2019-2020 coronavirus pandemic (Vaccination 2021 Edition)

Phoenixmgs

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No, it's 20% and that is accounting for underreporting, because it tracks with South Korean, Italian, and French data from mass and spot testing, and contact tracing which accounts for asymptomatic and mildly-symptomatic cases. Those aren't just WHO numbers based on shady-ass Chinese data, that's the CDC's and Johns Hopkins' numbers.

Now let me guess, now you're going to move the goalposts by trying to claim faulty testing and that's not really the case.
I'm almost positive that 20% number is not accounting for the adjusted actual infections. For example, New York has had 380k official infections. According to this, New York has had 90k hospitalizations due to the virus. That equals out to 24% of infections causing hospitalizations. However, that's not including adjusting for the actual infection number, which New York anti-body tests have shown that is 10x the official infection count, which will bring the hospitalization percent down to 2.4%.
 

SupahEwok

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I'm almost positive that 20% number is not accounting for the adjusted actual infections. For example, New York has had 380k official infections. According to this, New York has had 90k hospitalizations due to the virus. That equals out to 24% of infections causing hospitalizations. However, that's not including adjusting for the actual infection number, which New York anti-body tests have shown that is 10x the official infection count, which will bring the hospitalization percent down to 2.4%.
2.4% of a hundred million is rather a lot of people, you know. Numbers which can easily be reached without societal restraint.
 

Phoenixmgs

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2.4% of a hundred million is rather a lot of people, you know. Numbers which can easily be reached without societal restraint.
It's a hell of a lot less than basically a quarter of a hundred million. I've never claimed or implied to not have any restraint, I'm listing the numbers as they are.
 

stroopwafel

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It's a hell of a lot less than basically a quarter of a hundred million. I've never claimed or implied to not have any restraint, I'm listing the numbers as they are.
The problem with these numbers is that they don't tell the whole story. Suddenly every person that dies of Covid is one too many when ofcourse under non-Covid circumstances people would have died as well. Which begs the question: for the vast majority of hospitalizations was Covid the cause of death or was it underlying disease or advanced age with Covid simply being the final straw?
 

Agema

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Which begs the question: for the vast majority of hospitalizations was Covid the cause of death or was it underlying disease or advanced age with Covid simply being the final straw?
In that case, they're a covid-19 death. If you punch a 20-something who falls to the ground and gets back up with just a bruise, and then an 80-year-old man who because of the frailty of his advanced years suffers a subdural haemmorhage and dies, nobody argues the 80-year-old died of old age-related infirmity.

Ever hear the old quote about tactics, strategy, and logistics? Well, this is what a public health crisis looks like when it must be considered, first and foremost, in logistical terms. If you're thinking in terms of COVID-19's mortality rate you're looking at the completely wrong statistic; the one you ought to be looking at is that 20% of cases manifest symptoms severe enough to necessitate medical intervention.
20% of over-65s, maybe. Figures vary from place to place, but generally somewhere between a fifth to a half of people hospitalised appear to be dying. If the infection fatality rate is about 0.5-1% as most studies seem to be currently indicating, that suggests no more than 5% of people who contract covid-19 require hospitalisation, a minority of which need critical care.

That's still a massive problem of course, because the number of critical care beds available in the average Western country is in the region of 10-20 per 100,000 population, and they tend to be at least half occupied at any one time, plus that they require particularly intensive staffing. Thus covid-19 can easily overwhelm the health service.
 

Fieldy409

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Check out this sweet page for data you can look up reports for every single day of the numbers at the time for the virus.

I used it to show up a guy on youtube claiming that cases peaked in March. What the heck?
 
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stroopwafel

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In that case, they're a covid-19 death. If you punch a 20-something who falls to the ground and gets back up with just a bruise, and then an 80-year-old man who because of the frailty of his advanced years suffers a subdural haemmorhage and dies, nobody argues the 80-year-old died of old age-related infirmity.
That is a very weak comparison. There is no deliberate intent with a virus. If someone of 80 gets punched and dies the person responsible is still charged with murder even if the 80-year old would have died a day later of natural causes. It's a different situation if one is to facilitate care and forced to make a cost/benefit analysis with scarce resources. The assumption is that covid-19 warrants these drastic measures of indefinite lockdowns, drastic increase of state deficit, job loss and collateral damage in healthcare of delayed/cancelled interventions but when the majority of people in ICU's consists of advanced age and/or very sick with one foot already in the grave than you can atleast challenge that assumption.
 

