Some Chicago Boyz know each other from student days at the University of Chicago. Others are Chicago boys in spirit. The blog name is also intended as a good-humored gesture of admiration for distinguished Chicago School economists and fellow travelers.
The seeable then unseeable post on the “Command Failures in the Ardennes” was a draft I was editing and inadvertently published by accident.
As some noted in the comments, the dates at the beginning of the article reflected it has been in-process for some time.
My apologies for placing an incomplete work on the site.
There are lots of hopeful reports — despite the USA COVID-19 infections being over 1/2 million and the total deaths of over 20,000 people — that the pandemic will soon be “Over.”
This is fantasy thinking at best. SARS-CoV2/COVID-19 won’t be over, until it is over, for YEARS.
“Over” being defined as world wide mass vaccinations to the tune of 70% of humanity or human herd immunity. Assuming such a thing is possible, which it may not be, given this recent report from the UK Daily Mail on post SARS-CoV2/COVID-19 infection immunity —
Blow to Britain’s hopes for coronavirus antibody testing as study finds a THIRD of recovered patients have barely-detectable evidence they have had the virus already
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– Nearly third of patients have very low levels of antibodies, Chinese study found
– Antibodies not detected at all in 10 people, raising fears they could be reinfected
– Explains why UK Government repeatedly delayed rolling them out to the public.
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Related studies:
Wu F et al. Neutralizing antibody responses to SARS-CoV-2 in a COVID-19 recovered patient cohort and their implications. medRxiv 2020.03.30.20047365; doi: https://doi.org/10.1101/2020.03.30.20047365.
and
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Zhao J et al. Antibody responses to SARS-CoV-2 in patients of novel coronavirus disease 2019, Clinical Infectious Diseases, , ciaa344, https://doi.org/10.1093/cid/ciaa344
total by July 1st 51,197
Or this South Korean story on coronavirus “reactivation” —
South Korea reports recovered coronavirus patients testing positive again
APRIL 10, 2020
Josh Smith, Sangmi Cha.
The issue with most COVID-19 tests, like the ones mentioned in South Korea, is they detect SARS-CoV2 RNA. They do not detect whether the viral particles are active or not. The issue here is whether these people are shedding active viral particles that can re-infect people. We don’t know if that is the case here from the story text. Given how infectious it is. This coronavirus will tell us in due course.
There are some viral diseases like Herpes that hide inside your body and reactivate to make you infectious. We do not know enough about the SARs-CoV2 virus to say whether that is the case here.
If the SARS-CoV2 virus is like Herpes in that once contracted, it never goes away and flares infectious several times a year.
And there is no herd immunity for some people no matter how often they are infected.
Then we will need multiple, cheap, out-patient style “cure-treatments” as well as multiple vaccines, based on co-morbidities, and possibly to account for racial differences like sickle cell blood mutations, as SARS-CoV2 may well be more a blood disease than a respiratory infection in terms of it’s killing mechanism.
See:
COVID-19: Attacks the 1-Beta Chain of Hemoglobin and Captures the Porphyrin to Inhibit Human Heme Metabolism
There is not enough reliable data, d*mn it!
Until we get to “Over,” our old economic world of Just-In-Time, Sole Source anywhere, but especially in China, is dead without replacement.
The world is in the same position as Germany was from August 1944 – April 1945 or Japan from August 1944 until August 1945 versus the Allied strategic bombing campaign. We have entered the world of “End Run Production“ as world wide supply chains grind to a halt from various fiddly bits of intermediate parts running out without replacement. The on-and-off hotspots world wide of COVID-19 at different times and places in the world economy is no different than WW2 strategic bombing in terms of causing random damage to the economic life support.
See also “End Run Production” here from this one volume WW2 history book The Great Crusade:
Be it automobiles, self propelled construction equipment, jets, power plants or the latest electronic gadget, anything that has thousands of parts sourced world wide with lots of Chinese cheap/disposable sub-component content anywhere in the supply chain simply won’t be produced for the next 18 months to three years.
This “random damage to the economic life support” effect is amplified by the unwillingness of Western private industry to invest in building the capitol equipment to produced those intermediate parts. Because of the threat of China coming back with predatory pricing — using bought politicians to cover for them — means those parts won’t be built without massive cost plus contract government buy out of the investment risk like happened in the USA in the 1942 WW2 mobilization.
