33:00 It's so good when a technical person explains something so clearly in this way so now as a non-medic I understand latency, incubaiton period and astymptomatic carriers in one single sentence. Brilliant!
The problem that I see in corporate healthcare now, is that the people in charge do not have medical training. I am a nurse and work for a healthcare Corporation with an administrative pyramid led by a CPA. Each region has a GM with a sales background. We can't get the supplies and staff we need because of the cost. Nurses and our collaborators are quitting from discouragement and exhaustion. We are providing care with scanty PPE.
My son is an RN BSN with an MBA. He is chief of clincal operations in a big healthcare center. It definitely makes a difference that he has a medical background. He cares about the staff and the patients but walks a line to keep the doors open but people come first. I am a retired RN 40 years. It was apalling how things were in those last years. A corporate businees no caring for staff or patients. It was so different when I started. We cared and helped patient and family first and the doctor who cared of course. In the end you could save your breath. The bottom line was most important.
Thank you gentleman for an excellent, informative, and forthright interview; being a level-headed and rational person, I appreciated it very much! I hope you don't get bogged down by some of the absurd comments that come up - we're not all crazy! 😄 God bless and good health to you both. Keep up the good work! 🥰
Interesting ntelligent Inspiring and Informative conversation I am so amazed about the level of education skill and expertise that cones across in this interview Thank you God bless you all Best wishes from New Zealand
"We have the best medical care in the world." REALLY? Then how come - the US has less hospital beds per capita than many other countries, e.g. Germany? - the US has less ventilators per capita? - the US has less doctors per capita? - the US has less nurses per capita? - the US didn't manage to get tests soon enough? Why didn't the US buy the one used by the WHO until it would have developed a working one domestically? - the US has a much higher death rate in this crisis than them? - despite of all of these deficits, the US spent around 10,200 US$ on health per capita but Germany only around 5,800 US$? That's 17.1% of the GDP in the US and only 11.2% of the GDP in Germany for a better health care. Even if all of these were about as good as e.g. Germany, we still don't have health insurance for everyone as they have since 1883, so not all who need and deserve it can take advantage of it which is a disgrace. Even if we had this, we still would not have paid leave like most European and many other countries have, so people cannot afford to stay home when they are sick. Considering all of the above, how delusional must someone be to even think that the US would have the best medical care in the world, let alone speak it out loud?
YES! We do. Love, Critical Care Nurse in the USA. No system can handle a pandemic, especially when this demonically intelligent virus was manufactured in a lab with biowarfare. Considering all of our PPEs are made in China, who held it from us?More at which you need to look.
I am not from US, but see the US health good only for wealthy people. It is too expensive for average people which is a disgrace since US as a wealthy state can afford it. It is a common-sense conclusion
Mystery ? Psychologists give it a name - DENIAL ! Meaning what we find emotionally challenging to face we very often suppress awareness of ! Certain professions are rightly ethically expected NOT to indulge in such emotional self protection ! Ie doctors, politicians, public officials .....higher standards rightly need to be applied to those who have power over the fate of many !
There were quite a few errors in this interview. I'm not sure if the speaker was nervous or what. You corrected his misstatement on "thousands died during 1918 outbreak" to "millions" but he still misstated SARS as "10x worse than flu" when he must've meant 100x worse. SARS is 10% where seasonal influenza is 0.1%
This is very common when people are talking fast and they know the time is limited. I am sure it has happened to you assuming you have been required to talk at this level. However, this "verbal typo" is insignificant for the concept and the core message of the interview. I am not sure if you have spotted anything else?
@@jamesp9226 It is not called "making excuses" it is called "common sense". For medical doctors (like me) the message of the interview has been very clear and it's very easy to spot the "sloppy mistakes" that everybody make. I was just wondering whether Scarlet has spotted anything else that may put in doubt the core message of the talk.
Influenza has a lot more antigenic drift making that vaccine less effective, because we base it off of older strains Corona has less antigenic drift (according to Dr. Vincent Racaniellos podcast yesterday) so hopefully a vaccine will be more efficacious and help us reach herd immunity faster
At the rate people are dying, I don't think "heard immunity" will get a chance to take hold. A vaccine may be effective, or the virus may mutate seasonally, requiring vaccine adjustment every year.
