Archive for the 'Miscellaneous' Category

We have not talked much about genetics recently.  These are people who know a great deal, but may not fully share your values.

The brilliant Steve Hsu over at Information Processing talks about an article in The Economist concerning embryo selection. November 2019.

 Here is that article from The Economist Modern Genetics will improve health and usher in designer children. November 2019

Legal studies paper by Gail Herriot on school discipline policies. June 2019 

Only some genetics in this last one. Scott Alexander over at Slate Star Codex, who Steve Sailer called the greatest public intellectual to emerge in the 2010s, talks about what intellectual progress he made during the decade. He started way ahead of me and I think has lapped me a couple of times since. A stunning variety of topics. January 2020.

The following information is from a front line ER doctor using the handle of ‘nawlinsag’ on a Texas Aggie web site.  I’ve included the link below. I’ve also included the complete text of his post in full in hopes medical professionals and lay people could get the most benefit from his observations of the course of COVID-19 in a small front line Louisiana hospital.

Short form: This is not the flu.  It is a horror show of death and disablement that is crowding out all other medical care including an immediate downgrade of life saving cardiac care.  Only on in seven people put on ventalators in this hospital is surviving, and then only after 10-t0-12 days of ventalator support.

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https://texags.com/forums/84/topics/3102444?fbclid=IwAR3s13SRnw7YNgtu-7LZyrMUSMIRRWScU67lwbuwZM8fna-6R8k4tqrtO3w

I just spent an hour typing a long post that erased when I went to change the title so I apologize to the grammar and spelling police. This one will not be proofread and much shorter.

I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.

Clinical course is predictable.
2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.

Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.

Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.

81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.

Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT’s of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.

China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.

Diagnostic
CXR- bilateral interstitial pneumonia (anecdotally starts most often in the RLL so bilateral on CXR is not required). The hypoxia does not correlate with the CXR findings. Their lungs do not sound bad. Keep your stethoscope in your pocket and evaluate with your eyes and pulse ox.

Labs- WBC low, Lymphocytes low, platelets lower then their normal, Procalcitonin normal in 95%
CRP and Ferritin elevated most often. CPK, D-Dimer, LDH, Alk Phos/AST/ALT commonly elevated.
Notice D-Dimer- I would be very careful about CT PE these patients for their hypoxia. The patients receiving IV contrast are going into renal failure and on the vent sooner.

Basically, if you have a bilateral pneumonia with normal to low WBC, lymphopenia, normal procalcitonin, elevated CRP and ferritin- you have covid-19 and do not need a nasal swab to tell you that.

A ratio of absolute neutrophil count to absolute lymphocyte count greater than 3.5 may be the highest predictor of poor outcome. the UK is automatically intubating these patients for expected outcomes regardless of their clinical presentation.

An elevated Interleukin-6 (IL6) is an indicator of their cytokine storm. If this is elevated watch these patients closely with both eyes.

Other factors that appear to be predictive of poor outcomes are thrombocytopenia and LFTs 5x upper limit of normal.
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Perhaps this is the time to teach, or at least keep as an example, how an economy works, to those who believe that rich people got there by taking money that could have gone to a poor person in a fairer system. We are in a situation where money is being lost, and it isn’t going to anyone. Some people are not much affected, if whatever their income is based on is not interrupted. I am considered “essential personnel” and have work. I’m not sure I actually am essential, but they have to draw the line somewhere, and danger increases if the hospital as a whole does not do what it does. There may be a very few businesses that do better – online entertainments, delivery services. I can’t think of much else.

There will be some pent-up demand that comes upon businesses as restrictions are eased, as folks want to buy cars or go out to restaurants. But some of the non-buying today occurs because people now do not have jobs that are paying them, and they don’t have money to spend. The restaurants and car dealerships are not going to make that up later. The money is just gone. You can frame that as being lost or as being never created, but either way it’s just not there. It is relatively easy to destroy value.

I hope the lesson can be turned to show that it is difficult to create value.

We say in our cynical moments “All politics is theater.” This is true, but there is a positive side to that, if we define our terms well. Many things are theater, in a loose sense. For example, I was part of an online discussion years ago after George Bush had gotten off a plane looking crisply pressed after what should have been a multi-wrinkle flight. One commenter noted a brand of $3000 suits that were capable of doing just this, advising us that in high-level international business people were aware of this and noticed the cost of your suit, your shoes, shirt, tie, and all the rest. He claimed that merely having the right clothes on was enough to make a sale. I was one of the ones who objected to this, saying this would be a terrible method of making such decisions. Not at all, he countered. Shelling out that much money and paying close attention to detail signals that you will play by the rules. Not necessarily the laws of any jurisdiction, but the unwritten rules of high-level commerce. I complained that this placed talented newcomers at a disadvantage, but again, the man I was arguing with disagreed. He and his associates had all learned early to divert not only money but observational skills and advice from others into appearance. “You don’t put yourself in hock like that unless you plan to stick around. You aren’t going to break other rules and throw your insider status away. It provides very accurate signaling.” He told a few anecdotes about this and concluded “Business is theater.”

