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Jan 28, 2020

Two Nasty Traits Of This Coronavirus, Typically Not Seen Together

Compiled what follows from a Series of Thirteen Tweets by physician (MD) and scientist (PhD) Dr. Dena Grayson. Emphasis is mine.

  1. Dr. Dena Grayson: Having YEARS of experience developing an Ebola treatment, I was concerned about this Coronavirus Outbreak from the outset, because this coronavirus strain is very contagious, causes severe illness, and NO treatments or vaccines are available.
  2. Dr. Dena Grayson: Unlike H5N1 "bird flu" (which does not spread easily between people) or SARS (which was spread by only a handful of "super spreaders"), this coronavirus DOES appear to spread easily between people, even after making the jump from an animal (this is not common).
  3. Dr. Dena Grayson: In addition to being highly contagious, this novel coronavirus can cause a SEVERE infection that can kill even healthy people. It's rare to see BOTH of these (bad) attributes in the same novel virus. Usually, it's one or the other.
  4. Dr. Dena Grayson: One way experts judge how deadly a pathogen (virus, bacteria, etc) is by the "case-fatality rate," which is the # of deaths / # infected people. It's WAY too early to know what this is, because it takes time for patients to succumb to the infection.
  5. Dr. Dena Grayson: Thus far, the case-fatality rate appears to be ~4%…but its' WAY too early to know what it really is, due to spotty reporting (both of deaths and cases), and because patients are still sick and could die tomorrow, next week, etc., even if no new infections occur.
  6. Dr. Dena Grayson: Per @CDCgov, "Early on, many of the patients in the outbreak in Wuhan, China reportedly had some link to a large seafood/animal market, suggesting animal-to-person spread." Now, many newly diagnosed patients have NO connection to the market, supporting human-human spread = BAD
  7. Dr. Dena Grayson: @CDCgov I get asked: "How will I know if I have the coronavirus?" Answer: it's very hard to tell, because the symptoms are similar to having influenza — anywhere on the spectrum from a very bad cold to severe pneumonia with respiratory compromise.
  8. Dr. Dena Grayson: @CDCgov Although there are no specific treatments (medicines to combat the coronavirus) or vaccines, excellent supportive care, such as IV fluids, intubation (on a "breathing machine"), can help support patients while their immune system battles (and hopefully, defeats) the infection.
  9. Dr. Dena Grayson: @CDCgov In an "outbreak," local hospitals can get overwhelmed, and there aren't enough hospital beds, staff, ventilators (breathing machines). This appears to be the case in Wuhan, where authorities are working to build a 1000-bed (mobile) hospital in JUST 10 DAYS. This is ALARMING.
  10. Dr. Dena Grayson: @CDCgov China has a history of not accurately reporting outbreaks, so it's hard to know exactly what is happening, especially with no free press, internet, etc. China's massive response is VERY telling and strongly suggests that the Coronavirus Outbreak is VERY bad, especially in Wuhan
  11. Dr. Dena Grayson: @CDCgov How can you protect yourself and others? 1: Avoid contact with people who are visibly ill (even loved ones) 2: Stay home if YOU are sick 3: Cover your nose/mouth with a tissue (not hand) when coughing/sneezing 4: Don't touch your face (difficult) 5: Wash your hands frequently
  12. Dr. Dena Grayson: @CDCgov Right now, the risk appears low in the US, with only a few isolated cases. Unfortunately, I expect that this will change, as more cases arise here, especially with global travel and how readily this coronavirus appears to spread (via droplets in the air).
  13. Dr. Dena Grayson: @CDCgov I will continue to provide commentary about the emerging Coronavirus as news emerges over time. In this Tweet link , you will find links to excellent @who and @CDCgov websites that track the Coronavirus Outbreak.