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  • welcome to another MedCram update so where are we currently well as it stands

  • the number of deaths is up from 132 to currently 170 and the number infected

  • globally to a current seven thousand seven hundred and eighty-three now these

  • numbers have to be taken with a grain of salt first of all I'm going to give you

  • a link where you can get a update any time of day on the number of cases and

  • it's updated by Johns Hopkins University and the link to that is in the

  • description below the other thing though is that there is a real shortage of the

  • tests and so that's gonna affect both the numerator here in terms of deaths

  • and also the denominator obviously when someone is very sick they're gonna be

  • wanting to make sure that they know whether or not this is the novel

  • coronavirus as it stands right now good news is a

  • lot of these countries outside of China have really been static in terms of the

  • number of cases USA is still at five Canada is still at three one thing that

  • shows the concern here in terms of spreading the disease is the case of the

  • ten-year-old that was essentially asymptomatic let's talk about that so

  • apparently this ten-year-old child with his parents also grandparents flew from

  • Shenzhen all the way up to Wuhan and this was around the end of December and

  • they were there of course for the new year and after about three to four days

  • they came down with symptoms at that time there was a little bit interest in

  • about you know twenty to thirty cases of pneumonia that had been undiagnosed in

  • the hospital but it wasn't certainly the international level of news as it is

  • today both the parents and the grandparents became ill and in further

  • review of this it seems as though the family went to actually go visit some

  • loved ones that were in the hospital at the time so the parents and the

  • grandparents became ill and they were tested and by about this point

  • of course if you add 3 to 4 days to December 29 they knew that they were

  • dealing with a viral outbreak and of course they tested positive for the

  • novel coronavirus and the grandparents were tested and of course they turned

  • out to be positive for the novel coronavirus well the parents insisted

  • that their 10 year old boy be tested even though he was asymptomatic and they

  • didn't want to test the boy because he wasn't showing any signs of illness but

  • they went ahead and tested him anyway and the 10 year old child tested guess

  • what positive for the novel coronavirus even though he was completely

  • asymptomatic didn't have fever cough shortness of breath when they did a cat

  • scan though and they looked they found that he actually had signs of pneumonia

  • so here's this thing where people can be asymptomatic have very mild disease but

  • be shedding the virus and of course this is concerning with the recent news of

  • this plane taking our diplomats from China back and landing at the March Air

  • Force Reserve Base and it is there that they are all under voluntary quarantine

  • for at least 3 days where they're being checked out and actually having nasal

  • swabs and things of that nature but the question really comes down to is how

  • good of a quarantine can we do and how good of a blockade or lockdown can we do

  • how well can we screen people coming in through the airports if people may not

  • have fevers may not have these sorts of symptoms and they're coming in with the

  • virus and they're shedding it and it's spreading interestingly a couple of

  • points that I want to show is it only took about 3 to 4 days to show symptoms

  • in the parents and the grandparents that's a pretty short incubation period

  • so this ten-year-old shows that it's possible and I think this is the basis

  • for the Health Minister in China saying that there may be some cases where this

  • can spread even though people may be asymptomatic it also highlights

  • something else as well what they're noticing is that the young may have a

  • milder course whereas the elderly have a more severe course it's kind of a

  • dichotomy I saw one article that brought this up and you've got this continuum

  • where as on one side you have Czar's which actually was a coronavirus

  • and the other side you have flu and what is the continuum here well with SARS

  • this was a very severe disease but you couldn't really spread it unless you

  • were symptomatic so SARS basically allowed authorities to isolate it and to

  • prevent its spread so severe however not going to spread in an asymptomatic

  • patient take the other extreme here which is the flu where generally

  • speaking you get the flu you take some over-the-counter medication not a big

  • deal

  • but you can spread the flu when you're asymptomatic it has more of a shedding

  • and so the question is is where exactly in this continuum is this new corona

  • virus going to be certainly it has some of the components on this end which is

  • where you can have it be asymptomatic but you can shed it where as we can see

  • very clearly that this thing does have a mortality rate especially in the old so

  • I think time is gonna tell on which side this corona virus is gonna come down on

  • again go to the Johns Hopkins website and you can get immediate updates and a

  • little map out and we'll show you where things are spreading well this is the

  • update thanks for joining us

welcome to another MedCram update so where are we currently well as it stands

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