Monday, October 5, 2020

Autism and Covid 19 - Why The Risk is Higher at Any Age

What a lot of people do not know is that Autism is an autoimmune illness. And the severity of an individuals autism can be determined by the severity of other autoimmune illness in the individuals immediate family.  

In our family I have a sister with MS and another sister with more complicated autoimmune illness's. When Nick was diagnosed they specifically noted my sister with MS because of the similarity in some aspects of the two illnesses.  


Nick is a healthy adult who has a compromised immune system. When he was young his respiratory and gastrointestinal issues where always present. Today they are intermittent. However,  his system is compromised and  he would not do well should he catch covid. 


This is why I track Covid information daily, including comparisons to the flu.  Yes, the flu is more common but it is no where near as deadly. Even with imperfect data collection the disparity between the two is massive. Covid is the big killer and as parents or caregivers with ASD, this is a big reminder to be diligent. 
This is worth the read.

How Do COVID-19’s Annual Deaths and Mortality Rate Compare to the Flu’s?

Mandy Armitage, MD
Mandy Armitage, MD, is a board-certified physician, medical writer, and consultant with special interest in healthcare technology and education.
August 27, 2020, 2:35PM (PT)

People in the U.S. and around the globe are intently following news reports and other data about the COVID-19 pandemic. Most of us are eager to know when there might be an end in sight, but unfortunately, Americans continue to die at an alarming rate. The death rate decreased earlier in the summer but has increased again recently. According to data collected by Johns Hopkins University, over 180,000 people have died so far in the U.S. due to COVID-19. 

Many people want to know how the mortality (or death) data for COVID-19 compare with that of a regular flu season. But it may not be an “apples to apples” comparison, as you’ll see below. 

How are COVID-19 and the flu different?

COVID-19, which stands for coronavirus disease of 2019, is an infection caused by a type of coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The infection we know as “the flu” is caused by the influenza virus. Both are viral, respiratory illnesses, but they are not the same thing. 

Both coronavirus and influenza are spread by respiratory droplets and close contact. There are some other similarities between the two, including overlapping symptoms, which you can read about here. But because coronavirus and influenza are different viruses, a vaccine or treatment for one won’t have any effect on the other. In other words, the flu vaccine will not prevent you from getting COVID-19. That is one of the biggest differences between the two right now: A flu vaccine exists, whereas a COVID-19 vaccine does not. 

Other differences include length of time between infection and symptoms and how long the symptoms last. 

Coronavirus vs. flu deaths 

The first thing to know is that deaths due to COVID-19 and the flu are not counted in the same way. This means comparing the numbers isn’t as straightforward as we would like.  

Each death due to influenza in the U.S. does not have to be reported, so there is never a direct count. Each flu season, the CDC estimates deaths from the flu based on in-hospital deaths and death certificate data. They continue to update the data on their website as they collect it. Therefore, numbers from the last two flu seasons are not considered final just yet.

Conversely, each death due to COVID-19 is being recorded. The numbers you see and hear about are not estimates. So you can see how comparing mortality rates between the two isn’t exact at this point.

That said, here’s a quick look at the number of cases and deaths for the last two flu seasons (again, not final) and COVID-19 to date:

2017-2018 Flu2018-2019 FluCOVID-19
Cases45 million35 million5 million
Deaths61,00034,157180,000+

Breaking down the data

As with most topics in epidemiology, interpreting the numbers is complex. The data should be sound before any comparisons can be made. For example, health organizations are collecting data on COVID-19 differently. Should they look at only confirmed cases? Or also probable cases? How do they account for undertesting, especially in the first few months of the pandemic? Or delays in reporting?

Additionally, there are differences in how the numbers are reported. For example, this dashboard reports data collected from various state and county health departments, whereas the CDC uses a different process to confirm deaths before reporting. 

But there are other ways to evaluate the numbers. In the spring of this year, this paper found that weekly death counts of COVID-19 were much higher — on average 20 times higher — than weekly deaths from the last several seasons of the flu at its peak. 

Fortunately, weekly deaths from COVID have decreased in recent months. As you can see here, recent weekly deaths in the U.S. are not as high as they were in the spring, which is obviously good news. The decrease in the number of deaths is likely due to better protection of people over 65 years old, earlier diagnosis, and better treatment.

Flu vs. COVID-19 fatality rate 

Mortality rate measures how frequently people die in a specific population during a specific time period. One way of looking at that is with the case fatality ratio. This is the proportion of people with confirmed cases of a particular condition who die due to that condition. 

According to this dashboard, the case fatality ratio of COVID-19 in the US is 3.1%. The case fatality rate for influenza will obviously change year to year. But news reports and the World Health Organization often estimate it at around 0.1%. While the medical community is still learning about mortality from COVID-19, it does appear to be more deadly than the flu. 

There is obviously a wide range in COVID-19 case fatality numbers by country. This can be due to many things, such as how much testing is going on, the age of the population, and access to healthcare. For example, if more people are being tested, the case fatality ratio will decrease.

It’s also too early to determine anything about seasonal patterns, since this pandemic has been going on for less than a year. What we do know is that certain people are at higher risk for complications, including death, from COVID-19. This is true of the flu as well. When comparing COVID-related deaths in different geographic areas, it becomes clear that age plays a role. In addition to older age, certain medical conditions can increase people’s risk for having more severe disease and complications (including death). 

The bottom line

Although COVID-19 and influenza may look the same to some people, they are definitely not. The COVID pandemic continues to be a danger to public health and should be treated as such.

No comments:

Post a Comment