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Coronavirus Pandemic Update 36: Flatten The COVID-19 Curve, Social Distancing, Hospital Capacities

March 13, 2020


welcome to another MedCram COVID-19
update and as you can see this is now become a pandemic this is validated with
the numbers that are coming outside of China if we go to the world ometer site
you can see clearly we’re in the acceleration phase here and as a result
of this we are seeing some things that are very unusual not withstanding of
course the stock market which is taking a tumble at this point but we’re also
starting to see things that we’ve never really seen before we’re starting to see
official statements made because of the fact that there are groups there are
fans there are stadiums where when you have people congregated together it can
spread disease and we’re seeing that from the NHL we’re seeing that on the
NBA website we’re even seeing spring training Major League Baseball being
postponed governor Newsom of California is now able through an executive order
to commandeer hotels motels to house coronavirus patients patients in the
state have already been moved to hotels the Desert Sun reported that a 120 room
hotel in San Carlos which is near San Francisco has already been tapped to
housed passengers from the Grand Princess cruise ship there was an
executive order released on Thursday that includes the authority for
Sacramento to take over hotels and motels for medical use for coronavirus
patients in a move he said will help the state of 40 million to prepare for any
widespread outbreak we’re also starting to see here at the municipal government
level Garcetti who’s the mayor of Los Angeles urging residents to take steps
to protect themselves but they also banned all events or conferences with
more than 50 people they called these common-sense measures in San Bernardino
County which is the largest county in the United States there’s not even a
single confirmed case of kovat 19 and so this website here is a very instructive
which I’ll put a link to in the description below and it has to do with
this notion of flattening the curve and that’s what I want to talk about today
so here’s the curve if you have everybody congregating together
of course the virus is going to move fairly quickly it is thought and if you
don’t have protective measures that transmission is going to be very rapid
but then just as quickly because you have burned a large swath in the
population of people there’s gonna be immunity that is built very quickly in
the survivors and then the curve is going to flatten out quickly as well but
there’s going to be so many patients so fast coming into the hospital that we’re
not going to be able to take care of them as it shows here this is the
healthcare system capacity way down here in terms of the daily number of cases if
however we’re able to distance ourselves and to shut down the transmission of the
virus by spreading us out so we’re not in close contact with each other if
we’re not congregating together in large masses then the daily cases it is
thought is going to come up slowly even if it’s the same number of people we can
spread those out so that the amount of cases that we’re seeing on a daily basis
doesn’t exceed our ability to take care of those people and we can kind of see
that happen in the early phases of this epidemic in China in the epicenter of
this outbreak in Wuhan the mortality rate was calculated to be higher than
the mortality rate outside of course this is not a case fatality rate because
we don’t know exactly the toll and we don’t know exactly the denominator in
the numerator involved in that but if you were to compare those two you would
see that the number of deaths divided by the number of confirmed cases was lower
outside of Wuhan than it was inside of Wuhan and of course the reason for that
was that the hospital capacity was just not there and that was part of the
reason why the Chinese felt it was necessary to build thousand bed
hospitals it was to take care of this swell of daily number of cases and that
distancing is going to slow down the virus but as it has turned out here from
this not peer-reviewed paper that is ready for publication they did extensive research to answer a
question that I have been asked several times and that is how long does this
SARS cough – lasts on surfaces and in the air
the results are disconcerting it showed here that the h k– of 19 or the SARS –
was investigated and they showed the overall stability is very similar with
the original SARS cough one that was found back in 2002 they found that the
viable virus could be detected in two aerosols up to three hours post
aerosolization so this is when somebody sneezes or if there is an aerosol ation
event like if the patient is being intubated or if they’re on a positive
pressure mask this could be seen up to four hours on copper and up to 24 hours
on cardboard and up to two to three days on plastics and stainless steel which of
