COVID-19 and extinction of human species

Nurses COVID

Published

I predict that in 3-4 weeks time there will be significant discussion brought to light by academic epidemiologists on Twitter about COVID-19 as a possible extinction event. I could be wrong, but let's look at the numbers. We have a contagious disease that is as deadly as the 1918 pandemic with all of modern medicine being thrown at it. In 1918, the 5% of critically ill covid-19 cases would surely have died - excluding those rare minor miracles. A higher percentage of patients requiring admission, but not intubation, would also surely pass away.

Nobody is certain that we will be able to keep up a sophisticated level of care, and in that case you're looking at a significant jump in mortality rate as critically and moderately ill patients cannot be treated due to the overwhelming surge.

COVID-19 is not showing many signs of being susceptible to weather. Hot and humid locations across our own country are seeing their own exponential outbreaks. Any flattening of the curve will only last until social distancing measures are lifted. Nobody can be absolutely certain that active immunity (antibodies made after an infection) will last long enough to prevent yearly reinfection, and so there is the possibility that we'll see this return year after year.

Unless we develop a vaccine, we will have an endemic virus that infects 50-70% of our population and has a mortality rate that is 2-5x that of the spanish flu and will cripple a healthcare system that doesn't find a way to grow itself by 3-400% whilst protecting the workers.

The birth rate is only 1.8% folks. Essentially, we'll be spending 7% our of money and only getting 1.8% back in returns. The principle won't last forever and the human race will eventually go out of business.

Thoughts?

1 hour ago, Anonymous666 said:

I think ole DannyBoy really rustled some jimmies. Not hard to do around here ?

Ya don't say. ?.

3 Votes
On 3/30/2020 at 8:37 PM, DannyBoy8 said:

Most of the academic community initially agreed that covid-19 makes ebola look like child's play - as proven by the widespread pandemic we have compared to the controlled and eliminated spread of ebola. Covid-19 will be endemic, an ebola outbreak is a finite event.

Given a modern and functioned health system, it isn't the death rate of covid-19 that is the real issue, it is the fact that 20% of patients are severely ill and a not-so-insignificant portion of them require critical care. What would happen to those folks given no sophisticated care? They would die.

Agreed. We are only at about the second inning here in a nine inning game.

China has released some alarming studies regarding long-term pulmonary damage even on survivors that didn't need ventilators or ICU, even leaving aside the potential cardiac damage and trauma of long-term ventilation.

From Blood clots to renal damage seems every day we're learning something new about it that may have no small impact with regard to long-term needs and taxation on the health system for the folks that DO come out of it.

2 Votes
On 4/7/2020 at 10:23 PM, juniper222 said:

Is it possible for CV19 to decimate humankind? Sure it is, if in the unlikely event of a mutation that turns it into something like Ebola.

SARS COV 2 (Corvid 19) is actually a mutation from SARS COV 1 (2002-2004) which also originated in a Chinese wetmarket (imo Godless hellscape)

I don't know if it's more lethal but it's certainly more effective at transmission and infection, for one thing able to reproduce in the nasal and oral passages as opposed to only the lung and for another more structurally effective to insert the mRNA into the host cell.

Wait till you see Corvid 20, dude.

2 Votes
Specializes in Orthopedic Scrub Nurse.

I think there is evidence of the a climate driven expanded range of the Anopheles mosquito, the carrier of the malarial parasite.

Habitat loss, changing climate, human intrusion are all stressors. They all are increasing. The host becomes more susceptible from stress. Migration to new areas may happen for survival. Bats in the Americas are already being decimated by white nose disease, an intrusive fungus from Europe. All these factors should increase the incidence of zoonotic diseases.

Human children used to play in a tree populated with bats. We have expanded into their territory. The west African ebola outbreak occurred. We actually traced down patient zero

Zoonotics have a very unpredictable element. SARS2 appears to be a chimeric virus composed of two other viruses. Combinations (horizontal gene transfer) are common with viral relatives. Entire functional parts can be interchanged. Lethality happens quickly. Mutations generally are not selected for. Most degrade the organism. They are slow in nature. Anything produced is of course subject to natural selection.

