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In a televised statement from the Oval Office on the coronavirus crisis Trump has annouced that a ban on flights between the US and Europe from tomorrow. There is just one exception – the UK.
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edmundintokyo said:
"Like I say you can't be *sure* about it, but;
1) Testing is expanding, so limits to testing should impact the left side of the graph more than the right side.
2) The testing should be good enough to at least catch it once people become seriously ill, so if there was a huge part of the picture missing you should see the statistics looking like the disease is getting mysteriously more dangerous."
TimT replied:
Another huge part of the picture missing is that testing is, to my knowledge, limited to real-time PCR which, as it is based on detecting the virus' RNA, will only detect those currently infected, not those who have caught the virus and recovered from it. For that, we need a serology test, based on detecting antibodies to the virus, not its RNA. I think Singapore has developed one, but it has problems with cross-reactivity with dengue, or something.
Until we know the number of people who have had the virus and recovered without being detected to date, we can't really get a good calculation for either the R0 or the fatality rate, and so we won't have good confidence in what percentage of people will catch it, and hence how many are likely to require ICUs or are likely to die.
It is really hard to find out what is being done to get a reliable serological test available for widespread testing.
https://twitter.com/frankluntz/status/1237915731892658178?s=21
There must be reasons behind this decision - it wasn't a call made by idiots - and I'm genuinely curious what it was.
https://www.youtube.com/watch?v=E3URhJx0NSw
Only if they stay in the UK for 14 days before they fly on to the US. The ban is on "individuals who have been in Schengen in the last 14 days", not on "flights" per se:
https://twitter.com/DHS_Wolf/status/1237915985476227078?s=20
Also US citizens who have been in Schengen will have to return to the US via designated airports.
I know there's supposed to be expert advice involved but at this point I wouldn't like to jump to a conclusion either way about the hypothesis that it was a call made by idiots.
USA - published 02.03.2020
1. Passengers who have been in China (People's Rep.) in the past 14 days are not allowed to enter the USA.
- This does not apply to nationals of the USA.
- This does not apply to passengers who reside in the USA.
2. Passengers who have been in Iran in the past 14 days are not allowed to enter the USA.
- This does not apply to nationals of the USA.
- This does not apply to passengers who reside in the USA.
- This does not apply to passengers with the invitation of the US government for the purpose related to containment or mitigation of the virus.
- This does not apply to the US Armed Forces and their spouses and children.
3. Passengers who have been in China (People's Rep.) in the past 14 days must arrive at one of the following airports: Atlanta (ATL), Chicago (ORD), Dallas, (DFW), Detroit (DTW), Honolulu (HNL), Los Angeles (LAX), New York (JFK or EWR), San Francisco (SFO), Seattle (SEA) and Washington (IAD).
https://www.iatatravelcentre.com/international-travel-document-news/1580226297.htm
Edit - what would US Armed Forces be doing in Iran???
As of March 10, 2020, 70,601 laboratory studies carried out by the centers of hygiene and epidemiology of Rospotrebnadzor in the constituent entities of the Russian Federation were carried out on the presence of a new coronavirus in the material from people arriving from countries that were unfavorable for the new coronavirus infection. [Google Translate]
https://rospotrebnadzor.ru/about/info/news/news_details.php?ELEMENT_ID=13944
If you see people doing stupid shit, and the people officially in charge of them have a history of doing other stupid shit, and they're doing more of it right before your eyes, you should at least keep open the possibility that the stupid shit is coming from the people in charge.
Is there a public interest in having the first wave not limited to the full extent possible, but optimized to the capacity to care for the infected, thereby reducing the chances of later waves and limiting it to a one-and-done?
https://www.whitehouse.gov/presidential-actions/proclamation-suspension-entry-immigrants-nonimmigrants-certain-additional-persons-pose-risk-transmitting-2019-novel-coronavirus/
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/213717/dh_131040.pdf
https://order-order.com/2020/03/10/twitter-experts-coronavirus-fake-news/
Con 50%, Lab 29%, LD 11%
https://en.wikipedia.org/wiki/Opinion_polling_for_the_next_United_Kingdom_general_election#2020
The Federal Government has extended its coronavirus travel ban for travellers from Italy, South Korea, Iran and China for another week as the number of Australian cases continues to rise.
The Prime Minister has asked health officials to also consider extending the ban to all travellers from Europe
https://www.abc.net.au/news/2020-03-12/coronavirus-travel-ban-extended-global-pandemic/12049448
The White House has ordered health officials to treat top-level coronavirus meetings as classified, according to a Reuters report citing anonymous administration officials.
