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The Next Pandemic: SARS-CoV-2/COVID-19


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1 minute ago, GG said:

 

That was not the case in NYC.  If you died and weren't tested, you didn't count as a Covid death, which could have under-counted the daily total by up to 200.  They will now test the deceased for the virus to give a proper count.


Presumed cause of death as @RoyBatty is alive pointed out. (the link goes to Time magazine)

</snip>

The Centers for Disease Control and Prevention recently issued new guidance saying it is acceptable to count undiagnosed COVID-19 cases as “probable” or “presumed” coronavirus deaths under circumstances that are “compelling within a reasonable degree of certainty.”

</snip>

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9 minutes ago, RoyBatty is alive said:

 

I already have admitted my mistake, was it really necessary yo call me a "***** stick", want to discuss like an adult or engage in puerile name calling?

 

And no i am not minimizing the pain, trying to discuss the realities instead of spreading panic.

 

You admitted your mistake of 7K, but also doubted the 145 daily figure, which is closer to the accurate number.

 

Again, daily deaths in NYC are running 3x-4x normalized numbers.  The same thing happened in Lombardy and Spain.   When the virus hits an area, it's devastating.  You may choose to say people are panicking and distorting the numbers.  But I say, that it' a cautionary tale to the unaffected areas.

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10 minutes ago, GG said:

 

Again, the cause is clear, if not for Wuhan these patients wouldn't need intensive care and then die.  These statistics are the same as used for flu and AIDS related deaths, where the virus isn't the primary agent of death.  I find it odd that this is the line of reasoning people would use to stroke a conspiracy.  Hospitalizations are real, ICU stays are real, deaths are real, and all are running at multiples of normal rates in the heavily affected areas.   It's easy to underplay the risk if you happen to be outside the hot zone.

 

 

Factually inaccurate.

 

If you contracted CV-19 and an hour later died of a heart attack, it was your heart that killed you, not Wuhan but if tested confirmed positive then you are listed as a CV-19 victim.  Or if whoever signs the death certificate even "presumes" you ave Wuhan you go down as a CV-19 victim.Those are simple facts. 

Edited by RoyBatty is alive
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1 minute ago, Buffalo_Gal said:


Presumed cause of death as @RoyBatty is alive pointed out. (the link goes to Time magazine)

</snip>

The Centers for Disease Control and Prevention recently issued new guidance saying it is acceptable to count undiagnosed COVID-19 cases as “probable” or “presumed” coronavirus deaths under circumstances that are “compelling within a reasonable degree of certainty.”

</snip>

 

Except the area hardest hit by the virus wasn't doing that, and was not reporting the undiagnosed deaths as Covid.

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1 minute ago, GG said:

 

Except the area hardest hit by the virus wasn't doing that, and was not reporting the undiagnosed deaths as Covid.


NYC was indeed doing that. (So was Italy, so was Spain.)

 

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4 minutes ago, RoyBatty is alive said:

If you contracted CV-19 and an hour later died of a heart attack, it was your heart that killed you, not Wuhan but if tested confirmed positive then you are listed as a CV-19 victim.  Those are simple facts. 

 

What if you took HCQ/other treatment and this happened? Was it your heart or the side effects of the treatment that you were only prescribed because of C19?

 

There are a lot of variables

Edited by Gary Busey
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1 minute ago, RoyBatty is alive said:

 

 

Factually inaccurate.

 

If you contracted CV-19 and an hour later died of a heart attack, it was your heart that killed you, not Wuhan but if tested confirmed positive then you are listed as a CV-19 victim.  Those are simple facts. 

 

Which is how many flu deaths are also characterized.  

 

BTW, when Buffalo reports deaths from heavy snow storms, does it ignore people who have heart attacks when shoveling their driveways?  

3 minutes ago, Buffalo_Gal said:


NYC was indeed doing that. (So was Italy, so was Spain.)

 

 

No it was not, until yesterday.

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Good News;

 

THE REPORTING IS ALWAYS QUESTIONABLE, BUT IT’S LOOKING AS IF WASHINGTON STATE IS ON THE BACKSIDE OF THE CURVE

 

Either social distancing has worked, or it’s burning out on its own. Sadly, I’m pretty sure it’s the former. 

