COVID-19 Pandemic Perspectives

MSU Epidemiologist and COVID-19 Researcher (Grace Bonnema)

I think the perspective of epidemiologists is highly important and valid as infectious diseases are what they know the most about. Out of anyone, with the little knowledge about the disease that exists, epidemiologists are the ones who can make predictions and suggestions about how to combat this virus.

The Main Source: An Interview with MSU Epidemiologist and Researcher, Dr. Paneth

Looking Deeper: Five Facts Checked

Here we look at five facts from the interview with Dr. Paneth and see where these facts originated from and how true they are today compared to the date the interview was published, March 24th 2020.

I thought that the claim below was an interesting one to look into because I have heard many claims about either everyone being able to becoming severely infected or just the older and more at-risk populations with underlying conditions. When I first read this interview, the main population who seemed to be most affected by COVID-19 was the older population, so thirty seemed young to me. 


Claim #1: "According to Paneth, age 30 seems to be the general threshold for people who will fall ill due to COVID-19."

Fact Check: A report containing an analysis of many cases from China showed that 90% of infected people in their study were older than 30, which proves that the age of 30 seems to have some significance in regard to who falls ill with COVID-19 . I think it should be noted that this data came from 2019, previous to the widespread outbreak, and no other information could be found about a specific threshold age of infection. Many sources claimed generally that people over the age of fifty along with people who are immuno-comprimised were more at risk.

This fact intrigued me as most sites and graphs I look at use the number of cases to determine if a state is "flattening the curve" not the deaths. However, as the pandemic has continued more sites are starting to use either the daily confirmed cases or the number of deaths per day to measure the curve of cases in a particular area.

Claim #2: Paneth stated that given the issues with testing enumerated above, our statistics on the number of people infected are inadequate. He believes that we will need to look at the number of people who die daily to see if we are flattening the curve.


Fact Check:  Dr. Paneth had the interviewer include this link to look at the trends. What Dr. Paneth suggested is exactly what other companies mapping the coronavirus's spread started doing to see which states were flattening the curve after this interview was done. The source he linked put cases per day and deaths per day on graphs side by side, and the death rate shows the flattening, but the number of cases still show an increase on many graphs. So, Dr. Paneth's statement appears to be true. The link below shows the death rate side by side with the case rates.

I chose to include this fact as I felt that most people see this as common knowledge, and I wanted to prove that this is factual. But, I also thought it was important to point out that it does not only take fourteen days to manifest, it can take two and has in some cases. I think it is important to note that this range has large amount of variance.

Claim #3: "After initial infection, it usually takes 2 to 14 days for symptoms to manifest."

Fact Check: This is factual and is on the CDC’s website about the coronavirus. This is a widely known fact about COVID-19's affects that many people know and is used by many news outlets and online sources to prevent the spread of the coronavirus. I just thought it was important to fact check a widely used statement.

Since the start of the COVID-19 pandemic, there have been many comparisons to the way South Korea and the United States have handled the use of tests for the outbreak. Both countries had their first positive test on the same day, but have vastly different populations to test. There are many conflicting opinions about this issue, especially currently in politics.

Claim #4: "It took the United States nearly two months to execute the same number of tests as South Korea did in one week."

Fact Check: I believe this is an estimate by Dr. Paneth because I couldn’t find these exact numbers on this fact. Any source I looked at, regarding a comparison of testing between South Korea and the United States, mentioned different statistics other than this one yet similar. However, when I examined the overall testing immediacy of the two countries, South Korea did obtain tests faster and tested more of their population than the United States did in the beginning.

As of the time of this interview, there had been twenty-four deaths in the state of Michigan, and I knew that this fact would be difficult to back up because of the enormous amount of information available. However, Dr. Paneth included a link and mentioned the vast changes in the number of cases.

Claim #5: "So far, it seems all deaths in Michigan occurred in patients over age 50, many of whom had underlying conditions."

Fact Check: This comment was made back on the 24th of March, so this is not considered a fact anymore of the state of Michigan as this information isn't accessible. But Dr. Paneth linked the updated statistics below which includes the ages and mentioned that the statistics for COVID-19 are always changing. I felt like I should include that there have been deaths of people who did not have underlying conditions and who were not over the age of fifty currently. 

