Im-Politic: Race and the Virus

Tags

African Americans, CCP Virus, CDC, Centers for Disease Control and Prevention, coronavirus, COVID 19, ethnicity, healthcare, Hispanics, hospitalization, Im-Politic, Latinos, mortality, Omicron variant, race, senior citizens, Wuhan virus

What role, if any, should race play in medically treating Americans who have contracted the CCP Virus or could be likely victims? The question has gotten awfully important given that the virus’ highly infectious Omicron variant is greatly multiplying the number of cases (though because of asymptomatic spread and a shortage of reliable tests, no one knows how greatly); because for reasons ranging from those much higher case (and therefore hospitalization) numbers to the impact of illness and vaccine mandates on healthcare workers, the hospital system is strained; and because of shortages in treatments.

And the answer that seems best supported by the data is “some role” – because the most comprehensive data does show that race (along with ethnicity) does significantly affect the odds of suffering the most serious infection outcomes (symptoms severe enough to require hospitalization, along with of course death). But by no means should race or ethnicity play a major role – because so many other factors, and above all age, are much stronger determinants of the worst virus consequences.

The argument for prioritizing age begins with the aggregate data – which comes from the U.S. Centers for Disease Control and Prevention (CDC). Here’s what’s shown by the latest numbers measuring weekly CCP Virus deaths per 100,000 Americans for the week of January 15 by age group (for the most vulnerable) and by race and ethnicity for non-hispanic whites, non-hispanic blacks, and hispanics (the country’s three largest groups according to this typology).

By age group:

75-plus: 3.00

65-74: 0.79

50-64: 0.37

By race/ethnicity

non-Hispanic whites: 0.22

non-Hispanic blacks: 0.35

Hispanics: 0.41

As is obvious, senior citizens (65 and over) of all racial and ethnic groups are by far the most likely to die from the virus – which argues strongly for focusing prevention and treatment tightly on them.

The same holds for CCP Virus-related hospitalizations (keeping in mind what should be the well-known qualification that the government does a lousy job of making the critical distinctions between deaths and hospitalizations caused by the virus, and deaths and hospitalizations of infected victims that were caused by something else).

In this case, the CDC offers not weekly admissions figures per 100,000, but total statistics for the period March 1, 2020 to January 8, 2022 per identical numbers of Americans belonging to these categories. And helpfully, breakdowns are provided for both age and race/ethnic group. Here are the results:

non-Hispanic whites 65-plus years: 1,938.5 

non-Hispanic whites 50-64 years: 811.9

non-Hispanic whites 18-49 years: 287.4 8

non-Hispanic whites 0-17 years: 46.9

non-Hispanic blacks 65-plus years: 3,835.4

non-Hispanic blacks 50-64 years: 2,165.0 

non-Hispanic blacks 18-49 years: 886.3 

non-Hispanic blacks 0-17 years: 126.7

Hispanic or Latino 65-plus years: 3,550.1

Hispanic or Latino 50-64 years: 2,053.3

Hispanic or Latino 18-49: 924.6 6

Hispanic or Latino 0-17: 115.0

The clear conclusion is that a national public health policy focused on preventing CCP Virus-related hospitalization would focus not on any single racial or ethnic group as a whole, but on the following groups in this (descending) order: Non-hispanic blacks over 65, hispanics and latinos over 65, blacks between 50 and 64 years, hispanics and latinos between 50 and 64 years, and non-hispanic whites over 65.

But these figures make another, comparably important point: The differences between blacks over 65 and hispanics and latinos over 65 are pretty modest. So even between these highly vulnerable groups, targeting treatment or prevention strategies according to race and ethnicity doesn’t seem to provide very useful advice. The differences between blacks among blacks from 50 to 64 years of age, hispanics and latinos of the same age group, and white 65 and over are even smaller, and therefore focusing on racial and ethnic considerations seems that much less warranted.

The CDC has also presented mortality data by age and racial/ethnic group simultaneously, but in a slightly different way – with these statistics showing how their virus-related deaths as a percentage of all deaths for these categories compare with that group’s share of the U.S. population overall. Groups whose shares of virus-related deaths are higher than their shares of the population as a whole are more vulnerable than average, and groups whose shares of virus-related deaths are lower than their shares of the total population are less vulnerable than average. Here’s that breakdown for senior citizens (the over 65s), drawn from Figure 3b in the link above) along with their total numbers as of 2019 (from the Census Bureau according to Table 1 in this link):

85-plus years: 5.89 million

non-Hispanic whites: 0.6 percent below

Hispanics: 1.3 percent higher

non-Hispanic blacks: 1.0 percent higher

75-84 years: 15.41 million

non-Hispanic whites: 7.6 percent below

Hispanics: 5.0 percent above

non-hispanic blacks: 3.8 percent above

65-74 years: 31.49 million

non-Hispanic whites: 14.60 percent below

Hispanics: 8.5 percent above

non-Hispanic blacks 6.7 percent above

As should be obvious, when it comes to the oldest seniors, non-Hispanic whites, non-Hispanic blacks, and Hispanics are experiencing CCP Virus-related deaths closely related to their shares of the overall population, there’s little if any reason to discriminate along racial and ethnic lines for virus-fighting policymakers.

The spreads are wider for Americans between 75 and 84, but mainly for non-hispanic whites. The difference between Hispanics and non-Hispanic blacks is anything but dramatic.

The situation changes more dramatically for the younger seniors, but again, mainly for non-hispanic whites. Hispanics’ and non-Hispanic blacks’ seem in the same ballpark.

Interestingly, if you look at the charts, black over-vulnerability stays level from there on for the 55-64 and 45-54 age groups, but keeps rising for Hispanics until the 25-34-year cohort . Non-Hispanic whites’ under-vulnerability stabilizes at the same point.

