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This Podcast Will Kill You

COVID-19 Chapter 4: Epidemiology

This Podcast Will Kill You

Exactly Right and iHeartPodcasts

Health & Fitness, Science

4.817.1K Ratings

🗓️ 23 March 2020

⏱️ 61 minutes

🧾️ Download transcript

Summary

The fourth installment of our Anatomy of a Pandemic series takes a look at some of the epidemiological characteristics of the COVID-19 pandemic. But first, we hear about the experience of Katie Burson, who was quarantined along with her family on the infamous Diamond Princess cruise ship in February 2020, when cases of COVID-19 were reported among guests. Then we review some of the disease ecology of the SARS-CoV-2 spillover event and walk through a timeline of the pandemic, which, we have to admit, is pretty chilling to hear. We are joined by Dr. Carlos del Rio (interview recorded March 20, 2020), who chats with us about updated estimates for the R0 of SARS-CoV-2, reasons for regional variation in case fatality rates, and what the deal is with the slow rollout of tests in the US. We wrap up again by going through the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below:

  1. Do we know what the R0 is for this virus? (27:44)
  2. Is there a risk for a second wave of infection in China or other places where the disease seems to be slowing down? (29:31)
  3. What are the stages of an epidemic curve and what does it mean to flatten that curve? (31:03)
  4. Are people who get infected able to be re-infected or are they immune? (32:45)
  5. What is the relative effect of social distancing vs herd immunity? (33:31)
  6. How can we convince people who can stay home to actually stay home? (34:40)
  7. What are the differences between populations that contribute to the differences in case fatality rate between China vs Italy vs South Korea, etc? (36:28)
  8. What might we see in terms of numbers of infections or how long the outbreak will last? What's the end game? (38:00)
  9. Should the measures that have been enacted in some parts of the US be happening even in places with fewer cases so far? (40:55)
  10. Is this virus likely to become well established and another 'seasonal' respiratory infection? (42:16)
  11. What's the deal with testing in the US? Why was rollout so slow at the beginning? (43:14)
  12. When should a person try to get tested if they suspect they're infected? (45:58)
  13. What has this outbreak taught us so far about our ability to respond to pandemics, and how can we do better moving forward? (46:36)


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Transcript

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0:00.0

This is exactly right.

0:03.4

This is Justin from Generation Y and we're doing a four-part series unraveling the story

0:11.2

of Khalif Browder, a young boy falsely accused of stealing a backpack and held at Rikers Island

0:16.6

for three years without trial.

0:18.7

This story is about a young life caught in the middle of the justice system, listen to

0:23.0

Generation Y on Amazon Music or wherever you get your podcasts.

0:27.5

So I'm Katie Berson.

0:29.4

I live in Japan with my husband and two daughters, Louis Sutton, Zuzu, their five and three.

0:37.3

And we had heard about the coronavirus, which is what we were calling it at that point,

0:42.6

maybe just a few weeks before we were scheduled to go on our cruise.

0:47.5

The cruise was leaving at Yokohama coming back to Yokohama.

0:50.5

It was really ideal because we didn't have to fly anywhere, which we thought would be

0:54.2

safer.

0:55.2

But my mom, who is actually a manager at a hospital laboratory, was all up in arm.

1:02.4

She's like, please see if you can cancel.

1:04.6

I'm really worried about it.

1:05.8

We were like, oh, mom, it's fine.

1:10.1

And so we actually had to meet with the preventive medicine officer because we're in the service.

1:17.8

Prior to leaving, just to make sure our vaccinations were up to date.

1:21.2

And we were aware of what the risks were.

1:26.2

And it didn't really come into play.

1:28.2

We met with our two weeks prior, then the week prior, to our departure.

...

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