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Apple and Google partner on Covid-19 contact tracing technology

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Re: Apple and Google partner on Covid-19 contact tracing technology

#381

Earlier quoted context omitted.

The German survey showed an actual fatality rate of 0.37% vs the flu at 0.1%. We know herd immunity is in the cards due to the lack of mutation of COVID, and that kicks in at 60-70% of the population. The German study also suggested up to 15% of people may already have it, so we can further reduce this number (an incremental 45-55% of the population getting infected) -- So, if we run some simple arithmetic, we'll see…

Firstly, the German study analysed one small particularly hard hit town, so how you are extrapolating this to "people" in general is puzzling. Secondly, there is a very wide range of reported fatality rates, with myriad factors known and unknown, so why you've chosen the lowest one globally (which, by the by, has always been an outlier and in any case is edging up past 1%) as the "actual" rate is, again, puzzling. Fi…

> Finally, you are making a giant but unfortunately common logical error in using these already questionable death counts to make the case for an overreaction without attending to the obvious fact that without this "overreaction" every town, village and city on Earth would be Bergamo, where army lorries are conscripted to transport the dead from overwhelmed mortuaries, or worse.

Italy has the highest average age in Europe, and we know the virus is about 100X worse for people over 65 than it is for a 20 year old. Lombardy is the oldest region in the oldest country in Europe. The average age of the dead in Italy is 80.5 and has 3 underlying medical conditions. That's why it's so high there. I specifically called that out in the [EDIT].

I'd suggest doing some more reading.

The demographics in Gangelt skew older too, but otherwise they appear thoroughly average, and a totally reasonable representative sample. Especially as you yourself call out they were "particularly hard hit."

Re: Apple and Google partner on Covid-19 contact tracing technology

#382

Earlier quoted context omitted.

> The lifetime risk of death being involved in a car accident is 1%. You're off by a factor of 100. It's .01%. > The lifetime risk of dying of an opioid overdose is 2%. For who? Someone who uses opioids? Maybe, on average, again you're off by a factor of 100 or more. > We do not know how deadly it is, all we know is that of people who go to the hospital No, of people who test positive, which includes people with rela…

> You're off by a factor of 100. It's .01%. > For who? Someone who uses opioids? Maybe, on average, again you're off by a factor of 100 or more. No, lol, it's not. Those are averages across the US population. Your lifetime odds in the US of dying in an automotive accident is 1:103 [1]. I should have said accidental poisoning which is 1:64 [2] but half of that is actually opioids (1:96) so you're still more likely to…

> Your lifetime odds in the US of dying in an automotive accident is 1:103 [1].

No they're not. The lifetime odds for the average American are. For opioids as an example, as someone who doesn't use opioids, my lifetime odds of dying from an overdose are essentially nil. The distribution is bimodal.

> This is fair to compare against COVID because due to its extremely limited propensity for mutation, the COVID mortality rate does represent what approximates lifetime risk. (i.e. unlike the flu, you won't get it again).

You claim this with great certainty, but it hasn't been around long enough to know that it won't mutate in annoying ways.

Further, it's still not fair to compare that way. In the past 2 decades, we've had 4 or more dangerous flus that aren't seasonal (SARS, MERS, H1N1, H5N1, COVID-19). Of these, most weren't infectious enough to be super dangerous, but two were (H1N1, COVID-19), each of which killed at least 100K people worldwide, and COVID-19 is on the path to claim a million lives worldwide this year.

That's not a once-in-a-lifetime event, it's once a decade or even once every few years.

> I argue the best testbed is the German study I cited where they actually tested... everyone.

And the flaws in that study have been noted elsewhere. SK is a better testbed since they also tested huge swaths of people, even those not showing symptoms, and

> CFR is not mortality rate

The CFR of the flu is .1%, which would make COVID more contagious, and 30x more deadly. I'm not sure why the mortality rate matters since given the higher infection rate, COVID would have an even higher mortality rate.

> Life's risky, and you're not comparing honestly.

And the risk from COVID goes up if everyone catches it simultaneously. The CFR goes up even further if hospitals are overwhelmed.

Re: Apple and Google partner on Covid-19 contact tracing technology

#383
post #263
post #178

https://covid19-static.cdn-apple.com/applications/covid19/cu... > Upon a positive test of a user for COVID-19, their Diagnosis Keys and associated DayNumbers are uploaded to the Diagnosis Server. A Diagnosis Server is a server that aggregates the Diagnosis Keys from the users who tested positive and distributes them to all the user clients who are using contact tracing. Is this scalable? Earlier in the document they…

48MB per day just isn't that much these days.

For reference WhatsApp is ~70MB (that's considered small) and a Facebook app is ~380MB on iOS.

Re: Apple and Google partner on Covid-19 contact tracing technology

#384

Earlier quoted context omitted.

