There are nearly 5 million global cases. There have been over 323,000 deaths around the globe, up more than 23,000 from last week. There are over 1.5 million cases in the US. There has been a slight downtrend in case growth and daily deaths in the US for the last few weeks. Cases and deaths have declined dramatically in NY, but cases are rising in 17 states.
Many non-ICU COVID-19 patients go on to develop a pulmonary embolism (PE)—a clot in the lungs. PEs are serious and in this case are caused by COVID-19-induced hypercoagulability. Most COVID-19 patients are now being treated with anticoagulant medicines in an attempt to prevent these kinds of clots from forming. What’s notable here is that patients who are not sick enough to need ICU care are still developing very serious sequelae.
If we want to tailor our pandemic response, we need to use serosurveys and do it meaningfully. The tests need to be extremely accurate. We need these tests at the individual level to understand if a person has been exposed, whether or not they need a vaccine (once developed), and whether or not they need a booster. At the community level these tests tell us how prevalent the disease is in a given population and also give us an accurate picture of the infection fatality rate. We need to scale up this testing and govern the data properly.
It looks like those who are re-testing positive aren’t necessarily infectious:
Covid Patients Testing Positive After Recovery Aren’t Infectious, Study Shows. They’re shedding only dead virus. https://t.co/njNxIub67c
— Scott Gottlieb, MD (@ScottGottliebMD) May 19, 2020
Why can’t young people get with the social distancing program? Their brains are immature. Sensation seeking, peer pressure, reward seeking, and poor impulse control are all part of the problem.
Florida’s COVID-19 data chief get ousted for refusing to manipulate the data:
Is #Florida fudging #COVID19 data?
"They are making a lot of changes. I would advise being diligent in your respective uses of this data."
"…could be evidence that the Gov. Ron De Santis' govt was censoring info to support the case for re-opening."https://t.co/ePCUgLlJEk
— Laurie Garrett (@Laurie_Garrett) May 19, 2020
People seem to be producing a robust immune response to the infection. This is good news in the vaccine-development arena. Scientists are now working on understanding if the immune response differs significantly between groups who had mild illness versus groups who had severe illness.
All 50 states will begin to reopen in some capacity by the end of the month. 17 states are experiencing an uptick in cases, and many states anticipate increased growth trends as a result of reopening. The US Administration plans to release funding to states to the tune of 11 billion dollars for increased testing and contact tracing.
Brazil continues to struggles as pandemic worsens:
Brazil’s hospitals are at a breaking point, with the country now having the third-highest number of confirmed coronavirus cases, behind the U.S. and Russia https://t.co/hN5impOB1r pic.twitter.com/7ZLmzVqNgs
— Reuters (@Reuters) May 19, 2020