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Post subject: COVID-19 (coronavirus) compiled information and discussion
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This is the thread for discussion and collecting reference data, information, advice, and news regarding COVID-19/SARS-nCoV-2/"the coronavirus". Coronaviruses and their names Coronaviruses are a family of viruses known to cause acute respiratory diseases in their hosts. So far there have been seven major species of coronaviruses known to infect humans. * HCoV-229E, HCoV-NL63, HCoV-HKU1, and HCoV-OC43 cause common colds. These species have specifically evolved with humans as their primary hosts. They are continually circulating in the population, with some living within you a good portion of the time (possibly even right now!) and attacking when your immune system is weakened. * SARS-CoV causes a much more virulent and dangerous disease called severe acute respiratory syndrome (SARS), which broke out in an epidemic in 2002–2003 (8098 confirmed cases across 17 countries, 774 dead as of 2005). In that case, the virus presumably jumped to humans from bats (and/or palm civets as an intermediate reservoire), although the particular mechanism wasn't identified. Outside of the singular cases reported in 2004, the virus never reemerged in humans again since then but is presumed to still exist in the wild. * MERS-CoV is the deadliest of the bunch at around 1/3 mortality rate, and thankfully not remotely as virulent as some others. It has caused several localized outbreaks of Middle East respiratory syndrome (MERS), also known as camel flu, since 2012 (2506 confirmed cases across 26 countries, 862 dead). Most of those have been concentrated in the geographical area around the Middle East and spread to humans from camels. South Korea was unlucky to import the disease in 2015 and borne the highest death toll outside of the Middle East countries. The virus is still active in the wild, and isolated cases are reported every year. * SARS-CoV-2 is the cause behind the current pandemic of the disease called COVID-19 (short for "coronavirus disease 2019") originating in Wuhan, China. Its virulence is similar to that of SARS-CoV, and it's once again presumed to have transmitted to humans from bats (and/or pangolins as an intermediate reservoire). This will be the virus and its associated disease discussed in the thread from this point onwards. The currently known data about the virus and its mechanism of spreading Global statistical data The foremost authorities on the global statistics of the spread is the World Health Organisation, the inter-governmental health agency of the United Nations, which publishes daily situation reports on the COVID-19 pandemic, and the European Center for Disease Control and Prevention (ECDC). Always check their sites for important information and advice. If it conflicts with your local health agency's information in any way, I suggest trusting the international data. Some of the trusted data aggregators used to track the development of the pandemic are the Center for Systems Science and Engineering at John Hopkins University and University of Oxford's Our World in Data. The data below comes from those two sources and will be updated upon reaching major milestones. COVID-19 statistics for 2020-03-24 * Over 400,000 cases are confirmed with over 18,000 fatalities total. * It took over three months to reach the first 100,000, only 12 days to double to 200,000, and a further 5 days to double again. The death toll doubled in the last 6 days. The epidemic demonstrates exponential growth in most affected countries, but there are signs of linearizing thanks to the widespread lockdowns being implemented. * Italy can currently be considered the most affected country, with almost 70,000 confirmed cases and over 6800 deaths, still rising at a sharp rate due to hospitals being overwhelmed and the medical staff gradually falling sick themselves. * China still holds the largest number of confirmed cases at over 80,000 but fatalities have plateaued at around 3200: the spread has slowed down dramatically thanks to strict and efficient containment measures. The death toll took 38 days to double and its rate is currently on the decline. United Arab Emirates and South Korea followed suit by beating all records on per-capita testing and tracing contacts of the confirmed cases on early stages of infection. * The countries who went over 10,000 confirmed cases include China, Italy, Spain, Germany, Iran, France, and the United States. * The most affected countries by fatalities relative to the size of population are Italy (over 100 death per million), Spain (over 45), Iran (over 20), France, and the Netherlands (both over 10). * Over 100,000 people with previously-confirmed cases have made a full recovery. Note: confirmed cases are not total cases; they are the numbers presented by the countries in question, which mainly depend on the number of tests conducted (not every person is tested), and may also be under-reported for political reasons. During an active epidemic, the number of infected is always significantly larger than the number of tested individuals, as the infection spreads much faster and is not apparent until several days after the fact. Countries that haven't implemented proper large-scale testing protocols are (severely) under-representing the spread. In early March WHO estimated the mortality rate at 3.4%, but it is hypothesized that the actual overall mortality rate is closer to 1–1.4% owing to a large volume of asymptomatic, under-reported, and/or misdiagnosed cases (sources: 1, 2). South Korea was the first country to deploy aggressive statewide testing, and as of 2020-03-20, they stood at 316,614 individuals tested, 8652 confirmed cases, and 100 fatalities total (1.16%), which is very reassuring and a great example of swift and effective government action. With that being said, if the virus infects 20% of the world's population, that still puts some 15–20 million people at risk of death if left without immediate treatment. Symptoms The most common are fever, dry cough, fatigue, and sputum production. Take note that most of these are shared with many other respiratory infections. Here's how the list compares to other common conditions that may be confused with COVID-19: A major identifying factor is shortness of breath (dyspnea, common characteristic of lung infections) in the absence of runny nose (rhinorrhea, common characteristic of upper respiratory tract infections and allergies). If you are short of breath, consider contacting your doctor or an epidemic hotline immediately. Risk groups * People over 60 * People with chronic respiratory diseases (e.g. asthma) * People with other serious underlying medical conditions, such as cancer, cardiovascular diseases, diabetes * Potentially, smokers * Potentially, immunosuppressed patients (but there is ongoing research on deliberately using immunosuppression to combat a certain severe symptom) In short, if your immune system is compromised, the sickness is likely to develop faster and/or in a more severe form once it's contracted. Spreading * The virus spreads via microscopic liquid droplets that are dispersed in the air when you're coughing or sneezing, or smeared over surfaces by hand. These droplets can stick to surfaces and hang in the air for over an hour depending on environmental conditions. Notably, cardboard can hold the virus up to 24 hours, plastic and stainless steel for 2–3 days (sources: 1, 2). * Technically, the disease becomes contagious before the host starts exhibiting apparent symptoms, but the main mode of transmission is still via the respiratory symptoms and the associated liquids. The probability of infection upon exposure also depends on the viral load in dispersed liquid. The data on asymptomatic spread is inconclusive at this point. * The virus does not spread via other body liquids and excretions (e.g. blood, urine, sperm, etc.). * The virus does not seem to infect or be spread via domestic animals (source). * Generalized data suggests a high sensitivity to temperature amd UV spectrum radiation, including direct sunlight (source). * The virus does infect children, albeit over half of them only develop mild symptoms or none at all (source). Considering their generally lax understanding of sanitary norms, it is very important to monitor their interactions with elderly family members and other people belonging to a risk group. Period of infectiousness * The median incubation period is estimated to be between 4–5 days (sources: 1, 2), with a range as wide as 2 to 14 days possible depending on the viral load and other factors. 