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The data collected so far on how many people are infected and how the epidemic is evolving are utterly unreliable. Given the limited testing to date, some deaths and probably the vast majority of infections due to SARS-CoV-2 are being missed. We don’t know if we are failing to capture infections by a factor of three or 300. Three months after the outbreak emerged, most countries, including the U.S., lack the ability to test a large number of people and no countries have reliable data on the prevalence of the virus in a representative random sample of the general population.
This evidence fiasco creates tremendous uncertainty about the risk of dying from Covid-19. Reported case fatality rates, like the official 3.4% rate from the World Health Organization, cause horror — and are meaningless. Patients who have been tested for SARS-CoV-2 are disproportionately those with severe symptoms and bad outcomes. As most health systems have limited testing capacity, selection bias may even worsen in the near future.
The one situation where an entire, closed population was tested was the Diamond Princess cruise ship and its quarantine passengers. The case fatality rate there was 1.0%, but this was a largely elderly population, in which the death rate from Covid-19 is much higher.
Projecting the Diamond Princess mortality rate onto the age structure of the U.S. population, the death rate among people infected with Covid-19 would be 0.125%. But since this estimate is based on extremely thin data — there were just seven deaths among the 700 infected passengers and crew — the real death rate could stretch from five times lower (0.025%) to five times higher (0.625%). It is also possible that some of the passengers who were infected might die later, and that tourists may have different frequencies of chronic diseases — a risk factor for worse outcomes with SARS-CoV-2 infection — than the general population. Adding these extra sources of uncertainty, reasonable estimates for the case fatality ratio in the general U.S. population vary from 0.05% to 1%.
That huge range markedly affects how severe the pandemic is and what should be done. A population-wide case fatality rate of 0.05% is lower than seasonal influenza. If that is the true rate, locking down the world with potentially tremendous social and financial consequences may be totally irrational. It’s like an elephant being attacked by a house cat. Frustrated and trying to avoid the cat, the elephant accidentally jumps off a cliff and dies.
originally posted by: HelloboysImbackguy
a reply to: EnigmaChaser
I go by what first responders are saying and the capacity they say they have and the expected cases they are expecting to see based on their years of experience.
Here is what this looks like:
That looks like something I dont want to happen to my city. The numbers were the same for Spain and Italy until they got overwhelmed and had to learn more about this virus on the fly and adjust their predictions and their response.
originally posted by: TheLead
a reply to: EnigmaChaser
They updated the symptoms to include, nausea, vomiting, and diarrhea. Im about 90% thats what i had in late December leading into the New Year. There are a lot that have already came to that conclusion much more will with these syptoms added. It was what was throwing me off. I had a fever for about 4 days, no sense of taste and couldn't keep even water down.
originally posted by: face23785
originally posted by: TheLead
a reply to: EnigmaChaser
They updated the symptoms to include, nausea, vomiting, and diarrhea. Im about 90% thats what i had in late December leading into the New Year. There are a lot that have already came to that conclusion much more will with these syptoms added. It was what was throwing me off. I had a fever for about 4 days, no sense of taste and couldn't keep even water down.
Ya know, now that you mention it, I had a pretty nasty something right after Christmas, including shortness of breath.
They updated the symptoms to include, nausea, vomiting, and diarrhea. Im about 90% thats what i had in late December leading into the New Year. There are a lot that have already came to that conclusion much more will with these syptoms added. It was what was throwing me off. I had a fever for about 4 days, no sense of taste and couldn't keep even water down.
originally posted by: EnigmaChaser
originally posted by: face23785
originally posted by: TheLead
a reply to: EnigmaChaser
They updated the symptoms to include, nausea, vomiting, and diarrhea. Im about 90% thats what i had in late December leading into the New Year. There are a lot that have already came to that conclusion much more will with these syptoms added. It was what was throwing me off. I had a fever for about 4 days, no sense of taste and couldn't keep even water down.
Ya know, now that you mention it, I had a pretty nasty something right after Christmas, including shortness of breath.
I hope you have recovered and are back to being well!
originally posted by: steaming
a reply to: EnigmaChaser
Change the subject slightly, Suppose Yellowstone were to - God forbid - blow, surely their had been a sort of Drill as to how such would be handled ? Imagining the ash pumped from that, Respiratory rescue equipment would have been available no ?
Had such been the cause of panic, then surely the UK too would have to be prepared for it ?
originally posted by: face23785
originally posted by: steaming
a reply to: EnigmaChaser
Change the subject slightly, Suppose Yellowstone were to - God forbid - blow, surely their had been a sort of Drill as to how such would be handled ? Imagining the ash pumped from that, Respiratory rescue equipment would have been available no ?
Had such been the cause of panic, then surely the UK too would have to be prepared for it ?
Based on our response to this, I doubt any country is prepared for that.