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Coronavirus and You - Page 248

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Any and all updates regarding the COVID-19 will need a source provided. Please do your part in helping us to keep this thread maintainable and under control.

It is YOUR responsibility to fully read through the sources that you link, and you MUST provide a brief summary explaining what the source is about. Do not expect other people to do the work for you.

Conspiracy theories and fear mongering will absolutely not be tolerated in this thread. Expect harsh mod actions if you try to incite fear needlessly.

This is not a politics thread! You are allowed to post information regarding politics if it's related to the coronavirus, but do NOT discuss politics in here.

Added a disclaimer on page 662. Many need to post better.
warding
Profile Joined August 2005
Portugal2394 Posts
September 06 2020 15:24 GMT
#4941
If you look at the serology studies coming out of India, nearly all indicate very seroprevalence, above 50% in some cities. That hints that the case numbers recorded are not necessarily bad signs from an epidemiological point of view. The wave seems to have already come and done its thing in most urban areas. It may simply be that the virus is so widespread that whoever you test you're likely to find traces is virus rna.
Amui
Profile Blog Joined August 2010
Canada10567 Posts
Last Edited: 2020-09-06 20:43:15
September 06 2020 20:37 GMT
#4942
On September 07 2020 00:24 warding wrote:
If you look at the serology studies coming out of India, nearly all indicate very seroprevalence, above 50% in some cities. That hints that the case numbers recorded are not necessarily bad signs from an epidemiological point of view. The wave seems to have already come and done its thing in most urban areas. It may simply be that the virus is so widespread that whoever you test you're likely to find traces is virus rna.

https://fortune.com/2020/08/21/covid-antibodies-india-pune-survey-herd-immunity/

Found a link to a study that you probably saw. I guess the encouraging thing is that even in one of the poorest countries in the world, life goes on after approaching herd immunity. They are likely to hit herd immunity before a vaccine is widely available. Definitely helped by India being one of the youngest countries by average age.

That being said, a 20-50x underreporting of cases(and likely a smaller amount of that in deaths, but still a lot) puts India at far and away #1 in the world for both cases and deaths.
India has more than 50% of its population below the age of 25 and more than 65% below the age of 35. It is expected that, in 2020, the average age of an Indian will be 29 years, compared to 37 for China and 48 for Japan; and, by 2030, India's dependency ratio should be just over 0.4.
Porouscloud - NA LoL
warding
Profile Joined August 2005
Portugal2394 Posts
Last Edited: 2020-09-06 22:00:25
September 06 2020 21:59 GMT
#4943
There were also studies in Mumbai and Delhi. I'm not sure to what extent their deaths have been underreported or may all by explained by the age structure implying a much lower fatality rate for the country. A similar story has happened in Africa where deaths are low but prevalence really high.
LegalLord
Profile Blog Joined April 2013
United States13779 Posts
September 07 2020 00:01 GMT
#4944
This "herd immunity" children's story has been repeated many times in many places, not least of all India where they've been asserting that it's "already here" since as early as May. Strange how throughout all that time, including in states such as Delhi and Maharashtra which according to the serological "studies" have >50% antibodies, the apparent case load continues to grow, often to record highs. Oh, I'm sure they'll burn through all that human firewood eventually given that there's no hope of containing it, but evidently the disease isn't finished with the large cities, let alone smaller ones or the rural areas.

Even more absurd is to think that somehow deaths aren't significantly undercounted given that there are plenty of systematic factors that suggest they have done just that. Exclusion of suspected deaths, only a fraction of deaths even have a medical cause of death, excess death statistics not published, and so on. Hmm, sounds a lot like the kind of thing you might expect in India and Africa...
History will sooner or later sweep the European Union away without mercy.
Amui
Profile Blog Joined August 2010
Canada10567 Posts
Last Edited: 2020-09-07 01:06:08
September 07 2020 01:03 GMT
#4945
Not really arguing the herd immunity point. They'll get there, but I would think that it would be by the end of the year in the major cities (probably need ~90% of the population to be infected).

After reading your link, I think it's pretty likely that the number of deaths would be undercounted by a similar number to the cases, given that only tested deaths are currently counted.

That would put them at 1.4M-3.5M dead so far, which is a staggering number. Even then, it still seems somewhat low given low access to higher level healthcare, and a (couple?) hundred million infections so far.

