United Kingdom

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.

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Day 56 – May 11, 2020

William Henry Harrison was elected to the presidency of The United States of America in 1840, as only the 9th president of that young nation. Indeed, right around the time he was born, George Washington was giving his first State of the Union address. His running mate, John Tyler, was elected vice-president. But this posting has little to do with the presidency of Harrison, because he didn’t do much, and died a month into his term, leading to his VP’s ascension to the throne.

John Tyler (1790-1862) was sworn in as the 10th president, and served in that capacity from 1841 until the next election, where he was soundly defeated, making him the longest-serving president who was never actually elected.

Tyler may not have made a great president, but he did make a lot of children… 15 of them. He was 63 years old when one of them, Lyon Gardiner Tyler (1853-1935), was born.

Lyon Gardner wasn’t quite as good as his dad at fathering lots of children, but he did ok, having 6 of his own. And he was certainly good at having them at an older age. One of them, Lyon Gardiner Tyler Junior, was born in 1924, when Senior was 71. And another, Harrison Ruffin Tyler (we can only assume after whom he was named) was born in 1928, when daddy was 75.

These Tylers clearly come from good stock… but it’s still mind-boggling to realize that since those latter two are still alive, John Tyler, born in 1790, has two living grandsons. Three generations that span the entire existence of the country.

That was perhaps the best example I could find of just how “new” the U.S. is. It’s arguably three generations old. From a Canadian point of view, someone born at the time of confederation (1867) could easily have a child that’s still alive today. Two generations.

There’s a rich history between these two young countries, who at times have been mortal enemies. In fact, it was a war that started both… and depending with which side of history you want to associate, you could say, as an American, that you “won” — and those defeated British, who went on to retreat to what ultimately became Canada, “lost”. If it means so much to call it that, by all means — take your victory. And of course it should be noted that both sides of the war were being fought by people who had much more in common with each other than the indigenous people, whose land it actually was.

The two countries weren’t done squabbling quite yet. The war of 1812, which technically was between the U.S. and the U.K. was really more Canada vs. America. We burned down the Capitol and White House in that one.

It’s not fair to summarize a complex war — that went on for years — in one paragraph, but the summary is that it was probably a sort of stalemate, which of course, in North America, means both sides thought they won. Or at least claimed they did. There is no overtime or shootout or sudden-death to an entire war, but by the time the Treaty of Ghent was signed, both sides simply had had enough. Nobody had any fight left in them, so that was that.

The fighting didn’t end there, as far as America was concerned because of course, the civil war came along… more similar people just fighting each other over ideology. The soon-to-be Canadians fought in that war too, on both sides — but the vast majority with the anti-slavery Union soldiers, who eventually defeated the Confederate states. Interesting little factoids… the soldier who organized the detachment of Union solders that captured and killed Lincoln-assassin John Wilkes Booth — was Canadian. And the composer of “O Canada” was a French-Canadian Union soldier.

By the time the two World Wars rolled around, the countries were strong allies, and have been ever since. The world’s longest undefended border. Each other’s largest trading partners, till recently.

But as young nations grow — and by any measure, these are still mere children in the sea of adult countries from around the world that have existed for many centuries or millennia — personalties begin to develop, and whatever the older generations may have had in common… well, things change. It’s sometimes hard to gauge whether you’re dealing with the attitude of an entire country, or just a vocal minority, or just its leaders… especially when the messages are so mixed. For two countries that are really pretty similar when you compare populations with anywhere else… we sure seem to be on different paths these days. Americans really like to stick to their guns… in every sense of that statement. The vast and conflicting confusion that’s becoming evident is worrisome to say the least. A cohesive plan is by no means guaranteed to succeed, but a confused, mismanaged one is doomed to fail. It seems like a lot of state governments aren’t listening to the feds. It looks like a lot of municipal governments aren’t listening to the state. It looks like a lot of people aren’t listening to any of those three, and just doing what they want — or cherry-picking what works for them, and hoping for the best.

I’ll end this with my usual profound gratitude that I was on the “losing” side of a War of Independence… and as much noise is being made about how poorly Canada is handling this at a federal level (it’s not a lot of noise, and it’s not really true) — or how the government here, whether provincially or municipally, could be doing so much better, because jobs economy lockdown jobs money jobs economy — yeah, we get it, we are all suffering. We’re also all surviving, and are far more likely to with an infrastructure that can handle it. I’ll take Canadian-handling criticism all day long. If what we’re doing is some version of failure, some version of “losing” — like the British or Canadians from wars of the distant past — I’ll take it.

Some numbers… the U.S. counted its 80,000th death over the weekend. Canada is under 5,000. That’s deaths per million of 247 vs. 132. And today was the third straight day of declining new-case numbers in Canada.

Bring on the phased re-openings… with all things continuing as they are, that’ll be just after the upcoming long weekend.

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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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Day 37 – April 22, 2020

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

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

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

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

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

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

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

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

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

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

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Day 34 – April 19, 2020

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

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

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

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

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

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

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

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

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

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

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

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

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

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Day 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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