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Breaking pandemic news --> We are 100% certain that MichaelE does **not** have COVID-19 today (09/16/21) ...

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MichaelE wrote:
> HeartDoc Andrew, in the Holy Spirit, boldly wrote:
>> MichaelE wrote:
>>
>>> http://reason.com/2021/09/15/covid-19-hospitalizations-are-an-increasingly-misleading-measure-of-severe-disease/
>>>
>>>
>>> New research shows incidental and mild infections account for a large
>>> and rising share of that widely cited number.
>>> JACOB SULLUM | 9.15.2021 1:55 PM
>>>
>>> COVID-19-patient-Florida-8-25-21-Newscom
>>> (John Pendygraft/Zuma Press/Newscom)
>>> Since the beginning of the COVID-19 pandemic, researchers, policy
>>> makers, and journalists have viewed hospitalizations as an important
>>> indicator of the disease burden, often citing increases in that measure
>>> as a justification for government interventions aimed at curtailing
>>> virus transmission, such as business restrictions and mask requirements.
>>> Hospitalization numbers do have advantages over case tallies, which are
>>> highly dependent on who happens to be tested, and fatality reports,
>>> which are a lagging indicator, since deaths may be recorded weeks after
>>> diagnosis. But because hospitalization rates reflect patients who test
>>> positive for COVID-19, they do not tell us how many were admitted for
>>> treatment of the disease or how many experienced severe symptoms.
>>>
>>> A newly published preprint study addresses those gaps in knowledge by
>>> applying measures of disease severity to about 48,000 V.A. hospital
>>> admissions of more than 38,000 COVID-positive patients between March 1,
>>> 2020, and June 30, 2021. The researchers, all but one of whom work for
>>> the V.A. Boston Healthcare System, found that the share of admissions
>>> involving moderate-to-severe COVID-19 cases fell from 64 percent before
>>> vaccines were widely available to 52 percent afterward.
>>
>> A 12 percent decrease is not really a "fall."
>
>    Yes, ikt is. It is considered a significant percentage change in any 
>context.

Typically, when a metric is described to have "fallen" there is the
expectation that there's been a reduction by more than half (i.e. >
50%). Picture a person falling from upright (90 degree angle) to near
prone (less than 45 degree angle) or temperatures in the fall (40's
compared to the summer (80-90's).

