Science of COVID-19

Day 32 – April 17, 2020

Today marks one month since I posted my first little chart, with an accompanying short little paragraph explaining it. What’s the date today? March 58th? Seems that way.

Since then, everything has grown… the numbers have grown, the lines on the graphs have grown, and the volume of my little paragraph has as well. It seems to be dealing with a lot more than just numbers, doesn’t it… so… on that note…

Today’s update at 11am from Dr. Henry and Mr. Dix was a thorough presentation explaining where we’re at and where we’re going. The slides of that presentation are available on the BCCDC website, but I’ll give you the summary — we’re doing really well around here, well enough that we can stop comparing the Italy track… we’re not following it… and, looking at the numbers and charts below, haven’t been for a while. And recognizing that we may be seeing a plateau, on its way to a decline — cautious optimism — of many key numbers. New infections, hospitalizations, ICU cases… everything trending in the right direction. We are seeing lower numbers for new infections, even with enhanced testing. For now. We will see next week if the long weekend changed anything.

And it’s key to note that this success has largely been a result of the measures put in place, the timing of those measures, and our compliance with them. And now is not the time to stop. “It’s working” is a lot different than “It worked”. We are still a work in process, and those social/physical-distancing ways-of-life will be around for a while.

Capacity to handle patients is below 50%, and it’d be ideal to keep it there. The absolute certain end to this is a vaccine, and things will be different until then, but it doesn’t mean we’re stuck in our homes forever. The plan for opening things up with a methodical, well-thought-out strategy is in the works, but the last thing we want to do is open things up too quickly. That can drastically change things, and it can happen quickly. One interesting slide, #34, showed the results of dynamic modelling, testing different outcomes given the degree of compliance of social/physical distancing. Short answer — if we keep doing what we’re doing, very good. If we don’t, there are varying degrees of what would happen. Worst case scenario: we all take to the streets today…. In about 10 days, the near vertical growth in cases would quickly overrun our medical infrastructure. That model also implies that a little loosening wouldn’t have a drastically bad effect… but to what extent and how… again, as you can see on that slide, if you hit a tipping point, it’s hard to come back from it. And speaking of that scenario…

There was a story on CNN yesterday with a headline that read “The social-distancing deniers have arrived”. Before clicking on the story, I imagined the picture that’d accompany it… it would be a group of people protesting. I imagined bushy beards, hunting caps, guns, American flags, Trump signs and no masks. I was a little wrong about the masks… a couple of guys had them; the rest, bang on. Oh, and not just guns… assault rifles.

I have a great idea. Get Barack Obama, Joe Biden and Nancy Pelosi to hold a press conference. Throw Bernie in there too. And there, they announce in angry, loud, unified voices… that social distancing is a terrible idea. That this lockdown is ridiculous. “President Trump!”, they should demand, while dramatically ripping their masks off their faces, “End this nonsense! Open every business! Get everyone out on the streets! Now! We demand you open this country, fully… RIGHT NOW!”

It might actually work.

Democrats say Zig, Republicans say Zag. Republicans say Ding, Democrats say Dong. It doesn’t even matter what Zig/Zag or Ding/Dong mean… nobody knows. Nobody cares. We are right, they are wrong. You are with us or you are against us.

Around here, we’ve pretty-much forgotten who’s in power. Premier John Horgan (NDP, if you need reminding) is not around much. I may not agree with everything he has to say, but he and I have something in common; an understanding of what leads to success… a concept that has served me tremendously well all of my life: Surround yourself with excellent people, keep them around, and let them do their thing. Two of those people these days are, of course, Adrian Dix (NDP) and Dr. Bonnie Henry (who knows and who cares). Political affiliations are pretty irrelevant at the moment.

Actually, John Horgan hasn’t been completely M.I.A… he holds a press conference once a week or so and answers questions. There are other issues facing the province, and while I’m unclear what he does all day, some of it has to do with dealing with other provincial issues, and of course, there are many. They haven’t gone away. And some of it is planning how to open up this province (beyond private liquor store hours), hopefully sooner than later, in a way that works and isn’t at odds with the big picture being laid out by Adrian Dix and Dr. Henry. Indeed, he’s letting them run the most important issue of the day, and he’s staying out of the way. It’s working really well, something even the most ardent NDP bashers would grudgingly have to admit. There will be a time and place for partisan politics, and I look forward to it because it’ll mean that things are back to normal.

In fact, the closest thing to partisan politics we’ve had recently was about all of this… Liberal leader Andrew Wilkinson serving up a little softball… “Hey, John Horgan, where are you?” The premier probably could’ve swung at that and hit it over the fence, but he let it go by and watched it dribble to the backstop. Andrew Wilkinson’s question was actually a little more pointed… like, shouldn’t the premier of the province be out in front of the cameras, telling us what’s going on, giving us updates and hope and encouragement, like a real leader… etc. And the answer is simply… no… he shouldn’t. The British Columbian leadership and response to this pandemic has a face (two of them), and it doesn’t need a third.

But behind closed doors, I have no doubt that if one of those two gentlemen needed something from the other — personally, publicly, privately, politically… they’d be listening to each other and talking and working together. If there was ever a time for political partisanship to take a back seat, it’s now. Everyone… from the top on down, needs to be pulling in the same direction. We, around here, are very fortunate.

But just a little south of here… well, that pulling looks like this: it’s a tug-of-war… one side of the rope is 500 trillion little virus balls, all pulling together. The other side is a mixed bag of people… men, women… some are wearing red shirts, some are wearing blue shirts. Some are pulling in the right direction. Some are pretending to pull but are barely holding the rope. Some are pulling sideways. Others are pushing the rope into the ground. One guy is twisting the rope… clockwise… while someone else is twisting it the other way. A couple of people have little hacksaws and are quietly trying to cut the rope without anyone noticing.

It is so incredibly sad and frustrating to watch this slow but inevitable trainwreck. You can’t look away, and wish you could do something… because solutions to the dysfunction exist… but they seem to be well-beyond the reach of the very people tasked to manage it. It shouldn’t be this convoluted. The reasonable voices do exist, of course, but they are drowned out in a sea of irrational, national insanity.

