The New England Journal of Medicine published a report by Dr. Anthony S. Fauci, M.D., H. Clifford Lane, M.D., and Robert R. Redfield, M.D.
The authors are from the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD (A.S.F., H.C.L.); and the Centers for Disease Control and Prevention, Atlanta (R.R.R.).
Dr. Fauci is on President Trump’s committee on coronavirus.
The article was published on Friday, February 28, 2020.
In the article the three experts on contagious disease report that there has been no known cases of Covid-19 in children under the age of 15.
Via Dr. Andrew Bostom.
NIAID Dir Fauci’s welcome sobriety on corona/COVID-19, which “may ultimately be more akin to a severe seasonal influenza (which has a case fatality rate of approximately 0.1%)” [published by the ideologically Left, NEJM, no less!]: https://t.co/lUr6dqDC54 pic.twitter.com/HnUDQX2OST
— Andrew Bostom (@andrewbostom) March 1, 2020
Via the New England Journal of Medicine.
In their Journal article, Li and colleagues3 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. Although this information is critical in informing the appropriate response to this outbreak, as the authors point out, the study faces the limitation associated with reporting in real time the evolution of an emerging pathogen in its earliest stages. Nonetheless, 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); 56% of the patients were male. Of note, there were no cases in children younger than 15 years of age. Either children are less likely to become infected, which would have important epidemiologic implications, or their symptoms were so mild that their infection escaped detection, which has implications for the size of the denominator of total community infections…
…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.2
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