Sunday, June 7, 2020

We Missed Our Window of Opportunity with COVID-19

There is no way to sugar coat this. The US blew their opportunity to have a successful lock down. The failure point came in early to mid May. Lock downs across the country were ended too soon basically nullifying most of the benefits of the lock down. It was like running a marathon only to quit one mile from the end because "we've come a long way and we don't see the point in running anymore because the end is far away."

I will illustrate what happened with graphs. All graphs come from the Coronavirus information page maintained by John's Hopkins University. Data was accessed on June 7th, with the latest data being from June 6th.

Here is a graph of the number of confirmed cases of Coronavirus in the US from the first detected case in January to today (June 6). The period from February to early April showed exponential growth, as is expected for an unconstrained virus.


In mid April the effects of the lock down took over and stopped the exponential growth. It was on the way to flattening out, but in early to mid May the curve shifted and we lost the opportunity to suppress and contain the virus.

Below is a graph over the same time period but showing the number of new cases per day.

US Virus Cases per Day
Here you can see the exponential growth from February to early April. The growth curve flattens due to the lock down. But it does not continue its downward trend. Here is the same graph but for Germany, which did have a successful lock down.

Germany Virus Cases per Day
Germany had one advantage, they got the virus a little later than the US (about a week), and then they started their lock down earlier. This curve shows what a successful lock down looks like. Germany can now return to a more normal state with some precautions in place.

Italy had a much more painful experience but they too had a successful lock down, as shown by their graph below.

Italy Cases per Day
There are some countries where lock downs were not implemented or they had no effect. Here is Brazil (note the difference in the scale on the y axis).

Brazil Cases per Day
And India.

India Cases per Day
If a lock down is not successful and no preventive measures are taken then you get a second hump. This happened in Iran. Iran is also a case where tests were not done or intentionally not reported. The first hump has a piece missing from the left half. There are also indications that there was significant under reporting in general.

Iran Cases per Day
If you want to see actual data manipulation then Belarus is the best example. Mysteriously positive cases stay under 1,000 per day (except for one day where reports doubled up from the day before).

Belarus Cases per Day
If you want to see a lack of testing, under reporting and data manipulation all in one country, look no further than Russia. You have natural exponential growth, then in the middle of April a chunk is missing showing a lack of testing, followed by a period of under reporting in the first half of May. Finishing off with data manipulation after that.

Russia Cases per Day
Then you have Singapore which had a successful lock down, but then lost control when new cases were imported at the beginning of April/end of March, and now they are trying to bring it under control.

Singapore Cases per Day
The gold standard of lock downs was done by New Zealand (also Iceland). They had significant advantages of being an island where they can greatly control incoming people, and they were not along any major travel routes. But they did take advantage of that and managed to eliminate cases of coronavirus from the country.

New Zealand Cases per Day
Sweden tried a different approach with a "soft" lock down. It only kinda worked, and it may get worse now that they are opening up slightly.

Sweden Cases per Day
Compare that to Denmark right next door who tried a hard lock down. Again, note the difference in the scale on the y axis.

Denmark Cases per Day
So how did individual states in the US do? It's a mixed bag.

New York had a successful lock down. States next to New York (New Jersey, Connecticut, Massachusetts, etc.) had similar success.

New York Cases per Day
California not so much. It did have an effect, but then people gave up too early and lost all the benefits of a hard lock down like New York had.

California Cases per Day
It's a similar story with Texas.

Texas Cases per Day
And North Carolina.

North Carolina Cases per Day
In some sates it wasn't bad... until 1-2 weeks after Memorial Day. They have a very clear Memorial Day spike. Utah and Arizona are the best examples. You can also make out a Memorial Day spike in North Carolina and a few other states.

First Utah.

Utah Cases per Day
Then Arizona.

Arizona Cases per Day
Minnesota is a case where the virus came, got slowed down early by a lock down, but then the lock down ended and... well let's just say it found plenty of hosts.

Minnesota Cases per Day
From here on out the US does not have the option of suppression, control, and elimination as happened in New Zealand and Iceland, or the suppression done in Germany, Italy, Spain, South Korea, and many other countries.

We blew our chances of having a successful lock down. If we had waited 2-3 more weeks we could now be seriously planning on opening up the country again for normal business. But we blew it. Now we can only work on mitigation and maintaining good health practices so that we are not overwhelmed all at once. Because of this we will go through maximum economic pain. Even if everything opens up there will not be enough people that will return to normal to keep businesses afloat. A short 3-4 month shock could have been handled. But this will now drag on for over a year, possibly more.

Without any significant changes we are looking at more than 100,000 more deaths by the end of the year, assuming it doesn't get any worse, or significantly better. I don't know where it will end up, only what direction it's going right now.

Tuesday, June 2, 2020

Letter to My Congressman

Dear Representative Allen,

I was shocked at the news yesterday that U.S. Park Police and National Guard troops cleared Lafayette Park of people for the sole purpose of providing President Trump the opportunity of having his picture taken in front of St. John's Church while holding the Holy Bible. The use of St. John's Church as a backdrop for his picture was not authorized by the Episcopal bishop of Washington, Right Rev. Budde, or any other church leader. Other church members providing Christian service on the steps of the church were forcefully removed by U.S. Park Police employing tear gas.

This is a gross violation of religious liberty and a crass disregard of respect for constitutional principles. As a man of faith I was dismayed at the sight of the President of the United States, who took an oath to uphold and defend the Constitution, so callously disregarding his oath of office and basic Christian charity for the inconsequential purpose of having his picture taken. To add to it he sought to use the Holy Word of God as a prop for his violation of a sacred space.

Throughout history church buildings have been used as sanctuaries in times of crisis, fear, and violence. Some of the worst atrocities in history have come when political leaders transgressed the sanctity of sacred spaces. While no church buildings were burned yesterday, or believers martyred, the President of the United States did violence to our religious liberty and assailed the wall of protection that provides safety to believers from the encroachments of Government power. The sacred space of a House of Worship should never be used as platform to proclaim violence on the children of God.

For my entire life, when I first came of age, I voted with a conviction that religious liberty must be preserved as a fundamental right. In the 2016 the Republican Party platform it states, "We believe in the Constitution as our founding document." If that was true then, surely the foundation of Republicanism has shifted like sand since then. I find no condemnation of the President's actions, nor of any defense of sacred spaces from those who proclaim the Constitution as their founding document. But as for me and my house, our principles are placed on a sure foundation that will not wash away with the changing tide of political expediency. I believe that constitutional freedoms must be protected and respected, not gassed and harassed.

Representative Allen, you proclaim to be a man of faith. Now is the time to live your religion and make good on your faith. The actions of the President must be condemned and not defended. I cannot in good conscience vote for anyone who provides cover and defense to someone who uses their office to violate the sanctity of a House of Worship. The rights written in our Constitution define the character of our government. How we treat those rights define who we are.

Sincerely,

[quantumleap42], PhD