diff --git a/index.html b/index.html index 06ec070..237da98 100644 --- a/index.html +++ b/index.html @@ -467,7 +467,7 @@

-

To put a number on it: surgical masks on the sick person reduce cold & flu viruses in aerosols by 70%.31 Reducing transmissions by 70% would be as large an impact as a lockdown!

+

To put a number on it: surgical masks on the infectious person reduce cold & flu viruses in aerosols by 70%.31 Reducing transmissions by 70% would be as large an impact as a lockdown!

However, we don't know for sure the impact of masks on COVID-19 specifically. In science, one should only publish a finding if you're 95% sure of it. (...should.32) Masks, as of May 1st 2020, are less than "95% sure".

@@ -489,7 +489,7 @@

Okay, this isn't an "intervention" we can control, but it will help! Some news outlets report that summer won't do anything to COVID-19. They're half right: summer won't get R < 1, but it will reduce R.

-

For COVID-19, every extra 1° Celsius (2.2° Fahrenheit) makes R drop by 1.2%.36 The summer-winter difference in New York City is 15°C (60°F), so summer will make R drop by 18%.

+

For COVID-19, every extra 1° Celsius (1.8° Fahrenheit) makes R drop by 1.2%.36 The summer-winter difference in New York City is 26°C (47°F),37 so summer will make R drop by ~31%.

@@ -549,10 +549,10 @@

...for how long?

But for COVID-19 in humans, as of May 1st 2020, "how long" is the big unknown.

@@ -604,7 +604,7 @@

To be clear: this is unlikely. Most epidemiologists expect a vaccine in 1 to 2 years. Sure, there's never been a vaccine for any of the other coronaviruses before, but that's because SARS was eradicated quickly, and "the" common cold wasn't worth the investment.

-

Still, infectious disease researchers have expressed worries: What if we can't make enough?41 What if we rush it, and it's not safe?42

+

Still, infectious disease researchers have expressed worries: What if we can't make enough?42 What if we rush it, and it's not safe?43

Even in the nightmare "no-vaccine" scenario, we still have 3 ways out. From most to least terrible:

@@ -643,7 +643,7 @@
-

Plane's sunk. We've scrambled onto the life rafts. It's time to find dry land.43

+

Plane's sunk. We've scrambled onto the life rafts. It's time to find dry land.44

Teams of epidemiologists and policymakers (left, right, and multi-partisan) have come to a consensus on how to beat COVID-19, while protecting our lives and liberties.

@@ -855,36 +855,41 @@
  • -

    “SARS-specific antibodies were maintained for an average of 2 years [...] Thus, SARS patients might be susceptible to reinfection ≥3 years after initial exposure.” Wu LP, Wang NC, Chang YH, et al. "Sadly" we'll never know how long SARS immunity would have really lasted, since we eradicated it so quickly. 

    +

    In 2019 at Central Park, hottest month (July) was 79.6°F, coldest month (Jan) was 32.5°F. Difference is 47.1°F, or ~26°C. PDF from Weather.gov 

  • -

    “We found no significant difference between the probability of testing positive at least once and the probability of a recurrence for the beta-coronaviruses HKU1 and OC43 at 34 weeks after enrollment/first infection.” Marta Galanti & Jeffrey Shaman (PDF) 

    +

    “SARS-specific antibodies were maintained for an average of 2 years [...] Thus, SARS patients might be susceptible to reinfection ≥3 years after initial exposure.” Wu LP, Wang NC, Chang YH, et al. "Sadly" we'll never know how long SARS immunity would have really lasted, since we eradicated it so quickly. 

  • -

    “Once a person fights off a virus, viral particles tend to linger for some time. These cannot cause infections, but they can trigger a positive test.” from STAT News by Andrew Joseph 

    +

    “We found no significant difference between the probability of testing positive at least once and the probability of a recurrence for the beta-coronaviruses HKU1 and OC43 at 34 weeks after enrollment/first infection.” Marta Galanti & Jeffrey Shaman (PDF) 

  • -

    From Bao et al. Disclaimer: This article is a preprint and has not been certified by peer review (yet). Also, to emphasize: they only tested re-infection 28 days later.  

    +

    “Once a person fights off a virus, viral particles tend to linger for some time. These cannot cause infections, but they can trigger a positive test.” from STAT News by Andrew Joseph 

  • -

    “If a coronavirus vaccine arrives, can the world make enough?” by Roxanne Khamsi, on Nature 

    +

    From Bao et al. Disclaimer: This article is a preprint and has not been certified by peer review (yet). Also, to emphasize: they only tested re-infection 28 days later.  

