CORONAVIRUS INFO PROVIDED BY DR. JIM HARRIS – 4/23/2020

April 23, 2020

ERROR: I WROTE THAT HARRISON COUNTY HAD 59 DEATHS. NO. WE HAD 59 CASES YESTERDAY, NOT DEATHS. (Thanks Mr. Horton). TODAY, APRIL 23 WE’VE HAD 60 PROVEN CASES AND 6 DEATHS IN HARRISON COUNTY. ARE WE SLOWING DOWN?

SHREVEPORT TODAY:

Caddo Parish coronavirus cases increased from 1,310 on Tuesday to 1,332 on Wednesday.

As of late Tuesday afternoon, the Caddo Parish Coroner’s Office reported 93 parish deaths related to the novel coronavirus. The first Caddo Parish coronavirus death occurred March 24.

Bossier Parish increased from 241 as of Tuesday to 246 on Wednesday, with 12 deaths related to COVID-19 on Monday. 

More discussion about C-19 pneumonia, ventilators and the like:

New analysis recommends less reliance on ventilators to treat coronavirus patients  EXCERPTS:“In our personal experience, hypoxemia (low oxygen level in blood)… is often remarkably well tolerated by Covid-19 patients,” the researchers wrote, in particular by those under 60.

“The trigger for intubation should, within certain limits, probably not be based on hypoxemia but more on respiratory distress and fatigue.

“That explains the second reason ventilators aren’t helping more patients: Covid-19 affects the lungs differently than other causes of severe pneumonia or acute respiratory distress syndrome, the researchers point out, confirming what physicians around the world are starting to realize.

“There is a growing recognition that some Covid-19 patients, even those with severe disease as shown by the extent of lung infection, can be safely treated with simple nose prongs or face masks that deliver oxygen. The latter include CPAP (continuous positive airway pressure) masks used for sleep apnea, or BiPAP (bi-phasic positive airway pressure) masks used for congestive heart failure and other serious conditions. CPAP can also be delivered via hoods or helmets, reducing the risk that patients will expel large quantities of virus into the air and endanger health care workers.”

COVID-19 Cases Now Tied to Meat Plants in Rural Texas Counties Wracked with Coronavirus This is a Chicken plant in Center Texas, pretty close to home. Harrison, Panola, and Shelby County were originally one single (very large) county.

FRON THE NEJM REGARDING CERTAIN BLOOD PRESSURE MEDICINES: “ANGIOTENSIN BLOCKERS”  OR “ACE INHIBITORS” as they are often called. Don’t stop taking them. You (we ) will be notified should their use prove to be disadvantageous.

“On the basis of the available evidence, we think that, despite the theoretical concerns and uncertainty regarding the effect of RAAS inhibitors on ACE2 and the way in which these drugs might affect the propensity for or severity of Covid-19, RAAS inhibitors should be continued in patients in otherwise stable condition who are at risk for, are being evaluated for, or have Covid-19 (see text box), a position now supported by multiple specialty societies (Table S2). Although additional data may further inform the treatment of high-risk patients with Covid-19, clinicians need to be cognizant of the unintended consequences of prematurely discontinuing proven therapies in response to hypothetical concerns that may be based on incomplete experimental evidence.”

TWO GREAT LINKS:

WORLD: JOHNS HOPKINS CORONA

AREA:   NORTHEAST TEXAS HEALTH DEPT(Does not include Harrison County but gets close and has great links to other important sites) On the bottom right of the page that comes up, select “News and Updates” which gives you’re the current C-19 count for counties to the west of Harrison County. 


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