Lab Consult Aruba

27/08/2020

27/08/2020

And here we are again!🙌🤩
Finally we saw some interesting data regarding the 2nd wave. This was the main reason we have't posted anything so far, 'cause we are not just counting COVID-19 cases☝️, the idea is using the data collected to guide decisionmakers and the community to take preventive measures either to stop the transmission or to prevent more hospital admission or even death.
So, what we saw today which got our attention is in fact this pie-chart showing the source of transmission of the cases. It showed:
28% of the source of infections was unkown, it cannot be traced where these people got infected.
20% got infected at work
52% at home.
What does this information actually tell us: Almost one third of the cases has no definit origin of infection meaning that the virus is EVERYWHERE. 🦠
One out of 5 people got infected at work 🖥meaning, that they got infected by the people that were sick and got to work anyway.
More than half (52%) got infected at home 🏡by a familymember who was positive, meaning the isolation at home didn't go well.
So, here we are and what is the way forward. We should admit we lost the battle to this virus regarding transmission, but we cannot give up the battle to prevent more cases among the vulnerable and as a result prevent hospitalizations and even death.
I suggest we all PROTECT our vulnerables, our elderly, our immunocompromised, people who have chronic diseases. HOW?
*By keep the social distance of 1.5M or even more. Use your mask 😷to prevent spread and also protect yourself and others.
*Start a testing program for all caregivers in the elderly homes, with a high frequency. Meaning more than once a week. Use the testing capacity we have wisely. Give caregivers of the vulnerable at home more accesibility for testing. With these actions we create a protective border for the vulnarable.
*Since the isolation didn't go well at home, isolate the positive cases somewhere else (as The Netherlands adviced during the 1st wave).
*And if you show symptoms DON'T go to work! Stay home until 24 hours of no symptoms, confirm that you don't have symptoms by doing a medical check up before you return to work.
If we can take these steps TOGETHER, I believe we can prevent more cases and/or deaths.

19/08/2020

19/08/2020

Kiko ta clasificacion di morto y con esaki ta wordo defini

Clasificación di morto ta un sistema standarisa pa codifica causanan di morto. Manera nos tur sa pa bo por muri nos curason mester para. Pero esaki no ta e causa di morto, por tin diferente otro causanan cu a atribui na e paro di e curason. E por ta un infección agudo cu a causa p.e. un sepsis y e sepsis na su b***t a causa fayo multiple di organonan (Multiple Organ Faillure) y cu na final a causa un paro di e curason. Asina por keda duna cantidad di ehempelnan kiko por causa morto.
Den estadística mundial, e indicador mortalidad ta un di e indicadornan di mas importante di bo país. E ta duna bo un bista completo di cual malesanan bo población ta fayece di dje, e ta duna bo tambe un bista di nivel di cuido medico. Pesey e ta wordo usa como un di e indicadronan básico den traha maneho den cuido medico pero tambe den salud publico.
Mi a wak diferente post ariba social media di personanan cu ta comenta cu dor cu awor cu e virus di COVID ta circula tur causa di morto na Aruba ta COVID. Pesey mi kier a aclarea con e causa di morto ta wordo defini.
Pa por defini causa di morto e dokter cu ta constata e morto mester yena e formularion di defuncion correcto. Training ta wordo duna dor di p.e. WHO of PAHO pa cu esaki y esnan cu ta codifica e Carchi di defuncion ta codificadornan certifica. Un ehempel simpel con pa codifica e causa di morto según e reglanan international di classificacion, por wak e prome potret den e post aki por wak un Carchi di defuncion (doodsoorzaakverklaring).
Den e ehempel aki nos por wak cu e persona a fayece di e Acute respiratory distress syndrome = Acute ademhalingsnood. Riba e prome linja, riba e di 2 linja pneomonia y di 3 covid-19.

Ora di codifica e causa di morto bo tin cu usa cierto reglanan di codificación y bo ta hacie según e liña ‘d’ bai arriba según e flechanan ta indica. Den e caso aki e causa di morto ta COVID-19.
Manera nos tur sa personan cu un condición crónico ta mas vulnerabel na e virus di COVID, dus esnan cu ta sufri di malesanan cardiovascular, diabetes pero tambe personanan cu tin un of otro forma di cancer. Dicon nan ta mas vulnerabel pasobra nan sistema di defensa ta abou y asina e virus ta ‘dal’ nan mas duro (crioyamente bisa). Pesey na momento cu un persona cu tin un condición crónico keda infecta cu e virus di COVID-19 e virus lo por dune condicionnan extra manera un pulmonia y dor di su condición débil e por sucumbi na e pulmonia aki. Pero tambe por ta asina cu e persona a keda infecta cu COVID pero esaki no kiermen cu automáticamente COVID-19 a causa e morto.
Mira portet 2, esaki ta un ehempel (di un Carchi cu a wordo yena corectemente dor di e dokter) cu ta illustra cu e persona tin condicionnan crónico (parti 2) y den parti 1 e infección cu covid-19 y malesa cu esaki a ocasiona.

