# How concerned are you about this Coronavirus?

**URL:** <https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164>\
**Category:** The Quarantine Zone\
**Tags:** covid-quarantine\
**Created:** [January 29, 2020, 3:23pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164 "2020-01-29T15:23:50Z")\
**Posts on this page:** 20\
**Page:** 20

<div class="post-metadata">

**Author:** ![Jim\_Peebles](https://avatars.discourse-cdn.com/v4/letter/j/5f9b8f/32.png) [@Jim\_Peebles](https://boards.straightdope.com/u/Jim_Peebles)\
**Post date:** [March 2, 2020, 4:29pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/382 "2020-03-02T16:29:39Z")

</div>

> [@Broomstick](#):
>
> If “vape lung” is the problem then why aren’t we seeing an equal number of problems with people who vape and also have flu, or colds, or other infections? Do you think no one asked Chinese people about their smoking and vaping habits? Also keep in mind that people in the US have social and even legal pressure to vape due to restrictions on smoking, regulations that, last I heard, do not exist in China. So smokers in China have zero reason to move to vaping because they can still smoke everywhere. That’s where this theory of yours falls down.
> 
> People are dying places where vaping is not a big thing, where people are still smoking rather than vaping. I’m sorry you have trouble understanding that there really is a new virus on the loose that, while not the zombie apocalypse, really does seem to be more hazardous than the typical flu. But that is the case.

In the US it is black market vapes with the dangerous additives, and so you get the young cannibis crowd getting vape lung. It was and still is an “epidemic” in the USA, but has dropped out of headlines. The majority of USA vapers are probably sticking to FDA approved stuff, and so we don’t see abnormal problems, say for a middle aged vaper with the flu. I am speculating in China, where smoking is highly prevalent among males, including older males, a trend started to vape with various mixtures which included the dangerous additivies produced by their factories. The reason to move to it could be: maybe it is cheaper than normal cigarettes, maybe it was erroneously considered more healthy than ordinary cigarettes, maybe it was a novel alternative to cigarettes, and few stopped to think if it might be dangerous. They were eating bat stew, so I am guessing they don’t have an agency like the FDA making sure their food and drugs (here vapes) meet certain safety criteria.

---

<div class="post-metadata">

**Author:** ![RickJay](https://avatars.discourse-cdn.com/v4/letter/r/bb73d2/32.png) [@RickJay](https://boards.straightdope.com/u/RickJay)\
**Post date:** [March 2, 2020, 4:35pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/383 "2020-03-02T16:35:53Z")

</div>

> [@Try2B\_Comprehensive](#):
>
> I had been planning to travel to Vegas for a few days at the end of the month. Now I am thinking I won’t go anywhere crowded/international until all this blows over. I know that is exactly the kind of thing that dents the economy, but I don’t want to catch it, and I would really hate to spread it.

This is why I’m keeping an eye on Vegas deals. I can’t go until May though.

---

<div class="post-metadata">

**Author:** ![Jim\_Peebles](https://avatars.discourse-cdn.com/v4/letter/j/5f9b8f/32.png) [@Jim\_Peebles](https://boards.straightdope.com/u/Jim_Peebles)\
**Post date:** [March 2, 2020, 4:40pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/384 "2020-03-02T16:40:38Z")

</div>

Oh, and I am sure the Chinese doctors did ask about smoking on forms, but maybe not vaping. At any rate it would not be surprising that they missed the connection. The CDC almost missed it in this story I already cited above:

> **[Journey of a tainted vape cartridge: from China's labs to your lungs](https://www.leafly.com/news/politics/vape-pen-injury-supply-chain-investigation-leafly)**
>
> Vaping-associated pulmonary injury has injured more than 530 and killed as many as nine. A contaminated supply chain for black market THC vape carts explains the damage, Leafly finds.

---

<div class="post-metadata">

**Author:** ![KarlGauss](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/karlgauss/32/3713_2.png) [@KarlGauss](https://boards.straightdope.com/u/KarlGauss)\
**Post date:** [March 2, 2020, 5:00pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/385 "2020-03-02T17:00:23Z")

</div>

> [@Jim\_Peebles](#):
>
> Oh, and I am sure the Chinese doctors did ask about smoking on forms, but maybe not vaping. At any rate it would not be surprising that they missed the connection.

