Los Angeles study backs Stanford researchers' conclusion about high prevalence of COVID-19
USC researchers, who collaborated with Stanford, concluded that about 4% of Los Angeles County residents were infected with virus
https://paloaltoonline.com/news/2020...ce-of-covid-19
Days after Stanford University researchers issued an early draft of a study suggesting that up to 81,000 residents of Santa Clara County had been infected by COVID-19 as of early April, a team at the University of Southern California (USC) released its own serological study that similarly concludes that the disease is far more widespread — and less deadly — than official estimates indicate.
The study by USC and the Los Angeles Department of Public Health concluded that between 2.8% and 4.6% of the adult population in Los Angeles County has an antibody to the virus. This translates to between 221,000 and 442,000 adults — an estimate that is 28 to 55 times higher than the roughly 8,000 confirmed cases that the county had in early April, when the study was conducted.
Led by Neeraj Sood, a USC professor of public policy, the study took blood samples from 863 people who were randomly selected from a list obtained through a marketing firm. According to Sood, 4.1% of those people tested positive for COVID-19. The rate was adjusted to incorporate the statistical margin of error, which was assessed at a lab at Stanford University using blood samples that were positive and negative for COVID-19, according to the university.
The methodology differed slightly from the Stanford study of 3,330 people, which relied on targeted Facebook ads to find participants for its finger-prick exams, which took place on April 3 and 4. The Los Angeles study, which relied on testing at six sites on April 10 and April 11, had fewer participants, though USC had indicated that it is just the first round in a series of antibody-testing studies.
But researchers from Stanford and USC, who collaborated on the studies, found plenty of similarities in their test results. The Stanford study concluded that the number of COVID-19 cases in Santa Clara County is 50 to 80 times higher than the number of confirmed cases. The USC one also found that the number of cases is likely far higher than experts had projected.
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Because so many residents with COVID-19 have not been officially tested, both studies conclude that the two counties' mortality rates based on confirmed cases are far higher than mortality rates based on the two studies' estimated numbers of infections.
The Stanford study, led by Assistant Professor Eran Bendavid, concluded that the mortality rate in Santa Clara County is between 0.12% and 0.2%. (In contrast, the county's mortality rate based solely on official cases and deaths as of last Friday, April 17, was 3.9%.)
Sood likewise said at a Monday news conference that because the number of infections in Los Angeles County cases appears to be so much higher than the number of confirmed cases, the actual mortality rate is lower.
"Maybe the good news is that the fatality rate is lower than what we thought it would be," Sood said.
He added, however, that this shouldn't be the only number that the county focuses on. The study's finding that 4% of the county's population has been infected suggests that "we are very early in the epidemic and many more people in Los Angeles County could potentially be infected."
Comments (1)Estimation of Individual Probabilities of COVID-19 Infection, Hospitalization, and Death From A County-level Contact of Unknown infection Status
View ORCID ProfileRajiv Bhatia, Jeffrey Klausner
doi: https://doi.org/10.1101/2020.06.06.20124446 This article is a preprint and has not been peer-reviewed [what does this mean?]. It reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice.
Abstract
Abstract Objective: Our objective is to demonstrate a method to estimate the probability of a laboratory confirmed COVID19 infection, hospitalization, and death arising from a contact with an individual of unknown infection status. Methods: We calculate the probability of a confirmed infection, hospitalization, and death resulting from a county-level person-contact using available data on current case incidence, secondary attack rates, infectious periods, asymptomatic infections, and ratios of confirmed infections to hospitalizations and fatalities. Results: Among US counties with populations greater than 500,000 people, during the week ending June 13,2020, the median estimate of the county level probability of a confirmed infection is 1 infection in 40,500 person contacts (Range: 10,100 to 586,000). For a 50 to 64 year-old individual, the median estimate of the county level probability of a hospitalization is 1 in 709,000 person contacts (Range: 177,000 to 10,200,000) and the median estimate of the county level probability of a fatality is 1 in 6,670,000 person contacts (Range 1,680,000 to 97,600.000). Conclusions and Relevance: Estimates of the individual probabilities of COVID19 infection, hospitalization and death vary widely but may not align with public risk perceptions. Systematically collected and publicly reported data on infection incidence by, for example, the setting of exposure, type of residence and occupation would allow more precise estimates of probabilities than possible with currently available public data. Calculation of secondary attack rates by setting and better measures of the prevalence of seropositivity would further improve those estimates.
