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Re:Stanford cancels plans to bring half of undergrads back t... by anonunivgrad on Friday August 14, 2020 @09:45AM (#24157841)
Let the college kids get sick. They are extremely unlikely to have any serious effects from covid. At least on a college campus they won’t infect older family members. Herd immunity on campus would be reached very quickly. The few with serious preexisting conditions can stay home until that happens.

The level of fear is frankly ridiculous. People get sick and people die. One day, we will all die. That is the human condition. Life must go on. This is not the Black Death. A 1% fatality rate, mostly of people already on the cusp of death, is not a reason to bring society to a halt, to lock children inside for months.

Re:Stanford cancels plans to bring half of undergrads back t... by acdha on Friday August 14, 2020 @10:19AM (#24158266)
They are relatively unlikely to _die_ from COVID-19 (and please do not repeat the false claim that these are only “people already on the cusp of death” - the average victim is losing at least a decade of life based on actuarial data) but we know that there are a much greater percentage of people who will experience significant health problems, potentially with life-long impacts.

Similarly, not everyone on or near campus is a health 19 year old and not every college student can afford to live in their own apartment or with a few healthy roommates. Universities have large numbers of staff of all ages, and no college town functions without a similar all-ages mix of people living near those students. The entire reason why there's so much pressure to re-open is because the lack of federal support means that city and state governments (at least 30 of the states have recent laws preventing them from running a budget deficit during a crisis) are desperate for the revenue generated by those students, and that is another way of saying that lots of people are literally banking on having those students be in contact with a fair chunk of the local economy.

Re:Stanford cancels plans to bring half of undergrads back t... by mikem170 on Friday August 14, 2020 @11:16AM (#24158985)
> we know that there are a much greater percentage of people who will experience significant health problems, potentially with life-long impacts

This seems to be an alarmist statement. Any disease with a fever component will leave a small percentage with long term damage, same for diseases affecting the lungs.

From https://www.hopkinsmedicine.org/health/conditions-and-diseas...

>COVID-19: Lasting damage to the lungs, heart, kidneys, brain and other organs is possible after a severe case of COVID-19.

>Flu: Influenza complications can include inflammation of the heart (myocarditis), brain (encephalitis) or muscles (myositis, rhabdomyolysis) tissues, and multi-organ failure.

Scary headlines sell papers. I read recently on the BBC about brain damaged covid patients. There were less than 50 in a country of 50+ million. That is not a "much greater percentage".

It does everyone a disservice to spread exaggerated fear.

Re:Stanford cancels plans to bring half of undergrads back t... by randcraw on Friday August 14, 2020 @01:59PM (#24161082)
> It does everyone a disservice to spread exaggerated fear.

And so does poo-pooing risk when you have no actual numbers.

Every infectious disease expert I've heard from is puzzled by this disease. The variance of individual outcomes from expected norms is simply impossible to predict. Taking unnecessary risk is the act of a fool.

If you or your close ones invite even a small chance of a dire outcome, then you play it safe. And you hope your good neighbors will be likewise considerate.

Re:Stanford cancels plans to bring half of undergrads back t... by mikem170 on Friday August 14, 2020 @05:45PM (#24163668)
There are lots of numbers on the flu and other infection diseases that cause the same problems. Here's a paper I just looked up for another comment talking about heart inflammation from influenza, http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.685...

> During the Sheffield, England influenza epi-demic from 1972 to 1973, the cases of 50 consecutive patients who were initially diagnosed as mild cases and were treated on an outpatient basis were followed. Transient electrocardiogram (ECG) changes were seen in 18 patients, and long-lasting changes were seen in 5 patients.

Granted I learned more than I wanted to know about the complications around influenza, and that the numbers are more significant thanI though, but my opinion is reinforced that covid is nothing out of the ordinary for these types of viruses.

>If you or your close ones invite even a small chance of a dire outcome, then you play it safe. And you hope your good neighbors will be likewise considerate.

You asked me about numbers, and now I would like to ask you the same question. What do you mean by even a small chance? Does that small chance include the risk every year from the flu, with all the related complications and possible long term effects? We don't shut the world down every year for that.

