5 ms·

How do you know there will be a time after Corona? In all likelihood, it is here to stay like influenza and rhinovirus and other respiratory illnesses. The only

How do you know there will be a time after Corona? In all likelihood, it is here to stay like influenza and rhinovirus and other respiratory illnesses. The only way we recover the economy is by gaining herd immunity such that 25-50k yearly die, not 200k. That comes with vaccine and with wide scale exposure, which I'd wager is by 2021 summer. But even then, old folks will still die by the thousands each year due to covid 19.

notabee 6y ago
At the current death rate, we're on track to reach 200k dead by early July. And that's only the deaths that are being counted. There is a substantial increase in overall mortality beyond the year to year average, beyond the confirmed Covid deaths. Considering that this disease is causing pulmonary embolisms, strokes, heart attacks, and other manifestations of out of control clotting even in healthy young people, we may realistically have already hit 200k dead in June counting the people who have died suddenly at home without being tested.
- steveeq1 6y ago
  There are considerable financial incentives to "fudge the numbers" regarding corona. It's to the point where if someone has a stroke, and he has corona, it will be counted as a "corona death".
  - dmode 6y ago
    This is the theory that has been peddled quite a bit. But doesn’t really add up, since you can easily do a year over year comparison of death numbers. Unless, you suddenly think a significant portion of people are dying of heart attack this year
  - gvjddbnvdrbv 6y ago
    It is highly likely that if someone with corona has a stroke it is caused by the corona. Coronavirus causes clotting.
  - majewsky 6y ago
    What kind of incentives are we talking here? Honest question; I don't have insight into the medical care sector.
    - Consultant32452 6y ago
      I might have the numbers off a bit, but it's something like... If you have a patient at your hospital and you are able to give them a covid diagnosis, you get $8k from the federal government. If you can put them on a ventilator for a few minutes, you get $35k from the federal government. This is intended to help offset the costs of care for covid patients to healthcare providers. You can get a covid diagnosis by having some of the sympoms... like coughing, weakness, shortness of breath, etc. I imagine it's difficult to die from anything without some weakness or shortness of breath. So it is very easy to say the patient had "covid-like" symptoms, and put covid as the cause of death. Now, keep in mind that at the same time, healthcare providers are furloughing and laying off workers. Since "non-essential" care is on hold, there's not enough work for people to do in most places in the country. This places healthcare providers in a difficult moral position where they can inflate a number and keep their employees on payroll, or strictly follow it and lay everyone off. One easy way to help with this data issue is to simply differentiate the deaths where a person had covid-like symptoms vs a death where a person actually tested positive for covid.
  - koboll 6y ago
    Blood clots are a symptom of coronavirus. I'm not sure what else we should expect here.
  - sacred_numbers 6y ago
    That may be true, but the evidence mostly is pointing in the direction of undercounting COVID deaths. In northern Italy the official death count was less than half of "excess deaths", with the worst-hit areas having the most excess deaths. Certainly some of the excess deaths are due to people avoiding hospitals, or higher stress levels, but a lot are due to COVID deaths at home, or undiagnosed COVID deaths. Also, we still don't really understand this disease enough to know what effects it has on the body. There have been reports of people with COVID having strokes at much higher rates than would be expected for the same age demographic. It will be hard to tell which complications were coincidence and which were caused by COVID until later on when we have more data.
    - throwaway743 6y ago
      > Also, we still don't really understand this disease enough to know what effects it has on the body. This is especially worrying, now that the US military is barring previously hospitalized COVID survivors from enlisting and not allowing waivers.
      - dragonwriter 6y ago
        > This is especially worrying, now that the US military is barring previously hospitalized COVID survivors from enlisting and not allowing waivers. That's almost certainly a temporary policy because of the lack of information enacted with the expectation that it will be evolved based on future information, not something that should make the lack of information more worrying.
