COVID-19 Information updates

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Indiana has two or three counties that are still on a semi lockdown. Lake county near Chicago, and Marion County which is home to Indianapolis. Now granted these are the most populous areas in the state, so the raw numbers are going to be higher.
Let me throw a few observations and curveballs out there. These are major league Crossroads for transporting goods. Those truck stops are like airports off the highways. The truck drivers can be bringing the virus from anywhere.
There are many large construction projects that did not stop. I have friends in the trades that are putting additions on hospitals - like the finishing touches - and you have to walk in through working hospitals. Some refuse to go to work knowing full well their Union will NOT back them. They will lose their place in line on future projects.
There is a casino being built. Those things go up in a hurry because they want to open as quickly as possible to make every single dime. Construction sites like that look like a Marx Brothers movie and despite covid protocols, .... naw.

Another observation is a grocery store near a hospital. The shoppers are still taking things very seriously.
Went to a funeral this week and all I can say is it was surreal but that's another story....
50 people and by the book.
 
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Indiana has two or three counties that are still on a semi lockdown. Lake county near Chicago, and Marion County which is home to Indianapolis. Now granted these are the most populous areas in the state, so the raw numbers are going to be higher.
Let me throw a few observations and curveballs out there. These are major league Crossroads for transporting goods. Those truck stops are like airports off the highways. The truck drivers can be bringing the virus from anywhere.
There are many large construction projects that did not stop. I have friends in the trades that are putting additions on hospitals - like the finishing touches - and you have to walk in through working hospitals. Some refuse to go to work knowing full well their Union will NOT back them. They will lose their place in line on future projects.
There is a casino being built. Those things go up in a hurry because they want to open as quickly as possible to make every single dime. Construction sites like that look like a Marx Brothers movie and despite covid protocols, .... naw.

Another observation is a grocery store near a hospital. The shoppers are still taking things very seriously.
Went to a funeral this week and all I can say is it was surreal but that's another story....
50 people and by the book.
My county is one of the "donut" or outer ring counties that sits next to Marion, home of Indianapolis. We are still being hit hard due to our proximity. Those are very good points you make, Paint, as we are the crossroads and truck stops are all over our area and yes, construction is still happening.
 
Deb, I know that the symptoms of COVID are somewhat different but the mortality rate among healthy people isn't too different. I know that a more rural and spread out place reduces the spread but why is the mortality rate in places like NYC, Detroit and Chicago (8 to nearly 10%) so vastly different? You would not think that our dumpy little hospital was so vastly superior to the big city hospitals and I can assure you that the military hospitals are not something to brag about. Houston isn't a small town. Harris county has 4.8 million people and the Dallas Fort Worth metroplex has around 5 million and yet the mortality rate in both is under 3%. ???? Any ideas what the problem is?
 
Deb, I know that the symptoms of COVID are somewhat different but the mortality rate among healthy people isn't too different. I know that a more rural and spread out place reduces the spread but why is the mortality rate in places like NYC, Detroit and Chicago (8 to nearly 10%) so vastly different? You would not think that our dumpy little hospital was so vastly superior to the big city hospitals and I can assure you that the military hospitals are not something to brag about. Houston isn't a small town. Harris county has 4.8 million people and the Dallas Fort Worth metroplex has around 5 million and yet the mortality rate in both is under 3%. ???? Any ideas what the problem is?
I suspect that there may be different mutations out there. We know of at least 12 of them. And some areas are doing a better job of protecting those at high risk, Dan. In my small county, the mortality rate is high, and we have some very good hospitals dealing with it. But we also had a late reaction to the first cases, and the asymptomatic cases spread it rapidly to those at high risk. Our nursing homes and our jail got hit hard as well because staff had it and didn't know it. We've had to make some major changes here to control the spread. We are even doing a virtual county fair this year...just for the 4-H kids not open to the public. The showings will be live streamed.

But the basic answer to your question is most likely mutations of this damn thing. We know there is a strain from Europe/Italy, and one from China. I think it might depend on which strain is where.
 
As an addition here, we do know the strain in New York and the East Coast is the one out of Europe and Italy that hit them so hard over there.
 
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Deb, I know that the symptoms of COVID are somewhat different but the mortality rate among healthy people isn't too different. I know that a more rural and spread out place reduces the spread but why is the mortality rate in places like NYC, Detroit and Chicago (8 to nearly 10%) so vastly different? You would not think that our dumpy little hospital was so vastly superior to the big city hospitals and I can assure you that the military hospitals are not something to brag about. Houston isn't a small town. Harris county has 4.8 million people and the Dallas Fort Worth metroplex has around 5 million and yet the mortality rate in both is under 3%. ???? Any ideas what the problem is?
The higher mortality rate could also be due to population and age of infected...major cities have many more nursing homes and care facilities that are being hit hard...also underlying health problems are more at risk. An article this morning stated that ppl with diabetes had a 10% chance of dying within the first week...1 out of 10 dies and 1 out of 5 needs ventilators....greater population alone means higher positive infections...many, many variables to consider.
 
