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May the source be with you, but remember the KISS principle ;-)
Skepticism and critical thinking is not panacea, but can help to understand the world better
Medical personnel are severely affected in such cases and some even young of them died. The deaths of doctors in their 20s and 30s in China naturally sparks concern about the coronavirus' risk to younger people, rather, the doctors' deaths highlight an unfortunate reality of any new and evolving outbreak: Healthcare workers on the front lines face a higher risk of contracting the disease.
Healthcare workers are particularly vulnerable to COVID-19 for a handful of reasons. First, the coronavirus is highly contagious, and medical staff members are exposed to more viral particles than the general public because they interact with so many sick people.
Exhaustion is another reason medical workers have high vulnerability to infection
Others include lack of training in personal protective equipment, contaminated surfaces, close contact with sick patients, and typical for situation during epidemics — medical personnel working outside their area of expertise.
In a crisis situation without proper training, medics rushing to the front then easily became infected, and spread infections to others.
Once you get an infected healthcare worker, then there’s extra workload on the others.
Only the people trained ... should be allowed to have access to sick pacients in highly infectionpous environment.
On early stages of epidemic in China out of 138 patients studied at one Wuhan hospital, 29% were healthcare workers. One coronavirus patient was initially sent to the wrong ward because they displayed atypical symptoms, so went on to infect at least 10 medical workers.
60% of of the initial set of Wuhan medics were infected. Number of critical cases was slight higher then in general population. More then a dozen died. Health workers fighting coronavirus in China die of infection, fatigue - Los Angeles Times by Alice Su (Feb 25, 2020)
Chinese health authorities and a team from the World Health Organization reported Monday evening that 3,387 health workers in China had been infected with COVID-19, more than 90% of whom were in Hubei province, the outbreak’s ground zero.
... ... ...
The Times counted at least 18 reported deaths of medical workers involved in the COVID-19 response as of Monday, including nurses and doctors who died not because of infection but because of cardiac arrest or other ailments due to overwork and fatigue. One victim was hit by a car while taking temperatures on a highway.
The most recent were three doctors who died in one day, all infected with COVID-19. One of them, Xia Sisi, a gastroenterologist in Wuhan, was 29. Another physician, Peng Yinhua, also 29, died in Wuhan of infection on Feb. 20. He had delayed his Feb. 1 wedding, promising his pregnant fiancee they’d have the ceremony after the outbreak had passed.
Most of the infected medical workers are in Hubei, many of them part of the initial response in Wuhan, when shortages of protective gear, understaffed hospitals and transportation shutdowns collided with an overwhelming number of patients. The stories of doctors and nurses tell of clever improvisation and quiet perseverance in a war against a mysterious virus.
A doctor in Wuhan told The Times in a phone interview Jan. 29 that 12 out of 59 doctors in his hospital were showing symptoms of the virus, including lung infections — but continued to treat patients while wearing insufficient protective gear.
Since then, he and other medical workers have been told to stop speaking to the press.
The death of Wuhan front-line nurse Liu Fan, 49, is a diary of how cruel and ravenous the virus is.
Liu’s brother, Chang Kai, a film director, wrote a final letter describing what had happened to his family. All four members were infected with the virus after being quarantined at home in close quarters. Unable to get a hospital bed amid Wuhan’s shortage, Chang’s father died at home Feb. 3. His mother died Feb. 8.
Addressing his son in London, Chang’s letter reads: “I went to hospitals begging and weeping, but I am too low and insignificant.... All my life I’ve been a faithful son, a responsible father, a loving husband, an honest person. Farewell! To those I love and those who love me.”
Chang died on Feb. 14; Liu hours later.
A doctor in Wuhan tends to a coronavirus patient
A doctor attends to a coronavirus patient in an isolation ward at a hospital in Wuhan. (Chinatopix)
There are also deaths from overwork. They include Song Yingjie, a 28-year-old pharmacist, who was single-handedly managing his hospital’s medicine prescriptions, then checking temperatures at a highway stop at night. He worked until midnight on Feb. 2, standing on the roadside in freezing wind, according to a colleague who was with him. It was his 10th consecutive day on the virus response team.
