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Lab leak vs natural spill over is a distraction from the lack of evidence that COVID-19 is a viral pandemic originating in China.
In my previous threads I showed that the lockdown in Wuhan was too late.
I showed that all cause mortality was already well above normal and an estimated 7 million people left the city in the weeks leading up to the lockdown, including 300,000 people on the eve of the lockdown.
I showed that the vast majority of international travelers went to other Asian countries.
I showed that studies, including the Seattle Flu Study, finding a lack of early spread of the virus lack plausibility due to the absence of false positives, and I showed that there is a larger body of contradictory evidence.
In this thread, I will show that the excess mortality during the spring 2020 wave was associated with a decline in emergency department utilization, not just for low acuity visits but for high acuity visits as well.
If this is confusing due to media reporting on overwhelmed hospitals, the confusion is coming from the fact that the emergency department and intensive care unit are separate.
I will present data showing that ED utilization went down while ICU utilization went up, suggesting that patients delayed care until it was too late.
https://ourworldindata.org/grapher/excess-deaths-daily-per-100k-economist
https://www.nytimes.com/interactive/2020/03/22/world/coronavirus-spread.html
#COVID #COVID19 #epidemiology #bioinformatics #healthcareisahumanright
Collateral Impacts of the COVID-19 Pandemic: The New York City Experience
"Immediately following the first hospitalization for COVID-19 in NYC on February 29, 2020, total visits to NYC EDs dropped by approximately 50%...
...ED visits for ambulatory care–sensitive conditions also declined substantially from a monthly low of 55 343 during August 2019 to a low of 25 461 during May 2020...
...These findings align with literature from other localities and nationally that have shown a decline in care seeking for various conditions and services.
These data also suggest that forgone care among people with serious conditions may have contributed to the excess deaths not directly due to COVID-19 that were observed during the early months of the pandemic as people postponed or avoided seeking essential care due to fears of COVID-19 infection."
FIGURE 2
(A) Total Number of ED Visits per Month, NYC Syndromic Surveillance System.
(B) Total Number of ED Visits per Month for Ambulatory Care–Sensitive Conditions, NYC Syndromic Surveillance System.
(C) Percentage of ED Visits for Ambulatory Care–Sensitive Conditions Admitted per Month, NYC Syndromic Surveillance System
Davies, Emily G. AB; Gould, L. Hannah PhD; Le, Karolyn MPH; Helmy, Hannah PhD; Lall, Ramona PhD; Li, Wenhui PhD; Mathes, Robert MPH; Levanon Seligson, Amber PhD; Van Wye, Gretchen PhD; Chokshi, Dave A. MD. Collateral Impacts of the COVID-19 Pandemic: The New York City Experience. Journal of Public Health Management and Practice 29(4):p 547-555, July/August 2023. | DOI: 10.1097/PHH.0000000000001701
