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But WHY do we need to flatten the curve? (anxiety warning!)

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  • Registered Users, Registered Users 2 Posts: 2,338 ✭✭✭Bit cynical


    How are we on CPAP machines? Are we using them to care for those with more moderate needs and free up vents.


  • Registered Users, Registered Users 2 Posts: 32,387 ✭✭✭✭DeVore


    I dont know. Those sorts of numbers arent readily available and I dont know enough about medicine to understand the impact of one vs the other. :/


  • Registered Users, Registered Users 2 Posts: 2,338 ✭✭✭Bit cynical


    DeVore wrote: »
    I dont know. Those sorts of numbers arent readily available and I dont know enough about medicine to understand the impact of one vs the other. :/
    Probably more than I do. Just curious. There are arguments for and against their use with sufferers of the virus.


  • Registered Users, Registered Users 2 Posts: 32,387 ✭✭✭✭DeVore


    Thats the sort of thing I leave to the medics.


    People were asking about mortality rates... this is from the ECDC: https://ourworldindata.org/coronavirus#the-current-case-fatality-rate-of-covid-19

    Now, Case Fatality Rate (CFR) is a very very tricky thing to understand let alone predict. It varies from country to country. It changes over time as we discover people who had COVID but werent sick enough to be tested. It varies from Germany at 0.2% to Italy 7.7%. Why?
    Maybe Germans havent reported deaths or their healthcare is significantly higher? Maybe Italy blew through its vents and beds, making the disease a lot more lethal? These are guesses. The truth is that until we know more, and test a lot more we wont know its CFR and predicting it is the equivalent of saying you know how many untested COVID infections there are out in the population. Its nonsense.
    We'll only know with any certainty.

    I've seen 0.9% quoted because thats the CFR in people who had no pre existing conditions in China. Thats not an unreasonable prediction because people with no UC's *vastly* out weigh those who do and you would expect the world wide CFR to trend towards that but as I said, its really madness to predict it now.


  • Registered Users, Registered Users 2 Posts: 2,059 ✭✭✭UrbanFret


    shesty wrote: »
    But why? You would want to test everybody every 7 days or so - and with each iteration, test only those who tested negative the previous week (I think?) - in order for that to be useful.

    It could take months, which is irrelevant really, but it would show you no particularly useful information until several weeks had passed. Even at that it would probably only tell you what you already know - the thing spreads. Isolation works. But you can't isolate people forever.

    With resources and capacity that are there anyway, it would be a pointless exercise and would cause more problems that it would solve.
    well if you knew who had it then you could make damn sure they didn't venture out. you could stop them going to work and spreading it further. A test for antibodies might be even more useful I'd agree. If someone tested positive in a small town would it not be better to inform the Gardai and get them to make sure they didn't leave their house?


    Here's a thing a couple in the town I live in went on holiday to Malta and returned with symptoms. they rang the local factory where they work which has around 250 employees. They were told under no circumstances were they to show up at work and to isolate for 14 days by Management. 3 days later they're out strolling in the local Park and shopping in the local supermarket. As it happens the pair of CNUTS tested negative but that's not the issue. :mad:


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  • Registered Users, Registered Users 2 Posts: 1,116 ✭✭✭Melanchthon


    DeVore wrote: »

    People were asking about mortality rates... this is from the ECDC: https://ourworldindata.org/coronavirus#the-current-case-fatality-rate-of-covid-19

    Now, Case Fatality Rate (CFR) is a very very tricky thing to understand let alone predict. It varies from country to country. It changes over time as we discover people who had COVID but werent sick enough to be tested. It varies from Germany at 0.2% to Italy 7.7%. Why?
    Maybe Germans havent reported deaths or their healthcare is significantly higher? Maybe Italy blew through its vents and beds, making the disease a lot more lethal? These are guesses. The truth is that until we know more, and test a lot more we wont know its CFR and predicting it is the equivalent of saying you know how many untested COVID infections there are out in the population. Its nonsense.
    We'll only know with any certainty.