I'm not meaning to "poo-poo" risk. I want to quantify it. I'd like an intellectually rigorous response to the situation. I feel like the danger from covid relative to other similar diseases has been exaggerated, so many alarming headlines, for the clicks, not put into context, etc.

Re:Stanford cancels plans to bring half of undergrads back t... by nimaco on Friday August 14, 2020 @10:29AM (#24158384)
I always hear "much greater percentage" type language when referring to long-term effects of COVID-19. Is there an actual number associated with this? Or is it more so guesswork
Re:Stanford cancels plans to bring half of undergrads back t... by ls612 on Friday August 14, 2020 @10:46AM (#24158586)
It’s by definition unfalsifiable (since the long term since March hasn’t arrived yet). Which makes it a great talking point for people looking to spread fear.
Re:Stanford cancels plans to bring half of undergrads back t... by cellular on Friday August 14, 2020 @10:56AM (#24158715)
That's a good observation. I'll be on the lookout too now!
Re:Stanford cancels plans to bring half of undergrads back t... by acdha on Friday August 14, 2020 @11:28AM (#24159143)
We know that there are people who take a long time to recover. This is pretty widely reported but we don’t know how long that will end up taking or what permanent impacts there are since it’s a new disease and treatment options are being rapidly pursued.

https://www.sciencemag.org/news/2020/07/brain-fog-heart-dama...

https://newsnetwork.mayoclinic.org/discussion/long-term-symp...

https://www.statnews.com/2020/08/12/after-covid19-mental-neu...

There are studies looking at permanent changes to various bodily systems - see for example, this one finding cardiac differences in recovered patients:

https://jamanetwork.com/journals/jamacardiology/fullarticle/...

There are similar concerns for liver damage, reduced lung capacity, and neurological effects.

Obviously it’s too soon to have high precision numbers for this or level of impact on the rest of someone’s life but it definitely means that the deniers’ favorite framing of the outcomes as 99% ok, 1% fatal is leaving out a lot for the sake of political correctness.

Re:Stanford cancels plans to bring half of undergrads back t... by timr on Friday August 14, 2020 @12:17PM (#24159822)
"We know that there are people who take a long time to recover."

There are people who take a long time to recover from rhinovirus. The question is, at what rate? You'll note that this is not covered in the articles you have linked.

We simply don't have the data -- what we have is a small number of anecdotes, and a bunch of news organizations who are willing to write speculative stories before we know anything. But you could write the same kinds of speculative stories about any illness, if you chose to look.

That JAMA article has serious methodological flaws, by the way: their "Covid" cohort has twice the number of smokers as their "risk-factor matched" group, almost twice as many men, more people with COPD, high cholesterol, diabetes and hypertension...and they report their results in terms of absolute numbers of defects observed. The reported differences between those groups is smaller in magnitude than the number of smokers. It's frankly embarrassing that JAMA chose to publish the study.

Re:Stanford cancels plans to bring half of undergrads back t... by acdha on Friday August 14, 2020 @04:35PM (#24162942)
This is a new disease which is still early in the research cycle but I find it somewhat puzzling that in such a climate you're expecting a higher burden of proof for people urging caution than the reverse, especially given that the medical community and researchers are generally urging caution.

For example, I linked to this: https://newsnetwork.mayoclinic.org/discussion/long-term-symp...

> "I think it's an argument for why we take this disease so seriously," says Dr. Poland. "People who are thinking, especially young people: '(It's a) mild disease, you know. I might not even have any symptoms, and I'm over it.' Whoa. The data is suggesting otherwise. There's evidence of myocardial damage, cardiomyopathy, arrhythmias, decreased ejection fractions, pulmonary scarring and strokes.

I'd tend to think that a doctor at the Mayo Clinic who has relevant education, experience, and is actively working in the response has better instincts for whether we should be taking this seriously.

Re:Stanford cancels plans to bring half of undergrads back t... by timr on Saturday August 15, 2020 @12:18AM (#24165897)
"I find it somewhat puzzling that in such a climate you're expecting a higher burden of proof for people urging caution than the reverse, especially given that the medical community and researchers are generally urging caution."

