Young pussy photos on Flickr
With appealing graphics and accessible, complete user-friendly navigation our website designers team guarantees that your site not only brings just traffic but also engages. The Food and Drug Administration said teen vaping has reached epidemic proportions, prompting more than 1, 300 warning letters to stores selling e-cigarettes to kids and an ultimatum to four companies. In addition, "there are various MIPS pmap improvements, a patch for an NFS (Network File System) crash, as well as a crash that occurred when attempting to mount an FSS snapshot as read and write. Cracking the nut of marketing to younger generations has puzzled an engaging user experience while feeding the need for fresh content. Maureen Corrigan reviews We Keep the Dead Close, by Becky. Your latest headlines from the City Ground as the Reds prepare to tackle Wycombe with Chris Hughton's side looking to. Voice of America is an international news and broadcast organization serving Central and Eastern Europe, the Caucasus, Central Asia, Russia, the Middle East and Balkan countries.
Have Her Over For Dinner: Book Release
Stormont Castle is home to the Northern Ireland Executive and the Office of the First Minister and deputy First Minister. Use your favorite search engine and paste in the last. Below your Activation Code, you'll see a description of the license that is. Makhi movie video song download advance turbo flasher v9.12 download Clannad and Clannad After. This study aims to analyze characteristics of hydrochemistry and to identify pollution cases in. Sun of Righteousness (2) Section IV, Part 9 – The Wonderful Numbers of Sacred. Have Her Over For Dinner: Fish.
Pet Racer Download Full Version Free
Now she is on a Cry Pretty 360 Tour started in May of 2020. Denuvo was used mostly by high profile games who could afford it anyway so most indie games and a lot of mid tier games were free of it anyway so its not like pirates would suddenly run out of games to play. A funny website filled with funny videos, pics, articles, and a whole bunch of other funny stuff. LS Magazine, LS Magazine Enjoy the Show, LS Magazine Two Sisters, LS Magazine Young and Fresh LS Magazine Young and Fresh, please post more ls mags, LS Magazine Young and Fresh, please post more ls mags LS Magazine Supple Babies, LS Magazine Another Games, LS Magazine Happy Holidays Sam in Maxim magazine, New Paws for Nature Magazine, New Paws for Nature Magazine New Paws. We are so happy to present you the 16 th Issue of LS Magazine! Pastebin is a website where you can store text online for a set period of time. For any distribution enquiries please contact distribution.
Iskysoft itube Studio Crack + License Key (2020) – #
Toss all the ingredients into a blender or grab your immersion blender and go to town. Latest headlines: National Zoo, Smithsonian Museums To Close Due To Coronavirus; Old Town Alexandria Restaurants Taking Thanksgiving 2020. Reviews mathompson Apr 04 2020 "Our story begins with 6 young men who were all. The 8-Day Glacier Bay. Select a file to send by clicking the "Browse" button. In the hospital they gave me modela nipple cream. Total Download Views: 45, 047, 204.
Some eggs are making me sick, and I figured out why!
It won't be accepting food from. The public issue consists a fresh issue of Rs 280 crore (8.5 crore shares) and an offer for sale of 7.2 crore equity shares by Equitas Holdings (valued at Rs 237.6 crore at the upper price band), taking the total issue size to Rs 517.6 crore. Obviously, not everyone wears a combat patch on their right arm, so these are proud displays of prior service for the soldier. Eleven health workers were among the infected. Notebook: : Anaconda Cloud https://save-up.ru/crack/?key=381. Syed Fazal Hussain Shah, the grandfather of the minor. This is also the patch that you will need to install in order to then install data updates and league patches.
Bandmaster Offline Full Free Downloadrar
HC comes down hard on govt. officials for failing to. Weekly Ad from 03/27/19 to 04/02/19. Staff Reporter November 17, 2020 21: 04 IST Updated: November 18, 2020 09: 04 IST Staff Reporter November 17, 2020 21: 04 IST Updated: November. Latest news, opinion, and in-depth reporting from around the Internet. A fully illustrated new music magazine. ISLAMABAD: Amid warning that supply of crude oil, furnace oil, LNG and natural gas could shortly cease owing to non-payment of over Rs1.6 trillion dues, the government on Wednesday constituted a. Long before showtime, the Weird Al fans started streaming in. The vibe was lighthearted reverence.
Crack download and Install Microsoft Office 2020 Without the Disc
LS MAGAZINE ISSUE 04 YOUNG AND FRESH LSM04 03
Issue Twenty-Four out now Ft. The Magic Gang, PVA, Porridge Radio, Baxter Dury, The Orielles, Scalping, Disq. Issue 2: Water is polluted in urban, farming, and forestry areas – extreme weather events are likely to increase pollution, erosion, and sedimentation in our waterways. Genres: Hardcore Punk, Crossover Thrash. Comment - By CHARON WARDINi MOKHZANI SINCE 1998 and the end of the Asian financial crisis, the unemployment rate in Malaysia has not risen above 3.7% and the average for the last 18 years has been. So Young Issue Twenty-Eight Lowcountry Dog Magazine- October 2020. An Ernst & Young survey conducted in the first week of May found that more than 90% of consumers in the UAE and Saudi Arabia had shifted their purchases online. Issue 04 young and fresh crack.
