Virus

New controversy among experts on the coronavirus
5/31/2020, 10:15:24 PM

Zangrillo: "Clinically it no longer exists". Locatelli: absolute bewilderment for his words. Richeldi: no to misleading messages. The Undersecretary for Health, Zampa: wrong message that risks confusing Italians

The new coronavirus "clinically no longer exists" and "terrorizing the country is something for which someone must take responsibility". To claim that Covid-19 has changed its face, losing much of its virulence, is Alberto Zangrillo, director of intensive care at San Raffaele in Milan. Words that the President of the Superior Health Council and member of the technical-scientific committee (CTS) Franco Locatelli welcomes with "absolute bewilderment" and "great surprise". And also for the Undersecretary for Health Sandra Zampa is "a wrong message that risks confusing Italians". 

Zangrillo's statements sparked the debate, according to which "clinically the new coronavirus no longer exists. About a month ago - he claimed - we felt epidemiologists fearing a new wave for the end of the month or the beginning of June and who knows how many intensive care places to fill In reality the virus from the clinical point of view no longer exists ".

Locatelli's reply was clear: "I can only express great surprise and absolute bewilderment at the declarations made by Professor Zangrillo. Just look at the number of new cases confirmed every day to have evidence of the persistent circulation of the virus in Italy". Hence the need to "continue on the path of responsibility for individual behavior, not to be discouraged through dangerous declarations that forget the drama experienced in this country". 

"Granted and not granted that similar claims are supported by scientific information, and at the moment there is no evidence, such superficial and misleading words are decidedly dangerous in such a critical moment of transition from a lockdown phase that has concerned not only the Italy but the whole world ". Thus the coordinator of the government's scientific technical committee, Agostino Miozzo, replies to the statements of Alberto Zangrillo.

But the director of the infectious diseases clinic of the San Martino hospital in Genoa Matteo Bassetti also claims that the virus is no longer the same, starting from his experience in the field. The virus "could now be different: the firepower that he had two months ago is not the same firepower he has today. As a doctor who is on the field - he says - I say that the sick of now are different from those of two months ago: before patients had a much more serious condition, now fewer. It is clear that Covid-19 disease is different today, because its clinical presentation and its course are milder ".

However, the pulmonologist and CTS member Luca Richeldi also calls for caution and warns against the risk of underestimating the dangers. The virus "still circulates and it is wrong to give misleading messages that do not invite caution. It is undoubtedly true and reassuring that the pressure on hospitals has drastically reduced in recent weeks. However, it should not be forgotten - he points out - that this is the result of the equally drastic measures to contain the viral circulation adopted in our country ".

And again: "It is good to remember that viral circulation is a dynamic process, so the gradualness and caution in the resumption of economic and social activities must remain our priority. Especially in light of the reopening of June 3rd". Moreover, "it is enough to see how unfortunately the situation is very different in countries, such as Russia, Mexico or India, where these measures have not been so effective and have not given the comforting results that we see in our country".

It is too early to draw conclusions also according to the scientific director of the Spallanzani Institute in Rome Giuseppe Ippolito. Fortunately in Italy "we now have fewer serious cases and this shows that the containment measures adopted have paid off, but at the moment there is no evidence nor any published scientific study that the virus has mutated". Usually, he warns, "viruses will subside over the course of several years, but you don't have to be catastrophic or optimistic at all costs." Now, "what we have to do - he concludes - is to monitor the situation day by day and never abandon prudence".