 

Seattle’s Army-built field hospital is coming down without treating a single patient. “Even as some questions remain about the extent of the outbreak in Washington state, Gov. Jay Inslee Wednesday announced he would return to the federal government the field hospital recently assembled in Seattle’s CenturyLink Field Event Center to help the health care system cope with the new coronavirus. With the USNS Comfort still stationed in New York, and the USNS Mercy in Los Angeles, Inslee’s decision could mark the first return of hospital beds to the federal government during the pandemic from anywhere in the nation.”

118Po
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3 minutes ago, GG said:

 

You admitted your mistake of 7K, but also doubted the 145 daily figure, which is closer to the accurate number.

 

Again, daily deaths in NYC are running 3x-4x normalized numbers.  The same thing happened in Lombardy and Spain.   When the virus hits an area, it's devastating.  You may choose to say people are panicking and distorting the numbers.  But I say, that it' a cautionary tale to the unaffected areas.

 

Yes i doubt the 145 number, doesnt make any numeric sense, should be double or triple but whatever.

 

Now your 3x to 4x number is something that i can believe in, at the peak of course.  So one is 3 or 4 times more likely to die.  And no i  am not shocked at the NYC are getting hit hard, sheer population density saw videos (if accurate you can never trust anything anymore) of still jammed subways

 

  

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13 minutes ago, GG said:

 

Again, the cause is clear, if not for Wuhan these patients wouldn't need intensive care and then die.  These statistics are the same as used for flu and AIDS related deaths, where the virus isn't the primary agent of death.  I find it odd that this is the line of reasoning people would use to stroke a conspiracy.  Hospitalizations are real, ICU stays are real, deaths are real, and all are running at multiples of normal rates in the heavily affected areas.   It's easy to underplay the risk if you happen to be outside the hot zone.

 

I'm sorry; however, I am not stoking any conspiracy theories. Nor am I trying to diminish hospitalizations or deaths from this virus. I am simply stating a fact. If you did not attend every death and if you do not have the autopsy report of every death, then you have absolutely no foundation on which to make claims about every death.

 

I can doubt your conclusions on the topic, question certain things, and still not discount the seriousness of the virus and its consequences. Those are not all mutually exclusive.

 

If it is all the same to you, I will wait until the all of the numbers are in and they are analyzed by those with the expertise to reach reasonable conclusions.

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4 minutes ago, GG said:

 

Which is how many flu deaths are also characterized.  

 

BTW, when Buffalo reports deaths from heavy snow storms, does it ignore people who have heart attacks when shoveling their driveways?  

 

No it was not, until yesterday.

 

 

Dont know.

 

Very similar to deaths when "alcohol was involved".  How many drunk drivers deaths are due to factors totally unrelated to the drunk driver?  I bet a lot.  If i am loaded and some sober truck driver blows through a stop sign and kills me it wasnt because of alcohol.

 

I have heard stats on Medicare funding goes way way up for patients admitted with CV-19 and then how much more they get if they then  on ventilators?  

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4 minutes ago, GG said:

 

That was not the case in NYC.  If you died and weren't tested, you didn't count as a Covid death, which could have under-counted the daily total by up to 200.  They will now test the deceased for the virus to give a proper count.

 

The way it's been reported is that if a person dies at home and exhibited any COVID type symptoms that the death will now be reported as being caused by the virus.  (Assuming that is accurate, but it might not be.)

 

If that's the way they've handled/counted deaths in the home before this hit, then that's how they should be counting them, but if it isn't, then they shouldn't.  Did they previously consider a person who passed at his/her home that had flu-like symptoms as dying from the flu?  If yes, then count these deaths as COVID-19 as it's more likely they had that than the flu.  If they didn't, then they shouldn't change the method of assigning the cause of death and shouldn't automatically label them as being from the virus.

 

It would help with understanding if they had a standardized determination/reporting methodology that doesn't change with this new situation.  And how events such as deaths are categorized has a tremendous effect on perception.  How much longer would the American life expectancy be, and how much lower would the infant mortality stats be, if the US treated live births that were known to be ending tragically shortly after the birth as a miscarriage like the rest of the world does?  (Or, better yet, how much different would the rest of the world's data look if they treated those events the way we do?  (Which seems a more honest / accurate accounting of those death IMHO.)

