TriniTuner.com | Latest Event:
Moderator: 3ne2nr Mods
pugboy wrote:not having access to your medical tests is rather suspect
as they say, the first casuality in a war is usually the truth
paid_influencer wrote:pugboy wrote:not having access to your medical tests is rather suspect
as they say, the first casuality in a war is usually the truth
I wonder what's the logic behind not giving people their test results.
paid_influencer wrote:pugboy wrote:not having access to your medical tests is rather suspect
as they say, the first casuality in a war is usually the truth
I wonder what's the logic behind not giving people their test results.
Gladiator wrote:paid_influencer wrote:Dizzy28 wrote:Jamaica being hit for 6 with that Call Centre
WhatsApp Image 2020-04-15 at 4.29.15 PM.jpeg
Jamaican team working.
Other Caricom countries are finding infected in large bunches (20 or 30 people connected to a single group). But here in T&T we only finding positive people one by one.
Either we very lucky or we missing something.
The entire testing regime is set up to control the information.... and the Ian Alleyne fiasco exposing it live. If CARPHA only tests samples referred to them and persons can get no other place to do a test and added to that the test results can never be seen (no verification) since everything is verbal then the MoH has total control of the information available to the public. It all depends now on how much you trust Deyalsingh and Donna Cox... PNM people would drink down everything with no chaser and UNC people would watch the glass and die of thirst but refuse to even sip it.
redmanjp wrote:hydroep wrote:"Textile Retailer" open back too yes. Looks like they will be forced to take more stringent measures...
Defiant limers, vendors back out in PoS
Andrew Gioannetti
On Queen Street, Jimmy Aboud's fabric store was open. One of the city's landmarks, it is owned by Gregory Aboud, who is also the Downtown Owners and Merchants Association. Customers were seen entering at the discretion of the security guard, who only allowed masked people inside, although some two weeks ago the company issuing an advisory of its immediate closure.
The store was closed on Wednesday but will open again on Thursday from 9-12 am, according to a representative whom Newsday reached by phone. It is understood that many people will have sought fabric to make reusable masks.
could the selling of masks be considered an essential activity, allowing such a business who would otherwise be shutdown to open? considering Govt has recommended it.
The Honorable Gladiator who went to a Bluefete sponsored by a paid influencer where he sMash the pugboy.streetbeastINC. wrote:So much epidemiological experts in here.......... any one of you actually working in the Health profession??
depending on the thread topic Dohplaydat is a laywer in some and well an epidemiologist herestreetbeastINC. wrote:So much epidemiological experts in here.......... any one of you actually working in the Health profession??
Accused COVID-19 party goers charged
Apr 15, 2020 Updated 5 hrs ago
The TTPS provided these images.
Five Trinidadian men and six Venezuelan nationals appeared in court today, charged under the Public Health [2019 Novel Coronavirus (2019-nCoV)] (No. 9) Regulations, 2020.
Trinidadian nationals, Bruce Bowen and Dominic Suraj, both of Maraval, Christopher Wilson, of Belmont, Collin Ramjohn, of Point Cumana, and Marlon Hinds, of Diego Martin, were among 16 persons held during an operation conducted by members of the Special Operations Response Team (SORT) at Alicia’s Guest House, Cascade,last Friday.
The raid was led by Commissioner of Police, Gary Griffith.
Six Venezuelan nationals; Luz Marinavargas Ibarra, Dana Natacha Fuentes Mudarra, Gresel Gerardo Goncalez Gonzales, Yulangi Del Carmen Prostertt Array, Luisneidis Marino and Marianel Del Valle Lopez Ramos, were among eight Venezuelan nationals held at the location.
These eleven suspects were subsequently charged with the offence of gathering in a public place where the number of persons gathered exceeded five persons, in accordance with Regulation 3 (1) (b) of the Public Health [2019 Novel Coronavirus (2019-nCoV)] (No. 9) Regulations, 2020.
They all appeared before Port of Spain Magistrate Adia Mohammed via video conferencing on Wednesday 15th April 2020. The Trinidadian men were granted own bail each in the sum of $20,000 on the condition that they remain at their residences between 6:00pm and 8:00am, until the COVID-19 Regulations are lifted.
