OT: Coronavirus (COVID-19): Part VI (NO RIOT/PROTEST DISCUSSION)

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I'm not looking to get into an argument here--my comment is a take or leave it, LOL--but to condemn the WHO for what "some" perceive as poor handling of the response to a novel virus and suggest that cutting funding to it is a good thing is sheer lunacy. It ignores the WHO's enormous body of work and the tremendously important programs that they participate in or help coordinate, that have saved literally countless millions of lives and prevented terrible suffering in tens or even hundreds of millions more.
 
I'm not looking to get into an argument here--my comment is a take or leave it, LOL--but to condemn the WHO for what "some" perceive as poor handling of the response to a novel virus and suggest that cutting funding to it is a good thing is sheer lunacy. It ignores the WHO's enormous body of work and the tremendously important programs that they participate in or help coordinate, that have saved literally countless millions of lives and prevented terrible suffering in tens or even hundreds of millions more.
You are certainly entitled to your opinion. Guess it’s time for other countries to step up their funding if it’s such an amazing program that has saved and prevents suffering in “hundreds of millions” of lives.
 
You are certainly entitled to your opinion. Guess it’s time for other countries to step up their funding if it’s such an amazing program that has saved and prevents suffering in “hundreds of millions” of lives.

considering the most densely populated country and originator of this virus funds approx 10% of what our Country funds i’d say they should step it up.
 
considering the most densely populated country and originator of this virus funds approx 10% of what our Country funds i’d say they should step it up.
The US is far from the most densely populated country and doesn't have the most densely populated cities either.
 
You are certainly entitled to your opinion. Guess it’s time for other countries to step up their funding if it’s such an amazing program that has saved and prevents suffering in “hundreds of millions” of lives.
I don't know how you can dispute my comments about saving millions of lives, and preventing suffering in potentially hundreds of millions. It's not opinion.

The matter of funding is opinion. Yes, other countries should contribute more. Doesn't mean we should dramatically reduce our own contributions.
 
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Sorry, misread your post though China isn't the most densely populated country either unless you only look at Macau or Hong Kong.

can we agree on China or should we narrow it down to neighborhoods? The point is China provides roughly 10% of the funding to the WHO compared to the United States.
 
The matter of funding is opinion. Yes, other countries should contribute more. Doesn't mean we should dramatically reduce our own contributions.

doesn’t mean we shouldn’t either. We have a world wide pandemic, our employment rate went from a high and crashed through the floor, we have lost trillions as an economy, over 7 million people have become infected and we may see a return come the autumn since this virus is free in nature.

Pulling back their funding has to be on the table considering our world wide health has been comprised and caused havoc economically.

Maybe that funding should be allocated elsewhere.
 
can we agree on China or should we narrow it down to neighborhoods? The point is China provides roughly 10% of the funding to the WHO compared to the United States.
If you limit it to the countries with at least 50 million population China is 12th. South Korea and Japan are more densely populated.
 
If you limit it to the countries with at least 50 million population China is 12th. South Korea and Japan are more densely populated.

yeah, but which neighborhoods since we’ve derailed the intent of the message?
 
“From the data we have, it still seems to be rare that an asymptomatic person actually transmits onward to a secondary individual,” Kerkhove said at a news briefing Monday from the WHO’s Geneva headquarters. “It’s very rare.” ...

An asymptomatic person is someone with Covid-19 who doesn’t have symptoms and never develops symptoms. Both scientists clarified that it’s not the same as someone who later develops symptoms, who would be classified as pre-symptomatic.

WHO walks back comments on asymptomatic coronavirus spread, says much is still unknown

So the asymptomatic are not believed to be big transmitters, yet what about those who are asymptomatic until they become symptomatic?

Are pre-symptomatic people big spreaders? And how does anyone know if they are asymptomatic or pre-symptomatic until symptoms show up or not, once given enough time?

I am not against the WHO, yet I can see why there is a lot of confusion about what they seem to be trying to convey.

Ryan acknowledged that Kerkhove’s comments created a stir, saying they may have been “misinterpreted or maybe we didn’t use the most elegant words to explain that.”
 
What was the intent of your message? Did it have to do with how densely populated China is?

was actually the funding allocated to the WHO but you managed to focus on the more meaningless part of the topic. It’s typical so carry on. Please share the neighborhoods or most popular streets and maybe somebody else will focus on the WHO.
 
WHO walks back comments on asymptomatic coronavirus spread, says much is still unknown

So the asymptomatic are not believed to be big transmitters, yet what about those who are asymptomatic until they become symptomatic?

Are pre-symptomatic people big spreaders? And how does anyone know if they are asymptomatic or pre-symptomatic until symptoms show up or not, once given enough time?

I am not against the WHO, yet I can see why there is a lot of confusion about what they seem to be trying to convey.
The confusion IMO is related to how the media focuses on a small part of a larger answer using their various political agendas to reach unwarranted conclusions.

This was the original question:

"We had a story out of Singapore today saying that at least half of the new cases, they’re seeing have no symptoms. And I’m wondering if it’s possible that this has a bigger role than the WHO initially thought in propagating the pandemic and what the policy implications of that might be. Thank you."

Here is the answer. Doesn't make for much of a headline. Note the distinction between asymptomatic, presymptomatic and those with very mild symptoms. But from th NEJM article I posted earlier, the mechanism for asymptomatic transmission exists and its had to argue their conclusion that the initial rapid spread of the disease was largely due to asymptomatic carriers.

