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Further thoughts, on “peaking” of the pandemic

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Recently, we here at UD saw that global trend lines are curving over from exponential growth in new Covid-19 cases. Likewise, health authorities have been talking of the US and the UK peaking in perhaps ten days. Where I am, we are still growing: one, two, five, nine total. (And no, Black the Ripper is not credibly a Covid-19 case.)

Here’s a graphic that gives pause, with labelled phases — recall, the crest of new infections is the inflexion point on the growing arm of the S-curve of cumulative cases:

But, the further consideration is, onward waves triggered by fresh outbreaks or new strains once lock-downs . . . which cannot be long sustained . . . are relaxed:

These are schematic, here is a plot of the 1918 – 20 Spanish Flu’s waves, echoed in the death rates:

The peaking is coming through in how doubling times for cases to date are stretching:

A similar pattern is there in the 3-day rolling average, though US is spiking up again:

Let me add, daily cases log-lin curve:

So, it looks like we are going peak, though the peak may be more of a plateau before it falls.

Then, the next challenge is to find a more sustainable strategy than economy lock downs. Hopefully, treatments and vaccinations will make the difference, the sooner the better. END

Comments
JVL, I would place less stock in the numbers used for closed cases. Are these based on actual follow-up testing? Given the shortage of tests in most countries, I suspect that most confirmed cases that recover are not tested again. Does anyone know how the closed cases are determined?Ed George
April 15, 2020
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As of this afternoon (April 15th) the US has/had about 30% of all declared COVID-19 cases in the world (616 K out of 2000 K), about 20% of all attributed deaths due to COVID-19 (26 K out of 129 K), and about 40% of all active cases (549 K out of 1403 K). Of the 66 K closed cases in the US, 26 K were deaths, about 40% of the closed cases. And that still leaves about 550 K active cases. As with most other countries this may not be counting a lot of asymptomatic cases or cases outside of hospitals. For comparison, worldwide there are about 624 K closed cases with 129 K deaths, about 21% of the total. The numbers change frequently and there is a lot of lag in the system so that some cases and deaths are only registered days after they occur. But those are the numbers we've got to work with. The Economist reported that deaths from cardiac arrests in NYC are much, much higher than at the same time last year, due to the virus or the health care system being swamped. From https://edition.cnn.com/2020/03/25/politics/trump-coronavirus-china/index.html
President Donald Trump has in recent days criticized how China handled the coronavirus outbreak, saying Thursday that the "world is paying a very big price for what they did." But as the virus spread rapidly across China in the month of February, Trump repeatedly praised Chinese President Xi Jinping's response to the crisis, saying he's handled it "really well" and that he was doing "a very good job with a very, very tough situation." A CNN KFile review of Trump's public statements identified at least 12 occasions in which the President praised or projected confidence about China's response to coronavirus. This shift in tone from Trump represents a broader change in the President's view of China, as he attempts to deflect responsibility for the ongoing global pandemic to Beijing's initial handling of the crisis. It also shows how the President sought to downplay the threat of the virus in the weeks before the uptick of confirmed cases of coronavirus in the US.
JVL
April 15, 2020
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Iceland tracker https://www.icelandreview.com/ask-ir/whats-the-status-of-covid-19-in-iceland/kairosfocus
April 14, 2020
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JT, WRT the Carrier, what is the proportion of asymptomatic cases? With Diamond Princess [the cruise ship quarantined in Japan], extensive testing revealed a large number of asymptomatic cases. Here, is a report on Iceland, where a local corporation is facilitating large scale testing on a scale that would be infeasible for very large countries . . . 360k is a world apart from 330 M or even 3 M or 30 M, much less 1.3+ B. I clip:
Iceland’s testing suggests 50% of COVID-19 cases are asymptomatic The small nation might have an important lesson about the pandemic. Mihai Andrei by Mihai Andrei March 26, 2020 in Diseases, Health & Medicine, News Iceland is a small nation of about 364,000 people with strong healthcare and a supportive social system. While most affected countries are only testing those who display severe symptoms, Iceland wants to test everyone in the country for the novel coronavirus. It can afford to do so in part thanks to its relatively low population, but also due to its well-organized and well-funded medical system. Iceland has currently carried out 10,000 tests — this is far less than what other countries have done, but on a per capita basis, Iceland ranks first in the world . . . . Not all the results from Iceland’s tests have come through yet, but the ones that have, show that half of all cases are asymptomatic (at the time of testing). This would suggest that, on one hand, the virus is not as dangerous as we thought, but on the other hand, it would also suggest that it has spread far more than we are currently aware of. These results are also indicated by a testing survey carried on an entire Italian town of Vo (population 3,300), where the results showed that more than 50% of all cases are asymptomatic. The whole population of the village was tested, and 3% of the residents tested positive. Then, after a two-week lockdown, the population was tested again. The transmission had been reduced by 90% and the results were confirmed: the majority of cases seem to be asymptomatic.