97.5% of infected are said to manifest symptoms within 11.5 days. * Median time from onset to clinical recovery for mild cases is approximately 2 weeks; for patients with severe or critical disease it is 3–6 weeks (source). * The time period from onset to the development of severe disease, at which point the patient needs to be admitted to an ICU, is 7–10 days (sources: 1, 2, 3). Among patients who have died, the time from symptom onset to the outcome ranges from 2 to 8 weeks (anecdotal evidence suggests people with compromised immune systems die quicker). * Traces of the virus can persist in the organism for two weeks after the symptoms have vanished (source). Singular cases have been identified where the virus persisted for up to 37 days total (source). In other words, even after you have recovered, you are not fully safe for the others just yet. Testing * Tests are conducted by taking throat or nose swabs or collecting sputum samples and checking them for the virus RNA. The results are available within one to several days depending on how quickly the samples are transported and the size of test and report backlog. * This type of test isn't 100% accurate because it depends on the availability of the virus-carrying material and the viral load in it, staff experience, and the time lag between testing and reporting. It will also not identify people who have already recovered from the virus and may not longer be at an immediate risk of infection. * Blood and urine do not yield the virus. Stool samples aren't reliable, either. If you are offered a test based on those, it will not give you any conclusive results on SARS-CoV-2 presence. * Blood tests can, however, show antibodies for the virus at a later stage of the infection or after the recovery. The upsides to this method is that it's simple, quick, and can be done at home using a specifically developed test kit. The downside is it's highly prone to false negatives because the antibodies don't manifest until the later stages of the infection (generally when the immune system has already taken the upper hand). * The turnaround time is largely a question of logistics and the availability of personnel and the necessary facilities. Faster tests may be coming, but the actual testing time is not necessarily the biggest contributor to the overall turnaround time. Misc. findings * Investigations are still ongoing with regards to the risk of co-infection with other viruses among the COVID-19 patients. * There have been multiple reports about once-recovered patients that were tested positive again. The data on this is inconclusive and may involve faulty testing methodology or relapse after an incomplete treatment (see above on the time periods during which the virus may be active). A new study suggests rhesus macaques don't get reinfected by SARS-CoV-2, but it hasn't yet been peer-reviewed. More data is needed. * Many genetic differences have been found in the isolated virus specimen, which have been grouped into two types (sources: 1, 2). There is an ongoing debate as to whether these constitute distinct strains, or whether any of the two were a recent mutation. There is no conclusive data on the virus's potential for mutation, but it's been suggested that an eventual mutation is to be expected. * Investigations are being proposed to see if it's feasible to pre-infect people with a relatively harmless competing virus that would inhibit SARS-CoV-2's growth or at all prevent it from causing a disease. Preventive measures Hand and mouth hygiene is the first and foremost preventive measure. Most are common sense and are recommended regardless of the ongoing pandemic. * Soap, other detergents, bleach, typical window cleaners, and rubbing alcohol inactivate the virus. Any alcohol will do, even in lower concentrations (as low as 30% was confirmed to work). * Wash hands as frequently and as thoroughly as feasible. * Don't share cups, bathwater, cigarettes, etc. with people you aren't already intimate with. * Avoid unnecessary direct contact between your skin and surfaces of common public use (railings, doorknobs...). If you must touch one, don't touch your face afterwards until you have washed your hands. Using knuckles to press buttons or push doors is a good idea to limit exposure. * Keep track of easily-contaminated surfaces in your home (handles, doorknobs, remote controls, switches, tablecloth...) and sanitize them regularly. * Change towels (especially hand towels) and bedsheets regularly. * Cough and sneeze in your elbow or a paper tissue (dispose of it immediately afterwards). * Don't sneeze or blow your nose in cloth napkins. Use disposable tissues instead and discard them immediately. Social distancing * Refrain from kissing people whose mental well-being doesn't depend on it. * Refrain from any physical contact with the elderly as much as possible. * Maintain a safe distance of at least 1 meter (ideally 2) from people not wearing masks, if it's feasible. You never know who is contagious; could be them, could be you. * Don't confuse social distancing with emotional distancing. The feeling of isolation exacerbates depression and other potential mental issues. Communicate regularly and check up on people you haven't heard from in a while. Respiratory masks help contain the water droplets carrying the virus from your nose and mouth and limit their range when you sneeze, cough, or deeply exhale. They are mainly needed to protect others from yourself rather than yourself from the others. * The use of masks is not recommended unless you expect to make close contact with infected people or suspect being infected yourself. * If you are infected and absolutely have to leave home (to get food or to visit a medical facility), do wear a mask at any time contact with other people is expected to avoid spreading the infection. For this reason, keeping a small supply of 5–10 masks at hand might be a good idea. * But don't hoard masks. * If you have to wear one, any disposable surgical mask will do. The more specialized respirators (N95-class) don't offer significantly higher protection against respiratory infections compared to regular disposable surgical masks. Quarantines and lockdowns are enacted in the most severely affected countries. Going by China's example, this is a very effective measure, especially if enacted early on and if confirmed cases are studied to expose infection chains. Different countries' ability to enforce it and attend to needs of the quarantined varies depending on the strictness of their government and the strength of their economy. Most countries are not like China in this respect. Do not expect similar levels of containment efficiency relative to