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609,571 Views | 2786 Replies | Last: 2 yr ago by AggieUSMC
PJYoung
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AG
Italy continuing to level off



Philip J Fry
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Philip J Fry
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That's good news.
HelloUncleNateFitch
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Philip J Fry said:

UncleNateFitch said:

So we're not going to be anywhere near the 3.4% death rate used to justify all of this 2 weeks ago?


Can we leave this discussion to forum 16? We are looking at a wall of death heading our way. Just focus on what the data shows please.


Why did this question strike such a nerve. We were told 3.4%. Is that right or wrong based on the data?
HotardAg07
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UncleNateFitch said:

Philip J Fry said:

UncleNateFitch said:

So we're not going to be anywhere near the 3.4% death rate used to justify all of this 2 weeks ago?


Can we leave this discussion to forum 16? We are looking at a wall of death heading our way. Just focus on what the data shows please.


Why did this question strike such a nerve. We were told 3.4%. Is that right or wrong based on the data?
3.4% was a CALCULATION at the time, dividing total deaths by total confirmed cases.

Right now, worldwide, there are 20,549 deaths and 454,983 cases, which is 4.5%

As many experts have said, that number is expected to go down and has varied widely by location and especially by age. I don't know how many times this can be repeated.
Philip J Fry
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AG
All depends on if the hospital system gets overrun.
Agnzona
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Philip J Fry said:

All depends on if the hospital system gets overrun.
That is going to happen not matter what they only questions is when/where.
HelloUncleNateFitch
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HotardAg07 said:

UncleNateFitch said:

Philip J Fry said:

UncleNateFitch said:

So we're not going to be anywhere near the 3.4% death rate used to justify all of this 2 weeks ago?


Can we leave this discussion to forum 16? We are looking at a wall of death heading our way. Just focus on what the data shows please.


Why did this question strike such a nerve. We were told 3.4%. Is that right or wrong based on the data?
3.4% was a CALCULATION at the time, dividing total deaths by total confirmed cases.

Right now, worldwide, there are 20,549 deaths and 454,983 cases, which is 4.5%

As many experts have said, that number is expected to go down and has varied widely by location and especially by age. I don't know how many times this can be repeated.

no need to get frustrated amigo

How is it that we still don't have enough data to estimate this number? We estimate the number of infected with other illnesses all the time.
HotardAg07
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AG
UncleNateFitch said:

HotardAg07 said:

UncleNateFitch said:

Philip J Fry said:

UncleNateFitch said:

So we're not going to be anywhere near the 3.4% death rate used to justify all of this 2 weeks ago?


Can we leave this discussion to forum 16? We are looking at a wall of death heading our way. Just focus on what the data shows please.


Why did this question strike such a nerve. We were told 3.4%. Is that right or wrong based on the data?
3.4% was a CALCULATION at the time, dividing total deaths by total confirmed cases.

Right now, worldwide, there are 20,549 deaths and 454,983 cases, which is 4.5%

As many experts have said, that number is expected to go down and has varied widely by location and especially by age. I don't know how many times this can be repeated.

no need to get frustrated amigo

How is it that we still don't have enough data to estimate this number? We estimate the number of infected with other illnesses all the time.
In short, testing limitations. However, experts like Dr. Fauci and our own in house Infection Ag have been pointing to be expecting to be in the 0.5% to 1.0% mortality rate, based on examples around the world where the data is better.

However, I would say that there is ample evidence that the death rate can be higher in countries where the disease overtakes a medical system's capability. Take Italy for example. Yes, they have more old people, but their older people are dying at a higher rate. Reports in the country show that they're having to triage life-saving technologies to preference younger patients over older patients, which would explain this behavior.

Not a Bot
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UncleNateFitch said:

HotardAg07 said:

UncleNateFitch said:

Philip J Fry said:

UncleNateFitch said:

So we're not going to be anywhere near the 3.4% death rate used to justify all of this 2 weeks ago?


Can we leave this discussion to forum 16? We are looking at a wall of death heading our way. Just focus on what the data shows please.


Why did this question strike such a nerve. We were told 3.4%. Is that right or wrong based on the data?
3.4% was a CALCULATION at the time, dividing total deaths by total confirmed cases.

Right now, worldwide, there are 20,549 deaths and 454,983 cases, which is 4.5%

As many experts have said, that number is expected to go down and has varied widely by location and especially by age. I don't know how many times this can be repeated.

no need to get frustrated amigo

How is it that we still don't have enough data to estimate this number? We estimate the number of infected with other illnesses all the time.


Because this virus is pretty unique. It lingers for a long time before causing symptoms and there is a very long delay between contraction, need for hospitalization / recovery, discharge or death. We cannot trust the data coming out of China. We are gathering our own and it is changing daily due to variability/lack in testing.

