Google employee diagnosed with coronavirus
cnbc.com
cnbc.com
FWIW all Google Zurich leads and my whole management chain insisted that people having any kind of symptom (in general, and not just for the Coronavirus) should rest at home & see the doctor to recover and prevent infecting other Googlers.
They also insisted that even "healthy Googlers" feeling insecure coming to work can fully work from home in the coming weeks, and told managers that they shouldn't prevent their managees from doing so.
This company has just always been super comprehensive regarding health conditions. If you don't feel good and just want to go back home to rest or take a 2h nap in the sleeping room you can just do it without any justification. Whenever I discuss this with friends none of them has the same freedom and trust that Google gives us.
Wishing the best to everyone in this scary period.
Symptoms should not be what causes people to stay home or not
If someone has symptoms, they could have been infecting others for up to 14 days prior
https://www.yalemedicine.org/conditions/covid-19/
>The CDC believes SARS-CoV-2 is contagious during the incubation period, which is believed to be 14 days, and symptoms of COVID-19 can appear anytime between two and 14 days after exposure. It has identified the following symptoms
> It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.
This doesn't mean asymptomatic people can't spread the disease, but that the likelyhood of spread from asymptomatic carriers is lower (which makes a lot of sense).
[0]: https://www.cdc.gov/coronavirus/2019-ncov/about/transmission...
>Can someone spread the virus without being sick? People are thought to be most contagious when they are most symptomatic (the sickest). Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.
It's amazing how much outright hate is being spewed here over this -- it borderlines on outright panic.
I can’t imagine many tech companies (or even salaried office jobs) having very different default policies.
That is sort of missing the point in an emerging pandemic.
Just bear in mind, what you see from the news media is not rarely the whole picture -- especially when the veil of corporate secrecy is involved.
yikes
https://www.theguardian.com/technology/2017/jan/31/amazon-ex...
If people are exposed, they DO NOT KNOW they are sick. There are no symptoms for the first few days even though you're shedding virus.
You are most contagious just prior to symptoms
The point of closing spaces is to force people who FEEL FINE from spreading the virus further.
Do you have a reputable source for that? The WHO, CDC, and EU state that asymptomatic transmission is minor if it happens at all
In practice, that means most don't exercise that option and those who do for any real length of time take a career hit (unknowingly).
Given the current situation I'd say that you probably have more chances to contract the virus when taking public transport or going to public spots/events than I have at work :-)
It's hard to say without more details, but I suspect there are more people in that office that are infected.
Are they decontaminating the office? How many emps are there in the Zurich office?
The CDC site shows only 8 more tests having happened in the last few days (aka: preposterously low!). We're really flying blind until we have more data and testing. When the history of this epidemic in the US is written, it will be noted that the entire month of February was wasted diagnostically and critical opportunities to still attempt containment lost.
Here we go...
The CDC and WHO recommend a blended approach to response that includes both perpetual containment and perpetual mitigation efforts.
It's not one or the other.
...
Google’s Zurich office will remain open
So they've taken all necessary precautions except the one that would actually prioritize health and safety by asking all employees in that office (or at least those on the same floor/seating area as the infected employee) to work from home and self-isolate.
I thought the germ theory of disease was already well accepted and we had a pretty good idea of how pandemics spread.
Imagine going home to your family without knowing if you've been exposed to a disease that has a ~2% mortality rate.
...and then the company asks everyone to come back into work the next day.
Google's response here is shocking.
It's serious, even for younger people, and that's if health care infrastructure doesn't get overwhelmed.
It's a lack of leadership which shouldn't be surprising given that most corporate executives don't really know how to act in situations outside of their realm of experience.
The top-down restrictions of who is allowed to get tested have been quite limited, so there's easily tons of people infected who we don't know about, many of them asymptomatic - yet who could still be transferring the virus to vulnerable/less healthy people [1].
Access to testing kits is going to be another constraint going forward if this thing continues spreading and testing criteria does indeed expand (which no doubt are probably correlated).
