Game

Day 50 – May 5, 2020

As always, on the heels of Star Wars Day (May the Fourth be with you, if you don’t get it), comes Cinco de Mayo. I guess we’re all getting a little tired of hearing that same old refrain… “It’ll be different this year”. But yeah, indeed it will. As you may recall, around here, the first “celebrated” holiday affected was St. Patrick’s Day… and the decision to pull the plug on pub gatherings was made only a few days, if not hours, before March 17th. My first post of this entire series was on that day, me sitting here in front of the computer with a pint of Guinness, digging into some numbers, trying to figure this out for myself.

Good trivia question… how many countries in North America are called the United States? I obviously wouldn’t be asking this if the answer were obvious… the answer is two, because the official name of the other one is “Estados Unidos Mexicanos” — literally, the United States of Mexico.

Now that you’re back from Googling that, let’s continue…

There are 32 states in Mexico, and most of us haven’t heard of many of them. Looking at this list… the following stand out: Jalisco, Baja California Sur, and Nayarit… because I’ve vacationed there. Chihuahua, Sonora and Sinaloa stand out because they’re continually in the news related to drug cartels and violence (and cute dogs). Mexico City, of course. And Veracruz, but only because my buddy, two-time-Kentucky-Derby-winning-jockey Mario Gutierrez is from there.

The Mexican federal government has their hands full fighting this thing, but they have the added headache of the very powerful and ubiquitous drug cartels, who control many areas, especially near the border. It also doesn’t help that these criminals are stepping-up, handing out care packages to locals who happily accept them and who can use any help they can get. Big-time criminals love this sort of stuff — step up for the little guy, do more for the people than the government is doing, etc. Pablo Escobar was good at it. So was Al Capone. Optics.

There hasn’t been much talk of the border wall these days; remember, the big wall Trump was going to build and which Mexico was going to pay for. I think they may have built some parts, or maybe that was just refurbish/remodel. I don’t know. What I do know is that Mexico hasn’t paid a cent for it. Whatever.

The border-wall, or lack thereof, that worries me a lot more, is the virtual one that exists 30km south of here. For the moment, that border is closed, and that suits me just fine. And if our neighbours to the south could follow along with what’s best for the common good, I wouldn’t be against re-opening it. But, at the moment… well, at the moment, let’s look at a different state that borders Canada.

Recall the governor of Michigan, Gretchen Whitmer… at some point she called-out President Trump, labelling his federal response to the pandemic as “slow” and “mind-boggling”. Trump’s response was to sit back, reflect and admit he was wrong, and quickly move to provide whatever help he could.

Ha ha! Of course not. As expected, he lashed back, made up a name for her on Twitter ("Gretchen ‘Half’ Whitmer” — because, I guess, she only does ‘half’ a job? Or because she's a half-wit?) — and proceeded to insult her. By the way, even by Trump’s infantile-nickname standards, that’s pretty lame. I would’ve expected something like “Grumpy Gretchen”. This was the governor that Trump made a point of not calling, and telling us all about it.

In any case, Governor Whitmer was doing the best she could under exceedingly difficult circumstances. As of yesterday, Michigan was in third place for most deaths in any state, and that’s not a good spot to be in when it’s only New York and New Jersey ahead of you. Going with the best advice she could get, from all of the intelligent people she’s surrounded herself with, by evaluating what’s going on elsewhere, by listening to her medical experts… Governor Whitmer renewed the state emergency order a few days ago, extending it from April 30th to May 28th. This led to loud and crowded protests at the state Capitol building. You know the kind, lots of flags, guns and “MAGA” hats. But this time, add to the mix — nooses, Confederate flags and swastikas. With all due respect (which isn’t much), f#@& these people.

President Trump, upon whom the game “How low can he go?” is based, tweeted his support for the protesters, which in a sense validated and empowered their insanity. A man in Flint, Michigan shot and killed a security guard — who’d simply asked him to put on a mask. Also, in Holly, Michigan, a man wiped his nose on a store clerk who told the man he needed to wear a mask.

Michigan has a population of 10 million, exactly double that of British Columbia. But while we’ve had only 2,232 confirmed cases since day one, they’re over 44,000… a clean 20x… which makes it about 10x more than it would be if people were following orders. And while B.C. is at 121 deaths, Michigan is at 4,179… a staggering 35x. They’re not in good shape, and it’s about to get worse. And, of course, Michigan borders Canada. In fact, given the twisted border situation of Windsor and Detroit, parts of both countries are actually inside of each other. All I can say is I much prefer our Washington neighbours to the south, who I suspect wouldn’t be anywhere near as tolerant of the insanity. The Peace Arch border crossing has engraved on it “May these gates never be closed”. Indeed, those gates can’t literally be closed as they’re not hinged; they’re bolted into the stone. But virtually, the border is closed to all non-essential travel, and until things get sorted out and settled to both sides’ satisfaction, it needs to remain that way. We are doing well here, and we don’t need to mess with that. We apparently have bee-murdering hornets now visiting from Washington State. That’s enough for now.

