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https://www.facebook.com/cityofokc/p...56992325802312
As a surgeon I have been wearing masks for 25 years and I would like to share a simple, inexpensive technique which I believe makes masks much more effective both for the person wearing them and those they are trying to protect by wearing a mask. A mask protects others by preventing horizontal spread of the droplets out of our mouths. However, look at the way the people around you are wearing their masks. Almost no one has adequate proximation of the mask with the skin of the nose. This allows air to move freely in a vertical fashion around our noses. Air will take the path of least resistance so it will not go through the mask but will enter vertically around the nose or at the bottom of the mask around the chin. To prevent this I like to go in front of a mirror and take transparent tape and apply it in a horizontal fashion across the top of the mask with half of the tape on the mask and half on my nose. This forces the air through the mask. Unfortunately, even in my clinic where my staff and I are essentially guaranteed to come into contact with Covid-19 patients, we cannot obtain supplies of N95 masks for our staff and patients which would filter out Covid-19. This makes it even more important to have an adequate seal around the masks that we do have in order to force the air through the mask. Sometimes I wear more than one mask at a time to increase the filtration.
I would also recommend an hospital grade air purifier for businesses. For our medical clinic, and in the operating room, we use the IQ Air Healthpro series. It is expensive (best one is about $850) but worth it IMO. Covid-19 is very small (one micron) but it must travel on a droplet which is about 3 microns. So if businesses like hair salons and gyms would simply buy an IQ Air machine (or equivalent) they could filter the supermajority of Covid-19 out of the air and probably protect their clients as much or more than masks particularly if the mask is not covering the nose etc...
The tape is a good tip. It also helps prevent glasses or face shields fogging up. It's really hard with a cloth mask to prevent fogging.
Because we are doing such a poor job of controlling the virus, the European Union is now considering closing its borders to Americans.
You can't blame them... We've now had 2.5 million cases -- more than double any other country -- and of course, our positives are rapidly ramping up.
The EU has done a very good job of flattening the curve and are trying to keep it that way. Nice to be treated like a 3rd world country because we have handled this whole thing so badly.
Looks like 3 more hospitalizations .
Oklahoma Citians - based upon the what you've seen out and about - what's your estimate for the % of folks wearing masks? My best guess is 10%. I ran a few errands and grabbed some to go food this weekend, the vast majority of people are not wearing masks.
I look around and try to find reasons to be optimistic, but I see:
-The first person I know personally - a very close friend of 15+ years was diagnosed positive yesterday. (Mid 30's)
-Every indicator in OK data that we are accelerating cases dramatically
-Complete lack of action/ignoring problem in state leadership
-Complete lack of action/ignoring problem by corporate executive leadership at local large (1,000+) employer
-Texas cities as a foreboding sign. Especially Houston. Texas Medical Center hospital system said publicly they will exceed their ICU capacity in 4 days (3 days as of writing this). Surge capacity gone in less than 2 weeks.
-Public attitudes about the pandemic have, somehow, managed to become polarized/political/divisive/conspiratorial
-The idea that "hot weather" will slow spread is obviously not the case
-It seems there is no plan at the federal level for how we get out of this
Thankfully, at least in the moment, it seems that deaths are still low. That's about the only optimistic metric I can find in this current situation. Sadly, this doesn't seem likely to hold.
So... am I missing something? Are there any reasons to remain optimistic at this point?
In The Oklahoman today the state health commissioner said he thinks that 4% of Oklahomans have or have had the virus. That would be about 160,000 people. We've only had 11,000+ diagnosed. That seems high, but even so it is something to take very seriously. Reported cases are increasing at the highest rate yet. Gov. Stitt needs to show some leadership and wear a mask in public and encourage all of to wear one too. He needs to affirm that wearing masks is not a political statement, but rather one of consideration for our fellow citizens.
Nope. I haven't been optimistic about this in OK, pretty much all my predictions for spikes caused by re-opening, Memorial Day, etc., have all come true, no reason to believe it won't continue that way unless a huge amount of citizens start getting their sh*t together and doing the right thing and I'm not optimistic about that happening in OK, at all, ever.
Leadership matters. Elections matter. Vote accordingly.
482
Definitely an interesting table. Even after accounting for CV deaths, Oklahoma had less total deaths than expected to occur from 2/1 to 6/20.
