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Posts Made By: James Brown

April 22, 2020 02:53 AM Forum: Politics

Health Care Professionals Vs Trumptoids At The Protests

Posted By James Brown

Originally Posted by Rod Kaufman

"Such a swift reopening runs counter to the advice of many experts, including Dr. Anthony Fauci, the government’s top authority on infectious diseases, who warned again Monday that resuming business too soon risked a fresh spike in infections."
https://www.manufacturing.net/economics/news/21129573/georgia-to-reopen-some-businesses-as-early-as-friday
Hi Rod:

I understand that opening now, or later, actually any time before there is herd immunity or an effective vaccine more than runs the risk of a fresh spike in infections.  I think that any significant re-opening guarantees a fresh spike.

I am still OK with gradual re-opening as each state sees fit because the benefits of reopening arguably outweigh the cost of the fresh spike.  I did not see Dr. Fauci's comments, but he is an authority on infectious diseases.  Given his expertise, it is probably impossible for him to even contemplate a course of action that will inevitably cause a disease spike.  It is certainly not his job to weight the cost of mitigation vs. the inevitable disease spike. 

I'm obviously not advocating for the abandonment of caution, but I do think the time to tentatively explore reopening has come in many states.

Jim 

April 22, 2020 10:07 PM Forum: Politics

Health Care Professionals Vs Trumptoids At The Protests

Posted By James Brown

Originally Posted by Greg Shaffer
Some thoughts from a fellow Georgian.....I find them relevant and they do a great job of mirroring my own. She puts it much better than I could.

I am going to try again to throw this out. I’ve typed it about twelve times and then stopped. It’s so touchy.

I am seeing so much anxiety about resuming business, and so much anger about continued regulations. People are feeling the need to catapult to one side or the other, then fight the opposition.

Here’s my perspective, from a mainstream medical model. I think a lot of folks have fallen into the idea that social distancing was meant to stop the viral spread. It wasn’t-it was meant to SLOW it while we put medical infrastructure in place. It has worked. We have, in most parts of Georgia, not been overwhelmed like we likely would have been without protective measures. In the meantime, our testing procedures have gotten better. We’ve increased our ventilator count. We’ve gotten a little better handle on PPE supply chains, and many have helped by making masks and gowns. Phoebe in Albany has a second COVID-19 ICU opened, and Atlanta has a field hospital ready to go. It’s not perfect, but it’s much better than it was seven weeks ago.

A vaccine is a long way off. At some point, people have to be systematically exposed to begin the building of (hopeful) herd immunity. We will likely begin to experience a real increase in cases after reopening. Ideally, that exposure is controlled and calculated, in phases, to allow our medical community to respond adequately, and reduce the number of severe or fatal cases. That’s where we are.

Whether you feel like Georgia is opening too soon, or not soon enough, we were never going to social distance this thing into nonexistence. You now need to proceed as your health, wallet, and conscience allow.

If you are medically vulnerable, you do not need to be a part of what is about to happen. Stay home if you can. If you’re not, or if your financial vulnerability trumps your health concerns, you need to proceed in ways that continue to protect yourself, and the elderly and medically vulnerable around you.

All of us need to calm down. Quit telling people who are financially struggling that they don’t care about human lives. Quit telling people who are truly at risk of dying from this virus that they are cowering in fear. Remember that until you’ve walked in someone else’s shoes, you should probably be careful in your judgements and subsequent harsh words.

We don’t HAVE to choose an either/or proposition and fight. We could choose other ways to be. Examples include but are not limited to:

“I think this may be too soon, so I will continue to shelter myself, and pray/make masks/ check on those who can’t.”

“I really need to go back to work, so I will do so, but I will be careful and try to protect myself, my family, and those around me with healthy strategies.”

See how those positions allow each of us to do what we need to, and also respect those who are choosing differently?

One thing that allows us to do this is humility. I can acknowledge that I am not an epidemiologist/economist/whatever, that I am making decisions based on my understanding of complex subjects and my own personal health and financial situation, that I am not all knowing, always right, and an expert in all fields, and that each person around me is doing their best too. We can make different choices and still be a supportive community. We can learn and evolve in our understanding of these issues.
Good post from your fellow Georgian.  Sounds like a very reasonable position.
Jim

April 22, 2020 10:13 PM Forum: Politics

VA Hydroxychloroquine Study: No Benefit/Higher Death Rate

Posted By James Brown

Originally Posted by James Lacey


Has anyone else noticed how Trump has altogether quit talking about it too?

