Written by Steven Hansen
The U.S. new cases 7-day rolling average is 9.6 % lower than the 7-day rolling average one week ago. U.S. deaths due to coronavirus are now 1.8 % lower than the rolling average one week ago. At the end of this post is a set of interactive graphs and tables for the world and individual states – as well as today’s headlines which include;
- Global coronavirus deaths now exceed 800,000
- Safer Pfizer COVID-19 mRNA Vax Candidate Moves Forward
- In Germany, researchers organized a concert to figure out how the virus spreads at big events
- Why a PPE shortage still plagues America and what we need to do about it
- COVID-19 vaccines could become mandatory. Here’s how it might work
- Should States Require a Coronavirus Vaccine For Kids to Attend School?
- CDC updates school guidelines for Covid-19 pandemic
My continuing advice is to continue to wash your hands, wear masks, and maintain social distancing. No handwashing, mask, or social distancing will guarantee you do not get infected – but it sure as hell lowers the risk in all situations. In addition, certain activities are believed to carry higher risk – like being inside in air conditioning and removing your mask (such as restaurants, around your children/grandchildren, bars, and gyms). It is all about viral load.
The daily number of new cases in the U.S. is remaining stubbornly and embarrassedly high.
The following graphs show the 7-day rolling average for new coronavirus cases and deaths have been updated through 22 August 2020:
z coronavirus.png
Coronavirus Statistics For 22 August 2020 |
U.S. Only | Global | U.S Percentage of Total | ||||
Today*** | Cumulative | Today*** | Cumulative | Today | Cumulative | |
New Confirmed Cases | 44,378 | 5,620,000 | 251,672 | 22,980,000 | 17.6% | 24.5% |
Deaths** | 1,151 | 175,406 | 6,183 | 800,321 | 18.6% | 21.9% |
Mortality Rate | 2.6% | 3.1% | 2.5% | 3.5% | ||
total COVID-19 Tests per 1,000 people | 1.92* | 210.21* |
* as of 20 Aug 2020
** evidently several states included “probable” deaths today in the number
*** red color indicates record number
Coronavirus News You May Have Missed
Safer Pfizer COVID-19 mRNA Vax Candidate Moves Forward – MedPage
With the international collaboration between Pfizer and BioNTech yielding a modified RNA COVID-19 vaccine candidate to progress to phase II/III trials, the manufacturers shared data late Thursday that helped inform the decision.
BNT162b2 was the winner: a single nucleoside-modified messenger RNA vaccine that elicited an immune response in healthy volunteers ages 18-55 at nearly four times the neutralizing geometric mean titers (GMT) compared with a panel of patients recovering from COVID-19 infection, and at nearly two times the GMT response among older adults ages 65-85. The vaccine was also well tolerated, with fever as the most common systemic effect.
U.S.-based Pfizer and German-based BioNTech announced interim phase I results in a press release, which were also published on the medRxiv preprint server.
While there were four vaccine candidates, BNT162b1 and BNT162b2 emerged as the two front-runners, the manufacturers said in a press release on July 27. BNT162b2 was selected to progress to phase II/III, based mainly on a combination of immune response and favorable tolerability in phase I/II trials.
Not only did BNT162b2 have “mild to moderate and transient … systemic events” (fever, fatigue, chills) and no serious adverse events, but in terms of immunogenicity, BNT162b2 “elicited T cell responses against the receptor binding domain (RBD) and against the remainder of the spike glycoprotein that is not contained in the BNT162b1 vaccine candidate,” and “immune recognition of more spike T cell epitopes may have the potential to generate more consistent responses across diverse populations and in older adults,” the manufacturers said.
States Should Require a Coronavirus Vaccine For Kids to Attend School, Some Experts Say – Newsweek
All 50 states require most students to have certain vaccinations before attending in-person classes and it’s a measure that experts say should at least be considered for the new coronavirus.
Schools across the U.S. are beginning to reopen their doors to students or making plans for the upcoming year after having closed in the spring to slow the spread of the new coronavirus. So far in the school year, schools in at least six states had to once again close down because of COVID-19 infections, prompting concerns about the safety and efficiency of having in-person classes in the fall.
