Urban75 Home About Offline BrixtonBuzz Contact

The fatality rate of Covid19

It isn't a catastrophe so far, even in Italy, though it might feel like it. For comparison, in the UK, there are between 20,000 and 50,000 additional deaths in winter each year. As long as the total numbers of victims of C19 remain below, say, 30,000 (the difference between a good winter and a bad one), we will be able to say that it wasn't really so exceptionally bad, even if it won't feel like that because attention will be focused on those deaths in a way that it usually is not.

This ^ is a remarkably sober-minded assessment of the situation, one which I feel is very much NOT shared by the society at large!

The society seems to be in full-blown catastrophe mode...
 
If someone has a brain tumour or heart disease and they die of pneumonia caused by c19 on a ventilator in an ICU, doctors aren't going to be confused about whether it was actually the tumour that got them.

Even if this ^ is true (which it might not be, given the problem of immuno-suppression caused by the other condition), many cases are going to be far less clear-cut than that.
 
Again, you are falling victim to the correlation =/= causation fallacy

It is impossible to assert that corona 'caused' death in this instance, because you do not know that the person would not have died anyway, even in the absence of corona.

Saying that they had '6 months to live' is not an accurate guide to the exact time when they are going to die.
Top marks for reckless pedantry :thumbs:
 
This ^ is demonstrably incorrect in the case of Italy:

See this video () where an Italian health minister explicitly clarifies that: "I want you to remember these people died WITH the coronavirus and not FROM the coronavirus"

The covid19 death rate is actually just a measure of how many corpses tested positive for covid19, so it does not establish causation

By your reasoning, if someone on death row has cancer, but is executed before they succumb to the cancer, they still died from cancer?
 
Why do you think this is?

I have wondered about this, it doesn't seem to be 'top-down' in the sense of authoritarian, martial law state control sort of thing.

Rather, the panic seems to be very widely distributed, even rebels are wearing hygeinic facemasks.

but it is definitely being fuelled by the news-media, who are presenting the whole thing in a 'deadly panic catastrophe right NOW!' kind of way
 
If you let run its course you exceed your critical care capacity.
once you do that than every person who cant get critical care will most likely die - not just those who have C-19, but people coming in with heart attacks, strokes, meningitis and umpteen other conditions.
So you end up with hundreds of thousands of additional - and preventable - deaths.
 
This ^ is a remarkably sober-minded assessment of the situation, one which I feel is very much NOT shared by the society at large!

The society seems to be in full-blown catastrophe mode...
But the point is that if the whole country came down with seasonal flu in the same fortnight, way more people would die from it than if it were spread over seven or eight months as normal because the health service would be overwhelmed. That's the bit you're downplaying.
 
By your reasoning, if someone on death row has cancer, but is executed before they succumb to the cancer, they still died from cancer?

Incorrect, because you can say with a fairly massive degree of accuracy that being executed is a sufficiently reasonable explanation/account/cause of the person dying at that particular moment in time.

However, there is a broader and more serious issue, that to accurately assess the precise * cause * of a person's death, you would need to do an autopsy, and these covid19 deaths that are being reported are certainly not being autopsied to determine cause of death.

It seems that there is some quite sloppy thinking behind this covid19 rhetoric.
 
But the point is that if the whole country came down with seasonal flu in the same fortnight, way more people would die from it than if it were spread over seven or eight months as normal because the health service would be overwhelmed. That's the bit you're downplaying.

Again regarding the comparison with normal flu, I don't understand the difference, the seasonal duration of covid19 seems to be moreorless exactly the same.

Covid 19 has been around since at least November 2019, not just the past fortnight.

You seem to be suggesting that Covid19 transmits quicker than flu does, but I see no evidence of this, and the comments from the WHO guy seem to directly contradict that, flu actually spreads through communities much quicker and more efficiently than Covid19 has been seen to.
 
Again regarding the comparison with normal flu, I don't understand the difference, the seasonal duration of covid19 seems to be moreorless exactly the same.

Covid 19 has been around since at least November 2019, not just the past fortnight.

You seem to be suggesting that Covid19 transmits quicker than flu does, but I see no evidence of this, and the comments from the WHO guy seem to directly contradict that, flu actually spreads through communities much quicker than Covid19 has been shown to.
Ok, I'll leave you there, I think. As news that UK deaths continue to rise steeply comes in, whereas countries that have got this right are seeing much better outcomes.
 
I don't think im arguing any particular point? Im seeking some clarity about this issue.
I don't think you are Joe, you seem pretty convinced of your position.

Can you at least accept, though, that Covid19 is overwhelming the health and social care systems of developed countries to the point that they are unable to cope and decisions are having to be made which involve leaving people to die? Seasonal flu doesn't do that.
 
There are good reasons not to believe in fatality rate estimates. Because the actual number of cases is unknown.

This study uses a model to estimate things. Whether they are right depends on the quality of the data and the model. The report itself says 'Our results are not free from the limitations' and includes other caveats.

Other models also exist which suggest the true number of mild or asymptomatic cases could be much higher. Those too are not proof of anything, we need actual testing to see how many milder cases there have really been (if such tests prove accurate).

