Interesting analysis by Stanford Epidemiologist

14,392 Views | 92 Replies | Last: 6 yr ago by ETFan
agsalaska
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JDCAG (NOT Colin) said:

I think the big problem is that neither the cost, nor the benefit can be remotely predicted with any level of accuracy. When the "this is ridiculous" crowd speaks, they minimize the impact of the many of the worst case models (quote low end deaths, high end economic impact), but when the "save lives at all cost" speak, they minimize the impact of economic impacts (high end death count, low end economic). Both sides pretend the other can't do math, despite the fact that there are people far smarter than 99.99% of this board at this stuff in both camps.

Ultimately, there are a lot "ifs" in either route, and since this is America, the one thing we can be sure of is that both sides will blame the other if they end up being wrong.
Its 10:59 in Texas and we already have a POTD candidate
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agforlife97
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JDCAG (NOT Colin) said:

I think the big problem is that neither the cost, nor the benefit can be remotely predicted with any level of accuracy. When the "this is ridiculous" crowd speaks, they minimize the impact of the many of the worst case models (quote low end deaths, high end economic impact), but when the "save lives at all cost" speak, they minimize the impact of economic impacts (high end death count, low end economic). Both sides pretend the other can't do math, despite the fact that there are people far smarter than 99.99% of this board at this stuff in both camps.

Ultimately, there are a lot "ifs" in either route, and since this is America, the one thing we can be sure of is that both sides will blame the other if they end up being wrong.
Definitely, which is why I still support current policies. Better to be safe for a while. But we better get some real data fast, because I don't think Americans will tolerate this kind of total lockdown for very long. All the economic damage done so far can probably be undone pretty quickly at this point, but that may not be true a month or two months from now.
HotardAg07
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But I would just add that we're not the first country to have an outbreak of Coronavirus. We were late to learn the lessons of China, South Korea, Taiwan and Hong Kong who have suppressed the exponential spread of the virus.

We should have been aggressive early, when the first cases were found, to test anyone and everyone with contact with the infected and isolated them as much as possible. Our policy was only to test people who had TRAVELED to other countries, so people who were symptomatic but had not traveled were not being tested. Our slow response let the problem get big enough that it will take a while for the large scale testing to get into place.

Additionally, other countries really ramped up their production of masks and heavily increased distribution. We wouldn;t have had to do that everywhere, just in affected areas.

South Korea showed us the road map of how we could limit the spread in a quick amount of time, we were just late to implement it. South Korea is already starting to open back up for business -- their basketball leagues are playing games again, etc.

I think that's what is missing in this conversation. Yes, there are unknowns, but we also HAD good examples to follow of countries who were able to turn down the exponential spread and flatten it out.
agforlife97
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HotardAg07 said:

But I would just add that we're not the first country to have an outbreak of Coronavirus. We were late to learn the lessons of China, South Korea, Taiwan and Hong Kong who have suppressed the exponential spread of the virus.

We should have been aggressive early, when the first cases were found, to test anyone and everyone with contact with the infected and isolated them as much as possible. Our policy was only to test people who had TRAVELED to other countries, so people who were symptomatic but had not traveled were not being tested. Our slow response let the problem get big enough that it will take a while for the large scale testing to get into place.

Additionally, other countries really ramped up their production of masks and heavily increased distribution. We wouldn;t have had to do that everywhere, just in affected areas.

South Korea showed us the road map of how we could limit the spread in a quick amount of time, we were just late to implement it. South Korea is already starting to open back up for business -- their basketball leagues are playing games again, etc.

I think that's what is missing in this conversation. Yes, there are unknowns, but we also HAD good examples to follow of countries who were able to turn down the exponential spread and flatten it out.
I think it's important to put "late" into context. The China travel ban only happened Jan 30, so like 6 weeks ago. Prior to that China was trying to cover it up. I mean, I don't know how long it takes to ramp up production of tests, but you're talking about testing people for a new virus days or a couple of weeks after it has been sequenced. That being said, are we really that much worse than ROK considering the population differences?
greg.w.h
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Our testing regime was hampered by government control over testing which means the testing isn't as broad as it should have been. A doctor friend posted that false positives might be as high as 47%. We don't have a good feeling on even whether those are true false positives or the conditions under which asymptomatic positives can on a future day transmit.

