Monday, 23 March 2020

Coronavirus Disease 2019 (COVID-19)
CDC is responding to a pandemic of respiratory disease spreading from person-to-person caused by a novel (new) coronavirus. The disease has been named “coronavirus disease 2019” (abbreviated “COVID-19”). This situation poses a serious public health risk. The federal government is working closely with state, local, tribal, and territorial partners, as well as public health partners, to respond to this situation. COVID-19 can cause mild to severe illness; most severe illness occurs in older adults.
Situation in U.S.
Different parts of the country are seeing different levels of COVID-19 activity. The United States nationally is in the initiation phase of the pandemic. States in which community spread is occurring are in the acceleration phase. The duration and severity of each pandemic phase can vary depending on the characteristics of the virus and the public health response.
·         CDC and state and local public health laboratories are testing for the virus that causes COVID-19. View CDC’s Public Health Laboratory Testing map.
·         All 50 states have reported cases of COVID-19 to CDC.
·         U.S. COVID-19 cases include:
o    Imported cases in travelers
o    Cases among close contacts of a known case
o    Community-acquired cases where the source of the infection is unknown.
·         Twenty-seven U.S. states are reporting some community spread of COVID-19.
On This Page
·         Situation in U.S.
·         CDC Recommends
·         COVID-19 Emergence
·         Severity
·         COVID-19 Now a Pandemic
·         Risk Assessment
·         What May Happen
·         CDC Response
·         Highlights of CDC's Response
·         Other Available Resources
Confirmed COVID-19 Cases Global Map
Description: World map showing countries with COVID-19 cases
map icon
CDC Recommends
·         Everyone can do their part to help us respond to this emerging public health threat:
o    On March 16, the White House announced a program called “15 Days to Slow the Spread,”pdf iconexternal icon which is a nationwide effort to slow the spread of COVID-19 through the implementation of social distancing at all levels of society.
o    Older people and people with severe chronic conditions should take special precautions because they are at higher risk of developing serious COVID-19 illness.
o    If you are a healthcare provider, use your judgment to determine if a patient has signs and symptoms compatible with COVID-19 and whether the patient should be tested. Factors to consider in addition to clinical symptoms may include:
·         Does the patient have recent travel from an affected area?
·         Has the patient been in close contact with someone with COVID-19 or with patients with pneumonia of unknown cause?
·         Does the patient reside in an area where there has been community spread of COVID-19?
o    If you are a healthcare provider or a public health responder caring for a COVID-19 patient, please take care of yourself and follow recommended infection control procedures.
o    People who get a fever or cough should consider whether they might have COVID-19, depending on where they live, their travel history or other exposures. More than half of the U.S. is seeing some level of community spread of COVID-19. Testing for COVID-19 may be accessed through medical providers or public health departments, but there is no treatment for this virus. Most people have mild illness and are able to recover at home without medical care. 
o    For people who are ill with COVID-19, but are not sick enough to be hospitalized, please follow CDC guidance on how to reduce the risk of spreading your illness to others. People who are mildly ill with COVID-19 are able to isolate at home during their illness.
o    If you have been in China or another affected area or have been exposed to someone sick with COVID-19 in the last 14 days, you will face some limitations on your movement and activityPlease follow instructions during this time. Your cooperation is integral to the ongoing public health response to try to slow spread of this virus.
COVID-19 Emergence
COVID-19 is caused by a coronavirus. Coronaviruses are a large family of viruses that are common in people and many different species of animals, including camels, cattle, cats, and bats. Rarely, animal coronaviruses can infect people and then spread between people such as with MERS-CoVSARS-CoV, and now with this new virus (named SARS-CoV-2).
The SARS-CoV-2 virus is a betacoronavirus, like MERS-CoV and SARS-CoV. All three of these viruses have their origins in bats. The sequences from U.S. patients are similar to the one that China initially posted, suggesting a likely single, recent emergence of this virus from an animal reservoir.
