United States

Day 50 – May 5, 2020

As always, on the heels of Star Wars Day (May the Fourth be with you, if you don’t get it), comes Cinco de Mayo. I guess we’re all getting a little tired of hearing that same old refrain… “It’ll be different this year”. But yeah, indeed it will. As you may recall, around here, the first “celebrated” holiday affected was St. Patrick’s Day… and the decision to pull the plug on pub gatherings was made only a few days, if not hours, before March 17th. My first post of this entire series was on that day, me sitting here in front of the computer with a pint of Guinness, digging into some numbers, trying to figure this out for myself.

Good trivia question… how many countries in North America are called the United States? I obviously wouldn’t be asking this if the answer were obvious… the answer is two, because the official name of the other one is “Estados Unidos Mexicanos” — literally, the United States of Mexico.

Now that you’re back from Googling that, let’s continue…

There are 32 states in Mexico, and most of us haven’t heard of many of them. Looking at this list… the following stand out: Jalisco, Baja California Sur, and Nayarit… because I’ve vacationed there. Chihuahua, Sonora and Sinaloa stand out because they’re continually in the news related to drug cartels and violence (and cute dogs). Mexico City, of course. And Veracruz, but only because my buddy, two-time-Kentucky-Derby-winning-jockey Mario Gutierrez is from there.

The Mexican federal government has their hands full fighting this thing, but they have the added headache of the very powerful and ubiquitous drug cartels, who control many areas, especially near the border. It also doesn’t help that these criminals are stepping-up, handing out care packages to locals who happily accept them and who can use any help they can get. Big-time criminals love this sort of stuff — step up for the little guy, do more for the people than the government is doing, etc. Pablo Escobar was good at it. So was Al Capone. Optics.

There hasn’t been much talk of the border wall these days; remember, the big wall Trump was going to build and which Mexico was going to pay for. I think they may have built some parts, or maybe that was just refurbish/remodel. I don’t know. What I do know is that Mexico hasn’t paid a cent for it. Whatever.

The border-wall, or lack thereof, that worries me a lot more, is the virtual one that exists 30km south of here. For the moment, that border is closed, and that suits me just fine. And if our neighbours to the south could follow along with what’s best for the common good, I wouldn’t be against re-opening it. But, at the moment… well, at the moment, let’s look at a different state that borders Canada.

Recall the governor of Michigan, Gretchen Whitmer… at some point she called-out President Trump, labelling his federal response to the pandemic as “slow” and “mind-boggling”. Trump’s response was to sit back, reflect and admit he was wrong, and quickly move to provide whatever help he could.

Ha ha! Of course not. As expected, he lashed back, made up a name for her on Twitter ("Gretchen ‘Half’ Whitmer” — because, I guess, she only does ‘half’ a job? Or because she's a half-wit?) — and proceeded to insult her. By the way, even by Trump’s infantile-nickname standards, that’s pretty lame. I would’ve expected something like “Grumpy Gretchen”. This was the governor that Trump made a point of not calling, and telling us all about it.

In any case, Governor Whitmer was doing the best she could under exceedingly difficult circumstances. As of yesterday, Michigan was in third place for most deaths in any state, and that’s not a good spot to be in when it’s only New York and New Jersey ahead of you. Going with the best advice she could get, from all of the intelligent people she’s surrounded herself with, by evaluating what’s going on elsewhere, by listening to her medical experts… Governor Whitmer renewed the state emergency order a few days ago, extending it from April 30th to May 28th. This led to loud and crowded protests at the state Capitol building. You know the kind, lots of flags, guns and “MAGA” hats. But this time, add to the mix — nooses, Confederate flags and swastikas. With all due respect (which isn’t much), f#@& these people.

President Trump, upon whom the game “How low can he go?” is based, tweeted his support for the protesters, which in a sense validated and empowered their insanity. A man in Flint, Michigan shot and killed a security guard — who’d simply asked him to put on a mask. Also, in Holly, Michigan, a man wiped his nose on a store clerk who told the man he needed to wear a mask.

Michigan has a population of 10 million, exactly double that of British Columbia. But while we’ve had only 2,232 confirmed cases since day one, they’re over 44,000… a clean 20x… which makes it about 10x more than it would be if people were following orders. And while B.C. is at 121 deaths, Michigan is at 4,179… a staggering 35x. They’re not in good shape, and it’s about to get worse. And, of course, Michigan borders Canada. In fact, given the twisted border situation of Windsor and Detroit, parts of both countries are actually inside of each other. All I can say is I much prefer our Washington neighbours to the south, who I suspect wouldn’t be anywhere near as tolerant of the insanity. The Peace Arch border crossing has engraved on it “May these gates never be closed”. Indeed, those gates can’t literally be closed as they’re not hinged; they’re bolted into the stone. But virtually, the border is closed to all non-essential travel, and until things get sorted out and settled to both sides’ satisfaction, it needs to remain that way. We are doing well here, and we don’t need to mess with that. We apparently have bee-murdering hornets now visiting from Washington State. That’s enough for now.

