Detroit 5-year-old dies of coronavirus; parents try to warn others, while Texas Lt Gov Dan Patrick says there are more important things than living
Detroit 5-year-old dies of coronavirus; parents try to warn others
SARS-CoV-2 Infection in Children
March 18, 2020
DOI: 10.1056/NEJMc2005073
TO THE EDITOR:
As of March 10, 2020, the 2019 novel coronavirus (SARS-CoV-2) has been responsible for more than 110,000 infections and 4000 deaths worldwide, but data regarding the epidemiologic characteristics and clinical features of infected children are limited.1-3 A recent review of 72,314 cases by the Chinese Center for Disease Control and Prevention showed that less than 1% of the cases were in children younger than 10 years of age.2 In order to determine the spectrum of disease in children, we evaluated children infected with SARS-CoV-2 and treated at the Wuhan Children’s Hospital, the only center assigned by the central government for treating infected children under 16 years of age in Wuhan. Both symptomatic and asymptomatic children with known contact with persons having confirmed or suspected SARS-CoV-2 infection were evaluated. Nasopharyngeal or throat swabs were obtained for detection of SARS-CoV-2 RNA by established methods.4 The clinical outcomes were monitored up to March 8, 2020.
Of the 1391 children assessed and tested from January 28 through February 26, 2020, a total of 171 (12.3%) were confirmed to have SARS-CoV-2 infection.
Demographic data and clinical features are summarized in Table 1. (Details of the laboratory and radiologic findings are provided in the Supplementary Appendix, available with the full text of this letter at NEJM.org.)
The median age of the infected children was 6.7 years.
Fever was present in 41.5% of the children at any time during the illness.
Other common signs and symptoms included cough and pharyngeal erythema.
A total of 27 patients (15.8%) did not have any symptoms of infection or radiologic features of pneumonia.
A total of 12 patients had radiologic features of pneumonia but did not have any symptoms of infection.
During the course of hospitalization, 3 patients required intensive care support and invasive mechanical ventilation; all had coexisting conditions (hydronephrosis, leukemia [for which the patient was receiving maintenance chemotherapy], and intussusception).
Lymphopenia (lymphocyte count, <1 .2="" 6="" div="" in="" liter="" nbsp="" patients="" per="" present="" was="">
Detroit 5-year-old dies of coronavirus; parents try to warn others
The most common radiologic finding was bilateral ground-glass opacity (32.7%).
As of March 8, 2020, there was one death. A 10-month-old child with intussusception had multiorgan failure and died 4 weeks after admission.
A total of 21 patients were in stable condition in the general wards, and 149 have been discharged from the hospital.
This report describes a spectrum of illness from SARS-CoV-2 infection in children. In contrast with infected adults, most infected children appear to have a milder clinical course. Asymptomatic infections were not uncommon.2 Determination of the transmission potential of these asymptomatic patients is important for guiding the development of measures to control the ongoing pandemic.
Two COVID-19 infected children, aged 12 and 13, die in Belgium and UK
By Alasdair Sandford with AFP, AP • last updated: 01/04/2020
A health worker in the intensive care ward observes a COVID-19 patient at a hospital in Belgium, March 27, 2020. (AP Photo/Francisco Seco, File)
A 12-year-old girl in Belgium and a 13-year old boy in the UK infected with the novel coronavirus have died, authorities said.
They are believed to be the youngest victims of the disease in their respective countries.
The 12-year-old girl's death was announced during the daily news conference given by Belgium's health service, at the end of its regular update on casualty figures and hospitalisations.
“It's an emotionally difficult moment because it involves a child, and it has also upset the medical and scientific community,” said spokesman Dr Emmanuel André, visibly upset.
"We are thinking of her family and friends. It's a very rare event, but one which devastates us."
Another spokesman added that the child had had a fever for three days and had tested positive for the coronavirus. No other details were given of the girl's background.
Until now the youngest person to die from the virus in Belgium was a 30-year-old female nurse, according to Belgian media.
Just a few hours later, London's King's College Hospital announced that a 13-year-old COVID-19 patient had also died.
