Re: Corona Virus: It's a Marathon, Not a Sprint
Posted: Tue Oct 27, 2020 3:23 pm
Get well soon!
That is not dead which can eternal lie, and with strange aeons bring us some web forums whereupon we can gather
http://garbi.online/forum/
It's so hard to say anymore because what's driving incidence in NY and NJ isn't the same as what's driving in Utah or North Dakota (I randomly picked those states (debate over lockdown). For example, locking down NJ (like we did back in April) likely wouldn't do much right now for us because it's not spreading from public, social contacts. However, lockdowns in other states where maskless prolonged contact is still occuring? That might make more sense. On the other hand, if we then take all those people now carrying it and force them into a lockdown mode, they're absolutely going to mingle privately (and with weather change, likely indoors) and the outbreak is going to continue.noxiousdog wrote: Tue Oct 27, 2020 3:33 pm Short version, excess deaths by age from 25-64 are WAY up and this needs evaluation as it's unlikely COVID-19 can explain it. There needs to be some reasonable balance between lockdowns and open it all up and it seems very difficult to get traction on debating it.
Once again, I'm seeing an uptick in complaints online that cases are up but hospitalizations and deaths are down. A reminder that hospitalizations and deaths are lagging indicators and not how we should be making policy and protocol decisions. Assuming testing levels are appropriate, case numbers should be driving this process.Outside analyses, including some by The Washington Post and researchers at Yale University, have found two main causes for excess deaths. Many probably were the result of covid-19, although they were not recorded that way on death certificates. Others are probably the result of deaths at home or in nursing homes from heart attacks, diabetes, strokes and Alzheimer’s disease, among people afraid to seek care in hospitals or unable to get it.
Overall, the CDC found that “excess deaths have occurred every week since March, 2020,” with a peak during the week of April 11 and another during the week ending Aug. 8. Those dates roughly coincide with the virus’s surge into the New York metro area near the start of the outbreak and a second major rise across the Sun Belt when many states reopened too soon in an effort to revive flagging economies.
https://www.thedailybeast.com/fox-news- ... 9-exposureThe president of Fox News and some of the network’s top anchors have all reportedly been advised to get tested for the coronavirus and to quarantine after being exposed to an individual who later tested positive for COVID-19. According to The New York Times, Fox News head Jay Wallace, and hosts Bret Baier, Martha MacCallum, Dana Perino, and Juan Williams were potentially exposed to someone with the coronavirus who rode with the group on a charter flight last week to New York from Nashville, the site of the second presidential debate.
Indeed.Smoove_B wrote:Jesus. Crazy day. Get well, Kurth. As I'm sure you know, if your symptoms get worse notify emergency services immediately; don't delay.
Nope. I don’t know anyone who’s had it, and I have been disciplined about wearing a mask when out. The only thing that sticks out in my mind is that I went to the Rite Aid in town last Monday for a flu shot. While I was waiting, there were other people there who seemed a little sketchy - not appropriate social distancing, coughing, etc. I guess it’s possible I could have picked it up there. The timeframe is probably right if I was exposed on Monday and started showing symptoms on Thursday.
That sucks, RM9. Hope she is quickly on the mend.RunningMn9 wrote: Tue Oct 27, 2020 3:54 pmIndeed.Smoove_B wrote:Jesus. Crazy day. Get well, Kurth. As I'm sure you know, if your symptoms get worse notify emergency services immediately; don't delay.
Godspeed Kurth, hope things don’t get worse for you.
Unfortunately the COVID also invaded the RM9 household this morning. My wife developed a low fever yesterday and got tested this morning (our doctor had the 15-minute test on hand), and it came back positive.
She’s sequestered upstairs, and the rest of us are figuring out our new quarantine situation for the next 14 days. We are all currently symptom free but monitoring for symptoms now.
The dogs are not going to be pleased that they can’t sleep near the Mrs. for a while. Sorry dogs, those are Smoove_B’s orders.
Sorry, reading comprehension is a bit off apparently. My brain decided to move the "how" to the beginning of the sentence for me.Daehawk wrote: Tue Oct 27, 2020 3:16 pmHow does that explain how he got infected?
