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kottke.org posts about Covid-19

Super-Pandemics Last All Summer Long

The Atlantic’s Ed Yong has written his second long article about the Covid-19 pandemic about what happens next and what a roadmap to dealing with the next phase of the crisis might look like.

As I wrote last month, the only viable endgame is to play whack-a-mole with the coronavirus, suppressing it until a vaccine can be produced. With luck, that will take 18 to 24 months. During that time, new outbreaks will probably arise. Much about that period is unclear, but the dozens of experts whom I have interviewed agree that life as most people knew it cannot fully return. “I think people haven’t understood that this isn’t about the next couple of weeks,” said Michael Osterholm, an infectious-disease epidemiologist at the University of Minnesota. “This is about the next two years.”

The pandemic is not a hurricane or a wildfire. It is not comparable to Pearl Harbor or 9/11. Such disasters are confined in time and space. The SARS-CoV-2 virus will linger through the year and across the world. “Everyone wants to know when this will end,” said Devi Sridhar, a public-health expert at the University of Edinburgh. “That’s not the right question. The right question is: How do we continue?”


RIP John Conway

Rip John Conway

This animated gif from XKCD is the pitch perfect tribute to John Conway, who died of Covid-19 at the age of 82. Conway was the inventor of the Game of Life and an all-around brilliant and creative person.


Living Through Coronavirus Around the World

YouTube channel Great Big Story (which is a frequent source of videos for kottke.org) recently asked eight filmmakers in eight different countries to report in on how they, their families, and their communities are doing during the pandemic.

Our daily routines have been disrupted, and many of us have been separated from friends, family and work. We checked in on eight households to see how they are feeling, how they are passing the time, how they are keeping connected to others, and what they are looking forward to in a post-pandemic world. From Beijing, China, to Mashhad, Iran, to Melbourne, Australia, here’s how we’re all working through this thing, one day at a time, together.

They’re asking viewers to donate to the UN’s COVID-19 Solidarity Response Fund for the World Health Organization. Google is matching $2 for every $1 donated, so please join me in donating if you are able.

See also Pandemic Stories from Around the World, sent in by kottke.org readers.


Pandemic Stories, Part 3

In Sunday’s newsletter, I asked people to share what they’ve been up to during the pandemic and how their families and communities are coping. I’ve collected all those responses on one page and will be sharing excerpts over the next couple of days here and in the newsletter.

The government response in Australia:

The government β€” a fiscally conservative centre-right party that used the promise of a national budget surplus as its main platform - very quickly recognised the scale and severity of this situation and have since released a $130 billion ‘jobkeeper payment’ that gives $1500 every two-weeks to employees who can’t work due to COVID-19. It’s directed at employers who then nominate their employees to receive it (the idea being that this will keep workers linked to their business and speed up a recovery). It’s part of a larger national strategy β€” that’s still emerging β€” around the idea of putting the economy in ‘hibernation’. The large irrelevance of party politics over the last three weeks has been one of the more interesting observations.

A hotel owner in Mali tries to keep his business & employees afloat:

For our part, we are trying to stay in business and keep all of our staff. Their wages are currently our number one priority. We have survived a few crises in our day β€” clients kidnapped in 2011, coup d’etat in 2012, ebola in 2014-15, persistent threat of terrorism since 2015, and last year we were evicted and forced to move to a new location (we lost most of our rooms in that move) β€” so it would really be a shame if this was the one that finally did us in.

Frustration in Brazil:

Even though my city and my state are taking the appropriate measures, like closing stores, schools and asking for people to stay home, some fellows still don’t understand what the problem is. Some think that, since the death rates are low, there is no problem at all. They don’t seem to understand that what is at stake is the collapse of the health system. This is a little infuriating, since we’ve been talking non stop about this for almost a month. At least my neighbors are as worried as me and my family. I live in an apartments building with many children (I have an 8 year old daughter myself) and we managed to organize a schedule so only one child (or more if they’re from the same family) at a time time can use the playground.

