COVID-19 in Ohio (Cincinnati, Hamilton, Warren: rental, credit rating, landlords)

[WRnative]

<<Nic Brown is lucky, and he knows it.

The 38-year-old father of three is recovering from the coronavirus after spending 10 days in Cleveland Clinic's intensive care unit. He was kept mostly sedated while hooked up to a ventilator to help him breathe....

"We have people on ventilators for 20 to 30 days," New York Gov. Andrew Cuomo said during a news conference this week.

It's a similar situation at the Tulane Medical Center in New Orleans, which has become another hot spot in the coronavirus outbreak. Doctors there say COVID-19 patients rarely get better within two or three days, instead remaining on mechanical oxygen for one to two weeks....

Critical care doctors know that the longer patients remain in the ICU, the more likely they are to suffer long-term physical, cognitive and emotional effects of being sedated.
In fact, those effects have a name: "post-intensive care syndrome." Some physicians call it post-ICU delirium.

"The longer somebody is in the ICU, the more they're at risk," Dr. Amy Bellinghausen, a pulmonary, critical care and sleep medicine fellow at the University of California, San Diego, said. She estimates that up to two-thirds of ventilated patients may be affected....

Rehab can take as long as six months, and very often, doctors say the best way to help patients avoid such post-ICU stress in the first place is through contact with loved ones. That's a problem for people with the coronavirus.>>

https://www.nbcnews.com/health/healt...s-may-n1166611

Such lengthy stays on ventilators explain why the COVID-19 epidemic so severely taxes limited ventilator capacity. When ventilators no longer are available, doctors are more likely to perform triage, with older, less healthy patients receiving the short stick, increasing the mortality rate.

Availability of fractional horsepower motors (FHMs) may be one of the key parts in ventilators that will limit the U.S. ability to ramp up production. Much of U.S. FHM manufacturing capacity has been exported to China.

https://www.cleveland.com/news/2020/...ave-lives.html

[WRnative]

The FDA has approved the use of Battelle Memorial Institute mask sterilization machines at their full capacity to allow the reuse of N95 face masks up to 20 times. Dire shortages of N95 face masks are imperiling the health of both healthcare workers and front line responders.



https://www.theverge.com/2020/3/29/2...ks-coronavirus


Each of the Columbus-based Battelle machines can sterilize 80,000 masks per day. Initially, two machines will be deployed in Ohio, with other machines shipped to COVID-19 hot spots throughout the nation. It isn't clear when the two Ohio machines will begin operation and where they will be located. The first completed machine already has been shipped to New York City, per Battelle.



Each machine uses " concentrated, vapor phase hydrogen peroxide (VPHP) and works by exposing used respirator masks to the validated concentration level for 2.5 hours to decontaminate biological contaminates, including SARS-CoV-2 [the COVID-19 virus]."


https://www.battelle.org/newsroom/pr...care-workforce


The operation of the Battelle sterilization machines will be subject to substantial regulatory oversight imposed by the FDA.


https://www.fda.gov/media/136529/download


It isn't clear how a sterilization system will be ramped up to collect used masks and then to return them to institutions, or to comply with the FDA reporting regulations.

[216facts]

If you haven't seen this:

https://www.youtube.com/watch?v=1L1XsoJD-YM

[bjimmy24]

Ohio is doing pretty well. We are I believe 30/50 in terms of cases per capita (and we are the 7th largest state by population). Our per capita stats are similar to thoroughly rural places like Wyoming and Montana.

[dxdtdemon]

According to the University of Washington's model, which updates the demand of various things daily, it says that Ohio's worst-case peak would be well withing the limit of hospital beds and ICU beds. What I don't know is if the number of ventilators is how many extra are needed, or if the people don't know the number of ventilators Ohio has, and is saying approximately how many Ohio will need at peak ventilator usage.

[WRnative]

Dr. Tomislav Mihaljevic, CEO, Clinic Clinic, said this morning on MSNBC that the CC began preparing for a COVID-19 epidemic in January, in response to events unfolding in China. In the interview, the implication perhaps is that the CC is relatively well equipped with supplies. It would be interesting to know how the CC influenced the relatively early adoption of social distancing policies by the DeWine administration compared to other states.

Cleveland Clinic prepares for surge in coronavirus patients

Mihaljevic most significantly said the CC doesn't expect an Ohio epidemic peak until mid-May to mid-June, with new cases gradually tailing off after the peak. Mihaljevic said that is the best case scenario. The peak, according to Mihaljevic, will be dependent on the effectiveness of social distancing policies. Presumably, effective social distancing policies will delay the peak and prevent health resources from being overwhelmed.

By stretching COVID-19 hospitalizations over a longer period, more resources will be available to treat COVID-19 patients and more personal protection equipment will be available to protect healthcare workers and first line responders from infection, keeping more essential personnel in the fight against the COVID-19 virus. "Flattening the curve" also provides more time to develop effective treatment regimes and to increase significantly testing resources, both to protect healthcare workers from patients and to identify infected individuals in order to impose quarantines and impose quarantines, greatly reducing transmission and eventually allowing the resumption of economic activity.

If Mihaljevic is correct, stay-at-home orders may last into July, with devastating economic consequences.

The CC and Case Western are converting the Samson Pavilion of their new medical school into a 1,000-bed spillover COVID-19 hospital for less severely ill patients. The building is across the street from the Clinic's substantial ICU wards, allowing for a more easy transfer of patients needing more advanced care.

https://www.news5cleveland.com/news/...covid-19-cases

If the CC did order extra supplies, they must have fallen short on N95 masks. Nurses reportedly are being required to use surgical masks rather than N95 masks in the presence of COVID-19 patients.

<<"But days later leadership announced we would no longer get N95 masks, just surgical masks. N95 masks would only be supplied while conducting aerosolizing procedures, which is only a tiny fraction of what caring for a COVID-19 involves. When a person infected with COVID-19 coughs, a terrifying amount of aerosolized viral particles are hurled into the air for bystanders to inhale and become infected. Health care personnel are inches from these patients’ faces providing them with around-the-clock care. A simple face mask will not protect health care personnel from inhaling viral particulate. Many will soon become infected and thereby spread the infection to otherwise healthy individuals."

When some nurses have complained, this person said, leadership has replied, "This is what you signed up for." >>

https://www.clevescene.com/scene-and...ot-lowering-it

[Coseau]

Governor DeWine locking down early played a big difference. People around here have been taking this pandemic serious in regards to social distancing for weeks. Nations such as Italy and States such as New York and Louisiana that recieve a lot of tourists were reluctant to impose lockdowns are now paying a heavy price for that reluctance.

[bjimmy24]

If this lasts to July however, I dont know how we can possibly recover.

[roodd279]

It's time to start accepting that "recovery" in that sense was never in the cards.

[woxyroxme]

The Solid Rock megachurch in Monroe is still cramming thousands of people in to their services every week even though the city of Monroe has tried to convince them to close. I hope the Warren County Health department will do something to force them to close because they lack the common sense to do it on their own. They are acting very irresponsibly at this point and if there was a god stupidity would be painful.