{"post_list":"<div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:32<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/09\/01\/avatar10687844_1.gif\" alt=\"yuhu2000\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10687844\">\n\t\t\tyuhu2000\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSemangat para petugas medis yang bekerja. Semoga badai segera berlalu\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:34<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/12\/06\/avatar7435893_3.gif\" alt=\"mr.rio04\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/7435893\">\n\t\t\tmr.rio04\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tOrang yg suka coli ga akan kena virus corona karena selalu menggunakan sabun.:betty:ngakak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:36<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2007\/11\/08\/avatar356786_1.gif\" alt=\"solehikhsanudin\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/356786\">\n\t\t\tsolehikhsanudin\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga 2 pekan ini mereda, jadi jakarta gak perlu di-lock down gan (y)\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:38<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2012\/05\/30\/avatar4399781_8.gif\" alt=\"silencesunday\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/4399781\">\n\t\t\tsilencesunday\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\thttps:\/\/s.kaskus.id\/images\/2020\/03\/16\/4399781_202003161137250003.png Ada yg share ini bentuk fisik nya Corona Virus jika dilihat melalui mikroskop elektron. Hoax apa real ya???\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:40<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2018\/03\/24\/avatar10158199_2.gif\" alt=\"cuangcoetz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10158199\">\n\t\t\tcuangcoetz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tmungkin itu pasien yg punya riwayat gangguan atau penyakit pada paru-paru, jika ga punya riwayat trsbt setelah pulih dari covid19 jamin normal kembali asalkan diawali hidup dgn pola yg baik dan masih dlm pengarahan dokter si pasien ketika pra-recovery\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:44<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2011\/12\/26\/avatar3826569_44.gif\" alt=\"Smokerr\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/3826569\">\n\t\t\tSmokerr\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tDpt dari mana tuh gan?\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:45<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2011\/02\/11\/avatar2580879_39.gif\" alt=\"caplinys\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/2580879\">\n\t\t\tcaplinys\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tinfodemic lebis serem dri pada pirus'a ... :takuts\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:56<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/11\/07\/default.png\" alt=\"bunbun123456\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9987120\">\n\t\t\tbunbun123456\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tcina kena corona smua negara tutup orang dari cina sekrg malah negara cina udah sembuh tutup orang dari luar takut ketularan lagi\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 11:56<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2010\/11\/07\/default.png\" alt=\"bolawz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/2241218\">\n\t\t\tbolawz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tAne gak pake sabun Maju mundur bugil enak ah ah enak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:10<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2020\/02\/20\/avatar10809599_1.gif\" alt=\"inef44\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10809599\">\n\t\t\tinef44\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tnice inpo\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:38<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2020\/01\/17\/avatar10787586_3.gif\" alt=\"inovator.4id\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10787586\">\n\t\t\tinovator.4id\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tuda sih, muak bgt sama berita corona:dp\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:40<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2020\/02\/26\/avatar10813523_2.gif\" alt=\"IWTFU69\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10813523\">\n\t\t\tIWTFU69\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tlarang orang cina masuk Indonesia selamanya. trus cina yang ada disini bikinin KTP aja gpp, bisa nembak nanti sodaranya yang talangin.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:45<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/default.png\" alt=\"mikeoxsmaull\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10771375\">\n\t\t\tmikeoxsmaull\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tini ane pengennya rekap dikirim ke semua orang oleh pemerintah, misal by text, terutama di tempat2 yang sudah KLB atau banyak yg positif. pasti bisa pemerintah mah\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:50<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/01\/08\/default.png\" alt=\"fishmanish\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6301795\">\n\t\t\tfishmanish\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tngakak ga bisa bedain siaga darurat, tanggap darurat ama lockdown :ngakak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:53<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/30\/avatar10685935_1.gif\" alt=\"lupis.manis\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10685935\">\n\t\t\tlupis.manis\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tNgakak, ga tahu kalau di Indonesia ga ada istilah lockdown. :ngakak Penjelasannya ada di UU No. 6 Tahun 2018 tentang Kekarantinaan Kesehatan.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 12:57<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2018\/12\/20\/avatar10451942_1.gif\" alt=\"dankaskus2018\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10451942\">\n\t\t\tdankaskus2018\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tnubi ikut memantau perkembangan gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:04<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/10\/avatar9586327_6.gif\" alt=\"seringboering\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9586327\">\n\t\t\tseringboering\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\thttps:\/\/s.kaskus.id\/images\/2020\/03\/16\/9586327_202003160103370658.png\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:06<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/01\/08\/default.png\" alt=\"fishmanish\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6301795\">\n\t\t\tfishmanish\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tlha emang ga ada istilah lockdown, org itu bahasa inggris :bingung :wkwkwk itu ente tau padanan nya,, brti ngerti apa yg dimaksud,,,\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:12<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2020\/02\/17\/avatar10807790_6.gif\" alt=\"kazuya.63\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10807790\">\n\t\t\tkazuya.63\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tAnjing.. disaat negara lain warganya saling menyemangati, disini warganya terpecah belah karena politik\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:13<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2012\/12\/06\/avatar4973514_15.gif\" alt=\"anjaz17\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/4973514\">\n\t\t\tanjaz17\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tHoax gan https:\/\/s.kaskus.id\/images\/2020\/03\/16\/4973514_202003160113410791.png https:\/\/m.liputan6.com\/cek-fakta\/read\/4200738\/cek-fakta-beredar-foto-penampakan-virus-corona-benarkah\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:21<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/01\/08\/default.png\" alt=\"fishmanish\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6301795\">\n\t\t\tfishmanish\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tente emang sama sekali ga pernah cari bentuk corona virus itu seperti apa gt? :bingung virus kaga punya mata segala,, https:\/\/dl.kaskus.id\/dfcby4322olzt.cloudfront.net\/wp-content\/uploads\/2020\/03\/1800x1200_coronavirus_1.jpg\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:22<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2008\/03\/27\/avatar429032_7.gif\" alt=\"rvbby\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/429032\">\n\t\t\trvbby\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tse.oga safeeeeee\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:27<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/30\/avatar10685935_1.gif\" alt=\"lupis.manis\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10685935\">\n\t\t\tlupis.manis\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tBeda, kadrun. Sotoy tapi kelihatan begonya lu. :ngakak https:\/\/m.liputan6.com\/hot\/read\/4202322\/arti-lockdown-isolasi-dan-karantina-kenali-bedanya-saat-virus-corona-merebak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:35<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2005\/04\/22\/avatar77874_16.gif\" alt=\"budhie\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/77874\">\n\t\t\tbudhie\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tmantaw dulu ah thread ini min \ud83d\ude4f\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:38<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/01\/08\/default.png\" alt=\"fishmanish\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6301795\">\n\t\t\tfishmanish\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tmaap ni ye, lo jg sotoy ngatain kadrun,, ga semua org yg beda pendapat ama lo itu kadrun ato cebong :ngakak lu juga bego brti :cool gw ga ada urusan nya ama kadrun ato cebong intinya disini, ada pembagian wewenang masing2, mau itu lockdown, karantina, isolasi.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 13:42<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/30\/avatar10685935_1.gif\" alt=\"lupis.manis\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10685935\">\n\t\t\tlupis.manis\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tLoh.. nyerah nih? Tadi katanya ngotot lockdown hanya istilah. Sekarang ngeles pembagian wewenang. Akwokwokwok!! :wakaka :ngakak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 14:08<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2016\/10\/08\/avatar9218077_1.gif\" alt=\"fa.uz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9218077\">\n\t\t\tfa.uz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tmoga kakak dan temen2 ane yang gawe di bekasi aman sentosa. paling khawatir kakak ane, lagi pengobatan TBC, baru jalan 2 minggu minum obatnya..