Large populations of school-aged children being vaccinated against the new coronavirus could alleviate some of these concerns, as the risk of a student or faculty member contracting the new coronavirus would be lower. Multiple vaccine candidates are in Phase III trials, but Dr. William Schaffner, a professor of preventive medicine and infectious diseases at Vanderbilt University Medical Center, noted they only involve adults.
In Germany, researchers organized a concert to figure out how the virus spreads at big events. – New York Times
But this wasn’t another story of an entertainment venue flouting public health concerns in order to get back to business. The daylong show was an experiment set up by scientists to help figure out why mass events are so effective at spreading the virus and how the most risky behaviors could be avoided.
Each of the concertgoers passed a Covid-19 test and had their temperature taken before entering the closed arena. They were also all given trackers to allow researchers to monitor who they came close to, as well as an FFP2 respirator mask to wear and a bottle of special fluorescing hand sanitizer that allowed researchers to learn which areas were most frequently touched.
Researchers from the Martin Luther University of Halle-Wittenberg will spend weeks analyzing the data to determine when and where transmission of the virus was most likely to occur at the venue.
“We want to find out: what are the moments, what are the situations where this risk happens,” said Dr. Stefan Moritz, the lead researcher, in a video statement about the project, called Restart-19.
Why a PPE shortage still plagues America and what we need to do about it – CNBC
- Six months into the Covid-19 crisis, there is still a dire shortage of personal protective equipment for our health-care workers, says Dan Cohen, CEO of 3DBio Therapeutics.
- America needs a dynamic ecosystem of U.S.-based medical production called a Manufacturing Reserve Corps. that can kick into gear during any health-care emergency.
COVID-19 vaccines could become mandatory. Here’s how it might work. – National Geographic
YOU WALK TOWARD the arena, ready for a big game, tickets in hand. But what you see is a long line wrapping around the corner of the building and a bottleneck at the entrance as people search their pockets and purses for a small piece of paper. To be cleared to enter, you’ll also need that document—proof that you’ve received a COVID-19 vaccination.
This is the future as some experts see it: a world in which you’ll need to show you’ve been inoculated against the novel coronavirus to attend a sports game, get a manicure, go to work, or hop on a train.
“We’re not going to get to the point where the vaccine police break down your door to vaccinate you,” says Arthur Caplan, a bioethicist at New York University’s School of Medicine. But he and several other health policy experts envision vaccine mandates could be instituted and enforced by local governments or employers—similar to the current vaccine requirements for school-age children, military personnel, and hospital workers.
In the United States, most vaccine mandates come from the government. The Advisory Committee on Immunization Practices (ACIP) makes recommendations for both pediatric and adult vaccines, and state legislatures or city councils determine whether to issue mandates. These mandates are most commonly tied to public school attendance, and all 50 states require students to receive some vaccines, with exemptions for medical, religious, and philosophical reasons.
Adult vaccine mandates—compelling employees and the public to inoculate themselves—aren’t nearly as widespread, but they’re not unheard of. U.S. states and cities can and have forced compulsory vaccinations on citizens. In 1901, for example, Cambridge, Massachusetts, adopted a law that required all citizens aged 21 and older to get vaccinated against smallpox. Failure to comply could lead to a five-dollar fine, or the equivalent of $150 today. Those who challenged the order in court lost. (The last outbreak of smallpox in the U.S. occurred in 1949.)
[editor’s note: good article to read in its entirety]
US coronavirus deaths could top 6,000 a day by December in worst-case scenario, expert predicts – COVID19data
The death toll from the coronavirus pandemic in the United States could spike to as high as 6,000 people a day by December in the worst-case scenario, according to Dr. Chris Murray, the chair of the Institute for Health Metrics and Evaluation (IHME) at the University of Washington.
Currently, about 1,000 people are dying daily from the coronavirus in the US.
In a new model released Friday, researchers at IHME predicted the number of daily deaths will decrease slowly in September — then rise to nearly 2,000 a day by the start of December.
But Murray told CNN that, “depending on what our leaders do,” things can get worse.
