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Author Topic: COVID-19 🏴☠️ Pandemic  (Read 13473 times)

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AGelbert

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Stena Line Announces 950 Layoffs Due to Coronavirus Impact

By Reuters on Mar 16, 2020 05:39 pm


European ferry operator Stena Line has announced plans to layoff 950 employees due to travel restrictions imposed amid the coronavirus pandemic.   The Swedish-based company announced Monday it has seen a substantial effect on its passenger operations as a result of the virus, especially in the Scandinavia region where passenger traffic to Sweden, Denmark, Poland, […]   Read full story...


Equinor Orders Longer Shifts for Offshore Staff Due to Coronavirus

By Reuters on Mar 16, 2020 12:56 pm


By Nerijus Adomaitis OSLO, March 16 (Reuters) – Equinor will extend its employees’ shifts at offshore platforms to 21 days from 14 days to reduce the risk of coronavirus spread, the oil company said on Monday, as oil and gas production offshore Norway continued as normal. Equinor recorded the world’s first coronavirus case on an offshore installation at its non-producing Martin […]  Read full story...

Warning of Loss, Carnival Moves to Shore Up Liquidity

By Bloomberg on Mar 16, 2020 11:15 am

Carnival cruise shipBy Jonathan Levin (Bloomberg)

Carnival Corp., the largest player in a cruise industry reeling from the effects of the coronavirus, said it expects a loss this fiscal year and is taking steps to improve liquidity. The efforts include cutting investments and expenses and looking for additional financing, Carnival said in a statement Monday. The company […]   Read full story...

Surging Demand to Move Crude Oil Sends Smaller Tanker Rates Soaring

By Reuters on Mar 16, 2020 11:02 am

wave breaking over tanker By Roslan Khasawneh

SINGAPORE, March 16 (Reuters) – A surge in demand to ship the flood of crude oil unleashed by Saudi Arabia and its OPEC peers is sending freight rates surging and forcing buyers to seek out space on smaller tankers after the largest ones have been booked out, shipping sources said. Freight charges to […]  Read full story...


Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

AGelbert

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Agelbert NOTE: After Jamarl's (first 20 minutes) excellent rant on the admirable principled ideology of Bernie supporters, there is a MUST HEAR discussion of COVID-19 by an 👨‍🔬 expert on corona viruses. The bottom line is that there will be NO VACCINE for COVID-19 ANY TIME SOON. WHY? It turns out that this clever little coronacritter makes RNA transcribing coding mistakes two out of three times it does its thing after invading a cell. This makes life VERY DIFFICULT for a attacker vaccine trying to identify the COVID-19 corona critter in order to destroy it . There IS, however, a great tool for therapy involving plasma that will enable infected people to survive the virus. Don't miss that interview. And please, pass it on to concerned people everywhere.    

Bernie Supporters Won't & Shouldn't Back Biden. Should Democratic Primaries Be Postponed? Elections!
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Jamarl Thomas
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Bernie Supporters Won't & Shouldn't Back Biden. Should Democratic Primaries Be Postponed? Elections!

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Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

Surly1

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Re: New Pandemic?
« Reply #62 on: March 18, 2020, 05:11:28 am »
Best thing I have read to date about the pandemic and social distancing. Stay the **** Home!

The Sober Math Everyone Must Understand about the Pandemic
Jason S Warner[/b]


Photo Credit: Steve R Giss, MD, FACS.
This post is too long. It takes 19 minutes to read according to Medium. It has been viewed 1.9M times in less than 24 hours. You should read it, too.

I wrote this post on Facebook on Thursday Night, March 12th 2020. Since I wrote it, the post been shared 160k times and I’ve been asked to repost it here so people can share on Twitter and other platforms. Please distribute freely.

It’s reposted in its entirety here, with no edits.

https://www.facebook.com/jason.scott.warner/posts/10163742243430144

The Long Facebook Post:

This is a long post addressing two underlying issues with the current response to the pandemic that leave me concerned. It’s the longest post I’ve ever written.

For those of you not taking action, or believing the pandemic to be “over hyped”, you can make fun of me as much as you want now or when this is over. You can make me the subject of memes and post it everywhere. I will pose for the picture. I am not trying to convince you, but I do feel compelled to share information that I deem critical to all of us, which is why I am posting this at all.

WHY YOU SHOULD TAKE 5 MINUTES TO READ AND CONSIDER THE INFORMATION I AM SHARING:

As of 3/15/20 at 9 am PST this post has been shared over 50k times since it was posted 2 days ago. So a lot of people find value in the post and although it’s a long read, I believe you will find this information valuable too.

For those of you who don’t know me well, I am analytical and measured. I don’t freak out nor do I respond emotionally. I also don’t post a bunch of bullshit or political or controversial stuff on Facebook. I founded and am CEO of a successful software company that provides SaaS based data, analytics, and dashboards to recruiting departments at companies we all know. As you would expect, I am data driven and fact based. Before founding my company I held executive roles leading very large recruiting teams at some of the world’s fastest growing companies such as Starbucks and Google. At Google I was fortunate enough to report to Sheryl Sandberg before she took the Facebook COO role. I was a Chemical Engineering major in college and have a business degree from a top undergraduate business school. I am not one for hyperbole or histrionics. My bullshit factor is close to zero.

I share all this personal information only to help solidify that this post may be worth reading and sharing with others. I would encourage you to forward or share this post at your discretion. Many people do not understand what is happening with the pandemic to the degree required which is why I took the time to write this and share this on Facebook.

Now that I’ve gotten the introduction out of the way, here are two issues I want to bring to everyone’s attention.

ISSUE ONE: SOCIAL NORMS ARE POWERFUL MOTIVATORS AND GETTING IN THE WAY OF PEOPLE TAKING THE RIGHT STEPS IN RESPONSE TO THE PANDEMIC:

One of the current problems with addressing the pandemic is the social pressures of taking action today. It’s awkward, and feels like an over-reaction. The reason it feels like an overreaction is that most people OVERWEIGHT the currently reported cases and inherently UNDERWEIGHT the mathematics of how the virus is spreading and what will happen in about 30 days time. This is because our brains tend to think linearly as opposed to logarithmically. It’s the same reason many people don’t save for retirement or understand compound interest.

To create a new social norm, human beings like to see behavior modeled. This serves as a signal that says, “oh, someone else is doing it so I should do it also.”

SO HERE IS A SOCIAL BENCHMARK FOR REFERENCE — THIS IS WHAT I’VE DONE FOR MY FAMILY TO DATE:

I have already isolated my family. We have canceled EVERYTHING. We have canceled previously scheduled doctor visits. Social get togethers. No play dates. Normal routine meetings. Everything has been canceled. It’s difficult and socially awkward. Some of you think I’m crazy, but I’m doing it not because I am afraid, but because I am good at math (more on that in part 2). I had to have my 16 year old daughter quit her job coaching junior gymnasts at the local gym, with one day’s notice and also tell my kids they can’t attend youth group at church. Both of those were tough discussions. I told a very close friend he shouldn’t stay at my house this weekend even though he was planning to and had booked his flight from the Bay Area. I canceled another dear friend’s visit for later this month to go snowboarding on Mt Bachelor.

We are not eating out. Our kids are already doing online school so we don’t have to make changes there. I would not send my kids to school even if they were in public or private school. We have eliminated all non-essential contact with other people. We will only venture out to grocery shop when required. We will still go outside to parks, go mountain biking, hiking, and recreate to keep ourselves sane and do other things as a family, just not with other people. We have stocked up on food and have a supply for ~2 months. We have stocked up on other goods that if depleted would create hardship, like medicines and feminine hygiene products. We have planned for shortages of essential items.

THE REASON I HAVE CHOSEN THIS ROUTE FOR MY FAMILY IS MULTI FACETED:

1. Although my family is considered low risk (I’m 49 in good health, Angi is 46 and in good health, and our kids are 14 and 16), we must assume that the healthcare system cannot help us, because the hospitals will become overwhelmed very quickly. Most American hospitals will become overwhelmed in approximately 30 days unless something changes. More on this in part 2 below. So although we are in great health and unlikely to become gravely ill, the risk is greater if you do not have access to the medical care that you need. This is something for everyone to consider. As a society we are accustomed to having access to the best medical care available. Our medical system will be overwhelmed unless we practice social distancing at scale. That said, the medical teams in Italy are seeing an alarming number of cases from people in their 40s and 50s. Triage tents are already going up in the parking lots at many hospitals close to the epicenters in the United States.

