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California’s Roadmap to Modify the Stay-at-Home Order [pdf]

gov.ca.gov

21–30 of 406 posts

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#21

I personally think we need a county-by-county approach. There is a high variation of the infection at local levels. All the news is currently about how bad New York is and it's true but we're not all New York. http://www.countycovid19.com/

In all sincerity, New York wasn’t Wuhan either. If I were any any other state, I’d absolutely limit travel from NY and screen them.

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#22
post #6
post #4

I’d like to see something that’s clear and doesn’t risk so much on rapid accurate testing and tracking of... everyone with significant delayed feedback. Something that could be done in rural areas or even developing countries. A reliable next step in the Hammer and the Dance. I found this: http://pandemicbreak.org/

Anecdote: My wife and I were tested at Stanford today. There was no line, the process took 5-10 minutes and we never left the car. We were told to expect results in 24 hours. Widespread testing might not be that far off and feedback might not be that delayed. Edit: Since HN won't let me comment fast enough I figured I'd share the information here. We were referred to Stanford by our PCP yesterday. We were not members…

Are you part of Stanford Health Care or is the test site open to public?

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#23
post #16
post #12

Earlier quoted context omitted.

Problem is the travel between counties, at least in CA. There's a lot of travel that could cause reinfection.

I'm not too sure reinfection is as important mathematically as some think when you realize the goal will be to operate below a threshold of cases, not eliminate covid entirely.

The problem is that Covid-19 spreads extremely fast in unprepared populations. It only takes one unaware person to infect hundreds. Check out what happened in South Korea where they had the problem contained until one woman decided to go to church.

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#24
Why is it that hospitalizations are expected to keep increasing indefinitely even with the interventions in place? I assume the graph represents point-in-time hospitalizations and not accumulated # of interventions? If so it would be nice to see some of their assumptions, like average expected duration of hospitalization. I just don't understand why hospitalizations keep going up in this roadmap when every country that has put strict social distancing measures in effect starts to see a leveling-off and decrease in hospitalization after around the 3 week mark. In short, I wish they could put more details into what goes into these projections, and explain why they expect to see hospitalization number to keep going up even withs social distancing. Unless someone messed up and put the graph of accumulated hospitalizations since beginning of year instead of point-in-time # of hospitalizations.

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#25

I personally think we need a county-by-county approach. There is a high variation of the infection at local levels. All the news is currently about how bad New York is and it's true but we're not all New York. http://www.countycovid19.com/

I live in Nevada County, which apparently has a very low infection rate (34 cases, none in the last week) but if you open this county, what prevents folks from other countries from flooding in and bringing more infection? This county was previous a tourist mecca so it would be especially inviting. But any county that was open would be an appealing destination for the closed counties.

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#26
post #9

I personally think we need a county-by-county approach. There is a high variation of the infection at local levels. All the news is currently about how bad New York is and it's true but we're not all New York. http://www.countycovid19.com/

It's true that regions are different, but I don't see how that translates. Can you be specific? How would a plan for Queens County, NY differ from one for Waukesha WI, except in trivial stuff like dates? Some outbreaks are smaller, but you'll note that they all leveled off at roughly the same time and on the same schedule. That's because we locked down on "New York's schedule"[1]. If we didn't, these places which see…

Different regions have dramatically different population densities, and don't necessarily need shelter-in-place rules. In NYC, shelter-in-place is probably the only feasible way to reduce social interactions when case-count is exploding, but in Boise, where people mostly live in detached housing and drive cars and cases are measured in the hundreds, it might be sufficient to eliminate large gatherings and shut down restaurants. It's not just a matter of thresholds.

For all the various politicians are talking about "following the science", there's very little actual science backing up these measures. We're pretty much making it up as we go, and you would be hard-pressed to find "scientific" justifications for most of what we're currently doing.

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#27
post #24

Why is it that hospitalizations are expected to keep increasing indefinitely even with the interventions in place? I assume the graph represents point-in-time hospitalizations and not accumulated # of interventions? If so it would be nice to see some of their assumptions, like average expected duration of hospitalization. I just don't understand why hospitalizations keep going up in this roadmap when every country th…

Where does it say that? The chart only goes through May.

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#28
post #22
post #6

Earlier quoted context omitted.

Anecdote: My wife and I were tested at Stanford today. There was no line, the process took 5-10 minutes and we never left the car. We were told to expect results in 24 hours. Widespread testing might not be that far off and feedback might not be that delayed. Edit: Since HN won't let me comment fast enough I figured I'd share the information here. We were referred to Stanford by our PCP yesterday. We were not members…

Are you part of Stanford Health Care or is the test site open to public?

Similar but more general question: is testing available to everyone, e.g. random asymptomatic passersby?

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#29
post #22
post #6

Earlier quoted context omitted.

Anecdote: My wife and I were tested at Stanford today. There was no line, the process took 5-10 minutes and we never left the car. We were told to expect results in 24 hours. Widespread testing might not be that far off and feedback might not be that delayed. Edit: Since HN won't let me comment fast enough I figured I'd share the information here. We were referred to Stanford by our PCP yesterday. We were not members…

Are you part of Stanford Health Care or is the test site open to public?

[deleted]

Re: California’s Roadmap to Modify the Stay-at-Home Order [pdf]

#30
This entire plan is based on models that do not align with what we are seeing. The graph on slide two[1] of the official CA govt plan shows hospitalizations With Intervention rising exponentially, exceeding our hospital capacity in early June. The actual new infection data shows that the rate of new infections has been decreasing since at least 4/4 [2], meaning that the graph of active hospitalizations should be a bell curve with a maximum value of ~10,000 on ~4/20.

The mismatch between their models and the observed data does not engender confidence.

[1] https://www.gov.ca.gov/wp-content/uploads/2020/04/California...

[2] https://covid-19.direct/state/CA

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