Sweden

April 12, 2021

Let’s tackle another one of those “Ask me in a year” questions that popped up around last April… and this one was pretty contentious… the question of how Sweden was handling the pandemic, in harsh contrast to most of the rest of the world. Sweden’s head epidemiologist, Anders Tegnell, had the same response to his critics. “Ask me next year”.

A year later, the answer can be summarized in one sentence: “What else were you expecting?”

Both Sweden and the U.K. initially tried the same approach… which was mostly a version of “Protect the elderly and vulnerable, but the rest of you can go on with your lives as normal. No masks or any of that nonsense needed.” In the U.K., that didn’t last long. They quickly course-corrected when things started getting out of hand. Back in Sweden, Tegnell felt abandoned, but held the line… and, as usual, the longer it goes, the harder it is to admit you were wrong, because then… part of it is having to admit you were wrong all along.

On that note, there are those who will still argue it wasn’t wrong. There are people who have friends and relatives that needlessly died… who’ll tell you it wasn’t wrong. I’m not here to judge people’s opinions, though one thing I’ve learned over the last year is that there are a lot of irrational people, and then more irrational the idea, the more irrationally some people will hold on to it.

Culturally, Sweden is most like its Nordic neighbours, so let’s just do a bit of and apples-to-apples comparisons:

Covid-19 deaths per million of population:
Denmark: 421
Finland: 158
Norway: 126
Sweden: 1,342

Economic impact of C19 on GDP 2020:
Denmark: -4.2%
Finland: -3.1%
Norway: -3.6%
Sweden: -4.0%

Expected GDP recovery 2021:
Denmark: +3.5%
Finland: +2.8%
Norway: +3.6%
Sweden: +3.5%

In summary, thanks to their policies, between three to ten times the number of deaths… and, as far as that being the trade-off for saving the economy? It seems to have had no impact whatsoever. And these days, in Sweden, out in public and especially on public transit… you’ll see lots of masks.

Asked and answered. Moving on.

January 2, 2021

Somewhere downstairs in the storage room, there’s a box with a lot of old papers. Among them, a few select school papers I chose to keep, for one reason or another. Among the surprisingly good ones (8 or 9 out of 10), there is one with nothing on it but a big, fat, red zero.

I wrote that paper in grade 9, for Social Studies. I’d been sick for a few days, and a friend had called me up to let me know what I’d missed. A paper had been assigned, due Monday… with a weird topic, but ok… I’d missed several classes and didn’t really know what was going on. The topic was something like “Discuss the potential implications of youth in Asia in Canada.”

Odd… but, I’d recently done a big project on Japan, and knew all about Japanese schoolgirls and their influence on the world, how marketing companies in Japan were catering to their wishes and how the world was watching that, etc. This was the early 80s, and “Made in Japan” was a lot more common than “Made in China”. I had plenty of material, and I wrote what I thought was an excellent paper.

The teacher was a super-cool guy, Mr. Turner… who years later went off and founded a very successful outdoor school. On this day, he handed back all of the papers except mine. “See me after class” was all I heard.

So, I stuck around after… and he was usually very chill, but for once he was actually mad. “What the hell is this?”, he asked, as he threw the paper in my direction. He thought I was making a stupid joke, but the truth is, up to that point, I’d never heard the word “euthanasia”.

There was a moment of great confusion… then laughter… and he let me go home and re-write it… but the jokes kept coming… for years. He also taught grade 12 Geology… so three years later, on a test where I wrote an answer to a question about plate tectonics, he commented something like “the magma gets it moving but the youth in Japan keep it going!” Yeah, LOL. Cheers, Tim… wherever you are.

All that being said, there’s plenty to learn from Japan. Their handling of this pandemic has been exemplary, especially when you consider how crowded it is, and the advanced age of their population. This pandemic should have decimated that country, yet it’s been the opposite.

For comparison, here are some numbers…

Tests per million of population:
Canada — 363,000
U.S. — 772,000
Japan — 39,000

Cases per million of population:
Canada — 16,000
U.S. — 63,000
Japan — 2,000

Deaths per million of population:
Canada — 410
U.S. — 1,074
Japan — 28

More people will have died from C19 in the U.S. in the last 24 hours than in Japan since the very beginning.

What did they do right?

