## There is NO Herd Immunity in the US but we have a High Fatality Rate

Notice from this pink graph that in the USA, technicians are still detecting twenty to 25 THOUSAND new cases of COVID-19 per day. These folks didn’t all get sick; they just all tested positive for antigens and/or antibodies. Some did get sick, some less so, and some more so, and some died.

One of the key questions is, what is the fatality rate? We now have some idea, which we can get by comparing the total number of cases reported so far with the total number of deaths. This yellow graph shows the cumulative ECDC-reported number of cases in the USA. Right now it’s a bit over 1.7 million people – roughly one half of one percent of the population, which is roughly 330 million.

One half of one percent of the population is nothing like herd immunity! You need 70 to 90% or more of the people to have been exposed to reach that level according to JHU.

Now let’s compare that to the total deaths each day and cumulative.

As you can see from the white graph above, the US is recording something like 1000 to 1500 deaths from COVID every day. (My guess as to why it’s going down has to do with the fact that the vast majority of the population is engaging in social distancing.)

Total, cumulative deaths can be seen below:

The above graph shows that at present, a bit over a hundred thousand people have been killed in the United States so far by this virus at this writing. Now let’s compare that total number of deaths, namely 102,836, with the total number of detected cases, which is 1,747,087. Get out your favorite calculator and divide. If you divide the big one (~1.7 million) by the smaller one (~103 thousand), you get roughly 17 — which means that about ONE OUT OF EVERY 17 PEOPLE IN THE USA WHO HAS TESTED POSITIVE, HAS DIED.

Let that sink in.

#### If you are infected, it looks like you have a one-in-seventeen chance of dying.

And there is neither a vaccine, nor a cure, nor herd immunity, nor any contact tracing to speak of. Testing is still rationed tightly, or else you have to pay a LOT for it. Will that ratio continue to hold in the future? I don’t know, but it’s alarming all the same.

If you divide the little one by the big one, you will get about 0.05886. That means 5.886% chance of dying – nearly 6% fatality rate!

That is one hell of a lot more lethal than the flu.

If we open up again without contact tracing and effective and humane quarantine and/or medical care of those who test positive, I am really afraid of what will happen.

5.886% of the population of the USA is over 19 million people.

I’ve checked about a dozen other countries, and their fatality rates range from about 2% (Taiwan) up to 19% (France).

Published in: on May 30, 2020 at 11:51 pm  Comments (2)
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## The best way to re-open the economy is to defeat the virus. Not by yelling slogans.

By Alex Tabarrok and Puja Ahluwalia Ohlhaver in the Washington Post

May 15, 2020 at 10:06 a.m. EDT

With the unemployment rate at its highest level since the Great Depression — 14.7 percent and climbing — many Americans are clamoring to reopen the economy, even if it means that thousands of daily covid-19 deaths become part of the backdrop to life. It’s time to move on as “warriors,” President Trump has said, because “we can’t keep our country closed down for years.” We, too, favor markets and share the president’s eagerness to stop economically ruinous shutdowns. But the choice between saving lives and saving the economy, the latter of which Trump has endorsed implicitly, is a false one.

In fact, framing the issue that way could kill many Americans and kill the economy.

The dangers of reopening without disease control — or a coronavirus vaccine or therapeutic breakthrough — are illustrated by events at the Smithfield Foods meatpacking plant in Sioux Falls, S.D. Smithfield offered workers a bonus if they showed up every day in April. Normally, bonus pay would increase attendance. But in a pandemic, encouraging the sick to haul themselves into work can be disastrous. The plan backfired. Hundreds of Smithfield employees were infected, forcing the plant to shut down for more than three weeks. If we stay the current course, we risk repeating the same mistake across the whole economy.

The economy consists of people who have hopes and fears. As long as they are afraid of a lethal virus, they will avoid restaurants, travel and workplaces. (According to a Washington Post-Ipsos poll last week, only 25 percent of all Americans want to “open businesses and get the economy going again, even if that means more people will get the coronavirus.”) The only way to restore the economy is to earn the confidence of both vulnerable industries and vulnerable people through testing, contact tracing and isolation.

As covid-19 spreads through Nebraska meat plants, workers feel helpless and afraid

There is already a bipartisan plan to achieve this; we helped write it. The plan relies on frequent testing followed by tracing the contacts of people who test positive (and their contacts) until no new positive cases are found. It also encourages voluntary isolation, at home or in hotel rooms, to prevent further disease spread. Isolated patients would receive a federal stipend, like jurors, to discourage them from returning to workplaces too soon.