the population density. Nevertheless, they are necessary until treatment is sufficiently available. What to do if you get sick * Don't panic. :) * Call the epidemic hotline provided by your state health agency or the local center for disease control and follow their instructions. * Notify your workplace/school/etc. Don't go there if possible, and start practicing strict social distancing immediately if you haven't before. * If you live alone, notify your closest relatives or friends who are able to tend to you and don't belong to any of the risk groups. Ask them to bring you an essential supply of daily necessities (food, prescripted medicine, sanitary stuff, etc.) for the next few days. Don't be shy to trouble them. * If you live with a pet, arrange for somebody trustworthy in advance to look after it if you have to be hospitalized or become bedridden. If you provide the person with spare keys, inform your relatives/friends you've notified earlier. In the absence of exact instructions, follow the usual respiratory disease regimen: * Get a lot of rest, don't strain the body and mind unnecessarily. * Keep the room ventilated. * Eat easily-digested and nutrient-rich food (common choices include porridge, yogurt, boiled and/or pureéd vegetables, omelette, chicken broth, etc.), dial back on all spices. * Keep everything you ingest close to body temperature: the fewer body resources are spent adjusting it, the more can be spent on fighting the disease. * Same applies to shower temperature. If you have a high fever or find it difficult to move around, wipe yourself with a wet towel instead. * Keep your phone, drinking water, medicine, and sanitary tissues close at hand. * Mild fever is your friend; avoid reducing it unless it exceeds 39°C/102°F. * Keep track of the symptoms, write any notable changes down in a notepad (this way your doctor or attendant can have easy access to your notes if your condition worsens). Forecasts * A popular number quoted around puts the estimate of people infected worldwide in the course of the epidemic at 40–70%. They all seem to trace back to Harvard epidemiologist Marc Lipsitch, and in that interview he specifically said it was 40–70% of adults. He later revised it to 20–60% of adults, which roughly translates to 1–3 billion people over 16. * There are no conclusive forecasts on the timeline of concurrent infection and mortality, but separate quotes can be seen estimating the peak between late spring and mid-summer (sources: 1, 2). Take these with a grain of salt; they are likely to be revised in the near future. * It is reasonable to expect that many more countries, especially those with high population density, will issue lockdowns and bans on social gatherings in the coming weeks. * It is not yet known whether seasonal weather changes will affect the spread dynamics in any way, but based on the temperature ranges across all affected countries, there is no apparent indication that it affects anything at all. What makes COVID-19 different from some other dangerous and/or widespread diseases It's both violently contagious—it spreads very quickly and very easily without requiring direct physical contact—and at the same time it has a protracted incubation time to ensure the infected person carries it around unknowingly and can spread it further before falling sick—which is how it got imported from China all over the world. It is a very insidious disease. To put the numbers in perspective, in comparison with seasonal flu—the most regular and widespread epidemic disease—the infection rate is over 1.5 times higher (an average person spreads COVID-19 to 2–2.5 other people as opposed to ~1.3 other people in case with flu), has about an order of magnitude higher hospitalization rate, and the mortality is at least an order of magnitude higher as well. We also have flu vaccines available, and the development time for novel flu strain vaccines is also relatively quick because they are much better understood and easier to manage. In this respect, it's not just the relatively high mortality that makes it so dangerous, but the fact that it has the potential to spread so quickly and under the radar. Additionally, the mortality rate will naturally spike as soon as medical services become overwhelmed and the infected people are left without necessary treatment. The last disease of such speed and magnitude of spreading was the Spanish flu of 1918–1920 which infected about a quarter and killed ~1/10 of the world's population at the time. In terms of the overall danger, the main difference between now and then is that we have better access to hygiene, medical facilities, information networks, and international cooperation compared to a hundred years ago when most countries were already busy with WW1. Medical facilities remain the weakest element, however, as their availability is limited compared to the potential number of the infected. What is this about "flattening the curve"? You may have seen this animation: It generally explains the idea, but omits one important detail: the healthcare system capacity line isn't actually there in the middle—it's closer to the bottom. As mentioned earlier, medical facilities are very limited compared to the number of potentially infected. Most developed countries are only able to provide intensive care to 0.005–0.05% of their population at a time—and those have to be shared with causes other than the new virus which don't really go anywhere. If a country doesn't curb the spread very early on (so far only South Korea had managed to linearize the mortality rate before the number of confirmed cases exceeded five digits), even doubling its number of unoccupied critical care beds may still not be enough despite the lockdowns. You can think of it this way: in theory, if you lived in a developed country, didn't belong to any risk groups, and had some form of health insurance, contracting a disease like COVID-19 would not inherently be life-threatening even if you happened upon its more severe form. But if you catch it at the same time with 10,000 other people, you can end up in a situation where nobody will be available to provide the help you need. In this respect, if you haven't contracted the disease yet, the closer you come to the peak, the more dangerous it is to get infected. It is also important to understand that saturation of medical facilities is very likely unavoidable even with total lockdowns unless treatments come soon enough. The London Imperial College COVID-19 Response Team recently published a modeling study on Great Britain and the United States containing this graph: The red line at the bottom is the critical care bed capacity and the blue line is their best case projection of their occupancy. They haven't identified scenarios where it would be possible to avoid massive oversaturation. This is generally the case for most other countries as well. Does this discredit the flattening concept? Quite the opposite: it demonstrates that most countries are already behind the schedule on flattening their curve. They still need to do it, but it won't become as comfortably flat as the animation may suggest. What's with the abnormally high (>10%) closed case fatality rate? You may have noticed that several countries experience an unexpectedly high closed case fatality rate (CCFR, deaths divided by a sum of confirmed recoveries and deaths), e.g. 45% in Italy as of 2020-03-24: Some interpret it as the true fatality rate of the disease itself, e.g. what's the percentage of people that die even if treated, and start panicking. This is misguided for two reasons. 