Panic/Don't Panic

Some good perspectives on the pandemic from NeoNeo, in an open-comments session. In the don't-panic line:

I’ve been watching this topic for the last several weeks. There’s still very little known and some of what is known is suspect. Just on general principles, I don’t believe the Chinese numbers, and I really would not be at all surprised if various Western nations are holding back information – it’s already clear how incredibly stupid people are when stampeding in panic.

It’s been my stance from the beginning – once it was clear that direct human-to-human transmission was possible, and apparently fairly easy (eg, the Webasto case in Germany) – that the actual number of people who have been exposed to the virus is vastly higher than numbers indicate. You can reasonably assume at this point that virtually all of the millions of people in the densely populated Chinese cities initially hit have been exposed. (You can also assume that every person on the Diamond Princess was exposed.) If they actually are counting deaths in the low thousands, it means it’s really not much more deadly than seasonal flus which kill tens of millions every year anyway.

Logically, you cannot have a virus which is on one hand easily transmissible and on the other hand, not rampant in a closely packed urban setting. Thus all of the original counts are skewed sharply toward people sick enough to seek medical care, omitting huge numbers of people who aren’t and never were. It is not reasonably possible anywhere to test every one of millions of asymptomatic people, or people who have minor cold/flu symptoms during cold/flu season. It’s not as if the normal cold/flu viruses politely took the season off so this new virus could have the stage to itself.

The latter is the second thing I wonder about. Since everyone is obsessed with testing for a new virus, are they assuming every sick person who tests positive for this coronavirus can only be sick because of it, not because of other viruses in circulation? It’s been hard to get an answer to that, as in, “We tested for the flu A, B and C variants that are common this season in our area, and got a negative result, and then we tested for COVID-19.”

Since so much is unknown, the situation has to be watched with caution. There’s ample evidence that older people and those already ill need to be particularly cautious; what we’ve seen so far suggests that COVID-19 is more likely to kill in that group, vs the young and healthy, as was the case with the 1918 Spanish flu. But after saying that, I do think coverage so far has been needlessly over-the-top and hysterical.

On the other hand, preparing for panic itself is not a bad idea, because believing something is irrational is not at all the same as believing people aren't likely to act that way:

It’s a bit like the point I made earlier about panic buying. You might be all reasonable and superior intellectually and *not* panic buy because that after all is the unreasonable herd doing what the herd does. But that attitude won’t feed your children after the herd has stripped the shelves. The Reasonable Thing to do is get in there and get shelf-stripping yourself Stat. (Or prepare in advance of the Herd).

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For all your Reason, humans are mimetic apes. You work with that… or you get nowhere.

And:

Stock up on basic essential supplies. We have no idea how fragile our logistics and other systems are until it’s too late. Is all very well to laugh at panic buyers… But if said panic buyers stripped the shelves and you can’t eat, well where’s your intellectual and moral superiority then?

Make contingency plans for relatives who need regular medical care: Things like outpatient chemotherapy, dialysis, insulin supplies. I am pretty damn sure that a lot of people died in China because [they] could not get to their dialysis sessions because their block was quarantined and/or the hospital they usually went to was chaotically overloaded with Coronavirus cases.

I hope it turns out to be a fizzer. But even a fizzer can be the straw that broke the systemic over-complexity camel’s back. A little preparation is a good thing. Official pronouncements will aim to avoid mass panic. This is good too. But it also means that official pronouncements *could* be understating the problem. So be smart and make some simple preparations.