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by refurb 1760 days ago
Your probabilities are confounded by asymptomatic cases, in both the vaccinated and unvaccinated populations.

In regularly tested populations, the number of asymptomatic cases can be quite high (50%). Unless they are tested and identified they will never be counted.

2 comments

It seems perfectly reasonable to care more about symptomatic cases and a lot more about cases requiring hospitalization.

Sure, let’s do the research to learn more about the disease including asymptotic cases, but I’m going to be honest: if anyone in my family had an asymptotic case, I’d be happy about rather than upset at this point.

The CDC estimates that only 15% of cases are completely asymptomatic. But most have mild symptoms.

https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/burd...

That CDC estimate is based on a simple probabilistic multiplier model from data up to Nov 2020 [0].

More recent meta-analyses [1] and large population-based serological studies [2] suggest a lower bound for the asymptomatic proportion to be at least ~33%. For young adults the upper bound for asymptomatic rate is likely between 65%-90% (95% CI) [2]. Considering other recent evidence that cases may be massively underreported [3], the true asymptomatic proportion could be even higher than what has been suggested.

[0] Estimated Incidence of Coronavirus Disease 2019 (COVID-19) Illness and Hospitalization—United States, February–September 2020 https://academic.oup.com/cid/article/72/12/e1010/6000389

[1] The Proportion of SARS-CoV-2 Infections That Are Asymptomatic https://www.acpjournals.org/doi/full/10.7326/M20-6976

[2] Estimating the asymptomatic proportion of SARS-CoV-2 infection in the general population: Analysis of nationwide serosurvey data in the Netherlands https://link.springer.com/article/10.1007/s10654-021-00768-y

[3] Evaluating the massive underreporting and undertesting of COVID-19 cases in multiple global epicenters https://www.sciencedirect.com/science/article/pii/S253104372...