2. It’s not a matter of if social distancing will take place, it’s a matter of when. This is because social distancing is the only way to stop the virus today.

As I will explain in part 2 below, starting now is FAR more effective than starting even 2 days from now or tomorrow. This has been proven by Italy and China (and soon to be France and other European countries who have been slow to respond.) [updated as of 3/14 France is now on lockdown mandated by the government]. Wuhan went on lockdown after roughly 400 cases were identified (and they had access to testing that America has systematically failed to do well to date). The US already has more than 4 times this number of known infected cases as Wuhan did when it was shut down, and our citizens are far more mobile and therefore spreading the virus more broadly when compared to Wuhan. Yet our response is tepid at best.

If hand washing and “being smart” were sufficient Italy would not be in crisis. So I pray the draconian measures are coming from our government, because they are required to stop the spread of the virus. It’s better to start sooner than later as the cost is actually far greater if we wait. I pray they close all schools and non-essential services the way that Italy and China have done.

3. Spreading the virus puts those in the high-risk category at much greater risk. This is the moral argument. It’s a strong argument because there are only two ways, as of today, that the virus can be stopped: let it run its course and infect 100s of millions of people, or social distancing. There is no other way today. If you don’t practice social distancing, people downstream from you that you transmit the virus to will die, and many will suffer.

4. The risk of infection is increasing exponentially, because the quantity of infected people, most who will not show symptoms, is doubling every three days. So the longer you wait to self-isolate, the greater the chance of you or someone you love becoming infected and then you infecting others because more of the population is becoming infected. There are twice as many infected people today as there was on Tuesday.

5. The virus is already in your town. It’s everywhere. Cases are typically only discovered when someone gets sick enough to seek medical attention. This is important as it typically takes ~5 days to START showing ANY symptoms. Here’s the math: For every known case there are approximately 50 unknown cases. This is because if I become sick, I infect several people today, and they infect a few people each tomorrow (as do I), and the total count of infected people doubles every 3 days until I get so sick I get hospitalized or get tested and become a “known case”. But in the time it takes me to figure out I am sick 50 others downline from me now have the virus. So every third day the infection rate doubles until I get so sick that I realize I have the virus an am hospitalized or otherwise tested. Harvard and Massachusetts General Hospital estimate that there are 50x more infections than known infections as reported (citation below). The implication of this is that the virus is already “everywhere” and spreading regardless if your city has zero, few or many reported cases. So instead of the 1573 reported known cases today there are likely 78,650 cases, at least, in the United States. Which will double to 157,300 by this Sunday. And this will double to 314,600 cases by this coming Wednesday. So in less than 1 week the number of total infected in the United States will quadruple. This is the nature of exponential math. It’s actually unfortunate that we are publishing the figures for known cases as it diverts attention away from more important numbers (like the range of estimated actual cases). [Update as of 3/15/20 — I’ve been sent more research that may add clarity to the ACTUAL cases vs CONFIRMED cases and will update this post with any conclusions]

6. Some people cannot, or will not, practice social distancing for a variety of reasons and will continue to spread the virus to many people. So everyone else must start today.

The reasons above are why I have begun to practice social distancing. It’s not easy. But you should do it too.

The hospitals will be at capacity and there are not enough ventilators. You will hear a lot about this issue in the coming few weeks… the shortage of ventilators.

ISSUE TWO: MANY PEOPLE ARE FOCUSED ON THE WRONG NUMBERS:

Yes, the virus only kills a small percentage of those afflicted. Yes, the flu kills 10s of thousands of people annually. Yes, 80% of people will experience lightweight symptoms with COVID19. Yes the mortality rate of COVID19 is relatively low (1–2%). All of this true, but is immaterial. They are the wrong numbers to focus on…

The nature of exponential math is that the infection rates start slowly, and then goes off like a bomb and overwhelms the hospitals. You will understand this math clearly in the next section if you do the short math exercise. Evergreen hospital in Seattle is already in triage. I have heard credible reports from people on the ground that they are already becoming overwhelmed. And the bomb won’t really go off for a few more days. Probably by Wednesday, March 18th (next week). In just a few days from now we will hear grave reports from Seattle hospitals. [update as of 3/15/20 — see the comments section below for an update from a staff member at Evergreen Hospital in Kirkland, WA]

You should assume the virus is everywhere at this point, even if you have no confirmed cases in your area.

YOU SHOULD DO THIS SIMPLE 2 MINUTE MATH EXERCISE (NO REALLY TAKE TWO MINUTES AND DO IT):

To further understand exponential growth, take the number of confirmed cases in your area and multiply by 10 (or 50 if you believe Harvard and Massachusetts General estimations) to account for the cases that are not yet confirmed. If you have no confirmed cases choose a small number. I’d suggest 10 cases in your city, if no cases are yet reported. But you can use whatever number you like. This number of infected people doubles every ~3 days as the infection spreads. So literally take your number, and multiply by 2. Then do it again. Then do it again. Then do it again. Do this multiplication exercise 10 times in total.

2 x 2 x 2 x 2 x 2 x 2 x 2 x 2 x 2 x 2 x (the number of estimated infections in your city today (not just the reported cases)).

This result is the estimate for the actual cases in your area 30 days from now. The math will take 30 seconds to complete with a calculator and it’s worth doing the math to see how it grows. This end number is the number of cases in your city 30 days from today if a large percentage of the population do not practice social distancing.

2 to the 10th power is 1024. When something doubles 10 times, it’s the same as multiplying by 1024. The infection rate of the virus doubles every 3 days. In thirty days there will be 1,024 times the number of infected people in your area as there is today if your community does not immediately put social distancing into practice. One thousand and twenty four times as many infected people as there is today, in just 30 days.

Next, divide the final number (the scary big one) you just calculated by the current population of your city and you will be able to get the percentage of people THAT YOU KNOW PERSONALLY who will be infected 30 days from now.

THIS PART IS IMPORTANT: Next take 15% (multiply by 0.15) of that final 30 day number of total infected people (the number you calculated by multiplying by 2 ten times). This will provide an estimate of the serious cases which will require hospitalization, and compare it to the number of beds and ventilators available at your local hospital. Google the “number of beds” and the name of your local hospital now. It takes 2 seconds and the number of beds is easy to find. 65% of beds are already occupied by patients unrelated to the coronavirus. St Charles in Bend, Oregon where I live, has 226 beds and the town is roughly 100,000 people. Most hospitals have on average, 40 or fewer ventilators. 5% of patients require ICU treatment. There are very few ICU beds compared to regular beds in hospitals. There are very few negative pressure areas in any hospital to deal with the containment of airborne diseases.

These numbers you just calculated are the Big Problem: Too many patients, not enough beds, and a serious shortage of ventilators (the biggest problem) if we don’t immediately begin social distancing. More on this biggest problem related to the insufficient quantity of ventilators is below.

COUNTRIES AND CITIES THAT GET OVERWHELMED WILL HAVE A MUCH GREATER MORTALITY RATE BECAUSE THEY WON’T BE ABLE TO ADEQUATELY PROVIDE MEDICAL CARE.

And by medical care I mean not just coronavirus patients. Your son or daughter that needs acute care surgery this May for his badly broken leg will be attended to by an orthopedic doctor that has been working at maximum capacity and working 18 hour shifts for 7 days every week for 6 weeks because it was required to care for all the coronavirus patients at her hospital. Or the orthopedic surgeon will be sick with the virus and your son or daughter will be operated on in a tent in the hospital parking lot by a non-expert or a member of the National Guard. Your elderly Mom that has diabetes and goes into acute distress next month may not receive ANY medical care because the doctors are consumed and have to prioritize patients based on triage guidelines based on success rate probabilities. Your sibling’s family that are all injured in a terrible car crash in June will have diminished care. If one of them needs a ventilator there will be none available because all of them will be in use by critical coronavirus patients. Your young friend with cancer and a compromised immune system from treatment will succumb even though the cancer was curable and the treatment was working, because their body was too fragile to combat the coronavirus due to the chemotherapy and they couldn’t receive the customized, acute care required due to the hospital being overwhelmed. All of the above is currently happening in Italy, who had the same number of infections we have today just 2 weeks ago. You must start social distancing today.

