#The Westerdam: **That Went to 4 Ports before Landing in Cambodia....infected Passenger goes free to travel** A U.S. woman previously aboard the MS Westerdam cruise ship in Cambodia has tested positive, twice, for the #coronavirus in Malaysia. This came after hundreds of passengers left the ship and traveled on to the U.S., Europe and Australia, officials said. https://twitter.com/network_alien/status/1229025056824680448 https://twitter.com/ayshardzn/status/1228867716590604290 https://twitter.com/MackayIM/status/1228882148494430208 An American passenger who disembarked the #Westerdam cruise ship in #Cambodia tested positive for #coronavirus AFTER travelling to #Malaysia with hundreds of fellow passengers. A #pandemic is near-certain—the only question is WHEN. https://twitter.com/DrDenaGrayson/status/1229066204570177542 ----- Scott Gottlieb, MD @ScottGottliebMD This is cumulate growth in #COVID19 cases on (Japan Cruise Ship) Diamond Princess post forced quarantine vs. cumulative growth in Hubei cases from time zero of Wuhan’s forced quarantine Jan 23. It’s a crude graphic we created, so interpret very cautiously, but gives some insight into relative spread https://twitter.com/ScottGottliebMD/status/1228037116329910272 Of note: In both cases we should assume there was transmission (and cases incubating) without overt infection, prior to time period observed in graph. In Hubei it’s clear #COVID19 was epidemic for 2-4 weeks prior to the controls. In case of Diamond Princess it sailed for 14 days. https://twitter.com/Vieux_Rhone/status/1228051139385581576 The 24 days from patient zero on the Diamond Princess to today makes the doubling rate for infection around 2.5 days in this closed 'experiment' Publicly viewed control group makes it difficult to hide real RO’s epsilon @epsilon3141 · Feb 13 Replying to @ScottGottliebMD Unfortunately, looks exponential even after control, so R still above 1. This is consistent with very high R0=5-6 as recently suggested by one paper. R0 = 6 means that > 1-1/R0 or about 86-90% of all social interactions must be inhibited in order to stop the epidemic. #So basically... quarantine on a cruise ship achieves no benefit... I think it worth pointing out that in Wuhan, it was spreading before warnings and quarantine was put in place, for diamond, they are in very close quarters. Both have concentrations higher than in most areas of the US. but the growth numbers are well worth looking at. What do you think the odds are of ANYONE escaping infection on the closed space and endlessly recycled air of the Diamond Princess? What idiots have not figured out quarantine ashore with better separation, air exchange and distance from each other gives them a better chance? The cases seem to double every four days. If the quarantining was affecting it, there would a noticeable growth drop. Personally, I doubt anything short of insulating the entire community works. I’m afraid @ScottGottliebMD you’ll have to add to your graph the #covid19 fatality rate soon, as the #SARSCoV2 in some cases takes a turn for the worse in the second week after detection. A day ago in Japan hospitals there were 4 critically ill patients from the #DiamondProncess. #'everyone was infected before quarantine' - Aust. Chief Med. Ofc. This graph means nothing. People in Diamond Princess are being tested as tests become available. You see a growing trend because more people are being tested, no meaningful info about the spread there. Be cautious but aware of wrong info. See paragraph 5 https://www.japantimes.co.jp/news/2020/02/10/national/japan-test-all-passengers-diamond-princess-cruise-ship-coronavirus/ · Feb 13 Addendum: Today* NHK reports of 8 severely ill passengers of #Diamond Princess; some of them are treated in intensive care units. *13.2.2020, 12 UTC If anything that makes this even more shocking. The numbers we DO have paint a pretty stark picture. If there are more cases we aren't seeing, all that does is deepen the curve and probably make it a sharper rise. But even these numbers are bad enough. ---- Fauci’s comments come on the heels of announcements that American passengers aboard the Diamond Princess cruise ship are leaving the quarantined vessel. The director confirmed that 40 Americans have tested positive for the virus since they were stuck on the ship. Evacuees from the ship who have not tested positive and have not shown symptoms can return to the U.S. and will be subjected to a quarantine of at least 14 days. Those who show symptoms will not be permitted to fly back to the U.S., Fauci said. https://thehill.com/homenews/sunday-talk-shows/483294-nih-official-says-coronavirus-on-the-verge-of-reaching-global https://twitter.com/QuickTake/status/1229102934346096640 ---- WATCH: Here's the perspective of a Syracuse, New York couple as they leave the quarantined Diamond Princess & the 355 confirmed #coronavirus cases — including 40 Americans — to fly back to the United States. They will spend another 2 weeks quarantined at a U.S. military facility https://twitter.com/QuickTake/status/1229152404400148480 ---- Inside the plane transferring quarantined Americans to another quarantine. 12 hr flight, passengers not told where they are going. #coronavirus https://twitter.com/Adam_Waltz/status/1229148233097547778 https://www.abc15.com/news/national/us-to-evacuate-americans-quarantined-on-cruise-ship-due-to-coronavirus For perspective, a week ago the number of infected was about 65: As the number of confirmed #coronavirus cases aboard the Diamond Princess swells to 355, buses arrive to evacuate roughly 400 Americans from the cruise ship docked near Tokyo https://twitter.com/QuickTake/status/1229082600091852801 Being released without being tested: https://twitter.com/hniman/status/1229082946142900225 NEW: Video of #CoronaVirus Japan Cruise ship evacuation flight to California shows medical personnel are not wearing sufficient Class A pathogen protective equipment. https://twitter.com/kr3at/status/1229149107735932930 A Japanese quarantine officer has been confirmed to be infected with the #Coronavirus, all because they listened to WHO's guidelines saying that they only had to wear a mask and gloves. https://twitter.com/usssnonichijyou/status/1229051153096118279 ---- The US military has set up 15 #coronavirus quarantine camps on its bases in anticipation of future cases, and 600 citizens are currently isolated there. https://twitter.com/livecrisisnews/status/1228806205017149442