South Korea

March 17, 2023

I’d be remiss if I didn’t post a little something today; today is the 3-year anniversary of the first of what turned out to be close to 500 pandemic-related posts. And look, I even posted it right at 5pm, just like the good old days… and included the very first graph and accompanying data table.

It’s an interesting Catch-22… were it not for Covid, I’d obviously never have started writing about it. But not only that; I wouldn’t have had the time to do so. It was isolation and social distancing and cancelled meetings and Zoom that led to a nice pocket of free time every day to do some writing.

With Covid effectively over, at least what all of us would consider to have been “The Pandemic”, I’m back to not having anywhere near as much time as I did from 2020 to 2022. It shouldn’t take a relatively-catastrophic pandemic to be the driving force for being able to find time for myself, but this was continually on my mind today as I hopped from Zoom to Teams to Zoom to Teams to Zoom, meeting after meeting. WTF am I doing. I want to write something, and I’m actually not going to have time. How things have changed.

Well… maybe let’s put that change to good use. It’s taken me 5 minutes to write what you’ve just read up to here… what if AI could do the rest? What if I told some AI to write about this St. Patrick’s Day, bending the curve, three weeks to do so, following South Korea’s example, not following Italy’s, and speculating about an eventual vaccine. Hey, AI, take everything I knew (or thought I knew) on St. Patrick’s Day three years ago and write an essay.

So I did that… and here, between the lines, is what it spat out:

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Title: Three-Year Anniversary of My First COVID-19 Blog Post: A Reflection on St. Patrick’s Day and the Unpredictable Journey

Introduction

As the world celebrates St. Patrick’s Day, the luck of the Irish and the joy of the festivities, I am reminded of a different milestone. Today marks the three-year anniversary of my first blog post about COVID-19. It’s hard to believe that it has been that long since we were first introduced to the virus that brought the world to a standstill. This anniversary will always hold a special place in my heart as it falls on St. Patrick’s Day, a day meant for merriment and camaraderie.

In this article, I will take a walk down memory lane, reflecting on how things looked so uncertain back then, how we tried to copy South Korea’s success, and how we prayed we wouldn’t experience what was going on in Italy. We will also revisit the race for a vaccine and the long-lasting impact of the pandemic.

A Time of Uncertainty

Three years ago, on St. Patrick’s Day, we were filled with trepidation as the gravity of the COVID-19 pandemic began to set in. It was a time of uncertainty, and we were all grappling with the reality of the situation. As the virus rapidly spread across the globe, countries implemented lockdowns and social distancing measures to slow down the transmission.

The phrase “three weeks to bend the curve” became a rallying cry as people around the world did their best to adhere to the new normal. Those three weeks turned into months, and as time went by, it became increasingly clear that the virus would not be eradicated as quickly as we had hoped.

Learning from South Korea

As the pandemic progressed, we looked towards other countries for guidance. South Korea’s success in controlling the virus was a glimmer of hope for many. Through widespread testing, contact tracing, and strict quarantine measures, South Korea was able to minimize the virus’s impact significantly.

Countries around the world tried to emulate South Korea’s approach, but varying degrees of success were observed. It became evident that each country had its unique set of circumstances and challenges that needed tailored strategies.

Italy’s Struggle

As we were trying to learn from South Korea’s success, we also feared experiencing what was happening in Italy. The country was hit hard by COVID-19, with hospitals overwhelmed and the death toll rising at an alarming rate. Images of packed intensive care units and exhausted healthcare workers haunted us as we prayed that we wouldn’t have to face the same fate.

The world came together to support Italy in its time of need, with countries sending medical supplies, financial aid, and words of encouragement. The situation in Italy served as a grim reminder of the devastating potential of the virus.

The Race for a Vaccine

In the midst of the chaos, the scientific community was hard at work trying to develop a vaccine that could put an end to the pandemic. Typically, vaccines take years to develop, but the urgency of the situation led to an unprecedented global collaboration.