We might call it theater, but I think a closer word would be enactment. Enactment requires a greater level of commitment than just putting on a show. If we want to test the sincerity of someone’s commitment to a set of values, we often require enactment. Basic training in the military includes a lot of enactment of military values, including drill, following orders and cooperation, simulation of real situations. Church worship and festivals are not supposed to just be spectator activities, but the participant is supposed to enact the Lord’s Table. It is part of why the fellowship of the saints and attendance at worship are not incidental parts of worship. (Believe me, God is aware how difficult and annoying the people at your church are. That may be the point, that we enact here in this life what will be a reality in the next.)

Much of education is enactment. Job training (both official and unofficial) includes much enactment. Courtship is enactment. The ceremonial aspects of town meeting – or scout meetings, Rotary, country club membership, sorority rush, or just about anything you can join will involve enactment. When you go to court, the bailiff says “All Rise,” and the Judge must be addressed in specific ways. Those who are accused who arrive well-dressed and well-groomed are signaling that they understand the rules and are willing to play by them henceforth. They are enacting good citizenship. Are some of them lying and attempting to manipulate? Of course. Yet what are we to say of those who will not even nod to the values of society as expressed in court rules, who wear their beer t-shirts to DUI hearings? I have heard them when I have accompanied patients to court. “I don’t care how big he thinks he is. I’m not going to change who I am for anyone!” Well, you said it then, didn’t you Sam?

Raising children is about little else. We don’t want them to just hear our lessons about politeness, we want them to greet others with respect and say please and thank you. We have fewer gestures of politeness now and do not require them. Boys used to bow and girls curtsey, we would hold doors for others. The custom of holding chairs for women at dinner has nearly vanished. Fifty years ago at summer studies the boys were required to seat the girls at dinner, which was a combination of discomfort and humor even then, especially the first evening. If any girl was left standing, we all had to get up and start again. That rarely happened after the second day. I am sure the practice vanished soon after, but multiple values were being taught. Respect for women was the most obvious – and women were already pointing out that this was double-edged – but there was also respect for tradition, respect for formality, calmness and intentionality in eating, engaging in acts in unison as a community. Enactment requires more skin in the game than mere words. Sometimes the additional cost is small, sometimes the enactment comes close to the price of real demonstration. Nor is it entirely a positive. Groups can require that you enact their pathologies as well, right from the start, to show that you won’t turn the whole lot of them in, or betray the profession.

Politicians eat ethnic food and shake hands as a way of enacting that they are Jes’ Folks, that they care what happens to you. They dress well partly to show they have respect for you (or dress down in calculated ways to show the same). We don’t want to just hear them say things, we want to see them do them. The events they attend, the gestures they make, the people they invite, all of these are small enactments.

I made brief comments of my own, but these two links are mostly about What C S Lewis thought of Kipling, and what George Orwell thought of Kipling. Both more than a little surprising.

Brought over from Assistant Village Idiot. I am bringing over about one out of five this week, more than my usual one out of ten.

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A young friend among my wife’s FB friends posted a  meme about blank supermarket shelves, comparing the empty shelves of socialism, which conservatives decry, and “late-stage-capitalism” empty shelves during the TP-and-disposable-wipes crisis of 2020.  He did not say that this proved equivalency, merely noting that he had seen the two posted near each other in some way online.  He is a polite young man, a middle-school teacher whose wife is homeschooling, and I think he doesn’t want to offend.  I have seen other posts that suggest he is very sympathetic to socialism.

His first two commenters, both also young, were thorough opposites.  The first noted that under capitalism, the shelves would be restocked tomorrow. I thought that an efficient argument, and am grateful that there are young people who can manage such things on short notice.  The other made the comparison that “if you don’t like people hoarding toilet paper, then imagine how much damage it does when an extremely small fraction of the world’s population hoards so much of its wealth.” I am no longer on FB and don’t like to drag my wife into such discussions, so I wrote nothing.  I did begin to think about what, exactly, I might theoretically say, reasoning that I might have to answer this in some context sometime.  The first young man got in very quickly, while I was looking at the page:  “Hoarding.  lol”

I thought that similarly efficient.  That is the key problem. I should research who that young man is and put his name forward as someone we should elect to something. Except politics would be a waste for him. Perhaps I should sneak over and just let him know I’m impressed. He may need encouragement.  There is a sizable group who thinks that the wealthy are in some sense hoarding, a good communist accusation that is thoroughly inaccurate. The mental picture is of Scrooge McDuck.

