Thailand reports 1,335 new COVID-19 cases

[rabas]

19 minutes ago, Miami007 said:

4 hours ago, rabas said:

Asymptomatic cases test positive for the virus, that is the meaning of asymptomatic case, how they know.

Many, but not all asymptomatic cases eventually become symptomatic.

 

That is completely wrong.. Most asymptomatic cases of covid remain asymptomatic until the person has recovered.

 

My information is from the most recent US CDC advisory and planning recommendations on asymptomatic/symptomatic rates,  infectivity, and spreading. I have posted this twice in the last day. Perhaps you can look through my recent posts to find it.

 

Just a clue, all cases start asymptomatic. Roughly 30% remain that way, the rest develop symptoms. The CDC estimates 50% of all spreading come from people at the time they do not have systems.  

[TallGuyJohninBKK]

14 minutes ago, ThailandRyan said:

I believe they are in the bunker and waiting for the submarines to arrive so they can leave the country down the Chao Phraya River into the gulf and out to the Andaman Sea, where they will meet Mr. Big and party on Fantasy Island.

 

There was a proposal by the MoPH a week or so back before Song Kran to declare Bangkok and several surrounding provinces as official "red zones" and apply whatever control measures would come with that. It got proposed from the health officials up to the Cabinet and the PM, and was either rejected and/or not accepted/acted on. So they made a conscious decision.

 

Last year at Song Kran, it was basically lock down time. This year, for whatever perplexing reasons, they decided to let the cats out of the bags now.... and then apparently will try to herd and catch them all after they've been out for Song Kran playing and multiplying... as it were...  Hard to understand.

 

[onthedarkside]

2 hours ago, Miami007 said:

Waiting for results does not count as being infected.  Hopefully,  nobody is isolated unless they are infected.

 

The advice from the health authorities here is that if someone suspects they might be infected, they should isolate themselves until they've been tested and then further until they get the results back, one way or another.  So the latter part of what you said above is wrong advice.

 

 

[cedel]

1 hour ago, Bkk Brian said:

Chile death rates are soaring despite being in the top 3 in the world for vaccination roll out.

yes, that's what I said: uncomplete vaccination, and with a bad quality/protection Chinese vaccine....that does not protect at all after the 1st dose or only 3%.... they have to wait 2 weeks after the 2nd dose to be protected at +- 50-54%...not enough...and this is how you select resistant variant strains...

[GroveHillWanderer]

5 hours ago, Magenta408 said:

What tests are they using? If it's the PCR test, the WHO and the CDC, the couple of evil have clearly stated that the test is not reliable, it results in far too many false positives. Why are they still using the PCR test to determine cases?

Lots of different companies make PCR tests. They all have different rates of specificity and sensitivity. Some have more false positives than others. You can't just lump them all together.

[TallGuyJohninBKK]

"The Governor of Prachuap Khiri Khan, which includes Hua Hin, has signed the order to close high risk venues such as pubs, bars, water parks, children’s playgrounds, gyms, cinemas, game shops etc. Restaurants can open but no alcohol can be served."

 

"First casualty is Vana Nava Water Jungle that is being closed indefinitely."

 

https://www.facebook.com/richardbarrowthailand/posts/312293913590212

 

 

 

[ThailandRyan]

Project lockdown coming after all have ignored the non interprovincial travel orders have returned home.  Standby

[TallGuyJohninBKK]

Nakhon Ratchasima opens its first field hospital for COVID-19 patients

 

"The first field hospital in Thailand’s northeastern province of Nakhon Ratchasima is scheduled to open on Thursday, to ease congestion at general hospitals.

 

Located in the Chartchai Hall building of the Chalerm Phrakiat Stadium, the field hospital is equipped with 100 beds and will accommodate COVID patients who have already spent seven days in a general hospital, with mild or no symptoms or who do not have congenital diseases and who do not require a respirator.

 

21 new COVID-19 cases, among them 14 employees of a barbecue pork shop, were recorded in the province today, raising the cumulative infections there to 144."

 

https://www.thaipbsworld.com/nakhon-ratchasima-opens-its-first-field-hospital-for-covid-19-patients/

 

 

[ArtVandelay]

9 hours ago, wasabi said:

At some point will herd immunity occur without vaccines? I have very little faith in Thailand's vaccination program but at some point most of the population will have had Covid. I know this is not the desirable way to manage a pandemic but not sure if there is any other way out here? Then again perhaps all the different variants make it impossible without a vaccine?

 

In the USA, almost 1 in 10 have now been infected by Covid.  

