[HN Gopher] Seoul's full cafes, Apple store lines show mass test... ___________________________________________________________________ Seoul's full cafes, Apple store lines show mass testing success Author : Reedx Score : 155 points Date : 2020-04-18 18:04 UTC (1 days ago) (HTM) web link (www.bloomberg.com) (TXT) w3m dump (www.bloomberg.com) | FlorianRappl wrote: | South Korea demonstrated from the beginning on how to deal with | this (despite their slow start - which still is super quick | compared to most western countries). | | But its completely wrong to think they passed it. They also have | massive impediments at the moment. Back to normal? Far from it. | 3fe9a03ccd14ca5 wrote: | But people are still working and their economy is still | running. This is a HUGE improvement over what we have currently | in the USA. | killIdeas wrote: | The current narrative is that anyone who thinks this | quarentine is poorly managed is a Trump supporter. | | This couldn't be further from the truth. | | They have made it political. | andybak wrote: | Who's "they"? From an outside perspective (UK) everyone | seems to be making it political - Trump especially so. | 3fe9a03ccd14ca5 wrote: | The coordinated mainstream media. Again, the narrative is | if you think the US media is partisan you're a Trump | supporter. | | The entire US media ecosystem is owned by only 6 | companies. It used to be hip to distrust the media but | now it makes you a Trump supporter or conspiracy | theorist?? | CathedralBorrow wrote: | It's never been easier to spread your message to the | world, so I would think that the "true", honest, good, | non-evil, non-coordinated mainstream media would also | exist in some form. Where are they? | nobodyandproud wrote: | Well, when even some FOX journalists realized that Corona | was something to take seriously; and Rupert Murdoch | suddenly cancelled his birthday celebration (no non- | family guests). | | The truth is discovered by following both sides of the | argument. | 3fe9a03ccd14ca5 wrote: | Independent journalism has never been better. Personally | I don't get my news from "retired" intelligence agents | and CIA directors, but I guess I'm a conspiracy theorist | in that way. | nobodyandproud wrote: | Because the indisputable facts are ignored by Trump and | his supporters. | | The US had a small, dedicated team to track animal-based | infectious diseases (Predict). The Trump administration | cut funding for it and it was dismantled last year. This | dismantling was purely for ideological reasons. | | South Korea--an extremely market driven and democratic | nation--also has nationalized health care. | | This means nobody has to wonder if they can afford | testing because the leaders understood what was at stake. | When Pence was asked this question, it was regarded as a | political potshot by the journalist and dismissed out of | hand. I remember this clearly, as I watched this in real- | time when I was getting a haircut. | | South Korea took MERsS and SARS to heart and kept its | experts in place; allowing SK to assess the danger | rapidly. They too had their conservative party fight | tooth and nail to make their administration (liberal) | look incompetent. | | Meanwhile Trump supporters have insisted for months and | still do. that this was mostly a liberal follow-up to a | failed impeachment. | | The difference between how SK coordinated and how the US | did not cannot be ignored, and a key difference is that | the administration in power didn't view their experts | with suspicion as deep-state or as a money-sink for | third-world-only issues. | | At every step Trump has shown that he does not nominate | or keep anyone due to their competence in their field. | | There's no dispute about these facts. Yet anyone who | views current events with suspicion only has innuendo to | back their position. | | Therefore, calling out anti-journalists for what they are | is well-deserved. | Jeema101 wrote: | That's because they intervened early with large scale | testing, contact tracing, and social distancing. | | The problem is contact tracing only works when the number of | new infections is manageable, though. That's why it's so | critical to react early and aggressively. Once it becomes | unmanageable, the only solution is mass quarantines until the | numbers are manageable again. | | The best analogy is a fire. If it's just embers, one person | can stomp it out. If you wait for it to become a forest fire, | then it requires drastic measures. | joe_the_user wrote: | Clearly we (in the US) need quarantine now when things are | out of control (and we need adequate PPE equipment for | those working and financial support for those not working, | two things that seem to be failing, likely to our extreme | detriment). | | But once the "fire" has burned far enough, we _will_ | testing and contact tracing. And so we need to be getting | these up and running NOW so they will be ready when the | "fire" has subsided sufficiently (and hey, we are failing | on this too). | rhino369 wrote: | There doesn't seem to be much of a plan in place to test | and contact trace in the USA. As you said we need to be | getting these up in place now. And they should already be | in place in areas without a lockdown. | | But I don't see much evidence we are really trying to do | that. | | I also wonder if its possible to test and trace if its | every minor city in the country in low numbers. We will | have a million patient zeros. | throw_away wrote: | & just looking at the raw data, they seem to have a waaay | better solution than we do: https://imgur.com/a/2T0GVoe | | from http://91-divoc.com/pages/covid-visualization/ if anyone | wants to compare other stats. | usaar333 wrote: | They had really good contact tracing. I'm not even sure how | much we're attempting this in the US. "Lockdowns" without | contact tracing is taking the path of "herd immunity for | essential workers" | maxerickson wrote: | A significant part of the lower peak is the earlier | intervention. There's similar patterns if you compare | between US states. | collyw wrote: | I am stuck in my flat in Spain for the 5th week now. Just read | they extended it another two, to 8 in total. I am wondering how | other countries can be a bit more relaxed (UK and Belgium are | allowed out for an our for exercise), or in the case of Sweeden | a lot more relaxed, and are still managing to flatten their | curves. | tachyonbeam wrote: | If people are having less social interactions per day, on | average, it will still slow down the spread compared to | everyone behaving as before. There's a continuum between no | measures taken and complete lockdown... I'm personally very | much looking forward to being able to see friends. | dazc wrote: | The original guidance in the UK was to limit exercise to one | hour but the actual law doesn't have a time limit. | | From what I see, people are generally behaving responsibility | regards social distancing and, I assume, this is just a | gamble our Govt took? | | Without making sweeping generalisations also, it isn't so | common for young adults to spend much time with | parents/grandparents/older relatives. So, I reckon, that's | one big risk factor that is less of an issue here? | chippy wrote: | I dont think the guidance ever said an hour, in the UK. it | did say once a day though. Other places have the hour rule. | | https://www.gov.uk/government/publications/full-guidance- | on-... | | "one form of exercise a day" | makomk wrote: | Some reporter asked Matt Hancock how long was a | reasonable length of exercise, and he suggested half an | hour to an hour for most people - that's probably where | it came from. It's not official guidance and certainly | not a hard and fast rule anyway. From what I recall the | once a day part is also only a guideline and not actually | the law in most of the UK (except Wales). | nradov wrote: | This video has a good explanation of why the Spanish policy | is ineffective. | | https://unherd.com/thepost/coming-up-epidemiologist-prof- | joh... | collyw wrote: | I didn't watch it, but a couple of the bullet points look | pretty untrustworthy. | | _Covid-19 is a "mild disease" and similar to the flu, and | it was the novelty of the disease that scared people._ | | It's a fair bit nastier, certainly in some cases, or the | hospitals wouldn't be full. | | _The actual fatality rate of Covid-19 is the region of | 0.1%_ | | How can we be sure until we have widespread testing? | | _At least 50% of the population of both the UK and Sweden | will be shown to have already had the disease when mass | antibody testing becomes available_ | | Again how can we be sure of this? It all seems very | speculative. | SpicyLemonZest wrote: | We won't be sure of such statistics whether or not we | have widespread testing. Even for pandemics in the past, | we just don't know how many people caught them, not even | a single significant digit. The best we can do is make | reasoned guesses based on the available evidence. | collyw wrote: | That's why I am suspicious of the claims it makes. | WillPostForFood wrote: | Can you summarize or link to the time in the video where it | is addressed? | nradov wrote: | The video is only 15 minutes long. You can just watch it | in less time than it would take me to summarize. | raphlinus wrote: | I recommend watching the whole video, as it is by far the | clearest argument in favor of the "herd immunity" | approach I've seen. | | The problem with the approach is that it assumes several | things that, shall we say, there is not yet evidence for. | | 1. The disease is relatively mild, certainly less than an | order of magnitude more fatal than influenza. | | 2. It is possible to protect older people and other | vulnerable populations while the disease spreads through | most of the rest of society. | | 3. After people recover from the infection, there is | lasting immunity. | | If these three things are true (and some other things | that I'm not going to argue with, including that it will | take a long time to get a vaccine), then herd immunity is | a reasonable strategy. But let's look at each in turn. | | 1. The death rate in New York City is already 0.1% of the | entire population. Even under very strict assumptions, | that we're exactly at the peak of a totally symmetrical | curve, and that herd immunity results in 50% of the | population being infected, that results in a lower bound | of the IFR at 0.4%. Lombardy gives similar results (0.12% | of the population directly attributed to Covid-19) | | 