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April 24, 2003

SARS' Mythical Mortality Rate

The commonly reported “official” 3-5% SARS mortality rate is unbelievably low, according to those who work with SARS cases. The “official” method takes the number of deaths and divides it by the total number of reported cases.

The New York Times, April 22, ran a story titled, "Death Rate From Virus More Than Doubles". It says the first reports of SARS' death rates, from WHO, were around 2%, and says the current rate is 5.6%.

The NY Times’ article sees the rising “official” death rate and worries that it is a sign the virus is mutating, becoming a more dangerous killer. The article neglects the simple explanation for the 'rising' SARS mortality rate.

The reason the “official” death rate appears to be is rising is that such rates are based upon a flawed assumption. The "official" method, in the early epidemic, had grossly underestimated the true case-fatality rate.

It assumes that no person, currently ill with SARS, will die -- obviously a ridiculous assumption. This early underestimation, when the epidemic was very poorly controlled, was a small comfort, a pleasant fiction for the harried public health workers.

In the US, on April 22, Dr. Julie Gerberding of the CDC (Centers for Disease Control and Prevention) noted this rising rate and understood it was an artefact. She said that worldwide, " ...the postulated mortality rate right now is 5.9 percent. "

On the mortality issue, China has been more honest than the other affected countries. On April 21, Chinese Executive Vice Minister of Health, Gao Qiang, said, "Guangdong has developed some effective methods which can cure 80 percent of the patients." [ 20% cannot be cured – docbear]


It is time to discard early "official" estimates that the mortality of Severe Acute Respiratory Syndrome (SARS) was 2-5%.

For those who probably have SARS, we know that the true case-fatality rate must be between 9.6% and 58.1%. The best current estimates say the SARS case-fatality rate is between 13.8% and 18.6%.

For an explanation of the "official" method, the "reverse-official" method, Niman's method, and the cohort method of estimating this epidemic's case-fatality rate -- Read the entire item, in the 4/23 SARS Update thread,.

Posted by docbear @ 04/24/2003 06:28 AM | TrackBack