We don’t have historical reason to believe travel bans work. Every year seasonal flu spreads extensively around the world. 2009H1N1 also spread quickly around world despite early attempts to put bans in place. The reproduction rate of nCoV has rivaled that of flu so far.(12/x)
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We need hospitals to be prepared to take care of increased number of patients with ARDS-like illness. We need to move ahead rapidly on development of vaccines, antivirals, monoclonals and other therapies. (23/x)
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We need to communicate to public about nCoV preparations, what they can do to lower risk of spread of infxn. Explain CFR may be 2% now, but will likely go down, perhaps a lot, when we get more data. Right now in China, it is the most severe are getting diagnosed. (24/x)
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At the start of 2009H1N1 initial case fatality estimates were much higher than would prove to be the case when more data was collected with time. There is good reason to think that CFR in nCoV will also fall substantially when we get more info over time. (25/x)
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If nCoV starts spreading in US it's not because USG failed to contain it, it's because it'll have been a dz that was not possible to stop. That needs to be communicated clearly, or the public may lose confidence in the response, and that will make challenges of nCoV worse.(26/x
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Kraj razgovora
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We need you to be in charge
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If possible, we need to provide free healthcare to anyone who suspects that they are infected.
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I'm wondering how reasonable it is to assume that we will have large scale diagnostic capacity for this outbreak. Maybe we should be building a response that assumes testing won't be widely available and surveillance will be limited.
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Well at some point it becomes a cost-benefit exercise. Apparently on China they are now only testing the most obvious cases as they're running out of test kits.
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my current concern is active virus in patient's waste/excrement. do military bases have their own systems or do they overflow into local public works? until we know how virulent the waste is & for how long, all patient output needs to be treated as bio-hazard. can anyone explain?
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This...
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