[HN Gopher] Wuhan hospital traffic, search engine data indicate ...
       ___________________________________________________________________
        
       Wuhan hospital traffic, search engine data indicate virus activity
       in Fall 2019
        
       Author : abc-xyz
       Score  : 193 points
       Date   : 2020-06-08 19:39 UTC (3 hours ago)
        
 (HTM) web link (dash.harvard.edu)
 (TXT) w3m dump (dash.harvard.edu)
        
       | knolax wrote:
       | > While queries of the respiratory symptom "cough" show seasonal
       | fluctuations coinciding with yearly influenza seasons, "diarrhea"
       | is a more COVID-19 specific symptom and only shows an association
       | with the current epidemic.
       | 
       | Since when is diarrhea a COVID-19 specific symptom? Using Baye's
       | the probability of Covid-19 given diarrhea is:
       | 
       | prevalence of covid in general pop (medium low) * probability of
       | diarrhea given Covid-19 (very low, given we only recently found
       | out this was a symptom at all) / prevalence of diarrhea in
       | general pop (the prevalence of diarrhea in general is definitely
       | higher than Covid-19).
       | 
       | Which lends to a very small probability. Pre-print publications
       | like this based off of shaky data should be taken with a large
       | handful of salt.
        
       | joshuawithers wrote:
       | It continually blows my mind how Americans think that referencing
       | "Fall" means something. Southern Hemisphere human chiming in.
        
         | jessermeyer wrote:
         | Well ... it does mean something to most Americans given their
         | seasonality. But point taken, it's not universal.
        
         | designdesign wrote:
         | It's an article published by an American university and 90% of
         | the planet lives in the northern hemisphere, so it doesn't seem
         | like much to be in a twist about.
        
           | lol768 wrote:
           | I live in the northern hemisphere, there's still no such
           | thing as a "fall" in my vernacular!
        
             | jjgreen wrote:
             | Not even post-punk manc miserabilism?
             | https://en.wikipedia.org/wiki/The_Fall_(band)
        
         | kube-system wrote:
         | Wuhan is in the northern hemisphere, and always has been.
        
         | asveikau wrote:
         | Other than the hemisphere thing, I think some replies are
         | missing that outside North America they don't call autumn
         | "fall".
        
       | zachguo wrote:
       | A few issues with the methodology.
       | 
       | - only 6 small hospitals were included, and far away from the wet
       | market
       | 
       | - Baidu Search Index doesn't match what they claim
       | https://imgur.com/a/UkcUZou
       | 
       | - No test for statistical significance, really?
       | 
       | Covid-19 was not that hard to detect, the hospital would be
       | alerted once doctors and nurses got infected.
        
         | djsumdog wrote:
         | You mean SARS-CoV2, that's the virus. How would they be able to
         | detect it? Would they even know what they were looking for?
         | Would CoV2 trigger the same tests as SARS1 (for non-PCR tests)?
        
       | jialutu wrote:
       | Here is the thing, I've been reading more and more about the
       | spread of COVID-19 started in Wuhan due to the military games in
       | October 2019:
       | 
       | https://www.news.com.au/world/coronavirus/global/coronavirus...
       | 
       | https://www.dailymail.co.uk/news/article-8327047/More-compet...
       | 
       | If the illness there was COVID-19, with delegates from over 100
       | countries at the military games, the origin of the virus then is
       | still very much unknown! China being the first country to detect
       | the virus and report on it, while being demonised, makes a really
       | bad precedence for countries to not be the first country to
       | report on a new outbreak in the future.
        
         | pstrateman wrote:
         | Absolutely nothing in either of those articles indicates the
         | virus originated anywhere but China.
         | 
         | That it was circulating in Wuhan in October widely enough for
         | contagion at military games suggests strongly that it's origin
         | is in fact China.
        
           | jialutu wrote:
           | How does it strongly suggest the origin is in China? The
           | disease was first detected in December 2019 in Wuhan, where
           | many countries (especially European ones) are starting to
           | find that their first cases were in December 2019 (if not
           | earlier) as well. Once again, this is really stating my point
           | that China detected COVID-19 sooner than everyone else, and
           | hence demonised by it, setting an incredibly bad precedence
           | for future outbreaks!
        
         | jvm_ wrote:
         | The Spanish flu is called the Spanish flu because all the other
         | countries refused to report on it, so all the news of this new
         | disease came from Spain, hence the name.
         | 
         | Sounds like a similar thing might have happened here.
        
         | beefok wrote:
         | It's unfortunate that we as a species cannot prioritize the
         | health of the whole over preoccupied defensive posturing in
         | order to hide all weaknesses. Like a decayed tooth that's just
         | a shell of its former self...
        