The story of one American n95 mask manufacturer’s experience with the Obama Administration in 2009 with the Swine flu is a case in point. The n95 mask is a 50 cent item where China pays 2 cents a mask for labor versus 10 cents a mask for American labor. When the American manufacturer geared up to replace Chinese mask production. China came back on-line and the Obama Administration refused to keep buying the American mask producer’s 8 cents more expensive mask when the Chinese masks were available.
Unlike almost 80 years ago, current Western and particularly American politicians are too corrupt to go too massive cost plus contract government buy out this private investment risk. Mainly because these political elites can’t be bothered to figure out their 10% cut. Instead we are getting more “fiscal stimulus” AKA boondoggles that the elites will saddle the rest of us with high interest payments on huge public debts.
It will take local small to mid-sized business to get the American economy going during the COVID-19 pandemic via making products and services that don’t use the intermediate products China threatens with when the pandemic ends.
My read on what comes next economically is local/distributed production with limited capitol investment that is multi-product capable. The name for that is additive manufacturing, AKA 3D Printing. Here are a couple of examples:
voxeljet enters alliance to industrialize core tooling production using 3D printing
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But, like developing SARS-CoV2/COVID-19 vaccines, this new locally distributed manufacturing economy will take time. The possible opening of the American economy in May 2020 will not bring the old economy of December 2019 back.
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That economy is dead. It cannot, will not, come back.
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We will have to dance with both the sickness from SARS-CoV2/COVID-19 and the widening “End Run Production“ product shortages that the death of the globalist just-in-time, sole source in China economic model causes for years.
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And this is a hard reality, not a fantasy, we must all face.
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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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.
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
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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Now look at this BBC photo, which comes from my Chicagoboyz post here:
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.Israel has been accusing Russia of causing GPS signal disruption in northern Israel since early June. Russia denies any responsibility but it appears that Russian EW (Electronic Warfare) equipment in Syria causes intermittent disruption of commercial aircraft GPS navigation systems over Israel. While Russia has EW gear specifically for GPS jamming or spoofing (create false signals), that does not appear to be what is happening here.Israel believes the GPS disruption is an unintended side effect of Russia using EW equipment heavily to protect their bases from Islamic terrorists attack using explosives equipped commercial UAVs, as well as other EW equipment being tested against the American F-22 and Israeli F-35 stealth aircraft that regularly operate over Syria. Russia EW gear, even the impressive new stuff, still relies a lot on “brute force” solutions. That means sending out powerful, multi-frequency jamming signals rather than less intense but more focused signals (which Western EW gear favors). Russia depends on export sales of these new EW systems to pay for developing them. “Unfortunate side effects” are not what they want to be associated with their new EW equipment and would, as is their custom, prefer to believe the bad news does not exist or is propaganda spread by jealous Western rivals. Israel maintains good relations with Russia in Syria by not revealing flaws found in new Russian EW gear or any of the new systems Russia has used in Syria. But this Russian systems flaw is impossible to ignore or explain without going into detail about how Russian EW equipment works. Russian and Israeli negotiators are trying to work out a mutually acceptable solution, as they have done so many times before.
The first test is to determine if the Russians in Syria are jamming & spoofing their own GLOSNASS satellite navigation system as well as GPS. The Russians jamming their own system is a solid indication they think someone with knowledge of how to weaponize GLOSNASS satellite navigation signals is behind the D-I-Y drones in Syria.
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While this is a possible intelligence indicator for Iran, since the Russians have sold Glonass guided weapons to Iran. It is not proof positive. A lot of commodity GPS receivers are “dual mode” i.e. they have embedded GLOSNASS capability. Cheap Taiwanese made GPS receivers have had dual capability for years and some of the more expensive models also attempt to get a best solution by using both GPS/GLOSNASS C/A codes. So jamming/spoofing against GLOSNASS exploitation by D-I-Y drone might simply be a case of through due diligence by the Russian Armed Forces in Syria.
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The second and definitive test involves mapping the jamming and spoofing signal strength of Russian anti-drone electronic warfare and then geo-locate Iranian Quds Force within that signal pattern. If there is a close match of the strongest jamming/spoofing signal patterns to Quds Force. It’s definitive.