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Medicine

Health Experts Worry Coronavirus May Be Spreading Undetected in the US (statnews.com) 353

UPDATE: (2/29/2020) Saturday U.S. health officials confirmed the first American death from coronavirus.

And the Boston Globe's Stat News site reports that the new coronavirus "may be spreading in parts of the Pacific Northwest, with California, Oregon, and Washington State reporting Friday that they have diagnosed cases with no travel history or known contact with another case...." Problems with a coronavirus test developed by the Centers for Disease Control and Prevention have meant that little testing for the new virus has been done in the U.S. Worried infectious diseases experts have warned that the lack of apparent cases in the country cannot be taken as a sign the virus isn't spreading, undetected in some places...

The discovery that the virus may be spreading in the country should not come as a surprise, said Michael Osterholm, director of the University of Minnesota's Center for Infectious Diseases Research and Policy. "It just tells us where there is testing, there are cases. And that's what we have to understand," Osterholm said. "There is no such thing as a barrier containment to keep these out. It's going to happen. And what we have to do now is get on with how we're going to deal with them...."

Dr. Sara Cody, health officer for Santa Clara County, said individuals need to start practicing good hand hygiene and learn to stop touching their faces -- people can infect themselves if they pick up viruses off a contaminated surface, then put a finger in their mouth or rub their eyes or nose.

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Health Experts Worry Coronavirus May Be Spreading Undetected in the US

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  • by Anonymous Coward on Saturday February 29, 2020 @10:39AM (#59781672)

    This is what happens when you elect a scam artist as the leader of the free world.

    Instead of concerning himself with public safety he just lies about the pandemic and congratulates himself and his team on blatant incompetence.

    Rank incompetence, stupidity, and dishonesty are not a recipe for success during a public health crisis.

    • This is what happens when you elect a scam artist as the leader of the free world.

      Instead of concerning himself with public safety he just lies about the pandemic and congratulates himself and his team on blatant incompetence.

      Rank incompetence, stupidity, and dishonesty are not a recipe for success during a public health crisis.

      If only The Donald'd had the funds to finish the wall. That would have kept it out!

      I blame the NIMBYs.

    • by drnb ( 2434720 ) on Saturday February 29, 2020 @12:47PM (#59782028)

      Instead of concerning himself with public safety he just lies about the pandemic and congratulates himself and his team on blatant incompetence.

      I am not a fan of the orange dude but lets at least be honest. He took action back in January.

      "Trump Declares Coronavirus A Public Health Emergency And Restricts Travel From China
      The declaration of a public health emergency — which will become effective Sunday at 5 p.m. ET — enables the government to take temporary measures to contain the spread of the virus, which has been confirmed in seven people in the U.S.
      The action means that U.S. citizens who have been in China's Hubei Province in the past 14 days will be subject to 14 days of mandatory quarantine if they travel back to the United States.
      In addition, the U.S. is temporarily suspending entry of most travelers arriving from China, or who have recently been in China, if they are not U.S. citizens."
      https://www.npr.org/sections/h... [npr.org]

      Rank incompetence, stupidity, and dishonesty are not a recipe for success during a public health crisis.

      Sadly that is what the Democratic leadership is offering. On the above date where Trump acted the Dem Leadership was focused on impeachment.

      Dems try to portray the above travel restrictions as racist. Really, restricting travel from a plague region is racist? The requirement for entry into the US is US citizenship not being white. The Dems claimed mandatory quarantine on those returning is an overreaction? Really, voluntary self quarantine is enough?

      Meanwhile Italy has nearly 20 deaths and the US has less than 100 sick. Of course this will change, of course Trump's actions are more of a delay of the spread than the prevention of the spread. But that delay allows us to be better prepared and reduce the number of eventual fatalities. That is a good thing, have the intellectual honesty to admit it.

      They lie about Trump, they lie about Pence ... both are a-holes, but the Dems are doing an incredible amount of lying in the hopes that Coronavirus might the the kryptonite they have been praying for. They are playing poiltics with the virus far more than Trump and Pence.

      • I am not a fan of the orange dude....

        Then why are you cherry picking what he's done semi-right, and ignoring all the things he's done very wrong?

