Coronavirus: How dangerous a threat?

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If you're healthy and not old, you'd pretty much have to be damn unlucky to die from covid-19, this seems to say (in line with other reports).
View: https://twitter.com/i/web/status/1262453620735385605

Gummi Bear's mortality estimates are for the most part consistent with the ones I posted upthread, except he has much higher mortality rates for those over 80. That's consistent with the French study I posted, but is not consistent with the raw age-related mortality data for Spain that I was using.

The CDC has just issued a report estimating various rates under different scenarios, meant to guide planning and managing the pandemic. Under the most favored (i.e., considered most likely) scenario, the mortality rate of symptomatic cases is 0.4%, and since the % of asymptomatics in that scenario is 35%, the overall mortality rate is just 0.26%. This is less than a lot of other studies have estimated (the estimates are based on data that are nearly a month old, that might make a difference), but be sure this will add fuel to the C19-is-no-worse-than-seasonal-flu-no-one-but-the-old-and-sick-has-anything-to-worry-about crowd.

i guess NYC never saw the CDC document, because currently 0.25% of the entire population has died from C19 (including probables).

https://www.cdc.gov/coronavirus/2019-ncov/hcp/planning-scenarios.html

I've got an old school friend who keeps moving farther out from civilization. His religious and political views have drastically become conservative.

In a friendly call he is convinced it is caused by 5G communications and referred to it as the "kill switch". I'm sure if the dialogue continued we find that the Chinese, Huawei, Soros and Gates all stand to gain.

The 5G theory is David Icke's. It's thoroughly rebutted by a friend of mine, who took the time to wade through Icke's book:

http://www.integralworld.net/visser166.html

Another theory rebutted is that there is actually no coronavirus, but only exosomes, small membrane bound vesicles released by some cells, and containing nucleic acids and proteins. The more of this stuff I read, the more I begin to think the internet really is far more of a curse than a blessing.

A German neighbor of mine told me that a member of the Italian parliament had proof that "96.7%" of Italy's C19 deaths are fake. The number of people who actually believe this garbage is depressingly large.

South Korea's experiment in returning to school not off to a flying start:

South Korea’s cautious school re-opening was off to a bumpy start on Wednesday when students at 66 schools in Incheon, the port city west of Seoul, were sent home only three hours after arriving after two students tested positive.

Kim Jong-won, a senior at Gwangyang Baekun High School, in Gwangyang, southwest of Seoul, told Asia Times that the majority of students at the school think it is too risky.

“We have to keep wearing masks when we are in school, and some will definitely say it is uncomfortable,” Kim said. “Also, we cannot freely turn on the air-conditioners.”

https://asiatimes.com/2020/05/stude...6YhX4VHFRSsM9Sr_tGX0Lm-4NT38GB8hJbh1hGYRGccBk

Speaking of masks, some people claim they're unhealthy, because you end up breathing more of the air you exhale, which has less oxygen and more C02.
 
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Blind faith.. true belief.. I’m sure you can piece it together.
I'll give you an example of blind faith..a Memorial Day version..I young US Navy sailor was shot in the chest at Corpus Christi Naval Air Station this week. I have blind faith that although arguments about virus avoidance technique have overcome us..signs of bizarre American patriotism
..eating random meds intended for Lupus sufferers..( That's for you CHorner!!thanks for your work)or not wearing a mask to show contempt for somebody's grandparents..
Blind Faith is knowing that that young sailor is getting attention..I hope she and her family are delivered from pain while petty barbs about science are traded ..
Sheltering in place is patriotic..protesting is patriotic..questioning laws ..patriotic..disobeying the law..is idiotic..
 
There was at least some info suggesting Hydroxychloroquine had positive outcomes with C19 patients. Once a certain person championed it... instead of hoping it worked, many (You) actively rooting for it to fail. Why do you suppose this is?

When you speak of people “that far gone”... who actively hopes a potential therapy for something like C19 doesn’t work because somebody you don’t like hopes it does?

