• Daily Digest

    Daily Digest 2/19 – Coronavirus: Thieves steal 6,000 surgical masks in Japan amid shortage, New French health minister: ‘credible risk’ of coronavirus pandemic

    by Daily Digest

    Wednesday, February 19, 2020, 7:53 AM

Economy

Singapore Plans Biggest Budget Gap in More Than Two Decades

Singapore will post its biggest budget deficit since at least 1997, pledging S$6.4 billion ($4.6 billion) in dedicated support for an economy being slammed by the coronavirus outbreak.
The deficit will widen to 2.1% of gross domestic product in the year through March 2021 from a projected 0.3% in the current fiscal year, Finance Minister Heng Swee Keat said Tuesday in Parliament.

Coronavirus: Thieves steal 6,000 surgical masks in Japan amid shortage

Thieves in Japan have made off with some 6,000 surgical masks from a hospital, with the country facing a mass shortage and a huge price hike online due to the coronavirus.

Four boxes containing the face masks disappeared from a locked storage facility at the Japanese Red Cross hospital in the western port city of Kobe, a hospital official said on Tuesday (Feb 18).

New French health minister: ‘credible risk’ of coronavirus pandemic

New French health minister Olivier Veran said on Tuesday there is a “credible risk” China’s coronavirus outbreak could turn into a pandemic, spreading across the world.
This is both a working assumption and a credible risk,” Veran told France Info radio.

Singapore builders seek force majeure advice as coronavirus causes labor crunch

Singapore construction firms are asking for advice about whether they have the option of invoking force majeure clauses in building contracts as the government turns away or quarantines Chinese labor to stop the spread of the coronavirus, lawyers told Reuters.

Wuhan hospital director dies from coronavirus, Moody’s lowers China forecast

The firm lowered its growth forecast for China from 5.8% to 5.2% for 2020, which would reflect “a severe but short-lived economic impact, with knock-on effects for economies across the region.” It added that lower Chinese import demand would be the primary reason for slowing growth.

Chinese doctors using plasma therapy on coronavirus, WHO says ‘very valid’ approach

Doctors in Shanghai are using infusions of blood plasma from people who have recovered from the coronavirus to treat those still battling the infection, reporting some encouraging preliminary results, a Chinese professor said on Monday.

Argentina Pockets $35 Billion Windfall After Accounting Change

These sorts of payments are commonplace in many parts of the world — including in Argentina, where $44 billion in dividends were transferred to Treasury coffers over the past decade — but by pumping pesos into a fragile economy they would threaten to add to a surge in consumer prices that has already pushed the country’s inflation rate over 50%.

As ‘do-or-die’ IMF talks draw to a close, Argentina faces prospect of another default

Speaking from Buenos Aires, Jimena Blanco, head of Latin America at Verisk Maplecroft, told CNBC via telephone that the risk consultancy had assigned a 77% probability that Argentina would default before the end of the year.

China Stock Recovery Nearing $1 Trillion Is Drawing Skeptics

“Shares are acting like we’re in times of exuberance, not the middle of a huge public health crisis,” said Shi Junbo, a fund manager at Hangzhou Xiyan Asset Management Co. in Beijing. “But as a rule, when shares rise solely on liquidity hopes, they will without exception tumble. We’re not getting away from the impact of the virus on markets once and for all.”

Gold & Silver

Click to read the PM Daily Market Commentary

Provided daily by the Peak Prosperity Gold & Silver Group

Article suggestions for the Daily Digest can be sent to [email protected]. All suggestions are filtered by the Daily Digest team and preference is given to those that are in alignment with the message of the Crash Course and the “3 Es.”

Related content
» More

22 Comments

  • Thu, Feb 20, 2020 - 6:34pm

    #1

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    1+

    “Detroit News” discussing the coming shortages at big box retailers

    https://www.detroitnews.com/story/business/2020/02/12/target-best-buy-coronavirus-supply-disruption/41223461/

    Target Corp. and Best Buy Co. Inc. could be among the first U.S. companies to take a direct hit from the coronavirus outbreak as concerns grow about disruptions to supply chain networks in China.

