The Lancet coronavirus hub - latest research and comment www.thelancet.com/coronavirus. Please provide updated link if possible, I haven't been able to make this one work.

JAMA coronavirus research centre jamanetwork.com/journals/jama/pages/coronavirus-alert

For research on CV and babies:
jamanetwork.com/journals/jama/fullarticle/2761659

Please add in other links for any wanting to increase their understanding and decrease their anxiety!

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Round up of one-liners gathered from the wisdoms across the threads, with links...

Work is progressing on vaccine, take 1yr -18 mths for safe use.
First human trials of vaccine started
www.livescience.com/us-coronavirus-vaccine-trial-recruiting.html

Advice for anxiety
www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Anxiety

WHO advice to the public
www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Specialist asthma sufferers advice here:
www.asthma.org.uk/about/media/news/Coronavirus/

In the coming days, guidance for healthcare professionals on Coronavirus (COVID-19) infection in pregnancy will be published by the RCOG, Royal College of Midwives, Royal College of Paediatrics and Child Health, Public Health England and Health Protection Scotland
....
www.rcog.org.uk/coronavirus-pregnancy

A plea,

to remember to help food banks stay stocked up
to give older, or maybe lone, neighbours your phone number with offers to help with shopping and medicine collections

Life expectancy of virus on surfaces
www.sciencedirect.com/science/article/pii/S0195670120300463#

sodium hypochlorite drum to kill virus

The stance on profiteering from CV
www.gov.uk/government/news/cma-statement-on-sales-and-pricing-practices-during-coronavirus-outbreak

A survivors story - only ONE story remember!
www.bbc.co.uk/news/av/world-asia-51714162/how-i-recovered-from-coronavirus-and-isolation

Irreversible lung damage? Aids/sars effects
amp.news.com.au/lifestyle/health/health-problems/chinese-doctors-say-coronavirus-like-a-combination-of-sars-and-aids-can-cause-irreversible-lung-damage/news-story/f58f19c5eeae99b845c54e2d2b9305ca?__twitter_impression=true

The efficacy, or otherwise of sanitisers
www.bics.org.uk/coronavirus-dr-andrew-kemp-jp-phd-reports/

Sign the petition for action against CV19
petition.parliament.uk/petitions/300403

Travelling, making other decisions around
exposure
read up, noone can decide for you, but be aware...
Your mode of transport (train/boat/plane) is unlikely to be disinfected.
You may not be welcome back at work (forced isolation unpaid because you decided to take risk)
Getting stuck in quarantine in another country, subjected to their health service and govt restrictions on you.
What happens with your dc and school upon return.
Holiday insurance cover?

Positive ways of coping

Exercise daily, out where you won't be in close proximity (greater than 2 metres)

Eat well, healthy foods, plenty of liquid

Include natural antivirals in diet and good levels of daily vit c

Rest

Take steps to address any raised anxiety, above what might be reasonable and normal steps for keeping viral hygiene under control.
Its normal to feel more anxious, and normal to take steps to manage situation by being well prepared.

Isolation Issues

Getting sufficient shopping in on low incomes, and/or vulnerable / already isolated

Keeping on top of KEY METERS - need to top up yet in isolation - what measures are there to help

Paying mortgage/rent (private & housing associations) if not receiving sick pay

Legislation that enforced isolation = sick (for sick pay purposes)

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Primary mode of transmission is airborne droplets.

Sneeze or cough into elbow (or tissue and bin it). Droplets can travel 2m.

Secondary means of transmission touch.

Hand wash to
Break the transmission cycle from hand to mouth, eyes, nose, or to others, by 20 seconds plus thorough hand washing (soap and water).

Alcohol breaks down the outer layer of virus to effectively kill, other methods may not.
(Anti bacterial does NOT do this and overuse may risk bacterial resistance).

Use 2/3rds vol alcohol to any other additive

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Huge thanks to all contributors; for updates and trying to keep to trusted sources of information.

The community here has been supportive and respectful despite worries, and that can make a huge difference in unknown times.

thoughts go to all those affected, in whatever way.

OP posts:

Thread gallery

MarshaBradyo · 10/03/2020 22:18

How many children with asthma have died in Italy due to lack of treatment?

Moomin8 · 10/03/2020 22:18

I do think there are a lot of people who just want to get worked up and spend all their time talking about how we're all going to die.

