Update on Covid-19: The Next Stage of the Pandemic, Virology & Diagnostics
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- Опубликовано: 3 июл 2024
- In this UCSF Medical Grand Rounds presentation (April 23, 2020), UCSF experts provide an update on the epidemiology, virology, and diagnostic testing for COVID-19. In addition, four UCSF Health leaders discuss the economic implications of COVID-19 and the challenges going forward for UCSF and for health systems around the country. The session is hosted by UCSF Department of Medicine chair Bob Wachter.
Program
Bob Wachter: Introduction
00:03:45 - George Rutherford, Professor, Dept. of Epidemiology & Biostatistics; Director of the Prevention and Public Health Group - Updates in Epidemiology and the Next Stage
00:19:00 - Q&A
00:33:10 - Charles Chiu, Professor, Dept. of Laboratory Medicine and Dept. of Medicine, Division of Infectious Diseases - Covid-19, Genomics and CRISPR-based Testing
00:55:41 - Q&A
01:01:00 - Panel Discussion on UCSF recovery plan and financial implications of the Covid-19 response
• Josh Adler, Chief Clinical Officer and Executive VP for Physician Services, UCSF Health
• Mark Laret, President and Chief Executive Officer, UCSF Health
• John Roberts, Professor, Dept. of Surgery, Division of Transplant Surgery
• Susan Smith, Chief Faculty Practices Officer and Senior Vice President, UCSF Health
01:29:01 - Bob Wachter: Closing
See previous Covid-19 Medical Grand Rounds:
• April 16: Update on Covid-19: Epidemiology, Treatments, and Health Disparities
• UCSF Update on Covid-1...
• April 9: Update on Covid-19, at UCSF and Around the Country
• Update on Covid-19, fo...
• April 2: Epidemiology, Science, Clinical Aspects, and Therapy for Covid-19, Part 2
• The Epidemiology, Scie...
• March 26: Impact on Covid-19 on Medical Education
• UCSF Educational Leade...
• March 26: UCSF Researchers Tackling Covid-19
• COVID-19 Campus-wide R...
• March 19: Epidemiology, Science, Clinical Aspects, and Therapy for Covid-19, Part 1
• UCSF Experts on the Ep...
What worries me most are the areas of the country where individuals and political leaders still don't comprehend the full seriousness of this pandemic and the potential for it to get even worse. These are the kind of mistakes that were made in the 1918-19 Pandemic, which looks to be repeated now with the same grave consequences. I hope I'm worng, but I fear not. Thank you all for the incredible work you do and for sharing it with the public.
The worried well started worrying about Covid and forgot about their aches and pains and stayed out of the doctors offices.This was an immensely interesting meeting.Thank you
Not sure if anyone cares but if you are stoned like me during the covid times then you can stream all of the new movies on InstaFlixxer. Have been streaming with my brother during the lockdown :)
@Gary Ira definitely, been using Instaflixxer for years myself =)
Thank you for sharing this information to the masses.
Thank you for sharing all this information. It was a great learning experience.
Thank you thank you thank you!
Very interesting, very informative, very professional. Thanks
This video was much better than the prior videos in this series. It was more focused on science & less focused on perceived inequalities. I practice medicine in NYC so perhaps I'm not your target viewer & can't speak for everyone, but I very much prefer this type of info from UCSF than seeing academics gleefully pointing out flaws with our healthcare systems
Inequalities have a substantial bearing on health. That is science as well.
I think your ideology is showing too much.
You might prefer the UCSF Epidemiology Grand Rounds, which is more focussed than these COVID19 Update Grand Rounds are.
TIMESTAMPS:
Bob Wachter: Introduction
00:03:45 - George Rutherford, Professor, Dept. of Epidemiology & Biostatistics; Director of the Prevention and Public Health Group - Updates in Epidemiology and the Next Stage
00:19:00 - Q&A
00:33:10 - Charles Chiu, Professor, Dept. of Laboratory Medicine and Dept. of Medicine, Division of Infectious Diseases - Covid-19, Genomics and CRISPR-based Testing
00:55:41 - Q&A
01:01:00 - Panel Discussion on UCSF recovery plan and financial implications of the Covid-19 response
• Josh Adler, Chief Clinical Officer and Executive VP for Physician Services, UCSF Health
• Mark Laret, President and Chief Executive Officer, UCSF Health
• John Roberts, Professor, Dept. of Surgery, Division of Transplant Surgery
• Susan Smith, Chief Faculty Practices Officer and Senior Vice President, UCSF Health
01:29:01 - Bob Wachter: Closing
you will also graciously accept employee suggestions,everything will be monitored closely if someone is forced into a situation and has safety concerns work stops until any potential hazard is removed
Thanks -George deserves his own spin-off!