Even more interesting – for a change, the (rightly) embattled CDC seems to have gotten it about right.  Although the agency notes urge healthcare providers and the state governments that regulated them to “carefully consider potential additional risks of COVID-19 illness for patients who are members of certain racial and ethnic minority groups,” it specifies that “Age is the strongest risk factor for severe COVID-19 outcomes” and its relevant guidance on major risk factors for severe virus outcomes concentrates on medical conditions.

CDC also recommends paying some attention to those who “live in congregate settings, and face more barriers to healthcare,” among other “social determinants of health” that can influence risk, and that “include neighborhood and physical environment, housing, occupation, education, food security, access to healthcare, and economic stability.” 

Such Americans of course are disproportionately black and Hispanic. At the same time, the agency also admits that “we are still learning about how conditions that affect the environments where people live, learn, and work can influence the risk for infection and severe COVID-19 outcomes.” Plus, there’s no shortage of whites facing similar challenges.

Given those uncertainties, the aforementioned healthcare provision shortages, and given that Census pegs the numbers of Americans over 65 at nearly 53 million, it’s clear that protecting the elderly – whatever they look like – should be the unquestioned Job One for U.S. healthcare policy and healthcare providers.              

Im-Politic: Despite Omicron, Progress Against the Virus So Far Has Continued

Tags

CCP Virus, Centers for Disease Control and Prevention, coronavirus, COVID 19, hospitalization, Im-Politic, mortality, Omicron variant, Washington Post

I wasn’t planning on writing on CCP Virus-related issues today in part because I just posted on them on Saturday. But given today’s stock market rout (so far) and the recent instances of virus-related disruption of sports, education, and business due to fears about the highly contagious Omicron variant, it seems worthwhile to present the latest data on the virus’ ongoing impact on public health so far.

And the big takeaway so far is that despite Omicron’s arrival in the United States and the continuation of the Delta variant’s dominance of reported domestic virus cases, the damage to Americans’ health as best as can be measured has continued a persistent decline.

Although these conclusions need to be seen as very preliminary, they deserve attention for several reasons, especially considering the magnitude of the policy response so far. First, although Omicron was probably present in America well before the first case was confirmed on December 1, it’s now nearly three weeks after that apparent initial infection. So the new variant has been here for a while. Second, the also-highly infectious Delta variant still accounts for fully 97 percent of all reported cases across the country as of yesterday, although certain regions (like the New York City metropolitan area), have recorded a much greater Omicron presence.

Third, it’s getting to be winter throughout the United States. So any new variant that came state-side was inevitably going to pack quite an infection punch simply because respiratory viruses tend to spread faster in cold weather, and mainly because more of us spend more time in indoor spaces with less-than-super-ventilation.

So given all that, here’s what’s been happening since December 1 with the two indicators that tell us the most about the public health impact – hospitalizations and deaths (although, because of reporting methodology problems described here, neither is great):

First, new hospitalization admissions, as measured by daily changes in the seven-day averages (7DAs), which smooth out the random fluctuations that always pop up over shorter periods. And I’ve switched over to getting them straight from the website of the Centers for Disease Control and Prevention (CDC) rather than taking them from the Washington Post‘s virus tracker – which also draws from the CDC, and remains very good, but which doesn’t seem to transfer hospitalization information from the agency consistently enough.

On December 1, when the first Omicron case was detected, the 7DA average of these admissions was rising at a five percent rate. By December 4, this rate of increase had hit 16 percent, and stayed in that neighborhood through the ninth. But it was back to the single digits three days later, and has fallen steadily since. As of last Friday, moreover, the 7DA had actually fallen by two percent. So if anything, it looks like the strain on hospitals, has been easing most recently overall in the nation.

The trends in the 7DAs in the daily death counts have been much more volatile, but considerable improvement can be seen here, too. (And these figures come from the Post tracker.)

As of December 1, the 7DA of these counts was down by nearly 22 percent. But it shot up to just over 42 percent on December 3, and stayed above 40 percent through the seventh.

But a dramatic drop-off began right afterwards. On December 8, the 7DA sank all the way down to abut 13.5 percent. The following day, 3.3 percent. And on the tenth, it declined by nearly seven percent. Moreover, this rate kept falling through the fourteenth – and by double-digits on two of those days.

On the fifteenth, it jumped back into positive territory (nearly 7.5 percent), but as of last Friday was back down to a little more than 4.5 percent. (For the record, we have numbers for Saturday, the eighteenth and yesterday, and they were about five and four percent, respectively, but reporting for weekends can be pretty spotty, so don’t make too much of them.)

In other words, American deaths associated with the CCP Virus are still taking place every single day – and in big numbers. On December 1, that day’s count was 2,678. Last Friday, it was 2,099. But that’s down nearly 22 percent. Measured in terms of the more reliable 7DA, they’re up from 1,048 to 1,291 – up more than 23 percent.

But what’s most important – and the most that can realistically be hoped for – is that the rate of increase slows. If these somewhat encouraging trends hold, let’s hope that the Biden administration and other public health authorities recognize that this is what the 7DA data have been showing both on the mortality and hospitalization fronts.

Im-Politic: So the Vaccines Work…Except in Europe?

Tags

CCP Virus, coronavirus, COVID 19, Europe, Im-Politic, infections, lockdowns, mortality, vaccination, vaccine mandates, vaccines, Washington Post, Worldometers.info, Wuhan virus

There’s no doubt about it: Europe is having a terrible time with what looks like a severe new CCP Virus wave. Not made nearly as clear by the coverage – this new wave is rising despite high vaccination rates in most of the countries being hit. As this post will show, two key trends are casting serious doubt on broad claims of vaccine effectiveness claimed by the U.S. public health establishment and others who have viewed it as the only reliable source of “The Science” on the pandemic and fighting it.

The first trend is in reported infection rates. As known by RealityChek regulars, I don’t take this metric especially seriously because it can be impacted by developments having little to do with the actual severity of the pandemic – like testing rates and numbers of asymptomatic infections. (The latter complicates the situation because people carrying the virus who are feeling no effects are relatively unlikely to take a test.)