"Sadly, a 13-year old boy who tested positive for COVID-19 has passed away, and our thoughts and condolences are with the family at this time," a Trust spokesperson said in a statement.
"The death has been referred to the Coroner," it added.
An appeal posted on the GoFunMe crowdfunding platform by Madinah College, named him as Ismail and said that he didn't have "any pre-existing health conditions.
"Sadly he died without any family members close by due to the highly infectious nature of COVID-19," it added.
Ismail is believed the be the youngest victim of the disease in the UK.
Last week French authorities said a 16-year-old girl had died at a children's hospital in Paris. The death of the teenager, identified as Julie A. and described as otherwise healthy, has provoked strong emotions in France.
Coronavirus in France: healthy 16 year-old dies of COVID-19
Deaths from COVID-19 among people so young are exceptional. Health authorities have said previously that serious cases of the illness -- although predominant in older and more vulnerable age groups -- can occur in adults of any age.
Last weekend the US state of Illinois announced the death of an infant under one year old who had tested positive for coronavirus. The cause of death was being investigated. Medical reports on cases in China have documented the death of a 10-month-old baby and a 14-year-old boy.
A recent US study by the Centers for Disease Control and Prevention (CDC) of 2,500 patients found no cases of deaths among people aged under 19. But it did find that people of all ages were liable to become seriously ill: more than a third of those hospitalised were aged between 20 and 54.
Coronavirus in Europe: Latest numbers on COVID-19 cases and deaths
The Belgian girl's death was included among the latest national figures released on Tuesday, confirming nearly 200 more deaths since the previous update. More than 700 people in the country have died from coronavirus since the outbreak began.
Hospitals in three regions have been particularly badly affected, the authorities say -- around Brussels, in Limburg in eastern Flanders, and in Hainaut in Wallonia to the west.
With 12,775 confirmed COVID-19 cases as of Tuesday, Belgium has the 10th highest number of infections among countries worldwide, according to data compiled by the US Johns Hopkins University Coronavirus Resource Center.
USC-LA County Study: Early Results of Antibody Testing Suggest Number of COVID-19 Infections Far Exceeds Number of Confirmed Cases in Los Angeles County
http://publichealth.lacounty.gov/phcommon/public/media/mediapubhpdetail.cfm?prid=2328
Purging the Old Folks From Nursing Homes and Long-term Care Facilities
http://publichealth.lacounty.gov/phcommon/public/media/mediapubhpdetail.cfm?prid=2328
Purging the Old Folks From Nursing Homes and Long-term Care Facilities
And, across the nation, according to a recent report in the Wall Street Journal, the coronavirus epidemic has affected more than 2,100 nursing homes and long-term care facilities, causing more than 2,300 fatalities. The article states that the official tally “almost certainly understates the extent of the epidemic, because not all states provide data.” As a further matter, a Time article suggests the number is at least 3,600 deaths. And on April 16, a report indicates that at least 5,670 nursing home residents have died from COVID-19.
This week state, county, and municipal officials have begun rectifying the problem of underreporting of COVID-19 deaths by adding to the tally deaths that have occurred at home or in nursing homes and are presumed to be caused by COVID-19.
CORONAVIRUS IN TEXAS
Dan Patrick says “there are more important things than living and that’s saving this country”
Patrick went on Fox News on Monday evening to defend comments he made last month where he said he would rather die from the widely spreading coronavirus than see the economy destroyed for his children and grandchildren.
BY ALEX SAMUELS APRIL 21, 20204 HOURS AGO
After facing intense criticism for suggesting on Fox News last month that he’d rather perish from the new coronavirus than see instability in the state’s economic system, Lt. Gov. Dan Patrick said last night that he’s thankful Texas is beginning the process of reopening its economy because the restrictions are currently “crushing small businesses” and the economic market.
“I’m sorry to say that I was right on this and I’m thankful that now we are now finally beginning to open up Texas and other states because it’s been long overdue,” he told interview host Tucker Carlson.
“What I said when I was with you that night is there are more important things than living. And that’s saving this country for my children and my grandchildren and saving this country for all of us,” Patrick said. “I don’t want to die, nobody wants to die, but man we’ve got to take some risks and get back in the game and get this country back up and running.”