Heh, the delta is likely because: (1) Iceland has had 6 deaths so it's way, way too early to draw any conclusions from Iceland and (2) everyone onboard the Diamond Princess was onboard a cruise ship, and cruises tend to skew old. The median age of passengers was 69. That age group is affected ~100X harder than young folks (9% CFR vs 0.1% CFR) [1]. If you've got more data to back 0.7% please do share but I've found no…

My numbers generally comes from https://www.thelancet.com/journals/laninf/article/PIIS1473-3... . That paper would give about 3% for a 70 year old. But remember that cruise passengers are healthy enough to be on cruises. 1.5% death rate seems about reasonable when you correct for that (again, this is where you might see that 2x difference). Iceland has a considerable number of unresovled cases. Whether you use 7 deat…

This is all case data, not population studies. The Gangelt study is different because they tested the entire population and not just people walking into hospitals. They found the CFR in Germany (2%) was roughly 10X higher than the actual mortality rate in town.

The CFR is always going to suffer from adverse selection bias at this stage because they're only including people sick enough to walk into a hospital, and not folks who were asymptomatic, and not folks who got mild symptoms and didn't tell anyone. That's going to be basically every young person. Only the old end up in hospital and they're dramatically worse hit.

Population studies are not directly comparable. A global CFR of 1.5-2.5% sounds right, but that doesn't mean that's a mortality rate. The mortality rate is closer to 0.37% based on the population study I cited.

You seem to be arbitrarily multiplying and dividing CFR by 2 to fit a narrative. I'd love to see other population data but I think this was the first and only study, which is why the numbers are much different than you're citing.

Re: Apple and Google partner on Covid-19 contact tracing technology

#385

There is surprisingly little discussion about the actual spec here. It looks really good to me! - Advertisements change every 15 minutes, are not trackable unless keys are shared. - The only central bit is a repository of "infected" daily keys. - No knowledge about contacts is shared with a central authority. Nothing is shared unless you are infected and decide to share your keys, which are only valid for one day. I…

One issue I see is that when I query the central repository of infected IDs I expose to the central server the IDs I've been in contact with (unless I always download all of them, but that doesn't seem feasible). It seems like this could be solved by providing a K-anonymous query interface like the one exposed by Have I Been Pwned. I wrote to the contact email address of Pepp-Py, which is a European initiative do dev…

You have to download the entire database. The check is done inside the framework, recorded ids are not exposed to the frontend apps.

Re: Apple and Google partner on Covid-19 contact tracing technology

#386

Contact tracing has a time and place, and it's early in isolated outbreaks. The cat is out of the bag at this point and thinking we're going to contact trace our way to safety is a false promise. You'd have to be naive and short-sighted to accept their pinky-promise of privacy-first in this context.

exactly. do we have data about whether contact tracing of this kind ever worked? S.Korea started testing+tracing somewhere midway in their epidemic, far earlier than where the epidemic is now in france, uk and USA. maybe other countries can benefit from this tracing, but it remains to be proved. In Singapore, which does well, apparently only 6% of ppl installed the contact tracing app. Israel seems to be using carrier data. People seem to be missing the forest in here

https://www.theatlantic.com/ideas/archive/2020/04/contact-tr...

> Let’s start with China, where citizens in hundreds of cities have been required to download cellphone software that broadcasts their location to several authorities, including the local police. The app combines geotracking with other data, such as travel bookings, to designate citizens with color codes ranging from green (low risk) to red (high risk). High-risk individuals can be banned from apartment complexes, offices, and even grocery stores. Many human-rights advocates fear that what has been rolled out as a public-health app is moonlighting as a tool of government espionage and mass discrimination.

> Next, let’s look at South Korea, a democracy that has arguably been more successful than any other in containing the spread of the virus. The government uses several sources, such as cellphone-location data, CCTV, and credit-card records, to broadly monitor citizens’ activity. When somebody tests positive, local governments can send out an alert, a bit like a flood warning, that reportedly includes the individual’s last name, sex, age, district of residence, and credit-card history, with a minute-to-minute record of their comings and goings from various local businesses. “In some districts, public information includes which rooms of a building the person was in, when they visited a toilet, and whether or not they wore a mask,” Mark Zastrow, a reporter for Nature, wrote. “Even overnight stays at ‘love motels’ have been noted.”

Re: Apple and Google partner on Covid-19 contact tracing technology

#387

There is surprisingly little discussion about the actual spec here. It looks really good to me! - Advertisements change every 15 minutes, are not trackable unless keys are shared. - The only central bit is a repository of "infected" daily keys. - No knowledge about contacts is shared with a central authority. Nothing is shared unless you are infected and decide to share your keys, which are only valid for one day. I…

Now people who simply care about privacy are “extremist” Perfect way to begin marginalizing people who care for privacy

Which part of the spec do you think people who care about privacy will object to? I agree with you that this is a poor choice of wording but I think your interpretation is uncharitable.