But the public health establishment takes infection rates very seriously – and evidently in Europe as well as in the United States. So here are the relevant figures for eleven European countries – with their full vaccination rates as of November 22 on the left and the change in the seven-day moving average (7DMA) of daily new infections between November 15 and November 22 on the right. The vaccination rates come (with the exception noted below) from the Washington Post‘s virus tracker feature, and the infection rates from the worldometers.info website. And for comparison’s sake, I’m including the U.S. figures as well.

Netherlands:        73.0 percent*     +48.76 percent 

Germany:             68.0 percent      +30.62 percent

Belgium:              75.4 percent      +45.52 percent

Austria:                65.7 percent      +24.40 percent 

UK:                      69.1 percent        +9.06 percent 

France:                 69.6 percent      +81.76 percent 

Czech Republic:  58.6 percent      +39.58 percent 

Portugal:              86.9 percent      +48.04 percent

Denmark:             78.5 percent      +21.30 percent 

Spain:                   79.8 percent      +58.98 percent 

Italy:                     73.1 percent      +26.59 percent

USA:                    59.0 percent      +11.24 percent

*See here for the Netherlands vaccination rate   

It’s easy to see that there is absolutely no correlation between the two sets of numbers. Just look at the contrast in infection rate increases between the United Kingdom and France – even though their full vaccination rates are nearly identical. Also, how come highly vaccinated Spain and Portugal are seeing case numbers rise so quickly? Why are Italian case numbers rising much more slowly than those on the Iberian peninsula, even though it’s vaccination rate is somewhat lower? And why does the United States, with the second lowest vaccination rate (due to all those supposed kooks who won’t get vaxxed?) come in with the second lowest infection growth rate in this group?

But like I said, in my view, infection rates don’t deserve much relative attention. Death rates aren’t a flawless measure of virus severity, either, but they’re another matter – especially because so many inside and outside the public health establishment say that the main value of the vaccines is less their power to prevent infections than to prevent serious illness and death. That proposition holds more strongly for Europe, but as you’ll see, there are several big exceptions.

Below are the data comparing the same vaccination rates (on the left) and CCP Virus death rates (on the right) for the eleven European countries plus the United States. The death rate number is the change in the 7DMA between November 15 ad November 22 and is also from the worldometers.info site.

Netherlands:        73.0 percent*       +52.17 percent 

Germany:             68.0 percent        +22.35 percent

Belgium:              75.4 percent        +27.59 percent 

Austria:                65.7 percent        +27.27 percent

UK:                      69.1 percent           -5.80 percent

France:                 69.6 percent        +27.03 percent 

Czech Republic:   58.6 percent       +43.75 percent

Portugal:               86.9 percent       +30.00 percent 

Denmark:              78.5 percent       +50.00 percent

Spain:                    79.8 percent        -26.09 percent 

Italy:                      73.1 percent         +5.36 percent

USA:                      59.0 percent        +0.29 percent 

The lessons of this table are more difficult to draw for one main reason – the absolute numbers of deaths involved for most of these countries are extremely low. Meaning single or double digits low. And as known by RealityChek regulars, very low numbers can be highly volatile when it comes to percentage change terms, because only a tiny move in absolute numbers can produce huge relative moves. (For exampile, an increase of one to two in absolute terms equals a 100 percent increase.)

The three exceptions are Germany (where the daily deaths 7DMA have been growing recently by the high-100s), the United Kingdom (where they’re rising by the mid-100s), and the United States (where daily growth still exceeds 1,000). Even taking these disparities into account, it’s interesting that the U.S. daily death rate has been stable lately and in fact has come way down since August; and that in the United Kingdom, with its average vaccination rate, mortality is declining.

And in relative terms, on this front, both countries have been out-performing Germany – whose vaccination rate is a bit lower than the United Kingdom’s but a good deal higher than the United States’. It’s true that death rates are lagging indicators (because CCP Virus victims typically take a while to pass away). But the different directions in this indicator in these three countries don’t seem to have much to do with their vaccination rates.

As for the high vaccination countries, the rates of mortality increase are indeed worrisome, and simply because of their often-soaring infection rates could worsen. But the absolute numbers are still so low that the only reasonable conclusion is “Wait and see.”

That’s why even though tight virus-related restrictions are reappearing all over Europe (see, e.g., here, here, and here), it seems panicky at best to close down entire economies and societies – especially given all the collateral damage that would result. Sweepingly linking employment opportunities to vaccination status, as the Biden administration has sought seems equally unreasonable in light of these mounting signs that the jabs simply aren’t the panacea that was initially advertised.

An announcement yesterday by the President’s coronavirus response coordinator that “We can curb the spread of the virus without having to in any way shut down our economy,” indicates that Mr. Biden is learning the first lesson. A more targeted approach toward vaccinations and other responses, focusing on the most vulnerable, would be a welcome sign that he’s learning the second.

Following Up: The Latest on the Virus and the Border

Tags

Biden border crisis, Border Crisis, CCP Virus, coronavirus, COVID 19, Following Up, hospitalizations, Immigration, migrants, mortality, Open Borders, public health, The New York Times, The Washington Post, Wuhan virus

This past Saturday, I upbraided New York Times editorial writers for claiming that the CCP Virus pandemic had eased enough to justify admitting into the country more illegal aliens who may be carriers and therefore spreaders of the disease. The basis for my criticism was data from the Times itself indicating that the pandemic wasn’t easing any more – and strongly suggesting that the paper’s Open Borders-like immigration policy stances had become extreme enough to rationalize worsening already serious dangers to public health.

Five days later, it’s clear that, although the paper still has a lot to answer for publishing this piece (like its insistence that there was never a compelling public health rationale for putting such virus-related immigration restrictions into effect), my use of the word “indicating” to describe the virus’ status was well chosen. For the latest figures paint an oddly contadictory picture of the pandemic threat.

