Live data from Hacker News

In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

reuters.com

31–40 of 649 posts

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#31
post #11

Earlier quoted context omitted.

I think antibody tests will soon become more useful for tracking disease progression in a population than the viral tests. The collection methods may skew things but they still are much more close to a random sample than the viral tests which have lots of issues with test shortages and people unable to get tested (or not wanting to go to the hospital with mild symptoms).

They have huge false positive rates though.

Do we know the rates already?

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#32
post #4

Before the deluge of "But wait two weeks" comments, I just want to ask at what point we accept that the potentially of totally asymptomatic cases is insanely high, far higher than anyone thought?

I also want to add that this doesn't make the virus less deadly. It just gives it a very population varied IFR. It appears far more deadly for some populations. Near harmless for others. But no clear way to confine it to the harmless crowd.

> But no clear way to confine it to the harmless crowd.

That won't be what the public policy decisions will be based around if the asymptomatic and already exposed rate is so high.

We don't know enough to make that decision yet, but testing more broadly was the first step.

Remaining steps:

- Do they get sick in two weeks?

- Skip testing for current sickness, and test for antibodies instead.

- Get a better antibody test that is more accurate

- Understand how well antibodies work, and for how long

and then we can make decisions, even if they are as simple as "this is a systemwide over the air update, some people will get bricked"

it's becoming clear that we might end up with a society where the average BMI is under 24.9 simply due to the lower oxygen and resource requirements to support those body systems.

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#33

Before the deluge of "But wait two weeks" comments, I just want to ask at what point we accept that the potentially of totally asymptomatic cases is insanely high, far higher than anyone thought?

Like with the death rate, I expect we'll seamlessly transition from "this isn't proof, in 2 weeks you'll see" to "this isn't news, everyone always believed that so it doesn't imply any changes in strategy".

Well, it isn't proof. It is evidence, though. And in two weeks, we will have a lot more evidence.

A lot of this is like Russian Roulette -- there's a huge amount about this virus which we don't know, and it could be super-bad or not-that-bad. It could also be there are bad and not-so-bad strains. Or it could be bad down-the-line.

Until we do have proof, I'm advocating being conservative. In 2 weeks, we'll know if people are turning up in ERs or in morgues. In a few months, we'll know about lung damage, immune system damage, strokes, or a lot of the other potential consequences. In a year, we'll know about vaccine and long-term immunity.

I think the key problem here is failure to understand risk management. I can believe one think, but act another way just in case I'm wrong. Or I can be unsure. And so on. That nuance is lost in the right/wrong discussions.

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#34
post #11

Earlier quoted context omitted.

I think antibody tests will soon become more useful for tracking disease progression in a population than the viral tests. The collection methods may skew things but they still are much more close to a random sample than the viral tests which have lots of issues with test shortages and people unable to get tested (or not wanting to go to the hospital with mild symptoms).

They have huge false positive rates though.

[deleted]

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#35
post #27

Isn't this a bit of promising news, means herd immunity is probably much deeper and larger than we are currently aware.

WHO says we can't assume previous infection means future immunity. https://www.who.int/news-room/commentaries/detail/immunity-p...

That doesn't mean it doesn't, it just means it isn't scientifically proven yet.

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#36
post #3

I've been tracking the antibody study results in a spreadsheet, and they are suggesting a 10-20x undercount of cases in the official "confirmed" numbers. You can see the data I've collected here: https://docs.google.com/spreadsheets/d/16onEUBWIV5IqN1RCvTla...

I wonder which tests they used? A recent study is finding that some antibody tests are much better than others when it comes to false positives: https://tildes.net/~health.coronavirus/o6a/coronavirus_antib...

I know that the California studies used the same test kit. It had 2 false positives out of 371 samples of pre-covid19 cases, and has a 10-20% false negative rate. Because the case numbers are so small, the false positives can skew things quite a bit. I took the midpoints of their 95% confidence intervals in the spreadsheet.

I don't know what tests the other studies used.

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#37
post #11

Earlier quoted context omitted.

I think antibody tests will soon become more useful for tracking disease progression in a population than the viral tests. The collection methods may skew things but they still are much more close to a random sample than the viral tests which have lots of issues with test shortages and people unable to get tested (or not wanting to go to the hospital with mild symptoms).

They have huge false positive rates though.

And false negatives.

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#38
post #11

Earlier quoted context omitted.

I think antibody tests will soon become more useful for tracking disease progression in a population than the viral tests. The collection methods may skew things but they still are much more close to a random sample than the viral tests which have lots of issues with test shortages and people unable to get tested (or not wanting to go to the hospital with mild symptoms).

They have huge false positive rates though.

Only until the point that they don't. Unfortunately that requires a lot more people to have had covid...

Re: In 4 US state prisons, 3,300 inmates test positive, 96% without symptoms

#40
post #27

Isn't this a bit of promising news, means herd immunity is probably much deeper and larger than we are currently aware.

WHO says we can't assume previous infection means future immunity. https://www.who.int/news-room/commentaries/detail/immunity-p...

No-one is assuming - we are weighing evidence and there is far more evidence that it does provide at least some immunity than none - it seems oddly disingenuous of WHO to make statements like this because they know how it will be interpreted.
Post reply on HN