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Something does not add up
So the virus is on its way. Even though Australia has no known community transmission we are choosing to slow down the spread by actively importing it even though we are surrounded by a moat, and are pretty much self-sustaining. We have thousands of high risk people and the disease that’s coming is largely unknown — today there are reports a Japanese case of a woman medical experts had thought had recovered who tests positive again. Is this a biphasic disease like anthrax? That’ll be fun.
Winter is twelve weeks away for Australians, and we know the coronavirus potentially threatens to overwhelm our medical systems and could be a GDP-type hit on national economies. It’s highly infectious, and between 5 – 17% of current cases outside China require hospitalization, and probably 1 -3% will need intensive care. Inviting the virus to start spreading now will mean it will peak during winter — the worst possible time in Australia.
Australia is one of the easiest countries to protect from this scourge, yet we are obediently following policies of northern hemisphere nations in a different situation. Hmm?
As I keep saying, it’s easier to import a deadly […]
The good news — babies and children appear to be not at risk. The not-so-great news, people over 80 in China have up to a 15% fatality rate (usual caveats, based on unreliable communist statistics and will hopefully be lower for many reasons, see below.) Note that even with the “one child” policy effects in China, that most western nations have a higher proportion of older folk — especially France, Germany and Greece.
The news on “rates of severe cases” is mixed. Singapore, Japan and HK are looking at 15% early rates. But many other nations are looking at 0%. Hmm?
A/ Fatality rate per age group. b/ Demographic age groups in different nations. C/ Relative mortality compared to China (apparently due only to the age demographic). | Click to enlarge. Age and Sex of COVID-19 Deaths REF China CCDC
*Fatality rates calculated by the China CCDC won’t include many unrecorded asymptomatic infections, nor the deaths outside hospitals and don’t appear to include the lag either. But they show which groups are at most risk.
Worldometer now gives us rates according to sex and preexisting conditions. (Reproduced below). Basically there are 30% higher death rates in men, […]
In short:
Outside China, 2% of cases have progressed to “severe”. But if the lag is eight days then progression to severe is more like 5%. In China about 1/5th of severe cases are “Critical” If that rate occurs in the West, hospitals will be overwhelmed if just 1% of the population gets infected. In Singapore, the doubling period for confirmed cases is about nine days. Currently the spread is not exponential outside China (most days)
News today: First victim in Europe — an 80 year old Chinese tourist.
Stats: Total cases outside China: 787 Deaths: 4 Severe cases: 18 (2%)
Early days of “outside China” data
The 2% rate of severe cases is an underestimate above. There is an eight day lag from diagnosis to “severe,” and then a longer lag to death. Total cases outside China on Feb 8th was 354. So a more realistic estimate is that about 5% of confirmed cases outside China have now progressed to “severe” (i.e. 18/354).
What does severe mean? It appears “severe” means hospitalized but not necessarily in ICU. In China, the rates issued in a Feb 7 press release were 82% mild, 15% severe, and 3% critical. From […]
Partial post hoc reactive quarantine holds seven planes at London airport– seriously?
Madness. Eight planes have been held up for hours in London airports as they land with people with coughs and colds and try to check suspected cases. By the time people are symptomatic, its too late. Temperature checks may catch the most contagious people but now one person with a unrelated common cold can also cause a major and unnecessary disruption while other infective people can freely fly in and walk straight through.
Asymptomatic people can potentially infect 2 to 3 random people (or 10) who may then also infect 2 – 3 random people each before the Epidemiology SWAT Team realizes and starts testing and tracking. We play an impossible game of catch up in a race to isolate all possible contacts.
HOURS of misery in coronavirus lockdown at Heathrow:
DailyMail UK
Passengers endured hours of misery at Heathrow Airport this morning when up to eight planes were put on lockdown over coronavirus fears after passengers on board complained of symptoms of the deadly virus.
MailOnline understands a British Airways flight from Kuala Lumpur was held up on the tarmac for […]
Global Markets were shaken by the sudden rise in numbers out of China yesterday. But the increase was not a surprise for anyone who has been watching social media and the measures being taken in China. That China is now allowing the WHO in may be an admission that they really do need help. The explanation for the jump is that China changed the definitions. They are also admitting that there may be many cases of people with low grade infections, but also unattributed deaths as well. For days the ratio of cases to deaths was suspiciously 2.1%, 2.1%, 2.1% … Now perhaps it’s a tiny bit closer to the truth.
