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Coronavirus Epidemic Update 28: Practical Prevention Strategies, Patient Age vs. Case Fatality Rate

February 28, 2020


welcome to another MedCram COVID-19
update we’re gonna talk today again about the numbers about the epidemiology
we’re actually going to talk about the case fatality rate and the age
specifically a lot of you have asked about how age affects that we’re also
going to talk about testing there’s been some interest in how we test for SARS
cuff too and in light of what we talked about last update which is what the
sensitivity and specificity were we talked about how the sensitivity of the
kits that have been made public and available in certain situations is not
the best we’re also gonna talk about healthcare workers and this all sort of
ties in together here is the Johns Hopkins dashboard
total confirmed eighty three thousand three hundred and eighty-nine total
deaths twenty eight hundred fifty eight total recovered is thirty six thousand
five hundred and sixty three these are the numbers that are being put out to by
the various organizations moving over to the world ometer coronavirus cases and
if we exclude the Chinese numbers we can see here that we are definitely in an
epidemic phase outside of China and if we look at the pie chart we can see here
that that slice of the pie is definitely growing and I think you can expect that
that is going to grow even more here in the next number of weeks if we look at
the number of cases outside of mainland China a huge swath of that is from the
Diamond Princess in terms of new cases the fastest-growing one is South Korea
in fact for the first time there’s more cases coming out of South Korea and
there is coming out of China also here we have our outcome of cases and you can
see that the death rates as more and more of these undetermined cases go to
the side of recovery that death rate is falling that is not a case fatality rate
we’re going to talk about that here in just the bits again looking at the
latest updates one new case in Canada this used to be a very small section
here where you could look at multiple dates and now things
have just taken off in different places North America here on February 27th new
case in Ontario the husband of the previously confirmed case in Toronto
we’ve got Europe in the Middle East and you can see here all of the different
cases 20 new cases in France for instance five new cases in Sweden 14 new
cases in Germany Italy has now actually relaxed its testing criteria recent
travelers to outbreak areas will not be tested anymore unless they show symptoms
and that may be because they may be low on testing that’s just speculation not
exactly sure if that is the case we’ve got two new cases in the UK four new
cases in Switzerland in Asia the number of new cases in South Korea has actually
topped to China for the first time this is the article entitled coronavirus
fatality rates vary widely depending on age gender and medical history some
patients fare much worse than others this is in a jam a review article where
they actually looked at 72,000 copa 19 cases and there was a dramatic shift
we’ll put the link to this article in the description let’s go right to the
actual article characteristics of an important lessons from the corona virus
disease 2019 outbreak in China this is seventy two thousand three hundred and
fourteen cases pretty big numbers realizing of course this doesn’t capture
the entire picture but it’s a good peek at what it is that’s going on let’s just
jump to the box findings I like JAMA that they box these findings for you
very concisely so out of seventy two thousand three hundred fourteen cases
confirmed cases were forty four thousand suspect the cases sixteen thousand
diagnosed cases ten thousand asymptomatic less than a thousand here’s
the age distribution of actual infections in this study and you can see
the vast majority of infections occurred in people thirty to seventy nine years
of age that may be because most of these people were out and about but you can
see here that as you get younger ten to nineteen less than ten there was a
reduced population what about the spectrum of disease overall eighty one
percent of these cases were mild fourteen percent were severe and five
percent were critical the thing that everyone’s looking for is
the case fatality rate so overall all of those cases had a case fatality rate of
2.3 percent but how did that get distributed you can see that one of the
highest age-related case fatality rates was in people aged 80 years and over and
that was fourteen point eight well if you’re in the decade before that seventy
to seventy nine eight point zero percent you can see that it came down
dramatically what about those who were less than nine
if you were to go down into the body of the paper there were no deaths in
anybody nine years of age or younger and if you did have a critical case your
chances of making it were about fifty percent so what about all those people
that are 30 to 80 years of age well if you actually calculate the numbers you
get approximately a one point two percent case fatality rate let’s look at
healthcare personnel that were infected of the forty four thousand that were