The non-nationals were denied bail and remanded into custody.
sMASH wrote:solution; limit testing with some sort of stipulation. let it work through the population on its own quietly, but slowly enough that the severe cases dont overload the health system.
what u dont know, didnt hurt u.
in the absence of a vaccine, we dont have a solution, we can only mitigate.
boxy wrote:Hoss I stopped posting for about two weeks and come back to still see you irresponsibly posting your thoughts. Is almost as if you doing it on purpose to get outrageous reactions.
When u going to understand that this is a hyper contagious virus it will never spread slowly. Worse yet it is a death sentence for our parents and grand parents you cool with visiting a parent for dinner and that simple interaction basically starts a countdown to the end of their life? That is what this thing doing bro It took less than 4 months for it to spread to all 195 countries on the planet you know how big a feat that is? And the only solution to control it is to totally eliminate it from accessing a source to breed and spread so staying home and social distancing is the only option till a vacinne is found.sMASH wrote:solution; limit testing with some sort of stipulation. let it work through the population on its own quietly, but slowly enough that the severe cases dont overload the health system.
what u dont know, didnt hurt u.
in the absence of a vaccine, we dont have a solution, we can only mitigate.
Looks like another anti pnm stooge. Research is much more than just googling some stats.mitch1980 wrote:Appreciate this research
From FB
Rajiv Seereeram
8 hrs
COVID 19 surveillance, Trinidad and Tobago vs Hawaii
Trinidad and Tobago and the Hawaiian Islands are tropical territories, with similar climates, and population sizes (Hawaii 1.4 million, T&T 1.5 million). At present the total COVID 19 death toll in both T&T and Hawaii remain comfortingly low. Hawaii stands at 9 and reportedly Trinidad is 8. However, the case fatality rate* (CFR) in Hawaii is a respectable 1.7% when compared to T&T which has an abysmal record of 7%. In fact, T&T’s COVID-19 CFR even exceeds the state of New York (5.7%)! How is this possible?
On the 13th of March both islands had only 2 positive cases, and no deaths. In fact, at that time T&T even conducted more tests than Hawaii (63 vs 54 tests). However, over the next week Hawaii had escalated their surveillance, conducting over 2000 tests by the 20th March. In so doing they detected 35 new cases. By the 20th March T&T only tested 187 more samples and detected 7 new patients. Fast forward to the 15th of April, Hawaii tested 19,972 samples, detected 528 COVID-19 cases and had 9 deaths. By comparison to date we only tested 1282 samples, some of which were repeat samples from the same patient. So even though we had 8 deaths, with so few samples being tested we have only detected 114 COVID-19 cases. This accounts for our abysmal CFR. It is likely that the true prevalence of COVID-19 in T&T is significantly larger and can only be unmasked if there was adequate testing.
* The case fatality rate (CFR) is the number of deaths divided by the number of cases detected over a period.
What can account for this failure in local COVID-19 surveillance?
Since mid-March Hawaii started sentinel screening in which random sample of patients in the community is tested with the intention of detecting community transmission before it became widespread. Even though we didn’t have a protocol for sentinel screening, COVID-19 testing should have at least been scaled up from the minute local transmission was suspected. However, T&T maintained an unreasonably stringent testing criteria well after local transmission was declared by the WHO on the 26th. (Note the government delayed this announcement for 3 days). Physicians were diligently conducting nasopharyngeal swabbing and submitting suspicious local cases to the Ministry and CARPHA, however it appears that many samples were rejected because the patient may not have had a “relevant travel history” or contact with an affected individual. If the testing policy and practice was earnest in detecting community spread, then patients with relevant symptoms should have been tested, regardless of travel history.
In fact, whilst testing in Hawaii has accelerated over the last month up to the 13th testing in Trinidad and Tobago had plateaued and sometimes slowed! This is a trend throughout most of the CARPHA member countries, and it is possible that many islands may also be faltering in surveillance.
