请问这个Dr. Eric Toner的专业背景牛吗?说的太悲观了

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michaelcrm
楼主 (北美华人网)
Scientist who simulated the global impact of a coronavirus outbreak says ‘the cat’s already out of the bag’ and China’s efforts to contain the disease ‘unlikely to be effective’

Published: Jan 24, 2020 4:29 p.m. ET

Toner’s team ran a simulation of the impact of a hypothetical coronavirus that was vaccine resistant and easily transmittable
‘Probably, the cat’s already out of the bag.’Dr. Eric Toner


That is Dr. Eric Toner in an interview with CNBC on Friday explaining that China’s efforts to contain a fast-moving upper respiratory illness are “unlikely to be effective.”
The scientist’s comments come as the Centers for Disease Control and Prevention confirmed a second case of coronavirus in the U.S.
Cases of the illness, which is related to SARS, or severe acute respiratory syndrome, have turned up in a number of countries outside of Wuhan City, China, where the illness originated.
The number of infections has risen to at least 881, according to The Wall Street Journal, citing China’s state-run broadcaster China Central Television, On top of that, the official death toll has risen to 26 from 17 yesterday thus far. The Journal also reported that the outbreak was overwhelming China’s local-area resources and hospitals.
Beijing has shut down parts of the Great Wall, as well as 16 cities, restricting movement of some 46 million people, and canceling events related to Lunar New Year, one of the busiest periods of travel and consumerism in the country.
Toner is a scientist at the Johns Hopkins Center for Health Security and was a part of a simulation, in partnership with the World Economic Forum and the Bill & Melinda Gates Foundation, that such a disease could kill 65 million people. within 18 months.
Coronaviruses, with SARS among that group, are infections of the respiratory tract that can lead to illnesses like pneumonia or the common cold.
Toner told Business insider during an interview that he hasn’t completed research on the current strain of Wuhan coronavirus, known as 2019-nCoV, but said that the death toll could run in the millions if the influenza were resistant to modern vaccines and was easy to catch as the common flu.
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michaelcrm
回复 2楼michaelcrm的帖子
看了下他的CV,不是这个行业的,不知道权威性高不高。



Professional Profile
Dr. Toner is a Senior Scholar with the Johns Hopkins Center for Health Security and a Senior Scientist in the Johns Hopkins Bloomberg School of Public Health, Department of Environmental Health and Engineering. He is an internist and emergency physician. His primary areas of interest are healthcare preparedness for catastrophic events, pandemic influenza, and medical response to bioterrorism. He is Managing Editor of the online newsletter Clinicians’ BiosecurityNews and is an Associate Editor of the journal Health Security (formerly Biosecurity and Bioterrorism), the leading peer-reviewed journal in this field.
Dr. Toner has authored scores of scholarly papers and government reports on healthcare and pandemic preparedness, and he has organized numerous meetings of national leaders on the topics of hospital preparedness, pandemic influenza, emerging infectious diseases, mass casualty disasters, biosecurity, biosurveillance, and nuclear preparedness. He has spoken at many national and international conferences on a range of biosecurity topics and appeared on a number of high-profile national television and news features on pandemic flu and bioterrorism preparedness. He has been the principal investigator of several US government–funded projects to assess and advance healthcare preparedness. Dr. Toner has served on a number of national working groups and committees, including the Institute of Medicine’s Forum on Medical and Public Health Preparedness for Catastrophic Events.
Dr. Toner has been involved in hospital disaster planning since the mid-1980s. Prior to joining the Center, he was Medical Director of Disaster Preparedness at St. Joseph Medical Center in Towson, Maryland, where he practiced emergency medicine for 23 years. In 2003, he spearheaded the creation of a coalition of disaster preparedness personnel from the 5 Baltimore County hospitals, the health department, and the Office of Emergency Management. During this time, he also headed a large emergency medicine group practice and co-founded and managed a large primary care group practice and an independent urgent care center.
Dr. Toner received his BA and MD degrees from the University of Virginia. He trained in internal medicine at the Medical College of Virginia.
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asvs
好可怕呀,如果疫苗没用的话会死上百万人
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flyboyxiao
JHU school of public health 主攻pandemic influenza还不是这个行业的?
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michaelcrm
JHU school of public health 主攻pandemic influenza还不是这个行业的?
flyboyxiao 发表于 1/24/2020 6:25:42 PM


就是不知道是不是一般的教授学者,还是很有知名度和权威性那种大拿。不想也不敢相信是后者。
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mmzh
我觉得这次的病毒传染性很强很狡猾,防止传染方面很有可能失控了,但是如果死亡率不高的话也没他说的那么可怕
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happy15
JHU 这个领域应该是很牛的吧
不娶何撩
这还不是权威? 那无F可说了。