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Day 28 – April 13, 2020

Once in a while, we have a movie night here at home…. who are we kidding, every night is movie night these days… and recently (well, before Tiger King), we saw a movie that could best be described as a combination of Groundhog Day and… Alien? Predator? War of the Worlds? If you’re not familiar with Groundhog Day — you should see it. To some extent, it feels like we’re living it these days… but to summarize (spoiler alert), in the movie, a normal guy (well, Bill Murray) is caught in a time loop where he lives the same day over and over until he’s finally lived it perfectly and then his life can go on.

Those SciFi movies I listed all have in common the good-guy-humans vs. the bad-guy-aliens. In all cases, the good-guy humans prevail, with varying degrees of importance… saving themselves, saving the world, saving the universe.

Mix the two together, and what you get is humans vs. aliens, but with an interesting twist. Typically, our hero goes from battle to battle, close call to close call… until finally, he prevails. But in this movie, our hero keeps dying… because these aliens are seriously powerful. He doesn’t last more than a few minutes the first time. But as time goes on, he gets a little further along in his quest to kill the aliens — before he’s killed, and then wakes up the next day, and starts all over again. It’s a Hollywood movie (Edge of Tomorrow) with a Hollywood A-lister (Tom Cruise), so (spoiler alert) you can guess the ending… but here’s the takeaway of the whole thing… when he finally gets it right, when he finally — after brutally and painfully dying hundreds of times — is able to extinguish the aliens and life can go on and humanity is saved… nobody knows. It’s like nothing ever happened. It’s like the aliens never even showed up. All of humanity benefitted from the suffering this guy endured, but no one will ever know.

As we starting emerging from lockdown and navigate the complicated plan of getting back to normal, more and more of the crazies will emerge. There was a protest over the weekend where some people with “Fake News” and “CON-VID-19” signs showed up. Apparently, this is all a big conspiracy to… to… well, to what? These guys typically bundle-up all of the current conspiracies, so it’s difficult to unravel a logical narrative that might even make sense. The Chinese created it and activate it with 5G and have the vaccine but won’t give it to us but killed thousands of their own people to show it’s real but Deep State and Illuminati and government power-grab and… and… well, even if that mess of insanity were true, how exactly does Canada figure into it?

Locally, Kennedy Stewart, mayor of Vancouver, is getting increasingly worried that this city is reaching insolvency… and it’s a serious concern. As this goes on, fewer and fewer people will easily be able to pay the their mortgages or rents; where and when they can, they will. That’s the priority. Property taxes, which greatly fund this city, are lower on the list, and the many people who will throw their hands in the air and say, “What exactly do you want me to do? You know I haven’t worked in 3 months” have a good point. These taxes may be deferred and eventually will probably get paid (“deferred” is very different than “forgiven”) but the city needs money now. So they asked the provincial government for $200 million. And Victoria isn’t themselves rolling in cash these days either, so they will have to ring up Ottawa with a similar request. This then gets into a more complicated discussion at the federal level regarding literally printing money vs. inflation vs. stimulus vs. many other things, none of which are great for this country in the long run… which begs the question — to what end? To what end might the Canadian (or provincial or municipal) government be involved in some giant conspiracy? Not that you can ever intelligently argue with these people, but I’d love to hear that particular answer. We have created a big massive hoax which hurts everyone… across the board, everyone is suffering, including every single one of those government workers and officials… it will take years for us all to recover… because WHY?

I’ve made the mistake of answering a few of those sorts of messages privately, and my well-reasoned arguments are simply answered with “You just don’t get it.” On that, we can certainly agree. No, I don’t get it and I never will… but what I will point out is that all of those idiots will end up benefiting from the sacrifices we’ve all made, and it sounds like they won’t even be able to recognize it. We are all Tom Cruise.

And when the pandemic doesn’t get out of hand here, because of all of the intelligent and necessary measures that were put in place and that were followed by most of us, these are the idiots that will proudly be announcing to everyone, “See? There was nothing to worry about. This was never a concern, never a problem, and all of you bought into it. Sheeple!!”

That’s ok. You, like Tom Cruise at the end of that movie, can just sort of chuckle to yourself. You, me, we all took the hit for the greater good, and it was an expensive one… but we will recover.

And when and how exactly do we start that recovery? I’ll be happy to offer my completely-non-expert opinion in the coming days, and there are some encouraging signs to guide that. One is that the numbers really do look good. If you scan down the columns labelled “Cases Increase”, they tell an optimistic story, and not just in B.C.

Also… here in B.C., serological antibody tests are just around the corner… within the next couple weeks. This is the test that can tell you whether you’ve ever had the virus, symptoms or not. I don’t know what the rollout looks like… in a perfect world, we’d all get one instantly and we’d know our own status and that would obviously guide a lot. That’s not how the world works, but whatever way gathers the most information quickly and efficiently — that’s what we’ll see.

Until then… it’s working. Keep doing it. That light at the end of the tunnel is not a train screaming towards us.

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Day 27 – April 12, 2020

Today is the day we don’t get numbers in B.C. — Dr. Henry and Mr. Dix are taking a well-deserved break, so accurate numbers will have to wait till tomorrow. For now, as usual, I’ve plugged in my B.C. guess for the day — I’ll fix it tomorrow. But assuming a good day locally, it’d make it a good day nationally. Growth rate was down in Ontario for a 4th straight day, and 3 straight days in Quebec.

But while they’re resting, and the numbers people are resting… as many of you are as well… let’s look at things from a much bigger-picture point of view. Like, these days, the earth is also resting.

If you were to believe that the earth is in some way alive and/or conscious, you’d be making the interesting parallel these days that, as a living being, Gaia finally got sick and tired of the virus infesting Her and decided to vaccinate Herself. For the most part, the young people who had nothing to do with wrecking the place would be spared… but the older you are, the more responsible you are for the disregard and destruction and pollution and reckless abandon that have finally made Mother Earth say “Enough”.

Gaia doesn’t have to wipe us all out to heal Herself. She just needs to give us a bit of a wake-up-call, and not much of one as it turns out.

