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: Covid 6/2/22: Declining to Respond, published by Zvi on June 2, 2022 on LessWrong.
Memorial Day weekend is a good reason not to worry about reporting cases or deaths. FDA declines to respond with making it easier to get treatments we have in ample supply, or to update the vaccines. Congress refuses to fund anything at all, really.
Doesn’t sound like a state of emergency to me. Yet in California, we still have one, and we decline to respond to when we might end the ‘state of emergency.’ In New York, health officials make it clear that if it were up to them, we’d have these pandemic restrictions forever here as well.
Don’t leave it up to them. Respond.
Executive Summary
Paxlvoid and Fluvoxamine remain hard to get.
Time is not a flat circle, that’s a dumb expression, but history rhymes.
Covid-19 is a good excuse to work on curing aging, let’s do that.
Let’s run the numbers.
The Numbers
Predictions
Last week I somehow once again forgot about a holiday, in this case Memorial Day, because I don’t think in those terms naturally and it still boggles my brain that it matters. But in terms of ‘why this prediction was stupid’ that’s why.
Assignment for readers: Next time a holiday is coming up and I forget about it, whoever notices first should write a comment in the Substack version that says ‘you forgot to take into account the upcoming holiday!’ and whoever does scores points. Note that if I don’t explicitly mention the holiday I’m probably forgetting about it.
Prediction from last week: 700,000 cases (+9%) and 2,725 deaths (+15%)
Results: 566k cases (-12%) and 1,994 deaths (-15%)
Prediction for next week: 675,000 cases (+19%) and 2,400 deaths (+20%)
As usual with a holiday drop like this, one must hedge between ‘it was the holiday and will be even higher than trend next week’ and ‘it wasn’t entirely the holiday, this was a real drop.’ Even if I’d remembered the holiday my prediction would have come in high. Is it possible cases have peaked for real? Definitely possible, but the decline in deaths now makes zero underlying sense outside of the holiday, so I’m guessing we’re looking mostly at a large holiday effect.
Deaths
Ah, Memorial Day, yet another holiday. Silly me.
Cases
Vaccine Discussion Offer
Chise, who has provided good information several times, says their DMs are open for anyone with vaccine-related questions or even want someone to listen because you are unsure. A fine public service, if you need it please use this resource or pass it along to someone else who needs it.
Variants
Trevor Bedford thread confirming BA.4/5 will likely outcompete BA.1.2.12, confirmation at least a lot of that is immune escape, and the note that a BA.1-based vaccine update would be helpful but a BA.4 or BA.5-based update would be much better at this point.
Big Time Surge Story
How is the other half not living? It’s calling another big time surge. The note here is specific to San Francisco but the logic is universal. Everywhere will have their turns.
The framing here seems like the ‘friendly’ version of paternalistic public health. Are you trying to stay well? If so, time to step up your game. If not, then that’s fine too says your grandmother, don’t try to stay well and be home for dinner.
On some level I find that fair, because the whole point is that it is not worth trying to stay well, if stay well means avoid infection, which is slightly unfair but all right, fine, sure. Permanently avoiding infection is for most people not a good plan, and if you did need to have that as your plan then yes it’s time to step up your game and pull out that P100.
The contrast between Bob’s two graphs is interesting. In the first one, we have less than half as many cases now as at the start and less than a fifth of the peak. In the second, we have more patients needing care now than we did before and ov...