Could well be higher to be honest. Those with access to testing are probably already above normal access to healthcare.
Porouscloud - NA LoL
warding
Profile Joined August 2005
Portugal2394 Posts
September 07 2020 08:46 GMT
#4946
You can detect rna on a pcr test many weeks or even months after infection. You're not detecting active or infectious virus, you're detecting the remnants of a past infection. So if you do a lot of tests on a population where 20%-50% has been infected, you're going to detect a lot of past and not necessarily active cases.

As for the death undercount, we have a pretty good idea of the IFR per age group. Given India's population structure, it's not reasonable to assume millions of dead. Wouldn't we be hearing different reports from India if that were the case? Amui you posted a quote where it said 65% of India's population was under 35. The IFR for those ages is negligible, wherever you look, ie:
https://www.medrxiv.org/content/10.1101/2020.07.23.20160895v4

There just aren't that many 80 year olds in India.
Gorsameth
Profile Joined April 2010
Netherlands21961 Posts
September 07 2020 09:24 GMT
#4947
On September 07 2020 17:46 warding wrote:
You can detect rna on a pcr test many weeks or even months after infection. You're not detecting active or infectious virus, you're detecting the remnants of a past infection. So if you do a lot of tests on a population where 20%-50% has been infected, you're going to detect a lot of past and not necessarily active cases.

As for the death undercount, we have a pretty good idea of the IFR per age group. Given India's population structure, it's not reasonable to assume millions of dead. Wouldn't we be hearing different reports from India if that were the case? Amui you posted a quote where it said 65% of India's population was under 35. The IFR for those ages is negligible, wherever you look, ie:
https://www.medrxiv.org/content/10.1101/2020.07.23.20160895v4

There just aren't that many 80 year olds in India.
Don't simply look at fatality rates under proper medical care and assume the same will hold true without proper care.
It ignores such insignificant forces as time, entropy, and death
warding
Profile Joined August 2005
Portugal2394 Posts
Last Edited: 2020-09-07 10:30:28
September 07 2020 10:26 GMT
#4948
On September 07 2020 18:24 Gorsameth wrote:
Show nested quote +
On September 07 2020 17:46 warding wrote:
You can detect rna on a pcr test many weeks or even months after infection. You're not detecting active or infectious virus, you're detecting the remnants of a past infection. So if you do a lot of tests on a population where 20%-50% has been infected, you're going to detect a lot of past and not necessarily active cases.

As for the death undercount, we have a pretty good idea of the IFR per age group. Given India's population structure, it's not reasonable to assume millions of dead. Wouldn't we be hearing different reports from India if that were the case? Amui you posted a quote where it said 65% of India's population was under 35. The IFR for those ages is negligible, wherever you look, ie:
https://www.medrxiv.org/content/10.1101/2020.07.23.20160895v4

There just aren't that many 80 year olds in India.
Don't simply look at fatality rates under proper medical care and assume the same will hold true without proper care.

I assumed that, like what's happening in the US or Europe, instances of severe disease in under 60 year olds are very rare, and much more so the younger you go. Medical care would really matter if we're talking about a disease that requires it, in this case, it doesn't for the vast majority of the population in India. It's also not cool to assume that the value of medical care in India is 0. You may have poor access to care in rural areas but luckily, COVID-19 also has poor access to rural areas.

Just look at the population pyramids::
+ Show Spoiler +
[image loading]
[image loading]

[image loading]

And then CFR by age:
+ Show Spoiler +
[image loading]
Geisterkarle
Profile Blog Joined September 2008
Germany3257 Posts
September 07 2020 11:23 GMT
#4949
I just looked at the graphs of "our" Europe hotspot, Spain:

> http://www.dkriesel.com/_media/coronaplot-spain.png

Case numbers are currently even higher as in April! But while people died "like flies" back then, currently death are just in the two-digits! And while death probably "trailing behind" the cases, I don't think in the slightes, that death count will rise to the "old" numbers!

I can think of three reasons for that "change":
1. Health support and medical treatment got way better!
While that is certainly true, I still heared somewhere recently, that even today if you have to go to the hospital and get ventilated, that like 60% are not getting out of there alive. That is still a really high number. So I don't think that could explain the numbers...
2. Most new cases are young, healthy people.
As we know, most deaths are older people. Maybe now "only" the young "partypeople" are getting infected and they are not severly hit. Could be...
3. More testing.
Yeah, sorry to say similar things as the "beloved" leader of holy USA, but actually that could be it! I admit, I don't know how Spain is handeling it, but here in Germany back in Apri tests for infections were "reserved" for peple in critical jobs (hospital etc.) and people with symptoms! Now, everyone can test themself, if they want to! Espacially people that got back from holiday used that possibility! Of course more cases are found! Even people that got no symptoms!

