American

Day 40 -April 25, 2020

When I was a kid, I used to ride my bike all over the place… without a helmet. Also, when I was a kid, I was taken to many soccer practices and games in the back of a station wagon — the coach’s car served as a sort of team bus… and since I was near the end of the “bus route”… I’d end up thrown in the back, along with the soccer balls and oranges… all of us bouncing along to the endless rhythm of a creaky suspension. And… quick right turns and pot holes… often, the trip to and from the field bruised me up more than the soccer itself.

Such was the spirit of how it was in the late 70s, so it won’t surprise anyone to learn that flying in those days was also a little more lax. On family trips where the plane’s seating configuration was 3-4-3, we would be in that middle section… my parents on the aisles, my sister and I trapped in the middle… and that was ok, because on long flights, one of us would curl up on the two middle seats, and the other on the floor. And, to be honest, I preferred the floor. There was more room there… and sometimes, if we had the bulkhead, we’d both wind up there… sleeping on the floor, for hours. Seatbelts? LOL. The flight attendants would provide us extra pillows and blankets and smile at the cute little kids sprawled out on the carpet.

Back then, you could smoke on planes, and many people did. In my earliest memories, the entire plane was one large smoking pit. But I have an excellent memory of when they instituted a no-smoking section, at the back of the plane. My parents booked seats back there, but when got to our four seats, every other seat around us was already occupied, many of them with people smoking. My father found a flight attendant and asked… aren’t these supposed to be no-smoking? “Oh sorry… yes….” she replied, and then proceeded to velcro onto our four headrests these little fabric “No Smoking” logos. Perfect… problem solved.

I remember that flight in particular… because I sat there, unable to sleep, and inhaling 2nd-hand smoke for 8 hours. And I remember that whole charade of the the no-smoking nonsense…. like, forget the ridiculous and meaningless logos attached to our seats, ironically perhaps, given that we were the only people within 3 rows either way who didn’t smoke… but, seriously, what difference is it going to make anyway. If one single person on this plane is smoking, we’re all smoking. It’s not like we can open a window, and there’s only so much recirculated air filtering can do with that volume of smoke. On top of that, we were so far back, we couldn’t see the movie… which was one big crappy projection screen 30 rows ahead of us, blocked by 100 heads, faded and scratched with time, barely visible through the haze of smoke… and the sound wasn’t electronic headphones but rather these plastic tubes that conducted sound via air, not electrons. The whole thing sucked.

It’s ludicrous to imagine that, with a straight face, an airline can offer a no-smoking section… like rows 10 to 29 are smoking, but 30 to 50 are not. The guy in row 31 has a pretty valid complaint when he says he didn’t sign up for this.

Similarly, today… the guy who lives in Alabama, but near the Georgia border…

OK, let’s back up a bit and expand my little airplane metaphor. What if this 50-row plane was… umm, “governed” by 50 different flight attendants. And each flight attendant could make their own rules about what gets to happen on their particular row. Row 11 is no smoking, but free drinks. Row 14 is smoking but no drinking. Row 17 allows smoking, but only cigars and pipes. Row 20 was promised as no smoking and no drinking, but the raucous from the 10 rows in front of it are making it an unpleasant journey for those folks.

To a great extent, when everyone booked their seat, they really didn’t know what rules would apply, nor did they realize that they might change “on the fly (haha)”, but many are complaining that it’s not fair that row 25 gets this, but row 29 does not. The plane hasn’t even taken off yet, and it’s chaos… and, typically, when there’s confusion in the cabin, the flight attendants look to the captain and co-pilot for guidance… but let’s not go there again.

Back on the ground, the state Georgia, as of yesterday, is back in business. Some of it, anyway… including gyms, fitness centers, bowling alleys, body-art studios, barbers, cosmetologists, hair designers, nail care artists, estheticians and massage therapists. It’s a curious list… gyms? Fitness centres? Bowling alleys? Places where lots of people breathe hard, touch common surfaces and are in close quarters? Should be fine.

Since there is no relevant leadership at the federal level, and no federal guidance… it’s up to the 50 states to decide what they want to do. Given the individual differences and motivations and lobbying efforts at the state level (Gyms? Bowling alleys?), things will be 50 versions of different. And that can turn out to be a pretty serious problem, because the cigarette smoke from Georgia will most certainly drift into Alabama. And Florida, and Tennessee, and the Carolinas.

There is understandably a tremendous amount of pressure to get things going again. Around here, there’s a plan in place, based on what we’re seeing and expect to see in the near future. Today’s jump in numbers in B.C. can be attributed largely to the breakouts in known clusters, in this case, a correctional facility. That’s one number to look at, but just as important are hospitalizations and ICU cases. There’s no jump there. And generally speaking, across the country today, encouraging signs that the trend continues to show a slowing of growth. TTD numbers used to be a few days… and now they are a few weeks. This is exactly what we want to see to line things up for re-opening the province… and the country.

But doing so requires a coordinated effort, with buy-in from everyone.