Fieldy409

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That is a very weak comparison. There is no deliberate intent with a virus. If someone of 80 gets punched and dies the person responsible is still charged with murder even if the 80-year old would have died a day later of natural causes. It's a different situation if one is to facilitate care and forced to make a cost/benefit analysis with scarce resources. The assumption is that covid-19 warrants these drastic measures of indefinite lockdowns, drastic increase of state deficit, job loss and collateral damage in healthcare of delayed/cancelled interventions but when the majority of people in ICU's consists of advanced age and/or very sick with one foot already in the grave than you can atleast challenge that assumption.
Technicallly I don't think anyone dies of 'old age' theres always some other reason. Being old just makes you increasingly prone to health problems until something gives.
 

tstorm823

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Better then to eat the deficit and risk economic recession, because you can solve that way better than trying to rebuild a healthcare system when you have no staff available and a constant demand for healthcare from the population.
Better one than the other, but the proper answer is somewhere in the middle. The harder you lock down, the less covid will overrun the healthcare system. Treatment is available, fewer people die even if the same amount get sick eventually, and you avoid system collapse. But also, the harder you lockdown, the more negative consequences lockdown has AND the slower the virus spreads, so the longer you have to remain in lockdown, AND problems exacerbated by turning off people's lives cause exponentially more damage as you lengthen the quarantine.

Imagine a graph where the x-axis is the severity of the lockdown, and the y-axis is damage being done, and you've got two curves to represent the virus and the lockdown. On the left side, where you do nothing, the healthcare system falls apart and the covid damage is way up, lockdown effect is zero. As you impose restrictions to mitigate the spread, moving right on the graph, covids damage plummets while the effect of quarantine only slowly increases, perhaps imperceptibly given the scale of the two. But once you've passed the point where the healthcare system is no longer overloaded by covid, the precipitous drop flattens out, each new measure saves fewer people than the last. But as those measures are added, the negative consequences of those measures compound, AND the duration they need to be in effect lengthens, and suddenly the impact of the shutdown reveals itself as an exponential problem.

I don't think overall it's been an overreaction. My state did some things I think were stupid, shutting down road work for a month is possibly zero gain for a significant loss. But the places that were hit dramatically by covid-19 obviously didn't overreact. The problem is places that locked down disproportionate to their own problems. If a rural state locks down like New York City, they won't get through any of the curve. They'd statistically be looking at months before they find peak infections, and they likely wouldn't have ever overloaded hospitals without any restrictions beyond the most basic social distancing. At this point, the option of genuinely least harm is to relax the restrictions knowing there will be an uptick, because the consequences of staying at home are becoming increasingly visible, and the time they'd need to keep measures in place to avoid that spike forever is still months and months long.
 

Fieldy409

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Better one than the other, but the proper answer is somewhere in the middle. The harder you lock down, the less covid will overrun the healthcare system. Treatment is available, fewer people die even if the same amount get sick eventually, and you avoid system collapse. But also, the harder you lockdown, the more negative consequences lockdown has AND the slower the virus spreads, so the longer you have to remain in lockdown, AND problems exacerbated by turning off people's lives cause exponentially more damage as you lengthen the quarantine.

Imagine a graph where the x-axis is the severity of the lockdown, and the y-axis is damage being done, and you've got two curves to represent the virus and the lockdown. On the left side, where you do nothing, the healthcare system falls apart and the covid damage is way up, lockdown effect is zero. As you impose restrictions to mitigate the spread, moving right on the graph, covids damage plummets while the effect of quarantine only slowly increases, perhaps imperceptibly given the scale of the two. But once you've passed the point where the healthcare system is no longer overloaded by covid, the precipitous drop flattens out, each new measure saves fewer people than the last. But as those measures are added, the negative consequences of those measures compound, AND the duration they need to be in effect lengthens, and suddenly the impact of the shutdown reveals itself as an exponential problem.

I don't think overall it's been an overreaction. My state did some things I think were stupid, shutting down road work for a month is possibly zero gain for a significant loss. But the places that were hit dramatically by covid-19 obviously didn't overreact. The problem is places that locked down disproportionate to their own problems. If a rural state locks down like New York City, they won't get through any of the curve. They'd statistically be looking at months before they find peak infections, and they likely wouldn't have ever overloaded hospitals without any restrictions beyond the most basic social distancing. At this point, the option of genuinely least harm is to relax the restrictions knowing there will be an uptick, because the consequences of staying at home are becoming increasingly visible, and the time they'd need to keep measures in place to avoid that spike forever is still months and months long.
One problem with what you're saying. New Zealand and other countries are proof of concept that eradication is viable. They told us at the start it wasn't and the best we could hope for is flattening the curve, but turns out eradication is doable. It will probably happen in Australia too soon if the protests didn't mess it up. It's almost certainly going to happen here once we our last two in Tasmania recover.
 
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Agema

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That is a very weak comparison. There is no deliberate intent with a virus. If someone of 80 gets punched and dies the person responsible is still charged with murder even if the 80-year old would have died a day later of natural causes.
A person that dies when having covid-19 when they otherwise would not is a covid-19 death. (What is potentially tricky is identifying whether covid-19 actually did contribute to their death.)

