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As we start to "re-open"

Discussion in 'BBS Hangout: Debate & Discussion' started by ThatBoyNick, Apr 24, 2020.

  1. dobro1229

    dobro1229 Member

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    Or that the younger generation is much more active in the summer and the older generation is rightfully freaked out as they should be and more precautious.

    This is also now known as a disease that creates pulmonary/oxidative stress. So it’s not a lung issue as it is a heart issue. So age isn’t really the risk factor we need to be talking about. It’s diabetes and heart condition.

    I don’t think anyone who is being serious really knows exactly why anything is happening but logic says there’s reason to be hopeful but reason to be super careful right now.

    I would encourage our friends on the right to listen to people’s real stories. Even take my mild experience. I just found out yesterday I’ll be told today officially that my salary reduction will be held till December at the earliest and early this week I lost my Great Uncle to Covid.

    Again... whatever way you lean, just don’t be a Dick.
     
    #1221 dobro1229, Jun 26, 2020
    Last edited: Jun 26, 2020
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  2. Amiga

    Amiga Member

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    i don't know why ppl think skewing to the younger folks is "good". That is happening and...

    1- hospitalization data is trending up (already @ or exceed 100% normal ICU capacity for example)
    2- asymptomatic infected younger folks will eventually spread it to riskier pool... there is no such thing as more infected lead to less infected riskier pool... the lag time for infection in riskier pool increases, but it will eventually happen as the virus spread
    3- it's a new virus that impact many part of the body. The long term effects are not known at this time.

    what you would hope to see is we have better treatments and reduction of spread

    spread is increasing, rapidly in some area
    we probably do have better treatments
     
  3. NewRoxFan

    NewRoxFan Member

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  4. Haymitch

    Haymitch Custom Title

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    Thread on the time gap between increased cases and increased deaths, using Iran as an example. Basically, the "2nd wave" hits younger healthier people first, then goes to more vulnerable folks later. Thus the lag in Iran was about 3-4 weeks.

     
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  5. dobro1229

    dobro1229 Member

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    I was often asked (per the bold) why did we even Quarantine to begin with, and my answer always goes right to your point. Would you rather get a novel virus when doctors have no idea how to treat you, or would you rather get a novel virus where doctors have months of experience under their belt to know a little bit more about how to treat you? What you bought yourself by quarantining is time for doctors to learn a bit more so if you get it after we "re-open" you'll be a bit better off in getting it treated.

    The issue now is hospital effectiveness when over max capacity. To me, that's a HUGE issue. I've had loved ones in the ICU. I know how important it is to have really good nursing and have the doctors closer by and not be in situations where you have an issue flare up, and the doctor is across town at another hospital, and you have to wait 5 hours.

    What we do know now is that young people are going to the hospital too very very often. You'll probably be lucky if you have a mild case. I think the latest data I saw showed even younger people are still going to the hospital something like 25 to 30% of the time. That's actually ALOT, and a very high risk that if you get it, you'll have one of if not the worst experience of your life. Put in other terms, if you had those odds in Vegas, Vegas would go out of business.
     
  6. NewRoxFan

    NewRoxFan Member

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    Houston *downgraded* to worst threat level, returning area to March/April guidelines (though thanks to abbott/trump, can't enforce these)...



    Meanwhile abbott closes all bars in Texas...

     
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  7. marks0223

    marks0223 2017 and 2022 World Series Champions
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  8. Rashmon

    Rashmon Member

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    This is great news...
    [​IMG]
     
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  9. bigtexxx

    bigtexxx Member

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    I didn't say that we're out of the woods. Quit projecting.
     
  10. NewRoxFan

    NewRoxFan Member

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    Gov. Abbott gambled Texas' reopening on contact tracing. Here’s how it went bust

    AUSTIN — Gov. Greg Abbott was certain that contact tracing would help dig Texas out from the worst of the coronavirus pandemic.