course has real implications in hospitals and in operating rooms these
two viruses SARS cover one and SARS Cove – exhibited similar half lives in
aerosols with meeting estimates around 2.7 hours both viruses show relatively
long viability on stainless steel and polypropylene the median half-life was
around 13 hours on steel and around 16 hours on propylene so basically they
found that these viruses can remain viable and aerosols for multiple hours
and on surfaces up to days so you can see that the importance here of masks is
there but really the key is not touching things where this virus may exist and
making sure things get wiped down on a frequent basis which may give you a
question about exactly what could you use to make sure that SARS cough – virus
would be eliminated and we’ll put a link in the description below – EP a website
that lists that information going back to this flattening of the curve when we
eliminates sporting events and meetings things of that nature we’re able to drag
this out and even though the same number of people might become infected we’re
able to better take care of them I know exactly
what it’s like being on the frontline and being in the intensive care unit how
frustrating it is to have more cases than you can actually take care of it
doesn’t happen often and it might happen for just a short period of time but
imagine trying to take care of a very critically ill patient and have another
patient becoming critically ill right at the same time and then as that’s
happening something else is happening downstairs in the emergency room that
they need help with right away you just can’t be in three places at once
oftentimes when this happens I call in a backup physician who’s a colleague of
mine who’s in clinic that has to cancel clinic and come in and help me instead
of being an exception to the rule could be the rule itself and obviously nobody
wants to have a loved one or be that patient in that situation because you
want the attention of the doctor to be on you when this is happening and of
course that’s assuming that everything gets done correctly what you don’t want
to have is what’s described here in this medical staff update and that is
distracted doctoring and patient safety so imagine someone being interrupted by
their interruptions and it’s hard to put two thoughts together you’re not dealing
with computers when you go into the hospital even though there are many
computers there you’re dealing with physicians physicians who are human
beings who have to think and have to decide what needs to be done on a
patient and they need to take all those things into consideration and if they
get interrupted because there’s such a influx of patients coming in that’s when
mistakes can also happen and that’s what this article points out and I’ll put a
link to this article as well an example of this point is a recent event a
physician was busy trying to complete progress and consult notes while waiting
to get a callback on a page that he had placed realizing that there were orders
that needed to be put on in patient a the physician inadvertently placed a
medication order into patient B’s record which was opened in epic epic for those
who don’t know is the medical record system the staff complied immediately
with the order with patient B getting the medication intended for patient a
fortunately patient B did not get injured by the event but the root cause
of this error was the physicians momentary distraction while trying to do
several routine things out once and that is the key and that is
generally going to happen more often if this is the situation that we have
versus this being the situation that we have we just don’t have enough hospital
beds physicians nurses ancillary staff respiratory therapists to be able to
deal with this in a safe way Popov says that if everyone practices
social distancing and practices good hygiene it will help slow the spread of
the virus so that everyone who will eventually need medical care can be
properly treated so that what is happening in Italy and China doesn’t
happen here even though in many parts of the country where there are no cases
because we really don’t know how widespread this virus is because really
we’ve under tested so on this update we took a little bit of a break from the
molecular biology but next week we’re going to be getting into a lot of the
details of this ace to receptor this is the receptor that is targeted by the
virus itself and there’s a lot of interesting things about this receptor
not only from a vaccination and from an entry point but this ace to protein is
not in isolation it does have a function and that function may be modified by the
binding of this virus it’s interesting to talk about the implications of that
modification we’re also going to talk about practical things that you can do
and what does it mean to have immunity please subscribe to this channel if you
haven’t already thanks for joining us