In the grand scheme of things, it’s interesting to note just how irrelevant humanity is to this planet. In a matter of mere weeks, there are changes occurring. The sky is more blue. The water is cleaner. The air is undoubtedly less polluted. People in Punjab can see the Himalayas. People in L.A. can see the Hollywood sign. If there was ever a sign that a little change can make a big difference, there you go. And for all of us thinking we’re wrecking the planet, we are… without a doubt. But if you think this planet can’t fix itself once humanity is gone, that’d be wrong. It can and it will, very easily. Our time on this earth is so irrelevant in Her own grand scheme of things, that… well, let’s explore it. Let’s start by talking about big numbers.

Let’s say you walk out of the bank with $1,000 in cash. It’s a collection of different bills… you’re not sure exactly how many hundreds or fifties or twenties, but it adds up. The teller counted it out in front of you. There’s a Starbucks next to the bank, so you pop in there and get that Pumpkin Spice Latte you’ve been craving. Yes, certainly by October, you’ll be doing this.

The PSL costs… whatever, you’re not paying attention. You give the barista a ten dollar bill and get back a handful of change… some Toonies and Loonies and whatever else, which you jam into your pocket. If someone at that point had asked you how much money you have on you, your answer would be “Around $1,000”. On your way out of Starbucks, there’s a homeless guy there. You fish into your pocket and give him a Toonie. How much do you have on you now? “Around $1,000” is still accurate.

You walk a block and there’s a shiny Loonie sitting on the sidewalk. Quick Karma repayment! You pick it up and put it in your pocket. How much do you have now? Yes, around $1,000… and if you hadn’t picked up that Loonie, the answer would still be the same… around $1,000. That Loonie is little more than a round-off error in your present grand scheme of things of how much you have on you. And that $1,000 is similarly related to a million dollars. If you have around a million dollars, adding or subtracting a thousand doesn’t change anything. It’s still around a million dollars.

I mention all that to create some context and scale between a number we’re all familiar with… a thousand is relatable in many ways. A million less so… we know it’s a lot bigger, but sometimes we don’t realize just how much bigger. And to keep going, when we hear about a billion, we maybe don’t quite realize how big that is. A million is pretty irrelevant when you’re taking about a billion. A million seconds is less than 12 days. A billion seconds is close to 32 years. Indeed, 3 million heartbeats is a few days. 3 billion is your entire life.

Let’s pretend we map out the age of the earth (4.5 billion years) as a long road — the Trans-Canada highway. And let’s walk it. We’ll start at Mile 0 in Victoria — a charming little park at the foot of Douglas St. There are some stairs down to the beach… those would’ve been Terry Fox’s last steps before dipping his artificial leg into the Pacific Ocean, had he completed his Marathon of Hope. Today is the 40th anniversary of the start of his heroic effort, so we’ll begin our walk down there, one foot in the water on our long journey to St. John’s. Each step to the east is one step back in time.

At this scale, each step is 5,800 years. One step out of the water and that’s pretty much all of recorded human history. In fact, by the time you hit the monument at the top of the stairs, that’s about 600,000 years. Humans haven’t been around that long. And we’re still really at Mile 0. The era of humanity is barely a rounding error, as far as the age of the earth is concerned.

Keep walking east, going back in time as you do… dinosaurs died out somewhere near Abbotsford… and only appeared somewhere near Kamloops. Mammals appeared somewhere around Cache Creek. And right around Golden, before you even set foot in Alberta, now we’re at 540 million years ago… that was the emergence of anything more complicated than single-celled life forms. And beyond that, there is a lot more time and distance. It’s all single-celled organisms until somewhere in central Quebec, and then, there ceases to be any life at all. Quite a journey. Canada is a big place. 4.5 billion years is a long time.

The point of all this… as much of a blip in the radar as humanity might be, and as much as the thought of Gaia being this living/breathing thing that Herself is sick… we fight off sickness by being healthier; by allowing our bodies to heal. By giving them the opportunity to do so. A vaccine doesn’t cure you; it allows your body to cure itself. A ventilator allows you to breathe, and it’s the processes beneath that, carrying oxygen-rich blood to your cells… which heal you. Anything that stirs your immune system into action, whether physical or just mental (placebos work for good reason).

So while the earth has temporarily kicked us all into a state of self-reflection and healing, we can see that it doesn’t take much to heal the bigger picture… and it also gives us an opportunity to find some sliver linings to this big cloud, because there are many. I’m as anxious to get back to the real world as you are, but already I can see some changes I’ll make going forward, and I’m sure many of you have as well. We’ve all been learning a lot about ourselves and our habits and what’s important and what isn’t.

I leave you with this… written by Kitty O’Meara, which will read like a prayer for those who are religious, and a like a poem for those who are not. Either way, beautiful words that make you think as you stare out at the sky on this beautiful day… whether out the window or from your balcony or porch or back yard… and yeah, the sky does look more blue, doesn’t it?

And the people stayed home.
And read books, and listened, and rested,
and exercised, and made art, and played games,
and learned new ways of being, and were still.
And listened more deeply.
Some meditated, some prayed, some danced. Some met their shadows.
And the people began to think differently.
And the people healed.
And, in the absence of people living in ignorant, dangerous, mindless, and heartless ways, the earth began to heal.
And when the danger passed, and the people joined together again, they grieved their losses, and made new choices, and dreamed new images, and created new ways to live and heal the earth fully, as they had been healed.

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Day 26 – April 11, 2020

For the sake this example, I’m about to virtually kill a lot of people. Please don’t feel bad — they never existed.

Let’s imagine you want to drive from Vancouver to Seattle… and let’s further imagine that there’s a winding road that follows the coastline all the way down. Sidenote — for part of it, there is… there’s a 20-mile winding road from Bellingham to Burlington called Chuckanut Drive that’s well-worth the detour. Spectacular views and much more.

So… there’s the imaginary coastline road, and there’s Highway 99/I-5 which actually exists.

And you’re a new driver, kind of nervous… the thought of the fast-moving traffic on the highway scares you a bit. But you also know the coastline road is very winding, and you’ve heard of cars losing control and going over the cliff. You do your research and quickly find a report that tells you that over the last two years, accidents killed 45 people on the highway and 24 on the coastline road. Again, I’m making this all up. Nobody was hurt in the creation of this posting.