We don't have a way to know how many people have had it with minimal symptoms and recovered until we are able to do large-scale blood testing for antibodies and extrapolate the data from there. What we have to do is estimate based on people seeking care, which is the most important factor. We know those numbers are growing rapidly. In a very morbid sense we don't know the real death rate from our existing hospitalized patients so far because many of them haven't had time to die yet given the typical pattern of the illness.
HelloUncleNateFitch
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HotardAg07 said:

UncleNateFitch said:

HotardAg07 said:

UncleNateFitch said:

Philip J Fry said:

UncleNateFitch said:

So we're not going to be anywhere near the 3.4% death rate used to justify all of this 2 weeks ago?


Can we leave this discussion to forum 16? We are looking at a wall of death heading our way. Just focus on what the data shows please.


Why did this question strike such a nerve. We were told 3.4%. Is that right or wrong based on the data?
3.4% was a CALCULATION at the time, dividing total deaths by total confirmed cases.

Right now, worldwide, there are 20,549 deaths and 454,983 cases, which is 4.5%

As many experts have said, that number is expected to go down and has varied widely by location and especially by age. I don't know how many times this can be repeated.

no need to get frustrated amigo

How is it that we still don't have enough data to estimate this number? We estimate the number of infected with other illnesses all the time.
In short, testing limitations. However, experts like Dr. Fauci and our own in house Infection Ag have been pointing to be expecting to be in the 0.5% to 1.0% mortality rate, based on examples around the world where the data is better.

However, I would say that there is ample evidence that the death rate can be higher in countries where the disease overtakes a medical system's capability. Take Italy for example. Yes, they have more old people, but their older people are dying at a higher rate. Reports in the country show that they're having to triage life-saving technologies to preference younger patients over older patients, which would explain this behavior.




Thanks
PJYoung
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From February 15th:

Quote:

China's economic data have always been fraught. Now, all eyes are on the coronavirus numbers, which economists and investors are using to estimate the outbreak's tolland they are too perfect to mean much.

A statistical analysis of China's coronavirus casualty data shows a near-perfect prediction model that data analysts say isn't likely to naturally occur, casting doubt over the reliability of the numbers being reported to the World Health Organization. That's aside from news on Thursday that health officials in the epicenter of the outbreak reported a surge in new infections after changing how they diagnose the illness.

The most current WHO data count more than 60,000 cases of infection and nearly 1,400 deaths. Most of those cases and all but one death have been in China.

In terms of the virus data, the number of cumulative deaths reported is described by a simple mathematical formula to a very high accuracy, according to a quantitative-finance specialist who ran a regression of the data for Barron's. A near-perfect 99.99% of variance is explained by the equation, this person said.

Put in an investing context, that variance, or so-called r-squared value, would mean that an investor could predict tomorrow's stock price with almost perfect accuracy. In this case, the high r-squared means there is essentially zero unexpected variability in reported cases day after day.

Barron's re-created the regression analysis of total deaths caused by the virus, which first emerged in the central Chinese city of Wuhan at the end of last year, and found similarly high variance. We ran it by Melody Goodman, associate professor of biostatistics at New York University's School of Global Public Health.

"I have never in my years seen an r-squared of 0.99," Goodman says. "As a statistician, it makes me question the data."

Real human data are never perfectly predictive when it comes to something like an epidemic, Goodman says, since there are countless ways that a person could come into contact with the virus.

For context, Goodman says a "really good" r-squared, in terms of public health data, would be a 0.7. "Anything like 0.99," she said, "would make me think that someone is simulating data. It would mean you already know what is going to happen."
https://www.barrons.com/articles/chinas-economic-data-have-always-raised-questions-its-coronavirus-numbers-do-too-51581622840
PJYoung
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HotardAg07
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@fbgchase: Here are the ICU numbers on coronavirus released for NYC, as of 6PM each night.

3/13: 19
3/14
3/15
3/16
3/17
3/18: 169
3/19
3/20: 260
3/21: 370
3/22: 450
3/23: 525
3/24: 660
3/25: 840

Current ICU capacity is 1,800 right now in NYC. Will we be rationing ICU care by the weekend? https://t.co/TzsyYjOzfX
greg.w.h
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The number of ICU rooms/beds isn't zero sum. And we should not panic even if it were.
AvidAggie
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Does this include ICU beds that are currently being used but NOT for COVID?
Philip J Fry
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Infection data:



Daily New Infections



Deaths



New Deaths Daily



NY Hospitalizations

AvidAggie
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So if this trend continues...a half a million Americans infected and 3000 deaths by next Tuesday.

I certainly hope this curve starts to flatten soon
Philip J Fry
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I'm praying we are seeing a bend develop...but yeah.
Mordred
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HotardAg07 said:



@fbgchase: Here are the ICU numbers on coronavirus released for NYC, as of 6PM each night.

3/13: 19
3/14
3/15
3/16
3/17
3/18: 169
3/19
3/20: 260
3/21: 370
3/22: 450
3/23: 525
3/24: 660
3/25: 840

Current ICU capacity is 1,800 right now in NYC. Will we be rationing ICU care by the weekend? https://t.co/TzsyYjOzfX
That 1800 ICU capacity has to be before they started creating new ICU-like spaces to put people.