On that note, around here, our single-digit increase (+8) in known cases is the lowest since March 14th, when things were just starting up, and heading in the wrong direction. Dr. Henry thinks we may be down to zero by the middle of June. We are approaching the end of the beginning, but there’s a ways to go. Moving too quickly can mess this up; things will be gradually eased, but it has to be done right. And if we do it right, and stick to the new normal for a while… we’ll be ok.

Wow, look at that sunshine… time to go get some Vitamin D… and after that, time to go crack open a bottle of Corona and find a slice of lime. Salúd.

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Day 39 – April 24, 2020

Yesterday, I talked about the dinosaur apocalypse… how they were all wiped out. But, to reiterate, the only ones that were fully wiped out were the ones on the ground. As hard as it is to believe, and I know some will take exception to this… but… birds… are not descendants of dinosaurs. They are dinosaurs… the ones that survived that cataclysmic event 65… sorry, 66 million years go.

That cataclysmic event was so… umm, cataclysmic… that it wiped out 75% of all species on earth. That was fortunate for those who survived, because it gave them the evolutionary advantage to thrive, among them… mammals.

It’s a long line of evolution between those mammals and the first hominoids… but it does beg an interesting question; has the human race ever been close to extinction? Terrestrial dinosaurs were around for close to 200 million years. Humans have only been around… well, depends how you look at it. With broad brush strokes, the human animal… maybe 300,000 years… but we only began to exhibit what you might call “modern behaviour” around 100,000 years ago.

What would’ve happened if a pandemic-capable virus had shown up? Not much, because there was next to no overlap of communities distanced by geography. It makes one wonder, how often have there been these sorts of viruses over the centuries? Probably lots. But it was localized, there was no treatment, there was no social distancing… all that happened was a big wave of very sick people dying, and eventually through herd immunity and/or lots of death, the virus made its way through everyone it could, and then disappeared from existence.

But the human race actually did come close to extinction, and it wasn’t that long ago, geologically speaking. Well, this is one theory. It’s interesting, as usual, to research things on the Internet because you can always tell where the conformation bias lies. You can tell what people want to believe, and how they conform their evidence to support their side.

Around 75.000 years ago, there was a massive volcanic eruption — one of the biggest ever. The Toba Supereruption (Lake Toba, Sumatra, Indonesia) erupted and ejected some 2,800 cubic kilometres of magma. That is a staggeringly huge cube of hot, melted rock… and it left behind something the same size as the crater that took out the dinosaurs… an enormous 100 x 30 km caldera complex. Once again, it messed with the environment very significantly… the six billion tons of sulphur dioxide that were ejected into the atmosphere caused a global cooling of up to 15 degrees all around the planet for at least a few years, and it was many decades before things returned to normal. This lowered the tree line and snow line by about 10,000 feet… and for humans who were used to a dry, temperate climate, years of perpetual snow did not sit well.

There is a genetic bottleneck at the time when looking back at humans, meaning it seems we can all trace our DNA back to a small group (like a few thousand humans) who made it through that. The rest were wiped out. And to some extent, if that’s what happened, you have to assume we’ve all evolved from a pretty tough group of humans. This was survival of the fittest imposed in the harshest of ways.

This is one theory, and it’s very interesting. There is another group of scientists who claim that’s hogwash, and that the evidence doesn’t necessarily imply any of that.

Whatever the case, all of that I learned yesterday while digging into dinosaurs… you know how the internet can be… one moment you’re reading about what you were researching, like dinosaurs and their extinction… and 40 minutes later you’re reading about mentally ill monarchs throughout human history.

That’s a good little segue onto a topic I really don’t want to touch here. I had a whole thing written out, and indeed, I could write a book on my thoughts with respect to American politics of the day, but this is a scientific and statistical endeavour, ostensibly aimed at keeping track where we are with respect to this pandemic. On that note, it’s not irrelevant to point out, as I have earlier, the shortcomings I see when it comes to leadership pulling in different directions, etc etc. But I just deleted many paragraphs that delve into far more detail, and will leave it at that.

OK, one paragraph. I worry greatly for the great country of the United States of America. Every single day, thanks to the actions or words of just one man, the chasm that separates two groups (big broad brushstrokes here: Republicans and Democrats) — gets a little bigger. It started on day 1, lying about the inauguration crowd size. “Who really cares” is really what should have been the answer, but he chose to lie about it, then double down on his lies, then make others lie for him… it was bewildering, to be honest. What the hell is going on? There was incontrovertible evidence… pictures and witnesses and everyone who was there… but no. It ended up with “alternative facts” trying to be jammed down our throats. All of this on day 1 of his presidency. And since that day, whenever he says or does something that is completely unpresidential, both sides rise to the challenge. And while the argument rages on about who’s right and who’s wrong, the country slides a little bit more downhill. This is not to bash on Republicans and Democrats… there was a time when both those parties worked in harmony for the greater good of the country, especially in times of crisis. I really wonder how repairable this is now. Long after Trump is gone, the degree of bipartisanship needed to successfully guide a country — may not be achieved for many, many years. And I’m not interested in the bullshit arguments of what a great job he’s presently doing. He’s not. I don’t use vague handwaving and gut feel to come to my conclusions, I use hard facts. As you may recall, this entire project of charts and graphs and light commentary started with a simple exercise of trying to track Canada’s response to this crisis as measured by comparing the U.S. and how they were doing. And comparing them to Italy, who was ahead of them. The short answer now is: Awful. Brutal. Look at the numbers, look at the graphs. This isn’t fake news, this isn’t opinion. These are their numbers. These are confused people. These are hospitals that can’t keep up. These are states and leaders with mixed messages. These are deaths. These are the preventable disastrous blue line and its associated numbers, towering over the green, red and black ones below it. This is failed leadership, from the very top.

