News for hackers. Stuff that matters.
Re:State projections for Covid-19 by sbuttgereit on Friday March 20, 2020 @04:13PM (#22641187)
This is all fine and good. And I should state that I am on board with the actions (in San Francisco/California) taken so far. However, I'm not unconditionally so.

I get that right now we're buying time. My current understanding is that we're trying to slow the spread of the disease because the existing health care system was going to quickly collapse under the weight; whether or not that should have been the case or not is a discussion for another day. I also understand that we are -not- trying to contain the disease, just "serialize" its progression (so to speak) through the population.

Assuming that understanding is sufficiently correct, what I'm not hearing enough of is what is being done with the time we're buying. Many in the Hacker News audience likes to talk about "externalities" and how the wise appreciates those externalities in their actions. Shutting down the economy has externalities; those externatlities can be life or death as well. If the strategy of those implementing the "shelter in place" is one of just waiting it out: then I'm going to be off the wagon fairly quickly. I want to start hearing strategies that start to address the issues of how we minimize impacts of this problem. I want to know what we're buying for the pain that we're being sold on. I want to know when people estimate that the societal damages of the illness start to be outweighed by the damages of our response.

I see the admin of the site suggesting we're buying time for these things. I want to start hearing this from the officials making policy.

Re:State projections for Covid-19 by henryfjordan on Friday March 20, 2020 @04:46PM (#22641492)
Garcetti, the Mayor of Los Angeles, covered this in his address last night.

We are buying time to get more tests, more hospital beds set up, more ventilators, more medicine. The Navy is talking about turning Aircraft Carriers into hospitals. China is getting things under control and switching factories to produce medical supplies. It takes time to build these logistics chains, and we are buying that time by slowing our economy down and implementing social distancing.

I agree that this information is not well-circulated right now.

EDIT: another commenter posted this great link which I will also share: https://medium.com/@tomaspueyo/coronavirus-the-hammer-and-th...

Re:State projections for Covid-19 by andrei_says_ on Friday March 20, 2020 @10:36PM (#22643794)
Thank you for this resource. Incredibly well researched and presented.
Re:State projections for Covid-19 by tunesmith on Friday March 20, 2020 @05:09PM (#22641686)
Those are linear increases for an exponential disease. The time-buying has to be for something new that battles the exponential: rushing a vaccine, finding an anti-viral, or figuring out how we can actually practice containment. (Testing availability is part of that, but we'd also need a tracking system.)
Re:State projections for Covid-19 by mindslight on Friday March 20, 2020 @05:17PM (#22641751)
Replenishing the supply of masks, handing them out, and making them mandatory to wear in public places would go a long way to reducing the rate of spread, simply by changing people's behavior. I went out Tuesday for some errands (wearing a respirator of course), and it seemed to be business as usual for most people - very little distancing or concern about crowding.
Re:State projections for Covid-19 by divbzero on Friday March 20, 2020 @08:57PM (#22643320)
Social pressure can be strong.

When I went out for groceries this week (weekday late evening to avoid crowding) I was the only one in the store wearing a mask. Rationally I knew it was reducing risk for others but I still felt deeply uncomfortable being the odd one out.

Contrast this with places like Taiwan where a mask isn’t considered abnormal, and becomes a matter of course during times like this.

Re:State projections for Covid-19 by officialjunk on Saturday March 21, 2020 @02:19AM (#22644917)
Same experience. I heard a few folks tell their kids "don't touch him" and kids ask why. I endure it because I consider it education to wake people up that the virus is here.
Re:State projections for Covid-19 by easytiger on Saturday March 21, 2020 @12:19AM (#22644409)
A respiration device is complete overkill unless you are medically examining the person or in a confined space with people and highly vulnerable.

Catching a Corina virus with less than 15 minutes personal contact is very unlikely and it's extraordinary unlikely to be able to acquire a virion and get it to a host cell just walking past an infected perso on the street.

It's not even clear how infectious the surface to face vector is.

Italians and Spaniards running around kissing each other and rubbing cheeks as is their ancient custom likely has more to do with the issues there than anything

Re:State projections for Covid-19 by tln on Friday March 20, 2020 @05:35PM (#22641893)
Absolutely on board with both increasing availability and then making them mandatory. Along with gloves.

Masks are very hard to come by... that might be why it looks like business as usual? I'd love to get some myself, tips appreciated.

Re:State projections for Covid-19 by Cd00d on Friday March 20, 2020 @06:05PM (#22642124)
My years in cleanrooms and a postdoc in a shared appointment in biochemistry have taught me to see gloves as contamination distributors.

It's literally not okay to be wearing gloves in a chemistry/biochemistry building when you push an elevator button.

Re:State projections for Covid-19 by mirimir on Friday March 20, 2020 @06:53PM (#22642553)
Yes, of course you remove and trash gloves to avoid contamination. I did biochemistry for years. We wore gloves to protect proteins in samples from our proteases, and to protect ourselves from radionuclides. When I labeled stuff with mCi levels of I-125, I worked in a fume hood, behind lead bricks, wearing a lead apron, and three layers of PVC gloves.

But I always tossed the gloves before leaving the work area. And usually I'd put on fresh gloves before removing the lead apron.

That wouldn't be workable day to day. You'd probably go through 50-100 gloves per day, doing it right.

Re:State projections for Covid-19 by rayhendricks on Friday March 20, 2020 @08:13PM (#22643068)
I worked in biotech manufacturing with biohazards. 50-100 gloves/person/10hr day is about right.
Re:State projections for Covid-19 by mindslight on Friday March 20, 2020 @06:41PM (#22642450)
Presumably that doesn't mean people forgo gloves in the lab though, right? The point is you get them dirty, and then you take them off.
Re:State projections for Covid-19 by mirimir on Friday March 20, 2020 @06:55PM (#22642570)
You don't just "take them off". You carefully pull them off, inside out. And then dispose of them, as hazardous waste.
Re:State projections for Covid-19 by greedo on Friday March 20, 2020 @06:58PM (#22642592)
I wore a p95 (similar in performance to the n95) today while shopping. I'm in the Midwest, and the number of looks made me think I had two heads.

My daughter is also sewing cloth mask using a pattern from https://www.craftpassion.com/face-mask-sewing-pattern/

I know these aren't as good, but they probably improve my chances of avoiding SARS-CoV-2 by at least 10% when I have to go outside. I plan on using them once, then leaving them in a bucket in the garage. Once I've used them all up, I'll wash them and by that time (and hopefully the detergent + bleach action), the virus will be dead.

Re:State projections for Covid-19 by easytiger on Saturday March 21, 2020 @12:23AM (#22644432)
> I know these aren't as good, but they probably improve my chances of avoiding SARS-CoV-2 by at least 10%

It's no better than avoiding personal contact generally.

Re:State projections for Covid-19 by greedo on Saturday March 21, 2020 @11:39AM (#22647272)
Not everyone can avoid personal contact. Eventually you'll need to interact to some degree with others when getting groceries etc.

https://smartairfilters.com/en/blog/best-materials-make-diy-...

Re:State projections for Covid-19 by dragonwriter on Sunday March 22, 2020 @04:38AM (#22653588)
> Eventually you'll need to interact to some degree with others when getting groceries etc.

The main risk when getting groceries, unless people are coughing or sneezing in your face, is transfers from your hands, which a surgical or n95/r95/p95 mask does roughly zero to help with. (Now, getting everyone else to wear such a mask would reduce the odds of them contaminating something that would get on your hands, but that's not a benefit of you wearing mask.)