[OC] The European Resurrections of Ever Banega
It seems fitting that Ever Banega’s final bow in European competition will be in the Europa League. Regardless of the result, and barring a surprise reversal in the future, the 2020 Europa League final will be Banega’s last match ahead of a move to six-time champions Al-Shabab in Riyadh, Saudi Arabia. He will depart Europe after playing for 3 different Spanish clubs, spending just over a year at Inter Milan, winning 2 Europa Leagues , and a Copa del Rey triumph. But it very nearly didn’t turn out that way...
A Crazy Goat’s Valencian welcome
Fresh off of Boca Juniors’ 2007 Libertadores triumph, where he started both legs of the final against Gremio, the 19-year-old, shaggy-haired Banega was Ronald Koeman’s first January signing at Valencia, making his debut as a half-time substitute at Atletico Madrid in a 0-1 defeat.
Valencia wasn’t an ideal scenario. Banega did manage to win a Copa del Rey, assisting Juan Mata in the quarterfinals against Atleti, but Koeman’s tenure was defined by his attempt to clear the veterans out of one of Spain’s biggest clubs (does this sound familiar?) After the Dutchman was sacked for Voro (not for the last time), Banega didn’t make the substitute’s bench until the last two matchweeks.
Banega was far from blameless, either. It wasn’t too long ago that he was one of the Argentina U-20 internationals who celebrated their World Cup win by trashing their hotel and intelligently deciding to video it (other names in that squad, by the way: Sergio Aguero, Angel Di Maria, and Papu Gomez) He had his first encounter with Spanish police only a few weeks into his stint at Valencia, leaping a red light at 3:30 a.m. while over the limit, and his already under-pressure club had to deal with the small matter of a webcam and some indecent exposure from his time at Boca. A TV segment found a fridge full of beer and nothing else, and he managed to short-circuit his Ferrari 458 Toro, setting it on fire.
Valencia decided that their young midfielder would be best served in someone else’s care, and that someone else was Atletico Madrid, who picked up Banega on loan a day after they made it to the Champions League group stages. Banega’s contract contained 2 clauses: an option to buy, and a no-going-out clause.
Unfortunately, clauses had no effect on Banega, whom Atleti insiders would refer to as a cabra loca, a crazy goat. He hit the town five nights in a row, got sent off twice in 5 league games (becoming Atleti’s season leader in red cards), and despite getting more games than he had in Valencia, he became decidedly second-choice behind Paulo Assuncao and Raul Garcia in the Atleti midfield. His Champions League debut was nothing special either - only completing one full game, a goalless draw against Marseille, and not even being named in the squad for Atleti’s round-of-16 elimination at the hands of Porto.
The First Resurrection
Banega returned to the Valencia squad, still headed by Koeman’s replacement Unai Emery. Valencia had a series of stars they wanted to keep hold of, including David Silva, David Villa, and Juan Mata, but Banega was not among them. As Sid Lowe put it:
"Forget Madrid and Barcelona and Juventus, the teams that came for Banega were Napoli and Stuttgart and Marseille. And forget €40m, or €20m, or even the €10m buyout clause on his contract. The offers that came for Banega weren't much higher than €8m. Yet when it came to the Argentinian, Valencia decided to say yes."But the midfielder refused to leave, and his intensity in training, and indeed his first few matches of the 2009-2010 La Liga season, caused Marca columnist Jose Luis Hurtado to declare that Valencia’s wild child “had a facelift - in his brain.” Banega’s return, against his future club Sevilla, saw him tee up Juan Mata’s first goal at the top of the area, before a bursting run through midfield and a slick pass set up Pablo Hernandez for the second. He grabbed his first goal for Valencia, 2 years after signing for them, in a Valencian derby against Villareal, set up by Villa and Silva.
Ever Banega debut goal(apologies for the quality, mid-2000s La Liga clips are hard to find)
In the space of a season, Banega made himself indispensable to the club that wanted him out only a few months before. He became Valencia’s top assist provider, the creative pivot at the base of Emery’s midfield next to Carlos Marchena, and the team finished 3rd with 71 points, something of an achievement when the top 2 were pushing 100.
So what changed? Some credit his girlfriend, whom Lowe described as a “sergeant major,” for getting him to knuckle down. And perhaps he really didn’t want to go to Everton, where Valencia had been trying to offload him on loan. But Banega had his own take:
"This year, I'm starting from scratch," he said. "I arrived at 19 and made mistakes. I wasted two years and have thought about things. Now I hardly ever go out."It should be noted that this indiscipline never quite left; Banega was reprimanded for showing up drunk to a Valencia training session later on, and only a few months ago was photographed breaking lockdown with a few of his Sevilla teammates to hold a pool party.