Yeah. It sucks that the easy answer is the one most likely to be ignored. Maybe if we had strong leadership?Smoove_B wrote: Tue Oct 27, 2020 3:49 pm This only work if we (collectively) wear masks in public, maintain distance and limit contact with people not in our households. This doesn't work if we wear masks in public and attend indoor private gatherings with people outside of our unit.
Obviously the big culprit is going to be COVID-19 both directly and indirectly. I only found significant interest in the age numbers and the curve shapes. 0-44 clearly has less (if any) COVID effect or you'd see two humps like in the 45-74.
Going back to excess deaths, we're not going to figure that out for a long time, imho, at least definitively. The Washingon Post did a piece on it and found:
Gah! That's terrible, RM. I hope she feels better soon and the rest of you stay symptom free.RunningMn9 wrote: Tue Oct 27, 2020 3:54 pmUnfortunately the COVID also invaded the RM9 household this morning. My wife developed a low fever yesterday and got tested this morning (our doctor had the 15-minute test on hand), and it came back positive.
I agree more evaluation is needed but saying it is unlikely is not true. It is the most likely explanation until we know otherwise. And the support for this statement is that we know that 2/3 or so of the excess deaths are directly coronavirus. This is just stats. Even if the rest of the excess deaths were 50/50 coronavirus and 'deaths of distress' then we have ~75% of deaths attributed to coronavirus. And to Smoove_B's point we won't know the clear picture for quite some time. In that void of information, it is unethical to conduct some society scale experiment by rolling back controls. Heck a controlled experiment where the people agree to it...that even might be unethical. It is a tricky problem.noxiousdog wrote: Tue Oct 27, 2020 3:33 pm I kept expecting something ridiculous from Zubin Damania,, however, I think it more articulates what Little Raven and I were trying to express.
Short version, excess deaths by age from 25-64 are WAY up and this needs evaluation as it's unlikely COVID-19 can explain it.
We are in a steady state like that *right now*. The question then is whether it a reasonable balance or not? It appears to be a no on the 'too loose' side because the pandemic is accelerating. We could have more controls. However, that isn't politically feasible right now. Still loosening controls at the moment makes no sense going into worsening conditions. We have to go with the data we have in our hands until we have more certainty.There needs to be some reasonable balance between lockdowns and open it all up and it seems very difficult to get traction on debating it.
All of you get well and don't hesitate to get treated sooner than later.Kurth wrote: Tue Oct 27, 2020 4:01 pmThat sucks, RM9. Hope she is quickly on the mend.RunningMn9 wrote: Tue Oct 27, 2020 3:54 pmIndeed.Smoove_B wrote:Jesus. Crazy day. Get well, Kurth. As I'm sure you know, if your symptoms get worse notify emergency services immediately; don't delay.
Godspeed Kurth, hope things don’t get worse for you.
Unfortunately the COVID also invaded the RM9 household this morning. My wife developed a low fever yesterday and got tested this morning (our doctor had the 15-minute test on hand), and it came back positive.
She’s sequestered upstairs, and the rest of us are figuring out our new quarantine situation for the next 14 days. We are all currently symptom free but monitoring for symptoms now.
The dogs are not going to be pleased that they can’t sleep near the Mrs. for a while. Sorry dogs, those are Smoove_B’s orders.
It is unethical to blindly hold to one point of view without considering new evidence.malchior wrote: Tue Oct 27, 2020 4:30 pmI agree more evaluation is needed but saying it is unlikely is not true. It is the most likely explanation until we know otherwise. And the support for this statement is that we know that 2/3 or so of the excess deaths are directly coronavirus. This is just stats. Even if the rest of the excess deaths were 50/50 coronavirus and 'deaths of distress' then we have ~75% of deaths attributed to coronavirus. And to Smoove_B's point we won't know the clear picture for quite some time. In that void of information, it is unethical to conduct some society scale experiment by rolling back controls. Heck a controlled experiment where the people agree to it...that even might be unethical. It is a tricky problem.Short version, excess deaths by age from 25-64 are WAY up and this needs evaluation as it's unlikely COVID-19 can explain it.