100 Comments

  • Reply MedCram - Medical Lectures Explained CLEARLY March 13, 2020 at 5:46 pm

    Please support our frequent COVID-19 updates by subscribing and visiting us at https://www.MedCram.com Thank you!
    At our website, we offer CME/CEUs for medical professionals and CLEAR explanations of over 60 medical topics.
    All links referenced in this video are in the video description.
    Quick links to our other videos on this coronavirus pandemic:
    – Coronavirus Pandemic Update 35: New Outbreaks & Travel Restrictions, Possible COVID-19 Treatments: https://youtu.be/vE4_LsftNKM
    – Coronavirus Epidemic Update 34: US Cases Surge, Chloroquine & Zinc Treatment Combo, Italy Lockdown: https://youtu.be/U7F1cnWup9M
    – Coronavirus Epidemic Update 33: COVID-19 Medication Treatment Trials, Global Testing Remains Limited: https://youtu.be/Mm7UrZeu-74
    – Coronavirus Epidemic Update 32: Important Data from South Korea, Can Zinc Help Prevent COVID-19? https://youtu.be/Eeh054-Hx1U
    – Coronavirus Epidemic Update 31: Mortality Rate, Cleaning Products, A More/Less Severe Virus Strain? https://youtu.be/7YI2tOoVVpk
    – Coronavirus Epidemic Update 30: More Global COVID-19 Outbreaks, Vitamin D May Aid Prevention: https://youtu.be/gmqgGwT6bw0
    – Coronavirus Epidemic Update 29: Testing problems, mutations, COVID-19 in Washington & Iran: https://youtu.be/XjEacUyp4vY
    – Coronavirus Epidemic Update 28: Practical Prevention Strategies, Patient Age vs. Case Fatality Rate: https://youtu.be/quDYb_x54DM
    – 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 Luv2 HODL March 13, 2020 at 7:34 pm

    Keep up the good work. Very valuable info for us in the frontline!

  • Reply Grandma Bones March 13, 2020 at 7:35 pm

    Let go and let government!

  • Reply Glen Mayne March 13, 2020 at 7:36 pm

    There is going to be a population explosion in nine months after these people are confined to their homes for weeks at a time. That’s what happens after a blizzard.

  • Reply bacardibum March 13, 2020 at 7:37 pm

    oh my gosh, it's like the flu! old people and people like magic johnson and charlie sheen should take precautions.

  • Reply Stanley Chan March 13, 2020 at 7:37 pm

    From Taiwan, we ban public gathering but everything remain normal even with work. Everyone wear masks and government decided to produce masks. All school check temperature and required to wear masks.

  • Reply Jeff Gibson March 13, 2020 at 7:39 pm

    There is no such thing as commandeering private hotels and motels. The governor already has authority over national guard armories. Use those first. If he brought patients to my place, I would openfire.

  • Reply Sean fox March 13, 2020 at 7:41 pm

    And the UK is trying to get to a 60% infection level.
    That's thing to be a Sharp peak.

  • Reply Andrew Spencer March 13, 2020 at 7:45 pm

    Apparently Covid 19 is going to be an annual thing….🤔

  • Reply Helen Hall March 13, 2020 at 7:45 pm

    San Bernardino not a single case, but how many tests have been done. This epidemic is silent spreading until it explodes.

  • Reply BbqSmokin Prospecting March 13, 2020 at 7:47 pm

    It's starting to get ridiculous here in utah in beaver utah at the grocery store there was a brawl because one person was compleetly emptiang the food shelves

  • Reply prana8 March 13, 2020 at 7:47 pm

    Thank you. Really. For answering both my question ref vitamin D and Cytokines storm and now also surface survival of the virus.. really is helpful to know.

  • Reply Vintage Swiss March 13, 2020 at 7:50 pm

    I live in San Bernardino. We're ALL sick out here. There was a confirmed case in Apple Valley they redacted.

    They won't test us.

    It's all over the place…

  • Reply David Kerpan March 13, 2020 at 7:51 pm

    Why they not showing by the city in USA anymore just the state easy to mask the numbers or let’s say inflate them how do we know the real numbers in let’s say Italy or the rest of Europe and the Asia’s

  • Reply J U March 13, 2020 at 7:51 pm

    Thank you so much for your expertise.

  • Reply Tom Veveris March 13, 2020 at 7:52 pm

    Can you do a video explaining about the newest symptoms and home treatments we can do ourselves to avoid going to the hospital?

  • Reply David Kerpan March 13, 2020 at 7:52 pm

    Just a bunch of scared hypochondriacs

  • Reply Zeide Erskine March 13, 2020 at 7:52 pm

    I know the medical community prides itself in its capacity to run very long shifts and being strained to capacity. However, for this one, you may want to call in your retirees early to run the clinics and keep the young ones in shift rotations that allow them to get rest and proper nutrition. This is strangely not the time to run your doctors and nurses ragged. Also, start training sessions for proper PPE use now. Better safe than sorry. You do not want half a ward of colleagues.

