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Topic: Coronavirus discussion and Quarantine ideas

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Kris60

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3514 on: May 05, 2020, 03:25:27 PM »
In WV the governor is now allowing elective surgeries and barbershops/beauty salons are allowed to open back up.

My kids are officially finished with school this Friday but for all intents and purposes are already done.  They didn’t send any additional packets home for this week for them to complete.

My nephew, who goes to public school, has been doing snow day packets since this all began.  For some reason it has been determined that those won’t be graded and he was mailed a big packet to complete in the next ten days so that he (and I’m assuming all the kids) will have assignments to be graded.

Riffraft

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3515 on: May 05, 2020, 03:37:49 PM »
Could you imagine moving into or out of that building and being on the 10th floor? All I can imagine is trying to get a king sized mattress up that many flights of stairs. Now my back it really hurting.
Pivot, Pivot, Pivot :)

Riffraft

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3516 on: May 05, 2020, 03:40:58 PM »
You do realize that many of the models were related to what would happen if we DIDN'T social distance, right?

We've engaged in extreme behavior modification and this is still more deaths than the worst flu season of the last decade--and that's assuming we're not undercounting deaths, which is a real thing as we've discussed over the last few days. CDC estimates of "excess deaths" suggest that overall society deaths are FAR higher than usual, and only a portion of those have been attributed to COVID-19.

And some of the models said 100-240K overall deaths IF we flatten the curve, which is what we seem to have done--we're well on our way to over 100K. And the numbers will continue to rise as we reopen--the goal is to get the curve flattened and not overwhelm the healthcare industry, and we'll have some additional deaths as we reopen because the healthcare industry has "room" for more patients.

First, based on what I have read in how they are categorizing Covid-19 deaths, I assume we are overcounting deaths. 

Second, many of the "outlandish" (intentional use of the hyperbole) model were created after the social distancing. 


Riffraft

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3517 on: May 05, 2020, 03:50:32 PM »
I haven't verified the numbers here (to lazy to go to the two website and pull the info), but I find this interesting as to where things are happening. I think it further supports we should be reacting to hotspots and not shut down the whole country.


Cincydawg

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betarhoalphadelta

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3519 on: May 05, 2020, 04:11:29 PM »
First, based on what I have read in how they are categorizing Covid-19 deaths, I assume we are overcounting deaths.

Second, many of the "outlandish" (intentional use of the hyperbole) model were created after the social distancing.
One of the key ways to look at this is excess deaths in general. We have pretty good estimates of how many people across the country "should" be dying week by week. Analyzing the trends there are meaningful.

https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm

Simple ground rules:

  • While cause of death can be questionable, NUMBER of deaths is hard to falsify.
  • If more or less people than an average year are dying, those trends are easy to spot. That number is excess deaths (difference between actual and average over a period).
  • If during a pandemic, 70,000 people have been declared dead due to COVID-19 but there are 100,000 excess deaths over that period, you're either undercounting COVID-19 or you need another explanation for the 30K extra deaths.
  • If during a pandemic, 70,000 people have been declared dead due to COVID-19 but there are only 40,000 excess deaths over that period, you're either overcounting COVID-19 deaths or you need to explain why somehow the expected deaths are mysteriously offset by COVID-19 deaths.

There are ways to go either way. If there are "too many" excess deaths, you could explain that some people who might ordinarily seek treatment for other diseases/maladies, who were afraid to leave their house and go to the ER, allowed something they could have been saved from to kill them. If there are "too few" excess deaths, you may explain that staying home caused fewer people to die--for example I believe that auto fatalities here in CA have dropped over the stay-at-home orders due to fewer people being on the road (and probably fewer drunk drivers because you can't go get ripped at a bar and drive home). 

Either way, right now we're in the position that there are "too many" excess deaths. So it's more likely that we're undercounting. Not guaranteed, but unless we have a way to explain those extra excess deaths, we have to at least entertain the possibility that people are dying of COVID-19 and not being counted as such.


There's a lot of misinformation out there, but it seems clear that more people in excess of normal trends are dying than the official COVID-19 death toll. If you have a better explanation that undercounting, I'd love to hear it.


