Daily U.S. death toll will exceed 9/11′s for months, CDC director says
washingtonpost.com
washingtonpost.com
This page has a number of good breakdowns, but here's the US chart comparing 2020 vs other years:
https://ourworldindata.org/excess-mortality-covid#excess-mor...
Can you spot the anomaly?
Quote from Tufte on the subject:
> ” In general, in a time-series, use a baseline that shows the data not the zero point. If the zero point reasonably occurs in plotting the data, fine. But don't spend a lot of empty vertical space trying to reach down to the zero point at the cost of hiding what is going on in the data line itself.”
https://www.edwardtufte.com/bboard/q-and-a-fetch-msg?msg_id=...
A zero baseline for this chat is meaningless and would render the plot useless, unless the purpose of the graph was to show what happens to your body temperature as you turn into a White Walker.
Similarly, the axis chosen for the mortality chart is effective since it shows the typical range of values (and thus does convey the scale effectively), the consistent seasonal trends, and the anomaly (which is very significant in terms of standard deviations above the mean). Setting a zero y-axis would squeeze the graph into 1/3 of the vertical space, leaving 2/3 as useless white space for no benefit at all.
I am comparing the Y values for multiple points with the same X values in different series. I'm only looking for course differences.
For my purpose, it makes sense for the scale to start at zero.
At a glance, the week of April 12, 2020 looks like it has four times as many deaths as any other year since 2015. In reality, it has roughly 1.5x as many. That's still a huge difference, but I had to check the scale and do some quick mental calculations to figure that out - which is more than I would have had to do if the graph's vertical scale started at zero.
I'm not arguing that all graphs must start their scales with zero. I'm not even saying that this is a bad graph. It's just not as effective for the kind of analysis I want to use it for.
[1] https://ourworldindata.org/excess-mortality-covid#excess-mor...
Imagine you had a graph of earth's temperature and decided to set the y axis at absolute zero. What would that look like? Would it be in any way useful?
Or, another way, % change compared to the average:
I would not take that much comfort given the surge in case counts. I don't doubt we are better handling cases now vs April, at the same time hospitals will soon hit the triage stage.
Positive tests tend to trail exposure by 1-2 weeks, while hospitalizations trail another week or two behind positive tests. Deaths can lag even further (not sure on the numbers here). So we're only just getting into the beginning of the post-Thanksgiving spike impacting hospitals.
While most serious cases hit those with compounding factors (age, health, etc.) if you look at the percent of excess deaths, it spans all age groups (again data ends early Nov):
https://ourworldindata.org/grapher/excess-mortality-p-scores...
The other good resource is John Hopkins has a chart overlaying date of policy changes vs cases (or deaths):
https://coronavirus.jhu.edu/data/state-timeline/new-confirme...
I would be surprised if the 2020 line doesn't jump right back up again once the rest of November and post-Thanksgiving numbers are added in given that we're seeing large numbers of reported deaths again in recent weeks.
https://www.cdc.gov/flu/pandemic-resources/1918-commemoratio...
How come number of Covid infection rates is rising, while flu seems to be eradicated? If the measures help against the flu, why not against Covid?
I don't like appeals to authority, but this perspective that people who have spent their entire lives studying epidemiology have just got this all wrong, don't understand what they are doing, and that appeals to "common sense logic" will reveal the truth ... really irritates me.
I mean, just as a basic starting point, most people have immunological exposure to the flu, so a fairly effective method to prevent spread of the flu virus will have outsized effects on the incidence of flu (even more so if that fairly effective method is even more widely utilized by those most at risk from flu). But no humans prior to the end of 2019 had immunological exposure to SARS-COV-2, and so any "leakage" in the efforts to stop its spread will have much greater impact than with influenza.
More generally, this is really basic epidemiology, and I don't understand why you think it's so useful to question this stuff in this way.
There is actually no clear cut scientific story about Sars-Cov-2 yet. That is part of the scare.
I also don't think your logic is sound - influenca used to spread rapidly through populations in all previous years, despite of previous immunological exposure as you describe. There is no reason to assume it would spread less rapidly this year because of "previous immunological exposure".
The effectiveness of masks and social distancing also does not depend on previous immunological exposure.
That's very understandable but I doubt your view would survive contact with the epidemiological literature.
It's really hard to believe I know, but epidemiology papers are all terrible. They seem to always contain basic errors that any lay person can spot, and peer review doesn't catch them, nor does the editing process at supposedly prestigious journals. I've read a lot this year and by now I go in to a new paper being sure I'll encounter something stupid or crazy, because the rate of problems is just so high.
Remember that the only people who study epidemiology their whole lives are in academia, a place where being correct is less important than being published. Although it sounds absurd, 2020 has convinced me that epidemiologists and public health researchers in general know absolutely nothing about disease. They are however very good at closing ranks and claiming nobody outside their little cliques should be allowed to criticise or question them.
More generally, this is really basic epidemiology, and I don't understand why you think it's so useful to question this stuff in this way.