Very interesting - reports that both the incidence is much more prevalent than previously thought - and hospitalization/mortality rate - and particularly in peole aged 50-64 - is much lower than previously estimated.
The LSM rags and DPST acolytes are already swcraming in rebuttal to save their narrative of a horribly vicious , highly fatal virus that requires the demolition of the economy and imprisonment at home of all citizens - in order to further the plan to get citizens used to marxist repression and accept it as 'good for the people".
example - Berkeley news -
Study challenges reports of low fatality rate for COVID-19
A comparison of daily deaths in Italy since January 2020 with those over the previous five years there indicates that the fatality rate in that country for those infected with the new coronavirus is at least 0.8%, far higher than that of the seasonal flu and higher than some recent estimates.
Extrapolating from the Italian data, University of California, Berkeley, and Lawrence Berkeley National Laboratory data scientists estimate that the fatality rate in New York City and Santa Clara County in California can be no less than 0.5%, or one of every 200 people infected.
These conclusions contrast with those of a study posted online last week by Stanford University epidemiologists, who pegged the fatality rate at between 0.1% and 0.2%. An affiliated team from the University of Southern California (USC) this week reported a similar fatality rate in Los Angeles.
“Their final number is much lower than our estimate,” said senior author Uros Seljak, a UC Berkeley professor of physics, faculty scientist at Berkeley Lab and member of the Berkeley Institute for Data Science. He also is co-director of the Berkeley Center for Cosmological Physics (BCCP).
Seljak says that getting COVID-19 doubles your chance of dying this year.
“If you want to know what are the chances of dying from COVID-19 if you get infected, we observed that a very simple answer seems to fit a lot of data: It is the same as the chance of you dying over the next 12 months from normal causes,” said Seljak.
Current uncertainties can push this number down to 10 months or up to 20 months, he added. His team discovered that this simple relation holds not only for the overall fatality rate, but also for the age stratified fatality rate, and it agrees with the data both in Italy and in the U.S.
“Our observation suggests COVID-19 kills the weakest segments of the population,” Seljak said.
The paper was posted online Monday on MedRxiv in advance of peer review and submission to a journal.
Italy’s deaths twice the official count
The study by Seljak and his colleagues predicts that the true number of deaths in Italy from COVID-19 is more than twice the official figure: around 50,000 people, as of April 18. The country’s official statistics listed more than 150,000 confirmed cases, as of that date, and more than 20,000 attributed deaths.
COVID-19 patients in an intensive care unit in a hospital in Bergamo, Italy, one of he worst hit areas of the country, on March 19. (Image courtesy of Sky News)
The difference, the researchers say, is likely due to many deaths among older people that have not been counted in the official Italian statistics. The team found a much higher fatality rate for those over 70 years of age: In Lombardy, a region hit hard by the pandemic, those between 70 and 79 had a 2.3% infection fatality rate, while those 80 to 89 had an almost 6% fatality rate. Nearly 13% of those over 90 died.
In comparison, those 40 to 49 had a 0.04% fatality rate.
These differing fatality rates can explain the observed higher number of deaths among younger people in New York City. Because the population there is younger than in Italy, more deaths among young people are expected, despite their lower fatality rate. The researchers predict that about 26% of all deaths from COVID-19 in New York City will be among those younger than 65.
The population of Italy, on the other hand, is older, yielding a higher overall fatality rate for the country’s population: 0.8%, versus 0.5% for New York. Only 10% of Italian deaths will be younger than 65.
The team also estimated, based on the predicted fatality rate for those infected with the new coronavirus and the positivity rate for those tested for COVID-19 in New York City, that about one-quarter of that city’s population has been infected with the virus. This agrees with the recent announcement by New York Gov. Andrew Cuomo of 21% infection.
The team’s predicted infection rate for Santa Clara is around 1%, while that for Los Angeles is around 2%, based on current mortality rates.
Given known infection and fatality rates on the Diamond Princess cruise ship, the team also calculated an upper limit on the fatality rate for those infected: about twice the lower limit, or 1%, for New York City and Santa Clara County.