        Like firing all the white house experts on infectious diseases and not replacing them. Well, he replaced them with Pence, but that's like replacing a team of firefighters with an arsonist.

        Like repeated cuts to the CDC budget over the years.

        Or maybe ignoring the WHO's test for the virus while the CDC made its own flawed test in numbers too small to be really useful?

        Maybe sending half the people to greet the cruise ship quarantine passengers in full protective gear, but the other half in no protective gear, and then having the folks with no gear fly commercial to get back home?

        How about the general lying about everything, so that the bulk of the population doesn't trust a word he says? In the face of a crisis, people not trusting their leaders seriously hurts the response.

        Heck, just yesterday he forbid the nation's leading expert on the disease from speaking publicly, instead running all communication through Pence. So he's not allowing us to hear anything about a fairly infectious disease except what he thinks will help him politically. Otherwise, why not let experts speak freely?

        In case you actually missed it, and aren't just a troll, most of the democrats are criticizing very valid things. They are not "doing an incredible amount of lying in the hopes that Coronavirus might the the kryptonite they have been praying for." Pointing out that the anti-science, pray-it-away Pence is about the worst person to lead a response to what might be a global pandemic is not lying. He's got a track record of doing the opposite of what's needed during a health crisis.

        • by drnb ( 2434720 ) on Saturday February 29, 2020 @06:21PM (#59782856)
          Please keep proving my point regarding your misinformation and lies ...

          replaced them with Pence, but that's like replacing a team of firefighters with an arsonist.

          And what is Pence's first action. Appointing a genuine medical professional with governmental and international experience, a doctor working for the State Dept regarding AIDS.
          "And the following day, Pence announced he was appointing Ambassador Debbie Birx to assist the effort as "White House coronavirus response coordinator." Birx is a physician and global health expert who is currently responsible for coordinating the State Department's HIV/AIDS task force. The White House said she will be supported by NSC staff in her role."
          https://www.politifact.com/fac... [politifact.com]

          Like repeated cuts to the CDC budget over the years.

          You misrepresent proposed cuts as if they were real. In reality Trump signed budgets with increases. And you ignore areas where increases were suggested, increases that offset CDC reductions from previous administrations. In sort he proposed spending less overseas and more domestically.
          "Every year since Trump has been president, lawmakers have passed bills — bills signed by Trump — that not only exceeded what Trump requested on emerging infections but also exceeded what had been spent the previous year.
          In addition, the Trump campaign pointed to consistent funding for certain budget sub-categories, such as CDC’s public health emergency preparedness, which helps states and localities deal with public health emergencies, including outbreaks. That program suffered funding losses that predate Trump."
          https://www.politifact.com/fac... [politifact.com]

          Or maybe ignoring the WHO's test for the virus while the CDC made its own flawed test in numbers too small to be really useful?

          In other words he listened to the US CDC.

          Maybe sending half the people to greet the cruise ship quarantine passengers in full protective gear, but the other half in no protective gear, and then having the folks with no gear fly commercial to get back home?

          Sorry, I missed where Trump personally equipped and led those efforts. You are conflating a mistake by some middle manager far down the chain of command with Presidential level decisions.

          How about the general lying about everything, so that the bulk of the population doesn't trust a word he says? In the face of a crisis, people not trusting their leaders seriously hurts the response.

          Oh the irony. This is exactly what I am calling out the Democratic Party leadership over, and their operatives such as yourself. You lie and misrepresent and undermine you own credibility. The result people outside your echo chamber ignore you, they don't have the time to sort your lies and half truths from your just criticisms. Is short, you made yourself ineffective. Thus helping Trump to get re-elected.

          Heck, just yesterday he forbid the nation's leading expert on the disease from speaking publicly, instead running all communication through Pence. So he's not allowing us to hear anything about a fairly infectious disease except what he thinks will help him politically. Otherwise, why not let experts speak freely?

          It is pretty normal to have an administrator or dedicated spokesperson, someone trained in the art of communications and media interaction, not medicine or science, to speak to the press. You can't speak to the press as you would speak to a conference of fellow scientists or doctors. They also often call on the medical professionals to be part of their presentation. As we saw in Trump's news conference

    • With the 24 hour news cycle, it's easy to lose track of the fact that the very first cases of this thing were reported just 90 days ago. There's really nothing anyone could have done to prevent it getting here. The same story has happened all over the world; you can't expect Trump to accomplish something that no other leader has.