There's nothing basic about the claim you just made, and I'm really curious now if you yourself are an epidemiologist. Because you've gone from asserting that epidemics aren't susceptible to "common sense logic" to saying it's obvious and common sense that lockdowns/masks - which have no observable impact on case curves for COVID at all - will have outside impact on influenza.
But imagine the "extreme" case where excess mortality is zero - that is, even with covid19, about the same number of people die every day.
That would mean, presumably, that since covid19 causes some deaths that would not have happened historically (it doesn't matter what you think that number is) it would have to be balanced by some decrease in "more normal" deaths.
Obviously, one could propose all kinds of mechanisms that might lead to this. One could suggest that because people are either disgusted by or rallying around Trump, death rates are different. One could suggest that the impending conjuction of Saturn & Jupiter on Dec 21st has reduced death rates from non-covid19 causes. And to be sure, at present, there doesn't seem to be a particularly good way to establish this.
But it also seems rather reasonable to say that since the biggest change in human behavior at this point has been driven by attempts to contain covid19, that it is likely these changes that have caused the "balancing" decrease in non-covid19 deaths.
One obvious rebuttal is that the graph does NOT show no excess mortality. This is certainly true. But the magnitude of the it is smaller than would be expected from even the most, ahem, conservative estimates of covid19 deaths. Ergo, there is some reduction in non-covid19 deaths, and occam's razor would put changes due to anti-covid measures near the top of the list of likely causes for that.
That would not be a given assumption (under your scenario of zero excess deaths). Old people who would otherwise have died from another reason could die from Covid19 instead.
Or imagine testing everybody for the common cold, and if somebody dies with the common cold virus, they would be counted as a "common cold death". Then you would see a lot of deaths "from the common cold", without any actual change in death rates.
For one, we don't even understand all the long term effects of having COVID as it is: there's heart damage, lung damage, brain damage, extended fatigue, and that's just what we're seeing evidence of now. [0]
If another disease like COVID strikes in a couple years, it could still tear through the surviving population and cause similar long lasting effects. The thousands that're suffering a terrible death daily, separated from their families and straining our healthcare systems to the breaking point--their deaths are not somehow making our populaitons safer from another disease.
EDIT: your analogy also supposes it's somehow the old/vulnerable populations that're the reservoir for the virus in our populations, when data indicates the opposite: it's far more likely younger populations are the carriers/vectors for COVID, especially since they are more often asymptomatic (w.r.t. acute effects) than more vulnerable chunks of the population. Future bugs will have plenty of population to travel through.
[0]: https://www.mayoclinic.org/diseases-conditions/coronavirus/i...
In the analogy the dry brush are the vulnerable that die. Once the dry brush is gone, it can't burn a second time. Just like small pox wiped out all the vulnerable native americans, but then the offspring of the survivors were increasingly more resilient. Except in this case the fatality rate is 1% (or less) instead of 90%.
> For one, we don't even understand all the long term effects of having COVID as it is: there's heart damage, lung damage, brain damage, extended fatigue, and that's just what we're seeing evidence of now.
This just seems like fear of the unknown. On the contrary, for the vast majority of healthy humans, it seems like the immune-system is well equipped to deal with the virus so there isn't much reason to fear IMO (i.e. most people recover at home with no modern medicine needed). I have several family members that had it and recovered with seemingly no other long term effects, so there is no reason to believe they are going to be screwed later in life.
> If another disease like COVID strikes in a couple years, it could still tear through the surviving population and cause similar long lasting effects.
More fear of the unknown. Novel viruses don't come along very often. Getting sick is not a bad thing, natural selection is not a bad thing, it's the very mechanism that has allowed humans to survive this long on planet earth.
No, the dry brush is what makes the fires get out of control and cause more damage than they "ought to," implying that if the brush is regularly dealt with then the broader population of trees will be better off.
But (a) we're not talking about trees, we're talking about people, and (b) letting swaths of the population die from a disease does not imply the surviving population will be better off in the future.
People can't die twice because we only have a single life, and callously saying "welp, you would have died later anyway, might as well die now so our stats look good" is so unbelievably short-sighted I can't believe I'm seeing this argument made by multiple people on HN.
> This just seems like fear of the unknown..
Uh, yes, it's fear of what the largely unknown disease will do to us. We shouldn't blindly assume that it's "not that bad" if it occasionally rips through the population off of some belief it'll make us safer if we're routinely exposed to pandemics--as follows from your brush-and-forest-fire analogy--when we don't understand the effects of those diseases.
> Natural selection is not a bad thing
I do not understand this point at all. Should we not have allergen warnings on food packaging? Or glasses for folks with bad eyesight? There are plenty of reasons we intervene in the "natural course" of events to make people's lives better. Citing "natural selection" is not in any way a valid defense for just letting diseases meander through populations.
Wait, am I making the analogy, or you? You can't just take my analogy and twist it until it fits your view. Make a new analogy, but don't correct mine.
> I do not understand this point at all. Should we not have allergen warnings on food packaging? Or glasses for folks with bad eyesight? There are plenty of reasons we intervene in the "natural course" of events to make people's lives better
Sure, but where do you draw the line? Should we move heaven and earth to artificially prolong the life of people extremely vulnerable to common diseases? Or just let them die and be replaced with more resilient humans?
