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Post Posted: Sun Apr 19, 2020 8:05 am 
 

I know in the UK that our deaths are only hospitals where they’ve tested positive

I think the US is being real short sighted by staging protests about coming out of isolation. As for Trump tweeting Liberate
“Wherever” when it’s only democrat states he’s naming and not republican states which are also demonstrating, shows he’s just using this again for political gain

Too many are ignoring the many deaths caused by the virus in a short space of time. Yes, many many who have died, would likely have died from their underlying illnesses this year anyway, but that does not detract from the severity of the situation we all face


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Post Posted: Sun Apr 19, 2020 9:34 am 
 

Make no mistake, our entire government (and news media) is playing political games here.  I’m not giving anyone a pass, but simply stating the obvious.  Remember the politician’s motto:  “Never let a good tragedy go to waste”.  It’s possible to have multiple catastrophic (potentially) problems simultaneously.  Effective leadership (across the board) should be able to agree on this and act accordingly.

  

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Post Posted: Sun Apr 19, 2020 10:04 am 
 

Why is there not something like: No Shoes, No Shirt, No Mask: No Service.
If a place serves food, social distance the customers.

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Post Posted: Sun Apr 19, 2020 11:13 pm 
 

JasonZavoda wrote in Random Thoughts or OT Chit-Chat Thread:Several problems with the information in all sides of the press. The CDC guidelines are calling deaths to be c-virus deaths without testing if the patient actually had the virus.  The number given who test positive does not list the severity of the symptoms just that a positive result was given. The numbers of those that have died do not differentiate between the cause of death and a C-Virus link. If someone dies of pancreatic failure who is elderly not only are they being listed as a C-Virus death even if the c-virus was not the direct cause of death, they are being listed as a c-virus death without being tested to see if they are positive for the c-virus.


That's not correct. The CDC has issued comprehensive guidance on how to determine if a death is "due to COVID-19". Just like any other death, the person completing the death certificate has to make a judgement call. It is going to be identified as COVID-19 only if that was the underlying cause of death.

https://www.cdc.gov/nchs/data/nvss/vsrg/vsrg03-508.pdf


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Post Posted: Sun Apr 19, 2020 11:24 pm 
 

This article in Business Insider looks at the number of COVID-19 deaths compared to the average of other causes of death in the US. As of now, it exceeds that of the other usual causes (such as heart disease or cancer), but hopefully we're heading toward a peak.

One chart shows US COVID-19 deaths compared with other common causes - Business Insider


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Post Posted: Mon Apr 20, 2020 12:37 am 
 

Bracton wrote in Random Thoughts or OT Chit-Chat Thread:
That's not correct. The CDC has issued comprehensive guidance on how to determine if a death is "due to COVID-19". Just like any other death, the person completing the death certificate has to make a judgement call. It is going to be identified as COVID-19 only if that was the underlying cause of death.

https://www.cdc.gov/nchs/data/nvss/vsrg/vsrg03-508.pdf

As you state, the guidelines don't actually address JZ's question. To wit: "In cases where a definite diagnosis of COVID–19 cannot be made, but it is suspected or likely (e.g., the circumstances are compelling within a reasonable degree of certainty), it is acceptable to report COVID–19 on a death certificate as “probable” or “presumed.” In these instances, certifiers should use their best clinical judgement in determining if a COVID–19 infection was likely. "

JZ's request for average death rate per month, would cut through a lot of this ambiguity.

  

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Post Posted: Mon Apr 20, 2020 12:55 am 
 

I was responding to the comment "If someone dies of pancreatic failure who is elderly not only are they being listed as a C-Virus death even if the c-virus was not the direct cause of death, they are being listed as a c-virus death without being tested to see if they are positive for the c-virus."

The process used to determine cause of death here is the same as for every other disease. Someone makes a judgment call based on symptoms. People are listed as dying from heart attacks all the time based on information available, even if no one was there to see them have a heart attack. This is no different.

COVID-19 has to be determined as an underlying cause of death for it to be included in the numbers. So the example of a death as a result of pancreatic disease would not be included, unless COVID-19 was somehow an underlying cause of the death from pancreatic disease (which is an example I have a hard time coming up with). The idea that the COVID-19 numbers are false because anyone dying who might have symptoms is being included is, simply, false.

The number of admissions and deaths in New York hospitals indicates that we have an anomalous number of both from something right now, and the evidence all points to COVID-19. Are all of them being correctly identified? Probably not. But not all heart attacks are correctly identified either. We don't decide the numbers are useless just because that's the case.