      I *am* concerned the president's messaging on this though. While you *do* want to prevent people and markets from panicking, you want to preserve your credibility if things go a l

  • Double standard (Score:4, Interesting)

    by Anonymous Coward on Saturday February 29, 2020 @10:42AM (#59781678)
    Damn those Chinese Commies and their dodgy test numbers.
    Yay for America not even testing so we have no idea how many are infected.
    • Re:Double standard (Score:5, Informative)

      by hey! ( 33014 ) on Saturday February 29, 2020 @01:38PM (#59782244) Homepage Journal

      There is no general purpose lab test for viral infections. Bacteria you can culture in a petri dish then count and identify them. You can even look at them under a microscope. A virus is too small to see so you can't even confirm one is present without a species-specific molecular biology test.

      To develop that test you need concentrated samples of the virus free from the stew of chemicals you find in the human body. A virus doesn't reproduce outside of a host cell so that's tricky. You have to grow them in a compatible cell culture (if you can find one), then either produce antigens (for immunoassays like ELISA) or species-specific DNA-cleaving primers for PCR (polymerase chain reaction). For a virus that is highly infectious you have to do all this in a special lab using extra precautions [wikipedia.org].

      The cases of novel pathogens like COVID-19 are identified is by clinical observation and Occam's razor: this person has the same *symptoms* as a whole bunch of other patients right now, they test negative for bacterial infections or known viruses, so we'll assume they all have the same new virus.

      That's the way COVID-19 is still mostly diagnosed today: old-fashioned, seat-of-the-pants doctoring. That involves judgment calls. People get sick with unknown viruses all the time, viruses with similar symptoms. And not everyone with COVID-19 develops all the same symptoms. There's human judgment involved. Even if China were a transparent society, which it's not, there is bound to be some slop in the figures, particularly early on.

  • by OffTheLip ( 636691 ) on Saturday February 29, 2020 @10:44AM (#59781686)
    The big question is will it be done by both parties during this election year cycle. Think of the many ways it could be used to influence voters, keep them away from the polls, highlight what each side is doing or not doing to help, etc.
    • Will? It's already happening in the comment right above yours.
      • Well...these corona virus cases in the US DO seem to be popping up in the more liberal Dem. states.

        Just sayin......

        ;)

        • by HiThere ( 15173 )

          Did you read the summary where is said (paraphrase)"where testing is done COVID-19 cases are found"?

          P.S.: I've seen a report that in one case a man with COVID-19 had his dog tested, and it showed a weak case present. Just what this means isn't clear to me, given how people pet dogs, and how blood samples are done. It *could* mean it was resident on the skin or hair, and the sample collection wasn't sterile. But it could also mean that dogs can carry the disease. (Whether they can spread it is a separat

    • Remember COVFEFE: Coronavirus Federal Felony.
    • by timeOday ( 582209 ) on Saturday February 29, 2020 @11:56AM (#59781914)
      What is the plan? What are our transition criteria from each stage of the response to the next, such as containment to limiting exposure between people generally?

      Until we have a plan, we are stuck at the phase of developing a plan, and that is inherently political.

      And here is where that process is at:

      "The reason you're seeing so much attention to it today is [Democrats] think this is going to be what brings down the president," Mick Mulvaney told those gathered outside the nation's capital at the Conservative Political Action Conference. "That's what this is all about"

      What this tells me is there is no intent to come up with a plan. Until that changes, the problem is political.

      To be clear, I don't deny for one second that Democrats will pounce on any opening to attack Trump. But instead of just counterpunching with words, the response I would like to see from the President is a solid, constructive, agreed-up on plan developed by actual experts that we as a nation are going to follow.

      • What sort of plan? The flu and the common cold have been around for years. Even if covid19 had a 10% death rate, do we even have a theoretical plan to stop it. The TV show âoeLast Shipâ comes to mind. It had a 90% death rate and the world collapsed. Even at a 90% death rate, Iâ(TM)m not sure we are capable of stopping a highly contagious disease. We are only able to stop stuff like Ebola and Polio because the transmission rate is very low.