\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 14:19<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2011\/01\/12\/avatar2465561_7.gif\" alt=\"itik.buruk.rupa\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/2465561\">\n\t\t\titik.buruk.rupa\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga cepat reda\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 14:19<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2009\/10\/04\/avatar1123930_6.gif\" alt=\"abk3304157\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/1123930\">\n\t\t\tabk3304157\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tkudu update terus.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 14:33<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/03\/26\/avatar6603792_66.gif\" alt=\"kenditz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6603792\">\n\t\t\tkenditz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tstiki dunk :angel\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 14:53<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/30\/avatar10685935_1.gif\" alt=\"lupis.manis\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10685935\">\n\t\t\tlupis.manis\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tKayak hatimu dan hatiku ya? :malu:\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:07<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/09\/avatar10669420_1.gif\" alt=\"lemahtanahlemah\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10669420\">\n\t\t\tlemahtanahlemah\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsangat mengkhawatirkan, tapi kita tetep optimis bisa kalahkan virus ini semoga cepat hilang :takut:mewek\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:08<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/09\/avatar10669420_1.gif\" alt=\"lemahtanahlemah\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10669420\">\n\t\t\tlemahtanahlemah\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\ttetap jaga jarak dengan orang, jangan keluar rumah kalo gak terpaksa, harus bener2 jaga kesehatan :mewek\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:17<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\titaly jenazah? 1239219978051739648 panik 1239420485428867075 hati hati yg ke jepang 1239393630567239680\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:27<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tAnnouncing CHIME, A tool for COVID-19 capacity planning As we prepare for the additional demands that the COVID-19 outbreak will place on our hospital system, our operational leaders need up-to-date projections of what additional resources will be required. Informed estimates of how many patients will need hospitalization, ICU beds, and mechanical ventilation over the coming days and weeks will be crucial inputs to readiness responses and mitigation strategies. To this end, the Predictive Healthcare team at Penn Medicine has developed a tool that leverages SIR modeling to assist hospitals with capacity planning around COVID-19. Introducing CHIME: The COVID-19 Hospital Impact Model for Epidemics. CHIME allows hospitals to enter information about their population and modify assumptions around the spread and behavior of COVID-19. It then runs a standard SIR model to project the number of new hospital admissions each day, along with the daily hospital census. These projections can then be used to create best- and worst-case scenarios to assist with capacity planning. We\u2019re announcing today that we\u2019re open-sourcing CHIME and making it available to the healthcare community. While the default parameters are customized and continually updated to reflect the situation at Penn Medicine, CHIME can be adapted for use by any hospital system by modifying parameters to reflect local contexts. The most impactful parameter in a SIR model is the Doubling Time. This parameter defines how rapidly a disease spreads. Experiences in other geographical contexts suggest that doubling time may range from 3 to 13 days or more, with notable examples: Wuhan, China: 6 days South Korea: 13 days (As of March 14, 2020) Italy: 5 days (As of March 14, 2020) This value is particularly important because of the exponential nature of the spread of infectious diseases such as COVID-19. This is also why public health officials recommend measures like social distancing and hand washing: the more we can slow down the spread of COVID-19, the lower the peak demand on our healthcare system. Try out our live version of CHIME and see what happens when you modify the Doubling Time parameter. You can also experiment with scenarios involving different levels of incidence severity and average lengths of stay for each severity class. We\u2019ve put effort into determining good estimates for all model parameters and have set default values accordingly. Some of the default values are based on the current situation in our home region of Philadelphia. If you\u2019re working somewhere outside of the Philadelphia region you can simply modify the following parameters to suit your patient population: Currently Known Regional Infections Currently Hospitalized COVID-19 Patients Hospital Market Share (%) As local spread progresses, revised estimates can be made for some of the values in CHIME. We will try our best to keep things up to date with the latest research, but if you find an issue with any of the values we are using we\u2019d appreciate your feedback and contributions. We also set up a Slack channel if you\u2019d like to chat with us. \u2013 Penn Predictive Healthcare Team http:\/\/predictivehealthcare.pennmedicine.org\/2020\/03\/14\/accouncing-chime.html \"https:\/\/pennchime.herokuapp.com\/\"\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:44<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tChina Identifies New Virus Causing Pneumonialike Illness The new coronavirus doesn\u2019t appear to be readily spread by humans, but researchers caution that more study is needed. Published Jan. 8, 2020 Updated Jan. 21, 2020 HONG KONG \u2014 Chinese researchers say they have identified a new virus behind an illness that has infected dozens of people across Asia, setting off fears in a region that was struck by a deadly epidemic 17 years ago. There is no evidence that the new virus is readily spread by humans, which would make it particularly dangerous, and it has not been tied to any deaths. But health officials in China and elsewhere are watching it carefully to ensure that the outbreak does not develop into something more severe. Researchers in China have \u201cinitially identified\u201d the new virus, a coronavirus, as the pathogen behind a mysterious, pneumonialike illness that has sickened 59 people in the city of Wuhan and caused a panic in the central Chinese region, the state broadcaster, China Central Television, said on Thursday. They detected this virus in 15 of the people who fell ill, the report said. The new coronavirus \u201cis different from previous human coronaviruses that were previously discovered, and more scientific research is needed for further understanding,\u201d the report said. Coronaviruses are a large family of viruses that infect animals and people. Some cause only the symptoms known as the common cold, although many other viruses also do that. The announcement signals that researchers are making progress in containing the outbreak, but Asian officials are not likely to relax their vigilance until they learn more. The disease has evoked memories of the outbreak of SARS, or severe acute respiratory syndrome, in 2003. SARS, a respiratory disease and also a coronavirus, spread from southern China in 2003 and infected more than 3,000 people, killing 774. China initially covered up the extent of the SARS outbreak and was criticized by health officials around the world for doing so. On Thursday, the World Health Organization praised the Chinese response to the new outbreak and said it did not recommend any restrictions on trade or travel to China because of the virus. \u201cPreliminary identification of a novel virus in a short period of time is a notable achievement and demonstrates China\u2019s increased capacity to manage new outbreaks,\u201d Dr. Gauden Galea, the W.H.O.\u2019s representative to China, said in a statement. Many questions about the new virus remain. While it appears to be transmitted to humans via animals, the Chinese government has not said which animals, nor has it disclosed other details about the outbreak, like the transmission route, the incubation period or the ages and genders of the patients. \u201cSo, there are still a lot of question marks,\u201d said David Hui, an expert in emerging infections at the Chinese University of Hong Kong. The authorities in Wuhan are still closely monitoring 163 people who were in close contact with the patients, Dr. Hui said. He added that 15 days, the minimum incubation period for some viral infections, had not yet passed since the last reported instance of the disease, on Dec. 29. \u201cIt\u2019s premature to say that there\u2019s no human-to-human transmission,\u201d Dr. Hui said. The Wuhan government confirmed on Dec. 31 that the health authorities were treating dozens of cases of pneumonia of unknown cause. Symptoms of the new illness include high fever, difficulty breathing and lung lesions, according to the Wuhan health commission. Seven people have become critically ill, the Wuhan authorities have said. On Wednesday, the local health commission said eight people had been discharged. Researchers have been encouraged by the fact that patients\u2019 relatives and hospital workers have not been reported to have gotten sick, signaling that the virus may not spread easily among humans. \u201cWe can assume that this virus transmissibility is not that high,\u201d said Guan Yi, a professor of infectious diseases at the University of Hong Kong, who was part of a team that successfully identified the coronavirus that caused SARS. Dr. Guan said he was not surprised that the virus identified was a coronavirus, because coronaviruses can pass from animals to humans easily. But he said it would probably be a while before researchers came up with treatments for the illness. So far, the cases in China have circulated only in Wuhan. The initial cases were linked to workers at a market that sold live fish, animals and birds. Workers disinfected and shut down the market after the city health department said many of the