Lots of good stuff in your post. This that I've snipped out here is really the only thing I could nit pick. Its impossible for our federal government to set legitimate triggers and trip wires on the re-opening. You really can't even do that at the state level. You have states with massive population centers (like Chicago) that at the same time have huge massive open sparse farming communities. I think you can advise the state and local governments on how to do these things, but its at the local levels that these things need to be done, measured, and managed.
I have a nit pick to your nit pick ; ) The geography and economies of the US are only truly local so long as we all generally remain in lock down, social distancing, and minimizing travel. As soon as the country in general opens up, and people start traveling freely, those invisible geographical distinctions will start disintegrating. From what I can tall, South Carolina is doing great. But if its citizens, and citizens of other areas with larger outbreaks, start traveling and mixing freely (and we are indeed starting to see some pretty crowded airline flights) those distinctions could start disappearing. Just look at the funeral in Albany Georgia. All it takes is one intermixing traveler with COVID to be introduced to a rural community to potentially cause havoc if those small communities are gathering in large numbers for things like church, funerals, bars, and restaurants.
Not saying we should not open up, I am just saying I would be cautious saying that a more "local" approach is needed. That is true now, while people still aren't really traveling, but that won't be true for too much longer I fear.
I have a nit pick to your nit pick ; ) The geography and economies of the US are only truly local so long as we all generally remain in lock down, social distancing, and minimizing travel. As soon as the country in general opens up, and people start traveling freely, those invisible geographical distinctions will start disintegrating. From what I can tall, South Carolina is doing great. But if its citizens, and citizens of other areas with larger outbreaks, start traveling and mixing freely (and we are indeed starting to see some pretty crowded airline flights) those distinctions could start disappearing. Just look at the funeral in Albany Georgia. All it takes is one intermixing traveler with COVID to be introduced to a rural community to potentially cause havoc if those small communities are gathering in large numbers for things like church, funerals, bars, and restaurants.
Not saying we should not open up, I am just saying I would be cautious saying that a more "local" approach is needed. That is true now, while people still aren't really traveling, but that won't be true for too much longer I fear.
Just one thing. You calculate death rates for a disease by deaths among infected persons, not the population of the county/state/nation as a whole.I wish I invented the Q-Tip idea, but I didn't. I seldom have any good ideas.
The reason I brought up states in particular, is because its at the state and local level that we will begin opening back up. For example, Chicago is in bad COVID-19 shape, but only in 1 pretty well confined area. Outside of that its not bad...and further out in the rest of the state its a lot of farmland and small towns. You just can't have a federal policy that applies to all states the same. And you can't even have one single state policy that applies to all areas of the state. I just looked at our state health agency website again - my county's all time total infection rate is 0.0009. Our all time death rate is 0.00001 (9 people have died out of 500,000 residents). All elderly. I looked up the zip codes in my particular town, and our total infection rate is also 0.001.
On a side note, when everyone was staying at home much more, it also reduced the spread of other diseases from STDs to the Flu and so on. There were also less gun deaths and injuries, car wrecks, and so on. So one of the overlooked aspects of this turning of the faucet back on is that hospital utilizations will probably increase pretty significantly even if there is zero increase in COVID-19 transmission.
I try to spend about 50% of my time on COVID news talking to people from other countries (I am on another board that is heavily represented with people from around the world) and looking at news articles from outside the US. Since the US is behind most other countries with this it gives some sense of what it likely coming.
My biggest takeaway from that is that this is not going to be a smooth ride in any way. There are going to be alot of bumps and one step forward, one step back type events - and that is assuming things go relatively well.
