US will run out of hospital beds by May 6 (must read!) | |
Shaun Kaven (OP) User ID: 71498518 Colombia 03/08/2020 06:08 AM Report Abusive Post Report Copyright Violation | As the healthcare system begins to saturate under this case load, it will become increasingly hard to detect, track, and contain new transmission chains. In absence of extreme interventions, this likely won’t slow significantly until hitting >>1% of susceptible population. What does a case load of this size mean for healthcare system? We’ll examine just two factors — hospital beds and masks — among many, many other things that will be impacted. The US has about 2.8 hospital beds per 1000 people. With a population of 330M, this is ~1M beds. At any given time, 65% of those beds are already occupied. That leaves about 330k beds available nationwide (perhaps a bit fewer this time of year with regular flu season, etc) Let’s trust Italy’s numbers and assume that about 10% of cases are serious enough to require hospitalization. (Keep in mind that for many patients, hospitalization lasts for *weeks* — in other words, turnover will be *very* slow as beds fill with COVID19 patients) By this estimate, by about May 8th, all open hospital beds in the US will be filled. (This says nothing, of course, about whether these beds are suitable for isolation of patients with a highly infectious virus.) Like I told my ex-wife, I said: honey, I never drive faster than I can see. Besides that, it’s all in the reflexes… |
Shaun Kaven (OP) User ID: 71498518 Colombia 03/08/2020 06:10 AM Report Abusive Post Report Copyright Violation | Here’s the key. If we’re wrong by a factor of two regarding the fraction of severe cases, that only changes the timeline of bed saturation by 6 days in either direction. If 20% of cases require hospitalization, we run out of beds by ~May 2nd. (note from Shaun: even if the math is off some, the date is still May) If only 5% of cases require it, we can make it until ~May 14th. 2.5% gets us to May 20th. This, of course, assumes that there is no uptick in demand for beds from *other* (non-COVID19) causes, which seems like a dubious assumption. As healthcare system becomes increasingly burdened, Rx shortages, etc, people w/ chronic conditions that are normally well-managed may find themselves slipping into severe states of medical distress requiring intensive care & hospitalization. But let’s ignore that for now. There are about 18M healthcare workers in the US. Let’s assume only 6M HCW are working on any given day. (This is likely an underestimate as most people work most days of the week, but again, I’m playing conservative at every turn.) As COVID19 cases saturate virtually every state and county, which seems likely to happen any day now, it will soon be irresponsible for all HCWs to not wear a mask. These HCWs would burn through N95 stockpile in 2 days if each HCW only got ONE mask per day. We could go on and on about thousands of factors – # of ventilators, or even simple things like saline drip bags. You see where this is going. Importantly, I cannot stress this enough: even if I’m wrong – even VERY wrong – about core assumptions like % of severe cases or current case #, it only changes the timeline by days or weeks. This is how exponential growth in an immunologically naïve population works. Zero Hedge has an article about this as well here: [link to www.zerohedge.com (secure)] Like I told my ex-wife, I said: honey, I never drive faster than I can see. Besides that, it’s all in the reflexes… |
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Shaun Kaven (OP) User ID: 71498518 Colombia 03/08/2020 06:15 AM Report Abusive Post Report Copyright Violation | This is by far the best analysis that I have read about COVID since the whole thing has started. And for you nothing burgees who day that May is too far out, learn how math works. These things gain momentum and are exponential. It doesn’t happen overnight. We’re all trapped in a slow motion train wreck. Get prepped. The author leaves us with this: “ Worst case, I’m massively wrong and you now have a huge bag of rice and black beans to burn through over the next few months and enough Robitussin to trip out. ” Oh yeah, and: One more thought: you’ve probably seen multiple respected epidemiologists have estimated that 20-70% of world will be infected within the next year. If you use 6-day doubling rate I mentioned above, we land at ~2-6 billion infected by sometime in July of this year. Like I told my ex-wife, I said: honey, I never drive faster than I can see. Besides that, it’s all in the reflexes… |
Shaun Kaven (OP) User ID: 71498518 Colombia 03/08/2020 06:33 AM Report Abusive Post Report Copyright Violation | This is not some hypothetical, fear-mongering, worst-case scenario. This is reality, as far as anyone can tell with the current available data. Like I told my ex-wife, I said: honey, I never drive faster than I can see. Besides that, it’s all in the reflexes… |
Anonymous Coward User ID: 77797825 United States 03/08/2020 06:34 AM Report Abusive Post Report Copyright Violation | |
Shaun Kaven (OP) User ID: 71498518 Colombia 03/08/2020 07:09 AM Report Abusive Post Report Copyright Violation | This is not some hypothetical, fear-mongering, worst-case scenario. This is reality, as far as anyone can tell with the current available data. "Reality" according to some e-fame chasing thot. Don’t criticize, make your counter point. Tell us where she’s wrong. Her logic and math look awfully good. Like I told my ex-wife, I said: honey, I never drive faster than I can see. Besides that, it’s all in the reflexes… |
Shaun Kaven (OP) User ID: 71498518 Colombia 03/08/2020 08:12 AM Report Abusive Post Report Copyright Violation | |
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Tangy User ID: 69917668 United States 03/08/2020 02:35 PM Report Abusive Post Report Copyright Violation | [link to twitter.com (secure)] Liz Specht @LizSpecht · Mar 6 Addendum: to anyone who found this useful or interesting, highly recommend you follow @trvrb who actually does modeling and forecasting for a living. This thread is a great place to start: [link to twitter.com (secure)] |