The count of actual virus infections doubles every ~3 days. The news and government agencies are lagging in their response. So we hear that the US only has 1573 cases today (3/12/20) [update as of 3/15/20: 3115 confirmed cases), ( see https://www.worldometers.info/coronavirus/) and it doesn’t seem like a lot. It would be better to report the estimated actual cases, since reported cases don’t tell us much. However, we know from China that the actual number of cases are at least an order of magnitude greater than the reported cases, because people get infected and do not display symptoms. In math, an “order of magnitude” means ten times difference, or put another way, a factor of 10. 100 is 10 times greater than 10, so it’s an order of magnitude greater.

Harvard Medical School / Massachusetts General Hospital just released their estimate (recording is here: https://externalmediasite.partners.org/…/53a4003de5ab4b4da5…) that the actual cases are 50x greater than the reported cases. So we likely have 75,000 cases in the United States already. The number of reported cases is not that important.

But let’s assume the current number of cases is only 10,000 ACTUAL cases in the United States just to be conservative and model out what will happen:

If we don’t stop the virus from spreading, in 30 days we will have 2 to the 10th power more cases of infected people because the infection count doubles every 3 days (the virus doubles every 3 days and there are 10, 3 day periods in 30 days).

This math is familiar if you did the exercise above. If not, go up and do the math exercise. The math: 2 to the 10th power means 1,024 times as many cases as we have today (2 times 2 repeated 10 times).

This number is a catastrophically big problem for all of us: We will have 10 million+ actual cases (10,000 actual cases today x 1,024) in the United States in just 30 days’ time if we continue without extreme social distancing. 10 million people with the virus. And it will keep doubling every 3 days unless we practice social distancing.

15% of cases require significant medical attention, which means that 1.5 million people will require significant medical attention if 10 million people get infected (15% of 10 Million total infections = 1.5 million people requiring hospitalization).

1.5 million hospitalizations is way more than we have beds for at hospitals in the United States. And 65% of all beds are already occupied in our hospitals. But many patients (5%) with the virus need ICU beds, not just any old hospital bed. Only about 10% of hospital beds are considered intensive care beds. So we will have a huge bed shortage, but that is not the biggest problem, as we can erect temporary ICU shelters and bring in more temporary beds, as Italy has already done, and California and Washington hospitals have already done. Evergreen Hospital in Seattle has already erected temporary triage tents in the parking lot as of 3/13/20. All regular beds are full at Evergreen Hospital as of yesterday.

Once the government of China, Norway, and Italy came to understand this math, they reacted accordingly and shut EVERYTHING down. [update as of 3/15/20 now France has done the same lockdown]. Extreme social distancing is the only response available to stop the virus today. The United States is not responding well nor are other countries like the UK. Countries that do not respond well will pay a much larger, catastrophic price.

But hospital beds are not the big problem. The lack of ventilators is the big problem. Most estimates peg the ventilators in the United States at roughly 100,000 to 150,000 units. See the study from last month: http://www.centerforhealthsecurity.org/…/200214-VentilatorA…

The primary and most serious comorbid (comorbid is a medical term that means co-existing or happening at the same time) condition brought on by the Coronavirus is something called bilateral interstitial pneumonia which requires ventilators for treatment of seriously ill patients. So if 1.5M people of the 10 million infected 30 days from now require hospital care (15% of the 10M estimated total infections), 1.3M may not get the care that they need because we don’t have enough ventilators, beds, and ICU beds in the United States. And remember, this is only if ALL OF US EFFECTIVELY start social distancing by April 11th (30 days from today). This increases the mortality rate significantly.

BUT IF WE START EXTREME SOCIAL DISTANCING BY MARCH 23 (12 days from original writing), WE AVOID OVER 1.4 MILLION PEOPLE GETTING CRITICALLY ILL AND OVERWHELMING THE HOSPITALS:

If everyone takes extreme measures to social distance, and the United States can dramatically reduce the spread of the virus 12 days from now, the math is very different, as the exponential growth will only be 2 to the 4th power (12 days divided by the doubling rate of every 3 days equals the exponent of 4):

2 x 2 x 2 x 2 = 16

So instead of 10 Million cases in the United States if we wait 30 days, if we act 18 days sooner, we will have only 160,000 cases (16 times the estimated 10,000 actual cases as of today), of which 15% are likely to require hospitalization. This is 24,000 critical patients (a huge difference compared to 1.5 million acute patients). The difference between taking extreme measures now, versus waiting even a few days, is very large due to how exponents work in math.

THE OUTCOME IS EVEN BETTER IF WE TAKE ACTION IN THE NEXT 6 DAYS: If the vast majority of the population self isolates and implements social distancing in only 6 days from now the exponential math is 2 to the 2nd power (6 days divided by the 3 days it takes the virus to double means the exponent is only 2). In math this is “two squared”.

2 x 2 = 4

Multiplied by the estimated 10,000 ACTUAL cases as of today (3/12/20) that means only 40,000 total cases will develop, 15% of which may be critical which is 6,000 critical patients.

This is why you should share this post broadly. If people begin social distancing in the next 6 days it will greatly reduce the impact on all of us. It’s why they say a “post goes viral”.

SOCIAL DISTANCING WILL REDUCE THE FINANCIAL IMPACT TO YOU AND YOUR FAMILY:

Finally, the longer everyone waits to practice significant social distancing the greater the economic hardship will be on all of us. Lost jobs. Mortgage defaults. Closed businesses. Bankruptcies. All will be minimized if you start social distancing today.

Some of the reasons the economic impacts will be reduced are worth mentioning: If we stop the virus now the overall duration of the outbreak will be far shorter. The stock market will normalize more quickly and recover more quickly. Businesses and people will be able to survive a shorter duration outbreak vs a longer duration outbreak. More companies will avoid bankruptcy if we begin to practice social distancing now.

This is a big financial reason to begin social distancing if you are employed by any company: if companies see that the virus is being slowed, they will be less likely to conduct layoffs. You will be more likely to be laid off or experience a job-related event if we don’t practice social distancing immediately. As an HR executive, I’ve been involved in many, many layoffs. It’s the last thing companies want to do. But if they see that the pandemic will be shorter lived vs long and drawn out, they are less likely to make the permanent decision of laying off staff.

The overall economic impact that hits your bank account will be greater if you wait or you don’t practice social distancing. This is why Norway acted now, because it’s less economic impact to take drastic measures early than to do them later, and it saves a lot of lives and suffering by doing so. And Norway has only one confirmed death as of this writing.

Many people have suggested they want to support local restaurants and other businesses, who have seen sales drop by 50–90%. Stopping by and visiting them won’t save them. What will save them is social distancing and what you do after the pandemic is over. If you are concerned, call them and buy a gift certificate over the phone.

START TODAY. I CAN’T STRESS THIS ENOUGH. YOU MUST START TODAY.

Finally, the article that I posted yesterday written by Tomas Pueyo has been read 30M times in the last few days and has been updated with new information. It’s worth reading again.

Here’s that link:

https://medium.com/…/coronavirus-act-today-or-people-will-d…

Other up to date data I frequently consult regarding the pandemic is here:

https://www.worldometers.info/coronavirus/

I hope this is helpful and useful. My brain focuses on the math and I try and be fact based in my analysis and interpretation of how I should respond.

THERE IS MORE INFORMATION IN THE COMMENTS ON THE FACEBOOK POST WORTH READING AND I WILL BE UPDATING THAT POST, AND THE COMMENTS, WITH MORE INFORMATION, (AS OPPOSED TO CREATING NEW POSTS).

