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Re:California sets Covid-19 daily record, Bay Area cumulativ... by ganafagol on Tuesday June 23, 2020 @06:17PM (#23621064)
I think it's a mix between 1 and 2. Eradication is unrealistic. But the optimum is _not_ the point where every last hospital bed is used. It's where the balance between lockdown and infections is the most societally acceptable.

That is, we want to minimize infections, just not at all costs (to society/economy/...). And similarly, we want to minimize impact on society/economy/..., just not at all cost (to health).

Keep in mind that every infection bears a risk for long time health impact or short term (death), no matter if a hospital bed is available or not.

Finding this compromise is a matter of opinion and therefore a political question. It's not as easy and black-and-white to formulate as it would be to say whether we do 1 or 2.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by colechristensen on Tuesday June 23, 2020 @06:25PM (#23621138)
I believe the goal is/should be a transmission rate of < 1. As long as we can keep it so each infected person has a probability of infecting less than one other person on average, we will be relatively fine.

Eradication in the US seems unreasonable, and just keeping hospitals less than overflowing not enough.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by 9nGQluzmnq3M on Tuesday June 23, 2020 @07:42PM (#23621900)
If you can persistently keep the rate < 1, you will by mathematical definition eradicate the disease. (0.99 * 0.99 * 0.99 ... eventually sums to zero.)

Keeping it under control but not eradicated means averaging exactly 1 over time, which seems like a much harder balancing act.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by colechristensen on Tuesday June 23, 2020 @08:03PM (#23622095)
We're at 26k cases per day in the US, yes if you continue with r<1 for long enough you have few enough cases that you change strategy to eradication, but that isn't really important. Saying what your strategy is now doesn't mean you're bound to it for months or years, you have to shift based on reality, we're not just dealing with a mathematical model.

Focusing on the rate as the metric of attention seems very much like the right thing to be at the center of public policy.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by richk449 on Tuesday June 23, 2020 @11:37PM (#23623758)
> Keeping it under control but not eradicated means averaging exactly 1 over time, which seems like a much harder balancing act.

Just put the control rods - I mean open restaurants - on a control loop driven by number of number of hospitalizations.

Helps if you have prompt and delayed transmission modes, so you can regulate at the slower speed.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by soledades on Tuesday June 23, 2020 @09:37PM (#23622925)
Yeah but the r is by various proxies a function of the # of cases, so it is not so simple.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by mehrdadn on Tuesday June 23, 2020 @07:24PM (#23621714)
It confuses me why r < 1 isn't the goal everywhere. It seems like such an obvious thing to aim for. Any ideas?
Re:California sets Covid-19 daily record, Bay Area cumulativ... by austhrow743 on Tuesday June 23, 2020 @08:55PM (#23622612)
If you don't set achievable goals then you just waste a lot of resources trying to achieve them.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by mehrdadn on Tuesday June 23, 2020 @08:57PM (#23622630)
Why is this not achievable? New York pulled it off...
Re:California sets Covid-19 daily record, Bay Area cumulativ... by austhrow743 on Tuesday June 23, 2020 @09:11PM (#23622726)
Seems to be politicised. You have a significant portion of the country treating not wearing masks or social distancing as a political statement.

I'm not saying it's not achievable. Just that you need to evaluate if it is achievable before you focus on it and it certainly doesn't seem like its "obvious" that it is to me.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by zaroth on Wednesday June 24, 2020 @12:16AM (#23624032)
New York pulled what off? The highest cases per capita of anywhere in the US, bad policy allowing it to ravage their nursing homes.

Not surprising after COVID burned through their population (quarantine or not) the case numbers have subsided. If anything NYC demonstrates that quarantine was entirely ineffective, and that the biggest mistake was not focusing on protecting the people actually at risk.

The most interesting takeaway from COVID is that “both sides” were right. It is much more deadly than an average flu (for the elderly) and also much less deadly than the average flu (for those under 50).