confirmed 3.8 percent of them were healthcare personnel and sixty three
percent of those were in wuhan in total there were only five deaths in this
group and they also tell you about how they determine which ones were mild and
which ones were severe etc mild was determined as non pneumonia or mild
pneumonia however fourteen percent were severe
well what is severe these are people that had shortness of breath a
respiratory frequency rate of greater than thirty per minutes a blood oxygen
saturation that was less than 93% or a partial pressure of oxygen fraction to
the oxygen ratio of less than 300 what is this less than 300 mean it’s a
determinant of how much oxygen they have to give you to keep your oxygen levels
up the more oxygen that they have to give you to keep your oxygen levels up
the lower this number goes so you want to have a high number this is called a
PF ratio a lung infiltrates that is more than 50% within 24 to 48 hours and 5%
were critical respiratory failure they’re on ventilators they’re in septic
shock or they have multiple organ failure no deaths were reported among
mild and severe cases however among critical cases the case fatality rate
was the flip of a coin those with pre-existing comorbid
ditions 10.5% for cardiovascular disease 7.3 percent for diabetes six point three
percent for chronic respiratory disease six percent for hypertension five point
six percent for cancer and among the forty four thousand cases a total of one
thousand seven hundred and sixteen where health care workers or about three point
eight percent a lot of whom were in wuhan here is a key point kovat nineteen
rapidly spread from a single city to the entire country in just 30 days
the sheer speed of both the geographical expansion and the sudden increase in
numbers of cases surprised and quickly overwhelmed health and public health
services in China particularly in Wuhan City and Hebei province epidemic curves
reflect what may be a mixed outbreak pattern with early cases suggestive of a
continuous common source potentially zoonotic spillover at the Hunan seafood
wholesale market and later cases suggestive of a propagated source as the
virus began to be transmitted from person to person and here we have this
graph this is a great graph we see going along here rather undetected and then
all of a sudden we see this huge increase depending on whether or not
you’re looking at the date of onset of the cases or the data of diagnosis of
the cases in either situation if we look at the date of onset we can see here
that things start to spread very very quickly and overwhelm the healthcare
delivery system no deaths were reported among mild and severe cases I think
that’s a pretty extraordinary statement whether you believe the numbers or not
especially seeing based on this study the majority of the cases were mild and
severe and 5% are critical and half of those are dying so we can see by looking
at this that the key is going to be early detection and this brings up
another interesting article here Co diagnostic stock soars 57 percent on a
high hopes for its coronavirus test so if you looked at our last update you
would have seen that the current CDC kits are not performing like they should
be you may remember the case in San Diego that was released early after
they determined initially that the patient was negative only to retest and
find that the patient was in fact positive and that could be because of a
somewhat lower sensitivity of the test instead of it being 97% it’s as low as
70 percent well here is possibly a new test that is developed by Co Diagnostics
it’s a month to date gains to 333 percent after the company said it
received AC e mark for its tests and this indicates that the test is
compliant with health and safety standards and is now gonna be allowed to
be sold in the European Economic Area there is an analyst that says that this
test is easier to use than the test in use by the Centers for Disease Control
and Prevention well we’ll see what happens with this and hopefully if it
does work it’ll be more available and faster than the current testing that we
have because of this article about the California issue that we have in
Sacramento with the patient that was diagnosed as we talked about in our last
update some California health workers held in isolation quarantine after
exposure to corona virus patient this is what we’ve been talking about and that
is if somebody comes in to the hospital and has corona virus but we don’t know
that and we can’t detect that until they’re on the ventilator and then we’re
worried because they have a viral pneumonia and none of our tests are
positive then we get it tested and it’s positive we’re gonna look back and see
which healthcare workers were in contact with that patient and then we’re gonna
have to quarantine them dozens of health care workers in Solano County California
are under isolation and some will be quarantined after being exposed to a
patient who recently tested positive for the corona virus now we talked about
this as it turns out this patient visited centers at two hospitals in
North Bay vaca Valley Hospital in Vacaville and the UC
Davis Medical Center in Sacramento after the patient was transferred there now we
don’t know how many people had to be put on isolation and taken out of service