I have a feeling once the CDC and WHO expand the criteria for who gets tested there is going to be a significant spike in the number of people who we know have it. There's going to be a lot of post-de facto reviews and lessons learned from this experience in the coming future, no doubt.
[1] https://www.nytimes.com/2020/02/26/health/coronavirus-asympt...
Most can't even do that. Their paper experience is with tech and product, but the experience they actually got hired for is political maneuvering.
I was working at a high rise in Manhattan on 9/11, as a fresh new analyst. After the horrific incidents of the day, we were told to continue working. That continued for about 90 minutes until the company announced an evacuation.
Next we were told to carry all our binders (full of analyst reports) home, so a group of us Brooklyn residents did the 7mile trek with backpacks full of binders plus a 2001-era laptop, one of us had a roller bag because there were so many binders.
Also remember this is 2001. We did not have VPN in our project office, though I know it existed. We had a modem dial in for remote access and none of our work was on network drives. HOme DSL/CableModem had only recently become popular amongst professionals.
Regardless, I continue to remember the burden of carrying those gigantic binders as I ran across the 59th street bridge and through Queens and Brooklyn...all while wearing wingtip shoes. Awful.
What do you think the correct response by management should have been? 15 minutes after the 1st plane hit, everyone shut down, go home, leave the files and binders?
No, when people’s lives are on the line and a building might be brought down due to an airplane crashing into you, you should not even think about binders or paperwork, much less making others think about binders.
I am here to understand the thinking of people who thought management should have "done better".
It could well be that this is correct, but it was a very confusing morning, if you will recall, and nobody knew what the hell was going on.
One stupid example is that my friends at Bear Stearns in WTC-7, left the building (evacuated) when the stock markets in NY shut down, and all lived. But the other friends on the bond-desk (traded out of Chicago, which didn't shut down), stayed and all died. (Hard to get a bond trader off his desk!).
It was a horrible day. And also unprecedented. I think it is a little unfrair for people to expect managers to know how to react (immediately and pro-actively!) to an unprecedented event. If I had an argument, it would be that: If I were a manager on that day, I would have been confused. And so would you.
Gosh! That's a lot!
If an airplane hits the world trade center, would I push the fat man in front of the train? (Sorry - moral philosophy question)... Ummmm. I don't know! Would you? WOuld I? How long would I brain freeze? Would I ask people to stay? Go home? Take books? The vault? I don't know! What would you do?
My point here is simply this: You don't know what you were do, in real time, until you are in the hot-chair. You don't! Nobody does. And you will get it wrong. And anything you decide (anything!) will be criticized for decades. By people who were not there.
This page has a massive amount of information about evacuation problems, including a false assertion made over the intercom that the building was safe, and that people needed to turn around because doors were locked, but nothing about "go back to work" except baseless speculation by a sibling of a victim.
It doesn't even make sense, why would management of a building with dozens or hundreds of tenants care who is working?
Admittedly the scenario I'm proposing seems unlikely. Seems they would have at least mentioned it if they were going to tell the folks who might have had contact with the individual. However. I'm leery of jumping to conclusions.
The office is huge and travel to north Italy is extremely common.
People need to be told what to do, otherwise they don't think they are harming others. This behavior is even more common among young people without family. The moment you have a child, you start to look at all these potential threats and react accordingly.
"OK."
Also, sometimes it's just reading the f news. It's a global thing, everybody want it or not knows about this virus.
While northern Italy has highest concentration of cases outside Asia, the likelihood that any individual passenger is infected is very low and the likelihood that /one of them/ is infected, and had already traveled on, is very high.
What makes you think Google employees only care about themselves? You don't think they (and we) should care about the more vulnerable members of society that they will infect?
"Not at risk" does not mean 0 risk, it means negligible risk.