It's a different situation if one is to facilitate care and forced to make a cost/benefit analysis with scarce resources. The assumption is that covid-19 warrants these drastic measures of indefinite lockdowns, drastic increase of state deficit, job loss and collateral damage in healthcare of delayed/cancelled interventions but when the majority of people in ICU's consists of advanced age and/or very sick with one foot already in the grave than you can atleast challenge that assumption.
Universal healthcare does not mean "everyone except the elderly", and the principle that we can discriminate against certain demographic groups to save society as a whole a few bucks poses something of a moral hazard. Who do we sacrifice next? South Asians? People with aspergers? Red-haired people?
 

stroopwafel

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This is how healthcare has been measuring cause of death for at last a century and most likely since the advent of modern healthcare some 200 years ago. Whatever disease directly contributes to your death is part of it. If you get a stroke because of your arteriosclerosis, stroke is the cause of death but the sclerosis is a significant contributor. If you asphyxiate due to terminal lung cancer, the tumors were directly contributing. If Covid-19 causes respiratory failure, you certainly died of Covid-19.

Now, the reason for all the drastic containment measures with Covid-19 is not because a bunch of 80+ elderly might die. It is because Covid-19 is quite contagious and has a rather high rate of complications even among previously healthy. The cost-benefit analysis has not primarily been about how many lives or dies, but whether any single countries healthcare system would be able to keep up with rampant Covid-19 complications. Staffing ICU's is incredibly hard (since it is a very specialized line of work you can't just throw any nurse or doctor in there) and if you suddenly get a tenfold or twentifold increase of patients in need of ICU care, how do you solve that?

The answer most countries arrived at was: You can't massively expand ICU capacity, there simply isn't enough staff to go around, so the solution is to take measures to avoid potentially overtaxing and collapsing the healthcare system. All of us who work in healthcare are people too and just like everyone else we will eventually break mentally or physically if we are forced to work under terrible conditions for an undetermined but lengthy amount of time. And when that happens, when you get high vacancy numbers at ICU's due to extended sick leaves, you are at most a few weeks away from a general collapse of the healthcare system as the ripple effect will see ward after ward overtaxed and then shut down. Better then to eat the deficit and risk economic recession, because you can solve that way better than trying to rebuild a healthcare system when you have no staff available and a constant demand for healthcare from the population.
Well yeah, I understand that from the perspective of doctors/nurses who will always try to do what is best for the patient. But before admission you could have for example a triage where people with really bad prognosis get palliative care and not invasive ICU care many don't even recover from or live maybe a month longer under the most horrible conditions. That way you could take a large chunk of stress and workload away from operational medical staff not equipped for these kind of decisions.

I know it's a kind of icky subject with really bad associations but this complete Biblical opposite of ''the first shall be the last'' that everybody must be saved no matter how old or how sick also has disastrous consequences. Say for example someone's cancer treatment is delayed and the person dies as a result and that person still had an entire future in front of them and also had young children in order to put some senior with really bad prospects on a ventilator than is that trade-off really worth it? That decision is still being made even if one is the one you see in urgent critical care and the other much later during a really bad consultation.

Universal healthcare does not mean "everyone except the elderly", and the principle that we can discriminate against certain demographic groups to save society as a whole a few bucks poses something of a moral hazard. Who do we sacrifice next? South Asians? People with aspergers? Red-haired people?
Unfortunately resources aren't infinite so choices are always being made whether implicit or explicit that has nothing to do with who is 'discriminated against'.
 

Eacaraxe

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I'm almost positive that 20% number is not accounting for the adjusted actual infections. For example, New York has had 380k official infections. According to this, New York has had 90k hospitalizations due to the virus. That equals out to 24% of infections causing hospitalizations. However, that's not including adjusting for the actual infection number, which New York anti-body tests have shown that is 10x the official infection count, which will bring the hospitalization percent down to 2.4%.
20% of over-65s, maybe. Figures vary from place to place, but generally somewhere between a fifth to a half of people hospitalised appear to be dying. If the infection fatality rate is about 0.5-1% as most studies seem to be currently indicating, that suggests no more than 5% of people who contract covid-19 require hospitalisation, a minority of which need critical care.
No, those figures are accurate and still track, the problem is you guys aren't paying attention to what I said and are conflating "medical intervention" with "hospitalization". Those two terms are not synonymous, and mean completely different things; hospitalization is admission to a hospital for care, medical intervention is any care employed to alter the outcome of a condition. Hospitalization is a type of medical intervention, but not all medical interventions are hospitalizations.

For example, if you get strep throat and go to the doctor, they check you out, and send you home with a prescription for an antibiotic and the usual recommendations, that's still a medical intervention.

