Originally posted by Rondec I guess I'm not sure about mortality rates. Currently the US stands at 3 percent. Italy and Spain ran 10 percent. Germany stands around 2 percent mortality. China looks wonderful in this respect at 1.5 percent, but I do think they undersold their number of deaths a bit.
Anyway, I think we both agree about the deficiencies of the statistical model. I'm just not sure how you fix it since you will never capture all of the data. The whole point of computer models to extrapolate based on data we do have. Obviously more and better data should help, but I'm still feeling pretty distrustful of this model. Regardless of the reason -- poor algorithm, poor data, poor judge of human's behavior -- it feels like it has a long ways to go.
Mortality rates are very hit or miss; in Spain and Italy testing is primarily done in hospitalized patients at this point, which will inflate the apparent mortality, while Germany has reportedly tested a lot of people in the most afflicted people (Germany has 44% higher tests/population ratio than Spain, and slightly lower than Italy). The positive rate from Worldometer data is Germany 11%, Italy 18%, Spain 39% (!). Apparently there were people saying that Germany reports only deaths that happen directly from ARDS, while Italy counts all deaths with positives as Covid-19 deaths, but I haven't found any proper sources in this so I wouldn't put any stock in such rumours (which does wonders for my peace of mind since living in Germany I have a vested interest in their low mortality...).
Spain and France also took longer to report deaths outside hospitals (mostly in nursing homes for the elderly, which are tragedies waiting to happen
), and when France did they suddenly had 900 cases extra on top of "only" 4000 deaths... that's almost 20% of all reported deaths happening in nursing homes.
We won't know the proper mortality until the dust settles and we compare gross mortality rates year over year, I'm afraid. We cannot discount the effect of Covid-19 on other causes of death (by a decrease in quality of care, as hospitals can be overwhelmed and healthcare personnel working in conditions that I wouldn't wish on anyone).
---------- Post added 04-07-20 at 06:33 AM ----------
Originally posted by brewmaster15 When we reduce lives to statistics its easy to miss details. "Infection rates" and "mortality rates" , "flattening the curve", are all being discussed ad infinitum everywhere.
You also hear numbers of how many ventolators are needed.... I was wondering this morning just how many people survive once they are on ventolators and those that do.. what is their long term health outlook.
Its grim.
Sadly, the ventolator issue has only been focused on the need for them in increasing numbers. Survival rates of those on them is not well examined.Its looking like 50% of those that are put on ventolators will die and those that live will have a multitude of long term health issues..So when you hear everyone arguing about ventolators give it a moment to set in what those numbers mean currently and in the future..
Mortality rate of COVID-19 patients on ventilators | Physician's Weekly https://www.washingtonpost.com/health/2020/04/03/coronavirus-survivors-recovery/
I think whats needed is more public discourse on the use of ventolators.. people seem to think increasing the availibility of ventolators is an answer.Its not.Its a patch.. a last ditch attempt at saving a life that often fails or leaves survivors debilitated. Perhaps if there was more focus on this it would scare people into making short term changes in their life styles to avoid
either winding up on one or having a loved one wind up on one.
AL
Some Spanish hospitals were reporting a better chance at recovery if the patients on ventilators were in the facing-down position, but it's a physically demanding technique that requires 5 people to do correctly without risking damage to the patient, therefore it can only be performed if you have enough anesthesiologists to intubate and enough free nurses or doctors trained in the procedure, which is not always the case.
As you probably know, I've kept saying that this thing is serious not only because of the death count, but the quality of life (or lack thereof... ) that awaits those who make it through. Chronic pulmonary insufficiency because of alveolar tissue scarring is not a joke.