Certainly, more information is needed, and will be critical in deciding how we reduce restrictions and begin to get the economy going again. Comparing aggregate average deaths will be helpful. But we don't have to have that information in order to determine that something is going on, and we should take actions to mitigate it.


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Last edited by Bracton on Mon Apr 20, 2020 1:16 am, edited 1 time in total.
  

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Post Posted: Mon Apr 20, 2020 1:15 am 
 

It turns out the CDC is tracking COVID-19 deaths in comparison to all deaths, including average deaths in the same week in 2017-2019. The data is provisional, however, since it is based on death certificates, which are delivered to the CDC often with a delay as long as two months (or possibly more). But as time goes on, this page may provide more insight.

Provisional Death Counts for Coronavirus Disease (COVID-19)


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Post Posted: Mon Apr 20, 2020 1:41 am 
 

JasonZavoda wrote in Random Thoughts or OT Chit-Chat Thread:In 2018 the average deaths per day were 7,300.


So right now over 2000 people a day are dying from COVID-19, it has become the leading cause of death in the US for about the past two weeks now. Even allowing for your argument that we are potentially over-counting, lets say there is a 25% increase in deaths due to this virus, that is even with the extraordinary measures that are being taken right now.  Over the course of a year that is over 600K people. This is not something to take lightly. It won't help the economy to open things up, but at the expense of hundreds of thousands of people.  The only way that can happen is with extensive testing being made available, so that hot spots can be quickly identified and isolated, and even then you will probably see masks being required in public places, etc.  The testing sounds like it is right around the corner, but that seems to have been the case for a while now, hopefully that isn't being held up by politics.

  

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Post Posted: Mon Apr 20, 2020 2:36 am 
 

Nice reading:

The Ruins of Murkhill™ - Original Dungeons & Dragons Campaign: Annual Celebration of Blackmoor Campaign Day - April 17th, 1971


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Post Posted: Mon Apr 20, 2020 5:51 am 
 

Grug Greyskin wrote in Random Thoughts or OT Chit-Chat Thread:
So right now over 2000 people a day are dying from COVID-19, it has become the leading cause of death in the US for about the past two weeks now. Even allowing for your argument that we are potentially over-counting, lets say there is a 25% increase in deaths due to this virus, that is even with the extraordinary measures that are being taken right now.  Over the course of a year that is over 600K people. This is not something to take lightly. It won't help the economy to open things up, but at the expense of hundreds of thousands of people.  The only way that can happen is with extensive testing being made available, so that hot spots can be quickly identified and isolated, and even then you will probably see masks being required in public places, etc.  The testing sounds like it is right around the corner, but that seems to have been the case for a while now, hopefully that isn't being held up by politics.


Except there arent 2k a day being reported and they are still judgement call reports. 600k is now beyond the predictions of any source I have currently heard except the early alarmist blathering of millions which helped put us in this current economic crisis. This situation has been sensationalism and fear-mongering.

It will help and hopefully save the economy to reopen the country as it would have been wiser not to shut it down in the first place and simply quarantine those likely susceptible to dangerous and fatal consequences.

PLEASE NO POLITICS is my request which means no mention of political figures or parties.

As far as numbers of dead the cdc quotes are saying A) the numbers are in excess of average deaths and B) they cant gather numbers for months. These are contradictory statements. The guidelines regarding judgement calls nullifies accurate C-Virus reporting.

This seems to be a serious new virus killing some numbers of the sick and the elderly but hasn't shown itself to be the new black plague or spanish flu. What it is though is destroying the world economy and damaging civil rights because of fear and we cant beat fear by hiding from it.


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Post Posted: Mon Apr 20, 2020 10:33 am 
 

I'm going to leave this discussion after this. I feel like I'm just repeating myself.

JasonZavoda wrote in Random Thoughts or OT Chit-Chat Thread:Except there arent 2k a day being reported and they are still judgement call reports.


The number of COVID-19 deaths in the US has generally ranged between 1,500 (on the very low end) to 2,000 per day over the last two weeks.

Are those classifications judgment calls? Yes, just like all other causes of death listed in death certificates. If you don't believe the numbers for COVID-19, you don't believe any numbers at all. There is nothing that makes COVID-19 classifications any more suspect than any other classification (whether for the flu, pneumonia, heart disease, cancer or any other). As I've now said several times, the person filling out the death certificate makes a judgment, and must find that COVID-19 was an underlying cause of death for it to be included. Just like every other cause of death.

