by Mojah on 3/12/20, 10:56 AM with 421 comments
by 9nGQluzmnq3M on 3/12/20, 11:39 AM
Standard Foreign Office response in a time of crisis:
In stage one we say nothing is going to happen.
Stage two, we say something may be about to happen, but we should do nothing about it.
In stage three, we say that maybe we should do something about it, but there's nothing we can do.
Stage four, we say maybe there was something we could have done, but it's too late now.
by ThePhysicist on 3/12/20, 12:38 PM
Right now, the most shared article on Corona is written by a growth hacker from SF who cobbled together an Excel sheet and recommends it to people to decide whether they should close their companies or stay at home.
I'm not saying this is bad, I just think such recommendations and articles should come from people that have more experience with modeling such epidemics.
Fitting a dataset with an exponential function is easy, it just doesn't tell us much beyond the current growth rate. It's also a bit ridiculous to judge how bad the situation is in a given country without accounting for differences like the number of tests that are done and the overall population of these countries.
by varjag on 3/12/20, 11:09 AM
by a_diplomat on 3/12/20, 12:20 PM
by tomp on 3/12/20, 11:25 AM
1) no pandemic, no action -> government was "right", avoided wasting money -> reelected
2) no pandemic, action -> government was "wrong", wasted a lot of money, damaged the economy, inconvenienced the lives of the population -> voted out
3) pandemic, no action -> government was "wrong", caused loss of lives and damaged the economy -> voted out
4) pandemic, action - this is the trickiest scenario, so let's consider two options:
4a) pandemic, action, it works -> government was "right", saved lives, spared the economy -> reelected
4b) pandemic, action, doesn't work -> government was "wrong", their actions failed, they're incompetent -> voted out
There's two winning scenarios, (1) and (4a), but the problem is that (4a) has vanishingly small probability of success... with little information available about the virus, and rampant globalization, it's hard to know what action makes sense, is correct and viable... Case in point is Italy, which did act in time (they banned flights from China 2 weeks before the outbreak), but still failed (i.e. their action was "correct" but not "correct enough") because their neighboring countries (e.g. Germany - not technically a neighbor but within Schengen Zone) failed to act.
So, politicians choose (1), no action, as the most likely winning scenario.
by aetherspawn on 3/12/20, 11:16 AM
In other words, the government probably realizes that despite the grim reality, their POV may be that the virus will have a net positive effect on the economy and also accommodation affordability for the younger generation.
by soyyo on 3/12/20, 12:15 PM
When gatherings of people started to be canceled all around the world, the government kept going ahead with the plans because this is a key event for their agenda.
The very next day, they acknowledged that the virus is out of control in several regions in Spain, started to take very aggressive measures that are only increasing each day.
Today, it has been announced that Irene Montero, head of the women rights ministry, that lead the main protest that day, has tested positive for coronavirus.
Stupidity at its finest
by silvestrov on 3/12/20, 12:24 PM
- events with more than 100 people forbidden.
- all schools will close
- all non-critical employees must stay home.
- all private employees off-job as much as possible.
- stay in your home.
- don't travel to [many] countries, more restricts will come.
- All indoor cultural institutions, libraries, leisure facilities, etc. are closed.
And today they made a temporary law which will sunset 1 year from now (the law is only in effect for 1 year):
- ability to force people to be tested and put into isolation
- enter homes without warrant when occupant is suspected to be infected.
- much expanded ability to forbid events and collection of people (Note: the permission to assemble is just as fundamental culturally to Danish people as freedom-of-speech is to USA).
- ability to forbid/restrict use of transportation (likely number of passengers in buses, trains)
- suspension of "free choice" of hospitals and quarantee of treatment within some time frame (we have "socialized medicin" where we have a right to treatment within a given time frame)
- allow temporary suspension of other laws if deemed necessary
Why did this happend now: They were told yesterday that Northern Italy no longer has enough resources in their health care system and that there are now official guidelines for whom to treat and whom to let die: https://www.theatlantic.com/ideas/archive/2020/03/who-gets-h...
Italy is close and "one of us".
by XorNot on 3/12/20, 1:24 PM
Get appendicitis? Routine surgery, can be done in a few hours. And will definitely kill you without treatment. Break a bone? Car crash? Treating you in emergency now might involve kicking someone else off respiratory support.
The cost of overburdening the healthcare system is not some calculation of a nuisance amount of citizen death over a time period - it's a whole bunch of people who otherwise live full and productive lives, instead stop existing.