As **Broomstick** said, there is very little stigma attached to smoking in China. Do you really think the older folks that have died in Wuhan and elsewhere in China had taken up vaping these last years after smoking for 50+ years? (And that somehow it’s a double whammy on your lungs if you vape and get Coronavirus but not for the usual respiratory viruses?)

---

<div class="post-metadata">

**Author:** ![Omar\_Little](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/omar_little/32/269_2.png) [@Omar\_Little](https://boards.straightdope.com/u/Omar_Little)\
**Post date:** [March 2, 2020, 5:01pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/386 "2020-03-02T17:01:01Z")

</div>

> [@Jim\_Peebles](#):
>
> In the US it is black market vapes with the dangerous additives, and so you get the young cannibis crowd getting vape lung. It was and still is an “epidemic” in the USA, but has dropped out of headlines. The majority of USA vapers are probably sticking to FDA approved stuff, and so we don’t see abnormal problems, say for a middle aged vaper with the flu. I am speculating in China, where smoking is highly prevalent among males, including older males, a trend started to vape with various mixtures which included the dangerous additivies produced by their factories. The reason to move to it could be: maybe it is cheaper than normal cigarettes, maybe it was erroneously considered more healthy than ordinary cigarettes, maybe it was a novel alternative to cigarettes, and few stopped to think if it might be dangerous. They were eating bat stew, so I am guessing they don’t have an agency like the FDA making sure their food and drugs (here vapes) meet certain safety criteria.

Jim, do you come up with these theories on your own? Or do you have have some credible source that you are drawing from?

---

<div class="post-metadata">

**Author:** ![TroutMan](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/troutman/32/6721_2.png) [@TroutMan](https://boards.straightdope.com/u/TroutMan)\
**Post date:** [March 2, 2020, 5:10pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/387 "2020-03-02T17:10:31Z")

</div>

> [@Jim\_Peebles](#):
>
> Some people appear to not get what I am saying about vape lung…

No, we get what you’re saying about it. We’re just not giving it any credence because it’s frankly ridiculous.

---

<div class="post-metadata">

**Author:** ![Jim\_Peebles](https://avatars.discourse-cdn.com/v4/letter/j/5f9b8f/32.png) [@Jim\_Peebles](https://boards.straightdope.com/u/Jim_Peebles)\
**Post date:** [March 2, 2020, 5:12pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/388 "2020-03-02T17:12:05Z")

</div>

> [@KarlGauss](#):
>
> As **Broomstick** said, there is very little stigma attached to smoking in China. Do you really think the older folks that have died in Wuhan and elsewhere in China had taken up vaping these last years after smoking for 50+ years? (And that somehow it’s a double whammy on your lungs if you vape and get Coronavirus but not for the usual respiratory viruses?)

I suspect it was a double whammy with other respiratory viruses too. The world has picked one. I suspect it is not a monster virus, and that there weren’t any going around when the Chinese freaked out. But hey, anything is possible, including that the world could have picked a run of the mill virus, but there is a monster virus they haven’t identified out there. I didn’t make up this theory entirely on my own: the CDC made up the same theory for some USA pneumonia anomalies, and in that case it appears to be the correct theory, hence the vape lung epidemic. But maybe that was the coronavirus all along, and there is no vape lung problem.

---

<div class="post-metadata">

**Author:** ![JohnT](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/johnt/32/15048_2.png) [@JohnT](https://boards.straightdope.com/u/JohnT)\
**Post date:** [March 2, 2020, 6:38pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/389 "2020-03-02T18:38:07Z")

</div>

Fauci drops all pretense:

> [@](#):
>
> Just finished interview with Dr. Fauci, US director of infectious diseases. Hour-long interview. Detailed. He said: We’re dealing with clearly an emerging infectious disease that has “now reached outbreak proportions and likely pandemic proportions.”

> <https://twitter.com/RichardEngel/status/1234534506671067139?s=20>

---

<div class="post-metadata">

**Author:** ![Surreal](https://avatars.discourse-cdn.com/v4/letter/s/eada6e/32.png) [@Surreal](https://boards.straightdope.com/u/Surreal)\
**Post date:** [March 2, 2020, 8:25pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/390 "2020-03-02T20:25:49Z")

</div>

A few people here have speculated that the true infection rate is probably orders of magnitude higher than the apparent infection rate, because the vast majority of infected people have such mild symptoms that they don’t bother to see a doctor and never get tested. This is clearly false.