Could the Solano County cases come from the returnee flights to the local Air Force base?
At 1:02, Mark Laret really explained the big picture of balancing lock down consequences vs Covid-19 consequences. Nice.
@11:02. Phone rings. Like an old fashion phone that plugged into the wall “sorry...I am sure it’s my mother in law...” LOL
Not to bash on WHO Live updates but I learned way more today with this one than the WOrld Organization's. The insights here are INDEED insightful...
healthcare tied to profit is sick
We should be protesting the politicians and government on this, but most have been successfully indoctrinated to be distracted by tribal politics and misinformation/conspiracies on social media. We're our own worst enemy as a society. Most aren't even capable of thinking critically about individual issues that affect us all, everyday. Otherwise we wouldn't keep voting against our own interests like we do
Dale Fahey .....totally!!!!
blame the politics/government for this, not the healthcare system. the latter is largely managed by the former so yeah...
@@darkdaysneverend They are all complicit.
Wondering if supplementing with SOD or catalase is worth the $$$
a complete resolution without the people of this country will not occur,not only will you cooperate with us you will thank your lucky stars you did. We have been doing this for generations are skills have been handed down for hundreds of years and the likes of you has never had any affect on our freedom ,it will prevail and you will comply with the best safety and science this country has to offer.The days of you risking our lives to achieve your ill conceived goals are over.Hundreds of millions of people are watching your every move,from this point forth you will make safe sensible moves only that is all no discussions no questions we have no alternative and neither do you
FREEDOM IS NON NEGOTIABLE
I'd appreciate for Dr. Charles Chiu to return & given time to speak uninterrupted. I disagree with some of his premises (I don't think that mass ab testing, contact tracing + isolation will be particularly helpful, bc I believe our current serological testing here in NYC may be seeing cross reactivity with other CoVs as well as lack of antibodies in survivors so we're getting both false positives & false negatives). But I'm very interested in his info on different strains in NY/ Euro vs CA/ Asia. At the university hospital system where I practice, we have HCPs visiting from the West Coast & they say the illness they're treating here is dramatically different from what they saw back home. Of course that's anecdotal & could be due to our volume, but they ALL say it. Docs in NY are skeptical that CA could have 40k cases of what we have without having more folks on ventilators.
Thats interesting because testing, treating, and tracing works in South Korea, Austria, Norway, Czechia, Germany, New Zeeland and Australia. Coincidently these countries have almost eradicated the virus from their countries.
The smoking rate in NY is between 1.5x and 2x the rate in California. Could that account for part of the difference?
@@denisdaly1708 No they haven't.
We didn't have the early surge that NYC healthcare providers experienced (perhaps due to an early shelter in place). I think its hard to have good outcomes when you have too many patients at one time and not enough equipment and staff. We also do not have the same scale of people (often with other chronic health concerns) living in small spaces with many individuals who are not able to isolate if sick. Overall, CA is less dense than NY and places that are high density are usually smaller in size (like SF).
It could be related to demographics, age distribution differences.
Reminder: there are many different types of epidemics, which simply means a greater occurrence of disease than what is typically seen. Therefore different types of epidemics are ended by various means both natural and through public health measures.
the only line you will walk is under the lines of the legal system
At about minute 25, the question of the consequences of some counties opening early, George Rutherford predicts a second wave. In about 5 weeks, May 20, it will be very interesting if the opposite turns out to be the case, if he will admit he was wrong.
@ecwaufisxtreme Hmm... could you cite your sources? I am using the following that shows general lockdowns (per the CDC), are effective in slowing the critical care cases so as to not overwhelm the hospitals. We are past that point.
1. Professor Knut Wittkowski
ruclips.net/video/lGC5sGdz4kg/видео.html
Twenty years head of The Rockefeller University's Department of Biostatistics, Epidemiology, and Research Design, says that social distancing and lockdown is the absolutely worst way to deal with an airborne respiratory virus.
Further, he offers data to show that China and South Korea had already reached their peak number of cases when they instituted their containment measures. In other words, nature had already achieved, or nearly achieved, herd immunity.
2. Wilfred Reilly, professor at Kentucky State University
www.washingtonexaminer.com/news/professor-no-empirical-evidence-shows-government-lockdowns-stymied-coronavirus
No empirical evidence' shows government lockdowns stymied coronavirus
3. Scott W. Atlas, MD, is the David and Joan Traitel Senior Fellow at Stanford University’s Hoover Institution and the former chief of neuroradiology at Stanford University Medical Center
thehill.com/opinion/healthcare/494034-the-data-are-in-stop-the-panic-and-end-the-total-isolation
The data is in - stop the panic and end the total isolation
.
