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  • 00:00When you look at the surge of cases in the U.S. when you look at this second wave of continuation or continuation of the first wave if states don't act now how bad will it get . Well we do know from data that came from the rest of the world is false here in the U.S. that the surge in hospitalizations and in deaths from infection is going to occur somewhat later than the surge in case numbers. So really we expect to see some of the more serious implications of this surge in cases in the next week or two. And public health interventions take a good two weeks before they come into play and show an effect on these curves. So the longer we delay acting now the longer we're going to see this surge of cases continue and the harder it's gonna be to get this down to manageable levels again . What have we learned when we first finally found out about cases in the U.S.. Are we better able to deal with people that get sick or do you worry about you know easy use it and the death numbers. Are we doing things differently now than we were two months ago. Yeah I think the medical infrastructure has learned a lot about how to treat Kobe 19 cases. And so I think we are better prepared to deal with those cases coming. But we still run the risk of running out of beds and space and the facilities to take care of patients unless we really keep down the total number of cases that are occurring . Are we at the level where we're seeing super spreaders and actually clusters. And if so is it you know how much easier is it to get a handle on those. Yeah. So this is one of the really unique things about these corona viruses in general is that there seems to be more association which was what people call super spreader of events which is when one person is able to infect five six seven other people over a short period of time. This is in contrast with something like influenza where we think it's much more person to person spread in one person spreading it to one or two people with coronavirus as it seems like there were. There is there are incidences where we see large numbers of cases from one exposure. And again the more cases that we see the more likely we have these large . Character bunches of cases that then increase the rate in which the virus is spreading exponentially . Doctor precautions do masks work. What works right now to try and slow down the number of infected and the number of deaths . So an important thing to understand is all of these public health interventions that were put in place were meant to damp down the number of cases. The virus is still here. And as we relieve book public health interventions the virus can come back as we're seeing across much many parts of this southern United States. What we need is now to have other things in place besides things like lockdowns to try to dampen the number of cases. Masks are one thing. Social distancing is another thing . And the other thing that's really going to be important here is understanding that contract contact tracing and testing is going to be another very important tool to monitor the case numbers and keep them down. If we can identify the people who are sick and put them into isolation or quarantine then we can avoid doing that across the entire population like we had to do because of the surge of cases that happened in February and March . Dr. Gosh our antibody tests and covered 19 tests are accurate . Are they more accurate now than they were two months ago. I think they are more accurate because many institutions have done the testing and have shown which tests actually work well and which tests don't. So I think there's been a sorting out and an a movement to the tests that are reliable. There's still a fairly good marker of whether you've been infected or not . We're still working on trying to understand if that is showing you that you're protected from re infection. The initial data looks pretty good in terms of antibody responses are associated with a high amount of or with with cases and a very good proportion of cases. But we're still not at the place where we can say if your antibody positive you're protected from infection . And I guess the length of this protection if you are protected is an excellent point. We've only seen this virus for six months in some parts of the world significantly less than others . What we really need to see is how long do these antibody responses last. Do they last two months. Do they last six months. Do they last a year. That's also going to factor into how well we can deal with the virus as time goes forward. If our immunity is waning over time then we'll have to take different measures than if the immunity from the infection is staying relatively high . I mean what is this disease. It started off as everybody thinking it was a respiratory disease. Now we. You know we talk about long haul covered patients. We talk about blood clots. Is it morphing into something or are we just better understanding all the possible consequences. I've covered 19 . Yeah. I think this from the beginning this virus has shown a spectrum of disease. Initially we didn't appreciate the spectrum of disease because our focus was on the very severe cases and on the deaths. But as testing has improved has antibody testing has come in place. We're starting to see the vast array of different symptoms that infection can result in . And they're certainly particularly in the very severe cases can be consequences can be medical consequences from other tissues being involved age. And these secondary medical conditions such as diabetes and obesity and cardiovascular disease are having tremendous effects on the outcome of disease making disease quite worse. And there's now data coming out that some things like diabetes and cardiovascular disease disease even in younger populations can be problematic . Thank you so much .
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Covid-19 Is Prone to ‘Super-spreader’ Events: Johns Hopkins’ Pekosz

  • Bloomberg Surveillance

  • TV Shows

June 26th, 2020, 11:24 AM GMT+0000

Johns Hopkins Bloomberg School of Public Health Professor and Virologist Andrew Pekosz discusses the surge in U.S. coronavirus cases, what is being learned about the spread of Covid-19, and understanding antibodies and infection markers. He speaks with Bloomberg’s Francine Lacqua on "Bloomberg Surveillance." The Bloomberg School of Public Health is supported by Michael R. Bloomberg, founder and majority owner of Bloomberg LP, the parent company of Bloomberg News. (Source: Bloomberg)


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