MY FINAL PARTING THOUGHT: Please share or forward this post at your discretion. If everyone shares this post and two of your friends share this post and so on, we use the power of exponential math to work in our favor, which seems appropriate given the virus is using that same exponential math against us.

HOW YOU CAN REALLY HELP: If you know people who have large numbers of followers, or people in the media, please leverage your personal relationship with them and ask them to amplify this post by sharing it.

It would be useful to get the post on Twitter and LinkedIn. If you know people in government this fact-based post may help inform them to make the best decisions. I am not active on Twitter.

It’s time for us humans to go on the offensive against the virus. We must fight back.

There is only one way to do so: Social Distancing.

Do it today.

NOTE: Anyone, including the media, is free to use this post, any related content, in all or in part, for any purpose, in any format, with no attribution required. Please direct message me if you have other ideas for how to raise awareness.

Finally, I can no longer keep up with friend requests given how much this post has been shared. To receive updates or follow me, please use the “Follow” button on Facebook. My page Facebook page is here, or follow me here on Medium (or both!).

My facebook page: https://www.facebook.com/jason.scott.warner

If anyone wants to translate this into any other language please do so and contact me and I’ll repost it in that language.

3/16/20: I am preparing a second post, now that 4 days have gone by since the first post. To receive it please follow me on FB. I can not keep up with the friend requests.

Surly1

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We’re not going back to normal
« Reply #63 on: March 18, 2020, 07:01:33 am »
We’re not going back to normal

Social distancing is here to stay for much more than a few weeks. It will upend our way of life, in some ways forever.





by Gideon Lichfield
Mar 17, 2020

To stop coronavirus we will need to radically change almost everything we do: how we work, exercise, socialize, shop, manage our health, educate our kids, take care of family members.

We all want things to go back to normal quickly. But what most of us have probably not yet realized—yet will soon—is that things won’t go back to normal after a few weeks, or even a few months. Some things never will.

It’s now widely agreed (even by Britain, finally) that every country needs to “flatten the curve”: impose social distancing to slow the spread of the virus so that the number of people sick at once doesn’t cause the health-care system to collapse, as it is threatening to do in Italy right now. That means the pandemic needs to last, at a low level, until either enough people have had Covid-19 to leave most immune (assuming immunity lasts for years, which we don’t know) or there’s a vaccine.

How long would that take, and how draconian do social restrictions need to be? Yesterday President Donald Trump, announcing new guidelines such as a 10-person limit on gatherings, said that “with several weeks of focused action, we can turn the corner and turn it quickly.” In China, six weeks of lockdown are beginning to ease now that new cases have fallen to a trickle.

But it won’t end there. As long as someone in the world has the virus, breakouts can and will keep recurring without stringent controls to contain them. In a report yesterday (pdf), researchers at Imperial College London proposed a way of doing this: impose more extreme social distancing measures every time admissions to intensive care units (ICUs) start to spike, and relax them each time admissions fall. Here’s how that looks in a graph.

A graph of weekly ICU cases over time.
Periodic bouts of social distancing keep the pandemic in check.
IMPERIAL COLLEGE COVID-19 RESPONSE TEAM.

The orange line is ICU admissions. Each time they rise above a threshold—say, 100 per week—the country would close all schools and most universities and adopt social distancing. When they drop below 50, those measures would be lifted, but people with symptoms or whose family members have symptoms would still be confined at home.

What counts as “social distancing”? The researchers define it as “All households reduce contact outside household, school or workplace by 75%.” That doesn’t mean you get to go out with your friends once a week instead of four times. It means everyone does everything they can to minimize social contact, and overall, the number of contacts falls by 75%.

Under this model, the researchers conclude, social distancing and school closures would need to be in force some two-thirds of the time—roughly two months on and one month off—until a vaccine is available, which will take at least 18 months (if it works at all). They note that the results are “qualitatively similar for the US.”

Eighteen months!? Surely there must be other solutions. Why not just build more ICUs and treat more people at once, for example?

Well, in the researchers’ model, that didn’t solve the problem. Without social distancing of the whole population, they found, even the best mitigation strategy—which means isolation or quarantine of the sick, the old, and those who have been exposed, plus school closures—would still lead to a surge of critically ill people eight times bigger than the US or UK system can cope with. (That’s the lowest, blue curve in the graph below; the flat red line is the current number of ICU beds.) Even if you set factories to churn out beds and ventilators and all the other facilities and supplies, you’d still need far more nurses and doctors to take care of everyone.

A graph of critical care beds occupied over time.
In all scenarios without widespread social distancing, the number of Covid cases overwhelms the healthcare system.
IMPERIAL COLLEGE COVID-19 RESPONSE TEAM

How about imposing restrictions for just one batch of five months or so? No good—once measures are lifted, the pandemic breaks out all over again, only this time it’s in winter, the worst time for overstretched health-care systems.

A graph showing critical care beds occupied over time for the suppression scenario.
If full social distancing and other measures are imposed for five months, then lifted, the pandemic comes back.
IMPERIAL COLLEGE COVID-19 RESPONSE TEAM.

And what if we decided to be brutal: set the threshold number of ICU admissions for triggering social distancing much higher, accepting that many more patients would die? Turns out it makes little difference. Even in the least restrictive of the Imperial College scenarios, we’re shut in more than half the time.

This isn’t a temporary disruption. It’s the start of a completely different way of life.

Living in a state of pandemic

In the short term, this will be hugely damaging to businesses that rely on people coming together in large numbers: restaurants, cafes, bars, nightclubs, gyms, hotels, theaters, cinemas, art galleries, shopping malls, craft fairs, museums, musicians and other performers, sporting venues (and sports teams), conference venues (and conference producers), cruise lines, airlines, public transportation, private schools, day-care centers. That’s to say nothing of the stresses on parents thrust into home-schooling their kids, people trying to care for elderly relatives without exposing them to the virus, people trapped in abusive relationships, and anyone without a financial cushion to deal with swings in income.

There’ll be some adaptation, of course: gyms could start selling home equipment and online training sessions, for example. We’ll see an explosion of new services in what’s already been dubbed the “shut-in economy.” One can also wax hopeful about the way some habits might change—less carbon-burning travel, more local supply chains, more walking and biking.

But the disruption to many, many businesses and livelihoods will be impossible to manage. And the shut-in lifestyle just isn’t sustainable for such long periods.

So how can we live in this new world? Part of the answer—hopefully—will be better health-care systems, with pandemic response units that can move quickly to identify and contain outbreaks before they start to spread, and the ability to quickly ramp up production of medical equipment, testing kits, and drugs. Those will be too late to stop Covid-19, but they’ll help with future pandemics.

In the near term, we’ll probably find awkward compromises that allow us to retain some semblance of a social life. Maybe movie theaters will take out half their seats, meetings will be held in larger rooms with spaced-out chairs, and gyms will require you to book workouts ahead of time so they don’t get crowded.

Ultimately, however, I predict that we’ll restore the ability to socialize safely by developing more sophisticated ways to identify who is a disease risk and who isn’t, and discriminating—legally—against those who are.

We can see harbingers of this in the measures some countries are taking today. Israel is going to use the cell-phone location data with which its intelligence services track terrorists to trace people who’ve been in touch with known carriers of the virus. Singapore does exhaustive contact tracingand publishes detailed data on each known case, all but identifying people by name.

📎 ® ¥ ¨ † å ® ø@RyutaroUchiyama

I'm stunned by the depth of information being released in . On this website you can see every known infection case, where the person lives and works, which hospital they got admitted to, and the network topology of carriers, all laid out on a time-series pic.twitter.com/wckG8KpPDE

10.6K people are talking about this

We don’t know exactly what this new future looks like, of course. But one can imagine a world in which, to get on a flight, perhaps you’ll have to be signed up to a service that tracks your movements via your phone. The airline wouldn’t be able to see where you’d gone, but it would get an alert if you’d been close to known infected people or disease hot spots. There’d be similar requirements at the entrance to large venues, government buildings, or public transport hubs. There would be temperature scanners everywhere, and your workplace might demand you wear a monitor that tracks your temperature or other vital signs. Where nightclubs ask for proof of age, in future they might ask for proof of immunity—an identity card or some kind of digital verification via your phone, showing you’ve already recovered from or been vaccinated against the latest virus strains.

