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Old Mar 11, 2020, 10:13 am
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In order to reduce noise in the Coronavirus / Covid-19 : general fact-based reporting thread, and to create a central place to invite any member to ask a basic question about the impact of COVID-19 on travel, your moderators have decided to open this separate "lounge" thread for related discussion that isn't strictly fact-based reporting.
Any member who can provide a constructive, helpful answer to a question; or post constructively in reply to a member's point-of-view, is welcome to post.

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Discussion of general economic impacts of Covid-19 belongs in the OMNI forum, not here.
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Old Mar 8, 2020 | 2:43 pm
  #226  
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Originally Posted by nk15
Fauci today:

"This will be a recommendation," Fauci said. "If you're a person with an underlying condition and you are particularly an elderly person with an underlying condition, you need to think twice about getting on a plane, on a long trip. And not only think twice, just don't get on a cruise ship." (bolding mine)

https://www.msn.com/en-us/health/hea...cid=spartanntp
And the CDC was apparently not allowed to tell the public that ”elderly and physically fragile Americans“ should not fly.

https://apnews.com/921ad7f1f08d7634bf681ba785faf269

“The White House overruled health officials who wanted to recommend that elderly and physically fragile Americans be advised not to fly on commercial airlines because of the new coronavirus, a federal official told The Associated Press.The Centers for Disease Control and Prevention submitted the plan as a way of trying to control the virus, but White House officials ordered the air travel recommendation be removed, said the official who had direct knowledge of the plan. Trump administration officials have since suggested certain people should consider not traveling, but have stopped short of the stronger guidance sought by the CDC.”
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Old Mar 8, 2020 | 2:54 pm
  #227  
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Originally Posted by notquiteaff
And the CDC was apparently not allowed to tell the public that ”elderly and physically fragile Americans“ should not fly.

https://apnews.com/921ad7f1f08d7634bf681ba785faf269

“The White House overruled health officials who wanted to recommend that elderly and physically fragile Americans be advised not to fly on commercial airlines because of the new coronavirus, a federal official told The Associated Press.The Centers for Disease Control and Prevention submitted the plan as a way of trying to control the virus, but White House officials ordered the air travel recommendation be removed, said the official who had direct knowledge of the plan. Trump administration officials have since suggested certain people should consider not traveling, but have stopped short of the stronger guidance sought by the CDC.”
Are we going to be another China?

In Taiwan, there were a lot of discussions on the cover-ups on Mainland China and people ask "could this happen in Taiwan"? In China, apparently one of the blames being laid out was the HuBei provincial officials were waiting for the Central Government's approval on alarming people.

The medical people in Taiwan said that Taiwan has a process where decisions and announcements are made by the TW CDC and it does not require higher approval. The TW CDC is pretty transparent (but they do try to downplay some stuff to avoid adding fear) and so far has most people's trust. Taiwan's politic is as polarized as the US but both sides in general trust their CDC so far.

Trust is very important right now.

Last edited by username; Mar 8, 2020 at 3:37 pm
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Old Mar 8, 2020 | 3:59 pm
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Originally Posted by username
Are we going to be another China?
There is some evidence of that, such as the lack of transparency on the testing numbers, the CDC cancelling scheduled tele-briefings and being slow to update numbers, and the CDC recommendations being screened/approved/edited by politicians.

My hopes were and still are that this being an election year everyone will be on their best behavior and doing their best, but the flip side risk of that is possible minimizing and cover ups.