Early on, many of the patients at the epicenter of the outbreak in Wuhan, Hubei Province, China had some link to a large seafood and live animal market, suggesting animal-to-person spread. Later, a growing number of patients reportedly did not have exposure to animal markets, indicating person-to-person spread. Person-to-person spread was subsequently reported outside Hubei and in countries outside China, including in the United States. Some international destinations now have ongoing community spread with the virus that causes COVID-19, as do some parts of the United States. Community spread means some people have been infected and it is not known how or where they became exposed. Learn more about the spread of this newly emerged coronavirus.
The complete clinical picture with regard to COVID-19 is not fully known. Reported illnesses have ranged from very mild (including some with no reported symptoms) to severe, including illness resulting in death. While information so far suggests that most COVID-19 illness is mild, a reportexternal icon out of China suggests serious illness occurs in 16% of cases. Older people and people of all ages with severe chronic medical conditions — like heart disease, lung disease and diabetes, for example — seem to be at higher risk of developing serious COVID-19 illness. A CDC Morbidity & Mortality Weekly Report that looked at severity of disease among COVID-19 cases in the United States by age group found that 80% of deaths were among adults 65 years and older with the highest percentage of severe outcomes occurring in people 85 years and older.
Learn more about the symptoms associated with COVID-19.
COVID-19 Pandemic
A pandemic is a global outbreak of disease. Pandemics happen when a new virus emerges to infect people and can spread between people sustainably. Because there is little to no pre-existing immunity against the new virus, it spreads worldwide.
The virus that causes COVID-19 is infecting people and spreading easily from person-to-person. Cases have been detected in most countries worldwide and community spread is being detected in a growing number of countries. On March 11, the COVID-19 outbreak was characterized as a pandemic by the WHOexternal icon.
This is the first pandemic known to be caused by the emergence of a new coronavirus. In the past century, there have been four pandemics caused by the emergence of novel influenza viruses. As a result, most research and guidance around pandemics is specific to influenza, but the same premises can be applied to the current COVID-19 pandemic. Pandemics of respiratory disease follow a certain progression outlined in a “Pandemic Intervals Framework.” Pandemics begin with an investigation phase, followed by recognition, initiation, and acceleration phases. The peak of illnesses occurs at the end of the acceleration phase, which is followed by a deceleration phase, during which there is a decrease in illnesses. Different countries can be in different phases of the pandemic at any point in time and different parts of the same country can also be in different phases of a pandemic.
There are ongoing investigations to learn more. This is a rapidly evolving situation and information will be updated as it becomes available.
Risk Assessment
Risk depends on characteristics of the virus, including how well it spreads between people; the severity of resulting illness; and the medical or other measures available to control the impact of the virus (for example, vaccines or medications that can treat the illness) and the relative success of these. In the absence of vaccine or treatment medications, nonpharmaceutical interventions become the most important response strategy. These are community interventions that can reduce the impact of disease.
The risk from COVID-19 to Americans can be broken down into risk of exposure versus risk of serious illness and death.
Risk of exposure:
·         The immediate risk of being exposed to this virus is still low for most Americans, but as the outbreak expands, that risk will increase. Cases of COVID-19 and instances of community spread are being reported in a growing number of states.
·         People in places where ongoing community spread of the virus that causes COVID-19 has been reported are at elevated risk of exposure, with the level of risk dependent on the location.
·         Healthcare workers caring for patients with COVID-19 are at elevated risk of exposure.
·         Close contacts of persons with COVID-19 also are at elevated risk of exposure.
·         Travelers returning from affected international locations where community spread is occurring also are at elevated risk of exposure, with level of risk dependent on where they traveled.
Risk of Severe Illness:
Early information out of China, where COVID-19 first started, shows that some people are at higher risk of getting very sick from this illness. This includes:
·         Older adults, with risk increasing by age.
·         People who have serious chronic medical conditions like:
o    Heart disease
o    Diabetes
o    Lung disease
CDC has developed guidance to help in the risk assessment and management of people with potential exposures to COVID-19.
What May Happen
More cases of COVID-19 are likely to be identified in the United States in the coming days, including more instances of community spread. CDC expects that widespread transmission of COVID-19 in the United States will occur. In the coming months, most of the U.S. population will be exposed to this virus.
Widespread transmission of COVID-19 could translate into large numbers of people needing medical care at the same time. Schools, childcare centers, and workplaces, may experience more absenteeism. Mass gatherings may be sparsely attended or postponed. Public health and healthcare systems may become overloaded, with elevated rates of hospitalizations and deaths. Other critical infrastructure, such as law enforcement, emergency medical services, and sectors of the transportation industry may also be affected. Healthcare providers and hospitals may be overwhelmed. At this time, there is no vaccine to protect against COVID-19 and no medications approved to treat it. Nonpharmaceutical interventions will be the most important response strategy to try to delay the spread of the virus and reduce the impact of disease.
CDC Response
Global efforts at this time are focused concurrently on lessening the spread and impact of this virus. The federal government is working closely with state, local, tribal, and territorial partners, as well as public health partners, to respond to this public health threat.
Highlights of CDC’s Response
·         CDC established a COVID-19 Incident Management System on January 7, 2020. On January 21, CDC activated its Emergency Operations Center to better provide ongoing support to the COVID-19 response.
·         The U.S. government has taken unprecedented steps with respect to travel in response to the growing public health threat posed by this new coronavirus:
o    Foreign nationals who have been in China, Iran, the United Kingdom, Ireland and any one of the 26 European countries in the Schengen Area within the past 14 days cannot enter the United States.
o    U.S. citizens, residents, and their immediate family members who have been any one of those countries within in the past 14 days can enter the United States, but they are subject to health monitoring and possible quarantine for up to 14 days.
o    People at higher risk of serious COVID-19 illness avoid cruise travel and non-essential air travel.
o    CDC has issued additional specific travel guidance related to COVID-19.
·         CDC has issued clinical guidance, including:
o    Infection Prevention and Control Recommendations for Patients, including guidance on the use of personal protective equipment (PPE) during a shortage.
·         CDC also has issued guidance for other settings, including:
·         CDC has deployed multidisciplinary teams to support state health departments in case identification, contact tracing, clinical management, and public communications.
·         CDC has worked with federal partners to support the safe return of Americans overseas who have been affected by COVID-19.
Description: This is a picture of CDC’s laboratory test kit for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). CDC tests are provided to U.S. state and local public health laboratories, Department of Defense (DOD) laboratories and select international laboratories.
This is a picture of CDC’s laboratory test kit for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). CDC tests are provided to U.S. state and local public health laboratories, Department of Defense (DOD) laboratories and select international laboratories.
·         An important part of CDC’s role during a public health emergency is to develop a test for the pathogen and equip state and local public health labs with testing capacity.
o    CDC developed an rRT-PCR test to diagnose COVID-19.
o    As of the evening of March 17, 89 state and local public health labs in 50 states, the District of Columbia, Guam, and Puerto Rico have successfully verified and are currently using CDC COVID-19 diagnostic tests.
o    Commercial manufacturers are now producing their own tests.
·         CDC has grown the COVID-19 virus in cell culture, which is necessary for further studies, including for additional genetic characterization. The cell-grown virus was sent to NIH’s BEI Resources Repositoryexternal icon for use by the broad scientific community.
·         CDC also is developing a serology test for COVID-19.