cases had been traced to it. The new illness appeared just weeks before the Spring Festival, China\u2019s biggest holiday, when hundreds of millions of people travel. The authorities have urged the public to be on alert for pneumonialike symptoms like fevers, body aches and breathing difficulties. Until Thursday\u2019s announcement, it was not clear what was causing the illnesses in Wuhan. The World Health Organization said Wednesday that it had concluded that it was most likely a coronavirus. \u201cMore comprehensive information is required to confirm the pathogen,\u201d the W.H.O. said in a statement. Early reports on ProMED, a disease-alert service, said there was no evidence of human-to-human transmission. Last weekend, laboratory tests in China ruled out SARS; the deadly Middle East Respiratory Syndrome, or MERS; the flu; bird flu; adenoviruses; and other common pathogens that cause pneumonia. Health officials in Asia have stepped up screenings and isolated patients with flulike symptoms who had traveled to Wuhan. In Hong Kong, eight people with fever and respiratory symptoms who had recently been in Wuhan were hospitalized on Wednesday. In South Korea, the authorities said on Wednesday that they had put a Chinese woman under isolated treatment after she was found to have pneumonia after trips to China, including Wuhan. In Singapore, the authorities placed a Chinese girl with pneumonia in isolation because she had traveled to Wuhan. On Sunday, they said doctors had determined that the child had a common childhood viral illness. Officials in Hong Kong have installed additional thermal imaging systems at its airport to monitor passengers coming from Wuhan, scanning for people with fevers. SARS is believed to have jumped to humans from live-animal markets. It was eventually traced to civet cats, raccoon dogs and some other species that were raised and slaughtered for the exotic food trade. The virus normally circulates in bats, and the animals may have gotten it from them, possibly by eating food contaminated by bat droppings. Most outbreaks of MERS, which appeared in 2012, have been traced to people who raise or sell camels, which in the Middle East are kept for meat, milk, racing, hauling cargo and as pets. Like SARS, MERS can jump from person to person, particularly in hospitals. Some MERS patients infected many others after they were put on machines to help them breathe \u2014 the mechanisms helped spew viral particles into the air as they exhaled. Despite Thursday\u2019s announcement, many Chinese were still expressing fear that there could be a repeat of SARS. \u201cIn fact, what people are more concerned about is the transmission route and whether it can be cured,\u201d wrote a user on Weibo, a popular social media tool in China. https:\/\/www.nytimes.com\/2020\/01\/08\/health\/china-pneumonia-outbreak-virus.html\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:49<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2007\/08\/20\/avatar318424_1.gif\" alt=\"capcayster\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/318424\">\n\t\t\tcapcayster\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tMaaf gan, tapi silahkan baca berita di link ini Presiden Jokowi kembali memberikan konferensi pers mengenai virus corona. Jokowi menegaskan tak mengambil opsi lockdown. #kumparanNews https:\/\/kumparan.com\/kumparannews\/jokowi-lockdown-adalah-kebijakan-pusat-tidak-boleh-diambil-daerah-1t2Jhy01RtH?utm_source=kumApp&utm_campaign=share&shareID=ORC0EfqfdGCV Lockdown daerah maupun nasional merupakan keputusan pemerintah pusat bukan daerah...\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 15:53<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2015\/12\/14\/avatar8397097_10.gif\" alt=\"doombringer2211\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/8397097\">\n\t\t\tdoombringer2211\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tTBC pasti bisa sembuh asal kakak agan rutin minum obatnya.. Pengalaman ane hidup serumah dengan orang TBC...\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 16:30<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tRIP japan... In Nagoya, scramble for hospital beds shows coronavirus challenge for aging Japan TOKYO (Reuters) - Hospitals in Nagoya city in Japan\u2019s industrial heartland have more coronavirus patients than they can treat, forcing transfers to nearby areas and offering a glimpse of the challenges the outbreak poses for a country with a huge elderly population. Japan has closed schools and canceled public events, which experts say has helped prevent an explosive spread of the virus. But because testing hasn\u2019t been widespread, some medical experts say the extent of infection is understated, and a surge could yet happen. That would put more of the country under the strain now being felt in Nagoya, and force a nationwide scramble to shift patients, many of them elderly, to hospitals in areas with capacity. \u201cIf the numbers rise further, we won\u2019t be able to cope, so we will either have to ask nearby prefectures to help, or tell those with lighter symptoms to stay at home,\u201d a prefecture official in Nagoya told Reuters. Confirmed coronavirus cases in Nagoya, the capital of Aichi prefecture, totaled 98 as of Sunday, the official said, far exceeding the city\u2019s 27 beds at hospitals that meet conditions for patients with the highly contagious disease. Aichi, home to Toyota Motor Corp (7203.T), is Japan\u2019s second-hardest hit prefecture, with 121 confirmed coronavirus cases so far. It has a total of 161 beds capable of handling patients with such a disease. Of those, 105 were in use as of Sunday, the official said. Elderly people are especially vulnerable to serious effects the virus. Japan has the world\u2019s oldest population, with more than 28% aged 65 or over. Italy, which has Europe\u2019s oldest population, is facing growing concerns about the ability of its strained health system to cope with a relentless increase in new cases. \u201cIf we allow the epidemic to continue, it\u2019s a matter of time,\u201d said Hokkaido University professor Hiroshi Nishiura when asked if Japan could face a situation similar to Italy\u2019s. He added that the trajectory of the epidemic was hard to predict. POTENTIAL SURGE Japan has been hospitalizing all patients who test positive for the virus, even if symptoms are slight, in line with its law on infectious diseases. But now, in some areas, patients with lighter symptoms are being asked to isolate at home. To free up more hospital beds, patients with non-urgent surgery will likely be asked to wait, and others may be discharged earlier than is usual in Japan, experts said. Hospitals are being asked to prepare plans for transferring patients to places that can treat them, given how the speed of the spread has varied by region, said Takuma Kato, a health ministry official. Japan\u2019s health ministry has issued guidelines on handling an influx of coronavirus patients based on estimates of what peak numbers might look like. \u201cPotentially, there will be a surge of new cases if Japan is not successful in containment, which I think will happen,\u201d said Kenji Shibuya, director of the Institute of Population Health, King\u2019s College, London. \u201cJapan is not yet at the level of what Italy is experiencing in terms of outbreak phase, but that gives us a very important lesson - we have to be prepared,\u201d he said. The death toll in Italy rose to 1,809 by Sunday after a 25% jump in just 24 hours. The number of cases hit 24,747. Prime Minister Shinzo Abe has said there were 12,000 beds nationwide that could take serious virus cases and 3,000 respirators, but Shibuya said that didn\u2019t mean there were trained medical staff to handle all of those cases. A national action plan based on a 2012 law calls for hospitalizing severe cases and treating mild cases at home. Parliament on Friday revised that law to allow the government to declare a state of emergency to cover the coronavirus. Abe has said conditions didn\u2019t warrant such a declaration yet. A shortage of cutting-edge equipment to treat the most severe cases also poses a risk, and could force tough decisions about whom to treat if cases rise fast, as in Italy. For example, a ventilator might be in use for a 90-year-old patient while a seriously ill 30-year-old nurse went without, said Koji Wada, a member of the government advisory panel. \u201cSo we need to discuss the ethical issues too,\u201d Wada said. https:\/\/www.reuters.com\/article\/us-health-coronavirus-japan-challenges\/in-nagoya-scramble-for-hospital-beds-shows-coronavirus-challenge-for-aging-japan-idUSKBN2130JR\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 16:31<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/06\/28\/avatar10636555_1.gif\" alt=\"shoyusushi\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10636555\">\n\t\t\tshoyusushi\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tniicceee.... di situasi kondisi kayak gini kita emang harus saling bahu membahu buat nyebarin info aktual dan faktuall.... supaya apaaa? supaya kita dan orang di sekitar kita bisa cepat tanggap dalam merespon wabah ini.....\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 16:32<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/06\/28\/avatar10636555_1.gif\" alt=\"shoyusushi\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10636555\">\n\t\t\tshoyusushi\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tyang lain juga saling update dari rumah yaakk...... meskipun di rumah bukan berarti gx bisa produktif...... harus tetep bisa menebar manfaat dari rumah....\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 16:35<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/06\/28\/avatar10636555_1.gif\" alt=\"shoyusushi\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10636555\">\n\t\t\tshoyusushi\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tkalo menurut ane siiichh gxpapa banget gaann ada terus berita tentang covid19 ini.... update teruusss... soalnya wabahnya massive... gx cuma kita doang yang ngalamin... seluruh dunia pun demikian.... dan ini berkaitan sama kesehatan siiichhh jadi wajar kalao orang mau terus tau gimana perkembangannya..... apalagi udah sampe ganggu aktivitas normal gitchuuu.... hehe IMO gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 16:45<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2011\/10\/09\/avatar3513474_53.gif\" alt=\"ueki19\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/3513474\">\n\t\t\tueki19\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tItali dahsyat bgt ya perbandingan antara yg mati dan sembuh hampir 50:50\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 16:46<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/16\/avatar10767087_2.gif\" alt=\"kaitokid94\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10767087\">\n\t\t\tkaitokid94\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga bener bener segera bisa teratasi yah, dan yang sakit kena virus corona lekas sembuh\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 17:05<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\t1\/ March 10,2020 \u201cThis is from a front-line ICU physician in a Seattle hospital This is his personal account: * we have 21 pts and 11 deaths since 2\/28. * we are seeing pts who are young (20s), fit, no comorbidities, critically ill. It does happen. 