Did they do massive lockdowns, like so many other places? No. Did they try the “let it run wild but shelter the elderly” approach, like Sweden and, briefly, the U.K.? No. Did they massively test everyone over and over? Clearly not.

What looked like a cloud but turned out to be a very silver lining was the ill-fated cruise ship Diamond Princess, consumed with C19, that arrived in Japan in February. Their 3,700 passengers with 712 cases (699 recoveries, 12 deaths) were studied; it was a very good learning opportunity, and they took full advantage of it… and, out of it, developed a plan called the three Cs:

Closed spaces
Crowded places
Close-contact settings

They simply bashed that message into everyone’s heads repeatedly, because they understood the nature of transmission of this virus: Avoid all of that, and you’ll be ok. Yes, it’s good to wash your hands and not touch your face and all of that… but that is hugely outweighed by what they understood to be the real risks.

In Japan, some people carry around devices to measure airflow. Any place with a CO2 ppm of more than 1,000 implies poor airflow; stay away and/or get out. Subways are ok if windows are open and passengers wear masks. Sitting diagonally instead of across from someone can reduce the risk of infection by 75%. Well-ventilated movie theaters where people are eating popcorn and drinking Coke? No problem. Lots of other little warnings, some very specific: dinner parties with alcohol… groups of more than four… talking without masks at close quarters… changing rooms… break rooms… dormitories.

Their list of risks was far more detailed, and, therefore, far less restrictive. And, evidently, very effective when respected… and that’s perhaps where the biggest difference comes in… a culture willing to strictly accept certain restrictions. Not the wishy-washy, bend-the-rules, find-the loopholes sort of attitude; actually adhere to it. The long line-ups in Japan weren’t for toilet paper and paper towels and hand sanitizer… they were simply for masks.

On June 19th, the day the Oklahoma Supreme Court rejected a requirement for face masks and social distancing at Trump’s campaign rally in Tulsa, people in Japan were lined up for hours, waiting to purchase the just-released breathable-fabric Uniqlo masks. They sold out almost instantly. The website crashed. Everyone wanted masks.

Japanese people have been wearing masks long before this pandemic. It’s culturally welcomed, accepted, not-frowned-upon and, most of all, clearly understood… so this wasn’t a tough sell. The breakdown of mask-wearing data around the world stops tracking north of 80%… but that’s where Japan is… > 80%. Canada and the U.S… depends what state/province. As low as < 10% in many places, 10-20% in a few. A handful at 40-50%, everyone else… less. You want proof masks are effective? Japan for the win. It’s unfortunate that, culturally, around here, we’re a lot more like the U.S. than Japan… and that’s why our restrictions seem harsh; because anything less, we wouldn’t listen to them. As it is already, we’re not listening enough… I’m not even going to talk about the U.S… where wearing a mask is an affront to personal freedom and all of that absurd bullshit; even around here, everyone listens to the rules and then pats themselves on the back for finding out clever ways around them. “What difference do masks really make?” you ask, rhetorically… well, there’s your not-so-rhetorical answer… a profoundly better situation in every sense… they’ll be back to normal long before us. Arguably, they’re already there. Arguably, they always were. Summary: stick to those three Cs and wear a mask. The only question left to answer is… what to order for dinner tonight… yeah, sushi… of course.

33 Likes, 8 Shares

By |2021-01-02T17:03:20-08:00January 2nd, 2021|Categories: COVID-19 Daily Report, Politics|Tags: , , , , , , , , , , |7 Comments

November 18, 2020

It’s been a while since I’ve written anything about Sweden, so it’s time for an update. To rewind to the almost-beginning, the first thing I ever wrote on the topic was on April 10th… my opinion with respect to what they were doing handling this pandemic… you can read it here: https://kemeny.ca/2020/04/10/april-10-2020/

If you’re not familiar with what they attempted to do, it’d be helpful to read that, for context. And here we are 7 months later:

Did their approach cause more deaths? They’d hoped it wouldn’t, but understood it might… but that the risk/reward was worth it. To summarize, “Some people might die, but saving the economy makes it worth it.” That post from April makes it pretty obvious that things were not heading in a great direction, but I suppose they’d hoped things would settle down.