The tally outside China continues to rise: there now 587 cases, with 3 deaths (1 new one in Japan) and 24 people classified as “serious critical”. These are the key figures to watch. We expected the number of cases that were severe to rise as the five to eight day lag unfolds from the first symptoms to the onset of breathing trouble. So at the moment 4% of cases outside China are headed for hospital intervention, perhaps ICU (does anyone know the definition of “Serious Critical”?). That will keep […]
So Coronavirus is now CoVID-19.
We’ve been walking the cusp of containable versus pandemic for two weeks but the growth of infections outside China is just a bit too fast, a bit too random and the news suggests its easier to spread. At least the number of severe cases outside China is still only 2% of the total. But there’s a lag of a week or two, so that’s likely to rise. If it is even possible to stop, I suspect only the mass closure of borders will do.
World (ex China) Cases: 517 Deaths: 2 Recovered: 54 Severe: 12
Click to enlarge
While Australia and the US and even India have the illusion of stability, the rise in Singapore, and on that ship is hard to ignore. Singapore is doing advanced tracking, yet still it spreads (see the chart, right). The difference between Singapore and Australia may be part luck — one superspreader versus one man who didn’t infect anyone on a whole plane.What matters then, is just how many people are superspreaders? The one ray from Singapore is that 15 people on that list are already listed as recovered. When I say we hope it’s […]
One day ago, the statistics were looking good but there have been a few ominous shifts. Another 26 infections have been recorded, some in a French ski chalet, some in Singapore —at least three of which are hard to explain. These appear to be transmissions outside China, which is what we are hoping to avoid. It’s bad, but could have been a lot worse. Fortunately the Diamond Princess tally hasn’t risen much — standing at 64. Another plus — it’s almost two weeks since one passenger on a Tiger Air flight in Australia flew as he was coming down with symptoms yet the other 157 passengers appear to be OK. Promising.
…
Just 2% of cases so far are severe outside China (but that may grow)
The all important statistics outside of China are starting to accrue — So far there are 355 infections. Of those, 35 have recovered and only eight are marked as severe (see the table below). It’s good news that only 2% are severe, however it’s too soon to know — 90% are still unwell.
The illness appears to be less severe outside China, but a new study reports that this virus often looks benign […]
Infected 34,887 Deaths 724 Recovered 2,076 John Hopkins CSSE
Assuming that these official statistics from China bear a faint connection to reality (in trend, if not number) this may be a sign that the draconian quarantine is starting to work. If real, it is only a slight slowing in the rate of growth, but it’s a good sign — one I have been looking for. It is a barely visible slowing of the rate of change in the cumulative tally of victims. The exponential curve is slowing. Of course, if this takes off in Africa this would be but a pause…
Graph by Worldometers.info
The virus which had been growing at 50% a day two weeks ago, slowed to 20% last week, and 11% today. One week was such a long time ago in exponential land. Last Friday night the tally was 9,700 infected, and 213 deaths. At that point, no nation had cut off flights or refused visas. UPDATED: Saturday.
..
Sadly the brave doctor who tried to warn the world has been taken by the virus. Ominously he was only 34 — presumably with no “underlying disease”. Instead of listening to him, the Communist […]
A fateful decision that led to many deaths
The Samoan Islands, 1896 | Wikimedia
Western Samoa and American Samoa are side by side islands in the Pacific. When the Spanish Flu arrived in 1918, one would instigate a quarantine while the other had a trading community that did not want to stop trade. American Samoa survived the Spanish Flu without a death. Western Samoa kept trading and lost a quarter of the population.
Influenza 1918: the Samoan experience
John Ryan McLane
In 1918 the Samoan archipelago was split between American Samoa (a United States territory) and Western Samoa (previously a German colony but under New Zealand governance from 1914). The 1918 influenza pandemic killed a quarter of Western Samoans, while leaving American Samoa unscathed.
The dangers of ship-borne disease were well known, and exclusion of many diseases, especially plague, had been implemented since the imposition of colonial governance nineteen years before.
On 30 October 1918 the Union Steamship Company’s Talune left Auckland for its run through Polynesia… The new, more lethal influenza variant had arrived in Auckland with the spring, and several crew members were ill.
Western Samoa was a German colony that […]
Ooh. Are these the real figures? Is someone on the inside trying to leak out the truth?