1. All or almost all deaths are reported to national health agencies daily because almost all of them happen at the hospitals. On the other hand, only hospital discharges are reported daily. Cases of mild condition patient recovery have a significant lag because the vast majority of them aren't being actively monitored, and they probably won't be until they come to report their condition themselves. 2. Fatalities naturally spike when the number of patients in serious and critical conditions exceeds the number of intensive care beds, which is what's happening in Italy and some other countries right now. They simply cannot be provided with the help that would've kept them alive otherwise. 3. The denominator doesn't include any undetected (e.g. misdiagnosed or asymptomatic) cases which constitute a significant portion of total cases. We only know as many cases as we test, so the smaller the percentage of tested population, the more the error. In order to illustrate how this affects mortality statistics, let's take a country with a known high percentage of tested population: South Korea (stood at 6,148 tests per million people, or 0.61% of their total population, as of 2020-03-20), so that we can be sure there aren't as many underreported cases: There you go: 3%, in line with the WHO predictions. And if they had tested not <1% but ~100% people, it would've dropped even lower, as discussed above. Note that this isn't because Korea has better medical facilities than Italy, or better tests, or anything else like that. It's because they reacted earlier, tested more people, and generally put themselves in complete control over the situation, so their CCFR is more representative of the disease's true FR. The situation with treatments and vaccines Vaccines Multiple teams around the world are working on prospective vaccines, including China, the US, Russia, and several European countries. All antiviral vaccines are based on inactivated viruses, viruses with similar genetic code, or parts of the relevant genetic material to provoke an immune response and hence pre-condition the immune system for rapid response to a real virus. An inoculated person will not be significantly affected by the disease; their immune system will deal with it before it becomes dangerous. All vaccines go through a series of trials intended to determine their efficacy, proper dosages, and possible adverse effects. These last for many months, typically over a year, before they are approved for use. US National Institute of Allergy and Infectious Diseases (NIAID) Director Anthony Fauci and UK Chief Scientific Adviser Patrick Vallance, both very competent people, predict at least a year before a proven vaccine is attained. It is not impossible that meaningful results are produced earlier, but it is highly unlikely and you should not count on that. Additionally, if the virus mutates significantly, the antibodies created by a vaccine may become incompatible with the new strain, and will require a new vaccine. This is currently the case with seasonal flu, which mutates regularly and prevent old vaccines from working. If the same happens to this virus, of if the antibody count wanes significantly over time, it may require regular re-vaccination and/or re-development of the vaccine. Treatment Treatment will not make a person immune per se, but will help the immune system fight against the infection, at which point, if successful, the organism may acquire at least a partial immunity of its own. Until this happens, you will have to live through the disease, but before that it would be a good idea to avoid being infected in the first place. Unlike vaccines, treatments can bypass parts of clinical trials if they are used as a last resort in a critical case with no better options available. This will likely be invoked in the upcoming months, which hopefully will accelerate the treatments' adoption for patients in less-severe conditions. There are multiple prospective treatments being investigated: * Remdesivir * Mesenchymal stem cells * Hydroxycholoroquine + azithromicyn * Convalescent blood serum * Camostat * Favipiravir Note: Do not take any of these without an appropriate medical guidance! See also * An updated guide to the coronavirus drugs and vaccines in development * Research and Development on Therapeutic Agents and Vaccines for COVID-19 and Related Human Coronavirus Diseases Economic impact Several affected countries have enacted limits on long-range transportation and public gatherings. So far, the hospitality industry (travel agencies, hotels, tourist attractions, and restaurants) has been the most affected by the restrictions; governments are looking into bailout options for the affected businesses. To do: update this section with more research and links to expert commentary. I follow the health agencies' guidance. How else can I help? Volunteering Several governments have launched volunteering campaigns (such as this one in the UK). Be on the lookout for calls from your municipality and/or register in the local volunteer center if you have one. There are reports from all over the world about people who have engaged in individual initiatives, such as buying groceries and other encessities for their sick or elderly neighbors. This is more risky but may be worth a shot if you can secure an ample supply of basic protective equipment (disposable masks, gloves, and sanitizer). If you decide to do this, absolutely ensure that you minimize the risk of both contracting the disease and spreading it further to the vulnerable people you are trying to help. Folding@Home Stanford University's popular cloud computing platform, currently based in St. Louis School of Medicine, has recently launched a number of coronavirus-related projects that can help find potential mutation vectors and treatment mechanisms, and subsequently met a surge of new contributors, which you can join at any time. It is also a great alternative to a room heater if you feel cold and/or would like to simulate some of that beach experience you've been denied due to the lockdown. :) Folding is a highly computationally-intensive task, so old/weak desktop computers and most laptops may not receive high-priority work units which demand urgency. A good baseline for efficient folding is a modern gaming-grade graphics card (think GeForce GTX 1060 or better) and/or a 12+ thread CPU (Ryzen 5 1600 or better). Good case ventilation is highly recommended to reduce fan noise and temperature-related strain on PC components. Folding in a poorly-ventilated case may damage your system! * Go to the official site and pick the download that suits your system. * Install the client, preferably with the screensaver option checked. * If you want to fold as part of the TASVideos team (which I have just recently set up), choose "Set up an identity" and input 251131 as the team ID. This is purely optional and doesn't affect anything in particular, but may grow your e-peen. * Configure the power budget and set the target research to "any disease" (in most cases you will be assigned a coronavirus-related folding task). * If you are unsure whether your PC's ventilation system can handle the heat, keep the power slider on Medium or below. If you want the process to be as unintrusive as possible, put it on Light, enable the screensaver, and let the PC run overnight when the electricity is cheap. * Sometimes one or more of your folding slots may get stuck at "downloading". This is a server-side issue due to the work unit distribution servers being overrun by requests (this is technically a good thing) and being unable to generate tasks in time. This can sometimes be fixed by restarting the application and letting it choose another WU server, or just waiting for 10–20 minutes or so. You can also donate to them directly to help get the needed server capacity up. * The web UI sometimes glitches out if you restart the application. You can still control everything via the application's own UI (if you're on Windows, it should be in your tray). Timeline of major events 2019-11-17: First case detected (but not recognized until later). 