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Old Mar 11, 2020, 10:13 am
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In order to reduce noise in the Coronavirus / Covid-19 : general fact-based reporting thread, and to create a central place to invite any member to ask a basic question about the impact of COVID-19 on travel, your moderators have decided to open this separate "lounge" thread for related discussion that isn't strictly fact-based reporting.
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Old Mar 7, 2020 | 8:51 pm
  #181  
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Originally Posted by STS-134
Got a link to the article or video with Fauci saying that? I'd believe it if Fauci said it, but I'd ask him to explain what happened at Life Care Center in Kirkland. 0.1% would be similar to the flu, but you don't hear about the flu going through a senior living facility and killing 8 people in a matter of 1-2 weeks.
I'd think that residents of a nursing home would be among the most medically fragile people, many with lung or cardiac issues, many relatively immobile or bedridden (making lung issues even harder to clear) -- I'd be surprised if a group like this didn't have a higher than average mortality. And, there seems to be evidence that there are multiple strains out there -- perhaps the nursing home residents were exposed to the one that seems to cause more severe clinical issues.
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Old Mar 8, 2020 | 12:16 am
  #182  
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Originally Posted by bobbytables
There are several assumptions here about the typical severity of the disease. If say 80% of people have minor or no symptoms, as has been suggested, then you can have a lot of infected but undetected people.
This is a very important point--because like how you get over a common cold, if people are recovering on their own, those statistics are not making it to the scoreboard. And that would make this pandemic a lot more like the flu than something more serious.

Originally Posted by bobbytables
There are undoubtedly plenty of people in HK who have the virus (or previously had it) and were never counted, not because of any lack of transparency but simply because they never became a case by seeking medical assistance.

With some estimates of minor/asymptomatic infection up around 80% of infected people it should be quite easy to understand how the case count can have little to do with the number of infected people, with the ratio between those numbers varying between countries not based on transparency but simply based on how much testing theyre doing, making comparing case counts between countries rather a pointless exercise.
This is a point that is starting to catch on, but not so much as the normal panic. If the number of people who actually have this is 10x of the reported cases, the death ratio goes way down--and that should be comforting to everyone.

Originally Posted by invisible
No travel restrictions at this moment. But in two weeks we will be in completely different reality.
Yep, I agree. If the panic continues at the levels that it is, I can see the trip being cancelled.

Originally Posted by RedElmo
Why? Whats going on in Guatemala?

So the whole world is going to be a travel restriction.
lol, nothing at the moment, but give it 2 weeks.

Originally Posted by helvetic
If they're smart, they'd be the ones banning Americans. The wife is the danger to Guatemala, not Guatemala to the wife.
From what I've read up about the country, it's goes both ways. Virus from the Americans, just the usual danger of being in Guatemala from Guatemala.

Originally Posted by GadgetFreak
New York State just announced a that they are doing a lot of testing and the number of cases increased about 50% since yesterday. Thats about what was to be expected. And its bad.
This isn't necessarily a bad thing if a high percentage of these people get well quickly and on their own. That points to the death threat being a lot lower than initially portrayed.

If everyone has a cold at work no one is panicked over it because the death percentage is low. If this ends up with the same death rate, it won't matter if the whole planet is infected since this won't be the extinction level event it is currently being made out to be.

Originally Posted by RatherBeOnATrain
The Daily Mail is reporting that the Xinjia Hotel in Quanzhou city, being used as a quarantine facility, has collapsed:
Daily Mail - Rescuers race to save 30 people still trapped in collapsed five-star hotel in China being used to quarantine coronavirus victims (Updated: 12:11 EST, 7 March 2020)
Uh...was this also built in 10 days?

Last edited by NewbieRunner; Mar 11, 2020 at 1:30 pm Reason: Merge consecutive posts by same member
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Old Mar 8, 2020 | 12:43 am
  #183  
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Originally Posted by SamirD
This isn't necessarily a bad thing if a high percentage of these people get well quickly and on their own. That points to the death threat being a lot lower than initially portrayed.

If everyone has a cold at work no one is panicked over it because the death percentage is low. If this ends up with the same death rate, it won't matter if the whole planet is infected since this won't be the extinction level event it is currently being made out to be.

I dont think anyone has implied its. An extinction level event.
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Old Mar 8, 2020 | 1:06 am
  #184  
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Originally Posted by SamirD
This isn't necessarily a bad thing if a high percentage of these people get well quickly and on their own. That points to the death threat being a lot lower than initially portrayed.

If everyone has a cold at work no one is panicked over it because the death percentage is low. If this ends up with the same death rate, it won't matter if the whole planet is infected since this won't be the extinction level event it is currently being made out to be.
Originally Posted by GadgetFreak
I dont think anyone has implied its. An extinction level event.

