Coronavirus - Health and preparedness aspects - II

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I bought lettuce and green beans this afternoon. All out on display at the store. I see a lot of information on line about disinfecting for bacteria and one article that included norovirus. Is there any protocol for washing lettuce and other salad ingredients to remove this virus?
 
Looks like my decision to buy a couple Clear Rear Bidet's is going to pay off when all the TP runs out. They were easy to install, cost about $40 each, and really work. The only downside is the water is not heated because they are not electric. But they do work as advertised.
Our Costco today had 4X the normal floor space devoted to Kirkland brand TP. I guess they wanted customers to know there is plenty.

On the other hand they were completely out of cleaning wipes, hand sanitizer, and only had a few boxes of large nitril disposable gloves left. Just a few bags of Thai jasmine rice left.
 
That's pretty hot.

So we have to use the oven to disinfect?

I don't think 133F is that hot. Chicken is still raw at that temperature.

Here in the SW, if I put that package from China in a black plastic bag and leave it out in the sun at midday, the interior of the bag may get there already.

Come to think of it, when I receive that order from China (it has been delayed a lot more than the earlier package ordered in Jan), I will do a test. I have a engineering thermocouple which is tiny and responds very quick, unlike a kitchen or grill thermometer.
 
We have an O2 concentrator for home use (large one) and one portable one for travel (DC powered). These are for DW who has severe COPD. Big hospitals have centralized O2 supplies and one would not need a personal one if in Emergency Room or admitted. We never needed to bring ours when DW needed to go there.

O2 intake would not be the only problem if the CV gets the lungs compromised since the disease turns into pneumonia and maybe some other bad things.


An article on the infected nursing home in WA has a photo of workers moving O2 concentrators into the building. My MIL has one just like these for her COPD, although she has recovered well enough to not to have to use it now.

I have thought about borrowing it to hook up to my brazing torch instead of using my O2 welding tank, but have not got around to try that. :)

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If this virus does become widespread, I believe most of us will be told to just try to recover at home. I want to have anything on hand that will help with that. One thing that I think "may" be of use is Guaifenesin (brand name is Musinex). I already keep this on hand because it seems to help me with sinus infections. This medicine: (1) Relieves chest congestion, (2) Thins and loosens mucus, and (3) Makes coughs more productive.

If I'm wrong about this and I should NOT take Guaifenesin if I get sick, please let me know.

I already have this, but if you think this medicine may be helpful, it may become hard to find later. The brand name version can be expensive, but the generic version is normally $10 for 200 4 hour pills. I put a bottle in my amazon shopping cart and in one hour the price went up by a dollar because it is no longer available directly from amazon.

https://www.amazon.com/gp/product/B0028K154A/ref=ox_sc_saved_title_1?smid=A3E2LIG78Q2FZ3&psc=1
 
I am not a doctor (nor did I stay at a Holiday Express last night), but guaifenesin is a common expectorant ingredient in many over-the-counter cough syrups.
 
If this virus does become widespread, I believe most of us will be told to just try to recover at home. I want to have anything on hand that will help with that. One thing that I think "may" be of use is Guaifenesin (brand name is Musinex). I already keep this on hand because it seems to help me with sinus infections. This medicine: (1) Relieves chest congestion, (2) Thins and loosens mucus, and (3) Makes coughs more productive.

I take Mucinex myself for colds (12-hour timed-release) - it loosens up the mucus in my sinus and makes my coughs more productive, so it's my go-to for a chest cold and a head cold both. I stocked up on it along with zinc lozenges and elderberry syrup.
 
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I take Mucinex myself for colds (12-hour timed-release) - it loosens up the mucus in my sinus and makes my coughs more productive, so it's my go-to for a chest cold and a head cold both. I stocked up on it along with zinc lozenges and elderberry syrup.

Where does one get elderberry syrup?
 
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I have Nyquil and Dayquil on hand. I understand you can take that along with Mucinex, although I don't have any of that.

That Elderberry stuff is expensive pancake syrup. I wonder if it works. That reminds me, I couldn't find any zinc lozenges the other day when I was stocking up.
 
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I take Mucinex myself for colds (12-hour timed-release) - it loosens up the mucus in my sinus and makes my coughs more productive, so it's my go-to for a chest cold and a head cold both. I stocked up on it along with zinc lozenges and elderberry syrup.

Another vote here for mucinex, I know it works as I don't even need to look at the clock to know when it's time for another pill. Stocked up last month after my cold to have extra...in case.

I also like Ricola cough lozenges, the sugar free kind.