2\/ * US has been past containment since January * Currently, all of ICU is for critically ill COVIDs, all of floor medsurg for stable COVIDs and EOL care, half of PCU, half of ER. New resp-sx pts in Pulmonary Clinic as offshoot 3\/ * CDC is no longer imposing home quarantine on providers who were wearing only droplet iso PPE when intubating, suctioning, bronching, and in one case doing neurosurgery. Expect when it comes to your place you may initially have staff home-quarantined. 4\/ Plan for this NOW. Consider wearing airborne iso PPE for aerosol-generating procedures in ANY pt in whom you suspect COVID, just to prevent the mass quarantines. 5\/ * we ran out of N95s (please stop hoarding!) and are bleaching and re-using PAPRs, which is not the manufacturer's recommendation. Not surprised on N95s as we use mostly CAPRs anyway, but still. 6\/ *terminal cleans (inc UV light) for ER COVID rooms are taking forever Enviro Services is overwhelmed. Bad as pts are stuck coughing in the waiting room. Rec planning now for Enviro upstaffing, or having a plan for sick pts to wait in their cars (that is not legal here, sadly) 7\/ * CLINICAL INFO based on our cases and info from CDC conf call today with other COVID providers in US: * the Chinese data on 80% mildly ill, 14% hospital-ill, 6-8% critically ill are generally on the mark. 8\/ Data very skewed by late and very limited testing, and the number of our elderly pts going to comfort care. - being young & healthy (zero medical problems) does not rule out becoming vented or dead - prob the time course to developing significant lower resp sx is a Wk longer 9\/ which also fits with timing of sick cases we started seeing here, after we all assumed it was endemic as of late Jan\/early Feb). - based on our hospitalized cases 10\/ (including the not formally diagnosed ones who are obviously COVID - it is quite clinically unique) about 1\/3 have mild lower resp sx, need 1-5L NC. 1\/3 are sicker, FM or NRB. 1\/3 tubed with ARDS. Thus far, everyone is seeing: - nl WBC. 11\/ Almost always lymphopenic, occasionally poly-predominant but with nl total WBC. Doesn't change, even 10days in. - BAL lymphocytic despite blood lymphopenic (try not to bronch these pts; this data is from pre-testing time when several idiopathic ARDS cases) 12\/ fevers, often high, poss intermittent; persistently febrile, often for >10d. It isn't the dexmed, it's the SARS2. - low ProCalc; may be useful to check initially for later trend if concern for VAP etc. - up AST\/ALT, sometimes alk phos. 70-100 range. No fulminant hepatitis. 13\/ Notably, in our small sample, higher transaminitis at admit (150-200) correlates with clinical deterioration and progression to ARDS. LFTs typically begin to bump in 2nd week of clinical course. - mild AKI (Cr <2). 14\/ Uncertain if direct viral effect, but notably SARS2 RNA fragments have been identified in liver, kidneys, heart, and blood. 15\/ * characteristic CXR always bilateral patchy or reticular infiltrates, sometimes perihilar despite nl EF and volume down at presentation. At time of presentation may be subtle, but always present, even in our pts on chronic high dose steroids. NO effusions. 16\/ CT is as expected, rarely mild mediastinal LAD, occ small effusions late in course which might be related to volume status\/cap leak. 17\/ Not more helpful than CXR. - when resp failure occurs, it is RAPID (likely 7-10d out from sx onset, but rapid progression from hospital admit). Common scenario for our pts is, admit 1L NC. Next 12hrs -> NPPV. Next 12-24hrs -> vent\/proned\/Flolan 18\/ interestingly, despite some needing Flolan, the hypoxia is not as refractory as with H1N1. Quite different, and quite unique. Odd enough that you'd notice and say hmmm. - thus far many are dying of cardiac arrest rather than inability to ventilate\/oxygenate 19\/ given the inevitable rapid progression to ETT once resp decompensation begins, we and other hosps, including Wuhan, are doing early intubation. Facemask is fine, but if needing HFNC or NPPV just tube them. will need a tube anyway, & no point risking the aerosols. - no MOSF. 20\/ cardiomyopathy. - multiple pts here have had nl EF on formal Echo or POCUS at time of admit (or in a couple of cases EF 40ish, chronically). Also nl Tpn from ED. Then they get the horrible resp failure, sans sepsis or shock. 21\/ Then they turn the corner, off Flolan, supined, vent weaning, looking good, never any pressor requirement. Then over 12hrs, newly cold, clamped, multiple-pressor shock that looks cardiogenic, EF 10% or less, then either VT->VF-> dead or PEA-> asystole in less than a day. 22\/ Needless to say this is awful for families who had started to have hope. - We have actually had more asystole than VT, other facilities report more VT\/VF, but same time course, a few days or a week after admit, around the time they're turning the corner. 23\/ Treatment - *Remdesivir might work, some hosps have seen improvement with it quite rapidly, marked improvement in 1-3 days. ARDS trajectory is impressive with it, pts improve much more rapidly than expected in usual ARDS. 24\/ *Recommended course is 10d, but due to scarcity all hosps have stopped it when pt clinically out of the woods - none have cont >5d. May cause LFT bump, but interestingly (200s-ish) for a day or 2 then rapidly back to normal - suggests not a primary toxic hepatitis. 25\/ *unfortunately, the Gilead compassionate use and trial programs require AST\/ALT <5x normal, which is pretty much almost no actual COVID pts. Also CrCl>30, which is fine. CDC is working with Gilead to get LFT reqs changed now that we know this is a mild viral hepatitis. 26\/ -currently the Gilead trial is wrapping up, NIH trial still enrolling, some new trial soon to begin can't remember where. 27\/ *steroids are up in the air. In China usual clinical practice for all ARDS is high dose methylpred. Thus, ALL of their pts have had high dose methylpred. Some question whether this practice increases mortality. 28\/ *it is likely that it increases seconday VAP\/HAP. China had a high rate of drug resistant GNR HAP\/VAP and fungal pna in these pts, with resulting increases mortality. We have seen none, even in the earlier pts who were vented for >10d before being bronched (don\u2019t do now) 29\/ - unclear whether VAP-prevention strategies are also different, but wouldn't think so? - Hong Kong is currently running an uncontrolled trial of HC 100IV Q8. 30\/ - general consensus here (in US among docs who have cared for COVID pts) is that steroids will do more harm than good, unless needed for other indications. 31\/ - many of our pts have COPD on ICS. After some observation & some clinical judgment, is to stop ICS if able, based on known data with other viral pneumonias and increased susceptibility to HAP. 32\/ Thus far pts are tolerating that, no major issues with ventilating them that can't be managed with vent changes. We also have quite a few on AE-COPD\/asthma doses of methylpred, so will be interesting to see how they do. 1238322250392039424 I am a medical student translating this thread into non-medical language for folks who might need that! 1238487179342446592 https:\/\/docs.google.com\/document\/d\/1Zx3WVpp8y-SMLrxg3tckbF5PmcV0FCtuyWuUiFVYiUo\/edit kabar dari frontline amerika situasi menangani virus corona ane berharap ada petugas medis indo yang ikut mantau trit twitter tersebut.. sangat berguna\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 17:07<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2008\/03\/04\/avatar412858_2.gif\" alt=\"tomhopus\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/412858\">\n\t\t\ttomhopus\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsundul gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 17:43<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/17\/avatar10767950_1.gif\" alt=\"edelweis111\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10767950\">\n\t\t\tedelweis111\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga segera mereda nih wabah virusnya, jangan lupa semua jaga kesehatan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 17:48<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/03\/26\/avatar6603792_66.gif\" alt=\"kenditz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6603792\">\n\t\t\tkenditz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tLagi kumat ya gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 18:05<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2020\/03\/16\/default.png\" alt=\"kentangajaib\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10825681\">\n\t\t\tkentangajaib\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga wabah ini cepat terselesaikan https:\/\/dl.kaskus.id\/holstered-runways.000webhostapp.com\/an.png\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 18:14<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/26\/avatar10773163_1.gif\" alt=\"ram.deuter\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10773163\">\n\t\t\tram.deuter\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tNice move, Kaskus. Thread penting buat tau perkembangan kasus Virus Corona. Semoga segera berhenti :matabelo\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 18:48<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2016\/10\/08\/avatar9218077_1.gif\" alt=\"fa.uz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9218077\">\n\t\t\tfa.uz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tIya gan, cuma yang ditakutkan itu corona nya\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 18:50<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2015\/12\/14\/avatar8397097_10.gif\" alt=\"doombringer2211\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/8397097\">\n\t\t\tdoombringer2211\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tKurangi kontak dengan orang lain gan.. Gak ada saran yang lebih baik lagi sih dari itu.. Karena penyebarannya wow gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 