Uncertainty fueled by lack of diagnostic tests
Uncertainty about the fatality rate for those infected by the new virus, dubbed SARS-CoV-2, resulted from delays in testing, due to a shortage of test kits and testing labs. This left public health officials in the dark about the true rate of infection in the general population, which is needed to calculate what percentage of infected people die.
Intensive care unit in Bergamo, Italy, on March 19. (Image courtesy of Sky News)
The Stanford study estimated an infection rate in Santa Clara County of between 2.5% and 4.2% of residents, whereas the USC study estimated an infection rate in Los Angeles between 2.8% and 5.6%. Both are much higher than previous estimates, which means the number of confirmed COVID-positive deaths relative to those infected dropped to a low of 0.2%.
Based on these studies, some of the Stanford authors have argued that COVID-19 is little worse than the seasonal flu, casting doubt on decisions to mandate shelter-in-place and the closing of many businesses.
“Of course, it (the infection fatality rate) matters, for policy decisions,” Seljak said. “Is this just a bad case of flu, as they would like to claim, or is it something much more serious?”
To answer that question, Seljak and his colleagues mined a previously untapped source of data: the daily death rate for 1,688 towns in Italy between Jan. 1 and April 4 for the years 2015 through 2020, provided by the Italian Institute of Statistics. The excess deaths between January and April of this year, presumably due to COVID-19, can be used to calculate a lower limit for the death rate from the virus.
“The dataset is a treasure trove for statistical analysis of COVID-19 mortality,” Seljak said. “For example, it can give mortality rate as a function of age better than any other data out there, a sad consequence of tens of thousands of deaths from COVID-19 in Italy. With this data, we established that if one gets infected and is above 90 years of age, the probability of dying is at least 10%, because that is the fraction of the entire population of Bergamo province in this age group that died. In contrast, the corresponding number for ages 40 to 49 is 0.04%, far lower than previous estimates.”
The Lombardy region of Italy, for example, was a viral hotspot, with the province of Bergamo hardest hit: The infection spread to so many people in Bergamo — likely two-thirds of the population, if not the entire population — that it is possible that so-called herd immunity has set in, Seljak said. That means that enough people are immune, at least temporarily, to stanch the spread of the virus among the the uninfected.
With essentially everyone in Bergamo infected, and the known deaths since January — predicted to be more than 6,000 out of a population of 1 million — it was easy to calculate the lowest possible infected fatality rate: 0.56%.
For Lombardy, the researchers estimated that the lowest possible fatality rate was even higher: about 0.84%. They also estimated that 23% of the population of Lombardy was infected, as of April 18 — on average, 35 times the number of positive tests in the province.
The team conducted an analysis for all Italian towns that reported daily death data and for all age groups, using a counterfactual analysis: estimating the expected number of deaths daily between January and April 2020, based on the previous five years, and comparing those numbers with reported deaths. The excess is assumed to be due to COVID-19. The researchers employed statistical methods often used in analyzing large sets of data: the Conditional Mean with a Gaussian process (CGP) and a Synthetic Control Method (SCM).
In nearly all towns, the excess deaths in early 2020 exceeded the official count attributed to COVID-19.
The numbers the team came up with are lower limits, the researchers emphasize, since deaths in many Italian towns are not fully up to date.
“Some of my colleagues think that we have been overly conservative, which might be true,” Seljak said. “We have just accounted for the people who have died up until today, but people are still dying.”
The first author of the paper is Chirag Modi, a physics graduate student in BCCP. Other co-authors are postdoctoral fellows Vanessa Böhm and George Stein and research scientist Simone Ferraro of Berkeley Lab and the BCCP, and former Miller Fellow at UC Berkeley.
The Marxist DPST's are not about to give up their Wuhan virus tool to control and imprison the people. Their hysteria is clearly evident with diatribes against evidence the Wuhan virus is less dangerous than their marxist thugocracy narrative.
Google it for yourself - though on the front google page - it is filled with reports supporting the DPST narrative - google does not tolerate dissenting opinions any more than they can get away with. They are a prime player in restricting free speechi9n America . Their marxist repression of free Speech is very clear.