We are seeing countries that have things much more under control than we do in the US and even they have issues. China shut down a northern region, SK has shut down bars and nightclubs for a month after having an outbreak originate in them. Singapore basically shut down for a month and quarantined migrant workers in their dorms to keep the outbreak there from spreading from the migrant workers to the citizens. Germany had 3 of its states halt their loosening of restrictions after they hit a trip wire (greater than 50 new cases per 100K residents). China's official unemployment rate is the highest it has reported in many years, it's true unemployment rate is likely incredibly worse. One article I read yesterday by a scientist who attempts to come up with a more accurate unemloyment rate estimates that 80M Chinese are unemployed and that is mainly in the cities since China does not attempt to track unemployment in rural areas.
You also find out that citizens (and even the governments) of other countries have very low opinions of the US Government right now. There was an article out of Australia last week talking about how all the Five Eyes intelligence agencies believe the US is pushing a false theory in terms of the origins of the virus. That the governments in Australia and Great Britian flat out don't believe the US. A poll released today in Australia asking about how they feel about various governments and how they handled the crisis so far gave very high marks to Australia (which they should, without a doubt one of the best) with 93% saying their Government did a very or fairly good job. The US came in last in the survey with 10% saying the US Government has done very (2%) or fairly (8%) well in its fight against the virus.
Alot of the European citizens I talk to are unhappy that the US has been largely unwilling to join in international efforts to fight the virus and try to find a vaccine. As someone who has a minor in International Affairs I will say that we are putting ourselves in a precarious position by trying to go it alone. While the large international consortium has pledged to provide any vaccine to all countries, it will take months, if not years to produce enough doses for everyone. It wouldn't shock me if that international group finds a working vaccine first (or China, who is also working hard on this) that the US might be forced to wait in line a little before getting doses (and certainly enough doses for the whole country given our size) - which would have both health and economic consequences.
One piece of good news. You don't have to do extensive testing if you have it completely under control. Places like SK are not testing nearly as much as the US because they don't have to. They basically have it under control. If an outbreak occurs they shut down that area and start testing and tracing cases at that point. But the numbers are small enough that they can stay in front of it and don't have to take much more widescale action. Taiwan is the same. The bad news is we aren't anywhere near that point. That point for the US is likely when the national daily death toll is in the single digits or low double digits and the number of cases nationally are in the hundreds - not 20-25K per day.
The other item you see alot is that the reporting on this is so bad in so many countries. One article in Mexico City had a source in the government say the actual numbers of deaths was at least 5X the official numbers and the reporters went around to various morgues and crematoriums to try to get a better sense of the true numbers. Most Central and South American countries aren't reporting anywhere near accurate numbers. some are on purpose by Governments trying not to look bad, some are governments that are simply overwhelmed and can't even come close to keeping up with the counting. India is another country that is likely very highly undercounted. That is a very caste society only only certain castes are being tested. Russia, Iran, China - all are believed to have numbers significantly higher than they have reported officially. There are some countries in Africa where this is starting to break out. I think it was Nambia where the US Embassy said it is basically running out of control but the government is not reporting any numbers. The only countries whose numbers are likely remotely accurate are Western countries and the more democratic Asian countries.
Finally, I want to leave with this tweet because I just love the idea and the image. Nice imaginative way for a cafe to make sure its customers are socially distancing.
You calculate death rates for a disease by deaths among infected persons, not the population of the county/state/nation as a whole.
There is a short list I have of things (universally) that dudes just can't look cool doing. For example, carrying a bouquet of flowers. Try as you might... it can't be done while looking cool. Not even The Fonz can pull it off.
The results are in.... add wearing a mask to the list.
Life sucks just a little more now.
I try to spend about 50% of my time on COVID news talking to people from other countries (I am on another board that is heavily represented with people from around the world) and looking at news articles from outside the US. Since the US is behind most other countries with this it gives some sense of what it likely coming.
My biggest takeaway from that is that this is not going to be a smooth ride in any way. There are going to be alot of bumps and one step forward, one step back type events - and that is assuming things go relatively well.
