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re: Daily COVID Updated as of 11/2/20 8:00 PM

Posted on 7/30/20 at 8:19 am to
Posted by DMAN1968
Member since Apr 2019
10144 posts
Posted on 7/30/20 at 8:19 am to
quote:

I still don't believe the low numbers coming out of New York. It is about as trust worthy as numbers from communist china.

If you assume a herd immunity of much less than 70% (as some theory's out there state) and also assume that the actual infected number is 8-10X above actual positive tests then they may be at or near herd immunity.

That's all conjecture and wishful thinking on my part but hey, I'm looking for something positive.

Louisiana is hitting the same percentages...gonna watch that and see what happens. I just wish we could get some consistent freaking information.
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89488 posts
Posted on 7/30/20 at 8:31 am to
quote:

Isn’t .55 pretty bad?


It's not great, but considering this is a novel disease without a vaccine or any pre-existing immunity.

The only "positive" (and this is relative, of course), is that it skews to the elderly in impact and spares the young.

The IFR for under 60 is going to be much, much closer to a very bad flu strain - probably closer to 0.08 to 0.15 or something like that.

I mean, I don't want to lose anyone, but a pandemic with this novel set of complications could be a lot worse.
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 8:38 am to
quote:

Florida and Arizona are getting close to the same case/per1m pop numbers as New York and New Jersey. It will be interesting to see if the deaths and new cases follow them in a similar manner.


The states with bad outbreaks now should end up considerably better off then the earlier states because there's a considerable difference in the age and risk distribution of cases now. When the disease was spreading wildly in February and early March in NY, no one knew it was there and so older and sicker people were getting exposed as frequently as low-risk young/healthy ones. That's not the case anymore. Now, older and sicker people are confining themselves to home, distancing, and masking at much higher rates than younger people, so the sun belt outbreaks have less severe sequelae. The other big factor is that medical management is getting wiser to the disease than it was 4 months ago and that makes a difference in outcomes too.
This post was edited on 7/30/20 at 8:39 am
Posted by AUMIS01
Atlanta
Member since May 2020
1206 posts
Posted on 7/30/20 at 10:33 am to
The population of the US in 1918 was also 103 million, less than 1/3rd of today's population. Meaning with today's population numbers, the US death count for Spanish Flu would be almost 2 million people, per your numbers.

Comparisons, fine, but make sure they're apples to apples.
Posted by Auburn1968
NYC
Member since Mar 2019
19419 posts
Posted on 7/30/20 at 10:35 am to
quote:

The states with bad outbreaks now should end up considerably better off then the earlier states because there's a considerable difference in the age and risk distribution of cases now. When the disease was spreading wildly in February and early March in NY, no one knew it was there and so older and sicker people were getting exposed as frequently as low-risk young/healthy ones. That's not the case anymore. Now, older and sicker people are confining themselves to home, distancing, and masking at much higher rates than younger people, so the sun belt outbreaks have less severe sequelae. The other big factor is that medical management is getting wiser to the disease than it was 4 months ago and that makes a difference in outcomes too.


By the time Covid19 hit NY, the demographics of risk were well known for anyone paying attention. The cruise ship Diamond Princess offered an ideal petri dish very early on and the first 19 US deaths were in a Washington state nursing home.

Cuomo and his camp weren't paying attention so they put coronavirus patients into nursing homes while trying to quarantine everyone else where possible. How dumb is that?
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 10:40 am to
No objections. Spanish flu was by far more terrifying because there was no intensive medical care and it was highly deadly to people across the life span in a way this isn't. My great-grandparents were a doctor and nurse in their early thirties and healthy who both contracted it working in the same hospital (or perhaps from each other). She died and he didn't. Spanish flu was like that. It cut down people in the healthy prime of life more than this disease does.
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 10:43 am to
No arguments there. He definitely made a lot of dumb mistakes. I think a political lesson to learn from the approval numbers of various leaders (governors, POTUS, foreign governments) is that publics reward the leaders who get the pandemic under control and punish the ones who don't.
Posted by GoCrazyAuburn
Member since Feb 2010
34876 posts
Posted on 7/30/20 at 11:17 am to
quote:

is that publics reward the leaders who get the pandemic under control and punish the ones who don't.


Cuomo got the pandemic under control?
Posted by AUin02
Member since Jan 2012
4280 posts
Posted on 7/30/20 at 11:24 am to
Killing all the old people off early is how you control it.
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 11:24 am to
By American standards.

Seriously, though, 798 cases/19 deaths yesterday vs. Florida with 9446/216. When DeSantis gets this under control his numbers will come up.
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89488 posts
Posted on 7/30/20 at 11:55 am to
quote:

Spanish flu was by far more terrifying because there was no intensive medical care and it was highly deadly to people across the life span in a way this isn't.


