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Posted
4 hours ago, ALF said:

41 residents, 25 staff members test positive for COVID-19 at Father Baker Manor nursing home in Orchard Park,NY

 

https://news.wbfo.org/post/41-residents-25-staff-members-test-positive-covid-19-father-baker-manor-nursing-home

 

very vulnerable place for a outbreak 


To give people an idea of how brutal this can be in a nursing home, I think there were 66 residents here, 28 are now dead  https://globalnews.ca/news/6787645/coronavirus-bobcaygeon-nursing-home-death-toll-28/

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Posted

Talked to my friend today who works at a local Erie county covid hospital. They said their covid cases more than doubled overnight. When they left work at 8pm last night they had 24 cases and when they came in at 8am today there were now 64. Said they only have 130 beds for covid right now. Also said nurses are only wearing PPE when they work directly with the patients, they don’t have it on when they’re in the hallways. 

 

Posted
4 hours ago, driddles said:


To give people an idea of how brutal this can be in a nursing home, I think there were 66 residents here, 28 are now dead  https://globalnews.ca/news/6787645/coronavirus-bobcaygeon-nursing-home-death-toll-28/

 

There's the original nursing home outbreak in Seattle.  57% of residents  hospitalized with covid-19, 1 in 4 of those died.

 

We have several nursing home outbreaks locally here and it's pretty grim.

 

44 minutes ago, BillsFan4 said:

Talked to my friend today who works at a local Erie county covid hospital. They said their covid cases more than doubled overnight. When they left work at 8pm last night they had 24 cases and when they came in at 8am today there were now 64. Said they only have 130 beds for covid right now. Also said nurses are only wearing PPE when they work directly with the patients, they don’t have it on when they’re in the hallways.

 

Does your friend know why?  Is there another hospital that filled up?

That's standard PPE protocol in most hospitals (wear with patient, remove in hall), but the question is how they are donning and removing.  
Medical professionals tend to make mistakes while rapidly donning and removing PPE, especially if they're being asked to reuse equipment such as N95 masks.

Also, if they don/remove for each patient, they burn through a lot.

Buffalo still on the "doubling every 6 days" track

image.thumb.png.d6c5ee9f28f0a6c0efbdb07b0d0aef18.png

Posted
On 4/2/2020 at 8:47 PM, Hapless Bills Fan said:

Not Erie County per se  but if this is a factual guide to Federal programs helping small businesses, it deserves as broad distribution as can be.

 

...FYI....for TBD'ers ...another SBA regs change late yesterday that could impact your PPP Applications......

 

https://home.treasury.gov/system/files/136/Paycheck-Protection-Program-Frequenty-Asked-Questions.pdfhttps://home.treasury.gov/system/files/136/Paycheck-Protection-Program-Frequenty-Asked-Questions.pdf

Posted
53 minutes ago, Hapless Bills Fan said:

 

There's the original nursing home outbreak in Seattle.  57% of residents  hospitalized with covid-19, 1 in 4 of those died.

 

We have several nursing home outbreaks locally here and it's pretty grim.

 

 

Does your friend know why?  Is there another hospital that filled up?

That's standard PPE protocol in most hospitals (wear with patient, remove in hall), but the question is how they are donning and removing.  
Medical professionals tend to make mistakes while rapidly donning and removing PPE, especially if they're being asked to reuse equipment such as N95 masks.

Also, if they don/remove for each patient, they burn through a lot.

Buffalo still on the "doubling every 6 days" track

image.thumb.png.d6c5ee9f28f0a6c0efbdb07b0d0aef18.png

 

No, she didn’t say. She just told me about the 40 new patients overnight. Then she mentioned how the nurses were not wearing masks in the hallway.

 

My friend works on the floor below the covid floors, so she only go onto the covid floor a few times a day and hasn’t yet been asked to care for covid patients (but said she knows it’s coming). She told me a week or so ago that she ordered her own masks to wear when she has to go up to the covid floors. She ordered those black fabric charcoal filter masks you see online ($100 for 4 she said! Price gouging *** holes). Said she knows it’s not ideal (or required) but it made her feel better. I can’t blame her. This is all new to her. She normally only deals with patients coming in to see a specialist.

 

Do you think the risk is relatively low out in the hallways then? If that’s standard procedure? 

Posted
5 minutes ago, BillsFan4 said:

 

No, she didn’t say. She just told me about the 40 new patients overnight. Then she mentioned how the nurses were not wearing masks in the hallway.