         | president wrote:
         | This is a conspiracy theory that was propagated by PRC state
         | media which the CCP ultimately ended up back-tracking on due to
         | the absence of basis in facts and research.
        
           | jialutu wrote:
           | I did not know dailymail is PRC state media, thanks for this
           | new piece of information!
        
             | simonh wrote:
             | Oh for goodness sake. It was promoted by the PRC and
             | western news media, including the DM, picked it up from
             | them and reported on it.
        
             | jialutu wrote:
             | Same with news.com.au? I've read that Italy has been
             | suspecting the first being in Italy in November 2019 and
             | may have been in Wuhan in October 2019:
             | 
             | https://www.reuters.com/article/us-health-coronavirus-
             | italy-...
             | 
             | This seems to be in line with the military games no? So
             | far, there are no ongoing investigations into any of this,
             | besides pinpointing blame on China. Once again, sets an
             | incredibly bad precedence.
        
             | president wrote:
             | It _originated_ from and was propagated by Chinese state
             | media. Unfortunately, western media sources and aggregators
             | gobble these stories up without considering that fact.
        
               | jialutu wrote:
               | These are from multiple western media and I've only just
               | shared some examples. So I am not sure what you are
               | implying here, that pretty much all of western media is
               | unreliable? Where would you recommend to get your
               | reliable source of information from? rt.com?
        
               | dang wrote:
               | Please stop. We don't want nationalistic flamewar on HN.
               | 
               | https://news.ycombinator.com/newsguidelines.html
        
       | bdefore wrote:
       | ...of 2019
        
         | kube-system wrote:
         | I thought that was pretty obvious, fall 2020 hasn't happened
         | yet.
        
           | elchief wrote:
           | except in the Southern Hemisphere... :)
        
             | chewbacha wrote:
             | Wuhan is in the northern hemisphere ;)
        
               | koheripbal wrote:
               | I think it's a fair point. You are both correct.
        
             | doubleunplussed wrote:
             | Southern hemisphere English dialects call it Autumn. Might
             | not be a knockdown argument but it's pretty rare to read
             | Americans talking about seasons in the southern hemisphere
             | without clarifying, so I had no doubt we were talking about
             | northern hemisphere seasons.
        
       | ceedan wrote:
       | Link to a prior post of mine:
       | 
       | https://news.ycombinator.com/item?id=23074528
       | 
       | China reports infectious disease counts and deaths each month.
       | The numbers from December '19 were insane compared to '18
        
         | simonh wrote:
         | Except that we already know that the strain of flu around this
         | winter was particularly bad, much worse than recent years, so a
         | jump in deaths like that is actually not surprising. After all
         | the number is about 700k even in a typical year. This could
         | also help explain the hospital traffic data.
         | 
         | I just don't buy it. If Covid-19 was in wide circulation,
         | affecting hundreds of thousands of people as early as September
         | and October, how come it wasn't all over China? Or the rest of
         | the world for that matter. What was keeping it in Wuhan?
         | 
         | There's no way it could have grown within the wuhan population,
         | to affect that many people that early, without it being
         | propagated all over the place. People just travel too much
         | these days in China.
        
       | y-c-o-m-b wrote:
       | There's also the "mystery respiratory illness" that was never
       | identified in July 2019 which could potentially point to an even
       | earlier start. Does anyone know if they've looked into it being
       | related?
       | 
       | https://www.nbcwashington.com/news/local/health-officials-to...
       | 
       | > Three people have also died, but Dr. Benjamin Schwartz of the
       | Fairfax County Health Department said Wednesday afternoon that
       | those who died were "older" and had complex health problems.
       | Officials don't yet know the extent to which the respiratory
       | illness contributed to their deaths, he said.
        
         | Munky-Necan wrote:
         | Culture negative pneumonia is a relatively common phenomena.
         | It's also quite difficult to get adequate sputum cultures, but
         | in this case where n=60 I'm skeptical that was the issue. There
         | could be a lot of potential causes for this, but COVID is low
         | on the differential.
         | 
         | I want to say that spillover events, or a virus jumping from X
         | host to humans, happens all the time. COVID became a pandemic
         | because human to human transmission was possible from genetic
         | mutation. Usually with spillover events humans are a dead end
         | host and the person infected will be an n=1.
        
         | [deleted]
        
         | drran wrote:
         | It's one of thousands mystery respiratory illnesses caused by a
         | virus/bacteria/fungus/chemicals/bad food/bad water/bad air.
        
       | vmception wrote:
       | a few weeks ago people would respond to this kind of speculation
       | with
       | 
       | "no evidence!!"
       | 
       | "fear mongering!"
       | 
       | "diversion!"
       | 
       | until suddenly there is evidence.
       | 
       | If you were interested in getting evidence for which there is
       | none, what is the accepted way to talk about theoretical
       | possibilities on this topic which doesn't illicit those
       | dismissive and heavy handed responses?
        