The unusual step has restricted information about the scope of infections, quarantines and travel restrictions from those without security clearance. Reuters reports:
The White House insistence on secrecy at the nation’s premier public health organization, which has not been previously disclosed, has put a lid on certain information - and potentially delayed the response to the crisis. COVID19, the disease caused by the virus, has killed about 30 people in the United States and infected more than 1,000 people....
(Guardian)
Allowing Cheltenham to go ahead this week, for instance, is staggeringly irresponsible.
Surprisingly proactive.
https://www.npr.org/sections/goatsandsoda/2020/03/01/810392094/hong-kong-has-contained-coronavirus-so-far-but-at-a-significant-cost
If you close schools i) what evidence is there that it suppresses transmission? 2) what impact does it have on health care with staff being diverted to childcare duties? 3) where asymptomatic infected children are handed over to their grand parents for care, is that a wise course of action? 4) How long would the closure last - given this is likely to run for many months if not several years?
https://www.abc.net.au/news/2020-03-12/tom-hanks-and-rita-wilson-coronavirus-positive/12049366
The Chinese get it and as they are the experts in managing these bloody viruses we should have paid attention.
I mean, Cheltenham Festival this week. Really? What the hell?
Will this be effective?
With details of the policy unclear, the Trump administration continues to face questions about its response to a rapidly spreading global crisis.
A recent study published in Science found that the effectiveness of travel restrictions in China was limited once the disease had spread widely within the country. On 23 January, Chinese officials banned travel in and out of Wuhan, where the Covid-19 outbreak began. But by then, the virus had spread to other cities. The travel ban only delayed the progression of the outbreak by three to five days, according to the study.
Daniel Drezner, a professor of International politics at Tufts University’s Fletcher School, told the Guardian that he questioned whether limiting travel from Europe would amount to anything more than “a drop in the bucket”, given the number of cases already reported in the US. “It seems to me that Stephen Miller was looking for a boogey-man and he found one in Europe,” Drezner said, referring to Trump’s aide who is an anti-immigration hardliner.
https://www.theguardian.com/world/2020/mar/11/trump-coronavirus-europe-travel-suspended?utm_term=Autofeed&CMP=twt_gu&utm_medium&utm_source=Twitter#Echobox=1583988184
To be clear - it's about "people" not "flights" or "nationalities". So a UK passport holder who had been in Schengen under 14 days before would be denied entry, while a Schengen passport holder who had been in the UK or Ireland for more 14 days would be admitted.
Also the Chinese study is consistent with the UK govt approach to travel bans (horse, stable door)...
Wait a week or two and it will be inevitable, but you’ll greatly increase the number infected in the meantime.
https://www.medrxiv.org/content/10.1101/2020.03.09.20033217v1
Abstract
HCoV-19 (SARS-2) has caused >88,000 reported illnesses with a current case-fatality ratio of ~2%. Here, we investigate the stability of viable HCoV-19 on surfaces and in aerosols in comparison with SARS-CoV-1. Overall, stability is very similar between HCoV-19 and SARS-CoV-1. We found that viable virus could be detected in aerosols up to 3 hours post aerosolization, up to 4 hours on copper, up to 24 hours on cardboard and up to 2-3 days on plastic and stainless steel. HCoV-19 and SARS-CoV-1 exhibited similar half-lives in aerosols, with median estimates around 2.7 hours. Both viruses show relatively long viability on stainless steel and polypropylene compared to copper or cardboard: the median half-life estimate for HCoV-19 is around 13 hours on steel and around 16 hours on polypropylene. Our results indicate that aerosol and fomite transmission of HCoV-19 is plausible, as the virus can remain viable in aerosols for multiple hours and on surfaces up to days.
I do find it amusing that some of the best long-form interviews of the last couple of years come from a stand-up comedian and martial arts fan, as opposed to any one of the hundreds of serious journalists in the USA. Before Rogan, it was Jon Stewart filling a similar role.
And also public bathrooms.
Our team is the best anywhere in the world. At the very start of the outbreak, we instituted sweeping travel restrictions on China and put in place the first federally mandated quarantine in over 50 years. We declared a public health emergency and issued the highest level of travel warning on other countries as the virus spread its horrible infection.
And taking early intense action, we have seen dramatically fewer cases of the virus in the United States than are now present in Europe.
The European Union failed to take the same precautions and restrict travel from China and other hotspots. As a result, a large number of new clusters in the United States were seeded by travellers from Europe.