That's still a long ways from over 70% needed for herd immunity and that's with over half a million dead.  

[GroveHillWanderer]

5 hours ago, ukrules said:

How do you think this used to work prior to vaccines?

 

Yes is the answer.

I guess you mean like the herd immunity we used to have prior to vaccines against diseases like measles, smallpox and polio ?

 

Oh hang on a minute, there wasn't any herd immunity and these ailments used to kill millions of people every year.

[ukrules]

1 minute ago, GroveHillWanderer said:

I guess you mean like the herd immunity we used to have prior to vaccines against diseases like measles, smallpox and polio ?

 

Yes, that's right - you got it.

 

[Antonymous]

6 hours ago, ThailandRyan said:

Seems that poster has now disappeared, and is probably very concerned now along with his wife, who he claimed was a nurse, and that their immune systems would protect them, but they would isolate instead of seeking treatment.  I feel sorry for folks who are stuck on old and outdated information as this virus is very insidious.  Stay safe and protect yourself and loved ones.

 

 I’ll explain a little more for your edification.

 

My opinion is that it is prudent to keep your immune system as strong as reasonably possible and in the face of an epidemic, such as we’ve been aware of for at least a year already, it is doubly important to do so. To that end both my wife and I have spent the past year getting ourselves in shape physically (including changed to a more nutritious diet, done a lot more exercise, lost a lot of weight so that we are both well within the BMI for our height) and taken a range of supplements that are very widely documented to do the trick. During this time we have had blood tests every three months and have monitored our health metrics. We are, at this time, in prime condition.

 

That’s just our way. On the other hand there are people who are fat, some grossly so, unfit, taking meds for high blood pressure, statins for high cholesterol, drugs for diabetes, heart conditions and so forth, who drink excessive alcohol, smoke and rarely if ever exercise. Many folks just can’t be bothered with all that effort and you quite evidently don’t agree that to be fit and healthy with a strong immune system is any use against dealing with Covid, should someone be unfortunate enough to get it. That’s what you’ve indicated in your post in another thread and again with your comments in this one. The fact that science doesn’t support your view, probably doesn’t matter to you.

 

Additionally my wife and I, after a lot of research and help from our doctor friends, have accumulated a cocktail of medical supplies and supplements that will fit the required protocol if we start to have symptoms of Covid and we will self isolate and take that cocktail in that event. With our strong immune systems, plus quickly administered perfect remedies, I hope that we won’t progress to a stage where hospitalization will ever be necessary, but of course we would seek further treatment if that happened.

 

Edited April 14, 2021 by onthedarkside
personal comments and cartoon removed

[GroveHillWanderer]

1 hour ago, Miami007 said:

If you personally know several people who have it, you must be a doctor or the figures are completely understated.

Why do you think that? I'm in Hua Hin as well and we've had over 300 cases in the past 10 days. 

 

I also know several people who have tested positive - my niece and 3 of her friends, who were all at the Maya pub when the "super spreader" event happened.

[Pattaya Spotter]

3 hours ago, Bkk Brian said:

Let hope you're never put in charge of a risk assessment

 

life and progress is full of risks; the key is managing them and not panicking. 

Edited April 14, 2021 by onthedarkside
personal comment removed

[Bkk Brian]

4 minutes ago, Pattaya Spotter said:

Pretty lucky you weren't in charge on D-Day or the moon landings...life and progress is full of risks; the key is managing them and not panicking. 

Agreed I wasn't around for the first one and to young for the second but I tend to run out of the way when a train is heading full speed at me, just the way I am I guess.

[TallGuyJohninBKK]

The Ministry of Public Health announced Wednesday that the number of provinces with some variety of local quarantine requirements for arriving visitors -- generally meaning those from Bangkok and several adjoining central provinces -- has now increased to 43 provinces, or more than half the provinces in the country. The details and enforcement of the policies may vary from province to province.

 

The government has not produced a full EN version of the updated list, and the Ministry of Interior website with information on all the provinces and their details is only in TH language. The color codings below reflect the red/northern, blue/northeastern, green/central and yellow/southern provinces on the list.

 

 

 

 

https://www.facebook.com/thaimoph/posts/287421359534441

 

http://www.moicovid.com/    (though the site seemed down Weds. night)

 

 

Provinces enforcing entry restrictions for travellers are:

 

North:

Chiang Mai, Kamphaeng Phet, Lampang, Lamphun, Nan, Phayao, Phetchabun, Phichit, Phitsanulok, Phrae, Tak, Uttaradit.