Religion vs. science in Mexico:

Local plazas that were the bustling hub of the city have been taped off, and crews in haz gear drive slowly up and down the streets disinfecting the steps around the (many) colonial churches. Most of these, for better or worse, remain open, and this week β€” Easter β€” threatens to [welcome] frightening numbers of religious observers, many of whom are failing to observe social distancing. (“It’s in God’s hands”, one friends and church-goer told me after I questioned why she was still attending and coming into physical contact with others. “No, it’s literally in yours,” I responded.)

A realization of privilege in London:

Overall, my impression is that our existing privilege has just been reinforced by the crisis. My wife and I are both still being paid our full salaries, but we’re not having to pay nursery fees, so we’re actually better off financially. We no longer have to commute or drop off and pick up the kids at nursery, which gives us more family time, and it’s wonderful to be able to finish working and just walk downstairs and play with the kids before dinner. Our street is terraced single-family homes with roof terraces, so yesterday the street had a terrace cocktail party in the late afternoon. Things are better in the UK than in the US (we have the NHS and the government is paying 80% of the wages of furloughed employees, for instance), but there are a lot of people who are going to have their lives thrown into chaos as a result of the pandemic and we’re quite lucky to not be among them.

No video chats with students in Nebraska:

More Urban schools aren’t prepared…you can pick up a packet once a week at school (same for every student per grade in the district) but there is no verification that it was done… so basically those students are done for the year. My nephews go to school in a less-tech school. The district doesn’t even let them web-conference with a teacher because “the teacher may see something that violates privacy”). Their mom (my wife’s sister) says they get little direction.

You can read more of the collected responses here.


How Privacy-Friendly Contact Tracing Can Help Stop the Spread of Covid-19

Nicky Case, working with security & privacy researcher Carmela Troncoso and epidemiologist Marcel SalathΓ©, came up with this fantastic explanation of how we can use apps to automatically do contact tracing for Covid-19 infections while protecting people’s privacy. The second panel succinctly explains why contact tracing (in conjunction with quick, ubiquitous testing) can have such a huge benefit in a case like this:

A problem with COVID-19: You’re contagious ~2 days before you know you’re infected. But it takes ~3 days to become contagious, so if we quarantine folks exposed to you the day you know you were infected… We stop the spread, by staying one step ahead!

Contact Tracing Comic

It’s based on a proposal called Decentralized Privacy-Preserving Proximity Tracing developed by Troncoso, SalathΓ©, and a host of others. Thanks to Case for putting this comic in the public domain so that anyone can publish it.

Update: About two hours after posting this, Apple and Google announced they are jointly working on contact tracing technology that uses Bluetooth and makes “user privacy and security central to the design”.

A number of leading public health authorities, universities, and NGOs around the world have been doing important work to develop opt-in contact tracing technology. To further this cause, Apple and Google will be launching a comprehensive solution that includes application programming interfaces (APIs) and operating system-level technology to assist in enabling contact tracing. Given the urgent need, the plan is to implement this solution in two steps while maintaining strong protections around user privacy.

Update: Based on information published by Google and Apple on their contact tracing protocols, it appears as though their system works pretty much like the one outlined about in the comic and this proposal.

Also, here is an important reminder that the problem of what to do about Covid-19 is not primarily a technological one and that turning it into one is troublesome.

We think it is necessary and overdue to rethink the way technology gets designed and implemented, because contact tracing apps, if implemented, will be scripting the way we will live our lives and not just for a short period. They will be laying out normative conditions for reality, and will contribute to the decisions of who gets to have freedom of choice and freedom to decide … or not. Contact tracing apps will co-define who gets to live and have a life, and the possibilities for perceiving the world itself.

Update: Security expert Bruce Schneier has some brief thoughts on “anonymous” contact tracing as well as some links to other critiques, including Ross Anderson’s:

But contact tracing in the real world is not quite as many of the academic and industry proposals assume.

