1. Tina Lu and Ben Y. Reis write,
We found that Internet search patterns reveal a robust temporal pattern of disease progression for COVID-19: Initial symptoms of fever, dry cough, sore throat and chills are followed by shortness of breath an average of 5.22 days [95% CI 3.30-7.14] after symptom onset, matching the precise clinical course reported in the medical literature. Furthermore, we found that increases in COVID-19-symptom-related searches predict increases in reported COVID-19 cases and deaths 18.53 days [95% CI 15.98-21.08] and 22.16 days [95% CI 20.33-23.99] in advance, respectively. This is the first study to show that Internet search patterns can be used to reveal the detailed clinical course of a disease. These data can be used to track and predict the local spread of COVID-19 before widespread laboratory testing becomes available in each country, helping to guide the current public health response.
Pointer from John Alcorn.
2. In another Alcorn pointer, Elizabeth Williamson and others conducted a large cohort analysis of British patients. My sense of these studies is that we always see a very strong relationship between age and death rates and higher mortality for men than women. Which co-morbidities show up as significant varies, and I suspect this is due to the way that these tend to correlate with age. If you specify the age variable in a sophisticated, non-linear way, its explanatory power will be such that co-morbidities may not show much independent effect.
I would like to see some of these explanatory models run with no age variable at all, to see how much variation you can explain with co-morbidities alone. My guess is that such equations will explain a smaller share of the variance, but they may offer better insight into the relative importance of different co-morbidities.
Here is a press release for the study.
3. A software engineer criticizes the Imperial model.
It’s clear from reading the code that in 2014 Imperial tried to make the code use multiple CPUs to speed it up, but never made it work reliably. This sort of programming is known to be difficult and usually requires senior, experienced engineers to get good results. Results that randomly change from run to run are a common consequence of thread-safety bugs.
Pointer from Tyler Cowen.
4. From a correspondent:
I am a small business owner, and I see a big problem with the PPP Loans that is not discussed in the media.
PPP loan forgiveness is planned as a percentage of payroll costs over the eight weeks following loan distribution. Therefore, businesses that continue to operate, with normal payroll costs, expect to receive large loan forgiveness. However, those aren’t the businesses that need forgiveness; they have continued to operate. The businesses who need the money are shut down, don’t have any payroll costs, and will therefore receive little forgiveness.
My business has continued to operate with a modest decline in sales. On my application, I could honestly certify, “current economic uncertainty makes [the] loan request necessary to support the ongoing operations of the Applicant”; I am certainly facing plenty of uncertainty. However, I am unlikely to actually need the money.
I accepted the loan and will ask for forgiveness, because if the government is handing out free money, I am going to accept; the government takes plenty of my money without asking. While there might be a few angels who don’t apply for the PPP loan, most self-interested owners will accept forgiveness. As one of my industry colleagues said to another, “Time to PPParty!”
The solution? Make the PPP loans non-forgivable LOANS, with a long (5 years?) repayment period at 0-1% interest.
PPP was rushed out – rightly in my opinion — because of the immediate nature of the problem, but Congress has time to change the program in the six months before forgiveness and repayment start.
Nobody who already accepted loans will be hurt. They can simply repay the loan.
If PPP is changed from grants to loans, owners facing huge losses from closure can at least amortize that loss over a period of years to enable them to remain in business. Furthermore, there remains the possibility to forgive some loans in the future, after more careful analysis of actual losses incurred.
5. Tomaz Cajner and others write,
Using weekly, anonymized administrative payroll data from the largest U.S. payroll processing company, we measure the deterioration of the U.S. labor market during the first two months of the global COVID-19 pandemic. We find that U.S. private-sector employment contracted by about 22 percent between mid-February and mid-April. Businesses suspending operations—perhaps temporarily—account for a significant share of employment losses, particularly among smaller businesses. Hours worked for continuing workers fell by 4.5 percent. We highlight large differences in employment declines by industry, business size, state of residence, and demographic group. Workers in the bottom quintile of the wage distribution experienced a 35 percent employment decline while those in the top quintile experienced only a 9 percent decline.
I would like to see some of these explanatory models run with no age variable at all, to see how much variation you can explain with co-morbidities alone.
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I am speculating that the co-morbitities are all related to weak immune systems.
Age itself is correlated with a weakening immune system. Cardiovascular comordidities are also likely relevant since it’s with the lungs that the main organ failure occurs.
Are internet searches better than, or not as good as, analysis of the contents of the sewers?
Okay, this is simple, but here goes:
If you go to the Johns Hopkins University C19 website, and look for global and US “daily infection rates” (click on bottom right of screen) you see the same pattern: At first infections rise sharply, but then infections hit a slowing declining plateau. Most nations fit this patten, more or less.
So, my take is we will see a slowing declining rate of new daily infections in the US. Not sure how the lockdowns play out. Sweden is showing the same pattern.
So, the good news is the picture gets better, the bad news is new infections could drag out for a long time.
“However, those aren’t the businesses that need forgiveness; they have continued to operate. ”
My local cafe has continued to operate takeout. However, they are doing way less business than before, certainly not enough to cover payroll (all of the old employees appear to be showing up for their shifts). I’ve assumed that these loans/grants were basically a kind of “underemployment benefit” wherein they stay employed and hang out at the restaurant without too much to do. The alternative would be they were collecting unemployment (probably costing the government just as much) and their employment status was terminated, with all that entails.
I continue to think the PPP is basically an attempt to deliver unemployment benefits while technically keeping peoples jobs in the hopes it can be terminated at some point.
If they were loans and the restaurant was racking up huge losses it had to repay in the future (even at 0% interest rate) I imagine they would close outright. It’s not as if those people would find employment elsewhere though, they would collect their +$600/week unemployment check.