    Although current inventories are strong at most of the nation’s big-box retailers, analysts from Wells Fargo warn that shoppers could start seeing empty store shelves as early as mid-April.

    “We believe the time to start worry about the supply chain risk … is here,” the report said.

    Login or Register to post comments

  • Fri, Feb 21, 2020 - 7:02am

    #2

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    2+

    Sven Henrich is a naive optimist!

    If there was no impact on stock prices he could just come out and say it. But since that would be a bold face lie, he can’t deny it. So he hides in a generality, “I’ll leave that for others to judge”. Oh, I’m judging.

    And I’m judging that he knows fully well the policy has impacted asset prices. The problem for the Fed is that stocks have reacted much more extremely than they probably expected. And now they have a big fat bubble on their hands.

    The Fed created the 2000 bubble with Y2K liquidity injections, they laid the foundation for the housing bubble with easy money policies and then were in denial about that until it blew up in everybody’s face and I submit they are making the same mistake again.

    They caused another bubble and now they are in denial mode again. Why? Because they can never admit that the Fed is behind the financial asset bubbles that benefit the few and hurts the most when the bubbles pop.

    https://northmantrader.com/2020/02/21/the-big-dodge/

    If the Fed keeps making the same “mistakes” over and over again that “benefit the few and hurts the most“ (and those few are them and their cronies) shouldn’t we step out of OUR denial and conclude these aren’t “mistakes“ at all? Shouldn’t we conclude these actions are intentional forms of fraud and robbery? Yes, we should. I have. The Fed getS no slack in my book for being “wrong” or ”mistaken.” They’re criminals of the highest order and should face life in prison or the death penalty. The cost to our society and the world has been that severe. Maybe we can force something like the Nuremberg Trials for them at the darkest point in The Collapse. WE CAN ALWAYS HOPE.

    Login or Register to post comments

  • Fri, Feb 21, 2020 - 7:11am

    #3

    KugsCheese

    Status: Gold Member

    Joined: Jan 01 2010

    Posts: 893

    Plasma therapy has scaling problem.   IViG therapy is constrained by this.   Persons are working on the problem but nothing soon.

    Login or Register to post comments

  • Sat, Feb 22, 2020 - 8:40am

    #4

    saxplayer00o1

    Status: Silver Member

    Joined: Jul 30 2009

    Posts: 3127

    OECD Says Coronavirus Is Another Reason to Boost Fiscal Stimulus

    OECD Says Coronavirus Is Another Reason to Boost Fiscal Stimulus

    The guardians of the world economy are convening amid mounting fears that the virus outbreak poses a greater threat to global growth than envisaged just a few weeks ago.

    Login or Register to post comments

  • Sun, Feb 23, 2020 - 5:56am

    #5

    pinecarr

    Status: Gold Member

    Joined: Apr 13 2008

    Posts: 1123

    1+

    Samsung shutters smartphone factory in South Korea after virus outbreak

    From ZH: “It Begins: Samsung Shutters Smartphone Factory In South Korea After Virus Outbreak”

    On Saturday, Samsung Electronics reported that a Covid-19 case was confirmed at its smartphone factory in the southeastern city of Gumi, resulting in a complete shutdown of the entire plant, reported Reuters.

    Samsung said the manufacturing facility would be shut through the weekend as emergency disinfecting operations were underway. The area where the employee worked will be shut through next Tuesday, the company said, adding that all employees who came in contact with the infected person are now placed on self-quarantine (there was no mention of how many employees were under observation).

    There was also no word on if Samsung would be testing employees for the virus, considering how easily transmittable and virtually undetectable the virus is in the incubation phase.

    A three-hour bus ride north from Gumi to Icheon is the site of chipmaker SK Hynix, a key Apple supplier. We reported on Thursday that the company had a trainee test positive for the virus.