He was found dead in his hospital dormitory the next afternoon. The cause was cardiac arrest from exhaustion.
Another was Wang Tucheng, 37, a doctor in Henan’s Xinwangzhuang village who was found dead on Feb. 10 in his clinic. His diagnosis was also cardiac arrest due to overwork and fatigue.
In Nanjing, Xu Hui, leader of a hospital’s virus control group, worked for 18 days straight, then went home after a meeting on Feb. 6, “lay down and never got up,” according to state media. She was 51.
Exhaustion is one reason medical workers have high vulnerability to infection, said John Nicholls, a Hong Kong University pathologist who worked on the 2003 SARS outbreak (he never saw deaths from overwork during the fight against severe acute respiratory syndrome, though). Others include lack of training in personal protective equipment, contaminated surfaces, close contact with sick patients, and — perhaps most pertinent to China’s situation — people operating outside their area of expertise.
When SARS broke out, doctors from different departments were asked to join the front lines, Nicholls said. But many medical workers weren’t properly trained for procedures such as intubation in a high-risk infectious disease environment.
In a crisis situation without proper training, medics rushing to the front then easily became infected, and spread infections to others. Nicholls sees a similar pattern with COVID-19.
“I’m not surprised. I’m disappointed that people didn’t learn from SARS,” he said. “The worse thing is once you get an infected healthcare worker, then there’s extra workload on the others.”
“There has to be a sense that only the people trained ... should be allowed to have access, not to allow any people who are willing but maybe not properly trained with the skills,” he said.
China has sent tens of thousands of medical workers from all over the country to bolster relief efforts in Wuhan. It’s a major focus of state propaganda. The narrative features few details on whether the teams receive protective training or other safety measures. Instead, many state videos play inspirational music as doctors and nurses pump their fists, shout patriotic slogans, and prepare for “battle.”
Gaochao Zhang and Nicole Liu of The Times’ Beijing bureau contributed to this report.
Mar 27, 2020 | www.moonofalabama.org
Likklemore , Mar 26 2020 18:54 utc | 2there are shortages of masks and gloves for the frontline so joe and jane may not be allowed. Governments are partnering with manufacturing companies. How bad is it?
In the Inbox: As a result of these posts on social media -
Hospitals Muzzle Doctors and Nurses on PPE, COVID-19 Cases"Physicians are being warned not to speak or post publicly about their COVID-19 experiences, including PPE shortages, case specifics, and the percentage of full hospital beds,[.]
and who shall live and who shall die...
Hospitals across U.S. consider universal do-not-resuscitate orders for coronavirus patientsHospitals on the front lines of the pandemic are engaged in a heated private debate over a calculation few have encountered in their lifetimes - how to weigh the "save at all costs" approach to resuscitating a dying patient against the real danger of exposing doctors and nurses to the contagion of coronavirus.
The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment - such as masks, gowns and gloves - may be too great to justify the conventional response when a patient "codes," and their heart or breathing stops.
Northwestern Memorial Hospital in Chicago has been discussing a universal do-not-resuscitate policy for infected patients, regardless of the wishes of the patient or their family members - a wrenching decision to prioritize the lives of the many over the one.[.]
Canada and U.S. were in discussions?
U.S. considers putting troops at Canadian border.
Really? How does one divide the library?
Canada says unnecessary
Mar 27, 2020 | www.moonofalabama.org
VietnamVet , Mar 27 2020 3:03 utc | 121Exactly, a containment strategy with universal testing and quarantine of the infected (ill and asymptomatic) at home or safe facilities is required keep western society from collapsing from this and future waves of the novel coronavirus until a treatment or vaccine is developed.
The problem in the USA is that this will require the reconstruction of the government and a national public health system to run the monitoring and quarantine system. Instead, the corrupt oligarchy will use government money to rescue themselves rather than saving the lives of Americans.
Mar 27, 2020 | www.moonofalabama.org
john brewster , Mar 26 2020 22:56 utc | 77The neoliberal wrecking of our hospital system has been widely cited as a cause of the crisis. Among other things, hospitals reduced the number of beds, sold ventilators, and ran down supplies of masks and protective clothing in order to increase profitability.
