D&D and the rising pandemic

If you have 1$ at-home tests that take an hour, and a 75% effective contact-tracing plus modest social distancing, you can wipe this thing out in a month or two.

Really.

It has an R0 of 3ish. Modest social distancing at least halves that, down to 1.5. 75% effective contact tracing means only 0.375 people are infected and untraced for each infected person. Cheap at-home tests means that even asymptomatic get detected.

Suppose this means that every 3.5 days, 0.5 people are infected for every infected person. And you start with 100 million cases.

Every week, 4 times fewer people are newly infected. 14 weeks to 0 people newly infected.

And it gets better, because when you are down to a few 1000, the contact tracing apparatus won't be disassembled and scale down; instead, it will go into overdrive. Going from 100 million to 10 thousand took the first 7 weeks; so if your contact tracing and isolation doubles in effectiveness with nobody around, it only takes 3.5 weeks to choke off that last 10,000.

Doing this in one region becomes one challenge, but quite doable.

Then you have to do it elsewhere. You have to restrict travel and test travelers, monitor for new outbreaks from irregular travel, and export the tools and techniques to wipe it out elsewhere.


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As an aside, there are comments about "diseases don't have high mortality and transmissiblility". That is the anthropic principle in action.

Diseases on non-extinct species don't have high mortality and transmissiblility. We have cases of small populations of animals having 90%+ of their species wiped out by a disease.

In the case of a widespread animal, the disease needs high transmissibility, long latency and high lethality, because otherwise local animal populations die out, and then so does the disease (unless it has a carrier it doesn't kill; this is the domestic cat:songbird problem -- we are carriers for the domestic cat who doesn't get killed by it, so cat population can stay high despite songbirds becoming more rare).

Humans have bypassed that "long latency" requirement because of how much we travel. A disease with a 20 day infection to death, high transmissibility, and high lethality, could wipe out 90%+ of humans on the planet pretty reliably. The only defence we'd have is our brains (ie, change our behavior so it stops infecting us).

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As an aside, there are comments about "diseases don't have high mortality and transmissiblility". That is the anthropomorphic principle in action.

Do you mean "anthropic principle"?

Diseases on non-extinct species don't have high mortality and transmissiblility.

"High" is a relative term, and we are not particularly consistent at relating "high relative to what?"
 


Measles is more contagious than Covid-19.

It is "airborn" with an R0 of around 15.

Covid-19 is droplets, with an R0 of around 3.
My point was that the US is seeing a marked decline (@10 percentage points) in vaccination per capita against measles, and we’re under 50% with flu. With numbers like those, we’re clearly not in the right mindset in the virus vs vaccine context. We’ll have to do better than that in general if we want a hypothetical Covid-19 vaccine to reduce its impact to background noise.
 

I set the proportion of the population relative to the R0 value: 1/2 for R0 being 2, 2/3 for R0 being 3.

I'm aware that there is no evidence of lasting immunity. If there is no lasting immunity, then what? If there is neither lasting immunity, nor an effective treatment, nor a vaccine? How many times could a person contract the virus before they succumb to it? Is the end state here an eventual reduction to only persons inherently resistant to the virus?

Be safe, be well,
Tom Bitonti

It means we're back to pre vaccine days.

At best you can wipe it out but if it's recurring it's my bad, worse, awful scenario.
 

This needs repetition: We currently do not have evidence that exposure gives any lasting immunity to this disease! There are many in the coronavirus family that do not produce lasting immunity though exposure. So, we cannot expect it here - hope is not a strategy.

And a single recent study showed @8% of patients do not form antibodies to Covid-19 at all. If further research proves they’re right, that would translate into 20m+ people in the USA and EU each presumably lacking immunity even after exposure.
 

I found my prediction post:
Time travel back two weeks and see if it would be all hype then.

On Mar 14 there where 75k cases outside china. Today there are more than 100k cases in the USA.

It sure seems plausible that in 2 weeks, death counts in the USA will be similar to death counts worldwide, outside of china, today, plus 33%ish.

As a ballpark number. So 27k-3k, plus 33% is a plausible 32,000 dead in the USA. Now this is just a plausible one; my point is going from 75k diagnosed cases to 25k dead in 2 weeks is typical.
So we finally hit 25,000 officially dead in USA. March 28 to April 14; it took 2 weeks and 2 days.

Now, if we assume NYC was undercounting Covid19 dead by 50-200 for a week, that would mean the USA actually hit it 1-3 days earlier.

Still, not bad for a nearly model-free prediction.

The good news: apparently 90% of US citizens in "distancing" states are listening to advice. This is higher than initial models assumed, so the Covid-19 US epidemic will shrink faster than the initial models predicted.
 

Re: tracking.

Assuming we don’t succeed in developing a vaccine or treatment in the near future or ever, even the USA will eventually adopt some form of nearly universal monitoring.

I mentioned the path the government would take, but haven’t touched on the most likely path: economics. Adam Smith’s “Invisible Hand” will surely shove any capitalist country- ours included- in that direction.

Why?

The obvious answer is that shutdowns are incredibly damaging to local, state, national and the global economies. They not only grind things to a halt, they wreck the accuracy of future plans.

A subtler but no less real driver will be the pressure from insurance provides and health care professionals. Whether you get private or public insurance, those providers will doubtless either jack up your rates or outright limit/deny coverage to those who don’t submit to some kind of tracking.

You might even be denied employment, access to certain businesses, public spaces or buildings.
 

Because I find this completely insane, Sweden:


Covid-19 continues to take the weekend off in Sweden. This week it also took a break on Easter Monday!

106 daily deaths april 9,
77 daily deaths april 10,
17 daily deaths april 11
12 daily deaths april 12
20 daily deaths april 13
117 daily deaths (as yet! Day not over!) today.

Same thing happened the last 2 weekends.
 

Re: tracking.

Assuming we don’t succeed in developing a vaccine or treatment in the near future or ever, even the USA will eventually adopt some form of nearly universal monitoring.

I mentioned the path the government would take, but haven’t touched on the most likely path: economics. Adam Smith’s “Invisible Hand” will surely shove any capitalist country- ours included- in that direction.

Why?

The obvious answer is that shutdowns are incredibly damaging to local, state, national and the global economies. They not only grind things to a halt, they wreck the accuracy of future plans.

A subtler but no less real driver will be the pressure from insurance provides and health care professionals. Whether you get private or public insurance, those providers will doubtless either jack up your rates or outright limit/deny coverage to those who don’t submit to some kind of tracking.

You might even be denied employment, access to certain businesses, public spaces or buildings.

Some countries will have to do the herd thing but there's no real payoff.

Money's going to be tight, depressed and all. Probably more survival of the fittest with massive intervention in the economy.

Who gets to work and where could become a thing.
 

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