When I wrote the November 13 post, nearly a week’s worth of statistics on virus deaths showed them on the upswing again after the seven-day averages (7DA) had been falling – often by double-digits percent per day – since late-September. But on November 9, they began rising again, and two days later the figure was again approaching double digits: 9.72 percent. By Friday, the 12^th, however, they’d started retreating again, and yesterday were down an encouraging 12.74 percent. So by that metric (which isn’t perfect), the situation is looking reasonably good. (My source, as usual, is The Washington Post‘s very user-friendly virus tracking feature.)

The same, however, can’t be said for virus-related hospitalization rates. These numbers aren’t pefect, either (see here for a good explanation why), but they’re probably the best available for gauging progress against the virus. Moreover, they tend to prefigure death rates (because hospitalized patients don’t die right away). But although they started trending down according to the 7DA numbers starting on September 6, that decline began slowing in late October, and the 7DA for daily new hospitalizations went back into growth territory last Friday. By this metric, therefore, a return of tough virus times may lie ahead. So does the return of winter.

This impressive case for pessimism doesn’t mean that I’ve changed my opposition to indiscriminate anti-CCP Virus policies like current mask and vaccine mandates, let alone sweeping shutdowns and lockdowns. But it also reenforces the case for preventing the situation facing Americans from becoming worse still – including by protecting the country from illegal migrants whose health status will always be at best uncertain (because of weak public health and record-keeping systems in most sending countries). That is, unless, like The New York Times, you think American and their health should come last when making immigration policy.

Im-Politic: Fauci Doctors the Facts Again

Tags

Anthony S. Fauci, Biden administration, Bureau of Labor Statistics, CCP Virus, Centers for Disease Control and Prevention, Chris Wallace, coronavirus, COVID 19, essential workers, Fauci, Fox News, Im-Politic, law enforcement, mortality, Officer Down Memorial Page, police, vaccine mandates, vaccines, Wuhan virus

Dr. Anthony S. Fauci, President Biden’s chief medical adviser, had a ready answer this past Sunday when a news anchor asked him whether or not he bears any responsibility for the growing criticism he’s attracted during the CCP Virus pandemic:

“[I] have stood — always making science, data, and evidence be what we guide ourselves by. And I think people who feel differently, who have conspiracy theories, who deny reality that’s looking em straight in the eye, those are people that don’t particularly care for me.

“And that’s understandable because what I do and I try very hard is to be guided by the truth. And sometimes, the truth becomes inconvenient for some…people, so they react against me. That just is what it is. There’s not much I can do about that…”

Actually, here’s something he can do about it. He can stop presenting facts that are not only completely free-floating but so devoid of any context that they become completely misleading – as he did on the same program.

Asked by Fox News‘ Chris Wallace whether vaccine mandates should be enforced for essential workers like police – many of which oppose the requirements, Fauci declared,

“We now know the statistics, more police officers die of COVID than they do in other causes of death. So, it doesn’t make any sense to not trying to protect yourself as well as the colleagues that you work with.”

Fauci’s claim is correct strictly speaking – at least according to this organization that tracks police deaths in the line of duty. But comparing police virus deaths with other causes of police fatalities has zero to do with how especially susceptible or not officers are to Covid. In fact, the only valid way of determining the relative vulnerability of these law enforcement personnel is to compare their CCP Virus experiences – in this case, mortality – versus that of their closest population-wide peer group.

And what these data make plain as day is that police nationwide are much less likely to die of the virus than those most like them demographically.

The peer group in question is working age adults, and this source pegs their population at 170,975,648 as of last year. The U.S. Centers for Disease Control and Prevention report that through October 13, they’d suffered 233,965 deaths. “involving” the CCP Virus (which RealityChek regulars know is a problematic concept). So that’s a mortality rate of 0.14 percent.

The number of police officers whose deaths have been attributed to having contracted the disease on duty is 479 according to the aforementioned Office Down Memorial Page. And the U.S. Bureau of Labor Statistics has pegged the nationwide number of police and sheriff’s patrol officers at 654,900. Do the math, and you get a death rate of 0.07 percent. That’s only half the level for the working age adult control group.

Surely one big reason for this disparity is that law enforcement personnel are healthier as a rule than their closest demographic peers. But far from “explaining away” Fauci’s mistake, it’s a point so obvious that he should know it. He should also realize that because, like other essential personnel, policemen and women stayed on the job during the worst of the virus, stayed on it long before vaccines were available, and worked jobs that required lots of personal contact, many surely contracted Covid – and recovered, thereby acquiring natural immunity. Despite his enthusiasm for the mandates, as even Fauci has admitted, this inconvenient (for vaccine zealots) truth of virology is tough to square with calls for mass, indiscriminate, and forced jabbing.

I’m enough of a believer in vaccines’ effectiveness and in the seriousness of the CCP Virus that I cringe every time I hear some pundit or news talker argue that members of the public health establishment like Fauci and the politicians that follow them have supported vaccine mandates and other forms of anti-virus business and behavioral curbs primarily because they’re control freaks. But every time I hear such folks so blatantly and sanctimoniously peddle this kind of misinformation, it makes me wonder.

Im-Politic: Anti-Pandemic Economy Clamps Could Be Strengthening Just as the Virus Threat is Weakening

Tags

Andrew Jackson, Battle of New Orleans, Biden, CCP Virus, CDC, Centers for Disease Control and Prevention, coronavirus, COVID 19, data, hospitalizations, Im-Politic, Jobs, lockdowns, mortality, OurWorldinData.org, stay-at-home, vaccination, vaccine mandates, vaccine passports, vaccines, War of 1812, Washington Post, Wuhan virus

What a stunning and thoroughly depressing point the U.S. fight against the CCP Virus may be at. Governments at all levels, private businesses, and non-profit institutions of all kinds are imposing all sorts of vaccination mandates on employees that could result in significant layoffs for the recalcitrant (including those with natural virus immunity) and equally important damage to the economy. And at the same time, the most reliable data now show that the virus’ destructive impact – recently renewed by the highly infectious Delta variant – is easing once again, and for reasons that look completely unrelated to vaccination rates.

