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United Kingdom Medicine

UK Reports Highest Coronavirus Death Toll In Europe (axios.com) 227

The U.K. surpassed Italy on Tuesday to report the most coronavirus deaths in Europe, according to Johns Hopkins data and its own tracker. Axios reports: The country, which prolonged its lockdown last month until at least the second week of May, has reported more than 196,000 cases compared to Italy's roughly 213,000. Imperial College London is undertaking the randomized testing of 100,000 people in England this week to gain data on when the lockdown might be able to lift, per The Guardian. "Foreign Secretary Dominic Raab said Tuesday that 29,427 people have died with Covid-19 since the outbreak began, more than in Italy and lower only than the United States," adds CNN. "The official figure includes 693 new deaths in the most recent 24-hour period, up to 5 p.m. (12 p.m. ET) Monday."
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UK Reports Highest Coronavirus Death Toll In Europe

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  • Per capita??? (Score:4, Insightful)

    by SuperKendall ( 25149 ) on Tuesday May 05, 2020 @04:13PM (#60025616)

    UK deaths per million is 433, Italy is 485 per million so while they are comparable, the UK is not yet ahead. The number of deaths alone doesn't tell you anything when you are comparing countries (and even then with differences in how Covid deaths are counting, you may not be comparing like to like).

    • Re:Per capita??? (Score:5, Insightful)

      by cdsparrow ( 658739 ) on Tuesday May 05, 2020 @04:14PM (#60025618)

      Absolute number are fairly pointless... They do tend to allow for specific agendas though.

      • Re:Per capita??? (Score:4, Interesting)

        by barc0001 ( 173002 ) on Tuesday May 05, 2020 @04:24PM (#60025658)

        > They do tend to allow for specific agendas though.

        Yes, like knowing when to get into the coffin supply market.

      • by AmiMoJo ( 196126 )

        Well if we are counting it similarly to Belgium then we are the worst in Europe per capita by quite a margin. 53,800 up to 5th of May, some estimating but likely very accurate.

        Our government screwed up badly.

        • by malkavian ( 9512 )

          That's because UK is way up there on population density (Which is a strong negative factor in spread), and a large degree of that is in concentrated urban environment. This means that anything that hits is going to run like wildfire, compared to the more evenly spread and sparser populations.

          So far, I'm not aware of the healthcare boundaries being overwhelmed (which is the main factor in fatalities increasing beyond deaths that would have occurred once infection sets in, and do bear in mind, we're just at

          • Re: (Score:3, Insightful)

            Comment removed based on user account deletion
            • I'm not sure that the current UK government deserves much criticism for its immediate response in recent weeks. As the comments above have said, they were working quickly with partial information and they do seem to have been largely following the expert advice. I don't know what else we could reasonably have expected of them in that situation.

              Where I suspect there will be more criticism is in the long-term under-investment in the NHS and social care provision, which is a political decision that resulted in

              • Where I suspect there will be more criticism is in the long-term under-investment in the NHS and social care provision, which is a political decision that resulted in shortages everywhere from front-line clinical staff to routine PPE.

                Also Brexit. The NHS runs on immigrant labour and has since it's inception. Well, we have less of that now too.

                but there is a striking gap in outcomes between the UK and Germany, which seems to be at least partly due to the better preparedness of the German healthcare system.

                An

          • can you link to those studies so we call all read them? Johnson taking the same attitude as trump in saying its not a problem and dragging their feet to locking down, get PPE for the medical staff etc and now fiddling the testing numbers sounds a bit like a cock-up to me. Also it seems odd that Johnson and Trump announced that they will "work together" to defeat this thing but ended up with the chart topping death numbers.
          • by khchung ( 462899 )

            That's because UK is way up there on population density (Which is a strong negative factor in spread), and a large degree of that is in concentrated urban environment. This means that anything that hits is going to run like wildfire, compared to the more evenly spread and sparser populations.

            South Korea, Taiwan, Hong Kong, Singapore are all just as densely populated, if not more so.