basically but they say it was under a hundred people now for them to save that
high of a number I’m thinking here that it’s not far under one
people and it kind of goes to show that at just the point where you need to have
as many health care workers as possible to deal with this epidemic you’re gonna
be knocking out a lot of health care workers if you can’t get the diagnosis
right and quickly so the quote here by dr. Matias the county public health
officer said at both hospitals we are at present aggressively evaluating everyone
who may have had contact with this patient they are being identified and
their risk for exposure is being assessed efforts are made to identify
all workers who may have been exposed a spokesman for north bay health care said
and the number of health care workers impacted was a moving target the
announcement comes hours after County Health officials declared a local
emergency and activated its Department Operations Center to identify and screen
those potentially exposed to the coronavirus officials called the virus a
public health threat but cautioned that the risk to the public in Solano County
remains low so that leads me to give you some advice on what to do and we have to
stop thinking about what am I going to do to protect myself and myself only
because what we need to do is we need to start and think like a group to protect
ourselves from this virus and what I mean by that is we need to take steps
not only concentrating on how to prevent ourselves from getting the virus you
really need to think about this hard if you get the virus what are you going to
do to prevent somebody else from getting the virus if we all think this way and
we all act this way together we can prevent a lot of problems so we need to
think together as a group and cooperate and so the number one thing I’m going to
tell you here is get a thermometer and the reason why I’m telling you that is
so you can know objectively if you have a fever the definition of a fever by the
way is a temperature greater than 100 point 4 degrees Fahrenheit or 38.0
degrees centigrade and I know some people will say well I’m always very
cold and therefore this is a temperature for me I understand that but I’m just
letting you know that when you come to the hospital and we check your
temperature these are the criteria that we’re going to use a temper
100.4 or 38.0 if you get a fever I would say the second thing to do is don’t go
to the hospital unless you need to and what I mean by that is be reasonable if
it is only a cold or if it is only mild flu symptoms that you don’t need to go
to the hospital for if you have shortness of breath if you have severe
cough things of that nature those are the things that you need to go
to the hospital for talk to your doctor call in to your nurse do those sorts of
things because if you go you’re going to inundate yourself into the hospital
system you’re going to be another patient that they have to see and you’re
going to expose yourself potentially to other people who might be infected
number three don’t hoard masks there’s 2 types of masks there’s the regular
surgical masks which we all know and then there’s something called n95 masks
let me just tell you right now a regular surgical mask other than preventing you
from touching something and then touching your nose isn’t going to
prevent you from getting coronavirus if you’re breathing in air then you’re
breathing in the viruses in the air and those surgical masks are not designed to
filter air that you breathe in only the n95 masks do that so wearing a surgical
mask if you’re perfectly healthy other than the fact of just trying to remind
yourself not to touch your nose your mouth is going to do you no good so
don’t take those masks those masks are needed for people at the hospital to put
on patients who are already sick now as far as n95 masks those masks are
needed by physicians and nurses and respiratory therapists and other
ancillary service people at the hospital so that they can continue to treat
people there and still be healthy and not have to be quarantined it’s
important that they get that equipment because if they don’t have that
equipment they’re gonna get sick and they’re not gonna be there at the
hospital when you need them to be there number four if you are having severe
symptoms if you are having shortness of breath you’re having dis Nia chest pains
symptoms that are more severe or you’re lethargic that means sleepy you’re not
being responsive these are all things that you should definitely go to the
hospital for it and especially if you’re not getting better but you should call
ahead and find out where you should go because you don’t want to expose people
at the hospital to your virus what they will do is they will probably put a mask
on you like a surgical mask so that you don’t spread the virus to other
healthcare workers if you or your kids have symptoms don’t see Grandma and
Grandpa we just went over what the mortality rates were for people above 70
years and 80 years of age these are some very basic things that you can do to
help prevent spread of disease and to keep our hospitals healthy so that they
can take care of you if you get sick we’re going to take a break and we will
come back on Monday morning thanks for joining us
you

