I am not an
authority. Anyone who does speak with
authority on this subject is lying. It is too new. The federal government just
released a projection of 200,000 deaths. This is close to my own calculation.
Given the federal governments history of guidance and information, perhaps I’m
wrong. I’m getting the same order of magnitude without an engineering degree.
The federal government did not show its work.
Presumptuous
to call this a model, start with a 330,000,000 population in the United States.
How many people will be exposed? I am
impressed with social distancing. Even if only half the states are sheltering
in place, those states seem sincere. In Illinois, Pritzker has been good. It is
difficult to make decisions with insufficient information. I doubt I would have
his courage. Let’s say half the population becomes exposed. This gives 165 million.
Of those
exposed how many become infected?
I’m hesitant to discuss the virus structure.
My impression is that immune response is against the spike rather than the
package within the cell. Once the package enters your cell, that cell is a
goner. Neither your immune response nor the spike signature is consistent. I
have little hope for vaccine, particularly now that Ebola research funding has
been cancelled. Ebola vaccine took two decades to accomplish. The most
promising research has been suppressed and the plug and chuggers don’t seem to
understand the difficulty.
We know that
severity and frequency of infection overwhelms immunity. This suggests a
dialogue between your immune response and the spike signature. There is
variation in immune response across generations, gender and locale. This
variation would be determined by your immune history. If you have recovered
with immunity, you should still use protective equipment when you reenter the
fray. Conversely it is unlikely that a whiff will get you.
A simple
estimate of infection is to take the number of tests against the reported sick.
This has tremendous variance. Today I got near 20%. Whenever you need a WAG,
20% is as good as any. An engineer
named Thomas Puyeo published Coronavirus: Why You Must Act Now on
medium.com. He argues based on illness duration that he can determine the true
sick number from deaths. He gives a rule of thumb of 800 times deaths gives the
true sick rate. Working backwards maybe you can get 16% for infected to those
exposed.
Take 20% of
165 million and you get 33 million sick. 16% gives 26,400,000.
Take 1% of
either number to get the dead. I hope
the federal government’s difference has more than a quibble of 16 to 20%. In
either case you now have a sense of the order of magnitude and the underlying
logic.
The 1% is a
ratio of sick to dead. This has become the measure of health care effectiveness.
It means we are doing enough testing and keeping enough people on ventilators
to hover around 1%. Currently we are doing 2% so double the previous death
estimates.
Take my bare
bones, optimistic, easy to do calculation against world population of 7.8
billion gives 78 million dead.
Worst case
estimate for the US, take 80% exposed, 20% infected and 5% dead gives 2,640,000
dead. That really owns the libs.
The even worst
case is the virus mutating, nextstrain.org is sampling the variety. If
the virus twitches more fatal it will burn out quickly, less fatal is less
fatal. The fear is different population segments. We need testing outside the
impact group and mapping of those strains. The Kansas 1918 virus had a W
distribution. It was going down, then hit a different population segment and
shot up, declined and shot up again. Expect nature to seek opportunity.
Multiply worst case by three.
8 million
dead raises the issue of social disruption. I don’t foresee extreme piercing,
grunge and battle wagons. We may have dynasty failure, increased social
mobility and innovation. Human population increases when stressed. The Thanos
snap fails. Prosperity constrains human population. We will see population
break the 10 billion mark, which was the hoped for limit.
More likely
that distancing works. It is amazing how well people respond once they have
information. Testing gives people better
information to base their behavior on. Paid days off gives them greater ability
to act on that information. Testing,
paid days off and distancing is the only way to deal with the virus. Everything
else is noise. It may have benefits but it doesn’t stop the virus. Distancing is the difference between thousands
and millions.
There are no
treatments. If they are doing a trial it is not an obvious treatment. Until
they can empty a ward they don’t have a treatment. It is insulting to the
doctors and nurses to imply that they enjoy their aching feet and are denying
you a treatment. There is a 95% to 99% remission rate. This means that there
will be all sorts of treatment success stories. You tried something and got
better. China’s belief system is based on trying all sorts of treatments. They
are total cowboys on this and they are not terrified of legal liability. If
there was such a thing, they would have found it.
When I was a
kid, mom broke the fever with whiskey. I knew someone who got drunk and walked
in the cold, it worked for him. Mustard plaster, vapor rub, you can see why
doctors hate patients. If you must try things, at least do something different.
I haven’t seen any mention of HGH or gamma globulin. Just because you got better, doesn’t mean it
worked.
Anecdotally,
flu therapies may aggravate Covid19. More doctors get sick. I thought this was
because of greater exposure. Doctors are notorious for self-medicating.
Interest
rates, Federal Reserve shenanigans, subsidies, none of these things have
anything to do with the virus. I would starve rather than give Boeing money.
Some people
are behaving foolishly. It occurs to me that this may be an effect of the
virus. Toxoplasmosis and rabies influence behavior. Perhaps Covid19 encourages
foolhardy antics and speech. Do these behaviors correlate with infection? It
will be difficult to prove after the fact.
The grocery
store demonstrates how dependent we were on restaurants. I guess everyone was
dropping it at work or at the bar. It’s sad we only know how to cook pasta. It
is becoming obvious that work is just an excuse to get away from the family.
There is a
good paper on the origin of Covid19 The
proximal origin of SARS-CoV-2 in Nature.com. You can tell
they know what they are talking about because they call it SARS-COV-2. They
tell us that this one isn’t something they would have whomped up, which sounds
true. There isn’t enough work done to conclusively rule out someone’s idiot
child but their take is that it gestated in people. This is in line with
patient zero catching it in a toilet.
There is criticism of China’s slow initial response. Everyone but Merkel, the most
beautiful woman in the world, has been guilty of that. Once the Central
Committee realized it attacked elderly men, they changed course. The CDC is
doing everything in its power to stop and frustrate testing. Everyone, except
Merkel, was more scared of panic than virus. There were higher pneumonia deaths
before people were aware of the virus.
A Chinese who was sick of our arrogant defamation gave it back by
pointing out that we had a military athletic team in the area. The Kansas flu
was passed from our troops so not entirely nonsense. What was surprising was
our umbrage, seemed to touch a nerve, suspicious. Given our suppression of
testing we have no right to accuse.
I am so encouraged that we took so many good lessons from HIV. Not. At
least let us have new respect for the phrase:
-I don’t know.
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