Monday 13 April, 2020

Suppression may be working

At least estimates from the London School of Hygiene and Tropical Medicine suggest that various countries pursuing lockdown strategies may be approaching the point where R(0), the reproduction rate, gets to lower than 1.


RIP John Horton Conway

The great mathematician has been taken by Covid-19. He was, said his biographer, Siobhan Roberts, “Archimedes, Mick Jagger, Salvador Dalí, and Richard Feynman, all rolled into one”. He was one of the greatest mathematicians of his time, with “a sly sense of humour, a polymath’s promiscuous curiosity, and a compulsion to explain everything about the world to everyone in it.”

Most lay people will probably know of him through his Game of Life which, among other things, provides a fascinating demonstration of how simple rules can produce very complex outcomes. There will be many obituaries, and in due course a Royal Society memoir of him. But for now Siobhan Roberts’s 2015 Guardian profile conveys a vivid impression of what a remarkable person he was.

Thanks to Guy Haworth for alerting me to the sad news.


Covid-19 and contact-tracing smartphones

Now that it’s been confirmed that the UK government is considering using the technology to address the next phases of the pandemic, it needs to be subjected to some really searching scrutiny. Ross Anderson, who is Professor of Security Engineering at Cambridge, has just published a masterful survey of the various issues raised by the technology. Its title, “Contact Tracing in the Real World” captures the fact that no technology — including this one — is a magic bullet. It may be that smartphones are good at detecting other nearby smartphones, for example, but they know nothing about context, or for that matter about human beings. “On Friday, when I was coming back from walking the dogs”, Ross writes,

“I stopped to chat for ten minutes to a neighbour. She stood halfway between her gate and her front door, so we were about 3 metres apart, and the wind was blowing from the side. The risk that either of us would infect the other was negligible. If we’d been carrying bluetooth apps, we’d have been flagged as mutual contacts. It would be quite intolerable for the government to prohibit such social interactions, or to deploy technology that would punish them via false alarms. And how will things work with an orderly supermarket queue, where law-abiding people stand patiently six feet apart?”

It’s a great blog post — worth reading in full.

I was reminded of a story I heard from the early days of the Wuhan outbreak. A journalist (I forget who) was travelling by train through part of China and was astonished to find that his phone recorded him having visited areas suspected of being hotspots of Covid 19 — even though he hadn’t left the train at any stage. It turned out that his phone was just logging mobile masts located in the cities he was passing at high speed.

As Lisa Geilelman and her fellow-authors point out in their new book, Raw Data is an Oxymoron.


The UK death rate from Covid-19 is twice that of Ireland, even though — proportionately — both countries started out with the same level of ICU provision. Why?

Answer (from a striking Twitter thread by Elaine Doyle, a medical historian) is that the Irish government started earlier and took the threat more seriously than Johnson & Co. For example, the UK allowed 250,000 people to go to the Cheltenham racing festival. The Irish cancelled the country’s National day (St Patrick’s Day, March 17).

A really depressing but salutary read.


Quarantine diary — Day 23

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Sunday 12 April, 2020

Surveillance and the pandemic: it doesn’t have to be a nightmare

This morning’s Observer column:

The capabilities of this technology would make totalitarian leaders drool. On the other hand, it appears to be very effective in helping countries to manage the crisis. And it is probably not a coincidence that the democratic societies that appear to have coped best – South Korea, Taiwan, Singapore, for example – have evolved from, er, authoritarian pasts. In normal circumstances, liberal democracies would have to think very hard about intruding so comprehensively into their citizens’ privacy.

But these are not normal times, and it seems likely that western governments will move to deploy smartphone tracking as a way of monitoring and controlling the pandemic. When they do there will be an explosion of (understandable) outrage from civil liberties organisations, but governments will ride roughshod over these with reassuring bromides about how such “emergency” measures will be rolled back once the crisis has passed. Recent history (think 9/11) does not provide much comfort here. And we are going to have zoonotic-virus crises for the foreseeable future, so the “war against the virus” will become like the war on terror.

In that sense, we seem to be heading into a nightmarish future. But it doesn’t have to be that way…

Read on

MORE This is a fast-moving topic. Since I wrote the column lots of useful related stuff has appeared. For example:

  • An excellent White Paper by The ACLU which provides useful background on some of the privacy issues under five headings: 1. What’s the goal of the deployment? 2.What data? Is it aggregate and anonymized data, or individually identifying information? How precisely can the information pinpoint individuals’ locations? 3. Who gets the data? Does the government get access to the raw data, is it shared only with public health entities such as qualified academics or hospitals, or does it remain in the hands of the private entity that originally collected it? 4. How is the data used? For centralized government action,such as issuing or enforcing quarantine orders,or for punitive measures? 5. What is the life cycle of the data? When will it be deleted?
  • Apple and Google are collaborating on cross-platform technology to do some of this stuff. The joint venture includes application programming interfaces (APIs) and operating system-level technology to assist in enabling contact tracing. First, in May, both companies will release APIs that enable interoperability between Android and iOS devices using apps from public health authorities. These official apps will be available for users to download via their respective app stores. Second, in the coming months, Apple and Google will work to enable a broader Bluetooth-based contact tracing platform by building this functionality into the underlying platforms. This is a more robust solution than an API and would allow more individuals to participate, if they choose to opt in, as well as enable interaction with a broader ecosystem of apps and government health authorities.
  • Cory Doctorow wrote an accessible explanation of the proposed technology, and followed it up with a link to a paper by French cryptographer Serge Vaudenay arguing that there are some potentially severe risks in the proposals advanced so far — “sick and reported people may be deanonymized, private encounters may be revealed, and people may be coerced to reveal the private data they collect”.

The overall project, though, is a fascinating example of collective IQ in action.


“Death comes to all — but in America it has long been considered reasonable to offer the best chance of delay to the highest bidder”.

Terrific New Yorker essay by Zadie Smith which manages to be both sardonic and impassioned.

