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

reuters.com

331–340 of 649 posts

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

#331
To add another data point, Singapore has been testing foreign workers living in dormitories extensively, uncovering about 10,000 cases (about 80% of the country's total cases). These are relatively fit individuals between the ages of 20 and 40. However, the number of people in the ICU has remained remarkably consistent at about ~20 people in the past 10 days (Fingers crossed it remains that way).

https://www.moh.gov.sg/news-highlights/details/46-more-cases...

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

#332

Earlier quoted context omitted.

I totally agree that the confirmed case counts are way too low, because even most people who were symptomatic weren't able to get tested (e.g. me), let alone random people who were asymptomatic. But the 21% study is seriously flawed because it didn't do a random sampling of the population. We need that at a minimum to know with any certainty what the actual exposure rate is. The figures that are coming back from stud…

It did a random sampling. We should do followups to screen off possible biases people have proposed, but stopping random people in the grocery store is by any reasonable standard randomization.

No. It’s a random sampling of people who are out during lockdown. It can’t being extrapolated to the whole population when large parts are not leaving their homes.

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

#333
post #218

Earlier quoted context omitted.

If you're confused by this, you may need to check your news sources. Experts have been explaining all of this for months. First, people need to stay locked in and keep distance in order to slow down the spreading so health care systems don't get overwhelmed. Second, the disease itself can only be stopped once herd immunity is reached. Ideally, herd immunity is achieved by vaccination, once there is one. Until then, s…

Not sure why you're being downvoted, this is well established. Even with everyone indoors, the US new infection rate remains around 40,000 new cases per day recorded -- and holding steady. Now with states re-opening that can only go one direction, until herd immunity is established.

Those are positive tests. They are remaining high because the number of tests has been increasing. The important metric to track is percent positive tests, which has been consistently dropping for weeks.

https://coronavirus.1point3acres.com/en/test

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

#334

Earlier quoted context omitted.

Wouldn’t prisons disproportionately have poorer health than average for several reasons?

Is there data on that? Or is it an assumption?

surely there are data. "assumptions" underlie all "data"[1], but i would call "prisoners not having good health care" a pretty decent assumption. if you're so curious, maybe go google it yourself, and then post a study if you find one.

i'm so tired of literally every other HN comment being like this. there is truly nothing more low effort / "i am very smart" than the HN-classic "do you have a source for that? where's the peer-reviewed study?". it adds absolutely nothing to the discussion, and yet i see all sorts of materially less obnoxious things be downvoted to oblivion.

[1] "citation needed"

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

#335

Earlier quoted context omitted.

Not sure why you're being downvoted, this is well established. Even with everyone indoors, the US new infection rate remains around 40,000 new cases per day recorded -- and holding steady. Now with states re-opening that can only go one direction, until herd immunity is established.

Those are positive tests. They are remaining high because the number of tests has been increasing. The important metric to track is percent positive tests, which has been consistently dropping for weeks. https://coronavirus.1point3acres.com/en/test

I'm curious if that's true -- based on that excellent data, it appears that the number of people who test positive has been pretty much steady. Chances are those were always, and remain, positive tests at the point of care/admission to a hospital. The new tests are likely randos. So long as we continue to see the same raw absolute number of positive tests, I'd say it's not a win -- yet. There's been in fact a steady increase since 4/21 in positive tests in real number terms.

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

#336

Earlier quoted context omitted.

Also there have been reports of Ground Glass Opacities[1] in the lungs of people with infections previously thought of as asymptomatic. [1]: https://en.m.wikipedia.org/wiki/Ground-glass_opacity

Sure, but that doesn't mean they... won't go away. In fact, I'm pretty confident all signs point to the fact they will go away. In fact you get ground glass opacities with H1N1 inflenza [1]. I guess the question is "functional asymptomaticity" vs "actual asymptomaticity". Like, if it's not bad enough for people to even notice does it really matter? [1] https://pubs.rsna.org/doi/full/10.1148/radiol.10092240

Do those count as a comorbidity though?

If coronavirus goes around again, that could raise the death rate

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

#337
post #218

Earlier quoted context omitted.

If you're confused by this, you may need to check your news sources. Experts have been explaining all of this for months. First, people need to stay locked in and keep distance in order to slow down the spreading so health care systems don't get overwhelmed. Second, the disease itself can only be stopped once herd immunity is reached. Ideally, herd immunity is achieved by vaccination, once there is one. Until then, s…

Not sure why you're being downvoted, this is well established. Even with everyone indoors, the US new infection rate remains around 40,000 new cases per day recorded -- and holding steady. Now with states re-opening that can only go one direction, until herd immunity is established.

The 40,000 new cases per day is predominantly a function of the number of tests being run. The number of actual infections has far outpaced the number of tests. Look at test positivity rate across NYC for example.

https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-19-d...

If instead we had done random sampling we could have been very accurately projecting the number of active cases pretty easily, but apparently we’ve mostly decided not to do that until now with the antibody studies.

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

#338
post #336

Earlier quoted context omitted.

Sure, but that doesn't mean they... won't go away. In fact, I'm pretty confident all signs point to the fact they will go away. In fact you get ground glass opacities with H1N1 inflenza [1]. I guess the question is "functional asymptomaticity" vs "actual asymptomaticity". Like, if it's not bad enough for people to even notice does it really matter? [1] https://pubs.rsna.org/doi/full/10.1148/radiol.10092240

Do those count as a comorbidity though? If coronavirus goes around again, that could raise the death rate

There's no evidence to date that people are being re-infected. They may in the future, but to date, no such evidence exists. There are some people who tested negative before who are testing positive now, but that is much more likely to be false negatives and/or false positives.

It would be pretty novel for the human immune system to clear out the disease on it's own, then a few days later forget how to do that, and become re-infected. SARS-COV-1 saw immunity conferred for 2-3 years. [1] I suspect something similar is likely here, probably for a shorter duration due to the more limited severity, but long enough to get us to a vaccine.

[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851497/

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

#339
post #45

Earlier quoted context omitted.

> 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 te…

Not sure I follow. I confess I'm biased in thinking we could have locked down nursing homes and shaved a large chunk of deaths. Catch is, we should have done that in January.

My post is just a blueprint for letting us know what to do at all.

Its the plan for making a plan.

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

#340

Earlier quoted context omitted.

It did a random sampling. We should do followups to screen off possible biases people have proposed, but stopping random people in the grocery store is by any reasonable standard randomization.

No. It’s a random sampling of people who are out during lockdown. It can’t being extrapolated to the whole population when large parts are not leaving their homes.

And if you go around to people's homes, you'll oversample people who aren't out during the lockdown. There's no silver bullet here.
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