Not that the most reliable CCP Virus data are incredibly reliable. As I’ve previously written, there are some awfully dubious definitions of “Covid-related deaths” being used across the country, and major holes in the coverage achieved by the official record keepers. In addition, serious problems have been revealed even in the hospitalization numbers – which I’d considered the most accurate gauge of the virus’ effects on human health.

All the same, the proverbial statistical curve for both indicators is now bending down for the first time since Delta began dominating the American virus scene in mid-summer.

As often the case, my source for the death and hospitalization figures are the Washington Post‘s very user-friendly CCP Virus databases. For this post, I’m also using some hospitalization figures for the U.S. Centers for Disease Control and Prevention’s (CDC) website. Unless otherwise mentioned, the specific numbers here are changes in seven-day averages (7DA), which smooth out random fluctuations that tend to occur on a day-to-day basis.

Regarding mortality, the 7DA for daily reported covid-related deaths bottomed out on July 6 at 209 and it had plummeted by nearly 30 percent during the previous week. And through July 27, the 7DA stayed below 300. But by August 16, it hit 651 and thereafter began soaring rapidly.

By the 18^th, the 7DA average had jumped by nearly 32 percent week-on-week, and the rate of increase continued surging until it peaked on the 24^th at an appalling 77.90 percent. But thereafter, these increases dropped dramaticaly. A week later, they were down to just over 21 percent. That is, consistent with the “bend the curve” criteria, the problem kept worsening, but it was worsening much more slowly, which counts as welcome progress.

This encouraging development continued through September 9, by which time the 7DA was rising on a weekly basis by just 3.17 percent. In other words, it nearly stopped rising altogether. But this fall-off proved to be a head fake. Almost immediately, the weekly increases in the 7DA for covid-related mortality bounced back, and reached a discouraging 27.49 percent in less than a week (by the 15^th).

Yet another decline has followed, and this one has been considerably deeper. By September 21, the weekly 7DA increase was back below ten percent, and just four days later, hit zero for the first time since the second half of July.

Since then, and through yesterday, the 7DA has not only been decreasing on a weekly basis. It’s been decreasing faster and faster. Yesterday, the decline stood at 6.74 percent.

The hospitalization story has been somewhat different, and brighter, especially since early September. The 7DA for daily new hospital admissions for CCP Virus-related reasons bottomed out on June 25 at 1,824 and at that point, it was down on week by just under 5.20 percent.

By August 9, the situation had turned around completely – and then some. The 7DA had soared by 34 percent. Afterwards, however, came a consistent decline. By the 20^th, the weekly rate of increase in the 7DA had fallen to ten percent, and by September 1, the increases had stopped. The weekly 7DA registered its first weekly decline on September 6 (down two percent), and its first double-digit decrease on the 21^st (ten percent).

Since then through the 30^th, it’s fallen by ten percent or more twice, and the weekly decrease in the 7DA hasn’t dipped below seven percent.

Given the mushrooming of vaccine mandates and widespread claims – including by President Biden – that the nation is now facing a “pandemic of the unvaccinated,” you’d think that the above improvements stemmed overwhelmingly from increased vaccination rates. But the data – in this case, from the OurWorldinData.org website, provide no support for this conclusion.

Specifically, on August 24, when the 7DA of daily covid-related deaths was skyrocketing at that awful 77.90 percent weekly rate, 51 percent of Americans were fully vaccinated against the CCP Virus, and 9.1 percent were partly vaccinated. By yesterday, these figures were only 55 percent and 8.8 percent, respectively.

On August 9, when the 7DA for covid-related hospitalizations was growing by 34 percent week-on-week, half of Americans were fully vaccinated and 8.5 percent were partly vaccinated. Through yesterday, those numbers hadn’t changed dramatically, either.

Could mask-wearing be responsible? Trouble is, I haven’t seen any figures on how this practice has changed in recent months. (If you have, let me know.) As far as I’m concerned, the real reasons for this good CCP Virus news have to do with rising levels of natural immunity (especially important given Delta’s virulence), the distinct possibility that the CCP Virus is one of those pathogens whose lethality wanes as it mutates (an important Delta consideration, too), and the nation’s better treatment record – due to a combination of more experienced doctors and new therapeutics.

In early 1815, then-General Andrew Jackson led American forces to a great victory over the British in the Battle of New Orleans. But due to that era’s painfully slow communications, the triumph came about two weeks after the United States and Great Britain signed the treaty ending the War of 1812.  It makes me wonder how long the U.S. public and private sectors — which don’t have the communications excuse — will keep threatening the economy’s recovery with redoubled anti-virus measures just as the pandemic tide appears to be turning.   

Im-Politic: The Case Against Sweeping Vaccine Mandates and Passports

Tags

CCP Virus, coronavirus, COVID 19, Delta variant, healthcare, hospitalizations, Im-Politic, immunity, mortality, natural immunity, Nature, public health, unvaccinated, vaccination, vaccine hesitancy, vaccine mandates, vaccine passports, vaccines, Worldometers.info

It’s approaching the status of a reliable rule of thumb: The longer the CCP Virus pandemic lasts, the weirder, and more unnecessarily harmful on balance, the actual and potential official responses get. The most important example nowadays has to do with the ever lengthening lists (a) of vaccine mandates and passports that have already been created by governments and businesses and universities around the country; and (b) increasingly irate calls for more – including demands that the unvaccinated be denied medical care or (seemingly more reasonably) affordable health insurance.

Given the large numbers of Americans remaining unvaccinated, and apparently likely to stay unvaccinated, the risks of mandates and passports per se should be obvious. Despite the U.S. economy’s strong recovery so far from the initial virus- and lockdowns-induce recession, new laws denying, say, employment to this population and barring them from patronizing businesses could deeply depress demand and output, and put the economy uncomfortably close to Spring, 2020 square one.