We are seeing countries that have things much more under control than we do in the US and even they have issues. China shut down a northern region, SK has shut down bars and nightclubs for a month after having an outbreak originate in them. Singapore basically shut down for a month and quarantined migrant workers in their dorms to keep the outbreak there from spreading from the migrant workers to the citizens. Germany had 3 of its states halt their loosening of restrictions after they hit a trip wire (greater than 50 new cases per 100K residents). China's official unemployment rate is the highest it has reported in many years, it's true unemployment rate is likely incredibly worse. One article I read yesterday by a scientist who attempts to come up with a more accurate unemloyment rate estimates that 80M Chinese are unemployed and that is mainly in the cities since China does not attempt to track unemployment in rural areas.
You also find out that citizens (and even the governments) of other countries have very low opinions of the US Government right now. There was an article out of Australia last week talking about how all the Five Eyes intelligence agencies believe the US is pushing a false theory in terms of the origins of the virus. That the governments in Australia and Great Britian flat out don't believe the US. A poll released today in Australia asking about how they feel about various governments and how they handled the crisis so far gave very high marks to Australia (which they should, without a doubt one of the best) with 93% saying their Government did a very or fairly good job. The US came in last in the survey with 10% saying the US Government has done very (2%) or fairly (8%) well in its fight against the virus.
Alot of the European citizens I talk to are unhappy that the US has been largely unwilling to join in international efforts to fight the virus and try to find a vaccine. As someone who has a minor in International Affairs I will say that we are putting ourselves in a precarious position by trying to go it alone. While the large international consortium has pledged to provide any vaccine to all countries, it will take months, if not years to produce enough doses for everyone. It wouldn't shock me if that international group finds a working vaccine first (or China, who is also working hard on this) that the US might be forced to wait in line a little before getting doses (and certainly enough doses for the whole country given our size) - which would have both health and economic consequences.
One piece of good news. You don't have to do extensive testing if you have it completely under control. Places like SK are not testing nearly as much as the US because they don't have to. They basically have it under control. If an outbreak occurs they shut down that area and start testing and tracing cases at that point. But the numbers are small enough that they can stay in front of it and don't have to take much more widescale action. Taiwan is the same. The bad news is we aren't anywhere near that point. That point for the US is likely when the national daily death toll is in the single digits or low double digits and the number of cases nationally are in the hundreds - not 20-25K per day.
The other item you see alot is that the reporting on this is so bad in so many countries. One article in Mexico City had a source in the government say the actual numbers of deaths was at least 5X the official numbers and the reporters went around to various morgues and crematoriums to try to get a better sense of the true numbers. Most Central and South American countries aren't reporting anywhere near accurate numbers. some are on purpose by Governments trying not to look bad, some are governments that are simply overwhelmed and can't even come close to keeping up with the counting. India is another country that is likely very highly undercounted. That is a very caste society only only certain castes are being tested. Russia, Iran, China - all are believed to have numbers significantly higher than they have reported officially. There are some countries in Africa where this is starting to break out. I think it was Nambia where the US Embassy said it is basically running out of control but the government is not reporting any numbers. The only countries whose numbers are likely remotely accurate are Western countries and the more democratic Asian countries.
Finally, I want to leave with this tweet because I just love the idea and the image. Nice imaginative way for a cafe to make sure its customers are socially distancing.
I really don’t give a damn what these other countries opinions of us are. We pull way more than our own weight, and we’ve saved many of their asses before.
Also, that cafe didn’t make the people wear those pool noodles. It was something set up by a local TV crew to see what the reaction would be.
Ramblin has a history of posting 2000 word essays with his own left/liberal agenda but he mentions 12 times within his rants about how he’s being non biased and just calling it like it is. He writes well and puts his thoughts down so well that a lot of people with no clue love it “Way to go Red”, “Red killin it!!”. He’s been preaching his agenda for 2 months now, most of us don’t pay it any attention. He’s in multiple forums saying the same things over and over.
That's why I like Nate Silver's twitter feed so much right now. He really goes after both the typical left wing and right wing talking points and spin and tries to keep the data as free from the stories as possible.