Everyone on the Diamond Princess cruise ship was tested and 705 of them were confirmed to be infected with SARS-CoV-3. Of those 705, 7 have already died and 36 more are in critical condition:

> **[COVID - Coronavirus Statistics - Worldometer](https://www.worldometers.info/coronavirus/)**
>
> Daily and weekly updated statistics tracking the number of COVID-19 cases, recovered, and deaths. Historical data with cumulative charts, graphs, and updates.

So for this cohort, the CFR is at least 1% and at the absolute most 6% (it can take up to 8 weeks to die from COVID-19). Yes, the cruise ship passengers are older than the average American but it’s extremely unlikely that the true CFR is less than 0.5%, especially once the healthcare system becomes completely overwhelmed.

---

<div class="post-metadata">

**Author:** ![monstro](https://avatars.discourse-cdn.com/v4/letter/m/ba9def/32.png) [@monstro](https://boards.straightdope.com/u/monstro)\
**Post date:** [March 2, 2020, 8:44pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/391 "2020-03-02T20:44:49Z")

</div>

I read something (can’t link to it at the moment) that said mild cases include folks with mild pneumonia. I think a lot of people are incorrectly thinking 80% of infected folks are going to be walking around with some light sniffles.

I have a friend who is totally not hip on current events and doesn’t watch the news. I don’t even know if she is even aware of the virus. She just told me she just booked an airplane ticket to go on a Florida vacation in a couple of weeks. I don’t know if I should be a wet blanket by talking to her about this or not. If I did broach the subject, I don’t even know what I would say. So maybe ignorance is bliss? She does suffer from anxiety, and I would hate to get her wound up for no good reason.

Sent from my moto x4 using Tapatalk

---

<div class="post-metadata">

**Author:** ![TroutMan](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/troutman/32/6721_2.png) [@TroutMan](https://boards.straightdope.com/u/TroutMan)\
**Post date:** [March 2, 2020, 8:47pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/392 "2020-03-02T20:47:49Z")

</div>

> [@Surreal](#):
>
> Everyone on the Diamond Princess cruise ship was tested and 705 of them were confirmed to be infected with SARS-CoV-3. Of those 705, 7 have already died and 36 more are in critical condition:

Four of the people who died were in their 80s, one was in the 70s, and I haven’t seen an age for the other two. I think your guess that the CFR is greater than 0.5% for the population at large will prove to be incorrect. But I don’t think we’ll know until there is widespread testing, and who knows when that will happen.

---

<div class="post-metadata">

**Author:** ![Shmendrik](https://avatars.discourse-cdn.com/v4/letter/s/ee7513/32.png) [@Shmendrik](https://boards.straightdope.com/u/Shmendrik)\
**Post date:** [March 2, 2020, 8:51pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/393 "2020-03-02T20:51:57Z")

</div>

> [@Surreal](#):
>
> A few people here have speculated that the true infection rate is probably orders of magnitude higher than the apparent infection rate, because the vast majority of infected people have such mild symptoms that they don’t bother to see a doctor and never get tested. This is clearly false.
> 
> Everyone on the Diamond Princess cruise ship was tested and 705 of them were confirmed to be infected with SARS-CoV-3. Of those 705, 7 have already died and 36 more are in critical condition:
> 
> [COVID - Coronavirus Statistics - Worldometer](https://www.worldometers.info/coronavirus/)
> 
> So for this cohort, the CFR is at least 1% and at the absolute most 6% (it can take up to 8 weeks to die from COVID-19). Yes, the cruise ship passengers are older than the average American but it’s extremely unlikely that the true CFR is less than 0.5%, especially once the healthcare system becomes completely overwhelmed.

I mentioned this up thread. I don’t think we can draw that conclusion from the Diamond Princess data yet, though. If we are to believe the Chinese data, the CFR for someone in their 80’s is almost 15% and 70’s is about 8%. I believe the average age of the patients from the Diamond Princess who have died is in the high 70’s. So we are still seeing a considerably lower number of deaths than that.