More troubling, even though these restrictions are still far from common, virus uncertainties generated by the highly contagious Delta variant seem to have already undercut hiring dramatically, and are widely forecast to weaken growth going forward. (See, e.g., here.)

But even if the virus was remotely as lethal or otherwise dangerous healthwise as Ebola or the Black Death (which it’s not), today’s insistence on universal vaccination and penalties for holdouts badly flunks the common sense test. The main reason: It completely ignores the existence of both natural and acquired immunity.

In fact, not only has the phenomenon of immunity not exactly been a secret to “The Science” – at least ever since disease began to be systematically studied. It’s likely reached gargantuan scale in the United States today. For example, a study just published in the respected science journal Nature and funded in part by the U.S. National Academy of Sciences contended that as of the end of last year, 103 million Americans had been infected with the virus. That’s about a third of the total population, and about five times the numbers of recorded cases at that point. Also during 2020, according to the reliable Worldometers.info website, just shy of 366,000 had succumbed to the disease.

Therefore, as of the end of 2020, more than 102 million Americans acquired immunity by recovering from infections that were either asymptomatic or too mild to report. And an unknown (but surely large) number of Americans were never infected to begin with because they were naturally immune.

All of these figures, of course, cover the period months before Delta arrived. Since it’s so infectious, the numbers of those with natural or acquired immunity nowadays must still be at least as big and possibly much bigger. The full vaccination of nearly 177 million Americans as of this latest CDC update of course complicates the estimation process, because so many with natural immunity undoubtedly have gotten such protection.

Another big complication: Vaccines have only been available since the very end of last year, and the numbers of fully vaccinated Americans took a while to become significant both because of roll-out delays and vaccine hesitancy. As a result, there’s not much data yet on whether either form of immunity is more protective than that offered by the jabs – which of course bears vitally on the core assumption behind the calls for vaccine mandates and the like.

After all, if either natural or acquired immunity is comparably effective to vaccination in warding off the virus (the study described here indicates they’re at worst not far off), or if both are, the case that the jabs are medically necessary for all the unvaccinated – either to safeguard the health of the unjabbed themselves, or to prevent them from spreading the malady – simply falls apart.

In addition, the paucity of great data is a problem in and of itself. Unquestionably, there could still major risks, especially long-term, to leaving the unvaccinated unvaxxed. But as noted, the risks of indiscriminate mandates and penalties are impressive as well. Consequently, what should be foremost on Americans’ minds when it comes to mandates-like questions is that in these circumstances, barreling ahead with sweeping measures and sanctions – many of whose effects, particuarly like joblessness and lost income, won’t take long to appear – would be the height of recklessness. As for those who would deny medical care to all of the unvaccinated on this fatally flawed basis (except those who can cite medical exemptions?), that seems the height of arrogance and self-righteousness – not to mention morally disgusting.

And in case you think that the common observation that the unvaccinated comprise nearly all recent CCP Virus-related deaths and hospitalizations clinches the case for mandates, these immunity points shred that idea, too. The problem is not with the claim of high correlation between unvaxxed status and mortality and  hospitalization. The problem is with assuming that a noteworthy share of these virus victims – or even the vast majority – had any form of immunity. In principle, large numbers of the unvaccinated immune could be coming down with dangerous virus infections anyway, or are likely to – and consequently should be coerced into getting jabbed and punished for refusing. But I haven’t seen that argument made; have you? And it’s surely missing in action because immunity is undeniably a thing.

So absent evidence to the contrary, the only reasonable conclusions are that getting the non-immune unvaxxed vaccinated should be a top priority, and that vaccination campaigns should be focused tightly on them. The immune unvaxxed, however, should be allowed to continue their lives as normal.

More than enough American live have been lost or ruined during the pandemic. Unless and until it’s discovered that all of the unvaccinated pose dangers to themselves and/or to others – whether because natural or acquired immunity is completely mythical, or is much weaker than the vaccines-produced variety – indiscriminate vaccine mandates, passports, and penalties will only needlessly lengthen the list of casualties.

Im-Politic: Germany’s Looking Like an Increasingly Tarnished Anti-CCP Virus Gold Standard

Tags

CCP Virus, coronavirus, COVID 19, Germany, Im-Politic, infections, lockdowns, mortality, reopening, shutdowns, stay-at-home, Worldometers.info, Wuhan virus

As the now-well-worn (but still pretty darned good!) wisecrack goes, “I’m old enough to remember when Germany was held up as a model for fighting the CCP Virus.” (See e.g., here and here.) And as this gibe implies, that portrayal of Germany keeps getting exposed as premature.

In fact, by several key grim virus metrics, Germany has caught up with the United States – which of course has just as often been held up as a model for how not to fight the pandemic.

For example, according to the Worldometers.info website, on a per capita basis, Germany’s daily death rate is now greater than the United States’. As of last Friday (I’m skipping the weekend numbers because CCP Virus-related info tends to get reported more slowly on Saturdays and Sundays), Germany’s new reported virus-related fatalities were 30 percent of America’s (838 vs 2,794). Yet Germany’s population (83.91 million) is only 25.28 percent of America’s (331.91 million).

Germany’s performance looks better in terms of seven-day average (7DA) daily figures – which are more accurate because they smooth out the inevitable random daily fluctuations. On December 18, the German figure of 598 was only 23.15 percent of its U.S. counterpart of 2,583.

But major German catch-up has still taken place. And it’s been going on for months. October 16 is when the American 7DA daily fatality total began its latest big move. That day’s figure was 716. So between then and December 18, it rose by 260.75 percent.

October 16 is just before Germany’s current death surge, and that day, the 7DA stood at 21. So through December 18, it’s risen by 2,748.62 percent. That’s more than ten times faster.

The new daily infections numbers tell a similar story. Let’s cut to the chase and examine the 7DAs. By this measure, the United States’ current and worst CCP Virus wave began about October 5, when the daily 7DA stood at 44,691. By December 18, it was up just under 400 percent.