While the analogy is extremely poor, The ability to detect HIV without full-blown AIDS was extremely difficult and even tracking sexual contacts wasn't enough to rein in spread even with primary communities seeing loss of friend and understanding the risk.

I suspect reducing quarterly GDP by 10% for one quarter is absorbable. Turning it into a year of potentially 20% reduction in economic activity (or longer) is another thing altogether. We look at the East Asian situation with hope that it doesn't last that long.
agsalaska
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Yesterday JP Morgan put out their revisions

It was like -4, -14, +8, +4

Il take that.
I don’t say this in a braggedocious way. But it’s true. I’ve been right about everything.

-Donald J Trump
-9/22/2025



greg.w.h
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agsalaska said:

Yesterday JP Morgan put out their revisions

It was like -4, -14, +8, +4

Il take that.
The -14 and the recovery are both assumptions in a black swan environment. I appreciate your optimism, though. And note that's growth above trough.
greg.w.h
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Oh...this is OLD data but the source for the false positive rate. Don't be distracted by it being a gov site. The abstract is context free in effect.

https://pubmed.ncbi.nlm.nih.gov/32133832/
agsalaska
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greg.w.h said:

agsalaska said:

Yesterday JP Morgan put out their revisions

It was like -4, -14, +8, +4

Il take that.
The -14 and the recovery are both assumptions in a black swan environment. I appreciate your optimism, though. And note that's growth above trough.
True. I was just posting their numbers.
I don’t say this in a braggedocious way. But it’s true. I’ve been right about everything.

-Donald J Trump
-9/22/2025



Hop
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Patentmike said:

Hop said:

agsalaska said:

I disagree with your option 1. Our medical professionals will beat this. And we will bounce back much better than that.
Will the medical professionals fix the resulting broken economy that could take years to rebuild? We are looking at "whatever it takes to stop the virus" and shutting down our economy to save a few thousand lives, but at what cost? Sending more than half of the population into debt and poverty? I don't know the answers. Maybe it is worth it to save a few thousand lives, but at the very least it is valid to ask questions of the economists and weigh the different outcomes without being shouted down by the "do whatever it takes" crowd who think medical professionals have all the answers. They have answers for only part of the equation....how to stop the virus. They don't know what the economic consequences will be to our society from their recommendations.

Our politicians and public policy leaders should be encouraged to at least have that discussion and weigh both sides. That isn't happening now. Good to see a few articles in major newspapers starting to discuss this issue.
Hop, this almost reads like a trolling post. Seriously, I would flag it if I could.

We have a handful of examples from different countries regions. We also have what's going on in New York...CNBC article

Shutting down social interaction is the only intervention that's worked so far. Yes, other interventions most likely will work, once we get the data and resources to apply them.

I'm in the oil and gas sector. It is likely my job disappears at the end of March. Believe me, I get the economic stress this is causing. But I was also a PhD candidate in Molecular Virology (took a Masters and went to law school), so I can competently follow the science on this bug. The social distancing is the right decision for today. We need to protect our hospitalization capacity. I am hopeful that we can begin high quality surveillance of virus spread in the next few weeks, but until then partial isolation is our best bet. When this first came out, the data was suggesting 10s of millions of deaths worldwide.

For now, New York is probably our best canary. Watch their data over the next week and then we can start opining with some real information.

Before the libertarians mock me too much... I believe what we are seeing is a great advertisement for free market health care. There is a lot of general medical capacity being redirected toward this outbreak. That capacity wouldn't be there if we were single payer. The capacity would also be lacking if we did not have the Federal contributions via NIH and CDC.

I'm not saying don't question, but with the data I've seen so far, social distancing is the right answer for now.