Also, I’m not sure where worldometers are getting their information from, but in any case they say the 36 patients are categorized as serious/critical, not critical.

Chart of CFR by age:  
[![](https://ichef.bbci.co.uk/news/410/cpsprodpb/F197/production/_111074816_death_ratio-nc.png) ](https://ichef.bbci.co.uk/news/410/cpsprodpb/F197/production/_111074816_death_ratio-nc.png)

Sent from my Pixel 4 XL using Tapatalk

---

<div class="post-metadata">

**Author:** ![enipla](https://avatars.discourse-cdn.com/v4/letter/e/54ee81/32.png) [@enipla](https://boards.straightdope.com/u/enipla)\
**Post date:** [March 2, 2020, 8:59pm UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/394 "2020-03-02T20:59:21Z")

</div>

> [@monstro](#):
>
> I read something (can’t link to it at the moment) that said mild cases include folks with mild pneumonia. I think a lot of people are incorrectly thinking 80% of infected folks are going to be walking around with some light sniffles.
> 
> I have a friend who is totally not hip on current events and doesn’t watch the news. I don’t even know if she is even aware of the virus. She just told me she just booked an airplane ticket to go on a Florida vacation in a couple of weeks. I don’t know if I should be a wet blanket by talking to her about this or not. If I did broach the subject, I don’t even know what I would say. So maybe ignorance is bliss? She does suffer from anxiety, and I would hate to get her wound up for no good reason.
> 
> Sent from my moto x4 using Tapatalk

My Wife and I are going to Key West in a few weeks. Not worried. At least not yet…

---

<div class="post-metadata">

**Author:** ![DSeid](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/dseid/32/20194_2.png) [@DSeid](https://boards.straightdope.com/u/DSeid)\
**Post date:** [March 3, 2020, 1:53am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/395 "2020-03-03T01:53:33Z")

</div>

> [@Surreal](#):
>
> A few people here have speculated that the true infection rate is probably orders of magnitude higher than the apparent infection rate, because the vast majority of infected people have such mild symptoms that they don’t bother to see a doctor and never get tested. This is clearly false.
> 
> Everyone on the Diamond Princess cruise ship was tested and 705 of them were confirmed to be infected with SARS-CoV-3. Of those 705, 7 have already died and 36 more are in critical condition:
> 
> [COVID - Coronavirus Statistics - Worldometer](https://www.worldometers.info/coronavirus/)
> 
> So for this cohort, the CFR is at least 1% and at the absolute most 6% (it can take up to 8 weeks to die from COVID-19). Yes, the cruise ship passengers are older than the average American but it’s extremely unlikely that the true CFR is less than 0.5%, especially once the healthcare system becomes completely overwhelmed.

Hate to break this to you, but the case fatality rate to date in this older cohort actually makes _the exact opposite point_ that you think it does.

Case fatality rate for this older cohort on the ship, 65+ let’s call it (even though the group apparently actually skews to high 70s), is, as you state, about 1%.

[Case fatality rate _for seasonal influenza_ in the United States _for those 65+_](https://www.cdc.gov/flu/about/burden/2018-2019.html) runs roughly the same **0.9%** in the 2017-18 year, **0.8%** in the 2018-19 one …

It is pretty much _exactly_ the CFR in the age cohort you’d expect to see if COVID-19 had the same distribution and age-specific case fatality rate that seasonal influenza has. It is completely _inconsistent_ with any claim that COVID-19 is of an order of magnitude higher fatality rate than seasonal influenza’s CFR. It is completely consistent with an age-specific CFR in the same general range as seasonal influenza. (Which again, is, if it infects a similarly large amount of the population, still quite bad, and worse if it infects a greater fraction.)

If COVID-19 had an age-specific CFR an order of magnitude higher than seasonal influenza has then one would be expecting closer to 70 deaths of that cohort.

---

<div class="post-metadata">

**Author:** ![DSeid](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/dseid/32/20194_2.png) [@DSeid](https://boards.straightdope.com/u/DSeid)\
**Post date:** [March 3, 2020, 2:03am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/396 "2020-03-03T02:03:00Z")

</div>

> [@monstro](#):
>
> I read something (can’t link to it at the moment) that said mild cases include folks with mild pneumonia. I think a lot of people are incorrectly thinking 80% of infected folks are going to be walking around with some light sniffles …

“Mild pneumonia” can in fact be quite mild. Remember that one of the few kids identified as having the infection was totally asymptomatic - no fever, no breathing difficulty, no cough, no sore throat, not even any sniffles - and had a pneumonia diagnosed on CT with virus identified on swab.