In T&T several glaring public health policy oversights may account for the failure in COVID surveillance
1) T&T maintains a policy of forced institutional quarantine for all positive cases. This is a futile and obstructive position, because it presents a major deterrent to suspicious patients, who are fearful of “incarceration” if tested positive. In North America (Hawaii), Europe and other compassionate societies, positive patients with mild to moderate symptoms who do not require inpatient care are placed in home quarantine and monitored remotely. Here we treat the unfortunate few who have been detected, like leapers in a colony under protracted quarantine. All the while other mildly symptomatic or asymptomatic COVID cases roam freely because they have escaped detection. Citizens may feel as though they are being punished for acting responsibly and getting tested.
2) The Ministry of Health in collaboration with CARPHA is micromanaging surveillance, and not permitting physicians to use their clinical discretion in testing. This may be a conservative measure; however, it assumes that one or two officers far away from the front line can supplant the clinical judgement of thousands of doctors on the field.
3) Unlike Hawaii which marshaled the resources of private labs from the beginning of the outbreak, the MOH and CARPHA, refused to tap into this resource. In fact, even when the MOH announced accreditation of local labs, it still insists that positive results are not disclosed to the paying client, before it vets the result. In Hawaii several labs offer roadside testing, which is accessible via the discretion of a physician. A positive result obtained from a non-reference lab is immediately compiled into the national registry as a “probable” case. This can be retested by the national lab if necessary. However, in T&T the MOH and CARPHA seemed to posture acrimoniously against the private sector, and attempts to police these labs with a “big stick”
4) Test results are often returned as “verbal’s”, which seem rather suspicious to both clinicians and patients. For example, without the submission of a typewritten, stamped and signed report, it is possible for a patient’s status to change “over the phone”. This practice significantly erodes public trust in the reporting system.
The delay in active surveillance, well after our community spread began, seems to have left us in a state of darkness, with little confidence in our case numbers. This is made worse by a lack of post-mortem testing; It’s likely that patients who may benefit from medical care are not being identified early enough to access treatment (e.g. supportive or emerging COVID-19 specific therapies), and even after death they are not recorded as a COVID-19 statistic.
It is likely that a severe shortage of testing kits in the region has resulted in very austere test rationing. Yet the Ministry of Health, and the government is ultimately responsible for sourcing, and procuring quality assured testing kits in a timely manner. Despite the bad press, North America supplied Hawaii with over 19,000 tests to date. A lack of kits is not an acceptable excuse for surveillance failure and citizens should be assured that all measures are taken to secure this critical supply.
To its credit the ministry announced that it has up-scaled its community surveillance since the 13th April and has dedicating a health center in each county for testing. However, the impact on the rate of testing or the number of cases detected is yet to be seen. Without swift address of the above four (4) policy shortcomings, its possible that the public participation in surveillance will remain lackluster. If the true scope of the outbreak continues to evade us the public will remain in a state of stupor, eventually becoming apathetic to social distancing and infection control measures. Furthermore, in the absence of reliable data, how can we know when it’s safe to return to work, school, or reopen industries? How do we chart a way out of this crisis if we are flying blind? The Ministry of Health should take heed of Hawaii’s COVID-19 surveillance, consider what our true numbers might be, and get its act together immediately.
Dr R Seereeram
Public Health Nutrition & Diabetes.
wing wrote:Looks like another anti pnm stooge. Research is much more than just googling some stats.mitch1980 wrote:Appreciate this research
From FB
Rajiv Seereeram
8 hrs
COVID 19 surveillance, Trinidad and Tobago vs Hawaii
Trinidad and Tobago and the Hawaiian Islands are tropical territories, with similar climates, and population sizes (Hawaii 1.4 million, T&T 1.5 million). At present the total COVID 19 death toll in both T&T and Hawaii remain comfortingly low. Hawaii stands at 9 and reportedly Trinidad is 8. However, the case fatality rate* (CFR) in Hawaii is a respectable 1.7% when compared to T&T which has an abysmal record of 7%. In fact, T&T’s COVID-19 CFR even exceeds the state of New York (5.7%)! How is this possible?