Re:State projections for Covid-19 by amluto on Friday March 20, 2020 @05:57PM (#22642056)
I disagree with gloves. Gloves may serve as a psychological signal, and they can be put on and taken off, but I haven't heard of hands being an infection route.

Several states fairly recently passed laws requiring food preparers to wear gloves. Then they backtracked when they realized that they actually decreased safety.

Re:State projections for Covid-19 by lutorm on Friday March 20, 2020 @07:00PM (#22642613)
Hands are absolutely an infection route, by acting as a transport vehicle to your nose and eyes. Gloves don't change that fact though, unless it reminds you to not touch your face. (It does to me: I work with gloves and epoxy resin a lot, and I've developed a pretty strong reflex to not touch myself with gloved hands even though I do it all the time with bare hands.)
Re:State projections for Covid-19 by cy_hauser on Friday March 20, 2020 @10:28PM (#22643742)
It was on NBC news two nights ago that the virus does not infect you through eyes or blood. It can only infect and replicate in the lungs. So only nose and mouth if that report was correct.
Re:State projections for Covid-19 by amluto on Saturday March 21, 2020 @08:17PM (#22651467)
I have no idea whether this particular virus can survive contact with tears and make the journey, but your eyes drain into your nose.
Re:State projections for Covid-19 by dredmorbius on Friday March 20, 2020 @10:18PM (#22643658)
A mask does far more, comparatively, used by high-exposure or critical-service workers: medical staff and responders, retail workers. Those highly exposed and hard to replace.

For the average person, a mask likely is an individual benefit. But in a world with insufficient masks and asymmetric risks, social benefit, literally the health of the public, benefits most by limited and targeted use.

Distinguishing between personal and communal risk is critical here. That message has been poorly conveyed, even by ordinarily excellent communicators -- Zynep Tufekci comes to mind.

Re:State projections for Covid-19 by mindslight on Friday March 20, 2020 @11:25PM (#22644128)
Yes, but fundamentally that's still just bargaining with the problem. If spread is supercritical, the hospitals fill up regardless of how protected healthcare workers are.

My comment was in the context of "what can time fix", which would mean supplying healthcare workers and everybody else with masks before letting up. Retail workers wearing masks would go a long way to creating some peer pressure to act differently.

Re:State projections for Covid-19 by fspeech on Friday March 20, 2020 @05:47PM (#22641978)
Please write to your political and opinion leaders to advocate this. If you need supporting evidence please consider my letter https://news.ycombinator.com/item?id=22641943
Re:State projections for Covid-19 by hiram112 on Friday March 20, 2020 @05:33PM (#22641882)
Are you saying the masks are helpful to prevent contraction of the virus, or to stop the spreading of it from those who are contagious, but don't know about it yet?
Re:State projections for Covid-19 by jacobedawson on Friday March 20, 2020 @09:38PM (#22643497)
There is a very succinct explanation by Michael Osterholm [1][2] where he says that the virus is spread both by droplets & aerosols, and that sharing the same air with another person is the primary vector (that isn't intended to sound as alarmist as it probably does).

From what I understand the best prevention is to reduce face-to-face contact with other people where possible, but an N95 mask would definitely help prevent contraction in public spaces.

Of course, these measures seem extreme since ~80% of people will barely notice they are infected / have mild symptoms, but it's all about peak-load reduction.

[1]: https://www.youtube.com/watch?v=V1xBiBVH7U4 [2]: https://www.youtube.com/watch?v=E3URhJx0NSw&t=7s

Re:State projections for Covid-19 by mindslight on Friday March 20, 2020 @05:36PM (#22641903)
They do both. But I was saying that at the very least masks would also remind people to actually keep distance from one another.
Re:State projections for Covid-19 by BuckRogers on Sunday March 22, 2020 @10:38PM (#22660770)
Wearing a mask to prevent contracting it is like wearing medieval platemail to protect yourself against an M16.

It gives you very limited protection. There's no replacement for just avoiding people, 15 feet away from everyone.

They're mainly good for people who are infected to not transmit pathogens.

When doctors operate on infectious people, they wear hazmat suits. Full face mask, air filter and body condom. You can get a virus through your ears, eyes, mouth, nose, or microabrasions on your skin.

You can wear a mask, but I fear that people will start thinking it's anywhere near full protection. False sense of security is probably not worth even encouraging in a situation this dire.

Re:State projections for Covid-19 by lutorm on Friday March 20, 2020 @09:13PM (#22643396)
Masks definitely helpful to stop spreading it from those who are contagious. If they help prevent contracting it depends a lot on how disciplined you are at using them. If fiddling with a mask, you're more likely to contaminate it and yourself.
Re:State projections for Covid-19 by umanwizard on Friday March 20, 2020 @05:35PM (#22641895)
They’re helpful for both, but even if they were only helpful for one, it’d still be worth doing.
Re:State projections for Covid-19 by nate_meurer on Friday March 20, 2020 @05:38PM (#22641919)
Those things are happening too. Here's a summary of sixteen companies' efforts according to https://www.statnews.com/2020/03/19/an-updated-guide-to-the-...

- Gilead Sciences; remdesivir for treatment; currently in phase 3 clinical trials

- Ascletis Pharma; danoprevir/ritonavir for treatment; currently in phase 1 clinical trials

- Moderna Therapeutics; mRNA vaccine; currently in phase 1 clinical trials

- CanSino Biologics; attenuated vaccine; currently in phase 1 clinical trials

- Arcturus Therapeutics; hybrid RNA vaccine; currently preclinical

- BioNTech; mRNA vaccine; currently preclinical

- CureVac; mRNA vaccine; currently preclinical

- Eli Lilly; isolated antibody treatment; currently preclinical

- GlaxoSmithKline; vaccine adjuvants; currently preclinical

- Inovio Pharmaceuticals; DNA-based vaccine; currently preclinical

- Johnson & Johnson; attenuated vaccine; currently preclinical

- Pfizer; assistance with both vaccines and treatments

- Regeneron Pharmaceuticals; engineered antibody treatment; currently preclinical

- Sanofi; hybrid DNA-based attentuated virus vaccine; currently preclinical

- Takeda; isolated antibody treatment; currently preclinical

- Vir Biotechnology; isolated antibody treatment; currently preclinical

Most of these are in very early stages, but I'm optimistic that that speed of development of both treatments and vaccines will exceed the consensus expectations.

Re:State projections for Covid-19 by Scipio_Afri on Saturday March 21, 2020 @02:26AM (#22644937)
Could you explain your reasoning or evidence for saying “ I'm optimistic that that speed of development of both treatments and vaccines will exceed the consensus expectations.” or is it just a feeling?
Re:State projections for Covid-19 by nate_meurer on Saturday March 21, 2020 @03:08AM (#22645097)
Just a feeling. I used to work in medical device testing, so I'm familiar with the layers of regulation that weigh down the pipeline. Even in normal times there's debate about whether it's too onerous. But now a lot of that shit's going to be cut out. For example, Moderna is skipping the animal safety trials, and starting with phase 1 human testing straight away. They say animal testing will proceed in parallel if a special new breed of mouse is ready in time.

This, along with recent advancements in bioengineering will, I believe, lead to surprisingly rapid progress.

(The best current mouse models for human coronavirus are not very good; the mice are generally resistant to the virus, so it's difficult to determine whether a vaccine or treatment is working.)