18:57<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/30\/avatar10685935_1.gif\" alt=\"lupis.manis\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10685935\">\n\t\t\tlupis.manis\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tLah napa dibilang kumat? :bingungs\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 19:10<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/03\/26\/avatar6603792_66.gif\" alt=\"kenditz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6603792\">\n\t\t\tkenditz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSuhu badanmu 41\u00b0c yak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 19:16<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/30\/avatar10685935_1.gif\" alt=\"lupis.manis\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10685935\">\n\t\t\tlupis.manis\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tKok panas amat? :bingungs\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 19:24<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2012\/01\/01\/avatar3851211_7.gif\" alt=\"indramamoth\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/3851211\">\n\t\t\tindramamoth\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tWah pasien di Jawa Barat bertambah ya. stay safe semua semoga yang sakit segera sembuh, yang sehat selalu dijauhkan dari penyakit\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 19:54<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2013\/06\/21\/avatar5595555_83.gif\" alt=\"rendyconan\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/5595555\">\n\t\t\trendyconan\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tTemen ane di Jakarta beberapa sudah mulai kerja dari rumah, cuma kasian juga yang pada ngantri di halte MRT dll :eek keep praying! :angel https:\/\/www.instagram.com\/p\/B9yo1aaHkm5\/?utm_source=ig_web_copy_link\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 20:06<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/11\/avatar10763818_1.gif\" alt=\"misteryap\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10763818\">\n\t\t\tmisteryap\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSemoga segera pulih dan masyarakat bijak berprilaku\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 20:07<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/31\/avatar10686862_1.gif\" alt=\"bkarasap12\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10686862\">\n\t\t\tbkarasap12\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSemoga bisa segera ditemukan vaksinnya ya, bener-bener menyulitkan semua aspek yaa huhu\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 21:16<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2010\/07\/18\/avatar1887684_3.gif\" alt=\"mikatagahara\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/1887684\">\n\t\t\tmikatagahara\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tayo rakyat indonesia, saling bahu membahu, nda ada lagi kampret, kadrun, cebong atau apapun namanya. ini ancaman bersama.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 22:17<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/09\/01\/default.png\" alt=\"yay1016\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10687549\">\n\t\t\tyay1016\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsyukurlah jadi bisa update perkembangan baru dari sumber yang terpercaya, thanks gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">16 Mar 2020 22:54<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tkondii rumah sakit di italy 1239144326313148417 1238651299429842945 1239479565434707969 pasien usia muda meningkat 1239473153367212033\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 00:49<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/09\/avatar10669420_1.gif\" alt=\"lemahtanahlemah\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10669420\">\n\t\t\tlemahtanahlemah\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga segera ditarik virus ini, gak menyebar lagi dunia bener2 terancam gara2 ini virus, :mewek :mewek\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 00:49<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/08\/09\/avatar10669420_1.gif\" alt=\"lemahtanahlemah\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10669420\">\n\t\t\tlemahtanahlemah\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tBener gan, semua masyarakat harus bisa ngambil hikmah dari bencana ini :1thumbup :1thumbup\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 03:10<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/06\/13\/avatar6897822_4.gif\" alt=\"rahmata.p\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6897822\">\n\t\t\trahmata.p\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tWah ntap udah ada rekapnya. Semoga makin berkurang penderita dan wabah ini segera menghilang\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 06:35<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2014\/02\/26\/avatar6493126_3.gif\" alt=\"paman.goberrrrr\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/6493126\">\n\t\t\tpaman.goberrrrr\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSerasa baca memo di game resident evil. :takuts\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 07:34<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2011\/10\/11\/avatar3521918_17.gif\" alt=\"NieeLz\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/3521918\">\n\t\t\tNieeLz\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tninggalin jejak\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 10:20<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\thttps:\/\/www.youtube.com\/watch?v=https:\/\/www.youtube.com\/watch?v=rfkbv_WQtn0 https:\/\/www.youtube.com\/watch?v=https:\/\/www.youtube.com\/watch?v=SVodALR3Zoo\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 10:21<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2016\/07\/20\/avatar8962369_1.gif\" alt=\"whitehats\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/8962369\">\n\t\t\twhitehats\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tijin nonton dulu\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 11:02<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/07\/04\/default.png\" alt=\"nandaps\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10641347\">\n\t\t\tnandaps\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tjangan sampe deh gan :cd\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 11:26<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/09\/01\/avatar10687661_8.gif\" alt=\"pustie\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10687661\">\n\t\t\tpustie\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\talhamdulillah udah ada yang sembuh, semoga semakin banyak yang sembuh yaaa\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 12:57<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tConstruction of a mobile infectious diseases hospital for patients with coronavirus on Kaluga highway, Moscow https:\/\/www.youtube.com\/watch?v=M1gXNkR9kNg Coronavirus: Man in Japan tests positive again after recovering from illness https:\/\/www.independent.co.uk\/news\/world\/asia\/japan-coronavirus-test-positive-recover-a9404056.html Japanese man tests positive for coronavirus second time after hospital recovery https:\/\/www.news.com.au\/lifestyle\/health\/health-problems\/japanese-man-tests-positive-for-coronavirus-second-time-after-hospital-recovery\/news-story\/f640e206dc36879719d043e129ce7f8d shit fucked\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 15:09<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/10\/05\/avatar10715902_1.gif\" alt=\"alexfernando88\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10715902\">\n\t\t\talexfernando88\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tmogaa cepat berlalu virus corona ini:takut :takut :takut :takut\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 17:19<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/20\/avatar10769452_1.gif\" alt=\"caduceus22\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10769452\">\n\t\t\tcaduceus22\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsemoga segera cepet sembuh ya yang lain, dan terhindar dari virus ini\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 17:26<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\t1239618401817034752?s=19 mengibarkan bendera putih belanda telah menyerah dijajah coronavirus\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 19:02<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/16\/avatar10766984_1.gif\" alt=\"unoo11\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10766984\">\n\t\t\tunoo11\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tmoga2 yg positif ceoet sembuh. yg lainnya moga gk ketular\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 19:11<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/12\/11\/default.png\" alt=\"lecharite\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10763855\">\n\t\t\tlecharite\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSemoga semua segera pulih deh yaaaa\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">17 Mar 2020 22:07<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tCoronavirus, loss of taste and smell among the symptoms Galli (Sacco): \"We don't know if it is transient, a disturbance appears towards the end of the infection\" The coronavirus would not only respiratory problems, but also the loss of taste and smell . \"We see many cases and to date we do not know if the disturbance is reversible - explained Massimo Galli to Corriere della Sera. I can say with certainty that it is a symptom that appears towards the end of the infection, therefore when the patient is on the way to recovery \". According to the words of the head of the infectious diseases department III of the Sacco hospital in Milan, it is therefore not an initial symptom. \"In our patients we frequently see the symptoms of anosmia ( alteration of the sense of smell, ed) and dysgeusia (alteration of taste, ed), even in mild and moderate cases\". At the moment, scientific observation data are not yet available, says Galli himself: \u201cThey are personal and my team's observations. Loss of taste and smell may also appear in other respiratory tract infections, but in Covid-19 it would appear more frequent and severe . Hopefully it will be transitory . \" Coronavirus, virologist Hendrik Streeck: \"Two thirds of patients lose taste and smell\" This is obviously not an exclusively Italian observation. In Germany , for example, the virologist Hendrik Streeck coordinates investigations in the Heinsberg area, where the epidemic is concentrated for