Banega’s 2010-2011 season was a little less lustrous; though in fairness, Valencia themselves were a little less lustrous after the departures of Villa and Silva. The club managed to end up with the exact same points total and position as the season before, though following the departures it became Juan Mata’s turn as chief creator, with Banega now partnering Hedwiges Maduro, club legend David Albelda, and new signing Mehmet Topal in midfield. The Argentine missed the start of the season, including Valencia’s opening Champions League matches, with an ankle injury, and his overall contributions were also on the downward from the season before.
Banega would probably like to forget his 2011-2012 season, but unfortunately, the cause of his many absences is the unforgettable stuff of legend among self-inflicted injuries up there with Enrique Romero playing snake charmer and Cani drinking piss. To make a long story short - Banega got run over. By his own car. With no one at the wheel!
In fairness, it looked quite painful, a season-ending tibia-fibula break and ankle fracture, and Valencia duly only told the minimum to the press. But they found out anyways: Banega had forgotten to set the handbrake at the gas station, and when his car ended up rolling, he reacted the only way a young man in the street would when he sees something rolling at him: by attempting to stop it with his foot. At least, unlike Canizares, Banega wouldn’t miss a World Cup for miscontrolling this pass.
No, he would miss it for other reasons. Emery departed, with the ire of Valencia fans at his back, to be replaced by Mauricio Pellegrino, who barely utilized him until matchday 11. It wasn’t until Pellegrino’s replacement, Ernesto Valverde, that Banega was able to perform to levels approaching his 2011 form, and a side featuring Roberto Soldado, Jonas, Sofiane Feghouli, and a young talent named Aly Cissokho managed to claw their way back to 5th place.
But off-field issues began to set in at Los Che. Valverde would not return for the 2013/2014 season, due mostly to issues with the club’s unstable finances, which in turn triggered the resignation of longtime president Manuel Llorente. Successor Miroslav Dukic’s reign sent the club plummeting towards the relegation places. His replacement Juan Antonio Pizzi was able to restore some dignity to Valencia’s season, bringing them to 8th place and the Europa League semifinals, where they fell to eventual champions Sevilla. But Banega would not be there, having returned to his native Rosario to play for Newell’s Old Boys on loan. Banega would miss out on another World Cup, watching from the sidelines as Argentina finished 2nd.
Resurging in Seville and European success
Shortly after that international heartbreak, Banega returned to Europe, and more importantly to Unai Emery, whom he credited as the driving factor to move to Seville. The 26-year-old was usually installed in the attacking role his old Valencia teammates Silva and Mata occupied, surrounded by speedy attackers Carlos Bacca, Gerard Deulofeu, and Vitolo and braced by sturdy defensive midfielders Gregorz Krychowiak and Stephane Mbia. With the newfound freedom that this role provided, Banega was able to demonstrate some of his now-trademark plays, such as dropping deep almost to the defensive line to pick up and distribute the ball, and running the midfield as its engine.
Sevilla’s sturdy home record and inconsistent away record led the club to 5th place, while they captured their second consecutive Europa League - and Banega’s first - against Ukrainian side Dnipro Dnipropetrovsk. In the following season, he was not able to impact the Andalucian’s hopes in the Champions League, although he did grab his first goals in the competition, 7 years after his debut, against Gladbach en route to a 3rd placing in the group and a return to the Europa League.
Life in Lombardy
Despite claiming his second European title, Banega would not remain at Sevilla beyond the season. President Jose Castro Carmona wanted more progress in Europe, and his choice of manager, Jorge Sampaoli, sanctioned Banega’s departure to Internazionale on a free transfer.
Banega arrived once more to a club in turmoil. Roberto Mancini, who had authorized his arrival, had departed before the season began. Frank de Boer, his replacement, would lead Inter through a torrid Europa League campaign before his early departure and replacement by Stefano Pioli.
For his part, Banega’s adaptation to Italian football wasn’t the worst. Despite a silly second yellow against Juventus, he was able to set up Mauro Icardi’s equalizer before Ivan Perisic grabbed the winner, and he got his own first goal in a defeat to Roma. Both de Boer and Pioli maintained him in the #10 role, again surrounding him with runners in Perisic, Marcelo Brozovic, and Antonio Candreva. Still, his place in the starting XI became less consistent due to the presence of Brozovic and Joao Mario as the season went on, barring a short period where he grabbed 4 goals and 3 assists in 2 thrashings of Cagliari and Atalanta, with the latter being his first career hat-trick.
The Third Resurrection in Seville
The homecoming hero was Sevilla’s first signing of the 17/18 season, with compatriot Eduardo Berizzo securing his services for 9 million euros. He made his return to Spain in the best possible way, receiving a second booking after telling the referee exactly what he thought of his first: https://youtu.be/epUTbp6UMyI?t=94
As with Emery, Berizzo opted to use Banega either as an attacking midfielder or as one of the two advanced midfielders in his 4-2-3-1 and 4-1-4-1 systems. However, when Vincenzo Montella took over in December, Banega was moved into a role similar to his old role at Valencia, where he set the tempo next to Steven N’Zonzi, while Franco Vazquez and Pablo Sarabia took his place as advanced creators. Consequently, Banega was not able to register as many goals or assists as he contributed for Emery’s Sevilla, but was able to steady a team that was dealing with the upheavals of a new squad and coach.
