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Every article I see about people testing asymptomatic is followed by comments insisting they were asymptomatic when tested, with no idea of whether they stayed asymptomatic or whether virtually all of them had symptoms a few days later, thus basically invalid.

But this doesn't seem like a hard problem to solve, folks. Is nobody bothering to follow up with the asymptomatic people a week later? Just take their mobile phone number, and text them en masse with a quick Y/N question as to whether or not they got sick?

This stuff baffles me. This is literally a matter of life-and-death, and yet the most basic questions seem to be unanswered. (Or are these follow-up surveys being done but the media just refuses to report them because it now feels like week-old news? I'd love to know.)



The USS Theodore Roosevelt situation was discussed here several days ago. At this time about 60% of the crew who tested positive are still asymptomatic. Enough time has passed that we can be confident they aren't just presymptomatic. Numbers are pretty solid since they were all quarantined and tracked. Infection fatality rate was about 0.1%, however that's probably not representative of the general population.


>Infection fatality rate was about 0.1%, however that's probably not representative of the general population.

That's something of an understatement - deployed naval personnel are almost exclusively young and healthy, putting them at exceptionally low risk of becoming seriously ill from COVID-19.


Also, how should we weight the validity of the data, given the political leadership issues surrounding this situation.


The data is valid, at least to the extent that the tests are accurate (there will be some false results). The Navy has openly published their numbers. If they didn't want us to know they would simply classify everything as a matter of operational readiness instead of lying.

https://navylive.dodlive.mil/2020/03/15/u-s-navy-covid-19-up...


>they would simply classify everything as a matter of operational readiness instead of lying //

Do you think, it seems that not releasing data would be a clear sign they're hiding something - given the public nature of the situation - releasing distorted figures is very difficult to find as you'd need to take a census of sailors ... which the navy/politicians would simply not allow. And the people involved themselves mightn't even notice if the figures were just massaged.

Appreciate your citation and input.


> Just take their mobile phone number, and text them en masse with a quick Y/N question as to whether or not they got sick?

I've been wondering why this isn't just being done for everyone in the country, every few days?

"The main symptoms of COVID-19 are X, Y, Z. If you think you may have COVID-19 please respond "Yes" to this text message. This is free. Your response is private and used to understand the spread of COVID-19 in our country. Please visit http://some.link for more information"

If someone responds "yes" you could follow up with some more questions, if that was useful. And then text them a few days later to see if they're feeling better or worse, or maybe ask them to describe how they feel.

There are lots of problems with this idea: people lying or not taking it seriously; people not responding; not everyone has a cellphone; some people will be worried about privacy, etc etc...

But surely there'd be something useful to learn from it? And it seems like it should be easy to do, really, if you got the mobile providers on board (or just order them to help).


In Italy they're personally tracking every confirmed case. Meanwhile, here in NYC, I called 311 to report my suspected case and that wasn't even a thing they were tracking. We just don't have our shit together over here, not at a state or national level.


Vague and/or non-comparable data provides decision deniability and narrative flexibility in many possible futures. Open-source analysis and watchdogs provide one level of defense.

https://covidtracking.com/blog/weve-launched-a-new-state-gra...

> We're rolling out a new, more rigorous system for grading the public health data each state reports.


I recently completed a survey conducted by NORC which asked a series of questions that seemed to test whether I had contracted Covid-19. I received the survey invitation in the mail so it must have been randomized. We'll have to wait to see the results.


In the uk at least we have an app that you can update with your current health status/feelings and they can track the Wuhan flu with that. They are encouraging users to report in once a day even if you have no symptoms.

https://apps.apple.com/gb/app/covid-symptom-tracker/id150352...


Do you even need to be an official to do that? Perhaps a newspaper could do it, to accurate news.


I saw it suggested on Twitter yesterday that the political polling firms should be doing some coronavirus polling, tracking trends in self-reported cases the same way they track public opinion.

I'm not sure if that would be scientifically useful in any way, but it sure would be interesting.


See my reply to GP.


Yes, one study when the diamond princess was tested it was originally 50% asymptomatic and then later on that had gone down to under 20%


A lot of the asymptomatic cases had pneumonia in their lungs too. They were however still able to expel CO2 and so did’t feel shortness of breath.


I've heard this more recently that it's a characteristic which means that people who think they're getting better will then suddenly have a turn for the worse, because they don't feel as sick but their blood oxygen level is actually quite low -- they try to exert themselves, go upstairs say, and then faint.

Happened that way to a close friend of mine.


And this can also happen if there's a liquid nitrogen or liquid helium spill in a place without sufficient ventilation. As happened to an acquaintance of mine. If that happens get out even if you don't feel any shortness of breath.


Someone else mentioned those numbers in a cousin thread but as far as we can tell there's no source for that. Do you happen to have one?

See the comment thread here https://news.ycombinator.com/item?id=22981423


It's truly disorienting.

We need good data, badly, and we have an entire world as our Petree dish and yet can't seem to get it.

You'd think the CDC would be sending out questionnaires, forms, coordinating such tests, giving guidelines, collating results etc..

Literally the worst economic shock maybe ever and we can't count marbles to save ourselves.



The CDC, AIUI, just advise medics and governments? It's up to the politicians to enable it - eg by putting medics in charge!?


CDC don’t seem to have permission to communicate with the public


It is being done though, virtually everywhere. Huge amount of testing worldwide is confirming case recovery.

You are conflating armchair epidemiologists on HN with the reality on the ground. What people say here doesn't reflect what is being done.


Where is the follow up data? Is there a link or reference? Or do you have inside information?


Can you show me the original data sources first? I'll happily send off emails to the various authors and report back to you on what their follows up are.




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