On that note, around here, our single-digit increase (+8) in known cases is the lowest since March 14th, when things were just starting up, and heading in the wrong direction. Dr. Henry thinks we may be down to zero by the middle of June. We are approaching the end of the beginning, but there’s a ways to go. Moving too quickly can mess this up; things will be gradually eased, but it has to be done right. And if we do it right, and stick to the new normal for a while… we’ll be ok.

Wow, look at that sunshine… time to go get some Vitamin D… and after that, time to go crack open a bottle of Corona and find a slice of lime. Salúd.

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Day 46 – May 1, 2020

One Saturday morning in the Summer of 1982, I hopped on a couple of buses and made my way to the Robson Square Media Centre, which at the time was the city’s busiest (and perhaps only) place where conventions were held, located around the perimeter of the skating rink, now part of UBC.

I was there because there was a computer convention going on… one of these pioneer computer shows, long before the rise (and fall) of Comdex.

I went around checking out the cool technology of the day, and gravitated towards a few booths with familiar names. One of them was Microsoft, and I got to chatting with a guy who didn’t look too much older than me, some geeky skinny teenager with whom a I had a great chat about the newly-released Microsoft Flight Simulator… a game which I was a huge fan of, and continue to be. I’m sure if the hours spent on MS FlightSim counted towards real pilot hours, I’d be qualified to fly a 747 by now. I had no idea about that company’s corporate structure or who this guy might be; I just appreciated that somebody “official” with the company found time to chat with this pesky little kid, and listen to his thousand questions and suggestions. Nice guy, whoever he was (his name-tag said “Bill”). A year or two later, I realized who that had been.

Sixteen years later, I was sitting at a $1/$2 limit hold’em table in The Mirage poker room in Las Vegas when the PA system paged “Bill for one-two, Bill for one-two”. And shortly after that, Bill Gates sat down a few seats away from me with a few hundred dollars in chips, just like any other regular Joe. And for the most part, he was treated as such; just one more person trying to play his game. I said “nice hand” to him at some point, after he outplayed me and took some of my money. But that was the extent of my interaction with him, and that was the last time I saw him in person.

My definition of knowing someone might be: When you bump into them on the street (6 feet apart these days!) and you both know each other. There are problems with that definition, because sometimes one person knows the other, but not the other way around. More than once, somebody has come up to me like they’ve known me all their lives with a huge hello, how are you, what’s new, how’s work, etc etc. And I have no idea who they are. They look familiar, sort of… maybe? Awkward. More awkward is when both of you know that you should know each other — and probably you do, from somewhere… but neither is sure…. “Oh yeah, hey… how are you? …how’s… uhhh… the family, yeah the kids, how are the kids, gosh they must be getting so big by now, how old are they? Oh yeah wow, how time flies, hey we should get together and have lunch or something… yeah, for sure, have your people call my people and set something up, haha. Yeah, cool, seeya”….. ok, who the hell was that… Super Awkward.

And actually, I guess that two very famous people who’ve never met could bump into each other on the street and know exactly who the other is, but they don’t actually know each other.

Anyway, by any definition, I don’t know Bill Gates… but I’ve been following what he’s been up to for most of my life… he’s gone from the guy who co-founded Microsoft to the guy who ran Microsoft to the guy who stepped back from running Microsoft to the guy who retired entirely from Microsoft, to pursue other things. And one of the things he’s pursued is the foundation he set up, along with his wife.

The Bill & Melinda Gates Foundation is involved in sorts of things, many of them hugely ambitious — the sort of thing that requires teams of supremely qualified people, and billions of dollars. Thanks to his life’s work and success, he’s able to provide both… and seeks to tackle things on a global scale: education, health, poverty, access to information and technology. For everyone.

Among his epic pursuits: he seeks to eradicate polio, he pours money into HIV research and treatment and he provides vaccinations for poverty-stricken countries. Thanks to him, deaths from measles in Africa are down 90% in the last 20 years.

So when Bill Gates starts talking about a potential vaccine, it’s worth listening, and he’s had a lot to say. Some of the highlights include his explanation on how a process that can typically take 5 years could be compressed into just 18 months, by overlapping parts of the process that typically would be done sequentially. For example, instead of waiting for a confirmed, tested and approved vaccine before mass-manufacturing, why not scale up the production of it while tests are still ongoing? At worst, it’s not good, and you just throw all that away… but if it works out, you’ve saved months or even years. There’s a cost to that, of course — throwing money at a problem sometimes means throwing the money away, but sometimes money can buy time, and this is one time where we all agree it’s worth it. And where would that money come from? Bill’s foundation is throwing $100 million at it — that’s a good start. Others are joining in as well. There are more than 100 vaccine-seeking research teams hard at work around the world, and probably 10% of them are onto something potentially viable. Human trials have already begun — something way ahead of the usual time-line. All of this, and much more, is worth reading on his blog.