Part of SARS2 is very similar to bat virus RaTG13, a betacoronavirus sequenced in Hubei in 2013. The pangolin? portion contains the enhanced binding mechanism to epithelial ACE receptors. This unlikely combination has been a grand prized winner of natural selection. It is a wonder that these creatures met. Did we force this meeting by our intrusion? Or does this happen often? We do not know. The tree of viral phylogeny at NextStrain places the transfer to humans around late November of last year. The transfer from bats to pangolins? appears to have happened between 20 and 70 years ago.

Pangolin orogeny is still conjectural. SARS2 is very similar to collected specimens from Guangdong scaled pangolins. You don't have to eat them. They are nasty and bite from what I have seen.

This afternoon my cat licked my head and sneezed into my face. I could be patient zero next (hour, day, week, year) of a horrible new zoonotic. The symptoms will be my worst horror and include hiccuping for two months until your head falls off and you die. Possible but not likely though.

Specializes in NICU, PICU, Transport, L&D, Hospice.

I think it happens often and that we force many of them...most of them just aren't so successful so quickly.

And yes, the declining bat and bird populations is an ominous symptom.

14 hours ago, HeartlandRN said:

Then again, China could just learn to shop in supermarkets instead of 15 square mile "wet" markets chock full of reptiles, farm raised and illicit exotic animals all on top of each other in floor to ceiling cages, terrified, and immunosuppressed and being slaughtered in front of each other in unsanitary filthy conditions with an overpopulation of humans walking through it all.

And Americans could not consume saturated fats and sugar to such a grand scale that their behaviors overwhelm us with millions of obese, diabetic, and hypertensive walking strokes-waiting-to-happen. Behavior change is easier said than done.

1 Votes
11 minutes ago, DannyBoy8 said:

And Americans could not consume saturated fats and sugar to such a grand scale that their behaviors overwhelm us with millions of obese, diabetic, and hypertensive walking strokes-waiting-to-happen. Behavior change is easier said than done.

True, and in a sane functioning country that wasn't so polarized we would be able to enact sensible legislation for public health and direct resources toward food deserts without the regular parade of demagogues out on AM radio and a certain cable network screaming about how it's supposedly SOCIALISM and tyrannical government infringing on their liberties to be chronic cohort slobs.

2 Votes

Shout out to everyone I encounter with a nursing degree still referring to the virus as Corvid-19. All those crows and ravens love the attention!! Bring it!!

Myself I will in future be referring to the pathogen as The Bat Soup Sickness or The Pangolin's Revenge, while sewing myself masks out of vacuum cleaner bags and attempting to grow my food for the Summer in the front yard.

Specializes in NICU, PICU, Transport, L&D, Hospice.
10 hours ago, ashagreyjoy said:

Shout out to everyone I encounter with a nursing degree still referring to the virus as Corvid-19. All those crows and ravens love the attention!! Bring it!!

Myself I will in future be referring to the pathogen as The Bat Soup Sickness or The Pangolin's Revenge, while sewing myself masks out of vacuum cleaner bags and attempting to grow my food for the Summer in the front yard.

If you plant coffee filters next to flox and water sparingly with minimal nitrogen fertilizer I heard you can grow N95 masks...don't pick too early to insure proper fit.

LOL

1 Votes
Specializes in Geriatrics, Dialysis.
On 3/30/2020 at 7:37 PM, DannyBoy8 said:

Most of the academic community initially agreed that covid-19 makes ebola look like child's play - as proven by the widespread pandemic we have compared to the controlled and eliminated spread of ebola. Covid-19 will be endemic, an ebola outbreak is a finite event.

Given a modern and functioned health system, it isn't the death rate of covid-19 that is the real issue, it is the fact that 20% of patients are severely ill and a not-so-insignificant portion of them require critical care. What would happen to those folks given no sophisticated care? They would die.

OK, I was going to let this go but I just cant'. I haven't heard any academic sources, reputable or not comparing COVID-19 to ebola. Ebola has a well documented death rate of 25%-90%. There are a few reason's widespread distribution of that virus was avoided. It is not contagious during the incubation period which ranges from 2-21 days. When it becomes symptomatic and therefor contagious it never presents with mild to zero symptoms. Plus it originated and thankfully remains fairly isolated to areas with very low population density that are not prone to frequent international travel. I am by no means an epidemiologist but the comparison to ebola just isn't there.

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