    I've seen 0.9% quoted because thats the CFR in people who had no pre existing conditions in China. Thats not an unreasonable prediction because people with no UC's *vastly* out weigh those who do and you would expect the world wide CFR to trend towards that but as I said, its really madness to predict it now.

    I am skeptical of the German mortality rates because they seem to be as low as countries with as much or more testing and also rigerous right to privacy ignoring contact tracing (German has those strict privacy laws) and early closures/quarentine at borders like Israel and South Korea so its likely Germany even with all its testing has a higher proportion of people infected in the general population, in terms of health services too I never heard that German healthcare was significantly better than France a country Germany has a huge amount of cross border travel with yet the figures are crazy different.


  • Registered Users, Registered Users 2 Posts: 1,114 ✭✭✭Thespoofer


    So when can I go back to working on roofs?


  • Registered Users, Registered Users 2 Posts: 32,387 ✭✭✭✭DeVore


    Thespoofer wrote: »
    So when can I go back to working on roofs?
    Probably more dangerous than Covid :):p

    Thats actually probably one of the lowest risk jobs I can think of after like, tennis coach. But yeah, but no, no work until gov says so.

    Predicting that is asking for trouble. You can ask me what I've prepped my company for, its a guess, not a data-backed predictive model. :)


  • Registered Users, Registered Users 2 Posts: 2,314 ✭✭✭KyussB


    The cat's out of the bag at this stage, even with flattening the curve. The problem now is we aren't boosting health care capacity fast enough - there's huge amounts of idle workers/construction-workers who could be building entire hospitals, among much more that is urgently needed - and the funding for things so far has been impressive sounding, but ultimately not enough - and now it looks like the EU is going to be attaching purse-strings after a certain point.

    It's not looking good. We need to be doing more to raise our capacity along with flattening the curve, and it looks like EU politics is going to get in the way, there will only be limited solidarity there.


  • Closed Accounts Posts: 603 ✭✭✭Gentleman Off The Pitch


    KyussB wrote: »
    The cat's out of the bag at this stage, even with flattening the curve. The problem now is we aren't boosting health care capacity fast enough - there's huge amounts of idle workers/construction-workers who could be building entire hospitals, among much more that is urgently needed - and the funding for things so far has been impressive sounding, but ultimately not enough - and now it looks like the EU is going to be attaching purse-strings after a certain point.

    It's not looking good. We need to be doing more to raise our capacity along with flattening the curve, and it looks like EU politics is going to get in the way, there will only be limited solidarity there.

    Can you elaborate on this, was this reported somewhere?


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  • Registered Users, Registered Users 2 Posts: 2,314 ✭✭✭KyussB




  • Registered Users, Registered Users 2 Posts: 2,059 ✭✭✭UrbanFret


    Thespoofer wrote: »
    So when can I go back to working on roofs?
    I would say tomorrow if it was to repair a leaking roof.


  • Registered Users, Registered Users 2 Posts: 27,473 ✭✭✭✭GreeBo


    UrbanFret wrote: »
    Test everybody in Ireland in .an ideal world both north and south. Easy to deal with it then. We need 7 million test kits asap.

    There is no point in testing everyone now, you would just need to test them all again should they fall ill.


  • Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,918 Mod ✭✭✭✭shesty


    Out of curiosity how are the Dutch doing??


  • Registered Users, Registered Users 2 Posts: 32,387 ✭✭✭✭DeVore


    shesty wrote: »
    Out of curiosity how are the Dutch doing??
    Not bad, most of my staff are over there.

    They're following our lead but were a little behind us.

    https://www.worldometers.info/coronavirus/country/netherlands/


  • Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,918 Mod ✭✭✭✭shesty


    Just find their logic behind turning down Coronavirus bonds could possibly be tempered a bit if they run into trouble themselves.Time will tell.


  • Registered Users, Registered Users 2 Posts: 1,114 ✭✭✭Thespoofer


    UrbanFret wrote: »
    I would say tomorrow if it was to repair a leaking roof.

    Only if it's for essential works related.