How bad was it? The obvious comparison would be against their Scandinavian neighbours… and here are the deaths per million caused by C19:

Norway: 55
Finland: 67
Denmark: 133
Sweden: 624

Let’s mark that one down in the “miserable failure” column… but at least the economy was saved, right?

The usual measure of economic growth/decline is GDP. Here are those four countries’ rough economic declines for 2020, as per data from the OECD:

Norway: -5.1%
Finland: -5.9%
Denmark: -7.9%
Sweden: -7.7%

Not only did their economy suffer just as badly as their neighbours (the ones with one tenth the number of deaths), but it was actually a little worse.

Well… at least they achieved herd immunity, and after all those great sacrifices, they won’t have to face a second wave like all the rest of us, right?

Unfortunately, that second wave is hitting Sweden very hard, as we speak… so hard, in fact, that Sweden is abandoning the Swedish model. The very lockdowns and closures they’d so adamantly refused… are now in place. They’ve finally admitted to themselves that herd immunity is unachievable without a vaccine, or a tremendous amount of carnage, something that’s been evident to everyone else for a long time.

The whole thing was an unfortunate disaster, and for more than one reason, not the least of which was other “leaders” touting the benefit of the Swedish model and imposing it on their populations. Before all of this, the only thing that came to mind when you heard “Swedish model” was Tiger Wood’s wife… but, oh… how things have changed.

Those two Swedish models actually have something in common… one beat up her cheating husband and smashed up his SUV. The other one beat up an entire country, and smashed any confidence anyone could possibly have that letting this virus run its course is a good idea.

Elin Nordegren realized she was in a crappy situation, and moved on. Better late than never. I guess the same can be said about Sweden.

Follow & Discuss on Facebook

September 16, 2020

Today’s brief update will simply be about some simple numbers and some simple math.

Let’s say 100 people catch Covid-19… and struggle through it, till they’re either cured or dead… if 93 survived and 7 died, let’s write it down as 93/7. Looking around the world, here’s a brief sample of how that looks in different places:

United States: 95/5
China: 95/5
Canada: 93/7
Mexico: 87/13
Italy: 86/14

It’s annoying that some places have stopped publishing their recovery numbers. I’d be interested in throwing Sweden, U.K. and Spain into that mix to see how they compare.

The best ratios out there seem to come out, at best, 97/3.

If we just add up the entire planet — there have been almost exactly 30,000,000 cases – and the global ratio is 96/4.

The implication of that is that the true potential extent of this virus, should everyone on the planet get it, would mean a little over 300,000,000 deaths; simply 4% of the world’s 7.8 billion people.

Fortunately, there’s every reason to believe… through social practices and herd immunity (one way or the other), that nothing close to that will end up transpiring. But it’s always worthwhile to look at all the scenarios, and as far as the worst-case goes – there you have it.

View Original Post and All Comments on Facebook

Day 85 – June 9, 2020

My old high school calls me once a year… to sit on a sort-of Dragon’s Den panel thing… where all the students in business classes come up with business ideas and business plans, and the top 5 projects get presented to a panel of Dragons, much like the TV show of the same name. They do their business pitch, and the panel decides on the winner. Fun, interesting… and encouraging. There are some very bright, and soon-to-be successful kids coming down the pipe.

The winning pitch a few years ago was an App — ringtones that only young people could hear. Those higher frequencies, above 17.5KHz… most of us can hear them when we’re young… but by the time you hit 40, the ability goes away. The older you get, the farther down that number drops… below 15KHz and downwards. The presentation and demonstration were great; a bunch of blindfolded kids all putting their arms up in unison when the ringtone was activated; the rest of us unable to hear a thing. But the thing has other uses too — I used to use it to annoy my kids or get their attention. For those who can hear it, it’s loud and annoying, a super-high-pitched squeal that drives young people crazy. And nobody else can hear a thing.

It reminds me… a technology that didn’t exist when I was a kid… and has now cycled through to obsolescence… CDs, which were designed so that nobody would miss hearing a thing… 44.1KHz means 22,500Hz per stereo channel, more than enough frequency range for any human, and even more than enough for dogs to be able to hear that final note in “A Day in the Life”.

It’s also interesting that the standardized length of an audio CD, around 74-80 minutes (650-700MB)… was decided-upon because someone insisted that a full recording of Beethoven’s Ninth Symphony must be able to fit. Recordings of that Symphony range from 70 to 79 minutes, so it’s all good.