Germany’s current wave (a true second wave) began about the same time, and on October 5, the 7DA for daily new infections stood at 2,292. As of December 18, the figure was 24,460 – a level just over 967 percent above October 5’s, and a rate of increase more than twice as fast as the United States.’

None of this means that Germany’s virus strategy has been a failure, and certainly doesn’t mean that America’s has been a success. In the first place, serious measurement problems continue to plague the infection and mortality data everywhere. (See, e.g., here.)

In the second place, it’s not cricket to compare any geographic regions’ CCP Virus strategies without taking major virus-related differences into account. In this case, it’s crucial to note that temperatures affect the virus’ spread, and that Germany got colder faster, at least between October and November, than the United States.  (For the U.S. data, see here. For the German data, see here.) Germany is also about seven times more densely populated than America, and its relatively crowded conditions alone clearly encourage virus spread. Moreover, it’s not as if Germany has locked down consistently since the CCP Virus’ arrival.

At the same time, the German-American differences in temperatures and temperature changes have hardly been enormous. (Further complicating the weather analysis – the United States’ enormous size also means enormous weather variance from region to region.) And the population density hasn’t changed during this year. So the gaps between these variables can’t possibly begin to explain why Germany’s current surge – albeit from much lower absolute starting levels – has been so much worse than the United States. But they’ve been the statistics used most often to judge virus strategies, so it seems fair to examine exactly what they’ve revealed lately.

Nor does it make sense to blame Germany’s relatively poor performance this fall and winter so far on its various reopenings. Unless you think shutting down an entire national economy for that many months consecutively, with no relief, is a viable approach to a pandemic.

Instead, it’s time to recognize, especially for lockdown and mask-wearing and other mass restrictions enthusiasts, that if – even before the pandemic is one year old – countries with mitigation approaches as far apart as those of Germany and the United States have been so widely labeled can see such completely unexpected infection and mortality results, the establishment conventional wisdom on sweeping behavioral curbs is weaker than advocates insist. And consequently, the best possible tradeoffs between CCP Virus spread and mortality effects on the one hand, and other public health and economic costs on the other, shouldn’t be regarded as set in stone.

Following Up: Still More (Health-Related) Evidence for a Prompt Restart

Tags

CCP Virus, coronavirus, COVID 19, Im-Politic, mortality, opioids, poverty, public health, restart, suicide, Tim Mullaney, World War II, Wuhan virus

If you haven’t seen today’s new CCP Virus figures for the United States, you really need to take a look. Not only do they show (continuing) stunning declines in new cases and deaths nation-wide, they strongly reenforce my Saturday post arguments that the death toll from keeping the economy mainly closed longer than necessary (whatever your favorite definition) is pretty comparable to the toll being taken by the virus. So from a public health standpoint alone, as I emphasized, there’s at least a respectable argument for the fastest possible (again, insert your favorite definition) re-opening.

To recap, that previous post challenged one argument claiming that the numbers of Americans being lost each day to the CCP Virus (at the point that argument appeared, 2,763), was dwarfing even the daily deaths recorded during America’s major wars. The author, Tim Mullaney, was right – but vastly under-counted fatalities from various forms of economic privation. As I noted, these kinds of deaths are much harder to count and even estimate than virus-related deaths (although the latter pose big methodology problems, too). But any reasonable person would conclude that both kinds of death are substantial, and that the economy versus public health framework dominating the national debate was dangerously simplistic and even stupid.

Of course, a few days have passed since the 2,763 death rate was recorded (on April 15, as it turns out – and in fact, that day’s figure has now been revised down to 2,751 according to this Washington Post count – the source of all the virus deaths data used in this post). And those few days have seen jaw-dropping progress in reducing deaths. Indeed, today, they’re all the way down to 521.

So therefore, if by some miracle, the CCP Virus was wiped out today, and all further deaths prevented, the 42,384 total national fatalities reported during the 53-day period since the first virus victim was recorded on February 29 would come to 800 per day. A horrendous number to be sure. But it’s reasonable to assume that this favorable trend will continue – at least until some unknowably strong second or third waves come. Moreover, the progress has been so impressive that it’s unlikely to be significantly affected by any of the under-counting problems identified by some health data specialists.

If these assumptions are true, then the current daily virus death toll is still way above that of daily military deaths suffered during World War II (240). It’s also way above the latest figures we have for daily American suicides (132). But it’s not that far above the most recent (and so far unchallenged) estimate for daily deaths from poverty (685). And when you combine those two figures, you get 817 daily deaths – above the current daily virus toll.

Still skeptical – largely because not all the suicide deaths are economic-induced? Then check out the best daily suicide attempts number available – 3,836. At least some meaningful share of these surely resulted from economic despair, and the only reasons they didn’t become actual fatalities were either incompetence or some timely intervention or simple luck. They speak volumes about the power and mental health effects of economic despair. And while we’re on the topic of despair, don’t forget opioid overdoses, either. Many of them have been closely linked with economic stress, and the latest numbers show them running at 128 per day.

Finally – and a big shout-out to Facebook friend Clare Goldsberry for pointing this development out: Reports keep coming in that many significant medical problems are going untreated because of the CCP Virus drain on the healthcare system. Here’s just one example.

Do major uncertainties still surround all these numbers? You bet. But they leave two overriding points completely certain: Any economy restart over any time frame is going to kill a substantial number of Americans, and no one has any basis for claiming that the one will save significantly more lives than the other. If you read or listen to anyone coming down emphatically on one side or the other, I’d strongly advise you to turn the page, change the channel, or walk away.

Following Up: Why the Economy Shutdown vs Restart Debate is Still Idiotic

Tags

CCP Virus, Centers for Disease Control and Prevention, coronavirus, COVID 19, drug abuse, Following Up, healthcare, Im-Politic, infant mortality, mortality, opioids, poverty, restart, suicide, Tim Mullaney, Trump, Wuhan virus

The heated debate over whether it’s more important to open the economy relatively quickly, or wait until the CCP Virus really is under control slogs on. And I mean slogs on, since once it became clear that the pandemic wasn’t going to be even close to a Black Death-like catastrophe, everyone with a working brain should have recognized that immense uncertainties are all around, and that both approaches therefore entail terrible risk.