600k is now beyond the predictions of any source I have currently heard except the early alarmist blathering of millions which helped put us in this current economic crisis. This situation has been sensationalism and fear-mongering.


Yes, 600,000 deaths is now well beyond any number of likely deaths in the US from COVID-19, assuming current trends continue. Assuming current trends continue. Why do we have the current trends we do now? Shelter-at-home orders have now been in place in large parts of the country for just over a month. (Northern California was first, on March 17.  Illinois was March 21, just less than a month ago.)

Can you prove there wouldn't have been 600,000 deaths (or millions of deaths) if we hadn't put these extreme measures into place? Was the alternative to wait and see how many died before we decided action should be taken? How many deaths would you like to have seen before we did so?

"Sensationalism and fear-mongering"? Was Y2K sensationalism and fear-mongering? What about the changes in airport procedures after 9/11? The numbers were based on scientific epidemiological models. Were they almost certainly wrong? Absolutely. But they were the best we had given limited information, and we should make our decisions based on the best information we have, not hopes and slogans. There will be time to do a complete analysis on how dangerous this virus is, and figure out what the best approach should be the next time. But being cautious in the name of saving lives seems the right approach to me.

It will help and hopefully save the economy to reopen the country as it would have been wiser not to shut it down in the first place and simply quarantine those likely susceptible to dangerous and fatal consequences.


There's no practical way to just quarantine "those likely susceptible to dangerous and fatal consequences". With data as of April 14, 23.1% of deaths in New York were aged 45 to 64. 24.6% were aged 65 to 74. Many of those who died had underlying conditions, such as diabetes, lung disease, cancer, hypertension, asthma, kidney disease, liver disease, heart disease or immunodeficiencies. But not all. Do we quarantine all those over the age of 45 with any of those conditions? What of people who might have one of those (such as hypertension) and not even know it? If we limit the quarantine to all of these people, COVID-19 will likely run rampant through the rest of the population. The risk of it spreading to those we attempt to quarantine will be very high. And even with only the "young and healthy" remaining outside, many of those will die, perhaps enough to overwhelm the health care system. It would be an enormous, national experiment with human lives on the line.

Now, what we are doing now is also an experiment. But it is designed to minimize overall deaths, and once the curve is flattened, can be modified over time to get people and the economy working again. That's where we are at now; we just need enough testing kits to be able to make sure we track cases as the restrictions are lifted.

As far as numbers of dead the cdc quotes are saying A) the numbers are in excess of average deaths and B) they cant gather numbers for months. These are contradictory statements. The guidelines regarding judgement calls nullifies accurate C-Virus reporting.


See above. The numbers are preliminary, but the CDC can look at trends and do statistical analyses to determine the likely impact. They could be wrong, but it's the best we have at the moment. We shouldn't ignore the best information we have just because it isn't perfect, or because we may have better information later. You go to battle with the information you have. And if you don't like judgement calls, then you can't quote any death numbers, because they are all judgment calls.

This seems to be a serious new virus killing some numbers of the sick and the elderly but hasn't shown itself to be the new black plague or spanish flu. What it is though is destroying the world economy and damaging civil rights because of fear and we cant beat fear by hiding from it.


No, this isn't the black plague. We don't really know yet how bad it could have been. But that's not a reason to take no action and see how many people die.

It is not destroying the world economy. Yes, this is bad, and I'm not at all minimizing the extreme trauma the shutdown is creating for many, many people. This is exactly what government is for. It needs to cushion the blow so we can take the necessary actions to save lives.

And no, this isn't damaging civil rights. The police power of the state -- including the power to quarantine and impose restrictions for the benefit of the public health -- goes back to English law, and has been recognized by the Supreme Court since the time of Chief Justice Marshall. That doesn't mean that all restrictions imposed by states or local authorities are good policy, but for the most part it isn't a civil rights/constitutional law issue. (Now, if we try to impose mandatory tracking of those who are not shown to have the disease, that may be different. But in the US, we're not there yet.)

OK, I'm getting off my soapbox. Everyone, please be safe out there. Wash your hands. Stay home if you can.