是看不懂英文?白字黑子的写得多清楚。
人家就是专门干这个的
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michaelcrm
我觉得这次的病毒传染性很强很狡猾,防止传染方面很有可能失控了,但是如果死亡率不高的话也没他说的那么可怕
mmzh 发表于 1/24/2020 6:31:51 PM


他的模型基于两个假设, 1, 没有有效疫苗,2,易传播。

但现实最糟糕的是,他这两个假设,目前都不是假设。而是现实。
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michaelcrm
JHU的,还说没权威?
不娶何撩 发表于 1/24/2020 6:33:06 PM


我没有说不权威,我不是这个领域的。我是想确认下。我读到这个报道的时候后脊背都发凉。 我更想理解为他只是一个普通学者的一家之言。
不娶何撩


我没有说不权威,我不是这个领域的。我是想确认下。我读到这个报道的时候后脊背都发凉。 我更想理解为他只是一个普通学者的一家之言。

michaelcrm 发表于 1/24/2020 6:34:29 PM


嗯嗯很权威
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Viviennedd
这几次大面积流行都没有疫苗出来吧
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fadeintoyou
18个月wipe out 65 million people ....
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bingmi
这个时候需要的就是危言耸听 非得国际社会施压才行 看看习包子那个麻木不仁的样子 就欠大嘴巴子抽上去了 真恨不得一脚踹他脸上
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fadeintoyou
这个时候需要的就是危言耸听
非得国际社会施压才行
看看习包子那个麻木不仁的样子
就欠大嘴巴子抽上去了
真恨不得一脚踹他脸上

bingmi 发表于 1/24/2020 6:42:42 PM


病毒赶紧吧该灭的灭了吧 哎 人民受苦 独裁者享福 麻木不仁
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MoonRiver888
JHU school of public health 主攻pandemic influenza还不是这个行业的?
flyboyxiao 发表于 1/24/2020 6:25:42 PM


楼主是说他自己不是这个专业的。
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cherry-nancy
为什么会是18个月呢?大家不都说天气好了会好起来吗
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westjourney
回复 1楼michaelcrm的帖子 感觉好严重啊!
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heiseyoumo
为什么会是18个月呢?大家不都说天气好了会好起来吗
cherry-nancy 发表于 1/24/2020 6:48:09 PM

同问。不相信夏天还有
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MsCatty
他的model肯定要很多参数吧。传播率致死率变异速度什么的,如果参数不准确,结论肯定不准确。他也没说具体的input是啥
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bioyoyo
我觉得这次的病毒传染性很强很狡猾,防止传染方面很有可能失控了,但是如果死亡率不高的话也没他说的那么可怕
mmzh 发表于 1/24/2020 6:31:51 PM

现在只能祈祷自愈能力了,以及病毒减弱。
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cherry-nancy
他的model肯定要很多参数吧。传播率致死率变异速度什么的,如果参数不准确,结论肯定不准确。他也没说具体的input是啥
MsCatty 发表于 1/24/2020 6:50:16 PM

是的,一个参数没假设对结果就可能相差很大。
而且前期跟海鲜市场有比较近距离的似乎也严重些,后面仅仅只是经过武汉的感染的似乎没那么严重。
吃鸡蛋
流行病家分析疾病模型,经济学家预测经济危机,差不多一个思路
我是alice
我觉得人家才是专家吧
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cherubtessie
看了介绍,感觉这世界上比他更权威的应该也不多了 真的有点被吓到,至少他那两个假设至今为止应该都是成立的
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Foodstar
这个医生的模型即使inputs不准确,也很大可能是understated,因为中国的信息不透明。除非他的模型考虑了信息不透明的因素,那么就很难说
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Cybercat
湖北失守了,但我觉得别的地方可能还能守住。因为现在起码城市里的人都很重视,都呆家里不出门,那就有效的降低了传染渠道。现在就希望政府能果断的延迟开学,延长节假,不上班,不上学,都窝家里一个月。感冒传染的广就是因为大家要上班上学,再加上公共交通,都呆家里的话也不会传播那么多了。 当然,如果全国停摆一个月经济损失会很惨重,但不这样的话再几天春运开始初六上班就没救了。
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Foodstar
https://www.youtube.com/watch?v=o9lVJ6IlE4k
看看JHC的科学家解释这个模型,5分钟开始
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MsCatty
run model不可能只拿中国给的信息run一组input,两端extreme都会算的,就是不知道他拿出来的结果是用的是哪组
这个医生的模型即使inputs不准确,也很大可能是understated,因为中国的信息不透明。除非他的模型考虑了信息不透明的因素,那么就很难说 Foodstar 发表于 1/24/2020 20:12:00
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littleid
可惜中国数据不透明,真的是医学界和防疫界很大的损失,那么多人白白牺牲了。
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CleverBeaver
这还不是权威? 那无F可说了。

是看不懂英文?白字黑子的写得多清楚。
人家就是专门干这个的

不娶何撩 发表于 1/24/2020 6:33:06 PM

对啊,不懂居然不信权威

早说了,要逃趁早
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CleverBeaver


他的模型基于两个假设, 1, 没有有效疫苗,2,易传播。

但现实最糟糕的是,他这两个假设,目前都不是假设。而是现实。

michaelcrm 发表于 1/24/2020 6:33:29 PM

他知道有抗艾滋病毒的药有效吗?
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CleverBeaver
JHU 这个领域应该是很牛的吧
happy15 发表于 1/24/2020 6:32:11 PM

是的
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ZYL
看了这个报道,太可怕😱!希望它不发生。
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fly11

他知道有抗艾滋病毒的药有效吗?