2. Prof. Giesecke admitted that they failed to do so in | Sweden. It is not clear how this could be done, as | elderly people do not live in a bubble, but rather have | lots of workers coming in and out of the facility to help | take care of them. | | 3. SARS-CoV-2 is a new virus, and we just don't have the | data yet. You can extrapolate from existing | coronaviruses, which suggest that immunity will last at | least a year for most people, but there are worrying | signs (low antibody production, reports of reinfection | that might or might not be testing artifacts). We just | don't know. | | To me, it was a gamble, and we'll know before long | whether it pays off. There were some things that bothered | me about Prof. Giesecke, such as his dismissal of the | experience of China ("it's a different world"), and other | things that made a lot of sense. People who want to | believe will be citing this video as authoritative | support for their beliefs. If these assumptions turn out | not to be consistent with evidence, then people will be | citing this video as a case study in how smart people can | get stuff horribly wrong. | glandium wrote: | About 1. not even counting death, we don't know what the | long term effects on the lung capacity of the people who | recovered are. Also, everyone reports "80% of mild | cases", with a definition of mild that includes things | that reasonable people would definitely not call mild. | Essentially, as long as doctors don't tell you you have | to be on O2, you have a mild case. People with mild cases | may well end up with damaged lungs. | jacobolus wrote: | Every one of the "reports of reinfection" I have seen was | along the lines of: tested positive continuously for 2 | weeks, then tested negative twice, then tested positive | again a couple days later. There is no evidence in any of | the cases I saw that the person was exposed to another | infected person during that time period. | | This should not be called "reinfection" (even though | there are a bunch of sloppy media headlines calling it | that) but rather "poor test sensitivity during the last | stages of the infection". | collyw wrote: | There have been a lot of unreliable tests, here in Spain | at least. | jeltz wrote: | Yes, that is the main issue with our strategy in Sweden. | We failed to keep it away from seniors' homes. The | strategy seems to have worked just fine otherwise. It | stopped our hospitals from getting overwhelmed, espcially | since we managed to contain it in Stockholm for the most | part. But we did not have resources to test people | working with the elderly. | Tarsul wrote: | it's even worse than not testing enough in care homes: | "Its advice to the care workers and nurses looking after | older people such as Bondesson's 69-year-old mother is | that they should not wear protective masks or use other | protective equipment unless they are dealing with a | resident in the home they have reason to suspect is | infected." | https://www.theguardian.com/world/2020/apr/19/anger-in- | swede... The responses in the US, UK and Sweden (and | probably others) are downright criminal and should put | politicians in jail. | koyote wrote: | This is something I have not seen discussed or explained | anywhere: | | Spain has such a hard lockdown and yet even after 5 weeks | there are still thousands of cases every day. How are so many | new people getting infected? The same has been true in Italy. | nicoburns wrote: | If people really stay apart from each other when exercising | (anecdotally that does seem to mostly be the case here in the | UK), then it's not really going to spread the virus in any | meaningful way. | Hamuko wrote: | Sweden has a pretty high number of COVID-19 deaths, so I'm | not sure if I'd like to follow their model. | marvin wrote: | When this is done and everyone is vaccinated, Sweden will | have at least 5x the number of deaths per capita of their | neighbors in the west and southwest. And the people of | Sweden will still have strong support for their | authorities' decisive response to the epidemic. My | prediction. | aga98mtl wrote: | How would this be possible? Do you believe that less than | 50% of the population will get it outside of sweden? The | lockdown cannot continue for a long time. The lockdown is | just pushing the time frame by a few weeks. In the end | the same percentage of the population will get it | everywhere. Locking down is a short term solution to | stall the contagion while the health system gears up to | deal with it. | collyw wrote: | It is expected that 70% of the population will get | coronavirus then we will have herd immunity. The lock down | is about stopping the healthcare systems getting | overwhelmed (that will cause unnecessary deaths). That's | the way I understand things. | | The same number of deaths will occur are likely to occur in | the long term unless Sweden's ICU beds get full. | | If anyone has an alternative interpretation I am open to | hearing it. | varjag wrote: | The eventual arrival of a vaccine may allow the states | who are flattening the curve to have lower total amount | of casualties. | lbeltrame wrote: | Or drugs to help the clinical management of the disease | (which have a chance - not a certainty - to arrive | earlier than a vaccine). | pnw_hazor wrote: | According to healthdata.org (IHME), Sweden has 79 ICU | beds. If this is true, it seems that slowing the curve | may not be worth it with so few ICU beds available. | | https://covid19.healthdata.org/sweden | botten wrote: | Sweden has more than 79 ICU beds. | rhino369 wrote: | There is no evidentiary basis for the extreme lock-down Spain | is using. | | While this disease is pretty contagious, you are pretty | unlikely to get it walking around outside or going for a run. | Especially if everyone is wearing a mask. | | It's possible you could catch it by running through a cloud | of an infected persons breath, but the risk is low enough | that we shouldn't ban outside activities. | | The vast, vast majority of infections occur from sustained | contact (>15min) within a few feet of someone. | zzzcpan wrote: | This is an ancient understanding though, it ignores aerosol | transmission. But you are still correct that outside is | safe, there is absolutely no need to restrict it at all, | it's confined poorly ventilated spaces that are a problem, | like almost any building, cars, buses, planes, where the | virus can concentrate in the air and close range contact | isn't even needed, just breathing such air is bad enough. | Wearing a mask is the only thing that helps to not get | infected in such situations, but doesn't actually help much | when infected people are wearing them, they still | contaminate the air with aerosol. | rhino369 wrote: | There is no significant evidence that suggests aerosol | transmission is a statistically significant source of | transmission. | jakub_g wrote: | Some studies suggest covid spreads more by droplets than | aerosols. | | https://mobile.twitter.com/zeynep/status/1251556084424347 | 649 | neonate wrote: | https://archive.md/0Kygf | Robotbeat wrote: | This is an archive of the above article. Thank you! | BurningFrog wrote: | Meanwhile, the US still has very little testing capacity, with no | signs of if and when that will change. | | One problem with the death of journalism is that no one is even | reporting on this. | [deleted] | CathedralBorrow wrote: | I've been watching quite a lot of US mainstream media these | days and I can confirm that this is not true. | | For all of MSNBC's faults, their anchors have been repeating | testing like a broken record. They even mention how much they | sound like a broken record but that testing is simply the most | important thing in reopening, and that the US is doing very | little of it. | BurningFrog wrote: | Do they have an analysis of why testing isn't ramping up? | SpicyLemonZest wrote: | Lots of people are reporting on this - I'm not sure where | you're looking that you're missing it. | BurningFrog wrote: | It's entirely possible I have missed something, and I'd love | some links! | | I'm especially looking for reporting on why it's so slow, | what the bottlenecks are, and who's responsible. | | Even if there is some good reporting out there, I think this | should me one of the main news items in a healthy society. | | I _have_ seen reporting on the bungling of the initial | testing rollout, like this one: https://www.washingtonpost.co | m/investigations/contamination-... | SpicyLemonZest wrote: | This article for example was on the CNN front page, | explaining that the major bottlenecks are test swabs and | the required reagents and describing a specific FDA action | which the governor of Ohio thinks would solve his problems. | | https://www.cnn.com/2020/04/19/health/us-coronavirus- | sunday/... | BurningFrog wrote: | Thanks! | | That is better than I've seen. | | I'm still missing anything beyond summarizing what | officials have said. | | The Ohio Governor blaming FDA regulations is the closest | to an analysis in there. | matwood wrote: | On a per capita basis yes, but the US has done more tests than | any other country. Once the US doubles testing capacity again | it will be on par with other large countries. | BurningFrog wrote: | Per capita is all that matters. | matwood wrote: | Sure. On a per capita basis the US is ahead of SK. To reach | Germany levels the US will need 8M+ tests. That's a large | percentage of all tests that have already been done | worldwide. Unfortunately a large country like the US | (similar to countries like China and India) is going to run | into production/technology constraints. | | The US dropped many balls and started late with ramping | testing in particular, but now the ramping is happening and | just takes time. There was also no way the US could test | enough people using the original set of tests that simply | took too long. New technology had to be developed. | BurningFrog wrote: | > _Unfortunately a large country like the US (similar to | countries like China and India) is going to run into | production /technology constraints._ | | A large country has a lot of people to test, but also a | lot of people to manufacture and perform the tests. So | that argument doesn't work for me. Especially when we're | talking about the richest country in the world. | | Now, if the test making and executing is done by a single | centralized organization, it does make some sense. Which | is why that way of doing things is an anti-pattern. | socialdemocrat wrote: | I