 

Northeast:

Amnat Charoen, Bueng Kan, Buri Ram, Chaiyaphum, Khon Kaen, Mahasarakham, Mukdahan, Nakhon Phanom, Nakhon Ratchasima, Nong Bua Lam Phu, Nong Khai, Sakon Nakhon, Ubon Ratchathani, Udon Thani, Yasothon.

 

Central, East and West:

Chainat, Lopburi, Nakhon Sawan, Sa Kaeo, Saraburi, Sing Buri, Uthai Thani

 

South:

Chumphon, Narathiwat, Pattani, Phangnga, Ranong, Satun, Songkhla, Trang

 

 

[Russell17au]

1 hour ago, Antonymous said:

 

 I’ll explain a little more for your edification.

 

My opinion is that it is prudent to keep your immune system as strong as reasonably possible and in the face of an epidemic, such as we’ve been aware of for at least a year already, it is doubly important to do so. To that end both my wife and I have spent the past year getting ourselves in shape physically (including changed to a more nutritious diet, done a lot more exercise, lost a lot of weight so that we are both well within the BMI for our height) and taken a range of supplements that are very widely documented to do the trick. During this time we have had blood tests every three months and have monitored our health metrics. We are, at this time, in prime condition.

 

That’s just our way. On the other hand there are people who are fat, some grossly so, unfit, taking meds for high blood pressure, statins for high cholesterol, drugs for diabetes, heart conditions and so forth, who drink excessive alcohol, smoke and rarely if ever exercise. Many folks just can’t be bothered with all that effort and you quite evidently don’t agree that to be fit and healthy with a strong immune system is any use against dealing with Covid, should someone be unfortunate enough to get it. That’s what you’ve indicated in your post in another thread and again with your comments in this one. The fact that science doesn’t support your view, probably doesn’t matter to you.

 

Additionally my wife and I, after a lot of research and help from our doctor friends, have accumulated a cocktail of medical supplies and supplements that will fit the required protocol if we start to have symptoms of Covid and we will self isolate and take that cocktail in that event. With our strong immune systems, plus quickly administered perfect remedies, I hope that we won’t progress to a stage where hospitalization will ever be necessary, but of course we would seek further treatment if that happened.

 

 

Dear doctor, I'm 76 years of age, a male, height=166cm, weight=84kg, blood pressure=122/83, pulse rate=84bpm, blood oxygen=96%, blood sugar=135mg/dL, fat percentage=21.8%, TBW=61.2%, BMI=19.1, KCal=21.5/1010. As your wife is a nurse she should know what these figures are. I also have an exercise bike and treadmill at home plus a pushbike for riding, I have never smoked and I do not drink alcohol, but with all these figures it did not stop me from spending time in hospital with a heart complaint and I do not fill my body with chemical supplements 

[blackcab]

8 hours ago, TallGuyJohninBKK said:

FYI, these are two charts the MoPH produced earlier this week on Thailand's national supply of hospital beds to deal with COVID cases, and then the second chart pertaining to the Bangkok region.

 

In the first chart below, I believe the first line of data pertains to the Bangkok region, the second line elsewhere, and then the third line national totals.

 

[I added some basic EN translations to the best of my understanding. Obviously, the occupancy and available beds numbers are changing pretty much daily].

 

 

 

 

So there are 860 intensive care beds in the provinces, plus 187 in Bangkok.

 

1,047 ICU beds in Thailand. In total.

[Antonymous]

9 minutes ago, Russell17au said:

Dear doctor, I'm 76 years of age, a male, height=166cm, weight=84kg, blood pressure=122/83, pulse rate=84bpm, blood oxygen=96%, blood sugar=135mg/dL, fat percentage=21.8%, TBW=61.2%, BMI=19.1, KCal=21.5/1010. As your wife is a nurse she should know what these figures are. I also have an exercise bike and treadmill at home plus a pushbike for riding, I have never smoked and I do not drink alcohol, but with all these figures it did not stop me from spending time in hospital with a heart complaint and I do not fill my body with chemical supplements 

 

I can't tell if you are being serious.

 

Your metrics don't make sense. If you are height 166 and weight 84kg then your BMI is 30.5 (anything over 30 is classed as obese).

 

Normal range for glucose is 74-106mg. Yours is 135mg which is possible diabetic.

 

Both of these factors may have some bearing on your heart condition, but I cannot possibly say what without knowing what your heart condition is or your medical history. And please don't give out any more detail. It is not my intention or qualification to advise you! Talk to your doctor.

 

With your conditions as noted plus your age at 76, then you are in the high risk category as far as Covid is concerned. That is, if you get Covid, you are statistically more prone than people younger and in better health to suffer more.

