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Covid-19 Navigating the Uncharted - by Anthony Fauci, et al
Key Excerpts from Article on Website of New England Journal of Medicine - NEJM


New England Journal of Medicine - NEJM, March 26, 2020
Posted: March 30th, 2020
https://www.nejm.org/doi/full/10.1056/NEJMe2002387

The latest threat to global health is the ongoing outbreak of the respiratory disease that was recently given the name Coronavirus Disease 2019 (Covid-19). The Covid-19 outbreak has posed critical challenges for the public health, research, and medical communities. In their Journal article, Li and colleagues provide a detailed clinical and epidemiologic description of the first 425 cases reported in the epicenter of the outbreak: the city of Wuhan in Hubei province, China. A degree of clarity is emerging from this report. The median age of the patients was 59 years, with higher morbidity and mortality among the elderly and among those with coexisting conditions (similar to the situation with influenza). Of note, there were no cases in children younger than 15 years of age. Li et al. report a mean interval of 9.1 to 12.5 days between the onset of illness and hospitalization. On the basis of a case definition requiring a diagnosis of pneumonia, the currently reported case fatality rate is approximately 2%. In another article in the Journal, Guan et al. report mortality of 1.4% among 1099 patients with laboratory-confirmed Covid-19; these patients had a wide spectrum of disease severity. If one assumes that the number of asymptomatic or minimally symptomatic cases is several times as high as the number of reported cases, the case fatality rate may be considerably less than 1%. This suggests that the overall clinical consequences of Covid-19 may ultimately be more akin to those of a severe seasonal influenza (which has a case fatality rate of approximately 0.1%) or a pandemic influenza (similar to those in 1957 and 1968) rather than a disease similar to SARS or MERS, which have had case fatality rates of 9 to 10% and 36%, respectively.

Note: The main author of this article, Anthony S. Fauci, is the director of the U.S. National Institute of Allergy and Infectious Diseases. Consider the research of 12 other experts questioning the coronavirus panic. Explore also this excellent article which covers key, vitally important aspects of this pandemic that few have considered. For more along these lines, see concise summaries of deeply revealing news articles on coronavirus pandemic from reliable major media sources.


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