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*** OFFICIAL *** COVID-19 CoronaVirus Thread. Fresh epidemic fears as child pneumonia cases surge in Europe after China outbreak. NOW in USA (10 Viewers)

So far I'm finding graphics saying they are sourced from the CDC website which show plummeting flu and pneumonia deaths, but none are linked and I can't find the same charts myself. There's also the argument to be made that social distancing is helping to stop the flu in its tracks. Still digging.
Very true. These things often end up being multi-factorial, and therefore difficult to isolate any one factor.

Really, flu should be dropping like a stone. Common colds, too, for that matter ... though I doubt the CDC really has a view into nationwide common-cold figures.

 
I don't know about "wildly contagious" like measles ... but the part in red I had thought was pretty well established when you look at an overall population (and thus "most" meaning "50% + 1").
by most folks, I'm talking about something like 85% or so who are either completely asymptomatic or who's symptoms aren't severe enough to warrant a test.

 
I'm confident we will be. We're all taking the self-isolation measures very seriously. I've probably spent a grand total of an hour outside in the last 3 weeks, and only to get necessary supplies. Family is all doing the same. 

It's just going to be a different world we will someday return to and I guess that's sinking in in a personal way right now. 
It's been hitting me in a similar way, really. Our lives will never truly be the same. Yes, stuff will reopen, and we can get back to something resembling normal, but it'll still be slightly different.

 
With the surge of “unknown” deaths in Florida and now this article, I’m not sure what to believe anymore...

https://gothamist.com/news/surge-number-new-yorkers-dying-home-officials-suspect-undercount-covid-19-related-deaths
If I had to guess, and it's only a guess, the numbers are undercounted due to those dying at home and the fact that I don't believe there is a giant conspiracy of healthcare workers to count a non-Covid death as a likely (but untested) Covid death.  My guess is that if you show up at the hospital with a cough, fever and difficulty breathing and then pass that the HC professional who has seen many similar cases is generally rightly attributing the COD to Covid.  Conversely, if you die at home and then someone collects your body that the COD is likely listed as "unknown" regardless of what symptoms might be described by relatives.  

As always, I may be wrong.  Just sharing HOW I am coming to the POV that there is a far greater chance of under-counting than over-counting.   

 
I don't know about "wildly contagious" like measles ... but the part in red I had thought was pretty well established when you look at an overall population (and thus "most" meaning "50% + 1").
by most folks, I'm talking about something like 85% or so who are either completely asymptomatic or who's symptoms aren't severe enough to warrant a test.
Well, then you're doubtlessly correct -- the people you describe do tend to successfully fight off COVID. My assumption is that you meant "85% or so among (known or unknown) COVID carriers ... "

 
Someone mentioned this yesterday, but France makes no sense.  

Today's numbers:  11,059 new cases, 1,417 new deaths.  
Yeah, that was me.  I suggested yesterday that it'd be impossible to predict today's numbers given the craziness of the past 6 days.  Have no idea what is going on there.

 
I accepted that much a while ago. I think today's events kind of impressed upon me that "slightly" may need to be revised to "significantly." I'm not sure anymore that it will go back to resembling normal. I mean, ultimately, life will get back to normal, but it may be like we slept for 6 months and they reprogrammed the Matrix in the interim. 
Just keep focused on the horizon. We're getting thrown around by waves of uncertainty, and everyone's a little green around the gills, but the horizon stays steady.

 
I'm not buying this one. Kids are germ factories already, the last thing we need is to send them to group together. I distinctly remember every time school started back up after a break, some type of sickness swept through the halls with abandon. Now they're saying to do this in the middle of a pandemic? Hell no!
It's probably researchers that are stuck at home with their kids and can't get #### done. So they made up a topic to maybe get them out of there 😜

 
There's also the argument to be made that social distancing is helping to stop the flu in its tracks.
This seems like the most obvious conclusion, rather than some conspiracy of under-reporting.  It's backed up by stuff like this which seems to indicate (as best it can) that the rate of flu-like illnesses is much lower than expected since efforts like social distancing went into effect.  

 
Shaping up to be the worst day of numbers for the US since this started
Explain please.  Because where you see negative, I see positive case counts:

  • Washington and CA are doing wonderfully
  • NY & NJ appear to be flattening
  • Nothing in for MA yet, but I'd hope that we start to see flattening there very soon
This was ALWAYS going to be a bad week, but honestly I am seeing more positive signs sooner than I expected.  We can do this.  We ARE doing this.  Stay the course and stay positive.