No brainer, you think, the coastline road is twice as safe as the highway… because that’s the ultimate measure of safety, and there can’t be too much more to it…

Well, there can be… and if you keep reading down my imaginary report, you’ll find that the coastline road seems to have about one accident a month. Like clockwork, once a month, a single-occupant vehicle loses control, rolls down the 100-foot cliff and kills the driver. That accounts for the 24 deaths.

On the highway, as it turns out, some idiot last year was celebrating something… and rented out one of those monstrosity stretch Hummer limos, filled it with 43 of his closest buddies… and apparently everybody, including the driver, got drunk… and the limo, with its full tank of gas, crashed into a telephone pole, exploded into flames and killed all 45 occupants.

That changes things a bit, doesn’t it…

Those 24 single-car accidents each have a little circle around them. The HummerLimo has a single, big circle around it. Around here, the Lynn Valley Care Centre has a big circle around it too, as does the administration office of Lions Gate Hospital. The Mission Institution. The Okanagan Correctional Centre in Oliver. The Blueberry River First Nations community near Fort St. John. All of them have their own little circles.

So… let’s talk about clusters.

From an epidemiological point of view, a cluster is defined by infections that are grouped by where and when they happened. If those two things are close to each other, they’re part of the same cluster. Infections can be clustered, deaths can be clustered. Really, any statistic can (and usually should) be associated where it’s relevant.

In B.C., the Lynn Valley Care Center (where the average age of residents is 87) recorded Canada’s first COVID-19 death on March 8th. Since then, it’s accounted for an additional 17. Here in B.C., our mortality rate per resolved case is 6.0% when you count Lynn Valley, and 4.3% when you don’t. This is in no way minimizing the importance of each and every one of those people; rather, it’s just to point out where they should fit in statistically.

Treating those unfortunate 18 deaths the same as any random 18 in the city would skew things significantly; there’s clearly a lot more to learn about those 24 individuals that drove off the cliff than by analyzing the demographics of the 45 people in the limo.

This is all something to keep in mind when reading reports that tend to favour skewing data towards their intended conclusion… something I’m saying for my own benefit as much as yours, because these days I’m being bombarded with articles and reports and opinions, many of which are diametrically opposed to each other. All of them claim credible evidence. I’m trying to keep a level head, and you should too.

As for today’s numbers… well, it’s green all the way across the bottom. From a purely aesthetic point of view, that’s as good as it’ll ever get… and it’s what I consider great evidence that what we’re doing is working. Let’s keep at it, and let’s hope those people that aren’t such good listeners don’t become clusters of their own once this long-weekend is over.

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Day 23 – April 8, 2020

Back in 2007, a friend approached me. He’d started a company some years earlier, and it had reached a turning point. We talked about what it needed to take it to the next level, and I saw enough potential in it to get involved. He was the CEO, he had a vision, and I shared it. OK, let’s do this. As part of it, I also brought in one of my closest friends, and together we built it from a handful of people to an industry leader. In reality, those two built it with their day-to-day hard work. I just threw in my two bits when needed. Early last year, we sold it to a much larger company. A very nice success story.

Yesterday, I had a Zoom call with those two. One of them is the former CEO. The other is the former president, but still runs what used to be our company as a subdivision.

And it wasn’t a great call… just an update to let us know that our acquirer, themselves now facing top-line revenues that were 15% of original projections, had to let a lot of people go, including many of the key people who’d help build our success story. It knocked our piece right back to 2007. The worst part of it was hearing the names… these great, talented people who’d been such an integral part of building this thing… all out of a job.

Also yesterday, I had a very nice chat with a reporter who covers horse racing. She wrote a very nice article which you can see directly below this post. As much as it was a discussion about me and these posts, it also got into a much larger discussion with respect to the horse racing industry and the people it employs… including her. A sports reporter without any sports to write about… now what.

Like so many businesses and industries and people these days, very few have worst-case scenarios designed to deal with zero revenue. A pub might have a great month because the weather was good and the patio was open and jammed with people enjoying the sunshine. Or what could have been a great April and May were not, because the Canucks missed the playoffs. The guys in the offices have lots of fancy spreadsheets where they plug in numbers and run lots of different “What If” scenarios. But none of them ever plug in zero at the top, because zero at the top means you don’t have a business. Unless you’re Apple, and sitting on hundreds of billions of dollars in cash, you’re presently in completely uncharted territory.

Having had that discussion about horses yesterday, I woke up this morning really missing it. This beautiful sunny morning, exactly the sort of day where in that parallel universe — the one where the Canucks clinched a playoff spot a few days ago and are preparing for round 1 — I’d be heading off to the backstretch at Hastings Park, where I’d park myself at the gap, the rising sun behind me to the East, and watch horses, some of them mine. The smell of the barns, the hay, the horses, the mud. The sound of distant hoofbeats getting louder as the horses approach, and then fade away as they round the turn. The sight of these beautiful animals in full flight, sun glistening and steam rising off their bodies. Words don’t do it justice… but if you’ve never experienced it, that might give you some idea.

And then there’s the people, of course. I miss that crowd… the backstretch of any racetrack is its own society, and for lack of a better way of describing it, a “flat” one. Whether you’re the wealthy owner writing cheques or whether you’re the hard-working groom who’s up at 5am mucking stalls, everyone is there for the same reason, that same passion. Anyone can — and does — talk to everyone else, at the same level. An eclectic collection of peers. But there is also a big difference… for me, this is just a hobby. For them, it’s their livelihood, and in some cases, their home. There is uncertainty at every level.

Those of you who think you’re considered to be nothing more than expendable little cogs in a big machine… I assure you, you’re not. Whether you were writing software or serving beers or mucking stalls… and now, for the moment, are not… there is someone, somewhere… in a cramped little office, after a sleepless night, stressed out looking at a scary-looking spreadsheet. That spreadsheet these days has a lot of red numbers. And that guy feels bad. Really bad. Not because he’s not rolling in the cash, but because he knows you have rent to pay and mouths to feed. He wishes he could do more for you, and in many cases, he does. He wants that light at the end of the tunnel as badly as you. He wants you back at work. He wants to have work to give you.

