Tag Archives: SARS-CoV-2 pandemic

How right could I be? Sadly it didn’t matter

The following post appeared exactly one year ago today, predicting the course of the pandemic. It was ignored. The tragedy is that the information it was based on was freely available, and our vaunted intelligence services either didn’t see it (what were we paying them for?) or ignored it.  Surely the CDC should have been looking at the Chinese press as they were certainly aware of it. 

The reason I found the information seems almost quaint in retrospect.  With family in Hong Kong, I was worried about the effects of the riots of the previous summer on them. 

The Wuhan flu morphed into SARS-CoV-2, but that’s what people were calling it a year ago. 

What to do about the Wuhan flu

This was published 27 Jan ’20.  Nothing has been altered (other than this).

What to do about the Wuhan flu?  The short answer is to lay in a month or two of dried food and drink, and have plenty of bottled water around.

The long answer depends on whether the new corona virus (called 2019-nCOV) becomes a pandemic and if the (symptomatic) case fatality rate continues at 3.5% (based on 80 deaths in 2,800 cases as of yesterday).

With a son, Chinese daughter in law and two grandchildren living in Hong Kong, I’ve followed the outbreak ever since hearing of it 1 January.

The best and most current source of info about the outbreak is the South China Morning Post — https://www.scmp.com.  It is in English and is not a government mouth piece.

Here’s the bad news

(1) As of a few days ago the virus had been found in 29/31 Chinese provinces.  This means that confining the virus to China is nearly impossible — how do you cut off a billion or so people from the rest of the world?

(2) Here’s more from today

  • Hong Kong University  faculty of medicine dean Gabriel Leung says research shows self-sustaining human-to-human transmission is already happening in all major mainland cities.   Here’s a link
  • https://www.scmp.com/news/hong-kong/health-environment/article/3047813/china-coronavirus-hong-kong-medical-experts-call
  •  Why is this significant?  You have to know how docs operate.  When I wanted information about some issue or disease, I’d call a doc whose opinion and background I respected.  It is likely that Leung made this statement after calling med school deans he personally knew in major mainland cities.
  •  

(3) There is no treatment, in the sense of stopping the virus in its tracks.  All we have is supportive care, oxygen rest, medication for fever, bronchodilators.  This is true for the vast majority of viruses.  Remember the joke that modern medical science can cure a cold in 14 days, but otherwise it takes two weeks.

(4) We know that you don’t have to be clinically ill to transmit the disease.  Screening new arrivals for fever is well and good but that won’t totally prevent spread.

(5) Some individuals are what is called ‘superspreaders’ — one individual infected 15 hospital personnel.

(6) I wouldn’t hope for a specific treatment any time soon — look how long it took to get any treatment for AIDS, despite the huge amount of resources devoted to it.

Here is some good news. It is quite possible that there are many more cases out there with people who were either asymptomatic or  just mildly ill.  The classic example is polio, in which for every case with paralysis there were 99 cases with mild GI illness or nothing at all.

This will need to wait until we can test people for antibodies to 2019-nCOV to find out how many people have had it.  This is probably at least a month away

Vaccines (if they can be made) are even more months away.  We’ll just have to hunker down and hope for the best.

Why lay in dried food ?– in a pandemic people will panic and clear out all food they can get their hands on.  There were pictures of empty bins in a Wuhan food market last week.

People are getting serious about it.  From Reuters -“U.S. President Donald Trump offered China whatever help it needed on Monday”.  It would be nice to have some of our people from the Center for Disease Control over there. Hopefully the Chinese won’t be too proud to accept the offer.

Addendum 28 Jan — apparently the US (in the form of the CDC) is begging China to let them help out — sad — why should they have to beg?  Apparently the first overture was 3 weeks ago ! ! ! ! — https://www.scmp.com/news/china/article/3047967/china-coronavirus-washington-asks-beijing-permission-send-health-team

 

The News is Bad from Georgia

This is an update on a series of post about Georgia and the effect of relaxing restrictions on activity.  If you’ve been following the story, this post is somewhat repetitive, but I’d rather not leave newcomers behind. As of 14 July Georgia seemed to be bucking the trend of increasing deaths (but not of increasing ‘cases’ however defined).  No longer.

 https://dph.georgia.gov/covid-19-daily-status-report.  Page down past the map to the chart with 3 tabs —  cases (which means daily newly diagnosed cases), cumulative cases, and death.  Clicking on the tabs will move you back and forth (or better if your screen is big enough open the link twice and compared cases vs. deaths.

Georgia has changed the way it reports cases, no longer waiting 14 days before result are secure.  I also think they changed some of the older numbers.  I don’t recall seeing over 70 deaths in a day in May and June, yet the current chart shows 4 of them.  There is no way to get the old reports from the Georgia department of health, by clicking on the links in the old posts on the subject.  They all take you to the current one.

The 7 day average of deaths back in 25 April was 35, new cases  740 based on detection of viral genome or antibodies to it — not sick people

Sadly now the 7 day average of death is now 45 and new cases 3700.

The charts allow you to see when both new cases and deaths began to rise.  The number of new cases began to spike 16 June and the number of death began to increase 19 July (eyeball the charts, and you’ll see that these are not precise numbers.  So there was about a 1 month lag between the increases.

So were the doom and gloom sayers correct?  Here they are again to refresh your memory.

From The Atlantic — “Georgia’s Experiment in Human Sacrifice — The state is about to find out how many people need to lose their lives to shore up the economy.” — https://www.theatlantic.com/health/archive/2020/04/why-georgia-reopening-coronavirus-pandemic/610882/

Possibly they were right, but deaths actually decreased for a month or two after 25 April hitting a low of 13 daily deaths on 2 July.   I don’t think any of them predicted a lag of 2 months before the apocalypse.

Most likely it was a change in behavior.  Have a look at this  https://nypost.com/2020/07/18/video-shows-people-in-queens-flooding-streets-without-masks/.   It may not be a COVID party in name, but it is in fact.

At first glance it appears that they are trying for a Darwin award, but on second glance, based purely on a cost benefit analysis (to them only) the chances of a healthy 18 – 20 year old dying from COVID19 are less than 1 in a thousand.  Libido is incredibly intense at that age.   I’m not sure what I would have done in their shoes.  Here are some statistics from Florida with numbers large enough to be significant

Here is some older data from Florida  (from their department of health) — http://ww11.doh.state.fl.us/comm/_partners/covid19_report_archive/state_reports_latest.pdf

Age  Range     Number of Cases  Number of Hospitalizations Deaths

14 – 24              54,815                                503                                    12

25 – 34             70,030                              1,315                                    34

This is a risk of death if you are a ‘case’ however defined of less than 1/2,000.

This is age range of most of folks in the video. Further more recent examples are lifeguards in NY and on Cape Cod.

Think of all the gay men who knew full well how AIDS was transmitted, still got it and died.  Libido is powerful.  The classic example is Randy Shilts who wrote the magnificent “And the Band Played On” in 1987 about the early days of the epidemic.  He knew everything there was to know about the way the AIDS virus (HIV1) was transmitted yet he himself died of AIDS.

Further examples are lifeguards in NY and on Cape Cod.