(costco carries large sizes on both the above)
 
Maybe I'll be sorry later, but I haven't done anything to prepare for Covid.

Bought 20 Talenti ice creams on sale today, as well as 30 yogurts at Pavillions. Normal purchases. The ice cream will last awhile.

At Sprouts: apples, tangelos, oranges and berries for smoothies. Chocolate covered walnuts to add to my stockpile of them. 4 more bags of cheese flavored pop corn to join the 30 or so I already had.

Haven't bought any masks. Use a Berkey to filter my tap water.

If I get sick I'll let you know.
 
An article on the infected nursing home in WA has a photo of workers moving O2 concentrators into the building. My MIL has one just like these for her COPD, although she has recovered well enough to not to have to use it now.

I have thought about borrowing it to hook up to my brazing torch instead of using my O2 welding tank, but have not got around to try that. :)

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Yes, nursing homes may not be equipped like hospitals when it comes down to supplying oxygen. BTW, those units in the photo appear to be the same as the "floor unit" I have for DW. Ours runs 24/7 with a 50' hose and humidity control.

I don't think the O2 is high enough in concentration from those units to use for welding or brazing.
 
Yes, nursing homes may not be equipped like hospitals when it comes down to supplying oxygen. BTW, those units in the photo appear to be the same as the "floor unit" I have for DW. Ours runs 24/7 with a 50' hose and humidity control...

Health officials in King County, WA, say their hospitals are quickly overloaded, and will be reserved for the most severe cases. The residents of the infected nursing home will be treated in place if possible, hence the delivery of these portable units.

They are also finalizing the purchase of a motel, in order to convert it into a makeshift hospital to house Covid-19 patients. They are asking people with flu-like symptoms not to go to the ER unless they are really sick. This allows them to treat more severe cases.
 
Health officials in King County, WA, say their hospitals are quickly overloaded, and will be reserved for the most severe cases. The residents of the infected nursing home will be treated in place if possible, hence the delivery of these portable units.
How are they handling the situation there to notify people who have had possible contact?

Here in Wake County, they are asking people who dined at a certain restaurant to monitor themselves and if they have any cold or flu like symptoms, call the health department. They haven't said, but I presume at that time they'll be asked to self quarantine and possibly be tested.

The person who came here from WA carrying the virus (unknowingly) is quarantined at home and being tested by the health department on a regular basis. He was fine for a week after his WA visit, got sick, saw the news about the place he visited, and called his doctor. The doctor informed the authorities and they went through testing protocol. I give kudos for this guy for not trying to wish away the problem.
 
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On Line clinics

So I am resigned to thinking that half of the USA population is going to get Covid-19 over the next 18 months unless a vacinne is developed.

Panic - no.

Prepare - yes.

Unfortunately, I believe Clinics and Hospital ERs will be overwhelmed at the peak of community infection. If you go to either for treatment thinking you MAY have Covid-19 BUT DON'T, odds are higher to pick up the virus in those environments. To minimize that consequence, DW and I are signed up through the 98point6 app on our smartphones. You talk to / see / or text a health care provider from your couch. Its good through our insurance company, and I have used it once already for sinusitis to get antibiotics.

DW and I have thermometers, Infra Red temp gun, and I just ordered a finger blood oxygen saturation + pulse digital meter. Already have a BP cuff. Also just ordered a baby monitor in the event that one of us gets sick first.

For a mild case, bought a couple of bottles of Nyquil / Dayquil which contains the active ingredient of Mucinex. The baby monitor is because the sick one will quarantine in the master bedroom while the other moves to a guest room. Probably too late at that point, but who knows?

If DW and I get quarantined for either ourselves being sick or someone we come in contact being sick, we have enough dry goods to last 2-3 weeks. It won't be Chateaubriand for two, but we won't go hungry and can wipe our own fannies. Told the same scenario to our kids - be prepared if your apartment block is locked down because someone else is sick.

Starting to think about how to help our neighbors if they have a household quarantine. I think there are some that would be ill prepared if they went under quarantine just because someone they came in contact with through travel / school / work became sick. Holding off for now until things heat up with cases close to hometown. (To avoid cementing the notion with my neighbors that I truly am a complete nut job.)

Yesterday I went to the county health department to drop off some sharps from our diabetic cat. Accidentally walked in on a demonstration of how to wear Tyvex hood, N95 respirator and gloves. Felt like the movie set for Andromeda. It was good to see some public health preparations. When leaving, I checked out back to ensure there was no ox cat wagon from Monty Python's 'Bring Out Yer Dead' skit.