  • Reply Jacob Faro March 13, 2020 at 7:52 pm

    It’s Friday the 13th, but that’s not why most people are so scared.

  • Reply Vlad Dracoson March 13, 2020 at 7:53 pm

    Sorry, but no. California was royally screwed BEFORE the Wuhan Virus got loose. This only draws the noose closed. Already a Third World State, its days are numbered and they have ensured the virus will be as bad as possible already.

  • Reply Mark Robertson March 13, 2020 at 7:53 pm

    Little disappointed with today's video, question, do you think hydroxychloro use to get zinc into the cell would be known by most of the doctors and shouldn't they announce a drug regimen to the community to prevent a run on services.

  • Reply Hello World March 13, 2020 at 7:56 pm

    COME ON GUYS WE’RE ALL GOING TO DIE ANYWAY.

  • Reply Mark Robertson March 13, 2020 at 7:57 pm

    They should go ahead and tell everyone what the treatment plan is a instead of handing out tests hand drugs to stop the virus from replicating

  • Reply barry cassaday March 13, 2020 at 7:59 pm

    Love and appreciate this info. Just a note from a specialist. Begin both your charts at the same point on the graph. Thanks!

  • Reply Donald Trump March 13, 2020 at 8:00 pm

    Go buy your bitcoins and sell when this is over,it went down over 50%.

  • Reply Mark Robertson March 13, 2020 at 8:01 pm

    I don't want to know anymore about the time the virus lives, I want to know the treatment plan and how to have it on hand once it's become clear the person is sick

  • Reply barry cassaday March 13, 2020 at 8:02 pm

    Immediately after recovery everyone should ask local services how they can help since they will be immune. Let's use our superior brains to beat this.

  • Reply Marc de Car March 13, 2020 at 8:03 pm

    Quebec City-based Medicago said it has taken the first step
    towards a vaccine by producing a virus-like particle of the

    novel coronavirus.

    The biopharmaceutical company said the virus-like particle

    will now undergo testing for safety and efficacy.

    It said reaching this stage of the vaccine development

    process had taken them 20 days.

    Medicago said it could begin human trials of a vaccine

    as soon as July or August after being approved by appropriate

    health agencies.

  • Reply pharmacist Dmc March 13, 2020 at 8:03 pm

    We want more molecular biology😂

    Thank you so much medcram 💕🙏

  • Reply Besty Cheung March 13, 2020 at 8:03 pm

    Thanks for sharing!👍❤️👏🙏

  • Reply hyhyh121 March 13, 2020 at 8:04 pm

    Barely at 50 infected here in Poland, and everything is already closed. School, Universities, malls, shops, gatherings banned, people are free to work remotely and if they cant, they are paid to stay at home. Very nice reaction IMO

  • Reply plumeria66 March 13, 2020 at 8:06 pm

    Eliminating the virus would only work on a global scale. Every country needs to in unison have the same strict protocol. Banning travel from Europe, now the epicenter of the outbreak, is good. But not including UK in the ban is dumb. Countries like China, Russia, North Korea, and Mongolia can shut down everything without backlash from their more obedient public. Would Joe Biden be able to do the extreme to stop the virus after he called a Trump a racist for banning foreign nationals from China? That’s why we need to stop politicking. Joe and Bernie have good ideas about free testing and free treatment, etc. Trump’s travel bans are good too (you can’t limit a circulating virus in the community if you still deal with incoming virus from abroad. That’s like trying to get rid of mosquitos in your house with windows open). Both parties need to put their heads together and take action for the American people. Cut red tape and make tests available for anyone who wants it. Drive by tests at every hospital and clinic. Take ideas from both parties and put together an effective plan. People need to stop getting triggered by the other side. The left needs to stop being snowflakes and worried about feelings, and looking for a million ways to be offended via race or gender. The right needs to prioritize lives already born over guns and fetuses, and stop catering to the corporations over the average joe. Ramp up face mask production. Countries that have been lowering infection rates have sufficient masks for everyone, not just hospital workers. Solutions, not politics.

