Tag Archives: Michigan

Temporary hospital scaled down at Novi Suburban Collection Showplace | Instant News

NOVI, Mich. – The Suburban Collection Showplace in Novi is usually a place for large events, but right now, the house has a hospital bed.

April 11 Update – Michigan coronavirus (COVID-19) up to 23,993; The death toll is now at 1,392

The hospital temporarily reduced its original plan to 250 beds, instead of 1,000 beds originally planned.

Esther Johnson, a project manager with the U.S. Army Engineer Corps, said that the number could change again.

“Work with the country and understand that this disease and pandemic are constantly changing and we must move towards that target,” Johnson said.

The target is moving consistently – especially in the last few weeks. Michigan is one of the states with the most cases of COVID-19.

READ: Michigan Officials: 433 people have recovered from coronavirus (COVID-19)

The TCF Center in Detroit is conducting a patient’s first round on Friday and the Suburban Collection Showplace is expected to do the same soon.

“This facility is being built to profile patients from what we will call mid-level care for COVID positive patients,” Johnson said. “Everyone here will be COVID-positive.”

No one in the Suburban Collection Showplace needs to be placed on a ventilator but may need oxygen.

The center is expected to open for patients on April 20.

Anyone who believes they might have a coronavirus should follow the CDC guidelines. Michigan.gov has list of resources available for those who care about COVID-19.

More information about Coronavirus (COVID-19):

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We Still Don’t Know How Many People Are in the Hospital With COVID-19 | Instant News

Editor’s note: Find the latest COVID-19 news and guides in Medscape Coronavirus Resource Center.

Late last month, Vice President Mike Pence sending a letter to the administrators of 6,000 state hospitals asking for help.

He asked them to fill out forms every day with data on patients they had treated with COVID-19, a disease caused by the new corona virus, and submit it to the Centers for Disease Control and Prevention.

“These data will help us better understand disease patterns and develop policies for the prevention and control of health problems associated with COVID-19,” Pence wrote.

Now, as COVID-19 approaches the peak in several parts of the country, it is unclear how many hospitals have sent the requested information. For its part, the CDC has not released data publicly, only saying that it plans to do it soon.

The response of the US health care system to coronavirus has exposed many blind spots: the inability to quickly make tests widely used, the lack of personal protective equipment for frontline doctors and nurses, and the lack of basic data about hospitalization. to help make decisions based on information.

“We are in a fog because we have very little reliable data,” Dr. Ashish Jha, director of the Harvard Global Health Institute, who have studied hospital capacity.

Having real-time data about hospitalization across the country will do two things. First, it will provide a window into the spread of the corona virus, even though it is one week or older because the time needed for infected patients is sick enough to be hospitalized. Second, this will allow federal and state officials to identify hot spots that require more equipment and staffing and to divert resources from one area to another.

“You want to avoid what is happening in Italy and Spain, where you first find out that you have a COVID epidemic when the ICU is filling up,” Dr. Peter Hotez, co-director of the Vaccine Development Center at Texas Children’s Hospital and Dean. from the National School of Tropical Medicine at Baylor College of Medicine in Houston. “Sounds like in some parts [United States], it happens because testing never increases rapidly.

“The main reason you do the testing is to overcome it.”

On Wednesday, most states released some information about patients being hospitalized for COVID-19, according to the COVID Tracking Project, which running a website which calculates the main metrics of the national response to viruses. But two states with a high number of cases – Michigan and Texas – don’t do it every day. Among those who released data, the information was inconsistent. Some report information on hospitalization now, which offers a window into whether the hospital can handle the burden, while others report information on cumulative hospitalization, which provides an overview of victims of ongoing disease.

What We Know About COVID-19 Toll

What we are learning, experts say, is that COVID-19 seems to affect some parts of the United States, especially New York, in the same way as in Wuhan, China. Data from China shows that around one in five patients hospitalized with COVID-19 dies. Preliminary data in the United States shows that far fewer infected people who are hospitalized will die, but that does not survive because more data is reported. Partly because patients seriously ill with COVID-19 often spend days in intensive care before dying.