Remind us, who is “that far gone?”
Maybe you should sit this one out instead of lying about what I posted.
Agreed. Until we have something much better, there is a legit reason to use it considering the dire situation around the nation. The FDA said as much tonight, granting chloroquine and hydroxy chloroquine emergency use authorization. It would be terrific if it was effective, even marginally so. Time will tell.
Time has told. Pre-clinical studies are nice, but chloroquine hasn't been shown to be effective against any virus in humans in 60 years. That probably merits some healthy skepticism. If it only works in a French hospital with one doc as the gatekeeper of the data, that also merits some skepticism. i totally get why people looked at that one graph and got excited. But few actually read the paper. I did and thought there were some serious red flags that the lay audience would easily miss. Too good to be true in research often is too good to be true for a reason.
 
Dirt..don't go there..our nurses ,doctors and emergency workers have seen the pain and death. The families are living with it..to kick around silliness about a hoax is not productive..our military personnel that have stepped in to fill the void were needed were not faking it.
Happy Memorial day to all Americans and for others world wide who were impacted by those memorialized.
That was my point really.
 
Gummi Bear's mortality estimates are for the most part consistent with the ones I posted upthread, except he has much higher mortality rates for those over 80. That's consistent with the French study I posted, but is not consistent with the raw age-related mortality data for Spain that I was using.

The CDC has just issued a report estimating various rates under different scenarios, meant to guide planning and managing the pandemic. Under the most favored (i.e., considered most likely) scenario, the mortality rate of symptomatic cases is 0.4%, and since the % of asymptomatics in that scenario is 35%, the overall mortality rate is just 0.26%. This is less than a lot of other studies have estimated (the estimates are based on data that are nearly a month old, that might make a difference), but be sure this will add fuel to the C19-is-no-worse-than-seasonal-flu-no-one-but-the-old-and-sick-has-anything-to-worry-about crowd.

i guess NYC never saw the CDC document, because currently 0.25% of the entire population has died from C19 (including probables).

https://www.cdc.gov/coronavirus/2019-ncov/hcp/planning-scenarios.html



The 5G theory is David Icke's. It's thoroughly rebutted by a friend of mine, who took the time to wade through Icke's book:

http://www.integralworld.net/visser166.html

Another theory rebutted is that there is actually no coronavirus, but only exosomes, small membrane bound vesicles released by some cells, and containing nucleic acids and proteins. The more of this stuff I read, the more I begin to think the internet really is far more of a curse than a blessing.

A German neighbor of mine told me that a member of the Italian parliament had proof that "96.7%" of Italy's C19 deaths are fake. The number of people who actually believe this garbage is depressingly large.

South Korea's experiment in returning to school not off to a flying start:





https://asiatimes.com/2020/05/stude...6YhX4VHFRSsM9Sr_tGX0Lm-4NT38GB8hJbh1hGYRGccBk

Speaking of masks, some people claim they're unhealthy, because you end up breathing more of the air you exhale, which has less oxygen and more C02.
Starting with the initial testing snafus and the lack of timely updates, then seeing that they were conflating antibody and pcr tests in their stats, and now that questionable IFR estimate.... time to ask some questions about what is going on at the CDC.

Mikovits is out there saying that masks activate the virus. She really has become a kook. She once was a distinguished scientist. It makes me wonder how much loot is in the contrarian grift.

isn't that 97% number related to the number Italy announced of people who had comorbidities? There is a whole group of truthers who think people are dying with the virus, not because of it. The all cause mortality disproves that, but logic and reasoning are not prominent for that crowd.
 
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Chris Gadsden

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Maybe you should sit this one out instead of lying about what I posted.

I used the term 'dark arts' earlier. But the chloroquine study is leaning more toward outright fraud after learning more details. Giving them the benefit of the doubt is too naive. We'll see what the randomized clinical trials show.

Because they cherry-picked their sample so the dual treatment patients had the lowest viral burden at the onset of the study. Then artificially set criteria so the patients that the dual treatment was ineffective were not included in the final sample. How do you get something like this published? Put it through a small journal that you are the editor of. Its widely ignored because the people who know better realize the game.

Some perspective on the new numbers in the preprint. Curious to see where it gets submitted.

And, what are my previous notions? I have been quite clear that I think CQN is not going to be the best drug once all is said and done....

let me know when a randomized clinical trial shows benefits. That ain't it.

Time has told.



Time has told? With no randomized clinical trials time has told. Who’s lying again?
 