There are claims tonight that a flickering set of figures have appeared that are much higher than the official tolls. These ghostly statistics have appeared three times then switched to the much lower official tally. But each time they grow — almost as if there are two sets of data, one for officials, and one for the public.
Ominously, the flickering death tally was 80 times higher than the official one. The infections were ten times higher. If it’s true the death rate may be far worse than the 2% bandied about.
If they are real, this changes everything. If they are fake, who or what would benefit? A glitch?
From Tyler Durden, ZeroHedge, and the Taiwan Times, h/t David E.
Tencent may have accidentally leaked real data on Wuhan virus deaths
Tencent briefly lists 154,023 infections and 24,589 deaths from Wuhan coronavirus
Taiwan Times
TAIPEI (Taiwan News) — As many experts question the veracity of China’s statistics for the Wuhan coronavirus outbreak, Tencent over the weekend seems to have inadvertently released what is potentially the […]
The latest news coming out is mixed. The live map and latest count of 2019-nCoV shows 20,000 confirmed infections, 426 deaths, and most importantly, a spread to 28 countries. It’s slightly encouraging that there are no extra cases in Australia and good to hear 3 of the 12 have been sent home, declared “recovered”. However the incubation period since flights were closed is still only halfway to the average (of 5 – 6 days) so it’s too early to tell.
A South Korean has tested positive after visiting Thailand (not a good sign, but the statement didn’t “rule out China”). Japan has quarantined a whole cruise ship (like Italy did). One passenger came down with the virus in Hong Kong. The whole ship of 3700 is confined to rooms, awaiting test results. It’s reassuring that so many tests can be done. (Yay, Japan). Meanwhile door handles can carry the virus. Soap and hand sanitizer could help a lot.
On the plus side, one team in Thailand say they have treated one patient successfully with anti-virals. It’s only one case, but a nice thought. How big are those stockpiles? The other plus, is that summer may slow it down. Best case […]
The WHO could have declared a state of emergency earlier. Instead it delayed the announcement, praised China’s transparency, and recommended countries allow planes potentially carrying a deadly virus continue to fly freely. The WHO waited until the 2019-nCoV virus had spread to 18 nations before declaring an emergency. Wasn’t it an emergency with the first foreign case or the first case of symptomless transmission?
Follow the chain, or rather the Belt and Road
The WHO Director General is Tedros Adhanom of Ethiopia. From 2012 – 2016 he served as Minister of Foreign Affairs in the one party government that rules Ethiopia. This is the same party that borrowed billions from China to build a railway line, then struggles to pay it back. In Africa, Ethiopia is the second largest debtor nation to China — owing $13 billion. As Foreign Minister Adhanom praised China for African loans, looks like he was the man to line them up. We also note that the one-party ruling party of Ethiopia is called the Tigrayan People’s Liberation Front which was once a Marxist Lenninist far left group — labels it dropped after the Soviet Union collapsed. (Thanks Maurice for these tips).
Suddenly there might be […]
US and Australia close borders and everyone outside China starts tracking contacts…
The official deaths tally has risen to 259, but for the first time the “total recovered” at 287 now exceeds the total deaths. Evidently it’s quicker to die than to recover.
Australia remains the “leader” of the Western nations with 12 confirmed cases. Thankfully, it and the US have finally got serious and both announced today that they would stop people from China from flying straight in. Citizens can return with a two week isolation or quarantine period, but foreigners cannot. This is very good news (as far as virus control goes). Now all the same nations will be furiously, laboriously tracking and tracing the hundreds of potential contacts. In a few weeks we’ll know how contagious it is, and how deadly. And maybe, with much money and dedication we’ll even stop it.
Though in a few weeks a host of secondary countries may develop their own epidemics and virus-free countries will need to block them too.
What’s really remarkable here is how useless, to the point of negligence, the World Health Organisation is.
US and Australia close borders to Chinese arrivals
BBC News: The […]
Been trying to do a Corona thread for three days, but every time it was half finished everything changed.
The WHO have finally declared a state of emergency, something that seemed inevitable as soon as we knew the virus could be transmitted by people without symptoms. Russia, Mongolia, and North Korea closed their borders Thursday. Hong Kong announced a temporary closure. Singapore has now closed its borders too. Mark Steyn meanwhile, marvels that healthy US citizens are being advised not to go to China, but it’s apparently fine for sick people to travel the other way. Extraordinarily a cruise ship with 6,000 passengers was “stuck” off Italy, waiting for clearance for two Chinese people who had symptoms like a flu. Fortunately they must have just had the flu. The ship was cleared. And so it is around the world with a mosaic pattern of super actions, versus business as usual.