What happens when you go above that dotted line is not the continuation of a predictable trend, it is a chaotic bifurcation in behavior which does not have predictable secondary effects. The COVID-19 case load follows that shape. The deaths and long-term health problems do not.
by izacus on 3/12/20, 11:14 AM
(Then again, my government isn't the Belgian government.)
by Al-Khwarizmi on 3/12/20, 12:50 PM
I'm in Spain, one of the countries that is doing way too little, way too late. When I see the measures and statements from our politicians, I don't see a machiavellian plan, I see stupidity. In fact, a prominent member of the government has been infected after attending feminist demonstrations on March 8 that anyone reasonably informed and intelligent knew shouldn't have been held in the first place, others also attended and could follow. If they were such diabolical masterminds, I doubt they would have done that...
by JdeBP on 3/12/20, 12:36 PM
Don't read some Belgian web developer's web log.
Read the likes of Ethical and Legal Considerations in Mitigating Pandemic Disease: Workshop Summary published by the National Academies Press in 2007 (ISBN 9780309107693 https://www.ncbi.nlm.nih.gov/books/NBK54167/).
Read “Destroyer and Teacher”: Managing the Masses During the 1918–1919 Influenza Pandemic (Nancy Tomes. Public Health Rep. 2010. 125(Suppl 3) 48–62. PMC2862334. PMID 20568568. https://dx.doi.org/10.1177/00333549101250S308 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862334/)
Tomes is particularly enlightening on the internal conflicts between government public heath departments.
by numpad0 on 3/12/20, 12:17 PM
Second: Flattening the curve isn't about shortening any duration.
The Y axis is the number of infected.
In the Red Line scenario, like packets overflowing a buffer, patients above the dashed line will (have to) be medically neglected. Rest assured, our immune system will eventually gain the upper hand, the virus will eventually decides its job done, red line settles, we'll congratulate the lucky few who won scarce beds at surviving hospitals, as well as those who treated themselves next to remains of deceased hospital staffs. Then we will assemble at rubble of our cities and start walking towards the former glory of human civilization up until 2020(hyper exaggeration).
The Blue Line, "Flattening the curve", lets us avoid that apocalyptic situation: by boldly suppressing infection early on and spreading it out to a longer duration, ignoring economical disaster ensuing, no patient will be left behind. The hope is that by allowing every patients to be semi-adequately treated WHEN infected(not IF infected), total population of alive and recovered combined at the end of this pandemic at maybe late 2022 or so is going to be far better than the Red Line scenario. So we'd want to flatten the curve.
Green, is just a pipe dream. Makes no sense. If that's possible we might as well get production back up full over in China.
I think there's an important, sub-vocally communicated notion: the containment had failed long ago, and there is an ongoing pandemic. Many stays asymptomatic, some experience manageable illness, some would need to stay at ICUs, around 0.5-1% life will be lost, but we will all(~70%) get infected. Ideas that requires or aims at containing infection or isolating infected few are useless. We must all accept that almost all of us are situationally required to "schedule" an infection, and fortunately, exact time, place or severity of it is left to our discretion.
We must be aware of these facts, and must use it to our maximum advantage, starting from washing hands often.
by mhandley on 3/12/20, 12:55 PM
https://twitter.com/MarkJHandley/status/1237781162153717760
These are not strictly predictions, but they give some idea of what will happen if we act in a similar way to Italy. Note that there's a 6 to 10 day lag in the stats (~6 days incubation, up to 4 days testing, at least in the UK right now). Without isolation measures, we're seeing 33% per day increase rates. If we wait until we can measure the scale of the problem, it's likely to be too late to prevent it.
by gdubs on 3/12/20, 1:46 PM
Take Climate Change. There’s no shortage of brilliant scientists who have warned us of the long term costs (in human toll and wealth) of inaction. Yet we wait.
Unfortunately, scientists are not the ones flying the plane, so to speak. There are brilliant epidemiologists here in the United States. What are their recommendations behind closed doors? Classified. We don’t know. We do know the opinions of the ones who are free to speak their minds, and they have been warning us to be proactive. For years, before this crisis, actually.
The rest of us are sitting in the back of the plane, uncomfortably contemplating whether the pilots have perhaps made a fatal error in their judgement. It happens. Now we wait.