Not that there is anything ridiculous about trying to lengthen the distance between the dates on our birth certificates and the ones on our tombstones: ethical life depends on the meaningfulness of that effort. But perhaps nowhere in the world has this effort—and its relative success—been linked so emphatically to money as it is in America. Maybe this is why plagues—being considered insufficiently hierarchical in nature, too inattentive to income disparity—were long ago relegated to history in the American imagination, or to other continents. In fact, as he made clear early on in his Presidency, entire “shithole” countries were to be considered culpable for their own high death rates—they were by definition in the wrong place (over there) at the wrong time (an earlier stage of development). Such places were plagued in the permanent sense, by not having the foresight to be America. Even global mass extinction—in the form of environmental collapse—was not going to reach America, or would reach it only ultimately, at the very last minute. Relatively secure, in its high-walled haven, America would feast on whatever was left of its resources, still great by comparison with the suffering out there, beyond its borders.

This is about the US but it reminds one of why the ubiquitous government trope that “we are all in this together” is so nauseating.


Quarantine diary — Day 22

Link


Errata: The link to the Toby Ord talk mentioned in yesterday’s edition was missing. It’s here

Apologies.


Saturday 11 April, 2020

Quote of the Day

“There can be no return to normal, because normal was the problem in the first place.”

Graffito in Hong Kong


This is the most incompetent British government in living memory, and yet British journalism seems utterly incapable of holding it to account

I’m not the only one who is pissed off at the government’s Daily ‘Briefings’, in which Ministers provide little information of real value, and the journalists present seem unable to ask the important, hard questions or to follow up on unsatisfactory or evasive answers. There’s a strange kind of atmosphere at the events; it’s almost as though the hacks feel that this bunch of amateurs are doing their best, God bless them, and we shouldn’t crucify them. This journalistic failure is exasperating because it must be clear by now that the UK has a spectacularly incompetent government. This is not entirely surprising because — as I’ve said before — the prime criterion for membership of the Cabinet was to have been wrong on the single most important issue to have faced Britain since 1946. But still…

It turns out that Alastair Campbell, who was Tony Blair’s spin-doctor, has also been watching these info-charades with exasperation. Eventually one of the hacks who is in daily attendance asked him what questions he thinks they should be asking.

Here’s Campbell’s list:

  1. “Do you still think it was a good idea to have allowed 250,000 people to amass at the Cheltenham Festival after the WHO had officially declared coronavirus a pandemic?” Follow-up: “How many people have now been infected and/or died as a result?”

  2. “There were three million people daily on the London Underground at the time other countries were in lockdown. Does that partly explain why London has been so badly hit?”

  3. “Everyone will be pleased the Prime Minister is out of intensive care, and wish him well in his recovery. But was he wise to boast about shaking hands with coronavirus patients? Or be so lax at social distancing, not least at these briefings? And was this not all part of a pattern — he and you did not take this virus as seriously as you should have done, which is one of the reasons why more than seven thousand people have died?”

  4. “Would you accept that he did not follow his own government’s advice at all times? And the signals that sent may have led to the loss of life?”

  5. “Can you provide the current figures on all aspects of testing please?” Follow up: (if there is no answer) “You have consistently said this is a top priority. Priority means more important than other things. If it is so important, why can you not give us the figures?” Follow-up: (if there is an answer) “How does that fit with the plan to get to 100,000 tests per day?”

  6. “New Zealand has a population one thirteenth of the UK, yet has carried out a quarter of the number of tests we have, and been in lockdown longer than we have. Do you think these might be factors in their managing to keep the death toll to one? Not one thousand, Mr Raab. But one.”

  7. “Can you tell us how many NHS and social care workers have now died as a result of Covid-19? And what investigations have been carried out into how many of them had adequate PPE?”

  8. “Yesterday three nurses who were recently photographed wearing bin liners as protection were diagnosed as having coronavirus. Do you think there might be a link? Would you apologise to them for being sent to the frontline without proper protection?”

  9. “On March 15, almost a full month ago, the Prime Minister told the Commons that all social care workers would have proper protective equipment “by the end of the week”. Which week did he mean? And by what date will that promise be met?”

  10. “Mr Raab, almost one thousand British people died yesterday. So in one day, around a quarter of the total number of people killed in the entirety of the Troubles in Northern Ireland over thirty years. Do you really believe you are on top of this in the way you should be?”

  11. “Are the figures you give us the real death toll? Do they include all deaths in people’s homes, and those in care homes, where the virus may have been an issue? If so, is there not a danger we are already ahead of Italy?”

  12. “You keep saying you follow the science. Would you please publish the scientific advice on which you are relying?”

  13. “You keep saying you follow the scientific advice. But can you confirm that on all issues such as whether to impose or lift lockdown, how much testing to do, how many ventilators and PPE sets to procure, these are decisions finally taken by ministers?”

  14. “Successive Prime Ministers have written personal letters to the families of military personnel who lose their lives on the frontline. Will you be doing this for public servants who have lost their lives in the fight against the virus?”

  15. “A number of bus drivers have lost their lives. Will there be a proper investigation into whether any or all of these deaths were linked to the lack of protective equipment?”

  16. “We understand why the public transport system has kept running. But, especially in the early days of lockdown, it is clear many non-essential workers continued to use buses. Will you accept some responsibility for the deaths of public transport workers, as a result of the lack of clarity of advice?”

  17. “You have been very critical of Premier League footballers. They have now set out how they intend to make a major contribution to those dealing with the crisis. Will you now call on bankers to donate part of their bonuses, hedge funds to donate some of the massive profits they are making even now, with the Prime Minister’s friend and backer Crispin Odey reportedly making £115 million in the period of the crisis, and indeed those members of the Cabinet who have considerable personal wealth? Or is it one law for working class young men, and another for rich, privileged, middle aged multi-millionaires?”

  18. “Where is Priti Patel?” [The Home Secretary, i.e. Minister of the Interior] And, as a follow up, “Mr Raab, do you accept many of the people you thanked and praised as key workers yesterday — carers, cleaners, porters, supermarket staff and so on — are considered by your immigration plans to be unskilled, non-essential workers? In light of your new-found admiration for them, will Ms Patel, when she is found, be revising the policy?”