And by the way, it bothers me greatly to hear the stupid nonsense being said about Bill Gates by the conspiracy-fuelled Covidiots whose version of reality somehow involves an evil Bill at the top of a convoluted mess of theories that make no sense at all. They’re not worth repeating, but feel free to “research” it if you want a good head-shake and laugh.

I know some people reading this know Bill Gates personally… a couple from my tech world; fellow geeks who’ve been working closely with Microsoft for decades. And from my horse world; Bill & Melinda’s daughter Jennifer is an accomplished show jumper, and the equestrian world is a small one…. so if any one of you see Bill any time soon, please tell him I say hello, and thank him for what’s he’s doing — from all of us. Of course he’ll have no idea who I am, but that’s ok — truth is, I’d like to “meet” him for a 3rd time in my life. Have his people call my people and set up a lunch, or something.

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Day 44 – April 29, 2020

It’s an interesting thing, this North American attitude… often found in sports. The great American pastime, baseball… there are no ties. The game can go into extra innings, which in turn can end up going on longer than the original game itself. In playoff hockey, same thing… full 20-minute periods until someone scores. Recall the famous Canucks/Stars playoff game that went into a 4th overtime — more OT than the 3 periods that preceded it. And hockey is a good example; there used to be ties in the regular season. And then… no, let’s decide this… they added overtime… and for a while, if the game ended in a tie after overtime, it remained a tie. But that wasn’t good enough… so, shootout. There will never be a tie again. There must be a winner. The most American of all games… the NFL actually allows ties, but there’s OT, with rules that make it almost certain one team will win. The only reason it can’t go on forever is that after more than 4 quarters of football, injuries are far more likely. There’s maybe one tie a year in the NFL; It’s rare, and nobody likes it when it happens. And NBA basketball? They will play overtime forever until there’s a winner.

On the flipside, the most popular sport outside of North America — soccer (fútbol!) — allows ties. What’s the difference in attitude?

I used to think it was attention span. Soccer holds your attention, sometimes for several minutes, between whistles. Hockey, same thing, which is perhaps why it’s not as popular as some of the others (especially in the U.S.). But football, baseball and basketball… endless time between action; time to discuss what just happened. Time to analyze it. Time to replay it, in slow motion, from different angles. That’s what I used to think, but no. What it simply is…. is that we just like to have a winner. After the big battle, a tie is just too unsatisfying.

It’s going to turn out that this virus is not as lethal as we initially thought… but, also…. it’s nowhere near as safe as a common cold or flu. The typical flu kills 0.1% of those it infects. COVID-19 seems to be somewhere between 0.4% and 3.4%. Let’s call it 2% for the moment. That makes it 20 times worse than a common flu. But also, nowhere near as bad as SARS (15% mortality) or Ebola (50% mortality).

The end result, somewhere in the middle, is the worst case scenario for the “I told you so!!!” crowds, because it means everyone can think they were right, and everyone else was wrong. It’s a sort of a tie that nobody likes, and both sides have plenty of ammunition to throw at each other.

In places that evidently haven’t been hit hard (B.C., prime example) the screaming about how we’ve wrecked our economy for nothing. Lockdown/shutdown — why? Look…for 100 dead people, most of them old or unhealthy to begin with? All of this suffering? For what?

On the flipside, places like Northern Italy and Spain and New York, who didn’t or couldn’t do enough to prevent the wave of catastrophic exponential growth in serious cases that led to a complete overwhelming of the medical system. And lots of deaths… multiples of excess deaths over the typical expected numbers.

Let’s look at some real numbers, implied by the general assumptions we think we know about this virus. The chart below shows ranges of age, and next to them, the mortality rate associated to that age group. Next to that, last year’s numbers for Canada’s population, followed by extending that mortality rate to our population. Knowing what we know today, if we were all infected and untreated, 750,000 of us would die, most of those being elderly. 750,000 people out of 37,500,000 = … 2%.

Age Mortality Canada Deaths
80+ 14.80% 1,614,000 238,872
70-79 8.00% 2,870,000 229,600
60-69 3.60% 4,607,000 165,852
50-59 1.30% 5,251,000 68,263
40-49 0.40% 4,817,000 19,268
30-39 0.20% 5,183,000 10,366
20-29 0.20% 5,101,000 10,202
10-19 0.18% 4,145,000 7,461
0-9 0.00% 3,982,000 0

TOTAL 2 .00% 37,570,000 749,884

That would never happen here, yells one side. That’s exactly what would’ve happened, yells the other.

On Friday, we will hear two things from Dr. Henry — one, that we have done our part and should continue to do so, and given what we’ve achieved, here are the first steps in the plan of re-opening our lives. And two, keep at it — an integral part of the new normal, at least until a vaccine shows up, will be maintaining the very things that have led to this success in the first place. That’s the side I’m on… and I’d like to think my side has done so well, that, by now, there’s probably enough hospital capacity to house the covidiots marching and protesting on Beach Ave. I’d like to think a small handful of morons isn’t enough to blow this for all of us… but time will tell.

