Sorry, this is very long but has some very very interesting data points and observations. Article can be found here:
https://swprs.org/a-swiss-doctor-on-covid-19/
Northern Italy has one of the oldest populations and the worst air quality in Europe, which has already led to an increased number of respiratory diseases and deaths in the past and is likely an additional risk factor in the current epidemic.
South Korea, for instance, has experienced a much milder course than Italy and has already passed the peak of the epidemic. In South Korea, only about 70 deaths with a positive test result have been reported so far. As in Italy, those affected were mostly high-risk patients.
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According to the latest data of the Italian National Health Institute ISS, the average age of the positively-tested deceased in Italy is currently about 81 years. 10% of the deceased are over 90 years old. 90% of the deceased are over 70 years old.
80% of the deceased had suffered from two or more chronic diseases. 50% of the deceased had suffered from three or more chronic diseases. The chronic diseases include in particular cardiovascular problems, diabetes, respiratory problems and cancer.
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Furthermore, according to a first Chinese study, the internationally used virus test kits may give a false positive result in some cases. In these cases, the persons may not have contracted the new coronavirus, but presumably one of the many existing human coronaviruses that are part of the annual (and currently ongoing) common cold and flu epidemics. (1)
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Important reference values include the number of annual flu deaths, which is up to 8,000 in Italy and up to 60,000 in the US; normal overall mortality, which in Italy is up to 2,000 deaths per day; and the average number of pneumonia cases per year, which in Italy is over 120,000.
Current all-cause mortality in Europe and in Italy is still normal or even below-average. Any excess mortality due to Covid-19 should become visible in the European monitoring charts.
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The younger test-positive deceased almost always had severe pre-existing conditions. For example, a 21-year-old Spanish soccer coach had died test-positive, making international headlines. However, the doctors diagnosed an unrecognized leukemia, whose typical complications include severe pneumonia.
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In Switzerland, some emergency units are already overloaded simply because of the large number of people who want to be tested. This points to an additional psychological and logistical component of the current situation.
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Italian immunology professor Sergio Romagnani from the University of Florence comes to the conclusion in a study on 3000 people that 50 to 75% of the test-positive people of all ages remain completely symptom-free – significantly more than previously assumed.
The occupancy rate of the North Italian ICUs in the winter months is typically already 85 to 90%. Some or many of these existing patients could also be test-positive by now. However, the number of additional unexpected pneumonia cases is not yet known.
A hospital doctor in the Spanish city of Malaga writes on Twitter that people are currently more likely to die from panic and systemic collapse than from the virus. The hospital is being overrun by people with colds, flu and possibly Covid19 and doctors have lost control.
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A new epidemiological study (preprint) concludes that the fatality of Covid19 even in the Chinese city of Wuhan was only 0.04% to 0.12% and thus rather lower than that of seasonal flu, which has a mortality rate of about 0.1%. As a reason for the overestimated fatality of Covid19, the researchers suspect that initially only a small number of cases were recorded in Wuhan, as the disease was probably asymptomatic or mild in many people.
Chinese researchers argue that extreme winter smog in the city of Wuhan may have played a causal role in the outbreak of pneumonia. In the summer of 2019, public protests were already taking place in Wuhan because of the poor air quality.
New satellite images show how Northern Italy has the highest levels of air pollution in Europe, and how this air pollution has been greatly reduced by the quarantine.
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A report in the Italian newspaper Corriere della Sera points out that Italian intensive care units already collapsed under the marked flu wave in 2017/2018. They had to postpone operations, call nurses back from holiday and ran out of blood donations.
German virologist Hendrik Streeck argues that Covid19 is unlikely to increase total mortality in Germany, which normally is around 2500 people per day. Streeck mentions the case of a 78-year-old man with preconditions who died of heart failure, subsequently tested positive for Covid19 and thus was included in the statistics of Covid19 deaths.
According to Stanford Professor John Ioannidis, the new coronavirus may be no more dangerous than some of the common coronaviruses, even in older people. Ioannidis argues that there is no reliable medical data backing the measures currently decided upon.