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Actually in this case that isn't true. Where I live is a bedroom community for Houston. We have a lot of nursing homes and also a bunch of assisted living retirement places and are building more. A huge percentage of our population is made up of retired people. They had lake homes here and when they retired they moved here full time and stay here. Even though the county has only two towns with a population of over a thousand, we have 9 prisons with over a thousand filled with people from all over the nation. The prisons as you would expect are hard hit but even there the mortality rate nor the rate of infection is like what you see in the problem cities.

Deb, if there are different mutations, are they such that once you catch one does that usually mean that you are unlikely to catch another version?

I'm not being hardheaded about this stuff but you have to understand that I am a numbers person and the numbers in this are messed up bad. IF the mortality rate really is say 10% as it nearly is in several big cities and if the infection rate is as represented that city will be all but destroyed by that level of population loss over that short of a time when you are that to their regular death rates.

I guess time will tell but other than Houston, most of Texas is throwing off the masks and going back to work. The people that work in places are often required to wear them but the customers are not restricted and most do without them and just keep a little distance. There is a thing that I saw the other day that I liked. There are plastic bracelets that you can get that identify you as recovered and no threat to others. There is a different color for people that for whatever reason are high risk. If you are recovered there is no reason for you to wear a mask.

Off onto another problem, N-95 masks are not meant for long term wear. They restrict your breathing and will cause a build-up of carbon dioxide in your blood. They are having a problem with this in the prisons where the corrections officers are required to wear them constantly. When it builds up it causes all kinds of problems!!

The N-95 was not designed for long term wear. It unlike the surgical mask is made to protect you from small particles in the air while you are doing something like painting or sanding. When you stop you take it off. some of them are made for longer-term use and have a vent that allows your breath OUT to reduce the CO2 buildup. This is all good for you but allows you to infect those around you. The surgical mask was designed to protect a patient from the wearer. It offers very little if any protection to the wearer. The N-95 was not sole or used for medical purposes until this COVID-19 outbreak. There had to be some rules changes to allow #M to sell them to hospitals fo this use.
 
Deb, if there are different mutations, are they such that once you catch one does that usually mean that you are unlikely to catch another version?
Unknown, but as with everything else with this virus it is being treated as an "assumption."

Let's address masks. Most people should NOT be wearing the N-95. The whole idea of the masks is currently misunderstood. They should be worn not as YOUR protection, but as a courtesy to protect others against your germs. I know most people are simply not wearing them, which, in all honesty, in a public store or event I find to be absolutely selfish by the non-wearer. This is my opinion because you can be asymptomatic and have no clue you are spreading it. Our Commissioner of our State Board of Health put it this way on Weds.: Box: Not wearing a mask when going into a store "is a selfish way of behaving. You may very well do fine. But the elderly person that comes behind you may not have that same response to the disease."

Don't wear one in your car, in your home, or even outdoors if you are following social distancing correctly. There are all sorts of controversies about mask wearing, but until everybody figures this out, caution should be the plan in enclosed spaces.

The pool party last weekend in the Ozarks just popped up it's first infection and hundreds of people are now at risk. If you are social distancing outdoors, I can see not wearing one. But these people were packed into a pool and at the bars.

Nursing homes become infected most often by staff who are asymptomatic. Testing of staff has sucked up to this point. Some of the early tests failed to work. Even now there are reports of bad tests out there that miss it and give false results. In NY, and a few other places, instead of moving patients out of the LTC's, they were ordered to keep them there instead of moving them to a hospital setting and they were not hospitalized until too late to even treat. Which spread it even more within facilities because they did not have proper PPE to handle it on site. This also applies to jail settings. This is not like the flu. The Ro rate on it is astronomical and the fact it affects so many organs is what puts it in the SARS category.

Look, you can crunch numbers like crazy but this is a novel virus. It is not acting/behaving/infecting the way any virus ever seen before. We simply don't have a firm handle on this thing so we have to go by what we feel can have an impact on it. People are assuming it's "over" because we are opening back up. Nope. It's not over. The quarantine effort was simply to slow it down. I do agree with Paul that tightly packed communities have a higher chance of spread. And the numbers may be impacted by a variety of issues...not just one.

My opinion is this has been handled poorly from square one. I won't go into all of that because I'd fill a page. But as this beast mutates, hang onto your hats, folks. As we've seen with kids now being impacted with different but deadly symptoms, we don't know what it will do next. I'm not saying live in fear, but I am saying a wise person knows when to take simple precautions for their health and others. The focus has been on deaths....no one has shown how many, many younger folks are now living with after affects of this thing. Somehow the press has managed to avoid that issue.

Each area is going to have it's own "numbers"....look beyond those numbers.
 
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