One built-in complication, though, continues to muddy the waters. And even though decisive clarity can’t be gleaned from the available data, it’s worth pointing out: CCP Virus deaths are relatively easy to calculate – even if not perfectly identifiable, because single causes of death tend to be difficult and controversial to pinpoint for victims with important underlying health problems, and therefore different U.S. states have (not surprisingly) come up with different standards for counting them.

Deaths from a prolonged economic slump like the one into which America has been plunged are much harder to determine, and data are therefore more controversial. But no one should doubt that they’re noteworthy, and worth taking into account in any economy restart decisions.

As commonsensical as these observations sound, however, they continue being vigorously disputed, and one of the few such arguments I’ve seen that try to quantify relative rates of loss has come from economics journalist Tim Mullaney. Full disclosure: I’ve criticized Mullaney here before, finding him to be an extreme hater even by Never Trumper standards. But I hope you’ll trust me when I say I’m singling out his latest article simply because it makes the “restart later” argument in such data-dependent terms.

According to Mullaney, President Trump and other prominent conservatives are blowing the most deceitful smoke imaginable by insisting “You have to reopen the economy despite the ongoing Covid-19 pandemic, quickly, lest a wave of suicides, domestic battery and the like overwhelm even the death toll from coronavirus.”

His evidence? The CCP Virus daily U.S. death toll when he wrote his article (2,763) dwarfs the numbers of lives lost each day in the United States to economic-related causes (like many suicides), as well as the numbers lost daily during the nation’s wars. (As of yesterday, daily national CCP Virus deaths hit a much higher 4,591.) * SEE CORRECTION BELOW

The war comparisons are sobering – no doubt about it. But if you look at them realistically, so is what we know of the death toll from various forms of economic privation. For example, it’s true that “only” 132 Americans took their lives each day in 2018 (the last year for which statistics are available, as is the case with all the following numbers). And there’s no way to know how many were due to the victims’ economic circumstances. But it’s also true that, as of 2017, 1.4 million Americans tried and failed to commit suicide. There’s no way to know the reason for each one, but the daily figure comes to 3,865. Surely economics had something to do with many of them.

The clear implication: If not for circumstances unrelated to the economy, the numbers of  suicides and of economy-related suicides would be much higher. Therefore, economic-induced extreme despair is undoubtedly much more widespread than the actual suicide rates indicate. And they signal the presence of huge economy-related mental health problems. Further, given the stigma society still attaches to suicide, it’s fair to assume that the attempt numbers in particular are undercounted.

That same year, 192 Americans each day died of drug overdoses. Of these, 130 came from opioids – the category most likely influenced by worsening economic circumstances and prospects. And just as with suicides and attempted suicides, the numbers of overdose deaths are dwarfed by the attempted overdose numbers. The Centers for Disease Control and Prevention don’t provide absolute annual figures, but they do note that “For every drug overdose that results in death, there are many more nonfatal overdoses….” Chalk lots of them up to economic despair, too.

You can also learn a lot from estimates of annual lives lost to poverty as such. In 2011, a Columbia University study pegged them at 671 per day in 2000 – not a matter of thousands, but not bupkis, either. And here’s another poverty-related mortality statistic: In 2018, about 59 newborn American babies died each day. Were all due to poverty? Of course not. But they’re most heavily concentrated in racial and ethnic minority groups with the highest poverty rates, so that’s pretty revealing.

Infant mortality, moreover, points to another health and death rate reality that’s strongly affected by the state of a national economy: the state of its healthcare system.

Given America’s vast wealth and annual healthcare expenditures, and its continuing major healthcare problems, there’s no doubt that money is no panacea for better health and lower death rates. Structures of national healthcare systems matter critically. At the same time, does anyone seriously believe that the U.S. healthcare system is going to do a better job on mortality and other fronts the worse the economy fares and the longer the current downturn lasts?

Which brings up a related question: What’s likelier to happen first? Indeed, much likelier to happen first? The kinds of major economic and social policy reforms needed to alleviate American poverty significantly, or to cure what ails the healthcare system? Or finding anti-CCP Virus vaccine or cure? If you’re not sure, you just haven’t been paying attention.

Those wanting a substantial economy restart sooner rather than later can legitimately point out that the above economy-related mortality numbers overlap a great deal. And that’s true. Second and even third waves, as they warn, seem all too likely as well. But it’s also true that, when you add them all up, they’re significant, and at best can’t be too far away from the CCP Virus death figures in which much more confidence is justified.

How far away? Honestly, why should anyone care? They’re clearly close enough to warrant concern that, as Mullaney’s conservative targets contend, a prolonged mandated economic slump will exact terrible human health costs – and that the longer it lasts, the higher it will grow. It’s also crucial to remember that the CCPVirus death toll shows signs of trending down – however horrific it will ultimately be – and that absolutely no one who anyone’s listening to is urging a total national economy restart all at once. 

All of which reinforces conclusions I’ve been pushing since the CCP Virus became a genuine crisis: It confronts Americans will trade-offs as tragic as they are difficult to figure out, and that anyone arguing to the contrary is more interested in taking cheap, invariably partisan, shots than in finding solutions.

*CORRECTION.  The 4,591 U.S. deaths figure I reported here was not for April 17, but for April 16.  The April 17 figure was actually 3,856, and today’s figure is only 1,891.  Moreover, as explained here, “The spike in mid-April is due to New York City authorities adding probable cases to the city’s death tally.”  So this is the kind of correction that clearly works in favor of my argument, since these numbers indicate even more strongly that this still terrible daily figure is on the way down, and that any gap between it and comparable figures due to economically-induced mortality is even smaller than previously apparent.