On the 13th of March both islands had only 2 positive cases, and no deaths. In fact, at that time T&T even conducted more tests than Hawaii (63 vs 54 tests). However, over the next week Hawaii had escalated their surveillance, conducting over 2000 tests by the 20th March. In so doing they detected 35 new cases. By the 20th March T&T only tested 187 more samples and detected 7 new patients. Fast forward to the 15th of April, Hawaii tested 19,972 samples, detected 528 COVID-19 cases and had 9 deaths. By comparison to date we only tested 1282 samples, some of which were repeat samples from the same patient. So even though we had 8 deaths, with so few samples being tested we have only detected 114 COVID-19 cases. This accounts for our abysmal CFR. It is likely that the true prevalence of COVID-19 in T&T is significantly larger and can only be unmasked if there was adequate testing.
* The case fatality rate (CFR) is the number of deaths divided by the number of cases detected over a period.
What can account for this failure in local COVID-19 surveillance?
Since mid-March Hawaii started sentinel screening in which random sample of patients in the community is tested with the intention of detecting community transmission before it became widespread. Even though we didn’t have a protocol for sentinel screening, COVID-19 testing should have at least been scaled up from the minute local transmission was suspected. However, T&T maintained an unreasonably stringent testing criteria well after local transmission was declared by the WHO on the 26th. (Note the government delayed this announcement for 3 days). Physicians were diligently conducting nasopharyngeal swabbing and submitting suspicious local cases to the Ministry and CARPHA, however it appears that many samples were rejected because the patient may not have had a “relevant travel history” or contact with an affected individual. If the testing policy and practice was earnest in detecting community spread, then patients with relevant symptoms should have been tested, regardless of travel history.
In fact, whilst testing in Hawaii has accelerated over the last month up to the 13th testing in Trinidad and Tobago had plateaued and sometimes slowed! This is a trend throughout most of the CARPHA member countries, and it is possible that many islands may also be faltering in surveillance.
In T&T several glaring public health policy oversights may account for the failure in COVID surveillance
1) T&T maintains a policy of forced institutional quarantine for all positive cases. This is a futile and obstructive position, because it presents a major deterrent to suspicious patients, who are fearful of “incarceration” if tested positive. In North America (Hawaii), Europe and other compassionate societies, positive patients with mild to moderate symptoms who do not require inpatient care are placed in home quarantine and monitored remotely. Here we treat the unfortunate few who have been detected, like leapers in a colony under protracted quarantine. All the while other mildly symptomatic or asymptomatic COVID cases roam freely because they have escaped detection. Citizens may feel as though they are being punished for acting responsibly and getting tested.
2) The Ministry of Health in collaboration with CARPHA is micromanaging surveillance, and not permitting physicians to use their clinical discretion in testing. This may be a conservative measure; however, it assumes that one or two officers far away from the front line can supplant the clinical judgement of thousands of doctors on the field.
3) Unlike Hawaii which marshaled the resources of private labs from the beginning of the outbreak, the MOH and CARPHA, refused to tap into this resource. In fact, even when the MOH announced accreditation of local labs, it still insists that positive results are not disclosed to the paying client, before it vets the result. In Hawaii several labs offer roadside testing, which is accessible via the discretion of a physician. A positive result obtained from a non-reference lab is immediately compiled into the national registry as a “probable” case. This can be retested by the national lab if necessary. However, in T&T the MOH and CARPHA seemed to posture acrimoniously against the private sector, and attempts to police these labs with a “big stick”
4) Test results are often returned as “verbal’s”, which seem rather suspicious to both clinicians and patients. For example, without the submission of a typewritten, stamped and signed report, it is possible for a patient’s status to change “over the phone”. This practice significantly erodes public trust in the reporting system.
The delay in active surveillance, well after our community spread began, seems to have left us in a state of darkness, with little confidence in our case numbers. This is made worse by a lack of post-mortem testing; It’s likely that patients who may benefit from medical care are not being identified early enough to access treatment (e.g. supportive or emerging COVID-19 specific therapies), and even after death they are not recorded as a COVID-19 statistic.
