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

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201–210 of 406 posts

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

#201
post #152

Earlier quoted context omitted.

>Something weird happened in California, where 20% of their tests were coming back positive, then all the sudden 04/04/2020 they started seeing This is not surprising. When tests were scarce, tests would be rationed to those most suspected of infection.

Tests are still scarce.

Maybe but it’s all relative. Even a little less scarcity can change those numbers in significant ways.

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

#202

Earlier quoted context omitted.

You can come into the state and you can leave the state, what state-level circumstance is preventing you? I'm grasping at straws but maybe you are estranged and your family is on the street but they won't let you into the hobo-hotel? Every other circumstance I can think of is a Federal issue closing borders for people that aren't Americans.

Isn’t CA under lockdown? Only supposed to leave your apartment for groceries right?

They're not saying you can't return to your family, they're just saying not to congregate in large numbers. I've moved back from my apartment (Chicago) to the suburbs to stay with my parents until this lockdown ceases. Of course, we both started isolating two weeks before I came home, and they picked me up so I wouldn't have to take the train.

Just use your head, don't do things that will risk spreading the disease. Taking public transit to/from your family a few times a week is very dangerous. Going someplace and staying there is not.

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

#203

Earlier quoted context omitted.

Fair questions. What fatality rate are you expecting for not-at-risk people? Is that risk of death acceptable to you? What risk of death should I expect, I'm a healthy 47 year old male. Is it 0.1% or 0.01%? The difference between those two matters to me and the research isn't clear yet as far as I can tell. By doing a bunch of the steps implied in the document my chance of surviving is better, by keeping the infectio…

Whatever number you arrive at is your concern. You want to shelter in place go for it. What I don't want is the government shutting down everything. Leave it to the individual.

And when 3-5 million people die over the course of a year you won't blame the government?

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

#204

Earlier quoted context omitted.

It seems like both the perception of and response to this pandemic are not reflective of reality. What am I getting wrong here? - Around 200 million Americans will eventually get it, barring extraordinary events (like a vaccine arriving in 6 months). We cannot change this. - Around 0.5% will die, overwhelmingly those who had a low remaining life expectancy to begin with. This is a much larger body count than most peo…

It’s not 0.5% it’s closer to 2%. You don’t have a normal economy if people don’t want to go out in public or the supply chain is interrupted as workers get sick. A pandemic will harm the economy no matter what we do, these efforts, it is hoped, will reduce the impact while also saving lives and the hospital system.

And that also assumes everyone can get medical care, if all of the cases are happening at the same time, the mortality rate would increase as resource constraints force medical providers to pick who gets care.

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

#205
post #57

Earlier quoted context omitted.

Either works. South Korea applied tech pretty effectively.

They applied the combination of shoe leather and tech effectively. I think tech on its own without a robust public health infrastructure would be pretty ineffective, but the latter on its own could do well. https://khn.org/news/how-do-we-exit-the-shutdown-hire-an-arm...

I totally agree that only the combo works. But my concern is that we don't have the cohesive, political and business structure to pull off something like that.

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

#206
For everyone who has tracked California’s response over the past month (the good and the bad), the #1 problem is obvious:

a) California’s testing and reporting infrastructure is absolutely abysmal, arguably the worst in the country

b) there are very few signs that it will improve anytime soon

California leaders haven’t had to confront this publicly because much of the last one month had been focused almost exclusively on reducing fatalities and increasing hospital capacity. Testing matters but not that much for the most acute cases.

It matters a lot more in determining the the rate of incline/decline of new infections, both numbers that will increasingly matter more as fatalities and hospitalizations stabilize.

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

#207
post #41

Earlier quoted context omitted.

Thanks for sharing the link. But how do you enforce stay-at-home policies or any rigorous public health policies, in populated counties that border each other, such as San Francisco and San Mateo counties, or LA and Orang counties.

The county health officials would presumably coordinate with each other, as San Francisco and San Mateo are already doing.

But to your point, San Mateo is not closing off 280 and 101 to stop S.F. traffic. And the Governor has issued a stay-at-home policy to the San Francisco Bay Area, not just one or two cities. So that's why I think area-wide policies work better than county-by-county policies. We could have San Diego area ban and policy, L.A./OC/San Bernardino, Santa Barbara/Ventura/San Louis Obispo... you get the picture.

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

#208

It doesn't make any sense that we continue the lockdown in its current state. Hospitals in California aren't overrun. We were insisted upon that the "flattening the curve" was to prevent the medical system from being overwhelmed. With what we've been able to do, we're not even close to having overrun hospitals. By now, we should have ramped up the system to account for greater numbers of severe cases. Given that, we…

Covid-19 grows at a doubling rate of ~5 days or so (obviously can vary based on a bunch of things). So to say that "we're not even close to having overrun hospitals" is kind of a farce.

If you filled up 25% of capacity with Covid patients, then you were only 2 doubling cycles (10 days) away from being having completely full hospitals. I don't think a 10 day buffer means that you're not even close to having overrun hospitals.

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

#209
post #69

Earlier quoted context omitted.

Does anyone have the ability to walk through these explanations in a little more detail. I'm having trouble understanding why infections would be a bell curve, or derivative of a log curve.

Cumulative infections would not be a bell curve. They'd be a sigmoid curve, approaching some upper limit (e.g. 100,000). Current Hospitalizations, which is the number we should be most concerned about, and is reflected by the orange dots on the state's graph, should start low, max out at a number, and eventually return to 0. That should follow something like a bell curve. I think the confusion is between the "total i…

> think the confusion is between the "total infections" curve and the "current hospitalizations" curve.

I think the confusion is that if the CDF is the logistic function, then the PDF is the logistic distribution. This is what archgoon is saying.

Bell curve refers to a Gaussian distribution, which is different but looks similar.

https://en.m.wikipedia.org/wiki/Logistic_distribution

http://visionlab.harvard.edu/Members/Anne/Math/Logistic_vs_G...

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

#210
post #160

Earlier quoted context omitted.

It actually largely doesn't have that power. I mean, it does until challenged, and it could impose restrictions on entering government buildings -- but the government really doesn't have an unlimited authority to declare arbitrary restrictions on the right of people to peaceably assemble. Not legally, anyway.

I think we all know each right has its limits when the greater good is at stake. Largely, it's intent that matters.

> Largely, it's intent that matters

I'm sure Earl Warren said that to himself when he locked up the Japanese Americans during WWII.

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