  19. “If Parliament could meet weekly in 1940, as a world war was raging, why not now? Why is our democracy reduced to the lowest level of public accountability in modern history?”

  20. “Mr Raab, as these briefings are pretty useless — partly your fault, partly ours — do you not think Parliament should return as a matter of urgency so that you can be properly questioned and held to account?”

Campbell’s main beef “is the tendency to let go of questions which are not properly answered, not simply within briefings, but from one briefing to the next. Testing, ventilators, personal protective equipment — these remain huge issues, but the journalists’ attention span is poor. They have utterly failed to hold the government’s feet to the fire on any of them. Promises come and go, and are not met, yet the media caravan moves to the next promise, leaving behind the failure to deliver on the last one.

“I said days ago”, he continues, that

the media should have created the pressure to provide data on tests, ventilators and PPE each day, along with cases, deaths, and public transport use. There is a reason why the government does not volunteer the information as readily as it does stats for the roads and the trains — because it is not good. Health Secretary Matt Hancock promised we would get to 100,000 tests per day, and no minister should be able to get past a microphone without being probed on where they are with that. It is a total failure of journalism that this is not happening.

All spot-on, IMHO


Zoomed out: two rules for staying sane with online meetings.

As last week for the first ‘real’ week of working at home for many people, I’m beginning to hear that many of them are finding online conferencing very tiring. And I can understand that. The most annoying thing is that many organisations which are dysfunctionally addicted to meetings think that they can do the same now that they have figured out to use Zoom of WebEx. They’re a bit like middle-aged men who’ve just bought their first motorbike. The current obsession with video-conferencing needs to be pared down. So here are two rules.

  1. Cut down on meetings — break the dysfunctional cycle. And only use online for meetings that are really essential.

  2. For most purposes, video is actually not essential: may be worth doing right at the beginning just to give everyone a picture of who’s at the meeting. But then switch off the camera. Zoom has a helpful feature when used in audio-only mode, in that the name of the current speaker is displayed when they are foregrounded.

Follow these rules, or wind up like a zombie at the end of the week.

Following on the item yesterday on what TLS writers and critics were reading during lockdown, A reader wrote to point out something that one of them — Muriel Zagha — wrote:

“Communicating on screens is like receiving news of astronauts in orbit. Atomized, we wave at each other. We have no idea how long the flight will take.”

Think of that every time you wave at a colleague encased in a postage-stamp-sized frame at the top of your screen!


“We have the power to destroy ourselves without the wisdom to ensure that we don’t” A talk by Toby Ord

A sobering talk by the author of The Precipice: Existential Risk and the Future of Humanity. Takes an hour, but worth it.


Quarantine Diary — day 21

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Friday 10 April, 2020

It might come to that yet. Some of the largest producers of wheat and rice, namely Kazakhstan and Vietnam, have suspended exports. This suggests that they may be anticipating severe disruption to their domestic supplies. The UK imports 50% of some of the foodstuffs we consume.


Sure, the lockdown saves lives that might otherwise be lost to Covid-19. But what about the avoidable deaths it might also be causing?

Fraser Nelson, the Editor of The Spectator has a startling article in today’s Daily Telegraph about the other side of social distancing and self-isolation. Here’s the core bit that struck me:

Matt Hancock, the Health Secretary, had been working with the Prime Minister on the next step: how to stop the end of lockdown being seen as a question of “lives vs money”. As a former economic adviser, Hancock is certainly mindful of the money: a £200 billion deficit could mean another decade of austerity. But other figures – infections, mortality rates and deaths – are rightly holding the national attention. Phasing out the lockdown needs to be spoken about in terms of lives vs lives. Or, crudely, whether lockdown might end up costing more lives than the virus.

Chris Whitty, the chief medical officer, has worried about this from the offset. In meetings he often stresses that a pandemic kills people directly, and indirectly. A smaller economy means a poorer society and less money for the NHS – eventually. But right now, he says, there will be parents avoiding the NHS, not vaccinating their children – so old diseases return. People who feel a lump now may not get it checked out. Cancer treatment is curtailed. Therapy is abandoned.

Work is being done to add it all up and produce a figure for “avoidable deaths” that could, in the long-term, be caused by lockdown. I’m told the early attempts have produced a figure of 150,000, far greater than those expected to die of Covid.

Nelson is pretty well-connected, so there might be something in this. And, as he points out, all of these numbers come from modelling studies, so should be treated cautiously. But, he says, estimates of lockdown victims are being shared among those in government who worry about the social damage now underway: the domestic violence, the depression, even suicides accompanying the mass bankruptcies. But since these are deaths that may, or may not, show up in national figures in a year’s time, it’s hard to weigh them up against a virus whose victims are being counted every day.

What all of this says to me is that the only reasonable way forward is gradual easing accompanied by dramatic increases in the production of N95 masks.


“War” is the wrong framing for this crisis

I’m as remiss as everyone else in thinking about the current crisis as a ‘war’ against the virus. So one resolution I’ve made today is to avoid using the metaphor in future.

Of course some of the measures now in force in the UK and elsewhere are reminiscent of ‘real’ wartime (e.g. 1939-1946). The burgeoning political talk about an “exit strategy” is likewise misleading, because it implies that, one day, victory over the virus will be achieved. In that sense it’s a bit like the so-called ‘war on terror’, which is really a war on an idea — and therefore never-ending.

There is no end to this, because the virus is a product of nature, and nature will be around long after humans have disappeared from the earth.

Besides, if the virus is an adversary, then it seems to hold most of the cards. It has reduced us to huddling in our caves, for example, while it does its own thing regardless. The human delusion of ‘taming’ nature was always hubris. Now we’re coming to terms with the inevitable nemesis.

And of course this is a tea-party compared to climate change.