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Anonymous Coward User ID: 76465042 United States 03/08/2020 02:55 PM Report Abusive Post Report Copyright Violation | I’ve said this before, governments will begin to see culling mass segments of the population as the only way to stop the spread. This would include the infected and those suspected regardless of symptoms. The souls on the cruise ships are lost. |
Anonymous Coward User ID: 77963312 United States 03/08/2020 02:57 PM Report Abusive Post Report Copyright Violation | |
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Anonymous Coward User ID: 77963312 United States 03/08/2020 03:00 PM Report Abusive Post Report Copyright Violation | I'm supposed to ship out for the AF in May what do you guys think the chances of them delaying boot camp are? I don't wanna be around a bunch of sick people and catch this shit Quoting: Anonymous Coward 77963312 If anything they will call you up sooner. I hope to fuck not technically in still in the DEP so if this goes south real fast I'm gonna drop it and reenlist after the smoke clears |
Anonymous Coward User ID: 76821534 United States 03/08/2020 03:01 PM Report Abusive Post Report Copyright Violation | Unlike 99 percent of the world the US doesn't have any national healthcare system. So I don't think it will play out the same here as it is in Europe, asia, and the middle east. Most people in the US will just not go to the hospital at all until they are on death's door, because they don't have insurance or because they can't pay the deductible or copays for insurance they do have. I imagine a lot of people will just die at home. |
wYw User ID: 76426258 United States 03/08/2020 03:02 PM Report Abusive Post Report Copyright Violation | This is not some hypothetical, fear-mongering, worst-case scenario. This is reality, as far as anyone can tell with the current available data. The irrefutable proof below is from my own family The Trump Administration is leading from behind intentionally to make sure this crisis doesn’t go to waste I have no problem confirming it’s authenticity to the mods if they will allow me to create a member profile for verification We are being lied to on an industrial scale and the truth is disappearing to protect this Administration instead of protecting the citizenry No SEROLOGICAL TEST had been developed yet to detect COVID-19 in patients that are ASYMPTOMATIC despite what this Administration has been telling you Those 72 labs in those 48 states are not testing for the virus yet because their labs haven’t been brought online yet The reason why is because those labs are not BSL-4 equipped yet They will be but they’re not ready and won’t be for quite some time Prove me wrong [link to imgur.com (secure)] |
Anonymous Coward User ID: 77403334 United States 03/08/2020 03:04 PM Report Abusive Post Report Copyright Violation | Clinicaltrials.gov ::: Coronavirus ::: courtesy of Friends of A R Bordon Clinicaltrials.gov ::: Coronavirus ::: courtesy of Friends of A R Bordon You put in under Condition or disease Coronavirus Country : USA or leave it blank .... Then you will all figure out what the USA and China plus other countries are testing as possible Drugs or Vaccines against the COVID -19, the Coronavirus ! Isn't that cool lmao .... we get smarter ! " ClinicalTrials.gov is a registry and results database of publicly and privately supported clinical studies of human participants conducted around the world. Explore 332,417 research studies in all 50 states and in 209 countries. ClinicalTrials.gov is a resource provided by the U |
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Lupe_Ate_My_Taco's User ID: 78131002 United States 03/08/2020 03:32 PM Report Abusive Post Report Copyright Violation | This is a great analysis and MUST READ. I summarized below but for the full thread click: Quoting: Shaun Kaven [link to twitter.com (secure)] It breaks down like this: (courtesy of Liz Specht, PhD Biologist) I think most people aren’t aware of the risk of systemic healthcare failure due to COVID19 because they simply haven’t run the numbers yet. Let’s talk math. Let’s conservatively assume that there are 2,000 current cases in the US today, March 6th. This is about 8x the number of confirmed (lab-diagnosed) cases. We know there is substantial under-Dx due to lack of test kits; I’ll address implications later of under-/over-estimate. We can expect that we’ll continue to see a doubling of cases every 6 days (this is a typical doubling time across several epidemiological studies). Here I mean *actual* cases. Confirmed cases may appear to rise faster in the short term due to new test kit rollouts. We’re looking at about 1M US cases by the end of April, 2M by ~May 5, 4M by ~May 11, and so on. Nothing burgers: I know that exponentials are hard to grasp, but this is how they go... ... continued in next comment ... most hospitals are already at full capacity. I think your numbers are way off. XRP & XLM XRP = eXchange Rate Peg (Wholesale) XLM = eXchange Liquidity Measure (Retail) NESARA / GESARA |
Anonymous Coward User ID: 77544685 United States 03/08/2020 03:33 PM Report Abusive Post Report Copyright Violation | This is not some hypothetical, fear-mongering, worst-case scenario. This is reality, as far as anyone can tell with the current available data. The irrefutable proof below is from my own family The Trump Administration is leading from behind intentionally to make sure this crisis doesn’t go to waste I have no problem confirming it’s authenticity to the mods if they will allow me to create a member profile for verification We are being lied to on an industrial scale and the truth is disappearing to protect this Administration instead of protecting the citizenry No SEROLOGICAL TEST had been developed yet to detect COVID-19 in patients that are ASYMPTOMATIC despite what this Administration has been telling you Those 72 labs in those 48 states are not testing for the virus yet because their labs haven’t been brought online yet The reason why is because those labs are not BSL-4 equipped yet They will be but they’re not ready and won’t be for quite some time Prove me wrong [link to imgur.com (secure)] Not worth the effort to demonstrate how dangerously ignorant you are of immunology and of how these test are done. Suffice to say you don’t need BSL4 facility to do a test. Fail. |
Anonymous Coward User ID: 77264031 United States 03/08/2020 03:33 PM Report Abusive Post Report Copyright Violation | |