  • Reply Hami Kim March 13, 2020 at 8:09 pm

    I just sent to this YouTube video to my friend. She doesn't agree on social distance or isolation because she think she will be okay if she gets virus because she is still healthy and young. I think people truly do not understand why we need to do this or they don't care if it doesnot cause harm to themselves.

  • Reply I Lőrincz March 13, 2020 at 8:11 pm

    If you are willing to attend a sports event now, you are batshit crazy.

  • Reply Tim Z March 13, 2020 at 8:14 pm

    If it really can stay Aerosolized for hours if this isn't a reason to start have everyone wear masks IDK what is.

  • Reply Vero Ev0 March 13, 2020 at 8:14 pm

    Putting the cruise ship passengers in a hotel in San Carlos? Oh man, that's in a very densely populated area on the peninsula. I don't know man.

  • Reply titanandrews March 13, 2020 at 8:14 pm

    Most people won't even need to go to the doctor or hospital, but they will anyway because of all the hysteria and fear, and that will flood the system even more.

  • Reply Fight47 March 13, 2020 at 8:16 pm

    I had to go to er, was dehydrated, had cough for a week, and having issues breathing, they tested me for flu and other viruses came back negative, have extreme weakness, and only symptom i dont have is a fever yet, the doc refused to test for covid19, our government and doctors have failed us, ive had contact with japanese nationals and i go to a school with many foreign students, its ridiculous i cant get tested

  • Reply jason chavez March 13, 2020 at 8:16 pm

    Thumbs down? Why?

  • Reply Gloria Himes March 13, 2020 at 8:16 pm

    Excellent!!

  • Reply kcimos March 13, 2020 at 8:17 pm

    & PRIVATE ASSETS (CA emergency declaration)

  • Reply Zhijie Wang March 13, 2020 at 8:19 pm

    wearing masks in public occasions can at least prevent droplet shooting. like in a conversation, way closer than 1 meter, and if both sides wearing a mask, then it's highly unlikely they can pass the virus, if one got it without symptom. I'm Chinese, I really want to ask, why Americans and EU have so different opinions on wearing masks from Chinese, Korean and Japanese as far as I know. it's very obvious that masks can do very much good influence on preventing virus' spreading. Of course, med professionals need to educate public to know how to wear and take off a mask properly so that it can work. right?

    the reason we need to clean our hands and surfaces is not supposed to be the reason we don't wear masks, right? because we caught virus in all the ways it could happen, and if we really want to stop it or slow it down, we should at least "do our best", which, in my point of view, is doing both or even more.

    wash hands, don't touch nose, UV clothes, avoid crowds, stay at home, distant conversation, and of course, we need to WEAR A MASK to avoid DIRECT INFECTION, right? if we have a contaminated droplet in our eyes or mouth, it's almost equal to be infected, right?

  • Reply Zhijie Wang March 13, 2020 at 8:19 pm

    wearing masks in public occasions can at least prevent droplet shooting. like in a conversation, way closer than 1 meter, and if both sides wearing a mask, then it's highly unlikely they can pass the virus, if one got it without symptom. I'm Chinese, I really want to ask, why Americans and EU have so different opinions on wearing masks from Chinese, Korean and Japanese as far as I know. it's very obvious that masks can do very much good influence on preventing virus' spreading. Of course, med professionals need to educate public to know how to wear and take off a mask properly so that it can work. right?

    the reason we need to clean our hands and surfaces is not supposed to be the reason we don't wear masks, right? because we caught virus in all the ways it could happen, and if we really want to stop it or slow it down, we should at least "do our best", which, in my point of view, is doing both or even more.

    wash hands, don't touch nose, UV clothes, avoid crowds, stay at home, distant conversation, and of course, we need to WEAR A MASK to avoid DIRECT INFECTION, right? if we have a contaminated droplet in our eyes or mouth, it's almost equal to be infected, right?

  • Reply e Marie March 13, 2020 at 8:21 pm

    When you touch on the ACE2 receptor issues, we are hearing that being on an ACEI is associated with the higher risk for PNA, and HTN pts are more at risk than pts with diabetes, I am interested in your thoughts.