         | jasonlotito wrote:
         | I'll respond in the hopes that you learn.
         | 
         | First, your general assessment is wrong. The news was already
         | reporting about US intelligence knowing about this in autumn of
         | 2019, as well as China knowing about it [1]. So I doubt a few
         | weeks ago people were saying "no evidence" to the suggestion
         | that China knew about this in autumn.
         | 
         | That being said, what exactly is "this kind of speculation?"
         | This article isn't "speculation." It's far more than that. So
         | what do you mean "this kind of speculation?" What articles like
         | "this" were posted a few weeks ago that were met with responses
         | like the ones indicated?
         | 
         | > until suddenly there is evidence.
         | 
         | That's the difference between speculation and what "this" is.
         | This has evidence.
         | 
         | > ...what is the accepted way to talk ... which doesn't illicit
         | those dismissive and heavy handed responses?
         | 
         | I don't know what you are referencing a few weeks ago to offer
         | up any specific suggestions. What I can say is that your
         | comment hints on specific things, so I offer suggestions based
         | purely on my assumptions.
         | 
         | 1. Stop with the hyperbole. Be precise in what you are saying.
         | Your comment here doesn't do that in the slightest.
         | 
         | 2. Be humble. An active imagination is being equated to a
         | researched article with sources.
         | 
         | 3. Don't have an agenda. Your agenda here is questionable at
         | best, and it's easy to see with the choice of words.
         | 
         | If you are serious about having these conversations, the best
         | approach is start to prove the opposing side first. Look to
         | validate the opposing view from your speculation and approach
         | it that way. If your speculation is correct, it will come out.
         | 
         | [1] https://thehill.com/policy/national-
         | security/intelligence/49...
        
           | vmception wrote:
           | Your mistake here is thinking I have a view.
           | 
           | I would be one of the people making the observations that the
           | virus may have been around longer than the currently official
           | records, which would be met with vitriol
           | 
           | I didn't make that clear because why do you think I have to
           | do that?
        
       | numpad0 wrote:
       | What could be inferred from this? Does it mean the fatality could
       | be lower than believed? Or that it takes longer than previously
       | thought to spread? Or Asian countries could have had experienced
       | it earlier leading to some level of immunity?
        
       | baybal2 wrote:
       | The smoking gun there is the search volume for word SARS has
       | reappeared in Chinese search engines in August-September, and
       | exploded in November.
       | 
       | I believe the quiet whispers of SARS return in autumn last years
       | have been largely validated.
       | 
       | You can even check google.com that is blocked in China. Two
       | regions light up: Hubei, and Beijing.
       | 
       | Another artefact is Chongqing/Sichuan, which also had an early
       | flare up, and severe lockdown. I hears of an opinion that it may
       | have actually started there, and Wuhan only turned to prominence
       | because it being a transport hub, and a more rich city in
       | general.
       | 
       | https://ibb.co/tcp2ZNx
       | 
       | https://trends.google.com/trends/explore?date=2019-07-01%202...
       | 
       | So, this also kind of gives more reason to look at rumors of mass
       | exodus of officials during the winter months in China.
        
         | xenonite wrote:
         | According to google trends, it started only after Dec 29 2019.
         | Before that, there seems to be no particular interest, not more
         | than usual.
        
           | baybal2 wrote:
           | Tinker with the timeframe, it will be the same cluster in
           | West-Central China, and Beijing over autumn to winter. Same
           | what Baidu, and Tencent data allegedly showed.
        
             | xenonite wrote:
             | Sorry, I cant replicate your result even with your link
             | above. Is Google Trends showing the same results for you
             | and me?
             | 
             | There is actually a recent study that finds deviations in
             | the Trends' results depending on the date of request. Some
             | German links, please use some translation tool if you need
             | to:
             | 
             | https://www.heise.de/news/Stichproben-Zweifel-an-der-
             | Zuverla...
             | 
             | http://dx.doi.org/10.13140/RG.2.2.33370.98247
        
         | user_50123890 wrote:
         | Ehh..
         | https://trends.google.com/trends/explore?date=2010-07-01%202...
         | 
         | Seems that people only started searching SARS in december by
         | which the new coronavirus was already public knowledge or at
         | least public rumor
        
           | [deleted]
        
           | owl57 wrote:
           | If you zoom in, "December" here mostly means 12/31, the exact
           | day the virus appeared in public news: https://trends.google.
           | com/trends/explore?date=2019-12-09%202...
        