(embedded gif of Scrooge McDuck diving into a pile of gold coins) Read the rest of this entry »

Self-Isolation is only a touch different for me. I go to work at the hospital eight days a month, but now have sharply curtailed which units I will go to (I was covering on the phone, keyboard, doorknob, and desk surface of everyone in a department of 30) and do not circulate throughout the building at all. While at home, I pretty much sit at the computer, the reading desk, or stand at some appliance anyway, then go out for a five-mile walk every day. However, there is a slight restriction, and being an irritable sort the boredom annoys me. Thus I have gone looking for AVI posts which I might repost over here. You’ll just have to bear up under the strain. A few more to come.

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I found that They Asked For A Paper is in the public domain.  It contains a few essays of CS Lewis I had never read, so I was glad to find it.  In particular, I had wanted to read “The Literary Impact of the Authorised Version,” having seen a rare early copy under glass at the Lanier Theological Library outside Houston. I had never heard of it, and it is a subject I am interested in even with a lesser author.

Yet I quickly find I dare not come up with an opinion in the least contradiction to him. He has read everything, and is clearly operating a level I cannot even imagine.

“With the first Protestant translators we get some signs of a changed approach. I would wish to take every precaution against exaggerating it. The history of the English Bible from Tyndale to the Authorised Version should never for long be separated from that European, and by no means exclusively Protestant, movement of which it made part. No one can write that history without skipping to and fro across national and religious boundaries at every moment. He will have to go from the Soncino Hebrew Bible (1488) to Reuchlin’s Hebrew Grammar (1506), then to Alcala for Cardinal Ximenes’ great Polyglot (1514) and north for Erasmus’ New Testament in the same year, and then to Luther for the German New Testament in 1522, and pick up Hebrew again with Munster’s Grammar in 1525, and see Luther worked over by Zwinglius and others for the Zurich Bible of 1529, and glance at the two French versions of ’34 and ’35, and by no means neglect the new Latin translations of Pagninus (’28) and Munster (’34-’35). That is the sort of background against which Tyndale, Coverdale, Geneva, and Rheims must be set. For when we come to compare the versions we shall find that only a very small percentage of variants are made for stylistic or even doctrinal reasons. When men depart from their predecessors it is usually because they claim to be better Hebraists or better Grecians. The international advance of philology carries them on, and those who are divided by the bitterest theological hatreds gladly learn from one another. Tyndale accepts corrections from More: Rheims learns from Geneva: phrases travel through Rheims on their way from Geneva to Authorised. Willy-nilly all Christendom collaborates. The English Bible is the English branch of a European tree.

Yet in spite of this there is something new about Tyndale; for good or ill a great simplification of approach.”(Italics mine)

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It’s well understood that media entities like to focus on the negative–‘if it bleeds, it leads.’  But there’s also another media behavior problem worth noticing…

Cable TV networks, especially, tend to focus obsessively on whatever the hottest issue is at the moment, and absolutely beat it to death to the exclusion of any attention to *other* important things going on…until one of those other things get so important and so bad that it displaces the previous obsession and the cycle repeats.  To borrow a term from the field of computer operating systems, you could think of it is a single-thread way to approach the world. And in the field of combat aviation, there is a phrase, Target Fixation, to describe the situation where a pilot is so focused on his target that he flies into a mountain or does something equally disastrous.

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Sorry to be sucking up all the oxygen in the room at present, but my Paranoia post struck a nerve and I will be adding at least one more after this. Cross-posted at Assistant Village Idiot, so comment in either place, depending on which comments you feel more at home with.

Deevs asked for recommendations of books about paranoia.  I thought this worked better as a separate post. I used to psychblog from 2005-2009, but I haven’t put in so much since then. As there as been interest in the first post on paranoia and some questions asked, I will have another go later – with anecdotes.