100 Comments

  • Reply MedCram - Medical Lectures Explained CLEARLY February 28, 2020 at 8:36 pm

    Please subscribe to get notified about new MedCram videos.
    Visit us at https://www.MedCram.com for CME/CE and clear illustrations of COPD, Influenza, EKG Interpretation and over 60 other topics.
    All links referenced in this video are in the video description.
    Quick links to our other videos on Coronavirus (COVID-19):
    – Coronavirus Epidemic Update 27: Testing accuracy for COVID-19 (CT Scan vs. RT-PCR), California Cases: https://youtu.be/xQwfuJgJ9lo
    – Coronavirus Epidemic Update 26: Treatment Updates, Stock Markets, Germany & San Francisco, Pandemic? https://youtu.be/bV1CZxJ-uvU
    – Coronavirus Epidemic Update 25: Vaccine Developments, Italy's Response, and Mortality Rate Trends: https://youtu.be/UImSVhLLeGY
    – Coronavirus Epidemic Update 24: Infections in Italy, Transmissibility, COVID-19 Symptoms: https://youtu.be/wFoj2L2LpNA
    – Coronavirus Epidemic Update 23: Infections in Kids & Pregnancy, South Korea, Spillover From Bats: https://youtu.be/JGhwAGiAnJo
    – Coronavirus Epidemic Update 22: Spread Without Symptoms, Cruise Quarantine, Asymptomatic Testing: https://youtu.be/OqpHvK0XADY
    – Coronavirus Epidemic Update 21: Antibodies, Case Fatality, Clinical Recommendations, 2nd Infections?: https://youtu.be/9BYaywITXYk
    – Coronavirus Epidemic Update 20: Misinformation Spread, Infection Severity, Cruise Ship, Origins: https://youtu.be/Ka48UZDDzLY
    – Coronavirus Epidemic Update 19: Treatment and Medication Clinical Trials: https://youtu.be/4HK9QEy1KJ8
    – Coronavirus Epidemic Update 18: Cellphone Tracking, Increase in Hospitalizations, More Sleep Tips: https://youtu.be/vE4pBkslqS4
    – Coronavirus Epidemic Update 17: Spike in Confirmed Cases, Fighting Infections with Sleep (COVID-19): https://youtu.be/wlbM6VVkVZM
    – Coronavirus Epidemic Update 16: Strengthening Your Immune Response to Viral Infections (COVID-19): https://youtu.be/qqZYEgREuZ8
    – Coronavirus Epidemic Update 15: Underreporting, Prevention, 24 Day Incubation? (COVID19): https://youtu.be/o804wu5h_ms
    – Coronavirus Epidemic Update 14: Hospital spread of infection, WHO allowed in China, N-95 masks: https://youtu.be/pDnmHu8x9C4
    – Coronavirus Epidemic Update 13: Li Wenliang, nCoV vs Influenza, Dip in Daily Cases, Spread to Canada: https://youtu.be/0UgrPgJdzp0
    – Coronavirus Epidemic Update 12: Unsupported Theories, Pneumonia, ACE2 & nCoV: https://youtu.be/GT3_A1bf9pU
    – Coronavirus Epidemic Update 11: Antiviral Drugs, Treatment Trials for nCoV (Remdesivir, Chloroquine): https://youtu.be/pfGpdFNHoqQ
    – Coronavirus Epidemic Update 10: New Studies, Transmission, Spread from Wuhan, Prevention (2019-nCoV): https://youtu.be/gPwfiQgGsFo
    – Coronavirus Epidemic Update 9: Fecal-Oral Transmission, Recovery vs Death Rate: https://youtu.be/8Hjy3UfaTSc
    – Coronavirus Outbreak Update 8: Travel Ban, Spread Outside of China, Quarantine, & MRSA: https://youtu.be/GpbUoLvpdCo
    – Coronavirus Epidemic Update 7: Global Health Emergency Declared, Viral Shedding: https://youtu.be/nW3xqcGidpQ
    – Coronavirus Outbreak Update 6: Asymptomatic Transmission & Incubation Period: https://youtu.be/UGxgNebx1pg
    – Coronavirus Update 5: Mortality Rate vs SARS / Influenza: https://youtu.be/MN9-UXsvPBY
    – How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & Treatment: https://youtu.be/okg7uq_HrhQ
    – Coronavirus Update 3: Spread, Quarantine, Projections, & Vaccine: https://youtu.be/SJBYwUtB83o
    – Coronavirus Symptoms, Diagnosis, Treatment: https://youtu.be/UCG3xqtcL3c
    – Coronavirus Outbreak – Transmission & Updates: https://youtu.be/9vMXSkKLg2I

  • Reply Chevy Life February 28, 2020 at 9:42 pm

    All.of the sudden we are suppose to be a physician?

  • Reply eldar gasanov February 28, 2020 at 9:42 pm

    one of the best videos i have seen ,thank doc

  • Reply basestone February 28, 2020 at 9:44 pm

    I'm actually quite optimistic about how things turn out so far.
    China seems to peak at relatively low numbers, even if we assume tenfold of what they tell us.
    And contrary to the ass-kissing the WHO is doing, the communists sucked at handling this.

  • Reply CalyKil February 28, 2020 at 9:45 pm

    6 persons infected in Norway. One eye doctor working in the main big hospital in the capital. Came home from vacation from Italy, asked if he needed to take a test because he felt a little sick, the hospital said no to test because they don’t have to many test tubes😳.The day after he went to have a test and of course he was infected. Also he got no quarantine or had self quarantine after he came back from the country in Europe with most infected people, the government in Norway is a joke just saying. Now 4 other in the same hospital have symptoms plus hundreds of more people need to be contacted for further checkups because he went to work. I really can’t believe what’s going on, its unbelievable!

  • Reply K King February 28, 2020 at 9:45 pm

    One Patient knocked out 100 healthcare workers~~?~?~?~?~?~Oh, Ghees~!! Not Smart~!

  • Reply M LBF February 28, 2020 at 9:45 pm

    What about the idea that the virus attacks central nervous system and skeletal system? All the videos of people suddenly dropping on the floor from blood pressure issues and heart attacks. Ask Paul cottrell.

  • Reply Joshua Barrette February 28, 2020 at 9:45 pm

    Ummm, I'll buy want ever mask I like thank you very much. Hording is another issue.

  • Reply Buzz Lightyear February 28, 2020 at 9:45 pm

    I have "graduated" from 2 other channels for Covid19 coverage. Your channel is the only one for me now. You explanations on RNA virus replication and anti-viral drugs were very helpful. Thank you.
    I am also recommending this channel to my daughter major in bio/pre-med.

  • Reply britfan February 28, 2020 at 9:45 pm

    I was wondering, I haven’t read anything that says what the mortality rate is for people living with HIV is if they get infected with the coronavirus. Have you read anything about those patients? Thanks so much.