  • Reply Dave Brown March 13, 2020 at 8:27 pm

    Would taking a supplement like Quercetin Bromelain each day help

  • Reply J T March 13, 2020 at 8:29 pm

    2:39. Immunity?? Can you please confirm that after being infected that you have some kind of immunity to re-infection? I heard that this is not the case with COVID-19.

  • Reply Almagres07 March 13, 2020 at 8:29 pm

    Best way to flatten the curve is take your Vitamin D, zinc, Vitamin C, two Brazil nuts per day for selenium, get enough sleep, and wash your hands. 80% of people infected never get sick. This whole thing is being way overblown and exploited by the media and governments for political reasons. The only people truly at risk are elderly smokers, those with serious underlying conditions like COPD, obesity and heart disease. I'm getting a little sick of the fear mongering. Pun intended.

  • Reply James Dicus March 13, 2020 at 8:29 pm

    Assume anyone you come in direct contact with may be infected. Keep it simple. Or wait a month and know anyone you come in contact probably came in contact with someone infected. I'm not in panic mode, I'm just in realistic mode.

  • Reply ShakespeareCafe March 13, 2020 at 8:30 pm

    Cities are becoming a ghost town with self isolation and social distancing…the numbers of unemployed will soon overwhelm the numbers of infected.
    The Corona Virus spreads at the speed of flight, FEAR, the SPEED OF LIGHT

  • Reply Matt A March 13, 2020 at 8:31 pm

    Since the virus can live on cardboard for 24 hours, quarantine your mail for a day before handling it.

  • Reply HappyZorro March 13, 2020 at 8:31 pm

    In China, they got off their asses and built a couple of hospitals in record time. Here in the USA we can't even figure out how to test for it.

  • Reply Pac1fic0 March 13, 2020 at 8:31 pm

    The long viability times on surfaces explain the SARS-COV-2 R0 of 2-3 vs. 1.3 for the flu.

  • Reply Daniel Rice March 13, 2020 at 8:32 pm

    Can you discuss the possibility of reinfection or lack of immunity either due to not enough antibodies or multiple strains? Also, what are the long term effects in recovered patients? I saw an article that in Hong Kong some recovered individuals had reduced lung capacity of 20%-30%.

  • Reply limeykl March 13, 2020 at 8:32 pm

    They should issue these directives during the flu season as do many thousands still die annually.

  • Reply maxrockbin March 13, 2020 at 8:33 pm

    If the transmission rate is slowed to less than 1 per person, won't that eventually reduce the total infected as the infected population reduces to zero?

  • Reply Pac1fic0 March 13, 2020 at 8:35 pm

    Fighting this virus without testing is like boxing an opponent blindfolded. You only know where he is when you receive a blow. Testing is absolutely essential!

  • Reply payz hayz March 13, 2020 at 8:37 pm

    When the infection started no one should have been allowed from that country without being tested.

    When it became an epidemic no one should be allowed from that country and everyone else should not be allowed in without testing.

    When it became a pandemic no one should be allowed from anywhere except for special cases that should require testing and time spent in quarantine.

    Everyone should be told the government will pay for your bill if you want to get tested for it. All public gatherings should be cancelled.

  • Reply Drea Mac March 13, 2020 at 8:39 pm

    Just watched this after cleaning out my daughter’s school backpack, todays clothes, etc. Really hope a hot wash kills any germs. I wiped down all her books and doo dads she hangs on her bag. Was not a small task.

  • Reply Brent Taylor March 13, 2020 at 8:40 pm

    Thanks again. Are you able to get the testing you need now?

  • Reply James Russell March 13, 2020 at 8:48 pm

    Molecular biology is so very important and interesting

  • Reply Oceans March 13, 2020 at 8:51 pm

    There are 5 confirmed cases in New Zealand but 9000 registered cases of self isolation. WHAT DOES THAT TELL YOU

  • Reply Gert De Schepper March 13, 2020 at 8:51 pm

    Public gatherings forbidden, schools closed here in Belgium. But, as the herd immunity will only be realised with about 75% of immune people, isn't the fall of cases in China we are seeing now not just a temporary thing at best ? As I understand it, the whole planet will need to stay in semi-lockdown until either 75% has been exposed or until a vaccine is ready, which might take another year. Or else the health system collapses. Until then, whenever we come out of isolation, it will just start again…

  • Reply Oceans March 13, 2020 at 8:52 pm

    New Zealand Government are still behind the eight ball. CLOSE THE BORDERS NOW.