I have the same standard that I apply everywhere: the burden of proof is on the person making the extraordinary claims. I don't care if that person is a hypochondriac telling me about secret herbal cures for cancer, or medical doctors who haven't done their statistics correctly. When I can look at the data myself and see that they haven't done their math right, I disregard their opinions.

Having spent my fair share of time "in the medical community", I'm here to tell you that there are plenty of doctors and nurses and professors out there who are more than willing to give a reporter a salacious quote just to get their name in the press or their paper in a better journal. Doctors are humans too: they rush to judgment, fall victim to bias, and get dazzled by the idea of seeing their name in print.

So far we have a few (mostly bad) papers describing a small number of the most serious cases, a few (really bad) papers that have gone on statistical fishing expeditions, and an absolutely credulous news media, willing to amplify any speculative claim for clicks. So no, I don't cede my critical thinking skills to an authority figure, just because that figure is in a lab coat.

Re:Stanford cancels plans to bring half of undergrads back t... by umanwizard on Friday August 14, 2020 @04:41PM (#24162981)
> we know that there are a much greater percentage of people who will experience significant health problems

Can you quantify this?

Re:Stanford cancels plans to bring half of undergrads back t... by InitialLastName on Friday August 14, 2020 @10:56AM (#24158718)
The life expectancy of someone who is 75 is ~12 years [0]. Do we really want to argue that that decade of someone's life has no value because they're "on the cusp of death"?

A 1% mortality rate in the US (if everyone gets it) is 4 million people. The US fought the longest war in their history over 3000 deaths.

That all is ignoring permanent, non-fatal damage. There's reasonable evidence at this point that Covid infections do long-term damage, even to healthy people. I'm reasonably healthy and young, and neither my lungs nor my sense of smell have recovered fully since I had it in March. Are you really arguing to sacrifice the quality of life of millions of people at the altar of economic progress?

[0] https://www.ssa.gov/oact/STATS/table4c6.html

Re:Stanford cancels plans to bring half of undergrads back t... by mikem170 on Friday August 14, 2020 @11:22AM (#24159063)
>There's reasonable evidence at this point that Covid infections do long-term damage, even to healthy people

It is already a known fact that diseases with fever and/or lung components leave a small percentage of people with long term damage. Covid is like the flu in this regard.

From https://www.hopkinsmedicine.org/health/conditions-and-diseas...

>COVID-19: Lasting damage to the lungs, heart, kidneys, brain and other organs is possible after a severe case of COVID-19.

>Flu: Influenza complications can include inflammation of the heart (myocarditis), brain (encephalitis) or muscles (myositis, rhabdomyolysis) tissues, and multi-organ failure.

It seems that people are surprised that this happens, and/or think covid is different in degree. The numbers I have seen so far are quite small and unsuprising, for example less than 50 people with long-lasting fever damage in a country of 50+ million.

Do you have any sources claiming covid is different in this regard than any other fever/lung disease?

Re:Stanford cancels plans to bring half of undergrads back t... by ipnon on Friday August 14, 2020 @02:43PM (#24161667)
Would you consider 60-78% to be a small percentage?[1] Do you have any evidence suggesting that the flu's rate of long-term cardiovascular consequences is similar?

[1] https://jamanetwork.com/journals/jamacardiology/fullarticle/...

Re:Stanford cancels plans to bring half of undergrads back t... by mikem170 on Friday August 14, 2020 @04:49PM (#24163075)
From http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.685...

> During the Sheffield, England influenza epi-demic from 1972 to 1973, the cases of 50 consecutive patients who were initially diagnosed as mild cases and were treated on an outpatient basis were followed. Transient electrocardiogram (ECG) changes were seen in 18 patients, and long-lasting changes were seen in 5 patients.

Like I said, covid is no different than the flu in this regard. The above linked paper is full of other case studies showing similar data, from 1918 to the 2000s.

While reading up on your citation I found tons of literature out there talking about how common this is with other bacterial and viral infections.

EDIT: I grant that the numbers for myocardial inflammation are not insignificant. I'm learning as I go. But I'll stand by my opinion that covid is not (historically) anything out of the ordinary, just another coronavirus that made the jump to people, like so many before, and lockdowns are not going to eradicate it.

