part 2 An Ill Wind
Peter Fairbrother
zenadsl6186 at zen.co.uk
Tue Mar 17 20:02:10 GMT 2020
On 17/03/2020 16:39, Wendy M. Grossman wrote:
> This is, rather obviously, way out of date now.
Indeed. Well done Neil and co!
The announced change in policy is good, but I still don't really trust
the Government, especially SAGE, to do the right thing. Advisors who
have been forced to change their policy often do not implement the new
policy whole-heartedly.
But here's hoping for the best. At least the news is better than it was :)
For reference and completeness, below are part 3, A Coventry Moment and
part 4, The Whole of the Moon.
I did not plan any more :) but I may write one on exit strategies.
Please ignore on the slightest pretext. In any case I apologise for
having proselytised on non-crypto matters here, but I couldn't think of
anywhere better and thought the message was of mortal importance.
These may contain some still-new and still-relevant material. And part 3
is even a little relevant to crypto.
Peter Fairbrother
-----------------------------------------------
3- A Coventry Moment
15 March 2020
There is a story that Winston Churchill let Coventry burn under German
bombing in order to protect the secret that the Nazi Enigma codes had
been broken. He made a hard decision to spend lives now, in order to
promote the greater good later.
On TV recently we have seen Boris Johnston looking Churchillian, having
apparently made a similar sort of decision about the coronavirus
epidemic - spending 400,000 [1] British lives now in order to gain some
future advantage
The problem is that we don't know what that advantage is. It all seems a
bit nebulous.
And apart from the large death toll, such a massive number of cases
means the country will never be completely free of the disease - indeed
it might provide a reservoir of low level infections which could mutate
to produce novel viruses and turn the present virus into a recurrent
seasonal virus, a nightmare outcome.
-
At the start of the epidemic, when we thought that it would prove
impossible to stop the infection, the policy of delay made some sense -
spread the peak to decrease maximum hospital load and thereby save lives.
That 400,000 or so British people would die was unfortunate, but
inevitable. There was nothing we could do about it.
But then the Chinese stopped their epidemic, showing that there was no
need for 400,000 or a million people to die, and everything changed.
Except the policy.
-
Herd immunity is just what happens if you don't do anything to stop any
disease which leaves the patient immune after it has run its course. It
is at best a distraction.
One other possible line of Government thinking is that after we
implement strong containment we would then have a still-vulnerable
population, giving rise to the fear that we might have to continue
strict measures indefinitely.
Possible, but what measures? Strict universal isolation is almost
certainly not necessary once the disease is under control, though close
attention to detail will still be necessary.
Proper control of entry to the country with quarantine where appropriate
is the major continuing need; but other countries will be doing
something similar, and international travel will not be easy for years
anyway.
Better social distancing - the elbow or foot tap, enlarging personal
space, avoiding contact where possible; protective measures like
handwashing and handrubs, masks and respirators, perhaps gloves and
goggles; widespread testing and diligent contact tracing once the
epidemic is under control (with short-term but mandatory
isolation/quarantine for those testing positive) are probably all that
is needed.
But we can follow the Chinese example as they relax controls, and limit
measures here to those which are necessary and which work.
Medium term, if people get "isolation fatigue", and the disease spreads?
We would still be better off if we implement strict confinement now. We
would have had time to make a billion masks, time to prepare a hundred
million tests, time to open hospital beds, time to get the needed
equipment, time to work out optimal therapies - and most of all time to
research the disease.
For instance, how much would closing schools help? To answer that we
need to know whether and to what extent children get the disease in a
very mild form and pass it on, or do they just not get it at all - and
we do not know the answer to that question.
How long does the virus stay active on various surfaces? We don't know.
What are the most important secondary and minor routes of infection? We
don't know.
Why are older people more likely to die, and can anything be done to
prevent this? We don't know.
How do we immunise the population? We don't know (yet).
How can we cure the disease? We don't know.
But we do know how to stop it.
-
Mr Johnston is not Winston Churchill.
Churchill himself never faced a "Coventry Dilemma"; that was just one of
many similar teaching stories used at Bletchley Park to emphasise the
need for secrecy. It wasn't real [2]. Many hard life-and-death balancing
decisions were made by Churchill during the war, but the "Coventry
Dilemma" was not one of them.
As for COVID-19, there is no sacrifice here to be made for the greater
good. There is no greater good to be had. Any sacrifice of lives would
just be an unconscionable waste, somewhere between manslaughter with
reckless disregard for life and pointless mass murder.
We can kill the disease. We do not need to kill the population, or
400,000 or a million of it.
The Chinese have effectively killed the disease in China. Pretty soon
they will be thinking about quarantining people entering the country, if
they aren't already. That is the kind of turnaround we should be trying for.
