Flatten the Curve… or So We Were Told

 

Let’s not lose sight of the original objective. We were told the objective was to flatten the curve so as not to ‘overwhelm’ hospitals. Fine. The objective was never to eradicate the virus. In fact, we wanted to prolong the life of the virus so we could ‘flatten’ the curve.

According to the IHME, the worst is over in NY.

California is supposed to reach peak deaths on April 15.

Once a state is past its peak, shouldn’t we lift the quarantine?

Some people will say if we lift the quarantine then the rate of transmission and infection will increase. That may be true but that is a drawback or tradeoff of ‘flattening the curve.’

Are hospitals overwhelmed? No, not even in NY.

Is there a ventilator shortage? No, not even in NY.

Has hydroxychloroquine demonstrated utility? Yes, even in NY.

NY which has 13x deaths than in California has a quarantine until April 30 while California has extended it quarantine to May 15. This makes very little sense in terms of economics and epidemiology.

Let’s stop this nonsense before the contagion of absurdity gets worse.

The curve is flat.

End of story.

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  1. Jerry Giordano (Arizona Patrio… Member
    Jerry Giordano (Arizona Patrio…
    @ArizonaPatriot

    By the way, after IHME’s last release on April 10 told us that April 10 was the peak day — their April 13 release (today) predicted that today would be the peak, at 2,150 deaths.

    The actual for today, per Johns Hopkins, is 1,509, which is down from yesterday.

    • #31
  2. Weeping Inactive
    Weeping
    @Weeping

    MISTER BITCOIN (View Comment):

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    IHME now projects California will reach peak deaths on April 19.

    Shame on me for referring to IHME in my post.

    On the other hand at least they are being Bayesian — adjust probability as new information comes in

    Their prediction has changed as to when it will peak there has changed. Do you what the estimated date was before?

     

    April 15

    So why the later date? Do you (or anyone else) have any idea what data has made them push the date out further?

    • #32
  3. Weeping Inactive
    Weeping
    @Weeping

    James Gawron (View Comment):
    We should be backing off the total lockdown shortly. We will continue to shelter at-risk populations while the young & healthy are sent back to work & school. Not only will this not produce negative results but it will enhance herd immunity that will ensure that corona doesn’t make a come back.

    Just out of curiosity, are you envisioning this continued sheltering to be voluntary or involuntary?

    • #33
  4. Jon1979 Inactive
    Jon1979
    @Jon1979

    Tex929rr (View Comment):

    Yes, it’s definitely time. But some people have become addicted to self righteous screaming. I see people on social media livid that they encounter people without masks in the grocery store. This in a county of 45,000+people with 11 cases – no hospitalizations, and 8 of the 11 considered recovered. And then we have articles like this:https://www.texasmonthly.com/news/coronavirus-spread-rural-counties-university-texas-researchers/

    Headline:

    COVID-19 May Be Silently Spreading Across Rural Counties, University of Texas Researchers Believe

    Lord protect me from university experts.

    We have a school board meeting tonight and it will be interesting to discuss our options if the state allows districts to go back to classes after the current mandated date of May 4th. I suspect many superintendents are asking the education commissioner to extend the closure to the end of the year to prevent them from having to make a decision.

    Texas Monthly’s managed to shift their political coverage over the past 2-3 years to the point it’s to the left of the Texas Observer, which is saying something. They coverage on COVID-19 has been similar to the East Coast media outlets, except they focus their aim at Greg Abbott instead of Trump (with a few side trips over to dinging Lt. Gov. Dan Patrick). This story is similar to the ones that came out last week from the national media, with a barely-concealed wish fulfillment that while the virus may be focused mainly in urban counties and their suburbs right now, it will soon decimate the rural areas (because those stupid people don’t follow orders and just do whatever the hell they want to).

    • #34
  5. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    IHME now projects California will reach peak deaths on April 19.

    Shame on me for referring to IHME in my post.

    On the other hand at least they are being Bayesian — adjust probability as new information comes in

    Their prediction has changed as to when it will peak there has changed. Do you what the estimated date was before?

     

    April 15

    So why the later date? Do you (or anyone else) have any idea what data has made them push the date out further?

    No idea

    I realize this is a lazy answer but their website is cumbersome

     

    • #35
  6. James Gawron Inactive
    James Gawron
    @JamesGawron

    Weeping (View Comment):

    James Gawron (View Comment):
    We should be backing off the total lockdown shortly. We will continue to shelter at-risk populations while the young & healthy are sent back to work & school. Not only will this not produce negative results but it will enhance herd immunity that will ensure that corona doesn’t make a come back.

