Japan's PM to ask all schools to temporarily close
www3.nhk.or.jp
www3.nhk.or.jp
Most of these masks are just toys and not air tight at all. One experiment you can do with the mask is go outside in cold weather, so that you can see the steam when you breathe. You will notice that when you breathe, most of air is actually escaping through the edges of the mask and around the nose.
Also, there is a culture of not staying home when you're sick. It's normal to continue going to work with a cold / other infection, or school or shop. Sick leave is frowned upon. Just put on a mask and you're all sweet, right? That has to change.
If you touch the soap and the tap, that will surely transfer germs to your hands that the person before you left there?
Soap and water definitely work to reduce infections, even when using a shared sink. Look up what happened in the 19th century when people finally figured this out and started hand washing regularly, infectious disease transmission in settings like hospitals dropped dramatically.
New word to me and I have a pretty good vocab, so
Most public bathrooms have automatic taps now that I see.
(i.e. a fire in the bathroom creates a vacuum which prevents the door from opening outward. maybe that’s idiotic)
1. Inward opening is probably less inclined to disperse bathroom air into the hallway outside.
2. You're probably less likely to smack someone with a door opening into a hallway. (Or course, someone entering might do it to someone exiting a bathroom but most people are probably at least somewhat trained to exercise caution under those circumstances.)
3. If anything, I'd think fire code would favor door opening out given that's the general rule.
You don't want to be in the same building as a sick person, let alone anywhere near them in a smaller space like an office or restroom.
There's no containing it at this point, the best you could do is slow it down until there's a vaccine.
Even then you need to make sure the mask fits. In hospitals, they do tests to find the right fit for nurses and doctors to check airflow.
They can be a good tool in certain situations, but random people placing a bunch of faith in them over other solutions is probably not helping.
What?? How do you figure that?
Stopped completely? No. Reduced enough to be a useful measure in some circumstances? Yes.
If I were going out and genuinely worried about inhaling something, I'd skip surgical masks and N95 disposables and just wear a sealed half mask using P100 filters. They're way more comfortable than either of the disposables, and provide much better filtration. Since they use exhaust valves, they may not provide much protection to others from your own potential pathogens, although I would expect some droplet suppression simply from the redirection of any exhalation through a small valve.
Why is that a problem? My expectation is that what matters is:
1. Air that you inhale comes through the mask filter. It's not necesarily the case that inhaling and exhaling have symmetric effects. When you exhale, you increase air pressure inside the mask, which pushes it away from your face and opens the seals around the edge. When you inhale, I expect it would seal tighter. You can exhale while wearing a swimming mask and bubbles go everywhere. That doesn't mean the mask isn't otherwise water tight.
2. Aerosol particles from infected people coughing and sneezing get caught by the mask and don't go into your airways.
3. You don't touch your face with your hands.
The problem of 3-ply masks is that 10-25% of the air you inhale leak from the side/nose, bypassing the filter. n95 mask "fixes" the problem by tight(er) fitting, not by additional filtering layers.
I keep hearing this but don't understand. What exactly needs training?
See https://www.bu.edu/ehs/files/2014/08/N95-Respirators-Trainin...
#1 is not true at all unless you get a proper mask, with a filter, and use it properly. Most people are walking around with a mask they got off the shelf at Walmart that is acting about as effectively as a halloween costume.
N95+ masks are expensive. Currently $20 per mask on Amazon.
They're not that expensive. That's price gouging, and I'd be worried about them being counterfeit. I have no way of evaluating their effectiveness at home.
Of course, don't get me wrong.. they do work to a degree if fitted properly with the right grade of filtet, but the problem that people are putting too much faith in these things, especially the ones you buy from the combinis..
The masks are more for stopping behavioral habits for non-infected people like touching your mouth and nose but then you could touch your eyes too...
The masks are more for the infected people who could sneeze and spread the virus particles much further than if blocked by the mask.
The virus spreads in much larger drops of fluid.
But virus particles aren't floating around in the air infecting people, it's spread mostly through respiratory droplets. Not saying that a surgical mask will protect you, but it's not because the virus is too small.
Even if the masks were capable of filtering out the virus, the above wouldn't matter. If the virus hits your eyes or tear ducts you've got it. This is why wearing a mask protects others but not yourself.