 
This seems like the most obvious conclusion, rather than some conspiracy of under-reporting.  It's backed up by stuff like this which seems to indicate (as best it can) that the rate of flu-like illnesses is much lower than expected since efforts like social distancing went into effect.  
It's also the end of flu season. Numbers were already way down before all this started as is the case every year.

 
Explain please.  Because where you see negative, I see positive case counts:

  • Washington and CA are doing wonderfully
  • NY & NJ appear to be flattening
  • Nothing in for MA yet, but I'd hope that we start to see flattening there very soon
This was ALWAYS going to be a bad week, but honestly I am seeing more positive signs sooner than I expected.  We can do this.  We ARE doing this.  Stay the course and stay positive.
I meant deaths, and yes of course we knew this would happen.  It's still sad to see it unfold this way. 

 
I hope you're right, but have seen zero evidence that you are.  Either way, we plan like herd immunity is as far away as the numbers tell us it is.
Here's an article in todays paper: SC likely has more than 15,000 cases of coronavirus, health officials estimate.  the reported number for SC is 2.2k.  If there are actually ~7x more people infected than the numbers actually state, the total CFR is much lower - less than 0.5%.  And if that's the case, it also means we could hit herd immunity 7x faster.  now, if it's that contageous and a small people are at risk of very serious outcomes, there is still a very real risk of overloading the hospitals so we need to keep on doing what we do.  

The actual result of this article are justaflubro's claiming that this thing isn't so bad afterall.  I think that's still a dangerous attitude.

 
FWIW, I enjoyed it.  Reminded me of the People's Front of Judea, but in reverse...or was it the Judean People's Front?  Anyway, Joe's point is a fair one as this thread as been far more successful than "the thread that shall not be named"
Yeah I was thinking about that as well. Probably the funniest bit in one of the funniest movies ever. 

 
Something I've been pondering but haven't seen any data on is how many smokers/former smokers are among the number of deaths/hospital stays for this. We talk a lot about underlying and preexisting conditions, but this isn't something that I've seen brought up a lot. May have no correlation at all. Just seems like compromised lungs would have a hard time with this.

Anyone seen anything?

 
just a reminder when looking at the data: last Sunday we had a reduction in total deaths - 525 on Saturday, and then 363 on Sunday.  Monday was about the same as Saturday (558), and the giant spike came on Tuesday (912).

This week is following the same pattern: 1330 on Saturday and 1165 on Sunday.  Monday was back up a bit (1255) but today, Tuesday, is shaking up to be especially grim (1522 and counting).

It's almost as if some deaths that happen on Sunday aren't tabulated until Tuesday.

 
Here's an article in todays paper: SC likely has more than 15,000 cases of coronavirus, health officials estimate.  the reported number for SC is 2.2k.  If there are actually ~7x more people infected than the numbers actually state, the total CFR is much lower - less than 0.5%.  And if that's the case, it also means we could hit herd immunity 7x faster.  now, if it's that contageous and a small people are at risk of very serious outcomes, there is still a very real risk of overloading the hospitals so we need to keep on doing what we do.  

The actual result of this article are justaflubro's claiming that this thing isn't so bad afterall.  I think that's still a dangerous attitude.
We can't calculate the CFR based on cases that might exist when we're in the middle of the crisis and people haven't recovered or died yet.  If there are 15k active cases in South Carolina, than that means a lot of deaths are coming in the future.  Deaths lag behind everything else.  You may recall there was a time when people were saying that the sub 1% CFR in South Korea and Germany was proof that the CFR was lower than 1%.  Then the deaths caught up, and both are in the 2% range.

 
just a reminder when looking at the data: last Sunday we had a reduction in total deaths - 525 on Saturday, and then 363 on Sunday.  Monday was about the same as Saturday (558), and the giant spike came on Tuesday (912).

This week is following the same pattern: 1330 on Saturday and 1165 on Sunday.  Monday was back up a bit (1255) but today, Tuesday, is shaking up to be especially grim (1522 and counting).

It's almost as if some deaths that happen on Sunday aren't tabulated until Tuesday.
Makes sense because I think most tabulations are really a total of all the numbers from the day before.  So Sunday and Monday being lighter days and Tuesday being the day where you catch up from the weekend.