Re:State projections for Covid-19 by GordonS on Saturday March 21, 2020 @06:52AM (#22645706)
Curious about this new breed of mice you mentioned - what's special about it.
Re:State projections for Covid-19 by nate_meurer on Saturday March 21, 2020 @04:35PM (#22649827)
We learned from the SARS epidemic that there are no naturally occurring animals that match humans in terms of receptiveness to the virus, direct symptoms, and immune-enhanced damage. Here are a couple of articles that explain better than I can:

https://www.statnews.com/2020/03/05/coronavirus-labs-scrambl...

https://www.statnews.com/2020/03/11/researchers-rush-to-star...

Re:State projections for Covid-19 by coldtea on Friday March 20, 2020 @05:26PM (#22641815)
The time buying is to stop the exponential.
Re:State projections for Covid-19 by int_19h on Friday March 20, 2020 @06:25PM (#22642309)
It does not stop the exponential spread - that ship has sailed. At this point, it just slows it down by reducing the multiplier - "flatten the curve".

Worse yet is that if we let the measures off, we just get the same curve later. A bit lower at peak, but still exceeding healthcare capacity several times (say, 6x rather than 8x, if we do a 5-month lockdown).

But this still saves lives - just not anywhere as many as we could have saved if we contained it. It also gives us a chance to build more hospitals, manufacture more ventilators etc - although it still won't catch up with demand.

The best endgame is that we either get a vaccine, or enough tests to test everybody, and then do targeted quarantine from there.

Re:State projections for Covid-19 by henryfjordan on Friday March 20, 2020 @06:33PM (#22642373)
The "Best endgame" you describe is exactly the goal. We lockdown now so that we can buy time to get tests and tracing systems setup. Then we can start to open up everything again and control hotspots with aggressive testing and individual quarantine (as opposed to the blanket quarantine we are doing now). With good testing/tracing coverage, we can stop the virus from spreading exponentially for more than a few hops.

Also locking down everything DOES stop the exponential spread. That's the whole point. If you don't see other people, you aren't spreading the disease, reducing the rate of new infections. If each infected person infects less than 1 other person on average, we'll have stopped the spread. China and SK have already succeeded in this.

Re:State projections for Covid-19 by lutorm on Friday March 20, 2020 @06:57PM (#22642585)
* If each infected person infects less than 1 other person on average, we'll have stopped the spread.*

This isn't exactly correct. It means that, eventually, the spread would die out even if there were an infinite number of potential hosts. But it's still spreading. If that number is exactly 1, ~everyone will still end up getting infected. If it's just a bit below 1, it will behave as a decaying exponential but will still take a long time to die out.

Re:State projections for Covid-19 by int_19h on Saturday March 21, 2020 @01:13AM (#22644650)
My point was that a 1-month or even 3-month lockdown doesn't stop exponential growth permanently, it just pauses it. A permanent lockdown would stop it, but it's obviously not sustainable.

And I wasn't trying to dispute your claim that the "best endgame" is the goal, merely clarify it - and also point out that even then, we will still see our healthcare overwhelmed, and a lot of people will still die because they will be rationed out of the system. People who wouldn't have died if we locked things down when containment was still realistic - so I consider them all preventable deaths that we have failed to prevent as a society.

To be absolutely clear: a lockdown is still our best bet, and the lives it'll save are worth it.

Re:State projections for Covid-19 by cameldrv on Friday March 20, 2020 @07:46PM (#22642903)
There are two sides to an exponential. If R0 is >1, it just keeps going up. However, if R0 is <1, it just keeps going down. The point of the lockdown is to get it <1 so it keeps going down for a while, until the case counts are low enough that we can adopt a different strategy.
Re:State projections for Covid-19 by dragonwriter on Sunday March 22, 2020 @04:32AM (#22653568)
Including cycling lockdown on and off without me very reaching a caseload that causes collapse of the healthcare system until we get a vaccine, etc., to change the basic equation. But first we've got to get R<1.
Re:State projections for Covid-19 by lmilcin on Friday March 20, 2020 @06:59PM (#22642604)
Slowing down infection rate whether exponential or not is good because it lets more time for medical system to prepare and because it spreads cases over long period of time.
Re:State projections for Covid-19 by snewman on Friday March 20, 2020 @04:49PM (#22641514)
Certainly: locking down the populace and the economy, without any plans to take advantage of the resulting respite, is unacceptable.

Giving up and attempting to resume normal activity is also unacceptable, full stop.

The best/latest explanation I've seen is https://medium.com/@tomaspueyo/coronavirus-the-hammer-and-th.... Please read it (everyone, not just parent) if you haven't already.

Then if you're frustrated that your political leaders aren't moving to make best use of your sacrifice... let them know!

Re:State projections for Covid-19 by rushabh on Saturday March 21, 2020 @03:46AM (#22645209)
That article has been written by a growth hacker not an epidemiologist, and it does not start with that disclaimer. Please consider not spreading it.
Re:State projections for Covid-19 by djaychela on Friday March 20, 2020 @06:01PM (#22642091)
Thanks for the link. Most involved read I've seen on strategy, but unfortunately for me I'm in the UK, so now I'm significantly more concerned than I was previously.

I will see what my MP has to say about it. Couldn't find a UK petition about it.

Re:State projections for Covid-19 by lutorm on Friday March 20, 2020 @10:18PM (#22643661)
That's a great article, thanks for posting that.
Re:State projections for Covid-19 by TheOtherHobbes on Friday March 20, 2020 @05:49PM (#22641999)
The damage of not minimising the spread starts with an overwhelmed medical system, and ends with too many people ill at the same time to keep the lights on and the stores stocked with essentials.

The details of managing the economics are more than a footnote, but if the worst possible peak isn't avoided everything else becomes irrelevant, because there's no surviving economy to speak of - except maybe one of local barter.

The economics are not externalities. The virus is.

The economics are a social and political choice. They don't actually require money or other symbols, although they'll probably be mediated through for reasons of comfort and familiarity.

They require enough basic provision of food and services to keep people alive, and enough provision of shelter to keep people from rioting, especially once winter comes.

The worst possible economic outcome - after a Killer Peak - is a critical mass of angry and hopeless people with nothing to lose.

Realistically, avoiding that will probably mean helicopter money and aggressive price controls to prevent gouging and profiteering. The usual rules about inflation won't apply because the alternative will be a cratering depression and mass deflation which will do far more harm to the economy than hand-outs will.

It may also mean something worse, like some form of civil conscription to get essential work done. I really hope that doesn't happen, not just because it's better to call for volunteers first, but because it's so easy to abuse politically.

But it's also true this has the potential to become the equivalent of a war time situation, and in extremis the rules may need to change to keep food+lights happening.

Shit choices. But it's a shit situation, and IMO there's no chance of business as usual returning for quite some time.

Re:State projections for Covid-19 by Zaak on Friday March 20, 2020 @07:57PM (#22642986)
Thank you for this. You make the essential point that others are missing: flattening the curve isn't to buy time; it's to prevent massive loss of life and societal collapse. Buying time to improve prevention and treatment is of secondary concern.
Re:State projections for Covid-19 by dredmorbius on Friday March 20, 2020 @10:20PM (#22643679)
Excellently put.
Re:State projections for Covid-19 by Buttons840 on Friday March 20, 2020 @05:32PM (#22641873)
The argument that we should find a balance between saving lives and maintaining a strong economy is reasonable, but seems to have a catch-22 to me. If our economy is truly "strong" it seems it should survive a few months of "social distancing", right?

Perhaps the argument would be better stated: We need to balance saving lives and maintaining the thin veneer that is our economy.