The development and distribution of vaccines became a race against time, and the world held its breath as we awaited the outcome. Within a year, several vaccines were developed, tested, and approved for emergency use – a remarkable achievement in the history of science and medicine.

The world rejoiced as vaccines became more widely available, and vaccination campaigns were launched worldwide. The vaccination process brought a sense of hope and optimism that we might finally be able to return to some semblance of normalcy.

The Long-lasting Impact

While the creation and distribution of vaccines marked a significant milestone in the fight against COVID-19, the pandemic’s long-lasting impact cannot be ignored. The world has changed in many ways, with remote work becoming more prevalent, increased focus on mental

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Huh… that’s interesting. It stopped right there. “increased focus on mental”… mental what? Mental health? Mental breakdown, much like this AI suffered at a wonderfully-coincidental moment? We’ll never know.

I have to be honest… and I say this with all due respect to the hundred trillion neural connections powering this beast… and also somewhat humbly… that I write better than this thing. Reading that was like crunching yourself through raw cereal with no milk or sugar; dry and tasteless. I read what it wrote and it’s like a grade-8 essay written by a kid whose friends are all already outside playing after-school road-hockey, and all he wants to do is get the hell out of his room and get on with real life.

Which, in essence, is a pretty good summary of where we’re at. Life is, indeed, for living… and, especially on such a beautiful day… blue skies, sunshine, with people already making their way to pubs everywhere, ready to get hammered on green beer, sing, be merry, and celebrate life… yeah, what am I doing here? It’s 5pm and still sunny and beautiful; let’s get on with it.

Day 98 – June 22, 2020

The numbers don’t lie. They can be twisted into statistics, which certainly can… depending how you paint them. But the raw numbers don’t lie.

Cases per million

Tests per million

Deaths per million

Deaths per case

Deaths per test

This list of malleable statistics is informative, but at the end of the day, there are some hard numbers that make up what feeds all these different angles of looking at the same thing. In my opinion, when all is said and done, excess deaths will have to be the numbers that get broken down. Those are not difficult numbers to pin down. Every jurisdiction knows, or should know, how many people die every day, week or month. That’s easily compared to the same period last year, whether as raw numbers or as a percentage of the population. These little graphs are showing up all over the place, and, as expected, show bumps starting in March.

The retro-analysis of these numbers will yield results that will get argued about, but those arguments will start falling flat the year after a vaccine shows up and things are fully back to normal. Certainly, they’re not all COVID deaths… but once you weed through cases of people who avoided the hospital out of fear and things like that, there won’t be another explanation.

In the meantime, we can only gauge where we’re at with numbers we can try to make as current as possible. Test positive cases is one. Virus-attributable deaths is another. Yes, we’re not testing enough. Or, as The President might suggest, we’re testing too much. Yes, some old people would’ve died anyway. Or, believe it or not, some old people can survive common colds or flus. Arguments on both sides, for now… but it’ll be hard to dispute ultimate deaths.

One number that we’ve all gotten used to is now changing… which is the average age of test-positive cases. How serious that turns out to be remains to be seen, but a lot more younger people are getting this. It’s no real surprise the Florida is turning into its own micro-disaster zone. Their governor (falsely) announced the curve was flattened, and things should head back to normal. Now we’re seeing the effects of what happens when you do that. The message that hasn’t been hammered home enough seems to be that until this thing is gone, it’s here. It ain’t over till it’s over. And I suppose the one thing about the presentation of this virus that makes it so difficult is how it skirts the line of “very serious” and “no big deal” so effectively, catering to both sides who’ve chosen what to believe. It’s at least 40x more lethal than a common flu, but it’s not 1,000x worse.

You may have noticed that my graphs and data have changed. I’ve removed Italy and South Korea. Both have been there from the start, because the entire reason I started writing was to track the path we (Canada) were on, as compared to others. There’s no longer much to learn from those two, because in three months, we’ve clearly defined our own track, both nationally and provincially. Thank you Italy and South Korea for providing us with data with which to compare, and congratulations on flattening your curves effectively.

