Have to ask.... wrote:
I think it's time to start looking at the important data... that is instead of arguing...
Here are the questions I have to ask...
1) How many in the US will get Covid-19?
2) Of those how many will require hospitalization?
3) Of those what percentage will recover?
If we can get a handle on those answers it will provide far more clarity and may allow us to get back to some sense of normal life.
Best of luck to all and stay healthy!
(Also, as a side note, I'm certainly no fan of Trump but to continue the blame game doesn't help cure anything.)
Good questions. As you might imagine, the answers are not quite so straightforward. Here I will give a reasonable shot at your three questions with a few very large caveats. The value in the numbers presented is not that this is what will come to pass. It is in noting that this is what we are trying to avoid (and we will no doubt avoid the worst case scenario which is the first thing I present).
Note: All scenarios and numbers are for the US only.
Caveat 1: I am making no prediction regarding the change in weather slowing this thing down. Such a change as things warm up may well be enormous. I am not modeling any change.
Caveat 2: The numbers below represent "do nothing" scenarios. Of course, we are already doing something to limit people's close interactions. So, without any doubt, we are already on pace to do better than the numbers below. Again, these numbers represent what we are avoiding. Hopefully we avoid them by a whole lot.
Caveat 3: I am not assuming any improvement in care due to the societal learning process.
Caveat 4: Any projection on these numbers depends on the time frame. I am assuming that we are talking about over the next 12 months ( not the next 50 years).
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The numbers and dates presented here assume a 2% fatality rate. As you have seen in my earlier posts, we are currently experiencing a 4% fatality rate worldwide. If anyone wishes to assume a smaller (or larger) fatality rate simply multiply the deaths as appropriate. Do note, however, that my 2% fatality rate is based off of reported, symptomatic cases - it is NOT based off of total cases, including undiagnosed cases. This is an important distinction to understand.
I have modeled three cases, depending on the big unknown - number of undiagnosed cases as a multiple of diagnosed cases.
Case 1: # undiagnosed cases is equal to the number of diagnosed cases. That is, total cases = 2x the number of cases currently being reported.
Case 2: # undiagnosed cases is 9x the number of diagnosed cases. That is, total cases = 10x the number of cases currently being reported.
Case 3: # undiagnosed cases is 99x the number of diagnosed cases. That is, total cases = 100x the number of cases currently being reported. This I call the "Agip Hypothesis". And no, agip, I am not mocking you here. I sincerely hope that you are right about this. Would be the best news ever!
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Case 1: Total actual infected individuals = 2x what is being reported.
- 165 million Americans will get COVID-19. Of these, 82 million will show symptoms and be diagnosed.
- 16 million will require hospitalization
- 90% of those hospitalized (14.4 million) would recover IF there were sufficient hospital facilities to properly care for them. Under this scenario, there will be nowhere near enough hospital facilities and the death toll will be much higher than the 1.65 million projection.
- The peak of the pandemic would occur BEFORE THE END OF MAY. At its peak the reported new cases would be about 3.5 million PER DAY (IF we had the capacity to process that information).
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Case 2: Total actual infected individuals = 10x what is being reported.
- 165 million Americans will get COVID-19. Of these, 16 million will show symptoms and be diagnosed.
- 3.3 million will require hospitalization
- 90% of those hospitalized (3 million) would recover IF there were sufficient hospital facilities to properly care for them. Under this scenario, there will be nowhere near enough hospital facilities and the death toll will be much higher than the 330,000 projection.
- The peak of the pandemic would occur BEFORE THE MIDDLE OF MAY (a bit earlier). At its peak the reported new cases would be about 700,000 PER DAY (IF we had the capacity to process that information).
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Case 3: The Agip Hypothesis: Total actual infected individuals = 100x what is being reported.
- 165 million Americans will get COVID-19. Of these, 1.6 million will show symptoms and be diagnosed.
- 335,000 will require hospitalization
- 90% of those hospitalized (300,000) would recover IF there were sufficient hospital facilities to properly care for them. There might be enough hospital beds, ICU beds and intubation capacity to give everyone the best possible chance.
- The peak of the pandemic would occur NEAR THE END OF APRIL (a bit earlier again – less than six weeks away from today). At its peak the reported new cases would be nearly 100,000 PER DAY.
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None of these scenarios will happen. These are what we are avoiding by taking action.
Next, if I get some time, I will present a couple of “take action” scenarios to show how large of a difference we are making by taking this thing seriously.