Wayland said:
Cuomo is in full spread fear mode right now. His slide showing an exponential off the chart explosion of cases in July if they ease up now was almost comical. NY likely hit a similar curve as Italy, Spain, UK, where the virus basically exhausted itself due to mass spread.
I think there are certainly a lot of places that could have later spikes worse than they have now. I think NYC saw the virus' natural worst trend given their variables. Again, not saying they won't have a future 'bump' in cases, but assuming antibodies provide immunity, I can't see how it would be feasible to have a second worse curve for NYC.
Additionally, we should not be shutting down the economy for bumps. For example, we now know NC can handle daily new cases in the 500 range and 20 average deaths per day without causing distress to our healthcare capacity. Since the shutdown was put in place to reduce the chance of exceeding out healthcare capacity, future outbreaks that have these current levels of cases and deaths should
NOT cause us to lockdown the economy.
I certainly do not want to see 20 or more deaths a day from this, but I would suggest ongoing deaths in the 5-10 per day range (at steady-state) would be manageable and should not cause us to shutdown the economy. During the flu season in NC this year, we averaged approximately 1 death per day. So if you take this as a lower threshold, the question for the public health experts is what number above 1 per day is going to be allowed before we shutdown the economy again.
We have learned a lot about the virus over the past few months and we will continue to learn more about the virus,the mechanisms of infection and the mortality rates.We are starting to realize that the CFR is likely in the 0.5% range and the IFR is likely less than 1%. Plugging these values into updated models will likely drive a different response from the one we are experiencing now.