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14:28
I'm not sure where worldometers.info/coronavirus/#countries is getting its numbers from, but they often list India higher than the news articles do.
I think the new case numbers are not accurate. At least I know some place has significant amount of new cases but not reported in worldometers.info/coronavirus/country/us
4 hours later…
19:20
There are two places a virus outbreak could be detected, inside a country or outside.
If it is outside, the easiest to explain, what should be done is to test everyone that comes in from areas in risk in the world. If everyone is tested, the ones confirmed should be quarantined. And everyone that got in contact should also, in turn, be tested. Given enough intensity to this process, most of the outbreak would be detected and contained. Few, if any, would get infected inside the country. Of course, the process could be also applied to the internal cases detected. That is what South Korea has…
If it is outside, the easiest to explain, what should be done is to test everyone that comes in from areas in risk in the world. If everyone is tested, the ones confirmed should be quarantined. And everyone that got in contact should also, in turn, be tested. Given enough intensity to this process, most of the outbreak would be detected and contained. Few, if any, would get infected inside the country. Of course, the process could be also applied to the internal cases detected. That is what South Korea has…
That approach works for a few infected, that's called containment. But if the number of infected raise too much, that approach can't work. Then we need mitigation, measures to reduce the effect and consequences of an spreading outbreak. Ideas like "flatten the curve". Or, as South Korea did in March 12: lockdown.
3 hours later…
21:57
The true measure of the outbreak is the "true infections". That's the real number of people infected. But that is not directly measurable. It has to be estimated.
When an outbreak starts some people get infected but there are no symptoms. In covid19 it seems that that period is from 5 to 10 days. And, in that period people are already infecting others. So, no symptoms and the outbreak is (rapidly) spreading.
As there is little indication that there is a problem, few people is tested. While the real number of infected people "true infections" is exponentially growing.
Then, for some reason, people start to be tested and the number of "detected cases" grows very quickly. Just because there is a lot of people infected.
And see that they grow from 100 to a peak of 3700 (per day) between Jan21 to Feb4. Despite the fact that a lockdown was set on Jan23 (just two days after some cases were detected) the number of daily detected cases kept growing. And, of course, the accumulated number of confirmed cases (what everyone is looking at) was also growing.
As real world example, one that is disapearing now, you can look at the yellow bars in this graph (from China) published in JAMA (The Journal of the American Medical Association) a very reliable source of information.
And see that they grow from 100 to a peak of 3700 (per day) between Jan21 to Feb4. Despite the fact that a lockdown was set on Jan23 (just two days after some cases were detected) the number of daily detected cases kept growing. And, of course, the accumulated number of confirmed cases (what everyone is looking at) was also growing.
But, when anyone was tested, they were asked (among other things) "Since when did you have symptoms?" that allows the yellow bars to be shifted left to when the individual really got infected. Those bars are the blue ones.
And, amazingly enough, the blue bars peaked just three days (Jan26) after the lockdown. It was very effective.
So, we look at everyday detected cases in the news, but the **real cases** could show a very different picture.
Would it be possible to draw the same type of graph for every country?
If so, we would know when the outbreak has reached its peak, and when we could start to get back to normal everywhere.
Would it be possible to draw the same type of graph for every country?
If so, we would know when the outbreak has reached its peak, and when we could start to get back to normal everywhere.
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