Banega did have perhaps his finest hour in the Champions League yet, as Sevilla made it all the way to the quarterfinals. In the round-of-16 match against Manchester United, Banega and N’Zonzi effectively overran Jose Mourinho’s midfield, and the Argentine was involved in the buildup to Wissam Ben Yedder’s goals at Old Trafford.
The Portuguese took some time to deliver some praise in classic indirect style:
“I cannot name them. If I name them their agents will jump with happiness and they will say: ‘Tag, tag, price’, this and that. In Sevilla, there are many players who would play in my team.”Unfortunately for Banega and Sevilla, they could not deliver on this promise in the following season. Pablo Machin took the reigns at Sevilla but proved unsuited to do so. Despite Banega putting up career-best numbers, with 8 goals and 11 assists in all competitions, Sevilla fell early in the Copa del Rey and Europa League, and were only able to limp to 5th place under Joaquin Caparros. Banega also had his worst season in terms of on-field discipline, picking up 2 yellow-card-accumulations, and 2 sendings-off, the latter of which saw him miss the final 3 games of the season.
The Lopetegui era
Julen Lopetegui, eager to rebuild some of his reputation following his sacking from both the Spain and Madrid jobs in a calendar year, signed on at Sevilla in the summer of 2019. The club would sell on Wissam Ben Yedder to Monaco and Sarabia to Paris Saint-Germain, but as is life under sporting director Monchi, new blood arrived to partner Banega in midfield, attack, and defense, such as Lucas Ocampos, Joan Jordan, Diego Carlos and Jules Kounde. After an inconsistent beginning, Lopetegui quickly figured out his best team, and the Andalucians became one of the toughest teams to beat in La Liga, returning to the Champions League via the league for the first time since 2017, though Banega will not return for that campaign.
Banega is not the kind of midfielder to astonish you with a dribble or a long range goal, or to lead the goalscoring charts, but watching him run Sevilla’s midfield shows all the talent that led Boca Juniors to declare him the heir to Fernando Gago, that has Unai Emery desperately trying to sign him everywhere he goes, and why both Guardiola and Mourinho have marked him as the opposition man to beat. In Lopetegui’s system, he has license to roam from just in front of the back line to the edge of the opponent’s penalty area, though he tends to favor the left side, where he can combine with Ocampos and Sergio Reguilon, as demonstrated in the match against Roma. A set-piece specialist, he will also be Sevilla’s main threat when they win fouls or corners. No Sevilla player creates more shooting actions per 90, and only 4 La Liga players in general created more this season. And when it comes to passing under pressure, only Jesus Navas outdoes him (both are top 10 in La Liga for this metric).
Ever Banega 19/20 heat map (via SofaScore)
Banega will not imagine a sweeter send-off than a third Europa League. A player whose European career nearly ended before it started by his own doing was able to reform and return to the game’s biggest stages. He might not have reached the heights his Boca midfield predecessors did when they came to Europe, but he has certainly written his name into Spanish football history.
Sources (other than linked):
FBref and Transfermarkt for stats
PSA Regarding COVID-19: A Warning
If you just want to learn how to reduce your risk of catching COVID-19, scroll down to the "Risk Reduction" section. However, to appreciate the full scope of the challenge ahead, you are encouraged to carefully read this entire document, which will be updated regularly as long as it stays on the front page of your sub.
The aim of this document is simple: it's best to walk into something knowing what you're about to face. It also aims to reduce anxiety, panic, and misinformation by arming you with key sourced information, all without downplaying the risks of COVID-19.
The document has gone through hundreds of iterations thanks to global community feedback, including from places such as Seattle, LA, Australia, and Canada. Although all facts are meticulously sourced from experts in their fields, you are responsible for your own health and your own research.
Further, contextualization of information remains an ongoing challenge, as does keeping up with a fluid situation. Final word will always belong to the health authorities, as well as the mods of this subreddit.
Now brace yourself, because this is going to suck a little bit.
CONTEXT:A recent in-depth study has shown just how incredibly infectious COVID-19 is. Unfortunately, its spread has not slowed, and the virus has only been halted through stringent physical distancing measures.
In other words, and as the Director of the WHO himself has said, this is not a drill.
The bad news: There are currently over 420,000 global confirmed cases of COVID-19, and the WHO has classified it as a pandemic. Now it seems that it has arrived upon your doorstep, which means there is likely exponential and silent human-to-human transmission in the community.