The classic in the field is Surviving Schizophrenia, by E. Fuller Torrey. Checking up to see if it had come out in a fifth edition, I found that it is now in its seventh edition. Xavier Amador has written the very readable I’m Not Sick, I Don’t Need Help, and is an engaging speaker as well.  He has a series of talks on Youtube, of which this is the best introduction.  He was studying to become a psychologist when his brother was diagnosed with schizophrenia.  The battle over medications and having to confront that “lack of insight” is a frequent symptom was very painful for him.  He eventually became his brother’s guardian, agreed to forced long-acting injectable medication to keep his brother alive, and was relieved that his brother was consistently treated and nonpsychotic for decades. However, even at the end, he would ask his brother if he needed the medication.  “Nah.  I just take it to keep you happy,” said his brother, with mild affection. You can see what a bind that creates. People have rights, and the idea of the government giving permission for guardianship, allowing someone to force treatment on you that you don’t think you need has obvious problems. You can find complaints about this all the time on civil libertarian websites and in comment sections of both liberal and conservative sites. Horror stories are recounted, at which I nod my head and think “I’ll bet I know the other side of that story.”  Sometimes there are real horror stories, of people being railroaded who are not particularly ill. But in most places, psychotic folks are getting too little treatment, rather than merely annoying people getting forced treatment they don’t need.  I can imagine how some trends in mental health could create a situation, decades down the road, where inconvenient beliefs are medicated against the person’s will.

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For most of you, people with paranoid disorders are encountered more frequently online than in regular life. Not for me, of course, but my situation is unusual. I would like to explain them to you a bit. Parts of their thinking that seem strange are quite reasonable once you understand what they are starting from. They may end up in a crazy set of ideas, but the reasoning to get there often makes an internal sense. This is part of why you can’t argue them out of these ideas.  It’s not that their reasoning is broken, it’s that something else is broken. Chesterton’s first chapter of Orthodoxy goes into the idea quite well from the perspective of a nonprofessional writing over a century ago. And fun.

First, they retain most of the knowledge and abilities they had before, not necessarily impaired in any way.  If she knew horses well, she still knows about horses; if she played the cello well, she can still play well.  She may have developed suspicions about people in the horse barn or the orchestra.  These may grow until she can no longer manage to stay involved with either. She may or may not be attracted to new theories that explain things to her and decide that horses or music are far more important in the cosmic scheme of things than others have noticed.

There is a sense that some things are important that others have overlooked.  In the same way that theme music plays in a movie, telling us that the villain has arrived, (cue Darth Vader music) the person with paranoia has a sense (quieter, though no less sure) that something ominous is occurring when they hear the news or even just go to the supermarket.  The number 7 is occurring too frequently, there are people who have Russian names, or look Russian, the cashier exchanges a look with the bagger that tells the person she knows something. They wonder for a time what it all must mean, but settle quickly on an explanation.  The brain will not allow events to stand unexplained.  They must be fit in somehow. The insignificant data that is regarded as significant continues to accumulate.  This is supplemented by real data , sought or unsought. The ATM has twice not been available when you needed it most.  A guy who you met just last week and told about these growing plots has a car accident.  There must be a Russian (or more frequently, a Jew) behind this.  Those forces are signalling to you to back off.  They know you are onto them and will punish you.
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I just want to mention my gratitude to Trent for tracking down good information and getting it to us in quantity. I have not commented because I have no particular expertise, neither on the medical nor the political side. As I work in a psychiatric hospital I may end up over time knowing things that most people don’t, but at the moment I am dependent on those who know more and those who do their homework. Thank you.

Issues covered will be on COVID-19 spread, World Headlines, the 3-4-2020 Seattle Public Health Press conference, World Headlind Summary, Corruption at the WHO, Bad and good news COVID-19 medical developments. the Political/Demographic Implications of COVID-19 for the Gov’t Elites, and the social media and videos COVID-19 tracking source section.

Top line, There are currently 97,138 confirmed COVID-19 cases worldwide, including 3,351 fatalities as of the March 5, 2020, at he 4:48pm ET time hack on the BNO News corona virus tracking site (https://bnonews.com/index.php/2020/02/the-latest-coronavirus-cases/) There are 80(+) and growing umber of nations including China plus three “Chinese special administrative regions” (Macao, Hong Kong and Taiwan) that have reported COVID-19 infections. China, Taiwan, Hong Kong, Japan, Thailand, Singapore, Italy, Iran, Germany, R.O.K. and the USA all appear to have local, or endemic, spread of the disease. Russia, Egypt, and Columbia appear to have joined the endemic spread list as well due to airports in the UAE and elsewhere picking up air travelers originating from those nations as sick with COVID-19.