My whole point is your analogy is flawed and you shouldn't use it for this purpose because it trivializes significant components of the issue at hand. You said:
> Once all the old/vulnerable wood is burned up, it's much more difficult for another forest fire of the same magnitude to happen ...
Which is demonstrably wrong when you liken _people_ to the dry brush, which is exactly what you did. We aren't optimizing to minimize deaths in individual years (or else we'd just kill everyone right now and the death rate would spike and then drop to zero), we're optimizing for general well-being of the population.
Your analogy is flat wrong, which is why I'm poking holes in it. It also belies a shocking lack of empathy for your fellow humans, which I frankly find alarming.
> Where do you draw the line?
I have no idea, and I don't think this is the venue to argue it, but I definitely don't think we're at it yet, and I would much rather err on the side of trying too hard to protect people's lives than not trying hard enough.
For example, when death numbers from COVID were first being released, people compared them to car fatalities, going "Why are we so worried? Car crashes kill 100x as many people in the same timeframe." The point is not "we should not worry about COVID because other things are more deadly" but "there is an alarming new source of deaths, and we should be working to reduce death as much as we can in the interests of maximizing the population's happiness."
EDIT: I mean, consider, the sitting US president called COVID "a hoax" for a good two months, then kept downplaying it for another two ("it'll be gone after November, you'll see"), and overall completely failed to make a plan at the federal level to, I dunno, provide more sick leave for people so they could actually avoid spreading it to their co-workers, or rent assistance for those out-of-work because we shut down the industries with high levels of communication, or support just wearing a mask when you go outside. We are so far and away from even a reasonable level of response to this it seems wholly disingenuous to pose the "but where do we _stop_ intervening?" argument.
I disagree. If we were optimizing for general well-being of the population we wouldn't be doing things that will push hundreds of millions into poverty[0] and drive up suicide rates[1].
From my perspective all the evidence points to us optimizing either for healthcare capacity or for minimizing covid-19 deaths.
> "there is an alarming new source of deaths, and we should be working to reduce death as much as we can in the interests of maximizing the population's happiness."
Well, clearly a huge % of the population is not happy with the current actions and policy being performed in the name of saving lives as evidenced by this thread.
[0] https://unu.edu/media-relations/releases/covid-19-fallout-co...
[1] https://www.cbsnews.com/news/japan-suicide-coronavirus-more-...
Fair enough, I wasn't clear: we _should_ be optimizing for general well-being, and among other things I think minimum-effort disease-prevention (masks, distancing, reasonable sick leave) are completely reasonable asks.
Similarly, we probably shouldn't be relying on a mega-consumerist culture that, when suppressed for whatever reason, has far-reaching economic effects that doom millions in developing countries to hunger/whathaveyou.
But these issues are not in opposition, we just have a crappy system that doesn't deal with both of them well at the same time. I think it's unreasonable to frame it as "well we can only address these issues in degrees, lest we make the other worse" and not question the system that somehow frames disease prevention and feeding people as opposing goals.
It's certainly possible to address this disease without such drastic impacts, but it relies on the population having an empathic mentality. Look at Japan, as an example[0]: Similar in terms of development, but with a much less invasive response they've only suffered around 2.3k deaths _total_, when the US is already seeing that number daily.
You are completely correct that "a huge % of the population is not happy with the current actions and policy being performed," because we have examples of cultures that are weathering this storm FAR better than those of us in the USA are.... but I think attitudes like yours are contributing to our failure to deal with this pandemic well.
[0]: https://www.economist.com/asia/2020/12/12/the-japanese-autho...
[1] https://ourworldindata.org/spanish-flu-largest-influenza-pan...
> Other large influenza pandemics
> The Spanish flu pandemic was the largest, but not the only large recent influenza pandemic. Two decades before the Spanish flu the Russian flu pandemic (1889-1894) is believed to have killed 1 million people.
> Estimates for the death toll of the “Asian Flu” (1957-1958) vary between 1.5 and 4 million. Gatherer (2009) published the estimate of 1.5 million, while Michaelis et al. (2009) published an estimate of 2–4 million.
> According to a WHO publication the “Hong Kong Flu” (1968-1969) killed between 1 and 4 million people.
> Michaelis et al. (2009) published a lower estimate of 1–2 million.
> The Russian Flu pandemic of 1977-78 was caused by the same H1N1 virus that caused the Spanish flu. According to Michaelis et al. (2009) around 700,000 died worldwide.
> What becomes clear from this overview are two things: influenza pandemics are not rare[...]
Heck, ebola was a decade ago with 300k deaths. Novel viruses appear all the time.
The other side of the problem is that lawmakers have no incentive to set aside money/time/resources for pandemic preparedness.
A quote from HHS Secretary under Bush, Mark Leavitt sums up part of the problem nicely:
> “In advance of a pandemic, anything you say sounds alarmist. After a pandemic starts, everything you’ve done is inadequate.”