First, it isn’t anonymous. Covid-19 is a notifiable disease so a doctor who diagnoses you must inform the public health authorities, and if they have the bandwidth they call you and ask who you’ve been in contact with. They then call your contacts in turn. It’s not about consent or anonymity, so much as being persuasive and having a good bedside manner.

I’m relaxed about doing all this under emergency public-health powers, since this will make it harder for intrusive systems to persist after the pandemic than if they have some privacy theater that can be used to argue that the whizzy new medi-panopticon is legal enough to be kept running.

And I had thoughts similar to Anderson’s about the potential for abuse:

Fifth, although the cryptographers β€” and now Google and Apple β€” are discussing more anonymous variants of the Singapore app, that’s not the problem. Anyone who’s worked on abuse will instantly realise that a voluntary app operated by anonymous actors is wide open to trolling. The performance art people will tie a phone to a dog and let it run around the park; the Russians will use the app to run service-denial attacks and spread panic; and little Johnny will self-report symptoms to get the whole school sent home.

The tie-a-phone-to-a-dog thing reminds me a lot of the wagon full of smartphones creating traffic jams. (via @circa1977)


Covid-19 Now the Leading Cause of Death in America

This week, Covid-19 passed heart disease and cancer as the leading cause of death per day in the United States. In this graph made by Dr. Maria Danilychev using data from Worldometer and the CDC, you can see that Covid-19 overtook heart disease sometime on Monday or Tuesday.

If the data in NYC is any indication, the number of nationwide Covid-19 deaths may be undercounted, so this transition probably happened sooner.1 Hopefully through the social distancing and other measures put in place to flatten the curve, the number of daily Covid-19 deaths won’t start beating out all other causes combined before it starts declining.

  1. Several months from now, it will be easier to get a more accurate count of how many people died by looking at the “baseline” rate of death and comparing it with the actual numbers. Unless this sort of recount is politicized, which it will be, and *siiiigh*↩


A Genius Visualization of Social Distancing

This public service announcement from the Ohio Department of Health contains an outstanding simple visualization of how social distancing can help prevent the spread of Covid-19 using ping pong balls and mouse traps.

This ad shows that Ohio’s relatively early response to the pandemic was not a fluke and that the state is still taking it seriously.


“Strong Evidence” That Social Distancing Is Working to Slow the Spread of Covid-19

Social distancing is working

Trevor Bedford, who does research on epidemics and infectious diseases, has compiled a number of papers and data sets with “strong evidence” that social distancing measures have slowed Covid-19 transmission rates around the world.

This report (from the Imperial College team who produced the sobering report that has been the blueprint for pandemic responses around the world) estimates that measures taken in several European countries have lowered their effective reproduction numbers (the R value) to close to 1.

Overall, we estimate that countries have managed to reduce their reproduction number. Our estimates have wide credible intervals and contain 1 for countries that have implemented all interventions considered in our analysis. This means that the reproduction number may be above or below this value. With current interventions remaining in place to at least the end of March, we estimate that interventions across all 11 countries will have averted 59,000 deaths up to 31 March [95% credible interval 21,000-120,000]. Many more deaths will be averted through ensuring that interventions remain in place until transmission drops to low levels. We estimate that, across all 11 countries between 7 and 43 million individuals have been infected with SARS-CoV-2 up to 28th March, representing between 1.88% and 11.43% of the population. The proportion of the population infected to date β€” the attack rate β€” is estimated to be highest in Spain followed by Italy and lowest in Germany and Norway, reflecting the relative stages of the epidemics.

And this was published on March 30 β€” here’s the latest data. The paper goes on to say (italics mine):

We cannot say for certain that the current measures have controlled the epidemic in Europe; however, if current trends continue, there is reason for optimism.

An Institute for Disease Modeling report from March 29 shows a similar reduction in their effective reproduction number in King County, Washington (the 12th most populous county in the US).

The graphs at the top of the post are from the latest data compiled by the Centre for the Mathematical Modelling of Infectious Diseases. Lots of countries looking like they are headed for an effect R value of 1, which would indicate a slowing (rather than growing) epidemic.