All I suggested is policy makers ask the question and look at both sides of the equation.

China is an interesting data point. I know there is a lot of skepticism over the reporting of their case numbers. But what I found interesting was an interview last night with the CEO of Fedex who said his company's operations in China were getting very close to "normal" and has seen a quick rebound there.
It seems to suggest some optimism for our situation in the next few weeks. We'll see.
RetiredpostalMarine
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Some folks need to look up the definition of TROLLING. Hop is entitled to his opinion.
I talk to him when I am lonesome like; and I am sure he understands. When he looks at me so attentively, and gently licks my hands; then he rubs his nose on my tailored clothes, but I never say naught thereat. For the good Lord knows I can buy more clothes, but never a friend like that. ~W. Dayton Wedgefarth
Patentmike
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RetiredpostalMarine said:

Some folks need to look up the definition of TROLLING. Hop is entitled to his opinion.
This statement,

Quote:

Will the medical professionals fix the resulting broken economy that could take years to rebuild,
I view as trolling (unnecessarily inflammatory) under the circumstances.
PatentMike, J.D.
BS Biochem
MS Molecular Virology


Hop
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Patentmike said:

RetiredpostalMarine said:

Some folks need to look up the definition of TROLLING. Hop is entitled to his opinion.
This statement,

Quote:

Will the medical professionals fix the resulting broken economy that could take years to rebuild,
I view as trolling (unnecessarily inflammatory) under the circumstances.


I clearly put that statement in proper context. I don't expect medical professionals to have a full view of the equation because they are experts in how to slow/stop the spread of a virus. They are not economic or public policy experts, and the entire solution needs both medical expertise, macro-economic expertise, and politicians who can take both sides of the equation to put together a non-panicked, rational decision for the good of our society as a whole.
agsalaska
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The part that got me was you statement 'to save a few thousand lives'


Cant take that one back.
I don’t say this in a braggedocious way. But it’s true. I’ve been right about everything.

-Donald J Trump
-9/22/2025



MBAR
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HotardAg07 said:


We hit our 100th case on March 2. 17 days after that, we're at 14.5k. The above graph when updated shows that we're moving faster than Italy.
MBAR
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Hop said:

Patentmike said:

Hop said:

agsalaska said:

I disagree with your option 1. Our medical professionals will beat this. And we will bounce back much better than that.
Will the medical professionals fix the resulting broken economy that could take years to rebuild? We are looking at "whatever it takes to stop the virus" and shutting down our economy to save a few thousand lives, but at what cost? Sending more than half of the population into debt and poverty? I don't know the answers. Maybe it is worth it to save a few thousand lives, but at the very least it is valid to ask questions of the economists and weigh the different outcomes without being shouted down by the "do whatever it takes" crowd who think medical professionals have all the answers. They have answers for only part of the equation....how to stop the virus. They don't know what the economic consequences will be to our society from their recommendations.

Our politicians and public policy leaders should be encouraged to at least have that discussion and weigh both sides. That isn't happening now. Good to see a few articles in major newspapers starting to discuss this issue.
Hop, this almost reads like a trolling post. Seriously, I would flag it if I could.

We have a handful of examples from different countries regions. We also have what's going on in New York...CNBC article

Shutting down social interaction is the only intervention that's worked so far. Yes, other interventions most likely will work, once we get the data and resources to apply them.

I'm in the oil and gas sector. It is likely my job disappears at the end of March. Believe me, I get the economic stress this is causing. But I was also a PhD candidate in Molecular Virology (took a Masters and went to law school), so I can competently follow the science on this bug. The social distancing is the right decision for today. We need to protect our hospitalization capacity. I am hopeful that we can begin high quality surveillance of virus spread in the next few weeks, but until then partial isolation is our best bet. When this first came out, the data was suggesting 10s of millions of deaths worldwide.

For now, New York is probably our best canary. Watch their data over the next week and then we can start opining with some real information.