It is likely that a severe shortage of testing kits in the region has resulted in very austere test rationing. Yet the Ministry of Health, and the government is ultimately responsible for sourcing, and procuring quality assured testing kits in a timely manner. Despite the bad press, North America supplied Hawaii with over 19,000 tests to date. A lack of kits is not an acceptable excuse for surveillance failure and citizens should be assured that all measures are taken to secure this critical supply.
To its credit the ministry announced that it has up-scaled its community surveillance since the 13th April and has dedicating a health center in each county for testing. However, the impact on the rate of testing or the number of cases detected is yet to be seen. Without swift address of the above four (4) policy shortcomings, its possible that the public participation in surveillance will remain lackluster. If the true scope of the outbreak continues to evade us the public will remain in a state of stupor, eventually becoming apathetic to social distancing and infection control measures. Furthermore, in the absence of reliable data, how can we know when it’s safe to return to work, school, or reopen industries? How do we chart a way out of this crisis if we are flying blind? The Ministry of Health should take heed of Hawaii’s COVID-19 surveillance, consider what our true numbers might be, and get its act together immediately.
Dr R Seereeram
Public Health Nutrition & Diabetes.
Gladiator wrote:
Holding the Govt accountable and asking critical questions and demanding transparency is not being Anti PNM. It's being a responsible citizen with a brain that is capable of some level of critical thinking.
mitch1980 wrote:Appreciate this research
From FB
Rajiv Seereeram
8 hrs
COVID 19 surveillance, Trinidad and Tobago vs Hawaii
Trinidad and Tobago and the Hawaiian Islands are tropical territories, with similar climates, and population sizes (Hawaii 1.4 million, T&T 1.5 million). At present the total COVID 19 death toll in both T&T and Hawaii remain comfortingly low. Hawaii stands at 9 and reportedly Trinidad is 8. However, the case fatality rate* (CFR) in Hawaii is a respectable 1.7% when compared to T&T which has an abysmal record of 7%. In fact, T&T’s COVID-19 CFR even exceeds the state of New York (5.7%)! How is this possible?
On the 13th of March both islands had only 2 positive cases, and no deaths. In fact, at that time T&T even conducted more tests than Hawaii (63 vs 54 tests). However, over the next week Hawaii had escalated their surveillance, conducting over 2000 tests by the 20th March. In so doing they detected 35 new cases. By the 20th March T&T only tested 187 more samples and detected 7 new patients. Fast forward to the 15th of April, Hawaii tested 19,972 samples, detected 528 COVID-19 cases and had 9 deaths. By comparison to date we only tested 1282 samples, some of which were repeat samples from the same patient. So even though we had 8 deaths, with so few samples being tested we have only detected 114 COVID-19 cases. This accounts for our abysmal CFR. It is likely that the true prevalence of COVID-19 in T&T is significantly larger and can only be unmasked if there was adequate testing.
* The case fatality rate (CFR) is the number of deaths divided by the number of cases detected over a period.
What can account for this failure in local COVID-19 surveillance?
Since mid-March Hawaii started sentinel screening in which random sample of patients in the community is tested with the intention of detecting community transmission before it became widespread. Even though we didn’t have a protocol for sentinel screening, COVID-19 testing should have at least been scaled up from the minute local transmission was suspected. However, T&T maintained an unreasonably stringent testing criteria well after local transmission was declared by the WHO on the 26th. (Note the government delayed this announcement for 3 days). Physicians were diligently conducting nasopharyngeal swabbing and submitting suspicious local cases to the Ministry and CARPHA, however it appears that many samples were rejected because the patient may not have had a “relevant travel history” or contact with an affected individual. If the testing policy and practice was earnest in detecting community spread, then patients with relevant symptoms should have been tested, regardless of travel history.
In fact, whilst testing in Hawaii has accelerated over the last month up to the 13th testing in Trinidad and Tobago had plateaued and sometimes slowed! This is a trend throughout most of the CARPHA member countries, and it is possible that many islands may also be faltering in surveillance.