Sorry for the long paragraph… but I did say, just one paragraph. But, some numbers… Canada, today, flat or better growth all across the country. U.S…. more deaths today than the number of new cases in Canada. Also U.S., more deaths today than the entire number of known cases seen in B.C., active or resolved, since the beginning of this pandemic. And finally, U.S., more new cases today than all of what Canada has seen, combined, since day one. By the end of the weekend, the U.S. will have seen its one millionth case. Canada will be below 50,000. That same proportion maps to deaths. And some quick math for you… no, the population of the U.S. is not 20 times that of Canada. Not even 10. As President Trump likes to sign at the end of many of his Tweets: Sad.

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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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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 20 – April 5, 2020

When the historians who will ultimately document the great pandemic of 2020 begin their work, they will be asking themselves some tough rhetorical questions, many of which will begin with the words, “I wonder why they didn’t….” Indeed, some of those questions are being asked today, in the present tense, and good answers are not forthcoming. When those historians finish their books, most of them will have a chapter titled, “The United States of America”. Often, underneath the chapter name, there is a chapter subtitle… sometimes a little more detail, sometimes a quote. Usually in italics… you know what I mean. This particular subtitle will say:

“I don’t take responsibility at all” — President Donald J. Trump, March 13, 2020

Today is Sunday, “silent day” here in B.C., where the people upon whose words our futures (near and far) may depend, take a well-deserved break. Indeed, as loud as it gets at 7pm every night around here… it gets just as quiet at 3pm on weekdays when the only words you might hear are, “Shut up — Dr. Henry is speaking”. Today is their day off, so my B.C. number is just a guess bases on the averages of last week — I will fix it tomorrow when we get real data. But I’m guessing it’s pretty close.

Until recently, none of us had even heard of Dr. Bonnie Henry… but now, we all want to adopt her. And it’s not just the calm, soothing voice of reason that’s so enchanting… it’s the actual substance of what she’s saying. She’s not making it up as she goes along. She’s not up there to make herself look good. She’s not up there incoherently throwing blame around. She’s surrounded herself with excellent people who she consults on a continual basis. She’s not afraid to admit she was wrong, and, accordingly, she’s willing to course correct… which, if you read back on the evolution of this emerging pandemic in B.C., has happened more than once. She is, in every sense of the word, a leader.

On the day Donald Trump spoke those words, there were 2,300 known cases of COVID-19 in the USA. By that point, Italy was well aware they had a serious problem on their hands. They were at close to 20,000 cases and growing quickly, and they had begun throwing the proverbial kitchen sink at it in every feasible way. Pandora was out of the box, and the trajectory was not looking good. Everybody was paying attention, and everyone was making plans.

In Canada, on that day, there were 198 known cases, 64 of which were in B.C. If we were to map our growth rates to match what’s happened in the U.S., Canada would presently have 29,500 cases (we’re at 15,500) and B.C. would have 9,500 (we’re at 1,250 or so). And Italy, had they continued that same trajectory, would presently be looking at 26,300,000 — an unlikely number for other reasons, but that’s what the math implies if you leave this thing alone to propagate unchecked in an environment that could support that growth.

On March 13th, here in B.C., the only orders that were In place were that travellers returning need to self-isolate for 14 days, and that all gatherings of more than 250 people should be cancelled. Physical distancing as we know it today had not yet been implemented. And as we all know, a lot has changed since then… here, at least… not the least of which are the social distancing orders.

There are places in the U.S. at this moment where none of these sorts of orders are in place, and if they are, they are not being taken seriously or enforced. It boggles the mind to think that while we’re having a quiet Sunday here, there is a church in Louisiana where today 26 busloads of people arrived for services. People want to start talking about how we emerge from this, and it’s a complicated question because the world is a complicated place, where lots of different things are going on in lots of different places. The answer to how and when B.C. emerges from this will likely be very different than Louisiana.

B.C. has a population of 5 million. Louisiana has a similar population of 4.7 million.
On March 13th, B.C. had 64 cases. Louisiana had 77.
Today, we have 1,250 cases. Louisiana has 9,150.

What a difference real leadership can make.

 

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Day 10 – March 26, 2020

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

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

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

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

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

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

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

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

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

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