There are a few here look to be like myself from the U.S...and they look to intentionally sidestep questions about methodology..medically in general..The United States has less than @5% of the worlds population, but as the numbers grow,has enormous numbers..deaths and cases from the initial outbreak of Covid 19.
As Americans ..at least the logical ones..have to ask the question..why?
Is it our genetic material? Running water? Hospitals and emergency workers?
Money?
The answer may be in the answer to other medical problems in the US. Access by all to care,regardless of race or income. And what about American specific health numbers,about gun deaths,texting while driving,driving while impaired..? All serious health problems in the US,all viewed through something other than a \ the scientific lense.
Americans need to understand why we are leading the world in deaths. As the world has communicated together about vaccines,strategy and outlook,is going it alone in this medical crisis serving America and the world?
Is American medical strategy not based on medical science?
Something is wrong..
Like the old saying..
Got a car problem..ask a mechanic.
Got a legal problem..ask a lawyer.
Got a medical problem..ask a doctor..
until now that was just common sense..
@97,477 deaths..wtf?
we will pass 100,000 before the weekend
 
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There are a few here look to be like myself from the U.S...and they look to intentionally sidestep questions about methodology..medically in general..The United States has less than @5% of the worlds population, but as the numbers grow,has enormous numbers..deaths and cases from the initial outbreak of Covid 19.
As Americans ..at least the logical ones..have to ask the question..why?
Is it our genetic material? Running water? Hospitals and emergency workers?
Money?
The answer may be in the answer to other medical problems in the US. Access by all to care,regardless of race or income. And what about American specific health numbers,about gun deaths,texting while driving,driving while impaired..? All serious health problems in the US,all viewed through something other than a \ the scientific lense.
Americans need to understand why we are leading the world in deaths. As the world has communicated together about vaccines,strategy and outlook,is going it alone in this medical crisis serving America and the world?
Is American medical strategy not based on medical science?
Something is wrong..
Like the old saying..
Got a car problem..ask a mechanic.
Got a legal problem..ask a lawyer.
Got a medical problem..ask a doctor..
until now that was just common sense..
@97,477 deaths..wtf?
we will pass 100,000 before the weekend
I read a recent poll result, can't remember where but 25% of the Americans that were asked said they would refuse the vaccine if it was available. I also read that one hairdresser went to work sick and infected 92 people, those were the ones the were traced, there were probably more. She had flu symptoms at the time. Of course this behavior is mirrored in other countries as well but not all countries have had the problems the USA have had. Sweden's leadership has been an abject failure, the UK have made a mess of things, Brazil's simply didn't acknowledge the dangers and so on..........the world we live in.......... there is going to be some interesting election results internationally and at the state level in many countries in the next 12 months you would think !
 
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I read a recent poll result, can't remember where but 25% of the Americans that were asked said they would refuse the vaccine if it was available. I also read that one hairdresser went to work sick and infected 92 people, those were the ones the were traced, there were probably more. She had flu symptoms at the time. Of course this behavior is mirrored in other countries as well but not all countries have had the problems the USA have had. Sweden's leadership has been an abject failure, the UK have made a mess of things, Brazil's simply didn't acknowledge the dangers and so on..........the world we live in.......... there is going to be some interesting election results internationally and at the state level in many countries in the next 12 months you would think !

I've seen those poll numbers in several places about around 25% of Americans saying they would refuse a vaccine if available. I suspect at least a good portion of those people are part of the anti-vax crowd. We also have an abject disaster when it comes to the VA. (VA in this case is Veterans Administration and specifically the hospitals). Let's put it this way, my husband started working at one last summer and it took them 6 months to finally get our insurance transferred over from the Dept of the Navy where my husband had worked previously (as a civilian employee). My husband is someone who needs the insurance as he has Rheumatoid Arthritis along with major allergy issues. I suspect the problems in the US are not just the Federal Govt but also the way a portion of the American population is. This should show there is a decent sized part of the population that only cares about it's self. We've had politicians basically say that if people have to die to reopen the economy then they should die. Churches are super spreader gatherings, but many of the leaders and congregation want the churches open because for some stupid reason they don't believe they will get the virus if they are going to church. The whole thing is insane over here.
 