    Just out of curiosity, are you envisioning this continued sheltering to be voluntary or involuntary?

    Weeping,

    Very good question. I think we could go with “the health authorities strongly recommend that…etc.”

    Regards,

    Jim

    • #36
  7. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    according to worldometers, there are 6 states that have deaths per million >= 100

    NY, NJ, LA, CT, MI, MA

    https://www.worldometers.info/coronavirus/country/us/

    The governor of Michigan is going to be recalled, hopefully.

    Globally, the countries that have deaths per million >= 100 are in Europe:  Spain, Italy, Belgium, France, UK, Netherlands, Switzerland, Luxembourg

    The Swiss (frank) and the British (pound) do not use Euro

     

     

    • #37
  8. Skyler Coolidge
    Skyler
    @Skyler

    Austin has a whopping 856 cases now and only 11 deaths.  Yay, the social distancing worked!

    Does our communist mayor start talking about how to get back to normal?  No, he’s making the rules stricter!

    • #38
  9. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    Skyler (View Comment):

    Austin has a whopping 856 cases now and only 11 deaths. Yay, the social distancing worked!

    Does our communist mayor start talking about how to get back to normal? No, he’s making the rules stricter!

    I’m conflicted

    obviously I’m happy to hear that the death count is low but so many people in Austin are insufferable

     

    • #39
  10. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    Skyler (View Comment):

    Austin has a whopping 856 cases now and only 11 deaths. Yay, the social distancing worked!

    Does our communist mayor start talking about how to get back to normal? No, he’s making the rules stricter!

    obviously the mayor needs to get sick

     

    • #40
  11. Weeping Inactive
    Weeping
    @Weeping

    MISTER BITCOIN (View Comment):

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    IHME now projects California will reach peak deaths on April 19.

    Shame on me for referring to IHME in my post.

    On the other hand at least they are being Bayesian — adjust probability as new information comes in

    Their prediction has changed as to when it will peak there has changed. Do you what the estimated date was before?

     

    April 15

    So why the later date? Do you (or anyone else) have any idea what data has made them push the date out further?

    No idea

    I realize this is a lazy answer but their website is cumbersome

    LOL! No problem. Notice I didn’t volunteer to go see if I could figure it out myself. :) I was just wondering if you might have heard the reasons from somewhere.

     

    • #41
  12. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    Weeping (View Comment):

    MISTER BITCOIN (View Comment):

    IHME now projects California will reach peak deaths on April 19.

    Shame on me for referring to IHME in my post.

    On the other hand at least they are being Bayesian — adjust probability as new information comes in

    Their prediction has changed as to when it will peak there has changed. Do you what the estimated date was before?

     

    April 15

    So why the later date? Do you (or anyone else) have any idea what data has made them push the date out further?

    No idea

    I realize this is a lazy answer but their website is cumbersome

    LOL! No problem. Notice I didn’t volunteer to go see if I could figure it out myself. :) I was just wondering if you might have heard the reasons from somewhere.

     

    I read their FAQ.  It’s a bunch of filler and nonsense

     

    • #42
  13. Ontheleftcoast Inactive
    Ontheleftcoast
    @Ontheleftcoast

    I’d like to recommend Chris Masterjohn’s COVID newsletter. He’s an excellent nutrition researcher with a good PhD, and knows how to read papers. 

    The most recent one discusses papers which lead him to some interesting conclusions:

    • On the bright side, the social distancing policies are effective at taking us away from the stage of exponential growth.
    • On the downside, the transition from exponential growth is not to a period of declining cases and deaths, but to a linear growth of cases and deaths. This linear phase is where the number of new cases and deaths each day remains largely constant, leading to a linear accumulation of total cases and deaths.
    • The good news from this is that if social distancing policies are implemented earlier rather than later, the linear phase will have a much lower number of new cases and deaths each day. Since many communities do not have active outbreaks yet, but most will have them soon, many communities can still act to prevent things from getting as bad as they are in places like New York City, where I currently live.

    Most Cases Are Undetected

    Asymptomatics Can Transmit Infection

    72% of Counties in the US May Be Undergoing Outbreaks Right Now

    Using Ebola Data Suggests a Leveling Off, But Should We Use Ebola Data?

    Social Distancing Triggers the Transition From Exponential to Linear Growth

    Data from NYC Are Consistent With the Model

    The Bottom Line

    Given that many communities who do not yet have an outbreak on their hands likely have one brewing, that the exponential growth phase in these communities is likely already underway, and that the best protection against a high death toll during the post-social distancing linear phase is to leave the exponential phase as quickly as possible, I believe these data support everyone doing what they can to minimize person-to-person spread even if they have no symptoms and are in communities with no documented outbreaks.