    Login or Register to post comments

  • Tue, Feb 25, 2020 - 4:05pm

    #6

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    3+

    Government corruption is a bigger problem than corona virus

    https://www.epsilontheory.com/the-fall-of-wuhan/

    Not only are corrupt political responses as common as rain, they’re almost never big deals. It’s not treason. It’s not Benedict Arnold selling a map of West Point. It’s petty stuff. It’s patronage appointments. It’s log-rolling. It’s pork barrel politics. Who’s gonna notice? Who’s hurt?

    Precisely because these corrupt political responses are so commonplace and so quotidian, they are almost never revealed publicly. I mean, sometimes you have a “whistleblower” listening in on your petty corrupt bargaining with the Ukrainian President or some such, and it blows up into a bit of a tempest, but that’s the exception rather than the rule. And even so, these normal-time reveals are almost always tempests in teacups … full of sound and fury, but no more than that.

    But every once in a very great while, an honest-to-god crisis reveals the consequences of your petty everyday corruption, consequences that are paid in the LIVES of those who trusted you to be better.

    Every once in a very great while, an honest-to-god crisis reveals the political self-interest and mendacity behind your carefully constructed narrative of “Yay, Calm and Competent Control!” .

    Login or Register to post comments

  • Thu, Feb 27, 2020 - 6:59am

    #7

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    The market was sinking long before the coronavirus

    https://www.alt-market.com/index.php/articles/4123-the-global-economy-was-sinking-long-before-the-coronavirus-appeared

    In order to determine if a geopolitical or economic threat is legitimate, I find it helps to watch how the mainstream propaganda narrative flows and changes. For example, for the past year as almost every fundamental indicator was flashing warning signs on the global economy the primary message in the mainstream was that central banks would never allow any major shocks to the financial system.  In other words, they would pour in cash at the slightest hint of trouble.  The conclusion for the investment world?  To “buy the F’ing dip!”   Why not?  You can’t lose.

    Despite the fact that fraudulent stock markets artificially inflated by corporate stock buybacks are irrelevant to the health of our system, they still represent a psychological placebo for the masses.  Very few people care that it is a historic bubble; as long as everything is in the green they assume that all is well with the economy.

    In the past, anyone who pointed out that this attitude was a recipe for disaster, anyone who argued that the system was breaking and the Everything Bubble was popping was called a “doom monger” or “chicken little”.

    I’ve noticed very recently (in the last week) that this attack response is shifting in an interesting way. Where propaganda peddlers used to call us “paranoid”, now they argue that “our prepping or precious metals stacking won’t save us…”  People are “coming to take our supplies…” they say. That’s quite a 180 degree flip flop. As preppers and alternative economists are proven more and more right everyday, the narrative has changed from telling us we’re wrong, to telling us we will be sorry for being right…

    …I was amused the other day to watch an interview by Bloomberg of globalist Mohamed El-Erian in which he essentially spilled the beans on the reality of the coronavirus situation. Some people might be surprised to hear El-Erian sound a whole lot like an alternative economist in the Liberty Movement, admitting that the virus will disrupt the global supply chain and that it will have far reaching consequences for the economy for much longer than many people assume.

    El-Erian and certain other globalists in the BIS and IMF have been setting themselves up as the prognosticators of the coming collapse, while other globalists and their media outlets have worked tirelessly to attack alternative analysts for the same exact observations. The message is clear – there can be only one group that the public listens to as the crash unfolds, and the liberty movement is not it. The globalists want to have their cake and eat it too; they want to cause a crash, and then they want to be worshiped as the saviors that warned people about the crash.

    El-Erian’s comments on the coronavirus outbreak and its far reaching effects suggest to me that this is indeed one of the trigger events we have all been waiting for and warning about. But the narrative that the coronavirus is itself the cause of all of this economic chaos is an elaborate lie. The economy was crashing well before the virus ever appeared….

    …But don’t be surprised when the media and the globalists use the virus event as the end all excuse for why the economic system is breaking down. Certainly, the disruption of the supply chain will be the final nail in the coffin of the Everything Bubble, and people dying in large numbers from a SARS-like virus can really put a damper on economic activity.  But the central banks killed the economy years ago by feeding the largest debt bonanza in history, addicting companies and markets to easy cash and then cutting that liquidity just enough to cause the system to go into convulsions. Currently, corporate debt, consumer debt and national debt are all at historic highs.