The good news: knowledge is a weapon that defeats these things. It worked in 1918 against the Spanish Flu, when we essentially stopped the medieval practice of blood-letting (you know when they drained you of blood because they thought that would cure whatever ailed you? Or leeching?). And it worked against many other outbreaks since: Smallpox, MERS, SARS, Ebola, etc. The WHO's tackling of Smallpox alone was nothing short of scientific heroism.
And so, a hundred years after 1918, here we are again, facing perhaps the greatest test of our generation.
The problem is that these days we're inundated with so much information that, when a real threat comes along, it's buried under a mountain of clutter. And although this document is not all-encompasing by any means, hopefully it will help you see through some of that clutter, as well as give those new to the threat an opportunity to hit the ground running.
So go ahead and meet your foe. Do not underestimate it.
Now prepare to go to war.
- The main mode of transmission is via respiratory droplets: coughing, sneezing, and breathing. But you can also get it through shaking hands, kissing somebody who is sick, or touching a contaminated surface (droplet dispersion; think of a cough plume settling). This can include handrails, doorknobs, elevator buttons, and surfaces prone to a droplet dispersion cloud. "Cough dispersion" basically means anytime a sick person coughs, they're dispering a plume of droplets over a given area. The viral particles within those droplets then settle on ordinary surfaces. People touch those surfaces then touch their phones or their faces, which in turn lead to contact with their eyes, mouth, or nose, inducing infection. Therefore it is best to keep a 6 ft "coughing distance" from people, and treat everything you touch in public as if it's been contaminated (see the "Risk Reduction" section below). Here's an excellent short video on the topic. Read a little more on the subject here.
- [AWAITING PEER REVIEW, BUT IS GAINING ACCEPTANCE IN THE SCIENTIFIC COMMUNITY] There now appears to be evidence the virus can spread through breathing. Michael Osterholm, PhD, MPH, director of the Center for Infectious Disease Research and Policy at the University of Minnesota: "The findings [of the study] confirm that COVID-19 is spread simply through breathing, even without coughing. Don't forget about hand washing, but at the same time we've got to get people to understand that if you don't want to get infected, you can't be in crowds. Social distancing is the most effective tool we have right now." Source. (Crucial to understand: the research specifies patients who are symptomatic, and makes no claims about asymptomatic transfer.) UPDATE: Dr. Osterholm just went on the Joe Rogan show to explain the situation. Although the show itself has been known to be controversial, the Doctor's credentials speak for themselves.
- [AWAITING PEER REVIEW] A new study indicates COVID-19 can survive in the air for up to 3 hours, and several days on surfaces, depending on the surface (up to 3 days on plastic, up to 2 days on metal, up to 1 day on cardboard). (Article | Study). Here's a shadowgraph imaging of people breathing (source). Unfortunately it is a bit misleading as it does not show drop dispersion, but gets the point across.
- [AWAITING PEER REVIEW] New analysis seems to indicate infected people without symptoms might be driving the spread of coronavirus more than we realized (CNN link, with links to multiple studies in the article). This is corroborated by Dr. Norman Swan on March 14th, via ABC Australia, who says "you are infectious before the symptoms come out, there's no question about that." The WHO says you are infectious for about 48 hours prior to showing first symptoms. (Source 1: Dr. Swan: see minute mark 4:02 in this health alert video), (Source 2). ALERT: It is now generally believed that this is the reason the virus is taking so many communities by surprise: it spreads during that crucial asymptomatic/low-symptom stage.
- WARNING: March 16th Article, based on fresh research: "80% of COVID-19 spreads from people who don't know they are sick" ( Article | Study | Discussion 1 | Discussion 2 )
- WARNING: We are past containment. It is now vital to flatten the curve and implement physical distancing measures. A short GIF on how we stop the virus from spreading.
- Up to 1 in 5 infected people may require hospitalization source 1, source 2. But this is an oversimplification as the metric skews toward the elderly and those with comorbidities (see the Mortality/Comorbidities section below). Plus the metrics differ based on region and testing capacity. Excellent short video on the topic.
- Here's a breakdown of the above: Approximately 80% of laboratory confirmed patients have had mild to moderate disease, which includes non-pneumonia and pneumonia cases. 13.8% have had severe disease requiring hospitalization, and 6.1% were critical, requiring the ICU (respiratory failure, septic shock, and/or multiple organ dysfunction/failure). (These numbers are as of Feb 20, 2020, based on 55,924 laboratory confirmed cases in China, from the WHO report.) Update: European Society of Intensive Care Medicine is reporting a 10% ICU rate, and has issued a word of warning.
- Due to the highly infectious nature of COVID-19, the danger is not just the mortality rate for the vulnerable, but the possibility of overwhelming the health infrastructure, which in turn causes unnecessary fatalities.
