Written by Steven Hansen
The U.S. new cases 7-day rolling average is 10.5 % HIGHER than the 7-day rolling average one week ago. U.S. deaths due to coronavirus are now 1.8 % HIGHER 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;
- New coronavirus cases are worsening in the U.S. and globally
- Deaths due to coronavirus are little changed this past week
- The coronavirus infection fatality rate is significantly worsening
- Face masks: what the data say
- How 3 prior pandemics triggered massive societal shifts
- Europe’s economic recovery is a summer memory as virus picks up
The recent worsening of the trendlines for new cases should be attributed to going back to school (especially at college/university level) and continued loosening of regulations designed to slow the coronavirus spread.
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 – and evidence to-date shows a lower severity of COVID-19. In addition, certain activities are believed to carry a 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 – and outdoor activities are generally very safe.
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 11 October 2020:
z coronavirus.png
Coronavirus Statistics For 11 October 2020 |
U.S. Only | Global | U.S Percentage of Total | ||||
Today*** | Cumulative | Today*** | Cumulative | Today | Cumulative | |
New Confirmed Cases | 54,271 | 7,719,000 | 338,306 | 37,2880,000 | 16.0% | 20.7% |
Deaths** | 590 | 214,377 | 4,711 | 1,070,000 | 12.5% | 20.0% |
Mortality Rate | 1.1% | 2.8% | 1.4% | 2.9% | ||
total COVID-19 Tests per 1,000 people | 1.80* | 364.57* |
Source: EU CDC
* as of 04 Oct 2020
** evidently several States included “probable” deaths today in the number
*** red color indicates record number
Coronavirus Summary For This Past Week
Sadly, there was significant growth in coronavirus cases in the U.S. and globally.
Deaths due to coronavirus marginally increased in the U.S. and globally.
And unfortunately the coronavirus infection fatality rate significantly worsened in the U.S. but remained little changed globally.
Today, Econintersect published two summary articles for coronavirus news this past week:
Thoughts on Where We Should Go From Here Handling The Coronavirus
The current situation:
- new coronavirus cases continue to rise in the U.S. and globally
- we know masks work but they are far from 100% effective. And there is resistance to wearing masks from a large segment of the population.
- the coronavirus has mutated and is expected to continue to mutate. At this point, it seems the trend is to a more transmittable virus but less deadly.
- new cases are growing in the U.S. and globally [maybe this is a second wave?>
- the U.S. with its perceived great medical system has not done much better than the world average in preventing deaths
- young people very seldom are hospitalized or die due to the coronavirus – almost all deaths come from the older population.
- there is enough anecdotal information to doubt whether herd immunity is possible [as immunity does not seem to be long term but there is no scientific proof either way]
- there is no study underway which proves a vaccine will lower the death rate due to coronavirus. I know the flu and coronavirus are different, but there is enough evidence to show that flu vaccinations do not reduce hospitalizations or deaths in older adults.
- the vaccine trials underway do not evaluate hospitalizations or deaths. This means that understanding the effectiveness of any vaccine for deaths and hospitalizations will occur on the general population which will get immunized.
- lockdowns have caused significant economic damage – and literally destroyed the lives of many business owners and their employees. I would also argue that lockdowns saved the lives of many older adults.
- again I warn those who want to compare coronavirus statistics between countries – there are so many differences between data gathering, the social environment in countries, the evolution of the virus in that country, the percentage of the population which is older, and population densities – that comparisons are comparable to apples to oranges. Having said that, the U.S. has not done as well as it should have.
- I am frustrated by the lack of progress in controlling the pandemic – and I want my life to return to normal. But I also realize that a change in course of methodology in dealing with the coronavirus may worsen the statistics or have a significant knock-on effect in other areas which will add to the misery.
The bottom line is that I am very concerned that a vaccine will be the silver bullet to significantly reduce hospitalizations and deaths. I do not trust herd immunity is achievable. They say you plan for the worst but hope for the best. So our plan for dealing with this coronavirus should be that a vaccine will not work well enough, and herd immunity is not possible. The planning should implement a methodology that would allow a return to normal even though the coronavirus was not conquered.
This past week, The Great Barrington Declaration was published and states:
As infectious disease epidemiologists and public health scientists we have grave concerns about the damaging physical and mental health impacts of the prevailing COVID-19 policies, and recommend an approach we call Focused Protection.