guess after their bandits have stolen testing kids destined | to other countries just like the bribed people with suitcases | of dollars get masks enroute to various European countries. | | I am hoping for the best for the US, but I am quite offended | by how the US is scrambling to undo its own mistakes by | steamrolling everybody else. | symplee wrote: | https://en.wikipedia.org/wiki/COVID-19_testing#Virus_testing... | | Shows the following stats: Country--------Date | -----Tests-------Positive----%-------Tests/mil ppl---- | Positive/mil ppl ---------------------------------------- | ------------------------------------------------- United | States--18 Apr---3,700,388---720,747-----19.5----11,273 | -----------2,196 Russia---------19 Apr---1,949,813--- | 42,853------2.2-----13,287-----------292 Germany-------- | 15 Apr---1,728,357---132,766-----7.7-----20,786-----------1,597 | Italy----------19 Apr---1,356,541---178,972-----13.2----22,474 | -----------2,965 Spain----------13 Apr---930,230----- | 169,496-----18.2----19,905-----------3,627 | [deleted] | grey-area wrote: | The US was disastrous at testing initially, but now they are | doing a lot of tests (several million). Unfortunately given the | stage they are at (infections widespread, still no national | lockdown, some states _opening up again_ because they think it | 's all over), it's too late for test and trace. | heartbreak wrote: | > some states opening up again because they think it's all | over | | This is unequivocally _not_ why some states are preparing to | relax the so-called "safer at home" orders. Waiting until | "it's all over" was not the goal of safer-at-home. Flattening | the curve in order to prevent an immediately overwhelmed | healthcare system was the goal. In multiple US states, the | curve is acceptably flattened (or is expected to be in the | next few weeks), and hospitals have plenty of available | capacity. Those states are going to continue encouraging | physical distancing, good hygiene, etc. while allowing closed | non-essential businesses to resume limited operations. | lbeltrame wrote: | > Waiting until "it's all over" was not the goal of safer- | at-home. | | Someone should tell that to the Italian authorities. At | least until recently, some public statements seemed to inch | in that direction ("zero new infections"), although more | recently they realized that this is hardly possible at this | point (especially if the estimates of the actual vs | effective cases are true - talking about at least one order | of magnitude). | melling wrote: | South Korea started testing very early: | | "South Korea's foreign minister, Kang Kyung-wha, speaking to the | BBC last week, said the key lessons from her country are that it | developed testing for the virus even before it had a significant | number of cases. "In mid-January, our health authorities quickly | conferred with the research institutions here [to develop a | test]," Kang said. "And then they shared that result with the | pharmaceutical companies, who then produced the reagent | [chemical] and the equipment needed for the testing." | ldng wrote: | On the other hand, they have something like 65 re-infected | people. Could it be that they have a different/new strain ? | | Edit I don't see why the downvotes. It is easily fact-checkable. | Those 65 persons were hospitalized for their symptoms, considered | treated and released and about 2 weeks later showed symptoms | again. | [deleted] | 3fe9a03ccd14ca5 wrote: | We need to wait until we have antibody testing to get a clear | picture about this. | | A theory is that these asymptomatic cases simply had latent | virus in their nasal passages (thus testing positive), and not | actually be building any antibodies from an infection. | jeremyjh wrote: | About half of the reinfected have symptoms. | bb2018 wrote: | Yeah - Id love to know if there are any cases where someone | was sick enough that they were treated, recovered, and then | got sick enough they need actual treatment again. | snambi wrote: | How does testing prevent the disease? Also, if someone tests -ve, | is that mean he/she is immune to the disease? | narrator wrote: | Yup | zamfi wrote: | > Bill Gates has literally been preparing the last 20 years to | make enormous amounts of money on a forced vaccination program | | Is this one of those conspiracy theories I've been hearing | about? | | Bill Gates' foundation has been giving away money for decades. | If you think he's planning to make a bunch of money off "forced | vaccination", you're stuck in the past -- Gates doesn't care | about making more money, he cares about getting the respect of | his peer group & broader society. He's not going to earn | _money_ off this, he's going to earn _respect_. | | That has nothing to do with "forced" vaccination, and | everything to do with (the perception of) saving lives | otherwise lost to this virus. If he funds a real vaccine, | whether forced or not, he'll accomplish his goal. | | Please, leave the shortsighted "greed" conspiracy theories off | this site. | stevenwoo wrote: | I do not believe any conspiracy theory about Gates and | vaccines or anything else. But his comment about voting for | Trump if the other candidate raise his taxes too much doesn't | support the non greed argument ( he reiterated it after | saying he was kidding with a straw man argument). | https://www.youtube.com/watch?v=ZMMZ1Qzr1ag | FriendlyNormie wrote: | Your comment only appeals to people who already agree with | you, therefore it's useless. If you want people to take you | seriously then you can begin by addressing any of his points | rather than fixating on the word "money" as if that was his | entire argument. I can't see his comment because he edited it | but I'm assuming he provided plenty of evidence such as the | timing of Event 201 and its focus on coronaviruses. Maybe you | can begin by convincingly addressing that. If you weren't | aware of Event 201 before reading my comment then you should | stop sharing your opinion on this issue anywhere. | lovehashbrowns wrote: | Event 201 as in the pandemic preparedness exercise? And its | focus on coronaviruses because of SARS and MERS? Is that | really all it takes to start an entire conspiracy lol | rmah wrote: | Oh, it takes far less than that to start a conspiracy | theory. | zamfi wrote: | The original comment didn't mention event 201, it was | literally just about money and how Gates was doing all this | to get more of it, but really -- all event 201 shows is | that a coronavirus-based pandemic disaster was extremely | predictable, not that it was planned. War games in secret | rooms help predict outcomes, they don't _cause_ those | outcomes. | | Smart people have been concerned about a viral pandemic of | this sort for centuries, and yet we were caught unprepared. | That's the real tragedy. | twomoretime wrote: | > he cares about getting the respect of his peer group & | broader society. He's not going to earn money off this, he's | going to earn respect. | | Whatever the case, you have to admit that you are taking for | granted that his intentions are benign. There's no rule that | billionaires have to be benevolent. There's a lot of soft | power associated with a mandatory vaccination program but | aside from that, the chipping that he is behind has an | enormous (and dangerous) surveillance potential. | | The man has the clout and resources to potentially install a | physical, nonremovable beacon into people's bodies, and has | spoken openly and repeatedly about doing so. How do you know | he won't get drunk with that kind of power? A single man | could, say, sway elections if he had access to just the | location data for 300MM Americans. And there's really no way | we'd know if the biometric/location data were being siphoned | for "non government" use... | zamfi wrote: | > you have to admit that you are taking for granted that | his intentions are benign | | Huh? I made no such assumption. I simply speculated that he | was doing this for one form of currency, and not another. | He may well want to track everybody, I have no idea. | | But the whole premise is absurd. Bill Gates doesn't need to | inject tracking microchips into everyone through a forced | vaccination program to "sway elections" -- that's Hollywood | supervillain-level garbage: a massively intricate complex | plan that achieves so little. It's like inventing a time | machine just to use it to prove to your friend that he | really did say that thing he denies he said in 1972. | | Bill Gates doesn't need a crazy plan to sway elections -- | he can just buy tons of ads! He can fund others' campaigns! | | I don't know Gates' intentions -- but I'm pretty sure he's | not stupid. | toast0 wrote: | > Bill Gates doesn't need a crazy plan to sway elections | -- he can just buy tons of ads! He can fund others' | campaigns! | | Buying tons of ads seemed to work pretty well for | Bloomberg. | twomoretime wrote: | >But the whole premise is absurd. Bill Gates doesn't need | to inject tracking microchips into everyone through a | forced vaccination program to "sway elections" -- that's | Hollywood supervillain-level garbage: a massively | intricate complex plan that achieves so little. It's like | inventing a time machine just to use it to prove to your | friend that he really did say that thing he denies he | said in 1972. | | That's not what I'm talking about. You're conflating | vaccination with the id2020 program. Different | conspiracies. I'm just saying, if you implant an RFID | digital certificate, you're effectively a walking uuid | beacon. I'm not saying that's where he's going but the | technology is there and his foundation is funding | research into something like an RFID tattoo. Very easy to | convince the masses that this is a necessary technology | for safety given the new normal brought about by COVID19. | | If I had billions of dollars I'd certainly be tempted to | play worldbuilder. I very much doubt that he sees the | masses as people - not out of heartlessness, but out of a | necessary objectivity. They are statistics. | zamfi wrote: | > I'm just saying, if you implant an RFID digital | certificate, you're effectively a walking uuid beacon. | | We already carry beacons in our pockets all the time, and | the government is already a subpoena away from getting | that data. What do injected beacons buy Bill Gates | exactly? Whatever it is, it feels like a ton of effort | for not a ton of gain, tracking-wise, given that the | beacons we have already broadcast their location