    There is no stimulus measure that can fix this problem – at the most the central banks could prolong the inevitable for another year perhaps, but why would they when they have multiple scapegoats to blame the crash on?…

    Login or Register to post comments

  • Thu, Feb 27, 2020 - 6:43pm

    #8

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Spirits in the Material World

    https://www.theburningplatform.com/2020/02/26/spirits-in-the-material-world/

    A complete collapse in trust is on the horizon. The excesses of materialism and greed have reached their zenith. Propaganda, money printing and Trump tweets cannot overcome a global pandemic. The ineptitude of government agencies and cluelessness of government bureaucrats has been on display in China and will be laid bare in the U.S. when the coronavirus continues its rampage across the globe. It will also reveal the propensity of government to act in a totalitarian manner when they are given free rein to control our lives. This virus will expose the fascist nature of our surveillance state and their incompetent response to a life or death crisis on our doorstep.

    A crisis where life or death hangs in the balance will force people to focus on the spiritual aspects of life and make choices about what kind of world they want to leave for future generations. As this coronavirus brings our interconnected global just in time economy to a halt and millions once again see their 401ks evaporate, materialism will lose the admiration of the masses and people will begin to realize humanity can only survive and thrive if we adjust our priorities towards liberty, reason, responsibility, and doing what’s right today in order to leave a viable future for our children. The dark clouds of a monster storm on the horizon beckons. We will be forced to make difficult choices. Hopefully, enough people will make the right choices.

    Login or Register to post comments

  • Fri, Feb 28, 2020 - 6:12am

    #9

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Bracken: Will China win the pandemic world war?

    https://www.americanpartisan.org/2020/02/will-china-win-the-pandemic-world-war/

    …China has been involved in the Covid-19 World War longer than any other country, so their base of knowledge is greater than anywhere else. Their harsh Communist police-state controls mean that people will obey official orders, whether to self-quarantine or return to work, as their government attempts to find a sustainable balance between the rate of infection, and maintaining an economy capable of feeding its population.

    I wonder if Western nations, America in particular, will be able to find that necessary balance in societies and cultures that glorify the defiance of authority. If American cities experience a rate of infection high enough to swamp their medical infrastructure, I fear that the second- and third-order effects of a Covid-19 pandemic may result in social collapse. The fractured America of 2020 bears little resemblance to the united, stoical and obedient wartime America of 1918, when we experienced our last deadly pandemic.

    Right or wrong, some Chinese “General Turgidsons” may even be considering the possibility that China could inherit a largely depopulated planet, after the Pandemic World War. Africa for the taking. South America with a begging cup in hand. Europe and America, their survivors scavenging among the ruins. China wins.

    I’m not saying that I believe this will happen, but it would not surprise me if some key Chinese leaders may be thinking along these lines … and that’s enough…

    Login or Register to post comments

  • Mon, Mar 02, 2020 - 7:04am

    #10

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Green New Deal candidate takes 3 private jets instead of driving 2 hours

    https://twitter.com/izzybelle1964/status/1232857013190832128

    Login or Register to post comments

  • Mon, Mar 02, 2020 - 7:14am

    #11

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Iranians at shrine are licking and kissing surfaces to prove they are stronger than Wuflu

    https://twitter.com/izzybelle1964/status/1232857013190832128

    Devout Iranian Muslims are releasing online videos showing the faithful licking and kissing shrines to show they have no fear of infection during the country’s escalating coronavirus outbreak.

    Officials have confirmed 978 cases in Iran and 54 deaths, the highest death toll of any country outside China. But religious leaders continue to reject advice from the Health Ministry to close holy sites to help stop the spread of infection.

    Instead the videos, which have reportedly emerged from Iran’s coronavirus epicentre of Qom, show Islamic devotees spreading misinformation about the virus while forcing young children to also take part…

    …Touching and kissing surfaces in shrines is a common practice for pilgrims, and religious hardliners argue the holy sites of Qom are “a place for healing.”