After consulting with our top government health professionals, I have decided to take several strong but necessary actions to protect the health and wellbeing of all Americans.
To keep new cases from entering our shores, we will be suspending all travel from Europe to the United States for the next 30 days. The new rules will go into effect Friday at midnight. These restrictions will be adjusted subject to conditions on the ground.
https://www.theguardian.com/world/2020/mar/12/we-are-at-a-critical-time-trumps-coronavirus-speech-in-full
They probably don't have the data to fact-check it, but I suspect many if not most US infections are now domestic transfer...
Dirk Pfeiffer, a veterinarian at City University of Hong Kong who studies emerging infectious diseases, says he thinks the city has handled the outbreak reasonably well. But Pfeiffer is troubled by the way the outbreak is dominating life in Hong Kong and causing so much fear.
"I find that disturbing," he says. "Because I don't think our reaction is proportionate to the impact it has on human health."
He points out that in the first two months of this outbreak two people in Hong Kong died from COVID-19 while more than 100 died from the flu.
"At the moment, I worry that everything is focused on COVID-19," he says. "Certainly here in Hong Kong, there's people that turn up [at hospitals] with other ailments or diseases, and it's difficult for them to get into the emergency wards. We need to get the balance right."
I think the current UK govt approach gets the balance about right. When will Hong Kong schools re-open?
https://twitter.com/DrEricDing/status/1237740895207936001
And plastic.
So handle you deliveries with care.
https://crofsblogs.typepad.com/h5n1/2020/03/covid-19-patients-shed-virus-far-longer-than-thought-researchers-report.html
...The paper also found that the median duration of viral shedding was 20 days in survivors, but the virus was detectable until death in nonsurvivors. The longest observed duration of viral shedding in survivors was 37 days, and the shortest was eight days.
Viral shedding refers to the expulsion and release of virus progeny following successful reproduction during a host-cell infection. Once replication has been completed and the host cell is exhausted of all resources in making viral progeny, the viruses may begin to leave the host.
The level and duration of virus replication are important factors in assessing transmission risk and guide decision-making in treatment and quarantine, the paper says. In an interview with The Lancet, Cao said the median duration of 20 days completely overturns previous assumptions on the detoxification time for acute respiratory virus infection. Longer viral shedding also means longer treatment and quarantine times, he said.
Antiviral drugs seem to have little effect in shortening the viral shedding period, the study suggested. Among the 29 patients who received lopinavir/ritonavir, a medication for the treatment and prevention of HIV/AIDS, the median duration of viral shedding was 22 days. ...
Efforts to reduce social mixing are only going to work where a very large proportion of the public cooperates. So you either need an authoritarian/conformist society, or to scare the crap out of everyone.
Aside from the skewed age profile, another possible contribution to the lower death rate than reported elsewhere is that only 4% of Koreans are obese...
https://twitter.com/HelenBranswell/status/1237956764370427904
We have two weeks to Easter...
Not all affected countries have closed schools. Singapore, which has been heralded for its response to Covid-19, decided that closing schools would do more harm than good. Political leaders and health officials there have addressed concerns about Covid-19 through clear, consistent and transparent communications about their response to the virus....
Nonetheless, government officials may feel pressure to close schools. For true effectiveness, schools need to close before even 1 percent of the population is infected and they need to stay closed until the epidemic is over, which could mean months. Children couldn’t gather in other settings, which would be very difficult to enforce.
https://www.nytimes.com/2020/03/10/opinion/coronavirus-school-closing.html
PS This kind of speaks to your point about them infecting grandparents etc, because if they're going to be doing that in a few weeks anyhow because of the vacation, you may be better going with "keep the kids away from the disease" rather than "keep the potentially diseased kids away from everybody else".
Classic “must do something” and find somebody to blame politics.
Markets have tanked, again, in expectation of a torrid day on Wall Street.
Meanwhile the Braemar, which I said didn’t seem to be heading for the Bahamas despite telling passengers that was the destination, may be bringing everybody back across the Atlantic to Southampton. I doubt there’ll be a band playing on the quayside.
Requiring anyone with an RTI to stay at home is a absolute no brainier.
https://www.bbc.co.uk/news/uk-51845861
The prime minister is expected to sign off plans to move from the "containment" phase of the outbreak to "delay" at the Cobra meeting later.
The UK's strategy on responding to the virus has three phases: Containment, delay, mitigation and - running alongside these - research.
Delay is where "social distancing" measures will be considered - which could include restrictions on public gatherings above a certain number of people, although this is not thought likely at this stage.
