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Old 04-10-2020, 07:38 PM
 
28,122 posts, read 12,603,511 times
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Quote:
Originally Posted by jbgusa View Post
Does this table of death rates change your mind? It should (link to source):




Put simply, the death among those without underlying conditions is under 2% or almost nil. Was this worth shredding the economy for?
well, we honestly do not know if that was the only goal or not...for all we know, there could be several agenda at work here.
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Old 04-10-2020, 07:41 PM
 
Location: New York Area
35,071 posts, read 17,024,527 times
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Quote:
Originally Posted by Oklazona Bound View Post
I guess at this point since we can't go back in time is to decide what to do if the 2nd wave happens. Do we do the same shut down just after things might be somewhat back to normal or do we just tell high risk people to stay in and let everyone else stay at work assuming a very small fraction of a percent of healthy people will die from it?
It has to be the latter. I don't mean to lack compassion but if we go with the former we all become very poor.
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Old 04-10-2020, 07:45 PM
 
Location: State of Transition
102,211 posts, read 107,931,771 times
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Quote:
Originally Posted by jbgusa View Post
Does this table of death rates change your mind? It should (link to source):


Put simply, the death among those without underlying conditions is under 2% or almost nil. Was this worth shredding the economy for?
Ask yourself if you could have lived with the alternative; so many people getting ill, that many couldn't be admitted to ICU's (or even ER's), and had to be written off for dead (even though some of them could have been saved with intubation, others with ventilators, if enough had existed). Entire categories of people would be barred from ER's so as not to completely exhaust (and infect) too many staff members: people above a certain age, perhaps the handicapped, the homeless, and others. Such painful decisions as this would be inevitable. Daily the casualties would mount. As we're now beginning to see in New York, the dead would have to be bulldozed into mass graves.

Would you be able to shake your head sadly, "tsk tsk", and walk away from such scenarios in the media, mentally unscathed? As long as you didn't fall ill and end up among the pitiful souls denied access to care due to overtaxed ER's and ICU's, would you be ok with the fallout?
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Old 04-10-2020, 08:51 PM
 
Location: all over the place (figuratively)
6,616 posts, read 4,884,211 times
Reputation: 3601
Quote:
Originally Posted by Oklazona Bound View Post
Up until the past few days when there have been indications we are nearing the worst of it in cases all I heard was how poorly everything was going. People were not taking it seriously. Several states did not take it seriously. We were short on masks, respirators, tests, etc. There was disorganization and confusion on all levels of government.

Yet now I read comments that we did a great job because the worst outcome failed to materialize. It can't be both. I figure we were some where in the middle. Not the best or worst. So if its true we did somewhere in the middle yet the amount of deaths and cases are are way below the lowest estimates then perhaps the estimates were way off and not realistic. And we are not talking 150,000 cases but perhaps less than 60K. By this fall its my feeling we will be in the 40's as a death total.

I guess at this point since we can't go back in time is to decide what to do if the 2nd wave happens. Do we do the same shut down just after things might be somewhat back to normal or do we just tell high risk people to stay in and let everyone else stay at work assuming a very small fraction of a percent of healthy people will die from it?
I suspect that the percentage of high-risk people is much too high for that. Even if not, just to provide delivery services to them would be daunting. Many non-elderly high-risk people aren't aware of their medical conditions. Hence, governments chose lockdown, which can't be recurring for years on any major scale.

To turn coronavirus into something that doesn't bog down society....
People need early diagnosis and treatment (to prevent death or the unknown but not rare outcome of long-term disability and to not overwhelm hospitals) and then there will be the troubling issue of mandatory vaccinations for employment, access to stores, and more. Most of New York City will feel very restrictive for a long time. COVID-19 isn't one of the deadliest diseases, but because it might be the most contagious, it's one of the worst in human history and it's small-minded to scoff at "extreme measures." No world leaders happily possibly nuked their economies; the virus forced it.
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Old 04-10-2020, 09:11 PM
 
6,706 posts, read 5,937,576 times
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We're just waiting for a vaccine. Once we have a vaccine, corona/Wuhan/covid becomes just another flu (albeit an extremely contagious one).

Shutting down the economy was just a way to give us some breathing space to develop life-saving treatments and get some vaccines into test. I'd say it's working. But we do need to get the economy started again, like an induced coma in a medical patient -- you can't wait forever or the patient will die.
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Old 04-10-2020, 09:25 PM
 
Location: New York Area
35,071 posts, read 17,024,527 times
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Quote:
Originally Posted by blisterpeanuts View Post
We're just waiting for a vaccine. Once we have a vaccine, corona/Wuhan/covid becomes just another flu (albeit an extremely contagious one).

Shutting down the economy was just a way to give us some breathing space to develop life-saving treatments and get some vaccines into test. I'd say it's working. But we do need to get the economy started again, like an induced coma in a medical patient -- you can't wait forever or the patient will die.
But an 18 month shutdown while papers are studied?
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Old 04-10-2020, 10:00 PM
 
Location: all over the place (figuratively)
6,616 posts, read 4,884,211 times
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No.

But I think everyone should worry about how to get long-term "extreme" compliance with COVID-19 vaccination. Many people skip flu shots, despite tens of thousands of annual deaths in America from it. Pay people to get pricked and have a mini-lottery system so that some of them win extra? On top of that, it's possible that the vaccine won't fully work on some recipients (and will harm a small group of people who get them). I estimate 90% of each, or disruptive outbreaks happen.