Table 2. Deaths involving coronavirus disease 2019 (COVID-19), pneumonia, and influenza reported to NCHS by jurisdiction of occurrence, United States. Week ending 2/1/2020 to 6/20/2020.*
Updated June 24, 2020
Jurisdiction of Occurrence All Deaths involving COVID-19 (U07.1)1 Deaths from All Causes Percent of Expected Deaths2 Deaths involving Pneumonia, with or without COVID-19, excluding Influenza deaths
(J12.0–J18.9)3Deaths involving COVID-19 and Pneumonia, excluding Influenza
(J12.0–J18.9 and U07.1)3All Deaths involving Influenza, with or without COVID-19 or Pneumonia
(J09–J11)4Deaths involving Pneumonia, Influenza, or COVID-19
(U07.1 or J09–J18.9)5New York City 19,008 46,777 213 9,771 7,360 945 21,547 New Jersey 12,678 45,122 147 8,545 6,226 117 15,100 New York7 10,274 52,072 128 8,545 5,028 206 13,980 Massachusetts 7,106 31,112 127 4,461 2,572 161 9,148 District of Columbia 514 2,943 119 671 510 - 683 Maryland 3,052 23,843 117 2,588 1,147 125 4,602 Illinois 5,642 50,031 116 5,795 2,863 176 8,747 Michigan 5,078 44,322 112 4,909 2,522 237 7,698 Colorado 1,457 17,704 110 1,685 751 95 2,481 Arizona 1,125 26,690 108 2,123 586 112 2,774 Louisiana 2,509 19,892 107 1,981 1,163 71 3,393 Minnesota 1,239 19,006 106 1,483 359 121 2,483 Mississippi 825 13,655 106 1,362 388 51 1,850 New Hampshire 311 5,302 106 385 92 30 633 Rhode Island 760 4,525 106 496 295 25 986 United States6 107,997 1,215,516 105 117,814 46,726 6,444 184,593 Virginia 1,638 29,292 105 1,838 552 111 3,033 South Carolina 550 20,619 103 1,309 216 98 1,740 Vermont 53 2,421 103 143 12 16 200 Wisconsin 674 22,040 103 1,181 113 150 1,890 California 4,709 112,712 102 10,377 2,630 575 13,030 Florida 2,761 87,835 102 6,745 1,413 306 8,391 Utah 143 7,866 102 434 52 40 565 Georgia 1,921 34,308 100 2,613 868 109 3,774 Indiana 2,228 27,541 100 2,754 932 130 4,176 Maine 106 5,924 100 435 25 31 547 Nevada 430 10,596 100 962 317 39 1,114 Texas 1,951 81,958 100 6,239 859 339 7,667 Wyoming 16 1,818 100 116 - - 135 Idaho 87 5,754 99 277 25 25 364 Iowa 628 12,180 99 894 175 84 1,431 Alabama 833 21,123 98 1,425 243 94 2,106 Arkansas 180 12,767 98 866 68 75 1,053 Delaware 441 3,649 98 325 165 16 617 Pennsylvania 6,437 54,354 98 4,976 2,375 190 9,225 Washington 1,070 22,848 98 1,846 569 110 2,452 Kansas 228 10,459 97 703 97 89 923 Missouri 803 25,256 96 1,616 274 175 2,320 Tennessee 409 29,548 96 2,167 172 126 2,530 New Mexico 361 7,254 95 559 148 29 801 Oregon 189 14,159 95 716 71 64 897 Hawaii 16 4,471 94 287 - 20 317 Nebraska 194 6,514 94 503 67 28 658 Ohio 2,103 47,318 93 3,200 887 253 4,668 Puerto Rico 136 10,461 93 1,374 72 61 1,498 Kentucky 485 18,158 92 1,684 245 96 2,019 Montana 17 3,981 92 208 - 34 256 Oklahoma 350 14,929 92 1,337 133 106 1,655 South Dakota 78 3,008 90 245 33 26 316 Alaska - 1,533 89 70 - - 81 Connecticut 3,452 10,768 83 1,253 791 66 3,978 North Dakota 65 2,286 79 200 22 19 262 West Virginia 91 7,157 77 532 29 58 652 North Carolina 713 28,116 72 1,979 267 222 2,645
New today:
482 cases
31 hospitalizations
1 death
I am genuinely worried about Oklahoma and the other states like Texas and Florida that are seeing these spikes.
This is the middle of the time of year where everyone is outside and of course most are still being pretty cautious.
If this momentum continues into the fall and winter, we could be headed for a full-on catastrophe.
I am watching the numbers daily for Edmond and Okc, Definitely going up Today 99active cases in Edmond. 6-13 39 active. Almost triple in 11 days.
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