I think if I ever had to go to prison, and were given a choice…. one option is a 10-year sentence. The other, unknown: you might get out tomorrow. Or, you might never get out. Every day, the same thing. Maybe you’re going home today. Maybe you’re not.

Given what I’m experiencing today… indeed, what we’re all experiencing… I think I might go for the 10 years. That’s a dreadfully long time to be locked away, but at least you can wrap your head around it. Set goals, set expectations, figure out how you’re going to fill that time.

I think what a lot of us are feeling these days is the despair that comes along with the uncertainty. Tell us when we can get back to normal goddammit… just tell us. I get it, and I feel it too. I don’t have the answers either, but one of these days I’ll give my version of what I think that finish line looks like… because there is one… the when and how. It’s on the horizon, but nobody is quite sure how distant… yet.

For now, we’re here today, so let’s look at some numbers…

It wasn’t a great day out East, as far as numbers go… but it’s actually not as bad as the first impression might imply. Ontario saw an increase of 550 confirmed cases, which is a jump of 11.6% from the previous day… but the average increase over the last three days there is only 9.3%… and the 3 days before that were 13.1%. And the three days before that were 17.9%. While I’m at it, let’s do the same for Quebec… their 3-day average daily increase including today is 7.9%. Three days previous, 13.2%. And the three days before that, 17.3%. As far as trends go, this is exactly what you want to see. A one-day spike doesn’t necessarily imply a sudden, drastic turn of events. Indeed, here in B.C. we saw 45 new cases… which is the highest one-day increase in 5 days. But then again, it’s only an increase of confirmed cases of 3.5% over yesterday.

Everyone — just listen to your respective chief medical officers. And if you don’t like what yours is saying, listen to ours — she’s awesome, and she’s right. We’re doing it. It’s working. It’s not magic; it’s science. But we’re not there yet. Stay at home, physically isolate, and do your part… we’re getting there.

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Day 22 – April 7, 2020

When Her Royal Majesty, Queen Elizabeth II, took to the airways recently to address her nation, it was only the 5th time in her 68-year reign that she had done so (other than to say Merry Christmas). And when I say her nation, I’m not just talking about the U.K., and I don’t just mean the British Commonwealth, whatever is left of it, though it’s somewhat eyebrow-raising to realize that she has been Canada’s reigning monarch for 47% of this country’s existence… but no, her nation is the world. When you reference “The Queen”, nobody asks you which queen you mean. We’re not talking about the queen of Sweden or the queen of Spain or the queen of Bhutan. Or Beyoncé. There is only one Queen.

The rarity of this sort of event underlines its importance. In time of war, in time of national mourning… when everyone needs a serious dose of encouragement.

Before she even opened her mouth, the picture spoke thousand words. The setting was like a glorious painting, liberally sprinkled with meaning. The bed of roses, because life is beautiful, but sometimes a little thorny. The single lamp, off in the distance — the proverbial light at the end of the tunnel. The blank slate; the future unwritten. The empty office holders — signifying the paralyzing of business — which one day again will hold pens, paper clips and postage stamps (no doubt with her ubiquitous silhouette).

Then there was the Queen herself, looking radiant and royal and confident in green — the colour of nature and Spring and renewal. Her trademark pearls. I looked up what turquoise might represent, because that was the stone at the centre of that incredible brooch: Healing, love and protection. Perfect.

And, of course, there is what she said. The final sentence of her address was this: “We should take comfort that while we may have more still to endure, better days will return: we will be with our friends again; we will be with our families again; we will meet again."

It’s hard not to read that in her voice. Strong, powerful words, spoken with an accent that exudes class and elegance to a level we can only hope to achieve. Those familiar with the history of World War II (and/or the music of Pink Floyd) will recognize the reference to Vera Lynn at the end of it; the war-time song that kept them all together during those darkest of times: “We will meet again”.

Indeed, it’s been a brutally difficult few years for our friends across the pond. Long before this pandemic hit, they were wrestling with Brexit… an enormously complex problem that has no Plan B. It simply can’t be allowed to fail because nobody is sure what that would look like, but they all agree it’s ugly. Very. And in the midst of trying to push it over the finish line, oh, let’s throw in a global pandemic and see how that affects things. The answer is… not well.

There’s a lot to learn from the U.K.’s COVID-19 experience, because their attitude was initially quite different, and its effects are worth exploring.

Their initial assumption that this was just a bad flu that would course its way through the population eventually (and hopefully quickly) establishing herd immunity. It was thought that this would only harshly affect elderly people, and that people whose age was below a certain threshold might get affected, but they’ll get over it, and there’s really no reason to panic because as long as we isolate those at risk (elderly, immunocompromised, asthmatic, diabetic, etc), this shouldn’t overwhelm the medical system.

By the time that attitude was course-corrected and social distancing imposed, things were already launched in a worrying trajectory. This was far more virulent and serious than initially thought. The lockdowns are now in place and how it plays out remains to be seen, but those critical few days of “not a big deal” and people going about their business… have made a big difference. Prime Minister Boris Johnson, the fearless leader (and the man tasked with delivering Brexit) was proudly going about shaking hands with people, including those in hospital… only a few weeks before his own positive test. Today he finds himself in the ICU of a London hospital, battling for his life.

Closer to home, where we are all taking social/physical distancing seriously (right?), especially this long weekend with its good weather and where even though there are holidays coming up that are usually big family gatherings, we will do all that remotely (right?) — as Dr. Henry and Mr. Dix keep hammering home, we are in the midst of this. And we are succeeding. They don’t want to come right out and tell you that, but I will. Barring a significant very-out-of-left-field sort of thing, we are looking very good here in B.C. But what sort of thing might that be? Glad you asked, because it’s exactly what they’re telling us… if you go out these coming days and pretend things are ok, and you hang out with family and/or you visit the family cottage, then guess what… things can go from great to gruesome in a hurry.

