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Medicine

How One Singapore Sales Conference Spread Coronavirus Around the World (wsj.com) 139

Last month, 109 people gathered in a Singapore hotel for an international sales conference held by a U.K.-based company that makes products to analyze gas. When the attendees flew home, some unwittingly took the coronavirus with them [Editor's note: the link may be paywalled]. From a report: The virus had a 10-day head start on health authorities who, after belatedly learning a 41-year-old Malaysian participant was infected, began a desperate effort to track the infection through countries including South Korea, England and France. Health investigators have found at least 20 people in six Asian and European countries who were sickened, some who attended the conference and others who came in contact with participants. A globalized economy, one that's far more integrated than in the early 2000s when the SARS virus broke out, is complicating the task of responding to epidemics.

After this one conference alone, 94 participants left Singapore, authorities determined. Some joined Lunar New Year dinners. Others went on vacation, one to an Alpine ski town. They had eaten, taken car rides and shared a roof with others who then boarded more planes to places the virus hadn't yet reached. Health officials used international communications channels to share names of the potentially infected and relied on self-reporting by sickened conference-goers, creating "activity maps" that detailed their movement. They checked flight manifests and called passengers. French authorities closed down schools in sparsely populated towns. U.K. public-health officials isolated health-care workers who got the illness and searched for patients with whom they came in contact.

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How One Singapore Sales Conference Spread Coronavirus Around the World

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  • But isn't this pretty much how everything spreads?

    Clickbait.

    • by Freischutz ( 4776131 ) on Tuesday February 25, 2020 @01:58PM (#59765730)

      But isn't this pretty much how everything spreads?

      Clickbait.

      No, the Sci-Fi apocalypse movies usually end with hoards of zombies roaming the streets. The only thing in the world at present which has achieved that coveted goal are smartphone manufacturers.

      • Naw. This will just become a lawsuit. Sue the conference. (And maybe even the individual conference attendees.) Or someone will say "bio-terrorism". (Do unintentional actions still have consequences? If I slam my car into a power pole and someone in a hospital on life support dies, is it my fault, or the hospital's for not having a backup?)
      • by skids ( 119237 )

        If you really want that result, just use social media targetted advertising to single out old people into taking walks, and tell them it is heart healthy to do so with their arms stretched out in front of them. Not that hard, really.

        • If you really want that result, just use social media targetted advertising to single out old people into taking walks, and tell them it is heart healthy to do so with their arms stretched out in front of them. Not that hard, really.

          Hmmm, online connected social media enabled street advertising signs with built in face recognition and full audio capability yelling at old people about haemorrhoid cream wherever they go, now there's an interesting scenario. However, the fun only really begins when one of those things brings up the jewellery some guy bought that he gave to somebody other than his wife.

    • Fortunately North America isn't a common international stopover destination, owing to its geography.

    • Well, sometimes fiction gets things some details right. The danger is that this leads some people to trust fiction over science. Fiction has one killer advantage over sci, belief-wise: it is always constructed to sound credible.

  • by alvinrod ( 889928 ) on Tuesday February 25, 2020 @01:55PM (#59765720)
    Damned sales departments and their crummy global outreach initiatives.
  • I already got one it's called a nose.

    • A nose? Good luck detecting the faulty valve on that water heater's carbon monoxide vent before it kills you, then...

    • Good, maybe you can use it do identify the virus-laden aerosol plumes:

      However, study of the Amoy Gardens outbreak in Hong Kong implicated airborne transmission of SARS-CoV particles possibly spread by virus-laden aerosol plumes generated by flushing the toilets at the high rise apartment complex.

      https://ncov.pub/coronaviruses... [ncov.pub]

  • I think it is clear by now that quarantine failed to contain coronavirus. Do we know if we have a vaccine yet?
    • by sinij ( 911942 ) on Tuesday February 25, 2020 @02:02PM (#59765758)
      To answer my own question - just read that US drug maker Moderna has possible COVID-19 drug (mRNA-1273) deemed ready for testing. While it is not a vaccine, it targets COVID's replication and should be effective treatment.
      • by kcelery ( 410487 )

        Some drugs might cure better than the other. But when it hits, it is spreading fast.
        The quarantine area in China right now is about the size of California.