To quote Carl Sagan:
“Science is more than a body of knowledge; it is a way of thinking. I have a foreboding of an America in my children's or grandchildren's time—when the United States is a service and information economy; when nearly all the key manufacturing industries have slipped away to other countries; when awesome technological powers are in the hands of a very few, and no one representing the public interest can even grasp the issues; when the people have lost the ability to set their own agendas or knowledgeably question those in authority; when, clutching our crystals and nervously consulting our horoscopes, our critical faculties in decline, unable to distinguish between what feels good and what's true, we slide, almost without noticing, back into superstition and darkness“
by bronzeage on 3/12/20, 7:36 PM
by AllegedAlec on 3/12/20, 11:11 AM
That's because Belgium has no government to put sanctions into place.
by DanBC on 3/12/20, 11:27 AM
Because we want to avoid Covid-19 becoming a recurrent winter illness like other coughs and colds and flu. Those already cause considerable pressure on healthcare systems, and adding annual covid-19 season on top would be pretty rough.
by wjnc on 3/12/20, 12:29 PM
You see that playing out when measures on one level (most prominently medical advise) are not in line with broader approaches to managing events, groups, tourism and travel. We all notice the disconnect, and some might think of 'dark conspiracies'. There are none (rule of the most kind interpretation). It's the dispersion of institutions in action.
Another one is my assertion, as a former public servant with friends in places that /should know/, that there is no structured economic analysis of possible outcomes of various scenarios of intervention. There are no models, there is no time, there is not enough collaboration between agencies. On the one hand you have the medical staff and agencies doing what they can where they can on a medical level, on the other hand you have bureaucrats making decisions with limited information and way more limited understanding. Politicians probably get in the way more than they support.
My thought: Governments are acting. They are just not acting in a way that we, the public, can understand is internally consistent. That's because the acts aren't internally consistent. That is due to the fact that governement is made up of institutions with different levels of understanding, information, scope and time to act.
In a pandemic, this is all very unfortunate and a more singlehanded style of governement could help. China got it quite right after an initial denial. Nobody in the West is equipped to both think about and act on China-style measures. In normal situation our distributed model of application of knowledge (Hayek) is more efficient. Most we can hope for is rapid learning in our institutions and the fact that a whole lot of capital, both human and monetary, is available for solving this crisis.
I'm quite in a shock (my province is in partial quarantine) with what's happening, but if the world economy proofs resiliant to this shock on a say 2-yr horizon, I'm quite bullish on how strong and adaptable our institutions are and see more hope for f.e. tackling climate change than before.
by KarlKemp on 3/12/20, 11:55 AM
by xvilka on 3/12/20, 1:23 PM
by tda on 3/12/20, 11:25 AM
by neuro_image3 on 3/12/20, 1:17 PM
This pandemic started because too many people are living together in close proximity, eeking out a living by literally catching and eating any living thing they can.
The economic effects are due to an unforgiving system that takes pride in an 'eat what you kill' culture and a 'winner take all' model of enterprise. As a consequence, there are a LOT of businesses running on thin margins and making just enough to cover costs each month.
Even one month of things going to zero will ruin a whole host of restaurants, sole proprietors, real estate speculators, and on down the chain. I hope I'm wrong, but this kind of instant systematic reduction in the economy feels unprecedented within the last 50+ years.
There are so many knock on effects of all this - people will be unemployed with limited opportunities at best. They'll potentially lose their healthcare, and in the worst cases their homes. Schools are closing around the country, and they won't have lunch programs running which means a lot of kids are likely to go without adequate food.
We need to fix (or create) safety nets in our country (and indeed the world), so when things like this happen we can all chip in to cover each other. Basic healthcare, affordable or public housing, eviction protections, food programs. These aren't radical ideas, these are the only way forward.
by iovrthoughtthis on 3/12/20, 11:14 AM
Surely, cost is the area under the curve of the original graph. Massive strain on our systems doesn’t come for free.
by anotheryou on 3/12/20, 11:14 AM
Even the graph in the article is weird, why is there a sharp limit at max capacity in the T2 curve? the virus doesn't care about max capacity....
by dboreham on 3/12/20, 12:48 PM
Governments don't seem to be able to act based on non-local information. Once the hospitals fill up _here_ , then action is taken. Hospitals filling up somewhere else causes no action.