over a | much larger area. | bb2018 wrote: | Perhaps it would indulge the conspiracy theories too much - | but I'd kinda love to see an actual breakdown of how | something like this could ever make him money. Think of the | huge amount of money he has lost from this in the other | businesses he owns and think of all the money he invested in | this for decades he could have invested in other lucrative | industries. | | How much would he need from this supposed plan to even | breakeven? Thirty billion? | tedunangst wrote: | That's why it's called a conspiracy theory, not a | consistency theory. | toast0 wrote: | > how something like this could ever make him money. | | It's really simple, less death from preventable diseases | reduces poverty, and increasing the sustainable prices for | Microsoft products and services. More revenue for Microsoft | lifts stock price and billg's net worth. | | Of course, the math doesn't add up if billg has to spend | all his money to do it, and not just Microsoft reaps the | benefits, which is why he's trying to get lots of other | wealthy people to spend their money similarly --- then | everyone who benefits can share the cost. | | (Mostly toungue in cheek) | BubRoss wrote: | These things usually break down with one or two questions | that the person can't answer. Just like the 5G connection | nonsense, if you ask how electromagnetic radiation in the | spectrum that 5G uses has a connection to a virus (the most | basic question possible) you will just get someone angry | with you. It's almost fascinating how people can develop | emotional attachment to something that fails a droplet of | investigation. | pcr910303 wrote: | Very surprised to find out country (city) in HN's top page! | | For people who are interested in current Korea's situation: | | There were 18 new cases two days ago, and 8 new cases yesterday. | The number of new cases have been consistently falling since | April 14th. 'Intense social distancing' was stopped yesterday | (April 19th), and the Korean government is planning to drop the | 'social distancing' policy on May 5th. | | Schools are planned to open on May 6th, and the ban of churches, | bars, etc. are expected to be dropped in the following days | (probably tomorrow). | | The KCDC is saying that to drop the 'social distancing', there | should consistently have less than 30 cases (which is true for a | week) and cases which infection routes are unknown should be less | than 5% of all new cases. (It was about 5%~10% when it was | announced, and AFAIK it's now true.) | | There's still some anxiety because people started to become dull | to the social distancing movement - so people are worrying that | new cases might increase. | gdulli wrote: | > There were 18 new cases two days ago, and 8 new cases | yesterday. | | > Korean government is planning to drop the 'social distancing' | policy on May 5th. | | Are the people divided about whether it was a good idea to wait | until new cases got this low before making decisions about | moving forward? Or is there very broad support for the kind of | discipline it takes to wait until May 5 despite the cases being | so low already? | | Have people's opinions about the appropriate level of response | become politicized? Have the facts and statistics and science | of it all become politicized? | modernyogihippy wrote: | What about international flights? Are airports in SK still | closed? I'm pretty sure they will have to limit traffic into | and out of the country despite easing social distancing. | | Otherwise, won't there be a new wave of infections when they | let 'outsiders' back in from places where the virus is still | running rampant? | pcr910303 wrote: | > What about international flights? Are airports in SK still | closed? I'm pretty sure they will have to limit traffic into | and out of the country despite easing social distancing. | | Airports in South Korea has never been closed - South Korea | has never banned anyone coming & going outside. A quarantine | of two weeks became mandatory since April 1th, but South | Korea has never closed Airports or has done a lockdown. | | > Otherwise, won't there be a new wave of infections when | they let 'outsiders' back in from places where the virus is | still running rampant? | | Definitely that's a concern, 5 out of 8 new cases yesterday | were people that were infected from foreign countries. | However since South Korea has never closed it's airports, | people generally think it's controllable(like it always was). | pcr910303 wrote: | There was the election of the National Assembly on April 15th, | and it ended in an overwhelming victory for the party of the | government. IMHO COVID-19 has shown how the current government | is different to the last government that handled MERS - which | was impeached (the percentage of supporters have greatly | increased during the COVID-19 outbreak). | Aretas77 wrote: | Won't this reignite the spreading of the virus? Like, they missed | a few people who were asymptotic and not tested, and are roaming | the streets with other people? | SpicyLemonZest wrote: | Almost certainly. Nobody realistically thinks that we'll be | able to reach a steady state where new outbreaks never happen. | But they were able to suppress the outbreak in Daegu, so | there's reason to be confident they can do it again. | microcolonel wrote: | No, because they test people regularly and do accurate contact | tracing. Thanks to a favourable regulatory environment and a | profusion of capable people, South Korea scaled up testing and | tracing capacity very rapidly. Furthermore, they were socially | prepared to do the basic social distancing. | | Also, Taiwan has done an excellent job, and they didn't need to | perform nearly as many tests. AFAIK there hasn't been a single | additional confirmed case in Taiwan for the last three days. | colmvp wrote: | Taiwan also has a lot of preventative measures, i.e. | mandatory mask usage in mass transit systems, government | issued masks and mask rationing system, automated temperature | checks at various public spaces, mask usage in schools, | plastic dividers at restaurants... on top of that they have a | very sophisticated scalable method of tracking people who | have the virus and ensuring that they are abiding by | quarantine rules via tracing the location of their cell | phone. | | In my city, people are still arguing whether or not people in | the mass transit system should be wearing masks. | clairity wrote: | what are the arguments against wearing masks on transit? | i'm no fan of masks, but wearing them on mass transit (of | any kind) makes sense. lots of random people in a | relatively small, enclosed, and cramped airspace elevates | transmission risk materially (as opposed to wearing them | outside, where it's negligible). | Benmcdonald__ wrote: | Won't change as Korea never had a lock down and people were | always going to cafes/restaurants | tomxor wrote: | > U.S. has swelled to more than 700,000 while Korea [...] have | slowed to just over 10,000. | | Comparing absolutes is not very useful so I thought I'd double | check this. The difference is obviously less when normalized but | the US is still an order of magnitude worse than SK: | USA: 700e3 / 328.2e6 * 100 = 0.213% SK: | 10e3 / 51.64e6 * 100 = 0.019% | vanderburgt wrote: | In this NPR podcast they expand on the methodology applied in | S-Korea: https://www.npr.org/2020/04/18/837905422/the- | coronavirus-gui... | LordHumungous wrote: | Does it show the success of their approach? Given that new cases | hit the hospitals 2 weeks after exposure it seems like it is far | too soon to know that. | | Also, over what timeline are we talking? South Korea has fewer | deaths now, will that be the case in two years time? | | I've seen a lot of articles lately drawing conclusions from the | state of the world as it exists now. But this is a highly dynamic | situation. Today's assumptions are next month's fallacies. We | need more humility. | dominotw wrote: | how was south korea able to scale up their testing so fast. Where | did the extra testing capacity come from. I've been really | curious about this but haven't seen any good answers so far. | WillPostForFood wrote: | It is am extremely stark example of the value of maintaining | manufacturing capacity in your country. Korea can makes tests, | so they have tests. | | Seegene, a company that makes Covid-19 testing equipment is in | Korea. They just needed approval and to ramp up manufacturing. | For most countries, like the US, we don't have the | manufacturing ability anymore, so we have to go beg and buy | tests while we figure how to make again. Seegene alone has been | responsible for 80% of the tests in Korea. | nerfhammer wrote: | The CDC tried to manufacture it's own test but badly botched | it, while the FDA blocked anyone from using or developing any | other test than the CDC's. | dominotw wrote: | Afaik, the shortage in US is mainly of raw materials and | commodity items like pipettes. How did Seegene ramp up its | raw material pipeline so quickly. Really fascinating success. | hilbertseries wrote: | The US could have ramped up production, but politics and | regulation prevented it. The CDC and FDA prevented any | private companies from producing their own tests and in the | meantime the CDC made their own small batch of tests that | weren't even accurate. If the president had taken the | outbreak seriously we could have begun test production | immediately, which is what South Korea did the moment they | heard about the outbreak. This is largely due to systems | put in place during and after the SARS and MERS outbreaks. | WillPostForFood wrote: | Korea has a broad swath of medical manufacturing capacity. | A large part of the supply chain is already there, so it is | easier for them to ramp up. You can double or triple output | just by putting more shifts into the factories. Then you | start retooling, repurposing to really ramp up. | socialdemocrat wrote: | South Korea has far superior legal framework for pandemic | compared to most western countries. As soon as there is a sign | of a beginning pandemic, the medical professionals | automatically get a massive increase in power and can start | enacting lots of policies regardless of what politician think. | | They where probably better prepared as well. Preparedness | varies a lot. In the Nordic region where I am from the Finns | have done better than the rest of us because they are a prepper | nation. They constantly prepare for the worst. | | Finland