I've written before that our country was acting like 1,000 deaths per day from COVID-19 was fine. As deaths dropped below that number, people and organizations started to relax their restrictions with various phased reopenings and mitigated gatherings. An example from my own family -- my niece postponed her May wedding, but went ahead with it six months later, while limiting total attendance to 10 people. This is pretty much how most of the country behaved -- we postponed a lot of stuff during the spring, but then relaxed a bit and took more risks later in the year. Did you read that even cruise ships resumed sailing this month from the US?
But the US is a big country, and not every region experienced the first wave of deaths during April, when for a few weeks deaths were averaging more than 2,000 per day, mainly in the Northeast. The second wave of deaths, over 1,000/day during August, occurred mainly in the Sunbelt, from Arizona to Florida. Now we've entered our third wave of deaths, over 1,000/day again during November, mainly in the northern Midwest & Mountain states.
November feels different from August, however. In addition to the surge in the upper middle of the country, the rest of the country is seeing a persistent increase in cases. We've got a combination of regional waves happening simultaneously -- a First Wave in the upper middle, and a Second Wave everywhere else. If, as a country, we don't ramp up our restrictions again, and stop mixing households, we're going to soar above 2,000 deaths per day again soon.
But the first of our three national mixing bowl holidays is next week: Thanksgiving. Right now, about 1% of the US population is actively infected with COVID-19. On average, each person you gather with next week for Thanksgiving has a 1% chance of infecting you and the rest of your gathering (remember, between 1/3 and 1/2 of infected people do not feel sick). Thanksgiving has the potential of causing an unprecedented explosion of COVID-19 cases in the US during the subsequent two-week period, with a huge increase in the daily death count during December. If US residents were to gather for Thanksgiving like they usually do, the number of actively infected people would multiply by approximately 3x -- if they gathered again for Christmas like they usually do, the number would multiply by 3x again -- if they gathered again for New Year's Eve like they usually do and returned to work/school the following week, the number would multiply by 3x again, and by mid-January 30% of us would be sick with COVID, and 60,000 of us would be dying each day (assuming everybody who needed treatment were getting it, which would be impossible).
It's truly a nightmare scenario. Only one thing will save us from hitting 60,000 deaths per day in January, and that's the willingness of individual families to suspend their normal holiday gatherings. If I estimate half of families refuse to mix with other households, then the number of actively infected people goes up by 2x instead of 3x, and only 8% of us are sick in January, and "only" 16,000 of us will be dying each day.
We need a national lockdown for the holidays. But we're not going to do that under this President, he doesn't care. So, it's up to you. If half of you skip the holidays, then we'll limit the damage to 16,000 deaths per day in January, instead of 60,000 deaths per day in January.
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The difficult thing about trying to model COVID-19 cases in the US, is that a large chunk of us do change our behaviors as deaths increase, as somebody we know dies. So the very worst case scenarios do not happen. But first the deaths have to increase, somebody we know has to die. And they are increasing. But they're probably not increasing enough to stop Thanksgiving. So we're going to blow well beyond 1,000 deaths per day during December, with a national hospital staffing shortage. And then maybe enough of us will cancel Christmas & New Years to avoid 60,000 deaths per day during January.
But the US is a big country, and not every region experienced the first wave of deaths during April, when for a few weeks deaths were averaging more than 2,000 per day, mainly in the Northeast. The second wave of deaths, over 1,000/day during August, occurred mainly in the Sunbelt, from Arizona to Florida. Now we've entered our third wave of deaths, over 1,000/day again during November, mainly in the northern Midwest & Mountain states.
November feels different from August, however. In addition to the surge in the upper middle of the country, the rest of the country is seeing a persistent increase in cases. We've got a combination of regional waves happening simultaneously -- a First Wave in the upper middle, and a Second Wave everywhere else. If, as a country, we don't ramp up our restrictions again, and stop mixing households, we're going to soar above 2,000 deaths per day again soon.
But the first of our three national mixing bowl holidays is next week: Thanksgiving. Right now, about 1% of the US population is actively infected with COVID-19. On average, each person you gather with next week for Thanksgiving has a 1% chance of infecting you and the rest of your gathering (remember, between 1/3 and 1/2 of infected people do not feel sick). Thanksgiving has the potential of causing an unprecedented explosion of COVID-19 cases in the US during the subsequent two-week period, with a huge increase in the daily death count during December. If US residents were to gather for Thanksgiving like they usually do, the number of actively infected people would multiply by approximately 3x -- if they gathered again for Christmas like they usually do, the number would multiply by 3x again -- if they gathered again for New Year's Eve like they usually do and returned to work/school the following week, the number would multiply by 3x again, and by mid-January 30% of us would be sick with COVID, and 60,000 of us would be dying each day (assuming everybody who needed treatment were getting it, which would be impossible).
It's truly a nightmare scenario. Only one thing will save us from hitting 60,000 deaths per day in January, and that's the willingness of individual families to suspend their normal holiday gatherings. If I estimate half of families refuse to mix with other households, then the number of actively infected people goes up by 2x instead of 3x, and only 8% of us are sick in January, and "only" 16,000 of us will be dying each day.
We need a national lockdown for the holidays. But we're not going to do that under this President, he doesn't care. So, it's up to you. If half of you skip the holidays, then we'll limit the damage to 16,000 deaths per day in January, instead of 60,000 deaths per day in January.
-----
The difficult thing about trying to model COVID-19 cases in the US, is that a large chunk of us do change our behaviors as deaths increase, as somebody we know dies. So the very worst case scenarios do not happen. But first the deaths have to increase, somebody we know has to die. And they are increasing. But they're probably not increasing enough to stop Thanksgiving. So we're going to blow well beyond 1,000 deaths per day during December, with a national hospital staffing shortage. And then maybe enough of us will cancel Christmas & New Years to avoid 60,000 deaths per day during January.