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Day 37 – April 22, 2020

I left the house yesterday, for the first time in a while. Some things need to be done in person… I drove downtown to my bank’s main branch, one of the few that’s open. With all of it pre-arranged, I put on a mask, gloves… walked in, put down a piece of paper, grabbed some cash and left. It took less than 2 minutes. I’d like to pretend the mask was so they wouldn’t know who I am, and the gloves so I wouldn’t leave fingerprints. The piece of paper would’ve been a stick-up note, of course… I was alone, so I just went back to the car and drove home… but I wish I’d have had a driver, so I could’ve jumped into the car and screamed, “Step on it!!” — because that whole episode was about as close as I’ll ever come to robbing a bank.

The drive home reminded me of when I got my first car in 1986. Driving up and down Granville St. in the middle of the day with so little traffic — that’s what it used to feel like driving here 30+ years ago. It also reminded me of how I used to drive in those days… in an effort to always be able to speed off with no traffic in front of me. Like, if you’re on a road with two lanes going your way and you’re approaching a red light, and there’s a car stopped there in one of the lanes, you change to the open lane. Or if there are already two cars there, pick the one that’s likelier to go faster than the other, so you can find that space to go around both of them. Switch lanes to follow the faster car. When one is a truck and the other is a Ferrari, it’s easy. Or when the guy in the left lane is turning… or the one in the right lane is turning, but there are pedestrians. Whatever the case, pick the lane that’ll open up quicker.

But what happens when both are the same car, like identical? And you didn’t notice which one approached the light quicker. It could go either way… so you have to make a simple guess. And if someone behind you is also approaching the light, and they think the same way you do, they’ll see two cars in one lane and one in the other, and simply pick the emptier one. Now that guy is next to you, and neither of you knows who’s going to go faster.

What’s interesting about that situation is that you got to go first in making your decision… but it might not be to your advantage. You zigged, so he zagged in response. You acted, he reacted. Going second is often the easier choice, especially if there’s something to learn from the guy who went first… but even if there’s nothing to learn, the guy going first isn’t always right, and when he’s wrong, you get to be right. And when you do get to learn something… well, imagine a game of Rock-Paper-Scissors where you get to go second… a moment after your opponent has thrown their move. Not much of a game.

It’s generally accepted that going first in chess gives you an advantage, at least initially. White gets to go first, and most chess players prefer white. That was easy. But when it comes to handling the huge unknowns of a global pandemic… things aren’t as simple as Chess Club.

The world has given us plenty of examples. There’s a “let’s learn from the others” club. Canada is part of that club. New Zealand as well, one of its proudest members.

There’s the “we’ll do it our way” club, with the U.K. as the charter member, and Sweden joining in later, even after the founding nation cancelled its membership.

There’s the “we’re too unorganized to respond properly, for a variety of reasons”, where the U.S. is the predominant member, but others are scrambling to join.

There is also the “we knew what was coming and saw all of the examples but still didn’t respond properly” club, and its newest member is Mexico. They are suddenly realizing a lot more could have (and should have) been done, but now it’s looking like that lack of flattening the curve will lead to a situation where their medical infrastructure can’t handle it. Or, conversely, as other sources claim, there’s no problem that can’t be handled. And into the mix, no mandatory isolation… and public fighting between the private sector and the government, with some business leaders demanding the country stay open and urging people to ignore suggestions from the health minister. Throw into the mix the drug cartel, who themselves are handing out care packages to people (rice, pasta, cooking oil, toilet paper) with pictures of “El Chapo” on them… against the expressed wishes of the government. The model where everyone is pulling in different directions, to better serve their own individual needs or beliefs… has not worked well. Here comes one more member for that particular club… one you don’t want to join.

Closer to home… there was a spike in new cases, but it was to be expected. The outbreak in the poultry facility is just one cluster where testing is catching up to the outbreak… so we may see bigger numbers in the coming days, but they don’t necessarily reflect a bad trend; in fact, hospitalizations and ICU cases are at their lowest levels for the month. But… it does imply… we have a ways to go before the real openings can begin. These numbers need to go down, steadily… not just keep level. Let’s all keep doing what we’re doing… as fruitless as it sometimes seems, because things are going so well around here; it’s because of what we’re doing that they are… and let’s not wreck it. We’re getting there. But you want it to be over now, and I get that too. Join the club.

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Day 34 – April 19, 2020

There’s this old joke where a mathematician, a physicist and a statistician go hunting. They’re crawling around for a while, but suddenly see a deer, way off in the distance. “I got this.”, says the mathematician, and he carefully takes aim and pulls the trigger… but misses about 5 feet to the left. The physicist says, “Not bad… but I got it”. He aims his rifle and fires…and misses, 5 feet to the right. The statistician jumps up excitedly… “We got him!”

This game of analyzing numbers can get very convoluted, because there are always different ways of looking at things, and according to something I briefly mentioned yesterday (confirmation bias), we’re often looking to find and interpret data to fit what we believe… or want to believe.