         | mc32 wrote:
         | This Harvard study has quotes around the terms ex: "cough", I
         | imagine that means they're looking at the Baidu trends for the
         | Chinese words and not their English equivalents... making the
         | comparison to google trends of the English equivalents apples
         | and oranges...
        
         | zachguo wrote:
         | Please stop spreading false information.
         | 
         | Baidu search index for SARS: https://imgur.com/a/3Sca2v8 .
         | 
         | The uptick started at mid-Dec. There was a tiny bump in early
         | October, however, if you hover over it, the bump shows posts
         | about comparing economic activity to the 2003 SARS period, not
         | related to the disease.
        
         | puppymaster wrote:
         | I don't see an abnormal trend if you increase the coverage to 3
         | or 5 years.
         | 
         | The number of people searching for related keywords is about
         | the same for 2015, 2016 -> 2019 for those regions.
        
         | knolax wrote:
         | The popularity of searches for SARS never went above 7 before
         | late Dec. when cases of pneumonia were already popping up in
         | the news. There was no signficant difference between searches
         | from July 2019 to November 2019. If you look at the same data
         | exactly one year ago in 2018 you'll find that the prevalence of
         | searches for cough and SARs were actually much higher in
         | 2018[0] (prevalences in the 70s and 50s in 2018 vs prevalence
         | that were less than 10 in 2019). So unless you're suggesting
         | Covid-19 actually started in 2018 it seems any correlation
         | between search volume and cases of covid-19 fails to disprove
         | the null hypothesis.
         | 
         | Plus there's the fact that you're looking at data in English
         | for a search engine blocked in China.
         | 
         | [0]
         | https://trends.google.com/trends/explore?date=2018-07-01%202...
        
       | davesque wrote:
       | Here are a couple of anecdotal data points:
       | 
       | I was traveling in Japan and Taiwan in October of 2019. I came
       | down with a weird flu-like illness that persisted for three or
       | four weeks (much longer than a flu would have normally lasted for
       | me). And it wasn't just that the symptoms persisted. I really
       | felt _sick_ for that long (with fever and sweats). The flu-like
       | thing also came after a week or so of diarrhea. Could have just
       | been GI issues related to traveling but who knows? Ever since it
       | was reported that the pandemic may have begun earlier than had
       | previously been thought, I 've been wondering if I didn't in fact
       | get this virus very early on.
       | 
       | I also had a colleague with me who was traveling with his wife.
       | His wife was also very sick with some kind of super-flu like
       | thing. She was saying it was basically the worst flu of her life.
        
         | kube-system wrote:
         | I have a similar anecdote, but tested negative for nCoV
         | antibodies. I figure my human brain is just prone to
         | availability bias. There were and still are lot of viruses out
         | there, and many share similar symptoms.
        
           | koheripbal wrote:
           | It's also possible the antibody test is inaccurate. TWIV
           | (This Week in Virology) reported a big double-digit false
           | negative rate.
        
             | NotSammyHagar wrote:
             | Sorry, what's TWIV?
        
               | thanatosmin wrote:
               | https://www.microbe.tv/twiv/
        
               | doubleunplussed wrote:
               | It's This Week in Virology, and a reminder to everyone
               | that acronyms are not as well known as you think they
               | are, please spell them out unless they're very common or
               | have already been defined.
        
           | azinman2 wrote:
           | What's the sensitivity of the test you took?
        
             | kube-system wrote:
             | 100% ...according to the one limited study that it was the
             | subject of.
        
           | JTon wrote:
           | A take it or leave it anecdote for you: I was chatting with
           | an actuary working in life insurance field who is heavily
           | involved in the pandemic industry groups. The actuary told me
           | the antibody test is considered unreliable and has as high as
           | 50% false negative rate.
        
             | NotSammyHagar wrote:
             | Anecdotes aren't worth much in this area. There's no
             | conspiracy of silence about problems. We can use actual
             | science. They actually test the quality of these tests.
             | Some are better than others.
             | 
             | For example, the Abbott test has a surprising accuracy [1]
             | "Researchers at the University of Washington School of
             | Medicine found Abbott's test had a specificity rate of
             | 99.9% and a sensitivity rate of 100%, suggesting very few
             | chances of incorrectly diagnosing a healthy person with the
             | infection and no false negatives."
             | 
             | 1. https://www.cnbc.com/2020/05/08/study-suggests-abbott-
             | covid-...
        
               | 9nGQluzmnq3M wrote:
               | COVID test accuracy is very similar to condom
               | effectiveness: they're both high in theory, but
               | surprisingly low in practice, not because of the science
               | but user error. I've seen estimates as high as 10-30% for
               | false negatives, largely due to poor swabbing practices:
               | 
               | https://www.healthline.com/health-news/false-negatives-
               | covid...
        
