First report I have seen discussing an actual autopsy of covid-19 death. https://www.the-scientist.com/news-opinion/autopsies-indicate-blood-clots-are-lethal-in-covid-19-67727?

“Both lungs were symmetrically damaged, with damage to the alveoli, the tiny air sacs of the lungs. The pleurae, the double-lined membranes, surrounding the lungs showed very little inflammatory changes, a little fluid. Most cases had a strongly dilated heart, but the abdomen was not really involved”

“it’s not the pulmonary embolism which is the major cause of severe illness but the inflammation of the blood vessels and a change in the clotting system of the blood. And this causes occlusion of the pulmonary arteries, which increases the pressure of pulmonary circulation and then leads to an insufficiency of the heart to pump blood through the body properly.”

“inflammatory mechanisms lead to the thrombosis.”

“the central nervous system doesn’t seem to be really specifically affected, at least grossly.”

“I think there’s a coincidence with diabetes. I think that has to do with the vascular changes caused by diabetes. . . . These patients due to their diabetes have atherosclerosis, then they have heart disease, and this aggravates the course of these COVID-19–associated pulmonary changes because, you know, when you have a strong heart, you will be able to overcome the infection, but if you have some associated disease, particularly heart diseases, you will undergo cardiac failure.”

“ten out of our eleven patients received an anticoagulant at a prophylactic level to prevent clotting in the blood. We did not find thrombosis in the deep arteries of the pelvis and the deep blood vessels of the pelvis and upper legs, but the treatment was not enough to prevent thrombosis in the pulmonary arteries.”

“What we really don’t know at the moment is how the virus goes through the body, what are the sequence of changes caused by the virus. That’s not completely solved”

Brazil continues to lead in death. Death per capita is now 0.35% per capita. Fatality rate similar to the US and is lightly under 4%.

Similar to the US Brazil death or confirmation is not all over the place. Covid-19 holds a slight juxtaposition – it is contagious but yet focused.

US confirmation continues to climb at a strong rate 66K. TX leads confirmation and death 136

The same counties of focus driving the confirmations and death.

Confirmation rising faster than deaths so the fatality rates still haven’t risen.

Interesting the ICU beds in TSA Houston area holding flat even though confirmations in Harris County rising.

Are we going to get a second wave. We are still in first wave. No one really has gone into second wave. The recent increases are coming in areas which did not observe the first wave e.g. Harris County, LA, Miami-Dade….

You have to ask yourself why so delayed – which I tried to point out before people are going inside their homes/buildings in the South. Areas without AC should not see an increase in covid IF my thesis is right e.g. France, Africa,….. However the next wave of going back inside is not till the fall/winter for NY and European countries and even China. Can we prevent the wave from being not large? – yes – if start investing and implementing technology that will reduce viral load. So much money going to testing and vaccine development. We need a risk mitigation plan that is feasible and not so costly – mechanical solution I believe is possible.

Have you wonder why San Francisco is not showing up in the news but LA is? Both in California and both have ties to the same system. It would seem like San Fran goes outside much more with bike rate 3X walk rate 2+X – even with higher population density and higher public transport rate their numbers are so much better than LA. One thing is they do have more Asians in San Fran than LA therefore perhaps more willing to wear mask?

If we look at temps – you are more likely to have the window open in San Fran than in LA.