There’s a big part of me that wants to believe this virus is far more prevalent than has been reported. The implications of that pretty straightforward. At the moment, in Canada, we have around 35,000 confirmed cases. We all know the real number is higher than that, but how much higher, and what does it matter? If the number were 100x, we’d be approaching 10% of the population. If it were 1,000x, we’d be way past the point of herd immunity… the implication would be that we’ve all had it and can pretty much get back to normal, just being extra careful to isolate those who are still at risk, at least until they get it… in whatever form it shows up… knowing full-well the medical system can handle it. We will, in the near future, know exactly what number to attach to that x. Here in B.C., somewhere between 5 and 10 is my guess… which, combined with our effective efforts at flattening the curve, imply we can start along the path of getting back to normal… and the initial easing of restrictions, tentatively scheduled for mid-May, is step one.

There’s a study coming out of Stanford that implies that number may be between 50 and 85. I am suspicious of that number for a few reasons, but we will let the experts sort it out. The sample size and who comprised the test group and a few other things… leads me to think there are a lot of asterisks next to a lot of the findings. I haven’t read the report, but as per above, I hope it’s even a little bit true; the implication that this has been around longer and wider than we think.

That being said, there is no version of reality where this is just like any other seasonal flu. A “bad flu season”, and we’ve had many, does not overrun the medical system like this one has. There is no version of this where “just let it run its course” would make sense. There is a lot of screaming from some people about how we’re destroying our economy and people’s livelihoods for nothing. Well, there will be plenty to learn from all over the world, since there are (unfortunately) jurisdictions that have decided to follow different, less strict routes… some through design (U.K.), some through incompetence (U.S.), and some through sticking their heads in the sand (Sweden). There is a technical/scientific term for when one suddenly realizes the present course of action may not be ideal, and that a drastic course-correction may need to be implanted. It’s called the “Oh… shit” moment.

Two of those jurisdictions have already had their moment. The third is well on its way, and it requires a somewhat different way of thinking about things.

Let’s begin with a bad example of trying to compare apples to apples. What country has the highest confirmed infection rate? Well, it’s the Vatican City… they have a population of 800, and have recorded 8 infections. But 8 out of 800 is the same as 1 out of 100. Which is the same as 10,000 out of a million… which is very, very, high. The U.S. comparative number is 2,300. Canada’s is 922. In fact, given the demographic breakdown of the Vatican population (I’m assuming a disproportionate number of older men)… and the fact that it’s surrounded entirely by Rome, the largest city in Italy (whose comparable number is 3,000), that’s pretty good. To add to the list of interesting but useless numbers, the Vatican has 2.27 Popes per square km.

Part of the challenge of analyzing numbers is being sure you’re comparing apples to apples, and the more I’ve been at this, the more I realize it’s not even apples to oranges… more like apples to bicycles.

Sweden, with a population of 10.2 million, has 14,385 known cases… which equals 879 cases per million… pretty close to Canada. So far so good. Their number of 1,540 confirmed deaths isn’t so great… more than double the U.S, and approaching Italy numbers as a percentage of total population. But not an outlier with respect to other countries. Where things differentiate greatly is the “Resolved” column, and that one is pretty-much apples to apples around the world. No matter how widespread or deficient the testing strategy in any particular jurisdiction, there is a measurable number of test-positive cases, and those cases will resolve: recovered or deceased. This doesn’t have anything to do with assumed cases or Stanford studies. It’s far simpler… at some point, you were tested… and you either recovered or you died. These are the survival rates of identified cases:

Canada: 88.4% (B.C. 92.4%)
United States: 63.6%
South Korea: 97.2%
Spain: 78.4%
Sweden: 26.7%

So what exactly is going on in Sweden? If you look at the distribution of test-positive cases, it’s a pretty standard bell curve. If you look at the distribution of deaths, it’s heavily weighted to older people…. 89% of those deaths are people aged 70 or over. That’s comparable to Canada as well. I think the vast difference may be that a lot of these cases aren’t being identified until they’ve passed away. I’m not sure these cases are entering the system till “after”, and it goes straight into the two stats: positive test plus death. Their medical system is not overwhelmed. It’s a first-world country when it comes to treatment, and they have capacity. So the implication is that the virus is running rampant through the elderly population… and given their strategy, no masks nor gloves nor social distancing (unless you have symptoms) and keeping everything open… this will eventually reach everyone over a certain age. That’s roughly 20% of Sweden’s population, and with a roughly 10% mortality rate for that demographic, that’s more than 200,000 people. That is their trade-off for keeping the economy open.

In Canada, 4 million people are aged 70 or over. So if we did the same here, we’d be looking at roughly 400,000 deaths in that age group alone.

Those are the worst-case scenarios, mitigated by potential treatments, vaccines and changes in policy… but here’s at least one version of an answer to that rhetorical question that’s often getting asked: “What is the trade-off for shutting down our economy?” The answer is… many, many lives.