On the other hand, someone could argue that these are efforts to be balanced and measured, and keep a balance between public health, economy, individual freedoms and quality of life, but this is somewhat subjective and debatable, too. But let's avoid OMNI stuff.
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Old Mar 8, 2020 | 4:21 pm
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Originally Posted by nk15
There is some evidence of that, such as the lack of transparency on the testing numbers, the CDC cancelling scheduled tele-briefings and being slow to update numbers, and the CDC recommendations being screened/approved/edited by politicians.
Then there's local health departments, like this

https://www.oregonlive.com/coronavir...good-time.html
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Old Mar 8, 2020 | 4:23 pm
  #230  
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Originally Posted by notquiteaff
And the CDC was apparently not allowed to tell the public that ”elderly and physically fragile Americans“ should not fly.

https://apnews.com/921ad7f1f08d7634bf681ba785faf269
Ironically, and unfortunately, "elderly and physically fragile individuals" is the likely prime target audience for cruises...
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Old Mar 8, 2020 | 4:28 pm
  #231  
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Originally Posted by nk15
Ironically, and unfortunately, "elderly and physically fragile individuals" is the likely prime target audience for cruises...
any government that cares more about its citizens' health than the cruise industry's profits should be advising all their citizens, especially the elderly, to avoid cruises for the time being and pressure the industry into giving out refunds.
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Old Mar 8, 2020 | 4:34 pm
  #232  
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Originally Posted by enviroian
All I've read is the alcohol % needs to be at least 60.
Thanks, that's what I read too. I wish I could have gotten rubbing alcohol. Store shelves are empty.

I will take both products, as wipes, and will be mindful of the other comment about violet water. I certainly won't spray it about randomly.
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Old Mar 8, 2020 | 5:33 pm
  #233  
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Originally Posted by bobbytables
I wouldnt call it severe. Trains and flights are still running and anyone with a work, medical or other good reason to need to travel is allowed to.

It will likely be ineffective. Hopefully other countries will learn from that what public health authorities and experts have been saying all along - travel restrictions are unnecessary and ineffective.
Since it can be spread by those without symptoms there's no stopping it. However, we will probably have a vaccine or treatment in time, the more we slow it down the fewer people will die before that happens. And by keeping the case count down we reduce the number that die because they can't get medical care.
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Old Mar 8, 2020 | 6:41 pm
  #234  
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You know what will effectively stop cruising? If insurance companies pull plug covering ships/crew and individually people taking cruises.

I'm surprised that they have not done it yet. Travel insurance companies in split second invalidate your coverage if you travel in 'known, affected areas'. Why can't cruise ships being designated such 'areas' before even cruise takes place?

Last edited by invisible; Mar 8, 2020 at 7:12 pm
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Old Mar 8, 2020 | 7:21 pm
  #235  
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Originally Posted by FlyBitcoin
If you have to catch this, odds are the later you catch it, the better you will do, all things considered, IF there is an ICU bed for you in the unlikely event you need it.
I am coming to the opposite conclusion, looking what is going on in Italy - if right now they are having their healthcare system in the affected regions under enormous stress, how it is going to handle the situation when more patients are added?
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Old Mar 8, 2020 | 7:33 pm
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Originally Posted by Visconti
While the Chinese culture and language isn't completely foreign to me, I'm certainly not an expert. My understanding, which would pale in comparison to yours, is this concept of familial piety and sacrifice for one's family, to a degree, extends to one's country, hence "國家," which is in stark contrast to our philosophical approach here in the west. Until you pointed it out, it hadn't occurred to me, whether those in the East realize it or not, it's a concept deeply ingrained since early childhood for countless generations. It isn't inconceivable that, for a variety of factors including but not limited to this difference in philosophical approach, SE Asia will likely handle something like this more efficiently than the West, specifically America. So, in this sense, the modeling of how this transpires in SG/TW/HK may not directly translate or correlate to how events may unfold here.
Confucianism philosophy think everyone has two loyalties. To your parents (and higher), and to your country (emperor). So obeying order from the government is natural for most people. But if you are a government official and there is a conflict, 忠孝不能兩全, you can petition to the emperor to allow you take leave to go home. Although the emperor can demand priority to him, in great majority of cases the emperor feels obligated to let you serve your parents first. At the top end of the society, emperor has absolute power, but emperor not only is not a Dad who knows everything, emperor is assumed to be the Dad who knows nothing. Emperor must hire the smartest and most capable intellectuals as his advisers. In addition to the normal measurement of loyalty, their loyalty is also judged on how much they dare to advise on issues that the emperor dislike. 武官死戰, 文官死諫 (Military officials die by fighting battle, civilian officials die by expostulation") . Under this philosophy good emperors will survive better than bad ones, leading to a more authoritative system.