I've seen those poll numbers in several places about around 25% of Americans saying they would refuse a vaccine if available. I suspect at least a good portion of those people are part of the anti-vax crowd. We also have an abject disaster when it comes to the VA. (VA in this case is Veterans Administration and specifically the hospitals). Let's put it this way, my husband started working at one last summer and it took them 6 months to finally get our insurance transferred over from the Dept of the Navy where my husband had worked previously (as a civilian employee). My husband is someone who needs the insurance as he has Rheumatoid Arthritis along with major allergy issues. I suspect the problems in the US are not just the Federal Govt but also the way a portion of the American population is. This should show there is a decent sized part of the population that only cares about it's self. We've had politicians basically say that if people have to die to reopen the economy then they should die. Churches are super spreader gatherings, but many of the leaders and congregation want the churches open because for some stupid reason they don't believe they will get the virus if they are going to church. The whole thing is insane over here.
I think it will be prudent to wait and see a bit after vaccine(s) roll out. I'm not going to be the first in line. That said, the rollout is going to be slow because of the logistics involved, and I think the issue will be more people wanting the vaccine(s), and the availability will be low initially. I'm fine to wait that out and see what the science is telling us after the first round of people use it.

I think wait and see a bit is reasonable. Stating outright at this point that one won't take it isn't just idiotic, it's dangerous.
 
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I think it will be prudent to wait and see a bit after vaccine(s) roll out. I'm not going to be the first in line. That said, the rollout is going to be slow because of the logistics involved, and I think the issue will be more people wanting the vaccine(s), and the availability will be low initially. I'm fine to wait that out and see what the science is telling us after the first round of people use it.

I think wait and see a bit is reasonable. Stating outright at this point that one won't take it isn't just idiotic, it's dangerous.

That's different that saying you won't get a vaccine at all. As health care workers are the ones who will be first in line then their families I suspect my husband will be one of those after the health care workers who deal directly with patients. However that is after all the trials are over. Plus his being at the VA means the "public" hospitals will get it before the VA does.
 
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A friend of mine lives in San Antonio, Texas. He recently pointed out to me that it has a very low C19 mortality rate--just 66 deaths in a population of 1.6 million--though 60% of the population is Hispanic, which are supposed to have a higher risk for the disease than Caucasians (for a variety of factors, including poverty, lack of medical care, and a higher incidence of diabetes, a risk factor). I took a look at CDC figures, and it turns out that while Hispanic deaths are over-represented by about 50% relative to their numbers in the U.S., there is huge variation among states. In CA, FL, IL and NY, their deaths are greatly over-represented, but in Texas, there is very little disparity, and in Bexar County, which contains San Antonio, their deaths are actually under-represented.

San Antonio also exhibits other factors that you would expect would be associated with a lower mortality rate. It's a relative young city, which a much lower % of people > 65 than the U.S. as a whole. It has a low population density (NYC;'s is almost ten times higher). It was not a major hub for foreigners infected with the virus to enter the U.S. And maybe the hot weather is a factor, too.

Stanford's John Ioannidis is at it again. He directed a couple of antibody tests in CA last month that suggested that the incidence of infected people was much higher than expected, resulting in a very low estimate for mortality rates. Those studies received a lot of criticism, particularly over issues such as false positives and randomness.

Now he has done a mega-analysis of about a dozen antibody studies carried out by other researchers. He claims that the mortality rate based on these studies ranges from 0.02-0.4%, making it no worse than the seasonal flu. But he seems to have left out a lot of studies, including NYC (0.60%; he mentions that in the discussion(; France (0.70%; that estimate was not based on antibodies); and Spain (1.1%). He claims a rate of .09% for the Netherlands, but that's apparently based on the Sanquin study, which excluded people older than 70 (same with the Danish study). Applying the seroprevalance of that study to the entire population, the rate is close to 0.60%. For the Gangelt study, he uses the lower rate that is obtained making a very questionable assumption about the subjects behavior.

https://www.medrxiv.org/content/10.1101/2020.05.13.20101253v1.full.pdf
 
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I don’t understand how given the time frame, number of deaths, and the demonstrated efficacy of social distancing and other measures, this meta study info, if accurate, really matters. The conclusion would have to be that this is more contagious than the flu to get those percentages, and therefore the total number of deaths is still huge in comparison. With the ability to overwhelm medical systems if we don’t intervene, etc.
 