             | djsumdog wrote:
             | Not so anecdotal: There is an Oncology professor in the UK
             | who tested his staff of 200 and got ~10% for antibodies. A
             | month later he expected 30%, but still got around 10%
             | (https://unherd.com/thepost/professor-karol-sikora-fear-is-
             | mo...)
             | 
             | There is a chance antibodies for this simply do not last
             | very long, or that many people fight it off before it
             | reaches the adaptive immune system and requires antibodies
             | (there are many layers that have evolved in our immune
             | systems).
             | 
             | There are many other viruses that don't produce long
             | lasting immunity as well. Hepatitis B vaccines require 3
             | shots within a few months and even then, the take rate for
             | it is only around 60%.
        
             | entee wrote:
             | There are different tests out there, many are pretty bad.
             | Some are pretty good, for example Abbott's clears 90% in
             | both specificity and sensitivity. That said, given a low
             | prevalence of the disease, this is actually fairly likely
             | to give false positives. 93.8% sensitivity suggests the
             | false negative rate should be pretty low with that test.
             | 
             | https://www.360dx.com/immunoassays/study-finds-abbott-
             | corona...
        
           | pstrateman wrote:
           | Influenza this year was also particularly nasty. Most people
           | who have anecdotes about feeling terrible October-December in
           | western countries simply had the flu.
        
             | kube-system wrote:
             | I initially did not think it was the flu, because I get the
             | flu shot every year (but yes, I know there are multiple
             | strains which it might not protect from)
        
               | pstrateman wrote:
               | My understanding is that the flu shot for 2019-2020
               | wasn't as effective as in other years (which even then is
               | only 40-60%).
        
           | jaboutboul wrote:
           | I was positive for COVID and have no antibodies. Don't assume
           | you didn't have it if you don't have antibodies.
        
             | briefcomment wrote:
             | It is possible to overcome the virus without antibodies. I
             | forgot the name for the process, but I'll try to track it
             | down.
        
               | gizmo wrote:
               | T lymphocytes defend against covid. Immunity can be the
               | product of previous flu exposure.
        
               | jaboutboul wrote:
               | Interested. Please do.
        
         | koheripbal wrote:
         | That happened to me in South America in 2009. These individual
         | data points are not meaningful.
         | 
         | Maybe it was covid... but it just doesn't tell us anything
         | since there's obviously a reporting bias here.
        
         | mfer wrote:
         | There are more than one major flu strands in the wild now and
         | depending on which we got first will tell us how we react to
         | the other. Or, so I'm told.
         | 
         | Here's a video on the flu from 1918 that killed many. It's a
         | few years old and talks about our responses to virus and how
         | they trace them. It's enlightening....
         | https://www.youtube.com/watch?v=48Klc3DPdtk
         | 
         | In any case, it could have been a bad flu infection. An
         | antibody test would really help. I know several people who had
         | a bad flu that was detected as influenza.
        
         | bradly wrote:
         | After visiting my brother in Las Vegas the first week of
         | February I came down with a fever, sweats, and extremely bad
         | cough with wheezing in my chest for over a week. I saw a doctor
         | two weeks in and she thought I had bronchitis and prescribed me
         | an inhaler. The Rx failed to treat the cough or wheezing. I
         | emailed the doctor after over a week and she was surprised the
         | medication wasn't working. It ran it's course for about a month
         | exactly. Now I don't actually think I had COVID-19, but the
         | chance is non-zero for sure. I wish it was cheap/easy to get an
         | antibody test in the U.S. so I won't need to worry as much in
         | the small chance I did actually have it.
        
           | adrr wrote:
           | https://patient.labcorp.com/covid-19-antibody-test
           | 
           | It's $10 with insurance with one caveat that your state may
           | not allow self testing without seeing a doctor.
        
           | bonestamp2 wrote:
           | It is free and easy (drive thru) in some parts of the US.
           | Check with your local health resources.
        
         | codezero wrote:
         | Have you had the opportunity/availability to get an antibody
         | test?
         | 
         | Everyone I've heard with such an anecdote has received multiple
         | negative antibody tests, anecdata! (Only two people I've known)
        
           | gizmo wrote:
           | Recent finding: 80% of people exposed to covid produced only
           | a minimal amount of antibodies. Our immune system protects
           | against millions of diseases, and we don't require specific
           | antibodies for most of them.
           | 
           | https://www.biorxiv.org/content/10.1101/2020.05.13.092619v2
        
             | codezero wrote:
             | Super helpful, thanks, I'll read up some more.
        
           | subsubzero wrote:
           | My Brother was in China in November and got pretty sick with
           | back to back to back colds/flu like bugs, I also was very
           | sick for late Nov. - late December, didn't have a fever but
           | had a hard time breathing than normal for a cold/flu, I asked
           | my Doctor and a friend at Stanford and both of them said the
           | antibody tests they have are not accurate. I really want
           | piece of mind if I had covid-19 but am still waiting for a
           | decent antibody test.
        