 

My friend works on the floor below the covid floors, so she only go onto the covid floor a few times a day and hasn’t yet been asked to care for covid patients (but said she knows it’s coming). She told me a week or so ago that she ordered her own masks to wear when she has to go up to the covid floors. She ordered those black fabric charcoal filter masks you see online ($100 for 4 she said! Price gouging *** holes). Said she knows it’s not ideal (or required) but it made her feel better. I can’t blame her. This is all new to her. She normally only deals with patients coming in to see a specialist.

 

Do you think the risk is relatively low out in the hallways then? If that’s standard procedure? 

 

That's a giant "it depends" I think.

 

What does it depend upon?  The way ventilation is set up in the hallways vs the patient rooms, for example.  Is it flowing into the rooms then out through a filtered vent?  Or is it flowing from a vent into the rooms, then out into the hallway?

 

The standard infection control practice is to limit infection to the room.  So medical professionals are supposed to stand outside the room, wash their hands, don their gown, respirator, face shield or eye goggles, and gloves, then enter.  Now the tricky part - you want to leave potentially contaminated clothing, and you've got to get it all off without contaminating anything outside the room.  The usual advice is gloves in biotrash, wash hands, gown and shield off into biowaste WITHIN the room, leave the room, glasses off if you wear them and clean before re-donning, mask off and discard.  Now you're free to stroll about the (supposedly) uncontaminated hallway, nurses station and break room.  If you wear your mask around the hallway, you're potentially bringing contamination into these areas. (I picked on the UK Health Service here but training videos for US similar)

 

The problem with this is it requires abundant PPE, and assumes the entire floor isn't full of infectious people.  Once neither of these are true, it's probably best to just assume the hallway and nurses station are contaminated and change or scrub gloves.  It also assumes that you're not trying to re-use face shields, take them out and clean them etc.  And last, it assumes you can take your stuff off IN the room without having your clothing and hands become contaminated.  That's only true if everyone else who goes in and out of the room has impeccable technique.

 

Places that take their infection control seriously (Medicines sans Frontiers working an Ebola epidemic, or U. Nebraska Biocontainment Unit, for example) will have a dedicated donning and a dedicated doffing area.  HCW will have a donning partner and do a supervised doffing (they stand there and someone tells them to perform each step, this is to avoid an exhausted worker making a potentially fatal error).  I believe that's what they moved to pretty quickly in China but from what I've seen we're still kind of winging it.

 

 

 

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Posted (edited)

 

?

 

I hipe this is at least an option for everyone who wants to vote by mail in November. Nobody should have to risk their health or the health of their family to exercise their right to vote. We know elections by mail work. 25% of Americans voted by mail in 2016. 

5 states already have a vote by mail. Oregon has since the ‘90’s and they’ve shown it actually cuts down on election meddling + improves voter turnout.

Edited by BillsFan4
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Posted

 "New York state now leads every country (outside of the United States) in the world in coronavirus with 159,937 confirmed COVID-19 cases.

That's a jump of more than 10,000 new cases in a single day.

New York surpassed Spain, which has 152,446 confirmed cases.

The state also reported a record number of deaths for a third consecutive day with 799, raising the outbreak total above 7,000."

also "The rising daily deaths in the past few days reflect people hospitalized earlier in the outbreak."


https://abc7ny.com/coronavirus-new-york-ny-cases-in-news/6090148/

Posted

Oh geeze....the site in Poloncarz twitter give the US as a whole a "C" for social distancing

 

https://www.unacast.com/covid19/social-distancing-scoreboard  -  Anyone know anything about their methodology?

 

NYS as a whole gets a "C"

 

Tompkins County where my kid is gets a B-

Which makes me feel only marginally better that two mega-busloads of HCW and a bunch of equipment supplies are now in NYC

Erie County gets a D+, fasten your seatbelts folks

 

......Except the "new cases" have stepped down into "double every 11 days" trajectory, which is an improvement on "every 6 days" (where we were)

 

image.thumb.png.63f4bef31c46a91f6a7955d9385f7830.png

 

Posted
2 minutes ago, Hapless Bills Fan said:

Oh geeze....the site in Poloncarz twitter give the US as a whole a "C" for social distancing

 

https://www.unacast.com/covid19/social-distancing-scoreboard

 

NYS as a whole gets a "C"

 

Tompkins County where my kid is gets a B-

Which makes me feel only marginally better that two mega-busloads of HCW and a bunch of equipment supplies are now in NYC

 

Anyone know anything about their methodology?

 

This is what I could find:

 

https://www.baltimoresun.com/coronavirus/cng-ag-harford-social-distancing-score-20200407-m2b54c5d4zbdjpocuvtl65cyy4-story.html

 

Quote

Harford County earned a C from a company evaluating social distancing measures taken throughout the U.S. in response to the spread of coronavirus.