Looking below the 49th, doing it differently all over the place guarantees one thing: everyone, doing something different, can’t all be right. Which means in some places it will be wrong… how wrong, and the effects of that… remain to be seen.

Fasten your seatbelts, my American friends… there’s turbulence ahead. Rest assured, the plane will eventually land safely… but it’ll be a bumpy ride.

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Day 39 – April 24, 2020

Yesterday, I talked about the dinosaur apocalypse… how they were all wiped out. But, to reiterate, the only ones that were fully wiped out were the ones on the ground. As hard as it is to believe, and I know some will take exception to this… but… birds… are not descendants of dinosaurs. They are dinosaurs… the ones that survived that cataclysmic event 65… sorry, 66 million years go.

That cataclysmic event was so… umm, cataclysmic… that it wiped out 75% of all species on earth. That was fortunate for those who survived, because it gave them the evolutionary advantage to thrive, among them… mammals.

It’s a long line of evolution between those mammals and the first hominoids… but it does beg an interesting question; has the human race ever been close to extinction? Terrestrial dinosaurs were around for close to 200 million years. Humans have only been around… well, depends how you look at it. With broad brush strokes, the human animal… maybe 300,000 years… but we only began to exhibit what you might call “modern behaviour” around 100,000 years ago.

What would’ve happened if a pandemic-capable virus had shown up? Not much, because there was next to no overlap of communities distanced by geography. It makes one wonder, how often have there been these sorts of viruses over the centuries? Probably lots. But it was localized, there was no treatment, there was no social distancing… all that happened was a big wave of very sick people dying, and eventually through herd immunity and/or lots of death, the virus made its way through everyone it could, and then disappeared from existence.

But the human race actually did come close to extinction, and it wasn’t that long ago, geologically speaking. Well, this is one theory. It’s interesting, as usual, to research things on the Internet because you can always tell where the conformation bias lies. You can tell what people want to believe, and how they conform their evidence to support their side.

Around 75.000 years ago, there was a massive volcanic eruption — one of the biggest ever. The Toba Supereruption (Lake Toba, Sumatra, Indonesia) erupted and ejected some 2,800 cubic kilometres of magma. That is a staggeringly huge cube of hot, melted rock… and it left behind something the same size as the crater that took out the dinosaurs… an enormous 100 x 30 km caldera complex. Once again, it messed with the environment very significantly… the six billion tons of sulphur dioxide that were ejected into the atmosphere caused a global cooling of up to 15 degrees all around the planet for at least a few years, and it was many decades before things returned to normal. This lowered the tree line and snow line by about 10,000 feet… and for humans who were used to a dry, temperate climate, years of perpetual snow did not sit well.

There is a genetic bottleneck at the time when looking back at humans, meaning it seems we can all trace our DNA back to a small group (like a few thousand humans) who made it through that. The rest were wiped out. And to some extent, if that’s what happened, you have to assume we’ve all evolved from a pretty tough group of humans. This was survival of the fittest imposed in the harshest of ways.

This is one theory, and it’s very interesting. There is another group of scientists who claim that’s hogwash, and that the evidence doesn’t necessarily imply any of that.

Whatever the case, all of that I learned yesterday while digging into dinosaurs… you know how the internet can be… one moment you’re reading about what you were researching, like dinosaurs and their extinction… and 40 minutes later you’re reading about mentally ill monarchs throughout human history.

That’s a good little segue onto a topic I really don’t want to touch here. I had a whole thing written out, and indeed, I could write a book on my thoughts with respect to American politics of the day, but this is a scientific and statistical endeavour, ostensibly aimed at keeping track where we are with respect to this pandemic. On that note, it’s not irrelevant to point out, as I have earlier, the shortcomings I see when it comes to leadership pulling in different directions, etc etc. But I just deleted many paragraphs that delve into far more detail, and will leave it at that.

OK, one paragraph. I worry greatly for the great country of the United States of America. Every single day, thanks to the actions or words of just one man, the chasm that separates two groups (big broad brushstrokes here: Republicans and Democrats) — gets a little bigger. It started on day 1, lying about the inauguration crowd size. “Who really cares” is really what should have been the answer, but he chose to lie about it, then double down on his lies, then make others lie for him… it was bewildering, to be honest. What the hell is going on? There was incontrovertible evidence… pictures and witnesses and everyone who was there… but no. It ended up with “alternative facts” trying to be jammed down our throats. All of this on day 1 of his presidency. And since that day, whenever he says or does something that is completely unpresidential, both sides rise to the challenge. And while the argument rages on about who’s right and who’s wrong, the country slides a little bit more downhill. This is not to bash on Republicans and Democrats… there was a time when both those parties worked in harmony for the greater good of the country, especially in times of crisis. I really wonder how repairable this is now. Long after Trump is gone, the degree of bipartisanship needed to successfully guide a country — may not be achieved for many, many years. And I’m not interested in the bullshit arguments of what a great job he’s presently doing. He’s not. I don’t use vague handwaving and gut feel to come to my conclusions, I use hard facts. As you may recall, this entire project of charts and graphs and light commentary started with a simple exercise of trying to track Canada’s response to this crisis as measured by comparing the U.S. and how they were doing. And comparing them to Italy, who was ahead of them. The short answer now is: Awful. Brutal. Look at the numbers, look at the graphs. This isn’t fake news, this isn’t opinion. These are their numbers. These are confused people. These are hospitals that can’t keep up. These are states and leaders with mixed messages. These are deaths. These are the preventable disastrous blue line and its associated numbers, towering over the green, red and black ones below it. This is failed leadership, from the very top.

