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Prepping for a pandemic....5

994 replies

wheresmymojo · 20/02/2020 15:49

5th thread on prepping for a pandemic and following the risk of a COVID pandemic.

Anxiety

As Preppers we tend to look at a reasonable worst case scenario to plan for. Everyone is welcome on the thread but if you find it makes you anxious be kind to yourself and think about sticking to once daily updates from the BBC or similar Thanks

General COVID Info

The estimated replication rate is R= 2 to 4 based on latest expert estimates. This means each infected person spreads the virus to between 2 and 4 people. Experts estimate that, unchecked, it could infect 60% of the population.

Around 15-20% of cases are thought to be severe - that is resulting in the need for hospitalisation. Around 3-5% requiring ventilation.

The estimated mortality rate is around 1-2% at the moment (compared to 0.01-0.1% for flu). This may change as it is very difficult to estimate mortality.

Children tend to have milder symptoms. Those over 60 with underlying health issues and a history of smoking are more likely to be severe (although not exclusively this type of person).

Spread of COVID

It is estimated that the average incubation period is 3-5 days but can be as long as 24 days.

It can be spread with no symptoms.

It can be spread via droplet (cough/sneeze), aerosol (breathing same air in very close quarters), bodily fluids, fecal/oral route and formites (via surfaces, up to 28 days in the right circumstances but up to 3-5 days in more typical circumstances).

Updates

As this is a novel virus and knowledge is constantly being updated - I will post updates as they become available with links to source.

I am not a medical expert so any opinions or conjecture of my own should be taken with a pinch of salt!

Prepping Scenarios

Most of us are prepping for the following situations:

  • Wanting to stay indoors for 2-4 weeks + in case of a local outbreak / schools being closed
  • Potentially being ill with a flu type illness lasting 2-3 weeks with one or more of the household having the illness
  • Having to take a family member to hospital for COVID or any other reason during an outbreak

Prepping Items

Threads 1&2 have lists of things to think about to prep for the first scenario as do the Brexit prepping threads.

Main differences/additions to something like the Brexit list are:

  • Face masks if you can get them for any trips you have to make in public during an outbreak. These don't offer full protection and cannot be 100% relied upon but are probably better than nothing if you make sure you wear them correctly and dispose of them correctly. N95 masks are best but expensive and harder to wear, surgical face masks are second best. Dust masks are not going to help.
  • Hand sanitiser needs to be 60% or more alcohol content
  • Dettol / bleach / Miltons to disinfect. Not all disinfectants work but these three do
  • Plenty of at home/over counter treatments for flu type symptoms should you need to treat at home
  • Tissues (lots of) should you catch the virus
  • Think about meals that are easy to cook and eat should you be ill or both parents be ill at the same time (soup for example)
  • For a potential hospital trip you may want to prep a 'go bag' should you need to take someone to hospital with the virus (or anything else) during an outbreak. See Thread 1&2 for examples of what people are packing
  • Frequent and thorough hand washing, not touching your face and social distancing (no handshakes, hugs, etc) are some of the most effective ways to stay virus free

Other Thoughts

India have announced that they are stopping exports of some antibiotics, hormone treatments and vitamin supplements as they rely on China for raw materials.

Many factories that supplied fibre for use in sanitary towels and tampons are being diverted to manufacture face masks. Consider stocking up or changing to sustainable items (cloth STs, mooncup, period pants)

OP posts:
Thread gallery
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nellodee · 21/02/2020 22:12

Thanks Amelie - I get Page Not Found from that link, though.

AmelieTaylor · 21/02/2020 22:12

www.preprints.org/manuscript/202002.0051/v2

AmelieTaylor · 21/02/2020 22:14

John Campbell

Prepping for a pandemic....5
Prepping for a pandemic....5
UtterlyPerfectCartoonGiraffe · 21/02/2020 22:16

I have NHK news (Japanese news channel) on in the background, and they’ve just stated that up to 90 government officials were allowed on to the Diamond Princess and then back to work without testing. Given how lax the infection control was, they’ve now had to start testing all of these officials.
What’s the Japanese for “clusterfuck” again?

AmelieTaylor · 21/02/2020 22:18

As you can see from his chat on mulbasta scoring

Smokers score 3
Ex smokers 2

And that’s without considering Ex smokers will recover more easily/better from secondary problems than current smokers & that for nearly all other health conditions ex smokers have a better chance.

Be proud if you have given up smoking!

The other screen shot is age. And there’s only one way to prevent age related risk increasing 🤨

AmelieTaylor · 21/02/2020 22:20

@nellodee. Try the second link. Sorry

nellodee · 21/02/2020 22:27

Only one group showed a higher expression of ACE2 receptors in former smokers over current smokers. Given the sample size of 54, and the huge amount of other variables to control for, I'm taking that one with a pinch of salt.

wheresmymojo · 21/02/2020 22:38

Italy has just announced its first death which I am guessing may be one of the recent cases as the previous cases had all been starting to recover.

OP posts:
wheresmymojo · 21/02/2020 22:42

77 yr old man in Northern Italy - no idea if he was already counted in the new cases today or is extra.