+1. If either me or Wife get it, then we've both got it, because quarantine would be very difficult in our little house with its one bathroom.
So my new belief is that Trump and Mitch are going to punt on funding, knowing full-well that the vaccine rollout isn't going to occur until after January 2021, and then the GOP en masse will immediately pivot to the evil Democrats and President Joe Biden raising your taxes and borrowing from your future to pay for the vaccination effort.A well-coordinated, well-supported effort by health departments to vaccinate the US population will likely cost at least $8.4 billion, according to an October 1 letter NACCHO sent to Congress requesting that much be appropriated for the effort. And other public health groups, including the Association of State and Territorial Health Offices (ASTHO), agree.
CDC Director Robert Redfield put the number slightly lower, but still in the billions. In a congressional subcommittee meeting in mid-September, Redfield said the CDC would need $6 billion to help states and localities adequately prepare to distribute a potential vaccine.
But the federal government still has not said if it will fund the effort, or how much it will allocate to vaccine distribution and administration.
Damn. I was thinking today that, with a few exceptions, the OO tribe has been remarkably free from direct COVID impact. Was hoping that would last. Best of luck to both Kurth and Mrs RM9.RunningMn9 wrote: Tue Oct 27, 2020 3:54 pmIndeed.Smoove_B wrote:Jesus. Crazy day. Get well, Kurth. As I'm sure you know, if your symptoms get worse notify emergency services immediately; don't delay.
Godspeed Kurth, hope things don’t get worse for you.
Unfortunately the COVID also invaded the RM9 household this morning. My wife developed a low fever yesterday and got tested this morning (our doctor had the 15-minute test on hand), and it came back positive.
She’s sequestered upstairs, and the rest of us are figuring out our new quarantine situation for the next 14 days. We are all currently symptom free but monitoring for symptoms now.
The dogs are not going to be pleased that they can’t sleep near the Mrs. for a while. Sorry dogs, those are Smoove_B’s orders.
Dude, they've already "ENDED THE COVID-19 EPIDEMIC". What more do you want them to do?Smoove_B wrote: Tue Oct 27, 2020 4:50 pm I'm still kinda amazed that Trump (and his surrogates) are saying this all goes away after 11/4. Is there really anyone that believes that? I guess it takes all kinds.
White House OSTP releases "Science and Technology Accomplishments from First Term", includes "ENDING THE COVID-19 PANDEMIC" as accomplishment. (guess they dunno what accomplish means?)
https://whitehouse.gov/wp-content/uploa ... 7-2020.pdf
includes statement from noted STEM expert Ivanka Trump
Nice try with the twist. It doesn't follow. It isn't unethical to follow the data we have.noxiousdog wrote: Tue Oct 27, 2020 4:43 pmIt is unethical to blindly hold to one point of view without considering new evidence.malchior wrote: Tue Oct 27, 2020 4:30 pmI agree more evaluation is needed but saying it is unlikely is not true. It is the most likely explanation until we know otherwise. And the support for this statement is that we know that 2/3 or so of the excess deaths are directly coronavirus. This is just stats. Even if the rest of the excess deaths were 50/50 coronavirus and 'deaths of distress' then we have ~75% of deaths attributed to coronavirus. And to Smoove_B's point we won't know the clear picture for quite some time. In that void of information, it is unethical to conduct some society scale experiment by rolling back controls. Heck a controlled experiment where the people agree to it...that even might be unethical. It is a tricky problem.Short version, excess deaths by age from 25-64 are WAY up and this needs evaluation as it's unlikely COVID-19 can explain it.
We've been running hundreds of thousands... perhaps millions... of society scale experiments around the world. How about we start interpreting, discussing, and applying the data? It worked for masks, right?