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Post Posted: Mon Apr 20, 2020 4:07 pm 
 

What are you people arguing about?!!! Don't you realize that oil has dropped to $-37 a barrel?!!!

https://www.cnbc.com/2020/04/20/oil-mar ... emand.html
"West Texas Intermediate crude for May delivery fell more than 100% to settle at negative $37.63 per barrel, meaning producers would pay traders to take the oil off their hands."

We should all be on our way to the nearest oil well, lined up to get that $37 to take it off their hands. Then pour it out on the ground & turn around to collect another $37. It's the only way to save our economy.

  


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Post Posted: Tue Apr 21, 2020 4:40 am 
 

JasonZavoda wrote in Random Thoughts or OT Chit-Chat Thread: various statements .


CDC website shows on average 40000 die from influenza in the US during flu season (Dec-Feb roughly) if you look from 2010 to now.

Past Seasons Estimated Influenza Disease Burden | CDC

You’ve had 40000 die in a month already related to covid19.

United States Coronavirus: 792,938 Cases and 42,518 Deaths - Worldometer

Anyone who still believes this virus is no worse than flu needs some serious educating. But I do agree that the media and politicians are making it a lot worse. I’m not a mad person on a rant about lockdowns, just trying to get as many facts and information as I can


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Post Posted: Tue Apr 21, 2020 4:42 am 
 

Bracton wrote in Random Thoughts or OT Chit-Chat Thread:I'm going to leave this discussion after this. I feel like I'm just repeating myself.



The number of COVID-19 deaths in the US has generally ranged between 1,500 (on the very low end) to 2,000 per day over the last two weeks.

Are those classifications judgment calls? Yes, just like all other causes of death listed in death certificates. If you don't believe the numbers for COVID-19, you don't believe any numbers at all. There is nothing that makes COVID-19 classifications any more suspect than any other classification (whether for the flu, pneumonia, heart disease, cancer or any other). As I've now said several times, the person filling out the death certificate makes a judgment, and must find that COVID-19 was an underlying cause of death for it to be included. Just like every other cause of death.



Yes, 600,000 deaths is now well beyond any number of likely deaths in the US from COVID-19, assuming current trends continue. Assuming current trends continue. Why do we have the current trends we do now? Shelter-at-home orders have now been in place in large parts of the country for just over a month. (Northern California was first, on March 17.  Illinois was March 21, just less than a month ago.)

Can you prove there wouldn't have been 600,000 deaths (or millions of deaths) if we hadn't put these extreme measures into place? Was the alternative to wait and see how many died before we decided action should be taken? How many deaths would you like to have seen before we did so?

"Sensationalism and fear-mongering"? Was Y2K sensationalism and fear-mongering? What about the changes in airport procedures after 9/11? The numbers were based on scientific epidemiological models. Were they almost certainly wrong? Absolutely. But they were the best we had given limited information, and we should make our decisions based on the best information we have, not hopes and slogans. There will be time to do a complete analysis on how dangerous this virus is, and figure out what the best approach should be the next time. But being cautious in the name of saving lives seems the right approach to me.



There's no practical way to just quarantine "those likely susceptible to dangerous and fatal consequences". With data as of April 14, 23.1% of deaths in New York were aged 45 to 64. 24.6% were aged 65 to 74. Many of those who died had underlying conditions, such as diabetes, lung disease, cancer, hypertension, asthma, kidney disease, liver disease, heart disease or immunodeficiencies. But not all. Do we quarantine all those over the age of 45 with any of those conditions? What of people who might have one of those (such as hypertension) and not even know it? If we limit the quarantine to all of these people, COVID-19 will likely run rampant through the rest of the population. The risk of it spreading to those we attempt to quarantine will be very high. And even with only the "young and healthy" remaining outside, many of those will die, perhaps enough to overwhelm the health care system. It would be an enormous, national experiment with human lives on the line.

Now, what we are doing now is also an experiment. But it is designed to minimize overall deaths, and once the curve is flattened, can be modified over time to get people and the economy working again. That's where we are at now; we just need enough testing kits to be able to make sure we track cases as the restrictions are lifted.



See above. The numbers are preliminary, but the CDC can look at trends and do statistical analyses to determine the likely impact. They could be wrong, but it's the best we have at the moment. We shouldn't ignore the best information we have just because it isn't perfect, or because we may have better information later. You go to battle with the information you have. And if you don't like judgement calls, then you can't quote any death numbers, because they are all judgment calls.



No, this isn't the black plague. We don't really know yet how bad it could have been. But that's not a reason to take no action and see how many people die.