        throwaway743 6y ago
        Let's hope so
        deleted 6y ago
        [deleted]
      - gvjddbnvdrbv 6y ago
        Given the effects of Covid on the age range of people wanting to join the military this policy seems rather pointless. Very few people will be affected.
  - mancerayder 6y ago
    I've heard that repeatedly, and then even Musk parroted that, and it's time to kill that muddying of the waters because it confuses people. Here's the thing - you can't hide dead bodies, and at some point, somewhere, a death is counted. And if someone has a stroke and it's falsely a coronadeath, as you put it, there's a stat called Excess Deaths that's available for that reason.[1] If there's a sudden spike in overall deaths, then it's harder to fudge the numbers, as you say. Unless suddenly there are more strokes or other dangerous things going on such that more people die in ways unrelated to corona. The closest argument would be the economic situation is killing people, but that's a huge stretch (people don't just drop dead because they're out of work). 1 - https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm
  - acdha 6y ago
    There’s a big global uptick in mortality even in countries where a national healthcare system lacks that financial incentive. Unless you have hard proof that there’s widespread misreporting it’s actively harmful to spread conspiracy theories during a pandemic. https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.nytimes.com/interactive/2020/04/21/world/coronavirus-missing-deaths.html https://www.nytimes.com/interactive/2020/04/21/world/coronav...
  - tfehring 6y ago
    For all ages with non-negligible COVID-19 mortality rates (i.e., everyone over ~60), the baseline total mortality rate over the course of a few weeks is orders of magnitude lower than the mortality rate for COVID-19 over that same time period. The amount by which attributing all deaths in COVID-19 patients to COVID-19 could overstate the true case fatality rate is negligible.
o-__-o 6y ago
Worst case 10 years, likely well less than that and coronavirus won’t matter to humans. You see we have what’s called an inate and an adaptive immune system. The inate immune system catches coronavirus and immediately illicits a response, the adaptive immune system catches infections that the inate immune knows about. The innate immune system dies off after you are 10 or 11 and your adaptive immune system catches 90% of foreign invaders over your life. I’m giving some background because it means kids and children today have antibodies created by the innate system that fights off novel coronavirus. Which means their adaptive system will be able to remember and fight back against this virus. This means mutations, specifically this means weaker general strains in the future akin to the cold/flu. Let me put it this way.. RSV is a nasty respiratory illness but we as a species survive quite well along side it even if it happens to kill a few babies and old people every year
- gwf 6y ago
  Your descriptions of the human immune system and of viral evolution are both wildly inaccurate. I don’t intend to be snarky, but nearly every sentence is factually incorrect.
catalogia 6y ago
Even in the unlikely scenario where resistance/immunity/vaccines for corona never develop and it never goes away, there will come a point where people consider the death toll acceptable losses and the lockdowns will be lifted. E.g. the current attitude towards car accidents and influenza deaths. (And yes, I know corona is worse than either. Eventually, should corona truly become the 'new normal', that won't matter.)
koheripbal 6y ago
A vaccine is a near certainty.
- tobltobs 6y ago
  why?
- foob4r 6y ago
  Over an infinite period of time, sure.
mvkel 6y ago
It's helpful to use Spanish Flu as a proxy. It was almost completely overlooked by historians, mostly due to it coming on the heels of WWI, but look at what 1921 and beyond looked like. Back to normal. That's with the same social distancing and mask-wearing measures we see today. But no vaccine. What's clear is society now seems to be willing to let COVID run its course (and kill discriminately) as long as we keep below hospital capacity. If we allow that to happen, then we'll reach herd immunity, regardless of vaccine availability, within a couple of years. Let's just hope it doesn't mutate.
- LinuxBender 6y ago
  If you would like to keep an eye on mutations, some of them are tracked here [1] [1] - https://nextstrain.org/ncov/global https://nextstrain.org/ncov/global

