COVID-19: Chapter 7 - Brags, Beats, and Variants

Fauci guesses indoor gatherings possible safely in Q4 ‘21 if we get high vaccine uptake. Given the large non vax movement in USA that you are talking about, a return to our normal lives this year may be too aggressive of a target.

We probably don’t get the uptake we need to get to herd immunity if it is 80 percent needed. We are still learning on the fly how long vaccination protection lasts, that complicates a full reopening, especially if uptake hovers at 50 percent. There are people who legitimately can’t get a vaccine, so reopening while they are at risk is a dicey moral and political question. Possibly a legal one when vaccine passports become involved (not sure this Supreme Court ends up going for vax requirements for domestic events, which will hinder return to normal for the vaccinated)

It would be easier if everyone was just confident in vaccines and this rollout went smoothly, but doesn’t seem like a likely path. I feel somewhat confident I will be able to see my non immune compromised family in person at some point in 2021 as most will get vaccinated. Feels better than it did six months ago that there is an other side, but societal luxuries like travelling freely/responsibly, full crowds at sporting events and restaurants, unrestricted in person school, and de masking seem more like 2022 or 2023 events to me.

Also share your worry that the new normal is going to mean like 30,000 domestic COVID deaths a year/six figures worldwide in the background. Wont shut down modern society, but depressing to think about and will continue to add stress to the healthcare system during the winter season

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Steven Millman mini update:

December 27th COVID Mini-Update: The Phantom Dip

I mentioned in the Dec 24th Update that there would be an expected dip in reported deaths (and cases) as a result of under-reporting during the holidays. You can see this dip clearly in the updated data attached.

To give you a sense of the under-reporting, the model I constructed to predict mortality from COVID estimated that 36,925 people would die in the two weeks ending on December 23rd. During that period, 36,751 died according to data from Johns Hopkins. That’s a variance of 174 deaths or about 0.5%. Pretty tight by any standard.

That same model predicted that 9,984 Americans would die over the next three days (12/24-26), and so far only 5,785 have been reported. There is virtually no chance that this is not the result of under-reporting from the holidays.

This means that we are about 4,000 deaths under-counted which will most likely start showing up in the data Tuesday or Wednesday based on previous reporting cycles. The model estimates just more than another 14,000 will die by the end of the year, and the “missing” deaths will add to that. The number of deaths over the next seven days is expected to be the highest of the pandemic even without this effect, but will look much worse as these under-reports are brought in.

Then the whole process will repeat itself for the New Years holiday (Friday).

Starting the first week in January, we should also see a nationally identifiable surge in cases due to holiday travel and get-togethers if that should occur as expected. If that’s what happens, regardless of the vaccine, the rate of increase in deaths will continue well into February. Let’s hope not, but the data will be available soon enough, so no reason to debate it.

As always, I’m not a medical professional. Just a professional statistician that’s going to self-medicate with a bourbon.

Happy 80th birthday, Dr. Fauci! You’re the Christmas baby we all need right now. Thanks for not retiring like any sensible person.

Just spitballing here, but what if we used the vast coercive power of the state to mandate vaccination and eliminate the disease?

americanchopperthatssocialism.jpg

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Short answer, I don’t see that as a realistic path forward as a blanket requirement and am
skeptical how far the Supreme Court will let vax passports go. For the trivial example, requiring vax passports to gather in houses of worship seems very unlikely to be upheld.

I don’t really see the IT’S JUST THE FLU or anti-vax crowd ever getting vaccinated. That’s probably at least 40% of the country maybe higher. Unless employers/airlines/schools make it mandatory there is no chance we ever get 80% of the population vaccinated for Covid in the US.

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https://www.cnbc.com/2020/12/28/biden-will-invoke-defense-production-act-to-boost-covid-vaccine-production-advisor-says.html

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That seems like a really good move. Operation Warp Speed seemed to only care about getting a usable vaccine and does not seem to have any cohesive distribution plan. As others have said it would take decades to vaccinate everyone at our current rate.

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we are way past the point of eradication with covid. you’d also have to somehow inoculate bats, cats, minks, etc.

USA#1 is going to be a long-term reservoir for COVID so long as Americans refuse to get vaccinated or take it seriously, which is basically bad news for the rest of the world.

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Just directly mandate vaccinations. Or impose a $10k per year tax on unvaccinated people. I know we won’t do it, but it’s a policy choice.

The court so far has supported the idea that mandatory vaccinations can be constitutional.

https://journalofethics.ama-assn.org/article/mandatory-vaccination-legal-time-epidemic/2006-04

The interesting legal question is whether the CDC could mandate vaccination without congressional action. I think that they could clearly ban interstate travel or use of restaurants/hotels/schools/hospitals by unvaccinated people.

Cops are on the other side of this issue and will not enforce it. There have been a few tickets given out, but by and large the restrictions that have passed around here have not been enforced.

Schools and large employers will probably be the enforcers.

Holy cow, the latest New Yorker basically devoted the entire issue to a Lawrence Wright exposé on the US Covid failure. Haven’t read it yet since it’s 40 pages but looking forward to it.

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Send in the national guard and start carting people off to jail if they’re caught violating the rules. You don’t need to hassle/terrorize people that much to make them to get a vaccine. Let the antivaxxers feel like undocumented workers for a while and see how they like it.

For example…
https://twitter.com/socialistdogmom/status/1342483479079100417

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I don’t think the CDC can mandate vaccination, but individual states definitely can, based on established constitutional law.

I’d lean towards the idea that it is hard for Congress to ban interstate travel because of a right to freedom of movement that is generally accepted and it falls upon the states themselves to impose quarantines on people entering their borders from other states. (International borders are a different matter.)

Yah well those court rulings happened in an era when not wanting to die from deadly diseases was sort of popular and apolitical. Methinks times have changed a bit.

Yeah, but they’re not undocumented workers from one of the Mexicos, so that’s not going to happen. I’m not even suggesting whether I want it to happen or not, just saying it won’t.

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