What’s left now is the U.S to compare against. There was a time we were following them lockstep; fortunately for us, that deviated a while back. But what’s going on south of the border is still very important to us, so I’ve not only kept the U.S., but I’ve also added in the same level of detail as the Canadian national and provincial data. I’ve also removed the Time To Double (TTD) of 2 and added a TTD of 20. Indeed, things have flattened beyond the initial crisis. But as we’re learning, things can change. Numbers don’t lie.

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Day 54 – May 9, 2020

Especially these days… you know what’s worse than no WiFi? Crappy WiFi. Where the email kind of crawls in, but the attachment is now stuck and won’t refresh. Where you swipe down on Instagram, and it just hangs there forever. Where the webpage only half-loaded and managed to lock-up the browser. Where you need to get onto that Zoom meeting but it won’t connect. Or when it connects, you’re getting two frames per second and your face looks like the guy from Minecraft.

Such has been my day, trying to do all of this… outside! But the trade-off in quality and quantity of this post is offset by all the glorious sunshine I managed to absorb, so we’ll call it even. And ZoomHanging with some friends, some of whom I hadn’t seen in 10 years.

But I should point out that I did my outside gig — at home, in my yard, where social distancing is imposed by fences, hedges and the laws that apply to private property. Unlike some of the pictures and videos I saw from yesterday evening.

A stunning sunset by any definition, the sort where last year we’d all run down to English Bay or Spanish Banks and soak it all in. Except that this isn’t last year and things are a lot different. Or, should be a lot different, but judging from what I’ve seen of last night, there is a large part of the population that seems to have had enough, and to hell with restrictions and social distancing and everything else. It looked like the typical crowd getting ready to see the fireworks. It looked like a lackadaisical attitude of “We’ve had enough” coupled with “I’m young and healthy” coupled with “Even if I get this, outcomes around here are exceedingly optimistic” coupled with “I probably had this already and am immune.”

The combination of that will lead to — well, I have no crystal ball. We seem to have been spared the worst of it, around here, for now. It doesn’t take a lot to radically change that, and this entire thing is evolving very differently all around the planet. We’re doing very well around here — a world-class example when measured against other comparables — in fact, in populations of 5 million or greater, we are amongst the best on the planet, if not number one. This is the sort of false confidence that can lead to real trouble as the Summer drags on, as the heat sticks around, as the curve stays sort of flat but… annoyingly, still new cases popping up… and then the fall hits, and the second wave that’s looming on the horizon… which everyone seems to agree will be bad in some places. The question, of course, is where.

I have been following South Korea from the start; they are a good model to follow, and if you’ve been looking at my charts for any period of time, you’ll have seen that black line flat, and far below everything else. Five days ago, their new test-positive counts were +3, +2 and +4 for a few days. And in the last two days, they’ve been +12 and +18. They’ve had a flare-up, which started in a nightclub or two. South Korea, from the start, has managed things with massive testing and contact tracing, so it will be interesting to see how well they can contain this. Hopefully it flares down as quickly as it flared up. In a perfect world, it’ll get squashed right down, but… nightclubs? A hot, enclosed environment where people are sweating and breathing heavily in close proximity? We shall see.

Unfortunately, as we well-know, there’s a 14-day lag to know for sure. That’s in South Korea, and that’s also around here. We won’t know what effect, if any, the beach-crowding from last night will have. Or, tonight’s expected beach-crowding. Or tomorrow’s. Or next weekend’s long weekend. The problem with that is that neither outcome is great. If nothing bad comes of it, as in we don’t see a big rise in numbers, that will empower the “See? No big deal” crowds and it will become harder and harder to convince people to stick to it… and when people stop enforcing upon themselves what’s in the best interest of the greater good, we all suffer the consequences…. especially when September/October and the possible second wave all roll in.

Or, these numbers do generate a visible spike in positive tests… in which case the business re-openings and social relaxations… the phases 2, 3 and 4… all get pushed back until we have numbers which align with when those things should happen. And if you want to see what happens when rules get relaxed when the numbers aren’t where they should be, the U.S. will be providing many examples in the weeks to come.