Until Wednesday night, 80,204 people have confirmed COVID-19 cases in New York City. Of those, 20,474, or nearly 26%, require hospitalization at some point. All told, 4,260 died, more than 5% of those who tested positive.

Other cities and regions have not reported the data in the same way, so it is difficult to make comparisons. In California, for example, 2,714 patients with COVID-19 were hospitalized on Wednesday, where 1,154 were in the ICU, more than 42%. Another 3,078 people suspected of having COVID-19 were also hospitalized, and 522 of them were hospitalized.

Data on several countries includes many unknowns. Massachusetts, for example, reports that 1,583 of the 16,790 COVID-19 patients required hospitalization, on Wednesday. Others 4,717 no. But the state registered the majority of cases, 10,490, under investigation.

The lack of available data raises questions about the federal government $ 35 billion investment in an electronic health record a decade ago, Jha and others said. The shift from paper to digital records should enable health care systems to be more agile and provide information more quickly.

“If that does not happen, it is a major system failure,” he said.

In Harris County, Texas, which includes Houston, testing does not match reality on hospital wards. NBC News reports last week that on March 30, the area around Houston had reported fewer than 950 confirmed cases of the corona virus. “But on the same day, there were 996 people hospitalized in the region with confirmed or suspected COVID-19 cases.”

A team at the University of Minnesota Carlson School of Management has determined to collect inpatient information directly from the state health department. In Tuesday’s post at Journal of Health Affairs, the team notes that there is wide variation between states in the percentage of the adult population that is hospitalized.

In the state that released data about those currently hospitalized, the average rate of hospitalization was 11.5 admissions per 100,000 adults, the report said. In Louisiana, this figure is much higher, 49.5 per 100,000 adults.

The report also noted that the average doubling time for cumulative hospitalization was 4.21 days among the 14 states that reported data every day for at least the past 10 days. The doubling time in Massachusetts is 2.79 days while in Georgia it is 6.08 days. A faster doubling time can mean that there is more transmission from the community, and therefore, the health care system must be in a higher alert state.

“Although this could partly reflect differences in the time the pandemic reached different countries, it could also reflect differences in strategies across countries and thus provide learning opportunities” to understand what regions have done to maintain their low levels, the authors write.

For its part, the CDC on Friday began to release a inpatient weekly snapshot, based on data from hospitals that service about 10% of the U.S. population. This shows that the level of hospitalization for COVID-19 in the first few weeks is similar to what is seen at the beginning of the annual flu season. But given that the impact of COVID-19 has been felt most acutely since the cutoff period for the posted data, it seems that certain inpatient rates have risen since then.

In a Brief data released Wednesday, The CDC provides additional information about inpatients confirmed by COVID-19 in 14 states from March 1 to 30, based on the sites it studies in each state. Per capita rates are highest in Connecticut, Michigan and New York and much lower in Oregon, Colorado and Ohio, suggesting the virus has affected different parts of the country differently. (Seeing the number of raw cases alone does not adjust for differences in state populations.) Older adults have higher rates of hospitalization, and most people who are hospitalized have an underlying health condition.

As for the initiative announced by Pence, the CDC said it was collecting daily hospital data through the National Health Safety Network. “The purpose of this new module – once and up – is to help provide a better picture of what happened inside the U.S. hospital during this outbreak. We hope to make this public soon,” said a spokesman.

On-going Blind Spot

Even when it comes to rougher data forms, such as mortality data, the U.S. system it hasn’t been proven to be very agile. During the height of the opioid epidemic a few years ago, it took months and sometimes more than a year to gather accurate information about the location and cause of death, wasting valuable time putting responses in hotspots, said Dr. Christopher JL Murray, director Institute of Health Metrics and Evaluation at the University of Washington, whose COVID-19 model has informed the White House’s response.

“When it comes to hospital data, it’s even less refined” than death data, Murray said. “If we have national daily reporting, hospitalization and ICU hospitalization, it will be a big push to understand where the next big wave is coming or where we are really seeing progress.”

This gap in data causes problems with efforts to model the number of victims of the disease. “We are starting to see this pattern where death reporting falls on Sunday entering Monday and then they catch up,” Murray said. “This is wreaking havoc on our model.”