Re:Stanford cancels plans to bring half of undergrads back t... by breck on Friday August 14, 2020 @01:02PM (#24160382)
12 years of life expectancy, but likely less of HALE, which is the type of metric better suited to the OPs point.

https://publichealth.wustl.edu/heatlhspan-is-more-important-...

Re:Stanford cancels plans to bring half of undergrads back t... by everydaydriver on Friday August 14, 2020 @09:51AM (#24157919)
Even Cuomo mentioned in April that closing down colleges and having students return to live with, in some case, elderly relatives, may not have been the best public health policy.
Re:Stanford cancels plans to bring half of undergrads back t... by matz1 on Friday August 14, 2020 @10:03AM (#24158083)
Is the policy is to have 0 death and to ignore the damage from lockdown? Then yeah its not the best policy.
Re:Stanford cancels plans to bring half of undergrads back t... by nradov on Friday August 14, 2020 @10:44AM (#24158553)
The best estimate of infection fatality rate is only 0.65%, not 1%.

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

Re:Stanford cancels plans to bring half of undergrads back t... by randcraw on Friday August 14, 2020 @01:48PM (#24160933)
Tomorrow you have a .0001% chance of dying. Care to increase that to 1%? (E.g. walking through a bad thunderstorm.) Or 10% (Walking through a battlefield or in the middle of a busy superhighway.) Then are you willing to live with that level of risk every day for the next nine months? In time, increased risk adds up to real danger.

You also overlook the many people on campus who are over age 30 -- all profs, and most academic and support staff. Infected students will mix with them and increase their risk to a dangerous degree that none of them would welcome.

Or are you thinking that you can run a college with only students and no staff? Dream on.

Re:Stanford cancels plans to bring half of undergrads back t... by SamuelAdams on Friday August 14, 2020 @10:18AM (#24158251)
Do you have sources saying the fatality rate is capped at 1%?
Re:Stanford cancels plans to bring half of undergrads back t... by chasd00 on Friday August 14, 2020 @10:48AM (#24158610)
nothing is capped during an ongoing pandemic but yeah given we're seeing around 40% asymptomatic, 1% seems about right if not a little on the high side.

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

Re:Stanford cancels plans to bring half of undergrads back t... by pjc50 on Friday August 14, 2020 @10:21AM (#24158296)
There are substantial (but still very unclear and lacking in stats) reports of long term health conditions among even young people after covid.

Besides, by your argument, why should we even have bothered eradicating polio?

Re:Stanford cancels plans to bring half of undergrads back t... by matz1 on Friday August 14, 2020 @10:25AM (#24158344)
Yes of course there will be, any diseases could cause long term health conditions in some of population. Flu too can cause long term damage too. But does it justify lockdown ? closing down school ? No. Especially when its still unclear and lacking in stats.

>why should we even have bothered eradicating polio?

Because it doesn't require locking down significant part of the population...

Re:Stanford cancels plans to bring half of undergrads back t... by SpicyLemonZest on Friday August 14, 2020 @10:32AM (#24158424)
I remain skeptical of lockdowns, but it was very common to close down schools in areas where polio was spreading.
Re:Stanford cancels plans to bring half of undergrads back t... by liability on Friday August 14, 2020 @12:12PM (#24159775)
Polio cripples 25-80% of kids that survived it, and kills 2-5% of them. Polio mainly spreads through kids.

https://www.who.int/news-room/fact-sheets/detail/poliomyelit...

Comparing covid-19 to polio with regard to the danger to kids is absurd.

Re:Stanford cancels plans to bring half of undergrads back t... by ls612 on Friday August 14, 2020 @10:48AM (#24158606)
For the whole school year? Or for a couple weeks at the peak of the outbreak?
Re:Stanford cancels plans to bring half of undergrads back t... by SpicyLemonZest on Friday August 14, 2020 @10:51AM (#24158641)
Not for the whole school year, no.
Re:Stanford cancels plans to bring half of undergrads back t... by erichocean on Friday August 14, 2020 @10:08PM (#24165296)
They didn't have Zoom either, so we don't know what they would have done if remote learning had been possible.
Re:Stanford cancels plans to bring half of undergrads back t... by ceilingcorner on Friday August 14, 2020 @10:09AM (#24158161)
This (over) reaction makes me worried about a real pandemic, should one ever come.