I think it’s really because we aren’t looking for cases (or are only looking for certain cases). We are in the middle of a terrible flu season and it would be easy to miss, focused only on very specific travel links, as is currently the case.
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singapore and japan has about as many new cases per day as Beijing. so I think the chinese border isn’t any factor here. it is just the math of local pandemics. starts small. add time and interactions, reaches everyone eventually
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... international seeding events started to occur in mid-Jan. Thus we have a critical ~10 weeks from then to late-March to contain these nascent outbreaks before they become sizable...https://twitter.com/trvrb/status/1226241657860870144 …
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Important question! Even in China it is still very concentrated on Hubei! Why? Time lag? Worse infection control? Ongoing spillover? Missing more cases elsewhere? Important to answer!
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delay. we must consider that the incubation is 24 days, not 14. we will all understand better in late March.
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Can be several possibilities - perhaps the outbreak was already widespread in Wuhan/China before they raised the alarm and instituted precautions and informed the international community.
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Fascinating right? 99% of cases reported in mainland China (most in Hubei province) and very little evidence of sustained HTH transmission outside China.
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We would know this by now if the incubation period were shorter
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What are the error margins? How much false positives do you get in a million tests of the kinds used for the actual diagnosis?
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