        • Re:Quarantine failed (Score:4, Informative)

          by Mashiki ( 184564 ) <mashiki@gmail.cBALDWINom minus author> on Tuesday February 25, 2020 @04:00PM (#59766222) Homepage

          770m people in China are under quarantine right now. That's pretty staggering, Austria quarantined 50k people after 150 tested positive and shut down rail traffic with Italy. Spreading fast would be an understatement, and to be honest considering you can have the infection for upwards of 20 days before showing any signs of symptoms it pretty much means that not quarantining China back in early January means that a massive swath of the world population is going to get it.

          It's going to be interesting here in Canada, because our idiot federal government up until yesterday was bobbing it's head and telling everyone that the chances of getting it were pretty much zero. While admonishing provincial health authorities and threatening them if they implemented policies to prevent the spread. This along with the "it's racist to want a quarantine! So let's throw gigantic parties in areas where large populations of Chinese-Canadians live!" Never mind that it was the ex-pat Chinese and HK'ers who wanted mandatory quarintines for anyone coming back from China - also still racist according to all our media. That was before the half dozen suspected cases and two new confirmed cases had spent time in an airplane flying from western canada(BC) to eastern canada(quebec).

          • Austria quarantined 50k people after 150 tested positive

            That is a bit formulated in a way to make people misunderstand the sentence IMO. Italy had a lot of cases in north/milan. Austria has only 2. Source : https://www.zeit.de/wissen/ges... [www.zeit.de] basically stating what I jsut said and further sources : "Bisher durchgeführte Testungen in Ã-sterreich (tÃgliche Aktualisierung des Ist-Standes, von Mo-FR um 10:00 Uhr): 218 BestÃtigte ErkrankungsfÃlle: 2" https://www.sozialministerium.. [sozialministerium.at]

          • by rastos1 ( 601318 )

            770m people in China are under quarantine right now. That's pretty staggering, ...

            If that's true, then one should reconsider the pikes direction.

          • by Jmc23 ( 2353706 )
            It was almost laughable watching the Liberals explaining their policy of doing nothing, using the self reported Ontario case as proof that all you need is self reporting. I'm not sure how she kept a straight face when asked why Canadians hadn't been repatrioted yet as she responded by saying maybe they're enjoying their vacation and don't want to come home.
      • mRNA-1273 is a vaccine, not a drug, and approvals would take up to a year.

        • mRNA-1273 is a vaccine, not a drug, and approvals would take up to a year.

          Then, IF it’s successful (a big if), you would be looking at another year to ramp up production to get the billion doses we would need. It’s years out best case.

      • Re:Quarantine failed (Score:4, Informative)

        by hey! ( 33014 ) on Tuesday February 25, 2020 @05:59PM (#59766550) Homepage Journal

        Every drug treatment like this does some good and some bad. You can't really know what the balance of good and bad would be in widespread usage until you've done long and painstaking testing.

        Deploying something like that *this year* would be an act of desperation.

        Even if we were that desperate, I don't think we're well-enough organized to get this produced and distributed this year. I had a front row seat for the whole bioterrorism scare post 9/11. It was a lobbyist's bonanza. What people who were working in relevant agencies needed was small, steady infusion of new cash. What they got were money bombs packaged so that the only thing they could do with them was pass them off to a politically connected vendor.

        The rate at which science is responding to this thing is breathtaking. Government bureaucrats and scientists can be counted on too to do their jobs. They're a common whipping boy for complaints about the government, but the real source of those problems is politicians. Dysfunction isn't so much a problem for American politicians as it's a business model.

    • I think it's clear CDC / WHO failed - initially recommending it was no big deal for weeks.

      It seemed like a big deal , they kept saying it wasn't. Countries trying to ban flights were ridiculed. Seems like the biggest failing here.

      • by gtall ( 79522 )

        I think it is more the pols that failed by leaning on the CDC / WHO to whistle Dixie and stare meaningfully into the distance during press conferences hoping that stare passes for thoughtful contemplation of a question while they are really just trying to think of an answer that won't cause the pols to fire them.

    • by Ungrounded Lightning ( 62228 ) on Tuesday February 25, 2020 @07:21PM (#59766812) Journal

      I think it is clear by now that quarantine failed to contain coronavirus. Do we know if we have a vaccine yet?