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According to the latest German statistics, the median age of test-positive deaths is about 83 years, most with pre-existing health conditions that might be a possible cause of death.
According to Italian news reports, 90% of test-positive deceased in the Lombardy region have died outside of intensive care units, mostly at home or in general care sections. Their cause of death and the possible role of quarantine measures in their deaths remain unclear. Only 260 out of 2168 test-positive persons have died in ICUs.
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The Japan Times asks: Japan was expecting a coronavirus explosion. Where is it? Despite being one of the first countries getting positive test results and having imposed no lockdown, Japan is one of the least-affected nations. Quote: "Even if Japan may not be counting all those infected, hospitals aren’t being stretched thin and there has been no spike in pneumonia cases."
Italian researchers argue that the extreme smog in Northern Italy, the worst in Europe, may be playing a causative role in the current pneumonia outbreak there, as in Wuhan before.
In a new interview, Professor Sucharit Bhakdi, a world renowned expert in medical microbiology, says blaming the new coronavirus alone for deaths is "wrong“ and "dangerously misleading“, as there are other more important factors at play, notably pre-existing health conditions and poor air quality in Chinese and Northern Italian cities. Professor Bhakdi describes the currently discussed or imposed measures as "grotesque“, "useless“, "self-destructive“ and a "collective suicide“ that will shorten the lifespan of the elderly and should not be accepted by society.
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As Professors Ioannidis and Bhakdi have shown, countries like South Korea and Japan that introduced no lockdown measures have experienced near-zero excess mortality in connection with Covid-19, while the Diamond Princess cruise ship experienced an extrapolated mortality figure in the per mille range, i.e. at or below the level of the seasonal flu.
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According to press reports, oxygen bottles may become scarce. The reason, however, is not a currently higher usage, but rather hoarding due to fear of future shortages.
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According to Italian Professor Walter Ricciardi, "only 12% of death certificates have shown a direct causality from coronavirus“, whereas in public reports "all the people who die in hospitals with the coronavirus are deemed to be dying of the coronavirus“. This means that Italian death figures reported by the media have to be reduced by at least a factor of 8 to obtain actual deaths caused by the virus. Thus one ends up with at most a few dozen deaths per day, compared to an overall daily mortality of 1800 deaths and up to 20,000 flu deaths per year.
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An Italian study of August 2019 found that flu deaths in Italy were between 7,000 and 25,000 in recent years. This value is higher than in most other European countries due to the large elderly population in Italy, and much higher than anything attributed to Covid-19 so far.
In a new fact sheet, the World Health Organization WHO reports that Covid-19 is in fact spreading slower, not faster, than influenza by a factor of about 50%. Moreover, pre-symptomatic transmission appears to be much lower with Covid-19 than with influenza.
A leading Italian doctor reports that "strange cases of pneumonia“ were seen in the Lombardy region already in November 2019, raising again the question if they were caused by the new virus (which officially only appeared in Italy in February 2020), or by other factors, such as the dangerously high smog levels in Northern Italy.
Danish researcher Peter Gøtzsche, founder of the renowned Cochrane Medical Collaboration, writes that Corona is "an epidemic of mass panic“ and "logic was one of the first victims.“
Former Israeli Health Minister, Professor Yoram Lass, says that the new coronavirus is "less dangerous than the flu“ and lockdown measures "will kill more people than the virus“. He adds that "the numbers do not match the panic“ and "psychology is prevailing over science“. He also notes that "Italy is known for its enormous morbidity in respiratory problems, more than three times any other European country.“
Pietro Vernazza, a Swiss infectious disease specialist, argues that many of the imposed measures are not based on science and should be reversed. According to Vernazza, mass testing makes no sense because 90% of the population will see no symptoms, and lockdowns and closing schools are even "counterproductive“. He recommends protecting only risk groups while keeping the economy and society at large undisturbed.
The President of the World Doctors Federation, Frank Ulrich Montgomery, argues that lockdown measures as in Italy are "unreasonable“ and "counterproductive“ and should be reversed.
Switzerland: Despite media panic, excess mortality still at or near zero: the latest testpositive "victims“ were a 96yo in palliative care and a 97yo with pre-existing conditions.