Thank you Max

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> On 18 Mar 2020, at 17:28, Max Herman via NetBehaviour 
> <netbehaviour@lists.netbehaviour.org> wrote:
> 
> 
> 
> Forwarding this from a physician friend.  Hoping all are well today and 
> taking good care.
> 
> +++++
>  
> Hi Everyone,
> Wanted to give you all an update based on the latest stuff we're learning 
> about COVID-19 from Korea, China and Italy experience.  This represents 
> information directly from clinicians evaluating disease course and outcomes 
> in these countries on the front lines. Also info from the CDC. Numbers 
> reflect status as of 4am PST, 3/18/2020.
> 
> There are some slides that show this info visually. Please feel free to 
> share, in order to spread reliable information.
> 
> First and foremost, social distancing remains the most important thing you 
> can do to protect you, your family and the nation.
> 
> This is based on live data from early-infected countries, showing that the 
> most stringent and early isolation adherence has resulted in the lowest 
> mortality rate:
> Korea   0.5% mortality reported thus far
> China   2.3 - 3.8%
> Italy      7.2%
> Also, data from the 1918 Spanish flu, where tight social precautions in the 
> first 14d dramatically reduced mortality. (The peak is deaths in 
> Philadelphia, where distancing was ignored, and the low curve is St. Louis, 
> where distancing was immediately adopted).
> 
> <image.png>
> 
> The reason for early/immediate isolation comes from evidence that the highest 
> viral shedding happens in the early infection.  Some data suggests shedding 
> may be occurring 1-2d before symptoms manifest - before you feel sick.
> 
> We believe active shedding occurs for at least 10d and potentially up to 
> 20+days, from the time of infection.
> 
> <image.png>
> 
> It is becoming clearer that COVID-19 is spread by droplets. So, NOT touching 
> face, frequently washing hands and staying 6-ft apart is key - whether people 
> are visibly sick, or not.
> 
> In all countries, the risk of death becomes most dramatic over age 50.  
> Nevertheless, in California we're seeing 64% of our infection in 18-64yo, so 
> the mortality/age numbers may change. 
> 
> In Italy, 37.5% of deaths are >80yo, but 37.5% are 50-79yo.  So, it is not 
> just very elderly population that explains the effects in Italy.
> 
> So far, <18yo seem very little effected, in all countries.
> 
> <image.png>
> Red bars are China, Blue numbers are Italy.
> 
> The 'contagiousness' of COVID-19 appears to be 1 person --> 2-2.5 add'n 
> infections. To put this in perspective, the contagiousness number for ebola 
> =2, for measles = 15, for SARS =3.
> 
> The most consistent and reliable symptom is a cough. Fever manifests in ~50%. 
> Other respiratory and GI symptoms are less frequent.
> 
> THE MOST VALUABLE THING WE CAN DO RIGHT NOW IS SOCIAL ISOLATION to control 
> spread. Once again, it doesn't matter if you/your acquaintances don't appear 
> to be sick. Right now, we should all assume to be carriers and wait for 
> confirmation over the next 2 weeks.  No one is an exception. 
> 
> <image.png>
> 
> Finally, please remember that 80% of people infected get sick and then get 
> better.  Without becoming critically ill. 
> So overall, there's lots to be hopeful about and thankful for - but make no 
> mistake that this requires everyone's adherence in order for it to work.  
> Adherence must happen now.  In a week or two it's too late. 
> 
> As a last note on what you can do: my own research shows that meditation  - 
> reducing stress through calming the mind - enhances the healthy anti-viral 
> response on a cellular level. It literally changes your immune response in a 
> way that promotes the ability to fight off viruses.
> 
> So, WHAT CAN YOU DO? 
> Start today:
> Reassure each other, 
> Take walks (6 ft apart from anyone not living in your home), 
> Meditate or calm your mind in other ways
> Focus on ways to help (donate to wage workers, buy take-out to help 
> restaurants stay open), and 
> Discontinue any and all behaviors that separate us 
> stop divisive politics, blame, lashing out, negative forecasting, and fear 
> mongering.
> Follow Canada's example and try "Care-Mongering" instead:
> https://www.bbc.com/news/world-us-canada-51915723
> 
> (thanks to my mom for that last bit of info on Canada)
> 
> We can get through this but only if we stick together.
> 
> +++++
> 
> _______________________________________________
> NetBehaviour mailing list
> NetBehaviour@lists.netbehaviour.org
> https://lists.netbehaviour.org/mailman/listinfo/netbehaviour
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