On the way to this crisis, the private hospital industry gave the American public the actions and the rhetoric of the Milo Minderbinder character from Catch-22:What's good for M & M Enterprises will be good for the country.
Milo stripped out and sold all kinds of life-saving kit: morphine vials, parachutes, CO2 inflator cartridges for life vests. Milo epitomizes the neoliberal short-term, bottom-line, zero-redundancy world view that has looted America and corrupted its democracy over the last 40 years.
Just like the hapless flightcrew in Catch-22, Americans are discovering the true meaning behind the private hospitals' claim that what was good for their corporations was good for the "crew" as they survey the looted and privatized corpse of their healthcare system.
What was satire 50 years ago, is reality today. We had a preview of this when Rumsfeld ran the DoD.Was Donald Rumsfeld channeling Milo (and laughing up his sleeve) when he said:
It is clearly cost-effective to have contractors for a variety of things that military people need not do, and that, for whatever reason, other civilians, government people, cannot be deployed to do...
But I personally am of the view that there are a lot of things that can be done on a short-time basis by contractors that advantage the United States and advantage other countries who also hire contractors. And that any idea that we shouldn't have them, I think, would be unwise.
- D. Rumsfeld, Rumsfeld's Speech on the Future of Iraq (2005)
Exactly when did America become a bunch of out-takes from Catch-22?
Mar 26, 2020 | www.unz.com
Pandour , says: Website Show Comment March 25, 2020 at 4:04 pm GMT@UncommonGround ,,,As of March 19th there were 93 Corona deaths in Bergamo and counting. As of March 19th five Italian doctors and 13 medics have lost their lives with 2,629 health workers infected, or 8,3 per cent.
Mar 25, 2020 | www.moonofalabama.org
Jen , Mar 25 2020 0:27 utc | 117Arby @ 114:
I was reading an article in a specialist medical newspaper at the doctor's surgery this morning while waiting to pick up my blood test results. The article was written by a doctor who was part of an Australian medical delegation visiting China recently. Among other things the doctor mentioned was that government services personnel had been redeployed into other areas away from their usual ranges of expertise. He saw a woman giving instructions to medical personnel on how to wear medical gowns. He assumed she herself was a doctor; she turned out to be a receptionist.
Mar 24, 2020 | www.unz.com
John Johnson , says: Show Comment March 24, 2020 at 3:47 am GMT@AaronInMVD Yes, being sick sucks. Just would many of these people who are sick and suffering have gone to the hospital if it wasn't for the damned panic.
In Italy the hospitals are completely overwhelmed and it has nothing to do with panic.
They are doing military triaging and medical workers are about to collapse. They have more hospital beds per capita than the US so we definitely don't want to end up like them.
In the US there are probably people showing up at hospitals for tests but that is the fault of the government (including Democrats) for not getting enough tests ready. Even today there aren't enough tests and it is unlikely they will meet demand within weeks if not months.
Democrats are blaming Trump but they were the ones calling travel bans racist and they didn't have anything to say about tests when it was starting to spread two months ago. They were focused on the primary and getting rid of Bernie.
Mar 24, 2020 | www.moonofalabama.org
Peter AU1 , Mar 24 2020 2:13 utc | 140Talking to my daughter this morning. Husband and wife returns from overseas. No testing an quarantine for people coming . They go home do whatever, husband feels a bit crook, tests positive for coronavirus. Hospitalized, on a ventilated and will soon die. She is at a private hospital and this is at the public hospital. no medical staff working with this patient wore protective gear.
I had thought we where following China closely on dealing with this but man was I wrong. Total fuckwits collecting seashells on the seashore as the tsunami approaches.
Sent my daughter links to the pdf handbook put out by the Chinese doctors who worked on the frontlines. Covers PPE and much else. She is now passing it around to the other nurses.
Doctors in Australia had started using chloroquine if they could not obtain other antivirals. Apparently the government has now stopped them from doing this.
Mar 24, 2020 | www.moonofalabama.org
Vig , Mar 24 2020 6:52 utc | 180Pundita's here is a case story of two female 29 year old Chinese health workers, one survives, one dies.