Carol Yin@CarolYujiaYin

I had to travel earlier this month and this is how my movements were being tracked for the purpose of containment.

Follow @RadiiChina for more videos on !

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We’ll adapt to and accept such measures, much as we’ve adapted to increasingly stringent airport security screenings in the wake of terrorist attacks. The intrusive surveillance will be considered a small price to pay for the basic freedom to be with other people.

As usual, however, the true cost will be borne by the poorest and weakest. People with less access to health care, or who live in more disease-prone areas, will now also be more frequently shut out of places and opportunities open to everyone else. Gig workers—from drivers to plumbers to freelance yoga instructors—will see their jobs become even more precarious. Immigrants, refugees, the undocumented, and ex-convicts will face yet another obstacle to gaining a foothold in society.

Moreover, unless there are strict rules on how someone’s risk for disease is assessed, governments or companies could choose any criteria—you’re high-risk if you earn less than $50,000 a year, are in a family of more than six people, and live in certain parts of the country, for example. That creates scope for algorithmic bias and hidden discrimination, as happened last year with an algorithm used by US health insurers that turned out to inadvertently favor white people.

The world has changed many times, and it is changing again. All of us will have to adapt to a new way of living, working, and forging relationships. But as with all change, there will be some who lose more than most, and they will be the ones who have lost far too much already. The best we can hope for is that the depth of this crisis will finally force countries—the US, in particular—to fix the yawning social inequities that make large swaths of their populations so intensely vulnerable.


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The Sober Math Everyone Must Understand about the Pandemic
Jason S Warner



Photo Credit: Steve R Giss, MD, FACS.
This post is too long. It takes 19 minutes to read according to Medium. It has been viewed 1.9M times in less than 24 hours. You should read it, too.

I wrote this post on Facebook on Thursday Night, March 12th 2020. Since I wrote it, the post been shared 160k times and I’ve been asked to repost it here so people can share on Twitter and other platforms. Please distribute freely.

It’s reposted in its entirety here, with no edits.

https://www.facebook.com/jason.scott.warner/posts/10163742243430144

The Long Facebook Post:

This is a long post addressing two underlying issues with the current response to the pandemic that leave me concerned. It’s the longest post I’ve ever written.

For those of you not taking action, or believing the pandemic to be “over hyped”, you can make fun of me as much as you want now or when this is over. You can make me the subject of memes and post it everywhere. I will pose for the picture. I am not trying to convince you, but I do feel compelled to share information that I deem critical to all of us, which is why I am posting this at all.

WHY YOU SHOULD TAKE 5 MINUTES TO READ AND CONSIDER THE INFORMATION I AM SHARING:

As of 3/15/20 at 9 am PST this post has been shared over 50k times since it was posted 2 days ago. So a lot of people find value in the post and although it’s a long read, I believe you will find this information valuable too.

For those of you who don’t know me well, I am analytical and metered. I don’t freak out nor do I respond emotionally. I also don’t post a bunch of bullshit or political or controversial stuff on Facebook. I founded and am CEO of a successful software company that provides SaaS based data, analytics, and dashboards to recruiting departments at companies we all know. As you would expect, I am data driven and fact based. Before founding my company I held executive roles leading very large recruiting teams at some of the world’s fastest growing companies such as Starbucks and Google. At Google I was fortunate enough to report to Sheryl Sandberg before she took the Facebook COO role. I was a Chemical Engineering major in college and have a business degree from a top undergraduate business school. I am not one for hyperbole or histrionics. My bullshit factor is close to zero.

I share all this personal information only to help solidify that this post may be worth reading and sharing with others. I would encourage you to forward or share this post at your discretion. Many people do not understand what is happening with the pandemic to the degree required which is why I took the time to write this and share this on Facebook.

Now that I’ve gotten the introduction out of the way, here are two issues I want to bring to everyone’s attention.

ISSUE ONE: SOCIAL NORMS ARE POWERFUL MOTIVATORS AND GETTING IN THE WAY OF PEOPLE TAKING THE RIGHT STEPS IN RESPONSE TO THE PANDEMIC:

One of the current problems with addressing the pandemic is the social pressures of taking action today. It’s awkward, and feels like an over-reaction. The reason it feels like an overreaction is that most people OVERWEIGHT the currently reported cases and inherently UNDERWEIGHT the mathematics of how the virus is spreading and what will happen in about 30 days time. This is because our brains tend to think linearly as opposed to logarithmically. It’s the same reason many people don’t save for retirement or understand compound interest.

To create a new social norm, human beings like to see behavior modeled. This serves as a signal that says, “oh, someone else is doing it so I should do it also.”

SO HERE IS A SOCIAL BENCHMARK FOR REFERENCE — THIS IS WHAT I’VE DONE FOR MY FAMILY TO DATE:

I have already isolated my family. We have canceled EVERYTHING. We have canceled previously scheduled doctor visits. Social get togethers. No play dates. Normal routine meetings. Everything has been canceled. It’s difficult and socially awkward. Some of you think I’m crazy, but I’m doing it not because I am afraid, but because I am good at math (more on that in part 2). I had to have my 16 year old daughter quit her job coaching junior gymnasts at the local gym, with one day’s notice and also tell my kids they can’t attend youth group at church. Both of those were tough discussions. I told a very close friend he shouldn’t stay at my house this weekend even though he was planning to and had booked his flight from the Bay Area. I canceled another dear friend’s visit for later this month to go snowboarding on Mt Bachelor.

We are not eating out. Our kids are already doing online school so we don’t have to make changes there. I would not send my kids to school even if they were in public or private school. We have eliminated all non-essential contact with other people. We will only venture out to grocery shop when required. We will still go outside to parks, go mountain biking, hiking, and recreate to keep ourselves sane and do other things as a family, just not with other people. We have stocked up on food and have a supply for ~2 months. We have stocked up on other goods that if depleted would create hardship, like medicines and feminine hygiene products. We have planned for shortages of essential items.

THE REASON I HAVE CHOSEN THIS ROUTE FOR MY FAMILY IS MULTI FACETED:

1. Although my family is considered low risk (I’m 49 in good health, Angi is 46 and in good health, and our kids are 14 and 16), we must assume that the healthcare system cannot help us, because the hospitals will become overwhelmed very quickly. Most American hospitals will become overwhelmed in approximately 30 days unless something changes. More on this in part 2 below. So although we are in great health and unlikely to become gravely ill, the risk is greater if you do not have access to the medical care that you need. This is something for everyone to consider. As a society we are accustomed to having access to the best medical care available. Our medical system will be overwhelmed unless we practice social distancing at scale. That said, the medical teams in Italy are seeing an alarming number of cases from people in their 40s and 50s. Triage tents are already going up in the parking lots at many hospitals close to the epicenters in the United States.

2. It’s not a matter of if social distancing will take place, it’s a matter of when. This is because social distancing is the only way to stop the virus today.

As I will explain in part 2 below, starting now is FAR more effective than starting even 2 days from now or tomorrow. This has been proven by Italy and China (and soon to be France and other European countries who have been slow to respond.) [updated as of 3/14 France is now on lockdown mandated by the government]. Wuhan went on lockdown after roughly 400 cases were identified (and they had access to testing that America has systematically failed to do well to date). The US already has more than 4 times this number of known infected cases as Wuhan did when it was shut down, and our citizens are far more mobile and therefore spreading the virus more broadly when compared to Wuhan. Yet our response is tepid at best.

If hand washing and “being smart” were sufficient Italy would not be in crisis. So I pray the draconian measures are coming from our government, because they are required to stop the spread of the virus. It’s better to start sooner than later as the cost is actually far greater if we wait. I pray they close all schools and non-essential services the way that Italy and China have done.

3. Spreading the virus puts those in the high-risk category at much greater risk. This is the moral argument. It’s a strong argument because there are only two ways, as of today, that the virus can be stopped: let it run its course and infect 100s of millions of people, or social distancing. There is no other way today. If you don’t practice social distancing, people downstream from you that you transmit the virus to will die, and many will suffer.