2019-12-30: China notifies WHO of the outbreak in Wuhan. 2020-01-08: Discovery of the new virus publicly announced, genome sequences published. 2020-01-13: First case outside China. 2020-01-23: Wuhan and other Hubei prefectures go on lockdown. 2020-02-11: Total deaths exceeds 1000. The disease is named COVID-19. 2020-03-07: Total confirmed cases exceed 100,000. 2020-03-09: Italy goes on lockdown. 2020-03-11: WHO declares COVID-19 a pandemic. 2020-03-12: Denmark and Ireland go on lockdown. 2020-03-15: Spain goes on lockdown. Austrian province of Tyrol goes on lockdown. 2020-03-16: Czechia goes on lockdown. Malaysia goes on partial lockdown. Philippine area of Luzon goes on lockdown. 2020-03-17: France goes on lockdown. 2020-03-18: Belgium goes on lockdown. 2020-03-19: California is the first American state to go on lockdown. 2020-03-20: Confirmed cases exceed 200,000, fatalities exceed 10,000 total and 1,000 per day. Argentina goes on lockdown. Italy overtakes China by total death count. 2020-03-22: Confirmed cases exceed 300,000. 2020-03-23: Recovered patients exceed 100,000. UK, New Zealand, and the Netherlands go on lockdown. 2020-03-24: Confirmed cases exceed 400,000. Useful links * JHU pandemic tracker: https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6 (mobile-friendly version) * Our World in Data statistics: https://ourworldindata.org/coronavirus * Worldometer tracker: https://www.worldometers.info/coronavirus/ * World Health Organisation COVID-19 portal: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 * European Centre for Disease Prevention and Control: https://www.ecdc.europa.eu/en * US Centers for Disease Control and Prevention: https://www.cdc.gov * Graphic tool for understanding how containment measures affect infection spread: https://art-bd.shinyapps.io/nCov_control/ Share your experience with the pandemic and any interesting news regarding COVID-19 development and link your sources—I will add everything important to the post. Scientific articles posted on specialized archives are preferred to general media outlets. (EDIT 2020-03-24: Added sections on helping and CCFR, updated statistics, added some more links and cleaned up a few paragraphs.)
Warp wrote:
Edit: I think I understand now: It's my avatar, isn't it? It makes me look angry.
EZGames69
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Publisher, Reviewer, Expert player (4462)
Joined: 5/29/2017
Posts: 2762
Edit by moozooh: This post by EZGames69 and the following discussion were appended to the big post above. The content of the big post actually came later, on March 21, even though the post date and order say otherwise. This manipulation was done to keep the relevant information at the top without having to remove the existing discussion. I apologize for any confusion this may have caused. I know alot of people around the world is panicking about the spread of the Corona Virus. I haven’t really seen much discussion about it so I’d thought I’d make this thread so people could share their thoughts and experiences during this time, so it can hopefully bring some comfort to everyone.
[14:15] <feos> WinDOES what DOSn't 12:33:44 PM <Mothrayas> "I got an oof with my game!" Mothrayas Today at 12:22: <Colin> thank you for supporting noble causes such as my feet MemoryTAS Today at 11:55 AM: you wouldn't know beauty if it slapped you in the face with a giant fish [Today at 4:51 PM] Mothrayas: although if you like your own tweets that's the online equivalent of sniffing your own farts and probably tells a lot about you as a person MemoryTAS Today at 7:01 PM: But I exert big staff energy honestly lol Samsara Today at 1:20 PM: wouldn't ACE in a real life TAS just stand for Actually Cease Existing
fsvgm777
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Senior Publisher, Player (226)
Joined: 5/28/2009
Posts: 1213
Location: Luxembourg
Over here, virtually everything has been closed down, except for supermarkets and shops that sell necessary goods (food, drinks) as well as pharmacies. We were urged to stay at home as much as possible, except for going shopping, going to work or going out for a walk (alone or with family) whilst keeping a safety distance of at least 2 metres. A few workplaces aside from the healthcare sector, including mine, are still open. However, we're ready for the absolute worst case scenario. This week alone, the public transportation I took was near-empty, because a lot have either resorted to teleworking and/or are taking care of their children, as all schools (primary schools, college and uni) over here have closed down as well (until after the Easter holidays). As an aside, said public transportation is currently going at a very reduced rate (and will be reduced further next week). There's also a lot less cars on the roads and a lot less pedestrians underway. The regular passenger flight service at the local airport is going to be suspended next week, leaving room for cargo flights (and those who want to go back to the country). Truly, it's as if we were back in the fifties. There's been about 500 cases and 5 deaths due to the disease so far over here, with the numbers growing every day....but since the growth is exponential, I guess it just makes sense. My main worry is that I might be the bearer of the virus, even though I don't show any symptoms....though it seems like I'm not bearing it with me, which is rather reassuring for me and my family (I'm currently taking my precautions, like washing/disinfecting my hands). My thoughts go to everyone who's currently taking care of the patients in the healthcare sector.
Steam Community page - Bluesky profile Oh, I'm just a concerned observer.
CoolHandMike
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Editor, Judge, Experienced player (896)
Joined: 3/9/2019
Posts: 696
[removing covid has become political]
discord: CoolHandMike#0352
Player (42)
Joined: 12/27/2008
Posts: 873
Location: Germany
I work at the financial hub in São Paulo, lots of people traveling around the world all the time. The second confirmed case in Brazil was actually a guy who works on the building next to where I work. My company does not allow home office, but as the situation worsened, they rushed to prepare a VPN so that people could work from home. Some days ago, a guy two floors below tested positive, so they told everybody to do home office, and that they would clean the whole building thoroughly. They said we could return to it on Monday. About me, I'm feeling just as well as I always have. I wonder to what extent the quarantine measures work, if I don't stock lots of food, then I have to go to the supermarket regularly, but it's overloaded with people. I also saw many angry people yelling at others accusing them of spreading diseases. Because of that, I don't tell anyone I work at a building with a confirmed case, I'm afraid of them lynching me there!
Mitjitsu
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Even though very people are effected by it. Viruses tend to spread exponentially i.e. one person catches it and then spreads it to two people and the cycle repeats. Start with a comparatively small number and keep doubling it everyday and by the end of the month you'll be into the millions. At least on the bright side we might see a few exciting TASes and speedruns being done over the coming weeks and months.