I finished a book about the flu epidemic of 1918 last night. The Great Influenza by John M. Barry.

One of the things that never ceases to amaze me is how history repeats itself. Our politicians have learned nothing over the decades since regarding the proper way to respond to a global health crisis. Politicians back then were as incompetent or even more so than today. Even back then, politicians were peddling snake-oil and encouraging the use of typhoid vaccines, and even quinine of all things! Their reasoning seemed to be if it worked on one disease, then it might just work on this one. Then they would convince themselves it worked regardless of results. Just incredible how our politicians have learned nothing.
Hi James:

Good to see your post.  Since you and Rich went dark at about the same time I was worried that maybe you and he were simply two personalities of the same patient pounding away at the keyboard in a psych ward somewhere! 

Just kidding.  ermm

Seriously.

J

  

April 22, 2020 10:48 PM Forum: Politics

Covid-19 data and graphs

Posted By James Brown

Some national voices are questioning the wisdom of some states cautiously starting to re-open.  Here is an example.  

https://www.nytimes.com/2020/04/20/opinion/coronavirus-reopen-economy.html

The NYT has run several opinion pieces along this line recently.  I wonder how much this position is motivated  by the fact that many of these writers live in New York City?  The death toll there is so much worse than elsewhere in the states, there really is no comparing the risk in the City to the risk out here.  Here is a chart with this morning's data comparing New York to a few of the forum home states.  Canada is at 50 deaths/M by the way.

Dennis Prager published a provocative article yesterday exploring this theme:

https://www.realclearpolitics.com/articles/2020/04/21/if_half_the_countrys_deaths_were_in_montana_would_new_york_shut_down_142995.html

Jim  

April 22, 2020 11:58 PM Forum: Politics

Health Care Professionals Vs Trumptoids At The Protests

Posted By James Brown

Originally Posted by Rod Kaufman

I agree with Jim that the above sounds like a reasonable approach BUT there are many that don't fall into either category. Examples of the latter include those protesters who think the whole thing is a hoax or that if you don't agree with them then you need to reside in communist China. I could give you more examples of the latter but I hope you get my point because these are types of people who can get you or themselves and others sick with Covid19.
Hi Rod:

Yes, there are those types.  Hopefully there are not too many of them.  Still, I agree with your point.

This probably goes without saying, but there are also drunk and distracted drivers, unsafe gun owners, criminals, people with other infectious diseases and the like who might kill or maim anyone of us at any time.  We do a reasonable job as a society to protect against the risks presented by the careless among us, but we don't even try to drive the risk down to zero.  Everything we do has to be weighed against  against a test of what is "reasonable."  

Defining the point of "reasonable" CV19 risk and "reasonable" protective measures is where we are today.   If I might repeat myself, what is reasonable in Montana is not likely to be deemed reasonable in Queens.

Jim

April 23, 2020 09:23 PM Forum: Politics

Covid-19 data and graphs

Posted By James Brown

Originally Posted by James Lacey


I suppose the question is Jim, do you think NYC is an anomaly or is it a cautionary tale? Given the transmissibility of the virus, wouldn't any place eventually become another NYC given enough time? What may have made NYC unique is its density and its highly prevalent use of mass transit? Don't misunderstand. I'm all for returning to "normal" as soon as possible. There is a lot of real pain out there. For example, my employer will be furloughing 1/3 of its 10,000+ global workforce starting tomorrow, and that could include me. It will certainly include some of my friends and colleagues. So, I understand all too well what is at stake.
Hi James:

Good question.  I personally think the answer is yes, reopening will cause the virus to spread, at least until we have a vaccine.  Maybe our states will eventually reach 1000 deaths/M - I doubt it though, NYC is somewhat of a special case for the density and transportation reasons we discussed a week or two ago.