+
"For colds, most individuals become contagious about a day before cold symptoms develop and remain contagious for about five to seven days." / "If you have the flu, you'll be contagious one day before developing symptoms and up to five to seven days after becoming ill."
=
One cold would take up all your sick days. By following your recommendation, someone falling sick more than once a year would have to quit their job.
How do you transmit the flu to others without symptoms like sneezing/running nose?
We don't yet conclusively know what vectors this virus can use to spread.
In most EU countries you are not allowed to work and your employer will get into trouble if he lets you work when you've got a sick cert. Your employer obviously also has to pay you and is not allowed to fire you for getting sick[1].
If this outbreak causes the US to update its workers protections for the 21st century, at least something good will come out of it.
[1]: in some countries you can receive a reduction in pay after being sick for X months in a row, usually to ~60%.
So you "might" have the cold or coronavirus - do you go to the ER (costs hundreds even with insurance) and lose out on your pay? (Not to mention you'll likely have your hours cut as "punishment"). Or do you tough it out and keep making money that you need to pay for your rent?
It's not just the poor--some of this really just is our (crazy) culture.
Doesn't this fall to the government to create some kind of aid? At the very least, the gov could offer a tax break for wages paid sick workers.
Is it really such burden to the business owner to see to the well-being of their employees?
> At the very least, the gov could offer a tax break for wages paid sick workers.
I like this idea, tbqh.
Up to how much? I can't imagine wages paid are 100% deductible. Otherwise nothing's stopping people from starting businesses and paying wages to friends to reduce tax burdens...
(Those are the fairly standard tests for all business deductions, only the third is at all specific to wages.)
There's no way to "make money" by incurring additional expenses and deducting them. If you have $100 in deductible business expenses and your marginal rate is 35%, you are paying $100 in expenses and getting back $35 on your taxes, so you're still out of pocket $65.
Paying family/friends wages counts as a business expense to the company and taxable revenue to the employee. The business can also incur additional overheads for having employees like payroll taxes, super, etc.
Because pooling risk results in more robust social systems.
The business owner can take the risk of losing a worker for a week much better than a worker can take the risk of not getting paid.
Because it aligns incentives properly.
If you don't get paid for not working while sick, and you need the money, you'll show up to work, and get other employees and customers sick. If the business has to pick up the tab for sick days, though, they are now incentivised to keep sick workers at home - lest they infect others.
I'd much rather have robust systems, with good public health incentives, then I am to see business owners pocket a few percentage points of profits.
> I'd much rather have robust systems, with good public health incentives, then I am to see business owners pocket a few percentage points of profits.
For many small business owners, it can be the difference between paying yourself that week or not.
If you're in a service related industry - do you want staff coming to work if they are (or recently) suffering from digestive illnesses? How would an outbreak of people getting sick after being at your facility look? It could potentially result in very very bad publicity - to the point of destroying your business.
If you're running a smaller business / facility - do you want an employee coming in and spreading the illness to your other workers in the early stages of being sick (and then later taking time off)? This could result in your business lacking sufficient staff to open if you can't use labor hire staff.
The reason why it might be good for businesses to provide an incentive (like sick pay) not to work when sick is that it reduces the risk of negative outcomes to the business.
As I understand it, the bar is really low on that. If you're coughing or sneezing, you should wear a mask. It doesn't matter if you otherwise feel fine. I don't think it's necessary to stay at home simply because you're sneezing, and I doubt it's a valid excuse to skip work or school.
How can both parts of this statement be true?
It's the aerosolized smaller droplets that travel far and end up infecting others in your vicinity.
No, these masks are not bio-safety level 4, but they're probably better than nothing. At worst they prevent a portion of your sneeze and cough ejecta from landing on surfaces around you.
Depending on the day my guess was that 40-70% of people were wearing masks - more on public transit.
I assume that you mostly were at the Airport or public transit/other huge venues - otherwise I cannot really explain our different experiences.
Nobody is going to staff up to make more masks because everyone knows that you will make lots of money for a couple months and then the demand will crash afterwards when Coronavirus has passed.