Patashu
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Posts: 4043
As I understand it, the main reason to slow down the rate at which COVID-19 spreads isn't because it's super dangerous. More specifically, if someone has a bad reaction to the virus, we can put them on a ventilator and they'll have a good change of surviving - but if everyone in the country gets it simultaneously, there'll be 10x (or more?) people badly sick then ventilators physically exist, so the death rate will rise in proportion to how fast people get sick. Plus less people sick in other ways will be able to get care if the medical system is overloaded. Another problem, compared to the flu, is that we have no vaccine for COVID-19 and won't for a while, so unlike being able to vaccinate the most at-risk folks against flu, we can't for COVID-19. I don't know if we're expected to maintain distancing for the ENTIRE time until a vaccine is invented and distributed or not - I guess we'll find out more as the situation develops. Meanwhile, I've started working from home - I'm a software developer for a company that isn't in dire straits and does something pretty recession-proof (freight forwarding software - goods never totally stop moving around). I don't go out much as it is, so I'm enjoying the change of pace. Mostly just hoping my parents don't get sick - I'd hate for them to suffer.
My Chiptune music, made in Famitracker: http://soundcloud.com/patashu My twitch. I stream mostly shmups & rhythm games http://twitch.tv/patashu My youtube, again shmups and rhythm games and misc stuff: http://youtube.com/user/patashu
GJTASer2018
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Location: Stafford, NY
Patashu wrote:
but if everyone in the country gets it simultaneously, there'll be 10x (or more?) people badly sick then ventilators physically exist, so the death rate will rise in proportion to how fast people get sick.
This, sadly, seems to be what is happening in Italy now - people are dying by the hundreds each day because the rate of new infections have far outpaced the ability of their healthcare system to cope with the problem. :( This is also the main justification for the draconian shutdown measures of restaurants and public places in certain areas of the U.S. - "leveling the curve" as they call it - so that the spread peaks at a level low enough for the system to manage it without breaking down. People will still get sick and die from COVID-19, but not nearly as many (hopefully) as elsewhere in the world.
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^ Why I don't have any submissions despite being on the forums for years now...
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* China still holds the largest number of confirmed cases at over 80,000 but the death toll has plateaued at around 3250: the spread has slowed down dramatically thanks to strict and efficient containment measures. The death toll took 34 days to double and its rate is currently on the decline. South Korea followed suit by beating all records on per-capita testing and isolating the confirmed cases on early stages of infection.
Without wanting to be mean against China... But I am honestly sceptikal about these facts. Apparently, China has covered some of the news...? Did you find such informations on your research? I found this randomly on twitter : https://twitter.com/muyixiao/status/1240414823600586752?s=20 which is bothersome if we want accurate info about China's action or even numbers. For instance I find that bizarre that they did not have cases yesterday. The same can be said for the US if I were to believe what I'm seeing recently. I did not investigate both China and US's informations or something. So I may very be wrong. Just posting for thoughts. As a side note, I am currently fine, I live in a place where the cases aren't as many as it is right now. Currenty, the governement encourages everybody to stay at home. We still have some people walking outside or something, but the markets are closed. Only food and pharmacy are open. School are even transitionning to online classes. I sincerly hope we never get to the point of Italy or China. I also hope to not get the virus... Stay safe everybody.
EZGames69
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Everyone is going to get the virus eventually, hopefully once that happens, a Vaccine will already be made for it. Im very fortunate that the two jobs I work are both necessities, I work both as a bagger at my Grocery Store and as a Food Service Worker at my hospital. However I’m the only one in my household that is going outside the house the most, so I have to be really carful with who I interact with. I am not too worried since there hasn’t been any news regarding infections in the Upper Peninsula of Michigan, which is where I live. But I understand that it might be due to lack of test kits. I am extremely angry at the Trump administration for their lack of fast response time to this whole thing. I am also very angry at Trump constantly referring to it as the “Chinese Virus” even though that’s not what it’s called, and the fact that the WHO has specifically said not to name Viruses based on Nationality, they want to avoid another situation with the Spanish Flu.
[14:15] <feos> WinDOES what DOSn't 12:33:44 PM <Mothrayas> "I got an oof with my game!" Mothrayas Today at 12:22: <Colin> thank you for supporting noble causes such as my feet MemoryTAS Today at 11:55 AM: you wouldn't know beauty if it slapped you in the face with a giant fish [Today at 4:51 PM] Mothrayas: although if you like your own tweets that's the online equivalent of sniffing your own farts and probably tells a lot about you as a person MemoryTAS Today at 7:01 PM: But I exert big staff energy honestly lol Samsara Today at 1:20 PM: wouldn't ACE in a real life TAS just stand for Actually Cease Existing
Pokota
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Niamek: China wouldn't be able to lie about it for long, considering Wuhan is one of the more densely populated regions. EZGames: Considering Italy was the first nation to go on lockdown (at March 9th) per moozoh's timeline of events, when would you have taken sufficiently draconian measures to curb the infection rate?
Adventures in Lua When did I get a vest?
EZGames69
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Pokota wrote:
EZGames: Considering Italy was the first nation to go on lockdown (at March 9th) per moozoh's timeline of events, when would you have taken sufficiently draconian measures to curb the infection rate?
At the very least, Trump’s language about the outbreak was very unprofessional and did much more harm. For one, the CDC is widely unprepared for this, and this was from the constant cutting of budgets, and the pandemic office being shut down. The amount of times Trump kept trying to downplay the danger, ranging from “it’s not as bad as the flu”, to “it’s a hoax from democrats to make me look bad”, to “it’s under control”, to finally “I am declaring it a national emergency”. The last part is what really should have happened from the start, to declare it as a national emergency once cases were discovered in the USA, not after the WHO declared it as pandemic. Instead we have to build a dam during a flash flood.
