Hope

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 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 31 – April 16, 2020

The B.C. number was published minutes after I posted this at 5pm, so I’ve just updated it… and it’s a good one, only 14 new cases. Great to see after yesterday’s spike… and although one day doesn’t make or break anything, that’s the direction we love to see.

Ontario’s growth continues to remain consistent, around 6% — which is a TTD of 12 days. Quebec is probably in a similar range, maybe less (ie better) — but is more volatile. They had a bit of a jump in today’s new cases, but that could be for many reasons. I’ll have a lot more to say about B.C. tomorrow after the modelling presentation… which you should watch, if you can… at 11am.

A couple of shoutouts while I’m here — to the staff and residents at the South Granville Park Lodge… my grandfather, who passed away many years ago… lived his last few years at that residence, and it was a peaceful and happy time, after a 94-year life full of extreme highs and lows. The staff was exemplary, and they unfortunately now find themselves a cluster of COVID-19 cases. I wish them all well.

And… a family friend in Montreal — who I’ve known my entire life… in fact, our families go back close to 80 years of knowing each other… 4 generations now… had been struggling in the ICU with COVID-19, on a ventilator for two weeks with a high fever that would come and go but never go away… well, as of this morning, I’m incredibly happy to report… no more fever and no more ventilator. He’s going to be ok, after a hellish 2-week nightmare. He is my age, my demographic, and at least as healthy as me. That struck very close to home… this thing is serious and this thing can hit anyone. But in this particular case, I probably can’t find the right words to express my relief. Whatever else, it’s been a great day.

And to radically shift gears, the rest of this post will serve as a bit of a public service announcement… these days, scammers, who may also be locked up in isolation, also need to make a living and are trying all sorts of new things, one of which is scary enough that a few people have reached out to me to ask if it’s for real.

You may have received an email where the subject line contains your password… and when I say your password, I mean some password you used somewhere, at some point in the past. And if it happens to be your current online banking password, that can indeed be really scary. I really hope that it’s not a password you use everywhere, because while things aren’t as scary as you think, you do have a bit of a hassle on your hands. But let’s break this down into little bits, and solve each piece of it.

  • how did they get my password and/or name and/or email address?
    – what else do they have?
    – how real is the threat?
    – what do I do?
    – what do I not do?First thing, relax. No matter how bad you think it is, it’s not.

    The email has your actual password, which is certainly enough to get your attention… and it then goes on to say that they’ve seized control of your computer and camera, have a complete log of you sitting in front of your computer doing whatever you do there, and a list of all the sites you’ve visited and all of your contacts. And unless you send them some amount of Bitcoin, they will send that video and list of websites to all of your contacts.

    Rest assured, nobody has taken control of your computer or your camera or your contacts or anything else. There is no video. It’s all complete bullshit. The scary aspect of your password sitting on the subject line means that somewhere, some site where you used that password got compromised… and if you use that password anywhere else, you really should change it… though I will point out that if it’s your “junk” password, it barely matters. I can assure you, some Bulgarian hacker has no interest in fiddling with your subscription preferences to “Turnip Harvester Weekly”. That being said, it’s always suggested you have unique passwords for everything, specifically for this reason — if some database gets hacked (which unfortunately happens more often than it should), that’s the only site and password-reset you have to worry about.

    Huge lists (with millions of names) exist for purchase on the DarkWeb where your name, email address and that associated hacked password are available. These lists sell for cheap, and anyone with some time and a bit of knowledge on how to merge a database with an email template can put together an email like the one you got, and send it to a million people. It is like casting a million little fishing lines into the ocean, and seeing what bites. Usually the email address it came from isn’t even valid, and the email will say — don’t bother trying to contact me. Or reply for proof that I have your contact lists. On that note, if it is valid, do not reply… because that might actually get you onto a list of “live ones”, which only means you’ll now be getting 10x the number of those scam emails in the future. And if you replied and if they did have a list of your contacts, again… relax… it didn’t come from your computer. At the end of all that, the scammer wants you to send some Bitcoin, and if you do, he’ll delete the video and leave you alone forever.

    So… they got your password from a hacked site. If you use that password anywhere important, go change it now. If they sent you a list of contacts to prove they know who you know… they probably got it from Facebook, which has an option that lets people find you via your email address. This is a security hole that everyone should adjust, because if they can find you on Facebook with your email address, and you have your friends list open to the world… then that’s how they know all these people you know. Fix that now… go to Facebook, under Settings, under Privacy… there is a section called “How People Find and Contact You” — settings for who can find you via your email and who can see your friends list and who can look you up via phone number. None of those should be set to “Everyone”. At worst, “Friends of Friends”. Just “Friends” is better. “Only me” might be best. That’s up to you, but lock it up so that random strangers can’t find you or your friends.

