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COVID-19 Pandemic has Bared Intellectual Bankruptcy of LIEbrals: 2

May 16, 2020 5 comments

In the previous part, I wrote about how the especially disastrous response to COVID-19 pandemic has exposed the intellectual bankruptcy of LIEbrals. To summarize the gist of that post, the most ardent supporters of LIEbralism in west come in two main flavors- the very rich (billionaires and multi-millionaires) and their professional managerial class (PMC) lackeys. Sure.. more than a few partisan followers of these two groups do also self-identify as LIEbrals- but are largely irrelevant since they have little real power. I also promised to talk about how LIEbral mental shortcomings can explain their disastrous response to this pandemic. These include, in no particular order, the LIEbral obsession with ineffective lock-downs which have far more to maintaining the appearance of action than making a real difference. As you will, later on in this series, the shortcomings are a result of the peculiar mental gymnastics necessary to maintain belief in LIEbralism.

But before we go that far, let us talk about the most obvious but deliberately ignored question- namely, is the response to this pandemic justified by its mortality rate? If you have watched any of the fake corporate “news” outlets, you might have seen what can be best described as a ‘death clock’ which shows how many people have allegedly died of the pandemic to date. Oddly enough, those bullshit counters do not show you the age distribution of those who have been diagnosed with that infection vs those who with very adverse outcomes such as ending up in the ICU and death. But why does that matter and what does it have to with LIEbral intellectual bankruptcy? As it turns out.. a whole fucking lot! See.. much of the statistics these LIEbrals are peddling on corporate media have no basis in reality. To understand what I am talking about, let us quickly go over a few basic concepts in statistics as it applies to epidemiology.

Infectious diseases come in two flavors- one in which almost every successful infection results in a clinically evident illness and another in which most infections result in an asymptomatic or mildly symptomatic disease. Examples in the first category include diseases such as smallpox, chickenpox, measles, herpes, influenza, ebola etc. Examples in second category include diseases such as polio (especially in children under 8), meningococcal meningitis (surprisingly!) and infectious mononucleosis (another surprise) etc. Infections which cause an asymptomatic or mildly symptomatic disease do so in people who were not previously immune. A superficially similar but mechanistically different phenomena known as mild self-limiting infections occurs if you are immune to a closely related strain of the offending virus and is the basis of vaccines for rotavirus infections and genital warts. With that out of the way, let us talk about COVID-19..

Everything we know thus far about COVID-19 suggests that it clearly falls in the second category. And here is where it is important to understand which type of epidemiological data allows you to make what sort of conclusions. See.. calculating the Infection Fatality Rate (IFR) for any disease with a high percentage of asymptomatic cases requires different criteria from one in which almost every successful infection causes an symptomatic illness. In the later, we can assume that total number of cases = total number of people with specific set of symptoms. For the former, we cannot make that assumption and this has huge consequences for calculating the IFR. In the case of COVID-19, the number of positive PCR-tests from areas with high rates of positive test suggest that not enough testing has been done. So places with 30-50% positive tests such as NYC, Detroit, Northern Italy at beginning of epidemic etc are totally useless for calculating IFR.

To make a long story short, even the most basic calculation of a disease with a known high rate of asymptomatic illness requires test positive rates of below 10%, preferably less than 5%. Luckily there are certain areas of the world where the positive test rates have seldom exceeded 10% and are usually around 5%. These include the western provinces of Canada, Germany and South Korea. We also know that these jurisdictions have done a decent amount of testing since the majority of positive cases are between 20-60 years of age. Based on data from these three well-tested populations we can make a determination of the upper limit of IFR by age group. It is as follows: 0-10 = 0.0%, 10-20 = 0%, 20-30 = 0.1%, 30-40 = 0.1%, 40-50 =0.1%, 50-60 = 0.2%, 60-70 = 0.3-0.5%, 70-80 = 3-5%, 80+ = 5-20% (more in institutionalized people).

In other words, death rate for anybody between 0-50 years of age with COVID-19 is less than 0.1% or 1 in 1000. For those between 50-60, it is less than 0.2% or 1 in 500, and upto 1 in 200 for people between 70-80 who are not institutionalized. And remember.. these are the maximum rates. What we know from serological tests done around the world suggest that there are 10-50x undiagnosed and spontaneously cured infections for everyone caught in the act by PCR-based tests. Even if we take a conservative 5X multiplier, the IFR of COVID-19 now becomes less than 0.02% (1 in 5,000) for those between 0-50, 0.04% or (1 in 2,500) for those between 50-60, and a maximum of 0.1% (i in 1,000) for those between 70-80 who are not institutionalized.

In other words, we can readily identify those at greatest risk from bad outcomes based on age, general health status and certain pre-existing conditions (poorly controlled type II diabetes, serious obesity, COPD, recent treatment for cancer etc). Some of you might say.. but what about our hospitals getting overwhelmed? Well.. as it turns out the risk of hospitalization for each age group, based on PCR-test only, is as follows: 0-50 = less than 2%, 50-60 = 3-5%, 60-70 = ~ 5-10%, 70-80 = ~ 20%. If we use the serological test 5x multiplier, only those above 60 have a hospitalization rate than exceeds 1%. But what about rates of ICU use? Well.. once again using the PCR-only data, only 0.2-0.5% (1 in 500 to 1 in 200) of patients below 50 end up in the ICU- and most of them have serious pre-existing illnesses. For those between 50-70, it is about 1-2% (1 in 100 to 1 in 50)- again mostly with serious pre-existing conditions.

It is only once you get in the 70-80 group, that ICU use starts reaching 10%. And remember.. this is based on PCR-positive cases. You can divide those numbers by 5 to get an estimate based on serological tests. To put in another way, for anybody below 50, COVID-19 poses a lower risk than yearly Influenza A epidemics. For those between 50-70, the risk is about what you might expect in a bad influenza season. It is only once you reach the 80+ age cohort, especially those in very poor general health that the mortality due to COVID-19 starts looking gnarly. But, you see, there is a much easier way to protect that group and others with high-risk co-morbidities. We could provide them good protection by staffing nursing homes adequately, testing the staff who work there frequently, maybe give free face masks and hand sanitizers to everybody over 65. Perhaps we could give free restaurant and grocery delivery to those over 65.

My point is that there are many ways to protect the most vulnerable in our society without shutting down the economy, causing 30-40% unemployment rates and all its attendant socio-economic and political sequelae. But the problem, you see, is that LIEbrals are incapable of objective analysis and rational response, because they do not fit the fashionable “consensus”. It does not take a genius to figure out within next few weeks to months, it will be obvious to most people that COVID-19 is no more lethal than Influenza for those below 65. It is at that time, and with unemployment north of 30%, many will start asking whether all these interminable lock-downs, massive job losses, career-ruining turns and social distancing bullshit was worth it. I don’t think LIEberals have thought that far, because they are intellectually bankrupt. But the 30-40% of those without jobs or a future won’t stop asking them and it won’t be a pretty sight.

In the next part, I will go into why the LIEbral opposition to use of Hydroxychloroquine to treat COVID-19 was such an incredibly bad and stupid idea. Will go into why the promotion by Remdesivir by that stupid conman.. I mean Fauci.. is going to haunt them. Hope to also discuss antibody tests- specifically their specificity and sensitivity for detection antibodies to COVID-19.

What do you think? Comments?