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Covid 19 Updates (Read 56720 times)
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Re: Covid 19 Updates
Reply #100 - Apr 26th, 2020 at 9:00pm
 
I may sound like a jerk but I do care and pay attention to this stuff. It's a hobby. I'm just get tired of people using Sweden as an example. I don't think it's a good example at all and plus, don't they have government healthcare?

The video guys own urgent care facilities and their business is suffering? Sorry. Welcome to the club. I'm just not buying that the data backs up their theory. Well, unless 'boomer remover' is the goal. Which, btw, is actually an argument I always use to make as a way to save SS and Medicare. I was being sarcastic.

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Re: Covid 19 Updates
Reply #101 - Apr 26th, 2020 at 9:15pm
 
HighnDry wrote on Apr 26th, 2020 at 5:08pm:
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Paddlin' info above.

I'm not sure I agree with Q being closed to everyone but then again, should I get special treatment because I think I'd know how to do it in a way that wouldn't put others at risk?
  
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Re: Covid 19 Updates
Reply #102 - Apr 26th, 2020 at 10:12pm
 
The real question I have (besides the best way to slowly open up our economy and keep our health networks from being overwhelmed and safe for the frontline folks) is the potential lethality of Covid-19.  The ER guys argue that it's similar to seasonal flu rates but the numbers they're using are really suspect.

We won't know true lethality unless the death numbers are accurate as well as knowing the total number of people infected.  Not sure which data is most accurate, but assuming the NYC antibody numbers are useful (about 20 percent infection rate) with population of 8.4 million and number of Covid deaths at about 12K, the lethality is about 0.7 percent, which is roughly 6 or 7 times more lethal than seasonal flu.  If we assume that rate for the whole US and that 100 million of us will eventually get infected before a vaccine, that'd mean about 700K deaths...can this be right? 

Even if the lethality is half that, that'd still mean 350K deaths....this is why I think we need to be very careful about opening up too quickly...can someone tell me my why my numbers are wrong?  I kinda hope I am wrong....
  
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Re: Covid 19 Updates
Reply #103 - Apr 27th, 2020 at 11:01am
 
I'm simply asking but are you comparing NYC stats  for COV 19 to NYC or all US stats for flu?

What seems uncertain is do antibodies equal immunity and if so, for how long.

And that's key to Sweden's approach - where they are approaching 50% of population with antibodies vs 20 in NYC an just 14 in NYS. Of course the availability of a vaccine could spin this either way.
  
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Re: Covid 19 Updates
Reply #104 - Apr 27th, 2020 at 12:28pm
 
I'm just trying to understand if Covid-19 is worse than typical seasonal flu.  I think it is not just because it appears to spread much quicker but also that it is more lethal.  I used NYC antibody results because it seemed as good a data point as any as far as estimating total infections.  Not looking at immunity since we don't know if antibodies = immunity, temporary immunity or no immunity.  It is my understanding that the lethality of typical seasonal flu is around 0.1 percent.  I did not think that rate varied from state to state, but maybe it does? 

I would expect that subsequent waves of Covid-19 prior to a vaccine may lead to upwards of 100 million infections in the US population.  Could be a lot less if culturally we as a country keep adhering to social distancing, better hygiene, masks in public, etc as the economy opens up...
  
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Re: Covid 19 Updates
Reply #105 - Apr 27th, 2020 at 1:00pm
 
pine-knot - I don't know if this is relevant but (You need to Login or Register to view media files and links) shows flu varies a lot be region. I also see that COV 19 stats in NYC are much different than in all of NYS (In five counties in corner of US where I live I think no deaths.)

I don't know what to compare to what but I don't think NYC to all of US makes sense. Based simply on reported deaths and population; 0.14% of NYC population vs 0.04% for remainder of NYS - more than triple.  (that 1 in 700 seems like good odds for me - especially considering I have none of the common underlying conditions to my knowledge)

Now - I'm not saying my stats are accurate or even relevant - but not convinced anybody's are yet. 

PS - I have more confidence in herd immunity than vaccination in the short term of a year or so.  Not proven if antibodies mean immunity but they do for many other illnesses.
  
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Re: Covid 19 Updates
Reply #106 - Apr 27th, 2020 at 2:54pm
 
I can't get your link to work, Bill.

The number I look at is virus mortality rate (what I also call lethality since I'm not a doc).  So if I look at typical seasonal flu mortality, it seems to be around 0.1 percent give or take.  Although the number of infections can vary widely between states, urban vs rural, etc, the mortailty rate remains about 0.1 percent. 

Re New York and NYC, the mortality rate is about the same.  For NY state, the antibody tests showed about 2.7 million infections state wide, with about 16,500 deaths at that time.  That gives a mortality estimate of 0.6 percent compared to 0.7 percent for NYC, probably within the error range).  Both are 6 or 7 times the mortality rate of seasonal flu.  All of this assumes the antibody tests give a more or less reliable estimate of total infections at the time (which no one can say for sure).

I also hope we develop some immunity to Covid-19 provided we recover.  As Fauci says, once you get 60-70 percent of a population to have immunity, the virus becomes much easier to deal with with even without a vaccine.  I agree with you on the benefit of herd immunity in lieu of a vaccine being developed....but getting there could kill hundreds of thousands of us in the process if we're not careful...
  
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Re: Covid 19 Updates
Reply #107 - Apr 27th, 2020 at 3:55pm
 
To preface this, I think our testing and official numbers suck. GIGO. Yet that's the hand we've been dealt so here goes.

My hope was NYC numbers would be worst case - considering population density plus it had to be there, getting a foothold, very early. Their heavy use of public transportation wouldn't help either so the 20% antibody rate is seriously disappointing to me.

The original estimate was, what, a horrifying 2+ million? Later it was 100 to 250 thousand. Then it was 60 thousand that we'll blow past this week.

700,000 in a year seemed like a fine educated guess to me at this point and cutting it in half arbitrarily sure makes it sound more palatable at the moment. Who knows though? Aren't we already at bad seasonal flu levels at what, two months in?

One thing about the flu is dose matters (I think - pretty sure anyway). My hope is smaller doses of this over time will help with both herd immunity and/or possibly severity. Moooo!

As an aside, a therapy would be helpful. I thought this was interesting if only to highlight how much we don't even know about the disease itself.
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Re: Covid 19 Updates
Reply #108 - Apr 27th, 2020 at 4:14pm
 
BillConner wrote on Apr 27th, 2020 at 11:01am:
And that's key to Sweden's approach - where they are approaching 50% of population with antibodies vs 20 in NYC an just 14 in NYS. Of course the availability of a vaccine could spin this either way.

Just out of curiosity, where did you get 50% from?
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Re: Covid 19 Updates
Reply #109 - Apr 27th, 2020 at 4:29pm
 
Try this. It worked when I pasted it in browser.

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or google "flu map"

Pine-knot - mortality rate to me means deaths per capita.  I thought the 0.7% of NYC was number deaths per number of people with antibodies, not the entire NYC population, just 20% of it - 12,067 deaths for 8,399,000 population or 0.14 %

US 2019 flu deaths 34,200 for 328.2m = 0.01% - a lot less than NYC; US COV 19 deaths 55,551 is than 0.017% - and sure to be double the 2019 flu before it's over.

(note in 2017-2018 flu season its was 80,000 deaths - varies a lot from year to year)

And I could be missing your point entirely but I think your .7% was deaths per 20% of population.  You did say "can someone tell me my why my numbers are wrong" but you use the term lethality, and I don't know if that is different from mortality.
  
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