    The scammer wants you to send Bitcoin because it’s anonymous. Incidentally, if you need any further proof that this is all nonsense, consider that he’s sending the same Bitcoin wallet address to everyone. If you send him money, he actually has no way of knowing the money came from you. He’s hoping some of those one million little fishing lines will bite, and the Bitcoin wallet will just magically fill up from victims around the world.

    It’s always occurred to me that anyone who’s intelligent enough to be able to figure out how to purchase Bitcoin and then send it — probably wouldn’t fall for this in the first place. But that password thing is a little scary… so maybe it got you thinking in that direction. No worries.

    Summary of action items:
    – if you use that password anywhere, change it
    – review your Facebook settings as per above and adjust as needed
    – google your email address and see if that pops up any information you wouldn’t want out there
    – delete the email

… and stop worrying.

 

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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 25 – April 10, 2020

There’s an interesting experiment going on, on the other side of the planet. Our furniture-making, meatball-eating, hockey-dazzling friends in Sweden’s approach to managing this crisis is a lot different than what’s going on around here. We’ve seen a few examples around the world how not to do things. How a few days here and there can have a drastic effect. How not taking it seriously can have big implications. The Globe & Mail wrote about Sweden last week. CNN picked up on it yesterday. Sweden, not a culture that I would associate with recklessness, is taking a huge gamble. If I were a betting man (and I assure you, by any definition of that expression, I am), even I wouldn’t rolling the dice the way they’re doing it.

I will summarize the articles, add a few comments… and something they left out.

To summarize, their schools are open, their pubs are open and there’s no lockdown. Gatherings of more than 50 people are banned, but everything else is left up to the honour system. Trust that others will do the right thing. Recommendations, not orders. Their PM calls it a “common sense” approach. Their chief epidemiologist is saying that it’s working “reasonably well” so far, and that they’ve had “not very much” spread into elderly homes and “almost no” spread into hospitals. In other words, it is, at best, working ok, but it’s in the elderly homes and it’s in hospitals. So basically, it’s everywhere.

Not everyone has bought into the plan… a letter from 2,000 doctors and public-health experts went out, urging the government to get a reality check. But for now… many Swedes get it, and are isolating and maintaining social/physical distancing. But also, many are hosting big family Easter celebrations this weekend. How will it all play out? The articles suggest we’ll know “next month”. I think we’ll know a lot sooner.

A quick look at numbers shows a sharp increase yesterday… like, double the number of new cases from the previous day… a 12% increase, implying a TTD of 6 days… so if that rate remains constant, their 9,000 cases will be 18,000 next week and 36,000 the following week. I will say that the growth rates before that were lower, and as I said yesterday, one day doesn’t make a trend. But the whole thing makes me very uneasy.

Some other numbers that are troubling and not mentioned… once you become infected and are verified by a test, you become a statistic. Your statistic will get modified as time goes on… symptoms or no symptoms, hospitalization or not, ICU or not and so on. The final statistic you will have attached to you is in the “Resolved” category, and it can go one of two ways: Recovered or Deceased. To be clear, this doesn’t include anyone who may presently have it, symptoms or no symptoms… this is exclusively those who definitely had it, and now definitely don’t. At last tally, Sweden had 1,251 resolved cases.

Here are the numbers, for comparison… for all known resolved cases, these are the percentages of those who fully recovered:

South Korea: 97.2%
Canada: 91.3%
Italy: 61.8%
USA: 59.5%

And while we’re here… BC: 94.1% — and that number would be higher were it not for the type of clusters (like long-term care homes) that we’ve experienced here.

And Sweden…? 30.5%.

Out of 10 people in Sweden who’ve had this thing and it’s run it course, 7 have died. Which seriously brings to question how deeply they have their heads buried in the sand. That is a staggering number for a first-world country that claims to have things under control. I hope they come to their senses soon.

Closer to home…

There seems to be some confusion when it comes to physical distancing. Stay home or go out in the sun but don’t get together with others and jog, but away from other people and bike, but not where others do, so bike lanes are sort of not ok, so what’s the deal…

Here’s the deal. You can go out if you pretend the following… pretend that you’re carrying this virus… you’re very fortunate that you have no symptoms, but you’re very infectious… and, if you give this to someone else, the moment you do, a lightning bolt will shoot out of the sky and strike you dead, instantly. Just like that.