        • by capedgirardeau ( 531367 ) on Saturday February 29, 2020 @12:26PM (#59781986)

          We have dealt with outbreaks before, we get through them.

          They are horrible, but we as a species get through them.

          This one will be pretty bad unless the leaders get their shit together.

          Many places deal with similar, dangerous outbreaks every damn day. cholera, yellow fever, ebola, malaria. it is hard, horribly hard, but they carry on.

          We still have lots of room to impact the spread and outcome of this outbreak,, I am focused on those things, and I hope you will too.

        • by HiThere ( 15173 )

          The current purpose of quarantines, etc., is to slow the progression of the cases while medical capabilities are developed and ramped up. Maybe it will work. But hiding your head in the sand and just making speeches isn't a good choice...especially if you don't already have a good team of infections disease agents working on halting it. And the US fired their team last year (possibly the year before).

          • May 2018. And nobody has been rehired, nor that team reassembled. Plus he's been chopping down the CDC's budget, because:

            "I'm a businessperson. I don't like having thousands of people around when you don't need them," Trump said. "When we need them, we can get them back very quickly."

            Maybe if you've never worked with nor needed an expert who was up-to-date in their area of expertise, that makes sense. If you're not an idiot or if you have worked with such people, you realize that you can't get people back quickly if they know that they'll get discarded tomorrow if you don't think they're needed. And you'll also realize that you're just hoping that someone else is paying to grow their expertise in the same area they were working in, rather than them moving on and their knowledge getting out-of-date.

            Yeah, I get that the government is a giant, wasteful bureaucracy, but it's job is to deal with shit like this, not turn a profit. And you can't deal with shit like this without having plans ready, and you don't have plans ready if you've fired everyone who was in charge of making them.

      • by gtall ( 79522 ) on Saturday February 29, 2020 @01:14PM (#59782140)

        Trump has a plan, protect the stock market and his re-election....silly wabbit.

  • Meanwhile... (Score:4, Insightful)

    by JustAnotherOldGuy ( 4145623 ) on Saturday February 29, 2020 @10:47AM (#59781688) Journal

    Meanwhile, the President is facing heavy criticism for his handling of the coronavirus after he admitted that he closed 37 out of 47 anti-pandemic programs in vulnerable countries around the world set up by his predecessor Barack Obama to tackle just such a contagion.

    Everything is fine, don't worry- the virus is just a "hoax" according to the President and FOX News.

    • Re: (Score:2, Interesting)

      by Anonymous Coward

      Not really doubting that such things could have occurred, both on the Obama and Trump sides of this, but do you have links to those "facts"?

      • Re:Meanwhile... (Score:5, Informative)

        by tsuliga ( 553869 ) on Saturday February 29, 2020 @11:34AM (#59781824)

        Yes Trump did make cuts to the CDC programs.
        Snopes has this as true.
        https://www.snopes.com/fact-ch... [snopes.com]

      • Re:Meanwhile... (Score:5, Informative)

        by JustAnotherOldGuy ( 4145623 ) on Saturday February 29, 2020 @11:40AM (#59781850) Journal

        Not really doubting that such things could have occurred, both on the Obama and Trump sides of this, but do you have links to those "facts"?

        FFS, do a google search...it's a fact that's been reported in almost every news source.

        But here's a sample via a February 2018 story in The Washington Post:

        Four years after the United States pledged to help the world fight infectious-disease epidemics such as Ebola, the Centers for Disease Control and Prevention is dramatically downsizing its epidemic prevention activities in 39 out of 49 countries because money is running out, U.S. government officials said.

        The CDC programs, part of a global health security initiative, train front-line workers in outbreak detection and work to strengthen laboratory and emergency response systems in countries where disease risks are greatest. The goal is to stop future outbreaks at their source.

        But the Washington Post is a liberal newspaper, so just ignore them, right? Don't take ten seconds to search for confirmation, just keep pretending everything is fine.

    • Re:Meanwhile... (Score:4, Insightful)

      by LynnwoodRooster ( 966895 ) on Saturday February 29, 2020 @11:36AM (#59781830) Journal
      Wait, so are we supposed to stay involved in the internal policies of foreign nations (good neighbor), or are we supposed to get out of the internal policies of foreign nations (meddling imperialism)? I'm so confused...
    • Meanwhile, the President is facing heavy criticism for his handling of the coronavirus after he admitted that he closed 37 out of 47 anti-pandemic programs in vulnerable countries around the world set up by his predecessor Barack Obama to tackle just such a contagion.