WORLD HEADLINE SUMMARY (3/5/2020)

o New Jersey confirms first presumptive case
o NY state cases double to 22
o Seattle closes 26 schools
o Pentagon tracking 12 possible COVID-19 cases
o Illinois reports 5 more cases
o NYC reports 2 more cases, raising total to 4
o Italy postpones referendum vote; death toll hits 148
o WHO’s Tedros: “Now’s the time to pull out the stops”
o Tennessee confirms case
o Nevada confirms first case
o New Delhi closes primary schools
o EU officials weigh pushing retired health-care workers back into service to combat virus
o Italy to ask EU for permission to raise budget deficit as lawmakers approve €7.5 billion euros
o Beijing tells residents not to share food
o 30-year-old Chinese man dies in Wuhan 5 days after hospital discharge
o Cali authorities tell ‘Grand Princess’ cruise ship not to return to port until everyone is tested
o Global case total passes 95k
o Lebanon sees cases double to 31
o France deaths climb to 7, cases up 138 to 423
o EY sends 1,500 Madrid employees home after staffer catches virus
o Trump says he has a “hunch” true virus mortality rate is closer to 1%
o Switzerland reports 1st death
o South Africa confirms 1st case
o UK chief medical officer confirms ‘human-to-human’ infections are happening in UK
o UK case total hits 115
o Google, Apple, Netflix cancel events
o HSBC sends research department and part of London trading floor home
o Facebook contract infected in Seattle
o Microsoft, Google, Amazon, Netflix cancel events and/or ask employees to work from home
o Netherlands cases double to 82
o Spain cases climb 40, 1 new death
o Belgium reports 27 new cases bringing total to 50
o Germany adds 87 cases bringing total to 349

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Update:   There is likely something in this of why black males are defecting to Trump much more than black females, but I can’t quite see what that is.  Offer suggestions you think might fit.

As I developed this, I think I came upon an explanation of the Sanders/Biden split in the Democratic primaries as well. I almost made that into a separate post because I am striving for shorter essays these days, but the one topic just flowed into the other. Bear with me, and be charitable.

James the Lesser uses the word “perverse” to describe the elevation of feelings over actual sickness and safety in the comments under Protecting Feelings, just a few days ago. It is also revealing of the motivations of those folks.  No one who has been sick near death would say having their feelings hurt was worse, nor would we say that if we had had the experience of watching another go through a terrible illness. It is rather like those people who tell us that various verbal oppressions are just as bad as physical abuse, or that sexual harassment is just as bad as rape.  Those who have been abused or raped might give a different answer, don’t you think? These must either be people who do not believe that the danger is real, or are vulnerable enough that the social death of hurt feelings is the worst they can imagine.

This latter came up in reference to Jonathan Haidt’s The Coddling of the American Mind, which I discussed about ten weeks ago. He identifies the highschool classes of 2013 and 2014 as a sharp break point, with anxiety, depression, and suicide rising in that group and remaining high.  He attributes this to this being the first cohort which had personal devices starting in middle school. They really do live in a world where social death is more frightening, because it can strike in an instant and there is no effective fighting back.  Those whose personalities were formed outside of internet life have resilience against this.
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Top line, There are currently 92,138 confirmed COVID-19 cases worldwide, including 3,134 fatalities as of the 3 March 2020 at 5:51 a.m. ET time hack on the BNO News corona virus traking site (https://bnonews.com/index.php/2020/02/the-latest-coronavirus-cases/) There are 70(+) and growing nations including China plus three “Chinese special administrative regions” (Macao, Hong Kong and Taiwan) that have reported COVID-19 infections. China, Taiwan, Hong Kong, Japan, Thailand, Singapore, Italy, Iran, Germany, R.O.K. and the USA all appear to have local, or endemic, spread of the disease.

The reality of personal protective equipment shortages in the USA because we outsourced most such production to China and many regional medical systems sent a lot of our existing medical PPE to China in January 2020 per the request of the CDC.

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Much political media coverage these days focuses on demographic categories:  How will candidate X do among women…among Black people…gay people…low-income people…etc?  And much if not most political marketing is also aligned along these categories.

Demographic and targeting are also used in business marketing, of course.  But that’s not the *only* approach that can be used.

In his book The Innovator’s Solution, the late Dr Clayton Christensen told of a restaurant chain which was trying to improve sales results for its milkshake product line. “The chain’s marketers segmented its customers along a variety of psychobehavioral dimension in order to define a profile of the customer most likely to buy milkshakes. In other words, it first structured its market by product–milkshakes–and then segmented it by the characteristics of existing milkshake customers….both attribute-based categorization schemes. It then assembled panels of people with these attributes, and explored whether making the shakes thinker, chocolatier, cheaper, or chunkier would satisfy them better.”  Marketing 101 stuff, but it didn’t yield much in terms of results.

