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 12/30: Infinity War, published by Zvi on December 30, 2021 on LessWrong.
The new year is about to start out with a bang.
For five weeks, we’ve seen Omicron double and double again. That which can’t go on forever, won’t. There aren’t many doublings left. This is it.
The CDC’s revised guidelines made it even more clear that we’re going to collectively make the right decision, let it happen, and hope for the best. It’s not like we have any choice in the matter.
A month from now, we’ll be on the way back down, and we’ll know how bad it was and what the death toll will end up looking like.
Two or three months from now, if all goes well, The After Times can begin in earnest after all the previous false starts.
Executive Summary
Cases way up despite holiday, and will keep going up.
Testing is increasingly difficult to get.
Too early to know if hospitals will be able to handle it.
See Omicron Posts (#10 from Tuesday) for further details.
Let’s run the numbers.
The Numbers
Predictions
Prediction from last week: 1.85mm cases (+80%) and 10,200 deaths (+10%).
Results: 1.81mm cases (+77%) and 8,599 deaths (-6%).
Prediction for next week: 3.5mm cases (+94%) and 10,800 deaths (+25%).
Note that some other sources have more cases than Wikipedia for the past week (e.g. BNO reports the total case count as closer to 2.1mm).
With how much things are changing each day and how many confounders there are, getting the case count that close was largely luck.
What will happen this coming week?
Uncertainty is through the roof on that, except that it will be a lot higher as we enter fog of war. Testing capacity will be exhausted and thresholds to get tested will rise in some places while desperation to get tested pre-emptively rises in others. It’s possible a few places like NYC will peak, while others haven’t fully taken off yet. On top of it all, we don’t know how much the holiday ended up slowing things down, and how much of what’s happening the past few days is filling in a backlog, so we don’t know what the right baseline is.
I’m going to go with an average of 500k cases per day, for 3.5mm total. I wouldn’t be that surprised to miss high by up to a third, or miss low by quite a bit if things are still doubling every few days and we manage to identify enough of those cases.
This is it.
On deaths, it looks like the West and Midwest are still on vacation in terms of reporting deaths, and it’s not obvious they’re going to fix this by next week. Which means they might backfill those deaths (which would count and not be corrected) or they might continue not to report. This assumes they’ll probably at least report the correct share, but it’s hard to tell.
Deaths
Tennessee had a giant backlog dump, of which I’ve substracted 1,800. We don’t get to add in all the obviously missed deaths in the West and Midwest, so I missed high here.
What we’re seeing here is still Delta combined with holiday reporting. It will take another two weeks before we have much color on the real death rate going forward. Three weeks to be sure.
Cases
Also this handy map that updates in real time.
Nate Silver notes that New York Times finally acknowledges (while calling ‘unthinkable’) what we’ve all said for two years, that case counts are potentially meaningless out of context.
One way to estimate the true rate of cases is to look at the rate of incidental Covid-19, which is the positive test rate of a random sample. People who land in the hospital for non-Covid reasons aren’t the most random of samples, but they’re also not the least random either? Plus, if you have a baseline, you can control for the bias in the sample (in both directions) by comparing similar populations.
Anyway, from 28 December:
I was about to kick myself for not getting onto this method of analysis earlier, except that it’s not available anywhere...