State health officials and the hospital system are not waiting for good data to increase the number of hospital beds, ICU beds and ventilators available to treat COVID-19 patients.

In Indiana, for example, the hospital had 1,132 ICU beds on March 1, Indiana Health Commissioner, Dr. Kristina Boxin said at this week’s briefing. On April 1, it increased to 2,188 and on April 4 2,964. “Our hospital has done an extraordinary job to change every room that might become an ICU room,” he said.

That’s the good thing that happened. On Sundays, around 58% of ICU beds are currently available in all occupied states – more than the total available on March 1. Some 924 of the 1,721 ICU beds occupied were taken by COVID-19 patients.

Nirav Shah, a senior scholar at Stanford University and a former New York state health commissioner, said the health care system needs to learn from this crisis to be better prepared for the next crisis, and to have accurate and real-time data about hospital care. is a part of it.

“We don’t have an early warning system that we need for this epidemic to go on and on,” Shah said. “I think everyone understands and this epidemic has made it very clear that we need to make a system that originates in the 21st century for 21st century disease, that we cannot rely on technology from the 80s and 90s which is the power our current survey system. “


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Travel between places to stay in Michigan is prohibited under ‘stay at home’ restrictions | Instant News

LANSING, Mich. – Michigan Governor Whitmer has extended the order to “Stay at Home, Stay Safe” in the state until the end of April and includes new restrictions. Some new restrictions have faced criticism. They include banning the sale of some goods on a large scale. box store. That means items such as gardening supplies, furniture and paint will be tied with ropes and not available for sale. READ: ‘Everyone in Michigan is very important’: Speaker of the House opposes extending home stay orders “If people are going to stay at home I see no reason why they cannot improve their homes while they are here,” state representative Jason Sheppard ( R-Monroe). Whitmer has also banned travel between property owned by people in the state, including vacations, rentals, which took effect after April 10. The ban on landscaping and lawn service businesses will remain intact, although some cities say they will allow MORE MORE: Despite the governor’s attitude to Michigan, some leaders say they won’t try to stop landscapers from workingWhitmer says he sees increased extensions and restrictions as common sense. “Every exception you make to stay at home, it remains safe to make this more porous and makes it less likely to work. That means more people will get sick, more people will die and our economy will suffer longer, “he said. RELATED: What happens if you violate an order to stay home in Michigan? See: COVID-19 Data section Copyright 2020 by WDIV ClickOnDetroit – All rights reserved.

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Government Extends Travel Ban; Travel between housing is now also prohibited | Instant News

Michigan Governor Gretchen Whitmer has extended the travel ban requested by Covid-10 / coronavirus for another three weeks, and has added more restrictions to it.

The existing Michigan travel ban is extended until May 1. And the governor added “inter-residential trips” to the order, starting on Saturday.

According to The Story of Free-Press Detroit, the order “Stay Home, Stay Safe” has made it possible for trips between residences in the state. But,

“Starting Saturday morning, it will end, except for purposes such as caring for relatives, elderly friends or pets, visiting nursing homes or similar facilities, attending funerals with no more than 10 people, or complying with court orders relating to child custody. “- Detroit Free-Press

The Governor’s order does have some inconsistencies. Travel is permitted to residences outside Michigan. Travel is also permitted to go north to the state park, but not to the lodge or residence.


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The Governor of Michigan will extend his ‘stay at home’ order today; Press conference at 3 pm. | Instant News

DETROIT – Michigan Governor Gretchen Whitmer said the “stay at home” order, originally scheduled to end on April 14, will be extended as coronavirus cases continue to increase.

Governor Whitmer will make the announcement with further details on Thursday afternoon. Watch the press conference live at 3 pm. on Thursday here at ClickOnDetroit.

“That will be extended,” Whitmer told WOOD-TV. “We will make an announcement tomorrow (Thursday) on all the different parts of the ‘Stay Home, Stay Safe’ order.”

“I know it’s taking its toll and I know it’s difficult, but we also know that we’re still on the swing” spreading the virus, Whitmer said. “It is very important that we continue to double mitigation and protect people by staying at home.”