Maybe you have more ideas...
There can only be one Geisterkarle
warding
Profile Joined August 2005
Portugal2394 Posts
September 07 2020 16:54 GMT
#4950
I find spanish numbers sometimes hard to understand/trust. In their case I'd look at hospitalizations to see how it's doing.

On your point 3. More testing, it actually may be a number of different phenomena:
- More testing means you're catching a bigger % of total real infections compared to the first waves, ie. you may be catching more of the assymptomatics;
- More testing means you're having a bigger number of false positives.
- More testing now may be catching more people who were infected in the first wave but weren't diagnosed then, and either still have remnants of virus RNA in their bodies or may have an early virus re-infection that hasn't been beaten down by their immune systems yet - generating an immune response may not mean the virus can't enter again an replicate a little bit.
CuddlyCuteKitten
Profile Joined January 2004
Sweden2655 Posts
Last Edited: 2020-09-07 19:11:48
September 07 2020 19:11 GMT
#4951
On September 07 2020 20:23 Geisterkarle wrote:
I just looked at the graphs of "our" Europe hotspot, Spain:

> http://www.dkriesel.com/_media/coronaplot-spain.png

Case numbers are currently even higher as in April! But while people died "like flies" back then, currently death are just in the two-digits! And while death probably "trailing behind" the cases, I don't think in the slightes, that death count will rise to the "old" numbers!

I can think of three reasons for that "change":
1. Health support and medical treatment got way better!
While that is certainly true, I still heared somewhere recently, that even today if you have to go to the hospital and get ventilated, that like 60% are not getting out of there alive. That is still a really high number. So I don't think that could explain the numbers...
2. Most new cases are young, healthy people.
As we know, most deaths are older people. Maybe now "only" the young "partypeople" are getting infected and they are not severly hit. Could be...
3. More testing.
Yeah, sorry to say similar things as the "beloved" leader of holy USA, but actually that could be it! I admit, I don't know how Spain is handeling it, but here in Germany back in Apri tests for infections were "reserved" for peple in critical jobs (hospital etc.) and people with symptoms! Now, everyone can test themself, if they want to! Espacially people that got back from holiday used that possibility! Of course more cases are found! Even people that got no symptoms!

Maybe you have more ideas...


https://ibb.co/tmbGZp6

This is Sweden as of today. Notice the large increase in reported cases. The only thing that happened back then was a large increase in testing capacity that likely caught only the tail end of the first massive wave. After that testing has continually increased while numbers stay the same. Obviously most asymptomatic and mild cases were missed in those first months.

Also nothing has really changed in Sweden over time (still no masks, no new rules, schools are actually more open now etc) and yet the graphs have flatlined.
waaaaaaaaaaaooooow - Felicia, SPF2:T
Sapaio
Profile Joined October 2017
Denmark2037 Posts
September 07 2020 20:18 GMT
#4952
On September 08 2020 01:54 warding wrote:
I find spanish numbers sometimes hard to understand/trust. In their case I'd look at hospitalizations to see how it's doing.

On your point 3. More testing, it actually may be a number of different phenomena:
- More testing means you're catching a bigger % of total real infections compared to the first waves, ie. you may be catching more of the assymptomatics;
- More testing means you're having a bigger number of false positives.
- More testing now may be catching more people who were infected in the first wave but weren't diagnosed then, and either still have remnants of virus RNA in their bodies or may have an early virus re-infection that hasn't been beaten down by their immune systems yet - generating an immune response may not mean the virus can't enter again an replicate a little bit.


Pretty sure that you won't catch people that were infected in the first wave. The test for convid is in throat or as I saw on first episode on hard knocks the nose. But the test for people on longer being sick and having grained anti stoffer (can not remember the English word) is a blood sample.
GO OG
Nouar
Profile Joined May 2009
France3270 Posts
September 07 2020 20:20 GMT
#4953
On September 08 2020 05:18 Sapaio wrote:
Show nested quote +
On September 08 2020 01:54 warding wrote:
I find spanish numbers sometimes hard to understand/trust. In their case I'd look at hospitalizations to see how it's doing.

On your point 3. More testing, it actually may be a number of different phenomena:
- More testing means you're catching a bigger % of total real infections compared to the first waves, ie. you may be catching more of the assymptomatics;
- More testing means you're having a bigger number of false positives.
- More testing now may be catching more people who were infected in the first wave but weren't diagnosed then, and either still have remnants of virus RNA in their bodies or may have an early virus re-infection that hasn't been beaten down by their immune systems yet - generating an immune response may not mean the virus can't enter again an replicate a little bit.


