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jp57 · 6 years ago
Is it possible that the virus has been circulating in the states since Christmas or earlier?

I live in the states, though not in Seattle. My wife's best friend teaches ESL at a major university. She has several Chinese students in her class who went home over the semester break in December and January. In mid-to-late January, the teacher, her husband, my wife, and I all came down with the "flu" in swift succession, we all rode it out at home and none of us were tested to see if we actually had the flu virus. We just assumed flu because what else could it be? At that point, we'd never heard of novel corona virus.

The illness we all got was characterized by a deep and persistent cough and chest congestion, brutal sore throat, and a fever with teeth chattering chills and soaking sweats. We all had various levels of relapses of the cough and chest congestion (generally without fever) after the initial recovery.

I stayed home from work, of course, when I was ill, but a few people I had contact with at work also came down with something similar right after me. Many had had the flu shot since we get it for free at work. The general sentiment was that this years flu shot was a dud. I've been wondering if it wasn't actually flu going around.

goodcanadian · 6 years ago
The general sentiment was that this years flu shot was a dud.

The flu shot is a guess at which viruses will be most prevalent this year. A recent study I saw (sorry, I don't have a link) suggested that a single flu shot has little impact on your likelihood of getting the flu this year. If you regularly get flu shots, however, after 4 years, your immunity is significantly increased (I presume because you have be immunised against enough different viruses).

No comment on your situation, exactly; I just thought it was an interesting and relevant factoid.

throwaway3157 · 6 years ago
Correct, I've been told by medical professionals that there are hundred(s) of strains but the flu shot only covers the handful of strains they expect to be prevalent for that flu season. I have been wondering how they come up with that prediction though...
catblast · 6 years ago
> We just assumed flu because what else could it be?

The by far most likely scenario? Not the flu, but any one of the numerous upper respiratory viruses (hundreds but likely rhinovirus) that cause the “common cold”

Notably absent from your description of symptoms is fast onset weakness and body aches. Colds can cause short high spiking fever though.

jp57 · 6 years ago
It was not a cold. Nor was a cold the most likely scenario. I've had plenty of colds.

I felt okay in the morning and was in bed shivering by dinner time. My wife reported body aches. They are not typical for me even with flu, but I was on ibuprofen almost the entire time anyway. I had a fever for four days, and felt unbearably horrible as soon as the ibuprofen would start to wear off.

There was nothing "rhino" about this virus. None of us had any nasal congestion.

If my wife hadn't started to feel somewhat better when she did, I would have taken her to the hospital for pneumonia. But it's lucky that she did start to feel better when she did because almost as soon as she was up I was down. Still, even through the next week or so when she was up and moving around again she said she never really felt like she was breathing quite right.

The cough was different than any cough I've had before. Since my nose and sinuses were clear, there was no drainage from my nose and sinuses into my chest. It was all originating in my chest.

something_given · 6 years ago
Same thing with our family here in the Bay Area, although it happened in mid-February so we're still recovering in some degree or another. Everyone had flu tests across multiple days and all came back negative for both type A & B.

Doctors thought about a coronavirus, but since we didn't travel to or have direct contact with anyone who did travel to China, they knew the CDC wouldn't approve the test.

lettergram · 6 years ago
In January I also had similar symptoms (and I live in a community With probably 30% Chinese). They claimed it was probably influenza B, so perhaps you had that as well (or my docs were wrong)?

In either case, I have pneumonia to go with it and gotta day it was awful - 5 days of 105 fever, cough, I could hardly do anything.

triangleman · 6 years ago
For point of reference, the clinic where my wife works has been testing for coronavirus since January 25. There are many private institutions with the ability to test patients as they saw fit. I know the protocol was more focused on travel but it seems like there would have been more reports since then.

With that said, my family has indeed suffered from the same kind of persistent cough you describe, so I don't know what to make of that.

nemonemo · 6 years ago
Do you know how many the clinic has tested since then? The ratio between the confirmed cases vs the test count seems about 3% in US, and the total tested number in US is 472 according to CDC.
gdubs · 6 years ago
FWIW our family got hit with the same thing. The cough was... different than anything we’ve experienced in recent memory. I assumed it was the flu (we stayed home and didn’t get tested, but it was pretty brutal.)
jp57 · 6 years ago
Yes. I have trouble describing how bad the cough and lung symptoms were. At one point I remember saying "my lungs itch" and wishing I could find a way to scratch them from the outside.
Ghjklov · 6 years ago
I think it was also around December when me and a number of coworkers at the cafe I was working at got sick like this too. I don't know what they did, but I was out for a few days to recover and never went to see a doctor since I don't have any health insurance or provider. I recovered after about a week or so of rest.