    As he prepared to reopen the state in late April, the governor boasted that more than 1,000 tracers were in place to track down infections and advise anyone exposed to stay home. A website was up and running. Within weeks, thousands more tracers would be deployed and the technology to manage their progress available statewide.

    “What that process does is, it will box in the expansion of COVID-19,” Abbott said in a press conference April 27.

    But local health officials say standing up an army of tracers and the infrastructure to support them has been far more complicated than it may have seemed. Key components of state and local tracing programs were not in place as Abbott expanded reopenings in May and June, even as cases began to rise and testing for the virus fell short of expectations.

    “It was a plan,” said Rebecca Fischer, an epidemiologist who leads a team of contact tracers at Texas A&M University. “I think the impression was that it was ready to roll out.”

    The rushed debut, compounded by an outdated reporting system and delays in processing tests for the virus, made it difficult for tracers to head off the rise in cases now sweeping across Texas, according to health officials.

    As its largest cities brace for a surge that has already tripled COVID hospitalizations in a month, the state is becoming a textbook example of the dangers of opening without time-tested public health measures fully in place.

    On Thursday, the governor announced he is delaying further reopenings and postponing elective surgeries at hospitals in four of the state’s hardest hit counties to make room for more coronavirus patients.

    “There is a massive outbreak of COVID-19 across the state of Texas,” Abbott, a Republican who was among the first governors to push for a re-opening, said in a TV interview Wednesday.

    With cases multiplying, some city health departments are buried in paperwork, struggling to keep up.

    “If we look at the efficacy of contact tracing in other countries where that worked, that contact tracing happened when the places were generally shut down, when people were not moving around,” Dr. Mark Escott, interim health director at Austin Public Health, told Travis County commissioners Tuesday. “That’s not happening here. Things are still open, and we’re trying to contact when we’re getting hundreds, perhaps more than a thousand cases a day being reported in.”

    While state health officials acknowledge that the system was a work in progress, they said key pieces were in place by late April, as Abbott said.

    “We will be adding more functionality over time, but that core ability to do contact tracing was there on April 27 with Texas Health Trace,” said Chris Van Deusen, a spokesman for the Department of State Health Services, referring to the state’s online tracing portal.

    A spokesman for the governor declined to comment.

    ‘Still on hold’

    Unlike states that were broadsided by the pandemic early on, Texas had time to prepare. When the statewide lockdown was lifted in late April, the state had already unveiled Texas Health Trace. Anyone could enter their symptoms, see if they needed testing and potentially connect up with a tracer.

    The more critical, behind-the-scenes components were not yet in place. The state was still unable to help with tracing in counties with stretched resources, and there was no way for local health departments to seamlessly input their case data each day. Some departments that are doing tracing themselves, including those in Houston and Harris County, are still not using Texas Health Trace to report their data.

    “We hoped this plan had all these new hires and this system was going to be a go any day,” said Fischer, the epidemiologist at Texas A&M. “Then week to week we were attending these conference calls and talking about redirecting staff, and every week it was like, we’re still on hold, still on hold.”

    By the end of May, the state had nearly tripled its tracing fleet but was still well short of the governor’s goal of 4,000, which itself was lower than some national models had recommended. The state health agency said it had enough tracers, and that local health entities were taking the lead whenever possible.

    “The 4,000 was an estimate based on the population,” Van Deusen said in early June. “That gave us a broad target to start out with. But as we’ve started out, that’s enough people right now to handle this, certainly at the state level to handle all the cases we get.”

    New cases, though, had already begun climbing after Memorial Day, and some tests weren’t processed for weeks as a limited network of health labs became inundated with samples. When turnaround slows, tracing is less effective because contacts who were exposed have time to spread the virus unwittingly.

    With the state still working to update its data management system, cities and large counties that had opted to oversee their own response launched updated tracing programs. In College Station, the county hired a team of case investigators overseen by Fischer and set up its own data management system. The San Antonio Metropolitan Health District hired a contractor to conduct tracing through automated text messages.