Cuomo is out there saying they're getting 4k vents from the fed, and they aren't gonna be putting 3 to an ICU bed.
Mordred
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AvidAggie said:

So if this trend continues...a half a million Americans infected and 3000 deaths by next Tuesday.

I certainly hope this curve starts to flatten soon
This is mostly just a hunch, but I think the infected trend is going to slow significantly, but it will again be us bumping up against testing capacity, and we still won't have an idea of where we really are. I'll be surprised if we get to 20k cases a day for that reason. Maybe I'm wrong, but the long wait times for test results don't inspire any confidence.
Philip J Fry
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I show the infected thread, but the one I care about really is the death curve. I think it tells us more about the true situation we're in. I cannot imagine what NY is about to go throw in the next weeks off this holds. It's got to start bending soon.
Not a Bot
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A huge concern in ICU bed availability is that these people are staying in ICU for a long time. Turnover rate will be very low. Typically you don't have to worry too much about ICU beds because most of the time we try to get folks out and into a regular room within a few days if at all possible, so whatever backup you have can usually be relieved pretty quickly.

The data in Washington and China shows people are needing vents for about 10 days on average. That is a really long time.

The other thing that will be a strain is that those people needing vents for 10 days are going to be very debilitated when they begin recovery and will need some sort of rehab therapy. Nursing homes and skilled nursing facilities are going to be very reluctant to accept these people.
biles90
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Mordred said:

AvidAggie said:

So if this trend continues...a half a million Americans infected and 3000 deaths by next Tuesday.

I certainly hope this curve starts to flatten soon
This is mostly just a hunch, but I think the infected trend is going to slow significantly, but it will again be us bumping up against testing capacity, and we still won't have an idea of where we really are. I'll be surprised if we get to 20k cases a day for that reason. Maybe I'm wrong, but the long wait times for test results don't inspire any confidence.
Based on current failure rates, we'd need to be testing 200k a day to get 20k cases (~90% negative rate right now at least in here FL) and I don't think we have that much capacity.
biles90
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AvidAggie said:

So if this trend continues...a half a million Americans infected and 3000 deaths by next Tuesday.

I certainly hope this curve starts to flatten soon
Using the 5 day US average growth rate for cases & deaths, we'd be at 310k & 6.6k. One caution though, both rolling averages have a single outlier that drives each one significantly higher.
PJYoung
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biles90 said:

Mordred said:

AvidAggie said:

So if this trend continues...a half a million Americans infected and 3000 deaths by next Tuesday.

I certainly hope this curve starts to flatten soon
This is mostly just a hunch, but I think the infected trend is going to slow significantly, but it will again be us bumping up against testing capacity, and we still won't have an idea of where we really are. I'll be surprised if we get to 20k cases a day for that reason. Maybe I'm wrong, but the long wait times for test results don't inspire any confidence.
Based on current failure rates, we'd need to be testing 200k a day to get 20k cases (~90% negative rate right now at least in here FL) and I don't think we have that much capacity.


We are a long way from 200k tests a day.

https://covidtracking.com/data/

The US has now completed tests on at least 418,810 people, up 74,082 from yesterday's total.
PJYoung
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12thAngryMan
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No clue how reliable IHME is, but I found these graphs to be interesting.

IHME Interactive Charts
Philip J Fry
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Infection data:



Deaths


NY Hospitalizations




Mordred
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Thanks for the update. NY Hospitalizations are not looking good.

Sorry if it's been addressed, but when were the trendlines for infection/death calculated? Are they ever being adjusted?
Philip J Fry
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The trendline adjusts itself when I add the daily results. The coefficient in the exponent hasn't really changed that much though. I think the first time I projected the death curve, it resulted in a 20% daily increase. Now it's 22%. Infections have consistently been in the 29% range.
Mordred
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Philip J Fry said:

The trendline adjusts itself when I add the daily results. The coefficient in the exponent hasn't really changed that much though. I think the first time I projected the death curve, it resulted in a 20% daily increase. Now it's 22%. Infections have consistently been in the 29% range.
Thanks. With cursory glancing it seems to be basically unchanged, so I wasn't sure if it was a prediction based on a trendline at a point in time, or updating daily.
Philip J Fry
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I could do it either way. What would be more helpful?
4133
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Perhaps it is in the thread and I missed it but if not, does anyone have any charts that show new infections and deaths by area against when that area instituted certain restrictions (e.g. shelter in place)?

The idea that today's data are informed by human interactions from 1-2 weeks ago is intriguing. It would be interesting to see the data starting points from "first day of shelter in place" vs. the "first day of first infection reported", which is what everyone seems to show.
Mordred
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Philip J Fry said:

I could do it either way. What would be more helpful?
Honestly, if it were me, I'd do both, and fix a line at where we were March 15 (call that start of major interventions... but not sure how accurate the line was at that point... small sample size) and then another line for the current trend. Us being under or over the current trendline for the most recent days doesn't really tell us as much, because those days move the trendline too (although the swings diminish as this goes on).

Right now it'd probably be hard to distinguish between the two, but as they deviate could be useful from a "is this working and how much" perspective.
 
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