Another example of lawmakers having no incentive to think about the future:
>The Public Health Emergency Preparedness program’s funding has gone from about a billion dollars in 2003 to $675 million this year, while the Hospital Preparedness program has gone from more than $500 million at its peak in 2004 to less than $300 million today.
Fairly frequently.
> So far it's once-in-a-lifetime (or less)...
No, it's not, even if you restrict yourself to novel betacoronaviruses that become significant human public health concerns (e.g., SARS, MERS, SARS-CoV-2).
According to the CDC, there seem to be about 12% more deaths than the average of the last three years, or about 300K. Number of deaths has been rising every year, though, sometimes increasing by up to 90k from one year to the next.
So that's 275k-169k=106k extra deaths, which is a napkinmath'd 17% increase over the baseline (assuming that's 106k deaths over a 12wk period, and baseline is ~50k/week).
A 17% rise in extra deaths seems pretty dramatic to me, regardless of the graphs.
Granted, I'd love to see error bars on this stuff, but I don't think the axis starting at 0 is some nefarious plot to dramatize the data.
Absolute number of deaths have been rising from year to year, sometimes with jumps of 90k.
Sure Covid has an impact, but whether it is dramatic is another question.
I thought that _was_ the quesiton: you seemed to imply the graph not starting at 0 was the article editorializing in some drama. My point was the situation is indeed dramatic (perhaps "significant" is a better phrase?) on its own, and they weren't unfairly exaggerating it for clicks/attention/fearmongering/whatever.
It makes sense that 'absolute deaths' would rise as a function of absolute population size, but that's why this data is important to pay attention to: if our death rate is climbing more than expected, there's problems we should probably pay attention to.
Oddly this year the CDC baseline expected death rate diverged from the trend line:
https://twitter.com/Humble_Analysis/status/13356752493633536...
That looks bad. If they were projecting the long term trend forward as they did in prior years, excess deaths from COVID in the USA would suddenly become a lot lower.
One other thing to bear in mind - a lot of these graphs that make excess deaths look dramatic are only looking 5 years in the past, because that's generally the easiest data to get hold of. But death rates are falling with time, as you'd hope to see. If you look further back you don't have to go far to find years with similar death rates. E.g. the UK had one of the highest excess death rates in the world from COVID in the first wave, but when you look at historical data, it was no worse than the the winter of 1999/2000 when no special measures were employed.
Lockdowns are an ahistorically extreme move. For that to make sense the scale of the problem with have to be equally ahistoric but it's not. I've lived through years with excess death rates just as bad as 2020 and never even noticed, because nobody was commenting about it. That's the risk with very short term analysis.
While you were joking, this is honestly what I think is happening. Our country has already started a number of "wars" on groups and this is only going to get worse now that a significant portion of the population feels that our soon-to-be leaders are illegitimate.
> U.S. President Donald Trump Monday said his "Chinese virus" statement for weeks was a counter-propaganda strategy to fight Chinese allegations that American soldiers brought coronavirus to Wuhan.
Given how China and Russia stepped up their muscle flexing in the past year, how China is against an international investigation into the origins, I am expecting more than not, that 2021 will reveal it was indeed a lab leak. If natural, China still has to answer why it sat on corona for at least 3 months before notifying international health agencies. All this research should see atomic-bomb grade inspections anyway, those are long overdue. I don't want Iran experimenting with SARS-3 without oversight, invading afterwards will be too late.
This article from the Bulletin of Atomic Scientists is both critical of Trump, yet carefully supports the "leaked from a lab" theory: https://thebulletin.org/2020/06/did-the-sars-cov-2-virus-ari... worth a read.
The "journalism", however, won't change until it's no longer cost-effective. We have to change ourselves first.
But that's why war is a genie you can't put back in the bottle.
https://www.penguinrandomhouse.com/books/241154/americas-war...
These groups specifically include ISIS.
It's hard to think that the Syrian civil war would have been so bloody or lasted as long as it did without USA involvement.
[1] https://www.globalresearch.ca/the-mystery-of-isis-toyota-arm...
[2] https://www.businessinsider.com.au/isis-weapons-cia-missile-...
Deaths from a natural disaster are fundamentally different than deaths caused by a murderer. Trying to evaluate policy by comparing the two is nonsensical. Like suggesting that it's a waste of time to spend resources to find a murderer when they only killed one person vs the thousands that die to flu.
All lockdowns were ever meant to do originally was temporarily delay the inevitable to ensure everyone got a hospital bed if they needed one, to give their bodies a better chance. But hospitals were never overwhelmed or even at any risk of being overwhelmed: the places that didn't lock down and saw incidence curves the same as everywhere else have now proven that. So in the end they had no real health impact in the positive direction, yet they've definitely killed people. In the UK about half of all excess death in the first wave wasn't even COVID related, let alone COVID caused. That's the human price of government mandates.
Hurricane Katrina (2005) killed 1,836. That's like 12 hours of Covid.
1) our response to 9/11 was wrong 2) it's all about perception of risk and control. 9/11 appeared to be a situation where the US, individually and as a state, had zero control over a nearly existential threat risk. Rightly or wrongly, a lot of the US, individually and as a state, seems to believe that in the case of covid19, we have large amounts of control over a rather small risk.
