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Covid 19 Part XXXV-956,720 ROI (5,952 deaths) 452,946 NI (3,002 deaths) (08/01) Read OP

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Comments

  • Registered Users, Registered Users 2 Posts: 8,925 ✭✭✭User1998


    You always get people on here saying “No one wants lockdown” etc. but that just isn’t true. There is a segment of society that genuinely do not want this to end and do not give a toss about nightclubs restaurants etc as it does not effect them as they never leave the house.

    We have a population of 5 million, of course there will be people out there that don’t want this to end.



  • Registered Users, Registered Users 2 Posts: 31,277 ✭✭✭✭Lumen


    I seriously doubt it will come to that. More likely resources just spread thinly resulting in slightly worse care and more knackered staff.

    So the hypothetical choice is: would you rather be cared for by slightly fewer COVID free healthcare workers or the normal number of possibly infectious ones?

    FWIW in reading on mask standards I can't find much about protecting people other than the wearer. My FFP3 masks have exhalation valves and the FFP2 ones tend to break the seal during exhalation. The only type that are fully symmetrical are the bulky respirators.



  • Registered Users, Registered Users 2 Posts: 1,789 ✭✭✭PowerToWait


    I feel a lioness meme is appropriate in this instance.



  • Registered Users, Registered Users 2 Posts: 187 ✭✭ShadowTech


    Genuine question, would you have seen this as a problem pre-Covid? The standard flu is pretty good at killing the sick and elderly and it’s common for healthy people to have minor symptoms and still go to work, etc.

    I completely get where you’re coming from and in a perfect world I’d agree but it’s a trade-off: either we have massive staff shortages to reduce the possibility of spread of an illness almost everyone has been vaccinated for (i.e. it’s not novel anymore, is more minor with this variant, and therefore not as much of a threat as it was two years ago) which will almost certainly result in reduced quality of care and deaths or we allow for a higher level of risk with regard to spread but maintain sufficient levels of staff.

    Neither option is without risks but I don’t personally see why one would think that creating the staff shortage would be the better option.



  • Registered Users, Registered Users 2 Posts: 31,277 ✭✭✭✭Lumen


    I don't think it makes sense to have so much close contact isolation in the general population/economy at this stage, but healthcare workers are an obvious exception as they are in close contact with medically vulnerable people.



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  • Registered Users, Registered Users 2 Posts: 1,789 ✭✭✭PowerToWait


    What are ‘minor symptoms’ of ‘flu?

    Also, I’ve had ‘flu 3 times in my life. I could hardly make the jacks never mind work.



  • Registered Users, Registered Users 2 Posts: 1,678 ✭✭✭Multipass


    I’d love to tell you what you sound like, but I had some funny idea that personal attacks aren’t supposed to happen here.



  • Registered Users, Registered Users 2 Posts: 187 ✭✭ShadowTech


    I don’t think you really addressed my point. The choice we have is sufficient or insufficient staffing levels of nurses and doctors to treat patients. If we take an abundance of caution approach it will result in less spread of the coronavirus but will definitely reduce quality of care and potentially lead to deaths.

    In my opinion it’s better to have close-contacts and potentially infectious medical professionals taking care of me than someone who hasn’t slept for 24 hours because they’re working triple shifts to fill in the gap. Plus, everyone is wearing masks in a controlled medical environment. They are likely MUCH more effective there than in our day-to-day experience.



  • Registered Users, Registered Users 2 Posts: 1,678 ✭✭✭Multipass


    I was responding to a post considering that we may see excess deaths over the next month due to staff shortages. This is the scenario where the risk of staff being infectious despite testing negative, should be taken.



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  • Registered Users, Registered Users 2 Posts: 31,277 ✭✭✭✭Lumen


    As an absolute last resort, I agree.

    But you have to recognise that putting potentiality infectious people into a hospital setting is a fundamentally bad idea, even if it eventually becomes the only pragmatic choice available.



  • Registered Users, Registered Users 2 Posts: 24,749 ✭✭✭✭lawred2




  • Posts: 8,647 ✭✭✭ [Deleted User]


    It's going to be a reality so have a chat with your TD. Honestly.



  • Registered Users, Registered Users 2 Posts: 187 ✭✭ShadowTech


    We don't disagree on the fundamental point! That is definitely the best option. I guess I've just jumped straight to the pragmatic part. Too many people are out as close contacts or are completely asymptomatic and we know it's going to get worse. We have a strain of coronavirus in circulation that no longer has a linear relationship from cases to severe disease which is probably as good as things are going to get. The small tweaks made this week to the isolation rules will not save us from crushing staff shortages. I think a pragmatic approach is warranted and frankly is the one we've been using our whole lives. We were not regularly testing staff for flu pre-covid although it's known to be spreadable while asymptomatic or with minor symptoms (as you can see from the link I posted a couple of posts up). I think we are at risk of making perfect the enemy of good here.



  • Registered Users, Registered Users 2 Posts: 1,789 ✭✭✭PowerToWait


    Interesting read. Personally I’ve always thought it shítty form to turn up in congregated settings with an infectious disease. Obviously I’m in a minority.



  • Registered Users, Registered Users 2 Posts: 188 ✭✭Champagne Sally


    My son (18) double vaxxed tested positive for covid last week on antigen. We are awaiting results of pcr which will probably be positive. The thing is it’s 11 days since his first symptoms but an antigen this morning is still showing positive. He wants to go to the gym but is afraid to as he doesn’t want to infect anyone. Does he have to wait for a negative antigen ? I feel for him because he hasn’t left the house in nearly two weeks.