Our dynamic duo always talk about the coming weeks, but we all know we’ve been cooped up for longer than 14 days, so what’s the deal? The deal is this… if you think things are so good right now that we can just get back to normal, what will happen is a sharp increase in cases starting… well, starting shortly after the long weekend and extending to 14 days past that. And if that happens, if just a few people let up, it can make a big difference. The actions of the coming weeks will make all the difference.

Listen to The Queen. Hang in there. After much to endure, there’s a finish line. We will meet again.

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Day 21 – April 6, 2020

When you’re on a plane, approaching the end of a long flight… if you happen to be paying attention at about 30 minutes before landing, you may notice the hum of the engines drop a semi-tone or two. And you will feel the nose of the plane pitch forward slightly. This is the result of the pilots reducing power to the engines, which is the first step of many needed to land the plane safely. It takes about 30 minutes to bring an airliner flying at 35,000 feet and 500 knots down to 0 feet and 0 knots. Indeed, there are ways of doing it much faster than that, and they’re highly not recommended. If you want to get the plane and all its occupants down safely, it’s a process, and that’s how long it takes. But what if we just “dive steeper”? Or just crank the engines and point it down and “go down faster”?

Anyone who’s ever pitched a proposal can tell you what two questions need answering first: how much will it cost and how long will it take. The cost is often negotiable. The “how long” often is not. Some processes can’t be altered nor compromised nor made better nor anything. You want a baby? You need a man and a woman and 9 months. Well, jeez… I’m in a hurry… what if we put 9 men on the job… can we have that baby in a month? Uhhh…. no.

That plane is in the hands of two people who know what they’re doing, and we put our trust in them, and they always seem to deliver. But if you happen to be sitting back in 29B, sitting next to “an expert” who’s explaining to you everything the pilots are doing wrong (“Hey see how that flap extended, man that’s gonna slow us down and burn more fuel, that’s no good, why’d he do that”), then you might understand how I’m feeling today after posting something yesterday that an awful-lot more people than usual read.

I like my plane metaphor, because it’s useful in two directions.

Number one, and more important… today is “double-header” day here in B.C. — we get both yesterday and today’s numbers of new cases, and that can go one of three ways… two wins… or two losses… or a tie. A quick eyeballing of the days leading up to today would imply that anything below a 5% case increase would be a win for either day. Less than 4% on both or either would be great.
The numbers were 2.2% and 3.0%, which are both really excellent. But as our resident captain and co-pilot keep telling us, we haven’t landed yet. Stay in your seat and keep your seatbelt fastened. We’re not there yet. And if you stand up now, we might hit some turbulence and you could get really hurt, or hurt someone else. See? Good metaphor.

Number two, I find it fascinating that everyone who 6 months ago was an expert on impeachment hearings and the way the senate works and immigration and indigenous rights… is today an expert epidemiologist.

The best evidence I have that I’m no expert is that it just took me quite an effort to spell that word correctly. And I don’t claim to be. I am an expert with computers, and I’m pretty good with numbers and I suppose I have a way with words… which leads to this possibly entertaining and hopefully informative but in no way expert opinion of what’s going on around us. Give me some numbers, and I can make some pretty graphs with pretty colours. I can map some tables with pretty informative numbers too. And, if you’re still reading at this point, can evidently write about it in some engaging fashion. I can tell you what’s going on from my own, unique point of view.

I feel the need to mention this so I can address this issue of “the numbers are all wrong so this is all B.S” which I see both publicly and privately. Sure… notwithstanding you’re not even a photographer, those shadows don’t look right and why aren’t there any stars in the background… clearly, the moon landings were faked. And here, give me the controls, I can land this plane. I saw it in a movie once.

These numbers are all we have, and, at present, they are serving us well. Some are straightforward. Some are inferred. Some are assumed. A lot of great minds are coming up with these numbers, and they’re in-line with what we’re experiencing. I can’t speak for the rest of the world, and I’m only going with what the credible sources tell us, but in general, those numbers are lining up with the associated experiences around the world. I am also, along with everyone else, waiting for the local emergence of a quick and accurate at-home serological antibody test… the test that will detect whether you’ve ever had the virus. And not just here. Everywhere. Actual science, not guesses and assumptions based on ignorance or hope. That will answer a lot of questions. That will verify the numbers. Or prove them all wrong.

Either way, until then, I’m going with the science.

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Day 18 – April 3, 2020

By now, we’ve all settled into some sort of routine… or, at least, the intention of one. 3pm-5pm is my “Corona time” — not because I sit back to enjoy a refreshing Mexican beer (and my preference would be Guiness anyway), but because I’m trying to give this aspect of my life a limited and structured block of time. I listen to the provincial 3pm update from Dr. Henry and Mr. Dix while digging through articles and messages I’ve received, updating numbers, and writing this… and 10 seconds after posting this, shortly after 5pm, I try to forget all about it for the next 22 hours. Much easier said than done, but distraction helps.

If you’re reading this post on Facebook, then you have at your disposal the technology to distract yourself in isolation forever… with endless books, music, videos, movies… all at your fingertips. Distract yourself to your heart’s content with all of that… or just send memes and pictures of cute cats to your friends; whatever keeps your brain in a happy place.

And, of course, connect socially — not physically. You know, of all the whacked-out conspiracy theories I’ve heard — and I’ve heard many — if I had to believe one, it’d be that this virus was created by the people who are behind the Zoom software.

To Zoom’s credit, they took advantage of this situation very intelligently. Luck = preparation + opportunity, and lucky they were… but also smart. They announced that their software would be unlimited and free for educational purposes. Every school jumped onto it. They also made it free for everyone, sort of. Up to 100 people can communicate for free, for up to 40 minutes. It’s genius, because if you manage to get a large group together for free for a 30-minute meeting… and the meeting invariably drifts toward that 40-minute mark, the hassle of hanging up and starting over is superseded by the simplicity of just signing up. Somebody on that call will sign up. We are all signing up in droves. And above and beyond all of that, they understood where the “friction” was, and removed it. Setting up a conference is easy. Joining one, even if you’ve never done it, is simple. Jump through a couple of hoops and you’re in, and once you’re in, the next time is trivial. The days of tying up the first 15 minutes of any videoconference with “We can’t see you” and “I see you but can’t hear you” and “How do I unmute this” and “It won’t install” and “What’s the admin password” and “I’m getting an error… wait…” and so on… those days are over.