I no longer work there and am looking for a new job now, but these are tough times. I couldn't have picked a worse time to be looking for work. I wonder how things are gonna go for people such as me who work in jobs that inherently need people at a physical location interacting with people. We can't just remote into work and make coffee for people.

knzhou · 6 years ago
Almost certainly not. If it had been around for three months, with no control at all, it would be extremely obvious by now.
jp57 · 6 years ago
That's fair, I guess, unless there are many unreported mild cases where infections don't result in pneumonia.

Also, it's only been two months since christmas, not three, and many schools' winter breaks last into January, so maybe more like 1.75 months for it to spread from the hypothetical vector of returning Chinese students?

40acres · 6 years ago
Definitely. Imagine how long it took for news of the virus to bubble up the Chinese bureaucracy and how many people traveled during that time period.
learc83 · 6 years ago
My brother's wife is also an ESL teacher. She had multiple students who traveled home to Wuhan during the winter break. Shortly after school starting she came down with a cold, gave it to my brother, and he had a pretty bad cough for a month. He's just now getting over it.
pmlnr · 6 years ago
Last winter in Cambridge, UK, both me and my wife went through something labelled the Queen's Cough. In theory, that was an adenovirus: apart from the brutal cough that got worse if you rested and layed down, it regularly resulted in inner ear inflammation.

We suffered from it for nearly a month, we had to take mild tranquilizers - valerian extract - to fall asleep, only to get up coughing for 10-20 mins non stop in tge middle of the night.

There are loads of nasty chest infections out there.

dkarl · 6 years ago
Considering how contagious it seems to be, I think if it had been circulating in the U.S. for months under the guise of flu, there would have been a mysterious number of deaths of young, healthy people from flu that would have been recognized in hindsight as Covid-19.
conradev · 6 years ago
Mortality in people under 40 for Covid-19 is only 0.2% according to the CCDC study:

https://www.worldometers.info/coronavirus/coronavirus-age-se...

We’d be seeing a number of deaths in older people who would have otherwise been fine

SpicyLemonZest · 6 years ago
It's not clear that we would recognize it in hindsight. Flu seasons vary heavily in magnitude, and a large majority of flu tests come back negative in any season.
stanski · 6 years ago
A ton of people at work were sick this December without contact with Chinese students. I would guess it wasn't covid-19 but whatever regular virus was making the rounds.
seadan83 · 6 years ago
Interesting thought, there was something that was going around, very contagious that everyone got
cheeze · 6 years ago
Amazon recently announced that all non essential work travel is cancelled. Friend who works there said they are taking it very seriously - any "essential" travel must be approved from the highest levels.

They also announced that interviews will be conducted via VC going forward during the outbreak.

I wonder if they 'shut down' campus and encourage everybody to work from home after this, self quarantine kind of thing.

IMO it's the right thing to do. Not all sectors can have all of their workers stay home, but Amazon employees (in Seattle, fulfillment centers are a totally different thing) can easily work from home in almost all cases.

BooneJS · 6 years ago
I wonder if this “temporary alteration” will impact the way business is conducted long-term. Instead of choosing between conference calls or flights, choose VC.
asdfasgasdgasdg · 6 years ago
As someone who doesn't have to do business travel very often, I enjoy the trips to go meet with long-lost colleagues. But at the same time, it's pretty clear at least to me that most of these things are a waste of company money and don't really move the ball forward much compared to typical electronic collaboration. Selfishly, I'd be sad if business travel suffered a large permanent reduction. But it would be better for the business and the environment if it did, even ignoring the risk of propagating diseases.
bespokedevelopr · 6 years ago
Given the impact airline travel has on global warming I hope it results in fewer companies using air travel in place of video conferencing.
cheeze · 6 years ago
Whether they want to or not, they are now being forced into running a large scale experiment of only conducting interviews over VC. Should at least yield some interesting data.

I personally hate doing VC interviewing. It's already hard enough to make a decision from an hour long in person meeting, but VC complicates that more.

lrem · 6 years ago
Having ubiquitous, reliable access to good VC doesn't eliminate the need to travel. Humans communicate so much better face to face.