             | jupp0r wrote:
             | For your situation, existing antibody tests are fine. They
             | are not accurate enough to do mass testing to find out how
             | prevalent SARS2 is in the population. This is because the
             | base rate in the population is pretty low. If you are
             | reasonably sure that you've had it, a false negative/false
             | positive for you is still pretty unlikely (in the 5% order
             | of magnitude range for lateral flow antibody tests, better
             | for ELISA lab tests).
        
               | gizmo wrote:
               | A positive test result for antibodies is a strong
               | indicator for having been exposed to covid, but a
               | negative test result doesn't say much because 80% of
               | people exposed to covid don't produce antibodies, even if
               | they get sick and recover. It doesn't matter how good the
               | test is if seropositivity is the exception rather than
               | the rule.
        
               | lbeltrame wrote:
               | > because 80% of people exposed to covid don't produce
               | antibodies
               | 
               | Are there any data available to support this claim? That
               | would mean that the virus is cleared by the innate immune
               | system and not the adaptive, but it is still a pretty
               | bold statement.
               | 
               | The last I read (a Nature Genetics study, if I recall)
               | was that the antibody quantity was lower in milder cases
               | (but with a large inter-person variability).
        
               | gizmo wrote:
               | Yes, I linked to a relevant paper in this thread. (And I
               | think it's what you would expect for a disease that is
               | non-symptomatic for many young/healthy people.)
               | 
               | > That would mean that the virus is cleared by the innate
               | immune system and not the adaptive
               | 
               | Not necessarily, because adaptive antibodies produced
               | through previous exposure to coronaviruses can also bind
               | to covid19.
        
             | SllX wrote:
             | I'm waiting on these antibody tests as well. My symptoms
             | weren't as bad as yours but I too had an illness around
             | that time, and so did a fair number of people around me, I
             | remember joking with my drinking buddy that I probably got
             | whatever it was from her. I'm still mostly convinced that
             | whatever it was, it wasn't COVID-19, but I can't ignore the
             | sheer number of stories that I keep hearing from people
             | about a strange illness in that time frame. Some medical
             | professionals who I've heard on various podcasts addressed
             | these anecdotes and say it probably wasn't COVID-19, and
             | let's be fair, it most likely wasn't.
             | 
             | I would still like a way to prove or disprove it though,
             | and same as you, anyone I've talked to about it says the
             | antibody tests just aren't good enough yet to prove
             | anything conclusively.
             | 
             | Even the data we do have available sucks. There's a bunch
             | of States and counties which still aren't reporting or
             | aren't reliably reporting recoveries which is artificially
             | inflating the active case count in the United States.
        
       | adventured wrote:
       | The US Government already knew the virus originated earlier than
       | China admits. During one of the early live briefings on the
       | virus, Trump spouted off about the virus coming out of China
       | maybe as early as late September. The press mocked him for
       | getting the timeline wrong by several months. He wasn't confusing
       | the timeline, he was leaking inside information from US spy
       | agencies, their estimates on its origin date (which he obviously
       | would have seen).
        
         | Johnjonjoan wrote:
         | I've noticed he does this often. He leaves it completely open
         | ended so there's plenty of criticism and then reaps the
         | rewards.
         | 
         | His supporters see him demonised by the establishment only to
         | be proven right.
         | 
         | Edit: by does this often I mean leaking inside information
        
           | pnako wrote:
           | It works because his opposition is still somehow convinced
           | he's just "Trump", some rambling mad man who found his way
           | into the white house, and not the POTUS, commander-in-chief,
           | with access to intelligence.
        
       | brianbreslin wrote:
       | I'm curious, how did they get access to location data and Baidu
       | search volumes for just Wuhan?
        
         | tindjinn wrote:
         | Well, considering the all-seeing Chinese government practically
         | owns Baidu and most other Chinese brands it is not very
         | surprising that they're able to track individual users across
         | multiple platforms. Location data is merely one tiny point on
         | the vast graph of data they have access to.
        
           | Dahoon wrote:
           | But this isn't PRC but Harvard.
        
           | beervirus wrote:
           | It's a little surprising the PRC would let this unflattering
           | data be available.
        
             | cameldrv wrote:
             | The official line now is that the virus didn't start in the
             | seafood market. The bats that carry the closest viruses to
             | SARS-CoV-2 are located 1000 miles south of Wuhan, and were
             | in hibernation in November. For the theory that the virus
             | was transmitted from a bat to a human in Yunnan to work, it
             | needs to have happened earlier in the year.
        