    Many people question the importance of this outbreak, and suggest that these are just people dying who would have died anyway from something else. The New York data invalidate this idea.

    The last year for which NYC mortality data are complete is 2017. There was an average of 147 deaths per day. There are now over 450 deaths per day due to COVID-19 alone, more than three times the expected total mortality rate.

    What is happening in NYC now reflects what happens on the other side of the exponential curve. We exited it and are in the linear phase. We are happy to be exiting the exponential phase, but this linear phase is not a good place to be.

    The good news that comes out of this is that we can have a huge impact on the nature of the linear phase by being proactive very early in the exponential phase.

     

     

    • #43
  14. Danny Alexander Member
    Danny Alexander
    @DannyAlexander

    #43 Ontheleftcoast

    I can’t thank you enough for sharing this info — seriously.

    “Many people question the importance of this outbreak, and suggest that these are just people dying who would have died anyway from something else. The New York data invalidate this idea.”

    Damn straight!

    The anecdotal losses are bad enough in NYC; case in point — last week’s death of Rabbi Yaakov Perlow, the Novominsker Rebbe.  Eighty-nine years old, sure, but was it *really* his time to go?

    Or take Henry Kissinger (“[N]ot dead yet!”), for instance:  Although I have a feeling he’s not riding out the pandemic in his NYC apartment, if he were, and he were to die tomorrow at age ninety-six due to the virus, would we be legitimately in a position to say “Oh well, must have been his time to go, too…”?  The guy just published a compelling lead editorial in The Wall Street Journal last month, assessing our predicament and prospects; as a nation we might benefit significantly from as many of his insights as he can further churn out in the weeks and months ahead (not least given his place in history as the architect of our re-opening of China) — or would we be correct in shrugging our shoulders were Kissinger to slip into the virus’s maw a few short weeks after a sweeping rollback of current strictures?

    Even setting aside such real or hypothetical “shoulder-shrug” losses, again I have to ask:  Are we even ballpark accurate in our understanding of what the characteristics and likely short-to-medium-term health impacts — even on nominally *healthy* people  — are going to be with a broad-ranging lifting of strictures presently deemed efficacious (even when that is defined as just enabling a shift from exponential to linear)?

    Hardly — and to call all this blithe chatter about getting to herd immunity little more than frivolous bravado is to be pretty generous indeed.

    • #44
  15. Skyler Coolidge
    Skyler
    @Skyler

    Danny Alexander (View Comment):

    #43 Ontheleftcoast

    I can’t thank you enough for sharing this info — seriously.

    “Many people question the importance of this outbreak, and suggest that these are just people dying who would have died anyway from something else. The New York data invalidate this idea.”

    Damn straight!

    The anecdotal losses are bad enough in NYC; case in point — last week’s death of Rabbi Yaakov Perlow, the Novominsker Rebbe. Eighty-nine years old, sure, but was it *really* his time to go?

    Or take Henry Kissinger, for instance: Although I have a feeling he’s not riding out the pandemic in his NYC apartment, if he were, and he were to die tomorrow at age ninety-six due to the virus, would we be legitimately in a position to say “Oh well, must have been his time to go, too…”? The guy just published a compelling lead editorial in The Wall Street Journal last month, assessing our predicament and prospects; as a nation we might benefit significantly from as many of his insights as he can further churn out in the weeks and months ahead (not least given his place in history as the architect of our re-opening of China) — or would we be correct in shrugging our shoulders were Kissinger to slip into the virus’s maw a few short weeks after a sweeping rollback of current strictures?

    Even setting aside such real or hypothetical “shoulder-shrug” losses, again I have to ask: Are we even ballpark accurate in our understanding of what the characteristics and likely short-to-medium-term health impacts — even on nominally *healthy* people — are going to be with a broad-ranging lifting of strictures presently deemed efficacious (even when that is defined as just enabling a shift from exponential to linear)?

    Hardly — and to call all this blithe chatter about getting to herd immunity little more than frivolous bravado is to be pretty generous indeed.

     

    In Kissinger‘s case it could very well be considered having to sleep in the bed he made. He and Nixon are the ones who started the march towards dealing with China. 

    I don’t want anyone to die.  I think pointing to any specific person and saying, “It is time for him to die anyway,” is fairly monstrous.   However, people will suffer no matter what.  The only question is what measures are reasonable to protect lives without destroying the economy?

    • #45
  16. Matt Bartle Member
    Matt Bartle
    @MattBartle

    Ontheleftcoast (View Comment):

    Many people question the importance of this outbreak, and suggest that these are just people dying who would have died anyway from something else. The New York data invalidate this idea.