"I am asked not to mislead the Italians? I agree, our duty is just not to mislead them, that's why I said, and I confirm, that the virus no longer exists clinically. The Italians deserve to know the truth, namely that clinical evidence tells us this. " This is Zangrillo's reply, after the controversies raised by his words on the virus to which representatives of the Technical-Scientific Committee have replied. "The virus still lodges among us - adds Zangrillo - like dozens of other viruses, but what we see is what I said. It is advisable to continue temporarily to observe the prudential rules, but Italians have the right to know the clinical evidence current on the virus. "
Source: rainews

Dete dobilo temperaturu, imala 39 tokom noci, odemo u dom zdravlja, izvadimo krv i pokaze se da je virus. Ako mislite da ppstoji procedura da se utvrdi da li je covid19 ili ne, ne postoji. Ceo dan jurimo od D. Misovic do Instituta i dalje ne znamo da li je covid.

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Toliko o neverovatnoj organizaciji u borbi protiv covida, sve je naravno go kurac i prazna prica kao i sve kod nqprednjaka i nek se teraju u tri lepe picke materine

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Pedijatar kaze u domu zdravlja ne rade test za decu, posalje nas u D. Misovic oni nam tamo kazu mi samo primamo pozitivne, toliko o tome koliko znaju procedure

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Zovem i pogodi..niko se ne javlja ni na jedan broj od hiljadu koji su dali, jedino sam dobio Batut i rekli mi testiranje je od 9 do 15, pitam moze da se zakazey kaze ne dođete i cekate.

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Uzasno! Tresem se ceo dan

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Napusite mi se socno kurca sa sloganom za nasu decu picka vam materina da vam picka materina

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Nasao sam nacin, dete testirano!

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Nema procedure, samo veza!

— Le Comte de Cercle Deux Гроф Круга Двојке (@nemanjam0411) June 1, 2020

Napusite mi se socno kurca sa sloganom za nasu decu

Is the coronavirus really losing strength?

Patients admitted in recent weeks seem less severe than those in the early stages of the epidemic. Some experts claim that the virus is losing power, a possible hypothesis, but not yet supported by the available data.

We've been hearing for a few weeks now that the coronavirus may have started to lose strength. This has been repeated, on several occasions, by several specialists engaged in the front row in the fight against Covid-19, to explain the fact that in hospitalized patients you would see less and less often the very serious symptoms of the first weeks of the epidemic. Good news in short, if it were not that scientific opinions are not unequivocal. With phase two just begun, and its inevitable trail of controversy and reprimands, the denials have now started to become more tranchant, and accomplices unhappy exits such as that of the Governor of Veneto Luca Zaia, according to which a possible weakening of Covid would demonstrate the artificial nature of the coronavirus, the same idea that an epidemic virus can become less lethal begins to seem another hoax. The truth? There would be nothing strange if Sars-Cov-2 was evolving towards less dangerous forms, but the evidence available at the moment is not sufficient to prove it.

The clinicians' perception comes from their experience on the ward. It is an important source of information about the disease, but it can mislead even the most scrupulous doctor: there are many possible explanations for the lower number of serious patients observed at this stage of the epidemic, and the weakening of the virus is only one of them, perhaps one of the least likely. In order to confirm this, in vitro studies and extensive case studies from the wards will be needed, all of which take time to gather and analyse properly. "Personally, I don't think it's likely that Sars-Cov-2 is weakening," explains Massimo Andreoni, infectious disease expert at Tor Vergata University in Rome, to Wired. "The sensation comes from a reduction in mortality and a lower number of hospitalizations in intensive care, but these are phenomena that can also explain themselves: the lockdown has decreased the sick, and therefore we see less of them with serious symptoms and we record fewer deaths in our hospitals".

That's not all: Covid-19 is in fact a disease that tends to affect the most fragile people, and it is therefore possible (especially in the areas most affected by the epidemic) that the virus has ended up selecting the patients most at risk in the early stages (spreading, for example, in nursing homes), and after the many deaths (and fortunately also the many healed) of the past few months, it is now necessarily affecting less fragile people, thus causing symptoms and less ominous existence. The therapeutic abilities, although still deficient, have also improved. This is in line with the conditions in hospitals and the number of places in intensive care, creating less dramatic working conditions for doctors. There are many building blocks that may have helped to improve the prognosis of patients.