 
Hopefully you and your love ones will all be alive to get new jobs.  Good luck with your health!
I'm confident we will be. We're all taking the self-isolation measures very seriously. I've probably spent a grand total of an hour outside in the last 3 weeks, and only to get necessary supplies. Family is all doing the same. 

It's just going to be a different world we will someday return to and I guess that's sinking in in a personal way right now. 
Yeah I completely understand, it is a great thing that those thoughts of the future become secondary though when your family's health is a stake.  I wish more people took it as seriously as you!

 
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We can't calculate the CFR based on cases that might exist when we're in the middle of the crisis and people haven't recovered or died yet.  If there are 15k active cases in South Carolina, than that means a lot of deaths are coming in the future.  Deaths lag behind everything else.  You may recall there was a time when people were saying that the sub 1% CFR in South Korea and Germany was proof that the CFR was lower than 1%.  Then the deaths caught up, and both are in the 2% range.
oh, I'm aware.  I try not to get into debating CFR. 

 
You may recall there was a time when people were saying that the sub 1% CFR in South Korea and Germany was proof that the CFR was lower than 1%.  Then the deaths caught up, and both are in the 2% range.
Someone might nip you on this -- both of those countries are still a little below 2% even now. But they're gaining.

 
Hospitals to be Reimbursed for Treating Uninsured Coronavirus Cases via the Economic Relief Package

Coincidence? Who knows for sure or to what extent? But it appears as though it would make business sense to classify as many deaths as possible as due to or suspected due to Covid-19. Apparently deaths recorded as due to flu and pneumonia have plummeted. Looking for better sourcing on that.
This is indeed well worth considering, but presumably those patients were tested for flu and found negative.

 
Here's an article in todays paper: SC likely has more than 15,000 cases of coronavirus, health officials estimate.  the reported number for SC is 2.2k.  If there are actually ~7x more people infected than the numbers actually state, the total CFR is much lower - less than 0.5%.  And if that's the case, it also means we could hit herd immunity 7x faster.  now, if it's that contageous and a small people are at risk of very serious outcomes, there is still a very real risk of overloading the hospitals so we need to keep on doing what we do.  

The actual result of this article are justaflubro's claiming that this thing isn't so bad afterall.  I think that's still a dangerous attitude.
Remember though that deaths lag infections.

 
I have no idea if the IHME model is accurate or not but the first wave is projected to finish with only 3% of the population having been infected.

That's a LONG way away from herd immunity.

 
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I have no idea if the IHME model is accurate or not but the first wave is projected to finish with only 3% of the population having been infected.

That's a LONG way away from herd immunity.
If the sportsbooks in town were open and taking bets on this sort of thing, I'd have zero hesitation betting on that estimate being way, WAY too low.

 
Something I've been pondering but haven't seen any data on is how many smokers/former smokers are among the number of deaths/hospital stays for this. We talk a lot about underlying and preexisting conditions, but this isn't something that I've seen brought up a lot. May have no correlation at all. Just seems like compromised lungs would have a hard time with this.

Anyone seen anything?
I just saw a propaganda article trying to include cannabis with the effects of smoking tobacco, but this is the only thing I’ve seen.

https://www.insider.com/regular-cannabis-smoking-may-increase-covid-19-risk-lung-experts-2020-4

 
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Thanks for digging deep here. Curious to see if we can a peek under the lid.
My company is having difficulty classifying our COVID patients within our Electronic Health Records (EHR). If you thought wrangling 50 of something into some sort of order (states) was less than ideal, imagine that with 190 things (our hospitals). We have labs being sent off as "miscellaneous" instead of being specifically categorized as COVID. Some hospitals are reporting an uptick in flu, which is its own awful kettle of fish. Our staff is fighting so hard, but it's easy to see where things fall through in regards to 100% accurate reporting.

Example of inconsistencies:
COVID patients + Persons Under Investigation (PUI, designated as such because we are pending labs) is around 1200 + 1900 = 3100.
Baseline ventilator usage is 250 a day across the company. We are hovering at 1800 vents used a day for yesterday and n-2.
EHR reported COVID patients on vents = 400.
There are basically 1150 vents being used not attributed to our standard baseline of patients + documented COVID patients.