If any of this stuff turns out to be true then it can have a radical affect on how quickly we get out of this shit. What it does not really affect that much is the initial intensive care burden and deaths. So the worlds response to this virus will still not be 'an overreaction' if that is the reality, we still have to face health systems beong temporarily overwhelmed.

This is very similar to the conversation that arose earlier this week in regards the Oxford study. And it strongly relates to the need for antibody tests. Its a picture the world hoped to see signs of a month ago, when the WHO issued its China report, but they didnt have any evidence of widespread mild cases so their conclusion was not what people wanted to hear. I did not take their conclusion as if it were the absolute and conclusive truth, I am still waiting for humanity to discover the reality.

If it did turn out to be true then yeah, I would think it would make all the difference in the world to the medium-long term picture. But like I said, I still couldnt call the initial response and assumptions a terrible mistake, because we have already seen the terrible struggle of hospitals to deal with the sheer number of cases who need oxygen or ventilation.

I will finish by trying to find a few questions to illustrate the point, in case it helps make sense of this:

Would we initially be able to tell the difference between a new disease that only kills a very low proportion of people it infects, but spreads very far very quickly, and one that kills a higher percentage of people but doesnt infect as many people as quickly? The initial results, in terms of health care burden and deaths, might look rather similar, and its only later, via the situation improving or another big wave never arriving or actual effective antibody testing enough of the population to build the true picture, that we may be able to spot the different.

I dont know if there are any obvious errors in my thinking on this but thats currently how I think about these issues. And like I said, such outcomes would be a great thing but humanity still had to act in order to try to cope with the initial arrival of this disease in the masses.

It is not possible for me to estimate how likely this possibility is, as opposed to the other view which assumed early data from China about low numbers of asymptomatic/exceedingly mild cases was accurate. Both are plausible. Time will tell.
 
Russia has just announced a lockdown you bellend. As if stories from a week ago have the slightest relevance.

Another good example of a country with little-to-no lockdown measures is Japan.

The Japan Times asks: Japan was expecting a coronavirus explosion, where is it? (see here: Japan was expecting a coronavirus explosion. Where is it? | The Japan Times)

Despite being one of the first countries getting positive test results and having imposed no lockdown, Japan is one of the least-affected nations. Quote: „Even if Japan may not be counting all those infected, hospitals aren’t being stretched thin and there has been no spike in pneumonia cases.“
 
I don't think im arguing any particular point? Im seeking some clarity about this issue.
To what end though? I mean really what is the point at this stage in the game?
I really, really, really hope the disease is a far less contagious than a lot of us believe. That would be a great outcome.
But for now, I am going to assume it is and follow all the advice.
And then when it's all over and it turns out it was all a big fuss about nothing after all, you can pat yourself on the back and tell everyone how wrong they were.
How's that?
 
Another good example of a country with little-to-no lockdown measures is Japan.

The Japan Times asks: Japan was expecting a coronavirus explosion, where is it? (see here: Japan was expecting a coronavirus explosion. Where is it? | The Japan Times)

Despite being one of the first countries getting positive test results and having imposed no lockdown, Japan is one of the least-affected nations. Quote: „Even if Japan may not be counting all those infected, hospitals aren’t being stretched thin and there has been no spike in pneumonia cases.“

Japan is interesting but a number of possibilities exist, and explanations are then required as to why Europe is seeing so many deaths.

One possible explanation is actually touched on in the paper you linked to, and is one I have mentioned lots before. If one country has much better control of disease spread within hospitals and other institutions, and another doesnt, I would expect the number of deaths they would experience could easily turn out very different.
 
If it did turn out to be true then yeah, I would think it would make all the difference in the world to the medium-long term picture. But like I said, I still couldnt call the initial response and assumptions a terrible mistake, because we have already seen the terrible struggle of hospitals to deal with the sheer number of cases who need oxygen or ventilation

This ^ is the part I have some trouble believing, it depends on what are the actual benefits/relief to intensive care as a result of the lockdown measures, compared to the negative effects of the lockdown measures.

But yes, time will tell.
 
Another good example of a country with little-to-no lockdown measures is Japan.

The Japan Times asks: Japan was expecting a coronavirus explosion, where is it? (see here: Japan was expecting a coronavirus explosion. Where is it? | The Japan Times)

Despite being one of the first countries getting positive test results and having imposed no lockdown, Japan is one of the least-affected nations. Quote: „Even if Japan may not be counting all those infected, hospitals aren’t being stretched thin and there has been no spike in pneumonia cases.“
that article is - again - a week old. I wonder where we are now?

oh

 
But for now, I am going to assume it is and follow all the advice.

This ^ is precisely the kind of attitude I alluded to earlier when I said that it seems as if people actually * want * covid19 to be more deadly serious than it actually is, by a wide margin.

Something isn't adding up right.
 
Regarding Japan, I have repeatedly cautioned that the picture seen in some countries like that is not guaranteed to last.

Indeed Tokyo is being spoken of as entering a critical moment, although for whatever reason they've decided to announce a lockdown for a weekend rather than a longer period (although I wouldnt be surprised to see that change).

 
Back
Top Bottom