  • -

    “Don’t rush to deploy COVID-19 vaccines and drugs without sufficient safety guarantees” by Shibo Jiang, on Nature 

    +

    “If a coronavirus vaccine arrives, can the world make enough?” by Roxanne Khamsi, on Nature 

  • -

    Dry land metaphor from Marc Lipsitch & Yonatan Grad, on STAT News 

    +

    “Don’t rush to deploy COVID-19 vaccines and drugs without sufficient safety guarantees” by Shibo Jiang, on Nature 

    +
  • + +
  • +

    Dry land metaphor from Marc Lipsitch & Yonatan Grad, on STAT News 

  • + diff --git a/sim/js/Model.js b/sim/js/Model.js index 72d4c1f..3631637 100644 --- a/sim/js/Model.js +++ b/sim/js/Model.js @@ -25,8 +25,8 @@ let interventionStrengths = [ ['distancing', 0.7], ['isolate', 0.4], ['quarantine', 0.5], - ['masks', 0.35], // 3.4 fold reduction (70%) (what CI?), subtract points for... improper usage? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3591312/ // cloth masks... - ['summer', 0.4] // 15°C diff * 0.0225 (Wang et al) + ['masks', 0.35], + ['summer', 0.31] // ACK ]; let updateModel = (days, fake)=>{ diff --git a/words/words.html b/words/words.html index c07cfb3..196620e 100644 --- a/words/words.html +++ b/words/words.html @@ -413,7 +413,7 @@ the second-most important idea in Epidemiology 101:

    -

    To put a number on it: surgical masks on the sick person reduce cold & flu viruses in aerosols by 70%.31 Reducing transmissions by 70% would be as large an impact as a lockdown!

    +

    To put a number on it: surgical masks on the infectious person reduce cold & flu viruses in aerosols by 70%.31 Reducing transmissions by 70% would be as large an impact as a lockdown!

    However, we don't know for sure the impact of masks on COVID-19 specifically. In science, one should only publish a finding if you're 95% sure of it. (...should.32) Masks, as of May 1st 2020, are less than "95% sure".

    @@ -435,7 +435,7 @@ the second-most important idea in Epidemiology 101:

    Okay, this isn't an "intervention" we can control, but it will help! Some news outlets report that summer won't do anything to COVID-19. They're half right: summer won't get R < 1, but it will reduce R.

    -

    For COVID-19, every extra 1° Celsius (2.2° Fahrenheit) makes R drop by 1.2%.36 The summer-winter difference in New York City is 15°C (60°F), so summer will make R drop by 18%.

    +

    For COVID-19, every extra 1° Celsius (1.8° Fahrenheit) makes R drop by 1.2%.36 The summer-winter difference in New York City is 26°C (47°F),37 so summer will make R drop by ~31%.

    @@ -495,10 +495,10 @@ the second-most important idea in Epidemiology 101:

    ...for how long?

    But for COVID-19 in humans, as of May 1st 2020, "how long" is the big unknown.

    @@ -550,7 +550,7 @@ the second-most important idea in Epidemiology 101:

    To be clear: this is unlikely. Most epidemiologists expect a vaccine in 1 to 2 years. Sure, there's never been a vaccine for any of the other coronaviruses before, but that's because SARS was eradicated quickly, and "the" common cold wasn't worth the investment.

    -

    Still, infectious disease researchers have expressed worries: What if we can't make enough?41 What if we rush it, and it's not safe?42

    +

    Still, infectious disease researchers have expressed worries: What if we can't make enough?42 What if we rush it, and it's not safe?43

    Even in the nightmare "no-vaccine" scenario, we still have 3 ways out. From most to least terrible:

    @@ -589,7 +589,7 @@ the second-most important idea in Epidemiology 101:

    -

    Plane's sunk. We've scrambled onto the life rafts. It's time to find dry land.43

    +

    Plane's sunk. We've scrambled onto the life rafts. It's time to find dry land.44

    Teams of epidemiologists and policymakers (left, right, and multi-partisan) have come to a consensus on how to beat COVID-19, while protecting our lives and liberties.

    @@ -801,31 +801,35 @@ the second-most important idea in Epidemiology 101:

  • -

    “SARS-specific antibodies were maintained for an average of 2 years [...] Thus, SARS patients might be susceptible to reinfection ≥3 years after initial exposure.” Wu LP, Wang NC, Chang YH, et al. "Sadly" we'll never know how long SARS immunity would have really lasted, since we eradicated it so quickly. 