@@maxalberts2003 It sounds like the virus has already mutated in different areas of the world. I thought about the flu virus and how there are so many different strains making it less effective.
Thank you for your work doing this, you show yourself calm and logical and still in a great bed manner! Thank you and all your super professional guests!
Doctors, nurses and other health providers must have legal protections from being fired by hospital administrators. Gag orders and retaliation does not protect the public's Health. Health professionals put their lives, ethics and professional license on the line to treat and help heal people.
WHO's 'Situation Reports' are lagging seriously behind and its administration is not doing enough to demand nations to comply to medical advisories to bring down the curve. Their information is insufficient and more. . . It is NOT doing a great job during this pandemic. . .
And silence is what is happening in Sweden too. And I am appalled of the lack of critical questions to the authorities from the journalists. Sweden have no plans in a shut down of society , because their goal is "herd- immunity. They are lowering the degree of protections for health care workers.They say that the risk healthcare workers getting the decease is minimal and that it is more likely that they are getting it moving around in shopping halls in the society. The policy is to protect the elderly and vulnerable,- but the staff taking care of these ppl are those who aren't needing to wear face masks, f.ex . They say that the staff don't need it because it is very unlikely that the old ppl will transfer the virus to the staff. NOT ONE SINGLE JOURNALIST ARE POINTING OUT THAT IT COULD BE A LARGE POSSIBILITY THAT THE STAFF COMING FROM THEIR HOMES WITH CHILDREN ATTENDING SCHOOLS Traveling to their jobs by PUBLIC TRANSPORTATION (which is NOT disinfected, because it doesn't spread that way, they say) INTO THE OLD PEOPLES- CARE HOMES ., MIGHT BE THE ONES THAT NOW ARE TRANSMITTING THE VIRUS INTO HOMES FOR ELDERLY:
I wish the journalists here in the US would talk back to trump, loudly since he has their mic turned off when he doesn't want to continue with their questioning.
Factual statements from health care and other hospital personal have been terminated for speaking out and/or wearing their own personal equipment..these hospitals should b ashamed of their own actions.. Not of those who are trying to protect themselves..or better yet..be terminated
My kids are 11 and 3, and I can't tell you how happy I was to learn that this disease was mostly sparing the young. I have been toughened up by life and I think I could handle fighting this if I had to. I don't think I could handle watching them suffer, though.
I totally agree . I don’t understand why the federal government allowed that to happen . 1. delay on the test kits and 2 .no PPE preparation . They clearly do not understand what is used when dealing with highly infectious disease . I work in the operating room and we use a lot of disposable PPE to protect the patient and ourselves and that’s even for 50 cases in just 10 hours ( excluding the N95 masks depending on the case). It’s really pissing me off . All my former nursing classmates are in NYC right now and the firing of that nurse , common , you need manpower . I have been telling my coworker about this virus before the Chinese NewYear and giving them updates . No one was paying attention to this until the second week of March.I told everyone at work that community spread has already happened .
Federal FDA restrictions "keeps us safe" from rapid testing. It's nice that people slowly have come to realize what A FIASCO the FDA restrictions are, but they've been killing people for DECADES, and the solution is deregulation, not more regulations and executive orders.
Thank you for posting these conversations. I'm in South Korea and most of the information here is in Korean, and I value this source of English info. The Korean CDC only publishes its daily reports in Korean, unfortunately, but they are very interesting and include the number of tests so far, the number of people confirmed positive, and the case fatality rates by age and sex. It's reassuring that out of 9887 confirmed cases in Korea, there have been zero fatalities in anyone under 30. (Even though roughly a third of the confirmed positives in Korea are under 30, so there has been plenty of exposure.) On the other end, however, the CFR for over 80s here has been 19%. If you know some Korean or aren't afraid of the mess that is Google Translate, the info is at cdc.go.kr. Click on the picture of the person in the mask to go to all the COVID maps and statistics.
@@angelamontgomery8617 According to this morning's daily briefing, CFRs are as follows: 80+ is 18.58%, 70s is 6.99%, 60s is 1.85%, 50s is .54%, 40s is .08%, 30s is .10%. Under 29 have seen no fatalities yet, with 2682 cases age 20-29, 519 cases age 10-19 and 116 cases 0-9.