    But many Iranians are worried the clerical establishment is not taking the outbreak seriously, while Iranian health workers have reportedly admitted the number of people that have died from coronavirus could be five times more than government figures claim.

    Still many hold a contrary view that Islamic faith will beat any virus.

    “There are people who say that this shrine spreads coronavirus. I’m here to lick the tomb so that I can fall ill. This way, I’ve removed the virus. You can come and visit,” one man says in a video…

    Login or Register to post comments

  • Mon, Mar 02, 2020 - 9:36am

    #12

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    We have our first case in NH

    https://patch.com/new-hampshire/across-nh/s/h19tq/new-hampshires-first-coronavirus-case-reported-grafton-county

    CONCORD, NH — Officials announced Monday they had confirmed New Hampshire’s first person who has contracted the new coronavirus. The person who tested positive is an adult located in Grafton County. They contracted the virus while traveling in Italy.

    The announcement was made before state and federal officials met with the New Hampshire Hospital Association and other medical officials and professionals to brief and coordinate the state’s response to COVID-19.

    Jake Leon of he New Hampshire Department of Health and Human Services said the person who contracted the virus was the fourth person in the state to receive the test.

    “The same is being sent to the CDC to confirm our result,” he said.

    More information is expected later Monday.

    Login or Register to post comments

  • Mon, Mar 02, 2020 - 5:09pm

    #13

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    27 Kirkland first responders quarantined after Wuhu Flu exposure at nursing home

    https://defensemaven.io/bluelivesmatter/news/27-kirkland-firefighters-cops-under-quarantine-after-exposure-to-coronavirus-xEZYHoGk4Uu9-cqpIjtSog

    Kirkland, WA – More than two dozen first responders have been quarantined for possible exposure to the coronavirus after they responded to a nursing home where numerous people have tested positive.

    The city of Kirkland put out a press release that confirmed 25 Kirkland firefighters and two Kirkland police officers have been placed under quarantine “out of an abundance of caution” after they were exposed to the virus at a nursing home.

    Kirkland Fire Station 21 has been shut down to house the first responders under quarantine who cannot, or don’t want to, go into home quarantine for fear of infecting others who live in the same residence.

    There are about 106 firefighters in the Kirkland Fire Dept. Do you suppose losing 24% of their manpower will increase the fatigue and stress of those remaining to cover all the shifts? Will response times to fires and medical emergencies lengthen? Will anyone die as a result? What if 24% of the Kirkland PD were quarantined instead? And the city budget has to keep paying the quarantined personnel every day AND paying overtime to those who are filling in for them. Where’s that money going to come from? (Clue: Not the Fed.)

    Login or Register to post comments

  • Mon, Mar 02, 2020 - 5:24pm

    #14

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Two suspected cases in So. Cal. hospital get disappointingly poor treatment

    http://raconteurreport.blogspot.com/2020/03/welcome.html

    So apparently this week (not while I was there), two patients checked into the ER as possible Kung Flu victims.
    Here’s a snapshot of what happened next:

    Are they positive for Kung Flu?
    We don’t know. Test results pending.
    How many friends and family might they have exposed?
    We don’t know.
    Who exposed them?
    We don’t know.
    How long ago were they exposed?
    We don’t know.
    How many staff and patients were exposed?
    We don’t know.
    How many staff were in appropriate isolation PPE when they arrived?
    None.
    How many wore proper PPE while they were assessed, treated initially, and prior to admission?
    Probably nowhere near all of them.
    How many of those exposed or possibly exposed are being tracked down, and placed into exposure surveillance, mandatory, voluntary, or anyfuckingkind whatsoever?
    None.
    How many are in quarantine isolation?
    None.

    The patients are in isolation while test results are pending, and the staff in-hospital are dealing with them appropriately.
    Now.

    But  no one is taking this seriously, nor did they before Thing 1 and Thing 2 showed up last week.

    You’ll know TPTB are taking this seriously when they start sending out dedicated EMS rigs to deal with pickups, already wearing Ebola-style hazmat gear.
    And when hospitals have separate triage and assessment areas, let alone treatment areas, for potential Kung Flu cases.
    We have none of that.
    No one does.
    Anywhere.