Pandemic Stories, Part 2

In Sunday’s newsletter, I asked people to share what they’ve been up to during the pandemic and how their families and communities are coping. I’ve collected all those responses on one page and will be sharing excerpts over the next couple of days here and in the newsletter.

From a reader in Germany:

My husband and I split up in February after 16 years together. It was β€” and is β€” devastating. I haven’t been sleeping or eating much. The pandemic has put my personal pain into perspective. I feel for the people who lost so much more than their spouse. As for me, I think that if I can hug my friends again, eat at a restaurant and go back to my gym, I just might be able to survive the end of my marriage.

Travel writer Amelia Rayno has a report from El Salvador:

In El Salvador, we have been under martial law for more than 2 weeks. Multiple kinds of paperwork is required to go outside. Hundreds have been arrested for violating the law, as interpreted by the military and more than 4,000 are in containment centers around the nation.

Perhaps even more pressing is the creep of hunger, in so many homes that can’t afford to miss work for 2 days, much less 2 weeks. I am fortunate to have some liberties as press, that have allowed me to continue working, photographing and in the process, do a little bit of volunteering, while my travels up to the villages above Santiago Nonualco provided a rare opportunity to be surrounded by nature once more (even at 97 degrees, it was welcomed) and receive another important dose of perspective.

I am fortunate to have income still coming in, plenty of food to eat and a comfortable place to live. I am lucky, I am privileged beyond belief. Never does that hit me harder than when I walk into the villages of this beautiful country and see those whose homes are made of stick and mud and plastic bags, who barely had enough to eat before, when they were selling their goods. And now… and now. The reality is, this does not affect all of us equally, and while it can be easy to look inward during this time and focus on our own anxiety and boredom, I hope we do not stop looking outward, too.

Doing it differently in Stockholm, Sweden:

Right now, Sweden is not suffering any worse than nations which have locked down and so people are nervous, anxious because almost everywhere else is doing it differently. It’s an odd mix of trust in the health authorities (they’re calling the shots, not the government) and sort of holding your breath. Hoping, trusting, praying that they called it right.

An anonymous reader from Washington DC shares:

My spouse works on advocating for better government policy concerned with a vulnerable population that happens to be disproportionately affected by the pandemic. I work for a 24hr crisis hotline supporting a constituency that isn’t directly related but for whom resources are being affected by the pandemic. Our jobs are degrees removed from the people we help others serve, but we are both seeing and hearing of what a decimated safety net can’t do β€” as we always feared β€” as we do our bit parts in the relentless tides of adaptation now demanded by our jobs.

In Tokyo, Japan:

I work in Tokyo and live just outside, in a very large city. People here are pretty much ignoring the warnings from the health administrators, and the government waffling makes Trump look good. My wife stopped going to the health club even though they opened up again last week. The church across the street had a service yesterday. You can see kids in the park and more people than ever in the residential areas. We had a run on TP early on, then on groceries when the Tokyo mayor told everyone to stay home…for the weekend.

Family worries in New Jersey:

I have a family of four β€” two kids, a daughter who had her Freshman year in college ripped away from her and a son who is a Junior in high school. At this point, I am happy to report that all of us are completely healthy and have not had any signs of the virus. Probably the hardest part of this whole experience has been to watch the way it has impacted my kids academic and social lives during what are some of the most important and impactful years of their lives. Nothing crushed me more than having to drive to my daughter’s college to clear out her dorm room during the first week of March because of the virus. Even though her school’s administration had not made any decisions on the remainder of the school year, my wife and I made the “executive decision” to take everything home because we had a feeling she was not going back there any time before September (and who knows if that will happen!). She had developed a wonderful group of friends at her school, she was crushing it academically (Dean’s List first semester!) and she was absolutely thriving in her new college environment, and now she is stuck taking virtual classes and having video chats with her friends near and far. She has been handling it exceptionally well; however, as her Dad, it crushes me.