Coming from both the left and right, and around the world, we have devoted our careers to protecting people. Current lockdown policies are producing devastating effects on short and long-term public health. The results (to name a few) include lower childhood vaccination rates, worsening cardiovascular disease outcomes, fewer cancer screenings and deteriorating mental health – leading to greater excess mortality in years to come, with the working class and younger members of society carrying the heaviest burden. Keeping students out of school is a grave injustice.
Keeping these measures in place until a vaccine is available will cause irreparable damage, with the underprivileged disproportionately harmed.
Fortunately, our understanding of the virus is growing. We know that vulnerability to death from COVID-19 is more than a thousand-fold higher in the old and infirm than the young. Indeed, for children, COVID-19 is less dangerous than many other harms, including influenza.
As immunity builds in the population, the risk of infection to all – including the vulnerable – falls. We know that all populations will eventually reach herd immunity – i.e. the point at which the rate of new infections is stable – and that this can be assisted by (but is not dependent upon) a vaccine. Our goal should therefore be to minimize mortality and social harm until we reach herd immunity.
The most compassionate approach that balances the risks and benefits of reaching herd immunity, is to allow those who are at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk. We call this Focused Protection.
Adopting measures to protect the vulnerable should be the central aim of public health responses to COVID-19. By way of example, nursing homes should use staff with acquired immunity and perform frequent PCR testing of other staff and all visitors. Staff rotation should be minimized. Retired people living at home should have groceries and other essentials delivered to their home. When possible, they should meet family members outside rather than inside. A comprehensive and detailed list of measures, including approaches to multi-generational households, can be implemented, and is well within the scope and capability of public health professionals.
Those who are not vulnerable should immediately be allowed to resume life as normal. Simple hygiene measures, such as hand washing and staying home when sick should be practiced by everyone to reduce the herd immunity threshold. Schools and universities should be open for in-person teaching. Extracurricular activities, such as sports, should be resumed. Young low-risk adults should work normally, rather than from home. Restaurants and other businesses should open. Arts, music, sport and other cultural activities should resume. People who are more at risk may participate if they wish, while society as a whole enjoys the protection conferred upon the vulnerable by those who have built up herd immunity.
I have an issue on the subject of herd immunity – but I do subscribe to a two-prong approach where the vulnerable are protected and those who are not vulnerable allowed to resume their normal lives.
Stay safe.
Coronavirus News You May Have Missed
Face masks: what the data say – Nature
Face masks are the ubiquitous symbol of a pandemic that has sickened 35 million people and killed more than 1 million. In hospitals and other health-care facilities, the use of medical-grade masks clearly cuts down transmission of the SARS-CoV-2 virus. But for the variety of masks in use by the public, the data are messy, disparate and often hastily assembled. Add to that a divisive political discourse that included a US president disparaging their use, just days before being diagnosed with COVID-19 himself. “People looking at the evidence are understanding it differently,” says Baruch Fischhoff, a psychologist at Carnegie Mellon University in Pittsburgh, Pennsylvania, who specializes in public policy. “It’s legitimately confusing.”
To be clear, the science supports using masks, with recent studies suggesting that they could save lives in different ways: research shows that they cut down the chances of both transmitting and catching the coronavirus, and some studies hint that masks might reduce the severity of infection if people do contract the disease.
But being more definitive about how well they work or when to use them gets complicated. There are many types of mask, worn in a variety of environments. There are questions about people’s willingness to wear them, or wear them properly. Even the question of what kinds of study would provide definitive proof that they work is hard to answer.
… Nevertheless, most scientists are confident that they can say something prescriptive about wearing masks. It’s not the only solution, says Gandhi, “but I think it is a profoundly important pillar of pandemic control”. As Digard puts it: “Masks work, but they are not infallible. And, therefore, keep your distance.”
[editor’s note: this post deserves a full read]
How 3 prior pandemics triggered massive societal shifts – The Conversation
People are beginning to understand that the little changes COVID-19 has already ushered in or accelerated – telemedicine, remote work, social distancing, the death of the handshake, online shopping, the virtual disappearance of cash and so on – have begun to change their way of life. They may not be sure whether these changes will outlive the pandemic. And they may be uncertain whether these changes are for good or ill.
Three previous plagues could yield some clues about the way COVID-19 might bend the arc of history. As I teach in my course “Plagues, Pandemics and Politics,” pandemics tend to shape human affairs in three ways.
First, they can profoundly alter a society’s fundamental worldview. Second, they can upend core economic structures. And, finally, they can sway power struggles among nations.
