Re: [MBZ] Max's COVID-19 vs H1N1 update

2020-04-13 Thread Meade Dillon via Mercedes
Time for another update!

On Mon, Apr 6, 2020 at 9:14 AM Meade Dillon  wrote:

> Then:
>
> H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
> approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
> hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
> occurred in the United States due to pH1N1.
>
>
>
Now:

Covid-19: 558,526 cases, 61,201 hospitalized, 22,146 deaths*

*The CDC has changed the rules for what is included in the death count, in
order to include more cases (i.e. increase the death count).

https://www.cdc.gov/nchs/data/nvss/coronavirus/Alert-2-New-ICD-code-introduced-for-COVID-19-deaths.pdf
"However, the rules for coding and selection of the underlying cause of
death are expected to result in COVID-19 being the underlying cause more
often than not."

In other words, it is no longer possible to make a fair comparison between
then and now.  Draw your own conclusions.

In the good news department, it appears that the number of new cases and
the number of deaths have leveled off and are starting to drop, so the
worst is now behind us.

https://www.statnews.com/2020/03/26/covid-19-tracker/


-
Max
Charleston SC
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Re: [MBZ] Max's COVID-19 vs H1N1 update

2020-04-06 Thread Meade Dillon via Mercedes
 Weekly update.

Then and now:

H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
occurred in the United States due to pH1N1.

COVID-19 As of today, 6 April:  ~337,000 cases, ~9600 deaths.

Plain Old Flu as killed ~24,000 Americans this season, estimated to top out
around 30,000.

On the good news front:

https://www.fda.gov.ph/fda-approves-rapid-antibody-test-kits-for-covid-19/

Next we need studies to determine the size of our population that has
already been exposed to the virus and recovered, and then we'll have a much
better model of the lethality of the virus (the denominator) and be able to
make some fact-based decisions about policy.
-
Max
Charleston SC
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Re: [MBZ] Max's COVID-19 vs H1N1 update

2020-03-29 Thread Karl Wittnebel via Mercedes
I dont know the answer to that. Not hard to figure out when it is all over.

The main issue is that it is all happening relatively rapidly. The other
issue not captured in all cause mortality is the ages of the people who are
dying. Lots of people 60 and even a fair number of 50-somethings. These are
deaths that we would not expect and a lot of years of productive life lost,
or YPLL. QALY is another measure - quality adjusted life years. One year at
99 is typically not as high quality as a year at age 50.

On Sun, Mar 29, 2020, 7:19 AM Andrew Strasfogel 
wrote:

> Karl, I wonder - what is the percentage of COVID 19 deaths above the
> pre-pandemic "average" death totals in NYC?
>
> On Sat, Mar 28, 2020 at 4:50 PM Karl Wittnebel via Mercedes <
> mercedes@okiebenz.com> wrote:
>
>> Yeah. Flu is no joke either. But its rate of hospitalizing people does not
>> compare. The main difference is that many people are already immune to
>> h1n1, so they dont all show up to the ER at the same time, also because
>> h1n1 is less contagious. And covid 19 hospitalizes 20% of the people it
>> infects, roughly, which flu does not do. So it is spreading fast into to a
>> population with no herd immunity, and making a bunch of them pretty sick.
>>
>>  See my reply to Dan for a link to the estimated ICU bed shortage state by
>> state, estimated deaths etc. They project 81k deaths for the country as a
>> whole IIRC for this epidemic over a few months. But NY is short thousands
>> of ICU beds and hospital beds, because it hits faster there, whereas
>> CLifonia put distancing in place earlier, so it peaks more slowly and we
>> remain within our bed capacity mostly. It will still be ugly here and we
>> still dont have n95 masks for ourselves or our residents dealing with
>> these
>> patients. (The critical care people doing all the intubations get first
>> dibs on the n95s). But NYC is in for a truly terrible couple of weeks
>> coming up. Just terrible. Models are just estimates but it looks like they
>> are already piling up bodies in refrigerated containers outside the
>> hospital.
>>
>> On Sat, Mar 28, 2020, 9:43 AM Meade Dillon via Mercedes <
>> mercedes@okiebenz.com> wrote:
>>
>> > Time for another update.
>> >
>> > Then and now:
>> >
>> > H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
>> > approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
>> > hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
>> > occurred in the United States due to pH1N1.
>> >
>> > COVID-19 As of today, 28 March:  ~106,000 cases, ~1700 deaths.
>> >
>> > Plain Old Flu as killed ~22,000 Americans this season, estimated to top
>> out
>> > around 30,000.
>> >
>> > Try to keep perspective folks!
>> >
>> > -
>> > Max
>> > Charleston SC
>> >
>> >
>> > On Thu, Mar 19, 2020 at 8:32 AM Meade Dillon 
>> wrote:
>> >
>> > > Then and now:
>> > >
>> > > H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
>> > > approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
>> > > hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
>> > > occurred in the United States due to pH1N1.
>> > >
>> > > COVID-19 As of today:  ~9400 cases, ~150 deaths.
>> > >
>> > > Plain Old Flu as killed ~20,000 Americans this season, estimated to
>> top
>> > > out around 30,000.
>> > >
>> > > Draw your own conclusions.
>> > > -
>> > > Max
>> > > Charleston SC
>> > >
>> > >
>> > >
>> > >
>> > ___
>> > http://www.okiebenz.com
>> >
>> > To search list archives http://www.okiebenz.com/archive/
>> >
>> > To Unsubscribe or change delivery options go to:
>> > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
>> >
>> >
>> ___
>> http://www.okiebenz.com
>>
>> To search list archives http://www.okiebenz.com/archive/
>>
>> To Unsubscribe or change delivery options go to:
>> http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
>>
>>
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Re: [MBZ] Max's COVID-19 vs H1N1 update

2020-03-29 Thread Andrew Strasfogel via Mercedes
Karl, I wonder - what is the percentage of COVID 19 deaths above the
pre-pandemic "average" death totals in NYC?

On Sat, Mar 28, 2020 at 4:50 PM Karl Wittnebel via Mercedes <
mercedes@okiebenz.com> wrote:

> Yeah. Flu is no joke either. But its rate of hospitalizing people does not
> compare. The main difference is that many people are already immune to
> h1n1, so they dont all show up to the ER at the same time, also because
> h1n1 is less contagious. And covid 19 hospitalizes 20% of the people it
> infects, roughly, which flu does not do. So it is spreading fast into to a
> population with no herd immunity, and making a bunch of them pretty sick.
>
>  See my reply to Dan for a link to the estimated ICU bed shortage state by
> state, estimated deaths etc. They project 81k deaths for the country as a
> whole IIRC for this epidemic over a few months. But NY is short thousands
> of ICU beds and hospital beds, because it hits faster there, whereas
> CLifonia put distancing in place earlier, so it peaks more slowly and we
> remain within our bed capacity mostly. It will still be ugly here and we
> still dont have n95 masks for ourselves or our residents dealing with these
> patients. (The critical care people doing all the intubations get first
> dibs on the n95s). But NYC is in for a truly terrible couple of weeks
> coming up. Just terrible. Models are just estimates but it looks like they
> are already piling up bodies in refrigerated containers outside the
> hospital.
>
> On Sat, Mar 28, 2020, 9:43 AM Meade Dillon via Mercedes <
> mercedes@okiebenz.com> wrote:
>
> > Time for another update.
> >
> > Then and now:
> >
> > H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
> > approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
> > hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
> > occurred in the United States due to pH1N1.
> >
> > COVID-19 As of today, 28 March:  ~106,000 cases, ~1700 deaths.
> >
> > Plain Old Flu as killed ~22,000 Americans this season, estimated to top
> out
> > around 30,000.
> >
> > Try to keep perspective folks!
> >
> > -
> > Max
> > Charleston SC
> >
> >
> > On Thu, Mar 19, 2020 at 8:32 AM Meade Dillon 
> wrote:
> >
> > > Then and now:
> > >
> > > H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
> > > approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
> > > hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
> > > occurred in the United States due to pH1N1.
> > >
> > > COVID-19 As of today:  ~9400 cases, ~150 deaths.
> > >
> > > Plain Old Flu as killed ~20,000 Americans this season, estimated to top
> > > out around 30,000.
> > >
> > > Draw your own conclusions.
> > > -
> > > Max
> > > Charleston SC
> > >
> > >
> > >
> > >
> > ___
> > http://www.okiebenz.com
> >
> > To search list archives http://www.okiebenz.com/archive/
> >
> > To Unsubscribe or change delivery options go to:
> > http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
> >
> >
> ___
> http://www.okiebenz.com
>
> To search list archives http://www.okiebenz.com/archive/
>
> To Unsubscribe or change delivery options go to:
> http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
>
>
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Re: [MBZ] Max's COVID-19 vs H1N1 update