It's not helpful. Of course the virus is dangerous for some people but we don't know that loads of people will need intensive care.

I would suggest the death rate in Italy is higher than elsewhere because so many Italians are heavy smokers.

buttermilkwaffles · 10/03/2020 22:18

If the WHO advice to Germany (and I assume in general) is to test as widely as possible, contact trace and isolate those who test positive + employ social distancing (cancel large events etc) why is this not being followed? Either by Germany (who have 3x as many cases as us) or by the UK.

This is what seems to have worked in South Korea for example as well as in China.

This thread is in German, but have Google translated it:

mobile.twitter.com/kakape/status/1237472337177587717

A few days ago, I asked WHO expert Bruce Aylward what Germany should do now. His answer was crystal clear: "It is about finding the affected patients and their close contacts extremely quickly, testing extremely quickly and isolating them extremely quickly."

What does that have to do with major events? If someone with #Covid19 goes to a major event, the health system quickly reaches its limits in tracking all contacts. If you take China's strategy seriously, you should therefore cancel such events.

As Aylward says, "what would you do if there was an infected person with 1,000 contacts? These people are not really in danger, but such a situation complicates the response of the authorities enormously."

I also asked Aylward explicitly what he would advise the mayor of Berlin to do. Part of his answer: “Communicate transparently and tell the population exactly what you will do ...”

The whole article is here:
www.riffreporter.de/corona-aylard-who-china/

ofwarren · 10/03/2020 22:19

South Dakota reports first 5 cases of coronavirus, including 1 death t.co/eUoE2b20hL

RedToothBrush · 10/03/2020 22:19

RedToothBrush - I agree up to a point; but because people aren't able to do this, your posts, by contrast, will feel harsh. You are not going to be able to change a mindset simply by pointing it out.

I don't particularly give a fuck.

These people are telling people sharing whistleblowing information to stfu because they find it upsetting.

I find that rage inducing.

Original poster

usernameishistory · 10/03/2020 22:19

Anyway for those of you who want the fluffy good news stories to make you feel warm and fuzzy here's a good one for you.

I really appreciated hearing that story, so thanks for posting it, it's amazing that someone with sll that at that age can and did fight it off.

I dont think you needed to be so sneery towards others though.

Just why, when people are worrying how to manage and will lose loved ones. Please consider others rattled nerves through this and that they can't all be as fierce as you about this.

OP posts:

MangePasTesOnglesVilain · 10/03/2020 22:20

I think we should stop talking about Tunbridge by name when she is not on here and probably reading it.

She has anxiety and it will only make her feel worse.

No problem to talk about medical ethics though.

picklemewalnuts · 10/03/2020 22:20

Again, most of us are not going to die!

That isn't what the alarm is about!

The alarm is that the tiny percentage of the whole population that will get very sick and need hospital will not necessarily get hospital because it's already full. A tiny percentage of the whole population is a hell of a lot of people!

Langbannedforsafeguardingkids · 10/03/2020 22:20

Ok, now having read that daily mail article, the woman, Bridget, has only had it for a week, so hasn't actually recovered. It could get worse (I hope it doesn't, but a week's experience isn't exactly a full experience of this).

Flaxmeadow · 10/03/2020 22:22

I was thinking that,...- however, that doesn't wholly fit with the fact that there are those who are "asymptomatic".
I think it's far more likely that symptoms will run the gamut from "severe" to "nil", rather than jumping from "flu-like" to "nil" with nothing between the two

Yes probably but I do suspect that the word mild is being used to mean feeling very ill but not in a critical condition. That oxygen levels etc are normal or near normal but still feeling quite unwell but yes on a scale like you say

ofwarren · 10/03/2020 22:22

Turkey reports first case of coronavirus t.co/eUoE2b20hL

Original poster

usernameishistory · 10/03/2020 22:23

This really does need bearing in mind, thank you for posting it, and its not the first time I've seen it.

MarshaBradyo

How many children with asthma have died in Italy due to lack of treatment?

OP posts:

BigChocFrenzy · 10/03/2020 22:23

@RedToothBrush That is a good point about ambulances in particular, if the system gets overloaded

OneTimePrepper · 10/03/2020 22:23

"If we get into health care rationing based on what's a socially acceptable life, that's going to get very sticky very quickly. Who decides what's acceptable and what's not acceptable?"