Basic understand of disease spread and hygiene is lacking here. Changing into slippers when entering a building and wearing decorative masks are all about appearances, and that’s what’s most important in Japan. It’s even more evident with that sham of a quarantine on the cruise ship before letting infected people off.
I regularly see all of the unhygienic behaviors you have described in public in Europe and in the US as well.
People also rarely touch each other. No hugging, no kissing, no handshaking. All of this is important at times like this. Riding the subways here and in Tokyo recently, I notice that no one is holding a strap or pole any more.
I had to visit a few clinics until I finally managed to get one to give me a test. Even then, I had to argue with them to do more than test only chlamydia and at least include gonorrhea. Syphilis and HIV weren’t included with any degree of persuasion, since they said only certain foreigners from certain countries have it, so there’s no chance of having that. That’s in the midst of a syphilis outbreak in a country that offers unprotected services with prostitutes. It seems like a pattern of fundamental misunderstanding among doctors.
I also once had pinkeye and went to an ophthalmologist. The doctor was calling people in one by one during allergy season and examining people in an open office setting so it was possible to see them be person before you being examined. The doctor wore no gloves. The doctor didn’t wash his hands before seeing me. After touching my eyes, he said he’d get me some eye drops, told me I was good to go, and immediately called the next person over.
I’ve also frequently been prescribed kanpou/traditional Chinese medicine and had to go to another clinic to get real medicine.
These are my experiences with medical understanding here. There’s a big problem with blaming “foreigners”, but the only people I’ve seen washing their hands with soap have been... foreign tourists.
Also, I have had doctors just look at me, feel my throat and look into my eyes then give me the all clear at a physical. Like, how do you know I'm even okay just taking a glance?
Kanpou is something I have tried with limited success. I think it works on a placebo effect rather than actually curing you.
From my experiences in a bit less than a dozen countries in the US, Europe and East Asia, that unfortunately seems to be a worldwide standard. Unless you're showing very obvious symptoms, it's on you to proactively request tests/medecine.
This is why I'm bullish on AI doctors, free from the negative incentives of an overbooked practitioner's schedule.
makes no sense to me.
That's been my experience in the US, but in Japan? While briefly living there, I was shocked when my 22 year old neighbor stayed home because of a common cold.
I have never had a job where I felt comfortable and able to take a sick day because I had "just" a cold, but since I've had an office job where working from home was allowed, I would also not feel comfortable coming into the office sick.
And, it's sad to even have to mention this, but as an added bonus for the dystopia we seem to be headed into, they also hinder mass surveillance. Apparently there are/were attempts to ban masks during the unrest in Hong Kong.
I recall this video [1] where people say they like how masks keep their faces warm, and they can feel free to sing to a song in public without feeling embarrassed. :)
It works and is part of the whole solution. A clear downside is caretakers/food delivery can get infected, but it is much harder to spread.
The data shows that isolation is helping [1], China minus the outside world shows diminishing new cases in China.
[1] https://www.worldometers.info/coronavirus/coronavirus-cases/
Corona is closer the flu/common-cold in terms of transmission.
Quarantining patients is too late. The viral point is the 14-21 day incubation period where patients aren't showing symptoms yet very able to spread the disease, which is the whole reason why it's so scary and affecting the world markets.
If Wuhan removed home isolation and everyone was allowed to go back to the old way of life, the virus would spread again.
I'm not sure how you can argue against home isolation. I haven't been convinced of what you claim; that it isn't helping.
To give this reply a little perspective, I'm from Taiwan and currently live in Vancouver.
It is very disingenuous to conclude what's happening in Japan is because of (the mask, and sick leave) culture. It is what makes me nervous about North America's preparedness. I'm assuming you are from NA since US CDC keeps telling the public that masks aren't effective. IMO they're just saying that to not cause a panic of people grabbing masks. Plus, they have a point. Most North Americans just aren't used to wearing one, so might make the wearers touch their faces even more. This is not true in a lot of Asian countries.
The general public in Japan, Korea, Taiwan, and Hong Kong are all very accustomed to people wearing masks in public places, especially on mass transit systems. The density is just night and day compared to most of North America except maybe New York. Some wear it to stop the spread of disease, other comments have mentioned being a substitute for make-up, or also common: as a face shield when riding bicycles or scooters in the winter (much like a ski mask). Anyways, the point is that it is extremely common place. If you've worn it a couple of times you won't keep touching it.