---------

Regarding the "outlandish" models, the only one that I know of was the Imperial College of London model which claimed 2.2M deaths in the US if we did NOTHING to mitigate, and only bringing it down to 200K if we had very strict social distancing. 

FearlessF

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3520 on: May 05, 2020, 04:18:47 PM »
Are the hospitals in danger of being overrun?
Currently, 407 Iowans are hospitalized for COVID-19 with 152 in intensive care units and 94 requiring the use of ventilators to assist their breathing. The state has reported outbreaks in 28 long-term care facilities so far.

there's been no talk of shortage of medical facilities, thankfully.

Yes, I understand the deaths come quite some time after being infected, but wouldn't it be better to see the death numbers fall off before allowing folks to be out and about?  Maybe I'm crazy.
"Courage; Generosity; Fairness; Honor; In these are the true awards of manly sport."

Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3521 on: May 05, 2020, 04:23:02 PM »
The people being "out and about" is vastly over generalized, at least around here.  Not much has changed on the ground.

I'm not being forced to dine out, which is good, because most places are still closed.

betarhoalphadelta

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3522 on: May 05, 2020, 04:29:08 PM »
I haven't verified the numbers here (to lazy to go to the two website and pull the info), but I find this interesting as to where things are happening. I think it further supports we should be reacting to hotspots and not shut down the whole country.


First, note that by definition, this is cherry-picking a little. 2017-18 was the worst flu season in the last decade. 

https://www.cdc.gov/flu/about/burden/past-seasons.html

The 2017-18 season had 61,000 deaths. Average over the past 9 seasons is roughly 37,500 deaths. Excluding 2017-18, the average for the other 8 seasons was about 34,500 deaths. 

Second, those flu seasons are 5-6 months long. We've had 70,000 deaths in basically 6 weeks. 

Third, those flu seasons essentially had ZERO mitigating factors. No social distancing. No special precautions. No businesses being closed. Nothing.

Fourth, flu seasons are at least partially mitigated by herd immunity, since we have a vaccine. Vaccinated populations help to reduce the spread. COVID-19 has a virtual green field of patients to infect with zero immunity. The CA antibody studies suggested maybe 4% of the population had experienced COVID-19, so you've got 96% of the population there left. NY was MUCH higher (15% statewide, 25% in NYC), but even then the virus is still spreading quickly in NY so at those rates there's no herd immunity. In most of those states with low case/death counts today, you have to assume MUCH fewer infection rates so 96% non-immunity very well might be a floor.

Fifth, unlike the flu, there's very little evidence that this will burn out just because we reach the summer. Tropical (hot/humid) countries are experiencing spread of COVID-19, so although the flu season has an end, at best we can hope for a slowdown when the summer months come, not an eradication.

This isn't the flu. 

FearlessF

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3523 on: May 05, 2020, 04:33:47 PM »
The people being "out and about" is vastly over generalized, at least around here.  Not much has changed on the ground.

I'm not being forced to dine out, which is good, because most places are still closed.
I agree with this, but if a health club is "open"  there's more chance that a few idiots cause a hotspot.

I'm doubting we have a football season, because all it will take is one team to have an outbreak and it will be shutdown - maybe I'm wrong
"Courage; Generosity; Fairness; Honor; In these are the true awards of manly sport."

Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3524 on: May 05, 2020, 04:40:53 PM »
Yes, it increases the risk of contagion, no doubt.  We have to try and balance that risk with the economic consequences.  I would not have opened tattoo parlors (duh) and beauty salons.  I think dining out OUTSIDE should be a modest risk.  We already have take out, just let people sit outside in separated tables.

At some point, people will start to resist what some see as draconian restrictions and stop compliance when you might have retained compliance with more rational responses.  Young folks will find a way to create their own night clubs and bars, and probably are doing so now.

FearlessF

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3525 on: May 05, 2020, 04:41:41 PM »
yes, they are
"Courage; Generosity; Fairness; Honor; In these are the true awards of manly sport."

utee94

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3526 on: May 05, 2020, 04:48:09 PM »
yes, they are
Yup.  They are, they were, they never stopped.

CWSooner

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Re: Coronavirus discussion and Quarantine ideas
« Reply #3527 on: May 05, 2020, 05:01:05 PM »
They're bulletproof and immortal.
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