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Medicine United States

US Confirms First Case of Coronavirus From Unknown Origin (sacbee.com) 239

The Centers for Disease Control and Prevention confirmed that a resident from Northern California has contracted the coronavirus without traveling outside the United States or coming in contact with another patient known to have the infection -- the first sign that the disease may be spreading within a local community. The Sacramento Bee reports: "It is a confirmed case. There is one in Northern California," CDC spokesman Scott Pauley told The Sacramento Bee just before 4 p.m. Wednesday. In the Northern California case, "the individual is a resident of Solano County and is receiving medical care in Sacramento County. The individual had no known exposure to the virus through travel or close contact with a known infected individual," California Department of Public Health officials said in a news release Wednesday evening. State public health officials in Sacramento, citing the U.S. Centers for Disease Control and Prevention, said the case is the first person-to-person transmission of the COVID-19 virus.

Earlier cases of person-to-person transmission in Illinois and in San Benito County came "after close, prolonged interaction with a family member who returned from Wuhan, China, and had tested positive for COVID-19," California Department of Public Health officials said in their Wednesday statement. Dr. Sonia Angell, the state's public health officer, called the outbreak an "evolving situation" that the state had been monitoring since the first cases in China late last year. but added "there is a lot we already know." "We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California," Angell said in prepared remarks.
Earlier today, President Trump announced that Vice President Mike Pence will lead the government's response to the virus. In the rare White House address, Trump maintained that the risk to the U.S. from the virus "remains very low."
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US Confirms First Case of Coronavirus From Unknown Origin

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  • by aeropage ( 6536406 ) on Thursday February 27, 2020 @03:02AM (#59772548)

    You don't understand him.

  • start testing now (Score:3, Interesting)

    by mister.woody ( 2712229 ) on Thursday February 27, 2020 @03:03AM (#59772550)
    If they don't start to test people as soon as possible, they will soon have lots of people sick !
    • by denzacar ( 181829 ) on Thursday February 27, 2020 @04:07AM (#59772638) Journal

      Where everyone could afford to go to a doctor to check if their symptoms are just a cold or covid-19.

      Not in a shithole country where four out of ten people can't scrape together $400 [cnbc.com] while insurance companies will gouge them for over $3000 [miamiherald.com] just for the privilege of testing their blood for the virus.
      I.e. People will simply try to ignore the symptoms cause they can't afford to be sick.
      And then more people will be sick.

      All thanks to Dumpeacho's fixation with undoing everything Obama did.
      And it gets worse. A LOT. WORSE. [msnbc.com]
      It's plague country. Because racism, capitalism and guns.

      And here's hoping FOX doesn't air Outbreak any time soon.
      Cause if they do, knowing how Dumpeacho gets his "best" ideas from bad movies [youtube.com]... USA will also become a MOAB country. [nbcnews.com]

      • by sjames ( 1099 ) on Thursday February 27, 2020 @05:54AM (#59772816) Homepage Journal

        Exactly this. Thanks to our weak and moth eaten social safety net, every major city has a large reservoir of potential vectors that can't afford to be tested, can't afford to see the doctor, and can't take a sick day. Unless they are too sick to get out of bed they'll be there making your food and coffee, vacuuming your office, signing you in at the front desk, checking you out at the store, etc, etc.

        For those reasons, the U.S. is the most vulnerable of all 1st world nations to a COVID19 epidemic. Given the higher prevalence of international travel, the U.S. may be more vulnerable than many developing nations.

        Good Luck, you'll need it!

        • by Z00L00K ( 682162 )

          So the only alternative to really freeze the spread is to stop all airline flights. It would make 9/11 seem like an exercise.

          • by sjames ( 1099 ) on Thursday February 27, 2020 @06:46AM (#59772912) Homepage Journal

            That wouldn't do it. We;d need to implement mandatory paid sick days and free health care, at least for the duration of the emergency.