            While I think UK had been doing their best since they locked down. The complete inaction in the first two weeks of March, while everybody watched the number of cases grew from 36 to over 1000, deserved every criticism they get. Yes, herd immunity, I meant you.

            UK could have tried to procure more PPE and more test kits from the world during those two weeks. They could have implemented the lockdown any time during th

        • Belgium counts deaths in resting homes and people suspected to have died of Covid 19 without being tested. Many countries, like the UK, only count Covid 19 deaths in hospitals.
        • Well if we are counting it similarly to Belgium then we are the worst in Europe per capita by quite a margin.

          Yah. What I want to know is what Portugal did to come out with such a low deathrate from cv-19... Lower than Canada, even....

        • If you're going to get into a dicksize competition then at least use San Marino or Vatican City, which are the worst-hit countries in the world in terms of cases per million.

          Crazy that people are arguing over whose way of tallying quarter of a million dead is the most cromulent...

      • Yeah, except almost 30000 deaths is a large number by virtually any measure, especially since they're likely under-counting, like everyone else.

        This isn't a few people, it's 30 thousand people. I get that when numbers start to get beyond a few dozen, we group them together and sort of only see them as a number, but that's a tragedy by nearly any reckoning. Even on a per-capita basis, they certainly aren't doing as well as a lot of other countries. Don't be so friggin' cavalier.

        • by AmiMoJo ( 196126 )

          The estimated actual number is 53,800.

          42,000 to mid March, the rest estimated to 5th of May.

          That's the number of excess deaths above what would be expected in a normal year, similar weather etc.

      • by Jarwulf ( 530523 )
        The 'death rate' is also practically meaningless since theres so many different ways to count who died of COVID and some jurisdictions are more thorough than others. A better measurement would be excess deaths over normal, in combination with some idea of excess deaths not caused by covid.
        • by skids ( 119237 )

          A better measurement would be excess deaths over normal, in combination with some idea of excess deaths not caused by covid.

          ...and also factoring in deaths from other causes avoided due to stay-at-home orders. For example, automobile accident deaths are down (though not as much as they should be because apparently when the roads are more empty more assholes speed so what accidents we do have are more lethal.) Gun deaths actually are not down, which must be an increase in suicide/domestic violence making up for the decrease in mass shootings which are kinda hard to accomplish when there are so few masses to shoot at. The influ

        • Re:Per capita??? (Score:4, Insightful)

          by AmiMoJo ( 196126 ) on Tuesday May 05, 2020 @05:56PM (#60026088) Homepage Journal

          There is a simple, reliable way to measure deaths from COVID 19. Just compare the number of deaths registered against the expected amount for this time of year.

          The difference are all due to COVID, either directly or indirectly.

          It's not perfect but will get you within a few percent of the true figure. It's comparable between countries too because it eliminates issues with different ways of counting.

      • Re:Per capita??? (Score:5, Insightful)

        by AleRunner ( 4556245 ) on Tuesday May 05, 2020 @04:55PM (#60025804)

        Absolute number are fairly pointless... They do tend to allow for specific agendas though.

        The interesting thing is that, in a pandemic, during the exponential growth phase, actually the absolute numbers are a direct measure of the effectiveness of the response. Firstly, if we are doubling every two days, the earliest point(s) of infection are much more important than the later ones - e.g. if there's a single infection and then another infection after a week and a half, the second infection has kills 1/48 of the number of people that the first kills.

        Secondly, assuming similar population density etc. the size of the population has no effect on the rate of spread. A bigger population just takes longer to infect.

        This means that absolute numbers actually are a good measure.

        • by malkavian ( 9512 )

          Assuming population density and urbanisation, yes. However, they're a very mixed feast throughout Europe. The UK is right towards the top in population density and urban population (meaning it's mostly full of people living in dense city). Belgium is around the UK level, and has the respectively higher spread.

        • Amount and type of travel is important. If everyone jams on to a crowded bus everyday that will obviously spread faster than everyone in solo cars even if the general population density of the bus area is lower. In a highly-kissy culture, faster spread than a no-touch-just-bow culture. And so on. Just made up examples but I'm sure you get my point.

