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Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by emmelaich on Saturday March 21, 2020 @08:01AM (#22645946)
Related, there's also the distinct possibility that many had Covid-19 well before it was in public consciousness.

Look for ILI (Influenza-like Illness) stats which were appreciably higher in January. The obvious inference is that many had Covid-19 before it was recognised as such.

This might be a good thing.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by nemo44x on Saturday March 21, 2020 @08:21AM (#22646049)
I think this is underrated. This thing must have been spreading since November here.

I know a person who back in January acquired something like pneumonia and a bad fever, went to the hospital for awhile and tests were negative for flu, etc. doctors just didn’t know what it was. The person has COPD however.

But anecdotally I’ve noticed quite a few more colleagues over the last few months out sick “with the flu or something”. No idea.

They’re still only testing people with symptoms. We need a randomizes test and a test for antibodies to have any idea how much it has already spread.

If it’s as contagious as they say and spreads in asymptotic people then why wouldn’t there be a significant population that has acquired and recovered from this? Many probably with very mild symptoms.

I could just be in denial right now as well.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by magicsmoke on Saturday March 21, 2020 @09:31AM (#22646360)
If COVID19 was spreading in the US since November then the US hospital system should have been overwhelmed by now with intensive care patients. The first infection in China was traced back to November and they were building hospitals by early February.

The only places I've seen the first US infection being dated that early are conspiracies on Chinese social media that claim the origin of COVID19 to be the US instead of Wuhan. The only way that theory works is to date the first infection in the US and claim that Americans bought it into China during the Wuhan Military games. That theory is easy enough to debunk with common sense because if the US had COVID first the hospitals would be completed overwhelmed before China's was, but it's not the first time wishful thinking's buried common sense in Chinese history.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by fragmede on Saturday March 21, 2020 @12:07PM (#22647477)
"spreading in the US since November", and "there's a new, highly infectious respiratory disease since November" are two very different things.

I don't know anyone that credibly believes it was in the US in November. We did, however, that something was amiss that early, and if the US had a pandemic response team who's job was to see something like this coming, we could have been getting testing ready since then.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by irq11 on Saturday March 21, 2020 @11:27AM (#22647166)
”If COVID19 was spreading in the US since November then the US hospital system should have been overwhelmed by now with intensive care patients.”

Or the fatality and hospitalization rates have been overestimated due to severity bias.

We know this to be true, actually. We just don’t have good estimates of what the true rates are.

It wouldn’t be shocking at all to find out the virus is already widespread, and only slightly more dangerous than influenza.

Even in Italy, if there is widespread infection, the ~4k dead would reflect a low mortality rate.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by watwut on Saturday March 21, 2020 @06:07PM (#22650622)
It would be shocking to epidemiologists. All their confidence intervals are well above influenza. They are fully aware of all caveats amateur people talk about here and don't think it is like normal flu.

In italy in hard hit city, they were unable to cremate people fast enough and army had to move bodies. Influenza does not cause that.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by irq11 on Saturday March 21, 2020 @11:02PM (#22652333)
Everything I said above was directly taken from non-amateur epidemiologists. I have invented nothing.

The error bars on CFR estimates run from fractions of a percent to a few percent. In countries that have tested large numbers of people who are not severely ill, the case fatality rates have been at the low end of that range.

This isn’t “shocking to epidemiologists”, it’s shocking only to people who dismiss basic facts and try to use irrelevant distractions (like cremation rates) to incite fear.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by watwut on Sunday March 22, 2020 @07:59AM (#22654333)
Epidemiologists say that influenza is easier to control. Irrelevant distraction relevant to topic says that only school here and there has to be closed to contain it. Epidemiologists say on that that one infected person with influenza infects less people then one infected with corona.

Epidemiologists do count with overwhelmed hospitals and services, excess deaths due that that, excess deaths on unrelated heath problems. It not just something they talk about, they have it in their models too. This does not happen with influenza, because it is easier to control. Irrelevant distraction there is Italy or Spain lately.