Mar 23, 2020 | independent.co.uk
Coronavirus: NHS doctors feel like 'lambs to slaughter' without protective kit, warns senior medic. 'We must really stress to the prime minister that we need to protect the front line here'
Doctors battling the coronavirus outbreak feel like "lambs to the slaughter" without adequate protection equipment, a senior medic has said.
Dr Rinesh Parmar, chair of the Doctors' Association, said frontline NHS staff were being treated as "cannon fodder" as he launched a desperate appeal to Boris Johnson for more resources to keep medics safe.
Dr Parmar, a consultant anaesthetist who is working on a Covid-19 intensive care ward, said it was the "calm before the storm" and NHS staff were braced for a surge in cases.
His warning came as nearly 4,000 NHS workers appealed to the prime minister to "protect the lives of the life-savers" and resolve the "unacceptable" shortage of protective equipment.
Dr Parmar told the BBC's Andrew Marr Show: "We have had doctors tell us they feel like lambs to the slaughter, that they feel like cannon fodder. GPs tell us that they feel absolutely abandoned.
... ... ...
In an open letter to The Sunday Times, some 3,963 doctors said staff were "putting their lives on the line every day" by treating coronavirus patients without appropriate protection.
The letter said: "Frontline doctors have been telling us for weeks that they do not feel safe at work.
"Intensive care doctors and anaesthetists have told us they have been carrying out the highest-risk procedure, putting a patient on a ventilator, with masks that expired in 2015."
Mar 23, 2020 | www.moonofalabama.org
Mina , Mar 22 2020 17:05 utc | 31Chronology of the death of a French doctor today. Came back from a trip to Madagascar a month ago in good shape. Was working at Compiegnes, which because a cluster in mid-February when it received a taxi driver who was positive and treated him without special precautions. Got sick and was quarantined 3 weeks ago, i.e. early March, two weeks after exposition.
Died today. That is to say that most of the dead we see now might have been affected since mid-Feb.
Jan 26, 2020 | cnnphilippines.com
In Wuhan, ground zero for the virus, four healthcare workers -- including doctors -- have told CNN of the difficulties facing medical crews on the ground. They have asked to remain anonymous to avoid repercussions.
Through telephone conversations with CNN and posts on Chinese social media, they told of low hospital resources. In private groups online, those identified as hospital staff are coordinating with members of the public to import protective equipment as they treat an increasing number of infected patients.
"In terms of resources, the whole of Wuhan is lacking," one Wuhan-based healthcare worker told CNN by phone. This person said they were looking for more protective clothing, protective goggles and masks.
"It's really like we're going into battle stripped to the waist," one healthcare worker added, using a Chinese idiom that equates to "going into battle without armor".
One hospital staff member claims healthcare workers have resorted to wearing diapers to work so as to avoid having to remove their HAZMAT suits, which they say are in short supply. A doctor on her Chinese social media Weibo page described similar accounts at another Wuhan hospital.
"My family members are definitely worried about me, but I still have to work," another doctor told. But she said that she is hopeful they will ultimately get the gear they need. "Our bosses, our hospital suppliers will definitely find a way to get these stocks to us," she added.
It's not clear if these accounts are anecdotal or whether there are widespread shortages across Wuhan.
Chinese state media has also shared posts from multiple Wuhan hospitals in which they ask for public donations of medical supplies. They report that one hospital staff member said the current supplies "are only able to sustain three or four days".
The Wuhan Health Commission has requisitioned over 10,000 beds from 24 hospitals to be used in the treatment of confirmed and suspected cases.
On Friday, Wuhan officials acknowledged that local hospitals were struggling to accommodate people seeking medical attention and said measures were being put into place to alleviate the situation.
State media also reported that the city aims to build a 25,000 square meter (269,100 square foot) new facility within a week, increasing hospital capacity by 1,000 beds, and that several medical centers in Hubei province are asking for medical gear donations.
Mar 22, 2020 | www.moonofalabama.org
Mina , Mar 22 2020 12:57 utc | 154Another reason for the curves in chaotic Fr/It/Sp is a point underlined by Campbell on 19/3 about
the fact the soccer team Manchester United has opened up its hotel free of charge for medical
staff, so that they can return from work to a neutral place rather than to their families and spread
the bug further. Such measures have been applied in Asia and they should have been on the mind of
the EU gov, but apparently they were too busy thinking about their luxury holidays or their shares
in the stocks.