          Lots n lots of factors going into how fast it will spread, general population density is just one.
      • Re: (Score:3, Insightful)

        by malkavian ( 9512 )

        Absolutely right. But this is The Guardian, who don't like the current Government, so will do everything they can to make things look worse.
        Two of the confounding factors when looking at the numbers are population density, and percentage living in urban environment, where Belgium is way up there (which is one reason they're hit hard), and the UK is close to the top of that table too.

        But, as with all epidemiology, what everyone forgets is this is taken as a sample at this point in time. Right the way throu

        • Re: (Score:2, Flamebait)

          We're talking about a country lead by a man who bragged about shaking hands, in some sort of bizarre moronic version of Mao swimming the Yangtze, while at the same time apparently not even bothering to show up at COBRA meetings. The leadership at the top was utterly broken. It's not clear that it's any better, considering the dust up over being part of the EU's PPE scheme. Even now, the man acts as if the only thing in the world that matters is Brexit.

          • Re:Per capita??? (Score:5, Insightful)

            by Anonymous Brave Guy ( 457657 ) on Tuesday May 05, 2020 @07:01PM (#60026320)

            I'm no big Johnson fan, but this is just silly.

            There is no reason to expect the PM to chair early meetings on every subject. That's part of what Cabinet is there for.

            The EU scheme is controversial. Maybe it would have been better to join. Still, at the time that criticism was all kicking off, the scheme hadn't delivered anything more than promises.

            As for only caring about Brexit, the man apparently almost died from the virus a few days ago, and he's also seen his pregnant fiancee and several of his closest work colleagues hit hard by it. That's going to focus anyone's mind on health.

            • by h33t l4x0r ( 4107715 ) on Tuesday May 05, 2020 @07:56PM (#60026462)

              I'm no big Johnson fan

              What's not to like about big johnsons?

            • by AmiMoJo ( 196126 )

              No, going to COBRA meetings about a major pandemic is his job. The reason they had so many of them is because they knew it was serious.

              Maybe if he had been doing something important he could have argued he didn't need to be there. But he was just on holiday, a holiday which we are not entirely sure who paid for.

              I doubt any experience will focus Boris' mind on health because that's not a legacy he can build. The COVID-19 response is already screwed up beyond fixing and his focus now is probably on finding so

          • Re:Per capita??? (Score:5, Interesting)

            by Falconhell ( 1289630 ) on Wednesday May 06, 2020 @01:47AM (#60027200) Journal

            It’s a common thread, all the western countries lead by right wing nationalist populists are suffering the worst death rates. The UK, US, Italy and Brazil are examples.
            They get the governments they deserve.

        • by AmiMoJo ( 196126 )

          No need to ad hom the Guardian. These are government figures and certainly too low due to lag in reporting some deaths.

          It's a very reliable method too. Compare the number of expected deaths to the number actually registered.

          • by malkavian ( 9512 )

            Wasn't using ad-hominem on the Guardian. They have a biased agenda, and that's public record,. They have some good stories, and some absolutely atrocious ones. That one kinda hits the "Definitely not objective". And where the Tories are concerned, The Guardian is rarely objective. Again, that's record on its assessment by independent entities who evaluate a general left/right skew.
            In this case, I was assessing they were very biased, and mentioning that I wasn't surprised, because they were The Guardian

      • Even per capita numbers can be misleading. If you look at U.S. numbers New York seems to be doing beyond terrible, but it's necessary to account for the fact that almost half the population is in New York City which is the largest and most dense city in the United States and ranks up there in terms of world standings. I wouldn't be surprised if the UK had a lot of cases concentrated in London which is similarly large. Large and densely packed populations are just naturally going to have a harder time becaus
      • Absolute number are fairly pointless...

        It depends what you're measuring and why. If it's being compared to "no. of hospital beds available" or "no. of ICUs" then it's the deaths-per-million figure that's pointless.