Its nothing to do with whats socially acceptable. People who have smoked and reduced the capacity of their luns by filling them with crap will surely have less of a chance if they are badly affected.

Having a long criminal record isnt socially acceptable, but im not suggesting those type of people dont get treatment. Because it doesnt impact upon their chance of survival. But having decreased lung function might.

Wehttam · 10/03/2020 22:23

I asked one of the blue box ladies to mark these threads as triggering and anxiety inducing for those who are struggling with the reality of this calamity. Can a blue box lady please do this so those who are finding the threads vital can continue to read the up to date information?

YoursTunbridgeWells · 10/03/2020 22:24

I want to thank some posters for trying to explain what I clearly made a massive mess off.

Yes I referred to asthma. Asthma is a co-morbidity. It's not just restricted to elderly people but young people get it too.
If we get to a stage where resources are vastly overstretched then, the doctors/three wise men etc will have to decide who to save based on who will best survive. If you have a fit healthy person or one with a co-morbidity (asthma in my example), then healthy person chosen.

The Italian article suggested at certain hospital(s) they are not able to provide non-CV emergency care for strokes etc. This could happen here to. If you have to ration all healthcare, again someone with a heart attack may be lower down the list than fit person with other condition. It's not just CV related rationing that is possible.

And to the person who asked - I am asthmatic. This is potentially me.

mumoftwodc · 10/03/2020 22:24

@GPwife2411 I received confirmation my hand gel had been dispatched today. Really appreciate the link. Thank you 😊

Unileaver123 · 10/03/2020 22:25

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

Unileaver123 · 10/03/2020 22:26

Any of the 6 cases?

Moomin8 · 10/03/2020 22:27

@Lang but the guy in his 50s has recovered - he's just waiting to get the all clear. And his wife never got it at all.

AbsentmindedWoman · 10/03/2020 22:27

I think our unwillingness to want to talk about death matter of factly as a society is part of the problem here.

Bullshit.

I have taken classes in medical ethics as part of my Masters which involved looking at hard ethical questions around death and triage.

I have also seen death and dying (including agonal phase) at very close quarters and talked about it frankly for many years.

Being comfortable with talking about death and dying, from both personal experience and at a conceptual level, does not mean a callous lack of sensitivity for people's fear and worry about dying.

Langbannedforsafeguardingkids · 10/03/2020 22:28

Great post buttermilkwaffles (and user name)

Yes - it would seem sensible to cancel things like Crufts and Cheltenham now. I can't believe they're not doing it.

But we should vote with our feet - I'm not doing ANYTHING I don't absolutely have to, no social engagements whatsoever. Changing in person meetings to phone calls. Definitely avoiding any place with loads of people (except school and my kids would be out if I had the option without penalty - have written to MP about this). DH's work have issued a statement saying they need to carry on as normal unless symptomatic or required to isolate - which is insane because he really could WFH. But he can't go against policy and keep his job so.... This insanity must end.

Still, other than stuff we have to do (work and school) we're not doing anything.

BigChocFrenzy · 10/03/2020 22:28

The Three Wise Men protocol makes medical judgement, afaik not moral ones

e.g. lung damage would be assessed according to its effect on treatment, not on whether it came from smoking or from asthma

They wouldn't consider whether obesity came as a side effect of meds, or from too many pies

OneTimePrepper · 10/03/2020 22:28

@YoursTunbridgeWells

But what defines fit and healthy? One of my best mates does park run she is a sub 21 minute runner over the 5km. She has mild asthma so rarely ever needs her inhalers. conversely I work with so many sacks of shit who get out of breath taking the stairs rather than the lift. How can triage judge how healthy somebody is just by looking at them? If I had mild asthma and was needing treatment I would just not mention it.

Laniakea · 10/03/2020 22:29

It’s not about worth or value or morality it’s basic survivability. How best can limited resources be deployed.

Taking about asthmatic children is unhelpful though - ime of the NHS as staff, patient & family member there is almost no limit to the lengths they will go to save a critically ill child.

The probably less emotive & more real discussion that should be had is about the decisions made in elderly care generally & the limits of resources when it comes to a theoretically large number of very critically ill adults. Age will be the one of the most significant factors in rationing care.

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