WORLD NEWS
JUNE 1, 2020 / 6:11 PM / UPDATED 19 MINUTES AGO

WHO and other experts say no evidence of coronavirus losing potency

Kate Kelland, Emilio Parodi
4 MIN READ

LONDON/MILAN (Reuters) - World Health Organization experts and a range of other scientists said on Monday there was no evidence to support an assertion by a high-profile Italian doctor that the coronavirus causing the COVID-19 pandemic has been losing potency.

Professor Alberto Zangrillo, head of intensive care at Italy’s San Raffaele Hospital in Lombardy, which bore the brunt of Italy’s epidemic, on Sunday told state television that the new coronavirus “clinically no longer exists”.

But WHO epidemiologist Maria Van Kerkhove and several other experts on viruses and infectious diseases, said Zangrillo’s comments were not supported by scientific evidence.

There is no data to show the new coronavirus is changing significantly, either in its form of transmission or in the severity of the disease it causes, they said.

“In terms of transmissibility, that has not changed, in terms of severity, that has not changed,” Van Kerkhove told reporters.

It is not unusual for viruses to mutate and adapt as they spread. The pandemic has so far killed more than 370,000 people and infected more than 6 million.

Martin Hibberd, a professor of emerging infectious disease at the London School of Hygiene & Tropical Medicine, said major studies looking at genetic changes in the SARS-CoV-2 virus that causes COVID-19 did not support the idea that it was becoming less potent, or weakening in any way.

“With data from more than 35,000 whole virus genomes, there is currently no evidence that there is any significant difference relating to severity,” he said in an emailed comment.

Zangrillo, well known in Italy as the personal doctor of former Prime Minister Silvio Berlusconi, said his comments were backed up by a study conducted by a fellow scientist, Massimo Clementi, which Zangrillo said would be published next week.

Zangrillo told Reuters: “We have never said that the virus has changed, we said that the interaction between the virus and the host has definitely changed.”

He said this could be due either to different characteristics of the virus, which he said they had not yet identified, or different characteristics in those infected.

The study by Clementi, who is director of the microbiology and virology laboratory of San Raffaele, compared virus samples from COVID-19 patients at the Milan-based hospital in March with samples from patients with the disease in May.

“The result was unambiguous: an extremely significant difference between the viral load of patients admitted in March compared to” those admitted last month, Zangrillo said.

Oscar MacLean of the University of Glasgow’s Centre for Virus Research said suggestions that the virus was weakening were “not supported by anything in the scientific literature and also seem fairly implausible on genetic grounds.”

Experts and representatives of Johns Hopkins University, Wake Forest Baptist Medical Center, George Washington University and Northwell Health also said they were not aware of evidence suggesting that the virus had changed.

“The suggestion by the Italian doctor is potentially dangerous as it gives false reassurance based on no evidence,” said Leana Wen, an emergency physician and public health professor at George Washington University. “There is no scientific evidence for there having been a change in the coronavirus. It’s a highly transmittable and highly contagious disease. We need to be as on guard as ever.”

​Privremena bolnica na Beogradskom sajmu primila je prve pacijente obolele od kovida-19 28. marta. Vojska Srbije dopremila je oko 3.000 kreveta i ormarića, a na Sajam su smeštani pacijenti s lakšim tegobama.

U danima pred otvaranje ove privremene bolnice naslovne strane novina i sajtova i udarne vesti televizija bile su preplavljene fotografijama Sajma, digla se velika prašina oko toga kako ta bolnica izgleda te da li je to pristojno sređeno ili ne, o čemu je čak i dr Kon svojevremeno govorio, postavljalo se mnogo pitanja o razdavaju dece od roditelja, generalno - bio je to prostor koji je u jednom momentu izazvao mnogo kontroverzi.