For example, if I was standing on a cruise ship, am I at risk for drowning? Not really, it's extremely unlikely that I would drown. Could I drown? For sure, I could fall in the ocean, or in the pool, or pass out into a bowl of soup. Despite the nonzero possibility of drowning, if someone saw me on the cruise ship waiting in line for the buffet and yelled "be careful, you are at risk of drowning" at me, I would think they had lost their mind.
But even though the risk of infection is low, I wouldn't say that a child is "not at risk" of contracting the disease if their dad catches it at work and brings it home.
I'd say that he's "at low risk", not "no risk".
Planes crash, the Airbus A380 has suffered 0 crashes, so would you interpret this to mean the A380 cannot crash?
Lets square up the analogy. So there are 0 deaths for children that get coronavirus, and about 1/5 of the cases have been among children.
Planes crash, and out of all the planes that have crashed about 1/5 of the passengers were children, if 0 of the children died would you interpret this to mean children can't die in plane crashes?
And yes, basically I would interpret it that way if it were true.
Ok, maybe I can make it closer to your analogy:
There were 0 deaths for children that get caronavirus, maybe you think children are much less likely than adults to die if infected? Planes crash, if the A380 has never crashed despite millions and millions of miles in service, would you interpret that to mean that an A380 is much less likely to crash than other plane models that have flown a similar number of miles and had a bunch of crashes?
Again, yes, that is just how statistics work.
/s (in case it isn't obvious)
This story of the "only old people" is just to keep the majority of the population calm, which is good. However, it can happen to any of us to be in a bad period and this sh happens.
So do everything you can to avoid it in the first place -- ideally I'll avoid it until a vaccine is developed. (fingers crossed that a vaccine really will be developed)
"THREAD/1: We saw now several reports of reinfection and I wanted to talk a little about that. While immunity induced by SARS-CoV-1, MERS-CoV and human CoVs is not very long lived, an immune response is typically induced and antibodies persist for 1-3 years."
"2) Now, there is evidence that people with COVID19 mount an immune response (e.g. https://medrxiv.org/content/10.1101/2020.02.20.20025841v1). That makes re-infection, especially short-term extremely unlikely. What is more likely is, that the patient is still shedding virus but some of the tests were negative."
"3) Follow up tests can turn positive after a few negative tests, e.g. because sampling was better. Also, and this is a very important point, just because somebody still tests positive in a nucleic acid based test, does not mean they are still shedding infectious virus."
"4) E.g. Measles RNA can be detected for months in patients, long after infectious virus shedding has stopped. This is also the case for other viruses. And I think this is the most likely scenario here."
https://twitter.com/florian_krammer/status/12333387467890360...
https://thehill.com/changing-america/well-being/prevention-c...
You can debate whether or not it's really a reinfection or not, but no one is going to really know for sure until quite some time and further studies can be done.
So for now, I wouldn't count on immunity after catching the disease.
I'd personally watch any publication from Singapore in this regard - one of their primary learnings from SARS was to become a biotech hub which enabled them to rapidly scale testing in this case and you can assume they have very good surveillance of existing cases.
https://www.moh.gov.sg/covid-19
They share details on all cases, along with the result of the investigation around whom they have been in contact with and where they have been.
They also created a dashboard with all information: https://experience.arcgis.com/experience/7e30edc490a5441a874...
The 2% figure comes directly from dividing deaths by identified cases. Because it takes a while to kill and new cases are growing exponentially this figure is very likely an underestimate. (not certainly an underestimate because non-severe cases are less likely to get counted)
Instead, you can gauge mortality by looking at deaths/(deaths+recoveries). With this method you get a number around 7%. This can produce an overestimate, either because recovery takes a long time or because non-severe cases don't get counted.
This question was also asked about SARS and it turns out that for SARS deaths/cases was a massive underestimate until the rate of the rate of new infections decreased. For SARS d/(d+r) was a much more accurate estimation at all times.
https://blog.zorinaq.com/case-fatality-ratio-ncov/
2% and 7% are both pretty bad, but they have distinctive public policy implications. I hope we're not making bad decisions simply because people handle exponential processes poorly.