That isn't quite as inspiring, but perhaps that is reality? Even if our economy is a "veneer" we still need it. I find it less compelling though. I'm far more willing to trade lives for a "strong economy" than I am to trade lives for "the illusion of a strong economy".

"Grandma and Grandpa died at home without medical support, but at least our economy is 'strong', so strong it could probably survive weeks of social distancing!"

If our "prize" for sacrificing hundreds of thousands of elderly to an exceptionally uncomfortable death is an economy we all know can't handle even a minor pandemic and is incapable of doing what China and other countries have done, that will be a sad trade.

Re:State projections for Covid-19 by int_19h on Friday March 20, 2020 @06:32PM (#22642368)
"Strong" is usually defined in terms of output. And I think we tend to forget that economy is literally people going around their day-to-day things - we tend to forget about that because our abstract models of it are, well, abstract. But if you, say, tell half of your population to not work, that's half of your economy. Not only that, but it's the half that actually produces physical goods. Take a strong man, and paralyze them waist down - are they still strong? Does it mean they weren't strong before?

The more interesting question is how much of our economy is literally waste. I suspect we'll find out.

Re:State projections for Covid-19 by meheleventyone on Friday March 20, 2020 @07:28PM (#22642796)
I think rather than strong what we’d expect is resilient. It’s why people are joking about businesses eating less avocado toast. The advice given to a lot of people in financial hardship is often well meaning but unhelpful. Why didn’t you have three months cost of living saved? Why do you buy frivolous things? Etc. then when it’s business expected to take a few months off suddenly these ideals are no longer important. Why do profitable companies have no ‘rainy day fund’? How is an economy ‘strong’ if it is not resilient to disruption?

What we’re learning globally to a greater or lesser extent is that our economies are not resilient. That capitalism of various kinds has failed us. And that when it comes down to it we need one another to give a shit about each other.

Re:State projections for Covid-19 by SpicyLemonZest on Friday March 20, 2020 @07:49PM (#22642938)
On the contrary, we're learning that our economies are incredibly resilient. Nobody's concerned that we'll stop being able to deliver food, water, toilet paper, Netflix - the businesses which provide those basic necessities (and imagine telling someone even 30 years ago that on-demand home video is a basic necessity!) are almost entirely unaffected. This is a success story of capitalism by any reasonable metric - I would not have predicted that Amazon could keep making deliveries and Costco could continually restock their shelves in the middle of a global pandemic.

Unfortunately, even the best economic system can't disguise the fact that fewer people working means fewer products and services are available.

Re:State projections for Covid-19 by int_19h on Saturday March 21, 2020 @01:00AM (#22644588)
You should probably wait for another couple of months before declaring it a "success story". The lockdown has barely begun, and we haven't even see the first large wave of people fresh out of jobs getting their major bills in the mail.
Re:State projections for Covid-19 by meheleventyone on Saturday March 21, 2020 @03:30AM (#22645173)
There’s a big ‘yet’ there. Also that things didn’t immediately collapse isn’t the economy showing resilience. It cannot be a binary thing like that. We’re seeing the first waves of mass unemployment, of enormous businesses like Boeing collapsing, of small businesses being grossly unprepared for any kind of disruption and of individuals likewise being ill prepared. The economy we leave this emergency with will be a shadow of the one we went in with. A gross structural failure.

There are going to be trillions of dollars spent attempting to bail out the economies of the world.

Re:State projections for Covid-19 by formercoder on Friday March 20, 2020 @06:56PM (#22642582)
Before the internet (and still, but less so), you could measure the GDP impact of building a bridge because it would allow people to drive back and forth faster and all that moving around leads to more commerce. You’re right, the economy literally is people moving around doing stuff.
Re:State projections for Covid-19 by jacquesc on Friday March 20, 2020 @06:57PM (#22642587)
Do you expect these segments of the economy to survive 2mo+ of their business collapsing to near zero?

Airlines, Bars, Restaurants, Hotels, Cruises, Conferences, Taxies, Hair Salons, Chiropractors, dozens more...

That's 10s of millions of jobs. Livelihoods ruined.

Maybe your job is safe. Mine too. But you have to put yourself in the shoes of someone who is being financially ruined, and whose life expectancy will likely be greatly diminished as a result.

There are major tradeoffs here.

Re:State projections for Covid-19 by greedo on Friday March 20, 2020 @07:03PM (#22642631)
Airlines are essential, and will be bailed out despite their past financial misbehavior.

Bars and restaurants will re-open, those are always in high demand, and easy to start.

Hotels have facilities and real estate that are valuable, and should bounce back once people feel comfortable traveling again.

Cruises can die in a fire. They've always been hotbeds of disease, and are now pretty much tainted.

Conferences might switch permanently to a virtual methodology as Apple is doing with WWDC. This could increase the reach of the conference since it's insanely expensive, as well as hard to get tickets.

Taxis (including Uber/Lyft), hair salons, all easy to restart, and demand will bounce back. Chiropractors are frauds, so I don't care if they fail.

Re:State projections for Covid-19 by yiyus on Friday March 20, 2020 @07:19PM (#22642740)
> Conferences might switch permanently to a virtual methodology

A conference means people travelling, hotel rooms, meals in restaurants, good dresses, presents for the family... It may be better for society to make them on-line (it would be better for the environment, for example), but the economic impact would be huge.

Re:State projections for Covid-19 by torgian on Friday March 20, 2020 @10:39PM (#22643815)
Agreed. Chiropractors are not helpful; better to go to an actual hospital and get a real expert for back problems.
Re:State projections for Covid-19 by jacquesc on Friday March 20, 2020 @11:55PM (#22644286)
Very sympathetic. Points taken
Re:State projections for Covid-19 by techntoke on Friday March 20, 2020 @06:27PM (#22642329)
People not having jobs means they could end up homeless and vulnerable. Hard to practice social distancing in a homeless shelter and get access to adequate nutrition, especially if they become overpopulated, and there could be a huge amount of deaths as a result as well. Is the government going to suddenly pay everyone's rent that loses a job? $1000 checks won't pay rent in many part of the country.
Re:State projections for Covid-19 by Buttons840 on Friday March 20, 2020 @07:02PM (#22642629)
You're right that human lives are on both sides of the balance.

It's interesting that paying people's rent for them is on the table, but denying rent to the literal rent-seekers isn't. As though ensuring those who collect rent get their rent is more important than keeping people in homes.

Re:State projections for Covid-19 by sigstoat on Friday March 20, 2020 @09:31PM (#22643473)
> It's interesting that paying people's rent for them is on the table, but denying rent to the literal rent-seekers isn't. As though ensuring those who collect rent get their rent is more important than keeping people in homes.

do you imagine every tenant's landlord is a literal scrooge mcduck?

my elderly neighbors rent their basement out. should they just be told they don't get paid for a few months?

my retired parents own REITs, and pay their bills with those dividends. if the real estate companies don't get paid, there's no dividends, and then my parents are buying cat food.

pensions and retirement funds across the country rely on rents coming in.

this "just suspend rents" line would be less insane if you'd acknowledge there are trade-offs to it.

Re:State projections for Covid-19 by dragonwriter on Friday March 20, 2020 @07:15PM (#22642710)
> People not having jobs means they could end up homeless and vulnerable.

Eviction/foreclosure bans have in many places been adopted along with shelter-in-place orders.