               | dificilis wrote:
               | If the virus jumped from bat to some other animal 50
               | years ago, then the 1000 miles of distance is not hard to
               | explain, and doesn't tell us anything about the time-
               | scale of initial human infection.
               | 
               | We need to find the close relative of Covid19 (TMRCA < 1
               | year) in a non-human host.
        
             | adventured wrote:
             | There are a lot of points of data to scrub in such a large
             | system, it's not surprising that they would miss numerous
             | of them in the wild. Watch to see if this one disappears or
             | not.
        
         | bingdig wrote:
         | The Chinese government and Chinese firms are often willing to
         | share tons of data with researchers. One of my professors was
         | able to get data on cell phone locations, metadata on all text
         | messages sent and received, and occupations of cell phone
         | holders from the largest telecom co in China for a paper on
         | networks and job mobility.
        
         | andrewtbham wrote:
         | Search query data Baidu's database (http://index.baidu.com/)
         | contains logs of web and mobile search query volume in China.
         | User confidentiality is maintained, since only the relative
         | term frequency data is available. We obtained daily data for
         | symptom-related searches likely associated with COVID-19
         | illness in Wuhan from April 2017 to May 2020. We extracted the
         | relative search volumes of the terms "cough" and "diarrhea"
         | using WebPlotDigitizer, v4.215.
        
           | hef19898 wrote:
           | As interesting as this is, but my understanding was that the
           | genetic evolution / development of the virus can be used to
           | determine when it started spreading. Or jumped from animal to
           | human.
           | 
           | Or did I understand that wrong? Not saying this study is
           | wrong (no way for me to tell), it just seems a very indirect,
           | and thus error prone, way to look at it.
        
             | mellosouls wrote:
             | I've asked that question as a separate thread above, I
             | think its an important one, at least for lay people like
             | me.
             | 
             | There is a suggested reason for the discrepancy (Chinese
             | dishonesty about timelines) tho not an answer (yet) from
             | the researchers who've commented elsewhere here or others
             | with a strictly scientific explanation.
             | 
             | https://news.ycombinator.com/item?id=23460742
        
           | dillondoyle wrote:
           | wow just searching 'cough' on google trends seems to be
           | pretty accurate just birds-eye view
           | 
           | would be cool to read similar research using US data, and the
           | implications on policymaking.
           | 
           | https://trends.google.com/trends/explore?date=today%203-m&ge.
           | ..
        
             | mellosouls wrote:
             | It's interesting - tho I've just plugged in China and
             | various periods down to the last 5 years, and there's not
             | an obvious jump beyond the seasonal ones until after
             | December this year.
        
               | pstrateman wrote:
               | google in china is less than 5% of the search market
        
               | mellosouls wrote:
               | yeah, I considered that - but its still presumably a
               | large enough sample for the phrases listed in the parent
               | comment to stand out.
        
             | starpilot wrote:
             | This always goes up during winter, you also have to control
             | for all the media attention that COVID-19 is getting.
             | People are searching just to be safe even if their symptoms
             | are weak. It might not reflect growing infections, just
             | growing fear.
        
       | jimbob45 wrote:
       | We are separated from the schizos by acknowledging that this is
       | just a _theory_ , no matter how bad the circumstances may look.
       | 
       | The schizo will take this theory as hard proof that China knew of
       | the virus early. You and I will wait for hard evidence before we
       | pass judgment, even if we privately believe that these
       | circumstances are conclusive evidence.
        
         | anon84598 wrote:
         | "schizo" seems like a pretty rough term here -- makes sense if
         | you replace it with "conspiracy theorist"
        
         | dfryer wrote:
         | Could you use a term like "conspiracy theorist" instead of
         | "schizo" here? There are probably plenty of people who have
         | schizophrenia and don't subscribe to conspiracy theories.
        
       | xorfish wrote:
       | Wouldn't there be higher genetic diversity of the virus if this
       | were the case?
       | 
       | There doesn't seem to be any real evidence for this theory in the
       | genetic data we have.
        
         | lbeltrame wrote:
         | The current phylogenetic data go as far as October as the
         | farthest estimate, as far as I can see.
        
         | woofie11 wrote:
         | Not really.
         | 
         | (1) Genetic diversity increases with both time and size of the
         | infected population. You'll get a lot more diversity if it's
         | mutating in 4 million individuals than in 4000.
         | 
         | (2) For a virus this young especially, genetic diversity is not
         | at all precise measures.
        