4. Dr. David L. Katz
ruclips.net/video/VK0Wtjh3HVA/видео.html
Social upheaval can kill people vs targeted quarantine
.
5. Yesterday, April 27, JAMA article "Prevalence of SARS-CoV-2 Infection in Residents of a Large Homeless Shelter in Boston" showed 87% of those infected were asymptomatic.
It is looking as though the Case Fatality Rate for Covid-19 is on par with a bad flu season. I look forward to finding out what you know that I don't.
Thank you.
This virus doesn’t mutate rapidly at all.
The problem with asking epidemiologist’s for an answer is you get an epidemiologist answer. The central question is political. Clausewitz said, “ War is nothing but the continuation of politics with the admixture of other means. “ The ugly truth, as war is too important to be left to generals, the epidemic is too important to leave to epidemiologists. Again, it is a political question.
we make progress on covid ,allowing it access to more people is not in the future,is that clear enough ?
Very helpful.. except the comments on kids and education - just unrealistic with kids. embrace and brace for it. And really thought the fire-round was very good.
Follow Sweden strategy and Get a mango caterpillar ice cone this summer.
where is John Ionidis from Stanfrod? This corcel is without him propaganda band-
we can get a tattoo but we do not have access to an approved mask ,but hey maybe more people can be thrown into a meatpacking plant and see what happens ?
Every senseless tweet ,every foolish comment in front of million means what ?
Why are you using Santa Clara test results since they knew each other from Facebook so it was hardly random, and we have much more recent data you could have more accurately used! Ridiculous waste of time guys!
The quickest road literally terrify because female precisely seal below a lively oatmeal. cut, innocent fruit
^^^ clownshow ^^^
I don't understand this but I only watched the end of the first presenter as I had fallen asleep when watching another COVID-19 video. The facts presented are not broken down enough for me to deem them as trustworthy. Because they make ZERO sense. Let me ask some questions and state why this makes ZERO SENSE to me. But I was tired so maybe you can clear this up. First he says the amount of infections is about 1% that the number of cases reported are actually close to the REAL NUMBER. This makes NO SENSE to me as if they by testing everyone who is SICK is the actual people sick and ZERO hidden cases are out there. Where as other studies say we are 20 to 80 times under-reporting the actual cases bringing the death rate down to 4/1000 or maybe double that if we don't treat anyone. This guy says things like we tested 5000 people and can say that only 1% more are infected. Uses some formula from the 1800's and says that verfied it. And then later says the testing is ONLY ACCURATE for 3 days while people are shedding Antibodies and we need to take the test every three days. If we can't tell they have antibodies after three days. HOW CAN A THREE day snapshot of the outbreak tell us HOW MANY WERE ACTUALLY INFECTED and didn't need care and would reduce the INFECTION to DEATH ratio? He describes it like it won't go away anytime soon because only 1% have had it, yet the summer magically stops it. And yet it will rebound and we will see it hit herd immunity until it's over. So the death rate is HUGE per infected person like 3% or 5% or 10% by their numbers which means a huge amount of deaths and FEAR. Yet other studies and even the aircraft carrier had 2/1000 death rates or 4/1000 death rates. It's the DEATH RATE against the ACTUAL INFECTION. As this is so conflicting I have to wonder out loud is this a PLOT of LIES. What the heck are you saying. In either CASE we totally wreck the economy throw all corporations, states, oil countries, fractional lending, taxes, safety nets and everything under the buss and sacrifice 99 percent of us in the free world including all SAFETY NETS. and we die at high rates with the liberal plan due to fear of imaginary deaths. But in the conservative plan it spreads far greater. 250 times the death rate reported is the ACTUAL INFECTION RATE as far as I can tell meaning 750,000 in michigan were actaully infected when they only found 750,000 for the entire country. And that high infection rate means herd immunity won't stop it. Michigan governor says if you don't wear a mask you can infect 40 people. Super-spreaders who don't wear masks. And yet Stay at home has magically stopped this and the economy. We get death from the virus and the economy with the UCSF plan and just death of the economy with the Trump right wing we gave in to false fear plan. In both cases the 99% dies and only China remains. We will lose Russia and Saudi arabia as well as oil prices will destroy their countries. So the demand destruction of ALL will be complete. Great plan. Save 1% or even 5% and KILL the rest of us. Truly Pro Choice, we ALL fall on our swords to die. Because we MUST? How does that work. It's madness and BLINDNESS. But perhaps it's what they really wanted, whomever THEY are. And right and left wing extremists will all spin this and hate the other side as we all slide down into the abyss. You medical people have NO CONCEPT of ECONOMICS at all. You'll kill us ALL to save a few. And then the few die as well.
This was dull and unhelpful.