Dr. Maria Van Kerkhove:
"So I can start and perhaps Mike would like to supplement. So there’s a couple of things in the question that you just asked. One is the number of cases that are reported that are being reported as asymptomatic. And so we hear from a number of countries that X number, X percentage of them are reported as not having symptoms or that they are in their presymptomatic phase, which means it’s a few days before they actually develop severe symptoms. In a number of countries when we go back and we discuss with them one, how are these asymptomatic cases being identified? Many of them are being identified through contact tracing. And so, which is what we would want to see and that you have a known case, you find your context, they’re already in quarantine, hopefully and some of them are tested. And then you pick up people who may have asymptomatic or no symptoms or even mild symptoms."

"The other thing we’re finding is that when we actually go back and say, how many of them were truly asymptomatic, we find out that many have really mild disease, very mild disease. They’re not ‘COVID’ symptoms, meaning they may not have developed fever yet. They may not have had a significant cough, or they may not have shortness of breath, but some may have mild disease. Having said that we do know that there can be people that are truly asymptomatic and PCR positive. The second part, your question is what proportion of asymptomatic individuals actually transmit. So the way that we look at that is we look at, these individuals need to be followed carefully over the course of when they’re detected and looking at secondary transmission."

"We have a number of reports from countries who are doing very detailed contact tracing they’re following asymptomatic cases. They’re following contacts and they’re not finding secondary transmission onward, is very rare. And much of that is not published in the literature. From the papers that are published, there’s one that came out from Singapore, looking at a longterm care facility. There are some household transmission studies where you follow individuals over time and you look at the proportion of those that transmit onwards. We are constantly looking at this data and we’re trying to get more information from countries to truly answer this question. It still appears to be rare that an asymptomatic individual actually transmits onward."

"What we really want to be focused on is following the symptomatic cases. If we followed all of the symptomatic cases, because we know that this is a respiratory pathogen, it passes from an individual through infectious droplets. If we actually followed all of the symptomatic cases, isolated those cases, follow the context and quarantined those contexts, we would drastically reduce. I would love to be able to give a proportion of how much transmission we would actually stop, but it would be a drastic reduction in transmission. If we could focus on that, I think we would do very, very well in terms of suppressing transmission. But from the data we have, it’s still seems to be rare that an asymptomatic person actually transmits onward to a secondary individual."
 
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was actually the funding allocated to the WHO but you managed to focus on the more meaningless part of the topic. It’s typical so carry on. Please share the neighborhoods or most popular streets and maybe somebody else will focus on the WHO.
Sorry nice try. Don't use fake stats to support your claims. That's what I expect from our elected officials.
 
The confusion IMO is related to how the media focuses on a small part of a larger answer using their various political agendas to reach unwarranted conclusions.

This was the original question:

"We had a story out of Singapore today saying that at least half of the new cases, they’re seeing have no symptoms. And I’m wondering if it’s possible that this has a bigger role than the WHO initially thought in propagating the pandemic and what the policy implications of that might be. Thank you."

Here is the answer. Note the distinction between asymptomatic, presymptomatic and those with very mild symptoms. But from th NEJM article I posted earlier, the mechanism for asymptomatic transmission exists and its had to argue their conclusion that the initial rapid spread of the disease was largely due to asymptomatic carriers.

Dr. Maria Van Kerkhove:
"So I can start and perhaps Mike would like to supplement. So there’s a couple of things in the question that you just asked. One is the number of cases that are reported that are being reported as asymptomatic. And so we hear from a number of countries that X number, X percentage of them are reported as not having symptoms or that they are in their presymptomatic phase, which means it’s a few days before they actually develop severe symptoms. In a number of countries when we go back and we discuss with them one, how are these asymptomatic cases being identified? Many of them are being identified through contact tracing. And so, which is what we would want to see and that you have a known case, you find your context, they’re already in quarantine, hopefully and some of them are tested. And then you pick up people who may have asymptomatic or no symptoms or even mild symptoms."

"The other thing we’re finding is that when we actually go back and say, how many of them were truly asymptomatic, we find out that many have really mild disease, very mild disease. They’re not ‘COVID’ symptoms, meaning they may not have developed fever yet. They may not have had a significant cough, or they may not have shortness of breath, but some may have mild disease. Having said that we do know that there can be people that are truly asymptomatic and PCR positive. The second part, your question is what proportion of asymptomatic individuals actually transmit. So the way that we look at that is we look at, these individuals need to be followed carefully over the course of when they’re detected and looking at secondary transmission."

"We have a number of reports from countries who are doing very detailed contact tracing they’re following asymptomatic cases. They’re following contacts and they’re not finding secondary transmission onward, is very rare. And much of that is not published in the literature. From the papers that are published, there’s one that came out from Singapore, looking at a longterm care facility. There are some household transmission studies where you follow individuals over time and you look at the proportion of those that transmit onwards. We are constantly looking at this data and we’re trying to get more information from countries to truly answer this question. It still appears to be rare that an asymptomatic individual actually transmits onward."

"What we really want to be focused on is following the symptomatic cases. If we followed all of the symptomatic cases, because we know that this is a respiratory pathogen, it passes from an individual through infectious droplets. If we actually followed all of the symptomatic cases, isolated those cases, follow the context and quarantined those contexts, we would drastically reduce. I would love to be able to give a proportion of how much transmission we would actually stop, but it would be a drastic reduction in transmission. If we could focus on that, I think we would do very, very well in terms of suppressing transmission. But from the data we have, it’s still seems to be rare that an asymptomatic person actually transmits onward to a secondary individual."

I agree,

Just seems like an easier answer would have been something like, from the limited data on tracing we have, data which is in question due to how the different countries report stuff, we are not seeing much transmission from the known asymptomatic cases, and instead we should be focusing on the symptomatic cases because...
 
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