Before the libertarians mock me too much... I believe what we are seeing is a great advertisement for free market health care. There is a lot of general medical capacity being redirected toward this outbreak. That capacity wouldn't be there if we were single payer. The capacity would also be lacking if we did not have the Federal contributions via NIH and CDC.

I'm not saying don't question, but with the data I've seen so far, social distancing is the right answer for now.


All I suggested is policy makers ask the question and look at both sides of the equation.

China is an interesting data point. I know there is a lot of skepticism over the reporting of their case numbers. But what I found interesting was an interview last night with the CEO of Fedex who said his company's operations in China were getting very close to "normal" and has seen a quick rebound there.
It seems to suggest some optimism for our situation in the next few weeks. We'll see.
To derive optimism from China we'd have to have the same level of a response as them. We haven't. For example, we have yet to test at the same level. Our lock downs aren't nearly as strong. Our hospitals have way fewer supplies. I think expecting a result like China is not supported by the situation.
dellgriffith
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MBAR said:

HotardAg07 said:


We hit our 100th case on March 2. 17 days after that, we're at 14.5k. The above graph when updated shows that we're moving faster than Italy.


We went from very little access to testing to widespread testing (still insufficient). You can't use the data for anything other than to say our improved distribution of tests has allowed us to confirm more cases.
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expresswrittenconsent
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agsalaska said:

The part that got me was you statement 'to save a few thousand lives'


Cant take that one back.

Correct. Hop said the choice was a few thousand deaths versus over half of America falling into poverty and debt, and this was presented as fact, not his opinion.
Its one thing to be wrong when arguing about the 2008 TAMU football or hoops teams, its quite another when he brings misinformation to a discussion about a health pandemic.
NASAg03
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Ding ding ding!

If our testing is increasing exponentially (which it is), then I would expect the number of cases to increase exponentially as well.
Mike Shaw - Class of '03
eidetic78
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NASAg03 said:

Ding ding ding!

If our testing is increasing exponentially (which it is), then I would expect the number of cases to increase exponentially as well.
It's two-fold.

We're testing more, and thus will discover more cases.

With increased test processing capacity, we will begin to shorten the time lag between test administration and test results. That "catch-up" process will compress case reporting and likely add to the jump in new cases as well.

All these things will serve to bring reported numbers closer and closer to reality.
Capitol Ag
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One of the biggest arguments to the "flatten the curve" model vs why we don't do that for the flu is that the flu has a vaccine and the assumption is that most if not all flu deaths happen to individuals who chose not to get the vaccine yearly. My question is, how many of the flu deaths did actually get the flu shot/mist?
eidetic78
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Capitol Ag said:

One of the biggest arguments to the "flatten the curve" model vs why we don't do that for the flu is that the flu has a vaccine and the assumption is that most if not all flu deaths happen to individuals who chose not to get the vaccine yearly. My question is, how many of the flu deaths did actually get the flu shot/mist?

It's likely many people that die of flu related complications were vaccinated. The flu mutates often, and in any given year the level of "protection" you get from the vaccine varies.

Unfortunately, vaccines don't work universally across a population. Everyone is different, and everyone will amass a different "level" of immunity and longevity of that immunity to the same vaccine. For some, that level is zero, and it varies greatly from vaccine to vaccine.

Additionally, through a phenomenon we call immune senescence, people respond less and less to vaccinations as they age. Our immune systems respond less and less period as we age, not just to vaccinations. That's why older populations often have to get higher doses or boosters. But for many it just doesn't work.

Those people rely on herd immunity or social distancing to break the lines of transmission.

Just because someone was vaccinated, it doesn't mean there was any kind of protective immunity generated as a result.

rfvgy12
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188 US Death today
“If one side is protesting racism, then the other side is counter protesting racism.” @thekellenmond
In response to pro Sul Ross statue protesters and fellow Aggies.
ETFan
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rfvgy12 said:

188 US Death today
EDIT: Oh, I see. Looks like we're at 224 +17 today.
 
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