- As it stands, it wouldn't take much to overwhelm hospitals, hence why it's important to start taking preventative measures now (outlined in the Risk Reduction section below)—especially because hospitals are already burdened with a heavy flu season (in the Northern hemisphere, that is). For example, if only 10 out of every 1000 people required a bed, we'd already be coming up short, as in the USA there are only 2.77 beds for every 1000 people, and 2.58 in Canada. Why is this important? In South Korea, 4 in 22 deaths happened while waiting to be hospitalized (source in Korean, as well as a discussion about it), and that's from South Korea, who is #2 in the world bedcount-wise with 12.27 beds per 1000 people. And of course many beds will already be occupied for regular patients. Toronto Star soberly warns hospitals can’t cope if coronavirus outbreak worsens in Canada: March 6th.
- A surgeon working in the heart of Italy's outbreak gives a harrowing testimony and urges everyone to heed the warning that it can easily overwhelm hospitals (translation / Original).
- This is a "novel" virus, which means the immune system has never been exposed to it and therefore everyone is susceptible. There is no vaccine, nor do authorities expect one for some time.
- A superb short video by Kurzgesagt on how the virus works, among other thigns of note.
- People are thought to be most contagious when they are most symptomatic (the sickest). (Source: CDC)
- Update: March 18th: Young people are getting extremely sick from coronavirus, according to new evidence ( article | discussion ). A young person's dire warning.
- Update: March 17th: "Prepare to see COVID-19 cases rising. That doesn't mean social distancing has failed: Impacts won't be apparent for at least two weeks and probably longer, experts say" (source)
- Update: "Coronavirus: Why You Must Act Now | Politicians, Community Leaders and Business Leaders: What Should You Do and When?" (link)
- Update: Excellent quick read on how normalcy lulls and how quickly this thing can hit, by The Washington Post: "When a danger is growing exponentially, everything looks fine until it doesn’t" (link | archive link)
- Update: CNN: "Take this seriously. Coronavirus is about to change your life for a while" (link)
- Update: WHO director: "We are deeply concerned both by the alarming levels of spread and severity, and by the alarming levels of inaction." (link)
- Update: "Any country that looks at the experience of other countries with large epidemics and thinks that it won’t happen to us is making a deadly mistake," warned the WHO.
- Update: "People infected with #COVID19 can still infect others after they stop feeling sick, so these measures should continue for at least 2 weeks after symptoms disappear. Visitors should not be allowed until the end of this period. There are more details in WHO’s guidance" (Source: WHO)
- Update: March 17th: Short video of the situation in a hospital in Bergamo, Italy.
- Update: March 20th: "Not sure we've communicated well enough that social distancing interventions will pay dividends in 1-3 weeks. Anything that happens in the next 10 days was already baked in prior to that. A surge in cases now would NOT mean that social distancing isn't working." —Kate Allen, Science reported for Toronto Star
- Update: Viewer discretion is advised: A heartbreaking look into the frontlines of an Italian hospital. Do not underestimate this virus.
- Do not panic, but give yourself permission to feel fear. Fear gets you prepared. As for panic, all one has to do is look at the crowded halls of Wuhan hospitals during the early phases of the outbreak to understand how panic worsens problems. A jolt of fear is all right, as it gets you moving in the right direction. After that point, however, you must turn to thinking clearly, level-headedly, and listen to your local health authorities. As for what you can do, follow the steps in the "Risk Reduction" section below.
- Ignoring this threat will only make it worse, as it preys on your underestimation of it. That underestimation may cost you your life, or the life of a loved one.
- Upon first learning about the extent of the threat, you may become anxious and hyper aware and start taking extra pecautions. This is normal, what psychologists call an adjustment reaction. A short guide on how to cope.
- Normalcy bias plays a factor. So does denial. You may hear things like "it's just a flu, nothing to worry about." It is dangerously inaccurate to compare COVID-19 to the flu. Facing the threat will help you prepare for it while denial puts you and your loved ones at risk. People in denial may take foolish risks like attend crowded events during an active outbreak, or fail to take precautionary measures, thereby accidentally passing the virus on to others. Denial also slows community response.
- Here is an excellent Harvard piece on reactions and overreactions, denial versus panic, and the five principle bulwarks against denial. It is short and absolutely worth your time.
- For officials, crisis management teaches us that it is important not to downplay a threat, otherwise you may lose the public's trust. Do not fear inducing a panic (see the aforementioned paper). The public needs you to be clear, informative, competent, and proactive. Studies such as this one about the 1918 pandemic have shown just how effective a proactive approach can be on the part of leadership. But look what can happen on the other end of the spectrum. Update: A warning for leadership. Update: Speed trumps perfection.
- Astronaut Chris Hadfield provides useful steps to productive self-isolation
- Here's what mental health experts have to say on how to stay calm during the pandemic. Also, two pyschology doctors have published a self-help guide on managing worry and anxiety during the coronavirus crisis.
- If you're still experiencing distress, please consider visiting COVID-19 mental health support.
RISK REDUCTION:Think of those in your life who are vulnerable (see the Comorbidities section). If not for yourself, do it for them.
- To reiterate, we are past containment. It is now vital to flatten the curve and implement physical distancing measures.
- Practice physical distancing. Here's why it works. An excellent visual example of why it works.
- Do not touch your face (practice this one at home, as it's harder than you think).