Agreed, nobody is talking about extinction. But conservative estimates make this an order of magnitude worse than influenza. SamirD you may want to check out this earlier post: https://www.flyertalk.com/forum/32115699-post2839.html

Also this information from a epidemiologist.

https://www.businessinsider.com/coro...rt-2020-3?IR=T
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Old Mar 8, 2020 | 1:08 am
  #185  
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Originally Posted by username
With both the numerator and denominator uncertain, it is hard to pin down the exact number.

The fact is that humans have no immunity against this new virus so it will be tougher on us. On top of that, this thing transmits easily - people with no symptom can transmit it. Even at 0.5%, it is a lot. Therefore, we need to take it seriously.
I don't think that humans have no immunity--otherwise everyone who was infected would die without intervention. But currently it is serious enough to cause a panic even in light of the fact many recover on their own. Otherwise, home quarantine would be a death sentence.
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Old Mar 8, 2020 | 1:14 am
  #186  
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At SFO yesterday someone had a sneezing fit in the boarding area. You would have thought someone had opened up with an AR-15. Quite what people will do for drama after this is worrying to me.
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Old Mar 8, 2020 | 1:15 am
  #187  
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Originally Posted by SamirD
I don't think that humans have no immunity--otherwise everyone who was infected would die without intervention. But currently it is serious enough to cause a panic even in light of the fact many recover on their own. Otherwise, home quarantine would be a death sentence.

Not true. People can recover from things that dont have immunity to. It just means they are likely to get it if exposed. And that is the concern.
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Old Mar 8, 2020 | 1:19 am
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Originally Posted by GadgetFreak
I dont think anyone has implied its. An extinction level event.
Have you seen the grocery stores? lol. My wife has read that San Francisco is completely out of toilet paper. (and some surrounding cities too). Someone needs to tell 'the people' because I don't think a nuclear holocaust would even cause this much panic. People need to Netflix and chill. The problem is the ones that are, are watching Contagion:
https://www.theverge.com/2020/3/7/21...nt-coronavirus

Originally Posted by Silver Fox
At SFO yesterday someone had a sneezing fit in the boarding area. You would have thought someone had opened up with an AR-15. Quite what people will do for drama after this is worrying to me.
omg, I could see that. TSA was probably on them like they were carrying an AR-15.

Last edited by NewbieRunner; Mar 11, 2020 at 1:47 pm Reason: Merge consecutive posts by same member
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Old Mar 8, 2020 | 1:21 am
  #189  
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Originally Posted by SamirD
I don't think that humans have no immunity--otherwise everyone who was infected would die without intervention. But currently it is serious enough to cause a panic even in light of the fact many recover on their own. Otherwise, home quarantine would be a death sentence.
Im not an infectious disease specialist, but according to a member who is, there is no pre-existing immunity. That is not to say that peoples bodies cannot fight off the virus and potentially develop immunity. But until that happens there is no immunity. People whose bodies are fighting the virus may struggle. This is where being admitted to a hospital and getting oxygen and an IV and maybe a ventilator and whatever else can be done is effective. It helps their body to devote more resources to fighting the virus. Those who have fought of the virus may or may not have immunity for some period of time. At this point it seems we are unsure of this. Another earlier post:

Originally Posted by trueblu
If one is a casual reader of the news around COVID-19, even if one looks up the headlines daily, it just wouldn't compute the potential magnitude of a global pandemic. Headline numbers: 75k cases in China, 1k cases worldwide, of which 60% from one source. It doesn't appear to be a 'global threat'.

Couple that with the repeated mantra that the overall mortality is ~1%, and heck, that doesn't sound so bad does it?

What's not really factored is that there is zero host immunity to SARS-CoV2. Potentially, every single person on the planet could get infected. This just isn't true for pretty much any endemic disease which can be spread by casual contact. Now, the vast majority (how vast? 80% or more likely 95%??) will have mild disease. But let's say overall mortality IS just like seasonal influenza, around 0.1%. BUT, 60% of the world gets infected. That would still result in >4M excess deaths: around 10x more than seasonal influenza, because typically, people only get infected every 5 or 6 years by the flu due to pre-existing immunity, vaccination and other reasons.

And as I've repeatedly said, the biggest 'fear factor' for me is what proportion need hospitalization. If it's above 5% of total numbers infected, it's essentially a total disaster if this really runs rampage through the population.