Skinypupy wrote: Tue Oct 27, 2020 4:56 pmDude, they've already "ENDED THE COVID-19 EPIDEMIC". What more do you want them to do?Smoove_B wrote: Tue Oct 27, 2020 4:50 pm I'm still kinda amazed that Trump (and his surrogates) are saying this all goes away after 11/4. Is there really anyone that believes that? I guess it takes all kinds.
https://twitter.com/dvergano/status/1321124080448393217
White House OSTP releases "Science and Technology Accomplishments from First Term", includes "ENDING THE COVID-19 PANDEMIC" as accomplishment. (guess they dunno what accomplish means?)
https://whitehouse.gov/wp-content/uploa ... 7-2020.pdf
includes statement from noted STEM expert Ivanka Trump
"Now he suggests that he could have done a better job. Well, the American people can look at Joe Biden's 36 years in Congress and eight years in the vice presidency and determine whether they think he'll finally be able to get something done for the American people.
...
"Like many of you, I have experienced the firsthand effects of Covid-19 -- not only as a patient -- but as a worried mother and wife. I know there are many people who have lost loved ones or know people who have been forever impacted by this silent enemy," Melania Trump said in Pennsylvania.
...
"No one should be promoting fear of real solutions for purely political ends ... The Democrats have chosen to put thier own agendas over the American people's wellbeing. Instead, they attempt to create a divide. A divide in something that should be non-partisan and non-controversial. A divide that causes confusion and fear instead of hope and security. That is not the leadership," she said.
"Let us also not forget what the Democrats chose to focus on when Covid-19 first came into our country. While the President was taking decisive action to keep the American people safe, the Democrats were wasting American taxpayer dollars in a sham impeachment," she added.
Melania Trump also made mention of her husband's presence on social media, saying, "For the first time in history the citizens of this country get to hear directly and instantly from their President every single day through social media."
We know that 2/3rds of the excess deaths for certain age brackets are coronavirus.malchior wrote: Tue Oct 27, 2020 4:58 pmNice try with the twist. It doesn't follow. It isn't unethical to follow the data we have.
Anyway. Read above. The data you seek is MISSING right now. Until we know more, we have to use the data we have. It indicates increasing infection and increasing levels of death. We know hard stop right now that 2/3s of the excess deaths are coronavirus. And its getting worse. What else should we be considering in the face of that? Can we quantify it? The video you linked explicitly talks about how we don't know the scale of other factors. If we don't know we can't factor it in...yet.
There is a drive-through testing facility down the road a bit from my subdivision, sometimes I pass it twice a day. They have had three big tents set up all summer but are now building out a fully roofed facility created out of four shipping containers. And they have been busy as hell this week. Twenty+ cars in line the four times I have passed it this week.LawBeefaroni wrote: Tue Oct 27, 2020 4:05 pm We've had a FEMA tent in one.of our parking lots since April. That's when we converted the whole lot to a drive-through testing center.
I noticed yesterday there was a lot of activity in the lot. Today I saw why: there's a wooden building on the lot now, for the workers to keep warm in (yesterday hit 35 degrees (f) ).
I'll say it again. Gonna be a long winter.
Holy shit! I feel better already.Skinypupy wrote: Tue Oct 27, 2020 4:56 pmDude, they've already "ENDED THE COVID-19 EPIDEMIC". What more do you want them to do?Smoove_B wrote: Tue Oct 27, 2020 4:50 pm I'm still kinda amazed that Trump (and his surrogates) are saying this all goes away after 11/4. Is there really anyone that believes that? I guess it takes all kinds.
https://twitter.com/dvergano/status/1321124080448393217
White House OSTP releases "Science and Technology Accomplishments from First Term", includes "ENDING THE COVID-19 PANDEMIC" as accomplishment. (guess they dunno what accomplish means?)
https://whitehouse.gov/wp-content/uploa ... 7-2020.pdf
includes statement from noted STEM expert Ivanka Trump
So much fucking winning from this administration...Skinypupy wrote: Tue Oct 27, 2020 4:56 pmDude, they've already "ENDED THE COVID-19 EPIDEMIC". What more do you want them to do?Smoove_B wrote: Tue Oct 27, 2020 4:50 pm I'm still kinda amazed that Trump (and his surrogates) are saying this all goes away after 11/4. Is there really anyone that believes that? I guess it takes all kinds.
