Missourians! We've Got to Work on This!

I just ran across a bit of a possibly frightening article today over at the Post-Dispatch's site.

This week, Missouri saw a 600% jump in coronavirus cases — the largest increase in the country

ST. LOUIS — There is no sign of a dip in coronavirus cases in St. Louis or Missouri. The region’s caseload is rocketing upward, with the state seeing a more than 600% increase in total cases over the past week — the largest percentage increase in the country as of Thursday, according to data collected by Johns Hopkins University.

And a lack of widespread testing largely means that experts aren’t sure when the region will reach the peak of its curve — clouding their ability to know when normal life might resume. They hope they will be able to better predict in coming days how much protective measures, like social distancing and widespread restrictions on public activities, are working.

The spread of the virus in Missouri this past week stands out, even compared to neighbors. In Illinois, where the state is under lockdown, the number of confirmed cases grew by 237% in the same period.

“The more we test right now, the more we’ll find,” said Chris Prener, a sociologist at St. Louis University.

And then there's this from the doctor/classmate of mine from yesterday.

With cases in MO increasing over 25% to 836, and doubling at the rate of every 3 days, hospital system overload is now estimated to occur before April 16th. At some point the curve will break and the number of new cases will slow, but the real question is when? If we knew how many people were currently infected, we could make a better educated guess. But we only know the number of cases REPORTED; the true number is higher, but we don't know how much higher.

AN EDUCATED GUESS: If we assume a couple of things, first, that the total number that get infected will be about 70% of the population (for MO that would be about 4.27 Million), and second, that the number of people infected really IS the number reported (which is not true, but for this purpose we will use it anyway), then you can look at the calendar below and see that the 4.27 million mark will be reached about May 17th.

Since a bell-shaped curve has as much area on one side as it does on the other, one back-of-the-envelope way to do this calculation would be to simply count back one single doubling time (4 days) from May 17th to get the peak, in other words May 13th. This is because in one doubling time as many cases occur as those in all the time previously.

Since the number of actual cases is something more than the number of reported cases, the peak will definitely occur before May 13th (if 70% get infected). Another reason is that the number of cases reported is doubling faster than every 4 days right now. But if more than 70% get infected, the error can only be about 1 day longer. And if the ultimate number infected is less than 70%, the peak will also occur sooner.

So a reasonable guess is that the number of new cases in Missouri will peak out within 6 weeks or so, sooner depending on how many people are infected now. But the question is, how many people will have been infected at the peak? How badly will the hospital system be swamped?

If we assume even more optimistically that the peak will occur in only 5 weeks, then Missouri will need over 50,000 hospital beds to accommodate all those patients, assuming also that 14% will need to be hospitalized. And we are told that only 3000 beds are available.

CONCLUSION: We need to do everything possible NOW to slow down the virus. It is a grave error not to ask everyone to wear a mask--any mask--and not to shut down as much interaction as possible NOW. Unless we are completely wrong and severely underestimating the true infection rate, every single day lost means that more people will die needlessly. It is too big a risk to take with the lives of our loved ones.

It would be far better to have tried too hard to save lives than to not have tried hard enough.

So let's all hunker down there, folks. Be well. Stay well. Stay at home.

See you on the other side.

Daily Local Projections On This Pandemic

A classmate of mine from my hometown and so, also from my high school, became a medical doctor. He's been posting his daily observations and predictions on this coronavirus pandemic for at least the last week.

His latest one, today, offers both what seems like sound advice but also dire predictions if we don't take proper precautions and actions.  Herewith:

Rob Schaaf
8 mins ·

(click on picture for easy viewing)

Hospital system overload in MO is now just 24 days away. Today's 354 Missouri cases outpaced the projection and moved that day closer to April 18th. One month from today, we can expect 76,000 cases in Missouri, and over 13 million in the US.

Our leaders are fighting over whether to lock down the country, the only way to prevent hospital system overload, or to send people back to work early, to prevent the economy from failing, another horrible outcome. Here is the solution based upon what was found in Vo Italy. (In Vo they tested EVERYBODY, and found several asymptomatic people who were COVID positive, and after quarantining everyone positive, new cases stopped occurring.)

• First, the entire country needs to be locked down tight. Only necessary workers should be allowed to move about.
• Second, every possible effort should be made to manufacture test kits, masks and protective equipment. The entire focus of the federal government should be ON THIS EFFORT.
• Third, every necessary worker should be tested, and all positives quarantined.
• Fourth, everyone else should be released from lockdown only after they are tested and cleared of the virus in a systematic and thoughtful manner.
• Fifth, as rapidly as possible, the economy should be brought back online as everyone not locked down is cleared of the virus. Re-testing should be done routinely.
• Sixth, everyone in public should wear a mask. Masks are what has separated successful countries from non-successful ones.

This way we can both save lives by locking down the country, and then save the economy as rapidly as possible by putting people back to work without risking reinfection.

This all depends on eliminating all roadblocks to developing, manufacturing and distributing test kits. If we can put people on the moon and send spacecraft all over the solar system, we ought to be able to ramp up the production of these test kits within just a few days.

This no way sounds or reads like any advice our Republican Party President, or what some Republican Party governors and other leaders across the nation are giving in any way, unfortunately.

It's as I wrote on social media yesterday---may logic, common sense, intelligence, good judgment, empathy and science prevail.

Presently, it doesn't seem like enough of all that is.