“WE HAVE A WORSE SCENARIO IN WHAT WE RELEASE AND THAT’S MANY, MANY MORE DEATHS,” HE SAID. “AND IN FACT, BY THE TIME DECEMBER ROLLS AROUND, IF WE DON’T DO ANYTHING AT ALL, THE DAILY DEATH TOLL IN THE US WOULD BE MUCH HIGHER THAN THE 2,000 DEATHS A DAY BY DECEMBER. IT COULD BE AS HIGH AS 6,000 DEATHS A DAY.”
CDC updates school guidelines for Covid-19 pandemic – CNN
The updated guidelines emphasize the importance of keeping schools open if possible.
… The available evidence from countries that have reopened schools showed that Covid-19 “poses low risks to school-aged children – at least in areas with low community transmission.”
It adds that in general, children are less likely to have severe symptoms than adults. The risk of teachers, school administrators and other staff will, however, “mirror that of other adults in the community” if they get sick, the guidelines said.
Schools are still encouraged to make accommodations for staff and students at higher risk for severe illness that will limit their exposure risk. Schools are also still encouraged to divide students and teachers into distinct groups, if possible, that stay together throughout the entire school day for in-person learning. Alternative schedules or staggered scheduling may also be a good idea to limit interaction.
… The consistent use of masks is most important when students, teachers, and staff are indoors and when social distancing is difficult. People should be reminded not to touch the mask and to wash hands or use hand sanitizer frequently, the guidelines say.
Clear face coverings may be preferable for teachers of young students, for example, when they teach students how to read. Clear face coverings may also be helpful for teachers working with English language learners and for students with disabilities.
[editor’s note: another article which is hard to summarize and requires a complete read]
The following are foreign headlines with hyperlinks to the posts
WHO Chief Calls Graft Involving PPE ‘Unacceptable,’ Says It’s ‘Murder’
India, approaching 3 million cases, adds restrictions but allows some religious gatherings.
Bolivia’s coronavirus death rate is among the world’s worst, an analysis shows.
Mexico reports nearly 6,000 new coronavirus cases
Brazil reports more than 30,000 new Covid-19 cases
The following are additional national and state headlines with hyperlinks to the posts
U.S. Movie Theaters Say It’s Safe To Watch A Film: How About ‘Unhinged’?
School Nurses To Play Big Role In Eventual Reopening Of In-Class Learning In LA
Minnesota and Nebraska Link COVID-19 Cases to Sturgis Motorcycle Rally
Man Who Gave Cancer Patient in Walmart ‘COVID Hug’ Wanted by Police
Prisoners Say They Were Told To Refuse COVID Tests To Keep Rates Low
‘Mask-Free’ Wisconsin Coffee Shop to Close After Losing Lease
Who is policing student behavior on campus? Residence hall advisers and students themselves.
Daily coronavirus cases in the U.S. fall below 50,000 for seven straight days after summer surge
Virginia Plans Mandatory COVID-19 Vaccinations For All Residents
Childcare Centers in States With Little COVID Can Safely Reopen, Study Suggests
Dozens of COVID-19 vaccines are in development. Here are the ones to follow.
Today’s Posts On Econintersect Showing Impact Of The Pandemic With Hyperlinks
Bank Supervision Adapts To Pandemic Challenges
Average-Inflation Targeting And The Effective Lower Bound
Will The Covid-19 Pandemic Lead To Job Reallocation And Persistent Unemployment?
The Partisan Pandemic: Do We Now Live In Alternative Realities?
What’s In That Wildfire Smoke, And Why Is It So Bad For Your Lungs?
Coronavirus INTERACTIVE Charts
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Analyst Opinion of Coronavirus Data
There are several takeaways that need to be understood when viewing coronavirus statistical data:
- The global counts are suspect for a variety of reasons including political. Even the U.S. count has issues as it is possible that as much as half the population has had coronavirus and was asymptomatic. It would be a far better metric using a random sampling of the population weekly. In short, we do not understand the size of the error in the tracking numbers.