What might happen to prop up the economy is that the government subsidizes many immune people to be shoppers (mostly of perishable food) for the ill and the high-risk. There of course will be much more hiring in various health-related sectors. "Re-open everything now" is a wish for a return to a world that cannot be the same anymore.
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Old 04-10-2020, 10:02 PM
 
Location: Born + raised SF Bay; Tyler, TX now WNY
8,500 posts, read 4,744,511 times
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Quote:
Originally Posted by blisterpeanuts View Post
We're just waiting for a vaccine. Once we have a vaccine, corona/Wuhan/covid becomes just another flu (albeit an extremely contagious one).

Shutting down the economy was just a way to give us some breathing space to develop life-saving treatments and get some vaccines into test. I'd say it's working. But we do need to get the economy started again, like an induced coma in a medical patient -- you can't wait forever or the patient will die.
That’s pretty much it - and it’s the most perverse thing, because if the shutdown measures work, we’ll all come out wondering what the whole kerfuffle was about.
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Old 04-11-2020, 05:26 AM
 
6,706 posts, read 5,937,576 times
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Quote:
Originally Posted by jbgusa View Post
But an 18 month shutdown while papers are studied?
Probably the sick will be treated with hydroxychloroquine. It's shown some success in field tests.
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Old 04-11-2020, 05:46 AM
 
3,145 posts, read 1,602,619 times
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Quote:
Originally Posted by goodheathen View Post
That assumes lasting immunity that Harvard should know better than to assume (just like the CDC shouldn't call non-severe symptoms "mild"). Maybe the government should offer to pay relocation costs of at-risk, lower-income people who won't be working. I agree there's a point at which the general population needs to be able move around with a satisfying amount of freedom.
Unless you are a credentialed expert, rather than discrediting Harvard and the CDC based on personal opinion, it would be helpful for you to reference an authoritative source for your posts.

Here is the case for herd immunity:

"The newest epidemiological models developed in the UK now recommend aggressive “suppression” of the virus. The basic tactics being urged would be to isolate sick people, try to reduce social contacts by 75%, and close schools. Those economically costly measures could continue for many months."

Suppressing transmission means that we won’t build up herd immunity, says Azra Ghani, the lead epidemiologist on the new model of the outbreak from Imperial College London. The trade-off of success is “that we are driving it down to such a low level that we have to keep those [measures] in place.”



Popular
Blood tests show 14% of people are now immune to covid-19 in one town in Germany

“To me it looks like we don’t yet have a large fraction of the population exposed,” says Nicholas Christakis, a doctor and social science researcher at Yale University. “They had carnivals and festivals, but only 14% are positive. That means there is a lot more to go even in a hard-hit part of Germany.”

Here's why the true infection rate in a region matters: the bigger it is, the less pain still lies ahead. Eventually, when enough people are immune—maybe half to three-quarters of us—the virus won’t be able to spread further, a concept called herd immunity.

But the German town isn’t close to that threshold yet, and to Christakis the preliminary figure is “unfortunate” because it means the virus still has more damage to do.

The German report is among the first to survey a population for evidence of prior infection, data that scientists need to determine how far the pandemic has spread, what the real death rate is, and how many people show no symptoms at all.

“It’s very preliminary, but it’s the kind of study we desperately need,” says Christakis, who believes the US should test as many as 200,000 people, from big cities like New York to small towns in the Midwest. “This is crucial to quantify a host of basic parameters.”

Globally, the official case count of covid-19 is more than 1.5 million people, but that reckoning mostly includes people who seek medical help and get tested. The true number of people infected, including those without symptoms and who don’t get tested, is far higher.

More data from "sero-surveys" should be available soon; sources include US hospitals. On April 6, Stanford Medicine announced it had launched its own serology test and had begun screening doctors, nurses, and others for antibodies.

“The test will enable us to determine which health-care workers might be at low risk for working with covid-19 patients, as well as understanding disease prevalence in our communities,” said spokesperson Lisa Kim.

Early results from hospitals are already circulating among some experts, says Christakis, who thinks these data will get us “closer to the truth” about how far the infection has spread in US cities. “If you see 5% positive in your health-care workers, that means infection rates probably aren’t higher than that in your city,” he says.

The survey in Germany was carried out by virologist Hendrik Streeck and several others at the University Hospital in Bonn, who say they approached about 1,000 residents of Gangelt to give blood, have their throats swabbed, and fill out a survey.

They found that 2% of residents were actively infected by the coronavirus and a total of 14% had antibodies, indicating a prior infection. This group of people, they say, “can no longer be infected with SARS-CoV-2,” as the virus is known to scientists.

As the virus spreads, it sends a certain percentage of people to the hospital and a few of those to ICUs; a portion of those will die. One of the biggest unanswered questions is exactly what percentage of infected people the coronavirus is killing.

From the result of their blood survey, the German team estimated the death rate in the municipality at 0.37% overall, a figure significantly lower than what’s shown on a dashboard maintained by Johns Hopkins, where the death rate in Germany among reported cases is 2%.

The authors explain that the difference in the calculations boils down to how many people are actually infected but haven’t been counted because they have mild or no symptoms.

The presence of previously infected people in the community, Streeck and colleagues believe, will reduce the speed at which the virus can move in the area. They also outline a process by which social distancing can be slowly unwound, especially given hygienic measures, like handwashing, and isolating and tracking the sick. They think if people avoid getting big doses of the virus—which can happen in hospitals or via close contact with someone infected—fewer people will become severely ill, “while at the same time developing immunity” that can help finally end the outbreak.




https://www.technologyreview.com/202...e-coronavirus/

Last edited by Maddie104; 04-11-2020 at 06:19 AM..
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