Lots of mild viral pneumonia is a bit of a somewhat persistent cough and not much more. People in fact walk around with these all the time, not any more annoyed than they would be by a case of the sniffles.

No idea if the cases identified were that sort of mild pneumonia … I suspect those that mild never got tested and are not included in the totals, any more than those whose presentations was mild sniffles, sore throats, or diarrhea were. But “mild viral pneumonia” ≠ very sick.

---

<div class="post-metadata">

**Author:** ![monstro](https://avatars.discourse-cdn.com/v4/letter/m/ba9def/32.png) [@monstro](https://boards.straightdope.com/u/monstro)\
**Post date:** [March 3, 2020, 2:29am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/397 "2020-03-03T02:29:59Z")

</div>

I don’t think much can be gleaned from the fatality rate of the cruise passengers. Even if we assume all of them are elderly, they are not representative of the elderly population in general. The Diamond Princess is a luxury cruiseline, so the passengers were likely quite well-to-do and thus enjoyed better-than-average health prior to getting sick. People who are vacationing also tend to be in good health. Finally, most of the folks received medical care at the onset of their symptoms. The sick ones are still in quarantine under close supervision, which has likely lowered their risk of secondary infections and complications.

I’m sure some useful information can be extracted from all of this, but I don’t think it informs the average 70-year-old American about their risk.

---

<div class="post-metadata">

**Author:** ![elfkin477](https://avatars.discourse-cdn.com/v4/letter/e/a9a28c/32.png) [@elfkin477](https://boards.straightdope.com/u/elfkin477)\
**Post date:** [March 3, 2020, 2:33am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/398 "2020-03-03T02:33:12Z")

</div>

I work for a university. We’ve gotten emails over the past few days saying that they’ve bringing home all the kids studying abroad in every county with a level 3 or 4 travel alert no later than March 5th, having them monitor their health for 14 days (no q word yet, however), and having them finish the semester in online courses that are being created now.

I think this is supposed to be reassuring but somehow isn’t…

---

<div class="post-metadata">

**Author:** ![Broomstick](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/broomstick/32/246_2.png) [@Broomstick](https://boards.straightdope.com/u/Broomstick)\
**Post date:** [March 3, 2020, 2:42am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/399 "2020-03-03T02:42:05Z")

</div>

> [@TroutMan](#):
>
> No, we get what you’re saying about it. We’re just not giving it any credence because it’s frankly ridiculous.

^ This.

---

<div class="post-metadata">

**Author:** ![DSeid](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/dseid/32/20194_2.png) [@DSeid](https://boards.straightdope.com/u/DSeid)\
**Post date:** [March 3, 2020, 2:58am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/400 "2020-03-03T02:58:35Z")

</div>

> [@monstro](#):
>
> I don’t think much can be gleaned from the fatality rate of the cruise passengers. …

I agree with you more than disagree. That said the claim as made by **Surreal** that the rate is evidence for a high CFR, order(s) of magnitude more than influenza, is complete nonsense. To the degree it is evidence it makes the opposite case.

Meanwhile you also have the prison population sample, roughly 500 cases and no deaths last I checked. Not quite the same upper income group they.

---

<div class="post-metadata">

**Author:** ![Jackknifed\_Juggernaut](https://avatars.discourse-cdn.com/v4/letter/j/9de053/32.png) [@Jackknifed\_Juggernaut](https://boards.straightdope.com/u/Jackknifed_Juggernaut)\
**Post date:** [March 3, 2020, 3:10am UTC](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164/401 "2020-03-03T03:10:19Z")

</div>

Is there less concern in Canada about COVID-19? I sometimes check out the CBC website, and I notice that I have to scroll down pretty far down the front page before there is any mention of it.

[Previous page](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164.md?page=19)

[Next page](https://boards.straightdope.com/t/how-concerned-are-you-about-this-coronavirus/847164.md?page=21)