https://twitter.com/dvergano/status/1321124080448393217
White House OSTP releases "Science and Technology Accomplishments from First Term", includes "ENDING THE COVID-19 PANDEMIC" as accomplishment. (guess they dunno what accomplish means?)
https://whitehouse.gov/wp-content/uploa ... 7-2020.pdf
includes statement from noted STEM expert Ivanka Trump
No. Overall. Approximate current death count = 220K all ages. CDC Estimated Excessive Deaths are ~300K. That is 2/3 *overall*. CDC actually calls it "At least 2 out of 3". The largest percent increases were Hispanic or Latino and adults aged 25-44.noxiousdog wrote: Tue Oct 27, 2020 5:41 pmWe know that 2/3rds of the excess deaths for certain age brackets are coronavirus.malchior wrote: Tue Oct 27, 2020 4:58 pmNice try with the twist. It doesn't follow. It isn't unethical to follow the data we have.
Anyway. Read above. The data you seek is MISSING right now. Until we know more, we have to use the data we have. It indicates increasing infection and increasing levels of death. We know hard stop right now that 2/3s of the excess deaths are coronavirus. And its getting worse. What else should we be considering in the face of that? Can we quantify it? The video you linked explicitly talks about how we don't know the scale of other factors. If we don't know we can't factor it in...yet.
And even if you dig into just that age group there isn't any real support for that sentence. In fact, the discussion from the CDC study indicates it almost certainly is COVID-19 (quoted below). There is even an interesting note that the excess mortality rate shifted *younger* over the summer. That matches up nicely with the activity we saw over this summer where young people took more risk -- as they do -- commiserate with their overall lower risk. However the data suggests it may still killed an 'excess' sum of them. If it was more economic impact, it seems reasonable to assume that it wouldn't have come and gone with the summer. I'll admit that is merely a hypothesis but it is one that matches up with common sense.Short version, excess deaths by age from 25-64 are WAY up and this needs evaluation as it's unlikely COVID-19 can explain it.
CDC wrote:Based on NVSS data, excess deaths have occurred every week in the United States since March 2020. An estimated 299,028 more persons than expected have died since January 26, 2020; approximately two thirds of these deaths were attributed to COVID-19. A recent analysis of excess deaths from March through July reported very similar findings, but that study did not include more recent data through September (5).
Although more excess deaths have occurred among older age groups, relative to past years, adults aged 25–44 years have experienced the largest average percentage increase in the number of deaths from all causes from late January through October 3, 2020. The age distribution of COVID-19 deaths shifted toward younger age groups from May through August (9); however, these disproportionate increases might also be related to underlying trends in other causes of death. Future analyses might shed light on the extent to which increases among younger age groups are driven by COVID-19 or by other causes of death. Among racial and ethnic groups, the smallest average percentage increase in numbers of deaths compared with previous years occurred among White persons (11.9%) and the largest for Hispanic persons (53.6%), with intermediate increases (28.9%–36.6%) among AI/AN, Black, and Asian persons. These disproportionate increases among certain racial and ethnic groups are consistent with noted disparities in COVID-19 mortality.***
That makes sense. I think if you frame it in terms of Trump's reckless downplaying of this crisis, GOP adoption of this position, and the consequent politicization of this pandemic we will find he has successfully poisoned the well against managing this crisis effectively. We're unfortunately stuck minimizing deaths in horribly non-optimal ways. It also doesn't help that the CDC data essentially indicates it is a crisis in the non-White community. Why don't people on OO -- until today at least -- know so few people affected? Because we are generally white people.Smoove_B wrote: Tue Oct 27, 2020 3:49 pm It's so hard to say anymore because what's driving incidence in NY and NJ isn't the same as what's driving in Utah or North Dakota (I randomly picked those states (debate over lockdown). For example, locking down NJ (like we did back in April) likely wouldn't do much right now for us because it's not spreading from public, social contacts. However, lockdowns in other states where maskless prolonged contact is still occuring? That might make more sense. On the other hand, if we then take all those people now carrying it and force them into a lockdown mode, they're absolutely going to mingle privately (and with weather change, likely indoors) and the outbreak is going to continue.
