SARS CoV-2 coronavirus / Covid-19 (No tin foil hat silliness please)

The one thing nobody has ever been able to explain to me - in all the Sweden bashing - is what Belgium did wrong to end up with excess deaths right up there with Sweden and the UK?

Belgium are counting suspected deaths as well as confirmed. For example, 16% of care home deaths there had positive results but the other 84% make up suspected cases. This probably makes their figures a lot closer to reality than other countries but looks bad on first glance.

They also had problems similar to the UK at the start with PPE shortages etc.
 
Belgium are counting suspected deaths as well as confirmed. For example, 16% of care home deaths there had positive results but the other 84% make up suspected cases. This probably makes their figures a lot closer to reality than other countries but looks bad on first glance.

They also had problems similar to the UK at the start with PPE shortages etc.

Excess deaths take the different reporting criteria into account. They just show how many more people are dying - of any cause - than usual.
 
Excess deaths take the different reporting criteria into account. They just show how many more people are dying - of any cause - than usual.

Are they worse in excess deaths? I didn't realise that. The report linked to by Massive Spanner explains why the comparisons being used by the US (I know) against Belgium are not a good comparison.

Edit - maybe something to do with this quote from that article?

"Another factor is that many more people here put loved ones in care homes than elsewhere in Europe. "
 
Are they worse in excess deaths? I didn't realise that. The report linked to by Massive Spanner explains why the comparisons being used by the US (I know) against Belgium are not a good comparison.

Edit - maybe something to do with this quote from that article?

"Another factor is that many more people here put loved ones in care homes than elsewhere in Europe. "

Yeah. The worst excess deaths in Europe are in Italy, Spain, France, Belgium, UK and Sweden. They stand out quite a bit from everyone else.

The number of people in care homes is a good point. I’ve heard that mentioned before. Early on, we thought that median age of a country would be most important factor but it now looks like it’s much more important where their elderly citizens live.

What I haven’t heard about is whether Sweden has a higher % of elderly in care homes than their neighbours. This might explain a lot, if so.
 


Weston General is a district general hospital but just a reminder how local outbreaks can quickly overwhelm services. Some rightly pointing out how this is around a fortnight post-VE day celebrations too
 
My partner works for a Czech company and we've a lot of ties there. It's kinda hilarious how the policy has shifted from "shut the borders for two years" to "ok, stuff is open and we need tourism after all".
Yeah, I thought the same. Things went back shockingly fast, to be honest. There are already events, parties etc. Gyms, pools are open as well.

Most people still work from home, mind. Best of both worlds.

The borders situation is still far from normal though, obviously. I've had some friends come back to Prague form their home countries with a negative test (no quarantine) but it's still a hassle - you need to get the green light from the embassy first. My cousin is trying to get to Bulgaria from Poland with a car and couldn't make it past the CZ border so far.
 
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My partner works for a Czech company and we've a lot of ties there. It's kinda hilarious how the policy has shifted from "shut the borders for two years" to "ok, stuff is open and we need tourism after all".

Yeah, that was Zeman who made the comment about the borders, wasn't it? Best not to take him too seriously. I'll be over there the moment the border opens, presumably Jun 14. :D
 


Weston General is a district general hospital but just a reminder how local outbreaks can quickly overwhelm services. Some rightly pointing out how this is around a fortnight post-VE day celebrations too


Shit. That’s not good. What happened on VE day? Covidiots living it up?
 
Shit. That’s not good. What happened on VE day? Covidiots living it up?

I think around that time the tabloids were speculating about a potential relaxation of lockdown which was followed by congas and street parties, that hospital is around a seaside resort as well.
 
Yeah, I thought the same. Things went back shockingly fast, to be honest. There are already events, parties etc. Gyms, pools are open as well.

Most people still work from home, mind. Best of both worlds.

The borders situation is still far from normal though, obviously. I've had some friends come back to Prague form their home countries with a negative test (no quarantine) but it's still a hassle - you need to get the green light from the embassy first. My cousin is trying to get to Bulgaria from Poland with a car and couldn't make it past the CZ border so far.

