Spain

Day 44 – April 29, 2020

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

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

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

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

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

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

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

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

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

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

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

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

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By |2020-10-08T01:24:48-07:00April 29th, 2020|Categories: COVID-19 Daily Report, The First 100 Days, Business & Economics, Science of COVID-19, Travel Stories, Sports & Gaming, Philosophy, Art & Literature|Tags: , , , , , , , , , , , , , , , , |0 Comments
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Day 42 – April 27, 2020

Purely for the sake of creating examples, I am going to once again virtually kill a lot of people. Please don’t be sad… this is all made up as I go along.

  • Older lady, sheltering with family. All of them became a little sick, but not sick enough to get tested. Some fevers and coughs. She dies in her sleep, but doesn’t get tested. A few weeks later, the family is tested and they’ve all had it.
    – Young man, smoker, high blood pressure. Has a heart attack and dies. Tested and found to have had the virus.
    – Elderly man, tested positive, was doing ok at home, but breathing is becoming difficult. Gets in the car, speeding to the hospital, blows a red light and gets T-boned by a truck. Killed instantly.
    – Young man who, as a result of the lockdown, lost his business and is now losing his home, history of depression, commits suicide. Tests negative.
    – Same example as above, but tests positive.
    – Middle-aged man has a heart attack, rushed to hospital, but massive delay at ER… and dies while waiting for admission. Tests positive. Or negative. Whatever.

    I can come up with lots of “edge cases”, but perhaps they don’t serve much purpose other than to spark an interesting conversation. Some of these are obvious, some are not, and some, one could argue, should be… but aren’t.

    The question you might think I’m about to pose is… what counts as a COVID-19 death… and yes, that’s part of it… but trying to answer just that question… can be quite problematic.

    At the moment, there is confusion and disagreement with respect to what counts and what doesn’t. There is a certainly a big difference between dying of COVID-19, and dying with it. And there’s a lot of grey area in-between the obvious cases.

    To compound the confusion, different jurisdictions have different ways of counting things… and many of them have changed their method as time has progressed. On April 14th, the state of New York changed what counts as a COVID-19 death, adding 3,700 to their count. More recently, Pennsylvania made adjustments that lowered their number by 200.

    My examples above are only a tiny fraction of the sorts of cases one could argue one way or the other, and my examples are pretty superficial. When it comes to categorizing deaths where there were pre-exisitng conditions, it requires real medical knowledge, and even then… one lung is full of fluid but the other is not, patient was positive but that’s an unusual presentation of the virus, plus this, minus that… it’s up for debate among medical professionals, let alone everyone else who may have a vested interest in that number being higher or lower.

    It’s complicated. And, obviously, necessary to standardize in the long run so everyone can be talking about the same thing. But in the meantime, there’s another number that’s very telling and, to a great extent, indisputable.

    If you want to shut up the “it’s just a seasonal flu” crowd, and the “the death rate is like 0.04% because everyone already has it” crowd… look no further than excess deaths.

    Excess deaths is exactly what is sounds like… if in a certain place, on average, N people die in the month of March, and historically that’s held quite accurately as X% of the population, then you have a pretty good argument for COVID-19 deaths when that number is N+2,000. Even if the official tally says only 1,500 virus deaths, you know it’s been understated by up to 500… which would indicate undercounting by 33%

    You can then set aside the differences between states and countries as to what counts and what doesn’t, because after you factor out the obvious ones such as accidents, you have a bunch of deaths that are generally unaccounted for, with no category. There’s a good chance that this virus is their category.

    This has been going on long enough that we can actually start looking at those numbers, to see if they reveal anything of value.

    Note that there are times when averages are worth talking about… and there are times when they are not. Averaging the ages of passengers on a school bus full of kindergarten kids and their grandparents… tells us little. The average of 20 5-year-olds and 20 people aged 68 to 82… is about 40. And nobody on that bus is anywhere near that age. Two averages tell us a lot more… like one average is 5, and the other is 75.

    Keeping that in mind… is there any consistency with respect to excess deaths?

    Europe is a good place to look, with its diversity of population and experience during this pandemic. The average excess death percentage across 13 countries is 49%… which means for every two documented COVID-19 deaths, there was an additional one that flew under the radar.

    As one might expect, the hardest hit places were Italy (90%) and Spain (51%). Those are two places where things got out of control quickly… and also where there is already enough data to make sweeping generalizations. If you look at graphs of what this looks like, The Financial Times, at ft.com, has an article titled “Global coronavirus death toll could be 60% higher than reported” with lots of little graphs, per country, to look at.