For now, great day all across Canada… declining numbers everywhere… but now is not the time to irresponsibly give back all we’ve gained from all the sacrifices we’ve collectively made over the last couple of months. It seems a lot of people don’t understand that and/or don’t care. The effects of that remain to be seen.

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Day 49 – May 4, 2020

Consider this sentence: Over 20% of people tested positive.
Now consider this one: Only 20% of people tested positive.

Without even knowing what we’re talking about… without even knowing if testing positive is a good thing or a bad thing… like, perhaps we’re talking about infections. Perhaps we’re talking about antibodies. Perhaps we’re talking about random drug testing in your office. Perhaps we’re talking about cyclists and performance-enhancing drugs. Perhaps we’re talking about asking random people on the street what their outlook is for the future.

We don’t yet have a clue what we’re talking about, but the very first word of that sentence is already guiding your thought process. Better stated, the writer of that sentence (that’d be me) knows what he wants you to think, and is subtly suggesting it. I want you to agree with me. Maybe I want you to think that anything under 20% is fine. Or maybe I want you to think that anything over 20% is bad. But wait a minute, what if testing positive is a good thing? Then it’s the other way around.

Let’s take out those first words… what are you left with…. “20% of people tested positive”

OoOoOohhh, now what. What are you supposed to do with that? Think for yourself and decide?! Indeed, the vast majority of content we consume these days is written more towards getting you to think a certain way, or agree with a certain viewpoint — than to simply present the information. And further to that, once the algorithms have figured out what you like to think/read, they’ll spoon-feed you those sorts of stories… mostly because they know you’ll click on them, and that’ll generate ad revenue for them. This has pretty-much nothing do to with conveying news.

Back in the late 80s and early 90s, I did work for what was, at the time, the largest multi-line BBS west of Ontario. A BBS is an electronic Bulletin Board System, where you could call in with your computer’s modem and read/post public or private messages and play games and download a variety of different things. The vast majority of BBSs were single-line systems operated by hobbyists, but a few managed to take the technological leap to allow more than one person online at a time, no small feat as it required a lot of computing power, complicated software, multiple modems and multiple phone lines. From there arose chat systems and multi-player games.

This particular BBS, Mind Link, grew from 4 to 8 to 16 to around 40 phone lines by 1994, at which time it was acquired in the first wave of consolidation leading to what is today, the Internet. Indeed, Mind Link was one of the first in all of Canada to be able to offer an on-ramp onto that emerging information superhighway. It was all text-based back then, and it took about 10 finicky steps of loading unstable software in just the right sequence, just to get online. It was a virtual building of a delicate house of cards, every time. One wrong move and it would all lock up. In fact, it often locked-up for no reason at all.

I loved that job, for numerous reasons. First of all, the staff, all wonderful people, all intelligent and bright and some as tech-geeky as myself. And, I got to play with the coolest technology around; I was there the day we switched on the pipe to the internet — four Telebit Trailblazer modems working in sync, achieving a combined bandwidth of about 75 Kbps. Your internet connection today is somewhere between 20,000 and 1,000,000 Kbps. But back then, state of the art. Leading edge. Bleeding edge.

Part of my job was keeping it all going, a jack of all trades fixing whatever problem came up, known or obscure. And part of what I kept going were the news feeds. Back then, Mind Link contracted to receive news from a guy called Brad Templeton. His company was called ClariNet, and it was possibly the very first dot com to ever exist, because before that, commercial use of the internet was prohibited. Brad was a cool guy, and I spoke to him on a few occasions… and one time, the discussion drifted to the commercialization of the Internet, something most of its users (me included) did not want. What the heck is a dot com? There were dot org (non-profit organizations), dot edu (educational), dot gov (government) — but dot com? Commercial enterprise? Forget that. “It’s coming”, he said, “Prepare yourself. There’s opportunity here.” And I remember telling him, “Forget it. We won’t let that happen.” I told that quote to a few friends at the time, and they still won’t stop teasing me about it.

