In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak

[George K]

@jon-nyc said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

No R0 estimates there.

Sorry, I thought you were looking for cases by state, not R0.

[Loki]

@George-K said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

@jon-nyc said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

No R0 estimates there.

Sorry, I thought you were looking for cases by state, not R0.

I continue to look for the native source for R(0) estimates and can’t find but they are out there by country and state and being used in many models. Check out Quartz I think their recent article might get you there.

[Loki]

As of April 6 the effective reproduction number for the US was 1.16 and 1.1 for NY

On March 19 it was 2.33 and 3.76 respectively

[LuFins Dad]

@jon-nyc “experts may be wrong, but usually not in a manner that’s obvious to the layman”

But that’s exactly what happened with the IMHE Models. I’ve pointed out multiple issues for over a week, and the actual numbers have supported my case so far, and they still haven’t adjusted for properly. Here are a few:

1. Population Density (take NYC out of the equation)

2. Public transportation vs private cars... NY became the epicenter it did because of the trains and subway.

3. Timing of the outbreak. We will cover this more seriously latet

[jon-nyc]

I want to clarify something that might not have been clear from my earlier post.

If the effective R after social distancing measures is still greater than 1, we will see a decrease in the number of daily cases and active cases but it will only be temporary. Both new cases and active cases will decrease during the time the effective R is decreasing, but then will continue to grow indefinitely from the new, lower base.

I've attached here a stylized example. This shows R0 = 3.5 up through time interval 12, then it decreases to 1.5 over time intervals, then stays at 1.5 indefinitely. Don't worry about the actual case count, I just started with a random number. It's the trendiness that are important. Note that both new and active cases take a dive, then begin climbing again.

If our lockdown measures result in an R0 > 1, this will in fact happen to us, as sure as night follows day.

What's worse, is people will see that initial decrease and assume we're out of the woods. At that point people will begin to take lockdown less seriously, lobby hard for things to open again, etc. So the new R0 won't even stay at its 1.5 level very long before rising again.

I think odds are high that this is going to be our situation.

[jon-nyc]

I’m officially doubling down on this.

Not only are we not below 1 now, but we aren’t going to go there any time soon.

In fact we’ll go the other way. People will think we beat this and start to relax.

When we look back from, say, the end of the year, we will not see April as the month with the most cases or the most deaths.

[Aqua Letifer]

So what would be a good month to just drop everything and kill thousands in ritual economic sacrifice? Those Temple of Doom guys have a pretty good model if you wanna do it with flair, I guess.

[Loki]

Today the effective reproductive number for the US is 1.07 and for NY it is 1.08. Today or tomorrow NY peaks. The entire country is forecasted need 1/2 of the ventilators Cuomo direly called for a week ago. That’s where we are now. Very different picture than the media had us believe not long ago.

What period are we doubling down on?

[Mik]

Those R rates are with the whole nation effectively shut down. And it still points to growth, not reduction. Going back to normal isn't going to help that.

[jon-nyc]

1.07 doesn’t do the job, and we’re only going up from there.

[jon-nyc]

IOW, what Mik said. lol

[Loki]

@jon-nyc said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

1.07 doesn’t do the job, and we’re only going up from there.

Maybe but it’s been going down each day. What day does it go up again?

[jon-nyc]

I can’t tell you the exact day, but if R stays north of 1, it will as surely as night follows day. See my graph above.

And it won’t even stay at 1.07. Because people think that dropping means we have it beat.

[Loki]

@Mik said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

Those R rates are with the whole nation effectively shut down. And it still points to growth, not reduction. Going back to normal isn't going to help that.

You ignore active monitoring, testing everyone, antibody tests, disease surveillance, scaled contact tracing, antivirals, summer. Note I didn’t even say vaccine.

There is so much going on right now that just doesn’t make it into the press.

[Doctor Phibes]

This thread has more laughs than a German comedy convention.

[Mik]

@Loki said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

@Mik said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

Those R rates are with the whole nation effectively shut down. And it still points to growth, not reduction. Going back to normal isn't going to help that.

You ignore active monitoring, testing everyone, antibody tests, disease surveillance, scaled contact tracing, antivirals, summer. Note I didn’t even say vaccine.

There is so much going on right now that just doesn’t make it into the press.

But all of those things will contribute to bringing it down below 1. None of those things exist today, and summer is merely a hope. If it does not go below 1 it will grow.

[Loki]

@Mik said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

@Loki said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

@Mik said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

Those R rates are with the whole nation effectively shut down. And it still points to growth, not reduction. Going back to normal isn't going to help that.

You ignore active monitoring, testing everyone, antibody tests, disease surveillance, scaled contact tracing, antivirals, summer. Note I didn’t even say vaccine.

There is so much going on right now that just doesn’t make it into the press.

But all of those things will contribute to bringing it down below 1. None of those things exist today, and summer is merely a hope. If it does not go below 1 it will grow.

Mik the flu is 1.3 and we didn’t shut down the planet.

[jon-nyc]

So yeah, predicting that we’ll grow again after a pause contains the prediction that we’ll open up before implementing a sufficiently effective test and trace.

Obviously effective antivirals or a vaccine changes everything.

[jon-nyc]

@Loki said in In which jon-nyc stakes out an unconventional opinion on the Covid-19 outbreak:

Mik the flu is 1.3 and we didn’t shut down the planet.

You’re forgetting that we got to 1.something by shutting down the planet in the first place. Now we’re discussing opening it back up.

[Mik]

Also we know that the flu comes and goes seasonally. We do not know this about C19. Colds, another corona virus, are with us all year.