      We won't have a vaccine this year, or probably until late next year (after another "corona virus 'uncommon cold' season") at the earliest. We have some candidates but testing and approval - even under accelerated procedures.

      We also don't have a drug for what kills those who have the severe form: Cytokine storm. We have one new drug candidate,
      but again don't expect that to be ready this year, even via "right to try". There is also a treatment that helps - but it consists of hooking the patient up to a filter that removes the cytokines from the blood. That's not something you can use at scale, even in the US, when, say, more than half the population has the bug and 16% of them are in intensive care.

  • We are all doomed! [apologies for lack of suitable accent]
    • by sinij ( 911942 )
      Not "we are all", only about 2% of us are.
      • So, only about 200 million people?
      • by hey! ( 33014 )

        Well, if you only count direct deaths. If enough people got infected that 2% of the population died, there would be indirect effects, especially if people in the prime of life were getting struck down.

        For all but a handful of modern humans, we rely upon the stability of our society for survival. Unless you can grow your own food and build your own shelter, without aid or supplies from the outside, your survival depends on the system. If the the truck drivers who bring food to your town are afraid to come,

      • Death rate amoung the known cases is ~10%, not 2%.

        80990 sick at the moment.

        2760 dead, 30000 recovered.

        2760 / (30000 + 2760) = 8.4% at the moment (yesterday it was over 10%).

        • This is bad math and the fact that the resulting number changes so rapidly is evidence of that. If you had done this "calculation" early on in the epidemic you would have arrived at an infinite% death rate because nobody had had time to recover from it yet but a few people had died. This will only be a valid formula once everybody in the world is either recovered or dead.

          • i count everyone for whom the sickness is over.
            And calculate what percentage died.

            I doubt there is another reasonable way.

            The only caveat is: for many people there are only very mild symptoms, they probably don't visit a doctor and don't get diagnosed. Those would be counted as recovered when diagnosed and hence make the death rate lower.

            • I doubt there is another reasonable way.

              Presumably, if you went to maths classes or med school, you failed.

              You are looking at a moving target which is close to an exponential rise.

              The people who died are a percentage of the people who were infected approx 20 days ago - t1. (Its easy to know they are dead if you are a medic).
              The people who survived are a percentage of the people who were infected 32 days ago t0. (Because they have to by symptom-free for a good while before you know they recovered).
              numb

              • The people who died are a percentage of the people who were infected approx 20 days ago - t1. (Its easy to know they are dead if you are a medic).
                That is basically what I said, so no fail, dumbass.
                And in med school such stuff is not taught.

                I'm a computer scientist, I do not need to be perfect, just tell me the formula and I put into your tool ... in case you are really not able to do that.

                a very high percentage of the sick are not sick enough to visit a doctor That is exactly what I said again ...

                especiall

    • by chthon ( 580889 )

      Is that you, Boober Fraggle?

  • by Lije Baley ( 88936 ) on Tuesday February 25, 2020 @02:47PM (#59765950)

    Business travel is an outdated luxury. Unless you need to get your hands on some equipment and turn wrenches, there is no modern reason to do this other than social or travel pleasure.

    • Re: (Score:3, Funny)

      Hold on a minute... If middle-managers stop going to remote conferences and demos, they'll be in the office 5 days a week, all year round. It'll soon be clear to everyone that they don't add anything of value to the organization, and they'll all be summarily fired. Without marketable skills, these people will all end up on their countries' long-term welfare programs.

      This will create a huge tax burden on the lower and middle classes around the globe (given the rich pay relatively little in taxes). Those indi

      • Ouch, maybe not. Free travel and drinks with little umbrellas for all of them!
        This is karma for that Escort wagon I considered buying but passed on, right?

      • by shanen ( 462549 )

        Not sure this deserves the Funny mod, but I just reread The Caves of Steel a few days ago. I'm sure I had read it previously, but my records only go back to when I was 16...

    • by ghoul ( 157158 )

      I want to hear the breathing of the guy telling me he is not going to screw me on this deal to know if he lying or not. Ultimately sales comes down to reading body language . Difficult to do over webex.

    • by shanen ( 462549 )

      Interesting. I just reread your book last week...

      However the "modern reason" is bandwidth. Minor reason is paying for the bits for alternatives such as video conferencing on smartphones. (Minor solution approach would be to eliminate data caps during this crisis, but I haven't heard any of our "leaders" suggesting anything along such lines.)