I think this is a very innovative solution that enables contact reporting without knowing location or personal details at all, and its exclusively opt-in.

I see some people arguing that "yes but it could be subverted" but this isn't a really good place to begin if you just want to monitor people and know who is talking to who, there are much better ways to do that already available.

Re: Apple and Google partner on Covid-19 contact tracing technology

#388
post #178

https://covid19-static.cdn-apple.com/applications/covid19/cu... > Upon a positive test of a user for COVID-19, their Diagnosis Keys and associated DayNumbers are uploaded to the Diagnosis Server. A Diagnosis Server is a server that aggregates the Diagnosis Keys from the users who tested positive and distributes them to all the user clients who are using contact tracing. Is this scalable? Earlier in the document they…

Seems like a scenario where bloom filter[1] could be useful. 1. https://en.wikipedia.org/wiki/Bloom_filter

Bloom filters aren't good for privacy because if there is a hit, you have to upload the id to check it. Which tells the service a) which ID you encountered and b) if it's an ID that was confirmed to be affected, whether you are affected by corona or not, something the system was designed to prevent.

Re: Apple and Google partner on Covid-19 contact tracing technology

#389

Contact tracing has a time and place, and it's early in isolated outbreaks. The cat is out of the bag at this point and thinking we're going to contact trace our way to safety is a false promise. You'd have to be naive and short-sighted to accept their pinky-promise of privacy-first in this context.

That's literally what both Iceland and South Korea rely on. Neither country has SIPs (Iceland even has primary schools open) and the peak is behind them. (Iceland's outbreak is at about the same infection rate as the Bay Area if you estimate with hospitalizations/deaths. Daegu was significantly worse than the Bay Area per capita).

iceland launched the C19 app on april 1, 1 week after their epidemic had already peaked. I havent seen their install statistics , but i m not sure it s as effective as people here think it is

Re: Apple and Google partner on Covid-19 contact tracing technology

#390

Earlier quoted context omitted.

> You're off by a factor of 100. It's .01%. > For who? Someone who uses opioids? Maybe, on average, again you're off by a factor of 100 or more. No, lol, it's not. Those are averages across the US population. Your lifetime odds in the US of dying in an automotive accident is 1:103 [1]. I should have said accidental poisoning which is 1:64 [2] but half of that is actually opioids (1:96) so you're still more likely to…

> Your lifetime odds in the US of dying in an automotive accident is 1:103 [1]. No they're not. The lifetime odds for the average American are. For opioids as an example, as someone who doesn't use opioids, my lifetime odds of dying from an overdose are essentially nil. The distribution is bimodal. > This is fair to compare against COVID because due to its extremely limited propensity for mutation, the COVID mortalit…

> No they're not. The lifetime odds for the average American are. For opioids as an example, as someone who doesn't use opioids, my lifetime odds of dying from an overdose are essentially nil. The distribution is bimodal.

So now you accept that I wasn't off by 2 orders of magnitude, but are pedantically calling out that I wrote "your" even though I specifically wrote "Your lifetime odds in the US" -- which, if we're going to be entirely pedantic, applies to everyone on earth. Maybe look up your numbers and share them?

You're ignoring how people end up addicted to opioids. The shape of the distribution is both entirely irrelevant and you haven't cited your source.

This makes me think your goal is to win an argument instead of having a genuine discussion.

> You claim this with great certainty, but it hasn't been around long enough to know that it won't mutate in annoying ways.

I'm citing data from experts [1].

> ...we've had 4 or more dangerous flus that aren't seasonal (SARS, MERS, H1N1, H5N1, COVID-19).

SARS, MERS and COVID are not flu viruses, they're coronaviridae. H1N1 and H5N1 are mutations/subtypes of the Influenza A virus. The coronaviridae are different.

> And the flaws in that study have been noted elsewhere. SK is a better testbed since they also tested huge swaths of people, even those not showing symptoms...

SK has not tested huge swaths of the population, they've tested around 1%. [2] They may have tested more than most people, but that's not what you claimed. They've tested some not showing symptoms. Huge difference as compared to testing 100% of the population.

> The CFR of the flu is .1%, which would make COVID more contagious, and 30x more deadly.

The study I referenced mentioned 0.1% for the flu vs 0.37% for COVID. Feel free to read it. That would make it 3.7X not 30X. Because the flu has been around so long the fatality rates are largely determined by mathematical modeling, and are very close to the actual fatality rate. On the other hand, we're still figuring it out for COVID.

Yes, its is more contagious. Nobody's argued that.

> And the risk from COVID goes up if everyone catches it simultaneously. The CFR goes up even further if hospitals are overwhelmed.

Which is why, scroll back up, we isolate the vulnerable.

[1] https://www.washingtonpost.com/health/the-coronavirus-isnt-m...

[2] https://www.barrons.com/articles/south-korea-coronavirus-cov...

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