    Note that this still isn’t apples to apples, because Spain and Italy were first, and are much further along their pandemic trajectory than others. In comparison, you might be tempted to look at other countries and think it doesn’t look so bad, but this is something to revisit in the future, when more than one month of data is available. Those graphs, per country, all show a series of flat, grey lines (previous years) and then the red 2020 line… which goes along quietly on top of the others and then suddenly spikes, sharply and quite alarmingly in most cases. What’s interesting to see is that these spikes are like ocean waves… and there’s no way to tell if that wave is crashing, or whether it’s the first part of the wall of a tsunami. Ideally, it spikes right back down again… and Spain and Italy may well be doing that. The others; the jury is still out. The England/Wales number is “only” 37%, but that graph looks ready to continue to rise, and/or at least continue to fill a long red section. As do many others.

    And when you drill down to certain, known areas of concern… New York City — forget the official stats… they have a 300% excess death-rate to look at. London, 96%. Paris, 122%. Stockholm, 75%. And if you look at Northern Italy, specifically the hard-hit Bergamo province… 464%.

    He are some raw and indisputable numbers of how it looks when things don’t get clamped down. Lots more people die, directly or indirectly, as a result of this virus.

These places seems distant and irrelevant to some of us here, lucky enough to live in a place with 39 new cases yesterday and only 11 today. And that’s a result of doing things right. It’s not just luck.

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By |2020-10-08T01:24:49-07:00April 27th, 2020|Categories: COVID-19 Daily Report, The First 100 Days, Business & Economics, Travel Stories, Sports & Gaming, Philosophy, Art & Literature|Tags: , , , , , , , , , , , , , , , , , , , |0 Comments
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Day 41 – April 26, 2020

Today is the quiet day with numbers, so not much to say except let’s see how tomorrow pans out. Yesterday’s spike around here is mostly attributable to a few known and developing clusters, but we’re at the edge of the 14-day window after the Easter long weekend… so its effects, if any, may also be coming to light. I’ve just guessed at today’s B.C. number, but for what it’s worth, Ontario today saw it’s lowest numbers for new cases and deaths in two weeks; more signs of everything going in the right direction.

I’ll adjust numbers tomorrow when we get a real update, but for now, with not much more to add, writing yesterday’s airplane post reminded me of something that happened about 20 years ago… just before 9/11, when there was a whole lot less security… almost non-existent in some airports. So I’ll tell you about that.

I was traveling from Chile to Costa Rica, via a brief stop-over in Lima, Peru. The usual pit-stop for fuel and more passengers.

The city of Lima is right on the coast, and the airport is next to the water. Having stopped there before, I knew there had been a time when they'd make you get off the plane and go to the waiting area, where they'd hoped you’d spend your hard-earned dollars on low-grade over-priced Peruvian artisan crap. I guess nobody ever bought anything because now they’d given up; now you wait on the plane. In fact, as punishment, except for those whose final destination was Lima, nobody was allowed off the plane.

The plane lands, the doors open, air-stairs pull up. The plane is out in the middle of the tarmac, so they open both the front and back doors, allowing the lovely midday breeze to flow through the plane. The sickly aroma of trash, rotting fish and jet fuel is a "refreshing" change. The holy trifecta of nauseous smells, all conveniently packaged for your travelling convenience.

They leave the doors open because those guys in orange vests and clean-up people and inspectors and whoever are all walking through, and then the new passengers start getting on as well. The plane's air-conditioning hasn't been turned off during any of it, so the smells are well-infused into the system by the time they close the doors.

A few people are complaining about the smell, but the stewardesses are helpless. They shrug their shoulders and make sympathetic noises about spraying deodorizer once we're in the air. I've got my face buried in this little "eye-pillow" — it's not very big, but it's full of Lavender and Sage and other wonderful-smelling herbs.

Fast forward to about an hour into the flight… the smell hasn't gotten any better. In fact, it's worse — especially the fish aspect of it. It's really bad. I'm wondering how it could possibly be getting worse; that doesn't make too much sense. What sort of air system amplifies bad smells?