Mar 22, 2020 | www.zerohedge.comHuge jumps in COVID-19 deaths and cases have been reported in the UK, Germany, Spain, Italy, and France this weekend. Hospital systems in many of these countries are running out of supplies, staff, hospital beds, and ICU-level treatments.
The shortage of protective gear for medical staff at many European hospitals has forced some to tape trash bags to their bodies as makeshift biohazard suits.Nurses in England Wearing Trash Bags to Protect from COVID-19
Bloomberg interviewed Samantha Gonzalez,52, who works at the Txagorritxu hospital in Vitoria-Gasteiz, Alava, Spain. She warned: "This is not the first world anymore -- it's a war" amid surging virus cases in the country.
Across Europe on Saturday, deaths accorded to the fast-spreading virus soared, with Italy reporting a record 793 deaths on Friday, and Spain reporting another 300 cases, bringing their totals to 4,825 and 1,326.
The UK also reported another string of deaths, as millions await a lockdown order on London , while hospitals and intensive care units in Italy and Spain are struggling to cope, despite some Madrid hotels being temporarily converted and of the Fair of Madrid, the capital's main exhibition space.
One of the leading hospitals in Bergamo, northern Italy, the current epicenter of the virus outbreak in Europe, has run out of hospital beds, and ICU-level treatment, as an influx in patients, has overwhelmed the facility . The sick are being transferred to offsite locations, equipped with oxygen machines.
From Italy to Spain to other regions in Europe, hospital systems are at full capacity, canceling non-urgent surgeries, and appointments to handle the influx of virus patients. In a couple of weeks, countrywide shutdowns like what's happening in Italy could be the norm across many European countries.
Giovanni Rezza, head of the infectious diseases department at Rome's Superior Health Institute, said, "Italy wasn't completely prepared for the coronavirus:"
"It's only in some two weeks that Italy will find out whether the government's nationwide lockdown and social distancing rules have had an impact," said Rezza.
"The lockdown is only delaying the spread of the epidemic, we expect that there will be new outbreaks in future. But in the meantime we have to equip hospitals with more intensive care beds, even in Lombardy which is one of the best-equipped regions in Europe."
The biggest challenge for European hospital systems is having enough protective gear for medical staff.
In Spain, 3,500 Spanish doctors have contracted the virus, which is 12% of the total number of cases detected. With the lack of gear, doctors and nurses are more susceptible to contracting the virus, which could cause medical staff shortages that would undoubtedly lead to high mortality rates.COVID-19 Map
"Just in the nephrology department, three out of 13 colleagues have fallen ill, one of them seriously," said Giuseppe Remuzzi, a former head of the department of medicine at the Papa Giovanni XXIII hospital in Bergamo, Italy, who has joined efforts to contain the pandemic. "This is a scary, terrible situation."
Medical staff have been instructed to swap out old protective gear every four hours, which includes changing face masks, splash guard googles, and biohazard suits. Since supplies are limited, doctors and nurses are making their own bio hazmat suits with taping garbage bags on their body.
"This thing blew up on us," said Pelayo Pedrero, the head of labor risk prevention at doctors' union AMYTS in Madrid, Spain. "No one was ready for this. They didn't buy the supplies, they didn't prepare the hospitals to receive and treat all these patients. Not just in Madrid or Spain, but all over Europe."
To sum up, the evolution of the virus crisis is that medical gear shortages could lead to labor shortages at hospitals across Europe because medical staff aren't adequately protected against the virus. Europe has become the new China. And in the weeks ahead, parts of the US could transform into Italy .
Mar 22, 2020 | www.moonofalabama.org
JC , Mar 21 2020 22:04 utc | 41ben | Mar 21 2020 20:49 utc | 19
Best watch CGTN....
Live: Medics leave Wuhan after supporting the coronavirus-hit city
Last night watched CGTN TV with Huawei Honor smartphone.