Re:California sets Covid-19 daily record, Bay Area cumulativ... by dataflow on Wednesday June 24, 2020 @01:37AM (#23624462)
> Not surprising after COVID burned through their population (quarantine or not) the case numbers have subsided. If anything NYC demonstrates that quarantine was entirely ineffective, and that the biggest mistake was not focusing on protecting the people actually at risk.

Are you serious? How do you even come up with misinformation like this and not even bother to back anything up with any sources? How do you seriously look at the case charts and pretend like going from 10k cases/day to 500 cases/day was an inevitable outcome resulting from burning through nursing homes? It would be funny if it weren't completely insulting to their herculean efforts in containing everything when so much of the rest of the country is going in the opposite direction. https://www.nytimes.com/interactive/2020/us/new-york-coronav...

Re:California sets Covid-19 daily record, Bay Area cumulativ... by zaroth on Wednesday June 24, 2020 @02:34AM (#23624777)
Unfortunately you seem to have misread what I wrote.

1) NY has the highest cases per capita and death rate per capita in the country. [1] [2] This is what I mean by burned through their population. Serology estimates about 20% of NYC population was infected. [3]

2) NY’s policy blunder in shipping COVID positive patients into nursing homes is well documented. [4]

#2 did not lead to #1, nor did I claim it did.

Their “herculean efforts” to contain COVID notwithstanding, NY is in the process of phased reopening, just like pretty much everyone else.

[1] - https://www.statista.com/statistics/1109004/coronavirus-covi...

[2] - https://www.statista.com/statistics/1109004/coronavirus-covi...

[3] - https://www.governor.ny.gov/news/amid-ongoing-covid-19-pande...

[4] - https://abcnews.go.com/Health/wireStory/ap-count-4300-virus-...

Re:California sets Covid-19 daily record, Bay Area cumulativ... by deelowe on Wednesday June 24, 2020 @01:22AM (#23624388)
You can't shut the entire country down for months on end. People will starve. No other solution has proven effective enough to get below 1.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by SpicyLemonZest on Tuesday June 23, 2020 @09:30PM (#23622871)
You can't measure R; you can only model it, and your model is going to involve lots of hard to validate assumptions. So most places are using something easier to measure, such as "metrics are declining before advancing to the next reopening stage".
Re:California sets Covid-19 daily record, Bay Area cumulativ... by kaitai on Tuesday June 23, 2020 @09:22PM (#23622808)
It requires coordinated societal action, which is definitely the same as the death of Freedom and Liberty and thus is to be avoided.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by colechristensen on Tuesday June 23, 2020 @07:40PM (#23621884)
Some places have made total eradication possible (e.g. New Zealand)

Most places just aren't being transparent. Wearing a mask has turned into a political or moral statement without being driven by a goal. Leaders aren't really selling any goals, though CDC / various health departments probably have goals, the technical details are not being communicated. Instead all you see is vague information and seemingly arbitrary action from leaders and virtue signaling from the population.

In Trump-led America, I think the goal is pretty obviously positive political outcomes for Trump. CDC and others might have goals but I haven't seen them.

Part of the problem is people are generally so stupid about failure that any goal setting sets you up to be a target for people angry about not meeting your goal or not setting an aggressive enough goal so being vague is seen as the best strategy, even though I think it leads to the sort of "fake news" vs "moral crusade" problem.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by toast0 on Tuesday June 23, 2020 @09:57PM (#23623063)
> Some places have made total eradication possible (e.g. New Zealand)

Eradication seems possible when there's a small number of cases, and effective border control (being an island nation helps a lot). In the US it's going to be difficult to eradicate, because people can move about the country easily and the case load is high.

I haven't looked at other states, but Washington state has fairly clear metrics for opening restrictions at a county level. We'll see how well that works, I guess. Other states will be doing their own thing, as well as other countries, and maybe we can figure out which methods are more or less effective and either switch or know for next time.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by EdwardDiego on Tuesday June 23, 2020 @09:15PM (#23622754)
Eradication is unrealistic for the US _now_.