We here see the pyramidical structure of a disease we are investigating: Cases that come to our attention do not represent the whole picture, whether serious cases or mild but noticeable ones. In addition, there is a hidden bulk that is generally invisible. Where, antigen testing [which is coming for Covid-19] allows us to detect after the fact. However, we must also recognise that our technological and logistical capabilities to test for infection are in a state of flux in an urgent situation. One in which 1/5 to 1/3 or so of negative tests are false negatives. Likewise, models depend on parameters that are hard to estimate and are prone to change. In short, the pictures we build are a lot less robust than we imagine. What I would like to see is to integrate sampling into census-based population structures, medical histories, case notes etc to form a more representative picture. But that will not happen overnight. KFkairosfocus
April 14, 2020
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Seems to be a corrected database error. Thank heavens.Jim Thibodeau
April 13, 2020
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You know the USS Theodore Roosevelt, where the captain decided to sacrifice his career to protect his sailors? There’s something like 600 positive cases in those sailors now out of 3000 or so.Jim Thibodeau
April 13, 2020
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I watch the Johns Hopkins site every day, even though it’s about a day to 36 hours behind. Yesterday I saw 557,000 cases in America. We hadn’t had exponential rise for the last 10 days, it’s been about 30 to 35,000 new cases a day, and me and my friend in San Francisco were wondering if that was an artifact of testing. I saw only slightly more than that this morning. Now it’s reading 682,000 cases? WTF? Please tell me there’s a database error or something. 35k is the largest single day increase in cases prior to today, somebody tell me there’s a database error and we didn’t have 125,000 new confirmed cases todayJim Thibodeau
April 13, 2020
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National Beef announced that its Iowa Premium plant in Tama will be idled until April 20, saying numerous employees had contracted COVID-19. The company said that it was taking steps to stop the spread of the virus and keep employees safe. Those include daily sanitizing and disinfection, temperature screenings, increased social distancing in common areas, and voluntary use of disposable face masks.rhampton7
April 13, 2020
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The South Heartland District Health Department reported this weekend that 10 workers at a Western Reserve beef facility in Hastings, NE have tested positive. Hastings is in Adams County, just south of Grand Island, a current coronavirus hot spot. The number of positive cases in Adams County is growing too, with 54 people there testing positive as of Sunday. Lincoln Premium Poultry, the company that runs a Fremont chicken plant that opened last September and supplies Costco with millions of rotisserie chickens and other cuts, announced its first COVID-19 case Monday. The plant employs roughly 1,100 people.rhampton7
April 13, 2020
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Tyson Foods said on Monday, April 13, 2020, that it would keep the pork processing plant in Columbus Junction closed through the end of the week. Officials said it was because of a continued assessment of the situation of the plant. Company officials announced the suspension of operations on Monday, April 6. At the time, they said that more than two dozen employees at the facility had tested positive for COVID-19. The company did not state whether any more workers had tested positive for the virus.rhampton7
April 13, 2020
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The Cargill plant in High River — about 60 kilometres south of Calgary — has roughly 2,000 workers. The union says currently there are 38 confirmed cases at the plant: five salaried employees, four contractors and 29 workers. Minnesota-based Cargill says it is temporarily reducing shifts starting Monday, and some wage increases and bonuses are now in place. "We also implemented additional safety measures like temperature testing, enhanced cleaning and sanitizing, prohibiting visitors, adopting social distancing practices where possible and offering staggered breaks and shift flexibility," Jon Nash said in an email to CBC News.rhampton7
April 13, 2020
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After three employees tested positive for COVID-19 at its West Liberty, Iowa, processing plant, West Liberty Foods announced it would close the facility at the end of its second shift on April 9. Officials plan to reopen the plant on April 14 after performing extensive cleaning and sanitizing operations. The plant processes packages and slices turkey, beef, pork and chicken for foodservice and retail customers and employs more than 800 people.rhampton7
April 13, 2020
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The Benton-Franklin Health District is reporting an outbreak of coronavirus cases at Tyson Fresh Meats in Wallula, WA. New coronavirus cases reported by the health district show that 35 residents from Benton and Franklin Counties, who work at the meat packing plant, have tested positive for coronavirus. Action News received news tips from several residents about a potential outbreak at the plant but we were unable to confirm the cases until now.rhampton7
April 13, 2020
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KF, A very positive development. On the negative side, I read that the famous mathematician John Conway has passed due to the virus. I don't know if it has officially been confirmed yet.daveS
April 12, 2020
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DS, I saw PM Johnson has been released to the PM's country home. KFkairosfocus
April 12, 2020
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A 'feel-good' story: Matterhorn Illuminated with Union Jack in Sign of SolidaritydaveS
April 12, 2020
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ET, yes. KFkairosfocus
April 12, 2020
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I am not overlooking that, kairosfocus. I am ecstatic about the over 90s who have survived it, though. This virus is bad, very bad. But we can beat it back if we just give our bodies the proper nutrition- well the majority, anyway. There will always be those who just have weaker systems regardless of what they do.ET
April 12, 2020
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ET, do not overlook the effect of this disease on the elderly, as well as contagiousness and management of air and surface contamination by viri with up to 7 - 9 day survival times. KFkairosfocus
April 12, 2020