Quarantine reading: Emily Wilson

The TLS has a nice compendium of what its various writers and reviewers are reading under lockdown. I was struck by this passage from Emily Wilson’s notes:

In my minimal work time, I am engaged in my translation of the Iliad. I’m now in the throes of Book 5, in which Diomedes confronts the gods on the battlefield. The idea of theomachy – in which a mortal human being grapples with immortal, unkillable, superhuman forces – takes on a new resonance now that far-shooting Apollo, god of plague, has afflicted our world with Covid-19. I began working on this translation at a time when the theme of sudden premature violent death, afflicting vast numbers of the population and bringing down prosperous cities and cultures, seemed relatively distant from my lived reality. Now, I feel haunted in new ways by the poem’s awareness that people can die far from home, far from their loved ones; that wealthy, beautiful, successful cities can be totally destroyed; that the squabbles of a privileged few can cost numberless people their lives, as well as their culture’s prosperity. It isn’t escapism, but there is a kind of comfort in the sense of being in an imaginary poetic landscape that feels so heartbreaking, so human and so truthful.

ps: Her translation of the Odyssey is terrific.


Why learning from other people’s mistakes is a useful skill

Lovely post by Alex Tabarrok.

People get good at something when they have repeated attempts and rapid feedback. People can get pretty good at putting a basketball through a hoop. But for other decisions we only get one shot. One reason South Korea, Hong Kong and Taiwan have been much better at handling coronavirus is that within recent memory they had the SARS and H1N1 flu pandemics to build experience. The US and Europe were less hit by these earlier pandemics and responded less well. We don’t get many attempts to respond to once-in-a-lifetime events.

Even as coronavirus swept through China and Italy, many people dismissed the threat by thinking that we were somehow different. We weren’t. Even within the United States some people think that New York is different. It’s not. Most people learn, if they learn at all, from their own experiences, not from the experiences of others–even others like them. Learning from your own mistakes and experiences is a good skill. Many people make the same mistakes over and over again. But learning from other people’s mistakes or experiences is a great skill of immense power. It’s rare. Cultivate it.


The Zoombot arrives

It’s possible to have too much of a good thing. Already people working from home have discovered that they have too many Zoom meetings. The bad habits of organizations — especially their addiction to meetings — is being replicated online. I know people who have been online all week and have decided to have nothing to do with screens over this holiday weekend.

But help is at hand. Popular Mechanics reports that Matt Reed, a technologist at redpepper, a marketing design firm in Nashville, has created an AI-powered “Zoombot” that can sit in on video calls for you.

It all began when he noticed someone on Twitter (jokingly) complaining they don’t have time to go outside anymore because they’re always on Zoom calls.

“I was thinking, ‘How can I get someone out of this? What if you need to take a bathroom break, or you want to take a walk during a one-hour conference call? I wanted to find a funny take. We try not to take ourselves too seriously [at redpepper] but we still like to show what’s possible.”

For now, the project is tongue-in-cheek; Reed’s doppelgänger is a little slow to respond, doesn’t really blink, and uses a robotic voice similar to voice assistants like Siri or Alexa. But the code’s up on Github, so it’ll get smarter quickly. Stay tuned.

It’s the kind of thing that restores one’s faith in humanity.


Quarantine diary — Day 20

Link


Thursday 9 April, 2020

Pic of the Day

Madingley Hall, photographed recently.


Automated wisdom

A colleague received this automated response from a Brazilian academic he had emailed about edits to a journal article.

Let’s slow down and stay home. We cannot continue to live in the way we have been living. We have been working extra-hours and not doing the essential work. It’s time to say farewell to the productivist nightmare.

Amen.


E pluribus unum — the New York Phil’s tribute to healthcare workers

This time, it’s Ravel’s Bolero.

Link

This stuff is a wonderful by-product of the crisis. Also, a dazzling bit of video editing.

Thanks to Quentin for the link.


I’m not the only one doing a Quarantine Diary

But this one comes from a grimmer place.


The near-term future

A one-para summary from Tyler Cowen:

I don’t view “optimal length of shutdown” arguments compelling, rather it is about how much pain the political process can stand. I expect partial reopenings by mid-May, sometimes driven by governors in the healthier states, even if that is sub-optimal for the nation as a whole. Besides you can’t have all the banks insolvent because of missed mortgage payments. But R0 won’t stay below 1 for long, even if it gets there at all. We will then have to shut down again within two months, but will then reopen again a bit after that. At each step along the way, we will self-deceive rather than confront the level of pain involved with our choices. We may lose a coherent national policy on the shutdown issue altogether, not that we have one now. The pandemic yo-yo will hold. At some point antivirals or antibodies will kick in (read Scott Gottlieb), or here: “There are perhaps 4-6 drugs that could be available by Fall and have robust enough treatment effect to impact risk of another epidemic or large outbreaks after current wave passes. We should be placing policy bets on these likeliest opportunities.” We will then continue the rinse and repeat of the yo-yo, but with the new drugs and treatments on-line with a death rate at maybe half current levels and typical hospital stays at three days rather than ten. It will seem more manageable, but how eager will consumers be to resume their old habits? Eventually a vaccine will be found, but getting it to everyone will be slower than expected. The lingering uncertainty and “value of waiting,” due to the risk of second and third waves, will badly damage economies along the way.

Written with the US mainly in mind, but sounds relevant for the UK too.

Given that there’s no conclusive end in sight, the challenge will be how to live with the virus longer-term at lower intensities until a vaccine appears.


Shockwave: Adam Tooze on the pandemic’s consequences for the world economy

Terrific analysis of the impact of COVID-19 by a distinguished contemporary historian. Long read, but well worth it. Not reassuring. Ends like this:

And once the crisis is over? What then? How do we imagine the restart? Before he was forced to retreat, Trump evoked the image of churches filling at Easter. Will the world economy rise from the dead? Are we going to rely once more on the genius of modern logistics and the techniques of dollar-finance to stitch the world economy back together again? It will be harder than before. Any fantasy of convergence that we might have entertained after the ‘fall of communism’ has surely by now been dispelled. We will somehow have to patch together China’s one-party authoritarianism, Europe’s national welfarism and whatever it is the United States will be in the wake of this disaster. But in any case, for those of us in Europe and America these questions are premature. The worst is just beginning.


What Joe Biden should do now

Intriguing idea from Dave Winer.

Biden can assemble a panel of scientists and medical doctors to keep the public informed. An hour a day, press conference style. What the CDC would be doing if Trump weren’t president.