    The last year for which NYC mortality data are complete is 2017. There was an average of 147 deaths per day. There are now over 450 deaths per day due to COVID-19 alone, more than three times the expected total mortality rate.

    This doesn’t prove that point at all. The claim isn’t that they would have died anyway on the same day. It’s that probably would have died before long because of their age or other conditions. We can’t say if this is correct for some months at least. If there are significant excess deaths in 2020 compared to other years then COVID-19 may well be the reason. But we don’t know that yet one way or the other.

    • #46
  17. Jerry Giordano (Arizona Patrio… Member
    Jerry Giordano (Arizona Patrio…
    @ArizonaPatriot

    Ontheleftcoast (View Comment):

    I’d like to recommend Chris Masterjohn’s COVID newsletter. He’s an excellent nutrition researcher with a good PhD, and knows how to read papers.

    The most recent one discusses papers which lead him to some interesting conclusions:

    • On the bright side, the social distancing policies are effective at taking us away from the stage of exponential growth.
    • On the downside, the transition from exponential growth is not to a period of declining cases and deaths, but to a linear growth of cases and deaths. This linear phase is where the number of new cases and deaths each day remains largely constant, leading to a linear accumulation of total cases and deaths.
    • The good news from this is that if social distancing policies are implemented earlier rather than later, the linear phase will have a much lower number of new cases and deaths each day. Since many communities do not have active outbreaks yet, but most will have them soon, many communities can still act to prevent things from getting as bad as they are in places like New York City, where I currently live.

    Most Cases Are Undetected

    Asymptomatics Can Transmit Infection

    72% of Counties in the US May Be Undergoing Outbreaks Right Now

    Using Ebola Data Suggests a Leveling Off, But Should We Use Ebola Data?

    Social Distancing Triggers the Transition From Exponential to Linear Growth

    Data from NYC Are Consistent With the Model

    That is not a good analysis.  I have analyzed this in detail, and posted here at Ricochet.  The curve was never exponential, and it has not been linear.  If you look at the Lombardy graph at your link, it is misleading.  The curve in the early phase is not exponential, but kinda-sorta fits the exponential for a short period of time.  The curve in the later phase is not linear, but kinda-sorta fits the linear for a short period of time.  The major departure from the (inaccurate) exponential curve occurs right away after the lockdown, when there should be a 5-7 day delay.  The actual curve is the S-curve that is predicted not just for Ebola, but for just about any outbreak.

     

    • #47
  18. Jerry Giordano (Arizona Patrio… Member
    Jerry Giordano (Arizona Patrio…
    @ArizonaPatriot

    Danny Alexander (View Comment):

    #13 David Carroll

    Yours is the only sensible statement thus far on this thread — OP included.

    The rest of you: Read through my comment #34 on Rodin’s Day 84 thread; then ask yourselves whether you’re thinking even remotely pragmatically about this virus.

    Not even whether you care about people like my mom who were as self-reliant, productive, and community-minded as you before the Wuhan Virus suddenly made them (non-obese) comorbidity statistics — but statistics somehow beneath your consideration in determining that a roll-back to the status quo ante is ridiculously overdue because (insert political bugbear you will face almost impossible odds reversing here).

    Just whether you are confident that we know pretty much all we need to know about this virus — in the absence of a vaccine — in order to make and implement sweeping policy prescriptions for everyone’s health and longevity.

    Heck, I don’t even need to hear about the keep-the-hospitals-from-getting-overwhelmed stuff. Just chew on the paragraph above — I’ll be here, man.

    I read your comment, Danny.  Your love for your mother is commendable.  Your desire to protect her is commendable.  Your desire to protect her at any cost, including driving the world into a great depression, is is not reasonable, in my view.  It is emotional thinking, and I dissent.

    You didn’t say how old your mother is, and I don’t know how old you are yourself.  I, too, have loved ones in the vulnerable categories — my mother in her mid-70s, my mother-in-law in her mid-80s, and many dear friends in their 70s and 80s.  I am in a vulnerable category myself — though only in my early 50s, I am both male and obese and an ex-smoker.

    It is important to know how old your mother is, in order to assess her risk.  For most of us, a good recent article by John Ioannidis (here) demonstrates that the risk is comparable to a daily commute in a car.  (Thanks to Mendel for the reference.)

    • #48
  19. Danny Alexander Member
    Danny Alexander
    @DannyAlexander

    #48 Jerry Giordano

    77 years old.  Enthusiastic gardener and birdwatcher; professionally continues very much active as a successful residential real estate agent.

    COPD but not due to any smoking.  Concomitant pulmonary hypertension.