Source: I work in Google, spending up to half of my working time in VC. Still need to hop in a plane when something is important enough.

nexuist · 6 years ago
Hopefully it encourages innovation in the space. 17 years after Skype came out we'd still all rather prefer to be in the same physical room than a laggy, compressed, low quality virtual call.
pbourke · 6 years ago
This pandemic will likely play out over a months to years timescale, so it very well might alter patterns like this.
hbosch · 6 years ago
I heard this, too, and I wonder if any companies will extend this travel ban to local transit. I work in Seattle, and I ride a ferry and a bus to get to the office. The Seattle ferry, especially at rush hour is a crowded and not-incredibly-santiary experience, as are the city busses. How long before MSFT/GOOG/AMZN/etc. are asking people not to ride the ferries? Or busses?
certifiedloud · 6 years ago
> Amazon recently announced that all non essential work travel is cancelled. Friend who works there said they are taking it very seriously - any "essential" travel must be approved from the highest levels.

Same at Toyota. At least for international travel.

asdfasgasdgasdg · 6 years ago
The company I work for has canceled travel to "affected regions" period -- no exceptions for "essential" travel. But it hasn't cancelled business travel elsewhere (e.g. the US, Canada, South America) . . . yet. I can only imagine in a week or two that will be the next step.
wil421 · 6 years ago
Same at the Megacorp I work at and a lot of other places. I’m in the South and my closing is doing it globally with a 14 day self-quarantine if you went to China, South Korea, and Italy.

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gigatexal · 6 years ago
Same here. All travel must be approved by the CEO
runarberg · 6 years ago
As we are several decades into an equally serious—or perhaps a far greater—catastrophe with globally rising temperatures—in part to blame by human activities that are now hindered because of this new immediate emergency.

I love that it took a global virus outbreak for these companies to take these actions that they should have taken long since in an effort against the climate disaster.

RobRivera · 6 years ago
I don't know where to begin with this opinion and commentary so I'll just say how I feel.

Finding solace of potential human loss of life through a lens of reduced carbon footprint is tonedeaf to those who have lost loved ones to this disaster, and furthermore alienates an enriching dialogue between climate deniers by providing a scapegoat to keep heads in sand.

"Look at those climate cry babies, celebrating loss of life"

burlesona · 6 years ago
First posted this on another article before seeing this one.

Not much information in this article, but given they only just reported new cases that makes me wonder if this person didn’t come to a hospital until they were in severe condition - probably because they had no idea it was coronavirus and were thinking “it’s the flu, it’ll pass.” If so it likely means many more cases in the community than we currently know about.

war1025 · 6 years ago
The fact that symptoms are mild in the vast majority of cases and there have now been a couple severe cases positively identified basically guarantees that we have widespread community transmission at this point.

Even among people with health insurance, the costs of visits combined with the likelihood of being told "it's viral, just wait it out" mean that many people simply won't bother with going to get a diagnosis from a doctor.

SpicyLemonZest · 6 years ago
And it's not even just disincentives, right? If I feel bad but not deathly ill, I don't want to go to the doctor in the first place; I want to lie in bed, where I have Youtube and crackers and there's nobody around to infect.
kjlhiou534 · 6 years ago
Surely there are a number of people with severe pneumonia all over the US right now. Maybe they just started testing them for coronavirus.
SpicyLemonZest · 6 years ago
That's correct - until very recently, severe pneumonia with no known link to coronavirus cases didn't meet the testing criteria.
rolph · 6 years ago
a lot of people will walk about with pneumonia [of various origins] and its no big deal to them until they just suddenly pass out or cant walk 2 steps without taking a knee
daenz · 6 years ago
Personally, I believe most people should just accept that they are going to get COVID-19. It's going to get spread around, and it's not containable. You're likely going to get it. That's the bad news, but the good news is that we have immune systems and we know how to take care of each other and ourselves. Yes it's going to kill some people, no it is highly probably not going to kill you. People will be sick and going on with their lives and doing their jobs.

It feels like we're teetering on the verge of hysteria, but a little acceptance about the situation would go a long way.

pbourke · 6 years ago
There are steps that can be taken now at the community and country level that will drastically lessen the impact of the virus. That is to heavily promote social distancing.

Social distancing will flatten the epidemic curve, which means that hospitals will be less likely to be overwhelmed. It will cause economic pain so it will be anything but easy. Mitigating that economic pain would be an absolutely good use of government stimulus.

So let’s say there is no political will to be proactive with social distancing. Then we enter reactive mode - schools And offices close when a cluster is detected. Perhaps a larger scale quarantine must be enacted by the government (aka martial law). The economic pain is worse, and the end result is more deaths and an overwhelmed hospital system. Plus Wuhan style images of hospitals in major Anerican cities flooding the media.

