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COVID-19 Cases Are Rising, So Why Are Deaths Falling?
The gap between soaring cases and falling deaths is being weaponized by the right to claim a hollow victory in the face of shameless failure. What’s really going on?
Trumps recent claim that COVID is "harmless" is poppycock and disinformation. That more people are being infected by COVID but less are dying is probably due to a falling age median, more people are wearing a mask and social distancing, and finally the medical people who treat COVID have learned how to go about it much better. For example, they have learned that putting people on a ventilator is the wrong thing to do. There are also now better medications for treatment like Remdesivir.
However, there is also bad news. Health professionals now have enough data to draw some onerous conclusions. COVID attacks many internal body organs via the ACE2 receptor found on most organ cells. COVID badly damages internal organs (including the brain) and also creates blood clots throughout the body. COVID also causes the body to produce enormous amounts of inflammatory proteins called cytokines. This creates what is called a 'cytokine storm' which causes severe symptoms in a human body. COVID can forever scar the lungs of young people. This virus is a cryptic devil. It can brutalize people’s bodies for weeks or months even if it doesn’t kill them.
The gap between soaring cases and falling deaths is being weaponized by the right to claim a hollow victory in the face of shameless failure. What’s really going on?
7/10/20
For the past few weeks, I have been obsessed with a mystery emerging in the national COVID-19 data. Cases have soared to terrifying levels since June. Yesterday, the U.S. had 62,000 confirmed cases, an all-time high—and about five times more than the entire continent of Europe. Several U.S. states, including Arizona and Florida, currently have more confirmed cases per capita than any other country in the world. But average daily deaths are down 75 percent from their April peak. Despite higher death counts from the past few days, the weekly average has largely plateaued in the past two weeks. The gap between spiking cases and falling-then-flatlining deaths has become the latest partisan flash-point. What follows are five possible explanations for the case-death gap. Take them as complementary, rather than competing, theories.
1. Deaths lag cases—and that might explain almost everything. The death lag is probably the most important thing to understand in evaluating the case-death gap. But it doesn’t explain everything. Even where deaths are rising, corresponding cases are rising notably faster.
2. Expanded testing is finding more cases, milder cases, and earlier cases. identifying new fatal cases of COVID-19 earlier in the victims’ disease process could mean a longer lag between detection and death. This phenomenon, known as “lead time bias,” might be telling us that a big death surge is coming. And maybe it is. Maybe this is all as simple as nationwide deaths are about to soar, again. But there are still three reasons to think that any forthcoming death surge could be materially different from the one that brutalized the Northeast in March and April: younger patients, better hospital outcomes, and summer effects.
3. The typical COVID-19 patient is getting younger. The most important COVID-19 story right now may be the age shift. In Florida, the median age of new COVID-19 cases fell from 65 in March to 35 in June. Then it fell again, to just 21 in July. In Arizona, Texas, and California, young adults getting sick have been driving the surge.
4. Hospitalized patients are dying less frequently, even without a home-run treatment. The hospitalization and death data that we have aren’t good enough or timely enough to say anything definitive. But the chart suggests some good news (finally): Patients at hospitals are dying less.
5. Summer might be helping—but probably only a little bit. Finally, as more people wear masks and move their activities outside in the summer, they might come into contact with smaller infecting doses of COVID-19. Some epidemiologists have claimed that there is a relationship between viral load and severity. With more masks and more outdoor interactions, it’s possible that the recent surge is partly buoyed by an increase in these low-dosage cases.
Trumps recent claim that COVID is "harmless" is poppycock and disinformation. That more people are being infected by COVID but less are dying is probably due to a falling age median, more people are wearing a mask and social distancing, and finally the medical people who treat COVID have learned how to go about it much better. For example, they have learned that putting people on a ventilator is the wrong thing to do. There are also now better medications for treatment like Remdesivir.
However, there is also bad news. Health professionals now have enough data to draw some onerous conclusions. COVID attacks many internal body organs via the ACE2 receptor found on most organ cells. COVID badly damages internal organs (including the brain) and also creates blood clots throughout the body. COVID also causes the body to produce enormous amounts of inflammatory proteins called cytokines. This creates what is called a 'cytokine storm' which causes severe symptoms in a human body. COVID can forever scar the lungs of young people. This virus is a cryptic devil. It can brutalize people’s bodies for weeks or months even if it doesn’t kill them.