The data analysis firm Unacast has compiled the number of recorded COVID-19 cases — county by county — for Maryland and other states, contextualizing them with measures of how far people travel and the number of visits to non-essential venues they make. The result is a social distancing scoreboard, which ranks states and counties’ preventative measures based on data extrapolated from over 10 million anonymous mobile phones.

The phones’ location data is collected when they download apps or interface with GPS, mobile device Bluetooth connections, and Wi-Fi connections, the company’s privacy statement says. Then, app designers, data aggregation services and other companies provide the data to Unacast, which fashions it into a tool for analytics or, in this case, public health awareness.

The score’s goal, the company said in a news release, is to help guide response to and planning for the virus, which has infected close to 380,000 people in the U.S. alone, according to Johns Hopkins University.

 

 

And here’s the site for the company running this scoreboard:

 

https://www.unacast.com/covid19/social-distancing-scoreboard

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Posted
2 hours ago, Hapless Bills Fan said:

Oh geeze....the site in Poloncarz twitter give the US as a whole a "C" for social distancing

 

https://www.unacast.com/covid19/social-distancing-scoreboard  -  Anyone know anything about their methodology?

 

NYS as a whole gets a "C"

 

Tompkins County where my kid is gets a B-

Which makes me feel only marginally better that two mega-busloads of HCW and a bunch of equipment supplies are now in NYC

Erie County gets a D+, fasten your seatbelts folks

 

......Except the "new cases" have stepped down into "double every 11 days" trajectory, which is an improvement on "every 6 days" (where we were)

 

image.thumb.png.63f4bef31c46a91f6a7955d9385f7830.png

 


Methodology. 
 

https://www.unacast.com/post/rounding-out-the-social-distancing-scoreboard

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Posted
19 minutes ago, Sundancer said:

 

“Inspired by the metric used by Pepe et al., we set an encounter as "proximity between any two users of the same province who were seen within a circle of radius R = 50m over a 1 hour period." In other words: two devices within 50 meters of each other for 60 minutes or less.”

 

That doesn’t seem very helpful to me, actually.  I can be a good 3 meters (~12 feet) from anyone else shopping or walking and have that scored as an “encounter”.  I guess if there’s a lot of it going down it would indicate a lot of shopping or otherwise too much going out?

Posted
2 minutes ago, Hapless Bills Fan said:

 

“Inspired by the metric used by Pepe et al., we set an encounter as "proximity between any two users of the same province who were seen within a circle of radius R = 50m over a 1 hour period." In other words: two devices within 50 meters of each other for 60 minutes or less.”

 

That doesn’t seem very helpful to me, actually.  I can be a good 3 meters (~12 feet) from anyone else shopping or walking and have that scored as an “encounter”


But if you’ve gotten to that distance, you’re not keeping the social distance in their methodology. If you’re 12 feet away from someone outdoors it’s probably fine. Inside maybe less so. They may lack the ability to tighten that to 6 feet but the reasoning is sound. More “hits” inside 13 feet is bad. Less is good. A bit arbitrary but not the worst metric. 

Posted
1 minute ago, Sundancer said:


But if you’ve gotten to that distance, you’re not keeping the social distance in their methodology. If you’re 12 feet away from someone outdoors it’s probably fine. Inside maybe less so. They may lack the ability to tighten that to 6 feet but the reasoning is sound. More “hits” inside 13 feet is bad. Less is good. A bit arbitrary but not the worst metric. 

 

The point is through your link, they’re looking at a 50m radius

Posted

Pass this on to any first responders you know in WNY:

 

https://buffalonews.com/2020/04/09/first-responders-can-get-n95-masks-through-mcguire-donation/

 

Quote

First responders can get N95 respirator masks either Friday or Monday at the McGuire Group's corporate center in Cheektowaga.

The company, which operates several skilled-nursing facilities in Western New York, is donating 1,000 N95 respirator masks to first responders in the area.

 

Jim McGuire, CEO of the McGuire Group, said the company is making the donation while also procuring personal protective equipment for its own employees.

 

First responders who are interested in obtaining masks can, between 10 a.m. and 3 p.m. Friday and Monday, visit the McGuire Group's corporate center in Suite 200 at 455 Cayuga Road, Cheektowaga. Those seeking masks should bring identification as emergency medical technicians, police officers and state troopers.

 

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Posted

...just a FWIW for Erie County businesses.....here in Monroe County (metro Rochester), the County delivers us the NYS prisoner made hand sanitizer in 4 one gallon jugs....it does have a different silky feel from a Purell type, probably due to a higher alcohol content and lesser gel component (ie Aloe gel as an example), but it does sanitize....use a little skin lotion at night after work sanitizing and you'll be fine............

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