Monday, 19 June 2017

               Real spirit is here............

                        SCREAMING TUNNEL

 The Urban Legend of a Screaming Girl

The legend of the old train tunnel in Thorold (Niagara Falls) has been a right-of-passage for Niagara youth for over a century. Those who brave it at night, holding up one wooden match to face the angry little girl will instantly become cool.
This imposing structure at night transforms into a portal so anxiety inducing for the bravest soul who’d dare disappear into its darkness. But why such fear… and why a wooden match?

The Screaming Tunnel is the result of a devastating tragedy over 100 years ago involving a young girl and a raging fire.  

                  One local lore recounts a young girl who escaped a burning barn near the tunnel. Her clothing ablaze, she sought the water which ran through it. She managed to reach the tunnel; but it was too late, and she died from severe burns within.
Another tells of an enraged and jealous father who dragged his daughter down to the tunnel and set her on fire over a lost custody battle.
And some say she was attacked by an old drunkard who did terrible things to her. He killed her, and then set her body ablaze to destroy any evidence of the assault.

Screaming Tunnel Niagara Falls. Most Haunted Places in Canada

The Legend of The Screaming Girl, in The Screaming Tunnel.
Although each story is different, the outcome is always the same: she screams to death.
They say if you stand in the middle of the tunnel at night and strike a wooden match, the spirit of the girl will become so frightened she’ll penetrate the void between our world and the dead with her screams.
A gust a wind will then blow through the tunnel and extinguish the flame. This is what draws droves of thrill-seekers to the Screaming Tunnel every year.
Places in Niagara?

Local historians tell a different tale. There was once a small group of houses which surrounded the tunnel. It was a very isolated community, and all the neighbors within grew to know each other very well; they even knew each other’s secrets.
There was one particularly odd couple who fought fiercely almost every night. The woman was disliked by the neighbors, and was known to be a little unhinged.

Screaming Tunnel in Darkness. Niagara Falls Ontario Canada.
Screaming Tunnel in the dark.

After each fight, she would walk out into the darkness to the tunnel. Through the veil of black, she moved blindly to where she perceived the middle-point of the tunnel was and screamed at the top of her lungs.
Legend says she wanted all to hear her and feel her pain.         
If you’re into dark, terrifying tunnels, The Screaming Tunnel is not the only haunted tunnel is Niagara. The Blue Ghost Tunnel is another that’s the result of a terrible tragedy long ago.  

Our team experience - -says.....
We visited the tunnel for prior events. During a Niagara Haunted Bus Trip, we put the legend to test. Daniel of The Ghost Walks stood in the middle of the tunnel and took out a wooden match. A group of about 10 people waited as struck it along the box and a flame shot out.
A high-pitched squeal came from above as wind blew through the tunnel. The flame did not blow out as the noise faded.
No, not the little girl. It was a passing train going along on the tracks overtop the tunnel.

Don’t be discouraged - -
Don’t let our disappointing experience deter you.
The little girl of the Screaming Tunnel remains one of the most disturbing legends in all of Canada inside the creepiest place around. Respect this, even though we have alternate historical evidence…
Legend of the Screaming Tunnel
The far end of the tunnel leads into a pathway through woods. Along this path once existed a very small cluster of homes. A close knit community all around separated on two sides of a hill.
Everyone knew everyone else’s business including the distraught couple with an alcoholic dad, an abused wife and their daughter.
After getting too violent with her, the wife filed for divorce. Leaving him while the husband was drunk, on this night she told him it was over and went to take the daughter and leave.    

    This sent the husband into a rage. That was his daughter, a possession to show off the normal life he for which he wished. If he couldn’t have the girl, neither could his ungrateful wife.
He pried the daughter away from his wife as he swung his fist around knocking the scared woman down. The daughter ran, out of the house and into the dark tunnel to hide.
Crouched down, she heard her father’s steps approach until his breathing was just above in the darkness. A snap and cold liquid poured down on her before the darkness lit up around a small match falling to the ground.
The daughter was burned alive inside that tunnel, screaming out. Today it’s those screams which give the tunnel its name, a reminder of such tragedy.
They say, if you walk into the Screaming Tunnel at night and light a wooden match. The spirit of the daughter’s fear will cause her to reach out, screaming, as a gust of wind blows through extinguishing the fire.

Source :internet

Written by: vikash ranjan
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Coronavirus Disease 2019 (COVID-19) CDC is responding to a  pandemic  of respiratory disease  spreading  from person-to-person caused b...