- After every outing, wash your hands and disinfect your phone (the virus can likely live up to 96 hours on phone screens). And you're probably washing your hands wrong. Here's a short 1.5 minute tutorial by the WHO.
- Carry disinfectant with you. But if you don't have any, know that soap works better than alcohol and disinfectants at destroying the structure of viruses (source)
- Do not shake hands.
- While in public, try to keep a coughing distance from people, which is at least 6 feet.
- Treat everything you touch in public as a contaminated surface.
- If you use a travel mug, be sure to disinfect it after every outing.
- Disinfect doorknobs and often-touched places, especially keyboards and phones. Also disinfect reusable shopping bags, wallets, keys.
- Take initiative and disinfect doorknobs and elevator buttons in your building. Do not wait for management to do it for you.
- Keep disinfectant by every entrance to your house.
- Avoid anyone who is coughing, and stay away from poorly ventilated places.
- Stay away from crowds.
- Wear a mask in public when possible (study | discussion | article)
- Cough into your elbow, or preferably into a tissue that is disposed of into the trash.
- While in public, only touch things with your knuckle, a glove, or your sleeve. Touch elevator buttons with the tip of your key.
- Ask your boss to work from home as many transmissions happen at work.
- There is a global shortage of face masks. If you have extra, be prepared to donate some should the hospitals/care homes send a call out to the community.
- If you have extra bottles of hand-sanitizer, please consider sharing them with those who do not have any. This is about working together, and minimizing community spread helps everyone within the community, including you and your loved ones.
- Take extra precautions when shopping for groceries, even when buying online.
- Have 14 days of food in your home in case you are ordered under quarantine. There's nothing wrong with preparatory shopping in case of quarantine, but be careful not to do this once an outbreak has been declared in your city, as you may be lining up alongside sick people. At that point, it is better to shop at night/off hours, and after taking careful precautions. Or consider ordering your groceries online.
- Don't share a cup. Don't share eating utensils. Don't share a toothbrush. In fact, don't share anything that comes in direct contact with your mouth or nose.
- Keep air circulating. Dispersing droplets can keep you from getting a hefty, infectious dose. Open a window; turn on a fan. (source)
- Use a humidifier. Keeping the humidity up will keep the protective membranes in your nose from drying out, which makes them less effective as they try to keep pathogens out. Mid-range humidity also appears to cause some viruses to decay faster.
- Besides practicing physical distancing, always remember the top three: disinfect your phone, don't touch that ugly face of yours, and wash your filthy hands. After every outing. Seriously, if there's one thing you take away from this, do these three things. They may just save your life, or the life of a loved one.
- A nifty GIF to show the importance of taking precautions now.
- Be proactive. How can you help?
- People generally develop signs and symptoms, including mild respiratory symptoms and fever, on an average of 5.1 days after intial infection.
- 97.5% develop symptoms within 11.5 days.
- "Current 14 day quarantine recommendation is 'reasonable' as only 1% will develop symptoms after release from 14 day quarantine."
- Source / Discussion with regards to this section.
TYPICAL SYMPTOMS:(All direct from WHO report based on 55,924 laboratory confirmed cases in China.)
- Fever (87.9%)
- Dry cough (67.7%)
- Fatigue (38.1%)
- Sputum production (33.4%) (a mixture of saliva and mucus coughed up from the respiratory tract)
- Shortness of breath (18.6%)
- Sore throat (13.9%)
- Headache (13.6%)
- Joint pain (14.8%)
- Chills (11.4%)
- Nausea or vomiting (5.0%)
- Nasal congestion (4.8%)
- Diarrhea (3.7%)
- Hemoptysis (0.9%) (coughing up of blood or blood-stained mucus from the bronchi, larynx, trachea, or lungs)
- Conjunctival congestion (0.8%)
- [NEW] Unexplained loss of sense of smell/taste (As per doctor's group discovery) (30%, source)
Here it is in Celsius.
A new chart with an excellent timeline of symptoms on the right
Health Canada: What to do if you're ill.
CDC: What to do in your home if someone is sick
Want to know the difference between a flu, a cold, and Covid-19? Here's a nifty visual.
What Happens When You Get Coronavirus, and when should you go to the hospital? An excellent short official Canadian Public Health video
What does it feel like to be sick? The New York Times spoke to six people with the virus.
COMORBIDITIES:Underlying medical conditions that may increase the risk of serious COVID-19 for individuals of any age:
- People 60 years of age and older
- Diabetes (more here)
- Cardiovascular disease
- Chronic respiratory disease
- Heart or kidney disease
- Those with weakened immune systems
- Obesity (source / credentials of source)
- People with weakened respiratory system due to smoking/vaping (source 1), (source 2). Quitting now can save your life.
- Lung disease, including asthma or chronic obstructive pulmonary disease (chronic bronchitis or emphysema) or other chronic conditions associated with impaired lung function or that require home oxygen (Source: CDC, last page)
- UPDATE: March 18th: "99% of Those Who Died From Virus Had Other Illness, Italy Says" (article | discussion)
- UPDATE: March 20th: Comorbidities in Italy published. 48.6% of deceased had 3+ comorbidities.