So… what do you need do to avoid that? A mask or mouth covering helps… a lot. It doesn’t help you as much as it helps others, but like that parable where everyone’s arms are frozen straight out and everyone fears they’ll starve to death because they can’t feed themselves… well, duh, just feed each other. Everyone wins when you do your part.

When you cough or sneeze, you eject particles into the air…. little droplets within which the virus is carried… and those droplets can hang around, suspended in the air. Not for hours, but for several seconds. While the virus itself is small enough to penetrate most fabrics, water droplets are comparatively much bigger… so wearing a mask is like coughing or sneezing into your elbow or a handkerchief.

Assuming no masks, if you’re walking single file outside with other people (Arbutus corridor, seawall, sidewalks…), maintain a distance of 4 to 5 meters. If the guy in front of you coughs or sneezes, it’s unlikely to reach you. If you’re jogging or slow biking, 10 meters. And normal biking, 20 meters. And if you’re heading towards each other — well, you’re in the wrong place. As much as I enjoy cycling, not there, not now. Someone else just breathing hard, let alone coughing/sneezing — within 20 meters of us approaching each other — I would be breathing his exhaust. I don’t want to do that.

The numbers across the country look good. Flat, or lower… let’s keep at it… and hope that the people who decided to ignore what Dr. Henry and Mr. Dix said about 100 times this week…. “This is not the time to…”, and jammed up the ferry line-ups this morning, and swarmed Victoria and the Gulf Islands — don’t wreck things for all of us.

 

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Day 24 – April 9, 2020

Oh, Canada… our home and native land is a lot more relevant to the majority of people reading this, so I’ve made some changes. You will notice that the original graph that started this little daily update is gone. It’s served its purpose, which originally was to map an apples-to-apples comparison of Italy, the U.S. and Canada — with South Korea thrown in for reference — if you were to superimpose their trajectories from a comparable starting point. When that started, Italy was 10 days ahead of the U.S. and the U.S. was 10 days ahead of Canada. On the graph, all of those lines were on top of each other, and it was going to be interesting to watch what happens as time goes on.

To summarize what has happened since… and you can look at yesterday’s final version of that graph to see what I mean (or go back even further and see when things really started to diverge)… The U.S. was actually doing better than Italy for a while, until all hell broke loose… then they burst through that green line and have never looked back. Italy, while still in the midst of their crisis, has definitely seen its curve flattening. Canada, for a while worryingly tracking the U.S., “fell off the bottom” of that blue curve and has comparatively been doing a lot better. The B.C. line, on this scale, is indistinguishable from the X-axis. Indeed, it’s the scale of this graph (linear Y-axis) that has rendered it useless. The unfortunate blue-line numbers will just keep squashing the other lines down, so we retire this graph with full honours, though I will still track the data and update the TTD logarithmic graph of Canada vs. The World.

But there are two new graphs… one, on the bottom left, is exactly what I described above, but just for Canada… with B.C., Ontario and Quebec. You will notice with some degree of curiosity that the Quebec line is above the Canada line… how can that be? Isn’t Quebec still part of Canada? Let’s not have that particular discussion, right here, right now. Yes, of course they are, so what’s the deal?

Nos amis from la belle province, with their usual panache, were simply late to the party. Given that this graph aims to compare apples to apples, its starting point is the same for everyone. Quebec recorded its 100th case March 18th or 19th. On that day, both B.C.and Ontario were around 250 each. Canada’s total was around 800.

Forgetting when it happened, but rather how it happened, Quebec’s numbers were not great for a while; they quickly accelerated at a frightening rate. They went from 100 to 1,000 cases in 5 days… a pace that exceeds Canada’s overall trajectory. The good news for our frères and sœurs is that things have recently looked a lot better. In fact, while numbers keep growing, they are growing more slowly. The “Cases Increase” percentage columns all tell that same story. Social/physical distancing… you know.

Where are the Prairies, the Maritimes, the Territories in all of this…? Listen, you don’t want to be on my charts… I aim to chart the big, significant numbers. Hope you never get so relevant that you need your own data column and squiggly line… anyway, there are only so many colours.

Special shoutout to Nunavut… with respect to this pandemic, they are having none of it. Ha Ha!! (Sorry). But indeed, they’re the only province or territory with zero cases. How it that possible? It’s very simple… the population density of our northern compatriots is 0.02 people per square km. In other words, everyone up there gets their own 50 sq. kms. In other words, go up there and draw a square that’s 7km per side. It’s all yours. It’s also really cold. All of that combined equals automatically-imposed social/physical distancing. And check it out… zero infections. Case closed.

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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 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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