This isn't fully accurate. Obviously, we were only a little ahead of the Renaissance, medically, with only a rudimentary understanding of microbial-based illnesses, relative to today. "Spanish flu" (which was actually H1N1) wasn't particularly deadly to older folks, which is counterintuitive for respiratory illnesses, and much deadlier than expected to the young, particularly young, otherwise healthy adults (seasonal flu, for example, hits both ends of the bell curve of age).

3 things largely contributed to Spanish Flu's disparate impact on young, otherwise healthy adults.

1. A pandemic in the late 1870s/early 1880s is believed to imparted some measure of immunity to folks in early middle age and older by the time of Spanish Flu,

2. As with COVID19, H1N1's expression in 1917/1918 is associated with a "cytokine storm" and during that pandemic (unlike COVID19 which is presumed to be the opposite), a healthy immune system seems to have been a liability, rather than an asset, and

3. World War I - in addition to blocking information flow because of security, young men were mobilized all over the world and being moved to other locations, all over the world - likely the most significant deployment/movement of human beings up to that point (and only exceeded by WWII). And to make matters worse, in a traditional pandemic, the most ill tend to stay in one place and the weaker strains get spread by preference. That flipped in 1917/1918 because military authorities needed to get the most ill away from mobilization sites and the front lines, which reversed the normal preference and spread the most potent/most virulent strains (and, again, among primarily young, healthy, military age males).


Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89488 posts
Posted on 7/30/20 at 12:00 pm to
quote:

Seriously, though, 798 cases/19 deaths yesterday vs. Florida with 9446/216.


You're pretending the Florida numbers are even in the same area code as reality.
Posted by GoCrazyAuburn
Member since Feb 2010
34876 posts
Posted on 7/30/20 at 12:00 pm to
quote:

By American standards.

Seriously, though, 798 cases/19 deaths yesterday vs. Florida with 9446/216. When DeSantis gets this under control his numbers will come up.


Then we should have been doing what most of us said all along, keep everything open and let it run its course. Get it done hard and fast.
Posted by DMAN1968
Member since Apr 2019
10144 posts
Posted on 7/30/20 at 12:13 pm to
quote:

Seriously, though, 798 cases/19 deaths yesterday vs. Florida with 9446/216. When DeSantis gets this under control his numbers will come up.

How do we know New York hasn't hit herd immunity?
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 12:41 pm to
quote:

How do we know New York hasn't hit herd immunity?


It seems like it may be in some neighborhoods, but the latest CDC study was antibody prevalence of 23% in NYC as a whole and it has to be less than that for the state since there hasn't been a bad outbreak upstate. That 23% in NYC probably has a marginal effect on slowing transmission, but I don't have a better explanation for why they don't have an ongoing exponential spread, (especially upstate) except to assume they're doing good mitigation.
This post was edited on 7/30/20 at 12:51 pm
Posted by vl100butch
Ridgeland, MS
Member since Sep 2005
34633 posts
Posted on 7/30/20 at 1:00 pm to
Chromedome, just did my quickie Louisiana numbers...death rate continues to decline, but for the first time in a week or so, I've seen a percentage decline in new cases reported...
Posted by DMAN1968
Member since Apr 2019
10144 posts
Posted on 7/30/20 at 1:01 pm to
quote:

but the latest CDC study was antibody prevalence of 23% in NYC as a whole.

I'm not really believing that...nor am I believing that New York finally got it's act together and got a grip on this.




This post was edited on 7/30/20 at 1:05 pm
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 1:05 pm to
"as much as" means it could be lower and NY has been a massively tested area, so there should be a smaller difference between tested cases and untested cases than for the country as a whole, but if one doesn't believe the antibody tests then you just have to speculate.
This post was edited on 7/30/20 at 1:06 pm
Posted by DMAN1968
Member since Apr 2019
10144 posts
Posted on 7/30/20 at 1:10 pm to
I just believe that if antibody testing was truly accurate and conclusive we would be seeing a much larger roll out and drive to get more done.
quote:

CDC officials believe national infection levels are as much as 10 times higher than those revealed through testing.

If the above were true then New York state would already be at 23%...the whole state.
Posted by TigerDoc
Texas
Member since Apr 2004
9902 posts
Posted on 7/30/20 at 1:18 pm to
But even at 23%, there should still be exponential spread of this virus unless people are affirmatively doing something to reduce its spread. In Spain, they got down a couple hundred cases a month and medical populists started saying they were at herd and now they're back up to almost 3000 cases a day. It's like a forest fire and until the fuel is exhausted you have to starve it of oxygen (human proximity) until it's burned through the forest. If you increase the proximity, the burn will reaccelerate.
This post was edited on 7/30/20 at 1:19 pm
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