  • Reply jan van ruth February 28, 2020 at 9:46 pm

    if a population has a high percentage of elderly people, like for instance japan, the number of deaths is the age group will be high.
    the statement that of the deaths x % were in the age group of above 70, is absolutely meaningless if this age group makes up x % of the population.
    lies, big lies and statistics….

  • Reply Elizabeth Grant February 28, 2020 at 9:46 pm

    Thank you and you do an excellent job, particularly with explaining the issues with masks!

  • Reply Jesse Rai February 28, 2020 at 9:47 pm

    Best place for coverage on this topic right here. Thank you very much for your efforts on this, you are truly doing people an invaluable service with your efforts doctor.

  • Reply Jason Cunliffe February 28, 2020 at 9:48 pm

    These video updates are great help
    Teaching
    Information
    Discourse
    Examples
    Positivist pragmatic attitude
    Love the balance you offer between local personal and general wide picture concepts and actions
    Thank you !

  • Reply Jacob L February 28, 2020 at 9:48 pm

    Still hasnt even broke 100,000 cases. This virus is a joke, I'm starting to think It'll never break into 6 digits.

  • Reply Brent February 28, 2020 at 9:48 pm

    It's a pandemic not a epidemic. Med cram doesn't even have it correct. Fake news here

  • Reply Mungo Jack February 28, 2020 at 9:48 pm

    This is very reassuring and good news

  • Reply john brandenburg February 28, 2020 at 9:48 pm

    China has made the world sick ! Hold them financially responsible for all deaths and medical bills outside of China !

  • Reply Laco Mezei February 28, 2020 at 9:49 pm

    Doc please can you get czech captions because i am from Slovakia

  • Reply Elaine Reid February 28, 2020 at 9:49 pm

    Last 5-6 minutes, MUST HEAR advice. Thanks!

  • Reply josh jarrett February 28, 2020 at 9:49 pm

    Wasn't it said that the test is fairly inaccurate..and the CT scan was a better test at Ike 97%+ so wouldn't it make sense to just ct scan along with the other test

  • Reply Joseph Tsang February 28, 2020 at 9:49 pm

    Thank you for updating us!

  • Reply Oliver Lewin February 28, 2020 at 9:50 pm

    1st case of person to person that hasn't travelled abroad here in the UK. Its here.

  • Reply LahLahMan February 28, 2020 at 9:50 pm

    Thank you for these videos, they help relieve the anxiety that the media creates with the click bait headlines. Getting unbiased straightforward information about this is very helpful.

  • Reply Angel Martin February 28, 2020 at 9:51 pm

    Doctor, have Koch's Postulates been met for this disease?

  • Reply Tough Hough February 28, 2020 at 9:51 pm

    Extremely Helpful.

  • Reply northrockboy February 28, 2020 at 9:51 pm

    shits getting real

  • Reply Mohamad February 28, 2020 at 9:53 pm

    What about corticosteroids?
    Are they beneficial for mild/severe cases ?

  • Reply Sunny Art TV February 28, 2020 at 9:53 pm

    Thank you for the information. I'm from S.Korea. Things are getting worse everyday and lots of places are getting closed. People are afraid of going out and seeing new people.

  • Reply Jmichael Isbell February 28, 2020 at 9:54 pm

    Step ONE, panic. Step TWO, blame it on Trump. LAST place, listen rationally and sort out what, if anything we should do.

  • Reply Eleiem February 28, 2020 at 9:54 pm

    Of course there weren't deaths in severe cases, if you would be close to die you'd be catalogued in critical condition, even if you get to that categorization just couple minutes before dying lol

  • Reply Patricia St Peter February 28, 2020 at 9:55 pm

    What will California do to protect the health and well being of people if a person tests positive within the prisons? The prisons will be like the Diamond Princess ! These people are at risk.

  • Reply Dodo Mann February 28, 2020 at 9:55 pm

    I am still fighting with a previous infection and felt down this evening after reading all the bad German news. Listening to medcram always makes me feel a bit safer. Thank you. Good work.

  • Reply ThePylon2 February 28, 2020 at 9:55 pm

    But I want to die

  • Reply Debra James February 28, 2020 at 9:57 pm

    This is spreading quickly in California.
    There's 8,400 being monitored for the Coronavirus. A friend of mine died out of the blue at 42 years of age on Tuesday. The next day our Governor declared a state of emergency in Northern California. They had him on life support for a minor staph infection… in San Francisco. He was robust and healthy and he was not tested. Makes one wonder.

  • Reply Slocumb February 28, 2020 at 9:57 pm

    Almost feel like just contracting it, taking my chances, and getting it over with. The constant angst, fear, and consternation is probably worse than the damn virus.