CleverBeaver 发表于 1/24/2020 8:36:39 PM

艾滋病早就不是什么大事了,Gilead sciences 已经有 Biktarvy 批准上市
回复 36楼fly11的帖子
那个层主说的是抗艾滋病毒的药对武汉肺炎有效。
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cherubtessie
https://www.youtube.com/watch?v=o9lVJ6IlE4k


看看JHC的科学家解释这个模型,5分钟开始
Foodstar 发表于 1/24/2020 8:18:05 PM


大家可以看看这个视频,看了我觉得大概是我听到现在专家里最权威专业的
他的模型不是这次发生后建的,是几个月前的关于这类病毒的一个exercise,他一直就是做这个的
他提的建议我也觉得很中肯
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fly11
回复 36楼fly11的帖子
那个层主说的是抗艾滋病毒的药对武汉肺炎有效。

菲 发表于 1/24/2020 8:57:02 PM

Gilead sciences 另一个正在二期临床的药 Remdesivir (针对Ebola的)被NIH 专门点名认为会有效。Gilead sciences已经跟中国政府申请紧急临床试验应用。
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codeshogun
为什么会是18个月呢?大家不都说天气好了会好起来吗
cherry-nancy 发表于 1/24/2020 6:48:09 PM

你忘记南半球气候相反了吗?南北交替会一直传下去的
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feo
回复 27楼Foodstar的帖子 他要是清楚武汉真实情况,那应该三倍悲观
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pinkaltitude
今天看到的最吓死人的消息。。而且看到消息说病毒已经变种。。。希望不会发生。。。
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ain1mes
3楼的意思是他她本人不是这一行的,所以不能肯定
JHU school of public health 主攻pandemic influenza还不是这个行业的?
flyboyxiao 发表于 1/24/2020 6:25:42 PM
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Lukeandduke
没有这么悲观,他用了all extreme parameters所以才会基数这么大 which is his character, 时间一长,人类本身也会产生免疫力。不过疫苗从产生到Phase 1最快可达缩短至两三个月,phase 2又可以再扩大病人量,要到完全大生产是需要至少一年, 但那时候也许感染人数已经控制了,到phase 2就能大面积救人了
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Peppa5
隔壁Harvard的流行病专家也叫Eric,也是吓人的预测。
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Peppa5
https://www.youtube.com/watch?v=o9lVJ6IlE4k


看看JHC的科学家解释这个模型,5分钟开始
Foodstar 发表于 1/24/2020 8:18:05 PM

Mark 看看
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lilinana
真是,可病毒是长眼睛的,得病的都是普罗大众,中央领导在中南海关起门来感受天下太平,病毒也不公啊
病毒赶紧吧该灭的灭了吧 哎 人民受苦 独裁者享福 麻木不仁 fadeintoyou 发表于 1/24/2020 6:43:00 PM
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fitzroy
美国人 整天建模预测股票走向,预测世界经济走向,还有天气建模预测暖冬还是极寒,还有建模预测加州哪天地政,可惜就是个自娱自乐game,没有一个准的。 这种建模只适合完全可控封闭环境,数据精确,预测疾病就是跳大神。
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sonicsonic
title是senior scholar和senior scientist,不是prof。很多学科,3年的postdoc就是senior scientist。这个领域的来说一下,public health学院的系统和其他系不一样么?
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blue_dolphin
这个历时整整3年。。。 The 1918 influenza pandemic (January 1918 – December 1920; colloquially known as Spanish flu) was an unusually deadly influenza pandemic, the first of the two pandemics involving H1N1 influenza virus. It infected 500 million people around the world, including people on remote Pacific islands and in the Arctic.
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fitzroy
美國人 整天建模预测股票走向,预测世界经济走向,还有天气建模预测暖冬还是极寒,还有建模预测加州哪天地震,可惜就是个自娱自乐game,没有一个准的。
这种建模只适合完全可控封闭环境,数据精确。预测疾病走向基本就是跳大神。
如果你不信加州今年8级地震,也没必要相信这个。
其实也有和此相反预测,只是不吸引眼球或者达不到某些人政治目的被过滤了。
他不是医生,对此病一窍不通,只是个会用统计方法的social worker,网上找点数据,往模型里套。