 

All I can say to you is: please take care. I wish you the best of luck.

[Danderman123]

1 hour ago, Antonymous said:

 

 I’ll explain a little more for your edification.

 

My opinion is that it is prudent to keep your immune system as strong as reasonably possible and in the face of an epidemic, such as we’ve been aware of for at least a year already, it is doubly important to do so. To that end both my wife and I have spent the past year getting ourselves in shape physically (including changed to a more nutritious diet, done a lot more exercise, lost a lot of weight so that we are both well within the BMI for our height) and taken a range of supplements that are very widely documented to do the trick. During this time we have had blood tests every three months and have monitored our health metrics. We are, at this time, in prime condition.

 

That’s just our way. On the other hand there are people who are fat, some grossly so, unfit, taking meds for high blood pressure, statins for high cholesterol, drugs for diabetes, heart conditions and so forth, who drink excessive alcohol, smoke and rarely if ever exercise. Many folks just can’t be bothered with all that effort and you quite evidently don’t agree that to be fit and healthy with a strong immune system is any use against dealing with Covid, should someone be unfortunate enough to get it. That’s what you’ve indicated in your post in another thread and again with your comments in this one. The fact that science doesn’t support your view, probably doesn’t matter to you.

 

Additionally my wife and I, after a lot of research and help from our doctor friends, have accumulated a cocktail of medical supplies and supplements that will fit the required protocol if we start to have symptoms of Covid and we will self isolate and take that cocktail in that event. With our strong immune systems, plus quickly administered perfect remedies, I hope that we won’t progress to a stage where hospitalization will ever be necessary, but of course we would seek further treatment if that happened.

 

I hope you are aware that many COVID victims die from a cytokine storm - their healthy immune system is turned against them. That is also why the Spanish flu killed so many young people (instead of the elderly). The only cure for serious COVID is having specific antibodies, typically acquired via injection.

Edited April 14, 2021 by Danderman123

[Danderman123]

1 hour ago, ukrules said:

 

Yes, that's right - you got it.

 

Perhaps you can enlighten us what year that herd immunity was reached for polio (prior to the vaccine).

[Danderman123]

10 hours ago, wasabi said:

At some point will herd immunity occur without vaccines? I have very little faith in Thailand's vaccination program but at some point most of the population will have had Covid. I know this is not the desirable way to manage a pandemic but not sure if there is any other way out here? Then again perhaps all the different variants make it impossible without a vaccine?

Reaching herd immunity in Thailand could cost one million lives.

 

 

[Antonymous]

30 minutes ago, Danderman123 said:

I hope you are aware the many COVID victims die from a cytokine storm - their healthy immune system is turned against them. That is also why the Spanish flu killed so many young people (instead of the elderly). The only cure for serious COVID is having specific antibodies, typically acquired via injection.

 

There is currently no conclusive research about who is at most risk of a cytokine storm, or if there is a way to predict a storm before it happens.

 

Edited April 14, 2021 by onthedarkside
personal comment removed

[Danderman123]

The greatest ally of the virus is ignorance.

 

Unfortunately, there is a global network of people who want to see everything burn, who are willfully transmitting misinformation. If you see a post, or something on Facebook, or an email that contradicts the medical consensus, it was very likely generated by someone who doesn’t care if you follow their advice and die. Of course, there are also people profiting from false cures.

 

Wear a face mask.

 

Wash your hands.

 

Observe social distancing rules.

 

It’s not rocket science, folks.

[Danderman123]

22 minutes ago, Antonymous said:

 

There is currently no conclusive research about who is at most risk of a cytokine storm, or if there is a way to predict a storm before it happens.

 

 

By definition, there is no cytokine storm for people with weakened immune systems.

 

And our experience with the Spanish flu was that people with healthy immune systems were more likely to die from a cytokine storm.

 

Don’t get me wrong, a healthy immune system is a good thing. Just don’t rely on it to save you from Covid19.

[Antonymous]

10 minutes ago, Danderman123 said:

By definition, there is no cytokine storm for people with weakened immune systems.

 

And our experience with the Spanish flu was that people with healthy immune systems were more likely to die from a cytokine storm.

 

Don’t get me wrong, a healthy immune system is a good thing. Just don’t rely on it to save you from Covid19.

 

I really don’t want to further a debate about this issue. It is a red herring and not at all helpful.