As an aside, the real hard decision would not have been to focus efforts
on amelioration at the cost of many lives, for some greater eventual
good; but instead to implement strong confinement on ethical grounds,
even if we thought it couldn't work.
Strong containment can work. It has been tried. It worked. There is no
obvious downside to doing it.
There is no hard decision to make. There is no Coventry Moment. There
never was.
Peter Fairbrother
[1] or a million deaths in real numbers, or twice as many British people
as died in WW2. Best to treat the 400,000 Government figure like a
contract price estimate which will inevitably overrun.
[2] It became a meme after a self-aggrandising idiot called Frank
Winterbottom with an ego bigger than Julian Assange reinvented the story
with himself in a leading role, and wrote a book including it as a true
story.
--------------------------------------
4- The Whole of the Moon
17 March 2020
The good news: the worst-hit (or first hit) countries are now stopping
their coronavirus epidemics.
China has done pretty much stopped their epidemic spreading [1], in
South Korea it is dying out [2], in Iran [3] and perhaps Italy [4] it is
getting less of a hold, though it is a bit early to say in Italy's case.
How can we be sure of that? Simple. The daily numbers of new cases are
falling in all those countries, reaching very low levels in China and
South Korea.
They have all implemented strong isolation, and it is working for them.
In none of them have even one thousandth of the population become, or
are likely to become, infected (though Italy may come close).
There is no known case where strong isolation is failing to stop the
infection.
China and South Korea are considering restrictions on people entering
their countries in order to prevent infected people bringing the disease
in, as that is now their major source of new infections.
The bad news: the UK's present policy is still to delay the epidemic
rather than try to stop it, allowing over 60% of the population to catch
the disease at a projected cost of 400,000 UK deaths (UK Government
figures).
-
So why does the UK government still insist strong isolation will not
work for us?
It doesn't have to be very onerous. Something like this: from Friday
schools close, as do universities, pubs, public gatherings. Most people
stay at home for perhaps 4 weeks.
During that four weeks we make a lot of masks, respirators and other
protective gear. We prepare a very large number of tests. We prepare
ventilators and people to operate them, and hospital and hospital beds
in case the confinement does not work, though it should. We plan. We
research the virus.
During the fourth week we test anyone who might have the virus. It is
estimated that there are a few tens of thousands of active virus cases
now, at the end of the four weeks that should be around five thousand,
many of whom will be in hospital and most of the rest will be isolated.
After the first isolation period we implement mandatory testing if a
doctor or trained nurse or a policy requires it, and mandatory
quarantine if infected people do not self-isolate.
We limit personal contact, wear masks, wash hands, bump elbows, supply
handrub. We monitor all suspected infections and contacts. Schools stay
closed until we know more about the effects of closing schools, but
people mostly go back to work.
Until we find a vaccine or cure or the disease dies out, we implement
long-term restrictions on entry to the country - perhaps five days
quarantine, with a test on the fifth day. That will not catch everybody,
but it will probably catch enough people.
I suggest UK people already abroad should not have to pay for this, but
for UK people leaving then re-entering and foreigners the cost should be
included in the ticket price, a bit like airport taxes.
That will not be enough to stop the virus completely, but it will be a
good start. We will by then have a better idea of which measures are
necessary and which are not. Perhaps one or two thousand people will die.
We may have to repeat this, or bring in other measures - but like China,
South Korea, Iran and Italy, if we persevere we will stop the virus.
-
But we have to implement strong isolation now - any delay will cost lives.
The Government's alternative is to let the virus infect 40 million
people or so, just slowing it down a little. On the Government's own
figures that will involve four hundred thousand deaths.
This delay policy must stop, now. We want to kil the disease, not delay it.
-
Suppose we try hard to stop the virus and it fails. We will have had
time to prepare for the peak, time to build ventilators, time to train
staff to use them, time to make masks, time to expand testing, time to
provide more hospital beds - time to research the virus, maybe even time
to develop a vaccine or cure.
But then suppose we try hard and succeed. It seems most other countries
will succeed too, and the disease will wither away or remain at a very
low level until a vaccine or cure can be found.
We know how to do strong isolation for infection prevention, and all the
examples in other countries show where it has been tried it is working -
we need to do it now.
We also need to drop SAGE, the UK Scientific Advisory Committee on
Emergencies. Preferably from a great height.
[1] Daily New Cases https://www.worldometers.info/coronavirus/country/china/
[2] Daily New Cases
https://www.worldometers.info/coronavirus/country/south-korea/
[3] Daily New Cases https://www.worldometers.info/coronavirus/country/iran/
[4] Daily New Cases https://www.worldometers.info/coronavirus/country/italy/
Peter Fairbrother
Slogans for today:
Don't delay the epidemic, kill it.
Don't delay, kill the coronavirus.
Kill the epidemic, not the people.
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