> One of the problems is that they put too much confidence in face masks.
The mask is just the first line of defense. No one thinks masks are the be-all and end-all solution. After the outbreak in Iran, I'm seeing more and more Middle Easterners wear masks on the street. I'll bet you money when it starts spreading locally in North American communities you are going to see more people wear masks no matter their skin color or 'culture' (if they can get any). Check out the Italians wearing masks. [1]
> Most of these masks are just toys and not air tight at all.
Plenty of others corrected you on this so I won't go into it much. Basically, it's to block droplets (from leaving you and attached to other people and places like handles on buses etc.) It's not filtration. It also acts as a barrier if you are in close contact to someone who is sick.
> Also, there is a culture of not staying home when you're sick.
This annoys me the most. Us working in the technology sector have generous sick day policies, or even better remote work policies. But most people don't. There are plenty of people of all ages and colors and backgrounds that cough openly during my morning commute. This culture HAS to change but it's definitely not limited just Asia, let alone Japan.
1. https://www.gazettenet.com/Italy-rushes-to-contain-Europe-s-...
Source Code: https://github.com/reustle/covid19japan/
Tracker Itself: https://covid19japan.com
Twitter Thread: https://twitter.com/reustle/status/1229313493808992257
(copied from another thread)
Beware, we're removing mapbox because it's costing me big $
Also the /r/coronavirus subreddit has a daily post with changes per country.
China is very worried about this, it represents a potentially existential threat to CCP's political control of the country. That's why they were jailing doctors who reported the outbreak and so on. Maintaining media control of the narrative is important and in 2020 that of course includes social media like Reddit.
https://www.reddit.com/r/Bannedfromcoronavirus/comments/f3uv...
Or, read it if you want, but be aware that it's going to be downplaying the China situation and playing up the situation in other countries to make China look better. Treat it like reading RT or something.
(and on a more general note, Reddit's system for choosing moderation is terrible. They just give control to whoever is first to register some obvious brand-name or whatever, and there's really no system to appeal it, unless you want to try and start your own subreddit using some different name. And like domain names, there's really only so many reasonable permutations of a given name.)
https://covid19info.live/ (formerly wuflu.live)
Here’s a list of other similar websites/apps/telegram/whatsapp groups:
Adding this metric to the tracker tonight, actually.
One of my closest friends is getting married. She says to come! Wedding is Saturday. Day after I'd fly to another state to see mom. A few days after that I'd fly to another state to see brother and dad. After that was supposed to be GDC. May still go to SF or just stay with dad but current flight back is after GDC.
I don't really want to miss my friends wedding and was really looking forward to seeing family as I only get to seem them once every other year or so and parents are healthy but ~80 so no so many chances left.
So, what do I do? Go and cross my fingers I don't catch it? Pray that I'm not a carrier? No symptoms ATM. I currently work from home so haven't been commuting in typical Tokyo rush hour trains but have been out at non-rush hour 2 out of 3 days a week.
Is it selfish to want to go? Is it selfish to not want to go? Is it irresponsible to go? Is it stupid to be worried?
I won't go if I were you. Although the chances are small, but there are several cases in my home town, where people came back from Hubei province (where the outbreak initiated), without any symptoms, turned out to be carriers. One graduate student infected > 10 family members while maintaining normal body temporature, made local news right away.
I am interested in hearing the counter argument though.
Even if you did manage to avoid getting sick, there's a chance you could get stuck in quarantine in Japan, the US or both as countries become more aware of the virus' dormancy.
Anecdotally, I have several friends who have cancelled non-refundable trips. If it were me, the desire to go on the trip wouldn't outweigh the stress of worrying about being infected, being held in quarantine, or traveling while a global panic sets in.
That's the key point for me. My personal risk calculus has me staying in my own country: while I think it's extremely unlikely that international travel to non-hot spots would lead to infection, I'm not chancing entry / exit / in place quarantines.
Whatever you decide, I applaud you for at least asking the question and thinking about the risks to yourself and others, instead of so many who want to stick their head in the sand and insist that everything is fine.
