Epidemiologist Rod Jackson cites several reasons for the inconsistencies in the corona mortality rating.
He also makes a comparison with the flu.
The danger of the
coronavirus *
is
rated
by many experts on the basis of
mortality
.
The epidemiologist
Rod Jackson
explains the reasons for discrepancies in the
calculation
.
His comparison with the
flu
is clear:
Covid-19 *
is at least ten times as deadly.
Auckland / Munich - How dangerous the
coronavirus is
for humans is
often
determined by many
experts
not only in
terms of
the number of
infections
, but also of the
mortality rate
.
How high the proportion of deceased actually is, however, is so far unclear.
New Zealand epidemiologist
Rod Jackson
from the
University of Auckland
explains three reasons for errors in
mortality
calculations
and approaches to solving them.
Especially at the beginning of the
pandemic
, some experts thought the
coronavirus was
no more dangerous than the
flu
.
There are now many studies around the world on
Sars-CoV-2 *
, most of which
now
see
Corona
as significantly more dangerous.
There is a study
in the
United States
that
holds
Corona
up to
16 times more deadly
than the
flu
.
In
his guest article for the
New Zealand Herald,
the
epidemiologist
Jackson
explored
the question of why there are
inconsistencies
in the assessment of the
mortality rate from infections
and why the numbers fluctuate between different countries.
. @ c_drosten mentions a new study in @heutejournal (September 27th) that clarifies the age dependency of # COVID19 mortality (IFR) and shows that the IFR in the USA, for example, is 16 times higher than that of the sais.
Influenza.
Accordingly, IFR in đ©đȘ would be â1%.
1 / 5âŹhttps: //t.co/n614NA3DHy pic.twitter.com/J2m4vDfp4a
- Christian Erdmann (@vercheckt) September 29, 2020
Corona: Expert explains inconsistencies in the assessment of mortality
One
reason
for this is that the
numerators
and
denominators
of
mortality are
not precisely known.
To calculate the mortality rate, you need the proportion of
corona infected people
who
died as a result of the infection
.
So the
number of
deaths
is divided by the number of people
infected
.
Jackson
writes that while this sounds easy, information on these two numbers is difficult to find.
Due to the high number of
unreported cases
, it is not possible to say clearly how many people are actually infected.
In addition, in many cases it is not clear whether someone
dies
with
or
from an infection
.
Often this can only be
clarified
during a subsequent
autopsy
.
The
epidemiologist also
explains that it is not
an
infection
mortality
rate
, but an
infection
mortality percentage.
In epidemiology, a rate requires a time component.
Jackson's
approach to solving this problem is large-scale and representative
tests
.
In order
to estimate
the true denominator of
corona infections,
not only
tests
for
Sars-CoV-2 are
needed
, but also for
antibodies *
.
Corona: Confusion of confirmed infections with actual cases as a calculation problem
Another
problem
in the
calculation
of
mortality
was the
confusion
of
confirmed infections
with the
actual cases
.
Jackson
explains that while both calculations use the same numerator, they use different denominators.
The epidemiologist explains: "Some people have no symptoms, many other infections are not reported for other reasons."
He gives an example: Of 100 people
infected with corona
, only 50 could have
symptoms *
exhibit.
If they report and test positive, the total number of registered cases is 50. If one of these cases dies, the
mortality rate
is
two percent.
In fact
, it is
one percent
, since there are 100 people
infected
with
corona
.
In the video: Coronavirus - Drosten reports on a terrifying study on mortality
Coronavirus: Compared to other infectious diseases difficult
The
comparison
to other infectious diseases such as the
flu
is thus
made more difficult
.
The
Robert Koch Institute (RKI) *
underestimated in
Germany
, the
influenza-related mortality
from statistical methods.
The
RKI
explains that by far not all
influenza-
related
deaths are
recognized as such, or even confirmed.
The number of
flu deaths
is therefore from the
difference
in the
number of deaths
that
during
the
influenza outbreak
occur and the
death count
, which would have occurred if
no influenza wave
would have been calculated.
Jackson
therefore suggests
discarding
any information where the
denominator is
based on the
reported cases
rather than the
estimated number
of people actually
infected
.
Corona: Calculation of mortality only applies to certain groups
The
third problem
with calculating
mortality
, according to the epidemiologist, is that it only relates to certain groups.
"The percentage of
deaths
from infections varies greatly between different groups of people and depends in particular on a person's age and whether they have other diseases," explains
Jackson
.
The number of deaths in a particular group could therefore only be transferred to a group with
similar characteristics
.
In addition,
Jackson
criticizes
the
error-proneness of
many small studies.
The results of
corona investigations are
often published in advance on PrePrint servers and discussed in the media without an independent review.
He relativizes that at the beginning of the
pandemic, of
course, only small studies were available and you had to make the most of them.
With the
data
available today
, however, it is possible to work much better.
Coronavirus: Expert explains: "That means that Covid-19 is at least ten times as deadly as the flu"
"Experienced
epidemiologists
have recognized that they need to use information from large populations of representative people in a representative age range with representative clinical pictures," explains
Jackson
.
This is the only way to derive
representative estimates of
infection
mortality.
Studies with fewer than several hundred
corona deaths
are not useful, explains the epidemiologist.
Jackson
researches at the
University of Auckland
itself for
infection mortality
.
Similar to the
RKI
,
his team uses
the number of
total
deaths
compared to the
total number of deaths
that
would
normally
have been reported
in the same period in previous years
.
The epidemiologist's team also includes different
numbers of unreported
cases in their calculations
*
with a.
According to
Jackson's
calculations, which the epidemiologist considers very cautious,
one person
dies for every 100 people
infected
with
corona
.
One
person in 1,000 infected dies from
the
flu
.
Jackson
concludes: "That means that
Covid-19 is
at least
ten times as deadly
as the
flu
."
(Ph) * Merkur.de is part of the Ippen-Digital editorial network