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comment by b_b
b_b  ·  1705 days ago  ·  link  ·    ·  parent  ·  post: A fiasco in the making?

I would caution against reading too much into the hospitalization and case fatality rates, because we don't know the infection rate, without which those numbers are close to meaningless. It is reckless to say we have a 3% CFR without knowing the IFR (infection fatality rate). The flu has been around long enough, and testing for it is routine enough, that we pretty much can make a really good guess about the CFR/IFR. Since we're sailing in uncharted waters wrt covid, I think we're in danger of making some wildly inaccurate speculations (like the WHO's reckless and irresponsible pronouncement about a 3.4% CFR).

I despise the president as much as the next guy, but I hope our collective hate for him isn't going to make us knee-jerk react against anything he suggests (even the proverbial blind squirrel can find a nut from time to time). I think reopening for business is very premature, but I also think that he's correct about his statement that if it were up to "the doctors" (probably meaning Fauci) we'd be closed for business for a year. We've got to balance somehow. I don't know enough to know what the right balance is, but I do know that a major depression is going to cause way more deaths and diseases to the most innocent among us (poor children) than covid ever could. We have enough history behind us to be very certain of that.





mk  ·  1705 days ago  ·  link  ·  

We don't have the infection rate pinned down, but signs suggest the R0 range is higher than flu. We also have some confidence that the hospitalization rate is greater. We aren't flying blind in terms of genomic epidemiology, which does provide clues of the infection rate and the physical spread.

https://nextstrain.org/ncov?c=country

No doubt, doctors shouldn't decide when the economy is reopened. But I don't expect Trump to make a data-driven call. My guess is the sweet spot is somewhere between 15 days and one year.

Just giving enough time so that everyone has a supply of surgical masks could get us closer to striking a rational balance. In China, you need to wear a mask if you are out in public, not so much to protect yourself, but to reduce your chance of infecting others. We know that works. If everyone in the US returned to work with ample supply of surgical masks, that could increase economic activity while minimizing the burden on hospital systems.

b_b  ·  1705 days ago  ·  link  ·  

Totally agree on all counts. Now if we could only get the NY Times to stop making body counts their lead story everyday!

mk  ·  1705 days ago  ·  link  ·  

South Korea seems a good example for what COVID-19 looks like when managed in a reasonable way. They had a flare up, tested like crazy, and have managed to keep the death rate around 1% while staying open for business.

https://www.msn.com/en-us/news/world/how-south-korea-flattened-the-coronavirus-curve/ar-BB11AJwA

https://abcnews.go.com/International/south-korea-takes-measures-face-masks-domestically-amid/story