He mentioned an additional concern: that air travel might be disrupted, and that he'd be unable to return home.
On the other hand, do I really want to expose myself to unanticipated foreign quarantine for my job?
It's still good to be cautious though. The negatives: air travel could be disrupted while you're here, there's asymptomatic transmission, you need to pass through a busy airport in a country with unknown infection routes, and (most importantly) the virus is much more dangerous for your parents. If I was in your shoes, I'd probably cancel and plan a trip to see everyone in a few months.
If you're older than 50, still go but take extra precautions. And take any symptoms very seriously.
Also consider wearing thin knit or cotton gloves to remind you to not touch things by default.
In a more mass-spread scenario, where they can't really handle all the cases with high attention - follow your symptoms each day closely and if you're getting noticeably worse from one day to the next after the early symptoms have appeared (after the first several days), go to the hospital and seek treatment. It doesn't appear to be much different than having the flu in this regard, it's that the mortality rate and virality appears to be far higher (and a far higher percentage of patients are requiring intensive care).
There was an excellent 'inside the hot zone' article posted here on HN a few weeks ago, that interviewed a doctor in China that had directly dealt with many early cases of Covid. His input was that the people that died turned hard south in the second week after symptoms presented, and would often die in the third week. That pattern tended to repeat for patients that died. Seeking treatment at a hospital as soon as possible if you see yourself turn for the worse in the second week, appears to be critical.
If symptoms are getting worse, particularly acutely, seek medical attention.
Importantly, if you think it might be something bad (like COVID-19 or another contagious disease) make sure to make that known to the first and primary medical contacts you make as you seek treatment.
Be aware, that you are probably likely to get hit with a quarantine if everything goes pandemic.
And, if things do go pandemic, you probably want to have seen your parents.
Skip GDC, though. That's just asking for trouble. And it's likely to be cancelled, anyway.
Can we get some actuaries in here please?
(source: I live in Japan)
Once we asked if club activity were mandatory at the local school. We specifically asked about the mandatory aspect. The answer was "everybody does it".
(Face saved.)
Answer: Hahaha. :-P
Now: nearly all corporations pay dividends at about 30% of profits as policy.
Japan may not be reactive or proactive, but it does voluntary unity pretty well.
But was this a short-term gimmick to encourage investment? Did it work? My understanding is that high dividend payout represent weak reinvestment and overall lower growth.
IANAL, much less in Japan, so take it with a pinch of salt.
EDIT: Seeing the other replies, I guess it can be interpreted both ways: people "listening to the advice of the government", or "government asking people listen to them". Again, IANAL.
The point is, apparently, that "ask" is a euphemism for something that you are effectively obligated to do.
You're reading much too far into it.
This is especially true when the dialogue is between two people (or entities) of different social status or power, but it's also pretty rude to not oblige when you are close to the person.
The only time it is truly voluntary is when there is no relationship and nothing to lose by declining.
On these sorts of days, the schools are sometimes closed to keep people off the roads.
Well that settles it, I'm not moving to Minnesota
In MN though (this applies to many other areas of the world that get a lot of snow/ice/cold) if we shut down that often we would get only have 1-2 weeks of travel between November and April and so it obviously isn't possible to play is safe. So we deal with it by having warm coats, boots, and other infrastructure.
That said, there were days where snow prevented me from getting to school and days where the drive home was treacherous (the only way to tell where the road was the highway reflectors sticking out of the snow). I also learned how to chain up the first year I had my license. Nearly every day in December that year, I had to chain up to get home (water on ice and ~14% grade on the first hill up to the house).
It could probably be done, but it will be very painful.
e.g. letting people disembark because they tested negative and then spent weeks in quarantine. [1]
[1]: https://www.theguardian.com/world/2020/feb/23/coronavirus-wo...
Is it because they might be likely to carry and spread it without ever showing any symptoms?
Here's an unintended consequence of closing schools though. Who often takes care of children when schools are unexpectedly closed? Grandparents. So in a way, they could be making this worse.
When my daughter started preschool... boy did she ever bring home every type of disease known to science. We ended up pulling her out and just having her grandparents look after her, which worked out really well, because I kept getting sick and missing work myself.
