Day 620 – Myths

Just wandering back through the anals of twitter (misspelling entirely deliberate), and came across this gem from 23 May this year:

I checked back to the 23 May on a handy graph supplied by google and found this:

Look what happened just afterwards. Tweet did not age well.

Officially, there were about 30,000 Covid deaths in South Africa in the “mythical” third wave, although the excess deaths figure, which many professionals believe to be far more accurate for this sort of thing, suggests nearer 3 times that number.

Surprisingly, the same account (which ticks all the usual boxes: pro-gun, pro-Trump, anti-vax, “the media have been bought off”, “there’s graphene in the jab”, “the earth is flat”, “Fauci is the devil”, “Nuremberg trial 2022”, “Ivermectin is the answer”) is now choosing not to believe that there is a fourth wave on the way. Talk about doubling down on a losing position.

That said, in one way – obviously – I actually wish that he was right.

But of course, sadly, he’s wrong again.
I do hope that his [checks notes] 84 followers will hold him accountable for his repeated mistakes.

Day 618 – Infectiousness v Lethality

As we look at the latest figures from Gauteng, ground zero for SA’s Omicron-driven Fourth wave (again via @rid1tweets), we see this scary graph:

The hospital and death figures always lag a week or two behind, so really, all the we can say about Omicron at the moment is that it’s spreading like wildfire. Given that the conditions at the start of each of the three previous waves was pretty much the same, and that we should now have some protection from (some) previous infections and (a bit of) vaccination, we’d wouldn’t expect to see the black line rearing up like a pissed off Cape Cobra in the Overberg, rather it should be flatter, like a mole snake on the R27 West Coast Road.

It’s so steep because the virus is spreading very quickly, which suggests that it is very infectious. And that would fit with the (anecdotal) evidence I’m seeing in my friends and friends of friends in Cape Town. Every second person has suddenly got it: some not so bad, some bad, some vaccinated, some not (and some unknown), some previously infected, some not, some careful, most… you know. Mmm.

But it wasn’t here a week ago and now it’s everywhere.

Increased infectiousness = increased transmissibility.
And so the gradient of that black line is very bad news. Not least because of this:

Yep – a low percentage can still be a very big number if it’s a low percentage of a huge number.

Delta looked like a variant that you wanted to avoid because it has/had some nasty morbidity and mortality associated with it. Omicron looks like one to avoid because it has some really nasty transmissibility associated with it – and we don’t know about the morbidity or the mortality yet.

But either way, it’s not looking good.

Day 611 – Travel

Twitter: “But it’s ridiculous! People are tested before they can travel!”

And yet, at Schipol…

Link

South African Minister of Health: “Travel restrictions are unjustified”:

Also the South African Minister of Health: “We may restrict travel”:

Trump bans travel from parts of Africa this time last year. Joe Biden:

Image

Today, Joe Biden announces ban on travel from parts of Africa:

I know, I know. Cheap shots. Low hanging fruit etc etc.

Maybe it’s just people called Joe…

But also massive hypocrisy and many clear indications that – almost 2 years into this whole mess – we (and by we, I mean politicians) haven’t come up with any decent methods of dealing with it. It’s all a bit scary.

Look, the likelihood is that this variant will be all over the world already. Just because it was only detected now, doesn’t mean it wasn’t already widely circulating.

But yes, I do support the bans: for the moment, at least.
Anything which buys any healthcare system any extra time – and therefore information – has to be used when we are dealing with new, unknown variants.

And then the political aspect, whereby the government has to be seen to be doing something. When BJ didn’t close the flights from India back in May, he lost a lot of credibility (yes, yes, I know) regarding the way the government was dealing with Covid.

People used it as a tool to avoid following guidelines: “Why should I bother if Boris is just letting the virus in anyway?”. I’ve said countless times during this whole thing that being a President or Prime Minister is not a job I’d want during a pandemic. Damned if you do, damned if you don’t. You are not going to please all of the people any of the time.

But then there’s an important caveat here: when the statistics, the information and the experts suggest that the limitations are not required, then they need to be lifted just as quickly as they were instituted. And that’s not an own goal; it’s not saying that they were wrong to put them into place in the first place: that’s acting on new information and data. Nothing wrong with that.
It must just happen as soon as some sort of all-clear is sounded, not 6 months down the line.

Day 610 – Nu

[The next day: Ugh. You do 500+ words on it and then they move the goalposts. As history will now tell you, we… they?… actually named this new variant: Omicron. Anyway, on with the post, which has generated anger and hate mail (n=1), but which I stand by. Take care out there.]

There was a tweet thread alongside the Worrying Numbers that I mentioned the other day. It was about a potentially nasty new variant that was causing some of the cases. It looked horrible, but the numbers were very small. The Guru mentioned it to me as well, with the same caveat.

The numbers aren’t so small now, though.

And so now we’re red-listed in the UK again – completely understandably, given the situation. Who wouldn’t want to try and keep this out of their country?

But it’s a hammer blow to the local tourist industry, it’s upsetting for friends and family who had plans for the December holidays, and it’s a real gut punch for us, who were expecting to see my Dad on Monday for the first time in two years.

Not now.

And then there is the other side of this that the UK Red List announcement has made everyone overlook: this is potentially a very ugly development in this awful pandemic, and we’re going to have to deal with it, because even if the UK’s swift action has stopped it spreading to there, we don’t have that luxury: it’s already right here.

So what happens next?
Watch this space, I guess.


UPDATE: Massive and predictable backlash on social media against the UK for reinstating the travel ban from SA and surrounds. And yes, as I said above, it’s horrific for the tourism industry here. And if you look at the respective numbers of cases in the UK and SA, then you might be forgiven for thinking there’s something not quite right with them banning us. But then you remember that they are 70% vaccinated, and so the cases that they are seeing are not translating to hospitalisations and deaths like they are in other countries with much lower vaccination rates. Because of that, they have the luxury of handling things very differently.


Oh, and add to that the fact that – at the time of writing – they have detected 0 Nu variant cases there.

And if there was ever a chance of keeping this variant that the experts are calling “grim”, “scary” and “a worst case scenario” out of your country, you’d surely want your government to do the same. You don’t get a second chance at this.
Will it work? Maybe. Maybe not. I’d guess that the chances are fairly high that it’s already there.
But if it isn’t, well, then their quick and decisive action – unpleasant as it may be for us here in SA – may just have saved literally thousands of lives.

Safety first makes sense here. There’s always the option to relax the restrictions as more information becomes available (obviously assuming that information suggests that you should relax the restrictions).
You can’t retrospectively close your borders.