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Friday, March 13, 2020

Coronavirus Versus the Flu....Not the Same

You have probably heard that Coronavirus is just like the flu and that the flu kills more people and many are just overreacting....so what are you missing?

The mortality rate is much higher with Coronavirus compared to the flu.   For Corona virus, WHO estimates this number around 2 to 3 percent, although Dr. Fauci of NIH estimates it closer to 1%.  For the seasonal flu, it is approximately 0.1%.*  And while the elderly are more prone to illness for both, Coronavirus will adversely impact the more healthy among that group.
* ”On the actual case fatality rate: "There's the number of cases that have come to the attention of healthcare providers. As of [Friday] morning, that’s like 98,000. Then on the other side, you have the number of documented deaths. That’s now like 3,700, 3,800. When you do that pure simple math, the deaths are the numerator, the cases are the denominator, that’s where you get the report from WHO that it’s somewhere between a 2% and 3% case fatality rate. However, when people do modeling … you have various assumptions that there are this many asymptomatic cases that never get counted. When you do that, you get a range of case fatality rates that always less than the actual numerical one because it always factors in relative proportions of asymptomatic ones that we don’t count." (Ref)

Symptoms - symptoms for serious cases have required hospitalization with breathing support such as ventilation.  As seen in Italy where there has been a spike of illness, this has resulted in a overburdened medical support system.

Infectiousness - Coronavirus has been determined to be about twice as infectious.  Europe is midst of an increase number of cases.

Treatment - Coronavirus - no current vaccine and antivirals have had minimal impact.

And overall, there are just more unknowns about the Coronavirus, such as seasonal impacts, ability to reinfect, etc.


https://www.sciencealert.com/the-new-coronavirus-isn-t-like-the-flu-but-they-have-one-big-thing-in-common
No, Coronavirus Isn't 'Just Like The Flu'. Here Are The Very Important Differences
AFP   11 MARCH 2020

Aches and pains, sore throat, fever – although they may feel similar to those suffering from their symptoms, the novel coronavirus is not the same as the seasonal flu, experts stressed Wednesday.

COVID-19, the illness caused by coronavirus, proves deadly in around 3.5 percent of confirmed cases.

While this is not the same as its mortality rate, given many people may be infected but not realise it, it is significantly higher than seasonal flu, which typically kills 0.1 percent of patients.

"There is still considerable uncertainty around the fatality rates of COVID-19 and it likely varies depending on the quality of local healthcare," said Francois Balloux, Professor of Computational Systems Biology at University College London.

"That said, it is around two percent on average, which is about 20 times higher than for the seasonal flu lineages currently in circulation."

Serious cases

But the true danger of coronavirus is unlikely to be the death toll. Experts say health systems could easily become overwhelmed by the number of cases requiring hospitalisation – and, often ventilation to support breathing.

An analysis of 45,000 confirmed cases in China, where the epidemic originated, show that the vast majority of deaths were among the elderly (14.8 percent mortality among over 80s).

But another Chinese study showed that 41 percent of serious cases occurred among under 50s, compared with 27 percent among over 65s.

"It's true that if you're older you're at greater risk, but serious cases can also happen in relatively young people with no prior conditions," said French deputy health minister Jerome Salomon.

Contagiousness

Disease experts estimate that each COVID-19 sufferer infects between two to 3 others.

That's a reproduction rate up to twice as high as seasonal flu, which typically infects 1.3 new people for each patient.

Vaccine/treatment

Salomon said that humans have lived with influenza for more than 100 years.

"We've studied it closely," he said. "This new virus resembles the flu in terms of physical symptoms but there are huge differences."

Number one is the lack of a vaccine against COVID-19, or even any treatment shown to be consistently effective.

While some trials have shown promise delivering anti-retroviral drugs to serious cases, as well as some experimental therapies, their sample sizes are too small to roll out to the general population.

Hundreds of researchers around the world are working frantically to find a COVID-19 vaccine, but the development process takes months and is likely too late for the current outbreak.

Even if a vaccine magically appeared, getting everyone access it to it is no small order. Health authorities regularly complain that not enough people receive the flu vaccine to guarantee "herd immunity".

Similarities

But the new virus does share some characteristics with flu, notably the measures each one of us can personally take to slow the infection rate:

Avoid shaking hands, frequently wash your hands with soap and water, avoid touching your face and wear a mask if you are sick.

Such actions can limit new infections just as they can with the flu, gastro illnesses and other infectious diseases.

France's health ministry says that only two in 10 people regularly wash their hands after using the bathroom.

"And only 42 percent of people cover their mouth with an elbow or tissue when they cough or sneeze," it added, not encouragingly.

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