You can read more of the collected responses here.


Dazzling Coronavirus Painting by Biologist David Goodsell

Coronavirus painting by biologist David Goodsell

Since the early 90s, biologist David Goodsell (previously) has been creating scientifically accurate paintings of the structures of cells, molecules, and, yes, viruses. In early February, Goodsell completed a painting of a SARS coronavirus (above).

This painting depicts a coronavirus just entering the lungs, surrounded by mucus secreted by respiratory cells, secreted antibodies, and several small immune systems proteins. The virus is enclosed by a membrane that includes the S (spike) protein, which will mediate attachment and entry into cells, M (membrane) protein, which is involved in organization of the nucleoprotein inside, and E (envelope) protein, which is a membrane channel involved in budding of the virus and may be incorporated into the virion during that process. The nucleoprotein inside includes many copies of the N (nucleocapsid) protein bound to the genomic RNA.

In a brief interview with the NY Times, Goodsell explained why he made the image:

“You have to admit, these viruses are so symmetrical that they’re beautiful,” said Mr. Goodsell, an associate professor at Scripps Research Institute in La Jolla. “Are bright colors and pretty stuff the right approach? The jury’s still out. I’m not trying to make these things look dangerous, I want people to understand how they’re built.”

Seeing the infection count rise, Mr. Goodsell said he worried about the health of his aging parents in Los Angeles. But he hopes his painting can quell fears about the novel coronavirus by educating people on the virus’s workings: “I want people to think of viruses as being an entity that we can learn about and fight. They’re not nebulous nothings.”

Goodsell is currently working on a painting featuring the life cycle of a coronavirus and sharing his progress on Twitter. (via @christopherjobs)


Pandemic Stories from Readers Around the World

In the latest issue of the kottke.org newsletter sent out on Sunday evening, I asked readers if they would share what they’ve been up to during the pandemic and how their families and communities are coping. I received a bunch of responses from people all over the world and beginning today, I will be sharing a few excerpts on kottke.org and in the newsletter β€” you can read all of the responses here.

A doctor writes in from Cape Town, South Africa:

We are well accustomed to working in a resource-scarce setting, and improvisation and decisions about which patients qualify for resuscitation, ventilation and ICU care are the order of the day for us generally. I have been very interested to read media reports about the moral dilemmas facing doctors; first in Italy and now in other parts of the first world where these types of ethical decisions are less commonplace.

From a French schoolteacher:

I am glad I live in France and I know that no matter your social background and bank account status, if you get sick, you get treated the same way and for free.

A pastor from Jackson, Mississippi:

I live in Jackson, MS, which is somewhere between Yonkers and Syracuse in size β€” something like 170,000 people, and the largest city in Mississippi. Some things about Jackson that make this particularly difficult is that Jackson was already desperately poor before all this went down β€” 25% of the city has a household income of less than $15,000 a year, and 75% of the the city was a USDA food desert when everything is “normal”.

As a result, most of Jackson has to travel significant distances to go to the grocery store, and there aren’t huge amounts of money floating around to buy up supplies, anyway. So a big part of my work, as the pastor of a small church down here has been helping people get access to food and supplies.

A report from a central Ohio suburb:

Here in our small tree-lined suburb in central Ohio, we have been carefully observing the social distancing and stay home instructions for nearly four weeks now. As native southerners, we count ourselves lucky to live in Ohio where our (Republican, wow!) governor acted early and rapidly to take measures to flatten the curve of Covid-19. In his first address on the subject he proclaimed that he would be “guided by science” in passing guidelines to protect us, and we look at other less-proactive states and worry about our families there.