 

Things have been bad down there, there's no denying that.  But they shouldn't be artificially skewed in either direction.

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Where have all the heart attacks gone?

 

 

Quote

What is striking is that many of the emergencies have disappeared. Heart attack and stroke teams, always poised to rush in and save lives, are mostly idle. This is not just at my hospital. My fellow cardiologists have shared with me that their cardiology consultations have shrunk, except those related to Covid-19. In an informal Twitter poll by @angioplastyorg, an online community of cardiologists, almost half of the respondents reported that they are seeing a 40 percent to 60 percent reduction in admissions for heart attacks; about 20 percent reported more than a 60 percent reduction.

 

 

Quote

 

And it may not just be heart attacks and strokes. Colleagues on Twitter report a decline in many other emergencies, including acute appendicitis and acute gall bladder disease.

The most concerning possible explanation is that people stay home and suffer rather than risk coming to the hospital and getting infected with coronavirus. This theory suggests that Covid-19 has instilled fear of face-to-face medical care. As a result, many people with urgent health problems may be opting to remain at home rather than call for help. And when they do finally seek medical attention, it is often only after their condition has worsened.

 

 

 

Quote

 

We actually expected to see more heart attacks during this time. Respiratory infections typically increase the risk of heart attacks. Studies suggest that recent respiratory infections can double the risk of a heart attack or stroke. The risk seems to begin soon after the respiratory infection develops, so any rise in heart attacks or strokes should be evident by now. We urge people to get flu vaccines every year, in part, to protect their hearts.

Also, times of stress increase the risk of heart attacks and strokes. Depression, anxiety and frustration, feelings that the pandemic might exacerbate, are all associated with a doubling or more of heart attack risks. Work and life stress, which also may be higher with the acute disruptions we’ve all been going through, can markedly increase the risk of a heart attack. Moreover, events like earthquakes or terrorist attacks or war, in which an entire society is exposed to a stressor, are risk factors for heart attacks. Finally, Covid-19 can actually affect the heart, which should be increasing the number of patients with the heart problems.

 

 

 

Very sad.  I think once there is a full forensic look at all this, once the dust settles which will probably be well over a year from now, we will see that the way we went about the shut down with a meat cleaver will have had a much worse off effect than the safety precautions and lives saved.  That's my take on it.

 

I think we will soon find out once the antibody tests are out that the mortality rate will be somewhere between .25%-.4%

 

I think we will see that the poverty that the meat cleaver approach will have caused more fatalities over a 5 year period than the lives saved.  

 

I think we will see that there were a number of people's health and ultimately fatalities occurred due to people not reporting health conditions due to fears of going outside of their homes will be a substantial number.

 

I don't blame policy makers for going with the meat cleaver approach, this was a Novel virus and we don't have any proven cures for it, no vaccines and it's highly contagious.  Plus the fear of overwhelming hospitals in hot spots is a real and valid concern.   

 

But once some deep analysis comes about and we do some Monday morning quarterbacking, when you do a cost/analysis outlook, we will see that not only from a financial point of view but also overall health and fatalities that the best approach to this would have been with a surgical scalpel knife.

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16 minutes ago, Buffalo_Gal said:


Yes, they did. They were called out on it, and that was why Dr Brix (video posted earlier in this thread) admitted to the "with" being "from."

 

 

Brix was referring to a national standard, not how NYC was calling the deaths.  NYC officials admitted that there was a possible undercount and would update their methodology.  The only counted the numbers that had confirmed infections.   That's another reason that NYC deaths from the virus rose in the last day.

 

Quote

In a statement, Stephanie Buhle, a spokeswoman for New York City’s Health Department, said the city would no longer report only those cases that were confirmed by a laboratory test.

 

You have previously said that the Wuhan numbers are "cooked."   I don't know how you can cook numbers that are running up to 3x normal rates for the last two weeks in NYC area.

15 minutes ago, RoyBatty is alive said:

 

 

Dont know.

 

Very similar to deaths when "alcohol was involved".  How many drunk drivers deaths are due to factors totally unrelated to the drunk driver?  I bet a lot.  If i am loaded and some sober truck driver blows through a stop sign and kills me it wasnt because of alcohol.

 

I have heard stats on Medicare funding goes way way up for patients admitted with CV-19 and then how much more they get if they then  on ventilators?  

