- Initially the strategy was measures at the border - Now that the virus has spread to many countries, a border-control based strategy is not enough. Hence we are moving towards a more community oriented strategy - State department travel advice changes daily. Refresh for updates - Most of the intervention are Non-Pharmaceutical Interventions: - Personal NPI - Community NPI, including school closures, remote working, and cancellation of mass gathering, etc. - Environmental NPI, including wiping down shared facilities etc.
Kits: - 12 states or local have kits - All cases would come to CDC for confirmations for quality control
Cases: - as of today, the total number of infected: 1) 3 out of the people repatriated from Wuhan 2) 40 from Diamond Princess 3) 14 elsewhere
Supply chain: - Government is working on supply issues - Front line protection is critical (as we all know, wholesalers stopped selling masks to retail customers a month ago)
Why the CDC hasn't tested many people: - So far the containment has been focused on travel - Now moving on to more community based surveillance. Today through the coming two weeks, tracking cases through the flu reporting system - Community oriented surveillance is rapidly starting
14 days is enough? - Many stories about greater than 14 days of incubation period are not peer reviewed - 15 modeling teams across the States are monitoring based on data from all countries - So far data support 14 days
最后是我和我的家庭医生的信息。她在纽约上东区 (where many old people live)： "We have not had any suspected cases. I did tell the office management to have everyone who schedules appointments triage them and find out about fever, travel etc so we are aware prior to the visit. I'm also trying to get anyone who hasn't had a flu shot get one. At least then there will be less patients coming in with flu so there won't be as much confusion." "Yes we have been wearing masks and staff are trained." Add Funkey mm's post: 目前主要就是如何prepare 利用现有的pandemic flu mitigation system 之前telebriefing也讲过 [url=https://www.cdc.gov/mmwr/volumes/66/rr/rr6601a1.htm]https://www.cdc.gov/mmwr/volumes/66/rr/rr6601a1.htm[/url] 可以读一读 另外她也讲了可以问问自己的community 这些具体的措施都是要community来做的 她今天早上打电话给自己的学区去问了 在早餐桌上也带自己的孩子讨论过 大家也可以问问/督促当地部门 早做准备
They only said that they would ensure front line health care professionals' supplies. The CDC never recommended masks for the common folks (unless you are sick).
They only said that they would ensure front line health care professionals' supplies. The CDC never recommended masks for the common folks (unless you are sick).
someone talked about it before...step 1 is to buy time. By April, flu related hospitalization will be much lower so there would be more beds available. The worst is the flu AND the virus spread at the same time.
They only said that they would ensure front line health care professionals' supplies. The CDC never recommended masks for the common folks (unless you are sick).
1. They have protocols. Each level of spread is correspondent to a certain level of response. Generally speaking I trust the system that has been tested and improved 2. They explained the rationale including testing philosophy
Sorry about your travel plan...health is always more important.
1. They have protocols. Each level of spread is correspondent to a certain level of response. Generally speaking I trust the system that has been tested and improved 2. They explained the rationale including testing philosophy
Sorry about your travel plan...health is always more important.
1. They have protocols. Each level of spread is correspondent to a certain level of response. Generally speaking I trust the system that has been tested and improved 2. They explained the rationale including testing philosophy
Sorry about your travel plan...health is always more important.
- Initially the strategy was measures at the border
- Now that the virus has spread to many countries, a border-control based strategy is not enough. Hence we are moving towards a more community oriented strategy - State department travel advice changes daily. Refresh for updates
- Most of the intervention are Non-Pharmaceutical Interventions:
- Personal NPI
- Community NPI, including school closures, remote working, and cancellation of mass gathering, etc.
- Environmental NPI, including wiping down shared facilities etc.
Kits:
- 12 states or local have kits
- All cases would come to CDC for confirmations for quality control
Cases:
- as of today, the total number of infected:
1) 3 out of the people repatriated from Wuhan
2) 40 from Diamond Princess
3) 14 elsewhere
Supply chain:
- Government is working on supply issues
- Front line protection is critical (as we all know, wholesalers stopped selling masks to retail customers a month ago)
Why the CDC hasn't tested many people:
- So far the containment has been focused on travel
- Now moving on to more community based surveillance. Today through the coming two weeks, tracking cases through the flu reporting system
- Community oriented surveillance is rapidly starting
14 days is enough?
- Many stories about greater than 14 days of incubation period are not peer reviewed
- 15 modeling teams across the States are monitoring based on data from all countries
- So far data support 14 days
最后是我和我的家庭医生的信息。她在纽约上东区 (where many old people live)：
"We have not had any suspected cases. I did tell the office management to have everyone who schedules appointments triage them and find out about fever, travel etc so we are aware prior to the visit. I'm also trying to get anyone who hasn't had a flu shot get one. At least then there will be less patients coming in with flu so there won't be as much confusion."
"Yes we have been wearing masks and staff are trained."
Add Funkey mm's post:
目前主要就是如何prepare 利用现有的pandemic flu mitigation system 之前telebriefing也讲过
[url=https://www.cdc.gov/mmwr/volumes/66/rr/rr6601a1.htm]https://www.cdc.gov/mmwr/volumes/66/rr/rr6601a1.htm[/url] 可以读一读
另外她也讲了可以问问自己的community 这些具体的措施都是要community来做的 她今天早上打电话给自己的学区去问了 在早餐桌上也带自己的孩子讨论过 大家也可以问问/督促当地部门 早做准备
Issued level 3 travel warning for South Korea - reconsider travel
Thanks Lz for the note!
travel Ban是白宫弄的，唯一能做的是继续打电话给议员要求更多的travel control。
thanks for this. I should add.