Has anyone seen death and recovery by age? I think it would be interesting to estimate mortality by age using the d/(d+r) method, and perhaps contemplate what effect that might have on the composition of the US senate. :-/
This calculates Death Rate = (number of deaths / number of cases) which seems like how you're saying not to, but does split by age.
https://www.worldometers.info/coronavirus/coronavirus-age-se...
If you have a mild cough or a bit of a cold, you might not think anything of it beyond staying home from work, but that could be COVID-19 (and we might _never_ know that it was).
If you look at the Diamond Princess, where seemingly everybody was exposed to the virus, the actual death rate was about 0.4%, which is within error bars of the flu.
Given how it can take weeks to die after being infected, I doubt they will be the last deaths.
There was a recent (Feb 17) study here with mortality crosstabs (see ‘results’): http://weekly.chinacdc.cn/en/article/id/e53946e2-c6c4-41e9-9...
Case fatality rate (N_deaths/N_confirmed_cases):
[0-9]: NA
[10-39]: 0.2%
[40-49]: 0.4%
[50-59]: 1.3%
[60-69]: 3.6%
[70-79]: 8.0%
[>=80]: 14.8%
Case fatality by date of onset:
[<Dec 31] 14.4% (n=105)
[Jan 1-10] 15.6% (n=653)
[Jan 11-20] 5.7% (n=5417)
[Jan 21-31] 1.9% (n=26468)
[>Feb 1] 0.8% (n=12030)
That does make the overall fatality rate look quite a bit worse than the naive calculation.
I don't think this is true, considering China has built new hospitals just for patients who are tested positive but have light symptoms [0].
China also sent 12500 testing kits to Japan [1].
[0]: https://www.zhihu.com/question/369522812
[1]: https://mainichi.jp/english/articles/20200226/p2a/00m/0na/00...
Disclaimer: I'm from China.
Both 2% and 7% will end up being massively overstated fear-mongering in a “pandemic” that never really actually qualified as such, and will kill less than 1/100th the number of people who die from Flu this year.
But everyone loves a good disaster story.
I’d say though you’re fear mongering posting a comment like this, why ? Maybe you don’t realise ?
If you're just stating that without posing a counter argument then I think you have failed to understand what I am saying. And that is precisely why I posted.
1. The methodology being used to arrive at the 2-3% figure is unambiguously vulnerable to bias. It may be the case that other biases (under-reporting mild cases) cancels out the effect, or maybe not.
2. The same methodology when applied to SARS was provably biased, and an alternative seemingly equally valid estimator was accurate for SARS and gives a much higher estimate for the mortality rate of coronavirus.
If, in fact, we are off by mortality estimates by a factor of 4 it needs to be more widely known because the appropriate economic trade-off in handling is different at the two mortality levels. (In particular, if the mortality rate is much higher for working age people then economically disruptive countermeasures are more justified.)
I'm doubtful that any comments on hacker news are likely to result in public panic. I think for the most part the audience here is capable of reasoning about these things and making prudent decisions.
Ok it’s fine to speculate, but you’re throwing up some big figures in what’s already a panicked situation and pretty much everything you’re saying is based purely on speculation and anecdotal evidence.
I just find it odd health organisations have already done studies, published numbers yet people all cover the internet (on HN of all places) seem to feel like they want to exaggerate the issue, refute the science and don’t trust the existing numbers. Why ?
I spoken with a professional epidemiologist and they also agreed.
If CDC were saying that they considered this case and concluded that d/c is a more reliable estimator, I'd be happy to hear it. Instead, it appears d/c -- which is a good estimator for viruses in steady state-- is being used because it's just the default and the only research I can find which has actually evaluated this question found that d/c underestimates in a rapidly spreading infection.
Are you subscribed to all of Google's internal communications?
https://www.cdc.gov/coronavirus/2019-ncov/about/transmission...
It's worth noting that this document does not make any claim that it cannot spread prior to symptoms. It says this:
" - People are thought to be most contagious when they are most symptomatic (the sickest). - Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads."