A different team of researchers. found that, surprisingly, most of the milkshakes were being bought in the early morning. Customer interviews indicated that these were people who faced a long, boring commute and wanted something to eat/drink on the way. Milkshakes were superior to alternatives because they didn’t get crumbs all over (like bagels) or get the steering wheel greasy (like a sausage & egg sandwich.)  And the morning milkshake buyers wanted shakes that were thick, in a large container, whereas the customers at other times preferred less-viscous shakes and smaller containers.  (Even though the morning and non-morning customers might be the very same individuals)

Christensen observed that a product can be thought of in terms of the ‘job’ it is doing for the customer:  what is a customer trying to accomplish when he ‘hires a milkshake’?

The parallel isn’t perfect, but something like the same thought process might be applicable in political marketing:  What is a voter trying to accomplish when he ‘hires’ a candidate for X position?

For example, there are a lot of voters who lives in areas with poor public schools and who are not in a position to send their kids to private school.  Maybe the ‘job’ they want to ‘hire’ a politician for is to give them realistic alternatives.  And maybe the appeal of this message is pretty independent of whether the voters are male, female, black, or white, and of whatever sexual preference they have.

There are a lot of voters who own small business.  They have a lot of broadly-similar issues that are relevant to politics, and, again, these are mostly independent of the usual demographic categories.

Seems to me that a lot more could be done with this kind of cross-demographic-category marketing…not that demographics can be totally ignored, but that other voter-behavior factors need more consideration.

Also, it’s important to note that the Democrats are, because of their emphasis on top-down planning, inherently much more focused on demographic categorization than are the Republicans.  As Rose Wilder Lane wrote:

Nobody can plan the actions of even a thousand living persons, separately. Anyone attempting to control millions must divide them into classes, and make a plan applying to these classes. But these classes do not exist. No two persons are alike. No two are in the same circumstances; no two have the same abilities; beyond getting the barest necessities of life, no two have the same desires.Therefore the men who try to enforce, in real life, a planned economy that is their theory, come up against the infinite diversity of human beings.

But people who think in categories…and rigid categories, at that….tend to communicate in those same categories.  Which may not always be to their interest.

Your thoughts?

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Update: For example, drought.

This was not prompted by Coronavirus discussions in any way. My reading and podcast listening the past month have both led to considerations of disease affecting historical events. I have several times thought it would be fun to talk with Trent and Mike K about the subject over a beer or three.

The effect of disease on historical events has usually only been mentioned in extreme cases, when it is obvious that at least some influence must have occurred.  The effect of smallpox on the Aztecs, or the Black Death on the economics of Europe receive some mention, but even in those cases summary histories can leave them out. Amazing, but true. There has been some increase over the last twenty years of historians addressing the issue of disease directly, and the last five years has seen an explosive growth in that approach because of what we can learn from archaeology rather than written records.  What has then happened is that the text historians have doubled back and acknowledged “yes, this was there all along, but because we could not clearly understand symptoms nor measure extent we could not make definitive statements.” So they mostly said nothing.

Or, as I suspect, they preferred other explanations, as we all have, due to the training in how to look at history we have all grown up with. I may be partly guilty myself.  I have heard doctors offer up possible medical explanations they have run across in their reading, only to be greeted with blank looks and polite smiles.  No, silly.  It’s kings and battles and trade routes and technological advances. Diseases are just there all the time and have only a marginal effect. I have been only slightly more sympathetic until the last decade,
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The themes of this update will be on issues of

– COVID-19 spread,
– World Headlines,
– US Good News,
– US Mixed News,
– A sample of US Relevant Coronavirus Stories,
– Medical Information of the Day,
– The SARS-CoV2 Virus and it’s COVID-19 infection ARE NOT THE FLU
– The On-Going Just-in-time, Sole Source in China Supply -Chain Crisis, and
– The social media and videos COVID-19 tracking source section.

Top line, There are currently 85,996 confirmed COVID-19 cases worldwide, including 2,942 fatalities as of the 29 February 2020 at 2:46 p.m. ET time hack on the BNO News corona virus tracking site (https://bnonews.com/index.p…/…/the-latest-coronavirus-cases/) There are 59 and growing nations including China plus three “Chinese special administrative regions” (Macao, Hong Kong and Taiwan) that have reported COVID-19 infections. China, Taiwan, Hong Kong, Japan, Thailand, Singapore, Italy, Iran, Germany and R.O.K. all appear to have local, or endemic, spread of the disease.