    • Re:Per capita??? (Score:5, Insightful)

      by MightyMartian ( 840721 ) on Tuesday May 05, 2020 @04:24PM (#60025662) Journal

      One thing is for certain, the UK, and in particular its leadership, took a pretty darned cavalier attitude. The Prime Minister was bragging about being so confident that he was shaking hands often, only to end up in ICU. Hubris is the best word I can think for it.

      • by BAReFO0t ( 6240524 ) on Tuesday May 05, 2020 @04:31PM (#60025694)

        Nah, people from the UK just made him believe that, and were quite disappointed when he survived.

      • And the Liberate mob can point to Boris as proof of their point.

        Of course, any industrialized world leader will get the best care money can buy. I'm waiting to see what happens if/when Xi/Netanyahu/Duterte come down with Covid. I'd predict higher than average survival rates for that sample group.

      • by AmiMoJo ( 196126 )

        The fact that he couldn't be bothered at attend the COBRA meetings is the most damning part. If course he was shaking hands, be skipped the meetings that would have informed him how catastrophical stupid that was.

        • Re:Per capita??? (Score:5, Insightful)

          by MightyMartian ( 840721 ) on Tuesday May 05, 2020 @05:17PM (#60025900) Journal

          I think Johnson likes the idea of being PM. He gets limo rides, he gets a bully pulpit to show how smart he is, and he gets to hang out at Number 10 and pretend he's just like Disraeli, Gladstone and Churchill. But at actually governing, that's not his strong suit. Actually, I'm not sure what Boris Johnson's strong suit is, other than being a clown. But considering the detritus that now makes up the British cabinet, he probably is first among equals. In the land of the blind, the one-eyed man is king.

        • Hush! A few more tries and we're maybe rid of that particular bad hair legislation period.

        • by malkavian ( 9512 )

          It's why there's a cabinet. Not all of those meetings warrant an attendance. When things started looking serious, he was there.
          That's how Government functions. Left, right, middle.

        • The fact that he couldn't be bothered at attend the COBRA meetings is the most damning part. If course he was shaking hands, be skipped the meetings that would have informed him how catastrophical stupid that was.

          If he was stupid enough to go get himself infected. Not spreading it to the rest of COBRA was probably the best 'decision' he has made so far.

      • "Poetic justice" is what came to my mind.

      • Cavalier is definitely the right word, the first reported case in the UK was on the 31st of January, when the current government was obsessed with celebrating brexit [youtube.com] all the while ignoring reports from all over the world [wikipedia.org] that things were getting serious.

        Boris Johnson then took a two week holiday [theguardian.com] while COVID-19 was spiraling out of control [wikipedia.org]. When the EU instigated emergency planning to group purchase PPE and ventilators, meetings were ignored because of the governments brexit euphoria.

        Absolutely nothing was d

      • What about a penchant for risk-taking that saw the British establish an empire nearly unrivaled in modern times, has ties that remain to this day, and still pulls international weight far beyond what is commensurate for it's population and land area? I'm not British by the way, and no particular fan of British culture, but the "fearless" attitude is to be admired. This pandemic has shown just how much of the world is consumed by fear, especially here in North America where it appears everyone has uncontro
    • Re:Per capita??? (Score:5, Informative)

      by skids ( 119237 ) on Tuesday May 05, 2020 @04:26PM (#60025674) Homepage

      While that's a valid technical point, at the rate they are going UK will be above Italy in deaths/million in fairly short order. They reported 693 deaths in the last 24 hour period where Italy only had 236, and UKs population is only 10% larger than Itay's.

      • by malkavian ( 9512 )

        Much more densely populated and urbanised though.

        • by Sique ( 173459 )
          Italy has a very densely populated North, and there, the virus was spreading especially strong. And even if you include Italy's south, the total population density in Italy is 200 persons per square kilometer, while UK has 273 persons per square kilometer. And Germany sits right inbetween at 233 persons per square kilometer, but it reports only a quarter of the fatalities than the other two countries despite the fact that it has about 30% more inhabitants.
          • Germans are notorious to do as they're told. They were told "stay the fuck at home!" and so they did, because that's what you do when you're told to do so.

