No Vaccine or anti-viral yet, but ... by Lee Vandervis

 Medical science has come a long way in the 100 years since the Spanish flu, as many have said.
In my view better hygiene, control of symptoms and understanding how to slow viral spread will ensure that relatively few will die from Covid-19 in NZ because the Arden Government have wisely followed the best Taiwanese containment model.

Not so Africa and many other countries. There is no cure or vaccine yet, and a vaccine lead-time will be long.
The price of containment in NZ is stalling our economy, which will have severe personal limiting effects, unemployment misery, and long-term economic contraction.

I apologise to those offended by the scary view of my previous post which I wrote in reaction to people claiming that Covid-19 is just another flu and that it will be business as usual after the 4 week lock-down.

I believe that we are in for years of economic contraction because major industries like Tourism have stopped, and because the printing of even more money as in the 2008 bail-out spree is unsustainable. Locally, we need to alter our spending priorities now, focusing on what is really necessary.

I am using lock-down time to reassess my personal priorities and to rethink how we might optimise social positives in a contracted economy. We now have lots of technology to build our individual social capital - to share info, skills and support.

A major world positive is the current greening of the planet, allowing much more food to be grown. Happy gardening if you have that option...

It's not Flu. Experience of having coronavirus, by Shiraz Maher

This was posted in a series of tweets on twitter.

Shiraz Maher  @ShirazMaher

Mar 28th 2020,

I've been debating about whether to 'go public' on having coronavirus - which I kind of did inadvertently this morning. So, now I may as well share my experience(s) with you in order to help those who are worried about it or who are thinking they might have it. Here goes...  

 

I was taking this thing pretty seriously from an early stage because of advice from my good friend @amhitchens, who rightly identified the coming crisis. So I put my house in lockdown, I closed @ICSR_Centre early, and I started taking precautions  

 

But you need to be constantly vigilant with coronavirus. All it takes is one careless moment, one unthinking touch of your face, accidentally touching a contaminated surface once and suddenly, boom, you've got it.  

 

I'm 38 and have no underlying health conditions. I figured if I got it, I'd shake it. Here's how things have played out. Firstly, it's not the flu. Whoever originally said that, did everyone a great disservice. This thing is not the flu. It's a nasty, horrible, illness.  

 

I started having symptoms about two weeks ago. The fever was mild and went very quickly. Is it Covid-19? Who knows, but I've shaken it quickly. Great. Then my lungs started packing up and my chest got very tight. This happened around 15-16 March. 

 

The cough was dry and unlike anything I've ever had before. It was much more extreme and pronounced than a dry cough you might have during a bout of the flu. It feels like there's something deeply lodged within your lungs, that they're (violently) trying to eject.  

 

Of course, there's nothing to actually eject. The resulting cough is dusty, dry and painful. Much more scary is that you're unsure of when you'll stop coughing. You have no control over it. There were times I was worried I'd start vomiting because the coughing was so severe  

 

When you finally stop, it's a relief - but now you're in a new phase altogether. You're fighting to draw air into your lungs but your chest is tight and, frankly, your lungs are in distress. They're not functioning the way they should.  

 

Your head is also pounding because of the violent coughing. I suffered terrible headaches after these coughing fits. The evening of Wednesday 18th was the worst day for me. I fought for breath for about 3-4 hours. It was horrific.  

 

I recorded my symptoms and sent it to doctors (my friends). "Classic Covid" came the reply. I kept monitoring it and, frankly, staying awake was a struggle. I went to bed. My breathing remained severely impaired for another 2 days, but I was managing it all from home.  

 

By Friday, I thought I'd got through the worst of it and things were looking good. Coronavirus is particularly cruel. Recovery is not linear. On Saturday night I started to feel distinctly unwell again. I decided to take my blood pressure because I have a home monitor...  

 

Anything over 180/120 is classified as 'hypertensive crisis' (basically, heart attack/stroke territory). Without revealing what mine was, lets just say I was well, well in excess of this (again, I don't have an underlying issue). This was easily the most terrifying moment.  

 

I called my doctor friends and told them. "Time to call 999" they said - so I did. It took more than 15 minutes to speak with a representative; that's how overwhelmed the emergency services are. I told them my BP and that I have coronavirus.  

 

Ultimately they decided they couldn't respond to my call. I am not criticising the London ambulance service. They are doing superb work under incredible, unprecedented circumstances. I'm telling you this part of the story to underscore two things...  

 

The first is that you should only call them in an absolute emergency. It's not a diagnostic service. The more unnecessary calls, the longer the delay in them answering becomes. Secondly, be prepared to take decisive action for yourself because they might not be able to help  

 

So I called my doctor friends again and started to take actions to lower my blood pressure naturally, at home. I spent the next 48 hours in bed and, only after this time, did my blood pressure return to anything vaguely resembling 'normal' (it was still high, but acceptable).  

 

Now we're into the start of this week. Symptoms have slowly evolved into a less severe cough and my chest being less tight (although these get worse in the evenings). But I have lots of new symptoms: crazy abdominal pains and headaches. The lethargy has persisted throughout.  

Today we're approaching the end of 2+ weeks since I first developed symptoms and about 11-12 days since they became particularly acute. For the first time, I feel like I'm starting to beat it but I'm nowhere near feeling 100%.  

 

Coronavirus appears to have a completely different trajectory in different people. I can't spot a pattern. Although I'm only speaking publicly about it now, I've been whatsapping with lots of friends/colleagues who've also had it.  

 

Some are shaking it off relatively easily. Others are suffering very badly. The most difficult part of this is the extent to which it takes hold within your lungs. There's just no way to tell what will happen at the start. You need to watch this symptom if it develops. 

 

So that's my coronavirus story. It's a completely mad, crazy illness. It had made me feel more intensely ill than I've ever been in my life. On the Wednesday & Saturday of last week, I was genuinely fearful of what could happen if those symptoms continued to escalate. 

 

I didn't want to tweet about my experience until I was more comfortable in my own assessment that I'm through the worst of it. And I'm sharing this with you now so that you can really think about the way this thing is hitting people.  

 

Do you really need to go out right now? Is social distancing really that hard? Is it too much of an effort to wash your hands repeatedly, and to wash them properly, with soap?  

 

I've lost several days of my life to this illness. Many, many other people will lose their lives to it. This virus continues to spread everywhere and you - literally, you - can help stop it with the most basic of efforts. Wash your hands. Stay at home. Do it now.