British Airways has suspended all flights to and from China, as have many other airlines, but in a city by city way. The virus is now present in every region of China. It’s not clear why all flights to and from China have not been stopped. On ABC news Australia’s […]
It’s another warmy story:
Worst year in NSW for Salmonella, E.Coli as global temperatures increase
NSW recorded its worst figures in at least five years for diseases caused by food poisoning and mosquito bites, as doctors warn climate change is looming as a public health emergency.
Statistics released last week show 2016 was the worst year on record for diseases including legionnaires’ disease, salmonellosis, listeriosis, E. coli and dengue fever, which flourish in warmer conditions.
–-Harriet Alexander, Sydney Morning Herald
More scary than 4000 cases of salmonella is the state of intellectual rigor among medico-unions:
The Royal Australasian College of Physicians [RACP] has released a position paper that described climate change as a “global public health emergency”.
The RACP called for a national climate and health strategy and reduced emissions of greenhouse gases.
With reasoning like that, they could make a lot more people very sick. Are they advocating we use solar panels to stop salmonella?
There has hardly been any warming in the last 20 years anyhow. And if we are doing cosmic epidemiology, so far global warming seems to come with longer lifespans, health, wealth, food, […]
Bacteria multiply
In the West we could try to cure cancer faster with research like this, or we could pour billions into making expensive electricity to try to cool the world by 0.01°C for our grandchildren. Hmm. What to do? Which activity is more likely to make citizens richer, happier and more productive?
In this approach (below) bacteria are engineered to find cancer cells, make lots of baby bacteria until they reach a large enough colony size then do a mass self-destructo at the cancer site — releasing a tumor killing drug. A few bacteria survive the micro-apocalypse and they start another round. So far, the researchers haven’t cured any cancers, but they can shrink cancers in mice and extend mousy lives by 50%. One day this might mean cancers can be “lived with”, if not actually destroyed completely.
A critical mass is reached and the colony “bombs”.
So the bacteria can be engineered into neat little machines to manage cancer. But they are still living creatures, so are messy machines. One problem is that evolution tends to make all living machines chuck out bits of DNA that don’t improve survival, so the “survivors” will gradually take over, […]
Remember the experts who said we should drink skim milk? A new large study suggests that full fat milk is healthier. So much for that consensus about saturated fat. There have been signs things were amiss. A few studies recently have shown that milk, yogurt and cheese consumption were associated with a lower incidence of Diabetes Type 2. Dairy didn’t seem to make the heart attacks more likely either. Hmm. So this new study of 26,000 women looked at high fat versus low fat dairy products. Over 14 years the highest consumption (which is 8, crikey, portions of full fat dairy a day) is associated with … a 23% reduction in risk compared to the low fat dairy consumers. Time to eat more Brie? Maybe, maybe not.
I won’t be taking up 8 portions of full fat dairy myself — the 23% figure is not seismic, is based on a modeled estimate (so is open to debate). I suspect it’s not the fat content that is the most important thing here, but something else entirely. The “displacement effect” confounds this sort of study. It might not be that dairy fat is so helpful, just that it is less bad that […]
Clostridium Botulinum is one of the toughest bugs around. And its toxin (a neurotoxin) is also one of the most deadly, yet strangely popular at the same time. Yes botulinum toxin is also known as BoTox and tiny quantities paralyze nerves. Small quantities can be fatal as nerve damage progresses to respiratory failure.
In it’s spore stage you can boil the bug to no avail — it’s one of the reasons boiling isn’t enough for tins, or sterilization of lab equipment. To kill these spores you need 121C in an autoclave (or pressure cooker). The toxin itself can be destroyed at 100C.
A million acres of land are producing corn for biogas plants in Germany.
German “Green” Biogas Plants Producing Deadly Botulism – “Could Be Catastrophic To Wildlife”
By P Gosselin on 19. Mai 2011 No tricks Zone
German sporting and dog magazine Wild und Hund reports that thousands of domestic and wild animals are falling ill from tainted waste from green “climate-friendly” biogas plants, which is then used as an agricultural fertilizer in fields.
10 out of 10 based on 2 ratings […]
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