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