4. The risk of infection is increasing exponentially, because the quantity of infected people, most who will not show symptoms, is doubling every three days. So the longer you wait to self-isolate, the greater the chance of you or someone you love becoming infected and then you infecting others because more of the population is becoming infected. There are twice as many infected people today as there was on Tuesday.

5. The virus is already in your town. It’s everywhere. Cases are typically only discovered when someone gets sick enough to seek medical attention. This is important as it typically takes ~5 days to START showing ANY symptoms. Here’s the math: For every known case there are approximately 50 unknown cases. This is because if I become sick, I infect several people today, and they infect a few people each tomorrow (as do I), and the total count of infected people doubles every 3 days until I get so sick I get hospitalized or get tested and become a “known case”. But in the time it takes me to figure out I am sick 50 others downline from me now have the virus. So every third day the infection rate doubles until I get so sick that I realize I have the virus an am hospitalized or otherwise tested. Harvard and Massachusetts General Hospital estimate that there are 50x more infections than known infections as reported (citation below). The implication of this is that the virus is already “everywhere” and spreading regardless if your city has zero, few or many reported cases. So instead of the 1573 reported known cases today there are likely 78,650 cases, at least, in the United States. Which will double to 157,300 by this Sunday. And this will double to 314,600 cases by this coming Wednesday. So in less than 1 week the number of total infected in the United States will quadruple. This is the nature of exponential math. It’s actually unfortunate that we are publishing the figures for known cases as it diverts attention away from more important numbers (like the range of estimated actual cases). [Update as of 3/15/20 — I’ve been sent more research that may add clarity to the ACTUAL cases vs CONFIRMED cases and will update this post with any conclusions]

6. Some people cannot, or will not, practice social distancing for a variety of reasons and will continue to spread the virus to many people. So everyone else must start today.

The reasons above are why I have begun to practice social distancing. It’s not easy. But you should do it too.

The hospitals will be at capacity and there are not enough ventilators. You will hear a lot about this issue in the coming few weeks… the shortage of ventilators.

ISSUE TWO: MANY PEOPLE ARE FOCUSED ON THE WRONG NUMBERS:

Yes, the virus only kills a small percentage of those afflicted. Yes, the flu kills 10s of thousands of people annually. Yes, 80% of people will experience lightweight symptoms with COVID19. Yes the mortality rate of COVID19 is relatively low (1–2%). All of this true, but is immaterial. They are the wrong numbers to focus on…

The nature of exponential math is that the infection rates start slowly, and then goes off like a bomb and overwhelms the hospitals. You will understand this math clearly in the next section if you do the short math exercise. Evergreen hospital in Seattle is already in triage. I have heard credible reports from people on the ground that they are already becoming overwhelmed. And the bomb won’t really go off for a few more days. Probably by Wednesday, March 18th (next week). In just a few days from now we will hear grave reports from Seattle hospitals. [update as of 3/15/20 — see the comments section below for an update from a staff member at Evergreen Hospital in Kirkland, WA]

You should assume the virus is everywhere at this point, even if you have no confirmed cases in your area.

YOU SHOULD DO THIS SIMPLE 2 MINUTE MATH EXERCISE (NO REALLY TAKE TWO MINUTES AND DO IT):

To further understand exponential growth, take the number of confirmed cases in your area and multiply by 10 (or 50 if you believe Harvard and Massachusetts General estimations) to account for the cases that are not yet confirmed. If you have no confirmed cases choose a small number. I’d suggest 10 cases in your city, if no cases are yet reported. But you can use whatever number you like. This number of infected people doubles every ~3 days as the infection spreads. So literally take your number, and multiply by 2. Then do it again. Then do it again. Then do it again. Do this multiplication exercise 10 times in total.

2 x 2 x 2 x 2 x 2 x 2 x 2 x 2 x 2 x 2 x (the number of estimated infections in your city today (not just the reported cases)).

This result is the estimate for the actual cases in your area 30 days from now. The math will take 30 seconds to complete with a calculator and it’s worth doing the math to see how it grows. This end number is the number of cases in your city 30 days from today if a large percentage of the population do not practice social distancing.

2 to the 10th power is 1024. When something doubles 10 times, it’s the same as multiplying by 1024. The infection rate of the virus doubles every 3 days. In thirty days there will be 1,024 times the number of infected people in your area as there is today if your community does not immediately put social distancing into practice. One thousand and twenty four times as many infected people as there is today, in just 30 days.

Next, divide the final number (the scary big one) you just calculated by the current population of your city and you will be able to get the percentage of people THAT YOU KNOW PERSONALLY who will be infected 30 days from now.

THIS PART IS IMPORTANT: Next take 15% (multiply by 0.15) of that final 30 day number of total infected people (the number you calculated by multiplying by 2 ten times). This will provide an estimate of the serious cases which will require hospitalization, and compare it to the number of beds and ventilators available at your local hospital. Google the “number of beds” and the name of your local hospital now. It takes 2 seconds and the number of beds is easy to find. 65% of beds are already occupied by patients unrelated to the coronavirus. St Charles in Bend, Oregon where I live, has 226 beds and the town is roughly 100,000 people. Most hospitals have on average, 40 or fewer ventilators. 5% of patients require ICU treatment. There are very few ICU beds compared to regular beds in hospitals. There are very few negative pressure areas in any hospital to deal with the containment of airborne diseases.

These numbers you just calculated are the Big Problem: Too many patients, not enough beds, and a serious shortage of ventilators (the biggest problem) if we don’t immediately begin social distancing. More on this biggest problem related to the insufficient quantity of ventilators is below.

COUNTRIES AND CITIES THAT GET OVERWHELMED WILL HAVE A MUCH GREATER MORTALITY RATE BECAUSE THEY WON’T BE ABLE TO ADEQUATELY PROVIDE MEDICAL CARE.

And by medical care I mean not just coronavirus patients. Your son or daughter that needs acute care surgery this May for his badly broken leg will be attended to by an orthopedic doctor that has been working at maximum capacity and working 18 hour shifts for 7 days every week for 6 weeks because it was required to care for all the coronavirus patients at her hospital. Or the orthopedic surgeon will be sick with the virus and your son or daughter will be operated on in a tent in the hospital parking lot by a non-expert or a member of the National Guard. Your elderly Mom that has diabetes and goes into acute distress next month may not receive ANY medical care because the doctors are consumed and have to prioritize patients based on triage guidelines based on success rate probabilities. Your sibling’s family that are all injured in a terrible car crash in June will have diminished care. If one of them needs a ventilator there will be none available because all of them will be in use by critical coronavirus patients. Your young friend with cancer and a compromised immune system from treatment will succumb even though the cancer was curable and the treatment was working, because their body was too fragile to combat the coronavirus due to the chemotherapy and they couldn’t receive the customized, acute care required due to the hospital being overwhelmed. All of the above is currently happening in Italy, who had the same number of infections we have today just 2 weeks ago. You must start social distancing today.

The count of actual virus infections doubles every ~3 days. The news and government agencies are lagging in their response. So we hear that the US only has 1573 cases today (3/12/20) [update as of 3/15/20: 3115 confirmed cases), ( see https://www.worldometers.info/coronavirus/) and it doesn’t seem like a lot. It would be better to report the estimated actual cases, since reported cases don’t tell us much. However, we know from China that the actual number of cases are at least an order of magnitude greater than the reported cases, because people get infected and do not display symptoms. In math, an “order of magnitude” means ten times difference, or put another way, a factor of 10. 100 is 10 times greater than 10, so it’s an order of magnitude greater.

Harvard Medical School / Massachusetts General Hospital just released their estimate (recording is here: https://externalmediasite.partners.org/…/53a4003de5ab4b4da5…) that the actual cases are 50x greater than the reported cases. So we likely have 75,000 cases in the United States already. The number of reported cases is not that important.

But let’s assume the current number of cases is only 10,000 ACTUAL cases in the United States just to be conservative and model out what will happen:

If we don’t stop the virus from spreading, in 30 days we will have 2 to the 10th power more cases of infected people because the infection count doubles every 3 days (the virus doubles every 3 days and there are 10, 3 day periods in 30 days).

