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Carl Hennigan

👤 Person
978 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

There's 30-fold variation in countries' case fatality rates.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And that's basically the measure of the number of deaths

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

of those with detected disease.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And we basically say that measure is pretty useless.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

On the basis, it's a function of testing and who you test.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And as you test more people, your case fatality rate will go down.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

If you test just severe people, selection bias, it will go up.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And all of these features have happened.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

In fact, in Italy, it doubled in a week, the case fatality rate.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So we basically are saying that's not a helpful measure.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

What would be really helpful is to fix on some measures.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So, for instance, you can have symptomatic hospital fatality rate.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

That's very helpful.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And every country could have reported that in the same way.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So if you get admitted to hospital with symptoms, what's the fatality rate?

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And then you could have compared country to country.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

But as it stands, case fatality rates are a waste of time.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And we look at them and they do what they always do in this situation is they continue to trend down and down and down.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And they'll get nearer and nearer to the truth, but with some way off that yet.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

I think we continue to make the same mistakes again and again.