His comments were in reference to a March 23 interview with Carlson where Patrick implied he would rather die from the widely spreading coronavirus than see the economy destroyed for future generations by overreaction to the disease.
During his latest interview on Fox News, Patrick said that, in Texas, the death toll wasn’t high enough to warrant shutting down the entire state. According to the latest data from the Texas Department of State Health Services, 19,458 Texans have been sickened from the virus, while 495 have died.
“Let’s face reality of where we are: In Texas, we have 29 million people. We’ve lost 495 and every life is valuable, but 500 people out of 29 million and we’re locked down,” Patrick said.
snip...
Estimating the burden of SARS-CoV-2 in France
Henrik Salje, Cécile Tran Kiem, Noémie Lefrancq, Noémie Courtejoie, Paolo Bosetti, Juliette Paireau, Alessio Andronico, Nathanaël Hoze, Jehanne Richet, Claire-Lise Dubost, et al.
Abstract
France has been heavily affected by the SARS-CoV-2 epidemic and went into lockdown on the 17th March 2020. Using models applied to hospital and death data, we estimate the impact of the lockdown and current population immunity. We find 2.6% of infected individuals are hospitalized and 0.53% die, ranging from 0.001% in those <20y 8.3="" in="" those="" to="">80y. Across all ages, men are more likely to be hospitalized, enter intensive care, and die than women. The lockdown reduced the reproductive number from 3.3 to 0.5 (84% reduction). By 11 May, when interventions are scheduled to be eased, we project 3.7 million (range: 2.3-6.7) people, 5.7% of the population, will have been infected. Population immunity appears insufficient to avoid a second wave if all control measures are released at the end of the lockdown.
This study shows the massive impact the French lockdown had on SARS-CoV-2 transmission. It estimates underlying probabilities of infection, hospitalization and death, which is essential for the interpretation of COVID-19 surveillance data. The forecasts we provide can inform planning of ICU bed occupancy and lockdown exit strategies. The estimated low level of immunity against SARS-CoV-2 indicates that efficient control measures that limit transmission risk will have to be maintained beyond the 11th May to avoid a rebound of the epidemic.
Trump gop maga, “get back to work now” like leading sheep to slaughter...
corvid-19 figures US;
corvid-19 map
SATURDAY, APRIL 18, 2020
Coronavirus at Smithfield pork plant: The untold story of America's biggest outbreak
and
Tyson Foods processing plant in rural Iowa hit hard by coronavirus with 186 positive cases
and
4 Georgia poultry workers dead from coronavirus, company says
American workers who process the nation’s meat have proven especially susceptible to the new virus, as they work shoulder-to-shoulder on production lines.
April 17, 2020, 11:22 AM CDT
By The Associated Press
SAVANNAH, Ga. — Four employees of a major poultry producer's operations in rural southwest Georgia have died after becoming infected with the coronavirus, a company spokesman said Friday.
Tyson Foods spokesman Gary Mickelson said three of the employees worked at the company's chicken processing plant in Camilla, while the fourth person worked in a supporting job outside the plant. He declined to say how many workers there have tested positive for COVID-19, the disease caused by the new virus.
Coronavirus cases found in at least 17 meat processing plants across U.S.
Coronavirus infections in at least 17 meat processing plants across nine states are contributing to a spike in confirmed cases in the Midwest. Although 13 plants are already closed temporarily or operating at reduced capacity, Iowa Governor Kim Reynolds says shutting down plants would hurt farmers and the national food supply. Adriana Diaz looks at the effect the pandemic has had on some of these facilities. 4H AGO
17 plants in 10 states...
President George W. Bush on Pandemic Flu in 2005
Trump disbanded NSC pandemic unit that experts had praised
By DEB RIECHMANN
March 14, 2020
WASHINGTON (AP) — Public health and national security experts shake their heads when President Donald Trump says the coronavirus “came out of nowhere” and “blindsided the world.”