    There are already two healthcare workers in NorCal testing positive for Kung Flu.
    From whom?
    We don’t know.
    From how long ago?
    We don’t know.
    How many other people were exposed going back how long?
    We don’t know.

    This is a shit show.
    It’s going to get shittier.

    And this is not “just like the flu”.

    But it is just like 5000 other ERs across America.

    Let’s ask Dallas Health Presbyterian how that worked out with Ebola.

    And FYI: Two weeks ago, the entire hospital staff had to be re-fit tested for N95 masks (after we had already done so once) because exactly as noted in this post at WRSA, all the N95 masks in the entire hospital grew legs and walked out the door.

    They re-supplied with another model two weeks ago, just before they disappeared nationwide, and N95s are now doled out and kept in full lockdown until needed.

    Login or Register to post comments

  • Tue, Mar 03, 2020 - 9:00am

    #15
    DennisC

    DennisC

    Status: Bronze Member

    Joined: Mar 19 2011

    Posts: 113

    My, I felt this thrill going up my leg. I mean, I don’t have that too often

    Anybody else?  Just taking a break here.  I’ve tried magnesium supplements; seem to work pretty well.

    https://www.nbcnews.com/news/all/chris-matthews-announces-retirement-mutually-parts-ways-msnbc-n1147536

    Login or Register to post comments

  • Tue, Mar 03, 2020 - 6:31pm

    #16

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    3 more Kirkland firefighters quarantined, and now they’re becoming symptomatic

    https://defensemaven.io/bluelivesmatter/news/more-washington-state-first-responders-quarantined-12-showing-flu-like-symptoms-brrIlrNEdkaiVzB-lhi0sw

     

    Login or Register to post comments

  • Thu, Mar 05, 2020 - 6:13am

    #17

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Batman and Robin

    Login or Register to post comments

  • Thu, Mar 05, 2020 - 2:18pm

    #18

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Wuhu Flu video from Iran (which is apparently lying as much as China)

    https://www.americanpartisan.org/2020/03/bracken-sends-corona-virus-in-iran-footage/

     

    Login or Register to post comments

  • Thu, Mar 05, 2020 - 2:31pm

    #19

    AKGrannyWGrit

    Status: Bronze Member

    Joined: Feb 06 2011

    Posts: 846

    Still Missing Piece of The Puzzle

    Thanks thc0655

    Scuttlebutt on the net is that some individuals who are sick are not experiencing the respiratory distress but having their central nervous system attacked.  That seems to be reflected in the video.

    We are still not getting the truth.

     

    Login or Register to post comments

  • Fri, Mar 06, 2020 - 10:59am

    #20

    thc0655

    Status: Platinum Member

    Joined: Apr 27 2010

    Posts: 1836

    Trucker’s video from nearly empty port

    Login or Register to post comments

  • Sun, Mar 08, 2020 - 7:31pm

    #21

    sand_puppy

    Status: Platinum Member

    Joined: Apr 13 2011

    Posts: 2161

    Nor Cal Infectious Disease Conf on COVID

    From an ID conference in California #COVID19

    3/8/2020

    Notes from the front lines:
    I attended the Infectious Disease Association of California (IDAC) Northern California Winter Symposium on Saturday 3/7. In attendance were physicians from Santa Clara, San Francisco and Orange Counties who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases. Also present was the Chief of ID for Providence hospitals, who has 2 affected Seattle hospitals under his jurisdiction. Erin Epson, CDPH director of Hospital Acquired Infections, was also there to give updates on how CDPH and CDC are handling exposed health care workers, among other things. Below are some of the key take-aways from their experiences.

    1. The most common presentation was one week prodrome of myaglias, malaise, cough, low grade fevers gradually leading to more severe trouble breathing in the second week of illness. It is an average of 8 days to development of dyspnea and average 9 days to onset of pneumonia/pneumonitis. It is not like Influenza, which has a classically sudden onset. Fever was not very prominent in several cases. The most consistently present lab finding was lymphopenia (with either leukocytosis or leukopenia). The most consistent radiographic finding was bilateral interstitial/ground glass infiltrates. Aside from that, the other markers (CRP, PCT) were not as consistent.