And what’s further interesting is that by the time Beethoven wrote that symphony, he’d already lost most of his hearing. It’s beyond comprehension… perhaps the greatest piece of music ever written… by someone who never actually heard it. There are many stories about the premiere of that piece, in 1824… where Beethoven himself insisted on conducting, the equivalent of a blind air-traffic controller armed only with binoculars and a megaphone. Nevertheless, it was Beethoven, so he was given the podium, and threw himself into the role with great relish. The musicians ignored him and kept their eyes on someone else, who quietly conducted from elsewhere. The result of that was… that by the time the piece was finished, Beethoven was still a few bars behind, caught up in the version playing through his head… and he was still conducting while the audience was giving him the first of five full enthusiastic, jubilant standing ovations. At some point, one of the musicians stood up and turned him around, so he could see and appreciate the well-deserved cheers and applause. He couldn’t hear it, but he could see it, including hats and handkerchiefs being thrown in the air, arms waving wildly around… the whole thing was a tremendous success.

Indeed, it’s possible to have great success, even when the conductor doesn’t know what’s going on. Even when all he’s listening to are voices in his head.

There are too many examples… heads of state… governors… Swedish head epidemiologists, etc… a long list of conductors that are out of sync with their respective orchestras… and this is where the metaphor breaks down, because there’s no other conductor off to the side. Because the music isn’t so great. While the varying orchestras may be marching to a different beat, at the end of the day, they sound like one voice. And what does that voice sound like? In many cases, it’s numbers… not notes. And not great numbers when you start looking around at places that haven’t managed things well, or that have started opening up before they should’ve. Yesterday saw surges or record highs in Oregon, California, Arkansas, Arizona, Texas, North Carolina, and Florida. Russia and India have seen surges. Also, Summer up here means Winter south of the equator. Brazil is a mess, and getting worse. Peru and Chile are seeing some pretty ugly numbers. Ugh.

Around here, some room for optimism… for Canada overall, over the last few weeks, a slow but steady decline in new cases. The Time To Double has gone from 53 days to around 130. Ontario’s TTD three weeks ago was around 39. Today it’s around 100. And both Quebec and B.C., over the last week, have averaged a TTD of around 175. All very far cries from the early days of this pandemic where TTDs of 3 were not uncommon.

Let’s just keep in mind… this symphony isn’t over. We may have reached the first pause, between the first and second movements. But let’s also remember the rules of classical music etiquette… you never applaud between movements. You wait until the whole thing is over before you stand up and give it the final applause of great success.

View Original Post and All Comments on Facebook

Day 70 – May 25, 2020

Yesterday’s post was met with a wide range of reaction, and the questions and comments lead me to think a bit of clarification and more detail would be appropriate. Some of those comments came from Swedes themselves, a little bit upset at being painted somewhat ruthlessly; to clarify, I’m speaking about leadership and their policies; not the general population, many of whom don’t agree with the official policy in the first place. And to also clarify, I’m not implying their leadership and epidemiologists are evil. They simply came up with a strategy, and it’s not working as they’d hoped. So, här är del två…

I first wrote about Sweden on April 10th… more than 6 weeks ago. I welcome you to scroll down and find it — it’s a pretty good summary of where things stood at that point, what measures where (and weren’t) in place, and what I thought of the whole idea. And sure, “What do you know?” is a fair question to ask of me… especially 6 weeks ago. We’re all continually asking the question of each other, and hopefully learning something. That same article also mentions a famous letter signed by more than 2,000 Swedish doctors, scientists and professors… the contents of which can be summarized succinctly as it relates to government policy (which hasn’t changed): “They are leading us to catastrophe”.

First of all, let’s clarify exactly what is meant by herd immunity.

Herd immunity is where enough people of a population are immune to the extent that the infection will no longer spread within that group. The more infectious a disease, the higher that percentage has to be. For example, mumps is very contagious. It has an Rø of 10 to 12, meaning every infected person will infect, on average, 10 to 12 others. Left unchecked, this would lead to 95% of the population getting infected. After that, the population can be considered to have acquired herd immunity, and the other 5% will inherit the benefit of that… because at that point, there’s no one left to catch it from. Measles has similar numbers. That particular herd-immunity threshold is very high, and can only be reached via vaccination because allowing everyone to catch either of those horrible diseases is not an option. And these days, completely preventable.