has enormous bunkers under their cities that can hold | the whole population with air filters, water, food stock piles | etc. Finland has massive stock piles of medical equipment, even | stockpiles of raw materials for making ammunition medication | etc. | | In many ways I think it has paid for them to not be NATO | members. They know they are alone and have to take care of | themselves just like in the winter war against the Soviet | Union. | | In Norway I think we place too much faith in NATO. If it was up | to me I would get the hell out and focus on self reliance | instead. | pnw_hazor wrote: | Finland has worries about Russia. South Korea has worries | about North Korea. And, Taiwan worries about China. | | Interesting that three of the best prepared countries have | valid real world concerns about their adjacent neighbors. | | While some nations surrounded by oceans and/or friendly | countries are taking a beating. | refurb wrote: | South Korea has a pretty big biotech industry considering it's | size. Samsung has a biotech division as an example. | | So they have the know how, and it's just a matter of effort and | time to execute. | pnw_hazor wrote: | "Korean officials enacted a key reform, allowing the government | to give near-instantaneous approval to testing systems in an | emergency. Within weeks of the current outbreak in Wuhan, | China, four Korean companies had manufactured tests from a | World Health Organization recipe and, as a result, the country | quickly had a system that could assess 10,000 people a day." | | https://www.propublica.org/article/how-south-korea-scaled-co... | leesec wrote: | Before the virus affected anyone in Korea the president brought | together many heads of industry, and ramped up | masks/testing/essential item production. | SpicyLemonZest wrote: | All rich countries have been able to scale up their testing | similarly quickly, once they decided it was a national priority | to do so. | dominotw wrote: | then how come all rich countries don't have 'mass testing | success' like the article claims happened in south korea. | SpicyLemonZest wrote: | They took a long time to decide it was a national priority. | At the point when Korea started heavily ramping up its | testing program, most Western countries took roughly the | same approach they took during SARS, where they contact | traced and tested only the few cases they knew about with | the expectation that'd be enough. | dominotw wrote: | I am unable to find any reliable data that shows the ramp | up of testing capacity after deciding its a national | priority by country. What is the basis for 'similarly | quickly' ? | | Sibling comment to your original comment seems to suggest | US wasn't able to 'similarly quickly' due to lack of | onsite manufacturing. | | Even the article suggests this, | | > The country was testing people for the virus at the | fastest pace in the world | SpicyLemonZest wrote: | I can't find the data off the top of my head, but in the | middle of March the US was able to ramp up from barely 1k | tests a day to 100k within a week or two. It's my | understanding that Germany went comparably fast. | makomk wrote: | This worries me. South Korea's mass testing alone was not enough | to contain the coronavirus outbreak; they relied on social | distancing measures too: https://www.reuters.com/article/us- | health-coronavirus-southk... | narrator wrote: | South Korea: 234 deaths 8042 recovered. China: 4632 deaths, 77k | recovered[1]. Their treatment protocol is an order of magnitude | better than every other country. What are they doing that we're | not? This is a huge glaring discrepancy. What's the difference | between their treatment protocols and everyone else's? | | [1]https://www.worldometers.info/coronavirus/ | rhino369 wrote: | The "recovered" numbers in other countries aren't even close | to accurate. | | Countries with large outbreaks are only testing people with | severe symptoms. Korea is testing anyone who comes near | someone with the virus. So are catching close to everyone who | has it. | varjag wrote: | > China: 4632 deaths, 77k recovered | | There are zero deaths and zero cases in Turkmenistan, must | have gotten their treatment protocols tight. | yfzhou wrote: | Western countries most likely still aren't testing mild | patients. | | SK and China went for full containment: every single positive | case is hospitalized and close contacts are quarantined in | hotels so few cases are missed. | | While in New York, hospitals are focused on saving critical | patients. If you test positive but have mild symptoms, you | are usually let home anyway so it doesn't really make sense | to test most people who would be taken very seriously in | Asia. | usaar333 wrote: | https://www.wolframalpha.com/input/?i=china+population+%2F+s. | .. | | Actually worse than China by that metric, though given | credibility issues of Chinese data, let's just say about the | same. | joe_the_user wrote: | _What 's the difference between their treatment protocols and | everyone else's?_ | | It's mind boggling anyone has to ask now this has been going | on so long but here goes. | | 1) They had an approach plan beforehand because they had | observed the previous SARS epidemic and took the danger | seriously. | | 2) They had "quarantine hotels" freely available for those | who were positive to prevent them from infecting others. | (Seattle has a few of these, I've heard but they aren't | widespread in the US. The idea of housing people freely is | anethema to the US.) | | 3) They did testing early and often. | | 4) Their doctors and nurses worked with full PPEs, full anti- | contamination suits, so they didn't themselves massively | spread the illness. | | 5) They reserved hospitals specifically for the epidemic and | had protocols for sending people to these hotel. | | 6) They had drive through testing and other testing easily | and freely available (the US plan of profiting from testing | is just so "I can't even"). | | 7) They did systematic contact tracing with an app for people | to discover where infectious people had been. | | 8) They did social distancing _with mask_ from the start. | | -- The US had literally done NONE of this. What the US has | done is last-ditch efforts by states after the ostensibly | responsible parties (the CDC etc) failed massively. And the | Federal government is now literally sabotaging the states. | narrator wrote: | The thing I don't get is this explains how people didn't | get sick. What it doesn't explain is how so many got better | after getting sick compared to other countries. | joe_the_user wrote: | The fatality rate of countries with active epidemics is | skewed by a variety of factors: | | - With exponential growth, most cases will new and so not | become potentially lethal. This can lower the observed | fatality rate (I think this explained Germany's original | "great" rate which doesn't look at great any more). | | - With cases rising quickly, most countries don't have | infrastructure or the time to increase testing (US | testing is failing on multiple levels but even France, | Spain and Italy are just overwhelmed with the sick and | testing is less important). | | - With cases rising quickly, the fatality rate increases | as hospitals are no longer able to provide adequate care. | | - Different countries have different age-profiles and the | disease hits the elderly harder (but once hospitals break | down, the odds for the young decrease). | | South Korea's fatality rate is similar to the ostensible | fatality rate of Turkey and Luxembourg but likely for | different rate. We probably won't have a complete idea | what's happened until these events are done. | seunosewa wrote: | Their health system didn't get overwhelmed. Thus they | could provide every patient with the best care. | ajross wrote: | Yes, but once the outbreak is at a low enough level, and you | have sufficient test bandwidth, you can manage it via testing | and tracing. Everyone who gets sick, with anything, gets tested | (in some variants of the plan every everywhere gets tested | every N days). If you find a positive, quarantine them and test | everyone they came in contact with. Repeat. | | This reduces the rate of spread by catching community | transmission before the end of its cycle. And it's worked with | other outbreaks in the past. But it depends on having a very | large available pool of rapid testing, so you can't do it when | you have thousands of cases per day. But a few dozen... | probably. It definitely seems to be working in Korea. | | But again, it only works once the outbreak is well contained. | Stay home. | makomk wrote: | The trouble is, reducing the size of the outbreak doesn't | affect the number of tests needed to do this much at all, and | the number of people South Korea has been testing doesn't | seem to have increased in quite a while. In fact, it seems to | have actually decreased compared to back in March. Like, as | far as I can tell, they're still using the same contact | tracing and testing strategy that failed to contain it before | without additional strong social distancing, and the social | distancing is weakening. | api wrote: | That is very labor intensive and isn't sustainable. People | will get complacent fast. | jeremyjh wrote: | It is a lot more sustainable than the alternatives. | [deleted] | usaar333 wrote: | > But it depends on having a very large available pool of | rapid testing | | Not necessarily. You can just aggressively quarantine - | basically the strategy in China. | | > so you can't do it when you have thousands of cases per day | | At what scale? Iceland was able to do it with ~200 new cases | per day per million. The majority of US states haven't had | spikes this high - nowhere in CA has even come close to that. | | For some reason, we've only recently started building up the | volunteer armies needed to do this | (https://www.sfgate.com/bayarea/article/San-Francisco- | coronav...) - this should have been done on day 1. | ajross wrote: | > Iceland was able to do it | | Iceland's per capita new infection rate peaked higher than | basically any nation in the world, and while it's dropping | comparatively rapidly it hasn't reached a stable baseline | yet. I don't think this is a good example at all. | | While it's clear their _lockdown_ "worked" (in the sense of | recovering them from a disastrous peak), I think it's still | very much an open question as to whether their testing | capacity will sustain this success. | usaar333 wrote: | case rate, not