Pretty sure that you won't catch people that were infected in the first wave. The test for convid is in throat or as I saw on first episode on hard knocks the nose. But the test for people on longer being sick and having grained anti stoffer (can not remember the English word) is a blood sample.

There can be positive tests in the throats due to remaining ARN fragments for weeks or monthes after the contamination, even if you're healed already.

One of the guys on the CDG (aircraft carrier) that got it around april still tested positive around the end of july for example.
NoiR
Nouar
Profile Joined May 2009
France3270 Posts
September 10 2020 17:51 GMT
#4954
France update : nearly 10k cases today and a record, and now we see a clear tick-up in ICU and people admitted to hospitals. It is still low, but it is not going in the right direction, since R0 is still above 1 and the test positivity rate is still growing. Macron is going to announce measures tomorrow. He pretty much has ruled out a country-wide shutdown, so I don't really know what is going to happen.
NoiR
zatic
Profile Blog Joined September 2007
Zurich15355 Posts
September 15 2020 08:08 GMT
#4955
So apparently a woman attached to the US army in Southern Germany showed Covid symptoms. She was tested and ordered to quarantine until her results got back.

Instead, she went bar hopping. On top of setting of an infection chain in the community, she is probably also responsible for as of today 24 US army personnel testing positive, and caused the US army hotel she was working in to be locked down for 2 weeks. She is the sole superspreader who caused the big red blob in the South:

[image loading]

https://www.reddit.com/r/news/comments/isigcv/us_woman_faces_hefty_fine_after_causing/

She is facing a fine and might be prosecuted with criminal charges. Even though it shouldn't matter, her being American doesn't exactly help the discussion of the case over in Germany.
ModeratorI know Teamliquid is known as a massive building
Starlightsun
Profile Blog Joined June 2016
United States1405 Posts
September 15 2020 08:34 GMT
#4956
Geez what an idiot. Hope they throw the book at her.
cLutZ
Profile Joined November 2010
United States19574 Posts
September 15 2020 15:01 GMT
#4957
On September 15 2020 17:34 Starlightsun wrote:
Geez what an idiot. Hope they throw the book at her.

The idiots are people who think sternly worded letters and light fines would work. When/if we find out this person's identity it will further elucidate what I've been trying to tell people here.
Freeeeeeedom
FueledUpAndReadyToGo
Profile Blog Joined March 2013
Netherlands30548 Posts
September 15 2020 15:06 GMT
#4958
Covid in the Netherlands going from 5427 new cases last week to 8265 new ones this week. I'm mentally so tired of this virus and all the restrictions it creates but it's not going away any time soon and is in fact growing back numbers now.

Neosteel Enthusiast
Sent.
Profile Joined June 2012
Poland9250 Posts
Last Edited: 2020-09-15 18:54:42
September 15 2020 18:53 GMT
#4959
On September 15 2020 17:08 zatic wrote:
So apparently a woman attached to the US army in Southern Germany showed Covid symptoms. She was tested and ordered to quarantine until her results got back.

Instead, she went bar hopping. On top of setting of an infection chain in the community, she is probably also responsible for as of today 24 US army personnel testing positive, and caused the US army hotel she was working in to be locked down for 2 weeks. She is the sole superspreader who caused the big red blob in the South:

[image loading]

https://www.reddit.com/r/news/comments/isigcv/us_woman_faces_hefty_fine_after_causing/

She is facing a fine and might be prosecuted with criminal charges. Even though it shouldn't matter, her being American doesn't exactly help the discussion of the case over in Germany.


Haha this sounds like a bad comedy plot. "C'mon, come drink with us! What's the worst that could happen?"

Maybe it's not that bad actually. My news say some local authority (Garmisch-Partenkirchen) stated they detected only 3 new cases there since her raid so far. This is supposed to be the result of testing ~700 people she might have contact with.
You're now breathing manually
LegalLord
Profile Blog Joined April 2013
United States13779 Posts
September 16 2020 00:18 GMT
#4960
On September 16 2020 00:06 FueledUpAndReadyToGo wrote:
Covid in the Netherlands going from 5427 new cases last week to 8265 new ones this week. I'm mentally so tired of this virus and all the restrictions it creates but it's not going away any time soon and is in fact growing back numbers now.


I definitely feel that. It's not as bad as dying of a respiratory illness, but this pseudo-lockdown is certainly mentally taxing.

In other news, US hits 200k deaths, India hits 5 million infected today. Those are some big numbers!
History will sooner or later sweep the European Union away without mercy.
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