ClariNet dot com was allowed to exist because Brad cleverly convinced the powers that be that news is indeed an educational resource, and it would make sense to distribute it with the existing infrastructure. That he was doing it for profit was a secondary point, because what Brad was doing was very useful… he was consolidating news feeds straight off the wire… from UPI (United Press International), AP (Associated Press) and Reuters. These are the wire services where all news outlets get their news (or should, at least). Here was an unfiltered, raw source of news, straight from the ground. No editor, no opinion, just the facts. Twenty precent tested positive. No “Over”. No “Only”.

Part of what I did was make sure that the ClariNet feed was working properly, and that Mind Link was properly taking the news from those three sources and parsing and indexing everything into the right newsgroups. So, yes — I ended up reading an awful lot of news, and it led to a great appreciation of those particular three sources. I still look to them today for raw news, unfiltered by bias or opinion.

upi dot com
reuters dot com
ap dot org

In my opinion, far better than much of what’s out there.

So, on that note… acting as a news wire today, I will pass along four items of relatively unfiltered news, all of them interesting in their own way.

First… South Korea today is now reporting that those 263 patients who initially had been thought to have been re-infected — weren’t. Those people had re-tested positive after having been cleared of the virus, and it had been thought they may have become re-infected. However, none of those people developed symptoms again, and they’re now saying what many others around the world were saying… it must be a testing issue. Yes… the tests were picking up dead remnant virus fragments, not new infections. It might take months for the body to clear itself of dead virus fragments, but as of yet, there has not been a single case where those fragments have sprung back to life, nor is there any evidence of anyone who’s ever had the virus catching it a second time.

Second… an interesting story developing out of France. Something like 25% of French people smoke… but of the almost 500 COVID-19 patients admitted to a certain Paris hospital, only 5% were smokers. That is statistically significant, implying smokers are less likely to catch this disease. This is so counter-intuitive, it begs a closer look… and what’s emerging from the research is this: There is a cell-membrane protein called ACE2 which the COVID-19 virus attaches to, in order to infiltrate a healthy cell. But nicotine also binds to ACE2, leaving less of an opportunity for the virus to do so. And nicotine is also known to decrease inflammation. I would strongly urge you… do not take up smoking to protect yourself from this disease… but if you’re a recovering smoker and presently on nicotine patches or gum — that might be doing you more good than you think. France is preparing a trial of providing nicotine patches to patients, front-line workers and ordinary citizens. We shall see.

Third… an as-of-yet-not-peer-reviewed-but-still-interesting study… in a small sample group of ICU patients suffering from serious complications of this disease, in a group of patients aged less than 75… 100% — yes, all of them — were found to be Vitamin D deficient. That’s also eyebrow-raising, and it’s one you can very easily manage. Vitamin D supplements are available everywhere, and they’re cheap… and, it’s pretty difficult to OD on Vitamin D. There does exist such a thing as Vitamin toxicity, but you have to go way overboard to get there. Recommended doses range between 500 and 5,000 IU a day. I take 2,000. Apparently, you can go up to 10,000 a day for long periods of time and not suffer any consequences, but one might add that perhaps an optimal range is what’s desired; too much may also be harmful and it should be noted that Vitamin D, unlike Vitamin C, is not water-soluble. It’s fat-soluble, so your body will store it. But then again, you really have to go insane to over-do it… like 40,000 to 100,000 IU daily for months, before it becomes toxic. And/or, of course, just listen to Dr. Henry — go outside to the glorious wonderful sunshine for 30 minutes a day… it’s good for you in more ways than you might imagine.

Finally… green numbers all across Canada today. TTD numbers approaching 4 weeks or more… everywhere.

Extra extra, read all about it… good news all around.

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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 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 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 14 – March 30, 2020

In Stephen Hawking’s remarkable book “A Brief History of Time”, he mentions in the introduction that he was advised that each formula he put in the book would halve the sales. Zero formulas, one million sales. One formula, half a million sales. Two formulas, a quarter-million sales. And so on.