I don't think the different reactions are perfect, but there is some logic to it. Violence is much less predictable or reactive than the spread of infectious disease is.
It looks like close to 3000 deaths were reported the last day or so, but note how there's always this 7 week cycle. I assume it has something to do with reporting delays over weekends. I even noticed a big dip in reports around Thanksgiving in some state graphs, particularly the case counts, followed by apparent spikes to catch up.
So, I always use the 7 day average. It's very smooth, and it looks like we're actually closer to 2500 today. That said, maybe the CDC is using different numbers.
And as long as I mentioned this, I should caveat that in Sweden they actually mark the deaths according to date of death. However, this means that it always looks like there's a big downturn in deaths in the last couple weeks, when there may not actually be.
If it's just a low-rise apartment in Anytown it's not going to drop everyone's jaw when played on TV. Can't believe people think my last comment was a commentary on the value of human life as opposed to the impact of literally toppling a tower...
I wonder how many lives would been saved if we had mandatory 30 minutes jogging sessions, fastfood lockdowns and vegetable subsidies.
You are trying to downplay COVID19 by comparing it with the leading cause of death among people, contemplate on this.
I am, however, doing so by choosing not wear a mask.
Your right to swing your fists ends where my nose begins.
I keep seeing this analogy when it comes to masks and COVID-19, but I don't think it's a great one. The difference between me punching your face and not wearing a mask is risk and intent.
The overwhelming majority of people do not intend to transmit any virus to those around them. It's pretty difficult to punch someone in the face without intending to harm them.
We also cannot avoid risking harm to someone else. Despite my best efforts, I risk hurting someone every time I sit behind the wheel of a motor vehicle. However, there are clearly some risks that are too great. If I punch you in the nose, it's a pretty sure thing you will be harmed. But if I do not wear a mask in a public space... the odds aren't particularly bad on any single outing.
What makes the mask thing really troublesome is pinning down just what the risks of transmission are with and without masks over an extended period of time in a variety of normal scenarios. I've seen enough to personally conclude that wearing a mask in public spaces is probably a good idea if I cannot avoid public spaces altogether. It's just hard to convince everybody that masks are effective enough at reducing risk - and that the risk is great enough to warrant the (very minor) sacrifice of freedom - to mandate them without also overstating their effectiveness.
I stand by the gist of your argument, though. There is a significant difference between risking harm to yourself and risking harm to those around you. I just wanted to address that analogy since I've been seeing it everywhere and I think it oversimplifies the conflict.
I would argue that intent might be relevant when assigning legal consequences, but not when assessing the damage caused. If I catch a case of COVID, I’m not somehow less likely to die or suffer long-term effects because the person who gave it to me didn't intend to do so. Nor can I pay my hospital bills with their good intentions. And if they engaged in reckless behavior such as attending super-spreader events or failing to wear a mask, I have to question how good their intentions were in the first place. It sounds like the drunk driver who says “But I didn’t intend to run over that pedestrian”. Maybe not, but their gross negligence allowed it to happen.
Now for risk. I agree that we can’t eliminate risk from our lives entirely. But I hope that's not the litmus test for whether to take any prevention steps at all, especially if the cost of taking those steps is minimal. Take your example of getting behind the wheel of a car. It's likely that sooner or later, if I drive long enough, I'll get into some kind of accident, even if it's just someone rear-ending my car. I can't prevent this entirely, but I can mitigate the risk by getting regular maintenance on my car (i.e. new brake pads so I don't cause a fender-bender), refraining from driving drunk, keeping my auto insurance policy current so that I can pay out in the event I'm at-fault, etc. Wearing a mask is the public-health equivalent of getting new brake pads. It won't eliminate the risk of spreading COVID entirely, but that doesn't mean I'm going to throw my hands up and admit defeat.
I would further argue that people are less-than-great judges of just how big a risk vector they are, because of the delay between when someone catches COVID and when they present symptoms. I've heard it can be up to two weeks, during which time that person is unknowingly exposing others. Because of this, and given the potential life-or-death consequences of catching COVID, it seems insane not to err on the side of caution.
https://twitter.com/uncivengin/status/1337536854753595399/ph...
If mask mandates worked, they'd have a clear impact on incidence graphs. Many such graphs exist, none show any impact whatsoever - not even a small one.
https://rationalground.com/mask-charts/
Nobody wants to throw up their hands and admit defeat. But the people who don't wear masks aren't "insane" as you put it. Rather ironically, the cliché definition of insanity is to keep doing the same thing over and over whilst expecting different results, isn't it? Mask mandates have been implemented everywhere and there are no results to show for it, which makes continuing them the insane act. It's certainly not immoral or unethical for people to not wear a mask, any more than it is for someone not to wear a cross around their neck.
There are multiple interpretations for the data in the tweet, one of which is that local authorities (correctly) anticipated a spike in cases based on conditions and behavior in their community, and responded with a mask mandate, which took a little less than 2 weeks to have a noticeable impact. The graph in your linked tweet shows that a mask mandate went into effect on July 3, then a spike occurred, which hit a peak on July 12th. That's consistent with the interpretation I mentioned.
