so Europe has been in their "second wave" for at least a month, right?

9,577 Views | 64 Replies | Last: 5 yr ago by nortex97
cone
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AG
I haven't seen much talk about it outside of graphs showing cases going exponential recently

anyone have any data showing how hospitalizations and deaths are lagging the cases?

and have the waves created or are they still on the way up?
AgResearch
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AG
twk
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AG
A couple of graphs show the story in Germany





Cases are spiking, but deaths are just about staying flat.
coolerguy12
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AG
I assume it's pretty much the same reason you don't hear anything about schools. Not enough scary stuff is happening so they just don't report on it and let everyone assume everyone is dead.
shalackin
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AG
saw some graphs yesterday that mirror the above. Their cases are going way way up right now, while deaths are staying consistently very low.

So either we have learned to treat it really well, or it has mutated to be lesser, or something along those lines. I would say that is good news?.
amercer
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AG
Options:

We've learned how to treat it better: yep

It's already killed most of the most vulnerable: maybe

It mutated into a less virulent form: probably not

The upper Midwest in the US is getting hit hard right now, so it will be informative to see how that plays out.
murphyag
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One of my former co-workers now lives and works in Zug, Switzerland. They've started requiring masks now.
cone
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give that the answer translates into literal trillions of dollars, I would think there would be more public discussion of what we're seeing there (and how cases aren't translating into deaths in the heretofore expected 2-4 week timeline)

especially with their schools open

but we're a pretty incurious unscientific people
P.U.T.U
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AG
Spain is locked down again, cases way up but deaths are a lot lower than the first wave. Their death chart looks like an EKG so not sure how accurate it is
plain_o_llama
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I don't think we can rule out that the disease progression has a seasonal component. Cases
being more severe in the winter than summer. I obviously hope that is not true but I guess it is
still a possibility.
ramblin_ag02
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In Germany, I think it's probably the return to school plus increased testing capacity is catching a lot more asymptomatic or mild cases in healthier, younger people. Tests were so hard to come by in the early days that every single positive was someone who was really sick. Not so much the case now.

France OTOH, I don't know. They are having a second wave with a lot of hospitalizations and ICU admits. I've heard something about urban versus rural, but nearly all of the population of France is urban so I'm not sure that covers it
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ORAggieFan
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Meanwhile in Stockholm.
Fitch
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Lotta talk here early on about how this was probably circulating for some duration of time before hospitalizations and deaths starting going "exponential". My wonder is what percentage of the actual total cases out there were picked up in February/March when test volume was constrained (visually represented in the steep ramp up in virtually all curves) and how that compares to these secondary peaks. Would help to understand relative progression a little better, especially if you believe viruses have latitude-dependent seasonality and we're going into peak season, rather than exiting as we did in Q1 when the world went to pot.
B-1 83
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Exponential!

Exponents can still be decimals..........just like last spring.
amercer
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Deaths starting to rise again in Europe
jvanbeek
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amercer said:

Options:

We've learned how to treat it better: yep

It's already killed most of the most vulnerable: maybe

It mutated into a less virulent form: probably not

The upper Midwest in the US is getting hit hard right now, so it will be informative to see how that plays out.
Increased cases with no increase in deaths are also easily explained with more testing. If you start out testing only the sick and expand testing to other populations, you will find asymptomatic people and discover more cases. It doesn't change how many are actually sick.
Jim VanBeek '85, '99
amercer
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AG
Increased testing doesn't explain the number of positives in Europe. For a while the new positives were mostly young people. Unfortunately it seems like more old people are getting it now.
nortex97
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Europe is actually fine but the modeling they use is absurd. It's the time of year when ILI naturally rises every year. Here's just one piece pointing out some of the craziness that is common in Europe as here (in blue states and Texas):

https://lockdownsceptics.org/what-sage-got-wrong/
amercer
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AG
So I'm all for optimism, but the Twitter epidemiologists have been posting on here for months that herd immunity is just around the corner, and that the virus was just about to burn itself out, and that there wouldn't be a second wave or even a need for a vaccine by the end of the year...

At some point we need to admit that the optimists are just as far off as the doomers in their predictions.
cone
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AG
just as far off?

as a doomer (reformed?), we've been really really wrong
ORAggieFan
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amercer said:

So I'm all for optimism, but the Twitter epidemiologists have been posting on here for months that herd immunity is just around the corner, and that the virus was just about to burn itself out, and that there wouldn't be a second wave or even a need for a vaccine by the end of the year...

At some point we need to admit that the optimists are just as far off as the doomers in their predictions.
Not really. Most understood that the virus moved South over the summer and expected it to move North in the Fall. It's doing exactly what the most informed suggested.

Also, if we stopped suppressing herd immunity we'd get to live lives normal faster like Sweden. The problem is we're way more unhealthy as a country than Sweden is.
amercer
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Unfortunately Sweden is nowhere near heard immunity. I like their response because they tried to be pragmatic and follow the science. However it's been far from an unmitigated success. They have a far higher death rate than their neighbors.

The other thing that usually gets ignored is that the Swedes did put a lot of restrictions in place. They social distanced, they banned large gatherings, and closed schools for kids 16 and up.

Most importantly though, they don't seem to be operating from any sort of ideological extreme. If they decide next weeks that they need to mandate masks and close pubs they will do it and the people will comply.