This math is familiar if you did the exercise above. If not, go up and do the math exercise. The math: 2 to the 10th power means 1,024 times as many cases as we have today (2 times 2 repeated 10 times).

This number is a catastrophically big problem for all of us: We will have 10 million+ actual cases (10,000 actual cases today x 1,024) in the United States in just 30 days’ time if we continue without extreme social distancing. 10 million people with the virus. And it will keep doubling every 3 days unless we practice social distancing.

15% of cases require significant medical attention, which means that 1.5 million people will require significant medical attention if 10 million people get infected (15% of 10 Million total infections = 1.5 million people requiring hospitalization).

1.5 million hospitalizations is way more than we have beds for at hospitals in the United States. And 65% of all beds are already occupied in our hospitals. But many patients (5%) with the virus need ICU beds, not just any old hospital bed. Only about 10% of hospital beds are considered intensive care beds. So we will have a huge bed shortage, but that is not the biggest problem, as we can erect temporary ICU shelters and bring in more temporary beds, as Italy has already done, and California and Washington hospitals have already done. Evergreen Hospital in Seattle has already erected temporary triage tents in the parking lot as of 3/13/20. All regular beds are full at Evergreen Hospital as of yesterday.

Once the government of China, Norway, and Italy came to understand this math, they reacted accordingly and shut EVERYTHING down. [update as of 3/15/20 now France has done the same lockdown]. Extreme social distancing is the only response available to stop the virus today. The United States is not responding well nor are other countries like the UK. Countries that do not respond well will pay a much larger, catastrophic price.

But hospital beds are not the big problem. The lack of ventilators is the big problem. Most estimates peg the ventilators in the United States at roughly 100,000 to 150,000 units. See the study from last month: http://www.centerforhealthsecurity.org/…/200214-VentilatorA…

The primary and most serious comorbid (comorbid is a medical term that means co-existing or happening at the same time) condition brought on by the Coronavirus is something called bilateral interstitial pneumonia which requires ventilators for treatment of seriously ill patients. So if 1.5M people of the 10 million infected 30 days from now require hospital care (15% of the 10M estimated total infections), 1.3M may not get the care that they need because we don’t have enough ventilators, beds, and ICU beds in the United States. And remember, this is only if ALL OF US EFFECTIVELY start social distancing by April 11th (30 days from today). This increases the mortality rate significantly.

BUT IF WE START EXTREME SOCIAL DISTANCING BY MARCH 23 (12 days from original writing), WE AVOID OVER 1.4 MILLION PEOPLE GETTING CRITICALLY ILL AND OVERWHELMING THE HOSPITALS:

If everyone takes extreme measures to social distance, and the United States can dramatically reduce the spread of the virus 12 days from now, the math is very different, as the exponential growth will only be 2 to the 4th power (12 days divided by the doubling rate of every 3 days equals the exponent of 4):

2 x 2 x 2 x 2 = 16

So instead of 10 Million cases in the United States if we wait 30 days, if we act 18 days sooner, we will have only 160,000 cases (16 times the estimated 10,000 actual cases as of today), of which 15% are likely to require hospitalization. This is 24,000 critical patients (a huge difference compared to 1.5 million acute patients). The difference between taking extreme measures now, versus waiting even a few days, is very large due to how exponents work in math.

THE OUTCOME IS EVEN BETTER IF WE TAKE ACTION IN THE NEXT 6 DAYS: If the vast majority of the population self isolates and implements social distancing in only 6 days from now the exponential math is 2 to the 2nd power (6 days divided by the 3 days it takes the virus to double means the exponent is only 2). In math this is “two squared”.

2 x 2 = 4

Multiplied by the estimated 10,000 ACTUAL cases as of today (3/12/20) that means only 40,000 total cases will develop, 15% of which may be critical which is 6,000 critical patients.

This is why you should share this post broadly. If people begin social distancing in the next 6 days it will greatly reduce the impact on all of us. It’s why they say a “post goes viral”.

SOCIAL DISTANCING WILL REDUCE THE FINANCIAL IMPACT TO YOU AND YOUR FAMILY:

Finally, the longer everyone waits to practice significant social distancing the greater the economic hardship will be on all of us. Lost jobs. Mortgage defaults. Closed businesses. Bankruptcies. All will be minimized if you start social distancing today.

Some of the reasons the economic impacts will be reduced are worth mentioning: If we stop the virus now the overall duration of the outbreak will be far shorter. The stock market will normalize more quickly and recover more quickly. Businesses and people will be able to survive a shorter duration outbreak vs a longer duration outbreak. More companies will avoid bankruptcy if we begin to practice social distancing now.

This is a big financial reason to begin social distancing if you are employed by any company: if companies see that the virus is being slowed, they will be less likely to conduct layoffs. You will be more likely to be laid off or experience a job-related event if we don’t practice social distancing immediately. As an HR executive, I’ve been involved in many, many layoffs. It’s the last thing companies want to do. But if they see that the pandemic will be shorter lived vs long and drawn out, they are less likely to make the permanent decision of laying off staff.

The overall economic impact that hits your bank account will be greater if you wait or you don’t practice social distancing. This is why Norway acted now, because it’s less economic impact to take drastic measures early than to do them later, and it saves a lot of lives and suffering by doing so. And Norway has only one confirmed death as of this writing.

Many people have suggested they want to support local restaurants and other businesses, who have seen sales drop by 50–90%. Stopping by and visiting them won’t save them. What will save them is social distancing and what you do after the pandemic is over. If you are concerned, call them and buy a gift certificate over the phone.

START TODAY. I CAN’T STRESS THIS ENOUGH. YOU MUST START TODAY.

Finally, the article that I posted yesterday written by Tomas Pueyo has been read 30M times in the last few days and has been updated with new information. It’s worth reading again.

Here’s that link:

https://medium.com/…/coronavirus-act-today-or-people-will-d…

Other up to date data I frequently consult regarding the pandemic is here:

https://www.worldometers.info/coronavirus/

I hope this is helpful and useful. My brain focuses on the math and I try and be fact based in my analysis and interpretation of how I should respond.

THERE IS MORE INFORMATION IN THE COMMENTS ON THE FACEBOOK POST WORTH READING AND I WILL BE UPDATING THAT POST, AND THE COMMENTS, WITH MORE INFORMATION, (AS OPPOSED TO CREATING NEW POSTS).

MY FINAL PARTING THOUGHT: Please share or forward this post at your discretion. If everyone shares this post and two of your friends share this post and so on, we use the power of exponential math to work in our favor, which seems appropriate given the virus is using that same exponential math against us.

HOW YOU CAN REALLY HELP: If you know people who have large numbers of followers, or people in the media, please leverage your personal relationship with them and ask them to amplify this post by sharing it.

It would be useful to get the post on Twitter and LinkedIn. If you know people in government this fact-based post may help inform them to make the best decisions. I am not active on Twitter.

It’s time for us humans to go on the offensive against the virus. We must fight back.

There is only one way to do so: Social Distancing.

Do it today.

NOTE: Anyone, including the media, is free to use this post, any related content, in all or in part, for any purpose, in any format, with no attribution required. Please direct message me if you have other ideas for how to raise awareness.

Finally, I can no longer keep up with friend requests given how much this post has been shared. To receive updates or follow me, please use the “Follow” button on Facebook. My page Facebook page is here, or follow me here on Medium (or both!).

My facebook page: https://www.facebook.com/jason.scott.warner

If anyone wants to translate this into any other language please do so and contact me and I’ll repost it in that language.

3/16/20: I am preparing a second post, now that 4 days have gone by since the first post. To receive it please follow me on FB. I can not keep up with the friend requests.

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By Guest Contributor on Mar 17, 2020 02:08 pm


  Agelbert COMMENT: Though I doubt very seriously if the common sense change to electronic voting (i.e. a voting card issued by a bank or the government), totally justifed to help contain the COVID-19 pandemic, is enacted, it is the 🦅 democratic thing to do.

Of course, the premise for voting with exactly the same ease and security that 90% (or more) of the voting population now has to pay for items with a debit or credit card is that the USA is a democracy.