Mercx, in Mexican pop culture..radio and talk shows..it has been non scientifically( obviously) been discussed that most Mexicans have a lower infection and death rate because of mandatory vaccinations given during the hospital stay for child birth. Also Mexicans have discussed cultural differences between US and Mexico about childhood immunization. In Mexico almost all kids born in a hospital get shots..if you were not born in a hospital you need to present a immunization record to start school. I certainly don't have a big cultural cross section but it's thought that there is no religious - personal exception for having your shots up to date before entering school.
A strange..had thing that has happened this week..Imperial Valley has closed hospitals in El Centro and Brawley to new cases..transferring overflow to San Diego..both Mexicali and Tijuana have an increase in Covid admissions.
Also in and out of Mexico everyone thinks that the reported numbers are way way low..
 
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I don’t understand how given the time frame, number of deaths, and the demonstrated efficacy of social distancing and other measures, this meta study info, if accurate, really matters. The conclusion would have to be that this is more contagious than the flu to get those percentages, and therefore the total number of deaths is still huge in comparison. With the ability to overwhelm medical systems if we don’t intervene, etc.

Yes, SARS-CoV-2 is more contagious, most researchers seem to agree about that. But, in addition, there are a lot of problems with the studies chosen by Ioannidis:

  1. I already mentioned that the mortality rates for the Netherlands and Denmark go way up when the entire population is included, just as you would expect them to. The rationale for not including the older people--that actual seroprevalence data for these groups were not obtained--is fair enough, but even the most conservative estimate will necessarily greatly increase the mortality rate. In the Netherlands, for example, almost 90% of all deaths are people > 70 years old. Excluding them has to have a huge effect on the mortality rate.
  2. The Kobe study found that the seroprevalence rate was 400-850 times higher than the number of confirmed cases. IOW, less than two people out of a thousand who were infected got tested. This is many quantum leaps above the usual rate, and even the authors of the study say it makes no sense, and that a larger Ab study needs to be done.
  3. The Scotland study also reports an extremely high ratio of seroprevalence to confirmed cases, about 70.
  4. The Brazil study found just 6 positives in about 4500 people tested (and 2 of about 4200 in a previous study). In the Methods, they said the antibody was 99% specific, meaning a 1% false positive rate. That would correspond to 45 false positives, making the study totally meaningless. They point this out in the Discussion, but then say that the actual number of positives they obtained indicates a much higher specificity rate. That's fair enough, but how many are false? They estimate that of the total of 8 positives (2 + 6), 4 are true, because the family members of these individuals later tested positive. They conclude the other four positives are false. This cuts the seroprevalence rate in half, in effect doubling the estimated mortality rate. Not to mention that even if all the positives were true, the very small number would mean a huge level of uncertainty. This study shouldn't even be included.
  5. The Gangelt, Germany study uses an adjusted seroprevalence rate which I believe takes into account an estimated under-representation of current infected cases in the sample. As we discussed here before, the logic for this adjustment seems flawed.
  6. One of the studies was carried out in a region of Iran. The problem is that a lot of observers claim that there has been massive under-reporting of deaths in Iran.

Mercx, in Mexican pop culture..radio and talk shows..it has been non scientifically( obviously) been discussed that most Mexicans have a lower infection and death rate because of mandatory vaccinations given during the hospital stay for child birth

But they don't have a lower infection/death rate everywhere. E.g., in OR, UT and WA, their infection rate is about triple what it would be if it represented their proportion in the population. And mandatory vaccinations are obviously not going to protect vs. C19.
 
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This is just irresponsible - kids paying with their future while they are hardly at risk from the virus (and they have no voice in the debate):

Philippine president confirms no school before vaccine

The Philippine health ministry has reported 13 deaths and 350 new cases of Covid-19 today, the largest single-day increase in infections in seven weeks. The total number of confirmed cases now stands at 14,669 and deaths have reached 886.
The president of the Philippines, Rodrigo Duterte, said late last night that he will not allow students to go back to school until a vaccine is available. Children were due to return to school at the end of August after classes for more than 25 million primary and secondary students were shut down in March. But Duterte said he believed the risk was too great, even if it held students back academically.
“Unless I am sure that they are really safe it’s useless to be talking about opening of classes,” the president said. “For me, vaccine first. If the vaccine is already there, then it’s OK. If no one graduates, then so be it.”


A Dutch children's rights group has warned today that children worldwide are increasingly at risk of poverty, child labour, domestic violence and death (due to missed vaccinations for polio and other diseases) due to corona measures.
 