The US may currently have endemic spread as the CDC has confirmed 62 cases of coronavirus in the US (and there late breaking news of a COVID-19 death in Washington State and the slimming of a senior care facility in Kirkland). These include 44 people who were aboard the Diamond Princess cruise ship, three people repatriated from China and 15 US cases.

Spread inside the US cases include:
California: 9
Massachusetts: 1
Washington state: 1
Arizona : 1
Illinois: 2
Wisconsin: 1

World Headline Summary:

o Health authorities in Texas and Oregon report 12 new coronavirus cases in US
o US coronavirus case total hits 63, 2nd case ‘of unknown origin’ confirmed
o US issues travel advisory for Italy
o Italy says first case discovered in Lazio
o China, SK release nightly figures
o Google says employee who visited Zurich office has coronavirus
o France confirms 57 cases
o Italy reports 3 deaths in Lombardy; nat’l toll now 21; total cases 821
o Google employee tests positive for coronavirus after visiting Zurich office
o British man becomes 6th ‘Diamond Princess’ passenger to die
o Two Japanese dogs tested positive for coronavirus
o Mulvaney says school closures, transit disruptions may happen in US
o Dr. Tedros said Friday that there’s no evidence of ‘community outbreak’
o Mexico confirms 1st virus case [More below]
o Fauci warns virus could take ‘two years’ to develop
o Kudlow says “no higher priority” than the “health of the American people
o Toronto confirms another case
o WHO says 20 vaccines in development
o St. Louis Fed’s Bullard pours cold water on market hopes
o Netherlands confirms 2 more
o United cuts flights to Japan
o Advisor to CDC says shortage of tests in US creating a “bottleneck”
o Nigeria confirms first case in sub-saharan africa
o South Korea reports more than 1,000 new cases in under 48 hours
o Italy cases surpass 700
o WHO says virus will ‘soon be in all countries’

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The themes of this update will be on issues of COVID-19 spread, World Headlines, The Trump news conference on community spreading in the USA, pandemic preparedness in the USA past & Present and a COVID-19 social media and video news tracking section.

Top line, There are currently  82,586 confirmed COVID-19 cases worldwide, including 2,811 fatalities as of the 27 February 2020 at 6:40 a.m. ET hack on the BNO News corona virus traking site (https://bnonews.com/index.php/2020/02/the-latest-
coronavirus-cases/) There are now 40(+) nations including China plus three “Chinese special administrative regions” (Macao, Hong Kong and Taiwan) that have reported COVID-19 infections.

In a first for the Pandemic, COVID-19 infections outside China outnumber those reported inside China, See:

New Coronavirus Cases Outside China Overtake Inside for First Time
The first cases of coronavirus cropped up in several countries, including Norway, Greece and North Macedonia.
By Cecelia Smith-Schoenwalder, Staff Writer Feb. 26, 2020, at 4:33 p.m.
https://www.usnews.com/news/world-report/articles/2020-02-26/new-coronavirus-cases-outside-china-overtake-inside-for-first-time

World Headline Summary:

o South Korea reports 334 new cases, bringing the total number in the country to 1,595
o South Korea, US postpone joint military drills due to coronavirus
o The US State Department has issued a level 3 travel advisory urging people to reconsider going to South Korea
o CDC confirms first case of ‘unknown origin’ in US [See below]
o CDC reports 6 new cases among repatriated Americans
o WaPo reports Northern California has 16th US case, says it’s first of “unknown origin” and risks local spread [See below]
o 83 being monitored in Nassau County
o Orange County declares state of emergency
o Norway has confirmed its first case
o 8 quarantined in Westchester
o HHS confirms 15th US case
o Iran deaths hit 19
o Brazil confirms first case in South America
o France confirms 2nd death
o Japan’s Prime Minister is requesting that all elementary schools, junior high & high schools nationwide close starting next Monday until spring break
o Greece confirms first case
o Germany unleashes fiscal stimulus after confirming new cases
o Dems one-up Trump with $8.5 billion package compared to $2.5 billion.
o Kuwait, Iraq, Lebanon, Bahrain confirm new cases
o Finland confirms 2nd case
o 1st 2 cases reported in Pakistan
o HHS Secretary tells Congress infectious disease fund has no extra uncommitted cash
o Congress begins talks on corona virus spending bill with vote expected early next month
o Germany health minister warns we’re at beginning of epidemic in Germany; 5 new cases
o Italy confirms 12th death, cases soar above 400
o North Macedonia confirms first case
o South Korea cases soar above 1,200 as gov’t begins testing of 200k patients
o Brazil confirms infected patient came on plane from Paris
o Ericsson confirms one of its employees in Croatia tested positive