It doesn't make sense to use the day after a mandate takes effect as a reference, because there's roughly a 2-week period between when a person catches COVID and when they exhibit symptoms or require hospitalization. The July 12th is a little less than 2 weeks after the mandate began, enough time for anyone who already had the virus before the mandate to exhibit symptoms.
As for the 2nd link you posted, graphs like these are useless without additional context on what was happening in those communities at the time. We don't know if people were actually following the mandate or not, how frequently they were taking their masks off, whether they were engaging in other behavior which would put them at risk for COVID exposure, etc. Until you can control for those variables, it's hard to take these graphs as evidence that masks don't work. Indeed, mask mandates will be useless if enough people don't follow them, or if people attend a super-spreader event in their area, or if any number of other things happen. That's... kind of my point.
You claim that "If mask mandates worked, they'd have a clear impact on incidence graphs". How do you know they didn't have an impact on incidence graphs? It's entirely possible that the spikes in those charts would have been even more severe without a mask mandate. There are hardly "no results to show for" masks, as you say. Indeed, the first tweet you linked to is someone replying to exactly that kind of evidence.[1] The TL;DR is "The governor of Kansas issued an executive order requiring wearing masks in public spaces, effective July 3, 2020, which was subject to county authority to opt out. After July 3, COVID-19 incidence decreased in 24 counties with mask mandates but continued to increase in 81 counties without mask mandates."
"Masks don't work at all" is a pretty bold statement considering the sources you posted are a collection of Twitter accounts belonging to people of unknown expertise. But don't listen to me, I'm not an expert either. Listen to the people who do this kind of thing for a living and who know what they're talking about. They know more than we do about their chosen field. There is a general consensus among serious experts that masks do work.[2][3][4][5][6]
Or if appeals to authority aren't your cup of tea, here[7] is an explanation of how masks work, specifically how they help filter and trap particles which carry COVID. If you still believe masks don't work, I'd love to see your rebuttal to the specific points that this NY Times article makes. I'm open to being proved wrong.
1. https://www.cdc.gov/mmwr/volumes/69/wr/mm6947e2.htm 2. https://www.nature.com/articles/d41586-020-02801-8 3. https://www.cdc.gov/mmwr/volumes/69/wr/mm6947e2.htm 4. https://www.mayoclinic.org/diseases-conditions/coronavirus/i... 5. https://www.umms.org/coronavirus/what-to-know/masks/wearing-... 6. https://www.ucsf.edu/news/2020/06/417906/still-confused-abou... 7. https://www.nytimes.com/interactive/2020/10/30/science/wear-...
No, I'm implying what I said explicitly: some people have taken to deceptive tactics to try and argue mask mandates work, like truncating graphs to create apparent correlations where none really exist.
We don't know if people were actually following the mandate or not, how frequently they were taking their masks off, whether they were engaging in other behavior which would put them at risk for COVID exposure, etc
We do know this because the Delphi project has been tracking mask compliance, at least among Americans. It's extremely high, like above 90%. If mask mandates don't work with such high levels of compliance it means they don't work at all. And if masks 'worked' but had no observable effect due to other factors, that's logically the same as having no effect, isn't it?
How do you know they didn't have an impact on incidence graphs? It's entirely possible that the spikes in those charts would have been even more severe without a mask mandate
Even when controlling for increase in testing, the second wave in some places with mask mandates introduced after the first is equal in size to the first. If they worked that shouldn't be possible.
For something to be scientific you have to start with the null hypothesis. Believing in something despite evidence that it has no effect places us firmly in tiger-protecting rock territory - it's fundamentally a religious impulse rather than scientific. I could just as easily argue that the second waves would have been much smaller if we hadn't been wearing masks: I'd have no proof of that so I doubt you'd accept it, but it's no more valid than what you're arguing here. Yet maskers insist they are being scientific.
So far every piece of "evidence" for masks I've seen boils down to a correlation/causation fallacy. A few places where mask mandates were introduced as incidence was falling anyway are used to argue for them, and all the places where incidence went up or did nothing are ignored. The existence of second waves and second lockdowns despite masks is ignored. The studies pre-dating 2020 that showed masks don't seem to have any impact are ignored. The completely unstudied and hitherto-fore never proposed hypothesis that masks are meant to stop people infecting other people rather than stop people getting infected is taken as "scientific", even though it appears to have been made up on the spot for political reasons.
But don't listen to me, I'm not an expert either. Listen to the people who do this kind of thing for a living and who know what they're talking about. They know more than we do about their chosen field.
No, they don't. 2020 has made it abundantly clear that public health expertise is a massive fraud. These people systematically have no clue what they're talking about. Their predictions are always wrong, they constantly ignore evidence they're wrong, they lie all the time and their credibility is zero. As for random people on Twitter, do you really think I was making an appeal to their authority? Twitter is irrelevant, it just happened to be a place where the graphics are hosted. It's the data that matters to my argument, not who's making it.