They’ve been warning about the next pandemic for years and criticized the Trump administration’s decision in 2018 to dismantle a National Security Council directorate at the White House charged with preparing for when, not if, another pandemic would hit the nation.
CORONAVIRUS APR. 8, 2020
U.S. Intelligence Warned Trump of Coronavirus Threat as Early as November: Report
By Matt Stieb
We’ve removed our paywall from essential coronavirus news stories. Become a subscriber to support our journalists. Subscribe now.
One of the many, mutually exclusive excuses the Trump administration has provided for its profound delay in responding to the coronavirus is that they were fooled by reports of the outbreak coming out of China. “I will be very candid with you,” Mike Pence explained on CNN last week, “and say that in mid-January the CDC was still assessing that the risk of the coronavirus to the American people was low. … The reality is that we could’ve been better off if China had been more forthcoming.”
Pence, too, could have been more forthcoming about the information the administration was privy to, according to a new report from ABC News. According to two officials familiar with a report from the military’s National Center for Medical Intelligence, the White House was aware of a contagion which is now known to be COVID-19 as early as November. According to ABC News, the report, made up of data intercepts and satellite imagery, determined that the coronavirus was a potential threat to U.S. troops in the region. “Analysts concluded it could be a cataclysmic event,” a source told ABC News. “It was then briefed multiple times to the Defense Intelligence Agency, the Pentagon’s Joint Staff and the White House.”
Though Defense Secretary Mark Esper told ABC News on Sunday that the National Security Council was not briefed about the matter in December, the ABC News report says that the administration was aware of its contents as early as Thanksgiving:
The NCMI report was made available widely to people authorized to access intelligence community alerts. Following the report’s release, other intelligence community bulletins began circulating through confidential channels across the government around Thanksgiving, the sources said. Those analyses said China’s leadership knew the epidemic was out of control even as it kept such crucial information from foreign governments and public health agencies.
“The timeline of the intel side of this may be further back than we’re discussing,” the source said of preliminary reports from Wuhan. “But this was definitely being briefed beginning at the end of November as something the military needed to take a posture on.”
SNIP...
Atkinson’s removal is part of a larger shakeup of the intelligence community under Trump, who has long been skeptical of intelligence officials and information. Atkinson is at least the seventh intelligence official to be fired, ousted or moved aside since last summer.
Below is a timeline of Trump’s commentary downplaying the threat.
Jan. 22: On whether he was worried about a pandemic: “No, we’re not at all. And we have it totally under control. It’s one person coming in from China.”
Jan. 24: “It will all work out well.”
Trump reportedly dismissed January coronavirus warnings from Health Secretary Alex Azar as 'alarmist'
Tom Porter
Trump according to the Post was warned in a January intelligence briefing about the threat posed by the virus as well as by his health secretary, but in public statements for weeks continued to downplay the likely impact of the disease.
A Navy captain tries to save his sailors, and gets fired in the process
Navy secretary, in a transparent bid to appease President Trump, moves precipitously to relieve aircraft carrier captain of his command: Our view The Editorial Board USA TODAY
The Lost Month: How a Failure To Test Blinded the U.S. To Covid-19
The absence of robust screening until it was “far too late” revealed failures across the government, said Dr. Thomas Frieden, the former C.D.C. director. Jennifer Nuzzo, an epidemiologist at Johns Hopkins, said the Trump administration had “incredibly limited” views of the pathogen’s potential impact. Dr. Margaret Hamburg, the former commissioner of the Food and Drug Administration, said the lapse enabled “exponential growth of cases.”
And Dr. Anthony S. Fauci, a top government scientist involved in the fight against the virus, told members of Congress that the early inability to test was “a failing” of the administration’s response to a deadly, global pandemic. “Why,” he asked later in a magazine interview, “were we not able to mobilize on a broader scale?”
Dr. Stephen Hahn, 60, the commissioner of the Food and Drug Administration, enforced regulations that paradoxically made it tougher for hospitals, private clinics and companies to deploy diagnostic tests in an emergency. Other countries that had mobilized businesses were performing tens of thousands of tests daily, compared with fewer than 100 on average in the United States, frustrating local health officials, lawmakers and desperate Americans.
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