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that's legit -- the percentage is not insignificant -- but it does look like you're calculating 2% of all Americans (approx 327M). the 2% number is _case_ fatal

that's legit -- the percentage is not insignificant -- but it does look like you're calculating 2% of all Americans (approx 327M). the 2% number is _case_ fatality rate, i.e., how many cases are fatal. so to get from there to actual deaths, you have to apply it to _cases_. so you need to combine that with the attack rate, or attack ratio. the only number I've heard for the attack rate is 30%, from the virologist Ian Mackay, who caveated it as a guess: https://twitter.com/MackayIM/status/1233511899083530240 https://twitter.com/MackayIM/status/1233511899083530240 it could probably never be anything but a guess, until after the fact. anyway, it would not be 2% of the US population. it would be 2% of 30% of the US population, which is approximately two million people. with the caveat that all of these numbers are early estimates based on limited data. 2M people is still a lot of deaths. but it's not just how many people are killed. the rate of hospitalization is 15-25%. approx 10% of patients in Italy right now are in intensive care. the disease expresses as severe pneumonia, so severe that survivors have experienced _organ failure_. you could be hooked to a ventilator for a month. in the United States, if you survive a medical problem that serious, it still ruins your life. probably this country will see not just a significant number of deaths, but also a spike in medical bankruptcies -- which are already a huge problem here.

gdubs 7y ago
So the question according to those numbers is, are we prepared to hospitalize 10% of the 30% of people who may get infected in the United States? In particular, do we have enough ventilation beds, the isolation infrastructure, the staffing? During a crisis you’d want daily briefings where questions like these could be asked. I’ve said in other threads: it feels like the US is sleepwalking through this. If the CDC believes, as they said last week, that this will spread inevitably — what exactly are we waiting for? We have two cases of unknown origin in Santa Clara county, yet schools are still open as of now. Wouldn’t it make sense to close them for two weeks now to hopefully slow the spread and give us additional time to ramp up our medical response?
- tessierashpool 7y ago
  we definitely do not have enough hospital beds. as for the CDC, the Trump administration gutted the CDC in 2018. they fired its leadership and dramatically reduced its budget. they went to Congress last week or so for an emergency $2.5B, which is better than nothing, but $25B would have been a more realistic number. House leaders were basically complaining like "you should have asked us for more money." Trump et al also put Mike Pence in charge of the situation last week. Trump said, when announcing that Pence would be in charge, that "he's got a talent for this." however, as governor of Indiana, Pence prioritized ideology over public health, and the state experienced an HIV outbreak due to his leadership (a subsequent Yale study found the outbreak was entirely preventable). long story short: yes, the Federal government's response is extremely inadequate. it will probably continue to be inadequate throughout the crisis.

gdubs 7y ago

So the question according to those numbers is, are we prepared to hospitalize 10% of the 30% of people who may get infected in the United States? In particular, do we have enough ventilation beds, the isolation infrastructure, the staffing? During a crisis you’d want daily briefings where questions like these could be asked. I’ve said in other threads: it feels like the US is sleepwalking through this. If the CDC believes, as they said last week, that this will spread inevitably — what exactly are we waiting for? We have two cases of unknown origin in Santa Clara county, yet schools are still open as of now. Wouldn’t it make sense to close them for two weeks now to hopefully slow the spread and give us additional time to ramp up our medical response?

tessierashpool 7y ago
we definitely do not have enough hospital beds. as for the CDC, the Trump administration gutted the CDC in 2018. they fired its leadership and dramatically reduced its budget. they went to Congress last week or so for an emergency $2.5B, which is better than nothing, but $25B would have been a more realistic number. House leaders were basically complaining like "you should have asked us for more money." Trump et al also put Mike Pence in charge of the situation last week. Trump said, when announcing that Pence would be in charge, that "he's got a talent for this." however, as governor of Indiana, Pence prioritized ideology over public health, and the state experienced an HIV outbreak due to his leadership (a subsequent Yale study found the outbreak was entirely preventable). long story short: yes, the Federal government's response is extremely inadequate. it will probably continue to be inadequate throughout the crisis.