  • Registered Users, Registered Users 2 Posts: 32,387 ✭✭✭✭DeVore


    shesty wrote: »
    Just find their logic behind turning down Coronavirus bonds could possibly be tempered a bit if they run into trouble themselves.Time will tell.

    they certainly dont have the sorts of stimulus packages the UK and Ireland have rolled out.
    We've kept all staff on because there is very little for them if we let them go now. Some stimulus for companies mind you but only if you are in danger of (or have) gone out of business


  • Registered Users, Registered Users 2 Posts: 2,059 ✭✭✭UrbanFret


    Thespoofer wrote: »
    Only if it's for essential works related.
    Would keeping an old ladys home from been ruined not be essential?:confused:


  • Registered Users, Registered Users 2 Posts: 1,114 ✭✭✭Thespoofer


    Thespoofer wrote: »
    Only if it's for essential works related.

    I'm wrong. Just had a proper look at the government site on the conditions. Emergency call out is allowed on businesses and homes.
    Must look into this.
    Thanks.


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  • Registered Users, Registered Users 2 Posts: 20,823 ✭✭✭✭Strazdas


    shesty wrote: »
    Out of curiosity how are the Dutch doing??

    Death rate per head of population (along with neighbours Belgium) is worse than that of France, but nowhere near as bad as that of Italy and Spain


  • Registered Users, Registered Users 2 Posts: 876 ✭✭✭ITman88


    growleaves wrote: »
    This ICL model is the one being followed by most governments around the world.

    Dr. Neil Ferguson of Imperial College London also created the model which predicted up to 150,000 people could die from the human form of BSE ('mad cow diseases'). To date less than 200 people have died from it.




    ..and why the models put forward by such fringe outfits as Oxford University might be right.

    A Guardian article on the OU model said:



    Very true but also applicable to the worst-case-scenario models put forward by Fauci and Ferguson.

    That same guy also advised that the authorities culled millions of animals during the foot and mouth in the Uk(which they did) and admitted years later that his models were greatly flawed.

    Check out what Prof Sir David Spiegelhalter had to say about the death rate in a recent interview.

    Also Peter Andrews has written very balanced article’s.

    Schools have shut and multiple businesses are doomed.
    People are adhering to social distancing and protocols and will for as long as required and those who aren’t are not on boards. We can’t go 2km outside our homes without a letter and the guards are enforcing this.(oddly the airports are still open however)

    Everyone is aware of the worst case scenarios by now and I’m not sure how useful these graphs are becoming, akin to showing a terminally ill patient the future they have.


  • Registered Users, Registered Users 2 Posts: 24,869 ✭✭✭✭One eyed Jack


    DeVore wrote: »
    I think that people are pushing back because they misunderstand the "unmitigated" scenario and think "ah, it wont be that bad".

    If you are well informed, then yes... this is not exactly breaking news but there are people here already who are surprised and many others I've seen talking like either they are pyschopathic or (more charitably) not as well informed as you.

    Even on this thread we have people saying "yaaawn, knew all this" and other saying "OMG stop scare-mongering" :)


    I know it’s not your intention Dev, but unfortunately what’s needed here is not scientific data or any of the rest of it. That’s only relevant if one is a data scientist. What’s needed here is a PR campaign to interpret the data in simple language that someone like me for example can understand.

    I do understand the data and all the rest of it, but I have to agree with others who have said that the clickbait intro was unnecessarily dramatic - “This will shock you” type stuff. I’m not shocked, nor do I experience anxiety, nor am I psychopathic. I don’t mind admitting to being ill-informed.

    So perhaps for the benefit of people like myself, in your post tomorrow, in the words of Denzel -




  • Registered Users, Registered Users 2 Posts: 24,779 ✭✭✭✭Alf Veedersane


    The flatten the curve image we all see is a bit misleading.

    If we do nothing, we end with a terrible scenario like Italy. Too many people get very sick very quickly and we don't have enough beds or equipment to try to save them.

    The more measures we implement, the better chance we have of saving those people.

    That's why it's really important to follow the advice we are given about staying indoors etc.

    Admittedly, a two year old wont understand that. I have a little chap who's 15 months and I've tried to explain but he just wants me to give him the xylophone and hammer so I haven't the delivery finely tuned.