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ITALY COVID-19 Confirmed Cases and Deaths 25 Feb 2020

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South Korea COVID-19 Infection Chart

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Rome fell in 476 AD, according to the high school and World History 101 shorthand we are used to. You can prefer a date in the 370’s instead, or 410, or the Vandals taking Carthage in 439 AD, which broke the tax spine of the Western Empire for good.  Going in the other direction, you can choose the collapse of the reconquest by Justinian in the late 6th C, or even later.  If one wants to be really technical, Constantinople, the Eastern capital of the Roman Empire for a thousand years after Rome itself fell to Ostrogoths, did not fall until 1453. Few would pick that date, but you could, and make an argument with at least some facts to buttress it.

But let’s focus on 476 and let that hover in the background as we look at the collapse.  In 440AD all looked bleak for the empire, though those in the central cities did not perceive it.  Britain and Northern Gaul had fallen out of the empire. Northern Africa was a trading partner, not part of the empire. The influence over Persia, Syria, and the easternmost sections of empire was waning. Yet by 450, trading was bustling again.  Some researchers would claim that this was actually the height of trade throughout the Mediterranean, unmatched for more than a thousand years. There was recovery! Despite all the dark portents, Rome reached its height.  Arguably.  Some would pick 150, 350, or other dates. Still, a case could be made.

If you were living at the time, those naysayers who pointed to the loss of tax revenue from across the Mediterranean, or the growing power of the Goths, who had an internal kingdom in Gaul, or the slow loss of border provinces and increase in cross-border raiding would be laughed off.  However plausible their arguments might sound that the empire was in decline, the objective evidence was that things were fine.

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The themes of this update will be on issues of COVID-19 spread, testing, public health institutional credibility, some e-mails evaluating the CDC and our elites, and my personal analysis of same after the top line infection numbers and headlines.

The SARS-CoV2 virus and it’s COVID-19 virgin fields infection seems to have a top line R(0) of between three and 6.7 — that is one person infects near seven people on average — because there are repeated “super spreader” events where one person slimed an institution with a lot of close contact and then the fomite contamination of that institutional setting causes everyone present to get the disease. Examples thus far include the Diamond Princess Cruise ship, a pair of prisons in China, and multiple hospitals in China and now South Korea. The rate of growth of the COVID-19 pandemic is such that we will be fighting it on a very large scale in a few weeks (no more than 10) in every nation world wide with the public and private medical institutions, societal resources, and people we have right now, with all their flaws. And not what we wish they were, but will never have. There simply isn’t going to be time and energy for blame games when issues of daily survival break upon us all.

Top line, there are currently 78,986 confirmed COVID-19 cases worldwide, including 2,468 fatalities as of 23 February 2020 at 11:52 a.m. ET on the BNO News corona virus traking site (https://bnonews.com/index.php/2020/02/the-latest-coronavirus-cases/) China, Taiwan Hong Kong, Japan, Thailand, Singapore, Italy, and Iran all appear to have local, or endemic, spread of the disease. See multiple charts attached and headline summary

Bar Chart of World COVID-19 Infections as of 23 Feb 2020

Bar Chart of World Wide COVID-19 Infections Without China and the Diamond Princess Cruise Liner

World Headline Summary:

o Italy confirms 3rd death and cancels last 2 days of carnivale in Venice as cases soar above 100
o 4 more cases confirmed in UK
o 200 Israelis quarantined
o Japan confirms more cases
o Japanese Emperor expresses hope for Tokyo Games (fat chance)
o ROK Gov’t total cases above 600
o Trump says US has everything ‘under control’ as he asks Congress for more money (I call B.S. below)
o EU’s Gentiloni says he has ‘full confidence’ In Italian health officials
o Turkey, Pakistan close borders with Iran as confirmed cases soar
o Global Times (Chinese Gov’t news source) says virus may not have originated at Hunan seafood market
o Axios reports shortages of 150 essential drugs likely. (Most source in China)

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This graphic explains the technical definition of airborne transmission. (Peak Prosperity video screen capture)

China admits aerosol infection possible in coronavirus outbreak

KYODO NEWS – Feb 20, 2020 – 13:14

https://english.kyodonews.net/news/2020/02/8cd9ef77bf8d-china-admits-aerosol-infection-possible-in-coronavirus-outbreak.html

The Fight Plan of China’s Biological Chernobyl — 60,000 airline flights with poor air circulation where up to 12 million souls (assuming 200 unique people per plane flight) were exposed to an airborne transmitted SARS-CoV2 virus.

-End-