No, it means smaller groups of kids, but not for those seniors. They still go about their day, visiting with friends etc.
If that is true, that would seem to imply that one could improve one's resistance of COVID-19 by deliberately infecting themself with one or more non-COVID-19 coronaviruses. (Not that I suggest anyone try this.)
Last I heard that may be extended to the end of March.
I expect that our School ALWAYS care for my child. :P
The care of the kids has always been the priority of great teachers in my experience
Of course the poorest will be least likely to be told to stay home (grocery stores will still need to be open - and probably need extra staff for sanitation)
How is school "used" in other countries, then?
Maybe it seems like daycare because, in a sense, it does serve the function of allowing parents to work. That doesn't mean it's an alternative to daycare. The parents want their kids to have an education, but they also count on school to be able to work.
Even here in Canada, if a school has a snow day and an employer doesn't, it can be a little tense if you don't have anywhere to put your kids. People with relaxed employers and good leave options are fine, but many people don't have that.
Why would it be similar in Japan? In Japan, children walk themselves to school (using public transit if necessary) as young as 6 years old. It's not like the US where parents can be thrown in jail for "child neglect" if their children don't have 24/7 adult supervision. I imagine that Japanese schoolkids can just stay at home if the schools are closed.
Without schools providing breakfast and lunch many kids will not get enough nutritional meals a day.
When the Chicago public schools "closed" during the teacher strike, the non-union staff were still working to keeps the schools open just to provide meals and a safe place for kids to go during the day.
And today Seattle area high school is already closed due to suspicion of coronavirus:
https://www.foxnews.com/health/washington-high-school-closed...
IF things get worse, I'm not sure what the universities will do here.
So, if the virus keep spreading I hope they’ll close or that we can chose to stay at home, which is OK for most of my job anyway.
That doesn't seem very low to me.
Even at the university I work at, as a teacher, there's a subtle pressure not to call in sick or miss meetings or take a day off. I can only imagine how much STRONGER that peer-pressure is in an office setting.
A hopefully good move, but might have been nicer to have given teachers and students more time to prepare (i.e., announce it a week earlier, perhaps?).
shrug Just my $0.02
>The latest cases bring the number of confirmed infections in Hokkaido to 54, the most in Japan.
How were they supposed to know last week that this would happen? Or are you proposing be can stop the spread of the virus for a week to give people chance to get ready??
Basically, teachers and students have to finish up the school year TODAY, with no advanced warning or time to plan.
So, I completely agree with Abe-san's desire to curb the spread of the virus, but being in the education system myself (and having 3 kids affected by his decision), a bit of an advanced warning would have GREATLY helped the schools, the kids, and the parents.
shrug But as I said, it's just my thoughts and hopes and desires as a father being affected by it! :-)
He announced it late in the afternoon but I even consider irresponsible to make that from next week and let the schools open tomorrow if you consider the situation so dangerous as to warrant school closures.
This is a big reason why the stock market is dropping.
That's.. a gross over simplification. The market sees a lot of perceived risk, whether that's school closures or factories shuttering temporarily, disruption in travel or other effects.
The move towards investing more in gold bullion is both reactionary and indicates the market perceives a heightened risk of crash. Note that the market perceiving something doesn't make it true or inevitable, anymore than your aunt Jill perceiving she's allergic to bad chakras.
> We can expect much of the US to do the same...
Maybe. That depends heavily on how any given local body is willing to admit the problem exists, federal pressure on them one way or another, and general population beliefs. I'd expect California to close a few schools if they see more cases, but I wouldn't expect Alabama to.
The market seems to be moving towards US Treasuries too.
I think you really need to keep that in mind when considering the Japanese infection count.
Yes, more people will become infected, yes, some will die.
But the level of person-to-person transmission will have fallen below the level necessary for the epidemic to sustain itself, and it will slowly decline and fade out.
Perfect containment, 100% effective vaccines, 100% vaccination rates, (neither of which apply here: there is not yet a vaccine), 100% travel and contact curtailment, 100% sanitation, 100% filtration, are not required. Only sufficiently effective methods to reduce transmission.
Of which, strong, effective, and widespread gathering and travel restrictions within or from epidemic zones are a very sensible tool.