 

That's why I'm differentiating between causation and correlation.  The underlying conditions very likely are not the reason people succum to Wuhan.  But having an underlying condition is a major factor in your ability to fight off the virus.

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23 minutes ago, RoyBatty is alive said:

 

Yes i doubt the 145 number, doesnt make any numeric sense, should be double or triple but whatever.

 

Now your 3x to 4x number is something that i can believe in, at the peak of course.  So one is 3 or 4 times more likely to die.  And no i  am not shocked at the NYC are getting hit hard, sheer population density saw videos (if accurate you can never trust anything anymore) of still jammed subways

 

  

 

About 2.8 million die in the US every year, which puts NYC at 70K, or less than 200/day.

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1 hour ago, Gary Busey said:

 

The saddest thing I have read today about this is some of the unclaimed are spouses with only one other living relative who also happens to be hospitalized for Covid so they are unable to claim the body :(

Awwww man!!!!

Some dust just flew in my eyes.?

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26 minutes ago, Magox said:

We actually expected to see more heart attacks during this time. Respiratory infections typically increase the risk of heart attacks. Studies suggest that recent respiratory infections can double the risk of a heart attack or stroke. The risk seems to begin soon after the respiratory infection develops, so any rise in heart attacks or strokes should be evident by now. We urge people to get flu vaccines every year, in part, to protect their hearts.

 

This is my point exactly. Under normal reporting procedures, if someone had the flu or a respiratory infection that contributed to a fatal heart attack, the cause of death is ruled a heart attack. The flu or respiratory infection would be considered a contributing factor; however, the death becomes a statistic in the "deaths from heart attack" category.

 

Currently, if you have the exact same scenario, except it is COVID-19 instead of the flu or other respiratory infection, the cause of death is COVID-19.

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13 minutes ago, billsfan1959 said:

 

This is my point exactly. Under normal reporting procedures, if someone had the flu or a respiratory infection that contributed to a fatal heart attack, the cause of death is ruled a heart attack. The flu or respiratory infection would be considered a contributing factor; however, the death becomes a statistic in the "deaths from heart attack" category.

 

Currently, if you have the exact same scenario, except it is COVID-19 instead of the flu or other respiratory infection, the cause of death is COVID-19.

The tricky part is. The heart has ace 2 reacpter like lung and intestines. Hapless posted in a different post here but for lungs and intestines mainly.. Some people died mycardio. Highly not a great chance but there has been lots.  Maybe 5 percent guessing.Just wondering my niece as well. Still a mystery in a way.  SARS and MERS had lots of mycardio deaths.

Edited by Buffalo Bills Fan
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2 minutes ago, RoyBatty is alive said:

I already did the math, 8.8 million people in NYC, assume life expectancy of 78 that is 309/day.

 

If those deaths occur in another locality, say Florida, do they count towards NYC's deaths or Florida's?

 

There are an awful lot of snowbirds.  If Florida takes the hit when they die during the winter, that could explain a large portion of these rough, back of the envelope counts & discrepancies.

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Just now, Taro T said:

 

If those deaths occur in another locality, say Florida, do they count towards NYC's deaths or Florida's?

 

There are an awful lot of snowbirds.  If Florida takes the hit when they die during the winter, that could explain a large portion of these rough, back of the envelope counts & discrepancies.

 

Interesting, good point, i don't know.    I bet the median age i NYC is young,  once you get old if you can, i think the appeal of the city is lessened, costs too high and you tend to leave for good for places like Fla.  What is the adage, you dont want to die in NY, its just too expensive.

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9 minutes ago, RoyBatty is alive said:

I already did the math, 8.8 million people in NYC, assume life expectancy of 78 that is 309/day.

 

Or you know, look at the official statistics?  In 2017, city wide mortality rate was 547 per 100K.  That's less than 200/day.

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The effort here to somehow minimize the death count is baffling. We know that deaths are being UNDER and OVER counted. It is the most accurate measure we have. We can't use case count because we literally have no idea how many people are just staying home with a family member who tested positive, clearly have it, and are not tested. And we can't know how many people know they have it because of symptoms but don't need to/want to get tested. We can't trust hospitalizations because hospitals are mostly over capacity so many are sent home. 