         | huy-nguyen wrote:
         | From https://www.wsj.com/articles/so-where-did-the-virus-come-
         | fro...:
         | 
         | > New research has deepened, rather than dispelled, the mystery
         | surrounding the origin of the coronavirus responsible for
         | Covid-19. Bats, wildlife markets, possibly pangolins and
         | perhaps laboratories may all have played some role, but the
         | simple story of an animal in a market infected by a bat that
         | then infected several human beings no longer looks credible.
         | 
         | > A study published in early May by scientists at the Broad
         | Institute in Cambridge, Mass., and at the University of British
         | Columbia has uncovered an unusual feature of the virus's recent
         | development: It has evolved too slowly. The genomes of viruses
         | sampled from cases during the SARS epidemic of 2002-2003 showed
         | rapid evolutionary change during the early months of the
         | epidemic, as the virus adapted to its new host, followed by
         | much slower change later. By contrast, samples taken from
         | recent cases of the new coronavirus, SARS-CoV-2, have compara-
         | tively few genetic substitutions compared with an early case
         | from December.
         | 
         | > The authors, Shing Hei Zhan, Benjamin Deverman and Yujia
         | Alina Chan, write: "We were surprised to find that SARS-CoV-2
         | exhibits low genetic diversity in contrast to SARS-CoV, which
         | harbored considerable genetic diversity in its early-to-mid
         | epidemic phase." This implies, they argue, that "by the time
         | SARS-CoV-2 was first detected in late 2019, it was already pre-
         | adapted to human transmission to an extent similar to late
         | epidemic SARS-CoV." This is potentially very good news: Because
         | the virus is relatively stable genetically, a vaccine that
         | works against it, if we're able to develop one, will be more
         | likely to work against all strains.
         | 
         | > The same study seems to rule out the possibility that
         | infected animals at the Huanan Seafood Market in Wuhan
         | transmitted the virus to several human beings, as some have
         | suggested as a point of origin. The Chinese authorities have
         | now confirmed that no animal samples from the market were
         | infected. This suggests that a single person brought a virus
         | that was already adept at human transmission to the market and
         | infected others.
        
       | mellosouls wrote:
       | This is very interesting but the date significantly precedes my
       | (layman's!) understanding of TMRCA estimations of mid November
       | (earliest cases examining the existing genetic evidence and
       | extrapolating backwards through genetic drift calculations).
       | 
       | How do the scientists here account for the disagreement - beyond
       | the fact they are using completely different methods?
       | 
       | Alternatively, I'd be interested in somebody explaining why my
       | understanding of the TMRCA is incorrect - like I said, its not my
       | field.
        
         | akaryocyte wrote:
         | *TMRCA (Time to Most Recent Common Ancestor)
        
           | mellosouls wrote:
           | Thanks, corrected. I must have typed that two different ways
           | several times in the last 20 minutes...
        
         | pstrateman wrote:
         | TMRCA relies on accurate information about when specific
         | strains were identified.
         | 
         | There is ample reason to believe Chinese authorities lied about
         | when they observed specific strains.
        
       | th0ma5 wrote:
       | I would use _Autumn_ here for clarity for sure
        
         | koheripbal wrote:
         | Since they looked primarily at the month of October - I'd just
         | say October.
        
           | th0ma5 wrote:
           | I guess the point is that Fall doesn't mean Autumn in some
           | places, and the way this is phrased it seems to imply
           | something about the rate of infection, that is, they are
           | falling or something but that isn't what this is about at
           | all.
        
             | interestica wrote:
             | Agreed. And capitalizing the word 'Fall' (in an attempt to
             | clarify) is problematic too - it's not usually a proper
             | noun.
        
           | bredren wrote:
           | There is another report that suggested mobile data indicated
           | the Wuhan lab "was closed from Oct. 7 through Oct. 24, 2019,
           | and that there may have been a "hazardous event" sometime
           | between Oct. 6 and Oct. 11." [0]
           | 
           | As far as I know, no federal agency has been willing to vouch
           | for this conclusion.
           | 
           | I recognize there is skepticism about it coming from the lab,
           | though I thought this is related enough due to how the
           | indicating data was collected to share.
           | 
           | [0] https://www.nbcnews.com/politics/national-
           | security/report-sa...
        
         | robocat wrote:
         | If you want to be clear, use the name of a month or a quarter
         | number.
         | 
         | Seasons are opposite in the Southern Hemisphere, and it is
         | always confusing to read American or European information that
         | references a season (I am in New Zealand).
         | 
         | Please Don't marginalise those of us that are down under (we
         | are already marginalised by physics causing long ping times to
         | servers in the Northern Hemisphere, which is harder to change).
        
       | watertom wrote:
       | I read stories about exchange students from Africa going home and
       | talking about a "strange" new flu that was circulating in Wuhan
       | back in September of last year.
        
         | koheripbal wrote:
         | Source
        
         | Jabbles wrote:
         | Stop spreading FUD.
         | 
         | This is a rumour of a rumour of a rumour. Provide a source.
        
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