By the way, that is exponential growth (well, decay, in that case). Which is what I’m going to talk about, but it’s also why I will try to include as few formulas as possible. Let’s stick to what’s important. Like, driving a car. Gas pedal, go. Brake pedal, stop. Steer where you want to go. That’s basically it, and you don’t need to understand the magic taking place under the hood to make good use of the car.

So, speaking of cars… let’s say you’re in your car, and you want to go from 0 to 100 km/h. My first car did that in about 18 seconds. My current car does it in 2.9. Both of those numbers are insane, but for completely different reasons.

Let’s look at the new chart I’ve added, which is a logarithmic graph of all the same data… and some dotted-dashed lines I’ll explain below.

You car will follow an acceleration curve, which… interestingly, for a supercar like a Ferrari, will look a lot like the Italian line on the logarithmic chart. A more modest car, like a Kia, will look more like the South Korea line.

Ooohhh, wait a minute, we might be onto something here…

All cars eventually hit a top speed where they are no longer accelerating, and when they do, like the Kia/South Korea line almost has, it flattens out to a near-zero slope. That Ferrari/Italy line will flatten out too, eventually, but as we can see, at a much higher level, and it’s not there yet… but trending that way.

The Canada line has been skirting the left side of its attached dotted line, and is now a little on its right. What’s it most looking like? Thankfully, very evidently, not the MegaSupercharged Corvette/US line, whose pedal is still floored and heading to a scary top speed. Whether Canada trends more like South Korea or Italy depends to be seen. Eyeballing it would imply somewhere in between. The math implies something similar. The reality remains to be seen with what happens in the critical next couple of weeks as the incubation window vs. social isolation window overlap winds down.

When I started doing these daily charts, which seems like years ago, but it’s actually only been a couple of weeks, my intention was to provide an apples-to-apples comparison of how we were doing vs. other countries, especially the US. We were roughly 10 days behind them, and they were roughly 10 days behind Italy. And I threw in South Korea so we’d have a good target to aim towards. There were the original little charts showing each country independently, to illustrate what their curves looked like, and the consolidated chart of all of those on top of each other at the same scale. And then I added B.C. because it’s behaving a little differently than the rest of Canada, and most of the people reading this (including me) live there.

I am not going remove any of that, because they’re still interesting to look at, especially if you’ve been following it from the start, but the scale of the numbers and the squashing effect renders the visuals less useful than before. You can zoom in and definitely see the red line detaching from the blue one. You can definitely see the yellow line detaching from the red one. But as time goes on, it’ll just turn into a thick purple line.

Which leads us to the new graph I added today, one you’ve likely seen elsewhere… a logarithmic representation. This one is a little cleaner because it only has my 5 data lines…. and 4 dotted-dash lines, which refer to a topic I brought up yesterday, and have everything to do with the rate of acceleration — the Time To Double. The steepest of those lines, the smallest dots, is a TTD of 2 days. The next one over, that the Canada line is riding and now hopefully falling off of, is a TTD of 3. Below those are TTDs of 5 and 10.

There is no magic number as to what’s good… the bigger the TTD, the better. The more manageable things are. The less the avalanche of cases.

Fun fact… do you remember in school, where some of you hated math, and argued with the teacher that you’d never in a million years need this in the real world… well, haha, guess what, what we’ve been talking about here is differential calculus, and the acceleration we’re looking at is the first-order derivative of these graphs and their data. And the rate of change of that acceleration is the second-order derivative.

Hey, sit down — I promised, no formulas. There’s no test. But… now you have some understanding at what it is the experts are looking at closely, and, in many cases… worryingly… the rate of change of the acceleration. And its implications with respect to time to double, and the planning and contingencies that needs to be in place for those different scenarios. When they talk about flattening the curve, this is the graph to which they’re referring. And in a perfect world, all of those lines start flattening-out to the right. I’d much rather be writing about rates of deceleration.

One day…. hopefully sooner than later.

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Day 10 – March 26, 2020

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

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

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

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

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

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

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

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

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

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