Duration of Isolation and Precautions for Adults with COVID-19 [Updated July 22, 2020]…


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Date: July 29, 2020

01) Duration of Isolation and Precautions for Adults with COVID-19

“Accumulating evidence supports ending isolation and precautions for persons with COVID-19 using a symptom-based strategy. This update incorporates recent evidence to inform the duration of isolation and precautions recommended to prevent transmission of SARS-CoV-2 to others, while limiting unnecessary prolonged isolation and unnecessary use of laboratory testing resources.

Key findings are summarized here.

Concentrations of SARS-CoV-2 RNA measured in upper respiratory specimens decline after onset of symptoms (CDC, unpublished data, 2020; Midgley et al., 2020; Young et al., 2020; Zou et al., 2020; Wölfel et al., 2020; van Kampen et al., 2020).

The likelihood of recovering replication-competent virus also declines after onset of symptoms. For patients with mild to moderate COVID-19, replication-competent virus has not been recovered after 10 days following symptom onset (CDC, unpublished data, 2020; Wölfel et al., 2020; Arons et al., 2020; Bullard et al., 2020; Lu et al., 2020; personal communication with Young et al., 2020; Korea CDC, 2020). Recovery of replication-competent virus between 10 and 20 days after symptom onset has been documented in some persons with severe COVID-19 that, in some cases, was complicated by immunocompromised state (van Kampen et al., 2020). However, in this series of patients, it was estimated that 88% and 95% of their specimens no longer yielded replication-competent virus after 10 and 15 days, respectively, following symptom onset.

A large contact tracing study demonstrated that high-risk household and hospital contacts did not develop infection if their exposure to a case patient started 6 days or more after the case patient’s illness onset (Cheng et al., 2020).

Although replication-competent virus was not isolated 3 weeks after symptom onset, recovered patients can continue to have SARS-CoV-2 RNA detected in their upper respiratory specimens for up to 12 weeks (Korea CDC, 2020; Li et al., 2020; Xiao et al, 2020). Investigation of 285 “persistently positive” persons, which included 126 persons who had developed recurrent symptoms, found no secondary infections among 790 contacts attributable to contact with these case patients. Efforts to isolate replication-competent virus from 108 of these case patients were unsuccessful (Korea CDC, 2020).

Specimens from patients who recovered from an initial COVID-19 illness and subsequently developed new symptoms and retested positive by RT-PCR did not have replication-competent virus detected (Korea CDC, 2020; Lu et al., 2020). The risk of reinfection may be lower in the first 3 months after initial infection, based on limited evidence from another betacoronavirus (HCoV-OC43), the genus to which SARS-CoV-2 belongs (Kiyuka et al, 2018).

Currently, 6 months after the emergence of SARS-CoV-2, there have been no confirmed cases of SARS-CoV-2 reinfection. However, the number of areas where sustained infection pressure has been maintained, and therefore reinfections would be most likely observed, remains limited.

Serologic or other correlates of immunity have not yet been established…

…Available data indicate that persons with mild to moderate COVID-19 remain infectious no longer than 10 days after symptom onset. Persons with more severe to critical illness or severe immunocompromise likely remain infectious no longer than 20 days after symptom onset. Recovered persons can continue to shed detectable SARS-CoV-2 RNA in upper respiratory specimens for up to 3 months after illness onset, albeit at concentrations considerably lower than during illness, in ranges where replication-competent virus has not been reliably recovered and infectiousness is unlikely. The etiology of this persistently detectable SARS-CoV-2 RNA has yet to be determined. Studies have not found evidence that clinically recovered persons with persistence of viral RNA have transmitted SARS-CoV-2 to others. These findings strengthen the justification for relying on a symptom based, rather than test-based strategy for ending isolation of these patients, so that persons who are by current evidence no longer infectious are not kept unnecessarily isolated and excluded from work or other responsibilities.

Reinfection with SARS-CoV-2 has not yet been definitively confirmed in any recovered persons to date. If, and if so when, persons can be reinfected with SARS-CoV-2 remains unknown and is a subject of investigation. Persons infected with related endemic human betacoronavirus appear to become susceptible again at around 90 days after onset of infection. Thus, for persons recovered from SARS-CoV-2 infection, a positive PCR during the 90 days after illness onset more likely represents persistent shedding of viral RNA than reinfection.