It will be a decade before we know if Sweden or New Zealand or neither is the right approach. But if people in the US would focus on trying the most likely successful approaches instead of picking a ideological outcome and working backwards to a strategy, we'd be much better off.
ORAggieFan
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Their neighbors had far more die of the flu the last two years, meaning they had less vulnerable to die. Sweden did struggle isolating the elderly when we were still learning, definitely something they could have done better.

It will be interesting to follow as the weather changes there.

Herd immunity does not mean the disease is gone, rather R<1.
amercer
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Here's a really cool graphic on herd immunity:

https://www.washingtonpost.com/graphics/2020/health/coronavirus-herd-immunity-simulation-vaccine/

There's even a calculator at the bottom to figure out how many deaths it would take to get there. Our resident optimists won't like it because you can't set the IFR super low, but it's interesting none the less.
nortex97
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amercer said:

Unfortunately Sweden is nowhere near heard immunity. I like their response because they tried to be pragmatic and follow the science. However it's been far from an unmitigated success. They have a far higher death rate than their neighbors.

The other thing that usually gets ignored is that the Swedes did put a lot of restrictions in place. They social distanced, they banned large gatherings, and closed schools for kids 16 and up.

Most importantly though, they don't seem to be operating from any sort of ideological extreme. If they decide next weeks that they need to mandate masks and close pubs they will do it and the people will comply.

It will be a decade before we know if Sweden or New Zealand or neither is the right approach. But if people in the US would focus on trying the most likely successful approaches instead of picking a ideological outcome and working backwards to a strategy, we'd be much better off.
How long were their schools closed; I saw a Reuters report from July 15 indicating they didn't close schools during the pandemic, and their health agency said schools did not spur pandemic spread. In June CNN was there showing essentially large gatherings at pubs/restaurants as usual. I think their 'total deaths' like ours are inflated when analyzed as 'contributing' vs. 'primary' factor.



Their total deaths for the year are normal, basically, and almost no covid deaths under 70.

Quote:

But a Twitter researcher who goes by the name El Gato Malo (The Bad Cat) did a thread that's essential reading for anyone who wants to understand whether Sweden made the right choice.

It turns out their COVID numbers are incredibly good even independently of the fact that they seem to be avoiding the recent spike in cases that lockdown nations are experiencing.

Moreover, there are differences in the criteria for counting COVID-19 deaths which cast a very different light on some of the comparisons being made.

To start by considering Sweden's numbers in isolation, their COVID fatalities were almost entirely restricted to the elderly. 88% were over 70 and 75% were in nursing homes or elder care. Only 4.5% of fatalities were under 60.

Quote:

sweden had almost no deaths among the young
88% were over 70 years old and 75% in nursing homes or elder care.
even if lockdown had been 100% effective in stopping every death under 60, that would have been 4.5% of deaths.
so give it a rest guys. pic.twitter.com/zFIHqi3nPl
el gato malo (@boriquagato) July 21, 2020
Sweden had less than 500 reported COVID fatalities under 70, just 12% of the total.
Again it's questionable if flattening the curve, to the extent it works, just causes more deaths net, among the most at risk population. Finally, as to herd immunity I think this is something that is not yet fully known, but they/we are probably a lot closer than many believe.

ORAggieFan
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amercer said:

Here's a really cool graphic on herd immunity:

https://www.washingtonpost.com/graphics/2020/health/coronavirus-herd-immunity-simulation-vaccine/

There's even a calculator at the bottom to figure out how many deaths it would take to get there. Our resident optimists won't like it because you can't set the IFR super low, but it's interesting none the less.
According to their graphic we're well past it!
amercer
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AG
And yet 500 to 1000 people keep dying everyday.

It makes you wonder if the random guy Twitter epidemiologists might be missing something.
nortex97
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amercer said:

And yet 500 to 1000 people keep dying everyday.

It makes you wonder if the random guy Twitter epidemiologists might be missing something.
It does remind you that most people are bad at math. It ceased being a pandemic quite some time ago. The casedemic today is trivial in the public health big picture, especially globally vs. the costs we are imposing on others via the shut down.

Immunologists/epidemiologists who are not part of the groupthink orthodoxy globally have to take to the internet to speak out.
Carnwellag2
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murphyag said:

One of my former co-workers now lives and works in Zug, Switzerland. They've started requiring masks now.
mask mandates are another way of saying: "WE HAVE TO DO SOMETHING...."


good grief!
ORAggieFan
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amercer said:

And yet 500 to 1000 people keep dying everyday.

It makes you wonder if the random guy Twitter epidemiologists might be missing something.

Or you don't get the joke and don't understand what herd immunity is.
cone
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AG
bumping this thread due to the France, UK, Spain, etc lockdowns

so what did they do wrong?
ORAggieFan
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cone said:

bumping this thread due to the France, UK, Spain, etc lockdowns

so what did they do wrong?

Assumed government can control a virus.....
cone
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AG
did they drop their mask mandates?
KlinkerAg11
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No they didn't.

They lived life and were humans, the virus spread.

It's seems as easy as that.
ORAggieFan
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cone said:

did they drop their mask mandates?

Nope. Fines in France for not wearing them.
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