            • Comment removed (Score:4, Interesting)

              by account_deleted ( 4530225 ) on Thursday February 27, 2020 @07:45AM (#59772998)
              Comment removed based on user account deletion
              • I've had this thought myself. I read somewhere that about 20% of COVID-19 cases require medical intervention. If we end up with even 1% of the population infected, that's over 3 million people, with over 600,000 requiring care to keep from dying. Depending on the distribution of cases, there are already many locations in the US operating near medical capacity, and without medical care people in those locations could see a much higher fatality rate, to say nothing of exposure and secondary infections. I'
                • rice, dried beans, alfalfa seeds (for sprouts) are better for long term stored food with a reasonable nutrition profile. get an old style pressure cooker that works on any heat source in case electrics fail. get the right beans and you can plant them for food for next year.
              • Re: (Score:3, Interesting)

                by cusco ( 717999 )

                In the 1990s the Clinton Administration carried out an exercise with a simulated release of pneumonic plague in a Boulder concert hall. Within a week healthcare system of Colorado was teetering on collapse, there were no available respirators or ventilators in a four state area, and there was a worldwide run on antibiotics of any kind. After ten days cases were appearing in Singapore and Rio de Janeiro. The result of the test scared the crap out of Clinton and the rest of his advisors and he had the CDC

                • by guruevi ( 827432 )

                  Using fear to drive government policy is always a bad idea. What good did the massive supplies in containers do? What good will antibiotics do now against a viral outbreak?

                  If there is a massive outbreak of anything, there will always be casualties, there is no society in the world prepared to get 10% of their population sick, even China, the most prosperous of socialist and communist countries couldn't do it with heavy government force. They are literally taking people from their homes, forcing isolation, a

                  • by cusco ( 717999 )

                    Using fear to drive government policy is always a bad idea.

                    So complacency is better? The Push Packs had antibiotics, antivirals, respirator filters, biohazard suits, test kits, and many other rapidly-exhausted consumables. Modern just-in-time inventory practices ensure that there is **very** little extra capacity in the system.

                    burning alive the sick and elderly

                    Hyperbole much?

                  • Comment removed based on user account deletion
                • It's hard to argue against preparedness, but it's also not hard to see how the odds work against doing it successfully.

                  I kind of doubt you can stuff a container full of anything other than disposable masks, linens and other inert products and expect to have it useful and functional more than 2-5 years out. Theft, environmental degradation, poor storage/contamination, etc, can contribute to an expensive container load of uselessness.

                  All of this means containers need to be constantly refreshed -- new medicin

                  • by cusco ( 717999 )

                    Umm . . . are you really proposing the involvement of the Pentagram as a way to reduce waste?

                    The CDC had the program pretty well mapped out and managed, and the contents would have been adjusted to the most current or upcoming threat according to the latest data. Medicines that were approaching expiration would be donated to VA hospitals so the actual cost of drug upkeep to the government was minimized. It actually seemed like a fairly well-run program, which is probably why the wingnuts felt compelled to

            • by guruevi ( 827432 )

              Okay Bernie, how are you going to pay for that? The emergency will likely last for months if not years. Mandatory sick pay while the economy is dead for 2 years? Even China had to force their sick people back to work in Wuhan and I got note from one of my production sites that Shengzen has also been 'cleared to work' even though the cities are heavily affected.

              • by sjames ( 1099 )

                If we were to take the needed steps now, there might not be an emergency or it might be a lot smaller. So the question is, how are you going to pay for not taking the needed steps? (let me guess, it involves sticking everyone else with the bills claiming it was just their rotten luck).

                Let's frame it another way, if you as an employer apply coercion to your employees to work while sick, you are recklessly endangering your customers and other employees. Which is why my advice to people forced to work while si

      • by Train0987 ( 1059246 ) on Thursday February 27, 2020 @09:52AM (#59773342)

        You know who else has wonderful free health care and massive government "services"? China.

        Right now they're busy boarding people up in their own homes after quarantining hundreds of millions of people. For the "greater good" or something.

      • Re: (Score:3, Interesting)

        by Mashiki ( 184564 )

        I can tell you exactly what's going to happen here in Canada if shit goes sideways. Since all healthcare is already rationed and at or above capacity, it's going to get ugly and quickly. In the US hospitals are built around profitability, meaning that in general there are more hospital beds comparatively to Canada where it can take 40 years to build a new hospital that needed to be built 40 years ago. If you think that 4:10 people can't scrape together $400, just wait until you find out that up here 50%

    • "It's not so much of a question of if this will happen in this country any more but a question of when this will happen and how many people in this country will have severe illness,"
      - Dr. Nancy Messonnier, the director of the National Center for Immunization and Respiratory Diseases
    • Based on this case it seems that people can be carriers and not show symptoms which presents problems for testing. As the test is new they can’t test everyone and can only test people that might have traveled and show symptoms. This case increases the number of people that may have to be tested.
  • Because nothing is for real in the US unless it's patented by a major corporation.