    +

    In 2019 at Central Park, hottest month (July) was 79.6°F, coldest month (Jan) was 32.5°F. Difference is 47.1°F, or ~26°C. PDF from Weather.gov 

  • -

    “We found no significant difference between the probability of testing positive at least once and the probability of a recurrence for the beta-coronaviruses HKU1 and OC43 at 34 weeks after enrollment/first infection.” Marta Galanti & Jeffrey Shaman (PDF) 

    +

    “SARS-specific antibodies were maintained for an average of 2 years [...] Thus, SARS patients might be susceptible to reinfection ≥3 years after initial exposure.” Wu LP, Wang NC, Chang YH, et al. "Sadly" we'll never know how long SARS immunity would have really lasted, since we eradicated it so quickly. 

  • -

    “Once a person fights off a virus, viral particles tend to linger for some time. These cannot cause infections, but they can trigger a positive test.” from STAT News by Andrew Joseph 

    +

    “We found no significant difference between the probability of testing positive at least once and the probability of a recurrence for the beta-coronaviruses HKU1 and OC43 at 34 weeks after enrollment/first infection.” Marta Galanti & Jeffrey Shaman (PDF) 

  • -

    From Bao et al. Disclaimer: This article is a preprint and has not been certified by peer review (yet). Also, to emphasize: they only tested re-infection 28 days later.  

    +

    “Once a person fights off a virus, viral particles tend to linger for some time. These cannot cause infections, but they can trigger a positive test.” from STAT News by Andrew Joseph 

  • -

    “If a coronavirus vaccine arrives, can the world make enough?” by Roxanne Khamsi, on Nature 

    +

    From Bao et al. Disclaimer: This article is a preprint and has not been certified by peer review (yet). Also, to emphasize: they only tested re-infection 28 days later.  

  • -

    “Don’t rush to deploy COVID-19 vaccines and drugs without sufficient safety guarantees” by Shibo Jiang, on Nature 

    +

    “If a coronavirus vaccine arrives, can the world make enough?” by Roxanne Khamsi, on Nature 

  • -

    Dry land metaphor from Marc Lipsitch & Yonatan Grad, on STAT News 

    +

    “Don’t rush to deploy COVID-19 vaccines and drugs without sufficient safety guarantees” by Shibo Jiang, on Nature 

    +
  • + +
  • +

    Dry land metaphor from Marc Lipsitch & Yonatan Grad, on STAT News 

  • diff --git a/words/words.md b/words/words.md index 6191648..4d996b1 100644 --- a/words/words.md +++ b/words/words.md @@ -496,7 +496,7 @@ You're right. Masks don't stop you from getting sick[^incoming]... they stop you ![](pics/masks.png) -To put a number on it: surgical masks *on the sick person* reduce cold & flu viruses in aerosols by 70%.[^outgoing] Reducing transmissions by 70% would be as large an impact as a lockdown! +To put a number on it: surgical masks *on the infectious person* reduce cold & flu viruses in aerosols by 70%.[^outgoing] Reducing transmissions by 70% would be as large an impact as a lockdown! However, we don't know for sure the impact of masks on COVID-19 *specifically*. In science, one should only publish a finding if you're 95% sure of it. (...should.[^replication]) Masks, as of May 1st 2020, are less than "95% sure". @@ -530,10 +530,12 @@ Masks *alone* won't get R < 1. But if handwashing & "Test, Trace, Isolate" only Okay, this isn't an "intervention" we can control, but it will help! Some news outlets report that summer won't do anything to COVID-19. They're half right: summer won't get R < 1, but it *will* reduce R. -For COVID-19, every extra 1° Celsius (2.2° Fahrenheit) makes R drop by 1.2%.[^heat] The summer-winter difference in New York City is 15°C (60°F), so summer will make R drop by 18%. +For COVID-19, every extra 1° Celsius (1.8° Fahrenheit) makes R drop by 1.2%.[^heat] The summer-winter difference in New York City is 26°C (47°F),[^nyc_heat] so summer will make R drop by ~31%. [^heat]: “One-degree Celsius increase in temperature [...] lower[s] R by 0.0225” and “The average R-value of these 100 cities is 1.83”. 0.0225 ÷ 1.83 = ~1.2%. [Wang, Jingyuan and Tang, Ke and Feng, Kai and Lv, Weifeng](https://papers.ssrn.com/sol3/Papers.cfm?abstract_id=3551767) +[^nyc_heat]: In 2019 at Central Park, hottest month (July) was 79.6°F, coldest month (Jan) was 32.5°F. Difference is 47.1°F, or ~26°C. [PDF from Weather.gov](https://www.weather.gov/media/okx/Climate/CentralPark/monthlyannualtemp.pdf) +