Den e caso aki si e causa di morto ta COVID-19 pasobra e ta wordo poni ariba e ultimo liña den e prome parti de e carchi, parti 1 y den e parti 2 por mira e condicionnan crónico cu e persona tabata sufri di dje. Por conclui cu e persona aki su causa directo di morto ta un Acute respiratory distress (syndroom di dificultad pa hala rosea agudo) causa dor di e pulmonía y cual a wordo causa pa Covid-19. E condiciónnan aki no tin nada di haber cu e condicionnan crónico cu e persona ta sufri di dje.
Y si e persona a fayece di un ataque di curason y su curason a para y fayece y e tabata positivo pa COVID-19, esaki no kiermen directamente cu COVID-19 ta e causa di morto. Wak potret 3: akinan a wordo yena den e part 1 cu e persona a haya un ataque di curason sigui pa un fayo di e curason. COVID-19 ta den e parti 2 di e Carchi, dus e no tabata un causa directo di e morto. Den e caso aki e persona no a fayece di COVID-19 si no di un paro cardiaco.

E causa di morto ta depende di e secuencia con e condicionnan a presenta nan mes y e tempo (cantidad di día) pero e mas importante ta con e dokter, cu ta constata e morto, ta yena e carchi di difuncion.
A base di con e carchi ta wordo yena por conclui cu e causa di morto y no directamente si djis e persona tabata positivo pa COVID-19 of no.

Ref: World Health Organization

17/08/2020

https://www.youtube.com/watch?v=oKRxqC8yqmI

17/08/2020

https://youtu.be/hx8FMKAWAQU

Testnan di anticurpa pa Covid no ta gevalideerd ainda

05/08/2020

We warned you

Epidemiologo Maribelle Tromp: *Cu e casonan a yega cero na Aruba no kiermen cu nos ta ok ORANJESTAD (AAN): Maribelle Tromp di Lab Consult Aruba ta un Epidemiologo, y aki e ta splica con e ta mira…

10/07/2020

https://diario.aw/2020/07/tur-hende-ta-papia-di-e-normal-nobo-pero-a-lubida-riba-comportacion/

Epidemiologo Maribelle Tromp: *Cu e casonan a yega cero na Aruba no kiermen cu nos ta ok ORANJESTAD (AAN): Maribelle Tromp di Lab Consult Aruba ta un Epidemiologo, y aki e ta splica con e ta mira…

15/04/2020

https://jaapgoudsmit-over-corona.nl/

We go a little back in time. This interview was done during the beginning phase of the epidemic in The Netherlands. We are in this phase right now.
Proff Goudsmit refers to testing as the solution to get back to 'normal'.
Also he explains the metaphor of an Ice Berg situation regarding infectious diseases.
Why is it important to test in the test in the population.
Watch and learn! Educate yourself!☝️🤓
Robert Wever Soraida Wever Steven Croes Aruba Against Corona Nina Tromp Anouk Balentina Maribelle Tromp

Jaap Goudsmit verschaft op basis van wetenschappelijke kennis informatie over het coronavirus, de pandemie die het veroorzaakt, de risico’s om ziek te worden en hoe je dat weet, welke testen er gebruikt worden om een infectie vast te stellen en welke geneesmiddelen er in ontwikkeling zijn en de va...

14/04/2020

We took a short break but we kept on registering the number of cases. And it looks like my projection wasn't that bad, we reached the number of cases as projected🤩. As we projected from April 8, we had 77 cases and from there on my projection started for April 9, 10 and so on. The orange line shows the projection. And as projected we reached 92 cases on April 11.
It is important to mention, the number of tests during these past 4 days were not optimal (I believe), the test center was closed on Good Friday and on Easter Sunday. The rest days of the Diagnostic Center are represented in the graph with the flat line (circled).

Also we got some very interesting information in the media regarding the cases registered up till now. We have clusters of cases of COVID-19, this means positive cases have infected persons in the same house or close contacts. So our speculation of has been confirmed. http://www.diario.aw/2020/04/sharline-koolman-den-contactonan-diario-ta-bezig-ta-saca-mas-caso-positivo/

With this information in mind it is shown that the isolation methods used up till now has not been the most effective one. To be isolated at home with a high transmissible virus as this virus, the risk of infecting family members or relatives is very high. Maybe this protocol has to be revised and start to isolate positive cases somewhere else?

In my expert opinion I advice to broaden the testing policy to all people. Like they are doing in Bonaire, using the drive true method. With this testing policy you will reach people who has not been identified yet who are infected with Covid-19 and not belonging to the known clusters. Another important thing to mention is that with this 'drive true' method the chance of infecting the persons tested and medical personal are very low. So the risk is lower for getting infected with COVID-19.
With this information gathered of testing everyone you will see indeed how far this virus has spread on the island. This is a valuable information for decision makers, medical personnel and off course the hospital.
🙌
Robert Wever Maribelle Tromp Nina Tromp wever Balentina Aruba Against Corona LabConsult Aruba Steven Croes

09/04/2020

2DAY not only we have an update but also a forecast (exponential) based on the historical data we have. We also added the measures taken during the past few weeks by the government.
If we follow the forecast we can see that by April 15 we will have 106 cases of COVID-19. Remember this is only a forecast.☝️
We want to add that since the case definition has been changed as of today, more people will be tested and that the number of cases therefore will increase. Because of these changes in the case definition, the effect of the measures taken will be difficult to see in the number of cases confirmed with COVID-19.
Finally we have developed a graph of the number of cases hospitalized including the ones in the ICU. Our prayers go to the hospitalized and also the caregivers🙏. Be safe!
Maribelle Tromp Robert Wever Nina Tromp Soraida Wever Aruba Against Corona

06/04/2020

Day 5: We really want to know what will the future bring to us regarding COVID-19. Will this virus stay or will it disappear? How can we prepare for this?
We asked Dr. Byron Martina about this.
Maribelle Tromp Robert Wever Nina Tromp Anouk Balentina Miriam Everon Aruba Against Corona Soraida Wever