  • Reply Jasmin B February 28, 2020 at 9:57 pm

    It is logical that only critical cases die. Because mild or severe cases progress into a critical cases… a mild case is not mild anymore when you die from respiratory failure.

  • Reply andreea mihai February 28, 2020 at 9:58 pm

    Dr , if i m 30 years old , and have only a little problem with the hypertension, i m taking pills for it , even through is not so bad , if i get the virus i m most likely to die ?

  • Reply Angel Feather February 28, 2020 at 9:58 pm

    Thanx for the advice Dr. I was wondering if the 3M dust masks with the filter would work. The N95 masks were sent back to China because, someone caught the virus from one.

  • Reply Clash o Private February 28, 2020 at 9:58 pm

    Thanks for the update doc, next episod could you please talk about the chance of COVID-19 being a seasonal sickness like cold and flu? Could you also talk about the fact that some people, after recovering from coronavirus come back to the hospital few days later and they test positive again, I’m curious, is that because of test kits not working or?

  • Reply Jim McLaughlin February 28, 2020 at 9:58 pm

    Is there any data on mortality in smokers vs non-smokers? It seems this would be critical.

  • Reply selove 2332 February 28, 2020 at 9:59 pm

    Great information and advice. We need employers to tell people to stay home, work from home if they or a family member is sick. People still feel bad for calling in sick if they have mild symptoms or employers do not accept sick leave as a legitimate excuse. Some people are still even mocking and down playing this virus.

  • Reply Henry Farthington February 28, 2020 at 9:59 pm

    Go to your hardware store and buy all the masks off the shelves that you want. Then give them to hospitals?

  • Reply Tracy Lees February 28, 2020 at 9:59 pm

    I got masks when I first heard about it 01/01/20

  • Reply Tunde Virag February 28, 2020 at 10:01 pm

    My measures, as soon as a local spread is detected:
    Self quarantine, for me and my partner. We would leave the house once every three days, just to take the trash out. We will disinfect the door handles to the communal areas as well as our own doors. Everything we touch basically. It is completely fine to live on instant noodles for a while, and just in case we are asymptomatic carriers, our R0 is 0.

  • Reply Manauia 88 February 28, 2020 at 10:01 pm

    Shouldn’t Solano county set up a drive through testing areas for people who may be exhibiting covid 19 symptoms, and every city thereafter?

  • Reply Charles Yee February 28, 2020 at 10:01 pm

    Love it. Amazing information and service you are doing to your community and country. Thank you!!

  • Reply B. Smith February 28, 2020 at 10:02 pm

    Great videos. I'd love to see you discuss in a future video whether (either of) the current pneumonia vaccines could offer any indirect protection from coronavirus mortality (vis-a-vis secondary infection), as this question seems right in your wheelhouse.

  • Reply LE REDDIT COMMANDER February 28, 2020 at 10:03 pm

    Honestly, i think this aint so bad, i will try and book a trip to japan while the chinese cant go, its a very rare opportunity well worth the risk.

  • Reply Rachel Joy February 28, 2020 at 10:04 pm

    Ages 30 to 79? Bro, that’s a bit of a broad number.

  • Reply Sidney Overland February 28, 2020 at 10:04 pm

    In California, I think you can still get n95 & n100 at Home Depot. They told me to get there at 6:00 am. Check with Lowe’s & other hardware stores paint & Safety departments.

    Call local pharmacies like CVS to see if they have the viral masks in case you get sick to protect other people.

  • Reply E HC February 28, 2020 at 10:05 pm

    In Spain we are told to stay at home if we have symptoms and call 112 to ask to get tested, so they avoid having possible cases going to the hospital.
    Is there really a fast development and worsening of the symptoms in the first 48h?

  • Reply Aaron Walderslade February 28, 2020 at 10:07 pm

    Those whole matter brings into focus what all our governments really care about most: economic growth of the country. This matters more to them than our lives.

  • Reply Majestic Productions February 28, 2020 at 10:08 pm

    We got first case in Lithuania and whole country is freaking out. The media writes 10 posts per day how bad corona virus is. Soo in the finale elder and mid aged people are full in panic, they have bought every pasta, can food, cropes and literaly left empty shelves in supermarkets. You cant get any desinfectant liquid or face masks

    Oh, and people are selling face masks 50eur/each, lol. And yes we have one case of 40y.o. lady which is in good condition 🙂

  • Reply 算无遗策. February 28, 2020 at 10:09 pm

    I am Chinese, why does our government tell us that we need to wear a mask? As far as I know, the virus spreads through droplets and contact. Surgical masks can block some, and n95 can block almost all droplets. What's more frightening is that you don't know who is infected at all, they may have no symptoms at all. Of course I agree that the best masks should be provided to the doctor. I hope someone tells me why the suggestions given by China and the West are different.

