COVID-19 — Coronavirus

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roubaixtuesday said:
I don't think it's quite that bad yet.

Wave one you had to be at death's door before being admitted to hospital.

This time we're much more organised, and people are getting earlier treatment, so more admissions.

ICU numbers are still significantly down on wave one.

As policy seems to be not to increase restrictions until hospitals are in dire straits, we may well exceed wave one infections and deaths before long.
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Maybe, I think earlier admissions keep icu numbers down, and better knowledge reduces deaths. My daughter said as soon as patients need ventilation this time round they are proned straight away and it works better.
There is no true way of comparing number then and now but think hospital admissions is probably the nearest we can get.
 
BlueAnorak said:
This information is from my Registrar daughter who now considers herself a "Covidologist" and runs the medical response on two wards in a West Midlands hospital.
- Heparin is given in larger concentrations than for normal hospital admissions. It is essential to prevent clotting in this dreadful disease.
- Calcitriol is essential as the immune system moderator. The Liver creates the hormone from Vit D. Catcitriol is given on admission and for as long as it is required. Vit D is given to get the liver to produce it itself in 5 days time. Trial? Who knows.
- Remdesevir is given as an antival. Does it help? Not as much as was initially hoped.
- The majority of those ill with Covid have Hypokalemia (Potassium deficiency). Virtually all who are seriously ill do. Only those who are deficient get it.
- Steroids - Yes the two already approved are used.
- Anti imflamitary drugs - These are given as appropriate to the patients condition. Inflamation is a key indicator as to a possible impending Cykotine storm.
- Recovery Plasma, yes they are part of the trial. It works, though not as well as originally hoped.
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I am just pointing out what is being done nationally as common ground rather than any particular hospitals policy.
Higher dose heparin was used in some hospitals, current recommendations are for standard dose.
I don't think Vit D is in common use as a protocol and doubt low potassium is a national problem.
Anti-inflammatory biologics are still really under investigation though may be helping.
 
Cityfan said:
I am just pointing out what is being done nationally as common ground rather than any particular hospitals policy.
Higher dose heparin was used in some hospitals, current recommendations are for standard dose.
I don't think Vit D is in common use as a protocol and doubt low potassium is a national problem.
Anti-inflammatory biologics are still really under investigation though may be helping.
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Fair enough.
 
Margaret Keenan, the ist lady to have her jab 3 weeks ago has had her 2nd jab.
So in 7 days time she will be 95% immune rather than 91%.
One has to ask if that is the correct strategy rather than getting as many vaccinated with one dose as possible? And yes I know that is the approval granted but shouldn't the brains trust think about changing the strategy based on the current problems where we need to double the planned vaccination rate.
 
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kaz7 said:
Hospital aquired infections are nothing new , it is difficult to stop
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Prof John Ashton has consistently said from the start that certain hospitals should have been designated as Covid only isolation hospitals, leaving other ones as non Covid centres. This view is based on previous learnings from the 1918 pandemic and other infectious diseases in the UK. This is what happens in the rest of the world where infectious diseases are very widespread.
I realise that Prof Ashton's politics (very left-wing) are not to everyone's taste but he is one of the country's leading experts in public health and has consistently been ahead of the curve in this crisis.
 
This is probably really ignorant but does anyone have a link explaining how 'pop score' is calculated?

My Google skills are failing.
 
bobbyowenquiff said:
Prof John Ashton has consistently said from the start that certain hospitals should have been designated as Covid only isolation hospitals, leaving other ones as non Covid centres. This view is based on previous learnings from the 1918 pandemic and other infectious diseases in the UK. This is what happens in the rest of the world where infectious diseases are very widespread.
I realise that Prof Ashton's politics (very left-wing) are not to everyone's taste but he is one of the country's leading experts in public health and has consistently been ahead of the curve in this crisis.
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What happened to the Nightingale hospitals?
Lack of staff I think, but wasn't that always going to be the case?
Not saying it's fact, just surmising.
Someone, somewhere, massively fucked up on this one if that was the case
Still, nice images
 
BlueAnorak said:
The end of the tunnel is rapidly approaching
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But instead of light at the end it all feels like it's just another tunnel. Sorry for being miserable and pessimistic today, just reading the stuff on vaccines vs rate of transmission and the problems that's likely to cause or has already caused, its depressed the shit out of me. Wish I cared a little less in truth be told, but at the same time it's good to be informed eh.
 
roubaixtuesday said:
I don't know anything about how supplies are being allocated. But I do know that the final vial fill is localised across the globe - I think 25 different sites in all.

The EU have ordered the vaccine to the number of 400 million doses at least.

ec.europa.eu

Coronavirus: Commission reaches first agreement on a potential vaccine

Today, the European Commission has reached a first agreement with the pharmaceutical company AstraZeneca to purchase a potential vaccine against COVID-19 as well as to donate to lower and middle income countries or re-direct to other European countries.
ec.europa.eu ec.europa.eu
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Totally my bad when I looked up the vaccines ordered totally missed the Astra Zeneca one
 
mackenzie said:
What happened to the Nightingale hospitals?
Lack of staff I think, but wasn't that always going to be the case?
Not saying it's fact, just surmising.
Someone, somewhere, massively fucked up on this one if that was the case
Still, nice images
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Was there ever enough staff? If not it was either a PR exercise or, seeing pictures from Italy of people dying in the streets, they thought it better if someone actually had a bed to die in.
 
Eds said:
How many tests were done.
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351, 140 pillar 1 and 2. Not that many.

That is about 15% positive.

Starting to get way out of control.

Where is the press conference?

You would think this was of no consequence but hundreds of this 53,000 will die. Even if under 1% do.

Sorry but it is criminally negligent to even waste another day when it is clear action was needed weeks ago and certainly not as and when they get round to it.

Every day we do not act we kill more citizens unnecessarily. We have to act to try to save some of them,

It should have been weeks ago but it has to be now. Not next week.
 
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artfuldodger said:
Was there ever enough staff? If not it was either a PR exercise or, seeing pictures from Italy of people dying in the streets, they thought it better if someone actually had a bed to die in.
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They were a surplus of beds, we hoped never to use, as a surplus of beds and equipment if they were ever needed, lets hope they never are, then they would need to be staffed with volunteers, military, retired nhs staff, medical students, dentists etc.
Think I heard that currently in Wales volunteers are being trained to turn icu patients and ventilated patients. Can’t remember where I heard that though.
 
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