Remember these 'experts' changed their positions on masks 180 degrees almost overnight. Now they claim they were previously lying en-masse. I don't think that's true, I think they were summarising the literature up to that point (which said masks don't really work) and then changed their views for political reasons. But even if you believe it was the other way around, it's impossible at this point to not believe in a massive coordinated conspiracy. Either they were all lying before or they were all lying now: it's not possible for it to be neither. There's really no point in making appeals to the authority of these people.
here[7] is an explanation of how masks work, specifically how they help filter and trap particles which carry COVID
I'm aware of how they are meant to work, it's obvious, nobody needs the New York Times to tell them that masks are meant to filter particles. Yet mask mandates (which is what we're talking about here) clearly don't work for any meaningful definition of work. If they did we wouldn't be seeing second waves larger than the first and being put into a wave of second lockdowns, would we?
Whether it's due to air going around the masks, most transmission being in-home, viruses being too small for masks to block them, people not wearing them right, masks being ineffective for viruses in general or whatever, doesn't actually interest me that much. That might be an interesting topic for mask manufacturers or doctors to investigate. But there's really no need to debate this: mask mandates are frequently followed by dramatic climbs in incidence, or falls, or no change at all. Meanwhile every claim that masks work is simply picking cases where the natural end of the first wave happens to roughly line up with when masks were introduced, ignoring the cases where they don't line up. Why should anyone be convinced by this?
If you'd like to wear a mask, go for it. If not, don't.
Better yet, ask why half of them won't get off their ass and appeal for everyone to wear masks. Call it a civil duty; call people who wear their masks patriots/hero; equate a refusal to do so is like kneeling during the national anthem or burning the flag. I don't really care what, but they need to do something.
There's a lot of science supporting mask wearing as an effective way of mitigating the impact of covid. If everyone wore masks in public and around any person who is not a member of their household, the economy would not be so stressed; hospitals would not be so stressed; and we could largely go back to "normal."
At this point, every time you go out in public without a mask, you are lighting cash on fire. You are hurting American companies and helping foreign ones. No amount of government stimulus is going to bring back all of the people who died or were permanently crippled from covid. Nor will it give back the year of schooling that children have lost due to covid.
The cynic in me thinks that some leaders are dragging their feet with the goal of dragging the American economy into the toilet so that they can blame the next guy for it.
Certain sports stars or perhaps "country" musicians could have a one-time effect on mask rates if they really went hard, but each time we fire one of these bullets it's used up. If "Florida Georgia Line" go all-in on masks, they won't be cool enough to tell us about vaccines.
It's abundantly clear that the entire GOP coordinates with Fox News and other sources (reddit, FB, etc) to deliver consistent messages that are curated and on-brand. So when I say politicians, I really mean this entire machination.
If the entire Conservative Messaging Platform decided to tackle this problem and encourage mask wearing, we could get a critical mass of people to do so. They could have Laura Ingram, Rush Limbaugh, Mitch McConnell, and a bunch of lesser known pundits/politicians harping on this day-in and day-out. While having facebook and r/conservative bots posting pro-mask memes.
We know this is an effective way of influencing behavior, because we've seen it work numerous times throughout the past decade. Too bad it's never used for anything good.
https://www.centerforhealthsecurity.org/cbn/2005/cbnreport_1...
We have a vaccine for it, but some years the vaccine is as little as 19% effective. In particular the vaccine doesn't work very well on immunocompromised people.
https://www.cdc.gov/flu/vaccines-work/past-seasons-estimates...
You might have already killed elderly and obese and otherwise-compromised relatives and neighbors by your failure to wear a mask in previous years! COVID-19 fatality rate is around 6 – 8 times worse than influenza, but that's just a difference in degree. Personally I do wear a mask in circumstances where it actually makes a difference to slow down the COVID-19 pandemic, and encourage others to do likewise. But spare us the moralizing and appeals to emotion. That doesn't help, it just divides people.
What do you suppose the upper limit on daily deaths for covid19 (a single infectious disease) is?
I am reading about incident numbers of about 600 cases pr. week pr. 100.000 here in Copenhagen. Meaning 0.6% of the city's population will get it over just one week; if that continues 1/3 will get it within a year.
Suffice to say, if we had been more responsive, more cooperative, and more on top of our response earlier in the year, many thousands of lives could've been saved.
https://www.cnn.com/2020/10/29/asia/taiwan-covid-19-intl-hnk...
It's a smaller number. Not sure why you posted this when you can search from your browser really easily.
What? If you're talking about the US, we absolutely do prevent this. It's banned in many states, and cause to be pulled over and given a ticket: https://www.findlaw.com/traffic/traffic-tickets/texting-whil...
You can't catch overdoses by breathing too much near a heroin addict.
This isn't a time for using whataboutisms.
(And why doesn't the US have a web site like Alibaba for industrial equipment?)
[1] https://www.alibaba.com/showroom/automatic-filling-machine-v...
edit: and since over 200K people die in the US every month during an average year, that is not particularly likely, to say the least
data from here: https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm
Wow.
So it's over 3000 young, well educated, working age people, in cities dying a day?