And he (Biden) would step back, an example for what Trump should do. Let the doctors and the military manage it. Stop campaigning while thousands of Americans are dying. Biden wouldn’t even have to say it. It would make Trump look immediately tone deaf which he most certainly is.

What makes this idea so appealing right now is that the governors are linking up and sharing resources. Someone should be providing the science for them. The government is failing. But there’s plenty of unused talent out there, it just needs to be managed.

This would be a smart idea, given that Bernie Sanders has quit the race, leaving Biden the Democratic candidate. Essentially, it would mean that Biden was showing the country what a real US President should be doing — leading by example. And it would drive Trump nuts. He’s always thought that Biden would be the guy he’d have to beat. That’s what drove all the skullduggery in the Ukraine.


Quarantine diary — Day 19

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Monday 6 April, 2020

Is it any wonder that the UK currently has such a mediocre government?

After all, the main criterion for appointment to the Cabinet was to have been wrong about the most important question that faced the UK since 1946. As a result we have a squad of econd-raters.


How long can we continue to live like this?

Abhijit Banerjee (AB) and Esther Duflo (ED), a married couple, shared this year’s Nobel Prize for economics with Michael Kremer. Here’s part of a transcript of a conversation in which the couple discussed one of the issues — how long can we live like this?

AB: So, what do you propose to do about it?

ED: At this moment, we can listen to what the doctor says or try to make sense of what the doctor says. We know it is bad and we know we do not have a cure, and anybody who says he has a cure is lying. People are working for a cure but it will take time. All we can do is to isolate ourselves. Another thing we can do is to practice good hygiene in particular washing of hands. So if we get in contact with affected people we can prevent a transmission.

AB: It is extremely hard for people to practise such an unnatural lifestyle in the foreseeable future. For how long? People are not working, they are not earning, they are not going out, they are not meeting their loved ones. Is this a realistic enterprise for six months? Do you think that causes some challenges?

ED: It would be unsustainable for two weeks. Almost sure it would be unsustainable for six months. On the top of the uncertainties caused by the virus itself, there are uncertainties caused by the uncertainties. I am now turning the question to you. If you were in charge, of US to begin with, when would you have started this curfew and so many restrictions… you can do this, you cannot do this?

AB: It is a tough call. The model says five months and the model is based on the numbers which people plucked out from the air. Five months for full shutdown strategy. It is frightening to contemplate. A realistic (option) is to pick a shorter window and work around the peak and to make sure the peak is not as bad. Keeping the window significantly short and more focussed. I do not know which way I would have gone if I was in the hot seat because that involves making a choice that I will let some people die. More people will die in the scenario we shut it down later unless we believe that the whole thing is not sustainable. Then of course… That must be the case in many countries, because five months shutting down means people will stop believing there is a centre of policy. There is a trade-off between saving real lives and possibly at an enormous enforcement cost and enormous cost to the economy… Possibly it is easier to save the economy… I do not know.

He doesn’t know. Neither do we.


Bruce Schneier and Ben Evans on Zoom and its weaknesses/problems

Everybody’s piling in on Zoom. Bruce Schneier, one of my favourite security gurus, is particularly fierce. He sees three kinds of problems with the service: (1) bad privacy practices, (2) bad security practices, and (3) bad user configurations.

Privacy first: Zoom spies on its users for personal profit. It seems to have cleaned this up somewhat since everyone started paying attention, but it still does it.

The company collects a laundry list of data about you, including user name, physical address, email address, phone number, job information, Facebook profile information, computer or phone specs, IP address, and any other information you create or upload. And it uses all of this surveillance data for profit, against your interests.

On security, Schneier says that “Zoom’s security is at best sloppy, and malicious at worst”. And its encryption is “awful. First, the company claims that it offers end-to-end encryption, but it doesn’t. It only provides link encryption, which means everything is unencrypted on the company’s servers.” (I wrote about this in my Observer column yesterday.)

And then there’s Zoom’s “bad user configuration. Zoom has a lot of options. The defaults aren’t great, and if you don’t configure your meetings right you’re leaving yourself open to all sort of mischief.”

Even without screen sharing, people are logging in to random Zoom meetings and disrupting them. Turns out that Zoom didn’t make the meeting ID long enough to prevent someone from randomly trying them, looking for meetings. This isn’t new; Checkpoint Research reported this last summer. Instead of making the meeting IDs longer or more complicated — which it should have done — it enabled meeting passwords by default. Of course most of us don’t use passwords, and there are now automatic tools for finding Zoom meetings.

In short: Schneier really doesn’t like Zoom.

Benedict Evans has an interesting and more sympathetic take on it in his (invaluable) weekly newsletter.

Zoom has gone from 10m to 200m daily users in the past few weeks (!), and that comes with pain. On one hand, since it was designed for the enterprise it wasn’t hardened against abuse, so ‘Zoom-bombing’ (eg crashing random open group calls and putting obscene things onto everyone’s screen) is now a thing. On the other hand, it’s now getting a lot more privacy and security scrutiny, and some… issues have come up. These are two sides of the same coin: you have to ask ‘what would malicious people do with our software?’ and the answer might be both human engineering and software engineering. A lot of the flaws people found look like simple product decisions to make installing and using easier – for example, it used the Facebook SDK so you could log-in with Facebook, but that sends some device data to Facebook. But it also claimed it was end-to-end encrypted and isn’t, and some of the traffic goes through Chinese servers, and so one has to assume that the Chinese state could listen in to anything if it wanted to. To its credit, Zoom has responded pretty well to most of these concerns, and some of this can be over-played (it seems pretty silly for a school system to ban it in case the Chinese intelligence agencies are listening to drama class), but I’m not sure the UK cabinet should carry on using this.

Agreed. But then Evans has this interesting thought.

Stepping back, it’s striking that Zoom has made such a big impact despite every tech giant having a big mature product in this space (or even several – how many of these apps does Google have? That would be a good interview question). It’s really not as hard to displace these companies as some would think, if you can find the right wedge. This also reminds me of the founding legend of Dropbox: everyone told Drew Houston ‘there are dozens of these’ and he said ‘yes, but do you use any of them?’ Links: Zoom goes to 200m users, Zoom response to issues


Superyachts: depreciating quarantine machines

This was the headline on a lovely FT piece about the problems of the mega rich in their floating gin-palaces.


