Disclosure: I neither think the situation is as dire as some, nor do I think it’s something that we should be blowing off. I do think that this is a situation that needs to be actively managed.
That said, as with almost any lies, damn lies and statistics example, those raw numbers do not take into account two of the most significant covariates in predicting related mortality. Namely, age and environmental toxins individuals are being exposed to (from pollution to smoking / vaping).
People who are younger and / or have CV systems that are more robust or able to rebound are less likely to be impacted. Among those groups, mortality is similar to a bad flu and less than other outbreaks we’ve seen in our lifetime.
Contrast that with those who are older and live in areas of high pollution or are smoking or worse yet vaping and you see astronomically higher associated mortality.
What is common among those areas where mortality rates are so high? Age, pollution and incidence of smoking / vaping. And another covariate in there is that areas with high pollution are also high population density areas which lead to faster spread of the virus.
Moreover, given the younger / stronger may actually be infected and asymptomatic they may never get tested (and good luck getting tested in the US without paying out of pocket right now) which deflates the denominator in the mortality rate. Given that same group is disproportionately less likely to go tits up, the impact yields what may be an artificially high mortality rate as clearly anyone in the numerator must be included in the denominator.
What this boils down to is the fact that the numbers from other countries may _not_ be a good indication of what is or will happen here. It does, however, mean that in consideration of the differentiation of drivers of mortality, combined with what we know about incubation and methods of how it is spread, regional level management based on best knowledge is in order — perhaps managed at a national level. This could mean anything from what we saw done in China (perhaps the best method for stopping so far) to a more US acceptable (not judging, just saying) method of social distancing to elongate the infection curve is the best chances we have to minimize overall mortality in the states.
Net, net... if you’re young and strong and you don’t smoke and live in areas of high pollution you’ve got a good chance of coming out the other side of this with a (personal) worst case of a really bad cold / flu if you do not take measures to minimize chances of catching and spreading.
If you are older, have any comorbidity / live in areas with high pollution / have made questionable decisions regarding your CV system... you’re best off alone on a desert island waiting it out.
If you’re young and strong and not doing your part to limit contact with those in high risk populations, not washing your hands religiously, exercising good hygiene, etc... you or someone like you could easily carry and infect someone who is far less physically fortunate.
I’ve personally been on two flights this week and all travel for at least a couple weeks is shut down. That said, because I’ve been on flight and a couple of major airports (DFW and ORD) I will be avoiding situations where I could come in contact with anyone who is likely in compromised health or a high risk demographic for at least two weeks. Bottom line, I feel fine and I’m pretty sure I am not carrying the virus... but I’m also going to make sure that until clear of the incubation period I don’t kiss my mom.
Stay healthy everyone.