infection rate. They are one of the few | nations in the world that are credibly even close to | catching half their infections. The US is probably | missing 90% (https://www.medrxiv.org/content/10.1101/2020 | .04.06.20055582v...) | | To that point, their death rate is lower than the Bay | Area. | | To a second point, Iceland is under a very weak lockdown, | if you can even call it that. Their elementary schools | remain open. | cma wrote: | Through mass testing they already avoided one nursing | home hit, and haven't had a single hit. If they do, their | fatality rate could quadruple because of how small the | numbers are we are looking at there. | teapourer wrote: | To be clear, the Korean government officially still recommends | social distancing. They are especially worried about the family | picnics mentioned in the article, and have officially closed many | public parks in response. | | To repeat: don't take this as a sign that Korea believes it has | successfully managed the outbreak. | hinkley wrote: | Do we know yet whether the clusters of fatalities among | families are due to higher exposure rates or some genotypic | susceptibility to the worst effects of the illness? | | Or is that just that the family clusters are good news copy | (ugh) and over-represented? | joe_the_user wrote: | _To repeat: don 't take this as a sign that Korea believes it | has successfully managed the outbreak._ | | South Korea has had fewer deaths than other nations, South | Korea has a semi-open economy now. What better model for | _managing_ the outbreak is there? (The condition of Europe and | the US look very dismal) It 's kind of strange seeing this | claim with no substantiation beside "repeat" apparently staying | on the top of HN for a while. | | South Korea hasn't entirely averted the danger and is clearly | still keeping it in mind. The virus is going to be around for a | while and normalizing life is needed and it seems South Korea | has to the testing and contact tracing infrastructure needed | for this. What is the counter-argument? | randomsearch wrote: | I think it's too early to judge success. Most countries | haven't even been through one wave yet. We're going to have | to live with this for years. | [deleted] | joe_the_user wrote: | "I think it's too early to judge success." | | Uh _really_? | | South Korea suppressed an epidemic and strengthened the | tools they had for suppressing epidemics, maintaining | economic strength and social cohesion. | | How are they not best position in the stage of _managing_ | the epidemic (the appropriate term used by the ggp). | | Oh, I know one really bad answer people are ready with - | they didn't let the virus burn through their population to | acquire herd immunity. The degree to which any other | approach is going to leave a society ready to deal with new | waves of this seems really, really low. Certainly, current | US events aren't preparing for any future crisis. | bamboozled wrote: | Japan apparently has a much lower death rate and number of | infections too. | | Should we trust those numbers? I'm going to say no. | colmvp wrote: | I'm actually slightly worried as Singapore seemed to have | handled the crisis quite well with only 1000ish cases for the | longest time, but have now had cases balloon from only around | 1350 total cases two weeks ago to 6000 today. | | Certainly, a lot of it has to with migrant workers and their | living situations, but it also underscores how even when you | have things under control, the virus can spread rapidly when | your guard is down. | noobermin wrote: | Tbh, SG should have never let people come particularly from | countries with covid outbreaks during March. While spreading | across the dorms is a big part of the internal spreading, | it's clear the outbreak that started in March were clusters | involving people coming to sg from abroad. | | Almost everyone shut down travel from China (particularly | Wuhan) but no one shut down travel from Europe during March. | Biggest mistake ever. I don't know enough if it was tourists | or whether it was returning Singaporeans but they should have | instructed them to remain where they were for the sake of the | country. | teruakohatu wrote: | > but no one shut down travel from Europe during March. | Biggest mistake ever | | The USA did shut their border to a lot of Europe in early | March. But at the time the WHO opposed border closure. | RobAtticus wrote: | Kind of - it closed the borders for Europeans traveling | to the US, but did little to manage Americans returning | from abroad. Given March is winter in the US (thus less | tourism), I would imagine the majority of Europe -> US | traffic at the time is Americans returning home, that's a | rather weak closure. | Aeolun wrote: | Same thing is true for Japan. Everything seems fine for a | while, and suddenly the numbers explode. | seunosewa wrote: | The calm before the storm happens in countries that are not | testing people adequately. The numbers seem to explode when | they really start testing. | | South Korea is still testing aggressively. Recently they | even started re-testing recovered patients. Those who | tested positive had their contacts traced and tested too. | As long as they remain vigilant, they will not see another | big explosion. They seem to have the right attitude. | | I'm waiting to see if there will be a little outbreak as a | result of the elections they held recently. | yongjik wrote: | Couldn't find a better page, but according to a past | version of wikipedia table[1], as of Mar 31, Japan had | tested 32,497 people. The US had tested 1,108,500; South | Korea, 410,564. | | A lot of people were perplexed by Japan's lack of testing. | Seems like Japan's strategy (whatever it was) didn't work | out in the end. | | [1] https://en.wikipedia.org/w/index.php?title=Template:COV | ID-19... | seunosewa wrote: | Under testing always fails. You can't defeat an invisible | enemy. | Chunklight wrote: | Mysteriously right after the Olympics were postponed. | op03 wrote: | It will be fine as long as the medical system is prepped to | handle surge/moving overflow smoothly/pulling in and sharing | resources etc. Remember most positives won't require | hospitalization (~50% wont even show any symptoms, 40% will | have mild symptoms). And compared to few months back | readiness/awareness levels at hospitals is much higher. | ImaCake wrote: | > ~50% wont even show any symptoms | | It is closer to 20% A lot of articles stating more are mis- | interpreting those numbers from prospective studies. It is | possible that the authors of such studies would downplay | false positives as well. | mattmanser wrote: | I think they don't know yet, even the US were saying it | might be 25-50% a couple of days ago. For example the | testing of the aircraft carrier, one of the few cases of | total population testing, showed 60% asymptomatic cases | but had a young population, and it's not clear from the | information we've heard publically if some of those will | develop symptoms later. | | So at the moment no-one really knows for certain. | Lewton wrote: | 60% asymptomatic at the time of testing | | Most of them will eventually begin showing symptoms | TrainedMonkey wrote: | 50% keeps recurring because multiple mass testing efforts | found that half of tested people were asymptomatic. | However, that is mostly a function of a long incubation | period. A significant portion of the infected developed | symptoms later. | Lewton wrote: | Iceland did random sampling and while it showed 50% | asymptomatic at the time of testing, only 15% ended up not | showing symptoms at all | Nokinside wrote: | You can't top mitigation/supression until there is herd | immunity. | | You can get the immunity only two ways 1) enough people have | been gone trough the disease or 2) vaccination. | | South Korea must use mitigation/supression until they have | enough people vaccinated or it flares up again. Complete | eradication without immunity is not feasible unless you isolate | whole country from the rest of the world permanently. | daveFNbuck wrote: | You don't have to completely isolate the country from the | world. You just have to do testing and quarantining to ensure | that infectious people and things aren't entering the | country. | SpicyLemonZest wrote: | You can still trade with the rest of the world - people are | still doing that now, in fact, with international trade | being universally exempted from travel bans. But I can't | imagine tourism or business travel being compatible with | the level of quarantine required to keep an endemic | respiratory virus eradicated within your borders. | Nokinside wrote: | That's true but it's very hard to keep the system 100% | tight. Governments can't prevent human trade or drug trade | either. | | Just something like 1 infected entering per day or week | means that you must keep up suppressing and tracing. | PeterisP wrote: | Sure, but keeping up testing, contact tracing and other | South Korea-style suppression measures is no big deal | compared to the severe restrictions most other countries | have had to implement. It's very troubling to shut down | the economy for a whole year, but it's certainly | plausible to sustain _those_ measures until a vaccine is | ready. | yfzhou wrote: | China has been doing mandatory 14-day hotel quarantine for | all foreign arrivals like this: https://twitter.com/nishant | sharma87/status/12424610259510845... | | However, the latest cluster in Heilongjiang involved an | asymptomatic student returned from USA, completed 14 day | quarantine, tested negative before and after, but still | went on to infect her family and neighbors who infected | more at the hospital. Total confirmed cases in this cluster | is ~50 right now. | | Most of the spread in this case happened because of | negligence in the hospital thinking coronavirus is | eradicated there so they didn't take precautions. Coastal | cities like Shanghai are taking good measures so there | hasn't been a problem despite it being where most | international flights land and basically 100% back to work | for over a month now. The biggest danger is people becoming | tired of wearing masks and avoiding gatherings over time. | WillPostForFood wrote: | The article and discussions about Korea seem to mainly revolve | around testing and contact tracing. These are complex and | expensive, and substantially more difficult to manage in a | country like the US which is 7x the population, and is somewhat | decentralized (50 states). | | Meanwhile, the