now. In an interview with Frankfurter Allgemeine he says he found the sense of smell and taste loss among patients who tested positive. \"Of almost all the infected people interviewed, (it is about a hundred, editor's note), at least two thirds reported having lost their sense of smell and taste for several days - he says -. A mother was unable to smell her baby's dirty diaper. Others no longer smelled their shampoo and the food was beginning to know nothing more. \" Among the other symptoms identified, in addition to dry cough and fever , Streeck explains that he found a significant incidence of diarrhea, common to 30% of infected people. \u201cHowever, we are not sure whether viruses attack the gastrointestinal tract. It certainly penetrates its host cell through the ACE-2 receptor : many tissue cells have this receptor and therefore could be attacked \". Infected nurses: \"We don't smell or smell\" Confirmations come from the front line . In fact, on the Gazzettino, some nurses forced to quarantine after being infected report that they have \"almost lost their sense of smell and taste: we practically no longer smell or smell\". Symptoms also encountered by Angelo Marzano , the first known case in Milan, dermatologist of the Polyclinic discharged a few days ago from Sacco , but still in isolation. A few days ago, in an interview granted to the day, he declared that he had noticed \"a manifestation that still persists: the reduction of the perception of taste and smell\". https:\/\/notizie.virgilio.it\/coronavirus-perdita-gusto-olfatto-sintomi-1290850 DUDE WHAT THE FUCK :wow :wow :wow AAAAAAAAAAAA AAAAAAAAAAAA :takut :takut :takut artikel lain dalam bhs jerman jadi ini legit:berdukas VIROLOGIST HENDRIK STREECK: \"We have discovered new symptoms\" BY PETER-PHILIPP SCHMITT-UPDATED ON 16.03.2020 - 13:56 https:\/\/www.faz.net\/aktuell\/gesellschaft\/gesundheit\/coronavirus\/virologe-hendrik-streeck-ueber-corona-neue-symptome-entdeckt-16681450.html\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 00:17<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tTurin, the \"patient 1\" declared cured is positive again: he returns to isolation by SARA STRIPPOLI 2 hours ago He had to leave the hospital for infectious diseases Amedeo di Savoia in these days, now cured after the coronavirus infection that had hit him, the first Piedmontese affected by Covid-19. Instead, \"patient 1\", a forty year old manager from Turin, had to remain in solitary confinement. The man was now on his way out and had been declared \"cured\" because, after a series of tests and long treatments, he was finally negative. A control swab carried out yesterday instead showed still a low degree of positivity \"But it has healed, we confirm it - reassures Professor Giovanni Di Perri, virologist and infectious diseases manager at Amedeo di Savoia - In these cases it is quite normal that there is a phase of oscillation between negativity and positivity. It happens in all infections. \" To protect his family and the whole community, however, \"patient 1\" will still have to remain isolated: a cold shower compared to the hope of returning to normal life after weeks of fear. A control test will then have to be performed again, Di Perri explains, to have total safety before he can finally leave the hospital. https:\/\/www.msn.com\/it-it\/notizie\/torino\/torino-di-nuovo-positivo-al-test-il-paziente-1-dichiarato-guarito-torna-in-isolamento\/ar-BB11jxm8 bad news again\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 00:23<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\t18\/03\/2020 - Germany: 702 new cases, 3 new deaths - Netherlands: 292 new cases, 19 new deaths - Malaysia: 120 new cases, 2 new deaths - Portugal: 117 new cases BREAKING: Italy reports 3,526 new cases and 345 new deaths, raising total to 31,506 cases and 2,503 dead BREAKING: Spain reports 1,236 new cases of coronavirus and 149 new deaths in morning update, raising total to 11,178 cases and 491 dead NEW: Iran reports 1,178 new cases of coronavirus and 135 new deaths, raising total to 16,169 cases and 988 dead New York state reports 424 new cases of coronavirus and 5 new deaths, raising total to 1,374 cases and 12 dead jokowi wtf are you doing? WHO calls on countries in southeast Asia to scale-up measures against coronavirus: \"Urgent and aggressive measures are the need of the hour. We need to act now\" meningkat ~9% closed cases mortality rate(termasuk angka unreliable dari china) and more and more bad news again ...:berduka\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 00:46<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\t(Unverified not peer reviewed) GREAT FUCKING NEWS buat yg punya golongan darah O Relationship between the ABO Blood Group and the COVID-19 Susceptibility OBJECTIVE To investigate the relationship between the ABO blood group and the COVID-19 susceptibility. DESIGN The study was conducted by comparing the blood group distribution in 2,173 patients with COVID-19 confirmed by SARS-CoV-2 test from three hospitals in Wuhan and Shenzhen, China with that in normal people from the corresponding regions. Data were analyzed using one-way ANOVA and 2-tailed \u03c72 and a meta-analysis was performed by random effects models. SETTING Three tertiary hospitals in Wuhan and Shenzhen, China. PARTICIPANTS A total of 1,775 patients with COVID-19, including 206 dead cases, from Wuhan Jinyintan Hospital, Wuhan, China were recruited. Another 113 and 285 patients with COVID-19 were respectively recruited from Renmin Hospital of Wuhan University, Wuhan and Shenzhen Third People's Hospital, Shenzhen, China. MAIN OUTCOME MEASURES Detection of ABO blood groups, infection occurrence of SARS-CoV-2, and patient death RESULTS The ABO group in 3694 normal people in Wuhan showed a distribution of 32.16%, 24.90%, 9.10% and 33.84% for A, B, AB and O, respectively, versus the distribution of 37.75%, 26.42%, 10.03% and 25.80% for A, B, AB and O, respectively, in 1775 COVID-19 patients from Wuhan Jinyintan Hospital. The proportion of blood group A and O in COVID-19 patients were significantly higher and lower, respectively, than that in normal people (both P < 0.001). Similar ABO distribution pattern was observed in 398 patients from another two hospitals in Wuhan and Shenzhen. Meta-analyses on the pooled data showed that blood group A had a significantly higher risk for COVID-19 (odds ratio-OR, 1.20; 95% confidence interval-CI 1.02~1.43, P = 0.02) compared with non-A blood groups, whereas blood group O had a significantly lower risk for the infectious disease (OR, 0.67; 95% CI 0.60~0.75, P < 0.001) compared with non-O blood groups.In addition, the influence of age and gender on the ABO blood group distribution in patients with COVID-19 from two Wuhan hospitals (1,888 patients) were analyzed and found that age and gender do not have much effect on the distribution. CONCLUSION People with blood group A have a significantly higher risk for acquiring COVID-19 compared with non-A blood groups, whereas blood group O has a significantly lower risk for the infection compared with non-O blood groups. https:\/\/www.medrxiv.org\/content\/10.1101\/2020.03.11.20031096v1\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 01:58<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tand thus i hereby introduce you..A HOPE.. THE PANACEA New drug could cure nearly any viral infection Researchers at MIT\u2019s Lincoln Lab have developed technology that may someday cure the common cold, influenza and other ailments. Most bacterial infections can be treated with antibiotics such as penicillin, discovered decades ago. However, such drugs are useless against viral infections, including influenza, the common cold, and deadly hemorrhagic fevers such as Ebola. Now, in a development that could transform how viral infections are treated, a team of researchers at MIT\u2019s Lincoln Laboratory has designed a drug that can identify cells that have been infected by any type of virus, then kill those cells to terminate the infection. https:\/\/dl.kaskus.id\/news.mit.edu\/\/sites\/mit.edu.newsoffice\/files\/images\/antiviral.jpg The microscope images above show that DRACO successfully treats viral infections. In the left set of four photos, rhinovirus (the common cold virus) kills untreated human cells (lower left), whereas DRACO has no toxicity in uninfected cells (upper right) and cures an infected cell population (lower right). Similarly, in the right set of four photos, dengue hemorrhagic fever virus kills untreated monkey cells (lower left), whereas DRACO has no toxicity in uninfected cells (upper right) and cures an infected cell population (lower right). In a paper published July 27 in the journal PLoS One, the researchers tested their drug against 15 viruses, and found it was effective against all of them \u2014 including rhinoviruses that cause the common cold, H1N1 influenza, a stomach virus, a polio virus, dengue fever and several other types of hemorrhagic fever. The drug works by targeting a type of RNA produced only in cells that have been infected by viruses. \u201cIn theory, it should work against all viruses,\u201d says Todd Rider, a senior staff scientist in Lincoln Laboratory\u2019s Chemical, Biological, and Nanoscale Technologies Group who invented the new technology. Because the technology is so broad-spectrum, it could potentially also be used to combat outbreaks of new viruses, such as the 2003 SARS (severe acute respiratory syndrome) outbreak, Rider says. Other members of the research team are Lincoln Lab staff members Scott Wick, Christina Zook, Tara Boettcher, Jennifer Pancoast and Benjamin Zusman. Few antivirals available Rider had the idea to try developing a broad-spectrum antiviral therapy about 11 years ago, after inventing CANARY (Cellular Analysis and Notification of Antigen Risks and Yields), a biosensor that can rapidly identify pathogens. \u201cIf you detect a pathogenic bacterium in the environment, there is probably an antibiotic that could be used to treat someone exposed to that, but I realized there are very few treatments out there for viruses,\u201d he says. There are a handful of drugs that combat specific viruses, such as the protease inhibitors used to control HIV infection, but these are relatively few in number and susceptible to viral resistance. Rider drew inspiration for his therapeutic agents, dubbed DRACOs (Double-stranded RNA Activated Caspase Oligomerizers), from living cells\u2019 own defense systems. When viruses infect a cell, they take over its cellular machinery for their own purpose \u2014 that is, creating more copies of the virus. During this process, the viruses create long strings