notabee 6y ago

At the current death rate, we're on track to reach 200k dead by early July. And that's only the deaths that are being counted. There is a substantial increase in overall mortality beyond the year to year average, beyond the confirmed Covid deaths. Considering that this disease is causing pulmonary embolisms, strokes, heart attacks, and other manifestations of out of control clotting even in healthy young people, we may realistically have already hit 200k dead in June counting the people who have died suddenly at home without being tested.

steveeq1 6y ago
There are considerable financial incentives to "fudge the numbers" regarding corona. It's to the point where if someone has a stroke, and he has corona, it will be counted as a "corona death".
- dmode 6y ago
  This is the theory that has been peddled quite a bit. But doesn’t really add up, since you can easily do a year over year comparison of death numbers. Unless, you suddenly think a significant portion of people are dying of heart attack this year
- gvjddbnvdrbv 6y ago
  It is highly likely that if someone with corona has a stroke it is caused by the corona. Coronavirus causes clotting.
- majewsky 6y ago
  What kind of incentives are we talking here? Honest question; I don't have insight into the medical care sector.
  - Consultant32452 6y ago
    I might have the numbers off a bit, but it's something like... If you have a patient at your hospital and you are able to give them a covid diagnosis, you get $8k from the federal government. If you can put them on a ventilator for a few minutes, you get $35k from the federal government. This is intended to help offset the costs of care for covid patients to healthcare providers. You can get a covid diagnosis by having some of the sympoms... like coughing, weakness, shortness of breath, etc. I imagine it's difficult to die from anything without some weakness or shortness of breath. So it is very easy to say the patient had "covid-like" symptoms, and put covid as the cause of death. Now, keep in mind that at the same time, healthcare providers are furloughing and laying off workers. Since "non-essential" care is on hold, there's not enough work for people to do in most places in the country. This places healthcare providers in a difficult moral position where they can inflate a number and keep their employees on payroll, or strictly follow it and lay everyone off. One easy way to help with this data issue is to simply differentiate the deaths where a person had covid-like symptoms vs a death where a person actually tested positive for covid.
- koboll 6y ago
  Blood clots are a symptom of coronavirus. I'm not sure what else we should expect here.
- sacred_numbers 6y ago
  That may be true, but the evidence mostly is pointing in the direction of undercounting COVID deaths. In northern Italy the official death count was less than half of "excess deaths", with the worst-hit areas having the most excess deaths. Certainly some of the excess deaths are due to people avoiding hospitals, or higher stress levels, but a lot are due to COVID deaths at home, or undiagnosed COVID deaths. Also, we still don't really understand this disease enough to know what effects it has on the body. There have been reports of people with COVID having strokes at much higher rates than would be expected for the same age demographic. It will be hard to tell which complications were coincidence and which were caused by COVID until later on when we have more data.
  - throwaway743 6y ago
    > Also, we still don't really understand this disease enough to know what effects it has on the body. This is especially worrying, now that the US military is barring previously hospitalized COVID survivors from enlisting and not allowing waivers.
    - dragonwriter 6y ago
      > This is especially worrying, now that the US military is barring previously hospitalized COVID survivors from enlisting and not allowing waivers. That's almost certainly a temporary policy because of the lack of information enacted with the expectation that it will be evolved based on future information, not something that should make the lack of information more worrying.
      - throwaway743 6y ago
        Let's hope so
      - deleted 6y ago
        [deleted]
    - gvjddbnvdrbv 6y ago
      Given the effects of Covid on the age range of people wanting to join the military this policy seems rather pointless. Very few people will be affected.
- mancerayder 6y ago
  I've heard that repeatedly, and then even Musk parroted that, and it's time to kill that muddying of the waters because it confuses people. Here's the thing - you can't hide dead bodies, and at some point, somewhere, a death is counted. And if someone has a stroke and it's falsely a coronadeath, as you put it, there's a stat called Excess Deaths that's available for that reason.[1] If there's a sudden spike in overall deaths, then it's harder to fudge the numbers, as you say. Unless suddenly there are more strokes or other dangerous things going on such that more people die in ways unrelated to corona. The closest argument would be the economic situation is killing people, but that's a huge stretch (people don't just drop dead because they're out of work). 1 - https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm
- acdha 6y ago
  There’s a big global uptick in mortality even in countries where a national healthcare system lacks that financial incentive. Unless you have hard proof that there’s widespread misreporting it’s actively harmful to spread conspiracy theories during a pandemic. https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm https://www.nytimes.com/interactive/2020/04/21/world/coronavirus-missing-deaths.html https://www.nytimes.com/interactive/2020/04/21/world/coronav...
- tfehring 6y ago
  For all ages with non-negligible COVID-19 mortality rates (i.e., everyone over ~60), the baseline total mortality rate over the course of a few weeks is orders of magnitude lower than the mortality rate for COVID-19 over that same time period. The amount by which attributing all deaths in COVID-19 patients to COVID-19 could overstate the true case fatality rate is negligible.

o-__-o 6y ago

Worst case 10 years, likely well less than that and coronavirus won’t matter to humans. You see we have what’s called an inate and an adaptive immune system. The inate immune system catches coronavirus and immediately illicits a response, the adaptive immune system catches infections that the inate immune knows about. The innate immune system dies off after you are 10 or 11 and your adaptive immune system catches 90% of foreign invaders over your life. I’m giving some background because it means kids and children today have antibodies created by the innate system that fights off novel coronavirus. Which means their adaptive system will be able to remember and fight back against this virus. This means mutations, specifically this means weaker general strains in the future akin to the cold/flu. Let me put it this way.. RSV is a nasty respiratory illness but we as a species survive quite well along side it even if it happens to kill a few babies and old people every year

gwf 6y ago
Your descriptions of the human immune system and of viral evolution are both wildly inaccurate. I don’t intend to be snarky, but nearly every sentence is factually incorrect.

catalogia 6y ago

Even in the unlikely scenario where resistance/immunity/vaccines for corona never develop and it never goes away, there will come a point where people consider the death toll acceptable losses and the lockdowns will be lifted. E.g. the current attitude towards car accidents and influenza deaths. (And yes, I know corona is worse than either. Eventually, should corona truly become the 'new normal', that won't matter.)

koheripbal 6y ago

A vaccine is a near certainty.

tobltobs 6y ago
why?
foob4r 6y ago
Over an infinite period of time, sure.

mvkel 6y ago

It's helpful to use Spanish Flu as a proxy. It was almost completely overlooked by historians, mostly due to it coming on the heels of WWI, but look at what 1921 and beyond looked like. Back to normal. That's with the same social distancing and mask-wearing measures we see today. But no vaccine. What's clear is society now seems to be willing to let COVID run its course (and kill discriminately) as long as we keep below hospital capacity. If we allow that to happen, then we'll reach herd immunity, regardless of vaccine availability, within a couple of years. Let's just hope it doesn't mutate.

LinuxBender 6y ago
If you would like to keep an eye on mutations, some of them are tracked here [1] [1] - https://nextstrain.org/ncov/global https://nextstrain.org/ncov/global