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This is just irresponsible - kids paying with their future while they are hardly at risk from the virus (and they have no voice in the debate):

Yes. Private schools are now open, though some parents have opted for home study (i.e., a tutor) so their kids don't have to be in classes.

An argument that pandemics are chaotic:

.
Newton clearly told us what happens when an object drops from the sky. But follow his laws, and find that the path of a double pendulum is very, very difficult to predict. Climate scientists clearly tell us adding CO2 to the air will increase global temperatures. Yet they argue about when the worst effects of climate change will be felt and how bad it will be. Epidemiologists are clearly telling us what happens when you bring masses of people together during a pandemic. But they can’t tell us the exact shape this outbreak will take.

https://www.vox.com/science-and-health/2020/5/20/21257136/covid-19-future-pandemic-chaos
 
I saw this report this morning about the beachgoers over the holiday weekend... and it is not great. It is troubling that the opinions that the spring breakers were pilloried for are now widely spoken with little condemnation. I can also detect a growing sense of nihilism in some of the rationales. It should be noted that the outdoors does give some protection, but there are numerous clips of people crammed into indoor spaces too. To say nothing of the sleeping arrangements that we are not privy too.

https://www.cnn.com/videos/us/2020/05/26/alabama-beaches-coronavirus-tuchman-pkg-ac360-vpx.cnn

In regards to the education question, maybe this enforced home schooling period will give more people some much needed sympathy for the teaching profession and end up working for the betterment of public schooling over the long term. One of the advisors to the DC mayor also mentioned that schools should not fully open in the midst of an active outbreak. I don't know if there is the will to hold the line on that, but school in the fall will not be anything like it was in February.

View: https://twitter.com/FaceTheNation/status/1264583870508384256
View: https://twitter.com/BrennanSpiegel/status/1265119535901732865
 
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The waste water data are amazing. When I first heard about this approach, a couple of months ago, I was skeptical that you could really correlate viral RNA concentrations with community cases, given that only a small proportion of people would be shedding virus, and that you'd expect a lot of degradation of the RNA in the sludge. Plus, how uniform would the virus concentration be, when the waste is coming from 200,000 different sources? Does it get mixed thoroughly? But it seems that the data correlate really well.

One finding that puzzles me is why hospital admissions would precede positive tests (three days after the sludge peak vs. one week after). You would think that it would take some time after symptoms developed for them to intensify to the point where the person would go to the hospital. Whereas someone with relatively mild symptoms I would expect would get tested sooner (or not at all). You would also think that for someone with mild symptoms getting tested, there would be a delay in getting the test results, and their official reporting. So the one week delay seems too short, while the three day delay for hospitalization seems way too short.

Here’s what I think explains this. The sludge peak itself must be delayed vs. the actual peak of viral shedding. That is, there has to be some lag between when one sheds virus in the toilet, vs. when the waste from that excretion ends up the sludge in the treatment plant. I don’t know what that delay is, but several days sounds reasonable. So let’s consider this scenario:

Day 0: person gets infected
Day 3: person develops symptoms, viral shedding peaks
Day 6: viral shedding peak results in sludge peak
Day 8; person gets tested
Day 13: test results are known, and are officially reported

So one week on average between virus found in sludge (Day 6) and official case (Day 13)

Now consider this scenario with hospitalization:

Day 0: person gets infected
Day 3: person develops symptoms, viral shedding peaks
Day 6: viral shedding peak results in sludge peak
Day 9: symptoms intensify, and person goes to hospital, which is officially recorded at that time

So three days on average between virus found in sludge (Day 6) and hospital admission (Day 9).

The exact numbers are obviously speculative, but I think something like this must happen. The authors should have discussed this, particularly explaining why hospital admissions would precede positive tests, since from a superficial point of view, you would expect the reverse. This issue has enormous implications for approaches to control the spread of the virus, since we need to know on average how long people have symptoms before they get tested.
 
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The Pharmaceutical company Merck has finally gotten into looking for both a treatment and a vaccine. They apparently are working on two different vaccines (one is supposed to start human trials end of June or early July). One of the two vaccines they are working on is based on their vaccine for Ebola.
 