of double-stranded RNA (dsRNA), which is not found in human or other animal cells. As part of their natural defenses against viral infection, human cells have proteins that latch onto dsRNA, setting off a cascade of reactions that prevents the virus from replicating itself. However, many viruses can outsmart that system by blocking one of the steps further down the cascade. Rider had the idea to combine a dsRNA-binding protein with another protein that induces cells to undergo apoptosis (programmed cell suicide) \u2014 launched, for example, when a cell determines it is en route to becoming cancerous. Therefore, when one end of the DRACO binds to dsRNA, it signals the other end of the DRACO to initiate cell suicide. Combining those two elements is a \u201cgreat idea\u201d and a very novel approach, says Karla Kirkegaard, professor of microbiology and immunology at Stanford University. \u201cViruses are pretty good at developing resistance to things we try against them, but in this case, it\u2019s hard to think of a simple pathway to drug resistance,\u201d she says. Each DRACO also includes a \u201cdelivery tag,\u201d taken from naturally occurring proteins, that allows it to cross cell membranes and enter any human or animal cell. However, if no dsRNA is present, DRACO leaves the cell unharmed. Most of the tests reported in this study were done in human and animal cells cultured in the lab, but the researchers also tested DRACO in mice infected with the H1N1 influenza virus. When mice were treated with DRACO, they were completely cured of the infection. The tests also showed that DRACO itself is not toxic to mice. The researchers are now testing DRACO against more viruses in mice and beginning to get promising results. Rider says he hopes to license the technology for trials in larger animals and for eventual human clinical trials. This work is funded by a grant from the National Institute of Allergy and Infectious Diseases and the New England Regional Center of Excellence for Biodefense and Emerging Infectious Diseases, with previous funding from the Defense Advanced Research Projects Agency, Defense Threat Reduction Agency, and Director of Defense Research & Engineering (now the Assistant Secretary of Defense for Research and Engineering). http:\/\/news.mit.edu\/2011\/antiviral-0810\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 02:08<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\t1239986899122561027 D\u00e9j\u00e0 vu spanish flu + great depression THE HISTORY REPEATS ITSELF ww3 soon..:takuts\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 02:15<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tDOES IBUPROFEN MAKE CORONAVIRUS WORSE? EXPERTS DISCUSS LINK BETWEEN ANTI-INFLAMMATORY DRUGS AND COVID-19 BY ROSIE MCCALL ON 3\/17\/20 AT 1:13 PM EDT There is a lot of conflicting advice and confusion about ibuprofen and its effects on COVID-19 that circulating online after a statement from France's health minister this weekend. Olivier V\u00e9ran\u2014whose CV prior to taking office includes being assistant head of clinic at an intensive care unit of vascular neurology\u2014said taking anti-inflammatories such as ibuprofen or cortisone could \"be a factor\" in worsening the infection. \"In the case of fever, take acetaminophen. If you are already taking anti-inflammatories or if you have any doubts, ask your doctor for advice,\" he tweeted. The comment has been picked up online, with many now advising people to swap ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) for paracetamol. But is there any scientific evidence behind these claims? The Medical University of Vienna in Austria, which many claimed had found evidence that Ibuprofen could accelerate the rate at which the virus multiplies, snapped back at the rumor, calling it \"fake news.\" The university's Twitter account released a statement, saying: \"Attention! Currently circulating WhatsApp text and voice messages about alleged research results of the \"Wiener Uniklinik\" about a connection between Ibuprofen and Covid19 are Fake News, which have nothing to do with MedUniWien.\" Others have linked the claims to an article published in The Lancet earlier this month, based on observations of COVID-19 patients in China. The observations suggest the disease is more severe in people with certain pre-existing conditions, including hypertension, diabetes, or cardiovascular disease. The article's authors hypothesize this may be due to medications used to treat these conditions, including ibuprofen. But the emphasis here is on \"hypothesized.\" The article itself has not been peer-reviewed and it came to no hard and fast conclusions. Rather it suggested a possible avenue for future research. A subsequent post clarifies there are indications ibuprofen may have a negative effect but no clear evidence and more research is needed to test the hypothesis. \"It is not a recommendation to use certain medications or not,\" Prof. Dr. Michael Roth, research group leader at the Department of Biomedicine at University Hospital Basel and co-author of the article, said in a statement. \"Patients should strictly follow the instructions of their doctor or health care professional.\" Following the discussion highlighting the lack of evidence that ibuprofen can worsen COVID-19, medical experts have commented online and on social media about the supposed link between ibuprofen and COVID-19. The general consensus seems to be that there is no strong evidence to suggest it does, though prolonged use of the anti-inflammatory can put stress on the kidney and stomach. Health professionals have stressed that people should not stop taking prescribed medications unless advised to do so by their doctor. \"It is not clear from the French minister's comments whether the advice given is generic 'good practice' guidance or specifically related to data emerging from cases of Covid-19 but this might become clear in due course,\" Dr. Tom Wingfield, Senior Clinical Lecturer and Honorary Consultant Physician at Liverpool School of Tropical Medicine, U.K. said in a statement. Dr. Rupert Beale, Group Leader in Cell Biology of Infection at The Francis Crick Institute in the U.K., explained: \"There is a good reason to avoid ibuprofen as it may exacerbate acute kidney injury brought on by any severe illness, including severe COVID-19 disease. There isn't yet any widely accepted additional reason to avoid it for COVID-19.\" He added that unless otherwise advised by their doctor, patients taking cortisone or other steroids should continue to do so. Dr. Charlotte Warren-Gash, Associate Professor of Epidemiology, London School of Hygiene and Tropical Medicine, pointed out that most deaths from COVID-19 have affected older people and people with underlying health conditions. \"We already know that non-steroidal anti-inflammatory drugs should be prescribed with caution for people who have underlying health conditions,\" she said. Warren-Gash highlights research that found there was a higher risk of heart attack among patients being treated for respiratory infections among those taking NSAIDs, suggesting there may be some interaction between anti-inflammatory drugs and respiratory illness. But, she adds, no data was available for naproxen or low dose ibuprofen\u2014the two considered safest for older people and patients with cardiovascular disease. She concluded by saying more research is needed. Adding: \"In the meantime, for treating symptoms such as fever and sore throat, it seems sensible to stick to paracetamol as first choice.\" The National Health Service (NHS) in the U.K. has updated its advice regarding ibuprofen in response to discussions around anti-inflammatories, saying: \"There is currently no strong evidence that ibuprofen can make coronavirus (COVID-19) worse. \"But until we have more information, take paracetamol to treat the symptoms of coronavirus, unless your doctor has told you paracetamol is not suitable for you. \"If you are already taking Ibuprofen or another non-steroidal anti-inflammatory (NSAID) on the advice of a doctor, do not stop taking without checking first.\" While the advice given by Ireland's Health Services (HSE) on Monday is to continue taking any medication you are on\u2014including ibuprofen and other anti-inflammatories\u2014unless told otherwise by a healthcare professional. Newsweek has contacted the U.S. Centers for Disease Prevention and Control for comment. https:\/\/www.newsweek.com\/ibuprofen-coronavirus-experts-anti-inflammatory-drugs-covid-19-1492764\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 02:27<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tThe virus that entered Spain is not the same one that came out of Wuhan: what its genome reveals Researchers have sequenced the coronavirus RNA that spread to three people in Valencia last February. They show that SARS-CoV-2 has mutated since it left China 03\/17\/2020 05:00 Spain has just announced that it has obtained the first complete genomes of SARS-CoV-2 , the virus that causes Covid-19. Specifically, they were extracted from some of the first patients who became infected in Valencia, where the first death from the disease occurred - in our country and outside Asia - on February 13. Just a month earlier, on January 14, China shared with the world the genome of the mysterious virus that had been lashing out at its population for weeks. Thanks to that, scientists from all over the world were able to develop diagnostic tests that are already a reality and advance possible specific therapies that have not yet arrived. While all this was happening, the coronavirus was spreading around the world, cough to cough. Two months after China released the Wuhan SARS-CoV-2 genome, the University of Valencia and the Foundation for the Promotion of Health and Biomedical Research in the Valencian Community have managed to extract the genome of the version of the virus that is currently wreaking havoc on our territory. And we say version because, although it is still the same coronavirus, in these weeks it has already had time to mutate enough to distinguish itself. \"The genome of the virus is in continuous mutation, and that is precisely what allows us to follow its trajectory in different countries and transmission routes,\" Fernando Gonz\u00e1lez, professor of Genetics at the UV and one of the scientists who have participated in sequencing. \"Specifically, the isolates that we have sequenced in Valencia differ in six, one, and in nine, the other two, mutations of the virus originally sequenced in Wuhan. But this is normal: almost all the viruses that have been sequenced so far have some differences with the first one. The