In T&T several glaring public health policy oversights may account for the failure in COVID surveillance
1) T&T maintains a policy of forced institutional quarantine for all positive cases. This is a futile and obstructive position, because it presents a major deterrent to suspicious patients, who are fearful of “incarceration” if tested positive. In North America (Hawaii), Europe and other compassionate societies, positive patients with mild to moderate symptoms who do not require inpatient care are placed in home quarantine and monitored remotely. Here we treat the unfortunate few who have been detected, like leapers in a colony under protracted quarantine. All the while other mildly symptomatic or asymptomatic COVID cases roam freely because they have escaped detection. Citizens may feel as though they are being punished for acting responsibly and getting tested.
2) The Ministry of Health in collaboration with CARPHA is micromanaging surveillance, and not permitting physicians to use their clinical discretion in testing. This may be a conservative measure; however, it assumes that one or two officers far away from the front line can supplant the clinical judgement of thousands of doctors on the field.
3) Unlike Hawaii which marshaled the resources of private labs from the beginning of the outbreak, the MOH and CARPHA, refused to tap into this resource. In fact, even when the MOH announced accreditation of local labs, it still insists that positive results are not disclosed to the paying client, before it vets the result. In Hawaii several labs offer roadside testing, which is accessible via the discretion of a physician. A positive result obtained from a non-reference lab is immediately compiled into the national registry as a “probable” case. This can be retested by the national lab if necessary. However, in T&T the MOH and CARPHA seemed to posture acrimoniously against the private sector, and attempts to police these labs with a “big stick”
4) Test results are often returned as “verbal’s”, which seem rather suspicious to both clinicians and patients. For example, without the submission of a typewritten, stamped and signed report, it is possible for a patient’s status to change “over the phone”. This practice significantly erodes public trust in the reporting system.
The delay in active surveillance, well after our community spread began, seems to have left us in a state of darkness, with little confidence in our case numbers. This is made worse by a lack of post-mortem testing; It’s likely that patients who may benefit from medical care are not being identified early enough to access treatment (e.g. supportive or emerging COVID-19 specific therapies), and even after death they are not recorded as a COVID-19 statistic.
It is likely that a severe shortage of testing kits in the region has resulted in very austere test rationing. Yet the Ministry of Health, and the government is ultimately responsible for sourcing, and procuring quality assured testing kits in a timely manner. Despite the bad press, North America supplied Hawaii with over 19,000 tests to date. A lack of kits is not an acceptable excuse for surveillance failure and citizens should be assured that all measures are taken to secure this critical supply.
To its credit the ministry announced that it has up-scaled its community surveillance since the 13th April and has dedicating a health center in each county for testing. However, the impact on the rate of testing or the number of cases detected is yet to be seen. Without swift address of the above four (4) policy shortcomings, its possible that the public participation in surveillance will remain lackluster. If the true scope of the outbreak continues to evade us the public will remain in a state of stupor, eventually becoming apathetic to social distancing and infection control measures. Furthermore, in the absence of reliable data, how can we know when it’s safe to return to work, school, or reopen industries? How do we chart a way out of this crisis if we are flying blind? The Ministry of Health should take heed of Hawaii’s COVID-19 surveillance, consider what our true numbers might be, and get its act together immediately.
Dr R Seereeram
Public Health Nutrition & Diabetes.
Holding the govt accountable is one thing, googling some stats and bending them to your preconceived opinion is another. Critical thinking you say, but you have already fallen prey to this man's suggestions already , like a nice sheep. I am a financial member of an opposition party, so I am already anti pnm, but my critical thinking allows me to see that the good doctor is blatantly pushing an agenda.killercow wrote:Gladiator wrote:
Holding the Govt accountable and asking critical questions and demanding transparency is not being Anti PNM. It's being a responsible citizen with a brain that is capable of some level of critical thinking.
If there were more citizens in this country who were able to open their eyes to this truth, then maybe one day we might actually graduate out of the banana republic that we continue to be.
Return to “Ole talk and more Ole talk”
Users browsing this forum: foss, VexXx Dogg and 58 guests