As stated the government failed to respond properly and yet we continual to believe the government is to be depended upon even more in the future rather than assuming personal responsibility for ourselves.
Wonder how the profile of the population, at least in the US, has changed since the 1957 pandemic which might affect the fatality rate - older average age and more health problems in the current population (larger percentage of obese people and associated health problems).
What about China's claims that patients who have recovered can become re-infected? Also, some claim that no one is really cured ; instead, the virus becomes dormant and re-emerges later.
Those who recover always produce anti bodies. There was some discussion of reinfection in the February, by Chinese scientists, but this is likely due to different strains. As far as being dormant and coming back later that's just nonsense. If you recover and develop antibodies then you've achieved immunity.
@@JennySimon206 Will check now. Personally, I got chicken pox as an infant then shingles at the age of 21. So, I can't imagine why people think dormancy is nonsense. I had no idea Herpes was related to Alzheimer's too. Thanks for sharing. I am freaking about it.
incarnadinelifestyle as far as I know, the coronavirus is a retrovirus. That means, as stated in other comments, it hides in cells in an inactive state. When the immune system weakens a retrovirus rears it’s ugly head - as in shingles. The reason more and younger people are getting shingles is because of the chicken pox vaccine. This is why the UK does not mandate that vaccine. With chicken pox making it’s way through the community on a yearly basis, those who have already had it are annually exposed to the wild strain of the virus. That exposure boosts their immune system against the dormant virus.
From what I read, starting December 2017, China was importing PPE, ventilators, like crazy... including from the USA...so even when the CCP /china did not recognize the epidemic the chinese people were buying it up like crazy
36:00 -' Really, Dr. Christakis -- Your outrage I share re federal irresponsiveness to pulling levers of federal government over last 6-8 weeks to handle the national supply chain and to produce personal protective equipment sufficient for national need during 2020 pandemic. However, sadly. I expect the non-performance and failed effort flowing through and from the head of this federal gov"t. It was his, 45's, 2016 campaign promise to run the gov't like the Trump businesses. Those businesses' history includes 3 bankruptcies of (cash cow businesses) casinos -- gambling entities, and numerous suits for failure to perform, and betrayal of various contracts & commitments. CoV Pandemic: This is what lack of preparation produces: Piss poor performance! And worse yet, from what I can figure, voters r trending toward foisting 4 more years of this abject nonsense on our country as they cultishly r enamored of him and sheepishly follow their religious "leaders." Even after this Winter 2020 inept drama of lies, inconsistent policies and disrespect of experts I.e. Dr. Fauci, 45's poll #'s remain consistent. It's ironic 45 is very much like this virus -- very destructive! Maybe voters will exhibit immunity in Nov. 2020.
One of the benefits of COVID is influenza and colds are not going to infect as many people into the future. The masses now understand how viruses are transmitted, and most have the skills to avoid getting bugs, and transmitting them.
Fantastic interview, so informative but : 30:49 Just after this, Nicholas Christakis seemed to contradicted himself because he said it damps down and dies out - but previously 21:46 he said the reality is that it will be endemic, which kind of hints at potentially "forever." I guess he's just admitting that nobody knows!!
labs under high complex proficiency testing should have been uniformity mandated that would have helped to ensure data, diagnosis and treatments were accurate and reliable.
Thank you for the summary. Dr. Christakis’s his comments that him and his wife “are not worried about our children”, and it’s “almost biblical” are absolutely inappropriate. It is re-establishing a terribly wrong message. Quite irresponsible thing to say for a public health professional.
I think unless one experiences a pandemic, it’s hard to imagine the impact. Oh, I didn’t realize this video was aired on March 31. He mentioned Florida would have a severe problem. It turned out that’s not the case. Florida is ready to reopen.
Our president and his administration received intelligence at the end of December and middle of January warning of a respiratory pandemic already causing deaths. The states don't have access to that kind of information. Put the blame where it belongs....in trump's hands. He wasted precious time and lives. He still accuses frontline doctors and nurses of having plenty of ppe and test kits. The federal government has plenty of control over the CDC and FDA. The CDC botched up the initial coronavirus testing while the WHO offered us their testing....again wasted time and wasted lives. Guess who made that decision not to accept them?? That would've been trump's decision.