Analytic Essay

 

Epidemiologists have spent their entire lives studying contagious diseases, how they affect the body, how they spread, and how to stop them. When it comes to COVID-19, it seems like epidemiologists and physicians are the people we should be turning to for information about this virus and how to prevent ourselves from becoming ill. I explored the perspective of highly-respected Michigan State University physician and epidemiologist, Nigel Paneth. He believes that many didn't take the disease seriously enough when it first emerged in the state of Michigan, and some still aren’t taking enough precautions for how serious this virus is, specifically young people (Elliot). 

Dr. Panth, in an online interview with ELi, East Lansing info., described his opinions on social distancing and how to do it properly, the current state of testing in Michigan, and what he believes is the next step towards finding a cure or treatment for this disease. 

In regards to testing, Dr. Paneth believes that the United States as a country was far behind in obtaining the proper testing for COVID-19 as well as the state of Michigan. He claims that many testing sites were turning people who were considered low-risk or didn’t show more than one symptom due to a shortage of masks and gloves. However, this interview was published on March 24th prior to the large increase in both testing and personal protective equipment.

Social distancing seems to be Dr. Paneth’s main concern and how he believes we can combat the virus until a solution, such as a cure or a treatment, is found. He says that, ideally, 90% of the population should stay home as much as possible only leaving for “essential” reasons. When asked about how long social distancing will have to last, Dr. Paneth didn’t have a clear answer as there’s not enough data to predict. His solution would be to test everyone, symptomatic or asymptomatic weekly while people with mild symptoms stay at home and severe go to the hospital. The people who tested negative had less restrictions and could continue their daily lives. But, due to the current state of testing, Dr. Paneth believes this is not possible
(Elliot).

To contextualize Dr. Paneth’s statements about social distancing guidelines, “Listen to the People”: Public Deliberation About Social Distancing Measures in a Pandemic has great insights into the reasons why social distancing may be hard for some people. Published in 2009, much prior to this pandemic, this study had people discuss what might be the most difficult about sheltering in place or social distancing. The main concern people had was about the security of their job and the economic strain. This study also showed a large opposition to closing religious sites and public education, one claiming it would be impossible to keep her teenage daughter in the house. This study is proof that, long before this pandemic, social distancing would be easier said than done across a large population (Baum, Jacobson, and Goold, 2009).

Not only has Dr. Paneth studied the spread of infectious diseases in the past, he is also currently working on a possible cure or treatment for COVID-19. He has been connecting with other physicians around the country to come up with a potential treatment or cure using the convalescent serum, using the antibodies of an infected person to build up uninfected people’s immune systems to fight the virus. Dr. Paneth mentioned that he has teamed up with physicians from both Mayo Clinic and John Hopkins to develop a website helping doctors across the country access information about the serum. Doctors are also able to post data from their clinical trials involving the convalescent serum to track its progress (Elliot).

I think it is important to include Dr. Paneth’s perspective on our website because, as an epidemiologist and a physician, he has studied how these kinds of diseases work and has seen them in action before. He has valuable insight into how effective social distancing can be due to knowledge of how far the virus can travel through air. As a member of the at risk population, he can share his story of how he has behaved in this pandemic to set an example for others who value his opinion. 

References

Baum, N. M., Jacobson, P. D., & Goold, S. D. (2009). “Listen to the People”: Public Deliberation About Social Distancing Measures in a Pandemic. The American Journal of Bioethics, 9(11), 4–14. doi: 10.1080/15265160903197531

Elliot, E. J. (2020, March 24). MSU Epidemiologist Speaks Frankly about COVID-19 Dangers. Retrieved April 5, 2020, from https://eastlansinginfo.org/content/msu-epidemiologist-speaks-frankly-about-covid-19-dangers

Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239–1242. doi:10.1001/jama.2020.2648

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

https://www.worldometers.info/coronavirus/
https://www.mdmetrix.com/covid-19-projections
 

 


 

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