There appears to be concerted disinformation operation underway, using the same outlets used for politics. I live in a "red" part of the US and can see comments from people on local TV news posts, and I talk to other local people. It's pretty clear there is lots of false information being propagated: comments like "Media stop overblowing this", "it's just the flu", "we can still shake hands here, it's a long way away" (that was a teacher at last night's parent teacher meetings). If the population don't have a realistic view of the situation then how can government take the necessary steps?
by Paul_S on 3/12/20, 1:38 PM
by cycomanic on 3/12/20, 5:08 PM
by fiatjaf on 3/12/20, 1:29 PM
by sandgiant on 3/12/20, 11:24 AM
You can't just change the axis labels because the death ratio depends non-linearly on infection ratio above the threshold.
Are we willing to take the risk when we don't know the consequences?
by nl on 3/12/20, 11:23 AM
He just relabelled the curves for no apparent reason!
To make it clear: The vertical axis should not be number of deaths. While the number infected remains below the health system capacity the number of deaths should remain relatively low. But once it hits capacity there is a step function that ratchets it up.
And the horizontal axis isn't cost at all. The green line shows something that is within the normal capacity of the health system. There aren't additional costs and so should be relatively cheap.
And the green curve is great - everyone would like that - that's the normal Flu. The Blue curve is the maximum we can sustain without overwhelming the health system.
by muh_gradle on 3/12/20, 2:44 PM
by PaulHoule on 3/12/20, 1:37 PM
New York City declared a state of emergency first, then the state. I guess the U.S. is in a state of emergency because it is shutting down flights. For a while people were accusing WHO of inaction, finally WHO declares a pandemic and they start accusing other people of inaction.
The structure is that an outbreak creates a crisis in one spot even though others are currently unaffected.
by johnchristopher on 3/12/20, 11:33 AM
But I agree, everything's fine in Belgium :D. The virus is likely to have taken a detour to avoid Belgium, like the Chernobyl cloud did.
by angry_octet on 3/12/20, 3:39 PM
Disregard the wishful thinking, psychopath level lack of empathy and poor graphing. The problem with this is the lack of any actual model or incorporation of any variables that disagree with it. Things like confidence, certainty, the value of all those parents & grandparents.
I'm chalking this one down to ostrich syndrome.
by AngeloAnolin on 3/12/20, 12:22 PM
by generalpass on 3/12/20, 1:13 PM
The actions they are taking are based on what they feel will serve them best.
This should be the first assumption in the analysis.
by polote on 3/12/20, 11:20 AM
Which would be how a company think, I'm pretty sure governments don't think like that
Most presidents want to be elected at the next election and this is probably the main thing they are trying to optimize right now
by Pusha_Drugz on 3/12/20, 12:55 PM
by nathell on 3/12/20, 11:29 AM
by cstross on 3/12/20, 12:38 PM
Let me be extremely cynical (at risk of down-voting) about the current US administration's motives:
Consider Trump's just-announced travel ban on the EU-26. It misses out the UK and Ireland, despite COVID-19 having a toe-hold in those countries ... but the UK and Ireland have Trump-branded golf courses! A ban on travel from UK and IE would hurt their viability, so it was quietly omitted.
Meanwhile, the Trump hotel chain is being hit as badly as anyone else in the hospitality trade by fears of a pandemic, and revenue of his hotels in Florida is driven by spring break traffic. So he's downplaying anything that might reduce vacation travel at spring break.
Denying that COVID-19 is anything to worry about is personally advantageous for Donald Trump as a hotel magnate, because it protects his investments. It's disadvantageous for the USA as a whole, but where do his priorities lie?
by mg794613 on 3/12/20, 1:37 PM
by scarmig on 3/12/20, 11:59 AM
We need to start the national quarantine before things blow up to Italy and Wuhan level proportions. Yes, it will be extremely costly. But riding on imaginary hopes that the virus will just disappear for no real reason is extraordinarily irresponsible.
The details of what it looks like will take time to figure out--it will be a complicated collaboration between the federal, state, and local authorities, with the justice system and health sectors being deeply involved. That's reason to start figuring those details out now, and not two weeks from now.
Donald Trump was elected because he said he was a risk taker willing to do what needs to be done despite criticism from everyone. A national quarantine is needed now, and we need bold action to get it started. This is his moment to make a difference.
by drenginian on 3/12/20, 12:14 PM
The deaths are the cover they need, so action will come in the next few weeks.
by DonHopkins on 3/12/20, 11:53 AM
by hnarn on 3/12/20, 12:26 PM
> Why your government isn't acting on the Corona/COVID-19 threat
Maybe we could correct this weird Indian grammar seen in the current headline on HN?
by robertofmoria on 3/12/20, 12:18 PM
by pingec on 3/12/20, 1:14 PM
by hidiegomariani on 3/12/20, 11:16 AM
by ginko on 3/12/20, 1:02 PM
by qaq on 3/12/20, 12:25 PM
Sir Richard Wharton: In stage one we say nothing is going to happen.
