How might the coronavirus change our world?
exponentialview.co
exponentialview.co
This is one of the things that I've been wondering about the last few days. I recently read an article discussing how because China is essentially shut down, the supply chain has been disrupted for manufacturers in other countries. So much of manufacturing in other areas of the world depends on components made in china, and when those stop other manufacturers also stop. People get laid off, and it becomes a cascading problem affecting everyone.
https://www.nytimes.com/2020/02/04/business/hyundai-south-ko...
The interesting question is: who would launch a biological attack on them? And will this trigger a nuclear response?
In my district at least, an IR scan is also required to enter shopping malls, and at least some apartment complexes (including mine).
This morning the nearest Starbucks started requiring IR scan.
I remember reading in the local paper that you have to register with the pharmacy in order to buy fever medicine but I can't find an online source now and I haven't been into a pharmacy to observe it myself.
[1]: https://www.businessinsider.com/wuhan-coronavirus-woman-avoi...
However that will only give you the measure of a single spot, which could be inaccurate due to thermal reflections, or noise, so ideally you'd want an infrared camera, which will provide a thermal image your target. They're a bit pricey though.
On the other hand, why not just use a regular thermometer?
Edit: for example https://www.extremetech.com/electronics/144388-how-to-turn-y...
First, the fever and temperature increase come after 2 to 5 days of infection (14 at most). So you are effectively contagious before showing any symptoms. This is why most detection measures at airports are useless. It used to work for other outbreaks though (e.g. SARS/MERS).
Second, realistically most people would not want to isolate themselves. They will want to leave China and find a hospital in a neighboring country where they could be treated in better conditions (e.g less overcrowded hospitals, more staff). This is why a lot of Chinese people try to cross to Hong Kong or still attempt to fly to Europe even though they know they are sick.
Last, some people will just ignore the fever and hope for the best. We have seen people arriving in HK from China and straight refusing to be tested for the virus.
I’m not blaming anyone here of course. I don’t think this is intrinsic to the Chinese mentality, most humans would do the same in such conditions: unconsciously ignore the symptoms, refusing the rational solution and putting themselves before the risk to others; because faced with the probability of dying, your brain can make you believe anything, even that your fever will vanish.
This could have been a non-starter had not the Chinese Communist party covered this up as long as they did. That's what needs to change. There might be a genetic predilection for Asians to be susceptible to coronaviruses, but if we attack these things head-on as they emerge, they won't amount to much.
If we pretend they're not happening, one day we're going to get a pandemic. That day might be today unfortunately but only time will tell.
So that's the source of annual flu.
So search on that as a start.
https://foreignpolicy.com/2019/11/16/china-bubonic-plague-ou...
It will start at airports and border checkpoints.
People also hide drugs to get past airport customs / security, does that mean security is not effective? Perhaps, but it mostly defers honest people from doing stupid things, there will always be people who'll try to get around it, but they're only a very very small minority.
No, I don't. That is just how you're choosing to read into my comment.
[1] http://www.xinhuanet.com/local/2020-02/06/c_1125536287.htm [2] https://www.globaltimes.cn/content/1178554.shtml
The drones carry loudspeakers which announce: “Please stay at home as much as possible. If you have to go out, don’t forget to wear a mask.”
The drones can also scan car plates and record which vehicles have entered the community.
The drones are also equipped with thermal scanners which can measure the temperatures of people idling in the community.
Those found with normal temperatures will be encouraged to return home. Officials will be alerted of people found with fever."
https://www.dailymail.co.uk/news/article-7960471/Police-BARR...
I'm personally not worried about a virus with a 99.84% survival rate, but it's still technically 10x as deadly.
[1] https://www.worldometers.info/coronavirus/coronavirus-death-...
[2] https://www.kff.org/other/state-indicator/influenza-and-pneu...
Plus, it's not a sure thing that it will mutate like flu does every year. It might be that it's going to disappear once enough people get over it and become immune
“mortality rate when you have access to a mechanical ventilator”
vs
“mortality rate when you have access to IV fluids and a floor to sit on”.
There's numerous videos of people passing out in public, which could be just a non-representative sample. What makes it scary to me, is that everyone around just looks and seems to think it's normal/expected.
Some videos, such as one showing a bunch of people passed out or passed away in an apartment, are from earlier unrelated incidents.
But if you look at twitter, WSJ, NYT, Washington Post, Aljazeera, Lancet, and the BBC you start to see a picture not really consistent with "only" 30k people sick.