Suddenly, there's gasping and shouting coming from the back of the plane… and then, the most awful pungent disgusting stench you can possibly imagine overwhelms the entire cabin. Someone had decided to open the overheard compartment to get something. Well, as you well-know, be careful when opening the overhead bins… items may shift during flight…

As it turns out, one very special sort of idiot boarded the plane with fish. Not a fancy wooden box of freeze-dried Canadian Salmon sort-of-thing; not the overpriced touristy last-minute gift-shop vacuum-sealed sample of the local delicacy… not a jar of herring… not a can of sardines… no, not that…

No… this was a good old-fashioned styrofoam box with a loose lid, and a fish or two thrown in it… and the styrofoam box and at least one of its occupants now found themselves on the floor of the plane. I was in the window seat, so really couldn’t see to the back; I was relying on the play-by-play of the lady on the aisle, and here are some of her comments, translated from the original, colourful Spanish:

"For the love of sweet Jesus and his sainted mother, he has a fish!"
"For God's sake, I think the fish is alive, it's moving! Oh, no, it's just that some guy is stepping on it"
"That little girl is going to be sick, I just know it, I can tell, I know these things. See, I told you"

It really is hard to describe. I mean, we've all smelled fish. We've all smelled rotten fish. But if you've ever been in a cigar tube 7 miles above the ground with no opportunity to open a window — well, it does add a whole new dimension to the experience. And add to that, the variety of sounds and smells of other people becoming ill. I recall the guy on the other side of the aisle in the "crash position" with his head between his knees. He was next.

After a lot of hysterics, things got better. They found some plastic wrap and sealed the whole mess. They sprayed some powerful, good-smelling stuff on the fish juice on the floor… and throughout the cabin. And free drinks for everyone. All good.

Thinking back on it… and I realize this was before 9/11, but still… can someone kindly explain to me how someone manages to get a box of fish onto an airplane? Was the guy at the X-ray machine asleep? Didn't care? That X-ray must have been hilarious to see, a literal fish skeleton. Hey sir, mind if we look in the box? What’s in here? Oh, fish, of course, that’s what we thought. I mean, that’s what it looked like and we could smell it a mile away… just wanted to verify! Have a great flight!

Agh.. you know, we were going to order sushi tonight. Now I’m not so sure.

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By |2020-10-08T01:24:49-07:00April 26th, 2020|Categories: COVID-19 Daily Report, The First 100 Days, Travel Stories, Philosophy, Art & Literature|Tags: , , , , , , , , , |0 Comments
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Day 35 April 20, 2020

On the evening of March 23, 1989, Captain Joseph Hazelwood retired to his stateroom for the night, leaving his ship, the 987-foot, 240,000-ton Exxon Valdez, in the less-than-capable hands of his (unlicensed) 3rd mate. Shortly after midnight, the oil tanker fetched up on Bligh Reef, cracked open and, over 3 days, spilled almost 11 million gallons of crude oil into the pristine waters of Prince William Sound, contaminating more than 1,000 miles of coast line, 200 of it very badly… damage still evident today. Hundreds of thousands of animals — fish, birds, otters — lost their lives, in what must have been viewed from their eyes, their own hellish pandemic. A literal Black Death oozing towards them, like some Stephen King horror swamp creature brought to life.

Captain Hazelwood was crucified in the press and public opinion. Every bad story needs its villain, and he took the hit. Ultimately, the captain is responsible for his ship, period… but for things to go so wrong, there’s usually more to it… and there was, but that didn’t stop the finger pointing, and all of those fingers pointed to him.

More recently, like yesterday at around 4:30pm, The Spirit of Vancouver Island, a B.C. ferry, had a bit of a hard landing in Tsawwassen after its 90-minute journey from Victoria. The ship was slightly damaged, but no oil was spilled and no injuries were reported, and other than the hassle for some people having to wait up to 4 hours to disembark (and completely wrecking the day’s schedule for sailings), that was pretty much it.

I wasn’t on that ferry (and unless you had some urgent business, you shouldn’t have been either), but I can imagine what was going on after that happened. An announcement… “Sorry folks, as I’m sure you realize, blahblahlah, we’ll sort it out”. After that, for the people who were stuck on board, more “sorry” and free juice. At the time it happened, on the bridge, right after that veritable “Oh… shit” moment, someone saying “Sorry… so sorry, my bad”. As the last cars and trucks finally drove off, I’m sure there were more waves from the crew, and “sorry”. After the fact, B.C. Ferries put out at statement saying… yeah, you guessed it.

It is such a Canadian thing; we are known as the kings and queens of sorry, to the extent it may have lost its meaning. You might be standing in the street minding your own business, and some idiot buried in his phone will walk right into you, and you will find yourself saying, “Sorry!” You might be standing in some grocery aisle trying to decide which brand of maple syrup to purchase, and some fool will run his shopping cart into you, causing you to drop your maple-leaf-shaped bottle… but for some reason, you will say “Sorry!” Not too long go, I found myself saying sorry to a door that I’d just bumped. How very Canadian.

But Captain Joseph Hazelwood… he didn’t say sorry. I remember watching an interview when this happened more than 30 years ago, this guy getting grilled by the reporter, and the last question… “Are you sorry?”

