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 1/6/22: The Blip, published by Zvi on January 6, 2022 on LessWrong.
Cases are hitting record highs around the world. That’s going to continue for another few weeks. While it does, and for a bit after it stops, there are disruptions all around as too many people are sick at one time. Thus, the CDC guideline adjustments, the hospitals under pressure, many schools forced to not meet in person (and then deciding to torture kids with ‘remote learning’ rather than giving them a vacation.)
No question it’s annoying, and for those in health care it’s overwhelming and terrible. I don’t want to minimize it. And if you care about avoiding this it’s going to be a lonely few months.
But compared to March 2020, this is nothing. We got this.
There are dissenting voices, but mostly the consensus seems to be growing that Omicron is milder, the center will hold, and our lives beckon.
Executive Summary
Record high case numbers likely to continue for a few weeks.
Hospitals under pressure but holding, deaths strangely low.
If you get sick you should still do your best to get a negative test before ending your isolation no matter what the CDC says.
Let’s run the numbers.
The Numbers
Predictions
Prediction from last week: 3.5mm cases (+94%) and 10,800 deaths (+25%).
Results: 3.57mm cases (+96%) and 8,814 deaths (+2%).
Prediction for next week: 6mm cases (+71%) and 9,700 deaths (+10%).
On cases that’s another random bullseye. On deaths it’s a big miss, and given how little of the past cases were Omicron I don’t understand how the number came in this low, still below the level 2-3 weeks ago despite much higher case counts.
This is the dog that did not bark. The number damn well should have gone up a bunch, and it didn’t, and it makes me think that Omicron took over faster than I previously thought. I can’t think of another way to explain it, and the fact that I’m using that to explain it seems like very good news going forward.
I do expect deaths to start climbing, how could they not, but we keep not seeing big jumps there, so I’m going to downshift my expectations there even as lagged cases start rising faster.
Deaths
Report that deaths among young people are up 40% from pre-pandemic levels, in the context of life insurance. This sounds terrible and is terrible, but in terms of how one should live one’s life young people are still very unlikely to die and shouldn’t take minimizing death risk as a major life task except when considering doing actively risky things like skydiving, or putting oneself at risk of violence.
Cases
It looks like Manhattan has indeed peaked, and maybe Brooklyn, and maybe NYC overall. If that’s right, then things will have held together well.
Boston on the other hand looks like it’s still headed upwards, currently at more than five times the previous peak.
Washington D.C. schools did systematic tests, found 5.8% of the tests came back positive. This was a lot of kids, so probably a lower rate than the city overall.
A week ago fully one third of NBA refs were in Covid protocols.
Vaccinations
CDC shortens length of time to wait for a Pfizer booster to five months. Six months was, of course, yet another arbitrary round number. And now we have this handy easy, not confusing chart, note that in some places boosters are mandatory soon after they are permitted.
The FDA decision to do thid bypassed VRBPAC. They didn’t consult their advisory committee. This new thing where when we don’t need their input we don’t ask for it? Excellent.
ACIP, alas, could not as easily be avoided, here is a recap of that.
Which includes this unrelated gem:
So, anyway, yeah, now you’re worried about boosters limiting vaccine supplies for other countries? What changed, exactly?
Also, it’s one thing that we haven’t approved Novavax, we have plenty of supply ourselves so we don’t need it. It’s...