Gene_Parmesan · 6 years ago
This misses all the secondary effects an uncontained global pandemic would have, which would be wide-ranging. A sudden and prolonged 10% drop in global productivity could be a nightmare scenario.

Having said that, I'm not panicking either, and I think it's still too early to assume it's going to be fully uncontained -- hell, once the weather starts warming it could all change dramatically. (But then again, I have the advantage of living in a first-world developed nation with strong health care; the massive numbers of people living in 2nd- and 3rd-world countries have a lot more reason to be concerned I think.) But the concerns here go well beyond the simple individual experience of contracting the illness.

pmoriarty · 6 years ago
The secondary effects could go far beyond productivity losses.

If the health care system gets overwhelmed as we've seen in China (and as it already nearly does in the US every year due to seasonal flu), then even those 15%-20% (according to current estimates) with severe symptoms that could have been saved had the health care system not been overwhelmed are likely to die.

Also, people with other life threatening illnesses that could have been kept alive may die when the health care system gets overwhelmed.

Here[1] is a recent post from a doctor expressing his concerns:

"The hospital beds are most of the time at full capacity. Usually I had to send on Friday 30% of my patients home to make place for the new ones that were coming over the weekend, and this without any major epidemic. The reserves of protective gear are low. A lot of doctors and nurses don’t want to work in these conditions and most probably won’t show up at work anymore after they see how many people are going to die ( especially if young ones are also gonna start dying left and right ). We don’t have enough personnel. We don’t have enough beds. We don’t have enough machines. I expect that the CFR will be around 10%."

[1] - https://old.reddit.com/r/Coronavirus/comments/fbbr3b/r0_betw...

tim333 · 6 years ago
I think the experiences of places like Singapore and Vietnam indicate containment is possible and we shouldn't give up yet. I wish the US would do more testing and quarantine those who have it. (Singapore has gone down from 56 active cases to 32, Vietnam from 16 to zero in spite of being a major travel hub for China and next to China respectively).
walterlb · 6 years ago
I agree about avoiding hysteria, but IF "most" people got the virus...

Let's take "most" people to be 50% of the population. The Seattle Metro area had ~3.9 million people in 2017. The virus death rate is currently estimated at 2%.

So just accepting that 3.9m * 0.5 * 0.02 = 39,000 people will die in the the Seattle area alone seems a bit extreme

hnarn · 6 years ago
Saying that the death rate is 2% is extremely dishonest since it ignores one of the most important factors: age. For most people reading this you're off by an entire decimal.
akvadrako · 6 years ago
There are 86k confirmed cases globally. That’s 0.001%

Why would you think most people will get it?

conradev · 6 years ago
The number of cases per day outside of China is still growing exponentially:

https://www.worldometers.info/coronavirus/coronavirus-cases/...

Until that changes it’s a fair assumption that a lot more people will get it

pbourke · 6 years ago
“The train appears to be over a mile away from where I’m standing. Why would you think it would hit me?”
daenz · 6 years ago
Because it's spreading exponentially and its incubation period is up to 1 month. You should watch the CDC press conference given a few days ago[0]. Officials are not talking in terms of "if", they're talking in terms of "when."

0. https://www.youtube.com/watch?v=KNV8HYI126U

jcoffland · 6 years ago
One person has died in the US. It's not time to panic. I expected more logical comments here.
erentz · 6 years ago
The concern is people have not been taking this seriously for the past two months. This has resulted in the US being on the back foot and only acting in a reactive manner. The CDC has fallen flat on its face and now state public health departments need to try to pick up the slack. I hope they do.

Other countries are already trying to slow down spread via cancellation of events and closures of schools. The same needs to happen here so that our hospital system has a chance to cope. The real danger is what happens when the 19% of people who get infected that require some level of hospital care can’t get it. The death rates will then rise considerably. Those are preventable deaths if we slow this down.

There needs to be clear and fact based communication from authorities every day about the current situation and what the public can do to play their part. People panic when information is hidden from them, they aren’t stupid they will see what’s going on. They need to know that all the correct things are being done.

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craftyguy · 6 years ago
> The concern is people have not been taking this seriously for the past two months. This has resulted in the US being on the back foot and only acting in a reactive manner. The CDC has fallen flat on its face and now state public health departments need to try to pick up the slack. I hope they do.

Oh please. There's likely absolutely nothing the CDC could have done to prevent it from entering and spreading within the US, given the nature of the virus. What would have been an ideal situation in your mind, have the CDC order a complete halt to domestic/international travel early January?