You could see it in his eyes, his quivering lip… he desperately wanted to, but couldn’t. Like, of course he was sorry. That’s what he wanted to say… a long, heartfelt apology to the people of Alaska, to his family, to Exxon, to the planet… for screwing up, at least to the extent that he was responsible. But no, because no doubt… some lawyer, before the interview, told him… no matter what… no matter what, Joseph… do not say sorry.

The reason is pretty straightforward… the legal implications. Sorry means: “I know I messed up and therefore it’s my fault and therefore I’m responsible and therefore you may sue me.” This is in the United States, where most certainly, when you screw up and when you’re liable, you will get sued.

Around here, we actually have a law… we needed a law… to allow us to continue to be Canadian, and say sorry, and not incur any liability in doing so. It’s so Canadian, you’d think we’d cover it federally, but we don’t. Each province and territory (except Quebec and the Yukon) have their own version of an Apology Act, which basically lets you say “Sorry!” to anyone and everyone, and not incur the sort of blame that would stand up in court.

South of the border, though… not many apologies and lots of lawsuits. As things continue to go… south… in certain jurisdictions, the finger-pointing will get more aggressive. The blaming will get louder. The alternative-facts will become entrenched and indistinguishable from reality. And there will be lawsuits; many of them. As people die and businesses fail, someone is going to have to take the blame, and it’s always someone else. Cities will blame counties, counties will blame states, states will blame the federal government. But the leader of the executive branch of the federal government is not well known for apologizing or taking blame; indeed, he’s well known for lashing out at anyone who blames him for anything… so where will it lead?

I have no idea, culturally, what “sorry” implies in China. But I do know that a class-action lawsuit (based in the U.S., of course) involving 10,000 claimants from 40 different countries is seeking 6 trillion dollars in damages from China, because the virus is, you know, all their fault. Maybe if that goes through, we can all go after Spain next. With 100 years of interest on top of it.

Six trillion dollars.. I can’t even begin to describe how much money that is, but here’s a visualization. Take a stack of $100 bills… we can all visualize $1,000… just 10 bills. A thousand of those stacks is a million dollars. That stack would be about a metre tall. So a billion dollars would be a stack 1,000 times bigger… a kilometre. And by the way, that’s a pretty good “wow” of just how much bigger a billion is than a million. But a trillion? That’s a stack of bills 1,000km high. That gets you to the International Space Station and back again to the ground and then another 200km back up. Oh, and it’s 6 trillion… a 6,000km stack of $100 bills.

Apologizing went out of style with President Trump, and lawsuits have always been in style… and nobody wants to be the one holding the bag at the end of colossal losses being incurred by a situation that, ironically, perhaps has no nexus of blame. Which means lawsuits, for decades. And no apologies.

For what it’s worth, 20 years later, in 2009 (after all the legal entanglements had been unravelled, and whatever relevant statutes of limitations had expired), Captain Hazelwood did indeed offer a heartfelt apology.

OK, while I’m here… an update on numbers… B.C. is really looking good, on track for some of the mid-May relaxations we’ve been told about if these trends and numbers hold. Let’s wait till 2 weeks after the long weekend to make that judgement. So far, so good… keep at it… that finish line, in whatever form it initially takes… is getting closer.

Finally… like I’ve said before, when I sit down to write this… the intention is to talk about some relevant aspect of the pandemic, but sometimes I’m not really sure where it’s going to wind up. Sometimes it’s current and sometimes it’s thought-provoking and sometimes it’s relevant and sometimes it’s… well, what can I say if it’s none of the above… if you read all that and now wish you had those few minutes of your life back………. sorry!

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By |2020-10-08T01:24:52-07:00April 20th, 2020|Categories: COVID-19 Daily Report, The First 100 Days, Politics, Business & Economics, Life in Vancouver, Sports & Gaming, Space & Astronomy, Philosophy, Art & Literature|Tags: , , , , , , , , , , , , , , , , , , , , , , |21 Comments
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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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By |2020-10-08T01:24:53-07:00April 19th, 2020|Categories: COVID-19 Daily Report, The First 100 Days, Business & Economics, Travel Stories, Sports & Gaming, Philosophy, Art & Literature|Tags: , , , , , , , , , , , , , , , , , , , , , , , , , |10 Comments
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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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By |2020-10-08T01:26:05-07:00April 7th, 2020|Categories: COVID-19 Daily Report, The First 100 Days, Politics, Business & Economics, Science of COVID-19, Life in Vancouver, Philosophy, Art & Literature|Tags: , , , , , , , , , , , |24 Comments
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