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Coronavirus Notes from Talk w/ Dr. Vincent Racaniello

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Mar 9th, 2020
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  1. respiratory illness
  2. 80% of the infections are mild - you may not know you're infected
  3. serious complications often have other health issues
  4. viruses can be detected 3 hours IN THE AIR - but it drops to the ground
  5. 24 hours on cardboard
  6. 2-3 days on plastic and stainless steel
  7.  
  8. How doomed are we? -> 3-4% (if you take all numbers - but)
  9. Korea has had thousands of cases and it's 0.4%
  10. Up till 50 years of age - very few people die - over 60/70 is bad
  11.  
  12. Dr. compares flu, 15,000,000 cases in US so far compared to c-virus
  13. Dr. does not suspect high degree of evolution due to virus being already easy to transmit
  14.  
  15. incubation period - some can transmit, some can't
  16. you gain immunity to the virus, it does not re-infect (except on mutation)
  17. coronavirus (and SARS, MERs) does not appear to mutate in a meaningful way to avoid immunity once someone is infected - ie if you're infected once you'll probably be immune a long time
  18.  
  19. there is no more lethal strain - zero base for this
  20.  
  21. vaccine might take two years - antivirals may be sooner
  22.  
  23. does coronavirus display any seasonality?
  24. - does it go away with the warm weather? we don't know
  25.  
  26. we essentially get all of our viruses from animals
  27. "it's not as bad as you think it is" - mainly older people, most younger people without prexisting conditions will be ok - the real issue is this will keep happening
  28.  
  29. "we've never seen a virus become more deadly as it passes through humans, it becomes more transmittable"
  30. doctor believes transmission drives evolution <- important
  31.  
  32. is this virus man-made? -> you can look at the genome sequence, you can compare it against all other SARS/coronavirus type viruses, the closest relative to COV2 circulated in bats in 2013 - it's 96% identical - the sequence also doesn't look engineered
  33.  
  34. this will happen again -> animals will infect people again,
  35.  
  36.  
  37.  
  38. HOW WE CAN PREPARE:
  39. - we can develop vaccines (we have ebola vacccine, avian flu, etc)
  40. - the military funded the ebola vaccine and that's the only reason we have it
  41. - we can make an anti-viral that deals with sars viruses relating to bats
  42.  
  43. WHAT WE AS INDIVIDUALS CAN DO:
  44. - don't touch your face with your hands unless you've washed them - have incredible hand hygiene
  45. - any public area is likely to be contaminated
  46. - don't use those bathroom blowers they're a huge meme and they attack you with clouds of viruses
  47. - masks work well with healthcare professionals, under CORRECT USAGE, masks can inhibit the spread of influenza - droplets get hung up in masks and that may reduce transmission - we cannot make any conclusions about mask efficacy ultimately
  48.  
  49. WHERE IS GOOD INFORMATION AVAILABLE
  50. - virology blogs (such as Dr. Vincents)
  51. - bioarchive (lots of papers in review) (not all papers are legitimate because it's recently submitted)
  52. - "I distrust all news, I don't think the news is a good source"
  53. - NPR is pretty good as they're not driven by profit
  54. - WHO / CDC websites are usually reliable, USA is pretty good
  55. -
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