MiguelVieira · 6 years ago
In developed countries that have done lots of testing the ratio of infections to deaths is about 50 or 100 to 1. This death implies that there are a lot of undetected infections.
hinkley · 6 years ago
When is it time to start freaking out? I have a friend who may be starting to unhinge a little bit. Whereas I have some sort of stoic “this is completely out of my control and will happen or it won’t” response that is probably not that much more rational.
gdubs · 6 years ago
It’s never time to freak out. That leads to poor decisions. It is time to take this seriously. Beyond personal hygiene, plan on how you’ll deal with school closures if you’re a parent (and ensure your school has a remote study curriculum in place.) Consider if you get it, it could be fairly benign — so you want to think about your role in reducing the spread to more vulnerable populations. WFH if possible.

Preparedness begins in the household, to the community, to the state. We should all do what we can to spread the impact of this and prevent a strain on resources.

baddox · 6 years ago
When is the point at which freaking out will help?
finaliteration · 6 years ago
I think the “truth” is likely somewhere in the middle: Be cautious and take precautions like washing your hands, avoiding huge crowds, and having some extra supplies on hand, but don’t panic. It’s not completely out of our control but completely freaking out and melting down won’t help anything.
nerdponx · 6 years ago
Never. However the time to take it seriously as something that has already transmitted throughout communities in the US, has passed, and you should do that starting now.
ThrustVectoring · 6 years ago
If you're healthy and under the age of 50, the most you need to be doing is stocking up on two weeks of shelf-stable food for riding it out.
allovernow · 6 years ago
No one should be freaking out but we should all be preparing by stocking up on essentials to stay home as much as possible for a month or two.
hnarn · 6 years ago
If you are under 60 years old, the lethality of Covid19 is only 2-3x that of the regular flu. Why are people spreading these types of news and commenting on them like it's the end of days? We may yet see a severe pandemic in our time but I don't see anything indicating this would be it, especially not since lethality goes down with spread. The biggest concern so far people should have regarding this virus is what it's going to do to your portfolio seeing as the supply chain of half the companies in the world seems to be disrupted in the coming months.
tristanj · 6 years ago
> If you are under 60 years old, the lethality of Covid19 is only 2-3x that of the regular flu.

That does not pass the smell test. According to the CDC, in the 2017-2018 flu season, there were an estimated people 14.4 million cases of the flu for people 18-49 years old, of which 2,803 died. That's a fatality rate of 0.02%.

The latest fatality rates coming out China show a 0.2% to 0.4% CFR for that age group. Which is 10-20x higher.

It seems like you reached the 2-3x lethality factor by comparing against the flu's overall CFR of 0.1%, which includes a lot of elderly people.

[1] https://www.cdc.gov/flu/about/burden/2017-2018.htm

[2] https://www.worldometers.info/coronavirus/coronavirus-age-se...

hnarn · 6 years ago
I think you're correct, so I apologize.
nyolfen · 6 years ago
many people have beloved family members who are older than 60. even if you are young, the symptomatic infection can be very severe and disabling for a week or two. it's also extremely contagious.

> especially not since lethality goes down with spread

there is no guarantee of this

hnarn · 6 years ago
How is any of this different from seasonal flu? It's also potentially lethal for the older population and can also knock you out for a week or two. I'm not disputing that flu viruses are bad, I'm just pointing out that the mass hysteria that seems to be brewing is not based in facts.
eqdw · 6 years ago
I don't know how you can rationalize "this was so bad that China cut off half the supply chains in the world" with "its just a flu bruh"
unionpivo · 6 years ago
Except, for people who are older or have health problems, who might also read HN you mean ?

I have chronic Bronchitis and Asthma and am on biological drugs witch lower my immune system.

Had pneumonia last year, wasn't fun.

Somehow my portfolio is not high on my list of concerns.

hnarn · 6 years ago
I sympathize with your health concerns, but all things considered it's not much more of a threat than (unfortunately) seasonal flue is every year. And your point is exactly what I'm saying, in terms of health profile you are an outlier, but the hysteria visible online makes a reader think that this pandemic is somehow going to wipe out a majority of humanity.
crystaldev · 6 years ago
We have no idea what's happening[1] so maybe paranoia is a reasonable default?

[1] https://www.nytimes.com/2020/02/27/us/politics/us-coronaviru...

gdubs · 6 years ago
Meta point but when NYT introduced their paywall they said access would be free during emergencies. Certainly this qualifies.

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