 

I recommend that you have a read of this article:

 

https://www.msn.com/en-us/health/medical/scientists-pour-cold-water-on-one-common-feature-of-covid-19-and-the-1918-flu/ar-BB1b0FFl

 

The conclusion in the article:

 

“This constellation of symptoms already has a long history in critical care,” the JAMA editorial said. “Although the term cytokine storm conjures up dramatic imagery and has captured the attention of the mainstream and scientific media, the current data do not support its use. Until new data establish otherwise, the linkage of cytokine storm to COVID-19 may be nothing more than a tempest in a teapot.”

[Danderman123]

7 hours ago, Magenta408 said:

What tests are they using? If it's the PCR test, the WHO and the CDC, the couple of evil have clearly stated that the test is not reliable, it results in far too many false positives. Why are they still using the PCR test to determine cases?

You have received misinformation from COVID Deniers.

 

PCR tests accurately determine COVID-19 infection. Virtually everyone hospitalized with COVID-19 symptoms has tested positive for COVID-19.

[TallGuyJohninBKK]

36 minutes ago, blackcab said:

 

So there are 860 intensive care beds in the provinces, plus 187 in Bangkok.

 

1,047 ICU beds in Thailand. In total.

 

I think we're talking about the pink shaded title portions of the two charts... Live and learn... I find in checking, the AIIR reference stands for negative pressure airborne infectious isolation rooms (AIIRs).

 

As best as I can read it, the first chart seems to be a national summary including BKK, with the 3 horizontal AIIR column subtotals on the yellow line adding up to the 860 rooms nationwide.

 

But if I'm interpreting the info right, I can't seem to get the pink-shaded BKK numbers on the first chart to match up with the pink shaded BKK details numbers on the second chart.  Being unable to directly read Thai is somewhat of a hindrance!

[TallGuyJohninBKK]

30 minutes ago, Antonymous said:

 

I really don’t want to further a debate about this issue. It is a red herring and not at all helpful.

 

I recommend that you have a read of this article:

 

https://www.msn.com/en-us/health/medical/scientists-pour-cold-water-on-one-common-feature-of-covid-19-and-the-1918-flu/ar-BB1b0FFl

 

Seems like you're cherry picking the info you present. From the same article:

 

"Other research finds that cytokine storms do remain a risk with older COVID-19 patients. Genes in the body appear to be a major factor giving the virus, SARS-CoV-2, access to the heart cells that become more active with age, according to a recent study in the Journal of Molecular and Cellular Cardiology, and that can leave them more vulnerable to hyperinflammation.

 

and

 

"Furthermore, a September 2020 paper published in the peer-reviewed journal Frontiers in Immunology concluded: “Aberrant immune host response together with cytokine storm and lymphocytopenia [a blood disorder marked by an insufficiency of white blood cells] followed by acute respiratory distress, are still relevant problems that affect the severity of COVID-19.”

 

And, the U.S. CDC seems to recognize it:

 

"Cytokine storm syndrome, seen in some COVID-19 patients, results from an excessive inflammatory response that can aggravate respiratory failure and lead to systemic organ failure and death. The cytokine interleukin-6 (IL-6) has appears to be a potentially important mediator of the cytokine storm syndrome."

 

October 30, 2020

 

https://www.cdc.gov/library/covid19/103020_covidupdate.html

Edited April 14, 2021 by TallGuyJohninBKK

[Antonymous]

38 minutes ago, Danderman123 said:

You have received misinformation from COVID Deniers.

 

PCR tests accurately determine COVID-19 infection. Virtually everyone hospitalized with COVID-19 symptoms has tested positive for COVID-19.

 

I think you may have missed the memo…

 

Date: 13 January 2021                                                                      

WHO-identifier: 2020/5, version 2

Target audience: laboratory professionals and users of IVDs.

 

Purpose of this notice: clarify information previously provided by WHO. This notice supersedes WHO Information Notice for In Vitro Diagnostic Medical Device (IVD) Users 2020/05 version 1, issued 14 December 2020.

...

 

Most PCR assays are indicated as an aid for diagnosis, therefore, health care providers must consider any result in combination with timing of sampling, specimen type, assay specifics, clinical observations, patient history, confirmed status of any contacts, and epidemiological information.

 

https://www.who.int/news/item/20-01-2021-who-information-notice-for-ivd-users-2020-05

 

In layman’s language, WHO finally admitted that many PCR tests, as used extensively around the world, are unreliable. Dr Kary Mullis, the Nobel Prize laureate who invented the PCR process has been adamant that it was never meant as a diagnostic tool. Any test with a CT value of over 35 is potentially meaningless.

 

Does anyone know what CT value is being used here in Thailand. Genuine question. We need to know.

Edited April 14, 2021 by onthedarkside
quoted portion shortened for fair use