After all CDC reported on a fairly normal flu season in 2018-2019 (https://www.cdc.gov/mmwr/volumes/68/wr/mm6824a3.htm?s_cid=mm...), not as bad as the previous year. 43M sick, 647,000 hospitalized, 61,200 dead. The world didn't notice, no factory closing, no global supply chains halted, no stumbling economies, no rush to build hospitals, no halt of airlines, and no $174B injected (like last Monday) into the economy to stabilize things.
Somehow under 30k infected and 565 dead is a big deal? Should we ignore every crematorium in Wuhan running 24x7?
China is keeping a pretty impressive lid on it, but the cracks are starting to showing. The official numbers are a joke.
Folks keeling over before they can spread it is one thing, but appearing fine until long after spreading it to other people means it's spread isn't known until the symptoms start showing up all over the show.
Not sure I can agree that western media is biased towards not hyping these kinds of events.
As of now, there's no treatment for it. At best you treat the symptoms and hope the patient's immune system does its job.
Some antivirals might have helped in some cases. But they also might have had no effect at all and the people treated with them recovered on their own. It's way too early to tell one way or another.
Mathematically, the lethality of the virus is about 33% (565 died and 1163 recovered as of Feb 6th). Other 28,000+ cases are still in progress and they will resolve by recovery or death.
The result is that there's many 100k that are sick, but only 25k are "official". China is actively deleting photos, videos, and posts on social media trying to keep a lid on it.
That being said, I think speculating about "the real number" is quite useless at the moment, as China is still being actively quarantined (i.e. Hangzhou which is a "Tier-1.5 city" and home to Alibaba and is kind of a China's SV has closed down yesterday).
PS: I live and currently in Shanghai.
The first to fall ill will have five doctors in plastic suits surrounding them, fancy beeping machines, low light. When they fully recover in a few days, media celebrations will be high-gloss and cheerful.
Then as the exponential growth bowls over the healthcare system like a meteor smashing into ten little pins, deaths from all causes will skyrocket.
This is what we’re seeing in wuhan. Certainly, the numbers don’t add up much (509 dead total as of today? Drop in an ocean for China, why the freak out?) But of the 25k confirmed cases check out the share that are in critical condition.
Those folks need ventilators and staff and food and beds and all sorts of stuff.
I’m not sure where I read it, some kind of military or intelligence book, but the idea was that by the time your healthcare system needs to help about 3% of the population it serves at once, it totally collapses.
It doesn’t just GET SLOWER (but it does that), but it just collapses, and huge numbers of avoidable deaths pile up real quick. That nasty knife wound from dinner really should get stitches but you know it’s hopeless so you do your best with a bandaid and risk infection. A car accident that would otherwise be a shock and a shake up and a day at the hospital getting your leg encased and your head checked out turns into a fatality.
Not great.
It wasn't just 'face', it's trying to stay ahead of that capacity and deal with the influx of new cases.
Ukraine is also kind of interesting right now, I'm reading that they have a lot of suspected cases of 2019-nCoV, but no means to send samples for testing to are unable to confirm any cases. That may be the same case in some African nations right now as well.
China wouldn't shutdown their economy and quarantine tens of millions of people over the flu.
> The outbreak has had a decidedly dehumanizing effect, reigniting old strains of racism and xenophobia that frame Chinese people as uncivilized, barbaric “others” who bring with them dangerous, contagious diseases and an appetite for dogs, cats, and other animals outside the norms of Occidental diets.
https://www.eater.com/2020/1/31/21117076/coronavirus-incites...
It's also not directed specifically towards Chinese; the same criticisms have been leveled at Africans for the same reasons when the same practices caused similar outbreaks, so it's not a specific dislike of Chinese.
HIV, lassa fever, SARS, Ebola, and more have been caused by eating bushmeat. That's not racism, that's epidemiology.
The US is making equally risky decisions, but no one here is clamoring about that. Bush meat is no different than wild-caught meat, yet you use a derogatory term for it simply because it doesn't align with your cultural values.
> Even today, the U.S. is far from a paragon of food-safety regulations gone right. The routine use of antibiotics in factory farming has helped create drug-resistant bacteria that cause foodborne illnesses.
An example of the former case is people tend to blame others for consuming meat they don't usually do, even if the animals were bred in a farm. Check the controversy around bamboo rats for a more specific example.
Example of misinformation: see the controversy around a video showing Chinese woman eating bat soup. Except it is not even filmed in China, it is in Palau and being a tourist thing. The behavior is still questionable and should not be encouraged, but the public reaction on this is almost entirely missing the point. Unfortunately video spreads across language burden, but words don't, it is almost impossible to debunk.
So, calling this a cultural or racial issue is very much a straw man argument.
PS: If anything it’s the term bush meat that’s confusing the issue. Eating deer, rabbits, quails, and squirrels etc represents real risks to human heath. But, outdoor markets significantly increase these risks in several ways.