  • Reply True Senpai February 28, 2020 at 10:10 pm

    Be a gift giver, if you suspect you got it go to the mall/airport and cough on door handles, spread the love of corona chan!!
    And btw I'm not hoarding all my masks.. I'm selling them on ebay for $75 a pop, had a bunch already since I do drywall 🙂

  • Reply Kathy Humphrey February 28, 2020 at 10:10 pm

    Thank you for your faithfulness to keep us informed. I’m just a regular citizen, a 65 yr old widow and your videos are the ones I listen to.

  • Reply я русский SOVIET UNION February 28, 2020 at 10:12 pm

    i live in france, i have seen how the amount of cases have doubled. I am scared, and i dont know what im going to do. Will france be able to contain the virus here in france? come on Macron you can do it😖💔

  • Reply aulii11 February 28, 2020 at 10:12 pm

    We live in Vacaville, and I'm wondering how many people any of the exposed healthcare workers may have themselves exposed during the time between when they were exposed and when they were isolated/quarantined. I have not seen any concerted effort on the part of either the County or State to inform those of us who may have encountered them in a grocery store, restaurant, or any other public place that this exposure may have occurred. We also have no idea whether we may have encountered the patient herself prior to her admission to the hospital at any of the same places. In my opinion their concern for the privacy of the patient and healthcare workers put the public at unnecessary risk, as it was days before any of us even knew where in Solano County the patient was initially hospitalized. I don't understand why we couldn't have been informed of where potential exposures may have occurred without identifying any of the individuals involved. As a result of this debacle, we have made the decision to avoid all unnecessary trips around town until we have a better handle on the situation, just in case we haven't already been exposed/infected.

  • Reply Singing Evangelist February 28, 2020 at 10:13 pm

    I hope you say according to what we’re giving. Because you know China isn’t giving the true facts like South Korea and the Petri dish Deadly Princess in Yokohama, Japan. Those are the real telling signs how infectious this virus is. I enjoy your show but you and all those doctors are being fooled by the commies unfortunately.

  • Reply Allen Hulse February 28, 2020 at 10:15 pm

    Is there a tider test for covid-19 antibodies?

  • Reply Leon O February 28, 2020 at 10:17 pm

    I saw somewhere that children are not showing up in the dead. Seems mostly affecting older adults

  • Reply Johnna February 28, 2020 at 10:17 pm

    It's pronounced "vack-a-ville" to rhyme with "hackaville" – no one here says it that sophisticated way.

  • Reply julie bennett February 28, 2020 at 10:18 pm

    Why does everyone in the world have tests except the USA??????? I’m completely baffled

  • Reply Wu-Flu is coming 4 You February 28, 2020 at 10:18 pm

    If you take the numbers of Italy and you take half of those in Critical condition

    you get a CFR rate of 6% care to comment on that ?????

  • Reply Johnna February 28, 2020 at 10:19 pm

    We still have n95 masks from the california wildfires.

  • Reply Jay Dee February 28, 2020 at 10:19 pm

    This virus is spreading faster than a wildfire. Of concern now is Africa has its first case where medical care is not anywhere near western standards meaning we will see the entire continent getting swallowed up by this virus.

  • Reply badtz maru February 28, 2020 at 10:19 pm

    You could tell whoever wrote up the thing for California was not happy with the CDC. As usual thanks for the vid.

  • Reply Salty Monkey February 28, 2020 at 10:20 pm

    N95 masks are sold out. Good luck finding em.

  • Reply Johnna February 28, 2020 at 10:20 pm

    I wish we could make everyone watch the last 2 minutes of this particularly the grandparents part 🙁

  • Reply Laura Martin-Morgan February 28, 2020 at 10:20 pm

    Those young doctors died 😷 not sure I believe these numbers

  • Reply Carmen Crespo February 28, 2020 at 10:21 pm

    Dr. Seheult, this is best advice for people…from a doctor. Thank you

  • Reply Smiley Santana February 28, 2020 at 10:21 pm

    The President says only 15 people have been effected with coronovirus

  • Reply ScienceGuy February 28, 2020 at 10:21 pm

    Everyone is so scared. China is a country of 1.3B people and 80k people having this is statistically insignificant (statistically ZERO). Same for the rest of the world. Yes it could spread and become much more prevalent but right now it’s still a very small problem creating a very big fear response. Here’s the way I see it. The flu sweeps the country every single year. I never get a flu shot and I never get the flu. If this thing sweeps the country I can only assume I’ll probably not get it the way that I don’t get the flu. And the same applies to everybody. At the moment your chances of catching this virus are so infinitesimally small. So take a deep breath and try to put it into perspective.

