{"id":750,"date":"2020-03-26T08:14:00","date_gmt":"2020-03-26T08:14:00","guid":{"rendered":"http:\/\/www.darylilbury.com\/wordpress\/?p=750"},"modified":"2020-08-07T08:51:35","modified_gmt":"2020-08-07T08:51:35","slug":"what-youre-not-told-about-covid-19-infections","status":"publish","type":"post","link":"https:\/\/www.darylilbury.com\/wordpress\/?p=750","title":{"rendered":"What you&#8217;re not told about Covid-19 infections"},"content":{"rendered":"\n<p class=\"has-drop-cap\">Right now, numbers of infected persons are being bandied about in news media as part of the breathless coverage of Covid-19. Those numbers are meaningless without context.<\/p>\n\n\n\n<p>Let me explain. If the media report, say, 500 Covid-19 infections, my first reaction as a science journalist is to ask how many people were tested. It\u2019s an issue of maths and basic logic.<\/p>\n\n\n\n<p>If, say, 100 people are tested and ten of those test positive, the&nbsp;<em>only<\/em>&nbsp;thing we can deduce is that ten people &#8211; or 10% &#8211; of&nbsp;<em>those tested<\/em>, at&nbsp;<em>the moment they were tested<\/em>, were positive. That\u2019s it. We can\u2019t extrapolate it to a broader population.&nbsp;<\/p>\n\n\n\n<p>Let\u2019s say a week later, the number of people tested positive is now 20; has the rate of infection doubled? Not necessarily. It depends on how many people were tested. If, to get more accurate data, 200 people were tested, then still only 10% of those tested were positive. The rate of infection is the same.<\/p>\n\n\n\n<p>Now, let\u2019s assume, (because the situation is urgent), there\u2019s a rapid expansion in testing, and 400 people are tested. If the number reported positive is still 20, then the infection rate is actually&nbsp;<em>lower.<\/em>&nbsp;That\u2019s a whole different picture.<\/p>\n\n\n\n<p>That\u2019s why numbers on their own are meaningless, and why mainstream media who publish numbers without context are being careless or, worse, disingenuous.&nbsp;<\/p>\n\n\n\n<p>Time to dig a little deeper. Those 500 who are infected &#8211; how are they? It\u2019s not a flippant question. If they\u2019re all connected to ventilators then the situation is serious. If, on the other hand, they\u2019re all self-quarantined and, outside of the aches and pains and coughing and sneezing, otherwise well, then that\u2019s a different picture.<\/p>\n\n\n\n<p>What about those who die? Let\u2019s go there, with an eye on the numbers.&nbsp;<\/p>\n\n\n\n<p>If the fatality rate of Covid-19 is mentioned in the media, ask how it was measured. Is the figure reported the case fatality rate (CFR) or the infection fatality rate (IFR)? There\u2019s a big difference.&nbsp;<\/p>\n\n\n\n<p>The&nbsp;<em>case fatality rate<\/em>&nbsp;is the number of deaths divided by the number of&nbsp;<em>known<\/em>&nbsp;infections. But not all infections are known. What if we include those who are infected, but aren\u2019t tested because, say, their symptoms aren\u2019t that serious? Then we get the&nbsp;<em>infection fatality rate<\/em>. That\u2019s the number of deaths divided by the&nbsp;<em>true<\/em>&nbsp;number of infections. Obviously this statistic is more difficult to calculate &#8211; it requires estimating the number of unreported infections. If correct, it is a more accurate picture of how dangerous a pathogen may be.<\/p>\n\n\n\n<p>Generally speaking, the CFR will be larger than the IFR, and so more compelling for news media.&nbsp;<\/p>\n\n\n\n<p>\u2018Infected\u2019 is a powerful word, \u2018fatality\u2019 is frightening. Better care should be exercised by new media to paint a clearer picture of Covid-19.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Right now, numbers of infected persons are being bandied about in news media as part of the breathless coverage of Covid-19. Those numbers are meaningless without context. Let me explain. If the media report, say, 500 Covid-19 infections, my first reaction as a science journalist is to ask how many people were tested. It\u2019s an&#8230;<\/p>\n","protected":false},"author":1,"featured_media":748,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[107,1,2,18,21],"tags":[149,90,27,23],"_links":{"self":[{"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/750"}],"collection":[{"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=750"}],"version-history":[{"count":2,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/750\/revisions"}],"predecessor-version":[{"id":776,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/750\/revisions\/776"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=\/wp\/v2\/media\/748"}],"wp:attachment":[{"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.darylilbury.com\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}