Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And you can do that with a clinical committee.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
You can do it very rapidly.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And so give you an example.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
If somebody was admitted to hospital with four comorbidities, had a major ST elevation MI and also had COVID, you might go, hmm, this may be a secondary event because actually look at all the other parameters.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
They were so bad and the infection was likely contributed but didn't cause it.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
Whereas if you had a younger person who came in,
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
with ARDS, had respiratory and viral pneumonia, had a respiratory arrest, you're likely to go, we are putting direct causation on COVID.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
At least you would have that answer.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And the problem is in places like Lombardy at the moment, and some of the Italian, is everybody who's got COVID is being called as a COVID death.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
In the longer run, and I'm talking to people in Italy, we will be ascertaining how many deaths were directly contributable to the agent.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And we always know when you come after the event, many deaths are not assigned to the infection and assigned to other causes.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And I'll give you a good example.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
For instance, if you'd basically got run over in the street today and you went into hospital and died in hospital and they said to you, oh, by the way, post-mortem, you already had coronavirus.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
Would you attribute that death to coronavirus?
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And that's an extreme example.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And I think that's how you have to think of the problem.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
What we know in all these outbreaks is wherever we start, they come in with very cautious models, which are the worst case scenario.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
And the 80% estimate is basically a doomsday prediction in my mind.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
There's a recent modelling study that's in The Lancet come out of Singapore that said actually with a row of 2.5, you would have only ever got to 30% of the population infected.
Talk Evidence
Talk Evidence covid-19 update - Confused symptoms, fatality rate uncertainty, Iceland’s testing
there's modelling studies coming out that are saying 30% of the population are already infected if you've got half the people are asymptomatic.