 

Fewer positive cases and fewer hospitalizations is a good trend but it's a vague indicator. Deaths are a certain statistic. 

 

RoyBatty came here doubting that the funeral/death business was struggling. Another guy wants proof that hospitals are struggling. I don't know what to tell you guys. Drive to NYC or any other big city right now and do a walking tour of a major hospital. Hell, if you're here then just go try to do a walk through at St. Joe's in Buffalo. It's real. I'm not saying we need to live in grave fear of it but don't doubt this is a huge deal and creating a big mess of bodies and crushing the health care system in many places. Maybe where you live is not that bad yet and I hope that continues, but it's a real problem, not a media fiction. 

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50 minutes ago, Magox said:

Where have all the heart attacks gone?

 

Very sad.  I think once there is a full forensic look at all this, once the dust settles which will probably be well over a year from now, we will see that the way we went about the shut down with a meat cleaver will have had a much worse off effect than the safety precautions and lives saved.  That's my take on it.

 

I think we will soon find out once the antibody tests are out that the mortality rate will be somewhere between .25%-.4%

 

I think we will see that the poverty that the meat cleaver approach will have caused more fatalities over a 5 year period than the lives saved.  

 

I think we will see that there were a number of people's health and ultimately fatalities occurred due to people not reporting health conditions due to fears of going outside of their homes will be a substantial number.

 

I don't blame policy makers for going with the meat cleaver approach, this was a Novel virus and we don't have any proven cures for it, no vaccines and it's highly contagious.  Plus the fear of overwhelming hospitals in hot spots is a real and valid concern.   

 

But once some deep analysis comes about and we do some Monday morning quarterbacking, when you do a cost/analysis outlook, we will see that not only from a financial point of view but also overall health and fatalities that the best approach to this would have been with a surgical scalpel knife.

 

The health systems really had no choice, and I see you acknowledge that. My wife's medical system needed/needs resources to deal with covid patients and can't put their nurses, doctors, and other patients at risk by having lots of already-sick people (with other conditions) coming into the place where there are covid patients. And because this rose so quickly and without adequate preparation, we could not set up covid wards and dedicated hospitals. For the next wave, which may be much bigger, we may have that in place. 

 

Your speculation on the fatality rate is speculation so far but even in Korea, it's higher than your count and given its very high contagiousness, even if it's 0.5%, that's a lot of bodies.

 

But you're right: The number of sick people currently not getting treatment is going to take a really big toll. My wife's team is juggling knives right now trying to help people in their homes through telemedicine and it's a clusterF. A necessary clusterF but one nonetheless. 

 

And when the covid patients clear, the hospitals/doctors will be rampaged by all these people who have stayed away and gotten a lot sicker with whatever they had...and if covid rises again what that happens...bottom line: Give your health care workers a lot of support right now. They are getting crushed and come June, it's not over by a long shot. 

 

I noted before that I have two relatives in nursing who volunteered to work at St Joe's on the covid ward. I haven't heard much from them but it was bad just a few days ago. I'm sure it's not gotten better since. 

 

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30 minutes ago, Buffalo Bills Fan said:

The tricky part is. The heart has ace 2 reacpter like lung and intestines. Hapless posted in a different post here but for lungs and intestines mainly.. Some people died mycardio. Highly not a great chance but there has been lots.  Maybe 5 percent guessing.Just wondering my niece as well. Still a mystery in a way.  SARS and MERS had lots of mycardio deaths.

 

How is your niece doing?

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39 minutes ago, RoyBatty is alive said:

I already did the math, 8.8 million people in NYC, assume life expectancy of 78 that is 309/day.

 

People leave and move to NYC all the time. You don't calculate a death rate by doing any calculation around population and life expectancy. You count bodies in the morgue. 

 

That's why I linked to the NYC Health Dept source. If you can beat that source for deaths/day in NYC, have at it. But if they say 147/day on average, it's going to be pretty damn close. 

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21 minutes ago, shoshin said:

 

 

 

Your speculation on the fatality rate is speculation so far but even in Korea, it's higher than your count and given its very high contagiousness, even if it's 0.5%, that's a lot of bodies.