Google searches for “I can’t smell” seem to be good predictors of where the virus is

As this pandemic rages, it becomes ever clearer that the UK government is flying blind. This is because we’re not testing enough people for the simple reason that we don’t have the capacity to do it. So we’re in a radically different position to Germany — another large country which seems to be doing much better. And because the UK started so late in the pandemic, it’s now run up against the global shortage of reagents which is reducing capacity to create huge numbers of test kits. Is there anything we could do at the moment to improve our knowledge of where the virus is striking hardest?

An intriguing OpEd in today’s New York Times suggests that there might be. The article is by Seth Stevens-Davidowitz, who some years published an insightful book with the intriguing title Everybody Lies: what the Internet can tell us about who we really are. The point of the book is that people’s Google searches are amazingly revealing, because they will confide anxieties to Google they would not dare express to even their nearest and dearest.

In his NYT article, Seth suggests that analysis of the location of Internet users searching Google for “I can’t smell” could provide valuable information about outbreaks of COVID-19.

To see the potential information lying in plain sight in Google data, consider searches for “I can’t smell.” There is now strong evidence that anosmia, or loss of smell, is a symptom of Covid-19, with some estimates suggesting that 30-60 percent of people with the disease experience this symptom. In the United States, in the week ending this past Saturday, searches for “I can’t smell” were highest in New York, New Jersey, Louisiana, and Michigan — four of the states with the highest prevalence of Covid-19. In fact, searches related to loss of smell during this period almost perfectly matched state-level disease prevalence rates, as the accompanying chart shows.

Other researchers have found that a bevy of symptom-related searches — loss of smell as well as fever and shortness of breath — have tracked outbreaks around the world.

Because these searches correlate so strongly with disease prevalence rates in parts of the world with reasonably good testing, says Stephens-Davidowitz, we can use these searches to try to find places where many positive cases are likely to have been missed.

It’s possible that this correlation won’t be stable over a long time. (There was a surge of excitement a few years ago when it was discovered that Google searches provided earlier advance warning of ordinary flu outbreaks in the US than the CDC could produce; but that turned out to be a fluke.) This particular correlation, though, seems to hold across some parts of the world.

There is already some evidence that clues to this symptom were evident earlier in search data. Joshua Gans, a professor at the Rotman School of Management at the University of Toronto, found that searches for “non sento odori” (“I can’t smell”) were elevated in Italy days before the symptom was reported in the news. Iran also saw an enormous rise in searches related to loss of smell weeks before media reports of the symptom became common.

Anyway, worth trying for the testing-challenged UK.


Quarantine diary — Day 16

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Thursday 2 April, 2020

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The end of Boris Johnson’s media honeymoon: today’s front pages

The ‘serious’ papers are bad enough (though whether the Telegraph deserves that description is questionable, given that it has hitherto just been a Johnson fanzine).

But just look at the tabloids.

Interesting ne c’est pas?

Images from Peter Foster – @pmdfoster


Roots of the UK’s Covid-19 fiasco

I’ve been reading the most recent (2017) edition of the UK’s National Risk Register to try and understand why we’ve wound up as possibly the worst-prepared major country (outside of the US) for the calamity that is upon us.

The first thing to note is that the government classified this kind of pandemic as the most serious potential risk to the country. It was designated a Level 5 risk in the “Hazards,diseases, accidents and societal risks” category. Just for comparison, on the “Malicious attacks” register, terrorist attacks were only ranked as Level 3. Here’s the relevant chart from the document:

And here’s the summary of “What’s being done about the risk?”

Note the text in the paragraphs on Planning, Coordination, International Collaboration, Detection and Personal Protective Equipment and ask yourself if you know of any evidence that anyone in government had read any of them in the three years since this document was last updated.

Having done so, can I suggest that you then turn to “Why Weren’t We Ready?” a splendid piece of reporting by Harry Lambert in the current issue of the New Statesman? Here’s a relevant excerpt:

That it is a novel virus and the government’s plans were for influenza is “immaterial”, says David Alexander, professor of disaster risk reduction at University College London. The coronavirus closely resembles the threat anticipated in government planning documents, of a highly infectious respiratory disease that critically hospitalises between one and four per cent of those it infects. And yet the government appears to have been unprepared. The UK lacks ventilators, personal protective equipment and testing kits, while emergency procedures for manufacturers and hospitals are being improvised on the fly.

But the government’s planning documents – which date from 2005 to 2018 but are mainly based on the 2011 “Influenza Preparedness Strategy” – suggest that Britain may in fact have been prepared, just for the wrong outcome. The UK’s plans appear to have rested on a false assumption: if a pandemic such as Covid-19 struck, the UK intended only to mitigate rather than suppress the impact.

Mitigation accepts that the virus will spread. Suppression does not. Boris Johnson did not come up with the concept of taking the virus “on the chin”, as he put in an interview on 5 March. Nor did Dominic Cummings, his most senior adviser, who is reported to have at first welcomed the idea. The strategy predates them both.

In that context, the 2011 “Influenza Preparedness Strategy” makes interesting reading.

“The combination of particularly high attack rates and a severe disease”, it says,

“is also relatively (but unquantifiably) improbable. Taking account of this, and the practicality of different levels of response, when planning for excess deaths, local planners should prepare to extend capacity on a precautionary but reasonably practicable basis, and aim to cope with a population mortality rate of up to 210,000 – 315,000 additional deaths, possibly over as little as a 15 week period and perhaps half of these over three weeks at the height of the outbreak.”

It’s clear that, in the early phases of the government response, Johnson and his advisers were basically reading from this 2011 playbook. For example:

So they had a plan. It was just a plan for a different kind of virus.