I'm pretty certain that none of these factors have been priced into the market. Now, I have no idea if this will come to pass. But I think odds on it will in some form or other. Self-isolating behaviours, even informally, may mitigate spread to some extent. But even then I would guess 10% of the global population would get infected. The biggest unknowns are a) seasonality or not, b) true extent of severity across demographics.

tb

PS I have no (financial) skin in this game: just don't have enough capital to speculate in any meaningful way...so I have nothing to gain or lose with all the above...
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Old Mar 8, 2020 | 1:26 am
  #190  
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Originally Posted by yosithezet
Agreed, nobody is talking about extinction. But conservative estimates make this an order of magnitude worse than influenza. SamirD you may want to check out this earlier post: https://www.flyertalk.com/forum/32115699-post2839.html

Also this information from a epidemiologist.

https://www.businessinsider.com/coro...rt-2020-3?IR=T
Oh yeah, even a small percentage across the entire planet would mean a lot of people dead overall, but the chances for a single individual worrying about it would be like worrying about other more dangerous daily activities like driving.

The problem as has been stated in the thread quite well is that no one really knows the numerator and denominator in the equation as it keeps changing. I'm pretty sure we'll know in a month or two with some certainty, but right now the numbers move in big ways every hour.

Originally Posted by GadgetFreak
Not true. People can recover from things that dont have immunity to. It just means they are likely to get it if exposed. And that is the concern.
Now that I think about it, that would be the strict definition of immunity. I was thinking more in the general sense that people simply don't have serious symptoms--like those that can drink the non-potable water that is found in so many places around the world and not be affected in the same way as someone else who gets seriously sick.

Exposure is a given. I think in the next few years or so everyone will end up being exposed to this--at least until some sort of vaccine or counter drugs are available.

Originally Posted by yosithezet
Im not an infectious disease specialist, but according to a member who is, there is no pre-existing immunity. That is not to say that peoples bodies cannot fight off the virus and potentially develop immunity. But until that happens there is no immunity. People whose bodies are fighting the virus may struggle. This is where being admitted to a hospital and getting oxygen and an IV and maybe a ventilator and whatever else can be done is effective. It helps their body to devote more resources to fighting the virus. Those who have fought of the virus may or may not have immunity for some period of time. At this point it seems we are unsure of this. Another earlier post:
I agree. The definitely for 'immunity' was more strict than I'm normally accustomed to, but makes perfect sense.

The problems seems to start when the symptoms are bad enough to get to the hospital--that's seems to be where the death danger begins. Luckily, even a good chunk of hospital bound people seem to recover.

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Old Mar 8, 2020 | 1:46 am
  #191  
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Originally Posted by SamirD
I agree. The definitely for 'immunity' was more strict than I'm normally accustomed to, but makes perfect sense.

The problems seems to start when the symptoms are bad enough to get to the hospital--that's seems to be where the death danger begins. Luckily, even a good chunk of hospital bound people seem to recover.
The real problem starts once the number of infected is so high that hospitals will simply be overwhelmed and the percent recovery goes down. And so far the US (and other places) haven't been doing a great job testing and containing people with the increase remaining exponential. The worry is about the future situation because once we get there hospitals WILL be overwhelmed. That's the real worry.

A lot of us I'm sorry worry more about our elderly relatives than about ourselves, too, given that they won't have a flu shot and immunity as a safety "blanket" of sorts.
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Old Mar 8, 2020 | 3:55 am
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No. There is more than sufficient good quality data to support the WHO projection of a mortality rate in the order of 2%, ie between 10 and 20 times more deadly than season flu.
While it is true that there has been some irrational fear and behaviour, it is also true that there is very good cause to be concerned, and to take appropriate preventive measures.
Governments around the world are not spending tens of billions, concurrent with letting economies grind to a halt, on a whim or fancy, or because of irrational fear.

Originally Posted by bobbytables
yep. This leads to the conclusion Ive suspected all along - the real mortality rate of the virus is significantly lower than the low-quality available data has been suggesting.
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Old Mar 8, 2020 | 4:23 am
  #193  
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Originally Posted by Silver Fox
At SFO yesterday someone had a sneezing fit in the boarding area. You would have thought someone had opened up with an AR-15. Quite what people will do for drama after this is worrying to me.
Funny and there is a difference between the US and France. I was on the TGV yesterday and someone a couple rows behind me was coughing heavily, about once a minute, for over an hour. But nobody said a thing or moved from their seat. We've heard coughing fits before.
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Old Mar 8, 2020 | 4:58 am
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Seems not much commentary yet on news from Italy. Quarantine of 1/4 of country's population - was something like this ever done in history? How much in terms of economy this is going to hurt Italy?

Who/what place is next? Will France or Germany have guts to do something like this?

I personally don't expect anything this scale to happen in US.

I honestly don't envy any politician or public health expert who is in charge right now...
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Old Mar 8, 2020 | 5:00 am
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Originally Posted by invisible
Who/what place is next? Will France or Germany have guts to do something like this?
Somewhat.. there is a travel "warning" for NRW within Germany.. by no means a full lockdown (as it isn't in Lombardy, too).
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