*incompetence: if the law is enforced more strictly, turkey will be banned too because the regulation on what you can sell hasn't been updated for decades and not including much.
Western people do eat "exotic" meat during special occasions too.
In France, for Christmas and New Year's eve, a lot of people will eat boar or roe, which is pretty much not consumed at all during other times of the year. Hell, I have even heard that ostrich and kangaroo were trendy some years ago.
We are just more lucky that western "exotic" meat does not carry as much viruses as tropical / equatorial wild animals do.
These workers allow the economies to grow and in turn demand they be treated as first class citizens.
I am not sure how this is “dismantling culture”
https://www.popsci.com/story/health/wuhan-coronavirus-china-...
And really, the researchers are just saying it may not have originated in that specific market, but are still saying it's likely related to trade of live wild animals.
I'd love to avoid sick people. Can we make them wear signs saying that they're sick?
Not really, since people with viral infections (e.g. cold, flu, corona virus) are often contagious before showing symptoms.
In Asia, there is a culture of wearing face masks when you're sick. This serves as both a signal to others, and also helps reduce your infected droplet emission. Also it means you can still go to events and not have to stay home.
Enforcing this habit in the west is the best solution IMHO. Currently, it's too uncommon for people to wear face masks there. Once the critical mass of people decide to do so, then people won't feel weird about it and will all start to take that habit.
Part of the problem is that people might get (subtly) shames/shunned for being out and about with a cold if they turn up wearing a mask. So they get pushed into the less obvious but more pernicious solution. (A measure that is managed ceases to be a useful measure)
Only problem is about once a month we get sick after going there.
Usually its just a cold or something. But it's been the stomach flu at least once.
Would avoid it, but damn if its not a convenient place for the kids to play in the evenings.
Or better yet distributed portable hospitals with icu beds at home with telemedicine.
Earlier Self driving cars moving people instead of mass infectious transit
And better supply chain tracking, I am looking for UV-C LED's and products containing them (desinfection equipment, like baby bottle desinfectors, desinfection boxes for CPAP masks and hospital equipment, desinfection lamps, ...)
Disturbingly even here in the west, going through sponsored advertisements on ebay local pages (named marktplaats.nl in the netherlands) I can easily find 20 euro desinfection lamps, supposedly 12W, having 65 LED's.
That is
1) surprisingly cheap: trying to find UV-C LED's through farnell, digikey etc that would easily cost 300 euros for the LED's alone assuming 250+ unit prices (5 euro's per LED).
2) surprisingly high radiant fluxes: 12W for 65 LED's gives ~ 200mW per "UV-C" LED, whereas most datasheets for real UV-C LED's would show just a handful of mW per UV-C LED.
If ANYONE can find me ~180mW UV-C LED's priced well below 0.30 Euros at bulk rates, please respond where, as I may be wrong and such incredulous products are perhaps not incredulous, but I would need proof.
Knowing that such prices and specs are totally realistic for UV-A (note the A), I can not help but think that somewhere someone decided it was a good idea to build UV-C type products by using UV-A LED's, both would cause fluorescence and phosphorescense on such materials and would be hard to distinguish as a user.
So now a large number of consumers, and possibly companies or even hospitals (!) might genuinely believe they are sterilizing surfaces because the products were incorrectly advertised as UV Germicidal Irradiation products.
All for what? A new garage door? A Tesla?
It truly is a dark world.
So I predict there will come a "UV-C Provenance" protocol where:
1) the genuine UV-C LED chip manufacturer keeps a cadastre of ownership of UV-C LED's
2) resellers or product manufacturers must contact the original chip manufacturer with the buyer's email to transfer ownership of a number of contained LED's when selling
3) original UV-C LED manufacturers must contact the buyer to ask for confirmation of receipt of the UV-C LED (or the product that contained such a number of LED's)
4) resellers or product manufacturers may not use the "UV-C provenance" logo if the product does not actually use UV-C LEDs, if they can not prove the provenance by referencing unsold LED's in their name with the chip manufacturer, or if they don't perform their roles above
5) governments perform regular randomized trials of buying "UV-C LED" branded products, and measure the wavelength to verify truthfulness, with hefty fines for violations
One might think that a product designer could order genuine UV-C LED's, not use them, order UV-A LED's to use in the product, sell as if they were UV-C, and then afterwards sell their genuine stock. However who would be interested in this (genuine) stock if this hypothetical buyer can not sell the genuine stock under the "UV-C provenance" logo without corresponding UV-C provenance tokens?
