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Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

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Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#281

Italy has an older population, hence more susceptible to deaths and spreading of the virus: - Average age of death due to Coronavirus in Italy is 82 [1] - In Italy, 3.65% of the population is 80 or older [2]. - In Korea, 1.75% of the population is 80 or older [3] [1] https://www.epicentro.iss.it/coronavirus/bollettino/covid-19... [2] https://www.populationpyramid.net/italy/2019/ [3] https://www.populationpyramid.net/…

There are also cultural differences, Italians like to hang out in groups, outside, personal space is much smaller, people hug and kiss and touch all the time. Also they're not really the most disciplined nation, lots of them simply ignored the safety rules, continued to go out, there were even some cases where infected people run away from quarantine. And additionally the spread of virus is not uniform as it depends…

>In South Korea one of the early patients infected more than a thousand other people

Really? That's horrifying. Any links about that?

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#282
post #62

Earlier quoted context omitted.

A large number of South Korea infections are even younger due to how it spread. Italy: Above 80: 1,532 (18.4)% vs age 20-29: 296 (0.0)% South Korea: Above 80: 243 (3.1)% age 20-29: 2,261 (28.7)% https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_S... https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_I... Of note, neither country has had anyone under 30 die. Deaths in the 80+ age range are 8.23% in So…

A large number of South Korea infections are even younger due to how it spread. Another possibility is that Italy doesn't have a handle on who is or isn't infected so what they report are the obvious infections, who tend to be older.

>Another possibility is that Italy doesn't have a handle on who is or isn't infected so what they report are the obvious infections, who tend to be older.

This is very likely the case, as can be seen in the positive test outcome rates.

16.7% in Italy vs. 3.6% in South Korea

Italy has run around 60k tests.

South Korea are testing around 15k people/day and have tested 234k people in total. They've even setup drive-through testing centers where anyone can drive through, get tested, and get results via SMS in under a day.

The result of this is likely a much larger number of asymptomatic or mild cases in the South Korean numbers, which based on the China data, tend to be a lot younger.

https://www.cdc.go.kr/board/board.es?mid=&bid=0030

https://github.com/pcm-dpc/COVID-19/blob/master/schede-riepi...

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#283
post #195

Earlier quoted context omitted.

More rigorous tests than Italy, seriously?

South Korea used to be at about the same development index as Italy maybe...20 years ago? Today it's tied with Israel (as of 2018) and above Spain, France, and Italy. The PPP is also about 10% higher than Italy and has about half the unemployment rate. Most importantly it has one of the most advanced healthcare systems in the world. https://en.wikipedia.org/wiki/List_of_countries_by_quality_o...

South Korea also has 4x as many hospital beds per 1000 people as Italy does.

They still suffered a shortage of hospital beds in the hard-hit area around Daegu, so much so that some people died while waiting.

Italy and other countries with fewer hospital beds will have to resort to what China did: build makeshift hospitals, fast.

https://en.wikipedia.org/wiki/List_of_OECD_countries_by_hosp...

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#284
It's not just the number of cases that differ due to different testing regimes. Another difference is that Italy did some post-mortem testing to identify cases that were wrongly reported as flu etc. but were covid19. I assume they were included in the number of dead. I don't know if they did the same in South Korea. Numbers sometimes are difficult to compare.

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#285
post #232
post #122

Earlier quoted context omitted.

Yeah, but they've also been able to significantly slow the spread, growing at what looks to be closer to 10% day-over-day (doubling every week). Most everywhere else is seeing 25-35% (doubling every 2-3 days).

These go hand in hand. In the US we cannot slow the spread because we refuse to test anyone who doesn't need acute care or who doesn't have documented contact with travelers or foreign nationals. The research from Helen Chu's lab at University of Washington shows that this means we missed the start of community transmission entirely in Washington. Here, there are health care workers who can't get a test! They deal wi…

The massive shortage of tests doesn't help either.

There's plenty of blame, but I'd assign most of it to US politics.

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#286
post #218
post #212

Earlier quoted context omitted.