      No, not this contagion. This contagion is from China, not one of these vulnerable countries, not a country that is open and forthcoming regarding data and information. Such info and data might reflect poorly on the Chinese Communist Party so it will not be shared, there will not be meaningful cooperation that could expose such info..

      The likelihood of introduction of the virus to the US is from a person traveling to China, not so much these vulnerable countries. If we were talking about an Ebola virus fro

  • with no travel history or known contact with another case

    Enjoy your "convergent evolution", naturalists. Or have an actual plan, in case this improbability is actually "convergent design".

    • with no travel history or known contact with another case

      Enjoy your "convergent evolution", naturalists. Or have an actual plan, in case this improbability is actually "convergent design".

      Diseases tend to become less fatal over time, since there is evolutionary pressure to *not* kill the host.

      Typically, an infectious disease lives in some animal species without killing them, and at some point mutates to become infectious to another species (notably humans), at which point it's usually very potent. (*)

      As time progresses however, there is enormous evolutionary pressure evolve into a form that makes the host sick without killing them - diseases that don't kill the host have more opportunity to

  • Isn't that the whole freaking problem in part of a sentence?

    If infected people are walking around hacking, wheezing on people and food around them, doesn't this mean the cat is out of the bag?

    • Yep, and probably been that way for a month or more. Meaning, in countries with better medicine and basic sanitation (China really is NOT that sanitary, yes I did live there for 6 years and still spend months every year there) have a lot lower infection AND mortality rates. So it's not such a big deal in places that are cleaner and healthier.
  • Of course it is (Score:5, Insightful)

    by Way Smarter Than You ( 6157664 ) on Saturday February 29, 2020 @11:05AM (#59781734)
    It has a 12-24 day period of no or limited symptoms during which it can spread to others. It would only take one infected person on a plane landing in a US airport to come into contact with hundreds of others in just the first week. If only only one of them gets it then it'll be thousands of potentials by end of month. If there's only a 1% infection rate upon contact then you now have 20 in 30 days. Multiply 20 by 10 and keep doing by 10 every 30 more days. After a few months (its been about 3 months) you get 6000. Next month 60000. Month after 600k. And so on. It's here. Stop worrying about it spreading. Too late. Wash your hands a lot.
    • [citation needed] on 12-24 days incubation and transmissible.

      Also: Wash your damn hands and stop picking your nose.

      This is not airborne, it is droplet based, so if you keep your hygiene as high as you can, you are at much less risk.

    • Stop worrying about it spreading. Too late. Wash your hands a lot.

      Exactly. It's already here. Arguing about whether or not it's coming is like rearranging the deck chairs on the Titanic.

      The only question now is how bad it'll be, and things aren't looking good.

  • by capedgirardeau ( 531367 ) on Saturday February 29, 2020 @11:20AM (#59781778)

    We can do things that reduce and slow the spread, so lets focus on doing them. We can give the experts time to test more people, test existing antivirals, ramp up production, etc.

    At the moment anyone in the US's individual chance of catching it is low.

    The slower this spreads, the better we are going to do responding to it given the numbers and the realities of how our health care system is.

    I think we have a sense of how many will catch this eventually, probably on the lower end of the 40-70% projection.

    And most folks will be fine from the virus. That is true - 80% of folks who catch it are fine. 15% need to be in a hospital. 2% of those folks will pass away.

    We can keep doing what experts tell us, wash hands, do not touch your face, stay home if you get sick, work from home if you can. Avoid large gatherings, church, etc.

    If we all keep doing that we will have an impact on making sure as few folks as possible catch it and even fewer die.

    Do not forget: Testing results do not mean more spreading, it means identifying more folks who already had it and learning a lot more to help slow the spread.

    • Comment removed based on user account deletion
      • Nobody knows the true death rate because we arenâ(TM)t testing the entire population (nor has China). Given the fact that the cases in the U.S. have no known connection to China, it appears likely that some large portion of the population exposed has no symptoms or very mild ones- we havenâ(TM)t and indeed couldnâ(TM)t test all of these people.