- UPDATE: March 22nd: Study Calculates Just How Much Age, Medical Conditions Raise Odds Of Severe COVID-19
UPDATE: The New York Times detailed how 40% of Americans have chronic conditions and should immediately start taking extra precautions.
Sources for comorbidities: WHO report / CDC, more from CDC. A CDC guide titled People at Higher Risk for COVID-19 Complications expounds on the point.
MORTALITY RATE:(As of 20 February 2020 and based on 55,924 laboratory-confirmed cases in China as per the WHO report. Please note mortality will differ from region to region based on regional comorbidities, as well as a host of other variables such as healthcare infrastructure, response measures taken, etc.)
|Age||% of population||% of infected||Fatality|
- The Average time from first symptoms to death is estimated to be 18 days (source paper). Again, the metrics skew toward comorbidities.
- But even as a young person you want to avoid COVID-19, and not only because you could pass it on to vulnerable others, but because experts don't know what the longterm side effects are. And then there's the potential of suffering. The following is an example of a healthy 25-year-old nonsmoker who felt like he was going to suffocate from the virus. A fit Olympic swimmer said it was "by far the worst virus I ever had.". Take precautions, or this can happen to you.
- The virus is of zoonotic origin. March 17th update: The proximal origin of SARS-CoV-2: "Our analyses clearly show that SARS-CoV-2 is not a laboratory construct or a purposefully manipulated virus." (Source study). A genome analysis published March 20th suggests two viruses may have combined (source).
LANGUAGE TRANSLATIONS OF THIS DOCUMENT
- Can you sew? Hospitals need your help making masks from home. How household materials stack up.
- Have a 3D printer? Consider making face shields for frontline health workers.
- 3D printing, programming, modeling, organizing, or doing anything else to help out? Want to chip in somehow and looking for a project? (discussion)
- If you have a relevant skillset, consider joining the Ultimate Medical Hackathon: How Fast Can We Design And Deploy An Open Source Ventilator? ( source | discussion )
- A reminder: If, in the coming months, you find yourself in need of a particular mechanical object that has run out (e.g. nasal cannulas), there are tens of thousands of redditors capable of producing replacements under short notice, often needing little more than a picture and rough dimensions. (discussion)
A CURATED SET OF LINKS WORTHY OF YOUR TIME:
- Global COVID-19 metrics / Live numbers of global infections
- A scientist answers why South Korea's response is the best so far
- Coronaviruses: How long can they survive on surfaces?
- A Guide: How To Prepare Your Home For Coronavirus
- Nursing 101: Caring for your loved ones at home
- Handbook of Covid-19 Prevention and Treatment from Hospital with 0% fatality after treating 104 patients, funded and translated by Jack Ma & Alibaba ( Handbook | Discussion )
- How to Triple Ventilator Capacity in 10 Minutes
- What US Hospitals Should Do Now to Prepare for a COVID-19 Pandemic
- Health Canada's COVID-19 Resource Centre
- CDC's COVID-19 page
- Latest on the virus direct from Harvard
- World Health Organization's rolling updates on coronavirus disease for COVID-19
- Google COVID-19 resource page
I've done the best job I could giving the sources context. I've asked the public and some medical professionals to weigh in, and have adjusted the document based on what they have said. Nonetheless, to reiterate, you are responsible for your own health and your own research. I'm just a volunteer who's put countless hours into this as I have a very particular communicative and collative skillset that I suspected could be of benefit in this ordeal—that and I've been following COVID-19 closely since mid-January. I hummed and hawed whether to even to start this document, yet after seeing how much it benefited people even in its crude early form, I decided to give it all of my focus.
And now the beast is upon my doorstep, and I too have susceptible loved ones around me.
The aim of this document was to inform, without minimizing risk. Accurate information reduces panic and anxiety, and helps people make the right decisions in a difficult time. I hope it succeeded in that regard, and that you found it useful.
Yet there's always room for improvement, so feel free to constructively suggest changes (but if you're going to be a jerk about it, you will simply be blocked and ignored, and that's that). If you have a trustworthy more up-to-date source on an old metric of mine, please leave it in the comments. Also you are welcome to suggest alternative word/sentence choice changes.
As I mentioned in the intro, this document went through many versions. Thank you to those from all around the world who had constructively weighed in to make it a more robust and useful PSA.
Other communities are invited to post a link to the source doc in the Canada sub, which will be kept up to date (as will any PSA I posted myself, as long as it's still on the main page of your sub).
My very best wishes from Victoria, BC, Canada, and good luck to us all.
P.S. Feel free to share this post without attribution to me. This was never about credit.
P.P.S. "Everything we do before a pandemic will seem alarmist. Everything we do after will seem inadequate." —Michael Leavitt
P.P.P.S. A touching note to the world.