I was just reading the official requirements there. Most of em are quite clear and sound strict, but there's one that says you can enter the country if it's "in the interest" of the country. Sounds ripe for exploiting. There's another one too that mentions "economic activity".
 
Yeah. The worst excess deaths in Europe are in Italy, Spain, France, Belgium, UK and Sweden. They stand out quite a bit from everyone else.

The number of people in care homes is a good point. I’ve heard that mentioned before. Early on, we thought that median age of a country would be most important factor but it now looks like it’s much more important where their elderly citizens live.

What I haven’t heard about is whether Sweden has a higher % of elderly in care homes than their neighbours. This might explain a lot, if so.

Belgium is also one of the most densely populated countries in Europe, I think. About 383p/km² compared to Sweden's 25p/Km², according to worldometers. Bound to make a difference.
 


In a review paper published 19 May in Acta Paediatrica, Ludvigsson concluded that children are “unlikely to be the main drivers” of COVID-19 spread. He cited case studies from France and Australia but wrote that, “So far there have been no reports of COVID-19 outbreaks in Swedish schools,” citing “personal communication” from Anders Tegnell, Sweden’s state epidemiologist, on 12 May. “This supports the argument that asymptomatic children attending schools are unlikely to spread the disease,” Ludvigsson wrote.

However, a scan of Swedish newspapers makes clear that school outbreaks have occurred. In the town of Skellefteå, a teacher died and 18 of 76 staff tested positive at a school with about 500 students in preschool through ninth grade. The school closed for 2 weeks because so many staff were sick, but students were not tested for the virus. In Uppsala, staff protested when school officials, citing patient privacy rules, declined to notify families or staff that a teacher had tested positive. No contact tracing was done at the school. At least two staff members at other schools have died, but those schools remained open and no one attempted to trace the spread of the disease there. When asked about these cases, Ludvigsson said he was unaware of them. He did not respond to a query about whether he would amend the review article to include them.

FFS
 
Belgium is also one of the most densely populated countries in Europe, I think. About 383p/km² compared to Sweden's 25p/Km², according to worldometers. Bound to make a difference.

That doesn't tell the whole story though as I would guess the vast majority of Swedish people live in the south of the country so population density across the whole area is a bit misleading.
 
That doesn't tell the whole story though as I would guess the vast majority of Swedish people live in the south of the country so population density across the whole area is a bit misleading.

True. I also note that the Netherlands is more densely populated and has more people in care homes per population than Belgium. So it's probably a mix of factors.
 


Weston General is a district general hospital but just a reminder how local outbreaks can quickly overwhelm services. Some rightly pointing out how this is around a fortnight post-VE day celebrations too

Was this when those muppets were dancing along a rope in the street?
 
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Excess deaths. Belgium had early measures and early lockdown yet had a similar result to UK
 
Does anyone know if/when other countries (primarily European countries) will start to include/report care home deaths in official figures? I wonder if this will reposition the UK in the overall outbreak in Europe.
 
Stupid question perhaps but looking at excess deaths alone and drawing conclusions of Covid whilst reasonable does risk 'expected' outliers being misrepresented doesn't it? In the UK it's against the average 5 year trend which isn't a lot of data.

Especially when you do it globally, there's bound to be several countries that have death rates way above their 5 year trend almost every year. Impossible to say what percentage of excess is outlier or covid.
 
Stupid question perhaps but looking at excess deaths alone and drawing conclusions of Covid whilst reasonable does risk 'expected' outliers being misrepresented doesn't it? In the UK it's against the average 5 year trend which isn't a lot of data.

Especially when you do it globally, there's bound to be several countries that have death rates way above their 5 year trend almost every year. Impossible to say what percentage of excess is outlier or covid.

That’s easily corrected by looking at the range of mortality, year by year. The people publishing these papers (see above re Sweden) will be smart enough to factor this in.

I actually don’t know what sort of fluctuations you get in mortality, from one year to the next but I’d be surprised if it ever reaches double digits. If you think about what drives mortality you just don’t get big changes from one year to the next. The exception being war or previous pandemics (e.g. H1N1 influenza) So a 67% increase has to be almost entirely covid driven.
 