most isolated one in Brazil has 16 mutations with respect to the first one . \" The isolates that we have sequenced in Valencia differ in six and nine mutations of the virus originally sequenced in Wuhan. This coronavirus genome as it passes through Valencia reveals many other clues, which will multiply when added to the global database that different laboratories are compiling to find out the transmission routes or how the different lineages of the virus are spreading through the world. Precisely, one of the mysteries that still surround this coronavirus is its ability to mutate, something that will be key to understanding whether a vaccine will be enough to eradicate it or whether, on the contrary, it will return each new season in a different way. From Italy ... but before? It is no mystery that a large part of the Spanish infections, including those from Valencia, came from Italy, something that has confirmed the genome. \"The problem, for the moment, is that very few virus genomes are available from Italy and it is suspected that the origin there is not unique , but that at least two lineages were established from China,\" Gonz\u00e1lez explains. The one of the two lineages is a theory that appeared earlier this month and that explains that in Wuhan, during the first days of the outbreak, SARS-CoV-2 mutated into two variants, L and S. The first lineage was much more aggressive and therefore had a greater impact on lives, but at the same time he received more search and capture by the health authorities. Meanwhile, the S had milder symptoms but was equally contagious, allowing it to pass undetected and escape control. A study of 'Science' published yesterday affirmed in this sense that, until the restrictions of January 23, up to 86% of the coronavirus cases in Wuhan could leave the region undetected. At the moment, it is working with the theory that the virus that runs through the Spanish geography is mostly the same, although the genome of other outbreaks, such as those in Madrid or Vitoria, will soon be sequenced to check if there are differences that explain, for For example, a higher infectivity or lethality rate. \"We still do not have virus sequences from other regions , but when they are available, they will naturally be compared with those in Valencia and with the rest of the world,\" says the geneticist. \"But that involves obtaining the sequences, if possible, of the complete genome.\" https:\/\/www.elconfidencial.com\/tecnologia\/ciencia\/2020-03-17\/genoma-coronavirus-espanol-covid19_2501388\/ SHIT SHIT SHIT SHIT SHIT SHIT :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut :takut\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 02:56<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tParis 1239696375551492100 Jerman https:\/\/www.youtube.com\/watch?v=https:\/\/www.youtube.com\/watch?v=FQgvTHaH9os https:\/\/dl.kaskus.id\/www.insuedthueringen.de\/storage\/image\/4\/3\/8\/6\/6646834_artikeldetail_1usg9Q_UlGw2T.jpg ukraina Robbers grab 100,000 surgical masks at gunpoint as Ukraine enters shutdown https:\/\/www.reuters.com\/article\/us-health-coronavirus-ukraine-idUSKBN2142WL?taid=5e712e1d72e8fa00012c03f4 italy 1239964292050350080 brazil 1239711353700581381 SHIT HIT THE FAAAAAAN!!\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Mar 2020 04:54<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tCoronavirus doctor says lung scans for young patients were \u2018nothing short of terrifying A Belgian doctor working to battle the coronavirus says he\u2019s treated several seriously ill young patients \u2014 and their lung scans were \u201cnothing short of terrifying,\u201d according to reports. Dr. Ignace Demeyer, who works at a hospital in Aalst, said an increasing number of people between the ages of 30 and 50 have presented with severe symptoms, despite having \u201cblank medical records\u201d that show no underlying conditions that would make them high-risk, the Brussels Times reported. \u201cThey just walk in, but they are terribly affected by the virus,\u201d Demeyer told the Belgian broadcaster VRT. He said CT scans indicated they were suffering from severe lung damage. \u201cThe images we took yesterday are nothing short of terrifying,\u201d the doctor told the station. \u201cThey are people who do not smoke, who have no other conditions such as diabetes or heart failure,\u201d Demeyer added. Belgium has reported at least 1,085 COVID-19 cases and at least five deaths since the virus emerged in China in December. Worldwide, there have been more than 190,000 people infected as of Tuesday afternoon, according to a tally from Johns Hopkins University. https:\/\/nypost.com\/2020\/03\/17\/coronavirus-doctor-says-lung-scans-for-young-patients-were-nothing-short-of-terrifying\/ share berita dimari gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">19 Mar 2020 00:06<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tCoronavirus death toll in Italy's Lombardy jumps 319 in a day: sources ROME (Reuters) - The death toll from an outbreak of coronavirus in the northern Italian region of Lombardy, which has borne the brunt of a nationwide contagion, has risen by 319 in a day to 1,959, two sources with access to the data said on Wednesday. The sources said the number of new cases in the region, which includes Italy\u2019s financial capital Milan, had increased by almost 1,500, with the tally of confirmed cases rising above 17,700. The latest national death toll figures are due to be released later in the day. On Tuesday, the country-wide tally stood at 2,503. https:\/\/www.reuters.com\/article\/us-health-coronavirus-italy-lombardy\/coronavirus-death-toll-in-italys-lombardy-jumps-319-in-a-day-sources-idUSKBN2152R2 1240321863886258177 1240323448850833413 :berduka\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">19 Mar 2020 01:31<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\thttps:\/\/www.youtube.com\/watch?v=https:\/\/www.youtube.com\/watch?v=UsP642RX9Yo HOLY FUUUUCK c-coronavirus?\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">19 Mar 2020 15:54<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tBergamo, the army procession to bring the coffins out of town https:\/\/www.youtube.com\/watch?v=https:\/\/www.youtube.com\/watch?v=4kUKpu8tDbM Coronavirus, the army brings coffins from Bergamo to other regions Transfer from the cemetery aboard army vehicles Army vehicles are carrying a number of coffins, about sixty, from the cemetery of Bergamo to crematoriums in other regions where there are municipalities that have made themselves available to accept them. (Ansa - CorriereTv). Watch the video on Corriere: https:\/\/www.youtube.com\/watch?v=https:\/\/www.youtube.com\/watch?v=tQ2AwSL2L24\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">21 Mar 2020 15:44<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2018\/02\/17\/avatar10116960_1.gif\" alt=\"lpfd.reboisasi\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10116960\">\n\t\t\tlpfd.reboisasi\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tcakep, sekarang udah ada rekapnya kalo penelitian udah kaya metacognitive aja, wkwkw, kalo mau liat berita perkembangan seputar Covid-19 bisa tinggal pantengin kaskus aja deh.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">21 Mar 2020 15:46<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2018\/02\/17\/avatar10116960_1.gif\" alt=\"lpfd.reboisasi\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10116960\">\n\t\t\tlpfd.reboisasi\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsetuju gan, apa-apa jadi jauh lebih mudah jadinya kalo mau cari tau seputar perkembangan Covid-19 jadi lebih enak gan.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">21 Mar 2020 15:48<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tlpfd.reboisasi share berita dimari juga gan.. biar rame:D\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">22 Mar 2020 00:38<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/02\/09\/default.png\" alt=\"checkedusername\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9583050\">\n\t\t\tcheckedusername\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tBREAKING: Italy reports 6,557 new cases of coronavirus and 793 new deaths, raising total to 53,578 cases and 4,825 dead 1241412375087132673\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">23 Mar 2020 04:38<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2018\/08\/14\/avatar10310550_31.gif\" alt=\"stricagnoli\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10310550\">\n\t\t\tstricagnoli\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\thttps:\/\/s.kaskus.id\/images\/2020\/03\/16\/10685935_202003161200390748.png Pemerintah disuruh lockdown 34 provinsi harus mau oleh kadrun, sementara Abud disuruh lockdown 1 provinsi aja ogah. Kadrun sehat? :ngakak Fitnah dia gan. Biarkan dipertanggung kawabkan di akhirat komen dia.\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">25 Mar 2020 22:22<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/06\/29\/avatar10636933_1.gif\" alt=\"kwhaleyf\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10636933\">\n\t\t\tkwhaleyf\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tSetuju gan\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">25 Mar 2020 22:24<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2019\/06\/29\/avatar10636933_1.gif\" alt=\"kwhaleyf\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10636933\">\n\t\t\tkwhaleyf\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tTerima kasih banyak gan buat rekapnya, infonya bermanfaat. Semoga kesadaran kita semakin meningkat dan bisa saling menjaga satu sama lain. Mari gansis, #DiRumahAja\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">27 Mar 2020 15:46<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2017\/04\/18\/avatar9703701_2.gif\" alt=\"raliakbarrr\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/9703701\">\n\t\t\traliakbarrr\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tsaatnya bersatu melawan penyakit ini, waktunya rebahan santuy dirumah jangan keluyuran kalo gakpenting\t<\/span>\n<\/div><div class=\"chat\">\n\t<span class=\"datetime\">18 Apr 2020 02:37<\/span>\n\t<img src=\"https:\/\/s.kaskus.id\/user\/avatar\/2018\/08\/23\/avatar10319712_1.gif\" alt=\"agnesiatsarina\" class=\"user--photo\">\n\t<span class=\"user-chat\">\n\t\t<a href=\"https:\/\/www.kaskus.co.id\/profile\/10319712\">\n\t\t\tagnesiatsarina\t\t<\/a>\n\t<\/span>: <span class=\"chat-text\">\n\t\tkalo corona di kota saya berasal. malah dianggap angin berlalu pegawai kantor msh pulang sampe malam https:\/\/s.kaskus.id\/images\/2020\/04\/18\/10319712_20200418023641.jpg\t<\/span>\n<\/div>"}