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Coronavirus: an email to my family

128 pointsby harryloveabout 5 years ago

11 comments

nostromoabout 5 years ago
This seems to be overstating things.<p>&gt; COVID-19 seems to be most severe in older adults.<p>The median age of deaths is 75. I guess that’s technically “older adults” but I think “elderly” would be a better description.<p><a href="https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;01&#x2F;23&#x2F;world&#x2F;asia&#x2F;coronavirus-victims-wuhan.html" rel="nofollow">https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;01&#x2F;23&#x2F;world&#x2F;asia&#x2F;coronavirus-vi...</a><p>&gt; there are a number of indications that it will be very much like the 1918 Flu Pandemic<p>The New England Journal of Medicine has a different take:<p><a href="https:&#x2F;&#x2F;www.nejm.org&#x2F;doi&#x2F;full&#x2F;10.1056&#x2F;NEJMe2002387" rel="nofollow">https:&#x2F;&#x2F;www.nejm.org&#x2F;doi&#x2F;full&#x2F;10.1056&#x2F;NEJMe2002387</a><p>It sounds increasingly likely that the fatality rate is less than 1%, potentially a lot less, as were now hearing that 80% of people don’t even get sick enough to seek medical attention, and many have no signs of illness at all — which means the denominator in the death rate is likely much higher than is accounted for in the common 2% metric from the first data.<p>&gt; Expect people you know to die.<p>Aside from this likely being inaccurate, is this language even remotely helpful?
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remarkEonabout 5 years ago
&gt; For those of you who don’t know me well, I am a preventive medicine physician and infectious disease epidemiologist. I graduated from the CDC’s Epidemic Intelligence Service and have over 17 years of experience in the field, most of that with CDC.<p>For those here expressing skepticism of the author&#x27;s (admittedly dire) predictions, what set of credentials should someone have before you take what they say seriously? Not trying to be snarky. Perhaps I simply wish to understand more of what people find convincing in situations like this and why.
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samvherabout 5 years ago
I think a lot of the comments in this discussion risk understating the potential impact of the virus. Yes, there are many unknowns, and we might not encounter the worst-case scenario. But many experts have basis for being worried, e.g. listen to these interviews [1,2]. It will take a while before the virus really spreads in the US&#x2F;Europe but it seems pretty clear that it&#x27;s not contained anymore. Remarks about the fatality rate cut both ways: if it&#x27;s lower than reported it means that the virus is spreading faster than we think (more mild cases), if it&#x27;s higher than reported there are going to be many more fatalities still. There are arguments to be made for both (lower: many mild cases go undetected, higher: reported fatality rates often seem to be calculated from active cases, not complete cases). Either way it&#x27;s clear that in China the rate of infection was well beyond what hospitals could handle which seems to indicate that we might encounter similar issues.<p>Let&#x27;s just be careful and be prepared, there really seems to be too little info to get comfortable with this at this point.<p>[1] <a href="https:&#x2F;&#x2F;www.stitcher.com&#x2F;podcast&#x2F;deep-background-with-noah-feldman&#x2F;e&#x2F;67663436" rel="nofollow">https:&#x2F;&#x2F;www.stitcher.com&#x2F;podcast&#x2F;deep-background-with-noah-f...</a><p>[2] <a href="https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;02&#x2F;27&#x2F;podcasts&#x2F;the-daily&#x2F;coronavirus.html" rel="nofollow">https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;02&#x2F;27&#x2F;podcasts&#x2F;the-daily&#x2F;corona...</a>
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demosito666about 5 years ago
Honest question: how one can ditinguish coronavirus from other &quot;pandemics&quot; of recent years like svine flu or bird flu or whatnot? Those happened primarily on TV news, and the informational background was about the same: apocalyptic pictures of empty airport, packed hospitals, etc. Why should an average Joe care more this time?
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enchiridionabout 5 years ago
I am seeing some harsh comments here out of fear. I dealt with the same reaction from family members.<p>The U.S. is doing very little to prevent this. A lot of people, especially elderly people, will likely die.<p>It will also likely have a severe impact on the market. The sooner we can all accept this and prepare the better.
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clumsysmurfabout 5 years ago
Just FYI: Reddit &#x2F;r&#x2F;coronavirus is having an AMA with a panel of experts from WebMD on Wednesday, March 4 at 12pm EST<p>&#x2F;r&#x2F;covid19 is an interesting scientific discussion of the topic.
gmooreabout 5 years ago
Much conjecture, not supporting data. Much of what he predicts is not supported by the CDC which he starts off saying you should listen to first....
gentleman11about 5 years ago
Is Juliana Grant a noteworthy expert or something?
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pbourkeabout 5 years ago
What is wrong with this god-damned site? Seriously, this post was #25 on the front page, I check again and it&#x27;s buried 4 pages deep literally 10 minutes later.<p>Some people in this community are in really deep denial and do not understand the concept of asymmetric risk.<p>This is a clearly written piece that can be shared widely with your network, especially for people who may not be clued in to the situation. Please share this.
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ganafagolabout 5 years ago
&gt; COVID-19 seems to be most severe in older adults. Children and young adults generally have mild infections. We are grateful for this.<p>I&#x27;m sorry to ask this .. why are we grateful for this?
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m0zgabout 5 years ago
&gt;&gt; It’s possible that COVID-19 will be similar to a bad flu year but there are a number of indications that it will be very much like the 1918 Flu Pandemic.<p>This, right here, is horseshit. There is no way whatsoever it will be like the 1918 Flu Pandemic, unless we&#x27;ve utterly failed as a society and did not invent anything in the last 102 years. In 1918 we didn&#x27;t yet have _penicillin_, let alone antiviral drugs.<p>More accurate prediction: this will be only slightly worse than the seasonal flu we endure every year. In fact, it&#x27;s quite possible that this year in the US more people will die of the complications of the flu, than of COVID19.
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