I do believe that our government did not and does not have a clue how often a HCP should change PPE and there is no reason that doctors & nurses should use the same mask for a month. The entire issue of PPE is embarassing, humiliating & frustrating for all americans and we should be producing millions more to keep our HCP healthy & alive. This is ridiculous! It is not a political issue, it is a public health care issue. Let's get on it!
Now this will be Endemic, at some time ALL old poeple will be exposed to it if they are not isolated. As they are the group most at risc of death, it will result in a cull of the over 70's. THAT's the important question to answer long-term
What about effective response to corona virus ? What about treatment the virus with in an hours after the first symptoms appeared. The virus does not have a chance to spread. May be here we could do with unproved medicine and even with natural remedies
A pandemic was an easy prediction by mid-January based on traits of the pathogen, plus stupid politicians acting in stupid ways. Plagues have followed trade routes at the pace of trade methods for thousands of years. Ancient Greece had extensive naval and shipping resources, and were rapidly overwhelmed by a plague that took two more years to travel inland where the mode of transportation was by foot or horse cart. Military adversaries frequently have treated epidemics opportunistically. People understood plagues well enough in the medieval epoch to proactively flee from one if they had the wealth and/or social connections (see a medieval novella The Decameron by Bocaccio). This contrasts remarkably with current politicians in the West who have acted with such great ignorance at every opportunity. So with a model of developing herd immunity at a pace that hospital resources are not overwhelmed there appears to be a reliance on low average mortality rates for justification. So what about those who will very likely die from a COVID-19 infection? The sooner they die the better it is for everyone according to such a morality of the average.
12:17 -- Markel, Howard; Lipman, Harvey B.; Navarro, J. Alexander; Sloan, Alexandra; Michalsen, Joseph R.; Minna Stern, Alexandra; Cetron, Martin S. (August 8, 2007) "Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemic," Journal of the American Medical Association, 298 (6): 644-654
Things change so fast we are now at 10,000 deaths per week in the USA and accelerating by 7. April 2020 with an estimated 47,000 deaths in Wuhan province up till now, (non-governmental figures).
Herd immunity with numbers of infections below of hospital capacity needs more than 10 years of social distancing. The only good move I see it's going to be eliminating the virus spread, like we did with other disases.
why doesnt the world follow one mass produced epidemic kit? Why did nations like the USA walked away from the German made WHO epidemic kit? Has any one seen the realtime epidemic test by Abbott Labs?...can you comment on COVID19 epidemic in Denmark which has an initial better than average controls.
I'm sorry but the whole world saw this when the Chinese were building additional hospitals at the speed of light. If that wasn't your warning before late January I don't know what would have been. We all live under the same skies and sun & moon! I ordered my own mask then. Just not enough of them. Although, my friend works in a nursing home with 11 confirmed cases there. I gave her a couple of N95 mask to keep her protected. I'm just sorry I couldn't give her more or their staff. The facility still doesn't have the proper PPE! It's sickening!
14:30 in response to the comments.” They (Singapore and Taiwan) are tiny and a little bit of totalitarian” is partially false. If you use this statement to refer Singapore where it’s criticize a have 12% democracy which is true. However, Taiwan has more freedom than the US believe it or not. All government officials are all voted directly. The speakers have not have a full understanding of each Asian countries political dynamics. Taiwan’s freedom have place them leading in the game with language advantages plus with the SARS 2003 and H1H7 2009. Since 2003, Taiwan has been implementing outbreak drill on a regular basis and all department have been preparing possibility of outbreaks since. US isn’t prepared because of our regulations in regards to health care. We do not have a monitoring system to prevent a outbreak.
SO EASY IN HINDSIGHT TO SAY WE SHOULD HAVE BEEN PRODUCING. All that PPE is made in third world countries where labor is cheap. Plenty of people were trying to buy that stuff. ITS NOT MADE IN THE US. There's no magic wand to wave to make the machines that you need to make the PPE in mass quantities.
Because this virus is carried to others by people without symptoms (asymptomatic people), the ones out circulating will bring it home to those who are sequestered.