on the street observations in the article are: | masks, masks, masks. Masks are cheap and easy. So let's start | with masks, masks, masks first while we figure out and ramp up | testing and contact tracing. | | _the first Apple store to reopen outside China had lines | snaking out the door as many South Koreans -- almost all | wearing masks_ | | _At Han River park in Seoul's Banpo district, families -- also | in masks -- were having picnics_ | | _including requiring voters to wear masks and disposable | plastic gloves while casting their ballots_ | | _People are still wearing masks and mind talking face-to-face | with strangers_ | James_Henry wrote: | Also, they are very meticulous about taking their shoes off | before going into a home and about keeping their floors | clean. Which may be more important, especially in dense | locations, than we might be realizing. | | A Chinese study found that the virus was probably being moved | around by people's shoes | https://wwwnc.cdc.gov/eid/article/26/7/20-0885_article | BubRoss wrote: | That says they detected it on floors in hospitals. Does it | talk about it being on shoes, entering homes and ultimately | infecting people? | gedy wrote: | I'm confused/concerned by this as the US authorities are | emphasizing that this is a respiratory virus and no need to | be concerned about food transmission, etc | SpicyLemonZest wrote: | The best evidence is that there's no need for the average | person to be concerned about food transmission. The | hospital context is very different; transmission routes | that are normally negligible can start to matter when you | have 200 people coughing coronavirus into the air. | Reason077 wrote: | > _"masks, masks, masks."_ | | Exactly. I wonder how many lives could have been saved if we | (western/European countries) didn't have such an aversion to | wearing face masks, even in a time of pandemic? | _ph_ wrote: | Well, first of all, there were no masks to wear. Not even | enough to properly equip all medical personal. But yes, if | people would wear masks whenever there is the risk that | they are sick, be it Covid-19, the flu or just a cold, it | would be beneficial. | tpm wrote: | That didn't stop some Eastern European countries from | mandating their use in public and an industry quickly | emerged around that. | marvin wrote: | You can make them yourself on a sewing machine, or even | sewing by hand if you're desperate. My partner and I have | made ~20 in some of our spare time in the last three | weeks, for ourselves and our close family and friends. | It's not high tech. | | Didn't even have to go out and buy more materials. | seanmcdirmid wrote: | No one has done a controlled study on this, so no one | really knows. It ranges from zero to many. | | The reason government and medical signaling on the subject | has been so mixed is that it isn't apparent they are very | effective, especially the jury rigged cloth masks that | people are using. | thowfaraway wrote: | There are many controlled studies on other respiratory | disease like the flu, and some on other corona viruses | like SARS the show high efficacy of masks. If you doubt | the science, fall back on common sense. A respiratory | barrier is going to have some value in diminishing the | ability of a respiratory virus to spread. | | https://www.preprints.org/manuscript/202004.0203/v1 | | _The reason government and medical signaling on the | subject has been so mixed is that it isn't apparent they | are very effective_ | | The reason signaling has been mixed is because they were | trying to preserve supply for medical professionals. The | reason that medical professionals need them is because | they work. | smileypete wrote: | >No one has done a controlled study on this, so no one | really knows. It ranges from zero to many. | | Can't remember seeing any controlled studies on the | efficacy of social distancing either. | | Many of the healthcare professionals in the countries | that dealt with SARS are calling for universal mask | wearing. I'd much rather trust their intuition and | judgement than governments and media outlets passing the | buck to the WHO. | danans wrote: | > Can't remember seeing any controlled studies on the | efficacy of social distancing either. | | No, but we have mountains of evidence from respiratory | diseases throughout history, including the common cold | and seasonal flu, that distancing lowers transmission. | | It's why people are encouraged to stay home from work | when they are sick, and why in normal situations, people | in lines of work where they cannot afford to stay home | from work get sick more often. | | Social distancing is one of the oldest public health | protocols we have for disease transmission control. | | Sure, many old practices for disease prevention amount to | nothing but old wives tales, but social distancing likely | isn't one of them. | pps43 wrote: | > no one really knows | | Healthcare workers wear masks. I'm pretty sure they have | a pretty good idea whether masks work. | saiya-jin wrote: | Even basic mask works quite well in stopping infected | person spreading it further. This isn't some recent | covid-related revelation, but long known fact. To say it | for the 1000th time - this doesn't make you magically | virus-proof, but significantly lowers the infection rate | of those who have it. On large enough scale, this | behavior makes significant difference in infection rates. | | I have yet to see a single western leader to recommend | those masks for all the interactions (indoor at least). | Case point - yesterday I went shopping in fairly large | supermarket in Switzerland, and there were maybe 5 other | customers (out of at least 100 in the store during that | time, probably close to 200 plus all the staff) wearing | masks, or gloves. People at least often kept their | distance (not always possible in aisles), but that's | about it. In a country which has one of most per-capita | infections globally. | | Why? They rely heavily on politicians doing right stuff. | Mostly it works, but in these times politicians prefer | keeping economy running (they delayed strong measures | when things were getting worse than bad in Italy few kms | from their border due to fear of financial impacts... | well now they are worse but delayed by few days). | hilbertseries wrote: | Los Angeles has mandated you have to wear a face covering | when going into essential businesses. | PeterStuer wrote: | we don't have an aversion to it. Neoliberal governments | went out of their way to chastise mask wearing because it | would paint a bad picture as they wanted people to actually | just die "for the economy". | stcredzero wrote: | _I wonder how many lives could have been saved if we | (western /European countries) didn't have such an aversion | to wearing face masks_ | | My wife and I were one of the few people wearing masks at | the start of the pandemic, before the closing and work from | home orders came. We were harassed by random people | shouting at us. | | Also, I don't really get the societal penalty for disaster | preparation. It's completely illogical. Just a few weeks | before the news was really onboard with the pandemic, a | woman at my apartment was looking at how many amazon boxes | I had on my hand cart. I told her, "In times like this, it | pays to be prepared." She looked at me like I was scum. My | understanding is that some news outlets were actually | denigrating disaster preparation at that point. | mindslight wrote: | My best theory so far is that when it comes to telling | people what they themselves need to _do_ (as opposed to | inactionable general fear), mainstream media narratives | are based around telling audiences the easy answer that | they want to hear - eg you don 't have to do anything to | prepare, and those that do are wrong. Obviously this has | always been an ongoing quality (eg no need to oppose the | Iraq war since it's just), but with a public health | emergency it's front and center. | neurologic wrote: | > Also, I don't really get the societal penalty for | disaster preparation. | | It makes a lot of sense: if you're preparing for a | disaster, you won't go down with everyone else when | disaster strikes. This creates some feeling of resentment | which caused people to lash out at you. | socialdemocrat wrote: | I think in principle hindering spread is much EASIER in the | US than in South Korea. | | The US has a huge advantage in its low population density and | spread out population. That slows down the spread of disease. | Not to mention the advantage of a car centric society. In the | US you can travel from A to B without exposing yourself to | other people. Americans also mostly live in separate houses | further reducing the risk of the spread of disease. | | All through human history population density has been a major | contributor to pandemics. One can see e.g. how New York is | much harder hit than LA. LA is low density housing and almost | no public transport. | | Europe and Asia in contrast is almost all more like New York. | IMHO that makes the success in South Korea more impressive | not LESS. | | We see the same in Europe. The densely populated countries | tend to be harder hit. E.g. Denmark has enacted equally | strict measures as Norway sooner yet has twice the number of | deaths. Norway has an advantage in being more like the US, | having a relatively spread out population. | | I don't think the decentralization is the main problem at the | moment. Germany is also decentralized. It is a federal | republic like the US. However unlike the US, Germany has a | cooperation oriented leadership where the central government | listens to the leaders of the states and coordinate with | them. | | In the US it seems to be all postering and blame game. It is | very hard to evaluate the US results without taking into | account its current disastrous leadership. The US is lead by | a reality star. Germany is led by a former scientific | researcher with a PhD in quantum chemistry. Should we be | surprised why Germany is having the best results in the West, | while the US is rapidly approaching the worst results? | | What saves the US is that there are numerous governors who | are good leaders and to some degree counterweight the | absurdity of the federal government. | | But seriously in what country does the President encourage | riot in provinces of their own country? Looking from abroad | the US is looking increasingly like a Banana republic. I how | things work out fine for everybody. But