Danas, dva meseca kasnije, Sajam se polako prazni, a iz kovid sistema izlaze mnoge bolnice - Opšta bolnica Pančevo, Ortopedija Banjica, Klinčki centar Niš, KBC Zvezdara, zatvara se i privremena bolnica na Novosadskom sajmu, a plan je da u narednih sedam do deset dana iz kovid sitema izađu i kliničko-bolnički centri Dragiša Mišović i Zemun.

Što se Sajma tiče, traži se rešenje, a jedna od mogućih opcija jeste da se pacijenti prebace u bolnicu u Mladenovcu, rečeno je danas na sastanku ministra zdravlja Zlatibora Lončara sa direktorima kovid bolnica.

Ministar Lončar je nakon sastanka rekao novinarima da će ovih dana komisija Ministarstva zdravlja otići da pogleda bolnicu u Mladenovcu, da vidi da li ispunjava uslove za zbrinjavanje kovid pacijenta.

- Ukoliko ispunjava uslove, mi bismo privremenu bolnicu na Sajmu zatvorili, a njenu ulogu bi preuzela bolnica u Mladenovcu - naveo je ministar.

Trenutno se na Sajmu nalazi 101 pacijent. Danas i u sredu treba da bude testirano 60 pacijenata, te se očekuje da će broj pacijenta od srede biti manji od 50 obolelih.

Da bi iz kovid sistema izašli kliničko-bolnički centri Dragiša Mišović i Zemun, kako bi nastavile da rade po uobičajenom programu, plan je da njihove kovid pacijente preuzmu Infektivna klinika u Beogradu i VMC na Karaburmi.

Četvrtfinalni duel Kupa Srbije između fudbalera Inđije i Crvene zvezde ostaće upamćen kao prvi koji je odigran uz prisustvo publike posle pauze usled koronavirusa.

Činjenica da pandemija virusa koji je paralisao svet nije okončana, nije sprečila najfanatičnije fudbalske ljubitelje, njih oko 800, koji su uprkos kiši i vrlo rigoroznim merama opreza odlučili da popodne provedu gledajući borbu za polufinale.

Vlasnica doma za stara lica “Radost” u Negotinu B.D. (60) lišena je slobode.

Njoj je određeno zadržavanje od 48 sati zbog sumnje da je Branku Pešić (30) direktorku te ustanove podstrekla da ne prijavi da su se kod pojedinih štićenika doma pojavili simptomi KOVID 19 što je dovelo do smrti pet osoba.

Vlasnici Doma za stara lica "Radost" se na teret stavlja teško delo protiv zdravlja ljudi za koje je predviđena kazna od dve do 12 godina.

NEWS 02.06.2020 : 18:43
Greece suspends Qatar flights after 12 passengers test positive for coronavirus

Greece on Tuesday announced they were suspending flights to and from Qatar until mid-June, after 12 out of 91 passengers in a Qatar Airways flight that landed in Athens on Monday tested positive for the coronavirus.

Nine of the infected passengers are Pakistani nationals, coming from the city of Gujrat, who have a Greek residence permit, two are Greek nationals coming from Australia and one person is a Japanese national and member of a Greek-Japanese family, the General Secretariat for Civil Protection said in a press release.

All passengers in the flight from Doha to Athens’ International Airport were tested and quarantined in hotels until they got their results back, in line with the current health protocols.

Those infected will remain in the hotels for two weeks, while those who tested negative will have to stay for seven days as they are considered close high and low risk contacts, the authority said.

Health officers will repeat the tests on the passengers who tested negative after a week.

Vasa Čokrljan wrote:

"If we would encounter the same disease, with exactly what we know about it today, I think we would land midway between what Sweden did and what the rest of the world did,”

Tegnell erkänner att vetenskapligt belagda kunskaper inte passade in tillräckligt bra på SARS-CoV-2.

— Mathias Langmarker (@Langmarker) June 3, 2020

¯\_(ツ)_/¯

Mór Thököly wrote:24/4372

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