New Zealand is in lockdown:

The fallout from our lockdown is going to be massive. No one is really confident at what it will look like, but numbers being thrown around are 30% of small to medium businesses (the category which most of our businesses fall into) will not be able to reopen when the lockdown is lifted. Thousands of people are being made redundant. It’s like nothing most of us have seen in our lifetimes here. Even the GFC didn’t have this bad an impact on our economy. Our parliament (the house of government) is closed, with most of our Members of Parliament locked down at home like the rest of us. What we have in place of the normal sitting of both government and the opposition parties, is a committee made up of representatives of all parties who scrutinise how the government is responding to the virus. The daily sittings of this committee are broadcast online so anyone can see what’s being asked and answered. This seems to be working well and at least safeguards some of our democracy in a time when we’re effectively on a war-footing.

A reminder from Winnipeg, Canada:

School is suspended indefinitely and everyone is home. I’m fortunate to have a family who gets along well and children (10 and 12) who I don’t have to worry about if they miss school for an extended run. I’ve tried to focus on how lucky we are as a family to be able to be together and sustain ourselves. One of the things I heard on the radio early in this period was a discussion on CBC Radio’s As It Happens (one of the nation’s greatest radio programmes, and a great source of information at a time like this) with authors Margaret Atwood, Waubgeshig Rice and Daniel Kalla. Something Rice, an Indigenous author, said, really stuck with me: “I think we’re all scared in some ways. But I think if your first response is fear, it’s important to acknowledge your privilege in that you maybe haven’t been to the brink before. Whereas a lot of marginalized communities have experienced that and continue to experience that. And there’s a long list of examples in Canada of world ending for different communities. You know, you can look at the destruction of Africville in Nova Scotia or the internment of Japanese Canadians. You know, it’s important to take a look at what your personal perspective is and your place in society and just, you know, acknowledge that privilege of being part of the dominant culture and things being generally good in Canada in the last 150 years or so.” I try to remember this as I think about my own fears and my own family’s situation.

The independent spirit of southwest Wyoming:

It’s strange to think about having to shelter in place when we have so much empty space that we can occupy our time with outside, so people are still out and about around our town. And I am completely in favor of shelter in place policies in major metro areas, but somehow it just doesn’t seem like it would work here given the political and personal leanings of the people of Wyoming. I am new to Wyoming (have lived here 2.5 years), but there is a certain way people seem to think this is still the old west and, for better or worse, they tend to have that independent spirit. The virus has just recently arrived in our county, but to be honest the scariest thing for me is the fact that this is Trump country and that people believe him. I’m more scared of jackasses flaunting this as a hoax and not taking the proper precautions when they are at the grocery store with me or my family.

Again, you can read all of the responses right here.


A Lego Justin Trudeau Talks to Children About the Covid-19 Pandemic

During a press conference last month, Canadian Prime Minister Justin Trudeau spent a couple of minutes talking directly to the nation’s children, acknowledging their hardships and role in mitigating the effects of the pandemic. Tyler Walsh and his two sons spent a week making this Lego stop motion animation of Trudeau’s address, something that kids might be more likely to watch.

In an interview with the CBC, Walsh described their process:

“[It took] a fair amount of time and hundreds and hundreds of photos,” he said.

Each working to their strengths, Walsh said the kids were primarily in charge of piecing together the Lego elements β€” such as a podium, as well as hair and a bearded head for Trudeau β€” to bring the set to life.

“I would have questions for them like, ‘I need a sad kid. Do we have any sad kid Lego heads?’”

Trudeau himself responded to the Lego version of his address:

This is really great, Tyler. I think my kids β€” and a whole lot of others β€” will get a kick out of this, all while hearing how they can help out too. Thanks for helping spread that message.

(via @auntmaureen)


The Pandemic Has Driven Twitter to New Lows in Happiness

Since 2008, the Hedonometer has been tracking the language we use on Twitter to assign a daily score that measures how collectively happy we are (English tweets only). From the data, you can see that happiness spikes on holidays & after notable news events (same-sex marriage legalization) and unhappiness follows mass shootings, terrorist events, and Trump’s election. But the Covid-19 pandemic has brought Twitter’s collective happiness rating to an overall new low and its first sustained period of unhappiness.

