John Jackson
MM, there is no question that high case rates can in part be explained by increased testing. And of course there are not only the false positives that you mentioned but also false negatives (which you ignored), which understate the number of cases.
But there are two pretty objective indicators of whether the virus is waxing or waning – the number of hospitalizations and the number of deaths, and both of those are lagging indicators because initial case increases tend to occur among the young (who think they’re invincible, and to a significant degree, they are). But after a few weeks, the young start to infect people in more vulnerable age groups so the rate of hospitalization lags by several weeks and the death rate lags by an additional week or two.
In New Jersey, new cases are up by a factor of three (and rising steeply) and hospitalizations are up by a factor of two since September 1. Available intensive care (ICU) bed utilization and death rates have also doubled. Rising hospitalizations, ICU utilization and deaths are indicative of something real – they don’t come from increased testing.
A really good site with easy to understand graphs/statistics for each state (and each county in each state) is https://covidactnow.org/?s=1202293. I’d urge you to look at it because it’s a good way to judge how much you might be willing to do (going to the grocery store, eating out) depending on where you live (and I definitely think what is reasonable to do depends strongly on what's happening where you live). This site doesn’t show hospitalization rates, but it does show ICU utilization which is more or less proportional to hospitalizations.
From this site you can see that the case rate in Ohio has doubled since Oct. 6 and its ICU utilization has also doubled (although the ICU rate is still fairly low). The test positivity rate has gone from 3.2% to 5% in the same period so even if Ohio is testing more, a greater proportion of those tested are infected. Franklin County with 17.9 cases per 100,000 is doing a little better than Ohio as a whole (20 cases per 100,000).
Unless you cherry pick and take statements from NYT, CNN, etc, out of context there is no way you can argue that “this current surge is in positive tests” only - rising hospitalization and death rates (both lagging indicators) are stubborn facts that refuse to go away.
And the trend lines pretty much everywhere are in the wrong direction.
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