NikiTo said:
By the way, I am not sure what do you mean by co-morbidity.
Whenever a person dies you have to fill in document about death as a doctor. Apart from patient demographics, the second most important part is ‘Reason of Death’, which have following fields to fill in (their name will differ based on legislation in given country - but groups definitely stay):
- Primary reason of death
- Other reasons of death (group 1 - directly lead to primary reason of death)
- Contributing factors (group 2 - indirectly lead to primary reason of death)
- Other (group 3 - other status of the deceased patient, where it is either unknown or had no impact on primary reason of death)
Generally groups - 2 and 3 (and sometimes also 4) are called co-morbidities. The codes U07.1 and U07.2 are present only in 2. and 3. … rarely also 4. (in case somebody would F.e. die in car accident but would have positive test) … worldwide there is almost no cases where it was 1.
Each country collects statistics differently - some countries count only 1. and 2. (as far as I know Slovakia does so). There were talks about Italy counting all as coronavirus deaths.
And now, back to the codes I wrote - you probably noticed there are 2 - U07.1 and U07.2 - these are ICD-10 codes for diagnoses. Now comes the fun part:
- U07.1 - Patient had positive COVID-19 test
- U07.2 - Patient didn't undergo any test, but there is suspicion he has the virus
I have no idea why WHO prescribed the second one (and yes I had added both of them in the database with huge “What the f***?”), but I can confirm it is counted in the statistics in some countries. Keep in mind that symptoms range from asymptomatic, through mild, through flu-like, towards severe (with acute pneumonia and ARDS). How in the world you want to suspect that patient has COVID-19 with this huge range of symptoms? That also points to dozens if not hundreds diseases.
With this range of symptoms you will have huge number of non-clinical patients … if you want to find out how many, you are out of luck. Unless the person required hospitalization, their levels of IgM and IgG will be so low after few weeks - that it is below the error line for those tests (much like for common cold … which is no surprise, as it is also under Coronaviridae family).
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Comparing this virus with Influenza is simply blind. There are so many different influenza strains (plus it has nasty property that whenever you contract 2 different strains, a new one comes out of cell infected by both), from those with almost non existent case fatality rate … up to those with case fatality rate of over 60% … when treated in ICU with known treatment.
Comparing with any pandemics is also useless … as long as we still have pandemics. Once it goes slowly away in all parts of the world, then we can start summarizing. Up until that point it has a value of every random prophecy.
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This being said, I'm not underplaying the virus - I do know what I'm supposed to do in such situation. And from first hand experience I know that every viral disease is serious - but doing global shutdowns (which most likely doesn't help that much), adding huge amount of global panic (that never helps), promoting conspiracy theories (some of our news went full Alex Jones style - I'm waiting for the moment they blame aliens for the virus), and fake news - are definitely going to cost us many many more lives.
Note: Sorry for a bit of rant, but I'm one of the people who are one leg in healthcare industry. I'm being kind of annoyed and tired of whole media bubble around this. Every now and then my parents hear something on TV and call me absolutely scared (last time they showed CT of lungs with severe pneumonia and presented it as “Everyone's lungs with COVID-19 end up like this” … showing heavy lung fibrosis that has happened in very few rare cases of COVID-19 … and stating this, is going to scare people to death). All I can say is … thanks media.