Flattening the curve does not necessarily reduce the total number of death and ICU admissions.  It spreads them out over time so that the healthcare system is not overwhelmed.  You know this, but I think some of the national voices have forgotten.  Given enough time everyone who would have gotten sick is going to get sick, but not all at once.  That is the definition of success, until we have a vaccine and effective therapies.

Here is a feminist CNN voice living in NYC who is out of her depth, she cites the Southern states as risking lives, and leaves Colorado out of it, probably because we are a liberal bastion nowadays.  (More about that in my next post.)  She thinks the Southern R governors are ending social distancing.  That is not true. 

https://www.cnn.com/2020/04/21/opinions/gop-governors-dangerous-covid-19-response-filipovic/index.html

Best wishes, I sure hope that you are not furloughed.  

Jim

April 23, 2020 09:53 PM Forum: Politics

Covid-19 data and graphs

Posted By James Brown

Originally Posted by James Brown

Hi James:

Good question.  I personally think the answer is yes, reopening will cause the virus to spread, at least until we have a vaccine.  Maybe our states will eventually reach 1000 deaths/M - I doubt it though, NYC is somewhat of a special case for the density and transportation reasons we discussed a week or two ago.

Flattening the curve does not necessarily reduce the total number of death and ICU admissions.  It spreads them out over time so that the healthcare system is not overwhelmed.  You know this, but I think some of the national voices have forgotten.  Given enough time everyone who would have gotten sick is going to get sick, but not all at once.  That is the definition of success, until we have a vaccine and effective therapies.

Here is a feminist CNN voice living in NYC who is out of her depth, she cites the Southern states as risking lives, and leaves Colorado out of it, probably because we are a liberal bastion nowadays.  (More about that in my next post.)  She thinks the Southern R governors are ending social distancing.  That is not true. 

https://www.cnn.com/2020/04/21/opinions/gop-governors-dangerous-covid-19-response-filipovic/index.html

Best wishes, I sure hope that you are not furloughed.  

Jim
Speaking of Colorado's Governor... I listened to his presentation yesterday, and continue to be impressed. I definitely like his style, it is not a speech, much more like a business presentation where he works through his charts.  We move into a "Safer at home phase" next week.  Some businesses will open with strict social distancing requirements.  If one can work from home, like me and my partners and associates, we are expected to continue to work from home.  

A couple of critical points from the governor's presentation.  First, our state is focusing on four things:  (1) social distancing, (2) masks, (3) testing, tracing and isolation and (4) protecting vulnerable populations. 

According to our local disease model, we acknowledge that social distancing will drop some percentage from the current level, as we move from the a stay at home order to a slightly more relaxed "safer at home" model.  Without #2, 3, 4 above, our model predicts that Colorado Covid cases overwhelm the local healthcare scene under either a "stay at home order" or the "safer at home plan" but the overwhelming happens about two weeks later under the stay at home order.  When we add #2, 3, and 4 to the model, we stay well within the capacity of the system whether the stay at home order were extended or not.  This of course informs the Governor's decision to let the stay at home order expire and roll out successively less stringent plans over time.  Contrary to the stories popular in the national press this week, we have the medical capacity whether or not we extend the order, provided we do the other stuff.

I found it very interesting, and contrary to the national story that Colorado's experts think #3, testing, tracing and isolation, while important, is not the be-all and end-all strategy that the national pundits describe it as.  Colorado acknowledges the usefulness of testing as a tool, but we are not relying on testing as the cornerstone strategy to limit infections to a manageable level.  Our model incorporates a 5% increase in the testing of symptomatic persons each week, but it is now apparent that testing symptomatic persons is too late in many cases, they have already infected several others. 

More importantly in the Gov's expert's opinion, Colorado is focusing on ramping up the testing of everyone who must work with the elderly, prisoners, compromised folks etc.  This is #4.  Folks have been talking about #4 nationally, but I have not read that it really is a forefront strategy, like our Governor describes.  The Governor already had some success stories of positive test but asymptomatic care givers being isolated from the old-folks home population before they infected anyone.  Good work that.  The Gov. was pretty clear that #1, 2, and 4 are at least as important as ramped up testing, tracing and isolation.   