- Just because some of the methodology used in aggregating the data in the U.S. is flawed – as long as the flaw is uniformly applied – you establish a baseline. This is why it is dangerous to compare two countries as they likely use different methodologies to determine who has (and who died) from coronavirus.
- COVID-19 and the flu are different but can have similar symptoms. For sure, COVID-19 so far is much more deadly than the flu. [click here to compare symptoms]
- From an industrial engineering point of view, one can argue that it is best to flatten the curve only to the point that the health care system is barely able to cope. This solution only works if-and-only-if one can catch this coronavirus once and develops immunity. In the case of COVID-19, herd immunity may need to be in the 80% to 85% range. WHO warns that few have developed antibodies to COVID-19. At this point, herd immunity does not look like an option although there is now a discussion of whether T-Cells play a part in immunity [which means one might have immunity without antibodies]
- Older population countries will have a higher death rate.
- There are at least 8 strains of the coronavirus. New York may have a deadlier strain imported from Europe, compared to less deadly viruses elsewhere in the United States.
- Each publication uses different cutoff times for its coronavirus statistics. Our data uses 11:00 am London time. Also, there is an unexplained variation in the total numbers both globally and in the U.S.
- The real question remains if the U.S. is over-reacting to this virus. The following graphic from the CDC puts the annual flu burden in perspective [click on image to enlarge]. Note that using this data is dangerous as the actual flu cases are estimated and not counted – nobody knows how accurate these guesses are.
What we do not know about the coronavirus [actually there is little scientifically proven information]. Most of our knowledge is anecdotal, from studies with limited subjects, or from studies without peer review.
- How many people have been infected as many do not show symptoms?
- Masks do work.
- Do we develop lasting immunity to the coronavirus? Another coronavirus – the simple cold – does not develop long term immunity.
- To what degree do people who never develop symptoms contribute to transmission?
- The US has scaled up coronavirus testing – and the accuracy of the tests has been improving. However, if one loses immunity – the coronavirus testing value is reduced.
- Can children widely spread coronavirus? [current thinking is that they are becoming a major source of the pandemic spread]
- Why have some places avoided big coronavirus outbreaks – and others hit hard?
- What effect will the weather have? At this point, it does not seem hot weather slows this coronavirus down – and it seems air conditioning contributes to its spread.
- Outdoor activities seem to be a lower risk than indoor activities.
- Can the world really push out an effective vaccine in 12 to 18 months?
- Will other medical treatments for Covid-19 ease symptoms and reduce deaths? So far only one drug (remdesivir) is approved for treatment.
- A current scientific understanding of the way the coronavirus works can be found [here].
Heavy breakouts of coronavirus have hit farm workers. Farmworkers are essential to the food supply. They cannot shelter at home. Consider:
- they have high rates of the respiratory disease [occupational hazard]
- they travel on crowded buses chartered by their employers
- few have health insurance
- they cannot social distance and live two to four to a room – and they eat together
- some reports say half are undocumented
- they are low paid and cannot afford not to work – so they will go to work sick
- they do not have access to sanitation when working
- a coronavirus outbreak among farmworkers can potentially shutter entire farm
The bottom line is that COVID-19 so far has been shown to be much more deadly than the data on the flu. Using CDC data, the flu has a mortality rate between 0.06 % and 0.11 % Vs. the coronavirus which to date has a mortality rate of 4 % [the 4% is the average of overall statistics – however in the last few months it has been hovering around 1.0%] – which makes it between 10 and 80 times more deadly. The reason for ranges:
Because influenza surveillance does not capture all cases of flu that occur in the U.S., CDC provides these estimated ranges to better reflect the larger burden of influenza.
There will be a commission set up after this pandemic ends to find fault [it is easy to find fault when a once-in-a-lifetime event occurs] and to produce recommendations for the next time a pandemic happens. Those that hate President Trump will conclude the virus is his fault.
Resources:
- Get the latest public health information from CDC: https://www.coronavirus.gov .
- Get the latest research from NIH: https://www.nih.gov/coronavirus.
- Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/.
- List of studies: https://icite.od.nih.gov/covid19/search/#search:searchId=5ee124ed70bb967c49672dad
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