[14:15] <feos> WinDOES what DOSn't 12:33:44 PM <Mothrayas> "I got an oof with my game!" Mothrayas Today at 12:22: <Colin> thank you for supporting noble causes such as my feet MemoryTAS Today at 11:55 AM: you wouldn't know beauty if it slapped you in the face with a giant fish [Today at 4:51 PM] Mothrayas: although if you like your own tweets that's the online equivalent of sniffing your own farts and probably tells a lot about you as a person MemoryTAS Today at 7:01 PM: But I exert big staff energy honestly lol Samsara Today at 1:20 PM: wouldn't ACE in a real life TAS just stand for Actually Cease Existing
CoolHandMike
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[removing covid has become political]
discord: CoolHandMike#0352
EZGames69
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“CoolHandMike” wrote:
Maybe such a stigmatic name as the Chinese Virus is appropriate. It may make the Chinese authorities take responsibility and close such markets and eliminate wildlife populations (bats, maybe civet cats since they were suspect too) that contain diseases that can transmit to humans. Instead of having restrictions and then lifting them once the current crisis is over. My only problem is from that of a naming perspective. It would be like referring to the first Sega game as "The Sega Game" which is kind of foolish since others have come from China in the past and shortsighted considering new ones are sure to come out in the future. Perhaps we should start to refer to them with a version number. Like the next one will be "The Chinese Virus 2.0"?
You dont need to call it such to criticize the Chinese Government’s handling. The Chinese Government has already showed they are too stubborn to take responsibility, even when they very obviously screw up. Putting this kind of pressure on them wont change anything, all it’s going to do is increase discrimination with Asian Americans and/or Asians around the world, as talked about in this Washington Post article: https://www.washingtonpost.com/nation/2020/03/20/coronavirus-trump-chinese-virus/ Unfortunate that we have to deal with arguments such as what name to give COVID-19 instead of just working on a plan to slow the spread while Vaccines are being worked on.
[14:15] <feos> WinDOES what DOSn't 12:33:44 PM <Mothrayas> "I got an oof with my game!" Mothrayas Today at 12:22: <Colin> thank you for supporting noble causes such as my feet MemoryTAS Today at 11:55 AM: you wouldn't know beauty if it slapped you in the face with a giant fish [Today at 4:51 PM] Mothrayas: although if you like your own tweets that's the online equivalent of sniffing your own farts and probably tells a lot about you as a person MemoryTAS Today at 7:01 PM: But I exert big staff energy honestly lol Samsara Today at 1:20 PM: wouldn't ACE in a real life TAS just stand for Actually Cease Existing
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Niamek wrote:
Without wanting to be mean against China... But I am honestly sceptikal about these facts. Apparently, China has covered some of the news...? Did you find such informations on your research? I found this randomly on twitter : https://twitter.com/muyixiao/status/1240414823600586752?s=20 which is bothersome if we want accurate info about China's action or even numbers. For instance I find that bizarre that they did not have cases yesterday.
China did cover up the news... in December. They've been working with the WHO since then, and I haven't found any confirmation so far that their current numbers are false. That's not to say they are definitely true, but between mildly suspicious official data and outright speculation, I'm going to err on the side of the official data. If there is a solid evidence of recent cover-ups, with real numbers and all, by all means, post it. I did, however, mention that China is not like other countries. They have way more power to limit or even infringe on people's rights to stop the spread compared to the Western democracies. And at the same time they have a lot more money, technology, and managerial sense compared to, say Iran. China can build two hospitals in 10 days in a locked-down city. What other country does this? The answer is none. Nobody else has done this! And despite the exponential increase of confirmed cases, it doesn't look like anyone is trying to. Which doesn't exactly reflect well on the critics when they find themselves in an emergency and unable to replicate what China does right under the same conditions.
CoolHandMike wrote:
Spanish Flu = a coronavirus with strong evidence that it originated in China
Not a coronavirus. Spanish flu was caused by the H1N1 influenza virus also responsible for the swine flu in 2009. Notably, there is no evidence that the 1918 epidemic originated in China. The swine aren't bush meat.
CoolHandMike wrote:
My only problem is from that of a naming perspective. It would be like referring to the first Sega game as "The Sega Game" which is kind of foolish since others have come from China in the past and shortsighted considering new ones are sure to come out in the future. Perhaps we should start to refer to them with a version number. Like the next one will be "The Chinese Virus 2.0"?
So you don't have a problem with the poorest and/or deeply rural parts of a nation resorting to bushmeat practices to sustain themselves but you have a problem with being unable to shame a whole nation for that? Weird priorities, my good man. I mean I agree that letting people hunt wild animals known to be transmitters of disease without any care given to ensure they don't spread it is dumb, but so is a nomenclature stunt that does way more harm than good. It's about as ethically sound as calling school shootings the "American-style shooting", or suicide bombing "the Muslim ritual". Which is to say, not sound at all.
Warp wrote:
Edit: I think I understand now: It's my avatar, isn't it? It makes me look angry.
EZGames69
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I just want to say this before things get out of control. Let's try not to shame others for being ignorant and instead, lets be rational and educate. People can get the wrong idea if you respond to ignorance with shame and anger.
[14:15] <feos> WinDOES what DOSn't 12:33:44 PM <Mothrayas> "I got an oof with my game!" Mothrayas Today at 12:22: <Colin> thank you for supporting noble causes such as my feet MemoryTAS Today at 11:55 AM: you wouldn't know beauty if it slapped you in the face with a giant fish [Today at 4:51 PM] Mothrayas: although if you like your own tweets that's the online equivalent of sniffing your own farts and probably tells a lot about you as a person MemoryTAS Today at 7:01 PM: But I exert big staff energy honestly lol Samsara Today at 1:20 PM: wouldn't ACE in a real life TAS just stand for Actually Cease Existing
Pokota
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EZGames69 wrote:
Pokota wrote:
EZGames: Considering Italy was the first nation to go on lockdown (at March 9th) per moozoh's timeline of events, when would you have taken sufficiently draconian measures to curb the infection rate?