>>> In other words, incidental or mild cases accounted for a rising share of
>>> so-called COVID-19 hospitalizations—nearly half by the end of June. That
>>> means it is increasingly problematic to treat that number, which
>>> includes COVID-19 patients without life-threatening symptoms as well as
>>> COVID-positive patients admitted for other reasons, as an indicator of
>>> severe disease. Notably, the Centers for Disease Control and Prevention,
>>> which collects data on what are commonly called "COVID-19
>>> hospitalizations," uses a more ambiguous term: "COVID-19-associated
>>> hospitalizations." But even that description is misleading, since the
>>> tally includes many hospital patients who were not admitted for
>>> treatment of COVID-19.
>>>
>>> The main measure of disease severity in the V.A. study was an oxygen
>>> saturation level below 94 percent, which corresponds with "the most
>>> stringent cut-off" on a scale developed by the National Institutes of
>>> Health. The researchers also considered whether patients received the
>>> steroid dexamethasone, which reduces mortality in COVID-19 patients on
>>> supplemental oxygen or mechanical respiratory support. By both measures,
>>> the prevalence of moderate-to-severe cases declined with the advent of
>>> vaccines.
>>
>> There's no reason to link the decline in COVID severity in
>> hospitalized patients to "the advent of vaccines" when the
>> hospitalized are largely the unvaccinated.
>>
>> Instead, the decline should be linked to the coincidental advent of
>> monoclonal antibody cocktail usage inspired by the example of TFG
>> getting the Regeneron cocktail when hospitalized at Walter Reed VA
>> medical center in 2020.
>>
>> Thus, it is more likely that VA patients were calling 911 to be
>> hospitalized to receive their monoclonal antibody cocktail while
>> they're still ambulatory before they have to be stretchered into the
>> hospital.
>>
>>> The researchers cite two explanations for that trend: Vaccination
>>> protects people against severe disease even if they are infected by the
>>> coronavirus, and "unvaccinated patients tend to be younger and
>>> healthier," meaning they are less likely to experience life-threatening
>>> systems. Another factor could be the criteria that hospitals use for
>>> admitting COVID-19 patients, which are apt to be less demanding when the
>>> infected population becomes younger and healthier. But the upshot is
>>> that "COVID-19-associated hospitalizations," which were always an
>>> imprecise measure of severe disease, should be viewed with even more
>>> caution now.
>>>
>>> "Routine inpatient screening, common or mandated in many facilities, may
>>> identify incidental cases," the researchers note. "If hospitalizations
>>> are used as a metric for policy decision-making, patients hospitalized
>>> for the management of COVID-19 disease should be distinguished from
>>> patients who are hospitalized and incidentally found to be infected with
>>> SARS-CoV-2." They argue that oxygen saturation levels and use of
>>> supplemental oxygen, both of which are recorded by hospitals, are handy
>>> ways to distinguish between these two groups. They suggest that
>>> "reporting definitions may need to be revised to reflect the changing
>>> nature of the pandemic, particularly in regions with high levels of
>>> vaccine uptake."
>>>
>>> The researchers note that "the VA population is not representative of
>>> the US population as a whole, having few women and no children." But the
>>> finding that mild cases account for a substantial share of hospitalized
>>> COVID-positive patients is consistent with earlier research involving
>>> pediatric populations.
>>>
>>> A study reported in Hospital Pediatrics last month looked at 117
>>> admissions to a children's hospital in Northern California between May
>>> 10, 2020, and February 10, 2021. Two-fifths of those "COVID-19
>>> hospitalizations" involved patients who were asymptomatic. One-fifth
>>> involved "severe" or "critical" cases.
>>>
>>> Another study reported in the same journal last month looked at
>>> COVID-positive patients younger than 22 who were treated by Valley
>>> Children's Healthcare in Madera, California, between May 1, 2020, and
>>> September 30, 2020. The researchers found that 40 percent of the
>>> patients had "incidental infection," 47 percent were "potentially
>>> symptomatic," and the rest were "significantly symptomatic." In this age
>>> group, they reported, "most hospitalized patients who test positive for
>>> SARS-CoV-2 are asymptomatic or have a reason for hospitalization other
>>> than coronavirus disease 2019."
>>>
>>> The authors of the V.A. study note that "most of the data are from
>>> months before the more-transmissible delta variant became dominant." But
>>> they add that "proportions of patients with moderate-to-severe
>>> respiratory distress or being treated with dexamethasone did not appear
>>> to be rising at the end of the observation period (6/30/2021), when
>>> delta was becoming predominant nationwide, suggesting stability of the
>>> vital signs metric for identifying moderate-to-severe COVID-19."
>>>
>>> As David Zweig notes in The Atlantic, the V.A. study "demonstrates that
>>> hospitalization rates for COVID, as cited by journalists and policy
>>> makers, can be misleading, if not considered carefully. Clearly many
>>> patients right now are seriously ill. We also know that overcrowding of
>>> hospitals by COVID patients with even mild illness can have negative
>>> implications for patients in need of other care. At the same time, this
>>> study suggests that COVID hospitalization tallies can't be taken as a
>>> simple measure of the prevalence of severe or even moderate disease,
>>> because they might inflate the true numbers by a factor of two."
>>
>> 64/52 is a factor of 1.24 instead of two.
>>
>>> Zweig interviewed Shira Doron, a co-author of the V.A. study who is an
>>> infectious disease specialist and epidemiologist at Tufts Medical
>>> Center. "As we look to shift from cases to hospitalizations as a metric
>>> to drive policy and assess level of risk to a community or state or
>>> country," she told him, "we should refine the definition of
>>> hospitalization. Those patients who are there with rather than from
>>> COVID don't belong in the metric."
>>
>> The only *healthy* way to stop the pandemic, thereby saving lives, in
>> the U.S. & elsewhere is by rapidly ( http://bit.ly/RapidTestCOVID-19 )
>> finding out at any given moment, including even while on-line, who
>> among us are unwittingly contagious (i.e pre-symptomatic or
>> asymptomatic) in order to http://bit.ly/convince_it_forward (John
>> 15:12) for them to call their doctor and self-quarantine per their
>> doctor in hopes of stopping this pandemic. Thus, we're hoping for the
>> best while preparing for the worse-case scenario of the Alpha lineage
>> mutations and others like the Gamma, Beta, Epsilon, Iota, Lambda, Mu &
>> Delta lineage mutations combining to form hybrids that render current
>> COVID vaccines no longer effective.
>>
>> Indeed, I am wonderfully hungry ( http://bit.ly/RapidTestCOVID-19 )
>> and hope you, Michael, also have a healthy appetite too.
>>
>> So how are you ?
>
>    I am wonderfully hungry!

Source:
https://groups.google.com/g/sci.med.cardiology/c/3lStLPWUGC0/m/X0s4cCFaAwAJ

Positive control on USENET: 
https://groups.google.com/g/sci.med.cardiology/c/7ixdk7t6Bk8/m/xpbS2z7QAAAJ

While wonderfully hungry in the Holy Spirit, Who causes (Deuteronomy
8:3) us to hunger, I note that you, Michael, not only don't have
COVID-19 but are rapture (Luke 17:37) ready and pray (2 Chronicles
7:14) that our Everlasting (Isaiah 9:6) Father in Heaven continues to
give us "much more" (Luke 11:13) Holy Spirit (Galatians 5:22-23) so
that we'd have much more of His Help to always say/write that we're
"wonderfully hungry" in **all** ways including especially caring to
http://bit.ly/convince_it_forward (John 15:12 as shown by
http://bit.ly/RapidTestCOVID-19 ) with all glory (
http://bit.ly/Psalm117_ ) to GOD (aka HaShem, Elohim, Abba, DEO), in
the name (John 16:23) of LORD Jesus Christ of Nazareth. Amen. 

Laus DEO !

Suggested further reading:
https://groups.google.com/g/sci.med.cardiology/c/5EWtT4CwCOg/m/QjNF57xRBAAJ

Shorter link:
http://bit.ly/StatCOVID-19Test

Be hungrier, which really is wonderfully healthier especially for
diabetics and other heart disease patients:

http://HeartMDPhD.com/HeartDocAndrewToutsHunger (Luke 6:21a) with all
glory ( http://HeartMDPhD.com/Psalm117_ ) to GOD, Who causes us to
hunger (Deuteronomy 8:3) when He blesses us right now (Luke 6:21a)
thereby removing the http://HeartMDPhD.com/VAT from around the heart

...because we mindfully choose to openly care with our heart,

HeartDoc Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist with an http://HeartMDPhD.com/EternalMedicalLicense
2024 & upwards non-partisan candidate for U.S. President:
http://HeartMDPhD.com/WonderfullyHungryPresident
and author of the 2PD-OMER Approach:
http://HeartMDPhD.com/HeartDocAndrewCare
which is the only **healthy** cure for the U.S. healthcare crisis

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