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Revisiting Feb. JAMA published study.
#COVID19

CHI 20 yr old asymptomatic patient -cluster of 6.

1st known asymptomatic transmission w/asymptomatic patient reporting NO clincial symptoms & clear CTs.

She had:
2 CTs - 1/27 & 1/31
4 PCRs w/ only 1 positive
Tracks similarly w/ prior 10 yr old asymptomatic patient cluster in separate study

EXCEPT 10 yr old asymptomatic had CT indicating COVID19 w/ "ground glass" effect.

Asymptomatic patients may or may not show evidence of disease in CT scan.
CHI asymptomatic person cluster of 5 #COVID19
Wuhan visit Jan 10.

Only 1 of 4 PCRs positive...from nasal swab only.

PCRs widely known for false negatives w/ 30-60% accuracy depending on which gov't source issues numbers.

Stealth pathogen coupled w/ inaccuracy of PCRs?
Cluster exhibited symptoms 3 to 24 days between exposure to asymptomatic patient and onset of symptoms.

ALL 5 symptomatic patients had "ground glass" results CT's whether symptoms were minor, moderate or severe.
Blood work of cluster of 6 patients

C-reactive and lymphocytes notes

All the symptomatic patients had:
1. increased C-reactive protein levels
2. reduced lymphocyte counts

Asymptomatic patient:
C-reactive protein level and lymphocyte count = normal
Ages of patients in cluster beyond asymptomatic patient were 42 - 57.

2 of 5 symptomatic patients developed severe pneumonia

Other infections were moderate
JAMA published study here Feb 21.

Data and screen caps taken from PDF file on this link.
See top left of link where it says "Download PDF"

jamanetwork.com/journals/jama/…
@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine ICYMI wkend discussion on COVID19 brain, neurons, synapses, & brain stem while escaping detection, effects on severe patients, med article.

CHI- 46-65% failed to survive ICU/not age specific.
24 yr old survivor said she had to consciously breathe.

@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine FEMA prepping for WH Emergency Declaration.

Me: FEMA went into prep mode long before today just like the US military did globally, but, yes, I expect an Emergency Declaration, too.

@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine More on Vit C and Vit D immune system support for #COVID19

Korea Onvit Hospital:

ALL inpatients and staff taking Oral Vit C

COVID19 Patients rec'ing Vit C IV @ 30,000 mg

ALL patients and staff receiving intravenous Vit D @ 200,000 units

@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine UK #covid19UK #COVID19

Reopens school after disinfecting. Agree too soon.

Disinfecting school is not going to stop the spreading as contacts already made.

@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine #Covid19usa #COVIDー19 #COVID19
WA UPDATE

14 Dx
6 deaths all @ Evergreen Hospital

King County Exec Constantine{
County purchasing motel, modular housing for patients infected

How many quarantined?????
I know 1/2 the Fire Dept is.

H/T @ivycedarlane

@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine @ivycedarlane Italy #CoronaOutbreak #COVID19italia #Covid19usa
52 deaths/up 18 from Sun
1835 confirmed-most asymptomatic or mild
742 hospitalized
166 ICU
149 more recovered

2 new cases Rome-Firefighter + policeman(+2 children & sister-in-law of LEO)

theguardian.com/world/2020/mar…
@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine @ivycedarlane #COVID19
updated global data FWIW
90,301 confirmed

Outside CHI
10,275
174 deaths
286 serious/critical

80,026 CHI
2912 deaths CHI
7,110 serious
44,462 recovered
715 suspected

bnonews.com/index.php/2020…
Also -
Ireland just reported 2 more cases
Morocco reported 1st case

France - of 191 total, 61 are new cases today

US - 99 cases 6 deaths
Includes evacuees on US soil - Wuhan and Princess Dream
Some quarantined bases, some hospitalizes, some home quarantine.
More info on reported data
NH #COVID19 confirmed case is hospital worker who returned from Italy

Dartmouth Hitchcock in Lebanon

3 others tested negative in NH

Brazil 2 cases of #COVID19 #Brazil

#Covid19Brazil #COVID19germany #covid19UK

1st case is more like genome sequencing in #Germany w/ 2 similar mutations.

2nd case is similar to genome sequencing from #UK

Pence: airport screening 100% w/in 12 hrs
Azar #COVID19
43 confirmed H2H cases in US
"Risk remains low BUT risk for those exposed remains high"

There will be community spread as Dr Fauci said in a.m.
We must be prepared for the worst and hope for the best.

Disproportionate effect on elderly and immune challenged
@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine @ivycedarlane May be a fake! #COVID19

After booking, Dallas County Sheriff’s Office said late Mon night that during screening process suspect indicated he had traveled internationally.

Taken to Parkland for medical screening.

dfw.cbslocal.com/2020/03/02/dal…
@turnbolt11 @BabeReflex_8 @moneypenny_2020 @aHEMandias @RadChick4Cast @RMachArts @g_easton819 @sc_lorraine @ivycedarlane Nigeria #COVID19 #Nigeria #COVID19italia

#Health officials contacted +/-100 people who may have been in contact with nation's 1st #COVID19 patient—identified as an #Italian man—in an attempt to prevent an #CoronavirusOutbreak.

H/T @g_easton819

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