Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: China Covid #4, published by Zvi on December 22, 2022 on LessWrong.
China has now decided to let Covid take its course, so it makes sense to spin developments there off into their own posts for a bit. It is hard to get a good read on what is happening, because China’s core strategy was to stop controlling the spread of Covid and instead to put tight controls on its Covid numbers.
You can’t do this while maintaining any credibility. China decided not to let that be a problem.
Please Disregard the Following
The official case numbers in China are now complete nonsense.
Please disregard the following, except to note the need to disregard it after its peak:
You have to love Reuters reporting ‘WHO says China may be struggling to keep a tally of Covid.’ There is no ‘may’ here, nor is there is a struggle. China is choosing not to keep a tally. Or at least, choosing not share it with the rest of us. If China wanted a count, they’d have a count.
China’s official seven day rolling average of deaths at the moment, according to OurWorldInData? One.
Reuters has an article asking how accurate these numbers are, and the correct response is that it is a headline with a question and the answer is simply ‘no,’ and elsewhere they estimate more than 5,000 deaths per day.
Bloomberg agrees and also estimates over a million daily cases, saying this could get ‘even worse’ and rise to 3.7 million cases per day in January. This is the usual ‘oh no exponential growth could get worse, we could have one or even two doublings ahead of us’ style projection, and I’d be worried about numbers closer to 10 million per day, perhaps even somewhat higher.
So how is China reporting one death? Other than ‘with a straight face’?
They did that the same way they solved their reported infections problem.
It’s simple. They’re redefining Covid deaths the same way they redefined cases.
I interpret this as ‘we will look for any way we can to attribute your death to something else, regardless of whether you had Covid at the time.’
Thus:
Letting it Rip
We went very quickly from Zero Covid to Let It Rip.
China’s public health officials say that possibly 800 million people could be infected with the coronavirus over the next few months. And several models predict that a half million people could die, possibly more.
“Recently, the deputy director of China CDC, Xiaofeng Liang, who’ s a good friend of mine, was announcing through the public media that the first COVID wave may, in fact, infect around 60% of the population,” says Xi Chen, who’s a global health researcher at Yale University and an expert on China’s health-care system.
Scientists at the China National Health Commission estimate the R number is currently a whopping 16 in China durng this surge. “This is a really high level of transmissibility,” Cowling says. “That’s why China couldn’t keep their zero-COVID policy going. The virus is just too transmissible even for them.”
Last winter, cases doubled in the U.S. every three days or so. “Now in China, the doubling time is like hours,” Cowling says.
But Cowling thinks that ultimately China will still fare much better against COVID than America has.
“China has done really well to hold back the virus for three years, and ultimately, I think, the mortality rate will still be much lower than elsewhere in the world,” he says, because the country has vaccinated such a high percentage of its population overall. In other words, the death toll will likely be high, given the sheer number of people infected, but it could have been much worse without the vaccinations, he explains.
Almost no one’s brain is capable of understanding what it means for infections to double every few hours, or to react rationally to that situation. I hope that their vaccine, combined with Omicron being milder, softens the blow.
I am skeptical that i...