A company that many of us hadn’t even heard of a month ago is now worth close to $40 billion. And for those that know what it means, has its shares trading with a P/E ratio of 1,500. For comparison, Amazon’s P/E is 80. Apple’s is 20.

Whether it’s Zoom or whatever else you many be using, this has radically changed the way we socialize and, to a great extent, I find myself Zooming with people I haven’t seen in ages. Like, there is a particular group of people I’ve been hanging out with, on and off, for over 30 years. Before the internet (as we know it) existed, we were a bunch of geeks who connected via modems… which ran at speeds so comparatively low to what we have today, you’d think we’re kidding. We used to go for burgers and beers every week, but as people grew up and evolved into real lives, those meets got few and far between. But guess what we did last week — got together on Zoom, geeked out discussing technology, asked a lot of “Remember that time when…” questions, watched a bit of Demolition Man together, and watched each other eat burgers and drink beer. It was wonderful. Guess what we’ll be doing every week.

Yeah, it’s not the same, but how lucky we are that we have this technology to stay connected. Let’s milk it for all it’s worth. A virtual hug is nowhere near the same as a real one, but it’ll do, for now. Stay at home and reach out to all your friends and consume the gigabytes of free data being generously offered to us by our internet providers.

Back to today… this post didn’t talk a lot about numbers, because around here… B.C., and Canada in general — we’re in this sort of “hurry up and wait” phase. As optimistic as the B.C. numbers look, it’s exactly not the time to take our foot off the collective gas pedal. Don’t go dancing in the streets. Dance all you want in your living room. And if you’re don’t remember why, read yesterday’s post. Once the weekend numbers have settled down early next week, we’ll see where we’re at, and by then, there will be plenty of trending data to discuss. But don’t worry — even if I have nothing meaningful to say, or what I say seems to be irrelevant… the numbers and charts always have something to say and I’ll keep posting them daily while we’re all here.

And finally, in other news… I visited my car for the first time in a couple of weeks and found a 2-week-old Starbucks Iced Latte there. The mold/fungus/bacteria/whatever-the-hell-it-was growing in there may well have held the cure for COVID-19… but we’ll never know.

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Day 12 – March 28, 2020

There’s that feeling you get when you sit down in a rollercoaster… first of all, what the hell am I doing, do I really need to be doing this… but once the thing starts moving, there’s no way out, so the impending dread as you start going up that first big hill… click-click-click as the chain underneath pulls the train slowly… wow, this thing is going a lot higher than I thought… click-click-click… this was such a stupid idea… click-click-click… ugh, this is a lot steeper than it looked… click- ohh.. no more clicks. We all know that means…

… and as the train gains momentum and sends you flying down that first huge drop, two things will come to mind… one, this part of it will thankfully be over soon and two, now you have a clear idea just how steep it was. Which serves to illustrate where we are today with respect to the numbers coming our way in the next little bit… there is a finish line to them, a week to ten days… and we once we hit that bottom, we will know exactly how steep things were.

Given where we are today and as per what I wrote yesterday, I don’t think we need to close our eyes and scream and hope for the best. It’s looking better than that. At least, on paper and at least, for now.

In B.C., although we had the largest one-day increase in cases yet, it’s perfectly in-line with our linear growth. Dr. Henry, for now, would like to see that number consistent at 12% which is roughly where it’s been. The average of the last 10 days is actually 11.1%. Today’s number was 11.6%. Yesterday was 9.2%. Nice solid straight yellow line, right in the sweet spot. And might I add, I am tracking total cases as they accumulate, not factoring in recoveries and deaths. The outcomes of these cases is a whole separate topic. But on that note, while we saw an increase of 92 new cases, we also saw 121 cases moved to the “recovered” column. As far as these numbers are concerned, today in B.C., there are less active cases than yesterday.

Canada’s number is bigger, but also consistent and also, slowly, hopefully, for now… going down day by day. Yes, of course the number of cases is increasing, but that rate of increase is itself decreasing. See that column… 4 out 5 days of green numbers. The rate of growth is slowing. For now. Are we still following the U.S. trajectory? Visually, and numerically, we’re not. Not so long ago, and you can still see it on the chart, Canada’s data was almost exactly perfectly 8 days behind the U.S: Feb 29, Mar 1, Mar 2… the U.S. had 68, 75 and 100 cases. 8 days later, Mar 8,9,10 — Canada had 66, 77, 94 cases. Perfect lockstep. And if you eyeball those numbers as you slowly go down the two columns, you see them in lockstep… and then they slowly start drifting apart.

The hope is that we wouldn’t follow them down the hellhole-course they’re presently on, and, for now, we’re not. We’re at 5,655 nationwide cases. 8 days ago, the U.S. was at 24,218. Had we “kept up”, today’s number would be 4x what it actually is. We’re now more than 11 days behind them.

So what does it all mean…

I’d like to address some of the comments that question the usefulness of these numbers in general, how the testing is inadequate, this isn’t reality, this is a useless exercise because the numbers are all bullshit. That the real case numbers are anywhere from 10x to 50x and it’s anyone’s guess. And therefore, blahblahbblah.

So, first of all, the way to solve big problems is to break them in half. Solve each half independently, and once you do, the big problem is solved. And if one or both of those halves is too complicated to solve, break it in half again and solve that. Keep breaking it in half until you have manageable pieces to solve.

The enormity of our present situation requires breaking it into hundreds of pieces, but here are some of the big ones, each of which needs to be broken down into many smaller pieces:
– the actual number of cases out there, factoring in recoveries
– the actual number of cases that require hospitalization
– why are some demographics hit so differently than others
– the testing infrastructure, and the strategy and adequacy of it
– the ability of our medical infrastructure to handle the cases
– the actual number of people dying from this
– the economic implications of allowing this to go on too long
– the herd immunity thing
– the treatment options, effectiveness of therapies, and timelines
– when and where is the vaccine

Without tackling all of that, notwithstanding each of those topics is its own book, and that’s only a small snippet of topics that need addressing, where we’re at right now is trying to solve chunks of a problem with incomplete information. One thing we have to our great advantage is learning from what others have or haven’t done ahead of us. Like one big change that was implemented today here is that the number of patients on ventilators doubled. Because suddenly a lot more people got a lot more sick? No. Because we learned from data elsewhere that putting people on ventilators sooner has a huge impact on positive outcomes. We didn’t know that two days ago, and now we do, and now we use it to our advantage.