  • Reply Kerry February 28, 2020 at 10:22 pm

    Its time to make the hospitals pay 10X's the price for masks, just like they have been charging people r $450 for a single Xray, or $6,000 for an MRI. Pay back

  • Reply Christian Farrelly February 28, 2020 at 10:22 pm

    Who the H*LL dislikes these vids!!? :/

  • Reply chris hooge February 28, 2020 at 10:24 pm

    They better build a big honking monument to health workers in Wuhan.

  • Reply qjtvaddict February 28, 2020 at 10:25 pm

    The USA is too individualist they are no match for this virus

  • Reply Stinky Piece of Cheese February 28, 2020 at 10:26 pm

    If you are sick:
    Cough and Deep Breathe. Get out of bed every 2-4 hrs and sit up or walk around abit. Do Not just lay aound in bed. Get up and Move around.
    If it hurts to cough Do Not stop coughing. Keep doing it. Dont let that mucus consolidate in your lungs.
    Use humidification in your room.
    Drink liquids then drink more!
    Feeling Really Bad…take a shower, brush your teeth ,new cloths on, cough/deep breath then go back to bed.

    DO NOT JUST LAY IN BED.

  • Reply Björn Persson February 28, 2020 at 10:26 pm

    @MedCram : Correct me if I am wrong, but early detection is only key if there is capacity to treat those diagnosed sick, and if treatment facilities are saturated, it will have no difference if detected early or not. Is that a correct assessment?

  • Reply ScienceGuy February 28, 2020 at 10:27 pm

    Pharmacies don’t have masks because the pharmacists are hoarding for themselves and their families.

  • Reply Christine Cortese February 28, 2020 at 10:28 pm

    Well how many severe cases become critical. Was there any data on that.

  • Reply Hannah Kim February 28, 2020 at 10:28 pm

    Thank you. You are doing great job helping us to go thru in this difficult time. I will post this video to my group of friends.

  • Reply Radnally February 28, 2020 at 10:28 pm

    What percentage of all those infected thus far have needed ICU care?

  • Reply Incurable Romanticist February 28, 2020 at 10:28 pm

    Thank you for a really good report.

  • Reply Andrew Zack February 28, 2020 at 10:29 pm

    Zombie apocalypse has begun

  • Reply Gman 49 February 28, 2020 at 10:30 pm

    What about Russia? We haven't heard a peep from Russia. The biggest border country to China, and they are reporting zip. What this shows is that we really don't have a clue. China is putting restrictions on any new cases being recorded or reported. Which is why still under control all of a sudden. Seems strange to me.

  • Reply Aaron Walderslade February 28, 2020 at 10:30 pm

    I know that the whole 5G thing sounds like a conspiracy theory BUT

    What if the virus is augmented by 5G?

    The radio waves could weaken the immune system and then the virus grabs the opportunity…

  • Reply jstar1000 February 28, 2020 at 10:30 pm

    When I first heard of this virus I ordered a box of N95 masks from Amazon and got them two days later, I went to order more the next day and they were all sold out. I got those puppies just in the nick of time.

  • Reply free_at_last February 28, 2020 at 10:31 pm

    A single ship has more confirmed cases than several countries combined. Talk about a plague ship.

  • Reply Andrew Zack February 28, 2020 at 10:32 pm

    I'm kidding. Wash hands… wash hands, stay home if sick and cover your mouth and nose when you cough ir sneeze. Use hand sanitizer alcohol base. Clean your door handles, car keys, cell phones. Literally ANYTHING you touch. Use common sense.

  • Reply John Herr February 28, 2020 at 10:32 pm

    Does this presenter have any financial connection to the companies he is talking about?

  • Reply Eugene S February 28, 2020 at 10:32 pm

    No deaths in the mild category because if the person had life threatening symptoms, they would no longer be considered mild.

  • Reply Juli J February 28, 2020 at 10:33 pm

    Thank you for doing what you do. You’re doing a great job and I share your videos often. Keep up the great work

  • Reply Dave February 28, 2020 at 10:35 pm

    I have MS do the interferone gives me a fever… so this'll get tricky.

  • Reply ScienceGuy February 28, 2020 at 10:35 pm

    I’m going to put on a mask and never take it off. I will sleep and shower with it and not eat. I hope this pandemic ends before I starve to death. ☠️

  • Reply Shad Bonen February 28, 2020 at 10:35 pm

    Very good info I like the logical approach versus the pure panic most people are spreading

  • Reply TheMagnificentZoltar February 28, 2020 at 10:35 pm

    5000 masks have been stolen from a Spanish hospital in Valladolid. It's terrible.

  • Reply moe lester February 28, 2020 at 10:35 pm

    One thing we learned from history is we've learned nothing from history

  • Reply juanezulu February 28, 2020 at 10:36 pm

    TALK ABOUT MEXICO

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