Let's say that somebody travels back from Italy, and stops by the office for 5 minutes on the way home, to pick up something. The people at the office are going to be about as exposed as the people who were at the airport that day. I presume we don't try to track down or isolate everyone at that airport?
(To go a bit further, as far as I can tell, in none of the Swiss cases is there any kind of information that would let the public reason about whether they could have been exposed. E.g. about which trams or trains the people with an infection took.)
While if somebody spent a full day coughing at the office, went to the cafeteria for lunch and dinner, had a few meetings, etc. Well... Seems like you'd want to isolate a lot of people. And that's not a decision the company gets to make, it'd be done for them by the authorities, and a lot of people would know.
If no details of any sort have been released to employees, it kind of suggests this case was at the first end of the spectrum.
Why not? Why can't Google say "Out of an abundance of caution, we're closing the office for 2 weeks and asking employees to work from home. We recommend, but do not require, that employees take steps to self-isolate themselves and monitor themselves for symptoms."
I understand that authorities could force companies to close offices, but I don't understand why a company couldn't make the decision to do so on their own.
If no details of any sort have been released to employees, it kind of suggests this case was at the first end of the spectrum.
I don't see how it suggests anything at all?
Your question seems to have nothing to do with what you quoted. The context for that was the case where, given what we know about the transmission parameters of the virus, it was plausible that the employee had infected others. And in that case, of course the company has no choice in the matter. Those people get isolated, no matter what.
What you seem to want to discuss is a totally different case. One where the authorities don't think there's sufficient risk to isolate anyone, but the company shuts down the office anyway. Correct?
Surely there's some kind of a threshold that comes into play in that case. There must be scenarios where transmission is so unlikely that you think there's no point in shutting down the office. One in thousand? One in a million? One in a trillion?
Correct. I'm surprised there was any confusion.
Google is well placed to shut down an office with little cost, if it were a manufacturing plant it may be a different situation since telling everyone to work from home means that no work gets done. But Google is well equipped to support teleworkers, so there's little cost to them.
The authorities are still learning about the disease so even if something is deemed low risk today, it may be determined to have been a much higher risk tomorrow.
You need butts in seats to know you're getting your money's worth.
Foodservice, janitors, and security, OTOH...
All completely unnecessary jobs when no one is in the office.
It's Google, so they might need to reinvent their own (no doubt better) theory.
A group of employees I know at that office went out tonight in Zurich for a night out on the town.
Google's response here is almost unconscionably irresponsible. It's almost like they want the residents of the city to get infected.
1. Close the office and allow people to work from home.
2. Alert employees who are the most likely to have been in contact with that individual, without naming the individual.
I'm pretty sure closing your office and allowing your employees to work from home when there's a pandemic falls under the category of "Don't be Evil"
How do we know that's not being done? The article mentions "taking all necessary measures", that can easily be interpreted as additional measures not specified in the public release.
Google didn't even send the email until AFTER business hours on Friday.
Despicable.
I'm talking about contacting the people that may have come into contact with the sick employee not contacting the entire office. How do we know that's not being done? We don't have any details here to draw conclusions that this isn't being handled correctly. We don't know if the employee wasn't already working from home, came back from a vacation, was into office very little time or made very little contact with coworkers. You're assuming the worst, that the employee in question was mingling with everyone for days while being sick and then that the announcement going out on Friday was somehow too late (that the management was made aware of it for many days before the announcement went out).
> Google didn't even send the email until AFTER business hours on Friday.
Is that too late? How long did Google know about the sick employee as being confirmed with this virus before they decided to make a public announcement about it?
That would be an insane violation of privacy.
https://www.cityam.com/coronavirus-chevron-tells-canary-whar...
It is probably here, in your big city, too.
...also, having an employee IN THE OFFICE have Coronavirus is a much much bigger risk than a random passenger from Milan.
I do not think that USA work culture is compatible with this measure. I hope I am proved wrong and health care takes higher priority that having people siting in an office.