Related: Michigan coronavirus (COVID-19) cases up to 20,346; The death toll is now at 959

“We know that it works in other countries that have faced this longer,” he added, citing New York. “To the extent that we have an impact on making fewer people have to go to the hospital or fewer lives lost, and shortening the amount of time we face as economic is better for everyone.”

It is not clear how long the extension will take. The Michigan Legislature approved the extension of the 23-day state emergency declaration on Tuesday.

Earlier this week, Governor Whitmer said the state was “not yet close to the summit,” and staying at home was the best tool to keep people safe.

Monday marked three weeks since Governor Whitmer’s order to close most public space, including restaurants, bars and fitness centers. Tuesday marked two weeks since “Book Home Stay, Stay Safe entered into force, and four weeks since then Michigan’s first confirmed case.

“Hospitals are reporting that discharge has increased, but that doesn’t mean the numbers are decreasing – we are only slowing growth,” Governor Whitmer said. “We have not yet closed to hit the summit.”

“We have not yet come out of the forest,” said Dr. Joneigh Khaldun, added that 89 percent of hospitalizations for the virus were in Southeast Michigan.

Last week, state officials suggested the country might be a month or so far from the peak of the case, but over the weekend, that was The White House suggested a case in Metro Detroit can reach the top this weekend.

Governor Whitmer said the state model looked at more Michigan specific data than the federal model, reiterating that they expected a peak in late April or early May.

Increasing cases does not discredit social distance

It is important to note that while the number of cases is increasing, that doesn’t mean social distance doesn’t work. People who test positive can now be exposed to the virus a few weeks ago, and many people have no symptoms for several days.

It will it can take weeks to see the results of an overnight stay at home and other social distance measures that have been taken. In addition, the state still reports the results of the test heap.

For most people, new coronaviruses cause mild or moderate symptoms that go away in two to three weeks. For some people, especially older adults and people with existing health problems, can cause more severe illnesses, including pneumonia and death.

Having trouble seeing the data below? Click here to see.

Following is a time graph of confirmed coronavirus cases (COVID-19) in Michigan:

The following is the number of mapped Michigan territories and the total number of cases in each US state:

Following are COVID-19 deaths in Michigan mapped per county:

Following are the Michigan COVID-19 cases divided by age range (look here if you don’t see the table):

Following are the Michigan COVID-19 cases disaggregated by sex (look here if you don’t see the table):

How COVID-19 Spreads

Spread person to person

This virus is thought to spread primarily from person to person.

  • Between people who come in close contact with each other (at a distance of about 6 feet).
  • Through respiratory droplets produced when an infected person coughs or sneezes.

These drops can land on the mouth or nose of people who are nearby or may be inhaled into the lungs.

Can someone spread the virus without pain?

  • People are considered the most contagious when they are most symptomatic (the sickest).
  • Some spread may occur before people show symptoms; there have been reports of this happening with this new coronavirus, but this is not considered to be the primary way of spreading the virus.

Spread from contact with contaminated surfaces or objects

It is possible for someone to get COVID-19 by touching a surface or an object that has a virus on it and then touching their own mouth, nose or eyes, but this is not considered the main way the virus spreads.

How easily the virus spread

How easily the virus spreads from person to person can vary. Some viruses are very contagious (spread easily), such as measles, while other viruses do not spread easily. Another factor is whether the spread is continuous, spreads continuously without stopping.

Prevention & Treatment

There is currently no vaccine to prevent coronavirus 2019 (COVID-19). The best way to prevent disease is to avoid getting this virus. However, as a reminder, the CDC always recommends daily precautions to help prevent the spread of respiratory diseases, including:

  • Avoid close contact with sick people.
  • Avoid touching your eyes, nose and mouth.
  • Stay home when you are sick.
  • Cover the cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect objects and surfaces that are frequently touched using ordinary household cleaning spray.

Wash your hands frequently with soap and water for 20 seconds, especially after going to the bathroom; before eating; and after blowing the nose, coughing, or sneezing.

MORE: Beaumont Health launched the coronavirus hotline for patients with symptoms

People who think that they might be exposed to COVID-19 should contact their health care provider immediately.

Questions about coronavirus? Ask Dr. McGeorge is here.

Read more about coronavirus here.

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