  • Registered Users, Registered Users 2 Posts: 187 ✭✭ShadowTech


    Yeah, I found that very interesting too! When this all kicked off with covid and there was so much talk about asymptomatic spread I was curious about the flu. It turns out there's a lot of similarity between covid and influenza in terms of spread and the way that most people have minor symptoms with a smaller cohort getting very sick. For me it turned covid from something new and terrifying at the start into something concerning but not particularly unique.

    Anyway, regarding you being in the minority, I really don't think so. I think (hope?) it's been normalised to work from home where possible and to say "no" to social situations if sick. I'm lucky enough to be in a role that can be done from home and whereas I would have previously felt like I had to show my face in the office even if I was hacking up a lung I will never do that again. Same with making excuses for not going out for dinner/drinks. Most people I know are of the same opinion.



  • Posts: 4,727 ✭✭✭ [Deleted User]


    I can't say I alone 100% know the correct solutions. But the main reason we started doing all these things was to save lives.

    I'd hate to think that healthy or mildly sick staff are forced to stay home while all kinds of other things get cancelled and waiting lists grow and grow because that will cause lots of deaths.

    I'd imagine we are getting to a stage now where we have to ask ourselves what's worse.



  • Registered Users, Registered Users 2 Posts: 8,532 ✭✭✭Gusser09


    Is it time to end the PCR testing regime for healthy people? Really apart from keeping NPHET relevant and the hysteria going. Whats the point in knowing about 20k cases but also knowing that it is probably double that. Just seems futile. End it. Let rip. The hospitals are doing fine. But now we are being led to believe that hospital figures wont be the issue it'll be staffing levels. Pull the other one lads. When NPHET realised omicron wasnt translating to hospitalisations we are told wait no its the staffing thing.



  • Posts: 0 [Deleted User]


    Classic HSE here, up there with Paul 400k a year Reid. They’ve hired 5 times more senior management than doctors in the last quarter.

    https://www.irishtimes.com/news/health/hse-hired-five-times-more-senior-managers-than-doctors-report-shows-1.4767462



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  • Registered Users, Registered Users 2 Posts: 24,749 ✭✭✭✭lawred2


    Well in days gone by (2 whole years ago); were you not actually ill and because we have never tested for such illnesses before, you would never have known that you were amongst people with an infectious illness.



  • Posts: 4,727 ✭✭✭ [Deleted User]


    Yes it is. The main reasons for PCRs these days seems to be mainly to prove you have COVID whether it's for work, travel, sick pay etc

    We're reaching a stage now were ultimately it doesn't matter whether we have 5k or 50k cases a day.



  • Registered Users, Registered Users 2 Posts: 1,558 ✭✭✭Leftwaffe


    Hospital up by 87 to 804.

    What I want to know is, how many of these were already in hospital and how many of these went to hospital for something else and were diagnosed?

    I feel like at this stage of the pandemic these kind of stats should be widely available.



  • Posts: 4,727 ✭✭✭ [Deleted User]


    The information is available but it's only shared with us in a dishonest way from Tony Holohan which is a disgrace at this stage.

    If Tony is right, Omicron is much more serious in Ireland than every other country.

    But I'd bet my mortgage that Tony is lying through his teeth to make things sound worse than they are



  • Registered Users, Registered Users 2 Posts: 15,443 ✭✭✭✭stephenjmcd


    And do you think staffing isn't an issue at the moment then ?

    It seems as if your just dismissing it as a non issue with the "pull the other one" remark.

    A reduction in the isolation period would relieve alot of staffing pressure and hopefully that's coming this week.

    Personally I think hospitals will be fine paitent wise but you still need to staff them to a safe level



  • Registered Users, Registered Users 2 Posts: 11,750 ✭✭✭✭ACitizenErased


    there was 118 positive tests in hospital yesterday so a proportion of them are surely incidental given the high community spread



  • Posts: 533 ✭✭✭ [Deleted User]


    The one aspect of it I'm finding odd is how one varient seems to completely replace the other. It's very useful, from our point of view, but I'm just surprised at how fast Delta died back and has been utterly replaced by this Omicron varient, which is genuinely looking a hell of lot milder.

    It's just surprising they aren't coexisting. I still haven't found any journal articles and that adequately explain the mechanism that is causing variants to almost entirely wipeout their predecessors.

    I'm theorising that once our immune systems are triggered by an infection of the milder varient, the nastier one also gets hammered, but is less easily able to replicate as rapidly, so dies out. So perhaps the more transmissible, less virulent strains are able to replicate, survive and are basically being naturally selected by interaction with our immune systems, which are no longer naive due to previous infection and lots of vaccination information on board too.

    Hopefully it remains that way, as you could equally get a highly transmissible, highly virulent varient emerge too

    It's just rolling the dice all the time ...



  • Registered Users, Registered Users 2 Posts: 14,367 ✭✭✭✭hotmail.com


    Private hospitals may be needed if hospitalisations keep rising.

    It appears now that the notion of closing anything is off the agenda. The public doesn't want that.



  • Registered Users, Registered Users 2 Posts: 1,893 ✭✭✭the kelt


    Well it would be par for the course that it’s worse in this country than it is in every other country, been that way since the start and people get upset if you ask why?



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


    Delta spreads 50% faster than Alpha, which was 50% more contagious than the original strain. Omicron, according to some studies, spreads up to 70 times faster so it means it can get to more people more quickly and viruses tend not to survive all that well outside a host body.

    Here's a Twitter thread with some thoughts on Omicron




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