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Monday, May 11, 2020

Ten lessons learned from COVID-19 ... so far

Most of the lessons
learned also apply 
to climate science, or 
science in general.


THE  COVID-19 
GOOD  NEWS:
Over 99.95% 
of Americans 
have NOT died 
from COVID-19 !


Lesson 1:
INTRODUCTION
TO  COVID-19:

The proper name 
of the virus is 
SARS-CoV-2. 
( Severe Acute 
Respiratory 
Syndrome 
COronavirus 2 ). 

The associated 
disease is called 
COVID-19. 
( coronavirus 
disease 2019 ). 

COVID-19 can, 
in mild cases
have no symptoms,
or mild symptoms
that seem like an
ordinary cold --
for perhaps 
4 out of 5 of 
those people
infected.

They feel 
healthy, so
are reluctant 
to be tested 
for COVID-19
at a hospital, or 
anywhere else.

COVID-19 can,
in severe cases, 
produce acute 
inflammation of 
the respiratory 
system.

Those patients 
tend to be old
and have other 
health issues,
as many older 
people do.

It is a hyper-
inflammatory 
response in
the respiratory 
system  that 
actually kills 
people. 


The reproductive rate 
of an epidemic is equal to 
the transmission rate 
( how easily the virus spreads 
from person to person ) 
  times the duration 
( the length of time 
a case remains infective ). 

The reproductive 
rate of COVID-19 
is obviously high,
fueled by carriers
with no obvious
symptoms. 


I will use the term 
"COVID-19" for 
the remainder 
of this article:



Lesson 2:
DON'T  TRUST  CHINA !

The virus was "born"
in Wuhan, China, but
people were allowed
to fly out of Wuhan
to other nations !

They brought the virus
to Italy and Washington 
state. The virus then
moved from Europe
to New York.  

China was dishonest
about the virus, and 
made no attempt 
to stop people from 
coming into Wuhan for 
a giant Chinese New
Year's celebration,
and then flying home.



Lesson 3:
NURSING  HOME  PATIENTS
and other old age institutions,
were most vulnerable.

Florida concentrated
on helping them -- 
while the New York
Governor Cuomo 
forced nursing homes
to accept people 
who tested positive 
for COVID-19, which 
was a disaster.

New York state rule for nirsing homes (NH):

“No resident shall be denied re-admission or admission to the NH solely based on a confirmed or suspected diagnosis of COVID-19. NHs are prohibited from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission.”



Lesson 4:
THERE  ARE  NO  EXPERTS !
The first COVID-19 cycle 
is still in progress. 

The important 
lesson learned 
is there are 
no real experts, 
until the first
cycle ends, 
and there 
has been time 
to analyze what 
just happened. 

The unanswered 
questions today
exceed those 
with answers:
(A) 
Will there ever 
be a vaccine, and 
how long will it take 
to develop one ?

(B) 
Will there ever 
be a cure, or at least 
a drug(s) that reduces
the death rate, or the
length of recovery ?

(C) 
Will warm, humid 
weather significantly 
slow the COVID-19 
spread ? 

(D) 
How will the stress
of staying at home,
losing a job, and being 
afraid to visit a hospital
for ANY reason, affect the
nation's overall health ?



Lesson 5:
PEOPLE  WANT  TO 
KNOW  THE  FUTURE !
People are much
too interested 
in "knowing"
the future, as if
that was possible. 

They will listen to 
speculation about 
the future, often 
presented with 
great confidence,
as "facts". 

The mass media 
will give people 
speculation and 
predictions that 
turn out to be 
completely 
wrong. 

People have 
too little interest 
in concentrating
on what we 
actually learned 
about the present 
and past. 

This happens a lot
in climate science, 
and is the primary cause 
of climate junk science 
-- decades of wild guesses 
about the future climate, 
that are wrong almost 
100% of the time.



Lesson 6:
SCIENTISTS  RESIST
SAYING  "I  DON'T  KNOW" !
Scientists will attempt 
to "answer" questions, 
when the correct 
answer is:
 "I don't know" 
           or 
"We don't know".

"I don't know" is an
answer that will 
get them little or no 
media coverage
-- a "non-answer" 
that implies they are 
not really an "expert". 

They will present 
results of "models", 
based on unproven
theories, and 
personal opinions,
supported by 
incomplete data,
that will be wrong. 

Policy decisions 
will be based
on those wrong
models.

This happens with 
climate science 
all the time.



Lesson 7:
NO  CONCLUSIONS  ON  
CONTAINMENT  YET !
Without widespread 
"herd immunity", 
or vaccines, the
containment efforts 
( stay at home ) 
do slow the growth 
rate of new cases. 

Wishful thinking 
is that the 
"containment"
will PREVENT 
new infections. 

Negative thinking 
is that "containment"
will only DELAY 
new infections, 
which will spike
after people go
back to work and 
stop their social 
distancing.



Lesson 8:
SARS1 "DISAPPEARED", 
SO  WHY  NOT  SARS2 
(COVID-19)  TOO ?

Harvard Center for 
Communicable Disease 
Dynamics' Marc Lipsitch, 
the Center’s Director, said: 
“SARS1 did not die 
of natural causes. 

It was killed by 
extremely intense 
public health 
interventions in 
mainland Chinese 
cities, Hong Kong, 
Vietnam, Thailand, 
Canada and elsewhere. 

These involved 
isolating cases, 
quarantining their 
contacts, a measure 
of ‘social distancing,’ 
and other intensive 
efforts.”



Lesson 9:
COVID-19 
SPREADS
QUICKLY !

COVID-19 differs 
from the seasonal flu 
in its mode of infection 
( ACE2 binding ), 
a higher fatality rate, 
and a relatively high 
reproductive rate 
       ( R0 ), 
estimated to be 
at least 2.6. 

That RO figure 
represents 
the average 
number of people 
that contract 
the virus 
through contact 
with someone
who already 
has it. 

By comparison, 
the R0 value 
for seasonal flu 
is only about 
half that rate.

For "herd immunity", 
at least 1 - 1/R0 
      ( ~ 62% ) 
of the population 
must become infected, 
and then either die,
or become immune.



Lesson 10:
DEATH  RATES
FOR  INFLUENZA
ARE  OVERSTATED !

Don't assume that
what you "know" 
about the flu
is correct.

Deaths blamed on 
ordinary influenza 
appear to be grossly 
exaggerated. 

In a recent 
very short post, 
I mentioned the 
1968-1969 flu 
in the U.S. 
was claimed to 
have caused 
100,000 deaths,
which seems to be
where COVID-19
is heading. 

Of course 
a round number 
like "100,000" 
is obviously 
a guess.

Yesterday
I decided
to investigate 
death estimates 
for ordinary 
influenza, which 
are presented  
as a very large 
range -- implying
a 'wild guess'. 

Based on "field
experience" with 
actual patients, 
many doctors
believe that the 
estimated deaths,
from ordinary strains
of the flu, have been 
significantly 
overstated.

The next article 
will explain why.