Twitter Happy Pandemic

The day they identify as the unhappiest is March 12, 2020, which is the day after Americans finally took Covid-19 seriously. Within the space of a few hours on March 11, the NBA announced it was suspending its season, Tom Hanks revealed that he and his wife Rita Wilson had Covid-19, the WHO declared Covid-19 a pandemic, Donald Trump went on primetime TV to address the nation, and the DJIA closed down 1400 points (it would drop another 2350 points on Mar 12).

See also the previous low point after the Las Vegas shootings and my initial post on the Hedonometer from July 2016. In that initial post, I shared a hunch that Twitter’s happiness seemed to have reached a peak in early 2016. With four years of additional data, it’s obvious that the happiness peaked in late 2015 or early 2016 (at least according to their methodology).

Twitter Happy Overall


A Pandemic Strikes Business Town

I featured Business Town, an ultra-capitalist spoof of Richard Scarry’s Busy Busy Town, on this site a few years ago. Their last few entries have focused on the pandemic and they are devastatingly spot on.

Business Town Pandemic

Business Town Pandemic

(via waxy)


Why Has Germany Been Effective at Limiting Covid-19 Deaths?

As I’m writing this, according to Johns Hopkins’ Covid-19 tracker, Germany has recorded 100,186 confirmed cases of Covid-19 (fourth most in the world) and 1590 deaths β€” that’s a death rate of about 1.6%. Compare that to Italy (12.3%), China (4%), the US (2.9%), and even South Korea (1.8%) and you start to wonder how they’re doing it. This article from the NY Times details why the death rate is so low in Germany.

Another explanation for the low fatality rate is that Germany has been testing far more people than most nations. That means it catches more people with few or no symptoms, increasing the number of known cases, but not the number of fatalities.

“That automatically lowers the death rate on paper,” said Professor KrΓ€usslich.

But there are also significant medical factors that have kept the number of deaths in Germany relatively low, epidemiologists and virologists say, chief among them early and widespread testing and treatment, plenty of intensive care beds and a trusted government whose social distancing guidelines are widely observed.

This article is a real punch in the gut if you’re an American. Obviously there are bureaucracies and inefficiencies in Germany like anywhere else, but it really seems like they listened to the experts and did what a government is supposed to do for its people before a disaster struck.

“Maybe our biggest strength in Germany,” said Professor KrΓ€usslich, “is the rational decision-making at the highest level of government combined with the trust the government enjoys in the population.”

This whole crisis is really laying bare many of the worst aspects of American society β€” it’s increasingly obvious that the United States resembles a failed state in many ways. I can’t be the only American whose response to the pandemic is to think seriously about moving to a country with a functioning government, good healthcare for everyone, and a real social safety net.


Pandemic Paradoxically Offers Relief from Depression & Anxiety for Some

This is an interesting piece by The Daily Beast’s Laura Bradley, who is one of a number of people who have seen their symptoms of anxiety and depression actually lessen during the pandemic. Part of it is the odd sense of joy experienced by some people going through disasters, but there are other possible explanations:

“I’m used to being in a room alone with my thoughts for an extended period of time,” Weinstein said, adding that under quarantine, “You kind of run through the gamut of, ‘OK what if I’m not out of here in 20 days; what if I’m not out of here in 40 days; what if I’m not out here in 60 days? What will happen to me?” Due to her history of depression and anxiety, Weinstein is also used to, as she put it, “shrinking away from life” for a period of time.

“These are thought processes I am used to having and welcome β€” and know how to cut off in a kind, loving way after they’ve been around a little too long,” Weinstein said.

It would also make sense that if your depression or anxiety focuses on being out in a busy and complicated world, dealing with a greatly simplified situation might be beneficial. Either way, this is another reminder of the infinite number of ways that different people can react to a crisis.


Portrait of a Coronavirus

Soon after the CDC started to mobilize to address Covid-19, medical illustrators Alissa Eckert & Dan Higgins were asked to create this illustration of a coronavirus that could be used as the “face” of the epidemic.