What you're not taking into account which is the important part of this, is medical interventions of any sort still impart a demand in terms of time and resources on the health care system.
 

Silvanus

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Unfortunately resources aren't infinite so choices are always being made whether implicit or explicit that has nothing to do with who is 'discriminated against'.
Resources don't need to be infinite in order to provide sufficient healthcare for the entirety of the population. Sufficient resources to do so are easily within American capacity: sacrifice a tiny minuscule fraction of defence spending, for instance-- still leaving the US with a military ten times more powerful than any other-- and you could double healthcare expenditure. The paucity of resources is a myth.

What's more, if a system disproportionately affects a certain demographic with the tacit consent of the government, then yes, that's discrimination. It's almost the definition of it.
 

tstorm823

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One problem with what you're saying. New Zealand and other countries are proof of concept that eradication is viable. They told us at the start it wasn't and the best we could hope for is flattening the curve, but turns out eradication is doable. It will probably happen in Australia too soon if the protests didn't mess it up. It's almost certainly going to happen here once we our last two in Tasmania recover.
New Zealand is an island. It has less than half the population density of the US. It's first case of covid was found on February 28th.
The US is half a continent. It's first cases were found in January, with some evidence suggesting even earlier spread. The virus was actively spreading in the United States well before New Zealand took any measures to combat it.
New Zealand got to manage the pandemic during the summer.
The US got hit at the peak of cold and flu season.

Comparing these two isn't an fair assessment. The circumstances aren't remotely the same. Eradication is viable if a) you can cut your country off from the world, and b) have a chance to implement preventative measures before pandemic spread. The US and Europe never had those luxuries.
 

stroopwafel

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Resources don't need to be infinite in order to provide sufficient healthcare for the entirety of the population. Sufficient resources to do so are easily within American capacity: sacrifice a tiny minuscule fraction of defence spending, for instance-- still leaving the US with a military ten times more powerful than any other-- and you could double healthcare expenditure. The paucity of resources is a myth.

What's more, if a system disproportionately affects a certain demographic with the tacit consent of the government, then yes, that's discrimination. It's almost the definition of it.
Even if that is true(mind that in Europe 'collective' healthcare spending already reaches into the stratosphere) then you would still have the issue of finite doctors, nurses and ICU personnel. Human resources are also a resource even if money grew on trees. Sooner or later you'll run into limitations.
 

Fieldy409

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New Zealand is an island. It has less than half the population density of the US. It's first case of covid was found on February 28th.
The US is half a continent. It's first cases were found in January, with some evidence suggesting even earlier spread. The virus was actively spreading in the United States well before New Zealand took any measures to combat it.
New Zealand got to manage the pandemic during the summer.
The US got hit at the peak of cold and flu season.

Comparing these two isn't an fair assessment. The circumstances aren't remotely the same. Eradication is viable if a) you can cut your country off from the world, and b) have a chance to implement preventative measures before pandemic spread. The US and Europe never had those luxuries.
Why? Its only a difference of scale. Why does being a tiny island matter? America is just a bigger island in a way.

Who says your country needs to be cut off with no land borders? If both you and your neighbouring countries all fight the disease with hygiene and quarantine whats the difference?

New Zealand is smaller but its infrastructure is also smaller. USA is bigger but its infrastructure is also bigger.

And New Zealand isn't the whole story. Australia is on the way to eradication too. Only just over 7 thousand cases in all of Australia and we're in our winter now.

If you wash your hands, and all the surfaces you touch are washed and/or not touched by other people for just a few days, the disease dies when you recover with nobody else infected. Its totally doable.

Don't ignore it just because its smaller. It IS a proof of concept. Just think about it.
 

tstorm823

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Why? Its only a difference of scale. Why does being a tiny island matter? America is just a bigger island in a way.

Who says your country needs to be cut off with no land borders? If both you and your neighbouring countries all fight the disease with hygiene and quarantine whats the difference?

New Zealand is smaller but its infrastructure is also smaller. USA is bigger but its infrastructure is also bigger.

And New Zealand isn't the whole story. Australia is on the way to eradication too. Only just over 7 thousand cases in all of Australia and we're in our winter now.

If you wash your hands, and all the surfaces you touch are washed and/or not touched by other people for just a few days, the disease dies when you recover with nobody else infected. Its totally doable.

Don't ignore it just because its smaller. It IS a proof of concept. Just think about it.
Just reread what I said in the last post 20 times please.
 

Thaluikhain

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Sufficient resources to do so are easily within American capacity: sacrifice a tiny minuscule fraction of defence spending, for instance-- still leaving the US with a military ten times more powerful than any other-- and you could double healthcare expenditure.
Or be a bit sneakier, and keep the military funding the same, but dedicate a lot more of it to their medical services and then let them help civilians. You still get to give them green uniforms and military ranks if you want.