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It just proves that nursing homes are not properly taking care of their guests. I would bet that the bulk of the dead did not have proper vitamin D serum levels. That means they had compromised immune systems. It is also why flu seasons are during non-summer months when we don't get enough sun to make our own. And then we complicate that by not supplementing properly. It's sad and very preventable.ET
April 11, 2020
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R7, this isn’t surprising. Old age homes, by their nature, encourage interactions between their guests. As such, if the virus got in before isolation actions were taken, the virus would spread widely. As of a few days ago, the majority of COVID deaths in Canada were at old age homes.Ed George
April 11, 2020
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A new tally shows 2,246 people have died in nursing homes from the coronavirus in 24 states. The numbers were compiled by NBC News, which also reported that nearly 2,500 long-term care facilities in 36 states are battling coronavirus cases - an explosive 522 percent increase in just 10 days. The numbers are incomplete because the federal government doesn’t keep a formal tally of coronavirus deaths in nursing homes or the number of facilities with infections, according to the network on Friday.rhampton7
April 11, 2020
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JVL, there is evidence of a high proportion of mild or asymptomatic cases. Also, it seems deaths tend to be within about 1 1/2 - 2+ weeks of onset of symptoms, but recoveries take significantly longer. I have seen it described as failing to make the bend on a U. The rising leg obviously adds time. You will note that I have pointed to noisy proxies. KFkairosfocus
April 11, 2020
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I have a couple of updates on the virus by the way such as Iceland just came back with their numbers 50% of the people that have it shows zero symptoms Also I do not like how the CDC is definitely Categorizing all flu deaths, pneumonia deaths, and heart disease deaths as covid deaths if they had covid It has drastically reduced the numbers of death on all three diseases I mentioned up there. This is a problem But here’s the main thing I’m going to post this just in https://www.ccn.com/hiv-ebola-like-mutations-suggest-coronavirus-leaked-from-a-lab/ If Covid came from a lab I can understand the craziness on the quarantineAaronS1978
April 11, 2020
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A primer on the Coronavirus tests. https://www.compoundchem.com/2020/03/19/covid-19-testing/JVL
April 11, 2020
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According to Ed George the politicians of NYC should be paying for all of the covid-19 cases there because of their callous nature during February's Chinese celebrations. The PEOPLE attending any church services CHOOSE to do so. That means it is all on them.ET
April 11, 2020
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BO'H: Pardon an error on my part. Obviously, PCR is generally subject to contamination. Of greater import here seems to be that accessibility of the virus can be elusive, even if present. And, with negative-result failures running at 1/5 to 1/3 it is obvious that we are seeing noisy signals . . . so, our statistics, again, are noisy proxies for the actual realities. In that context, it seems to me prudent to take it that if someone is showing reasonably characteristic clusters of symptoms, one should infer probability of the disease despite a negative test result. KFkairosfocus
April 11, 2020
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As of this morning, according to https://www.worldometers.info/coronavirus/ the US has/had 503,177 confirmed cases of COVID-19, more than the next three countries combined (Spain, Italy and France). Of those 457,102 are considered active which means 46,075 cases are not considered active. The US has registered 18,761 COVID-19 deaths second only to Italy with 18,849. New York state alone has more cases than all but two countries (the US and Italy) and more deaths than all but five countries (Italy, the US, Spain, France and the UK). So, 18,761 deaths out of 46,075 non-active cases is about 41% which is way, way about the estimated fatality rate (The WHO estimated a fatality rate of 3.4% on March 3rd which is well out of date now) The seasonal flu rate in the US is about 0.1%. Most likely many of the active cases are recovering but not fully recovered. Also likely is that the number of cases and deaths are under the true numbers as many people recovered having had no symptoms and some deaths would not have been ascribed to COVID-19 and/or some COVID-19 sufferers who died may have had the cause of death listed as some other condition and the virus weakened their system. But those are the numbers we've got. (For the whole world the number of closed cases is 480,758 and 102,897 deaths which is about 21%.) The daily new cases and daily new deaths graphs for the US look to be levelling out at about 30,000 new cases per day and about 2000 new deaths per day. There are always reporting lags (and I assume some facilities are falling way behind on their reporting) but hopefully those are true levelling offs albeit it at scary levels. Also hopefully there won't be a second wave of cases, a distinct possibility after some restrictions are relaxed. Widespread testing will help keep infectious people isolated and vulnerable people protected. A very unusual Easter weekend. I hope you all stay safe and healthy.JVL
April 11, 2020
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The number of people in South Korea who tested positive for the coronavirus for a second time after apparently recovering has risen to 91 — an increase of 40 from the 51 reported earlier this week, according to a report. Jeong Eun-kyeong, head of the Korea Centers for Disease Control and Prevention, told reporters that the virus may have been “reactivated” rather than the patients being reinfected, Reuters reported. False test results also could be the cause, other experts said, or remnants of the virus could still be in people’s systems but not be infectious or of danger to the host or anyone else.rhampton7
April 10, 2020
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I’m seeing reports that a significant percentage of people who get this virus don’t wind up with antibodies later, so they can get it again in a few months. Ugh.Jim Thibodeau
April 10, 2020
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