> Hard to practice social distancing in a homeless shelter and get access to adequate nutrition, especially if they become overpopulated

Why California’s emergency approach includes the power to seize hotels to rapidly expand shelter capacity (and why SF is in negotiations to buy hotel space for an extended time for that purpose.)

Re:State projections for Covid-19 by techntoke on Friday March 20, 2020 @09:08PM (#22643365)
> Eviction/foreclosure bans have in many places been adopted along with shelter-in-place orders.

They are simply pausing evictions. So, you lose your job due to the pandemic and as soon as it has improved then you still get kicked out. I don't think that is much relief, especially if there is another wave.

Here is the order:

https://www.michigan.gov/whitmer/0,9309,7-387-90499_90705-52...

> Why California’s emergency approach includes the power to seize hotels to rapidly expand shelter capacity (and why SF is in negotiations to buy hotel space for an extended time for that purpose.)

All I've seen is for quarantine sites, not for shelters.

Re:State projections for Covid-19 by NotSammyHagar on Saturday March 21, 2020 @01:41PM (#22648239)
Seattle / Wa state has already been buying hotels around here too. And we started building temporary hospitals on soccer fields.
Re:State projections for Covid-19 by mirimir on Friday March 20, 2020 @06:57PM (#22642583)
They can ban eviction, however.
Re:State projections for Covid-19 by techntoke on Friday March 20, 2020 @09:10PM (#22643376)
Temporarily banning evictions until things improve (possibly temporarily) is only going to help people stay in their homes in the short term, and they will still be required to pay rent for those periods.
Re:State projections for Covid-19 by blackrock on Friday March 20, 2020 @08:36PM (#22643200)
Socialized housing for everyone?
Re:State projections for Covid-19 by Buttons840 on Friday March 20, 2020 @08:48PM (#22643265)
Maybe. It seems likely that the optimal economic and societal systems are going to be different during these unusual and temporary circumstances. Thus, to not make temporary changes would be sub-optimal.
Re:State projections for Covid-19 by calf on Friday March 20, 2020 @07:23PM (#22642765)
It's interesting contrast to read Krugman's piece in the nytimes just yesterday.

He ignores the "economy", he says that layoffs are necessary, which is to basically suggest that the economy will adapt.

And everywhere you have internet commenters "But what about the economy?" and citing serious consequences of recession/depression in order to criticize isolation/quarantine/lockdown.

Re:State projections for Covid-19 by mattnewton on Friday March 20, 2020 @07:39PM (#22642862)
My understanding is that it is necessary to slow the progression to “flatten the curve” below hospital capacity, and that extra time for building increased hospital capacity is a nice side effect but not the primary goal. Basically, when more people get sick than the hospitals can take in, the mortality rate skyrockets, which is why Italy has more reported deaths than China right now.

Edit: Here’s the old paper from 2007 the CDC is using to inform some of the policy around “flattening the curve” below hospital capacity. https://stacks.cdc.gov/view/cdc/11425

Re:State projections for Covid-19 by nomel on Friday March 20, 2020 @09:30PM (#22643467)
But after the three month delay, you’ll have the same exponential growth, if life goes back to usual. It’s even present in these plots, at the right hand side (see California). It’s unfortunate the plots aren’t extended more to show longer term trends.
Re:State projections for Covid-19 by mattnewton on Saturday March 21, 2020 @04:12AM (#22645263)
If the flat curve is extended for long enough, you get enough immunity to not have exponential growth when you lift restrictions.
Re:State projections for Covid-19 by fspeech on Friday March 20, 2020 @05:34PM (#22641889)
Universal mask wearing combined with unlimited testing is the quickest way to get the economy restarted. We need to ramp up both. And of course more ppe for medical workers. We don't need a ton of ventilators. Without skilled medics ventilators by themselves are not useful.
Re:State projections for Covid-19 by eric_b on Friday March 20, 2020 @09:24PM (#22643443)
It is terrifying how fast reasonable people have jumped on board with China-level lockdown policies that will decimate life-as-we-know-it after they end.

I've been reading every whitepaper and journal publication I can find on this disease.

The picture that I'm seeing is that this disease is both more infectious (higher R0) and less deadly than previously thought.

In light of those facts I am fairly convinced the lockdowns and resulting economic impacts will be worse than just isolating the most vulnerable and letting the rest of the population go about their business.

https://www.medrxiv.org/content/10.1101/2020.02.12.20022434v... (Suggests the R0 is much higher and IFR much lower than reported)

https://www.epicentro.iss.it/coronavirus/bollettino/Report-C... (shows that the people dying are very old and very sick already. Also given the fact that part of the population is so impacted strongly suggests the disease is much more widespread)

Also, all of the celebrities, politicians and athletes that are testing positive are proof, in my opinion, of how wide this has gone.

Re:State projections for Covid-19 by lutorm on Friday March 20, 2020 @09:52PM (#22643567)
The fatality rate so far only applies as long as the health care system isn't overwhelmed though. Plenty of non-elderly are affected severely enough to need ICU care, and they will start showing up as fatalities once there aren't any free spots any more. Washington State is almost at this point and is preparing triaging procedures.

I'm astonished how many people think that they know better how to respond than the professional epidemiologists. If anything the response actually enacted is tempered from what they recommend by the politicians.

Re:State projections for Covid-19 by sharken on Saturday March 21, 2020 @07:22AM (#22645815)
Being one of those reasonable people who has not fallen for the complete lockdown argument, I feel that the ball is rolling and no argument can reduce the measures right now. In Denmark there are 42 people requiring ICU care and 13 deaths. Just two years ago more than 1.600 died due to the common flu, but that hardly got any coverage nor any of the counter-measures being employed right now.

If I should find some positive in this over-response, that would be the benefit for the environment due to less pollution. If we could reduce emissions to the current level, the climate would be so much better for it.

Re:State projections for Covid-19 by chki on Friday March 20, 2020 @09:50PM (#22643553)
I mostly agree with your underlying assumptions but I'm still advocating for a different course of action.

The problem with this disease is that while many people don't die, they require intensive care. As we can see in Italy currently this will overwhelm hospitals at some point (and Italy has already put drastic measures into place). At that point it becomes a huge problem for society: a lot of people are dying and the health system doesn't work anymore. People die because of appendicitis etc.

Re:State projections for Covid-19 by NhanH on Saturday March 21, 2020 @02:39AM (#22644989)
Did you read the Imperial College paper that starts the whole thing? That paper acknowledges multiple different strategy (with full lockdown being one of them) and details what the long term strategy could be.
Re:State projections for Covid-19 by 76543210 on Friday March 20, 2020 @09:41PM (#22643516)
I'm with you.

We will all catch this unless we stay locked up until the vaccine comes.

So, expect everyone to catch it.

Re:State projections for Covid-19 by lutorm on Friday March 20, 2020 @09:54PM (#22643577)
Whether we catch it is not the issue, the vast majority of us will. It's whether when you do and have complications, you can go to the hospital or die waiting for an ambulance that never comes because the system is overwhelmed.
Re:State projections for Covid-19 by lubujackson on Friday March 20, 2020 @05:38PM (#22641932)
The thing about exponential growth is that it is slow growing (relatively) in the beginning. This means if we cycled between lockdown and business as usual we can keep things contained quite easily. Not sure what would be most efficient, but something like 1 week lockdown every 2 or 3 weeks would keep the spread minimal until a long-term solution is found.

Obviously travel etc. gum up this plan but instead of containment or mitigation we can move to a "time gapped reset" policy that predicts a continuous growth/halt cycle for the virus instead of pointlessly trying to eradicate it completely.

