Monday, May 11, 2020

The Week Of Social Distancing

OFF THE WIRE
agingrebel.com
Well there goes the right of the people to peacefully assemble. Except to panic-buy the contents of entire big box stores. Did you know, there are no more pro-democracy demonstrations in Hong Kong? In case you have not yet heard, there is an uncontrolled pandemic of a new disease called Covid-19. The nerd name is an acronym for COrona VIrus Disease – discovered in 2019.
China, where the disease probably originated, claims to be controlling its spread by declaring that every home should be a prison. Maybe it is working, maybe not. South Korea seems to be controlling the new disease by testing everybody and isolating everybody who tests positive. Italy, has virtually shut down the entire nation.
The United States is combating the disease by trusting the wisdom of Donald Trump’s gut.

Neopathogen

This is a new, or “novel.” disease. Nobody has any immunity to it. Everybody will get it. That is about as much as anyone can say for sure. The initial administration response was that the virus is a foreign invader that can be kept out of the United States by vigilance at the borders. Plan B for dealing with this is variously called “flattening the curve” and “social distancing.”
We, as a people, got to Plan B quickly because there are probably already one million people infected with the disease in the United States and it spreads exponentially – as leaves appear on a tree in Spring. The point of testing was to only quarantine those people in those areas where the disease was rampant. That is beside the point now. We are rushing toward total quarantine and then anarchy. Serge Kovaleski, who some of you know, had a piece in the New York Times the other day in which he wondered what might happen when all the police get sick.

Symptoms

Covid-19 is a big deal because we are a big country. There are between 325 million and 330 million Americans. About 80 percent of us, about 260 million people, will largely skate through this. An independent journalist in Los Angeles named Jessica Yellin has done some journalism on what we can expect. Just about everybody will have a dry cough, a slight fever and a slightly sore throat. Some people will also get an upset stomach. For 260 million Americans, that will be it.
A “moderate” case of Covid-19 will also include extreme fatigue. People may want to take a couple of days off. I think I had a moderate case this week. I survived. You will too. Or maybe I had a mild case of the flu. Who knows? I heard “anybody who wants to be tested can be tested.” Unfortunately, I missed the secret password.
The younger you are, the more likely you are to not have any symptoms at all. Nobody knows why. But a big number of people, 48 million, will get very sick and also have trouble breathing. With a healthcare systems that works, they should all survive. But we do not have a healthcare system that works. We, the people of the United States, have within our borders fewer than one million hospital beds.

Arithmetic

Hence the phrase “flattening the curve.” The “curve” is a bell curve tracking infections. The center is a big peak. If everybody gets sick at once, which is where we appear to be headed, there will be a place in a hospital for one patient in 40. If we can slow the exponential spread of the disease and keep everybody from getting sick at once, we might have one bed for every 10 patients and fewer people will die.
Experience in both China and Italy suggests that about five percent of patients, about 16 million people in the United States, will need a ventilator to breathe. Depending on who you ask, this nation now has between 110,000 and 160,000 ventilators. Arithetic says that works out to one ventilator for every 100 people who need one.
So this week everything is shutting down. People are panicking. People have no idea how long they will be virtually imprisoned in their own homes so that the curve might be flattened. Nobody knows when there will be toilet paper again. If there ever is toilet paper again, nobody knows if there will be someone at the store to sell it to you. Nobody knows how many people will be thrown out into the streets because they were imprisoned in their own homes and could not work to pay the rent on their prisons.

Very. Very. Very

I just watched another news conference in which the President said “very, very soon” a lot and the Vice-President pulled his tongue out the Presidents ass just ong enough to thank him for his “leadership.” I read that eventually Jared Kushner will save us. Actual details of our deliverance are kind of sketchy.
There is no vaccine for Covid-19 and there is unlikely to be one until 2021. There is no treatment for Covid-19 yet. A drug named Remdesivir, which flopped at treating Ebola, may prove to be effective against Cpvod-19. Or it might work best at getting money from the feds.
The big motorcycle run in the West, the Laughlin River Run, is still scheduled to begin April 23.
That is what happened this week.