    2. Co-infection rate with other respiratory viruses like Influenza or RSV is <=2%, interpret that to mean if you have a positive test for another respiratory virus, then you do not test for COVID-19. This is based on large dataset from China.

    3. So far, there have been very few concurrent or subsequent bacterial infections, unlike Influenza where secondary bacterial infections are common and a large source of additional morbidity and mortality.

    4. Patients with underlying cardiopulmonary disease seem to progress with variable rates to ARDS and acute respiratory failure requiring BiPAP then intubation. There may be a component of cardiomyopathy from direct viral infection as well. Intubation is considered “source control” equal to patient wearing a mask, greatly diminishing transmission risk. BiPAP is the opposite, and is an aerosol generating procedure and would require all going into the room to wear PAPRs.

    5. To date, patients with severe disease are most all (excepting those whose families didn’t sign consent) getting Remdesivir from Gilead through compassionate use. However, the expectation is that avenue for getting the drug will likely close shortly. It will be expected that patients would have to enroll in either Gilead’s RCT (5 vs 10 days of Remdesivir) or the NIH’s “Adaptive” RCT (Remdesivir vs. Placebo). Others have tried Kaletra, but didn’t seem to be much benefit.

    6. If our local MCHD lab ran out of test kits we could use Quest labs to test. Their test is 24-48 hour turn-around-time. Both Quest and ordering physician would be required to notify Public Health immediately with any positive results. Ordering physician would be responsible for coordinating with the Health Department regarding isolation.

    7. At facilities that had significant numbers of exposed healthcare workers they did allow those with low and moderate risk exposures to return to work well before 14 days. Only HCW with highest risk exposures were excluded for almost the full 14 days (I think 9 days). After return to work, all wore surgical masks while at work until the 14 days period expired. All had temperature check and interview with employee health prior to start of work, also only until the end of the 14 days. Obviously, only asymptomatic individuals were allowed back.

    8. Symptom onset is between 2-9 days post-exposure with median of 5 days. This is from a very large Chinese cohort.

    9. Patients can shed RNA from 1-4 weeks after symptom resolution, but it is unknown if the presence of RNA equals presence of infectious virus. For now, COVID-19 patients are “cleared” of isolation once they have 2 consecutive negative RNA tests collected >24 hours apart.

    10. All suggested ramping up alternatives to face-to-face visits, tetemedicine, “car visits”, telephone consultation hotlines.

    11. Sutter and other larger hospital systems are using a variety of alternative respiratory triage at the Emergency Departments.

    12. Health Departments (CDPH and OCHD) state the Airborne Infection Isolation Room (AIIR) is the least important of all the suggested measures to reduce exposure. Contact and droplet isolation in a regular room is likely to be just as effective. One heavily affected hospital in San Jose area is placing all “undifferentiated pneumonia” patients not meeting criteria for COVID testing in contact+droplet isolation for 2-3 days while seeing how they respond to empiric treatment and awaiting additional results.

    Martha Blum, MD PhD

    Login or Register to post comments

  • Mon, Mar 09, 2020 - 2:36am

    #22
    Sparky1

    Sparky1

    Status: Member

    Joined: Jul 21 2016

    Posts: 586

    Robots and AI (don't get coronavirus) replacing cheap human labor

    Robots step in as cheap labor dries up in Eastern Europe

    ‘“We can see human labor being replaced with machinery and artificial intelligence,” Hungarian union leader Zoltan Laszlo said. “Not just in the car sector … but also in the steel and machinery industries. ”

    ‘“Such investments can already be seen in these sectors, leading to job losses. You need to glue numerous tiny slivers together and all of a sudden you get the big picture.””

    https://www.reuters.com/article/us-easteurope-automation/robots-step-in-as-cheap-labor-dries-up-in-eastern-europe-idUSKBN20W10K?il=0

    Login or Register to post comments

Login or Register to post comments