If such a person remains asymptomatic during this 90-day period, then any re-testing is unlikely to yield useful information, even if the person had close contact with an infected person.
If such a person becomes symptomatic during this 90-day period and an evaluation fails to identify a diagnosis other than SARS-CoV-2 infection (e.g., influenza), then the person may warrant evaluation for SARS-CoV-2 reinfection in consultation with an infectious disease or infection control expert. Isolation may be warranted during this evaluation, particularly if symptoms developed after close contact with an infected person.

Correlates of immunity to SARS-CoV-2 infection have not been established. Specifically, the utility of serologic testing to establish the absence or presence of infection or reinfection remains undefined.

The recommendations below are based on the best information available in mid-July 2020 and reflect the realities of an evolving pandemic. Even for pathogens for which many years of data are available, it may not be possible to establish recommendations that ensure 100% of persons who are shedding replication-competent virus remain isolated. CDC will continue to closely monitor the evolving science for information that would warrant reconsideration of these recommendations.

Duration of isolation and precautions

For most persons with COVID-19 illness, isolation and precautions can generally be discontinued 10 days after symptom onset1 and resolution of fever for at least 24 hours, without the use of fever-reducing medications, and with improvement of other symptoms.

A limited number of persons with severe illness may produce replication-competent virus beyond 10 days that may warrant extending duration of isolation and precautions for up to 20 days after symptom onset; consider consultation with infection control experts.

For persons who never develop symptoms, isolation and other precautions can be discontinued 10 days after the date of their first positive RT-PCR test for SARS-CoV-2 RNA.”

Speaking as someone who’s had a lifetime of health issues, and who’s taken this Covid 19 thing fairly serious…

…I have to confess…at this point in time…being someone who’s been forced out there “on the front lines” as an essential worker…and being someone who’s fairly clearly had this illness [my cyclical symptoms have matched what the experts have been describing]…and knowing that my last relapse with this was something like six months ago [or longer]…and realizing [if you believe the CDC] that they are [and have been] telling us, that most of us are only contagious for about ten days, after which we cannot pass it on…and even the more serious cases, they only estimate a 20 day period…

…I’m getting really, really, really fed up with being forced to wear a mask, and endlessly breathe in hot air for 8 hours a day…at a physically demanding job…in the middle of the hottest summer on record…knowing fully well, that it is almost certainly doing nothing, other than providing “comforting” optics and public relations…

Everything we know about this virus, is telling us that someone like myself is no longer even contagious…That ship has sailed…a long long time ago…

…And the ridiculous joke in all of this…is that we were all left hanging, out in the open…without any kind of warning about it already being here…or that a lot of us were already carrying and going through it…potentially passing it along to other people, without knowing anything about it…But now that we are six months [or longer] removed from being a danger, we get subjected to mandatory mask wearing…and various legal/employment threats, if we don’t comply.

This whole mess has been so badly bungled…that “the powers that be” are turning even someone like me, into an outraged and angry protestor.

They keep telling us “protect the vulnerable, who’ve yet to be infected”…but does this sanely apply to those of us, who aren’t even contagious anymore?

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FPW Nigel Memorial Show – July 26, 2020…

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SHOW GRAPHIC

Date: July 26, 2020

01) LINK

Match 1: Leon Shaman & Lance Hilltop VS LOVE & HATE – 96%

Match 2: Norbert Justice VS Crimson Clawis – 69%

Main Event – Elimination Tag

Match 3: Sin Thea, Slave, Smells Gnarly & Sir Blah!-A-Lot VS Nigel O, Tom O, GLITTER & Giant Pete – 81%

SHOW HIGHLIGHTS:
To avoid spoilers, you must highlight the text on this table in order to read it.

Win: Leon Shaman & Lance Hilltop Loss: LOVE & HATE
Win: Crimson Clawis Loss: Norbert Justice
Main Event Match: Nigel O, Tom O, GLITTER & Giant Pete Defeated Sin Thea, Slave, Smells Gnarly & Sir Blah!-A-Lot
SHOW NOTES:

Show Referee: CLogo Joe

Location: Club V

R.I.P. Nigel.

