10 votes

In four US state prisons, nearly 3,300 inmates test positive for coronavirus -- 96% without symptoms

5 comments

  1. [2]
    DanBC
    Link
    WHO have a large list of symptoms. Until recently CDC had a much shorter list of symptoms. It's possible these people had some symptoms that were disregarded because they weren't on the list. In...

    WHO have a large list of symptoms. Until recently CDC had a much shorter list of symptoms. It's possible these people had some symptoms that were disregarded because they weren't on the list.

    In other similar research the participants went on to get symptoms later. We should say that these people haven't got symptoms yet.

    There may be something in there about US prison systems routinely ignoring symptoms until they are un-ignorable, so people with milder temperatures or headaches may not have been counted.

    6 votes
    1. vektor
      Link Parent
      Unlikely you'll get to 95% from just that. If only 5% have symptoms, and 50% show symptoms, and usually by day 5, you'd have to have 10% of the cases be more than 5 days old, and they'd have to...

      In other similar research the participants went on to get symptoms later. We should say that these people haven't got symptoms yet.

      Unlikely you'll get to 95% from just that. If only 5% have symptoms, and 50% show symptoms, and usually by day 5, you'd have to have 10% of the cases be more than 5 days old, and they'd have to have infected the 90% in the last 5 days. In other words, you'd have a 10-fold increase in just 5 days. A 4-fold increase in the same time would be considered very fast. But then again, hygiene in US prisons.... If the symptoms do show up, it's really bad in there (hey, we have a control group that goes the herd immunity route, yay?)

      There may be something in there about US prison systems routinely ignoring symptoms until they are un-ignorable, so people with milder temperatures or headaches may not have been counted.

      That's an interesting point. I hadn't considered that the method of determining symptoms might be flawed. If the prison nurse creates those records, which seems likely, I wouldn't be surprised if a lot of symptoms get completely ignored.

      Interestinly, the 5% of cases that had symptoms is the same proportion that would have really serious symptoms outside of prisons. So could really be un-ignorable. Germany hospitalizes 17% of (known!) cases and 2.7% of known cases develop pneumonia. We put approx 6% of known cases into ICU, dammit! (caveat, because german affected population != US prison affected population)

      5 votes
  2. [3]
    skybrian
    Link
    From the article: [...]

    From the article:

    They started with the Marion Correctional Institution, which houses 2,500 prisoners in north central Ohio, many of them older with pre-existing health conditions. After testing 2,300 inmates for the coronavirus, they were shocked. Of the 2,028 who tested positive, close to 95% had no symptoms.

    [...]

    Reuters surveyed all 50 state prison systems. Of the 30 that responded, most are only testing inmates who show symptoms, suggesting they could be vastly undercounting the number infected by the coronavirus.

    1 vote
    1. [2]
      Grzmot
      Link Parent
      Could that indicate either flawed testing or a particular strain of the virus that shows no symptoms? I can't imagine that 95% of all infected have no symptoms when people have been dying to the...

      Could that indicate either flawed testing or a particular strain of the virus that shows no symptoms? I can't imagine that 95% of all infected have no symptoms when people have been dying to the virus all over the planet.

      4 votes
      1. vektor
        Link Parent
        Yeah, something is up here. The rate of asymptomatic cases seems to be consistently about 50% - as evidenced by the 2 most prominent floating petri dishes, the USS Theodore Roosevelt and the...

        Yeah, something is up here. The rate of asymptomatic cases seems to be consistently about 50% - as evidenced by the 2 most prominent floating petri dishes, the USS Theodore Roosevelt and the Diamond Princess.

        It's been suggested that mild cases can be caused by hygiene circumstances - a lower dose of the virus due to better hygiene gets you a better outcome.

        Recently, we've found out that one third of the (german, I think) population has T-Cells that react to SARS-CoV-2, just by chance from prior infections. There's a possibility this leads to you being asymptomatic (though how that would allow you to be infectious asymptomatic doesn't click for me) or it could lead to less symptoms, we really don't know. If your garden-variety infections are about as rampant in prisons as corona proper is, the prior infections might explain this. But I'm not convinced at all myself.

        Color me confused.

        6 votes