  • Registered Users, Registered Users 2 Posts: 551 ✭✭✭leavingirl


    What a gimp that guy Neil Ferguson from Imperial College is. He predicted 500,000 deaths in the UK from the virus and now after ONE DAY of the lockdown in the UK he has reduced the predicted deaths by 480,000 to 20,000.

    What the hell were they basing the original numbers on?

    How many millions of jobs will be lost because of this scientist clown.


  • Registered Users, Registered Users 2 Posts: 24,779 ✭✭✭✭Alf Veedersane


    leavingirl wrote: »
    How many millions of jobs will be lost because of this scientist clown.

    Probably very few. It's not like they overreacted and implemented very strict measures early on account of it.

    Job losses would be based on what the actual government decides to do, which certainly wasn't in line with a very high level of mortality.


  • Registered Users, Registered Users 2 Posts: 7,298 ✭✭✭CelticRambler


    hmmm wrote: »
    Regeron's antibody is due to go into trials in June, and we should know within weeks if it is working or not.
    The antibody test will change a lot, huge difference

    An antibody test has become Flavour of the Week for most polticians and internet commentators. As things stand at the moment, though, it'll change nothing. There is some evidence to show that the immune response to Covid-19 is paradoxical: if you've got a strong immune system, you'll get over it, but you might test negative; but equally, the worst cases are linked to a particularly strong immune response that kills the patient along with the virus.

    There is currently no evidence to suggest that a vaccine will work, some evidence to suggest that it'll kill at least some of the people it's supposed to protect (not from an unwanted side effect but by triggering the worst aspects of Covid-19 disease), and an awful lot of "jury's still out" statistically unreliable reports of people having recovered from a first Covid-19 infection and become test-postitive again several weeks later.

    growleaves wrote: »
    This ICL model is the one being followed by most governments around the world.

    ... the worst-case-scenario models put forward by Fauci and Ferguson.
    The ICL models appear to be based on best-guess real-time data relating to this virus since its appearance a few months ago, which sounds like the logical thing to do, but inevitably makes them incredibly unstable as the input data is changing from week to week.

    Fauci's model and others that I've seen modeling a "what-if" pandemic and based on the "first principles" of epidemiology seem to be more accurate, except in one respect: this epidemic is worse than their worst-case scenario. The reason is very simple: the authors never expected the developed world to be so poorly prepared, and for so many strategic recommendations to have been shelved, ignored or undone.

    Between those infrastructural constratints, the particular "stealth tactics" of this virus and the general unwillingness of any Western democracy to impose measures that would actually make a difference, I don't think that flattening the curve is going to briing anything like the relief that's been promised (or hoped for).


  • Closed Accounts Posts: 1,187 ✭✭✭FVP3


    I know it’s not your intention Dev, but unfortunately what’s needed here is not scientific data or any of the rest of it. That’s only relevant if one is a data scientist. What’s needed here is a PR campaign to interpret the data in simple language that someone like me for example can understand.

    I do understand the data and all the rest of it, but I have to agree with others who have said that the clickbait intro was unnecessarily dramatic - “This will shock you” type stuff. I’m not shocked, nor do I experience anxiety, nor am I psychopathic. I don’t mind admitting to being ill-informed.

    So perhaps for the benefit of people like myself, in your post tomorrow, in the words of Denzel -

    He had graphs and relatively simple language explaining it.

    What worries me on those graphs is the upcoming peak in November, we clearly need a vaccine.


  • Registered Users, Registered Users 2 Posts: 1,590 ✭✭✭brick tamland


    FVP3 wrote: »
    He had graphs and relatively simple language explaining it.

    What worries me on those graphs is the upcoming peak in November, we clearly need a vaccine.

    That's based on all restriction being lifted in September

    I wouldn't read too much into that.


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  • Posts: 17,925 ✭✭✭✭ [Deleted User]


    FVP3 wrote: »
    He had graphs and relatively simple language explaining it.

    What worries me on those graphs is the upcoming peak in November, we clearly need a vaccine.

    I'd not expect a vaccine by November.
    The graph shwing the November peak didn't as far as I can tell include the current mitigation efforts which will presumably have an effect.


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