> In the worst hit region in Italy (Lombardy) confirmed covid 19 cases represent enough cases to take up less than 10% of their hospital beds. Do you have a source for this comment? This WaPo story from 6 hours ago says differently: https://www.washingtonpost.com/world/europe/italy-coronaviru... > Giulio Gallera, Lombardy’s health chief, said Thursday that the region would reach its capacity in “five, six or seven da…

lombardy has 7280 confirmed cases [1] lombary has a population of 10MM (wikipedia) italy has 3.18 hospital beds per 1000 [2] the math for that adds up to 31,800 hospital beds 7280 confirmed cases is 22% - so my sources were off or wiki is wrong as originally I recall reading lombardy has a 16MM population. I will say that your article claims they haven't run out of ICU beds yet but that number is surprisingly high fo…

Maybe you shouldn't transfer every confirmed case into hospital since most cases will do just well ... unless they don't. (Not questioning the danger of this virus.)

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#287

Earlier quoted context omitted.

Singapore has been competent, but Taiwan's response has been more impressive. It's very close to the hot zone, millions of people travel to and from mainland China every year, it has roughly the population of Australia living on 10% of the land Japan has, the WHO refuses any cooperation, and yet there have been under 50 cases and no local transmission. Not only that, but as a democratic state, Taiwan's control measur…

China reported Covid19 to WHO on 31 Dec 2019, do you say that travel curbs were put in Taiwan in early December?

I think the parent is referring to when China officially, publicly admitted the problem, which was three weeks after it notified the WHO.

Taiwan implemented more stringent inspection requirements for people arriving from the Wuhan area as soon as China notified WHO, on 31 Dec 2019.

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#288

Earlier quoted context omitted.

Singapore has been competent, but Taiwan's response has been more impressive. It's very close to the hot zone, millions of people travel to and from mainland China every year, it has roughly the population of Australia living on 10% of the land Japan has, the WHO refuses any cooperation, and yet there have been under 50 cases and no local transmission. Not only that, but as a democratic state, Taiwan's control measur…

China reported Covid19 to WHO on 31 Dec 2019, do you say that travel curbs were put in Taiwan in early December?

Taiwan started acting on 31st Dec. https://jamanetwork.com/journals/jama/fullarticle/2762689

Taiwan has had a spectacular response to the virus - that is the gold standard that Italy (or Korea) should be compared against.

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#289
post #26

Italy has an older population, hence more susceptible to deaths and spreading of the virus: - Average age of death due to Coronavirus in Italy is 82 [1] - In Italy, 3.65% of the population is 80 or older [2]. - In Korea, 1.75% of the population is 80 or older [3] [1] https://www.epicentro.iss.it/coronavirus/bollettino/covid-19... [2] https://www.populationpyramid.net/italy/2019/ [3] https://www.populationpyramid.net/…

3.65% / 1.75% ~ 2.09, so the difference in age profile might explain a factor 2 in the mortality ratio of Italy vs South Korea. The actual ratio is currently 7.9: 827 out of 12462 cases in Italy (6.6%), 66 out of 7869 cases in South Korea (0.84%).

It's also easier to leave Italy and spread the disease because it doesn't have a DMZ in the North and lots of migrant workers and other EU nationals, free to leave at any time. Some have fled the lockdown using ferries through Croatia or Greece and then on to their home countries. When the North was quarantined, many Italians irresponsibly fled to the South, prompting the authorities to issue a country wide lockdown. Good luck trying to escape by ferry from Korea to Japan, Russia or China in the middle of a pandemic. North Korea is out of the question. Also Koreans are likely to obey the rules imposed during a healty emergency crisis (they also has a MERS epidemic in 2015), while Italians are more likely dismiss them as nonsense.

Re: Italy and South Korea virus outbreaks reveal disparity in deaths and tactics

#290

Earlier quoted context omitted.

Fatality numbers won't reflect those who developed permanent lung damage or had to go into intensive care. Best not to suggest anything that might down play the seriousness considering how infectious this virus is. (Otherwise it may encourage risky behavior.)

Permanent lung damage? Link please?

It's far too early to draw any conclusions, but the HK Hospital Authority has suggested that they are seeing reduced lung function in some "recovered" patients.

https://www.scmp.com/news/hong-kong/health-environment/artic...

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