BEST RANKED MATCH: Leon Shaman & Lance Hilltop VS LOVE & HATE – 96%

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In utmost secrecy, the world’s largest child sexual abuse forum was moved to the other side of the globe…


TAP-Net_Radar_3
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July 26, 2020

01) Breaking the dark net: Why the police share abuse pics to save children

Thanks to Flashraid99!


In utmost secrecy, the world’s largest child sexual abuse forum was moved to the other side of the globe.
No one was supposed to know who was behind the website’s continued operation.

Brisbane – Australia

Both men stiffen as VG confronts them.

– Go ahead and publish what you know about us now, if you think it’s true, but be prepared for the consequences, says Jon.

Next to him in a Brisbane hamburger pub sits Paul.

VG has just told them what we’ve uncovered: that they run the world’s largest online forum for child sexual exploitation, “Childs Play”.

Jon, the Australian, turns pale. Paul, who is British, flushes crimson.

It is January 2017. At this point the two have been running the Childs Play website for three months. Under their supervision, thousands of members have shared photos and videos of children being sexually abused. A Norwegian member boasted of abusing children in his own family. Some members got together in person to commit abuse, which they filmed and shared on the forum.

It’s understandable that Jon and Paul look shocked. Finding them was thought to be impossible. The website they operate is on the so-called “dark web”. Encryption was supposed to keep the whereabouts of the server and the people behind it secret. VG has uncovered not only where but also from which computer the forum was run.

Jon and Paul’s cover is blown. They are not criminals. They work for the Australian police’s spearhead into the dark web: Task Force Argos. Jon Rouse heads the unit. Investigator Paul Griffiths has been in charge of numerous operations. VG can now reveal that Task Force Argos infiltrated the realm of child abusers inside the dark web for almost a year – and that the police unit itself shared photos of children being sexually abused.

How far should the police go in the service of good? How many wrongs should investigators be permitted to commit in pursuit of justice? The undercover operation in Australia, Operation Artemis, was part of a wide-ranging international police investigation.

VG has known about the operation since January and followed it closely, partly by monitoring traffic on the dark web and partly by obtaining information from police, judicial authorities and other sources around the world. When VG’s computer expert, Einar Otto Stangvik, began investigating the website and its Nordic members in the autumn of 2016, we had no idea he would uncover a secret police operation.

Only now can we tell the story of how Task Force Argos, the U.S. Department of Homeland Security and the police in Canada and Europe worked to unmask the leaders of the world’s largest online community of child sexual abusers.

From the start, Operation Artemis had a clear objective: identifying victims and their abusers. But in doing so was it necessary for the police to run a child exploitation forum for nearly a year?

In the United States, a mother weeps when she hears that VG has found that pictures of her daughter being sexually abused were shared by members, while the police operated the site.

– My daughter should not be used as a bait. If they are using her images, then she should be paid or compensated for their use. It is not right for the police to promote these images, says the mother.

Pictures of children from several other countries were also shared during the same period.

The police deny they are responsible for what was shared on Childs Play while they ran it.

– We don’t create these sites. We do not want them to exist. When we do find them, we infiltrate and get as high as possible in the networks administrative structure to destroy it. But we will never create a forum for child sex offenders, says Jon Rouse.”

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…..TAP-Net Website | Sub-Blog Archive

UPDATE On Lawsuit Against Fox News Hosts…


Date: July 26, 2020

01) UPDATE On Lawsuit Against Fox News Hosts


“There is an update to the Fox News lawsuit story.

Inconsistencies are emerging in claims made by Cathy Areu, a once-periodic Fox News guest, that she was harassed by some of the network’s biggest names — including prime time anchor Tucker Carlson and Sean Hannity. New emails obtained by Mediaite shed further light on the case.

In a lawsuit filed on Monday in the Southern District of New York, Areu claims she was harassed by Carlson, Hannity and other employees of the network, and that she was largely barred from appearing after she declined their advances. In an initial response the company said the claims were “completely false.”

Citation:
https://www.mediaite.com/news/holes-emerge-in-cathy-areus-lawsuit-against-fox-news-hosts-tucker-carlson-sean-hannity/

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