BTW I am not trying to scare people away from UV-C LED desinfection equipment, they are better in many respects to mercury lamps, for example they don't generate ozone. The problem is the UV-A LED's being foisted off as UV-C LED's
Also, if anyone reading this happens to be one of the people involved in substituting UV-A for UV-C LED's in a product or advertisement: you can run but you can't hide, they are going to find you, regardless of your nationality, religion, ... by this time it is an international crisis.
But it's not as dramatic or deadly as the Spanish flu, which killed the healthy ones, because of the overreacting immune system. The death rate is minor, like with other flu's, the expansion rate is normal, should be not much different to SARS or similar flu's.
The internet has led me to believe that the authors are allowed to distribute copies to anyone that requests one. If true, it seems those in Liberia just need that info rather than the money.
I suspect further that publishers would be less cool if they found you were sending out copies by the hundred, rather than a few times, but that's probably a question better answered by researchers.
We might actually prepare properly for a Contagion (2011) movie style outbreak.
Will be very interesting to see it through.
It's hard to say whether that's really the case because of interventionist policies by the PBOC.
We'll likely think of coronavirus the same way we think of the 2009 pandemic, i.e. it gets a Wikipedia article of its own, an occasional historical mention, but we forget about it when disease is not specifically the topic of conversation.
WHO: 8,000 deaths, 630k laboratory confirmed cases, 43-89 million got sick.
https://en.wikipedia.org/wiki/Pandemic_H1N1/09_virus https://en.wikipedia.org/wiki/2009_flu_pandemic
Spanish flu on the other hand killed 3-6% of the world's population!
http://www.cidrap.umn.edu/news-perspective/2011/08/study-put...
The CDC estimated 60M cases in the U.S. alone, about 20% of the population:
https://www.cdc.gov/flu/pandemic-resources/2009-h1n1-pandemi...
The WHO gave up tracking cases on July 23, 2009, 3 months after the epidemic started, when it hit several hundred thousand confirmed cases. At that point it just became a part of seasonal flu. It's circulating again this year: in recent weeks it's been the most common seasonal flu variant infecting people, and with 19M flu cases so far this year, there have almost certainly been more deaths from H1N1 than from nCoV.
https://en.wikipedia.org/wiki/2009_flu_pandemic_timeline#Jul...
For each individual, the most important parameter of "our world" is probably how (dis)satisfied we are.
Humans are not solitary animals, but a social species. We should not limit ourselves to solitary risk, but also consider social risk.
Consider listing your N closest loved ones (I will assume 20).
Consider a case fatality rate F (I will use China's average 2.1% which may correspond very well with any health care system that is pathologically overrun by sheer amount of cases, see [1]).
Consider I the fraction of the global population that has been uniformly infected.
What is the probability that not all of your N loved ones survive?
P( not all of my N loved ones survive corona outbreak)
= 1 - P( all of my N loved ones survive corona outbreak )
= 1 - P( a person was not infected or survives infection) ^ N
= 1 - (1 - P( a person is infected and dies from the infection ) ) ^ N
= 1 - (1 - P( a person is infected ) * P( a person dies given he was infected ) )
= 1 - (1 - (I * F) ) ^ N
For example:
Q: "What is the probability not all of my 20 loved ones survive, assuming 80% of the populace will experience infection, and a case fatality rate of 2.1%?"
A: P = 1 - (1 - 0.8 * 0.021) ^ 20 = 28.7% that one or more of these friends will die.
This is remarkably higher than the individual risk of 1.68% (0.8 * 2.1%) which only holds for egoists.
Let no one tell you what probability is acceptable for you, nor how many friends you should have, certainly let no government tell you to think only about yourself, by setting N = 1.
Another example:
Q: "Assume just 10% of the population was infected, with the same case fatality rate of 2.1% but this time you have 100 friends"
A: P = 1 - ( 1 - ( 0.1 * 0.021 ) ) ^ 100 = 18.96 %
And always remember, you may have many friends, but your best friend is statistics, like her or not. And this best friend can not die.
[1] According to [1a] China announced an average national fatality rate of 2.1% (their words not my calculation, us world citizens have no access to the WHO database of anonymized CRF CORE and DAILY forms).
Let us compare with the cases treated outside of China:
According to [1b] at their sum total of international (without Chinese regions) we have:
TOTAL 216 (infected) 1 (dead) 4 serious
Now 2.1% * 216 = 4.536 deaths expected following official China fatality rate.
Well, internationally we see 1 death and 4 individuals in serious condition. The out-of-china hospitals are not currently overrun. If they too at some point get overrun, I would expect those 4 to die as well, and our international numbers match up with China's 2.1%.
[1a] http://www.scmp.com/news/china/society/article/3048815/coron...
[1b] https://bnonews.com/index.php/2020/02/the-latest-coronavirus...