2020-03-28 Thread Karl Wittnebel via Mercedes
Yeah. Flu is no joke either. But its rate of hospitalizing people does not
compare. The main difference is that many people are already immune to
h1n1, so they dont all show up to the ER at the same time, also because
h1n1 is less contagious. And covid 19 hospitalizes 20% of the people it
infects, roughly, which flu does not do. So it is spreading fast into to a
population with no herd immunity, and making a bunch of them pretty sick.

 See my reply to Dan for a link to the estimated ICU bed shortage state by
state, estimated deaths etc. They project 81k deaths for the country as a
whole IIRC for this epidemic over a few months. But NY is short thousands
of ICU beds and hospital beds, because it hits faster there, whereas
CLifonia put distancing in place earlier, so it peaks more slowly and we
remain within our bed capacity mostly. It will still be ugly here and we
still dont have n95 masks for ourselves or our residents dealing with these
patients. (The critical care people doing all the intubations get first
dibs on the n95s). But NYC is in for a truly terrible couple of weeks
coming up. Just terrible. Models are just estimates but it looks like they
are already piling up bodies in refrigerated containers outside the
hospital.

On Sat, Mar 28, 2020, 9:43 AM Meade Dillon via Mercedes <
mercedes@okiebenz.com> wrote:

> Time for another update.
>
> Then and now:
>
> H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
> approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
> hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
> occurred in the United States due to pH1N1.
>
> COVID-19 As of today, 28 March:  ~106,000 cases, ~1700 deaths.
>
> Plain Old Flu as killed ~22,000 Americans this season, estimated to top out
> around 30,000.
>
> Try to keep perspective folks!
>
> -
> Max
> Charleston SC
>
>
> On Thu, Mar 19, 2020 at 8:32 AM Meade Dillon  wrote:
>
> > Then and now:
> >
> > H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
> > approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
> > hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
> > occurred in the United States due to pH1N1.
> >
> > COVID-19 As of today:  ~9400 cases, ~150 deaths.
> >
> > Plain Old Flu as killed ~20,000 Americans this season, estimated to top
> > out around 30,000.
> >
> > Draw your own conclusions.
> > -
> > Max
> > Charleston SC
> >
> >
> >
> >
> ___
> http://www.okiebenz.com
>
> To search list archives http://www.okiebenz.com/archive/
>
> To Unsubscribe or change delivery options go to:
> http://mail.okiebenz.com/mailman/listinfo/mercedes_okiebenz.com
>
>
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[MBZ] Max's COVID-19 vs H1N1 update

2020-03-28 Thread Meade Dillon via Mercedes
Time for another update.

Then and now:

H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
occurred in the United States due to pH1N1.

COVID-19 As of today, 28 March:  ~106,000 cases, ~1700 deaths.

Plain Old Flu as killed ~22,000 Americans this season, estimated to top out
around 30,000.

Try to keep perspective folks!

-
Max
Charleston SC


On Thu, Mar 19, 2020 at 8:32 AM Meade Dillon  wrote:

> Then and now:
>
> H1N1: From 12 April 2009 to 10 April 2010, a study estimated that
> approximately 60.8 million cases (range: 43.3-89.3 million), 274,304
> hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306)
> occurred in the United States due to pH1N1.
>
> COVID-19 As of today:  ~9400 cases, ~150 deaths.
>
> Plain Old Flu as killed ~20,000 Americans this season, estimated to top
> out around 30,000.
>
> Draw your own conclusions.
> -
> Max
> Charleston SC
>
>
>
>
___
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