    Extensive consultations with team of physicians including pulmonologist, cardiologist, PCP etc. — plus invasive/day-surgery cardiac diagnostics — finally yielded, after much trial and error, the correct cocktail of medications to stabilize the COPD and pulmonary hypertension.

    Wuhan Virus, unaddressed by a vaccine, means all bets are off.

    She always (in the past roughly 6-7 years) has had to be vigilant against the risk of catching a cold — can flare up into bronchitis followed by pneumonia in no time, with associated horrifying blood deoxygenation and thus real risk of death.  I personally was on hand for such a near miss in February 2016.

    Absent a vaccine, and absent widespread mitigation via mandated social distancing, she will be forced to  become even more of a shut-in than has been necessary over the past six weeks — *and* her risk of virus exposure will still go up anyway.

    NOTE:  Florida’s surgeon general just went on record today saying that present social distancing mandates should remain in effect until a vaccine is available.  No reaction from the governor as of this writing.  When the chief medical officer for God’s Waiting Room throws down the gauntlet like this, I have to hope he (and sense) will prevail.

    • #49
  20. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    Danny Alexander (View Comment):

    #48 Jerry Giordano

    77 years old. Enthusiastic gardener and birdwatcher; professionally continues very much active as a successful residential real estate agent.

    COPD but not due to any smoking. Concomitant pulmonary hypertension.

    Extensive consultations with team of physicians including pulmonologist, cardiologist, PCP etc. — plus invasive/day-surgery cardiac diagnostics — finally yielded, after much trial and error, the correct cocktail of medications to stabilize the COPD and pulmonary hypertension.

    Wuhan Virus, unaddressed by a vaccine, means all bets are off.

    She always (in the past roughly 6-7 years) has had to be vigilant against the risk of catching a cold — can flare up into bronchitis followed by pneumonia in no time, with associated horrifying blood deoxygenation and thus real risk of death. I personally was on hand for such a near miss in February 2016.

    Absent a vaccine, and absent widespread mitigation via mandated social distancing, she will be forced to become even more of a shut-in than has been necessary over the past six weeks — *and* her risk of virus exposure will still go up anyway.

    NOTE: Florida’s surgeon general just went on record today saying that present social distancing mandates should remain in effect until a vaccine is available. No reaction from the governor as of this writing. When the chief medical officer for God’s Waiting Room throws down the gauntlet like this, I have to hope he (and sense) will prevail.

    Have you considered getting hydroxycholoroquine just in case?

     

    • #50
  21. Weeping Inactive
    Weeping
    @Weeping

    Danny Alexander (View Comment):
    Florida’s surgeon general just went on record today saying that present social distancing mandates should remain in effect until a vaccine is available.

    What do you mean by “present social distancing mandates”? Simply staying 6′ apart and wearing a mask in public? Or that plus keeping businesses closed and people shut up in their homes?

    • #51
  22. Skyler Coolidge
    Skyler
    @Skyler

    Danny Alexander (View Comment):

    #48 Jerry Giordano

    77 years old. Enthusiastic gardener and birdwatcher; professionally continues very much active as a successful residential real estate agent.

    COPD but not due to any smoking. Concomitant pulmonary hypertension.

    Extensive consultations with team of physicians including pulmonologist, cardiologist, PCP etc. — plus invasive/day-surgery cardiac diagnostics — finally yielded, after much trial and error, the correct cocktail of medications to stabilize the COPD and pulmonary hypertension.

    Wuhan Virus, unaddressed by a vaccine, means all bets are off.

    She always (in the past roughly 6-7 years) has had to be vigilant against the risk of catching a cold — can flare up into bronchitis followed by pneumonia in no time, with associated horrifying blood deoxygenation and thus real risk of death. I personally was on hand for such a near miss in February 2016.

    Absent a vaccine, and absent widespread mitigation via mandated social distancing, she will be forced to become even more of a shut-in than has been necessary over the past six weeks — *and* her risk of virus exposure will still go up anyway.

    NOTE: Florida’s surgeon general just went on record today saying that present social distancing mandates should remain in effect until a vaccine is available. No reaction from the governor as of this writing. When the chief medical officer for God’s Waiting Room throws down the gauntlet like this, I have to hope he (and sense) will prevail.

    I’m sorry for your wife, but the world should not suffer for her sake.

    • #52
  23. MISTER BITCOIN Inactive
    MISTER BITCOIN
    @MISTERBITCOIN

    Danny Alexander (View Comment):

    #13 David Carroll

    Yours is the only sensible statement thus far on this thread — OP included.

    WRONG

    THIS IS THE DUMBEST COMMENT – OP INCLUDED

     

    • #53
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