  • by Narcocide ( 102829 ) on Thursday February 27, 2020 @03:31AM (#59772580) Homepage

    Feel stupid now, all you business execs who insisted everyone needs to meet in the same room daily to save business costs at the expense of both the environment and the employees? You could have paid all the "hidden costs" long ago, by now. Now you're gonna have to scramble just to not die. Fun.

    • Are you suggesting that we abandon human to human interaction for fear that at some point we may get sick?
      Talk about a case of the cure being worse than the illness.

      Perhaps you are fine to dwell in your basement, but I think others are happier around other people.

      • by sjames ( 1099 )

        It's not a bad temporary measure if/when the situation calls for it.

        You probably won't miss that guy two rows over that eats WAY too many beans or the person a few cubicles over that apparently thinks of cologne as "shower in a bottle".

    • Yes, you are indeed quite the clever boy. It's a good thing we never had any epidemics in the past, because telecommuting wasn't even invented!

          However, I am sure that with your winning personality and rapier wit, you are ideally suited to survive - it's not really quarantine if people avoid you under normal circumstances.

         

    • by hawguy ( 1600213 )

      Feel stupid now, all you business execs who insisted everyone needs to meet in the same room daily to save business costs at the expense of both the environment and the employees? You could have paid all the "hidden costs" long ago, by now. Now you're gonna have to scramble just to not die. Fun.

      Who has to scramble? Work from home isn't the only reason to use video conferencing and other remote tools like digital whiteboards. Is there any sizable corporation that doesn't already have a video conference system in place? My company prefers on-site workers yet ever conference room is also rigged for video conferencing and anyone can connect using their computer.

      • by sjames ( 1099 )

        Your company probably hasn't really put those systems to much of a test and the managers have little to no experience managing teleworkers. The workers have little to no experience teleworking.

    • Actually, my company highly encourages telecommuting now, we have to go to office for more than 50% of the time for legal reasons but it's been hinted that nobody will check too closely what days you really were in when you were officially in office.

      It's basically them saying "stay the fuck away if you don't need to be here!"

  • by buravirgil ( 137856 ) <buravirgil@gmail.com> on Thursday February 27, 2020 @05:21AM (#59772742)
    https://jamanetwork.com/journa... [jamanetwork.com]
    If you're not going to take the time to read and try to understand a scenario with the benefit of specific terms and quantitative methods of the medical profession...

    What are you really doing?
  • False positive rate? (Score:4, Interesting)

    by bradley13 ( 1118935 ) on Thursday February 27, 2020 @06:58AM (#59772932) Homepage

    One thing I haven't seen mentioned anywhere: What is the accuracy of the test that identifies Corona? Nearly all tests have a certain rate of false positives and false negatives. When identifying one isolated case like this, I wonder if it might just be a false positive.

    Anyone have information on the testing process?

  • by burtosis ( 1124179 ) on Thursday February 27, 2020 @09:09AM (#59773162)
    If you look at this study [preprints.org] the chance of acute kidney injury is 3-19% of patients with the number being higher for non-asians. This is consistent with the earlier speculation [medrxiv.org] that the virus directly bonds with and damages ACE2 receptors which among other places are found in the kidneys, urinary tract, and testis. This isn’t like the flu where you are only likely to get kidney issues from large amounts of broken down muscle cells in your blood, it directly attracts these receptors. There may be a risk of a large number of cases of male infertility, it’s too early to say but it’s one thing medical professionals are being asked to check for.
  • by No Longer an AC ( 4611353 ) on Thursday February 27, 2020 @10:59AM (#59773632) Journal

    Death comes sweeping through the hallway, like a lady's dress
    Death comes driving down the highway, in it's Sunday best

    A virus of Chinese origin took my baby away
    A virus of Chinese origin took my baby away

    Swept to ruin off my wavelength, swallowed her up
    Like the ocean in a fire, so thick and gray

    A virus of Chinese origin took my baby away
    A virus of Chinese origin took my baby away

    Death comes driving, I can't do nothing! Death goes.
    There must be something, there must be something that remains

    etc...

  • Unidentified Viral Origin?

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