I am worried. | misun78 wrote: | I hope you are not including Cuomo -- the governer at the | epicenter of the worst hit NY -- in your "list of good | governers"? This was his quote from early March: | | "People are reacting like this is the Ebola virus. This is | not the Ebola virus. This hysteria that you see, this fear | that you see, the panic that you see is unwarranted. We | have dealt with worse viruses. This spreads like the flu, | but most people will have it and they get on with their | lives." | frosted-flakes wrote: | Yeah, he was wrong. But he's changed his tune, and has | done a decently good job managing the situation. | gnusty_gnurc wrote: | He's pretty much right though. It spreads worse than the | flu and Dr. Ioaniddis recently published a serological | study showing it seems to have a mortality rate similar | to the flu. An overwhelming majority of people who get it | will not die. Ioaniddis et. al. suggests the evidence | points towards 1~2 out of a thousand mortality rate. | | We should not be panicking. We should be mitigating the | disease based on the evidence at hand. | coldtea wrote: | > _He's pretty much right though. It spreads worse than | the flu_ | | Err, it spreads much better, several times more than the | flu. | | > _and Dr. Ioaniddis recently published a serological | study showing it seems to have a mortality rate similar | to the flu_ | | Dr. Ioaniddis study was cherry-picked and bogus, much | like the studies he was famous for criticizing... | beagle3 wrote: | [citation needed] about cherry picking. The limits of | their scheme was acknowledged and discussed in the paper. | What cherry picking are you referring to that wasn't | addressed? | pps43 wrote: | This paper? | | "I think the authors of the above-linked paper owe us all | an apology. We wasted time and effort discussing this | paper whose main selling point was some numbers that were | essentially the product of a statistical error." | | https://statmodeling.stat.columbia.edu/2020/04/19/fatal- | flaw... | SpicyLemonZest wrote: | I'm skeptical whenever I see a teardown like this which | fails to mention that the offical case counts have all | the same problems. Maybe we should dismiss this paper - | but that means committing ourselves to radical skepticism | about the prevalence, not going back and believing the | numbers printed in the news. | corkmask wrote: | 9 days ago Ioaniddis said | | _If I were to make an informed estimate based on the | limited testing data we have, I would say that covid-19 | will result in fewer than 40,000 deaths this season in | the USA,_ | gnusty_gnurc wrote: | If he's off by 1.5x (IHME model predicts 60k fatalities | attributed to COVID-19), surely that's miles better than | the what - 50x predicted at the start (I recall seeing | 2mil fatalities passed around by Imperial for the US)? | 40k deaths is a little less than a week of natural deaths | in the US, for scale. | coldtea wrote: | That's with unprecedented social distancing measures - | the 50x prediction was without... | | Ioannides in his mid-March article was predicting | "10,000" deaths in total in the US, without measures... | gnusty_gnurc wrote: | It's worth putting his actual statement here, so people | can decide whether you're misrepresenting him. | | From his article [1]: | | > If we assume that case fatality rate among individuals | infected by SARS-CoV-2 is 0.3% in the general population | -- a mid-range guess from my Diamond Princess analysis -- | and that 1% of the U.S. population gets infected (about | 3.3 million people), this would translate to about 10,000 | deaths. | | [1]: https://www.statnews.com/2020/03/17/a-fiasco-in-the- | making-a... | | He ventured a prediction of the CFR. And then just | calculates the amount of deaths from a pretty arbitrary | infected percentage of the population (there's no mention | of the time scale either). Never does he predict that 1% | will be infected. He's arbitrarily picking a number to | illustrate the amount of deaths we'd see, but that all | depends on how the disease spreads. Oddly enough his | serology study ends up being somewhat close - instead of | 1%, they saw 1.80-3.17% (in Santa Clara). | acqq wrote: | > Never does he predict that 1% will be infected. | | But he uses exactly this in his argument, in the same | paragraph: "If we had not known about a new virus out | there, and had not checked individuals with PCR tests, | the number of total deaths due to "influenza-like | illness" would not seem unusual this year. At most, we | might have casually noted that flu this season seems to | be a bit worse than average." | | Then later: "Some worry that the 68 deaths from Covid-19 | in the U.S. as of March 16 will increase exponentially to | 680, 6,800, 68,000, 680,000 ... along with similar | catastrophic patterns around the globe. Is that a | realistic scenario, or bad science fiction?" | | Then he claims that "The most valuable piece of | information for answering those questions would be to | know the current prevalence of the infection in a random | sample of a population" | | But I claim he already had, at the moment he wrote that | article, _much better data than that_ already available: | specifically, that all the statistics everybody could | find even in the Wikipedia already gave much more | information that he claimed has to be obtained by "a | random sample of a population." | | One can evaluate "how random" all already known cases, at | the time he wrote the article, were. But also one can | evaluate, if these known cases, even if they weren't | random, were actually saying more, not less, by the | nature the numbers were obtained. | | And that was exactly the case: time and again, in country | after country, the statistics included much more people | than the small randomness based study would include, and | it gave reasonable estimates about both the speed of the | spread and percentage of the people affected. | | His argument was not based on analyzing already available | data, but on "not knowing" by *refusing to even look at | the already available data. | | Which is fraudulent, ignorant or both. But there were | some big names doing exactly the same, exactly at the | time he published that article. So his article was just | political, not scientific at all. | corkmask wrote: | at what multiplier would you consider being skeptical | about what he says. | | your comparison of the 2 mil which was the worst case | scenario months ago, and now irrelevant, with 40k which | was his prediction from 10 days ago is wrong. | acdha wrote: | You have to read the study's details, not just the number | in the headline. The IC report's highest number was | looking at what would happen if strong countermeasures | were not taken, and they subsequently were -- it's like | criticizing the justifications for mandating seatbelts | because so many fewer people die in car crashes now. | corkmask wrote: | that's what I am trying to tell him. comparing his | prediction a week ago with measures to a prediction a | month or more ago without measure is pointless. | coldtea wrote: | He also predicted about 10,000 deaths in total in his | mid-March article -- and he even meant that number | without any special measures like social distancing and | WFH. | | At this point he should stop predicting... | gnusty_gnurc wrote: | Should Imperial close up shop too? | coldtea wrote: | No, Imperial gave an estimation of what would happen | without measures, but there were measures taken. So in | their case, it's natural that the actual number (with | measures) would be much less. | | Ioannidis' already 4x surpassed prediction was 10K deaths | without measures. | | Given that we have 4x WITH measures, this means we would | be many times more wrong if we followed his advice and | didn't take any... | closeparen wrote: | Ebola has an average case fatality rate of 50%. This is | not Ebola. | Benmcdonald__ wrote: | 3 new cases of coronavirus in Korea today | | 1 person has died this year from coronavirus in Seoul | | Looks to be near the end of the outbreak for Korea | coldcode wrote: | The US will hit 40,000 deaths today. | dpau wrote: | and 22 million unemployed | 3fe9a03ccd14ca5 wrote: | For businesses that will probably never return. | lmeyerov wrote: | They'll be replaced, but the owners, employees, and loved | ones who die won't. | crimsonalucard wrote: | Why the hell is this voted down? It's true. There is a | sacrifice that must be made between saving lives and | saving businesses that is very real. | | Ideally we want to save lives but there will be a line | drawn somewhere where we must open up businesses again. | collyw wrote: | I have to agree on this. Just go to any country with a | poorly functioning economic system, the healthcare | matches it. | jandrewrogers wrote: | Eventually, but an immense amount of capital (not just in | a cash sense) that allows those businesses to operate has | been irreparably destroyed. Rebuilding and bootstrapping | that again from almost nothing will take years in many | cases. Businesses don't exist in isolation, some sectors | are seeing destruction not just of the businesses but the | entire institutional structure of their ecosystems, which | is _much_ harder to replace. | | There will be second-order effects that people aren't | considering. In Seattle, for example, all of the builders | I know are saying multi-family residential construction | projects have become indefinitely non-viable due to the | systemic collapse of the business ecosystem they rely on. | Even if things opened up tomorrow, most of their projects | will stay dead for the foreseeable future. This will have | a large impact for housing costs, construction worker | employment, etc many years beyond the term of the | lockdown. | | I think many people are oblivious to the long-term | second-order damage that is being inflicted in some | industries that cannot be fixed on any kind of timeframe | that matters to ordinary people. | heartbreak wrote: | Can we please abandon this trope that economic impacts | don't have health implications of their own? | | > "With the global recession gathering pace, there could | be hundreds of thousands of additional child deaths in | 2020", the Secretary-General warned. | | > This scenario would effectively reverse progress made | in reducing infant mortality over the past two to three | years. | | https://news.un.org/en/story/2020/04/1061892 ___________________________________________________________________ (page generated 2020-04-19 23:00 UTC)