            • by Sique ( 173459 )
              One big step Germany did early on was closing schools and kindergardens and switch to remote learning strategies instead. Apparently, this stopped speading Corona via the children.
    • Two points:

      • Per capita gives you a proxy for infection risk.
      • Total cases, bearing in mind considerations of the extent of testing, gives you a proxy for the degree in which containment measures have been effective, at least until saturation effects come in to consideration.

      It is not reasonable to make well-mixedness assumptions about the infected population when it comes to evaluating the response of interventions while the case count is a low proportion of the population.

    • by bsolar ( 1176767 )
      The big difference is in the positive cases doubling rate, where Italy is at 80 days whereas the UK at 25. This means Italy is *much* farther ahead in slowing down the contagion compared to the UK.
    • Actually, the UK is "ahead" per capita if you take into account the population distribution. ~80% of COVID deaths are for people above 65, which represent 23% of the population of Italy vs 18% of the population of the UK.

      So, for this at-risk population, the death rate in Italy is ~1700 per million, and ~1900 per million in the UK.

  • more than 196,000 cases compared to Italy's roughly 213,000

    In what way is 196k > 213k?

    I figured this was just a slashdot problem, but the original Axios summary matches the quote. What gives here?

    • Maybe it's more per capita . . .
      Let's see:

      UK: ~68M
      Italy: ~60M

      No further questions.

    • It's opposite day.

    • by jrumney ( 197329 )

      They are talking about deaths, not cases. UK having a higher death to case ratio is another problem, as is their trend for case numbers, which is yet to start leveling off (so they'll be past Italy and Spain in raw case count by the end of the week).

    • That means that Britain is at about 92% of the cases in Italy, and Italy appears to be flattening the curve, while Britain is still climbing it. I don't think there's much doubt in the next few weeks Britain will not only top Italy in the number of absolute cases, but in cases per capita. Britain is adding about 4 times the number of cases as Italy, and three times the number of fatalities.

      Let's use another metric. Britain's 2018 GDP was 2.89 trillion dollars, as compared to Italy at 2.08 trillion. Britain

  • by schwit1 ( 797399 ) on Tuesday May 05, 2020 @04:49PM (#60025766)

    Government scientist Neil Ferguson resigns after breaking lockdown rules to meet his married lover: Prof Ferguson allowed the woman to visit him at home during the lockdown while lecturing the public on the need for strict social distancing.
    https://www.telegraph.co.uk/ne... [telegraph.co.uk]

    “Ms Staats,made a second visit on April 8 despite telling friends she suspected that her husband, an academic in his 30s, had symptoms of coronavirus.”

    Rules for thee but not for me.

    • The party of family values, I wonder has many conservatives imagined this sort of set up, though I can see why he was tempted.

      https://metro.co.uk/2020/05/05... [metro.co.uk]

  • But (Score:4, Funny)

    by rossdee ( 243626 ) on Tuesday May 05, 2020 @05:33PM (#60025984)

    The UK is no longer in Europe.

    • Allow me to be a bit pedantic here, but the UK is still in Europe - unless they somehow paddled their way across the pond with nobody noticing. This being said, yes, they are no longer in the EU (or, if you want to be perfectly exact, they are in transition of not being in the EU anymore).
  • In the 2017/2018 season, the all age group death toll attributable to influenza in the UK was 26,408 deaths. 22,237 of those on people over 65 years old. See here for the official data (PDF) [service.gov.uk].

    The 29,427 number is 13% higher so far than a bad flu season.

    This may be unpopular, but the stats keep suggesting that this is bad, but not as bad as we thought it would be. The extreme lockdowns seem like an overreaction.

    The Swedish model seems more appropriate.

  • The trick is to look at the total deaths in a country. This eliminates any variation or bias in reporting COVID-related deaths. For the UK, the total deaths appear to be here. [ons.gov.uk] For the US, the total deaths are here. [cdc.gov] Similar charts are available for many countries.

    Looking at total deaths shows that COVID really is pretty serious. Some charts are available showing previous, serious flu outbreaks - the COVID spike is higher, and the effectiveness of the lockdowns and social distancing is also apparent.

    Of course

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