Re:State projections for Covid-19 by usrusr on Friday March 20, 2020 @06:06PM (#22642138)
> I want to know when people estimate that the societal damages of the illness start to be outweighed by the damages of our response.

Loss of life to the inner vs loss of life caused by economic consequences, I've seen that argument before and it's not entirely unappealing. But wherever I saw it there was the unspoken assumption that the economy would just continue completely unaffected by an uncontrolled epidemic. But much of the economic damage will be there no matter which path you take. There are likely same areas where a short, hard wave would even be worse, economically, than a controlled lockdown. The delta is even harder to estimate than the cost of slowdown strategies, but an argument that only looks at the economic cost of one option is flawed.

Personally, given the choice, I'd take option C, "show me a rerun of 2019". Unfortunately this isn't in the cards that we are dealt.

Re:State projections for Covid-19 by calf on Friday March 20, 2020 @07:05PM (#22642639)
> Shutting down the economy has externalities; those externatlities can be life or death as well. If the strategy of those implementing the "shelter in place" is one of just waiting it out: then I'm going to be off the wagon fairly quickly.

I think the problem with this very common attitude is the demand for immediate answers, or else. It's an ultimatum.

We don't expect programmers and engineers to come up with complete, ready-to-commit solutions to a complex problem immediately. Thinking like a consumer doesn't help. An alternative is to demand transparency and to be engaged in the process of decision making. But that requires an attitude/intellectual realignment.

Re:State projections for Covid-19 by SpicyLemonZest on Friday March 20, 2020 @07:32PM (#22642825)
I don't think a complete solution is expected. An incomplete but scaffolded solution would be very well received. A clear statement that we expect infections to level off by date X and we can relax restrictions after condition Y would be very nice - especially since people could start making Y happen as fast as possible.

What's concerning about the current messaging is that it's not clear whether it's incorporated the underlying limits to how long people will tolerate a lockdown. An ultimatum is the right framing; decisionmakers need to know, and we need to know they know, that "then we'll lock down for 6 months" is not part of the solution space.

Re:State projections for Covid-19 by calf on Sunday March 22, 2020 @04:26AM (#22653540)
Ultimatums are bad faith and basically anti-liberal so I don't care for that sort of rhetoric, and I think more people should try that as a baseline. When the ultimatums themselves do not account for the well-being of the elderly and vulnerable, we should not be giving that rhetoric credit. There's an ideological and intellectual distinction to be made between people's behaviors; those who want to discuss the "COVID tradeoff problem", and those who simplistically repeat talking points "but the economy will cause deaths too" (in reactance to the other narrative, the prediction of collapse of healthcare systems).
Re:State projections for Covid-19 by SpicyLemonZest on Sunday March 22, 2020 @07:44AM (#22654274)
Sure, I’m happy to discuss taboo tradeoffs with people who are willing. Even a 3 month lockdown is clearly not worth the lives it would save. If you could rescue some Kansas man you don’t know from cancer, by cutting off friends and family and career for 3 months, you wouldn’t do it. And there’s orders of magnitude less than 1 life per person at stake here.

Most people aren’t willing to explicitly discuss how many lives it’s worth to be allowed to hug your mother, so for general consumption it must be framed in absolutes. There’s a number of weeks past which the cost is unacceptable and I’m joining the mob at City Hall, and that number is not in the double digits.

Re:State projections for Covid-19 by lubujackson on Friday March 20, 2020 @05:38PM (#22641928)
The thing about exponential growth is that it is slow growing (relatively) in the beginning. This means if we cycled between lockdown and business as usual we can keep things contained quite easily. Not sure what would be most efficient, but something like 1 week lockdown every 2 or 3 weeks would keep the spread minimal until a long-term solution is found. Obviously travel etc. gum up this plan but instead of containment or mitigation we can move to "time gap" reset policy that predicts continous growth/halt of the virus instead of pointlessly trying to eradicate it.
Re:State projections for Covid-19 by int_19h on Friday March 20, 2020 @06:36PM (#22642400)
The Imperial report suggested this exact thing, but by their estimations, we'd still need to have lockdown in effect about 2/3 of the total time to prevent healthcare systems from getting overwhelmed in US and UK.
Re:State projections for Covid-19 by kbenson on Friday March 20, 2020 @06:14PM (#22642209)
> Assuming that understanding is sufficiently correct, what I'm not hearing enough of is what is being done with the time we're buying.

This was along the lines of my first thoughts as well. Theoretically, we want to maximize the usage of our medical resources (personnel, reusable supplies such as bed space, non-reusable supplies such as medication that become available at a variable rate), to keep just enough below the capacity to handle the needs and allow for some spikes (if we can even get it that low).

To my eyes, that calls for the ability to reassess and shift directives for the public (that is, maybe ease up on shelter-in-place next week, but put it back the week after), track and optimize resource flow, and coordination between locales. As a national level emergency, it makes sense there would be national level coordination on how to deal with it. Instead it appears we have governors and mayors making their own calls on what to do based on what advice they are personally getting, and the health care system is just struggling to figure out what to do.

What we don't have is any leadership putting forth an actual plan, or any real indication that they are even attempting to do so, or that if they are that they're putting any real teeth behind making sure officials are on board.

Re:State projections for Covid-19 by golover721 on Friday March 20, 2020 @04:51PM (#22641529)
I wonder the same thing. A lockdown cannot be done in perpetuity and I think even 90 days would be too long. So the best bet is a lockdown while we ramp up the healthcare system to deal with the outbreak as best as possible. At some point we will have to go back to some semblance of normal life as the economy and people’s personal finances can’t continue to lockdown. Unfortunately we don’t seem to ramping up the healthcare system enough during this lockdown period.

And no the vaccine is still too far in the future so the idea that the lockdown is biding time until the vaccine is ready is ridiculous.

Re:State projections for Covid-19 by 40four on Friday March 20, 2020 @04:52PM (#22641542)
Well said. Nobody seems to know what is being done with the time we're 'buying'. I get the feeling everyone just thinks if we sit at home for a month (or two? or three!?!), it will just magically go away. This site even admits "A second spike in disease may occur after social distancing is stopped". It's very possible that sitting at home will just delay the acceleration phase, and it will rear it's ugly head after we come out of out caves.

Why have we all (I'm speaking for people in the USA) immediately bought into the idea that shutting down out lives and the economy is the only way to combat this thing? South Korea didn't shut everything down in an authoritarian fashion, and they already have this thing beat. I know, not a fair comparison, USA is way bigger, less experienced in handling disease outbreaks, different governments, etc, etc. But aren't there smarter ways we can handle this than just blanket isolation & lock downs?

From the CDC:

"Pandemics begin with an investigation phase, followed by recognition, initiation, and acceleration phases. The peak of illnesses occurs at the end of the acceleration phase, which is followed by a deceleration phase, during which there is a decrease in illnesses. Different countries can be in different phases of the pandemic at any point in time and different parts of the same country can also be in different phases of a pandemic."

So we know from South Korea's example it is possible to hit acceleration phase, execute a smart plan of attack, and have it carry you into deceleration, without blanket lock downs. Lock downs can still be an effective tool, and should be used in areas seeing steep acceleration to take pressure off the medical system.

Our plan doesn't have to be exactly the same, but we can learn from theirs. Seems like nobody is even trying to think out of the box. We just accepted that we have to turn our country into an authoritarian state and that's the only way to beat this.