Sorry for the long paragraph… but I did say, just one paragraph. But, some numbers… Canada, today, flat or better growth all across the country. U.S…. more deaths today than the number of new cases in Canada. Also U.S., more deaths today than the entire number of known cases seen in B.C., active or resolved, since the beginning of this pandemic. And finally, U.S., more new cases today than all of what Canada has seen, combined, since day one. By the end of the weekend, the U.S. will have seen its one millionth case. Canada will be below 50,000. That same proportion maps to deaths. And some quick math for you… no, the population of the U.S. is not 20 times that of Canada. Not even 10. As President Trump likes to sign at the end of many of his Tweets: Sad.

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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 29 – April 14, 2020

In simple terms, there are three initial conditions to consider if you’re going to fire a cannon: the weight of the cannonball, how much gunpowder you load into the cannon, and the angle of the cannon when you fire it.

If you’re trying to figure out what effect changing those variables can have, the right way to do it is to fix two of them and then see what happens as you vary the third.

For example, set the cannon at a 30-degree angle, and use the same weight of cannonball for 5 shots. Pack each of those 5 shots with increasing amounts of gunpowder… like 10, 20, 30 pounds and so on.

After you’ve fired those five cannonballs, measure the different distances and graph them. And draw a line through those 5 points… and extend it, beyond the last one, following the shape of that line. It might be perfectly straight. It might curve a bit. This is called extrapolation, and lets you make a pretty good guess as to what would happen if you had kept adding more gunpowder.

Now, do the same… this time, use the same amount of gunpowder, but use different weights of cannonballs. Graph and extrapolate that too.

Finally, pick one of those cannonball weights and a fixed amount of gunpowder, and fire them all, changing the cannon’s angle by 5 degrees each time. Graph and extrapolate.

Given those three graphs and their extrapolated lines, you now have a pretty good idea of how to fire this cannon, depending on what you desire. There may be many ways of hitting a target 500 yards away, but one uses more gunpowder. Or maybe you want to hit it with a bigger cannonball. Maybe there are trees in the way, so you’ll need a steeper angle.

One thing that’s certain; the only control you have with this cannonball is what you set with these initial conditions. Once you light that fuse and the cannoball blasts its way out of there, there is nothing you can do about its trajectory. Hopefully you got it right.

It occurs to me that a more modern and relevant example would be golf. When you’re trying to hit a golfball into a hole 150 yards away, there are many variables to consider, and usually, too many for most people, all at once. Pick the right club, but after that… the wind, your tight grip (but not too tight), feet shoulder-width apart, bend your knees, lean forward, keep your waist straight, look at the ball… etc etc. There are many more, and very few people are able to maintain all of those, all at once. And one initial condition out of place affects the whole thing. And again, like the cannonball, once you hit the ball, all you can do is watch.

When you look at the graphs in this picture, it’s not hard to visualize where these lines might be going, given the trajectories shown. If you look at the TTD chart for the world, the one on the far right, you can see the red Canada line in between the black South Korea line and the green Italy line. For a long time, we were hearing thing about which trajectory Canada might be following, using those two countries as examples… ideally, South Korea… but, worryingly, looking like Italy.

Ideally, our red line would’ve bent harder and right, sooner. It didn’t, but it also didn’t follow Italy, though the shape is the same, and using extrapolation, all things being equal, we can tell where we might wind up with respect to cases, if nothing changes.

Except all things are not equal. Unlike cannonballs and golfballs, the big difference here is that we can course-correct, and we have. Our red line and the American blue line were on top of each other for a while… until around March 26th, where things diverged rapidly. Implementing changes makes a difference, and the timing of it is key. A few days sooner or later makes a big difference.

It’s important to note that there were many initial conditions, both here and around the world, that affected things greatly. A big crowd at a soccer game. A large church gathering. Staggered Spring Break dates. The Canucks were away for almost two weeks after Feb 22nd. An endless list of endless jurisdictions where at the right place/right time, some situation that may have brought together a lot of people from lots of different places — did or didn’t happen, for whatever reason.

We will be shown some modelling later this week, and some “what if” scenarios. The biggest “what if” around has to do with properly implementing the measures that have been imposed in many places (including here), and the effects they’ve had. There is some guesswork and some assumptions, but they’re intelligent guesses based on what’s been experienced elsewhere. Extrapolated graphs are part of it. And every indication is that what we’re doing has made — and continues to make — a big difference.

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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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