Breakout Of Coronavirus In Same China City As Their Dangerous Pathogen Lab

[TriGuy]

as promised. this is our first alert status











Colleen Chawla, HCSA Director

Lauri McFadden, EMS Director Karl Sporer, MD, Medical Director Main: (510) 618-2050 Fax: (510) 618-2099
ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY

Emergency Medical Services Agency 1000 San Leandro Blvd, Suite 200 San Leandro, CA 94577

Novel Coronavirus (2019 nCoV) Outbreak January 31, 2020  All EMS patients with respiratory symptoms should wear a mask

 Dispatch will be questioning patients for recent (14 days) travel in China

 All patients with respiratory symptoms should be questioned about recent (14 days) travel in China

Alameda County Public Health Department is actively monitoring this rapidly evolving situation. The best up-to-date national information can be found at CDC’s 2019-ncov website. For Alameda County specific public health guidance and instructions for reporting, check http://www.acphd.org/  Patients with recent travel history o Persons with fever and lower respiratory symptoms within 14 days of travel from China, OR who were in close contact with a PUI or laboratoryconfirmed case of 2019-nCoV OR Persons with fever or lower respiratory symptoms and close contact with a confirmed case of 2019-nCoV within 14 days of symptoms

A patient with recent travel history should be sent to a health care setting that has an Airborne Infection Isolation Room and by health care providers using personal protective equipment for airborne, contact, eye protection, and standard precautions.








EMS Scenarios Patient with recent travel history and Alameda County Public Health is involved  Have the patient wear a mask  Use standard, contact, airborne and eye protection o Gloves, gown, and eye protection (goggles or face shield)  Providers should use a fit-tested N-95 or P-100 mask  Contact your supervisor  Minimize the use of aerosolizing generating procedures (nebulized medications) or interventions that heighten the risk of exposure (intubation, suctioning, etc.), but if these procedures are necessary for patient care, a P-100 mask should be worn  Transport the patient as directed by Alameda Public Health  Properly doff and dispose of PPE  Use standard decontamination procedures after the call is completed

Possible Patient with recent travel history and Alameda County Public Health is not involved  Same standards as above  Contact the EMS Duty Officer via ACRECC  Clinical or destination decisions will be made by the EMS On Duty Officer in consultation with Alameda Public Health

[Honda]

Time for politics to stand down. This is serious business

[wacojoe]

How much worse is this disease than many of the flu strains we see from year to year? Most people are unaware that it is not uncommon for a flu to kill 50,000 people in a year in just the U.S. alone. My reading of the death toll of this strain from reports of deaths in China measured against those contracting it is in the sub 5%, most the old and/or infirm.

[TriGuy]

How much worse is this disease than many of the flu strains we see from year to year? Most people are unaware that it is not uncommon for a flu to kill 50,000 people in a year in just the U.S. alone. My reading of the death toll of this strain from reports of deaths in China measured against those contracting it is in the sub 5%, most the old and/or infirm.

do the math 350,000,000 people in the united states 50,000 deaths is 0.00014% so now look at what 5% death rate would be thats 17.5 million dead thats huge

[wacojoe]

The 50,000 deaths are not divided by the entire population of the U.S. to get an appropriate death rate. To derive the death rate it must be divided by the cohort infected, which I do not know. I’m sure it could be looked up year to year on a government site somewhere. I will give that task to my research assistant, when he gets his new computer up & running.

Btw, I think the figure of those dying from the flu in the U.S. was expressed as varying between 10,000 to 60,000 in a given year, as I recall. I just chose 50,000 for sake of the discussion.

[CactusCurt]

I agree its serious and hope its controlled quickly. BUT, there is a person on another site who was keeping us updated on his China trip. He and his wife were in the neighboring province when it broke out and their trips around China got fouled up. Streets there were abandoned and you were screened everywhere. They flew home to Chicago last night. No airline problems, and zero screening upon landing in Chicago.

My impression based on what I have seen was that the entire place was locked down and quarantined. I have been misled.

[Truckman]

I will give that task to my research assistant, when he gets his new computer up & running.

Your research assistant requests a renegotiation of the compensation clause of his contract to reflect the financial burden of some recent upgrades in your behalf......Ben

[TriGuy]

Just checked some numbers. In Wuhan the epicenter the mortality rate per infected is 5% worldwide it is between 2-3 %. This is still early in the epidemic. SARS was 10% MURS was 25%. corona viruses are nasty