Jim

April 23, 2020 10:07 PM Forum: Politics

Covid-19 data and graphs

Posted By James Brown

Originally Posted by Darian Rachal

James, I'm not saying this to be critical of you or to avoid your question, but I honestly do not pay a great deal of attention to what Trump says on a daily basis. I just happened to hear him address the question about the GA governor. I'm fairly confident that he'll be re-elected in November. 
We've had 7 people around here(Rapides parish) that have supposedly died from the virus since this all began. The Democrat governor wants everybody to wear masks in public, although the deaths in LA are concentrated in a few areas. 
People around here are, as much as possible, going about their daily business. I was by Sam's earlier and there were quite a few people there, some with masks, many without. Road construction in the area is keeping me home more than a "stay at home order"; I have to drive 1.5 miles out of my way to get to a grocery store.

I frankly don't think that a lot of people around here are overly concerned about the virus; they're just tired of the inconvenience. It's not at the forefront of my mind.
I was at a Safeway grocery store yesterday, and I think that mask wearing was at least 95%.  I saw maybe 1 or 2 folks without masks.  This is significantly increased from what I saw last week.

Incidentally.  I filled up the Jeep for $7.00 at the Safeway-associated gas station.  blink  Honestly!  Gas is at a $1.50 right now.  The pump asked for my phone number, I gave it, and then it asked if I would like to use my $1.00/gallon loyalty discount!  You bet.  Must have been a couple of years since I used my bonus points.  14 gallons of gas at 50¢ per gallon!  If I have ever paid 50¢ per gallon before, it was when I was 16!

Jim

April 23, 2020 11:45 PM Forum: Politics

Covid-19 data and graphs

Posted By James Brown

I have been wondering if our mitigation efforts have worked as well as hoped.  Maybe the Covid 19 models were just wildly off base to start with, and all of the onerous mitigation was just nonsense?  You guys know that I don't believe that, but something the Governor said yesterday got me thinking.  He said that the flu was virtually stopped in it's tracks this year by the Covid 19 mitigation.  Hmm.

The following graph is my attempt to demonstrate this.  The weekly flu data from 2017-2018 and 2019-2020 is readily available from a very cool interface maintained by the CDC:  

https://gis.cdc.gov/grasp/fluview/fluportaldashboard.html 

This data is for positive flu tests by week from clinical labs and public health facilities.  As such, this data vastly underestimates the actual extent of the flu in a given year.  Most folks don't get sick enough with the flu to go to a clinic or be tested.  Hopefully this data is a reasonable proxy for the actual prevalence of influenza each season though.  

2017-2018 was a bad year for the flu.  2019-2020 was shaping up to be just as bad.  I have added a "Social Distancing Time-frame" window to the data that more or less correlates with national Covid 19 mitigation efforts.  Based on the 2018 curve, I have guesstimated the trajectory of the 2019-2020 flu without the Covid 19 mitigation efforts of social distancing, masks, business closures and so on.  The difference between my guesstimate and the actual 2020 flu data appears to show that the Covid 19 mitigation efforts have really kicked the flu's butt as a side-effect.  I believe that this suggests that we'd be in a lot worse shape with respect to Covid 19 without the mitigation efforts.

Jim

April 24, 2020 11:22 PM Forum: Politics

Another Covid19 Treatment: Ineffective

Posted By James Brown

Originally Posted by Jim Moscheck
Un f'ing believable. I didn't watch any news yesterday and when I got into work this morning my partner was waiting for me to go off on him. When I didn't he told me what Trump said and it really didn't register until I heard it on the news on my way to fetch produce. 

Tillerson was right.  He's a F'ing moron. 

https://www.youtube.com/watch?v=33QdTOyXz3w

To quote Prez Donny: "I have a good you know what."

BTW-Hello everyone. I figured it was a good time to end my exile from this forum and AM. I do have a few things to sell, both astronomy and musically related.

I did reread the last weeks posts and see someone else is on a little self imposed vacation.  LOL. He does get riled up. 

Oh, My grocery salesman was just here. I asked if he had any of the new Clorox Chewable's.

 
Hi Jim:

It is good to see you.  I imagine that the stay at home order has really hurt the restaurant side of your business... hopefully you are able to continue with take-out and butcher shop activities? 

Jim