Now if I can just figure out what to do with the mail and gift boxes from Jeff Bezos.

atom
 
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Funny you should mention that. I was supposed to be in Edinburgh helping my wife look after her sister after her open heart surgery. However, I woke up on Saturday with a sore throat and a cough so I drove DW up then drove back next morning. (SIL was still in hospital, back home yesterday).

But you might have already infected your wife, and she could become infectious before showing symptoms... Not even thinking about COVID-19, just the flu or a cold.

You wife should wear a mask in her presence.
 
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I bought lettuce and green beans this afternoon. All out on display at the store. I see a lot of information on line about disinfecting for bacteria and one article that included norovirus. Is there any protocol for washing lettuce and other salad ingredients to remove this virus?
I'm no expert, but I have surfed the net ;) From my research on E.Coli, I'm pretty sure any attempt at cleaning lettuce could not be 100% effective. You could discard the outer leaves, which would be prudent in any case, and probably reasonably effective to prevent you from ingesting other people's hand 'germs'. Wouldn't work on non-peelable other salad items. A weak bleach solution was mentioned a while back. You'd spray, leave for a certain contact time, then rinse. Lettuce has too many folds for that to work, but a green pepper or something, maybe.
 
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I either buy the bagged lettuce or the spring mix in the plastic box. Washing lettuce sucks and makes for a limp salad.

If I do buy a head of lettuce, I throw away the outside layers.
 
A very interesting article in today’s South China Morning Post (here)

Titled “Coronavirus: South Korea’s aggressive testing gives clues to true fatality rate” it looks at mortality rates for COVID-19 in South Korea, which are much lower than reported in China or elsewhere, 0.6% vs 3.4%. One hypothesis is Korea is conducting far more tests than any other country, this detects many more low grade cases, raising the total number of infected, and resulting in a far lower mortality rate.

Within a month of confirming its first case of Covid-19 on January 20, South Korea had tested nearly 8,000 people suspected of infection with the new coronavirus that causes the disease. A little over a week later, that number had soared to 82,000 as health officials mobilised to carry out as many 10,000 tests each day.
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If we can test more people – whether they have no symptoms, mild or severe disease – the results, including the case fatality rate, are more accurate and representative when the whole disease spectrum is taken into consideration,” said David Hui Shu-cheong, an expert in respiratory medicine at the Chinese University of Hong Kong. “Most countries just focus on testing the hospitalised patients who obviously have more severe disease, and [thus] the fatality rate is high.”
./.
In a study released last month, the Chinese Centre for Disease Control and Prevention said the mortality rate among people whose symptoms started between January 1 and January 10 was 15.6 per cent, compared to just 0.8 per cent among those who showed symptoms between February 1 and February 11 – a possible indication that increased screening as awareness of the virus grew had detected more mild cases of infection
While this is not reason to relax or stop with preventive measures, it is a whisper of hope things are not as dire.
 
I think there are some that would be ill prepared if they went under quarantine just because someone they came in contact with through travel / school / work became sick.

It's a quandary in the making, isn't it? Are many employers really prepared for the reality of having their employees call in to say they're not allowed to leave their homes for at least 2 weeks because of a government imposed quarantine?
 
A very interesting article in today’s South China Morning Post (here)

Titled “Coronavirus: South Korea’s aggressive testing gives clues to true fatality rate” it looks at mortality rates for COVID-19 in South Korea, which are much lower than reported in China or elsewhere, 0.6% vs 3.4%. One hypothesis is Korea is conducting far more tests than any other country, this detects many more low grade cases, raising the total number of infected, and resulting in a far lower mortality rate.


While this is not reason to relax or stop with preventive measures, it is a whisper of hope things are not as dire.

Nice to see some less gloomy news. Thanks for posting.
 
Another less gloomy thought is that there is no scientific "law" that says a vaccine or anti viral medication has to take a year to test.

This country built an atomic bomb using slide rules, in under 3 years.

One of the main reasons people are saying something will not be ready for a year is they are using old thinking, that a medicine must be extensively tested before being offered to the public. I think that is out the door if we have overflowing hospital beds and we could have a widely distributed anti-viral medication in a few months.
 
Nice to see some less gloomy news. Thanks for posting.
Indeed. I've been thinking along these lines (if you test only the sickest and skip the mildly symptomatic) your stats will be skewed towards the results for only those with the most severe symptoms. I read some discussions along these lines, but still couldn't help myself doing the straight-line projections using skewed stats. Sorry about that.
 
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