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Day 33 – April 18, 2020

Did you know that the bubonic plague is still around? That pesky little bug that killed up to 200 million people in the Middle Ages still pops up from time to time. A boy in Idaho got it a couple of years ago, I kid you not.

“Hey Jimmy, what’d you do all Summer?”
“Actually, I was sick for most of it with bubonic plague”

It’s almost worth getting, just so you can bring it up in Show’n’Tell. So much better than “Visited the grandparents in Wichita and miked some cows”.

Jimmy (probably not his real name) is fine… completely cured with a routine course of modern antibiotics. Jimmy is lucky he wasn’t born 500 years ago, because his pocket full of posies would have done nothing for his ring around the rosie.

The bacteria that causes bubonic plague has been quietly around for at least 6,000 years, but every once in a while, it makes a big splash. The Black Death, which peaked in the mid-14th century, was the biggest known pandemic of that particular bug, but there have been many outbreaks over the centuries… and while they’ll never achieve the magnitude of what happened in the Middle Ages, two breakouts is 2014 and 2017 in Madagascar killed around 200 people. And it’ll keep showing up, because it’s bacteria and it’s alive.

Unlike bacteria, viruses aren’t alive in the sense that they can just procreate on their own. They need a host, and in the current case, that host is a human… and in particular, human noses and airways. That’s a relevant point, which differs, for example, from SARS, also a coronavirus… which appeared and died-off in 2003. It incubated deep in people’s lungs. There are many other differences as well. SARS was far deadlier (~10%) but also less contagious. And the biggest difference is that while COVID-19 is still around, SARS-CoV is gone… extinguished from existence, except deeply-buried is research laboratories. Extinguished because of the way it was managed; the same gameplay of testing and isolating until every known host was known, and then kept away from infecting others. No host to jump to means it dies off, and that’s that. As has been widely quoted… if we could 100% isolate everyone on the planet for 14 days (probably a little longer, but not much) and keep completely isolated those who develop symptoms in that time — this thing would be squashed out of existence. That’s impossible to achieve, so the next best thing is a vaccine, which can, in due course, achieve the same thing. Has that ever actually been done?

Yes — and it’s one of the greatest achievements of medicine. Smallpox is gone, entirely, as of 1980, after a concerted effort that took decades. Smallpox was a horrible disease, with awful symptoms and a mortality rate of 30%, and you could catch it from someone coughing or sneezing on you, or touching contaminated surfaces… the usual that we are all familiar with these days.

But back in the day, medieval epidemiologists (heh) did not have a lot at their disposal, and it’s hard to blame them. Germ theory was centuries away from being figured out. Plague doctors wore those famous plague masks with the long noses, full of good-smelling herbs… which, if they didn’t help keep them safe, at least helped mitigate the stench of dying people all around them. In fact, back then, it was thought that illness was transmitted through miasma… bad-smelling air. A kind of chicken-and-egg causality where you assume the bad smell in the air is cause of all this illness… not the result. The name “malaria” literally means “bad air” in latin. But at least to some extent they’d figured out that keeping away from sick people was a good idea; the first versions of social distancing. Those Venetian masks with the long noses? It’s hard to cough/sneeze on someone when you can’t get too close. They understood at least that: stay away. I have this image of a medieval Dr. Henry, standing at the top of the Rialto Bridge, yelling down to the gondoliers on the Grand Canal… “Hey you down there! You shouldn’t be oot and aboot! Go home!” She wouldn’t be yelling, of course… more like softly but strongly suggesting.

Germ theory eventually sorted it out, but there was an interesting little overlap of time where smallpox “vaccines” from the Far East arrived in Europe, and worked… but nobody understood why. That didn’t fit with any known medical knowledge of the time, but it seemed that taking powdered smallpox scabs and inhaling them… would lead you to develop a mild form of the disease, from which you would recover. Well, most of you. There was a 2% mortality rate with that treatment… which is still a lot better than 30% if you get it. Game-theorists of the day could have tried to figure out what gave them better odds… a certain 2% chance of death vs. a N% chance of contracting something with a 30% chance of death. Here, I’ll do the math… if you thought your chances of contracting smallpox were greater than 7% (one in 14), go for the scab inhalation. I’ve bet on enough 14-1 shots in my life to know that I should take my chances with the scabs.

I say all this because the people back then, flying blind as they were, made the best of what they had and what they knew. We are way ahead these days… but as we’re all experiencing, there’s always plenty more to learn… and I think it’s going to really heat up in the next few weeks. We have a perfect storm overlapping of emerging antibody tests, conflicting studies from around the world regarding how widespread this is, data from jurisdictions that are doing things very differently and so on. And much of this is saddled with a conformity bias that makes it very difficult to navigate. When you start with a conclusion you’re hoping to reach, it’s not difficult to find the data to support it. It’s all out there. We will navigate it as best we can.