    • Yes there is, I recommend you try to get anything done over remote desktop with the other machine on Chinese internet, good luck with that.
  • Get ready (Score:2, Troll)

    by kcelery ( 410487 )

    When it hits. The first thing to do is to go out the buy the face mask.
    It will be the first thing sold out in the coming month. Every drug store in the
    neighborhood put out the sign, SOLD OUT.

    Next, stock about 1 litre of rubbing alcohol for each person in the house.
    Rubbing alcohol is the next item sold out.

    Next buy the 30ml spray bottle. These tiny bottle was everywhere, then when
    the day came, it was found nowhere in sight. SOLD OUT again.

    Anything touched by the patient will have some virus. The hand rail

    • >clean the keyboard if it might be used by others

      No one touches my keyboard.

    • clean the keyboard if it might be used by others.

      It is airborne - clean the air before you breathe it. Except it can also enter your body via the eyes - so keep them shut too!

      Fortunately, I have someone to rub alcohol on me - by all accounts, some of you might not be so lucky!

    • When it hits. The first thing to do is to go out the buy the face mask. It will be the first thing sold out in the coming month. Every drug store in the neighborhood put out the sign, SOLD OUT.

      The virus travels in droplets from breath, coughing, or sneezing, but your mouth and nose aren’t the only vectors. Your eyes are able to pick up these droplets and infect you making a mask of little use at best. In fact, the mask can get covered with virus and anything but careful decontamination or disposal could make it not effective at all. Washing your hands and not touching your eyes, nose, or mouth will be more effective.

    • Re:Get ready (Score:4, Insightful)

      by hey! ( 33014 ) on Tuesday February 25, 2020 @06:33PM (#59766650) Homepage Journal

      Buying a facemask would be an act of altruism. If *you* are infected, it reduces the chance you'll infect other people. It might help you a little -- if you take contamination precautions when you remove it, but you can still get it through your eyes, or hand-to-mouth/nose after you remove the mask.

    • If your locality runs out of ispropanol and you need more as a disinfectant, denatured ethanol works as well and you can get big jugs at the hardware store sold as glass cleaner, fuel, or shellac thinner. Bleach is even better but alcohol is preferred for viruses since it is less caustic to equipment. Aside: Alcohol is not terribly great at killing bacteria on surfaces, and probably only good at hard surfaces for viruses. Personally, if it goes full quarantine disaster, I wouldn't bother with an N95: g
  • will singapore cut back on the open ward hospitals down to more private room?

  • Last month, 109 people gathered in a Singapore hotel for an international sales conference ... When the attendees flew home, some unwittingly took the coronavirus with them

    Multiply that by 412 and you have the expected attendance (45,000) of the RSA conference, now in its second of five days at Moscone Center in San Francisco.

    Some companies (such as AT&T) pulled out, so it might be a little lighter. But we're still talking a giant opportunity for disease spread worldwide - including leaving a lot of n

  • It's why countries try to weaponize bugs. "Create" a bug, with a LONG delay in symptoms, so that once released, it takes WEEKS before it really shows it's deadly potential. By that time, with air travel being what it is, it can be all over the world.
    • It's why countries try to weaponize bugs. "Create" a bug, with a LONG delay in symptoms, so that once released, it takes WEEKS before it really shows it's deadly potential. By that time, with air travel being what it is, it can be all over the world.

      And back to your own country. Whoops...

      Just keep a watchful eye out for any country vaccinating their entire population against a nonexistent disease for no reason. Grab a dose. Copy it and give it to yours too. (test it first obviously...)

  • T-Bird : You know, what this place needs is a... good natural catastrophe. Earthquake, tornado, you know. Maybe a flood like in the Bible.

    * The Crow

    Or a plague! Thin the herd a bit. When this hits Africa there are going to be mass graves. Lots of people with weakened immune systems (HIV and malnutrition) and a crappy almost non existent medical system, coupled with governments who can't or won't make a decision in less than six weeks aggravated by corruption and maladministration.
    It's going to be

  • Just stop the Singapore sales conferences then - and as long as no other people ever move around or gather in groups, diseases will be stopped in their tracks!

The opossum is a very sophisticated animal. It doesn't even get up until 5 or 6 PM.

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