Earlier in the document, it says:

In the early stages of the influenza pandemic, it is unlikely to be possible to assess with any accuracy the severity and impact of the illness caused by the virus. There will be some information available from other countries but the uncertainty about the quality of information that is available and its applicability to the UK will mean that the initial response will need to reflect the levels of risk based on this limited evidence. Good quality data from early cases arising in the UK is essential in further informing and tailoring the response.

As far as I can see, none of this actually applied to the Coronavirus. There was plenty of good-quality evidence coming from China relatively early in the outbreak. The virus was sequenced early and the data made widely available worldwide. The UK government’s advisers must have known from the Chinese experience that this was a really big deal. In which case those early blustery assurances from Johnson, Hancock & Co (“taking it on the chin” and so on) now, in hindsight, take on a grimly ironic tone. They sound like a pack of amateurs auditioning for the school play. But some of their advisers don’t come out of it too well either. Here, for example, is David Halpern, a psychologist who heads the government’s Behavioural Insights Team, raving on BBC News:

“There’s going to be a point, assuming the epidemic flows and grows, as we think it probably will do, where you’ll want to cocoon, you’ll want to protect those at-risk groups so that they basically don’t catch the disease and by the time they come out of their cocooning, herd immunity’s been achieved in the rest of the population.”

None of this is any consolation at the moment. But it at least helps to explain why the government’s response to the crisis has been such a shambles. Johnson always wanted to be Churchill. Well, now he’s got his Dunkirk moment.


Some good news

A new rapid diagnostic test for COVID-19, developed by a University of Cambridge spinout company and capable of diagnosing the infection in under 90 minutes, is being deployed at Cambridge hospitals, ahead of being launched in hospitals nationwide.


Being together alone

This is just wonderful IMHO

Musicians: Cello Octet Amsterdam featuring Maki Namekawa Music: Part III from the Hours Suite by Philip Glass Arranged by Michael Riesman

Link

Thanks to GDV for the link


Quarantine diary — Day 12

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Monday 23 March, 2020

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Black humour

I watched Boris Johnson’s live press conference from Downing Street yesterday and found myself marvelling at the dark irony of a man who has behaved with grotesque irresponsibility throughout his entire adult life railing against citizens who were behaving irresponsibly by not obeying injunctions about social distancing.


CV takes on a new meaning

Dave Winer (whom God preserve) has decided to start calling the disease CV on his blog. Smart move, and saves typing. I’ve never maintained a proper CV, really, and hope that I don’t acquire this new type either.


Podcasting comes into its own

It’s the second draft of history, in a way. And it’s not radio, for all kinds of reasons — one of which is that it has higher cognitive bandwidth because mostly it’s coming through your headphones and getting more of your attention. The New York Times‘s The Daily is playing a blinder at the moment. The interview with Governor Cuomo, for example, is one of the best things I’ve heard in months. Or the episode in which they spoke to an Italian doctor who’s having to triage patient care at the heart of his country’s crisis.


Why we need Wikipedia more than ever

Great article in Slate’s Future Tense series on how Wikipedia is addressing the information and knowledge challenges posed by the pandemic. Sample:

In the midst of the fast-paced editing, some Wikipedians are thinking about the role that the project is playing during this crisis. Last week, William Beutler made a persuasive case on his blog, the Wikipedian, that there should be a dedicated space on Wikipedia’s front page for coronavirus news that would easily catch readers’ attention. “Like it or not, Wikipedia is in a unique position to point information-hungry citizens around the world to better information than they can find almost anywhere else,” Beutler wrote. On Monday Wikipedia updated its front page with the new coronavirus news feature in line with Beutler’s suggestion. But the debate between editors about the proposal was contentious. Highlighting news about the pandemic arguably goes against another of the site’s content policies: Wikipedia is an encyclopedia and “not a newspaper.” Then again, that distinction raises tricky questions, like, what’s the difference between a journalist and an encyclopedist who are both chronicling a pandemic in real time?

Rather than going down that particular rabbit hole, however, it’s probably better to highlight how the information about the coronavirus on Wikipedia is truly serving the reading public, or as some volunteer editors jokingly put it, “the customer.” Personally, I appreciate English Wikipedia’s category table, which neatly organizes English Wikipedia’s 200-plus articles about the subject. These pages are neatly grouped by subtopics, like the financial impact of the coronavirus or its effect on tourism. Overall, the way the Wikipedians have been organizing the information and summarizing it reminds me of a high school history textbook—except that this one is being written in real time, with thousands of authors making thousands of changes.

Wikipedia is one of the wonders of the world. Whenever I run into people who are sniffy about it because of a mistake they found on it, my response is: so why haven’t you corrected it? And to people who tell me how wonderful it is I say: so when did you last make a donation to help it keep going?


Quarantine Diary – Day 2


Sunday 22 March, 2020

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Smartphones could help us track the coronavirus – but at what cost?

This morning’s Observer column

A key principle of control engineering is that you have to be able to measure the variable you’re trying to control. In the case of Covid-19, we currently have no way of accurately measuring how we’re doing, because we’re not able to do enough testing of the population. Dammit, we’re still not even testing frontline medical staff.

I know, I know: this is hard; this thing came out of the blue; we can’t just magic up the resources needed to do extensive public testing out of thin air; etc. But at the same time, every sentient being in the government must know by now that we must find some way of measuring the thing we’re trying to control. How else will we know – other than by counting the number of desperate cases who show up needing intensive care – whether that curve is being flattened or not?

We need a magic bullet. And, miraculously, we seem to have one. It’s called a smartphone…

Yeah, but there’s a downside that we might be living with for the rest of our lives…

Read on

Interestingly, Yuval Noah Harari had an interesting essay on the same lines — “The world after coronavirus” — in the weekend edition of the Financial Times. “Many short-term emergency measures will become a fixture of life”, he writes.

That is the nature of emergencies. They fast-forward historical processes. Decisions that in normal times could take years of deliberation are passed in a matter of hours. Immature and even dangerous technologies are pressed into service because the risks of doing nothing are bigger. Entire countries serve as guinea-pigs in large-scale social experiments. What happens when everybody works from home and communicates only at a distance? What happens when entire schools and universities go online? In normal times, governments, businesses and educational boards would never agree to conduct such experiment. But these aren’t normal times.