Speaking of we — we around here, and in Canada in general, saw a good day of numbers… a line of green… everything trending nicely… for now. This week we’ll start seeing the effects, if any (and hopefully, none)… of the long weekend.

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Day 30 – April 15, 2020

The textbook definition of the word “optics” has to to do with light, and its interaction with the physical world. The most familiar adaptations we’re familiar with have to do with light interacting with our own eyes… optician, optometrist, ophthalmologist.

If you’re a professional photographer, this extends to different lenses and fields of vision and lighting and focal lengths and so on.

When it comes to business or politics, “the optics” refers to how it looks… to the general public. “What are the optics?” is the buzzword-question asked of advisors and consultants and marketers and branding experts and spokespeople and press secretaries — by the people behind the scenes who’ll care about the answer. How will the public take it?

Over this last long weekend, Prime Minister Justin Trudeau decided to join his family, who’ve been living in the Harrington Lake cottage for the last few weeks, for Easter. The cottage is in Gatineau Park, which is in Quebec.

That visit violated the social distancing orders that the federal government and every provincial government has imposed on its residents — the same ones Trudeau himself repeats every time he’s at the podium. That visit also violated the order with respect to crossing the provincial border which at the moment is supposed to be open only to essential travel.

And just to shove it a bit more in all of our collective faces — us, most of whom who stayed home all weekend, many of us who have cabins and cottages and places to where we’d love to have gone to get away from it all… and if not, especially in this beautiful weather, just pack up the SUV and go camping somewhere — he posted a selfie of himself and his family.

The picture shows a beautiful, smiling family of five, clear blue skies with a few light, scattered clouds in the background. Everyone dressed appropriately for the crisp, fresh air. A few wispy trees. The lake itself in the distant background. From a photographical optics point-of-view, excellent. From a political optics point-of-view, awful. Just awful.

Forced to explain himself, the PM gave a somewhat meandering and deflective comment. Within his statement was the sentence, “We continue to follow all the instructions of the authorities.” You’re supposed to be the top of that authority, Mr. PM.

Meanwhile, on the other side of the country, not to be outdone, Conservative leader Andrew Scheer stepped onto a government jet in Regina with his entire family, completely destroying any semblance of social distancing a 9-seater plane may have been able to offer its present two occupants. Why would his family, who one would think should be isolating at home in Regina, need to be heading to Ottawa. In a normal world, that last sentence would have a question mark after it, but these rhetorical questions don’t need them because the answers are self-evident.

We seem to have been dealt a fortunate hand here in B.C. — our provincial leaders convey a calm, consistent message with logic and transparency. They walk the walk, not just talk it. The plan is collective; you hear the word “we” a lot, and that “we” includes them. One wonders what that might look like at a national level. Like, how would it look if there were an entire country being guided by the calm, clear plan and intelligent reassurance we hear almost daily from Dr. Henry? What would it look like if B.C. were its own country and had control of its borders and could independently navigate this entire ordeal?

That particular rhetorical question actually has an answer: New Zealand… which coincidentally has a very similar population of around 5 million people. But the similarities don’t end there.

Their Prime Minister, Jacinda Ardern, has a lot in common with our own Dr. Henry. She stands up in front of her people, she speaks calmly and intelligently and pulls no punches when expressing the seriousness of the situation… but at the same time, is reassuring and inclusive and transparent. She is very much one of them, and she knows how to talk to them, and they listen.

On March 14th, when there were only 8 confirmed cases in the entire country of New Zealand (B.C. was at 73, Canada at 252), PM Ardern clamped down hard and implemented all sorts of measures that have now become familiar to all of us; 14-day isolation upon returning from out of the country, canceling cruise ships, cancelling big events and festivals. She went on TV and said a lot of things, many of which will sound familiar… “We will get through this together”. “Be strong”. “Be kind”.

Eight cases might sound early, but the results have been better than anywhere else on the planet. She saw what was happening around the world, she realized that time was of the essence and that even the slightest variation of the initial conditions (see yesterday’s post) can make a big difference. If she erred, it was to the side of caution, which these days might be the only right way to be wrong.

One of the sound bites of that TV address was her plea: “We must go hard and we must go early”. It has been said that this is the same sort of rallying cry that the coach of the New Zealand All Blacks might give his players before a game. My personal experience playing a rugby team from NZ would agree. They proceeded to go hard and go early and destroy us. Great bunch — this was in high school, so there were no after-match drinks, just handshakes, but I would’ve enjoyed a pint with those guys. Their game was disciplined, cohesive and well-executed. It was all business, from start to finish.… much like New Zealand’s response has been so far. And that’s why they’re winning; they can all relate, and there is tremendous trust in their leadership and the plan. It looks and sounds good, and it’s working. Good Optics.

Justin… Andrew… come on guys, you can do better, and the country deserves better. We need better. You’re both “one of us” too. Lead by example. Don’t just tell us what to do; do it yourself as well. Lead by example, because mixed signals and a “the rules don’t apply to us” attitude — Bad Optics.