Sir Humphrey Appleby: Stage two, we say something may be about to happen, but we should do nothing about it.
Sir Richard Wharton: In stage three, we say that maybe we should do something about it, but there's nothing we can do.
Sir Humphrey Appleby: Stage four, we say maybe there was something we could have done, but it's too late now.
by csomar on 3/12/20, 12:27 PM
This kind of delusional thinking is not very different from religion and believing in God. People who believe in God, when they are found in hard situations, will think that somehow god (the savior) will come for their rescue. Apparently, people who do not believe in God will think that somehow the universe/government or whatever will come to their rescue.
The issue is that people holding power/government seems to be, eh, usual folks. They are still operating with a normal brain which when confronted with abnormal situations that it can't handle will just imagine that stuff is going to return to normal.
Bill Gates has already warned about something close to the Coronavirus and that we are very far from being ready. Nobody was listening and my guess is the change is going to happen through natural selection.
by collyw on 3/12/20, 11:58 AM
by Morgangeek on 3/12/20, 9:41 PM
by mensetmanusman on 3/12/20, 1:46 PM
1) Test kits are not helpful because of their high false positive rates.
2) The goal of these activities is to slow the spread, because it is not possible to stop.
3) Slowing the spread gives vaccine developers more time
by dustingetz on 3/12/20, 12:56 PM
by cletus on 3/12/20, 1:31 PM
- He describes this as more like a "winter" than a "blizzard" in that this is going to go on for months;
- No one really knows what the mortality rate is but it's become clear there are certain risk factors eg the fatality rate among people over 70 in China is about 3x for men than women but men are much more likely to smoke than women in China in this age group.
- Keeping schools closed is a mixed bag. For one, kids below 9 or so don't seem to get sick or die. In China only 2% of cases are under age 19. There are other diseases like this (eg Hepatitis-A). If you keep kids home, some people will lose their jobs or simply be unable to work as they take care of those children. Some of those people will be health care professionals. The lack of those will likely kill people;
- It's unclear yet what other risk factors (other than age and smoking) there are. Obesity in the developed world is a big cause for concern as this unfolds. A stat quoted is that 45% of people in the US aged 45 and older are obese or severely obese;
- It's largely a question of when not if you'll get this;
- It's a myth that we'll have a vaccine before ~18 months. You can't rush this. It's like trying to rush a pregnancy.
- Italy is a window to how most places will be in ~3 weeks;
- We, as a society, have a short attention span. We could've developed a vaccine for coronaviruses after previous outbreaks (SARS/MERS) but there seemed to be no appetite for that when they faded;
- Disruptions to the supply chain are likely to be the biggest problem. We don't stockpile anything and we're dependent on China for a lot of medical equipment (eg respirators) and a bunch of essential medicines, some of which people will die if they don't receive.
The guest here (Michael Osterholm) is an expert on infectious diseases and the author of Deadliest Enemies [2].
I can't speak to the reaction of different governments. It's no surprise there's variance. This probably comes down to just 1 or 2 personalities.
[1]: https://www.youtube.com/watch?v=E3URhJx0NSw
[2]: https://www.amazon.com/Deadliest-Enemy-Against-Killer-Germs-...
by hoseja on 3/12/20, 11:54 AM
Would it though?
by nextstep on 3/12/20, 11:21 AM
by tasogare on 3/12/20, 11:22 AM
by fxtentacle on 3/12/20, 11:30 AM
A very cruel view on humanity, but I would be surprised if these thoughts hadn't crossed our politicians minds.
Also, many initiatives by young people (e.g. limiting climate change, re-structuring society to be more equal-opportunity) are being blocked by old people who wish to preserve the status quo. So there is a general dislike by young people - those mostly unaffected by Covid - against the elderly - those most likely to die from Covid.
And for many years, there have been heated discussions about whether it is fair to force an ever smaller number of young people to pay for an ever growing number of old people, even if those old people directly undermine the young people's livelihood, for example by driving up rental prices or by voting to stop free education (which they themselves benefited from, when young).
So you could probably even win some young votes with a platform of "let's sacrifice the unneeded grumpy grandmas for the greater good".