但是他们肯定参与这些决定啊
travel ban不是cdc发的，cdc只能发不去这些国家的warning. 目前日本意大利伊朗是二级，韩国是三级。说实话对中国的travel ban, 我觉得也就只有Trump才会发，其他人，不管共和党民主党，奥巴马，小布什，都不会发的。
还是有用的，少一个是一个
that's exactly right.
当然有用，最起码是个warning，大家注意从这些国家回来的，要求隔离。CDC就是一群左左官僚把持，上次在国会咨询的时候还要求不要travel ban.
是的 肯定有用啊
that's my understanding. you can also purchase bleach and other cleaning supplies.
现在还能买到，再不买就真买不到了
估计买不到机票吧，连去中国的机票都10倍价格还爆满了
They only said that they would ensure front line health care professionals' supplies.
The CDC never recommended masks for the common folks (unless you are sick).
当然是有用的，就跟对中国一样，绿卡公民回国隔离，非绿卡公民禁航。
问题是现在意大利也爆发了，禁意大利、禁整个欧盟，显然就不可能了。
光禁韩国、不禁意大利，又显得太不公平，更何况韩国还有美军。
我觉得还在观望，如果韩国病例继续指数上升，我觉得川普会在周末采取一些动作。
I'm glad. Just wanted to post the full notes rather than using snapshots to fit any agenda.
我知道cdc 不推荐，但是口罩是肯定有用的
I'm with you. Not their priority right now. Supplies to medical professionals are.
Simply summarizing what they said. Don't want to pick one topic and be sensational about it.Time for a calm and collected approach :-)
要读它的潜台词。。。
医院的床位这些都没人问。
我知道你是总结 我说cdc没有实质性的干货
我们现在能做的就是取消所有近期的travel 损失惨重.....
意大利第一个断航的，现在局面反而最糟。
有一堆peer reviewed的文章研究过断航效果，都认为用处不大，而且反而会导致隐瞒和恐慌，以及无必要的医疗挤兑。
记得有一篇说即使爆发第一天把所有空中交通减少到1/128，三周后感染人数和不断航一样。
MM是在NYC吗？ 想问现在曼哈顿戴口罩的人多不多呀？ 你觉得有没有必要呀？
someone talked about it before...step 1 is to buy time. By April, flu related hospitalization will be much lower so there would be more beds available.
The worst is the flu AND the virus spread at the same time.
口罩肯定不能推荐，因为现在全买不到，库存也没有，只能优先供应医疗系统。
NYC 担心的是口罩引起的 hate crime
是的啊。。
Yes
Very few
你觉得有没有必要呀？ Unnecessary at the moment, but gloves are key. If you go to a doctor or a hospital, a mask might be helpful.
My two cents......
Chinatown很多人戴口罩，中国超市也是，大概到1/4到1/3。 其他地方还没有看见。现在就是减少公共聚会，少出门，勤消毒，每次出门要洗手。 等到疫苗出来。
I think my takeaways are -
1. They have protocols. Each level of spread is correspondent to a certain level of response. Generally speaking I trust the system that has been tested and improved
2. They explained the rationale including testing philosophy
Sorry about your travel plan...health is always more important.
诊所前台上次我去都是有的，自己拿自己戴上。当然我不知道接下来还会不会有，不知道这个前台算不算front line哈
My takeaway：信息是透明的而且是专业的，小心但没必要恐慌。
Agree. Thank you.
Thanks. I'll add this to #1 post.
目前的应对都是基于过往的已知和经验，但是这次病毒很可能会超出已知范围
是的。但是必须根据以往的经验开始啊，否则以前的经验就白费了。
我女儿做地铁上课都戴口罩。她在地铁上实在口罩外面戴上围巾。她们是十个孩子一起上下学。她完全没有问题。
我的关注此事的美国朋友说，“she is able to manage being the smartest one."
yup.my parents would wear masks when they go to their doctors'
I have some better looking masks to make it less offensive looking...
and tbh i'm reserving our limited mask supply for the REAL outbreak...
Yup. I'm with you.
赞，真是聪明娃👍
断航是阻断交通，减少扩散，如果没用或更糟那为什么封武汉。 放武汉人湖北人出来试一试?
是的，新加坡就建议不戴口罩
是的。基本正确。
意大利应中国要求，之后很快复航了好吗
是这样吗？那就难怪了。这次没有及时锁住边界的，日本韩国都有点危险。如果意大利也是因为这个原因，那就可以肯定是输入的病例造成扩散和爆发。
1月30日断航，6号中国就去抗议协商，然后意大利就妥协了。居然还有人会认为断航没有用，那中国紧急封武汉封湖北又是为了什么？
大农村还好，人跟人距离本来就远。地铁，学校里还是带吧。
我觉得是保护在美华人了。不然人人自危
你是被迫害妄想症重度患者吧？
进行中国首先就救了在美国的华人，不然国内一大批不差钱的恐慌性往美国跑，你亲戚朋友都要来你家，你是让来呢还是不让来呢？
应该可以，我们公司内部guideline 已经要求从最近去过韩国回来的在家自我隔离两周再上班
同意。版上脑残右逼们都魔怔了，
先让全国各地不歧视武汉湖北人再来叫不打击报复中国人吧