Originally Posted by notquiteaff
Its really not a choice between do nothing or buy 300 cans of black beans and shouldnt be presented as such.

As I have mentioned several times over the course of this thread, my preparations are designed to reduce my need to go shopping (or dining out) once the community spread in my area would expose me to risk. I didnt buy 300 cans of black beans, I bought five. And some packs of red/black beans and rice. We eat that anyway, and having five vs 1 in the pantry is neither an indication of panic buying nor did it put any strains on the supply chain. I also bought some other shelf stable food items. Overall enough for two to comfortably eat for about two weeks, though I fully expect to supplement it with fresh items until/unless it gets really bad.
The problem is that when San Francisco declared emergency, citizens were asked to prepare according to a list already in place that is intended for earthquakes. In Houston it is mainly for hurricane floods. In every city's list there is water and other stuff that are unlikely to be disrupted by viruses. So it makes sense to store things to decrease frequent of going out to shopping, but not to worry about water supply.

Originally Posted by nk15
To piggy back on this, the most accurate and complete data sets we seem to have are from S. Korea, the Wuhan Princess (albeit skewed to older), and to a lesser extend, published data from Chinese samples, like this one. The data suggest mortality rates around 0.7-0.8% for S. Korea (0.7% now, and likely 0.8% as some more of the critical will die), 1-2% for WP (1% now, and with another 20% from the critical cases dying, it will go up to 2%). These under optimal health care conditions.
If we look at the Chinese data, 14% of the cases were severe, and 5% were critical. From the critical, 49% died, leading to an overall fatality rate of 2.3%

What does this mean for the rest of the world? If this is relatively contained, and some decent health care is maintained, the true overall fatality rate is likely to be around 0.5-1%. However, if it becomes widespread and infects more people and starts overwhelming the health care systems, the overall fatality rate will likely be 2.5 - 5% of those infected, and may even go higher.

Practically, what that means, is that the 14% of the overall cases who will be classified as severe would have to ride this in their homes (or warehouse-style make shift hospitals/isolation units). From the 5% which will be classified as critical cases, some/few may have access to ICUs or other hospital care and survive, or worst case scenario almost all 5% perishes. And then the question is how much spread there will be, with some estimates ranging between 10-70% of the world population, which will affect the raw numbers, and in turn, the overall fatality rate.

So, good scenario likely around 0.5% fatality rate, bad scenario 2.5 - 5% fatality rate, and the raw numbers will vary, based on how much transmission will occur.
It may be important to stratify death rate according to age. Clearly those under 40, 40-60. >60 are very different. a 0.5% or 2% for the population is not very meaningful for me, At my age it is 8%, for those order which is near 15%

Originally Posted by Lisa Ahrendt
Thanks in advance for everyones thoughtful contributions. We plan to fly to OGG on Thursday. We booked on points out of PDX. These flight prices out of SEA are incredible though, and Im thinking of canceling out if PDX and booking SEA. (Same driving distance for us).

Looks like PDX are near sell outs and SEA are flying empty. Am I missing something? I dont see SEA as a greater risk. Should we stick to PDX? Thanks in advance!
Colleagues at UW told me that Seattle is nearly an empty town yesterday. The psychological impact of the 9 death nursing home appears very large. People don't seem to know that they should be more scared if there are 3 deaths scattered in random spots
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Old Mar 8, 2020 | 7:33 pm
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Originally Posted by invisible
I am coming to the opposite conclusion, looking what is going on in Italy - if right now they are having their healthcare system in the affected regions under enormous stress, how it is going to handle the situation when more patients are added?
Italy is still early, sadly. Have to be on the downside of the peak and without an overloaded health care system. Italy is what we don't want to repeat in Seattle or anywhere else. Need a shallower and later case peak then they have had.