        Take comfort in the fact that this disease has been active for almost 3 months in China and has only infected a minuscule portion of the population. Ev

    • Hint: you you use a different test kit for each subject, contamination figures may result much lower.

  • If it is one thing the US does do quite well is monitor flu and influenza like illnesses.

    If CORVID19 had been circulating for any time we would have picked up on something. For sure.

    We can slow and reduce the spread in the US if our officials follow the advice of the experts in the field.

    • If it is one thing the US does do quite well is monitor flu and influenza like illnesses

      Well...we used to, not so much anymore.

      Over the last couple of years this administration has cut the funding for most of the field offices that monitored this kind of thing in other countries, so now we're kinda flying blind. Maybe not completely blind, but damn near.

  • CNN [cnn.com] reported at the time:

    Since the H1N1 flu pandemic began in April, millions of people in the United States have been infected, at least 20,000 have been hospitalized and more than 1,000 have died, said Dr. Thomas Frieden, director of the
    Centers for Disease Control and Prevention [cnn.com].

    Furthermore, the CDC's Frieden fretted at the time that efforts to create a vaccine had stumbled:

    "We are nowhere near where we thought we would be," Frieden said, acknowledging that manufacturing delays have contributed to less

  • by Anachronous Coward ( 6177134 ) on Saturday February 29, 2020 @11:36AM (#59781828)
    But it's so damned satisfying.
  • on the upcoming election. Trump & Bernie lean pretty heavily into large rallies. Both routinely draw crowds over 10,000. You can't really do that during an epidemic. It might put Bloomberg over the top, who can just buy up all the airwaves. Then again that might only work in the Dems primary, since Trump has a ton of money too (he has pre-purchased all of YouTube's front page adverts, for example). Then again (again) it might be too late in the primary for Bloomberg to even buy his way into the general.
    • Don't worry, by the time transmission during rally would be concern this thing will be all over the USA anyway. Not a concern for healthy people, it's like a mild cold. Those of you who are diseased, frail, smoke (either tobacco or MJ) might want to worry.

    • by hey! ( 33014 )

      They both rely heavily on social media as well, in Trump's case personally. I think Trump in particular will miss the adulation, but in truth most of their supporters never go to a rally and the ones that go are the most committed.

      A bigger issue might be the ground game -- getting canvasses to go out in swing districts to voters who might be on the fence about turning out.

      There's hope that COVID-19 might die down in summer naturally, like flu does.

  • by capedgirardeau ( 531367 ) on Saturday February 29, 2020 @12:09PM (#59781942)

    https://twitter.com/KrutikaKup... [twitter.com]

    Ok everyone, I am headed out to run errands in #PaloAlto where we know there community transmission happening. I will not be wearing a mask....and I am not worried about it. Why? Because I use good hand hygiene and cover my cough.

  • by aepervius ( 535155 ) on Saturday February 29, 2020 @04:24PM (#59782626)
    Let us be clear : if covid-19 spread in the US, it will spread like wild fire. With your system of paying through the nose for even a test (the 3200 dollar a few days ago story) people will not want to get tested. They also will try to ride it out if contaminated : the cost of healthcare is so horrendous people will try to avoid bankruptcy : e.g. not going to get treated, and if sick will try to hold out until it is emergency time. Oh I am sure Germany and other UHC country would get swamped too, but there is a difference though : people will go to the doc and hospital because it will not break them financially, so there is a higher chance to contain it , or at least to slow down the spread long enough. IMO if it start to spread the US is fucked.

    But you know who it will bite the ass more at election time ? The GOP. Not because people would be sick of trump. no. because the GOP voting cohort are older on average , (at least those the most likely to die , the silent gen , is also the more likely to vote/admit to vote gop). And the people taking their time to go vote are also older. If 14% of those die, then sudednly coming november they will be sorely missed at the election.

    That said I hope for all it does not spread , otherwise the number of death will be horrendous.
    • The bigger problem here isn't bankruptcy for people who need treatment. It's that we don't have paid sick leave. Many low wage jobs here will give sick leave, but it's unpaid. Some people can't afford to miss a day of work, so they'll go in anyway and spread their sickness.

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