  • Reply Vanessa Short March 13, 2020 at 8:53 pm

    You are really good at explaining the virus. I like the detail you give.

  • Reply Ken B March 13, 2020 at 8:53 pm

    Being a Vietnam war veteran I am under constant care with appointments keeping me in a hospital 3 to 4 times a month. I just cancelled 2 appointments because hospitals are notorious for being germ ridden and really unsafe except in an emergency situation. I am also 81 years old and have put myself in self imposed quarantine and will not leave my house except to check my mail. I also have enough food to last approximately 6 months. I also have access to around to 100,00 movies, 147 books on my iPad and programs on my computer to keep me occupied.

  • Reply ArthurVandelay March 13, 2020 at 8:58 pm

    What about EGCG as a zinc transport?????

  • Reply CMTHFAF March 13, 2020 at 8:59 pm

    I greatly appreciate these explanations. I’m an accountant and normally this stuff is like a different language.

  • Reply Victoria March 13, 2020 at 8:59 pm

    Awesome information. Thanks Dr.

  • Reply Braeden Lavergne March 13, 2020 at 8:59 pm

    Recently hit 23 cases in my province 7 of those cases being in my city and they're already talking about shutting down schools and big gatherings n stuff

  • Reply sam megz March 13, 2020 at 9:04 pm

    This is going to be such an absolute mess in the USA. We have 'trained' our populations to be addicted, crazy consumers….and now the country is suddenly telling everyone to stay home. It's like telling a drug addict to stop taking drugs…"do it today, because that is what is good for you". We are soon going to find out that you can't teach a dog two opposing tricks. I live in Boulder County, Colorado. All of the K-12 schools were just cancelled until early April. I went for a walk and noticed that so, so many more people were out driving around. The grocery store near me which is always really mellow even around Christmas time, was packed. You can't tell me that there aren't at least a couple of Coronavirus carriers walking around just in that store……people do the opposite of what they should do during a crisis situation, most especially if they are already riddled with addictions 🙁

  • Reply Weekend Warrior March 13, 2020 at 9:05 pm

    What are some treatments being done for patients that are admitted, has vapotherm HFNC been tried?

  • Reply Eln S March 13, 2020 at 9:07 pm

    Is that why US delayed testing for more than 2 months?

  • Reply William Andrews March 13, 2020 at 9:10 pm

    Why can't doctors diagnose coronavirus from the symptoms? Are doctors unable to differentiate between coronavirus and other causes of pneumonia? Are there other diseases that have symptoms so similar to coronavirus that doctors are unable to make a diagnosis based on the symptoms?

  • Reply bakkerman73 March 13, 2020 at 9:10 pm

    Any notes on the potential lung damage after recovery ?

  • Reply Tasha T March 13, 2020 at 9:11 pm

    I could listen to this man for hours. Intelligent! Soft spoken! Not arrogant! 💟

  • Reply Marans Candy March 13, 2020 at 9:12 pm

    Did China really delete a report saying the virus could potentially cause male infertility since the testes have numerous ace2 receptors?

  • Reply Conner Mickelson March 13, 2020 at 9:13 pm

    A couple of hours ago we were at 128,000, now we are at 145,000. Exponential growth baby

  • Reply Director Manatee March 13, 2020 at 9:17 pm

    Which is the most useful face mask for safety? N95 or the normal surgical masks? Can someone give me correct information regarding this?

  • Reply Amanda Joyce March 13, 2020 at 9:17 pm

    In your graph you missed one Vitally Important Detail. You drew the line for, “Health Care System Capacity,” as level and unchanging. That is so wrong! As a retired nurse I know and hopefully you do also that we must factor diminishing health care staff from (fatigue and the infection) amongst other possibilities, (fear). Health Care workers aren’t immune to fear of dying prematurely from an infection. That line ought to be consistent but realistically can’t be. The situation will get far worse as reality of the enormity kicks in.