Focusing on making testing widely and easily accessible is key for sure. If people could easily get a test, it would eliminate a lot of the fear/ uncertainly that is gripping everyone. Healthy people who are at low risk to get severe reactions could go about there lives normally, while still practicing 'social distancing' in public, not locked away in their homes in fear

Re:State projections for Covid-19 by coldtea on Friday March 20, 2020 @05:27PM (#22641826)
>I know, not a fair comparison, USA is way bigger, less experienced in handling disease outbreaks, different governments, etc, etc. But aren't there smarter ways we can handle this than just blanket isolation & lock downs?

Not if you don't have as advanced infrastructure, quick government, and decisive politicians like Korea, and 1/4th of the country is in third world conditions regarding access to healthcare, or even shelter, etc.

Re:State projections for Covid-19 by ASalazarMX on Friday March 20, 2020 @05:05PM (#22641656)
> Health people who are at low risk to get severe reactions could go about there lives normally, while still practicing 'social distancing' in public, not locked away in their homes in fear

You don't need tests for that, just common sense. If you have low risk, by all means keep working while keeping high sanitary precautions. It's unrealistic to expect all people to stay at home, hence those of us who are likely to get a mild COVID-19 case should make sure the people at risk or already sick have services while they stay at home.

If you're healthy, take precautions and still get COVID-19, after recovering you become another line of defense with your new immunity.

That being said, tests are very important, but don't wait for free and widely available tests to decide if you can keep working, your circumstances decide that.

Re:State projections for Covid-19 by DanBC on Friday March 20, 2020 @05:29PM (#22641851)
> Nobody seems to know what is being done with the time we're 'buying'.

You're allowing people to get infected, but reducing the rate at which they get infected, thus allowing your healthcare system to cope with the demand while the rest of society slowly builds immunity.

Re:State projections for Covid-19 by 40four on Friday March 20, 2020 @08:45PM (#22643252)
Yeah, I just wish we were doing it it a more precise way. Ramp up the more aggressive measures only in the areas seeing acceleration.

My girlfriend’s brother in-law owns a large, successful restaurant in the city next door. They city has only 1 confirmed case, and that guy got it from traveling to Italy. Still the governor threw a blanket ban on restaurant dining rooms, and they are forced to lay off most of their workforce.

I doubt his business will fail, but he told me he already knew of two other restaurants in the city that already went out of business because of such low traffic even before the lockdown. Seems like we should implement these bans in a more targeted way.

Re:State projections for Covid-19 by newtoday on Friday March 20, 2020 @11:33PM (#22644170)
Your aprocach in this is the problem. Your girlfriend's bother in law's customers and staff, on the way to that establishment, and within, could easily be spreading the virus. Untested, without symptoms, simply going about their usual lives. This is why we're seeing tested cases in the US (now that there's tests) rise so suddenly. There is no 'only 1 person has it in a town). That was my town yesterday, with only one case, and then bam, more people got tested.
Re:State projections for Covid-19 by rasengan0 on Saturday March 21, 2020 @01:00AM (#22644589)
https://youtu.be/jUnVxjaWIBM

Sorry you are inconvenienced.

Re:State projections for Covid-19 by mindslight on Friday March 20, 2020 @05:26PM (#22641814)
Basically we need a timeout to recover from and reassess a month of negligent inaction. The time to institute a "smart plan of attack" relying on easy testing/public temperature checks/physical distancing was three weeks ago, when we still had headroom to weather the results.
Re:State projections for Covid-19 by phkahler on Friday March 20, 2020 @06:32PM (#22642362)
Notice that the CA style shelter in place has an uptick at the end. Once you let people out it starts right where it left off. My assumption is that this thing is not going to be eradicated and is highly contagious, so the only way it will stop is once there are enough people vaccinated or previously infected so the exponential decays. Under those assumptions, slowing it serves two purposes. One is to prevent deaths due to overwhelmed treatment facilities. The other is to prevent it from just hitting everyone. Maybe only 20-60 percent of the population needs immunity to stop it, but if it runs rampant we could overshoot that. I'm sure there are other reasons to slow it, and other models, other assumptions, etc...
Re:State projections for Covid-19 by dwaltrip on Friday March 20, 2020 @06:43PM (#22642464)
The time can be used to do a lot of things:

* Rapidly expand healthcare capacity

* Develop a vaccine

* Build out a testing infrastructure that allows for targeted containment, rapid response, and chain-of-infection tracing without needing a full lockdown

Re:State projections for Covid-19 by Gatsky on Friday March 20, 2020 @10:11PM (#22643636)
If you do nothing, and an antiviral comes along in a month (which can stop severe disease), then you have effectively killed a lot of people unnecessarily. An affective antiviral is looking more and more likely, and unlike other approaches, can be scaled rapidly.
Re:State projections for Covid-19 by ilyagr on Friday March 20, 2020 @04:53PM (#22641545)
Apart from developing drugs, vaccines, and expanding hospitals, the time could allow us to produce enough tests to detect infected people before they are contagious. Perhaps even earlier, we could test all the contacts of people who were detected after they were already contagious.

With enough testing and sufficient frequency of testing, isolating just the people who test positive (and perhaps their contacts) should be enough to stop exponential growth, which means we could mostly return to normal life.

Re:State projections for Covid-19 by nemo44x on Friday March 20, 2020 @04:46PM (#22641495)
Agreed. Politicians just shutting things down without a plan for what we do in this time is unacceptable. A vaccine won’t be safely available for a year. Shutting down that long will destroy everything.

I liken it to the immune system. Shutting things down can work for a short period but if the system goes into a full panic it begins attacking good cells and shutting down organs and the host dies a slow, painful death.

We need to be using this bought time to building medical equipment, beds and places to put them, manufacturing existing therapies to help, training people to use specific equipment, creating a system for the most vulnerable to quarantine but get food, medicine, safely as they wait for acceptable safety to them.

We can’t lock down for months and months. People will eventually be fed up, see their risk is low, and throw the dice. The economy can’t grind to halt for a long time.

We need to prepare to minimize death and we need to do it now. Lockdown is not much of a strategy or something that will work beyond a few weeks before people ignore it massively.

Re:State projections for Covid-19 by rasengan0 on Saturday March 21, 2020 @12:55AM (#22644564)
https://youtu.be/jUnVxjaWIBM

Would this work for ya?

Re:State projections for Covid-19 by greysphere on Friday March 20, 2020 @05:48PM (#22641991)
We are trading economic output in exchange for lowering the transmission rate of the disease. By lowering the transmission rate, we are lowering the peak use of medical resources, lowering the loss of life. Your second paragraph acknowledges this, and I think pretty much everyone is on the same page here at this point.

But the question in your third paragraph "what is being done with the time we're buying" could be restated as "what are we getting for our loss in economic output _in terms of economic output_?' That's not what we are doing, we are giving up economic output, not getting it. Of course any schemes/inventions/techniques that increase the coefficient of return of this trade off would be welcome, but doesn't change the fundamental direction of the tradeoff.

And that's not to say we are doing nothing at all with that time. Maybe we have "more time to develop a vaccine", or "time to make ventillators."? But those _are_ economic outputs. Those actions trade back lives (via increased transmission rates) for production of utilities that we believe will save lives in an equation that nets a positive. And it's not to say that people won't do some productive things during this (like the memes of inventing calculus in isolation or whatever), but for sure society is reducing it's overall economic output.