Another interesting note - the peaks in all the 25-64 data roughly correlates with peaks of Coronavirus cases. The highest excess death peak was in week 17 (roughly April 20th - 26th). The second run of excess deaths was somewhere in the vicinity of weeks 30 to 32 (between July 20th and August 9th). These lag the big spikes in coronavirus cases. In between the peaks, it almost fell back to baseline levels. It isn't a conviction but COVID-19 has to be the prime suspect at the moment. If it were underlying economic conditions it'd likely be much more consistent. It's probably in there to be sure but the primary driver is almost certainly COVID-19. With the huge uptick in cases we are seeing there is almost no support for loosening controls.
Or it could be what's known as "lead-time bias", which is a thing in public health.malchior wrote: Tue Oct 27, 2020 10:14 pm The bright side is that the trending shows we obviously have gotten much better at reducing the death rate of the sickest even between Wave 1 and Wave 2. That's great news for Wave 3 but if we run into hospital capacity limits that trend might reverse itself.
Lead time bias tells us that we can expect to see a longer delay between detection & death because we are detecting people earlier in the disease process. This does not mean people are surviving longer! That’s the sneaky lead time bias talking!!
That makes sense. The disease runs its course -- barring therapeutics or something disrupting its process. I'm not seeing the connection here between a bigger Wave 2 -- though that's an assumption too because some percentage of Wave 1 went undetected -- and a much smaller excess death count though? Shouldn't lead time bias be 'evened' out when you look at it retrospectively? To me, the concept reads to me like it is more a "real-time" or "near-term" data defect that I'd imagine is cured with time.Smoove_B wrote: Tue Oct 27, 2020 10:26 pmOr it could be what's known as "lead-time bias", which is a thing in public health.malchior wrote: Tue Oct 27, 2020 10:14 pm The bright side is that the trending shows we obviously have gotten much better at reducing the death rate of the sickest even between Wave 1 and Wave 2. That's great news for Wave 3 but if we run into hospital capacity limits that trend might reverse itself.
https://twitter.com/EpiEllie/status/1280305428300206082
Lead time bias tells us that we can expect to see a longer delay between detection & death because we are detecting people earlier in the disease process. This does not mean people are surviving longer! That’s the sneaky lead time bias talking!!
The issue is that we're still evolving - our tools and diagnostics are changing. So Trying to compare what was happening March-May vs June-August isn't going to necessarily line up (when you look at the crude data. We're seemingly better now at diagnosing people earlier and possibly offering better treatment options. Not just drugs but things like that whole pronation philosophy that came out in early summer where they simply flip someone over to ease breathing. However, everything is hinged on early testing, quick identification and treatments. Once the system becomes overwhelmed again all of our apparent gains in reducing hospital times and deaths are going to go out the window because our effective lead time on the disease will vaporize.malchior wrote: Tue Oct 27, 2020 10:39 pmI'm not seeing the connection here between a bigger Wave 2 -- though that's an assumption too because some percentage of Wave 1 went undetected -- and a much smaller excess death count though? Shouldn't lead time bias be 'evened' out when you look at it retrospectively? To me, the concept reads to me like it is more a "real-time" or "near-term" data defect that I'd imagine is cured with time.
Side note, but Zubin and I were friends in junior high in Fresno. He was honestly one of the funniest people I knew back then. I was really surprised when I looked him up a few months ago and saw how big his internet presence was.noxiousdog wrote: Tue Oct 27, 2020 3:33 pm I kept expecting something ridiculous from Zubin Damania,, however, I think it more articulates what Little Raven and I were trying to express.
I had a bias against him only because of the source of the video. I never heard about him prior. Seems like a very smart guy though. I really enjoyed the whole video. Small world.Blackhawk wrote: Wed Oct 28, 2020 12:45 amSide note, but Zubin and I were friends in junior high in Fresno. He was honestly one of the funniest people I knew back then. I was really surprised when I looked him up a few months ago and saw how big his internet presence was.noxiousdog wrote: Tue Oct 27, 2020 3:33 pm I kept expecting something ridiculous from Zubin Damania,, however, I think it more articulates what Little Raven and I were trying to express.