Epidemiologists do talk also about costs after epidemic ends, in treatment of people who will need care for long.

What amateurs do is to ignore all the above, pick up case fatality ration in well run non-overwhelmed health care system and pretend that is situation same as influenza to feel good.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by irq11 on Monday March 23, 2020 @08:26PM (#22670467)
” Epidemiologists say that influenza is easier to control.”

Not that I have heard of. You’re going to have to cite some evidence here.

(They’re both respiratory viruses with similar R0, so your evidence needs to be pretty extraordinary to be convincing.)

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by gvjddbnvdrbv on Saturday March 21, 2020 @04:17PM (#22649654)
21 days to death, doubles every 2.5 days, exponential growth. Do the maths.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by mrfusion on Saturday March 21, 2020 @10:17AM (#22646634)
You’d think mild cases wouldn’t have the same viral load as the severe cases. Even if you’re technology contagious it may be less for the mild cases.

Especially asymtomatic. You’d not be coughing or sneezing more than usual which must have some effect.

Just a thought. No one seems to have mentioned this idea.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by mynegation on Saturday March 21, 2020 @11:30AM (#22647195)
What is this idea exactly? That the virus rolled through Seattle and other areas with just a bunch of relatively mild cases and without a critical uptick in hospital load? I am not an epidemiologist but that does not seem realistic.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by fma on Saturday March 21, 2020 @09:20AM (#22646301)
If you haven't heard about the Seattle Flu Study - this is a great read. Coronavirus was in Seattle before officials confirmed it. The federal government also prevented the researchers from doing more testing, delaying valuable time.

https://www.nytimes.com/2020/03/10/us/coronavirus-testing-de...

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by acqq on Saturday March 21, 2020 @08:34AM (#22646109)
> If it’s as contagious as they say and spreads in asymptotic people then why wouldn’t there be a significant population that has acquired and recovered from this?

Because all the effects are limited by the time it takes for them to happen. We know the speed of growth, it's much faster than the expected recovery times. From all known COVID-19 cases the number of recovered are still dominated by the recovered in China.

   China: reported cases: 81,008
          dead:       3,255 
          recovered: 71,740

   Whole world: reported cases: 282,395
                dead:      11,822
                recovered: 93,189
Virus causing COVID-19 is "novel" meaning not existing among humans at all until a few months ago.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by mrfusion on Saturday March 21, 2020 @10:12AM (#22646594)
Seems like everyone I talk to either had something like that or knows people who did. It could be a huge effect.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by devmunchies on Saturday March 21, 2020 @10:03AM (#22646528)
> a person who back in January acquired something like pneumonia and a bad fever, went to the hospital for awhile and tests were negative for flu

That’s exactly what happened to my dad in February.

Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by gvjddbnvdrbv on Saturday March 21, 2020 @04:15PM (#22649640)
Yes it was the case for many people in February. They didn't have covid. Your dad is very high risk and should stay home. The doctors in UK don't need a test to diagnose covid in a patient with pneumonia. They see it in a second on an xray because it is so distinct. The Chinese doctors said the same. So do the Italians.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by gvjddbnvdrbv on Saturday March 21, 2020 @09:16AM (#22646286)
You are in denial.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by simonh on Saturday March 21, 2020 @08:16AM (#22646031)
If that were true, we should see a much higher proportion of tested people showing positive. Also we shouldn't see the proportion of people tested being positive shooting up, but we do. Those ILI stats were probably just Flu.
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by mrfusion on Saturday March 21, 2020 @10:11AM (#22646587)
I believe that most of the current testing only shows active infections?
Re:The Doctor Who Helped Defeat Smallpox Explains What's Coming by simonh on Saturday March 21, 2020 @10:47AM (#22646823)
Yes, and it has shown initially small numbers of active infections, growing rapidly, as a proportion of those tested. If the virus was already widely distributed, we would expect it to be much closer to equilibrium.