So from this point on the questions (and threats of defection) you raise kinda presuppose that trading economic production for saving lives is not worth it (at whatever ratio you're expecting). Potentially this is because you expect higher economic costs/lower life savings than the generally accepted projections, or because you value life less, or you believe the economic loss will lead to greater loss of life long term. I think the burden then is on you to either produce better projections, or promote candidates into government/leadership positions that share your moral outlook, or formulate and promulgate a model that shows the dramatic effects you expect due to the economic loss.

To put it another way, a simplified answer to 'what are we doing with the time' could be 'approximately nothing', and our society at large seems to be on board with that trade. If you're not, change my/our mind.

Re:State projections for Covid-19 by ummonk on Friday March 20, 2020 @10:18PM (#22643657)
>I also understand that we are -not- trying to contain the disease, just "serialize" its progression (so to speak) through the population.

That's not true. Even with massively ramped up hospital capacity, we'd still have to spread it out over years to support the whole population getting sick. And realistically, if you can keep the disease progression spread out over a long period of time, it means you've stopped the exponential growth (i.e. R0 <= 1), and it isn't that much harder to actually contain it.

What we want to do is to contain it using blanket measures until we can get our act together with large scale testing, contact tracing, and basic sanitation measures (e.g. general mask wearing, hand-washing, and social distancing by the public without needing to lock everything down). This was where China got to after an early lockdown, and it's where South Korea has always been (without the need for a massive lockdown in the first place). Then in a year hopefully the disease can be stopped altogether with mass vaccination.

Re:State projections for Covid-19 by GordonS on Saturday March 21, 2020 @07:24AM (#22645817)
> Even with massively ramped up hospital capacity, we'd still have to spread it out over years to support the whole population getting sick

Keeping in mind that something like 80% of people will only experience mild symptoms, does this assertion still hold?

Re:State projections for Covid-19 by threeseed on Friday March 20, 2020 @04:37PM (#22641425)
Buying time:

a) Saves millions of lives.

b) Allows researchers to develop, produce and distribute a safe vaccine.

Re:State projections for Covid-19 by pfranz on Friday March 20, 2020 @06:17PM (#22642242)
There's even more, though. It gives us an opportunity to replenish masks, hand sanitizers, tests, and other supplies we have an immediate need for. Once this plateaus and stockpiles replenish, we can take some small steps to normalcy.

Medium term, we can more properly organize and distribute medical resources, assemble temporary hospitals, learn more about current anti-virals to better manage it, etc. Allowing even more steps towards normalcy.

The vaccine is immensely important, but there are major steps before then that we don't have to be completely locked down waiting for.

Re:State projections for Covid-19 by fspeech on Friday March 20, 2020 @05:40PM (#22641943)
Here is what I wrote to my governor and local newspaper. Feel free to adapt and forward if anyone agrees:

Universal Mask Wearing Is the Quickest Way to Restart the California Economy

We urgently need universal mask wearing to slow down the spread of COVID-19 and restore our economy.

This is CDC's advice on how healthcare providers can protect themselves if they suspect that a patient has COVID-19:

" Assess and triage these patients with acute respiratory symptoms and risk factors for COVID-19 to minimize chances of exposure, including placing a facemask on the patient and placing them in an examination room with the door closed." (What Healthcare Personnel Should Know about Caring for Patients with Confirmed or Possible COVID-19 Infection https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-pat...)

If a facemask on a patient can protect the doctor in close proximity, it surely can also protect the general public. Yet the message from our nation's leadership is that mask wearing is ineffective for the general public (Why Telling People They Don’t Need Masks Backfired https://www.nytimes.com/2020/03/17/opinion/coronavirus-face-...). Yes, it is not 100% effective in protecting an individual from others, but it is absolutely effective in protecting the general public from a potential patient. This is the herd immunity we can quickly achieve without waiting for a vaccine:

"An 80% compliance rate essentially eliminated the influenza outbreak. " (Modeling the Effectiveness of Respiratory Protective Devices in Reducing Influenza Outbreak https://www.ncbi.nlm.nih.gov/pubmed/30229968)

California is in a unique place to lead the nation and restore its own economy. We have a large Asian population that are receptive to mask wearing but are wary of being singled out. We have technology companies that can come up with solutions for mask making. We have idled workers that can be quickly retrained to jumpstart mask manufacturing. China was able to ramp up production 12 times in February alone. We can do it too.

What we need to do is to legally require people to wear masks in public and in the workplace to protect each other. We don't need to wear N95 respirators that are hard to use and that should rightly be reserved for medical workers; we can wear masks that are much more breathable to protect others from our own droplets. By making it a legal requirement, companies like Tesla will be motivated to either quickly secure masks from suppliers or, better yet, start making and supplying masks for their own employees and for the public. Asian countries have shown that universal mask wearing can prevent large outbreaks and slow down the spread of the disease without shutting down their economy. Let's learn from their experience. Governor Newsom should immediately work on this with the state legislature in order to lead us to a speedy recovery.

Re:State projections for Covid-19 by pfranz on Friday March 20, 2020 @06:22PM (#22642289)
I always took "Telling People They Don’t Need Masks" as there is about to be an immense shortage so known infected and medical staff should be prioritized. If everyone tried to start wearing masks a month ago we wouldn't have /any/ left and we'd probably see a lot more desperate acts around getting them. Not to mention the average person not wearing it properly and not getting proper protection.

Right now there's a huge shortage and we still have a very small number of cases--it's all people stockpiling and using them where it's not as critical.

Like you say, after we can replenish the supply I'm sure it will be more commonplace.

Re:State projections for Covid-19 by fspeech on Friday March 20, 2020 @06:42PM (#22642459)
China had a similar shortage (actually more severe due to their population size) but they got on with the program and furiously ramped up their production. We need to do the same here. Remember the whole world will be looking to buy masks and we have no reason to believe that we will be in the front of the line.
Re:State projections for Covid-19 by krzat on Friday March 20, 2020 @05:59PM (#22642075)
Current mask situation reminds me of a doctor that promoted hand washing: https://en.wikipedia.org/wiki/Ignaz_Semmelweis
Re:State projections for Covid-19 by fspeech on Friday March 20, 2020 @06:52PM (#22642549)
Yes this is a low tech war. There are simple ways to win it but people are curiouly unaware of what others are doing or have done.
Re:State projections for Covid-19 by svara on Friday March 20, 2020 @07:09PM (#22642668)
Simple DIY masks may be an effecive stop-gap measure until professional masks become available again in sufficient numbers [0]. Fully agree that official & media messaging with respect to masks is quite misleading, of course they work.

[0] https://medium.com/@matthiassamwald/promoting-simple-do-it-y...

Re:State projections for Covid-19 by threatofrain on Friday March 20, 2020 @04:47PM (#22641498)
The UK chief scientist, Patrick Vallance, has stated that they suspect a winter resurgence is possible, thus I also question the value of waiting and flattening curves. World governments should clarify this matter by saying that a bad winter resurgence, months after nations are fatigued with lockdown, is definitely not going to happen.

But right now no government dares suggest any vision past a few months.

Re:State projections for Covid-19 by coldtea on Friday March 20, 2020 @05:31PM (#22641862)
>The UK chief scientist, Patrick Vallance, has stated that they suspect a winter resurgence is possible, thus I also question the value of waiting and flattening curves.

By winter we'd have more equipment, masks, drugs tested, doctors taking a break, etc. The big spread also stops in warmer climate.

>World governments should clarify this matter by saying that a bad winter resurgence, months after nations are fatigued with lockdown, is definitely not going to happen.

Of course it's possible and very likely to happen. The answer is not no lockdown, it's a second lockdown then as the need arises.