71% of all nonfarm payroll employees, or, 107.8 million people are in the service sector. Chop out "professional and business services" and "education and health services," industries you could reasonably assume people have sick days in, and you have 43mil people who it is reasonable to assume can't take a sick day.
edit: according to most recent data [0] it's actually 58.5% of all workers are hourly. Do they get paid sick leave?
[0] https://www.bls.gov/opub/reports/minimum-wage/2018/home.htm
(A big /s for anyone that didn't catch it.)
Add in another week off for everyone who gets the virus, and there's less work disruption from having people continue as normal, take time off when they get sick, and go back to work than there would be from "quarantine everyone for a month", like China did in Wuhan. (This means that you lose >20% of your retiree population, of course - but that's not really a downside from the perspective of someone looking at Social Security contributions and actuarial tables)
In our industry, majority of companies can easily continue operating under WFH regime. But most other industries can't. The damage to the economy must be kept in check, or otherwise the virus will be the least of everyone's worry. Quarantine is livable for as long as enough food is still made and delivered for everyone, and utilities are maintained.
Aggressive self-quarantines reduces the peak number of diseased, and hence improves both the prospects of both the seriously ill (who will have medical treatment available) and society's ability to keep functioning while the epidemic runs its course.
China has demonstrated that disruptive steps have flattened the epidemic curve.
> having those people die despite giving the economy a 10% haircut for the year would be worse
Do you imagine that there is a society in which this stupid Sophie’s Choice hypothetical actually plays out as you suggest?
If an uncontained pandemic is hospitalizing and killing their friends and relatives and overwhelming the healthcare system, do you think people will (a) show up to work and be productive and (b) continue to spend money as they did prior to the pandemic in order to sustain economic growth?
An uncontained pandemic is ipso facto an economic threat. Flattening the epidemic curve is good for people’s health and good for the economy.
Sure, China's demonstrated that "one person from your apartment complex can leave to buy supplies every two days"-tier restrictions can have positive effect. But, again, that only works if a high percentage of people follow it, and there's a lot of people in the states who'd very much not.
> Do you imagine that there is a society in which this stupid Sophie’s Choice hypothetical actually plays out as you suggest?
Sure - one where the young don't die to the disease despite catching it.
Flattening the curve can be useful, but only in moderately severe situations - small outbreaks can be handled without flattening (this probably won't be the case here), in a 'moderate' outbreak flattening brings the peak within hospital capacity, and in a severe outbreak the 'flattened' curve is still far above the capacity of the medical system to handle. And an unconstrained spread of COVID-19 would be 'severe' by this criteria.
That is why the hotel in Singapore and the cruise ship were such hotbeds for transmission.
What Google is doing here is acting with complete idiocy - with ZERO regard for employee health and safety.
But frankly, the real reason is probably just: economic damage.
They also believe it's a lot easier for people to be cautious and apply protective measures at workplaces (and public transportation, but I'm a bit skeptical here) compared to big public events like the Geneva motor show, concerts, carnivals, sports games, ...
Switzerland is much smaller and realistically would have to shut down the whole country. Then you're depending on foreign countries, which is outside the government reach. This is a much more difficult choice, if they decide to keep their food or medical supplies for themselves there's nothing you can do.
https://www.mercurynews.com/2020/02/28/santa-clara-county-an...
As to city - it's Zurich, they live in Zurich (or in the extended Zurich suburbs, perhaps as far as Lachen or Winterthur or Zug).
Neither CNBC nor BI has any explicit information about these rather important distinctions; especially considering that folks at Google travel so much.
I'd just ask my tech lead to work from home from now on. It was never a problem at Google for me.
https://www.cnbc.com/2020/02/28/amazon-pauses-non-essential-...
[0]: https://www.npr.org/2020/02/28/810494030/google-employee-tes...
Even an attempt to understand why this particular case out of the 100,000 would be discussed is pointless given the comments.
Those of us who don’t know history will repeat it.