Daily Weather Briefing for Monday, April 27, 2020

OUTLOOK

Seasonably cool and breezy conditions are expected across our region today. Expecting a bit milder temperatures on Tuesday. The next shot at widespread rain will arrive by late Wednesday as a cold front reaches our area.



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General Forecast Through Monday

Today

Sunny. Highs in the 60s. Winds out of the northwest 10 to 15 mph. Gusts up to 30 mph in the morning.

Tonight

Mostly clear. Lows in the 40s. Winds out of the northwest 5 to 10 mph.

Tuesday

Mostly sunny. Highs in the 60s to around 70. Winds out of the southwest around 5 mph.

Tuesday Night

Partly cloudy in the evening, then mostly cloudy with a chance of showers after midnight. Lows in the 40s up to around 50. Winds out of the south around 5 mph. Chance of rain 40 percent.

Wednesday

Showers. Highs in the 60s. Chance of rain 90 percent.

Wednesday Night

Showers likely with a chance of thunderstorms in the evening, then a chance of showers after midnight. Lows in the 40s. Chance of rain 70 percent.


Hazards

Hazardous weather is not expected today.


End Daily Weather Segment

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Begin COVID-19 Update


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The Great Ventilator Fiasco of COVID19 | Are They Even Needed? Doctor Explains





The CDC website [LINK] reports 8,623 people in North Carolina are infected and that the infections are widespread, the NCDHHS website [LINK] reports 8,830 confirmed cases, 451 hospitalized and 299 deaths in the state. The Johns Hopkins Dashboard [LINK] reports 8,997 people infected and 324 deaths (these include non-residents located in NC).

Resources for Reliable Information about the Corona Virus (COVID-19) [LINK]


Dr. John Campbell

Monday, April 27: Comorbidities in New York



JAMA on NY Study [PAPER]

Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area

Design, Setting, and Participants
COVID-19 admitted to 12 hospitals in New York and area
Sequentially hospitalized patients between March 1, 2020, and April 4, 2020
Exposure
Positive result on polymerase chain reaction testing of a nasopharyngeal sample among patients requiring admission.
The first test for COVID-19 was positive in 5517 patients (96.8%), while 183 patients (3.2%) had a negative first test and positive repeat test.


Results
5700 patients
Median age, 63 years
Interquartile range (IQR), 52-75
39.7% female

Most common comorbidities

Hypertension (3026; 56.6%)
Obesity (1737; 41.7%)
Diabetes (1808; 33.8%)

At triage
30.7% febrile
17.3% respiratory rate greater than 24 breaths/min
27.8% received supplemental oxygen

Respiratory virus co-infection was 2.1%

Outcomes
2634 patients discharged or died at end point

(3066 remained in hospital)

During hospitalization, 373 patients (14.2%of the 2,634) treated in ITU

These had a median age of 68 years and were 33.5% female

320 (12.2%of the discharges and deaths) received invasive mechanical ventilation

81 (3.2% of discharges and deaths) were treated with kidney replacement therapy

553 (21% of discharges and deaths) died

For patients discharged alive, the lowest absolute lymphocyte count during hospital course was lower for progressively older age groups.


Mortality rates for those who received mechanical ventilation
18-to-65 76.4%. (19.8)
Older-than-65 age groups 97.2%. (26.6)

No deaths in the younger-than-18 age group


As of April 4, 2020, n = 5,700
1151 (20.2%) required mechanical ventilation
38 (3.3%) were discharged alive
282 (24.5%) died
831 (72.2%) remained in hospital.

45 patients (2.2%) were readmitted during the study period

Angiotensin-Converting Enzyme Inhibitor and Angiotensin II Receptor Blocker Use

Hypertension not taking an ACEi or ARB. 26.7% died
Taking an ACEi 32.7% died
Taking an ARB 30.6% died

Video 1: Sunday 26 April Global inequalities



Video 2: Global update and testing analysis



Study: 71 percent of jobless Americans did not receive their March unemployment benefits [LINK]

All Illinois residents required to wear face masks in public beginning May 1 [LINK]

Coronavirus: Are the lockdowns actually working? (April 21st update)



Those who cannot remember the past are condemned to repeat it. A historical look at why we shouldn’t rush to “reopen” our society/economy [LINK] 

The South is likely to have America’s highest death rate from covid-19 [LINK]

San Francisco had the 1918 flu under control. And then it lifted the restrictions. [LINK]

Stoicism in a time of pandemic: how Marcus Aurelius can help [LINK]

German government confirms attempts by Chinese diplomats to persuade German officials to make positive public statements about China's management of the pandemic [GERMAN]

GOP Maryland governor warns state received "hundreds of calls" asking if it's OK to ingest Clorox after POTUS’ disinfectant remarks [LINK]

New York City had to shut down its social-distancing 'snitch-line' after it was flooded by trolls brandishing penis pictures and Hitler memes [LINK]

Scandal unfolds in Sweden as man with coronavirus is sent home from hospital and denied care despite getting progressively worse, Turkey sends airplane to take the man to Turkey and offer treatment [LINK]





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Published at 4:00am on Sunday, April 27, 2020