… Will the bumbling efforts of the open societies of the West to come to grips with the virus shattering already-wavering faith in liberal democracy, creating a space for other ideologies to evolve and metastasize?
In a similar fashion, COVID-19 may be accelerating an already ongoing geopolitical shift in the balance of power between the U.S. and China. During the pandemic, China has taken the global lead in providing medical assistance to other countries as part of its “Health Silk Road” initiative. Some argue that the combination of America’s failure to lead and China’s relative success at picking up the slack may well be turbocharging China’s rise to a position of global leadership.
Finally, COVID-19 seems to be accelerating the unraveling of long-established patterns and practices of work, with repercussions that could affet the future of office towers, big cities and mass transit, to name just a few. The implications of this and related economic developments may prove as profoundly transformative as those triggered by the Black Death in 1347.
[editor’s note: another post which deserves a full read]
Europe’s economic recovery is a summer memory as virus picks up. – New York Times
What faint hopes remained that Europe was recovering from the economic catastrophe delivered by the pandemic have faded as the virus has resumed spreading rapidly across much of the continent.
After sharply expanding in the early part of the summer, Britain’s economy grew far less than anticipated in August — 2.1 percent compared with July, the government reported on Friday, adding to worries that further weakness lies ahead.
Earlier in the week, France, Europe’s second-largest economy, downgraded its forecast for the pace of expansion for the last three months of the year from an already minimal 1 percent to zero. The national statistics agency predicted that the economy would contract 9 percent this year.
The diminished expectations are an outgrowth of alarm over the revival of the virus, which has prompted President Emmanuel Macron to announce new restrictions, including a two-month shutdown of cafes and bars in Paris and surrounding areas.
The following are foreign headlines with hyperlinks to the posts
Iran Sees Highest Single-Day COVID Death Toll, Senior Officials Infected
The world crosses an ominous milestone, recording more than 1 million new cases in three days.
U.S. might reduce the time that travelers from abroad must quarantine.
Ireland reports highest number of COVID-19 infections in single day
England has reached a tipping point similar to first wave, deputy chief medical officer says
France sees highest daily Covid-19 increase with more than 26,800 cases in 24 hours
India’s Covid-19 cases top 7 million as experts warn of fatigue over health measures
Brazil’s virus death toll surpasses 150,000
The following are additional national and state headlines with hyperlinks to the posts
Thousands of farmed minks have died from COVID-19 in Utah
Trump no longer considered a risk to transmit COVID-19, doctor says
Federal court rules DC church can resume services outdoors despite city restrictions
In a suburban Orthodox Jewish community, there are many positive tests but few masks.
Nevada revokes halt on rapid antigen testing in nursing homes.
Broncos-Patriots postponed after latest positive COVID-19 test
Today’s Posts On Econintersect Showing Impact Of The Pandemic With Hyperlinks
Monetary Policy For All? Inequality And The Conduct Of Monetary Policy
US States With The Highest Rates Of Covid-19
Warning to Readers
The amount of politically biased articles on the internet continues to increase. And studies and opinions of the experts continue to contradict other studies and expert opinions. Honestly, it is difficult to believe anything anymore. A study usually cannot establish cause and effect – but only correlation. Be very careful what you believe about this pandemic.
I assemble this coronavirus update daily – sifting through the posts on the internet. I try to avoid politically slanted posts (mostly from CNN, New York Times, and the Washington Post) and can usually find unslanted posts on that subject from other sources on the internet. I wait to publish posts on subjects that I cannot validate across several sources. But after all this extra work, I do not know if I have conveyed the REAL facts. It is my job to provide information so that you have the facts necessary – and then it is up to readers to draw conclusions.
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
What faint hopes remained that Europe was recovering from the economic catastrophe delivered by the pandemic have faded as the virus has resumed spreading rapidly across much of the continent.
After sharply expanding in the early part of the summer, Britain’s economy grew far less than anticipated in August — 2.1 percent compared with July, the government reported on Friday, adding to worries that further weakness lies ahead.
Earlier in the week, France, Europe’s second-largest economy, downgraded its forecast for the pace of expansion for the last three months of the year from an already minimal 1 percent to zero. The national statistics agency predicted that the economy would contract 9 percent this year.
The diminished expectations are an outgrowth of alarm over the revival of the virus, which has prompted President Emmanuel Macron to announce new restrictions, including a two-month shutdown of cafes and bars in Paris and surrounding areas.
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