Serology isn't missing many asymptomatic + pauci-symptomatic infections, once one adjusts for sensitivity based on calibration (long-term sensitivity is better for anti-spike vs. anti-nucleocapsid)
Once one dispels the idea that serology greatly under-estimates the number of infections, it's even more clear that the USA had too few infections to reach HIT.
1) No evidence given that this wasn't due to behavior changes. 2) Other nations show a drop after behavior changes. 3) Mitigation + infections can curb cases w/o reaching HIT or sharp behavior changes
And I can't make sense of the seasonality argument.
Seasonality is largely behavior-based in response to weather. Yet the decrease in reported cases occurred while it's still cold, months earlier than the early 2020 decrease
Herd immunity would keep cases/day from increasing even under baseline conditions, w/o cases limited by additional public health interventions + behavior changes.
USA is not at baseline.
Example: ↑ time at home, ↓ outside
Also, I'll focus on studies that did representative sampling of the general population.
So no sampling just hospital patients, blood donors, healthcare workers, etc.
Many COVID-19 contrarians, including those behind the Great Barrington Declaration, *still* cite John Ioannidis' inaccurate estimate of SARS-CoV-2's fatality rate.
So let's go over how atrocious Ioannidis' paper is.
Ioannidis uses antibody (a.k.a. seroprevalence) studies to estimate the number of people infected with the virus SARS-CoV-2. He then calculates IFR by dividing the number of COVID-19 deaths by the number of infected people.
Peter C Gøtzsche (@PGtzsche1) wrote the article below
He argues that COVID-19 isn't very lethal, + then draws some political conclusions.
The article is poor.
"Is the infection fatality rate for COVID-19 worse than that for influenza?" bmj.com/content/371/bm…
2/P
Gøtzsche's basic idea is:
The proportion of SARS-CoV-2-infected people who die of the disease COVID-19 is comparable to that of flu; i.e. the infection fatality rate (IFR) for COVID-19 is not an order of magnitude larger than that of the flu.
Gøtzsche is wrong. Study after study shows that the fatality rate for SARS-CoV-2 is about an order of magnitude larger than that of influenza; COVID-19 is way more dangerous than the flu.