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Excess deaths. Belgium had early measures and early lockdown yet had a similar result to UK

Italy, Netherlands, Spain, are all closer to Belgium than Belgium is to the Uk in excess deaths. Look at the percentage. Not the shape of the graph.

When was ‘Early’? Not by date, but measured against estimate of virus in the country at the time.
 
That’s easily corrected by looking at the range of mortality, year by year. The people publishing these papers (see above re Sweden) will be smart enough to factor this in.

I actually don’t know what sort of fluctuations you get in mortality, from one year to the next but I’d be surprised if it ever reaches double digits. If you think about what drives mortality you just don’t get big changes from one year to the next. The exception being war or previous pandemics (e.g. H1N1 influenza) So a 67% increase has to be almost entirely covid driven.

Death Stats

It varies lots. Data link above. Not attempting to make a comment on the 67% but there’s some data.
 
Italy, Netherlands, Spain, are all closer to Belgium than Belgium is to the Uk in excess deaths. Look at the percentage. Not the shape of the graph.

When was ‘Early’? Not by date, but measured against estimate of virus in the country at the time.

_111689680_europe_lockdown_heatmap_v2_7apr-nc.png
 
_111689680_europe_lockdown_heatmap_v2_7apr-nc.png

I was asking a very pixieish question.

Folks can’t treat these lockdown dates as meaningful, without knowing how much virus was in the country. They also can’t look at a graph like that and take anything meaningful from it. It’s close to useless.

The UK never had a lockdown like Spain or Italy. I don’t know what Belgium’s looked like. Everywhere is different and nobody is accounting for that.

Nobody really knows how many actual cases (including all mild cases that never became a positive test) were in the country at any time.

We’re at a point now that the Data and Graphs and statements attached need to go through some common sense revolution.

Much more regional. Higher threshold of reporting. More detail about the included data. Some attempt at standardisation. Charts with countries from all over the globe are largely worthless for us to move forward with now.
 
I was asking a very pixieish question.

Folks can’t treat these lockdown dates as meaningful, without knowing how much virus was in the country. They also can’t look at a graph like that and take anything meaningful from it. It’s close to useless.

The UK never had a lockdown like Spain or Italy. I don’t know what Belgium’s looked like. Everywhere is different and nobody is accounting for that.

Nobody really knows how many actual cases (including all mild cases that never became a positive test) were in the country at any time.

We’re at a point now that the Data and Graphs and statements attached need to go through some common sense revolution.

Much more regional. Higher threshold of reporting. More detail about the included data. Some attempt at standardisation. Charts with countries from all over the globe are largely worthless for us to move forward with now.

The graph is also wrong, at least for France localized and national recommendations started in mid february.
 
Two weeks of schools and shopping centers being open again here in Estonia. Still early days but we announced just one positive test in last 24 hours, good sign that, best since day one.
 
Death Stats

It varies lots. Data link above. Not attempting to make a comment on the 67% but there’s some data.

Those are interesting stats but do basically support my point. Over a 13 year period the year with the most deaths is a 12% increase on the year with the lowest deaths. With usually lowish single digit fluctuation from year to year.

EDIT: Year with most excess deaths in that 13 year period is just 6% higher than the average!
 
Have Belarus just pretended the virus isn't happening or something? No recommendations and no lock down?

Yes. They receive a lot of praise in Poland for their approach.
 
Those are interesting stats but do basically support my point. Over a 13 year period the year with the most deaths is a 12% increase on the year with the lowest deaths. With usually lowish single digit fluctuation from year to year.

EDIT: Year with most excess deaths in that 13 year period is just 6% higher than the average!

Yeah I was attempting to help not challenge
 
https://www.fpm.org.uk/blog/does-sars-cov-2-cause-a-vascular-disease/

This is interesting (blog posted on Faculty website that I’m a member of) Probably need to be a medic (or some sort of life science qualification) to understand it.

Basic premise is that this might be completely different disease to SARS/MERS, which primarily attack the airways in the lungs. It’s possible that this spares the airways but wrecks the tiny blood vessels that surround them. Which has big implications for treatment options.