{"id":8536,"date":"2020-03-01T10:01:13","date_gmt":"2020-03-01T15:01:13","guid":{"rendered":"http:\/\/richard.rathe.org\/?p=8536"},"modified":"2020-03-07T11:27:07","modified_gmt":"2020-03-07T16:27:07","slug":"the-approaching-covid19-pandemic","status":"publish","type":"post","link":"https:\/\/redmangrove.org\/rathe.org\/richard\/2020\/the-approaching-covid19-pandemic","title":{"rendered":"Thoughts on the Approaching COVID19 Pandemic"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><a href=\"http:\/\/richard.rathe.org\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit.png\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"633\" src=\"http:\/\/richard.rathe.org\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit-1024x633.png\" alt=\"\" class=\"wp-image-8537\" srcset=\"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit-1024x633.png 1024w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit-150x93.png 150w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit-400x247.png 400w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit-768x475.png 768w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit-1200x742.png 1200w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/new-coronavirus-compared-with-other-infectious-diseases-edit.png 1772w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/a><figcaption>source:nytimes.com (click to enlarge)<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">I&#8217;ve annotated this <a rel=\"noreferrer noopener\" aria-label=\"NY Times (opens in a new tab)\" href=\"https:\/\/www.nytimes.com\/2020\/02\/27\/podcasts\/the-daily\/coronavirus.html\" target=\"_blank\">NY Times<\/a> graphic, rounding the estimates for COVID19 (aka the 2019 novel coronavirus) to <strong>2% mortality<\/strong> and <strong>2 people infected<\/strong> for every one who has the disease. What this suggests is the infection rate will be similar to a bad cold season, but unlike the common cold, a significant number of people will die of the disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is not good news, but it is also not catastrophic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">By comparison the <a rel=\"noreferrer noopener\" aria-label=\"1918 &quot;Spanish&quot; Flu (opens in a new tab)\" href=\"https:\/\/www.cdc.gov\/flu\/pandemic-resources\/1918-pandemic-h1n1.html\" target=\"_blank\">1918 &#8220;Spanish&#8221; Flu<\/a> had a similar infection rate but <strong>killed 1 in 10<\/strong>! The 1918 Flu infected approximately <strong>one third of ALL the people on earth<\/strong>\u2026 and that was before air travel!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Based on these numbers alone, up to <strong>110 million<\/strong> people in the US could be infected. <strong>80%<\/strong> of these cases should be mild, <strong>20%<\/strong> will need some form of special care in hospitals or at home, and <strong><em>2% (2.2 million) could die<\/em><\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One area where the 1918 Flu differs from COVID19 is the latter <strong>does not seem to kill children<\/strong>, which is a small bright spot. However, <strong>children may be a source of infection for vulnerable adults<\/strong>!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Note that the <strong>currently reported mortality rate<\/strong> is over 3% but here <strong><em>in the US we have done almost NO testing<\/em><\/strong>, so the total number of infected individuals is unknown, but likely to be much higher. This means <strong>the reported mortality rate is probably inflated<\/strong> due to lack of good data. I&#8217;ll stick with 2% as a conservative figure for now.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is also important to remember one of the lessons of the 1918 epidemic, things may look better when warmer weather returns but this should <em>not<\/em> be reassuring. <strong>In the spring of 1918 it looked like the disease was weakening, but it returned with a vengeance in the fall and winter!<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Social Isolation and Hand Washing<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">For the general public, not living with or caring for a sick person, <strong>wearing masks<\/strong> really doesn&#8217;t help. <strong>Social isolation<\/strong> (eg, staying home) and <strong>effective hand washing<\/strong> remain the best things you can do to prevent getting most viral respiratory diseases (the common cold, influenza, and the new coronavirus). Just being in the same room with a sick person is not that risky, but <strong>touching surfaces<\/strong> and objects in that room and then <strong>touching your face<\/strong> is a good way to catch one of these viruses. Note that hand washing studies suggest we generally <strong>neglect our fingertips<\/strong> (including the nails) and wrists.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"411\" src=\"http:\/\/richard.rathe.org\/wp-content\/uploads\/2020\/03\/hand-washing-most-missed-areas.jpg\" alt=\"\" class=\"wp-image-8545\" srcset=\"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/hand-washing-most-missed-areas.jpg 1000w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/hand-washing-most-missed-areas-150x62.jpg 150w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/hand-washing-most-missed-areas-400x164.jpg 400w, https:\/\/redmangrove.org\/rathe.org\/richard\/wp-content\/uploads\/2020\/03\/hand-washing-most-missed-areas-768x316.jpg 768w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The best information available comes from <a rel=\"noreferrer noopener\" aria-label=\"CDC (opens in a new tab)\" href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/about\/prevention-treatment.html\" target=\"_blank\">CDC<\/a> and <a rel=\"noreferrer noopener\" aria-label=\"WHO (opens in a new tab)\" href=\"https:\/\/www.who.int\/news-room\/q-a-detail\/q-a-coronaviruses\" target=\"_blank\">WHO<\/a> (which I consider the best source since it is not caught up in US political shenanigans). For up-to-date worldwide information <a rel=\"noreferrer noopener\" aria-label=\"download the most recent WHO Situation Report (opens in a new tab)\" href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/situation-reports\" target=\"_blank\">download the most recent WHO Situation Report<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;ve annotated this NY Times graphic, rounding the estimates for COVID19 (aka the 2019 novel coronavirus) to 2% mortality and 2 people infected for every one who has the disease. What this suggests is the infection rate will be similar to a bad cold season, but unlike the common cold, a significant number of people &hellip; <a href=\"https:\/\/redmangrove.org\/rathe.org\/richard\/2020\/the-approaching-covid19-pandemic\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Thoughts on the Approaching COVID19 Pandemic&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[129,22,28],"tags":[468,469,466,470,467,465,471],"class_list":["post-8536","post","type-post","status-publish","format-standard","hentry","category-commentary","category-medicine","category-science","tag-coronavirus","tag-covid19","tag-epidemic","tag-hand-washing","tag-pandemic","tag-public-health","tag-social-isolation"],"_links":{"self":[{"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/posts\/8536","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/comments?post=8536"}],"version-history":[{"count":20,"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/posts\/8536\/revisions"}],"predecessor-version":[{"id":8558,"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/posts\/8536\/revisions\/8558"}],"wp:attachment":[{"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/media?parent=8536"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/categories?post=8536"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/redmangrove.org\/rathe.org\/richard\/wp-json\/wp\/v2\/tags?post=8536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}