With the way the math works, the higher the Rø, the higher that herd immunity threshold. For COVID-19, estimates seem to run between 1.4 and 3.9. Both of those numbers seem extreme, but for the record, they imply a range of 29-74% to achieve herd immunity. An Rø of 2.3 seems to be generally accepted, implying herd immunity could be achieved with 57% of the population having become infected.

Is that likely in Sweden? Anywhere?

Before we answer that, it’s worth noting that the policy-makers in charge in Sweden have been backing away from claiming this was the idea in the first place. It’s a mixed message for sure, and it’s changed over time. I think it’s reasonable to assume it was the original intent; shelter those most at risk (an impossible task, but that’s also a different discussion) and then let the virus do as it may. But, to confuse things a bit, while businesses were to be open, a vast number of Swedes, not too different from Americans in some confused places, said to hell with what the government tells us; we will take our lead from others, perhaps like those 2,000 who signed that letter.

That’s intelligent on their part, but certainly affects the plan of “get the virus out there”. You can’t have it both ways, and perhaps you end up in a purgatory of sorts… where there’s too much illness to be handled properly, but nowhere near enough to be even close to establishing herd immunity. Indeed, by an order of magnitude, nobody on the planet is even remotely close. What do we need? 70% 60%? I’ll give you 50%. What’s Sweden at? Maybe 9%. More likely closer to 7%. And let me clarify… I am in no way blaming Swedish society for not doing their part; I’d have done the same thing, isolating myself and not frequenting crowded places. Even without any sort of lockdown, achieving herd immunity was not going to happen. Even if it were possible, it’d take years. To be sure, there are a lot more people who’ve been infected than we know… but still… that Stanford study that implied infection rates 50 to 85 times higher than thought… there are problems with that study, but let’s take it at face value… where are we at with that, near San Francicso? 2%. Nobody is even close to herd immunity, and it’s likely nobody will get there. Of course, a vaccine achieves that instantly, and that’s why we’re diligently aiming in that direction.

That sad thing about Sweden is that they could’ve seen it coming, but did nothing to prevent it. The U.K. tried this strategy… shelter the weak, keep things open, weather the storm… and bailed on it around March 17th. The U.K. was only at around 2,000 cases, but it was the drastic nature of growth that led them to quickly understand how bad this could get. Sweden had seen its 1,000th case by then, but it wouldn’t have been too late to re-evaluate then. Or the next day. Or any of the 40+ days since.

There is a discernible and not-too-surprising pattern emerging around the world; here are the worst three countries… for total cases, and daily new cases. In other words, not only have they seen the most cases, but they’re all still growing — faster than anyone else: U.S., Brazil, Russia. What do they have in common? Here’s a hint: Trump, Bolsonaro, Putin. Try changing those minds.

The Prime Minister of Sweden, Stefan Löfven, is no renegade populist. He’s a social democrat. And he’s dealing with a population of only 10 million people. It’s not great now, but it’s not too late. I wrote recently about the joys of being wrong, and the opportunities it affords. Perhaps it’s time for Sweden to give it some thought.

View Original Post and All Comments on Facebook

Day 69 – May 24, 2020

No updated numbers for B.C. today, so, as usual… I’ll make an intelligent guess and fix it tomorrow.

So let’s talk about yesterday’s numbers, and let’s begin with the old “5 blind guys and an elephant” parable. The premise of it is straightforward… these 5 guys have never encountered an elephant, and each reach different conclusions about the different parts of the elephant that they touch. The guy who grabs a leg describes it like a tree trunk. The guy who grabs the tail describes it as a rope. The guy who grabs an ear describes it as flat and floppy. The other two guys… one grabs a tusk, the other grabs the trunk. Their interpretation and discussion with each other is outside the scope of this post; we’ll leave Freudian experts to discuss their conclusions.

The moral of the story actually changes, depending on what lesson you’re trying to teach. Maybe that vastly differing opinions are all justified when talking about the same subject, like someone else’s opinion is just as valid. Maybe that sometimes, we’re fighting about the same thing. Maybe that we need to question our method of questioning. In some versions, the guys aren’t blind; just in the dark. But once they’ve “seen the light”, they all agree.

