Fear of Covid-19 is based on its high estimated case fatality rate-2% to 4% ... according to the World Health Organization and others. We believe that estimate is deeply flawed. There's little evidence to confirm that premise-and projections of the death toll could plausibly be orders of magnitude too high. The true fatality rate is the portion of those infected who die, not the deaths from identified positive cases. The latter rate is misleading because of selection bias in testing. The degree of bias ... could make the difference between an epidemic that kills 20,000 and one that kills two million [in the U.S.]. First, the test used to identify cases doesn't catch people who were infected and recovered. Second, testing rates were woefully low for a long time and typically reserved for the severely ill. Together, these facts imply that the confirmed cases are likely orders of magnitude less than the true number of infections. Epidemiological modelers haven't adequately adapted their estimates to account for these factors. This does not make Covid-19 a nonissue. The daily reports from Italy and across the U.S. show real struggles and overwhelmed health systems. But a 20,000- or 40,000-death epidemic is a far less severe problem than one that kills two million. Given the enormous consequences of decisions around Covid-19 response, getting clear data to guide decisions now is critical. We don't know the true infection rate in the U.S. If we're right about the limited scale of the epidemic, then measures focused on older populations and hospitals are sensible. A universal quarantine may not be worth the costs it imposes on the economy, community and individual mental and physical health.
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Each summary is created using a consistent editorial procedure. The target length is approximately 16 lines of 11-point Arial text in a 650-pixel-wide column. Up to 25% of a summary may be set in bold to emphasize the most important ideas. Summaries are composed of verbatim excerpts presented in the same sequence as they appear in the original news source, with very minor editorial additions. Where material has been omitted between excerpts, the omission is indicated with ellipses (...). Any words added by an editor for clarity or context appear in [brackets]. Our original news editor was Fred Burks. Tod Fletcher edited most summaries from 2007 through 2014, and Mark Bailey has served as news editor since 2014.