty other examples like this might be happening because of the practicalities around its administration.
    If this was the case, I would imagine there was still other clinical staff in more frontline areas that could have been prioritized before admin staff. Even staff in non Covid wards should have be given a higher priority than admin as that ward could be a Covid ward by tomorrow or that staff could be moved over to fill in for other absent staff. Other healthcare workers such as physiotherapists and speech and language therapists and radiographers should have also been prioritized over admin as should the cleaners and porters. Admin staff in hospitals should be vaccinated but not in first few days.


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