Friday April 3rd 2020
Diesel price a mile from home was £1.12
School cancelled - yes cancelled
Self-distancing measures on the rise.
Tape on the floors at grocery stores and others to help distance shoppers (6ft) from each other.
Limited number of people inside stores, therefore, lineups outside the store doors.
Non-essential stores and businesses mandated closed.
Parks, trails, entire cities locked up.
Entire sports seasons cancelled.
Concerts, tours, festivals, entertainment events - cancelled.
Weddings, family celebrations, holiday gatherings - cancelled.
No masses, churches are closed. Graveyards are shut.
No gatherings of 2 or more (except with people from within your household).
Don't socialise with anyone outside of your home.
Children's outdoor play parks are closed.
We are to distance from each other.
Shortage of masks, gowns, gloves for our front-line workers.
Shortage of ventilators for the critically ill.
Panic buying sets in and we have no toilet paper, no disinfecting supplies, no paper towel no laundry soap, no hand sanitiser.
Shelves are bare.
Manufacturers, distilleries and other businesses switch their lines to help make visors, masks, hand sanitiser and PPE.
All non-essential travel banned.
Fines are established for breaking the rules. Police patrolling the streets.
Arenas open up for the overflow of Covid-19 patients.
Press conferences daily from the government.
The (Conservative) government throws money at businesses to try to keep the economy from imploding. Grants and loans. The government to pay 80% of employees wages where businesses cannot continue to do so.
Daily updates on new cases and deaths.
The dead are denied wakes or funerals and barely anyone is allowed at the graveside.
Barely anyone on the roads.
People wearing masks and gloves outside.
Essential service workers are terrified to go to work.
Medical field workers are afraid to go home to their families.
This is the Novel Coronavirus (Covid-19) Pandemic, declared March 11th, 2020.
Why, you ask, do I write this status?
One day it will show up in my memory feed, and it will be a yearly reminder that life is precious and not to take the things we dearly love for granted.
We have so much!
Be thankful. Be grateful.
Be kind to each other - love one another - support everyone.
We are all one! ❤️
This explains why some people experience worst symptoms than others.
Rather long but serious, sensible advice from an ITU Consultant
In the coming days we are going to read a lot about VIRAL LOAD. There are three doctors in ITU in London ill currently. They have received a massive Viral load.
Why do we need to shut places where people group?
Remember this: VIRAL LOAD
There will be a lot about this. Why is it important?
With this virus, the amount of virus in your blood at first infection directly relates to the severity of the illness you will suffer. This isn’t unusual - HIV management is all about reducing viral load to keep people alive longer. BUT it’s very important in COVID-19.
So if you are in, say, a pub or religious building or entertainment venue with 200 people and a large number don’t have symptoms but are shedding, you are breathing in lots of droplets per minute and absorbing a high load of the virus. In a crowded space. They become ill over the next 48 hours. You then three days later wonder why you can’t breathe and end up in hospital. You’d decided because you were young and healthy it wasn’t going to be a problem. Wrong.
Fortunately but unfortunately because the elderly are isolating quite well, the initial UK data suggests that all age groups above 20 are almost equally represented in ITUs in England. Most of the cases are in London but the wave is moving outwards.
This means that being under 60 and fit and well doesn’t seem to be as protective as we thought. Why? Viral load.
This may be skewed simply by the fact that too many Londoners didn’t do as asked and congregated in large groups in confined spaces and got a large initial viral load. They then went home and infected their wider families. Which is why, as London is overwhelmed, we need to shut everything down to save the rest of the UK. We are a week at most behind London.
Our sympathies go out to the families affected in London and the critical care teams battling right now to save as many as they can.
If I sit with one person and catch this virus, I get a small viral load. My immune system will start to fight it and by the time the virus starts replicating, I’m ready to kill it.
No medicines will help this process meaningfully hence there is no “cure” for this virus. All we can do is support you with a ventilator and hope your immune system can catch up fast enough.
If I sit in the same room with six people, all shedding I get six times the initial dose. The rise in viral load is faster than my immune system can cope with and it is overrun. I then become critically ill and need me (or someone of my speciality) to fix it instead of just being at home and being ok in the end.
THIS BIT IS IMPORTANT:
If you are a large family group, remember that by being ill and in the same room, you will make each other ill or “more ill”. If you get sick, isolate just yourself to one room and stay there. Don’t all sit in one room coughing. You will increase the viral load for all of you, reducing your survival rate.
A family of six people may produce double the droplets of a family of three in the same space. Maths is important.
If one of you is symptomatic, assume you are all shedding and make sure you keep some space.
Parents are getting it from their kids because no one is going to stop comforting their child (nor should they) so the parent gets a big hit as well as the child. I don’t think that can be helped.
REMEMBER: THINK ABOUT VIRAL LOAD
It could save your life or your child’s.
The whole country - it’s up to you now. We are preparing for the worst but we are hoping for the best from you. Please help us to help you. Stay home and take this seriously now before we need the Army on the streets to remind you. Yes I’m serious.