But our plan also recognizes that rural towns in Montana should not necessarily have to shut down the way New York City has. To pull off this balancing act, the country should be divided into red, yellow and green zones. The goal is to be a green zone, where fewer than one resident per 36,000 is infected. Here, large gatherings are allowed, and masks aren’t required for those who don’t interact with the elderly or other vulnerable populations. Green zones require a minimum of one test per day for every 10,000 people and a five-person contact tracing team for every 100,000 people. (These are the levels currently maintained in South Korea, which has suppressed covid-19.) Two weeks ago, a modest 1,900 tests a day could have kept 19 million Americans safely in green zones. Today, there are no green zones in the United States.

What antibody tests can teach us about potential coronavirus immunity

Most Americans — about 298 million — live in yellow zones, where disease prevalence is between .002 percent and 1 percent. But even in yellow zones, the economy could safely reopen with aggressive testing and tracing, coupled with safety measures including mandatory masks. In South Korea, during the peak of its outbreak, it took 25 tests to detect one positive case, and the case fatality rate was 1 percent. Following this model, yellow zones would require 2,500 tests for every daily death. To contain spread, yellow zones also would ramp up contact tracing until a team is available for every new daily coronavirus case. After one tracer conducts an interview, the team would spend 12 hours identifying all those at risk. Speed matters, because the virus spreads quickly; three days is useless for tracing. (Maryland, Virginia and Washington, D.C., are all yellow zones.)

A disease prevalence greater than 1 percent defines red zones. Today, 30 million Americans live in such hot spots — which include Detroit, New Jersey, New Orleans and New York City. In addition to the yellow-zone interventions, these places require stay-at-home orders. But by strictly following guidelines for testing and tracing, red zones could turn yellow within four weeks, moving steadfastly from lockdown to liberty.

Getting to green nationwide is possible by the end of the summer, but it requires ramping up testing radically. The United States now administers more than 300,000 tests a day, but according to our guidelines, 5 million a day are needed (for two to three months). It’s an achievable goal. Researchers estimate that the current system has a latent capacity to produce 2 million tests a day, and a surge in federal funding would spur companies to increase capacity. The key is to do it now, before manageable yellow zones deteriorate to economically ruinous red zones.

States can administer these “test, trace and supported isolation” programs — but Congress would need to fund them. The total cost, we estimate, is \$74 billion, to be spent over 12 to 18 months. That sum would cover wages and training for contract tracers, the cost of building voluntary self-isolation facilities, stipends for those in isolation and subsidies to manufacture tests.

That amount is a lot, but not compared to the cost of a crippled economy. In Congress’s latest relief package, \$75 billion went to struggling hospitals alone, \$380 billion to help small businesses and \$25 billion toward testing. But hospitals and businesses will continue to hemorrhage money and seek bailouts as long as they can’t open safely. Not spending on disease control means new waves of infection followed by chaotic spikes in disease and death, followed by more ruinous cycles of economic openings and closures. Economists talk about “multipliers” — an injection of spending that causes even larger increases in gross domestic product. Spending on testing, tracing and paid isolation would produce an indisputable and massive multiplier effect.

States have strong economic incentives to become — and remain — green zones. Nations that have invested the most in disease control have suffered the least economic hardship: Taiwan grew 1.5 percent in the first quarter, whereas the United States’ gross domestic product contracted by 4.8 percent, at an annual adjusted rate. (Taiwan was fortunate to have its vice president, Chen Chien-Jen, a U.S.-trained epidemiologist; under his guidance, the island acted quickly with masks, temperature checks, testing and tracing.) The second quarter will be worse: The projected decline for U.S. GDP, at an annualized rate, is an alarming 40 percent.

Looking forward, we will see stark economic contrasts across states, depending on their investment in disease control. With \$74 billion, Congress could close the gap between states and relieve pressure on state budgets hamstrung by collapsing revenues. In the spirit of federalism, states would then become laboratories for discovering the best ways to implement testing, tracing and isolation. States might choose to form interstate compacts that pool and move testing resources across state lines as the disease travels and surges; county health officials might tap firefighters or other municipal workers to build regional contact-tracing workforces (as is happening in Tyler, Tex.). When local and state governments become accountable for adopting strategies that work, we can expect more innovation.

How do we know that testing, tracing and supported isolation would work? It already has worked in New Zealand, South Korea and Taiwan — where there have been few to no new daily cases recently. Taiwan never had to shut down its economy, while New Zealand and South Korea are returning to normal. It would work here, too. Since March, Congress has passed relief bills totaling \$3.6 trillion to support an economy devastated by a virus — and \$3 trillion more is on the table. We should attack the disease directly so we can stop spending to alleviate symptoms. Following this road map, we can defeat the coronavirus and be celebrating life, liberty and livelihood by the Fourth of July.