Of note, Singapore has had cases for 6+ weeks and the new cases reported is closer to linear than exponential. As many people are leaving quarantine cured as ones who are newly infected (although there is a bit of a spike in new cases over the last 2 days). Not sure if warmer weather is helping cut down transmission, or aggressive quarantines, but it is a very densely populated area so one would expect a more robust spread.
https://en.wikipedia.org/wiki/2020_c...k_in_Singapore
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Old Mar 8, 2020 | 7:45 pm
  #238  
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Originally Posted by nk15
This is a good summary, and they quote the paragraph below regarding the fatality rates. This basically, more or less, gives you the fatality rates range (even if it is a slight overestimate), based on whether the health care system is overwhelmed or not. Even if the numbers are overestimates, it strongly suggests that an overwhelmed health care system will result in 8x more fatalities than normal.

"This seems to be what weve seen in China so far. In the WHO-China Joint Mission report, the experts noted that in Wuhanwhere the outbreak began and where health systems have been crushed by the number of casesthe CFR was a whopping 5.8 percent. The rest of China at the time had a CFR of 0.7 percent."
an overwhelmed healthcare system is also more likely to detect fewer of the infections, so the denominator in the fatality rate (the number of cases) will be lower than the real number of infections.

Especially in eg Italy with the case count still increasing rapidly (likely indicating that most of the increase is from detection catching up with previously infected more severe cases, rather than from detecting new infections) it seems likely there are many more infected but asymptomatic or low severity people who will not become a case.

Its also pretty obvious that when a country reports deaths on the very same day they report their first cases (as both Italy and Iran did) that they will likely have had uncontrolled community transmission for perhaps a week or more before that date, putting detection (and thus number of cases and the denominator of the fatality rate) behind the curve.

Deaths almost always get counted, and usually on the day they occur. Infections on the other hand are much harder to count accurately, and when things are overwhelmed only the most serious ones will get counted.
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Old Mar 8, 2020 | 8:16 pm
  #239  
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Originally Posted by x2y
Does anyone know if Violet Water would be effective to wipe down plane seats? Would Clorox wipes be a better choice?

There is no Purell or rubbing alcohol available.

The violet water:
Brand name: Crusellas
Ingredients : SDA Alcohol 40B, Water, Fragrance, FD&C Violet 2, FD&C Red 40)

The Clorox wipes are on the EPA list of disinfectants for COVID-19, referenced in this CDC document:
https://www.cdc.gov/coronavirus/2019...infection.html

I'd be grateful for any insights.
Please don't. Many people are allergic to flowers/fragrances and even those who aren't probably don't want their clothes to smell from flowers.
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Old Mar 8, 2020 | 9:03 pm
  #240  
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Originally Posted by username
Are we going to be another China?

In Taiwan, there were a lot of discussions on the cover-ups on Mainland China and people ask "could this happen in Taiwan"? In China, apparently one of the blames being laid out was the HuBei provincial officials were waiting for the Central Government's approval on alarming people.

The medical people in Taiwan said that Taiwan has a process where decisions and announcements are made by the TW CDC and it does not require higher approval. The TW CDC is pretty transparent (but they do try to downplay some stuff to avoid adding fear) and so far has most people's trust. Taiwan's politic is as polarized as the US but both sides in general trust their CDC so far.

Trust is very important right now.
Taiwan is a first-world country with strong, independent state institutions (unlike the US these days). And, while there's certainly a degree of political polarization, it's spawned nothing like the scorched-earth campaign of destruction being waged on the US civil service.
I truly fear the US is facing a rampant, uncontrolled epidemic.
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