The move could also result in people who show even minor signs of respiratory tract infections or fever soon being told to self-isolate....
https://twitter.com/10DowningStreet/status/1237760980450451456?s=20
https://www.gov.uk/foreign-travel-advice/russia
Too little too late.
http://whereisitin.london
Incidentally, if you read the plan that the government is using, it doesn't have a rigid timetable, or a rigid set of measures. What it does do is discuss the various options, warns that some "obvious" ones might not do anything or even be harmful (based on studies and modelling). It also does set out the broad concept of the delay-contain-etc.
Behavioural science/modelling is a very interesting area - it is at the point where you feed the models with coefficients relating to the demographic profile (age and culture mainly) of the subject group. It can be rather frightening, if you are into civil liberties, how predictable people are in aggregate.
One last point - people here have talk about Normalcy Bias. That may be so - but just as big is the issue of Normalisation. In a couple of days, we have gone from being surprised at toilet paper hoarding/shortages to living with it. The first couple of days of the lock down will scare people etc. By about day 3, with the kids screaming to get out, couples in a small space 24 hours a day etc. the number of people rationalising their way to go for a stroll would probably surprise us all. Worse yet, this will probably need to be repeated over the year.
Look forward to restrictions building to a peak. Then relaxed so that the lights stay on etc. Then restrictions again.
Sainsbury's Coke and toilet roll shelves were bare, though it was reported B&Q across the road is full of toilet paper so the DIY crowd must be unworried about armageddon.
"COOL!!!"
Any of us who have been to countries in crisis, or experienced personal trauma or that of loved ones, or indeed read some history, knows that our ability to cope with pretty much anything is greater than we imagine; we just need to go through an adjustment process in our minds, and then we become used to our new circumstance.
Plus delaying the spread as much as possible makes sense in terms of treatments and eventually a vaccine being developed.
Restrictions on public gatherings and public transport
4.21 There is very limited evidence that restrictions on mass gatherings will have any significant effect on influenza virus transmission . Large public gatherings or crowded events where people may be in close proximity are an important indicator of ‘normality’ and may help maintain public morale during a pandemic. The social and economic consequences of advising cancellation or postponement of large gatherings are likely to be considerable for event organisers, contributors and participants. There is also a lack of scientific evidence on the impact of internal travel restrictions on transmission and attempts to impose such restrictions would have wide-reaching implications for business and welfare.
4.22 For these reasons, the working presumption will be that Government will not impose any such restrictions. The emphasis will instead be on encouraging all those who have symptoms to follow the advice to stay at home and avoid spreading their illness. However, local organisers may decide to cancel or postpone events in a pandemic fearing economic loss through poor attendances, and the public themselves may decide not to mix in crowds, or use public transport if other options are available.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/213717/dh_131040.pdf
Based on what little I understand of the situation as a lay person, the approach of the British Government to date (i.e. one that is measured and doesn't fly immediately to the extremes) seems sensible - notably keeping the schools open, which avoids crippling the healthcare system and everything else with mass parental absenteeism, as well as loads of kids being dumped on grandparents as makeshift childminders - but even I am left wondering why it is that the Government hasn't at least told pensioners and those with specific medical conditions to start self-isolating. Maybe that will come today?
It may be that the Government is adopting the frog-in-boiling-water approach to social distancing, implementing measures gradually so that it doesn't look like a panic reaction and people accept and get used to them. I just hope that they're not taking it too slowly...
Was just watching the report on the European football fixtures on the news a few minutes ago. The decision to hold PSG vs Borussia Dortmund behind closed doors was largely negated by the decision of thousands of PSG supporters to simply form a crowd, jump up and down and let off fireworks outside the stadium instead. Some of the team even went outside to wave obligingly at them after they won. It made a mockery of the whole thing.
2020 - the year of significant grade inflation. So what?
Citation below. Its based on peer reviewed studies:
- Cowling BJ, Lau LLH, Wu P, Wong HWC, Fang VJ, Riley s, Nishiura H. “Entry screening to delay local transmission of 2009 pandemic influenza A (H1N1)” BMC Infectious Diseases 2010, 10:82
-
- Priest PC, Duncan AR, Jennings LC, Baker MG, 2011 Thermal Image Scanning for Influenza Border Screening: Results of an Airport Screening Study. PLoS ONE 2011, 6(1)
What's your research evidence?
It may well be that the customers could have bought what they wanted had they gone to the in-house pharmacy.
https://twitter.com/laurenleygold/status/1237462115881046017?s=20