  • Reply BobWidlefish March 13, 2020 at 9:17 pm

    Those surface / aerosol numbers are likely too low based on how they did the testing. I encourage you to act as if the virus lasts a lot longer, because in many cases it does. Read the study carefully!

  • Reply Peter Johnston March 13, 2020 at 9:21 pm

    The UK are doing very little – even if you have symptoms you are advised to isolate for only 7 days, and testing will now only take place in hospitals. It seems, amazingly, we want to build herd immunity as soon as possible, whatever the cost.

  • Reply David Christensen March 13, 2020 at 9:22 pm

    I want to thank you for your videos. I am just a retired bus driver. You have made this so much more understandable. I am over 65 and your videos makes me feel I have the information I need to protect ourselves as best we can and far less scary then the news on tv. I recommend and refer people to your site. Nice work

  • Reply Natashahoneypot March 13, 2020 at 9:22 pm

    Very very interesting

  • Reply Jim D March 13, 2020 at 9:23 pm

    Does that mean "goods" from China will have to remain in quarantine before distribution??

  • Reply RedHeart64 March 13, 2020 at 9:25 pm

    You might want to get YouTube to censor the BS ads that are connected to your videos. I just got hit with one claiming that the Chinese government (emphasis communist) are harvesting organs for sale. I don't think you'd want your channel to be connected to BS like that.

  • Reply William Andrews March 13, 2020 at 9:25 pm

    Every day there are more people bringing coronavirus into the United States. People should not have a right to bring coronavirus into the country. The politicians are helpless.

  • Reply Jeff Matthews March 13, 2020 at 9:26 pm

    Is there a home Covid 19 test kit so that we do not swarm the emergency rooms?

  • Reply William Andrews March 13, 2020 at 9:28 pm

    He says we don't have enough hospitals, doctors, and nurses. Maybe not but we have space stations, toy cars on Mars, and 200,000 American soldiers in 177 foreign countries!

  • Reply Joe V March 13, 2020 at 9:29 pm

    Can people be reinfected or they become immune to the virus?

  • Reply NSA March 13, 2020 at 9:29 pm

    Having a good book like The Stand is a good way to pass the time in quarantine.

  • Reply Isaiah Kayode March 13, 2020 at 9:31 pm

    How long will it take to make a Treatment Doctor

  • Reply Bernardo Cantu March 13, 2020 at 9:31 pm

    Can anyone help? So should I switch from lisinipril to sartan? I only take 5mg of lisninpril. I dont have diabetes and I'm 42. I know call ur doc I did…but all this is speculation.

  • Reply Jas Wolfie March 13, 2020 at 9:31 pm

    Looking forward to the molecular biology again – the basics are well covered by many other sources like Dr. John… I watch you for the hard science. =)

  • Reply Morpheus ! March 13, 2020 at 9:33 pm

    No testing in Florida. A friend got very sick with all the symptoms…called and was asked 5 questions (mostly if traveled). They told him he did not qualify for a test. WTF!!!! ..and no idea how much one cost either!

  • Reply Leigh Napier March 13, 2020 at 9:33 pm

    The Ohio Director of Public Health made a public statement yesterday saying that they estimated 100,000 Ohioans were infected w the virus. How was that data extrapolated ?

  • Reply Amanda Litwak March 13, 2020 at 9:34 pm

    I am waiting to hear what you have to say about the ACE receptor. I find it curious that the population that is widely taking ACE inhibitors (lisinopril and all the -pril blood pressure meds) have such a vast overlay with those most susceptible to this virus.

  • Reply bigike1313 March 13, 2020 at 9:35 pm

    Don’t flatten the curve, kill the curve.

  • Reply Leadguitarman1 March 13, 2020 at 9:35 pm

    Won’t matter, I’ve already been told in no uncertain terms, will these companies change sick leave policies. Meaning if your sick and don’t go to work, they’ll be fired.

  • Reply William Andrews March 13, 2020 at 9:36 pm

    Social distancing? We're all supposed to quit working and stop buying groceries?

  • Reply David Pumpkini March 13, 2020 at 9:37 pm

    Is NAMBLA meeting cancelled this year?

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