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as long as corona virus doesn't cross throat it isn't serious

once it infects lungs, most (except children, pregnant women) develop cytokine storm immune reaction

Old, sick people will suffer. Need lots of Oxygen (ventilators & emergency care etc)

Hope govt paying oxygen bills
#CancelEverythingNow
#FlattenTheCurve

This is doctors in America trying to learn from experience of Italy

#CancelEverythingNow
#FlattenTheCurve

This will impact old people, sick/immune compromised people & vulnerable people without access to medical care

Only preventive option is SOCIAL DISTANCING

#CancelEverythingNow
#FlattenTheCurve

A single patient managed to boost south korea's #coronavirus cases from just 30 to 1000+ in 4 days

Jumped to 1600+ in 5th day

japantimes.co.jp/news/2020/02/2…

#FlattenTheCurve #CancelEverythingNow

Countries that act fast reduce the number of deaths at least by 10x

This is an exponential threat. Every day counts. a single day's delay lets the cases grow exponentially.

link.medium.com/aNvjs2ctL4

This graphic (notes by @hchawlah ) perfectly illustrates why we need to #CancelEverythingNow & #FlattenTheCurve

Even if the SAME number of people get infected, a delayed onset will allow our healthcare system to cope, & cut fatality rate

twitter.com/i/events/12190…
Proactive school closures (& canceling public engagements) —have been shown to be one of the most powerful nonpharmaceutical interventions that we can deploy

mobile.twitter.com/i/events/12379…

fcld.ly/zx5jd6p

#FlattenTheCurve #CancelEverythingNow #coronaVirus

"Taiwan is now being praised for its uber-aggressive response

World-over, there is no country that regrets their overreaction, & plenty that regret not acting soon enough"

@benthompson h/t @RohanV

Each passing day is a missed opportunity to mitigate the next wave of severe #coronaVirus cases

#COVIDー19 has a higher fraction of severe cases, plus it’s whipping through a population without natural protection at lightning speed

h/t @tanyalewis314

#FlattenTheCurve #CancelEverythingNow

Social distancing (in combination with aggressive testing) is the right strategy for COVID now, as contact tracing is/will be overwhelmed. Insights from @mlipsitch

h/t @jflier

#FlattenTheCurve #CancelEverythingNow

"An epidemiological disaster is taking place

There are no more surgeons, urologists, orthopedists;
we are all suddenly part of a single team to face this tsunami that has overwhelmed us"

— Dr Daniele Macchini Italy

#ncovid19 is a dangerous disease

"While most who contract it become only mildly ill, its extremely deadly for aged & vulnerable

You may be one of those people, or you may love one of those people"


@JeremyKonyndyk

All Of Us Have A Stake In This

#FlattenTheCurve #CancelEverythingNow #SocialDistancing

"Indians are just 10 days away from a major crisis if we don't shake every citizen out of the 'business as usual' attitude"

h/t @nottheamit

Hubei logged just 8 new cases yesterday, first time in the #ncovid19 outbreak that it has recorded a daily tally of less than 10

Beyond Hubei, mainland China had just 7 new cases, 6 of them imported from abroad

reut.rs/3cUv7ry

@tanyalewis314

Iranians are literally digging their graves

@harsh8848 @tanyalewis314 @poliohunt @PriyankaPulla @OmairTAhmad

But worst could be over & they might've learnt their lessons from this catastrophe — reports
@aliostad

#FlattenTheCurve #CancelEverythingNow

#coronaVirus #covid—19

mortality rate for people aged 60 & above after contracting a (generic?) viral infection is 3.4%;
above 70 years is 8%
& 80 and above is 15%

#FlattenTheCurve #CancelEverythingNow #SocialDistancing

When the best way to save lives is to prevent a disease rather than treat it, success often looks like an overreaction

@Noahpinion @tomaspueyo @ATabarrok @walkingthedot @sipappas @tanyalewis314 @razibkhan

#FlattenTheCurve #CancelEverythingNow

“coming impact is going to be huge. no longer a question of if, but when.