However, If the USA is a Capitalist run Oligarchy, there is not a snowball's chance in hell that the majority of the populace will be given the ability to vote easily. The 👹🎩oligarchs in the USA prefer Class based hurdles to voting to continue to be firmly in place, as they have been for a century or more, in order to keep the masses from threatening their oligarchy with a democracy.

I am NOT talking about electronic voting machines, which replaced paper ballots for the EXCLUSIVE PURPOSE of having the vote count easily gamed by hacking the software. Don't tell me electronic voting machines are not easily hacked. They are easily hacked. Many experts, for TWO DECADES NOW, have stated as much, while the main stream media yawns, for some reason...

Rant follows:

DON'T SWALLOW THE BULLSHIT that it's "okay" for the police, the Department of Motor Vehicles, your Doctor, your Dentist, the Social Security Administration, the Selective Service System (and, of course, the CIA and Google) to KNOW whether you are you but, uhm, uh, you "cannot trust a U.S. Government Web site to prevent voter fraud". If Banks can protect your money, the Federal Government, if it really wanted to, can CERTAINLY protect your vote!

If everyone can get a Social Security Card in the USA, and be tracked from cradle to grave, it is CHILD'S PLAY to issue a VOTING CARD (electronic or not) WITH A PIN NUMBER valid for use ONLY by the person who's Social Security number is associated with it.

You DO NOT NEED PLACES TO VOTE. People without a computer can vote in the public libraries during the two to three week period for the vote to take place in each and every election, from dog catcher to POTUS.
Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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🦅 Sen. Sherrod Brown 👍 Calls Out Senate 🐘 Republicans For Delaying Action on Coronavirus | NowThis
6,876 views•Mar 18, 2020


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Watch this senator put Mitch McConnell on blast for delaying the national response to COVID-19.
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In US news and current events today, Sen. Sherrod Brown called out Republicans for inaction on COVID-19. Republicans are delaying passing the Families First Coronavirus Response Act which would guarantee sick leave for workers affected by COVID-19, increase aid for food-insecure families, and guarantee free testing for people exposed to the coronavirus.

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Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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🦅 Bernie Sanders Reveals Coronavirus Response Proposal on Election Night | NowThis
17,514 views•Mar 17, 2020


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Sen. Bernie Sanders laid out his proposed response to the coronavirus in this live address on election night.
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In US news and current events today, Sen. Bernie Sanders spoke about the COVID 19 USA outbreak in this election night live address. It’s Joe Biden vs Bernie Sanders remaining in the primary to take on Donald Trump (Home Alone 2 star). After the recent Joe Biden-Bernie Sanders debate everyone is anticipating how Bernie Sanders vs Joe Biden will differ in their approach to the coronavirus problem in America.

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NowThis is your premier news outlet providing you with all the videos you need to stay up to date on all the latest in trending news. From entertainment to politics, to viral videos and breaking news stories, we’re delivering all you need to know straight to your social feeds. We live where you live.

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Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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Is 🦀 Trump Completely Incompetent?  (w/ Kshama Sawant 👍)
1,395 views•Mar 18, 2020


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Seattle was the first area hit in the US with COVID-19, now a global pandemic. There are reports that there is a complete breakdown of healthcare and Kshama Sawant  from Seattle gave us her opinions.

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Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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Growing Calls to end 👹🦍 ICE Raids During the Coronavirus Pandemic
1,307 views•Mar 18, 2020


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ACLU of Maryland staff attorney says closing immigration courts is a good first step, but warns prisoners and detainees remain at risk during the coronavirus outbreak.

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Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

AGelbert

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Thu, 03/19/2020 - 11:30

Authored by Michael Snyder via TheMostImportantNews.com

SNIPPET:

According to the researchers, COVID-19 could still actually be detected on plastic and steel surfaces “after three days”… :o


On plastic and stainless steel, viable virus could be detected after three days . On cardboard, the virus was not viable after 24 hours 👍. On copper 👍, it took 4 hours for the virus to become inactivated.

In terms of half-life, the research team found that it takes about 66 minutes for half the virus particles to lose function if they are in an aerosol droplet.

That means that after another hour and six minutes, three quarters of the virus particles will be essentially inactivated but 25% will still be viable.


Some people that get this virus only experience minor symptoms the entire time, and that is definitely good news. 👍

But many others have been hit extremely hard 🥵.  Some survivors experienced “blinding pain for weeks, and many felt like they were constantly being suffocated.

And even if you survive after going through all that, there is a good chance that your lungs could be permanently damaged for the rest of your life.  In fact, one Belgian doctor says that the lung damage that he has been witnessing is “nothing short of terrifying”…

A Belgian doctor working to battle the coronavirus says he’s treated several seriously ill young patients — and their lung scans were “nothing short of terrifying,” according to reports.

Dr. Ignace Demeyer, who works at a hospital in Aalst, said an increasing number of people between the ages of 30 and 50 have presented with severe symptoms, despite having “blank medical records” that show no underlying conditions that would make them high-risk, the Brussels Times reported.

So please stay at home as much as possible in the coming days.

You do not want this virus.

Just like other countries, it appears that our medical system will soon be overwhelmed. Already, hospitals across America are setting up tents and bringing doctors out of retirement in order to get ready for the expected surge in patients.

But if this virus starts spreading as wildly as it has in Italy, it won’t be nearly enough. Just check out what is currently taking place in one northern Italian city…

Funeral services are overwhelmed in Bergamo, the northern Italian city hit hardest by the coronavirus outbreak, with a crematorium operating 24 hours a day, The Washington Post reported on Monday.

There is now a waiting list for burials there, and coffins of the deceased awaiting services have overflowed two hospital morgues and a cemetery morgue, The Post reported.

Many would like to believe that the same thing won’t happen here, but the truth is that the United States is on the exact same trajectory as Italy.


Full article:

Agelbert NOTE: Italy COVID-19 count as of today (click on image for more info):

Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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China has no new infections of the coronavirus domestically for the first time since the start of a crisis that has sickened over 80,000 Chinese people. But what could be a sign the country has defeated the fatal pathogen is likely to just be a temporary reprieve.

Updated on March 18, 2020, 9:39 PM EDT

As China’s Virus Cases Reach Zero 👍, Experts Warn of Second Wave
https://www.bloomberg.com/news/articles/2020-03-18/as-china-virus-cases-near-zero-experts-warn-of-second-wave


   
Danielle Zoellner ,The Independent•March 18, 2020

Coronavirus: California prepared to enact martial law if its a 'necessity', governor says
https://news.yahoo.com/coronavirus-california-prepared-enact-martial-215237009.html
Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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PROFOUND AND FACT-BASED DATA
« Reply #72 on: March 19, 2020, 10:59:33 pm »
HOW TO BEAT THIS THING – WITHOUT RUINING THE ECONOMY

PROFOUND AND FACT-BASED DATA


Profound and fact-based data that is being deliberately ignored by the news media and government.

DELIBERATE OFFICIAL IGNORANCE ABOUT THE VIRUS

There is a way to beat this thing without ushering in a severe global depression.

Small business is NOT going to survive this especially in the United States.

Millions are employed by small business.

Overlook the short nonsense at the beginning.

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https://realfoodchannel.com/deliberate-official-ignorance-about-the-virus/
Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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The Politics of a Public Health Failure, and the Way Forward
3,408 views•Mar 19, 2020


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TRNN's Marc Steiner talks to a social futurist about how progressive governing creates a future for us all in the wake of the coronavirus pandemic.

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Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

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Operations Suspended at Port Houston Container Terminals After Worker Tests Positive for COVID-19

By Mike Schuler on Mar 19, 2020 12:07 pm


Update: Port Houston container terminals are set for reopening for regular business March 20. Full statement at the bottom. Port Houston has suspended operations at its two container terminals after a worker there tested positive for COVID-19.  The two terminals impacted are the Bayport and Barbours Cut terminals, which collectively handle approximately two-thirds of all […]  Read full story...
Rob not the poor, because he is poor: neither oppress the afflicted in the gate:
For the Lord will plead their cause, and spoil the soul of those that spoiled them. Pr. 22:22-23

 

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