Some of that number would be PUI. Some are probably from the flu rearing its ugly head at the most inopportune time (I mentioned waaaaaaaaay back in February we had received guidance about influenza season had not peaked yet for 2019-2020). Some of those are just patients not documented correctly because our nurses are way more concerned about delivering care than filling out documentation (and rightfully so).

Edit: I just read through the past page and see that flu overall is way down, most likely to social distancing. Maybe even those patients are being documented incorrectly. Who knows.

I do have some possibly good rumors from our staff. @gianmarco @Terminalxylem @ProstheticRGK @Tecumseh (sorry if you're clinical and I missed you - THANK YOU SO MUCH FOR WHAT YOU ARE DOING) - it has been floated that proning patients may be a breakthrough in respiratory therapy. Have you all experienced anything like that?

 
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Shaping up to be the worst day of numbers for the US since this started
Death numbers are horrible but think we need to expect that for a while.  My hope is we see stay under 30K new cases as that would show some flattening.  I am still someone who puts some value in case numbers and since deaths are a trailing number I think today is not all bad news today.  

 
Of course.  I just mean flu numbers are presumably plummeting much faster than they ordinarily would at this time of year due to social distancing.  
While it's not likely, some flu deaths could be inadvertently logged as Covid-19 cases (since the CDC doesn't need them to test to make a judgement).

Social distancing has certainly helped.

 
I know we talk about numbers a lot in this thread, but it's important to note that the CDC guidelines don't require a patient to be tested positive in order for a death to be labeled a Covid-19 death.  I know at the end of the day it means little, but the death numbers may be artificially high.

From the official CDC website
I know we are flying in the fog with limited instruments. Still, I find it almost impossible to believe that any nations death stats are artificially high.  Dollars to donuts that all of them are lower than the real number of deaths caused by Covid-19.

 
Death numbers are horrible but think we need to expect that for a while.  My hope is we see stay under 30K new cases as that would show some flattening.  I am still someone who puts some value in case numbers and since deaths are a trailing number I think today is not all bad news today.  
Case numbers are valuable when considering short-term implications. This is because testing is still somewhat limited; really only administered to those more likely to need hospitalization if they are positive and their symptoms turn for the worse.

Long-term I see the arguments that current case numbers mean little.

What's most important to our clinical staff at this moment? How many folks might be needing an inpatient admission, or how long it will be until they can go cheer on their alma mater?

 
Something I've been pondering but haven't seen any data on is how many smokers/former smokers are among the number of deaths/hospital stays for this. We talk a lot about underlying and preexisting conditions, but this isn't something that I've seen brought up a lot. May have no correlation at all. Just seems like compromised lungs would have a hard time with this.

Anyone seen anything?
Can't comment on smokers but looks like black Americans are getting hit the hardest...

Link

 
Well, it's starting. Wife just got laid off, which means not only a pretty big hit to our financial situation, but an even bigger one when her health insurance stops. It's only a matter of time until the hotel shuts its doors for good. 

Niece got laid off 2 days ago. 

4 local restaurants have announced their permanent closure in the last 24 hours, including a grand dame of the local scene, place had been open 40 years. 

Unemployment claims last week were already double the previous all-time high for a single week. This week will be even worse. 

I'm glad that quarantine/self-isolation measures are keeping the hospitals from being overrun and saving lives. That's the most important thing. Now, I guess I'm just preparing for what the landscape is going to look like when this is all said and done. The effects of this are going to be catastrophic. It hasn't even been a month yet and we still have probably 4-5 more to go. 
Sorry to hear this.  My wife and I are both teachers, so we know our jobs aren't in jeopardy, so it's hard to fathom completely the affect this is having on so many people, even when hearing the soaring unemployment numbers.  Any chance she can get some at-home hand modeling gigs?  

 
Reads to me like the article will be published in July, but it is being released now because of the relevance to the current circumstances.

 
I do have some possibly good rumors from our staff. @gianmarco @Terminalxylem @ProstheticRGK @Tecumseh (sorry if you're clinical and I missed you - THANK YOU SO MUCH FOR WHAT YOU ARE DOING) - it has been floated that proning patients may be a breakthrough in respiratory therapy. Have you all experienced anything like that?
Yes, there's already been a lot about that being done both elsewhere and here.  It certainly seems to help from everything I've seen.  Thank you for sharing it, though.

 

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