OP posts:
AmelieTaylor · 21/02/2020 22:51

@wheresmymojo. That’s sad, but I have to confess to breathing a sigh of relief it wasn’t the pregnant woman. Devastating for his family though, obviously 🌷

@nellodee. Yeah me too. Dr John all the way

lakequeen · 21/02/2020 22:51

'symptomatic infections in children are rare and in the 3 confirmed cases who were very young (aged 6 months, 1 year, and 2 years), the symptoms were very mild. This is similar to a recent report from China'

Good news from observations by doctors in Singapore. I'm sure lots of parents are anxious about their children, and this supports the information from China regarding child cases.

jamanetwork.com/journals/jama/fullarticle/2761890

wheresmymojo · 21/02/2020 23:02

Italy are going to close the hospital where the 77 year old was, evacuate everyone and clean it apparently.

It seems to be that he and his wife were there for a couple of days before anyone realised they had CV.

So presumably lots of people to self-isolate also on the medical staff.

OP posts:
BlackeyedSusan · 22/02/2020 00:10

I am finding the latest Italy cluster interesting.

There seems to have been an asymtomatic returnee from China at the top.

Milan man, like our Steve, got around a lot

Some people were infected and treated but it was not picked up as Covid-19. Is this because there was no known connection to China?

Possibly resulting in HCPs getting infected.

I am thinking it would be a good idea to test all pneumonia cases here to screen, but don't know how feasible that is.

There will certainly be lots of things to learn from this.

BlackeyedSusan · 22/02/2020 00:11

And hoping that all the rest of the patients recover.

NearlySchoolTimeAgain · 22/02/2020 07:21

Northern Italy patient zero visited China and it spread to a friend.

Friend gave it to wife and his close friend. He'd sought medical advice but been turned away.

Then he spread it to numerous people.

His wife is a pregnant school teacher.

Patient zero was asymptomatic and tested negative.

The gentleman that has died has no connection they've found yet to the Lombardy cluster. The two Veneto cases (one has now died) played cards together and with others in a cafe.

The region has said they'll swab anyone with flu symptoms and they're swabbing they whole town of Vo. They've quarantined the town.

We have been ill as a family for 7 weeks now. There seem to be two awful bugs going round everyone. But I've not heard of any deaths so I'm hopeful that wasn't silent CV transmission. DH and I feel better today - colds rather than feeling fluey. I'm going to speak to Italian speaking friends about what we should do. I don't speak good enough Italian for the helplines.

It's 'White Week' here for lots of schools - loads of families are going on holiday skiing today. Plus Carnevale so lots of gatherings.

NearlySchoolTimeAgain · 22/02/2020 07:22

Plus we have horrific pollution here in Northern Italy so possible long term lung damage to the residents of the area.

AvocadoOwl · 22/02/2020 07:35

I was thinking about you all when I was trying to get to sleep last night @NearlySchoolTimeAgain, I'm glad you and your husband are feeling better this morning.

BlackeyedSusan · 22/02/2020 07:47

So glad you are beginning to feel better.

It is that time of year for coughs and colds and flu and various other bugs to circulate, a perfect place for Covid-19 to hide, especially if no-one is looking for it. It is impressive how Italy is handling it. It might be a good idea to to really study how the transmissions began so we can find other cases earlier.

BlackeyedSusan · 22/02/2020 08:06

S Korea have had a lot more cases too. Most linked to either a hospital or a church.

AmelieTaylor · 22/02/2020 08:10

The region has said they'll swab anyone with flu symptoms and they're swabbing they whole town of Vo. They've quarantined the town

I might move to Italy!

Burpeesshmurpees · 22/02/2020 08:22

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Dyrne · 22/02/2020 09:00

Glad you’re starting to feel better, NearlySchoolTimeAgain !

I think in terms of risk from this virus I am definitely prepping more for the wider impact of the virus (quarantine, unable to leave the house, supply chain issues, possible longer term economic impact) rather than panicking about getting the virus itself.

I do appreciate I’m lucky to not have anyone in the family who is immunocompromised though.

ShanghaiDiva that’s interesting to know about the 24th Feb date. Definitely one to watch for seeing the impact and to see if other regions follow suit. I’m guessing there will probably be a period of people being a bit more cautious anyway and not going out much (or maybe not if cabin fever has set in!)

Pppppickupapenguin · 22/02/2020 09:10

South Korea cases are more or less doubling every day atm
www.worldometers.info/coronavirus/

Feb. 22: 433 cases (current day, still in progress)
Feb. 21: 209 cases
Feb. 20: 111 cases
Feb. 19: 58 cases
Feb. 28: 31 cases

Parker231 · 22/02/2020 09:11

Not sure where the staff are going to come from to do this. Existing paramedics and visiting nurses already have too much work.

The NHS has started testing suspected coronavirus patients in their own homes.

NHS staff, including nurses and paramedics, have been issued with home testing kits to stop people travelling with the infection to limit the spread of COVID-19.

Professor Keith Willett, NHS strategic incident director for coronavirus, said: "We have started to pilot home testing for coronavirus in London, which will be carried out by NHS staff, like nurses or paramedics, allowing people to stay home rather than having to travel, which is safer for you and your family and limits the spread of infection.

pemberlyshades · 22/02/2020 09:15

Thanks @AmelieTaylor for the info- looks like my risk score will stay low at 2.