Let’s go with something like that… the guys aren’t blind, just initially blindfolded… but were convinced by their first impressions, especially because they went around telling everyone, and in doing so, convincing themselves that their version was “the most correct”. Indeed, even after the blindfolds were lifted, and they could see the big picture, they still clung to their beliefs… perhaps since they were already so invested. And, to add a bit more to it… once they could see, they realized that they were actually in an elephant park… with lots of different elephants. And, all of the elephants had been given names… of places, like in that series “Money Heist” (side note: watch Money Heist, and watch it in Spanish, with subtitles… incredibly good.. it’s on Netflix).

So these elephants… there’s one off in the distance… her name is New Zealand. She’s tiny, but looks very healthy. There’s one called Canada, who is really big and, for the most part, looks ok — parts of him looks much healthier than other parts, but he’ll be fine. There’s an elephant called United States… poor thing is really beaten up and needs to rest, but some trainer has a rope around him and is literally trying to drag him onto his feet.

But the elephant these guys had all initially touched and reached wildly different conclusions about… his name is Sweden.

Let’s pause here and be perfectly pragmatic. Without any opinion yet, here are some numbers, and a bit of comparison… of two places in the world where lots of people insist things are going really well: Sweden, and British Columbia. Starting points can be arbitrary, but for what it’s worth, both places had the same number of known cases (7) on Feb 27th. Sweden accelerated upwards far quicker than BC, and here’s where things are at, as of yesterday:

Population: BC 5.1M, Sweden 10.2M (2x)

Testing rates: BC 21.6 people out of 1,000, Sweden 20.8 (~same)

Known cases: BC: 2,517, Sweden 33,459 (13.4x)

Deaths: BC 157, Sweden 3,998 (25.5x)

Active cases: BC 303, Sweden 24,490 (81x)

Resolved cases recovery: BC 92.9% recovered, Sweden 55.4% recovered

Resolved cases deaths: BC 7.1% died, Sweden 44.6% died

Last 3 days: BC +40 positive tests, Sweden +1,665 positive tests (41.6x)

Last 3 days: BC 7 deaths, Sweden 161 deaths (23x)

I was chastised for stating somewhere that Sweden is letting their old people die. OK, I will clarify… they’re not letting their old people die; they’re letting everyone die. And by that, I simply mean they’re letting the virus run its natural course through the population, taking down whoever is unfortunate enough to contract the serious symptoms that might show up. The demographic profile of who’s actually dying is similar in both places, it’s just that for every elderly BC resident that passes away, 25 pass away in Sweden. That is the cost they’re willing to bear to keep the economy going, and there are undoubtedly people who’ll look at all of that, the same elephant I’m looking at, and come to a completely different conclusion as to what’s success and what isn’t. At some point, this is purely about opinion. The numbers speak for themselves, and you’re free to interpret them however you wish.

Yes… the measuring sticks of success are different, for different people. I don’t like to dwell in the purely pragmatic world, because it leaves out many things I consider very important and are part of my core values. Purely pragmatically, if you’re worried about economics, letting old people die makes sense. Same for sick or disabled people. The moment that the carrying-cost of someone’s existence outweighs the benefit, economically, to society, we’re throwing money away. Care homes? Wheelchair ramps? Braille on signs? Feeding into old-age pension plans? Think of all the money we could save.

A little over 80 years ago, around 1,000km south-west of Stockholm, there emerged a madman with that sort of agenda. Off he went, trying to rid his society of who and what he deemed undesirable, in the name of his version of the greater good. I wonder if perhaps the deep personal attachment I have to that particular historical event skews my objectivity, but on the “lives vs. economy” scale, I am very heavily tilted towards the “lives” side. Notwithstanding that without lives, you don’t have an economy anyway.

The few family members who managed to survive The Holocaust came out of it with very little, except each other, and that’s what I keep thinking about when this discussion comes up. Lives and family first, economy second. Elephants never forget… and when it comes to this, neither do I.

View Original Post and All Comments on Facebook

Day 37 – April 22, 2020

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

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

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

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

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

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

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

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

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

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

View Original Post and All Comments on Facebook

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.

View Original Post and All Comments on Facebook

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.

 

View Original Post and All Comments on Facebook

Go to Top