Just because we don’t know something is no reason to throw our hands in the air — “these numbers are all crap anyway” — but to tackle this particular aspect…

Knowing the actual number of cases out there would have a profound effect on many aspects… first of all, how many actual new cases are there each day… how many of them will the person never even know, how many will they get sick but not too sick, how many will need a hospital, how many will die. If we could snap our fingers and know all that, it’d be great. One school of thinking that might kick in is that if actually the number is not 10x or 50x but actually 500x, and many of us have had it and never even knew it, and now we’re immune and will be for several months and even if we’re not, who cares, clearly I can fight this thing off so let me get a little sick and impose my herd immunity and get back to work since the actual mortality rate is only 0.2% etc.

Don’t think everyone has their heads stuck in the sand thinking the published numbers are the extent of this. One day, in hindsight, we’ll know those numbers. It’s possible that one day, we will have instant, cheap and available tiny-traces antibody testing. You’ll be able to wander into Starbucks, and along with your chai latte, spit into some throw-away little thing that’ll turn red if you’ve had it, stay blue if you haven’t. But until we get to that point, to a great extent, all we’re doing is buying time. Flattening the curve to suppress the load on our medical infrastructure. Isolating ourselves so we don’t infect others, especially those who are much likelier to get lethally ill. Keeping this thing controlled and contained until we’re certain we can manage it. It’ll likely never go away, and the waves of it appearing in the future will hopefully wind up in the “no big deal” pile.

But for now, the published numbers, the important numbers… the ones that are putting load on our medical system… the 884 confirmed, the thousands of others likely presumed but not confirmed… don’t think they don’t know about it. Don’t think when they tell you to stay home for 14 days, pay attention to your symptoms but don’t come in — that they’re not tracking you. You, who may well have it who think you don’t count — trust me, you do. Not in my numbers, not in their published active-cases numbers, but you’re out there somewhere, included in all of the projections of what might happen and how they’re going to take care of you if you get really sick. Some of you think you have it, but don’t. Some of you have it and don’t know it. Neither of you got tested, so hey what the hell they don’t know what they’re doing this is bullshit… yeah, no. Not at all. They’re not going to waste a test to confirm a mild test. There’s an N% chance you have it, depending on your age and other risk factors. Take care of yourself with the provided guidelines, and you’ll most likely be ok. And if you’re not, critical care awaits you with open arms. As opposed to everyone who thinks they might have it coming in and overwhelming a system that, certainly at the moment, is not prepared to test 2 million people overnight. If you’ve had it, one day you’ll know.

The fact that our hospitals are not overrun… the fact that we’re prepared at present to handle anything but the absolutely worst-case scenario… the fact that were are notably flattening our curve, both provincially and nationally… and the fact that we’re doing that with incomplete information, tackling big, multi-faceted problems… don’t worry too much about absolute numbers and how you feel they don’t reflect reality. They’re serving us well.

Speaking of serving us well, please take a moment to step outside at 7pm tonight (and every night) to cheer the heroes of this nightmare — hope you never need their help, but the army of medical workers of this province and this country, and indeed, around the world… deserve to (loudly) hear our gratitude and appreciation.

None of us like this. They don’t. You don’t. I don’t. But let’s remember… as hellish as it may be, the rollercoaster ride eventually ends.

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Day 10 – March 26, 2020

Fun fact: Both South Korea and the U.S. reported their first case of COVID-19 on the same day: January 20. The present-day outcomes are so different that it’s worth understanding what they did (or didn’t), and where our approach, provincial and national, fits in.

The answers are long and complicated and will be discussed and argued for centuries, but it can all be distilled down to one brief and accurate summary: South Korea did a lot; the United States did not.

One thing South Korea did was test the hell out of this thing, as far and wide as they could. They developed and administered thousands of tests almost instantly — like a week — and were quick to isolate those that tested positive. The U.S.… didn’t. They stuck their heads in the sand for a bit, called it no big deal, and did little except stop incoming flights from China… but as far as I know, the COVID-19 virus is not a member of any particular frequent-flyer club. It doesn’t care what airline it flies, nor where the flight originated. Once it’s on the plane and headed somewhere, it’s landing and it’s sticking around.

It was initially thought that community transmission wasn’t a concern… the U.S. thought it, we in Canada (and here in B.C) thought the same; we will find cases, we will isolate them, the cases will resolve and it shouldn’t be a big deal. The risk to you and me is low. A month ago, there were only 7 cases in BC, and all of them could be traced to close contact.

South Korea’s initial jump of cases had a lot to do with their prolific testing, but what comes after is what’s worth noting. Their impressive flattening of their curve has everything to do with their reaction… isolate. And when it became apparent that community transmission was indeed happening, that’s the only reasonable course of action: Social/Physical distancing.

Since our testing hasn’t reached everyone, and since we don’t yet have antibody tests that would tell us who’s already had it, the only reasonable course of action is to pretend everyone has it, and act accordingly. Indeed, the way to think about it isn’t to assume everyone has it… and keep away. It’s to assume you have it, and take every precaution not to pass it along to anyone else.

We are being warned to expect a jump in numbers in the coming days, due to the difference between incubation times and how long it’s been since the directives were brought in. We may see a sharp increase in cases in the coming days… incubation period of 14 days minus 10 days of distancing equals 4 days where we were all potentially wandering around infecting each other. And as those infections kick in, the numbers will rise… possibly quite sharply.

It’s after that period of time that we should start seeing some real effects of what we’ve all collectively been doing. That black South Korea line is what we want. That blue American line, not so much.

On that note, and again, too early to tell… but here in B.C., our growth is, for now, linear. Good news… for now.

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