Is there something about being Germany which protects the body against coronavirus Covid-19? Probably not, I would guess. In which case why do the latest figures from the Robert Koch Institute show that the country has a case fatality rate (CFR) of 0.3 per cent, while the World Health Organisation (WHO) figures from Italy seem to show a CFR of 9 per cent? To say there is a vast gulf between those figures is an understatement. If nine per cent of people who catch Covid-19 are going to die from it we are facing a calamity beyond parallel in the modern world. If only 0.3 per cent of people who catch it die from it, this pandemic may yet turn out to be no worse than seasonal flu, which as I have explained here before is estimated by the US Centers for Disease Control to kill between 291,000 and 646,000 people a year without the world really noticing. According to John Hopkins University, which is collating fatalities data, 15,308 have died to date.
Ross Clark, Spectator (behind paywall).
A couple more:
Germany is almost certainly behind Italy in this epidemic. But the main difference between Germany and Italy lies in those countries’ respective attitudes towards testing. Germany has carried out far more enthusiastic testing of the general population – there does not seem to be a central figure for this, but the German Doctors’ Association has estimated that 200,000 people across the country have been tested. In Britain, it is 64,000 people. On the other hand, German hospitals do not routinely test for the presence of coronavirus in patients who are dying or who have died of other diseases. Italy, by contrast, is performing posthumous coronavirus tests on patients whose deaths might otherwise have been attributed to other causes.
It stands to reason that the more people who are tested, the more accurate a picture we will have of the mortality rate, the transmission rate and other metrics which will determine the eventual path of this pandemic. To underline the uncertainties behind the data from which policy is currently being made, the Royal Society of Hygiene and Tropical Medicine the other day estimated the number of people in Britain who already have or have had Covid-19 at between 6,000 and 23 million. That is a pretty broad spread with hugely different implications. If only 6,000 have the disease in Britain, socially-distancing the population or locking down society might have a purpose. If 23 million have the disease, it is pointless – it already has ripped its way through the population but without killing more than a tiny percentage.
What we really need is a huge effort to test a large randomised sample of the population to see how widespread the infection is. Hopefully, that will soon happen. But in the meantime, I am minded to think that the more accurate picture of Covid-19 comes from the country which has conducted the most tests: Germany.
The more I read, the more it seems to me that randomised testing, as Clark writes, is crucial, not least in reducing hysteria and the effects that hysteria is having, and will continue to have, on our society and business. The costs, in terms of stress, the destruction of businesses and so much effort, needs to be weighed.
I have come across a few comments on social media, of the passive/aggressive sort, that “it is so amusing to see all these experts all over social media on epidemics” – the implication being that the mass public should shut up, “stay in your lane” and let the men/women in white coats take charge. The problem with this however is what happens if the experts disagree, or if their policy advice causes so much damage, including to the liberties and welfare of the citizenry, that a democratically elected politician has to make a judgement call? We don’t, rightly, outsource vast coercive powers to everyone who claims to be an expert on something. That’s not how it is supposed to work.