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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 16 – April 1, 2020

I’m going to talk about antibiotics for a moment.

Important point number one: COVID-19 is a virus, not a bacterial infection. Antibiotics won’t work. Secondary complications that can arise, like pneumonia, are… and those would be treated with antibiotics… but if someone has told you that taking some antibiotic may prevent you from getting this virus, or might help treat it, they’re wrong. And if you’re taking some antibiotic for no reason, stop. Which leads me to point number two…

If you’re supposed to be taking antibiotics, there’s exactly one correct way to do it. When the doctor prescribes them, she will look you in the eye and say “Be sure you complete the entire course, till you’ve taken them all, till the container is empty.” That might be 3 or 4 times a day, and it might be a week or two weeks or 3 months. When you pick up the prescription from the pharmacy, the pharmacist will tell you the same thing.

The reason is simple, and we will use a simple example: War. I have an army of 100,000 and you have an army of 100,000, and we battle it out, and since my army is better than yours, I’m down to 20,000 men, but you are down to 50… and we have all you backed into a deserted building and we’re about to surround you and finish you off. But instead, for some silly reason, we decide we’ve already won and we’ll show some mercy, and we let you go. So off go your 50 men, rebuild their army, and in a few months, you come back with a replenished army of 100,000 and destroy me, because chances are that’s a much tougher group than the original 100,000.

Why? Because those last 50 out of 100,000 men were the toughest of the lot. They’re the real survivors, having made it to the very end. They’re the last people you should let go. They’ll go off and recruit and train equally-tough warriors before returning.

So, if you’ve got some bacterial infection, and let’s say you’re supposed to take a course of antibiotics for a week. To begin with, you’re feeling really awful, and you start taking them and guess what, it’s the perfect antibiotic for what you’ve got, and after the third day, you’re feeling fantastic. It’s all cleared up. Awesome. But ugh, taking these pills is so annoying. And you have to stay up so late or get up so early to take one, etc etc. You’ll just go down to two or three a day, what difference can it make. Maybe you’ll just stop.

What you’re basically doing is letting the strongest of the bacteria live on, re-group, and re-attack. Maybe not you, but someone else. And, worse than that, they might mutate a bit, be a bit more resistant to that particular antibiotic… and then, after that cycle has repeated thousands of times, you’re left with our present-day problem of drug-resistant bacteria that require a whole new suite of antibiotics, many of which have yet to be invented.

The relevant connection is to our present-day plight. The COVID-19 is the bacteria, and you and I are the antibiotic.

We’re on “day 3” of that “7-day” antibiotic course. Our social-distancing seems to be making a difference… but we’re not cured yet, and loosening up the treatment can quickly change the outcome. The fact it’s working is all the reason in the world to keep doing it properly.

I actually had another example… it involves the Canucks and the Bluejackets and allowing 4 goals in the 3rd period. But you know what, YouTube is full of videos… cyclists raising their arms in the air in victory as they approach the finish line, only to be passed at the very last minute. Or football players spiking the ball 3 inches before crossing the goal-line, fumbling the ball instead of scoring a touchdown.

The countless examples all point to the same thing, and by now I’m sure you get it: There is no victory until you actually cross the finish line, the game ends, the enemy is extinguished. Etc. Etc. Etc.

Keep taking the medicine… it’s working, but we’re not cured. And abandoning the treatment now could lead to non-victory, whatever that looks like. I don’t know, and nobody wants to find out around here… and for those that are not from around here, look around at the world at places where physical distancing has been implemented correctly, and its effects. And, even more to the point, look at where it hasn’t.

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Day 9 – March 25, 2020

At some point, we are all having “one of those moments” these days… it can last a minute… or an hour… sometimes, all day. The first thing I do when I update these charts every day is to enter the date, and today, when I entered Mar-25, I had one of those moments.

Seeing that date reminded me… that in some non-pandemic-infested parallel universe somewhere, the Canucks are playing the Sharks tonight, and I have tickets to the game.

I was really looking forward to it… because it was bound to be an exciting game. This is exactly the time of year when we’re typically fighting for a playoff spot, and usually, it’s a situation like the Canucks have to beat the Sharks, but also, the Ducks have to beat the Flames. And it’d really help if the Avs could beat the Oilers, just in case we lose, because then, next game, yada yada…

All of that occurred to me because… wow, do I miss that. I would so much rather be doing that sort of math… than this.

But here we are, so let’s look at these numbers… and hope that one day soon, all of us can get back to the things that feel so incredibly far away right now.

And, for what it’s worth, today was a good day. BC had a good day, and Canada overall did as well.

That yellow BC line looks good… for now. That will change in the coming days, and Dr. Henry was asked about how many cases she thinks are out there, as opposed to just confirmed cases. She will discuss it Friday morning, with some detail on the modelling they’re using to arrive at these estimates. There is a big difference between confirmed cases and actual cases… how big remains to be seen. But at least today, around here, it was a sunny day in many respects.

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