    Houston and Harris County hired hundreds of new tracers and partnered with the University of Houston College of Medicine to get them quickly trained.

    The Houston Health Department launched an online tracing program just last week, and it’s currently only available in English — a challenge for the most diverse city in the country. It was still hiring and training staff when the state announced nearly all businesses could reopen in limited capacity May 18.

    Having more time “would have definitely put us in a better situation,” said Kirstin Short, the department’s bureau chief of epidemiology. “A lot of it is logistics. Contact tracing is not an easy thing. Developing an online system is not an easy thing.”

    The Houston tracing application, while still new, likely has only about a 10 to 20 percent participation rate, Short said.

    “On one hand that seems low, but when you’re looking at 900 cases, that could be 180 people who we’re reaching,” she said.
    Too many leads, too few callbacks

    Health officials have always had challenges getting people to pick up the phone. Anita Kurian, assistant director of San Antonio Metropolitan Health, said earlier this week there were about 2,500 positive cases still under review. The health department had received responses from 300.

    “An overwhelming majority of folks are not contacting us back,” she said.

    Some agencies have had more luck than others, and it can be particularly challenging to reach those in and around the undocumented community, who may be nervous about giving information about themselves or their close contacts, according to health officials. Some have had better success when texting first, though it can still be a challenge.

    “Let’s be honest, I don’t care if you use an alias,” Fischer said. “You can say you’re Winnie the Pooh, as long as I can get Tigger on the phone.”

    Several departments say they are falling behind as cases multiply and parts of the process are still stuck in the paper age. In Austin, Escott told commissioners Tuesday that test results are being faxed in, sometimes hundreds by the day.

    “I’m concerned that the public is overly reliant on that contact tracing piece because public health has sold that as a solution,” he added. “It’s a good solution; it works in some circumstances, but right now across the state of Texas we’re getting reports from jurisdictions that they simply cannot contact trace everybody.”

    https://www.houstonchronicle.com/po...utm_medium=collection&utm_campaign=hcpromomod
     
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  11. ROXTXIA

    ROXTXIA Member

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    Then stop with the happy talk. This is a great big godd**ned mess and Trabbott put us there.
     
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  12. Ziggy

    Ziggy QUEEN ANON

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    I never doubted this would be the case. Especially in Houston. We BALL in Texas.
     
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  13. SamFisher

    SamFisher Member

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    The shame is that people who sacrficed and got their epidemic under control in states that acted responsibly will now face new epidemic because these huge outbreaks in the early reopen states will seed more outbreaks

    **** you Trump Desantis Abbott and any of you who voted for them.
     
  14. Invisible Fan

    Invisible Fan Member

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    You can pretend you already won, and use your betting money for a charity that needs it right now, you weirdo.

    Just did one right now for you.

    You are impactful.
     
    #1234 Invisible Fan, Jun 26, 2020
    Last edited: Jun 26, 2020
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  15. CCorn

    CCorn Member

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    I still have 1.25 hours to bar hop. Brb
     
  16. SamFisher

    SamFisher Member

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    Up for a tipjar bet on Auschwitz or Birkenau?

    Shut the **** up.
     
  17. Ziggy

    Ziggy QUEEN ANON

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    Wait, DOWNGRADED? So is the meeting at 10am or 2pm now? :D
     
  18. CCorn

    CCorn Member

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    I think it means we can only go to bars that are full of neck beards discussing craft beer flavor profiles.

    @Xerobull
     
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  19. DVauthrin

    DVauthrin Member

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    I’m glad Abbott finally put his big boy pants and decided to lead. I do, however, think he should also either let local officials make wearing a mask mandatory and support their orders or make it mandatory across the state himself.

    It is a shame that it took things getting out of control at a rate of epic proportions for him to do the right thing and scale back Texas’ reopening.
     
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  20. Andre0087

    Andre0087 Member

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    Doesn't she mean upgraded?
     
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