We should spread this info in every possible language through a variety of mediums"

@khanamirullah to @ajaxiom & @sayantanbera on #Covid_19

#FlattenTheCurve #CancelEverythingNow

We are past containment at this point; impossible to stop the spread — we can only slow it so healthcare can catch up

Italy is already overwhelmed

Many countries just days behind Italy on case curve

h/t @razibkhan

#FlattenTheCurve #CancelEverythingNow

From WhatsApp forward

(posting it without any comments) 😉

cc @amitvarma @imranhindu @ChennaiRains
In times of public health emergencies, only collective effort can save us

If we continue to think of myopic & selfish reasons to not take precautions WHO is asking us to, we are doomed

CANCEL EVERYTHING YOU CAN

#CancelEverythingNow #FlattenTheCurve

technical stuff

many dying of cardiac arrest rather than inability to ventilate/oxygenate

rapid progression to ETT so doing early intubation

Common scenario: admit 1L NC
Nxt 12hrs -> NPPV
Nxt 12-24hrs -> vent/proned/Flolan

youth/healthy also admitted

#Socialdistancing is our shot to #FlattenTheCurve

To buy ourselves more time.

To make sure we have hospital/ICU/ventilator capacity if we get pushed to that.

Become experts in it.

#CancelEverythingNow

healthy & young medical staff — Without Any CO-MORBIDITIES — are coming down with severe instance of #coronaVirus

Just like Bankers died during #demonetization,
#Covid_19 will take severe toll on our medical staff

@PriyankaPulla @poliohunt @harsh8848

#FlattenTheCurve

reduce the burden on the healthcare system

#CancelEverythingNow

People are desperately calling for such actions in USA & Australia with vastly superior ICU resources compared to us

better overreact,
than regret not acting soon enough

The death rate in Italy is alarmingly high, not because the virus is more virulent, but because doctors are having to make the most dreadful of decisions.

They are having to "pick winners"

Those less likely to survive are by necessity left to die

#COVIDー19

South Korea's success

Only 76 cases on Mar-14

Proof to what aggressive testing, contact tracing & fast isolation/quarantine can accomplish

broad testing showed that asymptomatic youth drove spread

@thattai @tiaghose @HelenBranswell @RohanV

True Story

On Saturday, I finally got a gym membership (annual package) — after prevaricating for long

Today morning I told them, I will join fron Apr-1 because of #coronaVirus situation

@leannekmho @SiruthaiChats @ChennaiRains @RohanV @sumanthraman

#NoTimeToDie #DieAnotherDay

the #Corona virus doesn't discriminate (unlike the Modi govt)

#ShaheenaBagh protestors should make way for the #coronavirus & let it pass

time for us to voluntarily move into #detentionCamp

@samzsays @5minsaloneok @jamewils
As of today, at least one Seattle hospital is unable to intubate patients over 65 due to shortages of equipment

It gives them < 10% chance of surviving

@tomaspueyo @PriyankaPulla @poliohunt @RohanV @DrJoyeeta @humeirabadsha @drprashant86jmd @DocNish74

why #coronavirus has spread so quickly & become pandemic
👇

We have not encountered this #corona virus before

We are all "immunologically naive” No natural immunity
Few (if any) natural breakwaters in our species

#FlattenTheCurve #CancelEverythingNow

Once the virus has been suppressed, if we can keep the reproduction number around 1, an outbreak won’t grow into a catastrophe quickly

Next Qs:

Are there measures we can lift without virus resurfacing?

Are there ways of making others more sustainable?

India could've avoided nation-wide curfew had it done what other successful countries are doing

Testing, Testing, Testing

Now use 21-day lockdown to create a massive testing infrastructure

@DilliDurAst @RamaNewDelhi @jasjiv @harsh8848 @samzsays @RohanV

when one deals with deep uncertainty, both governance & precaution require us to hedge for the worst.

While risk-taking is a business that is left to individuals, collective safety & systemic risk are the business of the state

@nntaleb @yaneerbaryam

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