It is not destroying the world economy. Yes, this is bad, and I'm not at all minimizing the extreme trauma the shutdown is creating for many, many people. This is exactly what government is for. It needs to cushion the blow so we can take the necessary actions to save lives.

And no, this isn't damaging civil rights. The police power of the state -- including the power to quarantine and impose restrictions for the benefit of the public health -- goes back to English law, and has been recognized by the Supreme Court since the time of Chief Justice Marshall. That doesn't mean that all restrictions imposed by states or local authorities are good policy, but for the most part it isn't a civil rights/constitutional law issue. (Now, if we try to impose mandatory tracking of those who are not shown to have the disease, that may be different. But in the US, we're not there yet.)

OK, I'm getting off my soapbox. Everyone, please be safe out there. Wash your hands. Stay home if you can.


Well said


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Post Posted: Tue Apr 21, 2020 2:22 pm 
 

ashmire13 wrote in Random Thoughts or OT Chit-Chat Thread: CDC website shows on average 40000 die from influenza in the US during flu season (Dec-Feb roughly) if you look from 2010 to now.
You’ve had 40000 die in a month already related to covid19.

Last year 80,000 died of the flu (estimated, CDC) so I don't think anyone other than the media are saying the virus causing Covid 19 is a typical flu, but instead possibly a bad one. And yet we don't shut down society for a bad flu. Similarly, the Spanish flu will probably end up with a mortality rate of 2 to 5 times that of Covid 19 but society was not shut down. Moreover, the virus causing Covid 19 has probably been in the US since December, and so I suspect there has been broad exposure for months and most are immune or asymptomatic (it looks from recent studies in CA and MA, that as many as 80x more people have it than official cases), so the actual "Covid season" may well be much longer than one month. Some Italian researchers think many cases of Covid 19 emerged in Italy back in October and are asking the government to exhume bodies to test for it.

So there's a lot we don't know. It'll probably be a couple years before we understand the size of the overreaction or under reaction.

ashmire13 wrote in Random Thoughts or OT Chit-Chat Thread:Anyone who still believes this virus is no worse than flu needs some serious educating. But I do agree that the media and politicians are making it a lot worse.

The media are the ones, after all, who told everyone it was just the flu. A small sampling:
Jan 28 - Business Insider - "The flu is a far bigger threat to most people in the US than the Wuhan coronavirus"
Jan 29 - Mother Jones - "The New Coronavirus Is Scary. But Don’t Forget About the Seasonal Flu."
Jan 31 - Washington Post - “How our brains make coronavirus seem scarier than it is.”
Feb 1 - Washington Post - "Get a grippe, America. The flu is a much bigger threat than coronavirus, for now,”
Of course, Vox, Huffpost were also comparing it to the flu, but a lot of their articles have been withdrawn (i.e., censored), so it's hard to give a complete list.

  


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Post Posted: Tue Apr 21, 2020 6:01 pm 
 

Sea-to-sky-games wrote in Random Thoughts or OT Chit-Chat Thread:The media are the ones, after all, who told everyone it was just the flu. A small sampling:
Jan 28 - Business Insider - "The flu is a far bigger threat to most people in the US than the Wuhan coronavirus"...


Think of it from the perspective of the writers/publishers. For each article, they receive a small amount of money to pretend to be experts. The next article might be about something else, but the writer must pretend to be an expert on that too. The safest route is to adopt an attitude of smug self-righteousness with as little actual fact as possible.

  


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Post Posted: Wed Apr 22, 2020 12:48 am 
 

The virus will kill many more people if we "open." However, there is no free lunch.

Unemployment causes depression, alcoholism, spousal abuse, canceled retirement and suicide. Those who were getting ahead are going to fall behind. Some wont recover. College and high school grads may stay unemployed for a year or more. This will have an impact for even longer.

The virus kills people now. I understand the flu comparison, but it includes everyone. The death rate for elderly is much higher with covid. I'm not ok with that. Our political leadership are also in this age group. They are courting the largest and most dedicated voting block - also this age group. No one wants to get tarred with a six figure death toll which will happen without the lock down.

I dont know how to weigh the life of of a 78 year old vs the livelihood of twenty young families. I cant measure the life of fifty 75 year-olds vs the depression and suicide of one 28 year old father who just lost his business.

This appears to be the first time humanity can do anything to stop a fast spreading virus. Everyone seems engaged with ideas and information all wanting the best possible outcome; but all options seem to suck during a pandemic.

  
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