At the very least, Trump’s language about the outbreak was very unprofessional and did much more harm. For one, the CDC is widely unprepared for this, and this was from the constant cutting of budgets, and the pandemic office being shut down. The amount of times Trump kept trying to downplay the danger, ranging from “it’s not as bad as the flu”, to “it’s a hoax from democrats to make me look bad”, to “it’s under control”, to finally “I am declaring it a national emergency”. The last part is what really should have happened from the start, to declare it as a national emergency once cases were discovered in the USA, not after the WHO declared it as pandemic. Instead we have to build a dam during a flash flood.
At the very real risk of being antagonistic, you didn't actually answer my question of when you, had you been in charge, would have taken measures. Ah, there it is, never mind. Essentially, on or about January 20th, 2020 (just over 60 days ago). I agree that Trump's language is usually not wisely chosen, his paranoia leaks out when it benefits him least (keep in mind that the paranoia is at least understandable during the earlier parts of january as we were still hot on the heels of both the house and senate abusing the impeachment proceedings at least in part to keep their phoney-baloney jobs, but that's a discussion for elsewhere), and that a lot of his actions were to cut costs where the fat "appeared to be." I think it's safe to say in hindsight that the budget cuts were unwise at best. Keep in mind that, due to the way the government is structured, even if Trump had declared a total lockdown on January 19th, it (1) wouldn't have been effective until a few days later just due to how disorganized everything is even at the best of times (meaning that if the US Patient #1 hadn't returned until the 20th he likely still would have slipped through), and (2) would have been delayed because the separate states would be asked to implement their own lockdowns as best they can until the federal resources could be allocated and the several states (mostly the ones in the middle - the coastal states would have taken this deadly seriously) would drag their feet. (The state I'm in is still hemming and hawwing over infrastructure money allocated by Obama, if that tells you anything)
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moozooh wrote:
China did cover up the news... in December. They've been working with the WHO since then, and I haven't found any confirmation so far that their current numbers are false. That's not to say they are definitely true, but between mildly suspicious official data and outright speculation, I'm going to err on the side of the official data. If there is a solid evidence of recent cover-ups, with real numbers and all, by all means, post it. I did, however, mention that China is not like other countries. They have way more power to limit or even infringe on people's rights to stop the spread compared to the Western democracies. And at the same time they have a lot more money, technology, and managerial sense compared to, say Iran. China can build two hospitals in 10 days in a locked-down city. What other country does this? The answer is none. Nobody else has done this! And despite the exponential increase of confirmed cases, it doesn't look like anyone is trying to. Which doesn't exactly reflect well on the critics when they find themselves in an emergency and unable to replicate what China does right under the same conditions.
That was an interesting read. Thank you! They seem to not disclose everything (I honestly think there are new cases these days as opposed to what they are saying). But I do think that they are doing whatever they can to stop the thing. If I am wrong, then I'll be glad! ----------------- What's bothersome about the US management is that they depend so much on foreign stuffs... And have such an bizarre management (no public health insurance, gun control to say a few) that can't really be dismantled swiftly... It must have been hard to just do *something*. Maybe trump has been under so much pressure that he had to take a chance and hope for the best?
Pokota wrote:
I agree that Trump's language is usually not wisely chosen, his paranoia leaks out when it benefits him least [...]. I think it's safe to say in hindsight that the budget cuts were unwise at best.
Perhaps the pressure got the best of him? And lastly... Where did he cut stuffs? Except for health and food, I can't imagine cuts being a bad things, unless I misunderstood you. I may be wrong though, since I don't live in the US, but north of them, which is why I am honestly concerned about the management from the US. They don't seems to do enough...
Pokota
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The specific problem is that he cut funding to the Center for Disease Control (I think back in 2018 but definitely well before COVID-19 was on anybody's radar). Literally the one government organization that we want well-funded at a time like this. E: I'm... not actually sure how it's Trump who cut the funding when it's Congress that's in charge of the budget, but as the President needs to sign the proposed budget anyway it ends up being a question of semantics more than anything else.
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Oooh cuts before 2020. I thought you meant cuts in the past month. Gotcha!
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If I can make a humble request: Could we all please keep politics out of this thread (and this entire website)? There's enough political bickering in this world, can we please keep at least this one corner of it free from all that? At least one safe haven of peace and amicable socialization between people. This thread in particular should be about useful information about the pandemic, and people sharing their own experiences and knowledge of it. It should not be about political bickering and flamewars. Please.
adelikat
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I agree with warp. This started out as a good thread I was paying attention to, but has de-elvoved into the kind of thing I tune out. Let's keep the original intent going.
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Noxxa
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Politically loaded posts have been split and moved to the world politics topic. I agree with the above posts - you can post about useful information and actions undertaken, but don't put the focus on the politicians themselves or what your opinion of them is. This is not the topic for that.
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EZGames69
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There has offically been one confirmed case in the UP of Michigan where I live, not in the same county, but about 100 miles from where I live. The grocery store has now taken steps to require all employees to wear gloves whenever possible. At this point they've also raised our wage by $2. I am getting more and more paranoid about the constant updates going on, and I'm extremely scared considering both my parents are near the risk age. I dont even feel like going to work is worth it anymore, I dont want to put them in any danger.
[14:15] <feos> WinDOES what DOSn't 12:33:44 PM <Mothrayas> "I got an oof with my game!" Mothrayas Today at 12:22: <Colin> thank you for supporting noble causes such as my feet MemoryTAS Today at 11:55 AM: you wouldn't know beauty if it slapped you in the face with a giant fish [Today at 4:51 PM] Mothrayas: although if you like your own tweets that's the online equivalent of sniffing your own farts and probably tells a lot about you as a person MemoryTAS Today at 7:01 PM: But I exert big staff energy honestly lol Samsara Today at 1:20 PM: wouldn't ACE in a real life TAS just stand for Actually Cease Existing
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Some thoughts:
  • Perhaps you should limit the number of sources you use for updates. For example, stick with the CDC website and that of your state health department. News media usually focus on the bad things that are happening (this applies to more than the COVID-19 situation), so it's easy to panic if you're switching between channels/websites/whatever to get an update every minute.
  • The basic infection prevention measures from the first post have not changed: Hand hygiene and social distancing remain the best things you can do.
Current Projects: TAS: Wizards & Warriors III.
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