"....team from SW China's Sichuan Province leaves Wuhan today...brings you this bittersweet goodbye."
- Worked 8-12hrs shift.... 100 plus medical workers, 57 days ago leaving spouse, children and parents behinds
- Initially none or limited N95 masks - wore double for protection..
- In capitalist USA.... Fxxk the company or country, Strike, protests...
- 16 makeshift hospitals disbanded but two 16,000 beds still in operations.
Mar 17, 2020 | www.moonofalabama.org
DFC , Mar 17 2020 20:59 utc | 35What is happening now in Italy explained by one of the doctors fighting the pandemic in Bergamo, this was on 9 March, today the situation in Bergamo and all Italy is much worse with this "normal flu" (sarc):
Dr Daniele Macchini's post, translated by Dr Silvia Stringhini
"After much thought about whether and what to write about what is happening to us, I felt that silence was not responsible.
"I will therefore try to convey to people far from our reality what we are living in Bergamo in these days of Covid-19 pandemic. I understand the need not to create panic, but when the message of the dangerousness of what is happening does not reach people I shudder.
"I myself watched with some amazement the reorganization of the entire hospital in the past week, when our current enemy was still in the shadows: the wards slowly 'emptied', elective activities were interrupted, intensive care were freed up to create as many beds as possible.
"All this rapid transformation brought an atmosphere of silence and surreal emptiness to the corridors of the hospital that we did not yet understand, waiting for a war that was yet to begin and that many (including me) were not so sure would ever come with such ferocity.
"I still remember my night call a week ago when I was waiting for the results of a swab. When I think about it, my anxiety over one possible case seems almost ridiculous and unjustified, now that I've seen what's happening. Well, the situation now is dramatic to say the least.
"The war has literally exploded and battles are uninterrupted day and night. But now that need for beds has arrived in all its drama. One after the other the departments that had been emptied fill up at an impressive pace.
"The boards with the names of the patients, of different colours depending on the operating unit, are now all red and instead of surgery you see the diagnosis, which is always the damned same: bilateral interstitial pneumonia.
"Now, explain to me which flu virus causes such a rapid drama. [post continues comparing Covid19 to flu, link here]. And while there are still people who boast of not being afraid by ignoring directions, protesting because their normal routine is 'temporarily' put in crisis, the epidemiological disaster is taking place. And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us.
"Cases are multiplying, we arrive at a rate of 15-20 admissions per day all for the same reason. The results of the swabs now come one after the other: positive, positive, positive. Suddenly the E.R. is collapsing.
"Reasons for the access always the same: fever and breathing difficulties, fever and cough, respiratory failure. Radiology reports always the same: bilateral interstitial pneumonia, bilateral interstitial pneumonia, bilateral interstitial pneumonia. All to be hospitalized.
"Someone already to be intubated and go to intensive care. For others it's too late... Every ventilator becomes like gold: those in operating theatres that have now suspended their non-urgent activity become intensive care places that did not exist before.
"The staff is exhausted. I saw the tiredness on faces that didn't know what it was despite the already exhausting workloads they had. I saw a solidarity of all of us, who never failed to go to our internist colleagues to ask, 'What can I do for you now?'
"Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we can't save everyone, and the vital parameters of several patients at the same time reveal an already marked destiny.
"There are no more shifts, no more hours. Social life is suspended for us. We no longer see our families for fear of infecting them. Some of us have already become infected despite the protocols.
"Some of our colleagues who are infected also have infected relatives and some of their relatives are already struggling between life and death. So be patient, you can't go to the theatre, museums or the gym. Try to have pity on the myriad of old people you could exterminate.
"We just try to make ourselves useful. You should do the same: we influence the life and death of a few dozen people. You with yours, many more. Please share this message. We must spread the word to prevent what is happening here from happening all over Italy.
"I finish by saying that I really don't understand this war on panic. The only reason I see is mask shortages, but there's no mask on sale anymore. We don't have a lot of studies, but is it panic really worse than neglect and carelessness during an epidemic of this sort?"
And now let the people make "normal life" and acquire "herd immunity", BoJo and a good part of the western governments (if not all) are criminals
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Last modified: March 27, 2020