 

 

 

Actually, it's a little more than speculation.  Even though I have gone on record here on this site before this antibody test was published predicting .25% - .5%

 

And in regards to South Korea, you can't really say that with any certainty in regards to the mortality rate being at .5%.  Unless you've seen some anitbody testing that I haven't.

 

The best way we will find out are with these antibody tests with random samplings.

 

Quote

 

A study into Germany’s 'Wuhan' has revealed 15 per cent of the town, where the virus first stuck the country, have been infected but death rates have remained low.

Germany launched the Heinsberg Protocol study to examine the rural town of Gangelt in the region of Heinsberg, where the first virus fatalities occurred.

Unveiled on Thursday, the preliminary findings, using the results of 500 of the town's 12,000 inhabitants, showed that 15 per cent of the population was believed to have been infected.

 

But contrary to the national death rate, it revealed the mortality rate in the town would be 0.37 per cent. It is less than one-fifth of the mortality rate, based on confirmed positive tests in Germany as a whole, the researchers said

 

 

 

It will be fascinating to see what the infection rates are by state.  I wouldn't be surprised to see New York City and parts of NJ with infection rates of over 25%.   Maybe even higher.  

 
Edited by Magox
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32 minutes ago, GG said:

 

Or you know, look at the official statistics?  In 2017, city wide mortality rate was 547 per 100K.  That's less than 200/day.

 

You did the research, good for you, if that is a link, "official statistics"  i couldnt get it to work.  As i said, numerically, I cant get to that number,  547 per 100k, if that is what it says, sounds awfully low to me.  The US overall rate is 864 per 100k, guess that just proves you live longer in NYC, lol.

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Just now, Magox said:

 

It will be fascinating to see what the infection rates are by state.  I wouldn't be surprised to see New York City and parts of NJ with infection rates of over 25%.   Maybe even higher.  

 

 

If that's true, the contagiousness of this would be much, much higher than believed. I'm not saying you're wrong but I doubt it. 

 

The study you linked is in progress and the early data was a 500-person sample thus far in a small town. It's like drawing conclusions about this based on the Diamond Princess. Nowhere near enough data there yet. I do hope you're right. 

 

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1 minute ago, shoshin said:

 

If that's true, the contagiousness of this would be much, much higher than believed. I'm not saying you're wrong but I doubt it. 

 

The study you linked is in progress and the early data was a 500-person sample thus far in a small town. It's like drawing conclusions about this based on the Diamond Princess. Nowhere near enough data there yet. I do hope you're right. 

 

 

I get that.  But you said speculation and there is a little more than speculation to it.  

 

I can't wait till we get all these randomized antibody testing throughout various regions of the country for a whole bevy of reasons.  

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2 minutes ago, RoyBatty is alive said:

 

You did the research, good for you, if that is a link, "official statistics"  i couldnt get it to work.  As i said, numerically, I cant get to that number,  547 per 100k, if that is what it says, sounds awfully low to me.  The US overall rate is 864 per 100k, guess that just proves you live longer in NYC, lol.

 

You really should drop this. You've been proven badly wrong on a point that I think only you and Buffalo_Gal are pushing, that somehow there is a massive death overcoat underway that proves...what...this isn't as bad as everyone knows it to be? 

 

I'll link the source document again in case you didn't believe the Washington Examiner story that it was based on. 

 

https://www1.nyc.gov/assets/doh/downloads/pdf/vs/2017sum.pdf

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2 minutes ago, shoshin said:

 

If that's true, the contagiousness of this would be much, much higher than believed. I'm not saying you're wrong but I doubt it. 

 

The study you linked is in progress and the early data was a 500-person sample thus far in a small town. It's like drawing conclusions about this based on the Diamond Princess. Nowhere near enough data there yet. I do hope you're right. 

 

I understand not extrapolating too much from only s mall sample size but actually with 5,000? or so people on the Diamond Princess i think is a pretty good case study, highly concentrated, median to older group (with with weaker immune system), what was the infection rate for that?

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1 minute ago, Magox said:

 

I get that.  But you said speculation and there is a little more than speculation to it.  

 

Fair. 

 

1 minute ago, Magox said:

I can't wait till we get all these randomized antibody testing throughout various regions of the country for a whole bevy of reasons.  

 

For sure. Once we are testing anyone who wants it, plus randomized (oh no my rights!), we will have a much clearer picture of this. 

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