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Americans who are following the coronavirus pandemic closely are well aware that a lot of deaths have occurred in nursing homes. This gets political (note to mods: bear with me, I'm making a point about science, and how governments need to be aware of it), because several states initially ordered hospitals to transfer recovering C19 patients to nursing homes (to open up bed spaces for expected new patients). NY and its Governor Cuomo have come under particular fire, with Cuomo being blamed for thousands of deaths until he reversed the order.

What's lost in all this, as usual, is the science. According to a recent paper in Nature Medicine;

https://www.nature.com/articles/s41591-020-0869-5

almost all infectivity of people with C!9 occurs very early--the peak infectivity is in the sixteen hours before symptoms appear, and infectivity rapidly declines afterwards, so that it's essentially gone by a week or so (for miild to moderate cases; it may be longer for more severe or critical cases, but these should not be classified as recovering, or ready to be discharged from the hospital, until much later). So it's not at all obvious that transferring recovering patients to nursing homes would actually put the residents at risk. AFAIK, no one has carried out a tracer study confirming this.

What we do know is that nursing home deaths have occurred all over the country. According to Forbes, 43% of all deaths have occurred in nursing homes or assisted facilities:

https://www.forbes.com/sites/theapo...ation-43-of-u-s-covid-19-deaths/#64776b3c74cd

This shouldn't be surprising. The first (known) C19 death in the U.S. was at a nursing home, and everyone realized at the time that because of age of the residents, and the relatively small space in which they lived, these places would be a breeding ground for the virus. This is why the number of deaths is so high. Obviously, if an infectious person were transferred to a nursing home, a disaster would be likely to result, but since staff come and go, and initially, relatives of residents were allowed to visit, there were plenty of other ways for the virus to gain a foothold.

In fact, the data in the Forbes article provide some evidence against the transfer view. Florida, and its Governor Ron DiSantis, have been praised for not transferring C19 patients from hospitals to nursing homes. But 43% of Florida's C19 deaths have occurred in nursing homes, right with the national average, lower than NY's rate, and not much lower than the rate in other states that initially aggressively transferred patients, such as MI. IL, PA and NJ. One of the highest rates is in MA. which also avoided transferring C19 patients.

I'm not saying it's a good idea to move recovering C19 patients into nursing homes. The risk is not zero. But I don't think these recriminations are justified, except that at the time the moves were made, no one knew what the risk was.
 
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Translated newspaper article about the study discussed here earlier about viral loads in children by Drosten:


Christian Drosten, the top virologist who stumbled on statistics

As a world authority, he is an important face of science in the corona crisis. Now the German professor Christian Drosten rolls over the pavers with the boulevard magazine Bild about a study on children. 'As colleagues, we warned Drosten early on that his statistics are no good. He should have been extra careful. "

There were doubts from the start. Doubts about the probative value of the data, doubts about the conclusion, doubts about the policy advice that the scientists linked to their study: 'Judging from these results, we have to be very careful in the unlimited reopening of schools and nurseries in the current situation. Children could be as contagious as adults. " Despite all doubts, the study, including policy advice, picked up internationally . The study was therefore not from any stable. It happened under the watchful eye of Professor Christian Drosten, the German virologist from the Berlin University Hospital Charité. Drosten heads the virology department. In 2003, he co-discovered the first Sars virus. So yes, feel free to call Drosten a world authority when it comes to corona. But now, four weeks after the publication of the manuscript, it appears that the first doubts about the study were not unfounded ( DS April 30 ) . Indeed, there seems to be something wrong with the statistical analysis. This study stands or falls with sound statistics. She compares how much virus people with sars-CoV-2 have in their throats. The "viral load" in the throat could be a measure of how contagious the person is. And so it's a good idea to compare the viral load of children and adults. Statisticians, however, have questioned whether these comparative analyzes between age groups have been properly performed. A correct analysis might even lead to a completely new conclusion: that children have less virus in their throat than adults. This, of course, sheds a different light on the reopening of the schools. A compelling discussion, actually, and very relevant in clarifying the riddle surrounding the role of children in this epidemic. But how the discussion emerges and how it is conducted is not a good story.