That's unheard of in Europe. Compared to Europe you'd expect about that number but far older and often sick.
More than 3,000 people. None of the other factors are relevant to the claim that the US death toll will exceed 9/11’s each day. If the headline said “Death toll of young, well-educated, working people in the urban U.S. will exceed the 9/11 death toll every day for months”, then you’d have a point.
> Compared to Europe you’d expect about that number
Europe is hovering around 5,000 (oscillating above and below) out of ~747M per day; the US at the same per capita rate would be around 2,200 per day. So a floor of around 3,000 per day is significantly higher.
Nobody making that illegal or shutting down economies over it.
I think it's strange what is decided as dangerous.
You really didn't think twice before hitting reply, did you?
Pretty poor counterpoint.
It’s a bit like arguing against seatbelts because of the current car accident fatality rate.
They gain two things, 1) control over the worker and 2) externalize costs for selling addictive, unhealthy products.
the science is clear on masks. That shouldn't need discussion. Hospitals are at or near capacity in many places. Do your civic duty for the country and wear a mask.
Shutdowns and other things, sure discuss and debate
this kind of comparison serves only to provoke an emotional response; it doesn't contribute to a reasonable conversation about mitigations and tradeoffs. at best, it might serve as a critique of the US reaction to 9/11 itself.
To me giving a different weight to different causes of death is what seems the more emotional response. If your feelings are influenced by that context for why we care, that is emotional. There's nothing inherent in the distinction between those circumstances that should influence how much we care.
I mean, look, continue to state, loudly and publicly, that QAnon is full of it. But war1025 has a point - we're well past the point of diminishing returns. Personally, I find myself hitting refresh to see if anything has happened lately. And it hasn't, and it won't today, and it won't tomorrow. The hourly news cycle is a really bad match for a six-months-and-counting pandemic.
In general I agree with the news media complaints in this thread. In February this was all just racism against the Chinese. In March masks didn't slow infections. A vaccine has been a month away since April. We should be so afraid of brown people overseas that we should bomb them before they get us. Trump is Putin's buddy. Etc. All bullshit. If someone had been trying to undermine public confidence in journalism, they might have made the same editorial decisions. I totally understand why people don't believe what they're told. I have myself been accused of skepticism.
Let's not despair, however. It is still possible to learn facts about the world around us. The headline on TFA shouldn't surprise anyone; I've been thinking the same thing for weeks. (Granted, I'm a moron not a CDC director. However, I don't have the wishful thinking disease that nearly everyone on TV seems to have.) Even so, it is news to someone. Vaccines, even if they're effective and available, aren't going to save us for many months. More people could be wearing masks right now. Some people will start wearing masks, this week, in response to the perfectly natural comparison between covid and 9/11.
It's right there in the headline. We are approaching a breaking point where more people will be dying not because we don't know how to save them, but because there are not enough health workers to attend to them.
Wearing a mask and leaving home only when absolutely necessary is a simple thing we can all do to help save lives.
What's messed up about this whole "crisis" is it's being framed as an individual choice to wear a mask. People make it sound like wearing a mask protects you somehow. And that's simply not true. I think in all this "individual freedom" sabre rattling someone is forgetting that you do not have the freedom to harm someone else. And your choice to not wear a mask is a choice to harm the people around you.
So really choosing not to wear a mask is more like choosing to drive drunk, and you won't ever know how many people you kill.
In context... Approximately 655k Americans die of heart disease each year[0], which comes out to about 1.8k per day. Approximately 600k Americans die of cancer each year[0], which comes out to about 1.6k per day.
[0] https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
COVID eclipsed that within a couple months. By year's end it'll very likely have killed 10× that lower bound. And like others said: COVID's killing the same number of Americans per day that the flu kills in a whole month.
The people who insist "it's just the flu" evidently need to brush up on elementary school arithmetic.
Also, wasn't it convenient of them to leave "covid" out of the headline. Expected deaths this year without a pandemic were already expected to be much higher.[1]
FYI if you downvote without refuting my statements, you are that non-logical person.
[1] - https://www.macrotrends.net/countries/USA/united-states/deat...
Even if that were true, I fail to see how it is relevant.
We demonstrably have massively more people dying from COVID than die from normal flues, so either COVID is more fatal than normal flu, or we have a massive amount of people catching COVID who would not have caught normal flu.
according to the CDC, the US had 16.5% more deaths through the first ten months of 2020 than it had in the first ten months of 2019
edit: i downvoted AND refuted, fyi
https://ourworldindata.org/excess-mortality-covid#excess-mor...
His argument was not very convincing, because (1) the chart is only going back 5 years, which is not long enough for population growth to have affected anything, and (2) population growth effects would change the height of the curve but not the shape of the curve, whereas the actual curve shows large shape changes.
You're being downvoted for a nonsensical opinion.
Rationality isn't about suppressing your emotions and your connection to other people. It's about integrating those emotions with your values, knowledge, and capabilities and deciding how to act based on that synthesis.
The fact is that we Americans are at our best when we're looking out for each other. And many of us are very concerned about COVID.