In this time of crisis, we face two particularly important choices. The first is between totalitarian surveillance and citizen empowerment. The second is between nationalist isolation and global solidarity.

Yep.


What the Coronavirus crisis is revealing

Extraordinary essay in the New York Times by Mark O’Connell.

In the original Greek, the word apocalypse means simply a revelation, an uncovering. And so there is one sense in which these days are truly, literally, apocalyptic. The world itself is being revealed with a startling and surreal clarity. Much of what is being revealed is ugly: the rot of inequality in the bones of our societies, the lethal inefficiency of free-market capitalism, the bewildering cruelty and stupidity of many of the people in positions of apparent leadership. But there are beautiful things, too, being revealed with great clarity and force. Of these, the one that gives me the most hope in this sad and frightening time is that despite the damage done by the presiding ideology of individualism, there remains a determination to act out of a sense of shared purpose.

On checking, this is probably drawn from his forthcoming book – Notes from an Apocalypse: A Personal Journey to the End of the World and Back.


Quarantine Diary

Given that those of us confined to barracks should have more time on our hands, I’ve decided to keep an audio diary of thoughts and reflections on what we are about to go through. It starts today.


Saturday 22 March, 2020

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The American Cemetery, Madingley this morning. Click on the image for a larger size.


Solitude vs loneliness

As the world struggles to adjust to lockdown, quarantine and social-distancing there’s an interesting and timely book on the horizon. It’s A History of Solitude by my friend and colleague David Vincent, who is one of Britain’s most distinguished social historians. It comes out on April 24. The timing is fortuitous but accidental: David has been working on the book for several years, starting on it after he had finished his previous book, Privacy: A Short History. I haven’t seen it yet, but Terry Eagleton, the literary critic, has and he’s written an interesting review for the Guardian. Snippet:

Solitude is not the same as loneliness. Lonely people feel the need for company, while solitary types seek to escape it. The neatest definition of loneliness, David Vincent writes in his superb new study, is “failed solitude”. Another difference between the two groups is that hermits, anglers, Trappist monks and Romantic poets choose to be alone, whereas nobody chooses to feel abandoned and bereft. Calling yourself “self-partnering”, meaning that you sit in the cinema (should they be open) holding your own hand, may be either a genuine desire for solitude or a way of rationalising the stigma of isolation. The greatest difference of all, however, is that solitude has rarely killed anyone, whereas loneliness can drive you to the grave. As the coronavirus rampages, some of us might now face a choice between physical infection and mental breakdown…


Thank God for experts

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Producing vaccines under intense political pressure poses serious risks

How anti-vaxxers win — If any eventual vaccine harms even a tiny percentage of those who get it, “the anti-vaxxers can set back not only this vaccine but all vaccines,” said Barry Bloom, a professor at the Harvard School of Public Health. The anti-vaccine movement has been growing in the United States, and contributed to the country’s worst measles epidemic in 27 years in 2019. (From Politico’s nightly summary.)

This is yet one more reason why Trump is a menace. He keeps talking nonsense and stoking unrealistic expectations. This makes him the second biggest public health risk to the American public. And while we’re on that topic, here’s Larry Lessig:

If in January, Trump had “declared war” on this virus with the resolve of FDR, or Churchill, or even President Thomas J. Whitmore (Independence Day), he would have united the world against this common foe, and for once, the world could wage a war as one, without hesitation, and without regret.

Yet so tiny is the mind of our Idiot King that he could not even glimpse this extraordinary gift. His single focus was on the single indicator that seemed to say that he was, indeed, a genius — the stock market. And so he dissembled and obstructed to the end of faking the market out. Who knows if the man is really stupid enough to have believed that a virus that had brought China to its knees, once discovered to have infected 15 Americans, would “within a couple days go down to close to zero.” It doesn’t matter. The political system had taught Trump that he had the power to distort reality. The economic system has now taught Trump that he can’t distort economic reality. America’s economy — and the worlds’ economy— will now collapse. The election in November will be in midst of a great recession, compounded by unimaginable loss of human life. No President gets re-elected in times like that. Not the good ones. Not even the buffoons.


Remote conferencing with Zoom

Some of my research colleagues and I had a key meeting scheduled for this week and planned some weeks ago. As the University (Cambridge) went into lockdown we obviously couldn’t meet fate-to-face but were reluctant to cancel the discussion. Previously, we would have used conventional phone-conferencing, but I have become so pissed-off with the inadequacies of that medium that I suggested we used Zoom instead.

It was MUCH better. Two things in particular made all the difference: firstly one could see all the participants (as live images in small frames at the top of the screen); and secondly, whenever anyone started to speak, the software foregrounded them. This latter feature wasn’t perfect, but it was generally very effective. And the audio quality was sometimes a bit harsh, but still perfectly comprehensible.

My conclusion: the tech isn’t perfect, but I never want to go back to phone conferences again.


Why modelling is the rational way to make policy in a complex system

The Economist has an excellent explanation of the Imperial College epidemiological model That persuaded the UK government to change tack (though not quickly enough). The modellers

assigned covid-19 a “basic reproduction number” of 2.4. This means that in a population not taking any precautions, and where no one is immune, each case leads, on average, to 2.4 secondary cases.

Under those conditions the model showed the disease infecting 80% of the British population in three to four months. If 4.4% of the people infected became ill enough to be hospitalised and 30% of those deteriorated to the point of needing intensive care, then by mid-April demand for beds in intensive-care units (icus) would outstrip the health service’s “surge” capacity. In May the number of critical patients would be more than 30 times the number of icu beds available. Estimates of the fatality rate in China range from 0.5% to 1.5% of infections. Using a conservative 0.9% for Britain, the model put the death toll by the end of the summer at over half a million.


The Italian tragedy

One of the tragedies of this pandemic is the way it shows how social structures that we generally think of as embodying sociality and stability — extended families with several generations living closely together, for example — can be especially vulnerable. It turns out that Italy has a higher percentage of elderly people than most European countries, and about two-thirds of adults aged 18-35 live with their parents, with many houses containing three generations — which meant they were sitting ducks for Covid-19.