Campaign against Drosten

The German tabloid Bild on Monday joined the criticism of some statisticians on the study by quotes from their more extensive analysis of the Drosten study put online. The statisticians criticize the applied statistical tests and come to different conclusions with the same data and other more accurate tests. Important detail: the statisticians in question never wanted Drosten to lose weight with their critical analyzes. They emphasize that they wanted to contribute constructively to the scientific debate through the usual channels - and thus transparent and accessible to everyone - just as they would under 'normal' circumstances. They did not want their criticism to become Fressen for Bild . But it just became. This article in Bild is the provisional culmination of the campaign against Drosten. The Bild- critical blog BILDblog has drawn up a list of articles at the beginning of this month with which the newspaper tries to show how Drosten would contradict and that he would be at odds with colleagues and politicians like Chancellor Angela Merkel. There is always little real about it. Drosten, the defender of drastic measures to stop the spread of the coronavirus, rather acts as a lightning rod for the frustration with the German corona approach. It should come as no surprise that Drosten does not accept that Bild writes that his study contains 'gross mistakes', that he uses 'questionable methods' and that the newspaper asks 'how long has the top virologist known about it'. The professor posted a screenshot of an email on Twitter on Monday afternoon. In that email, a Bild journalist asked for a response. 'Interesting. Bild is preparing a biased message about us manuscript around the virus load ', added Drosten. "I have to respond within an hour. I have better things to do. "

Weak methodology

Does it really not make sense then, what does Bild write about Drosten again? Is it really all nonsense? Drosten, who did not respond to a request for a response from De Standaard yesterday , says in the latest episode of his podcast on German public broadcaster NDR that he consciously used crude statistical methodologies, but that the medical significance would not change with finer techniques . However, the criticism of the statisticians goes to the core of the Drosten study. In reports that have multiple statisticians online they fillet his statistics. This includes the 'Omnibus test', with which Drosten and his colleagues tested whether the viral load is the same for all age groups. They also critically examine the 'log transformation' with which Drosten and his colleagues present their results. Statisticians are not quick to get rid of it. In their own analyzes, statisticians even come to very different conclusions than Drosten and his team. "In this study, children have on average 67 to 85 percent less virus load than adults," Christoph Rothe, a professor at the University of Mannheim specializing in statistics, summarized the findings of a fellow statistician on Twitter last weekend. "That such large differences were dismissed as" insignificant " by the authors ( Drosten's team, ed. ) Is due to the fact that the statistical methods used are very weak." That Rothe colleague, Dominik Liebl (professor at the Universität Bonn), immediately responded on Twitter: 'Thank you, that's exactly how I wanted my report to be understood!' Jörg Stoye, who teaches statistics as a professor at Cornell University in the US, even writes in his own report: 'There are many good arguments against a quick restart of the schools, but the study of the Charité does not help . " In an interview released on Der Spiegel 's website yesterday , Stoye says that like his colleagues who are quoted by Bild , he is very unhappy about how their criticisms are getting to the press now. "I don't want to be part of a Bild campaign." But Stoye confirms to Der Spiegel that he does not agree with the study of Drosten. The children in the study carry fewer viruses than the adults. The question then is: is that just a coincidence? Or is there a pattern behind that? I think it is the latter, unlike the study. We do indeed disagree there. ” In his report, and again in the interview, stresses Stoye that he suspects no malicious intent at Drosten.

Correct and continue

Herman Goossens, professor of microbiology at UZ Antwerp, also does not suspect his colleague - the two are part of a European network of researchers - of ill will. "He's a brilliant virologist. The virological part of the study is also all right. But the statistics… ' Two days after the publication of the manuscript, on Friday 1 May, Goossens and Drosten held their weekly teleconference with all other colleagues in their network. "We told him clearly then:" Christian, your statistic is no good, you go too fast in your conclusions, this has enormous consequences for policy. " Especially in his role as a scientist who is asked for advice, he has to be extra careful. ' 'As a scientist, you must remain open to the fact that it all works differently than you first assumed. The jump from research results to a policy recommendation on schools has left him very vulnerable. Christian was suddenly too much a policymaker and too little a scientist. " To protect each other from similar errors in papers, Goossens and his European colleagues have agreed to critically discuss new manuscripts among themselves before swirling them online. Earlier Goossens denounced the scientific review articles in corona times has been postponed too many times ( DS May 4 ) . According to Goossens, he did not deserve that Drosten is now finished by Bild . "This is one extension. Under normal circumstances I would say: so what , your statistics are not correct, correct it and continue. '
 
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