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SvennoJ said:

Deaths / Total detected cases varies wildly per country

Italy 7.7%
Iran 5.7%
China 4.0%
UK 3.6%
Spain 3.4%
France 2.2%
USA 2.0%
Netherlands 1.7%
South Korea 1.0%
Switzerland 0.8%
Denmark 0.4%
Germany 0.2%

Germany seems best at detecting cases and/or keeping people alive so far. The timing is also different of course. China is hardly detecting new cases anymore but still has 3200 serious/critical cases marker. Italy is still climbing fast with now 3 times the active cases as are left in China. You would think Germany and the UK are not far different in timing yet a totally different ratio.

Very hard to say anything about how many cases there really are.

Guess part of it, is how well your healthcare system works?

I heard a explaination for italy high number is:
1) they are currently overwhelmed.... too many sick people. Without enough supplies/beds/doc+nurses things go bad.
2) higher % of older people (one of the highest in the world)
3) its common for 2-3 generations of a family to live in the same house.  So the young get it, and infect the elderly to a higher degree.