Coronavirus Portrait

The novel coronavirus, like all viruses, is covered with proteins that give it its character and traits. There are the spike proteins, or S-proteins β€” the red clusters in the image β€” which allow the virus to attach to human cells. Envelope or E-proteins, represented by yellow crumbs, help it get into those cells. And membrane proteins, or M-proteins, shown in orange, give the virus its form.

In a video released last February, Eckert explained a little about what she does at CDC.


We’re All Dancers Now - Mindful Movement Is Key to Social Distancing

I really liked How We Use Our Bodies to Navigate a Pandemic by NY Times dance critic Gia Kourlas on how many people struggle with the awareness of what their bodies are doing in public and that social distancing measures require a higher level of attentiveness to how we move and coordinate our movements with others.

In this time of confinement, we have been given one immeasurable gift β€” the freedom to go outside. In exchange, we must abide by a simple rule: Stay six feet away from others. As choreographic intentions go, that’s not remotely vague. Yet during my runs and walks in Brooklyn over the past few days, I’ve noticed that six feet doesn’t mean the same thing to everybody.

Spatial awareness, like coordination, isn’t a given. Watching the choices people make when they move in public, much less in this time of social distancing, can be shocking, from the much-bemoaned tourist who comes to a grinding halt in Times Square to the woman with a yoga mat knocking people aside to get her spot on the floor. (It’s OK; she’ll still feel good about bowing her head and saying namaste.)

Now the choreography of the streets has taken on higher stakes. It’s the difference between health and sickness, life and death. Inside we’re alone. Outside, a new alertness is in order, one that demands a deep connection to the position and movement of the body β€” or proprioception, sometimes referred to as the sixth sense.


Samuel L. Jackson: “Stay the Fuck at Home!”

On Jimmy Kimmel the other night, F-bomb maestro Samuel L. Jackson read a new short story/poem by Adam Mansbach (author of Go the Fuck to Sleep) called Stay the Fuck at Home to promote safe behavior during the pandemic. You can skip to about 6:00 to hear the story:

The book isn’t available for sale, so Jackson, Kimmel, and Mansbach are asking people to donate to Feeding America.


How to Adapt to a Long-Term Crisis

From Dr. Aisha Ahmad, some advice for how to adapt to conditions of a long-term crisis like the pandemic we are currently facing. (This was written specifically for educators, but applies to anyone.) First, the necessary sobering bit (italics mine):

The answer to the question everyone is asking β€” “When will this be over?” β€” is simple and obvious, yet terribly hard to accept. The answer is never.

Global catastrophes change the world, and this pandemic is very much akin to a major war. Even if we contain the Covid-19 crisis within a few months, the legacy of this pandemic will live with us for years, perhaps decades to come. It will change the way we move, build, learn, and connect. There is simply no way that our lives will resume as if this had never happened. And so, while it may feel good in the moment, it is foolish to dive into a frenzy of activity or obsess about your scholarly productivity right now. That is denial and delusion. The emotionally and spiritually sane response is to prepare to be forever changed.

I’ve had a few weeks to process the fact that this will never end, but seeing it stated like this, so matter-of-factly, is still shocking. Luckily, Ahmad spends the rest of the piece gently and generously advising us on how to handle this changed state of affairs.

Now more than ever, we must abandon the performative and embrace the authentic. Our essential mental shifts require humility and patience. Focus on real internal change. These human transformations will be honest, raw, ugly, hopeful, frustrated, beautiful, and divine. And they will be slower than keener academics are used to. Be slow. Let this distract you. Let it change how you think and how you see the world. Because the world is our work. And so, may this tragedy tear down all our faulty assumptions and give us the courage of bold new ideas.

In a Twitter thread, Ahmad shared some further thoughts on adapting to our new reality.

To start, know that your feelings today are not going to last all summer. It’s just a transition period. Right now, it feels like your whole world has been taken away, but that’s just because you haven’t hit your creative adaptation phase yet. Trust the process.

It’s upsetting when our expectations & plans are overturned. Give yourself a moment to grieve. But don’t let your grief trick you into thinking you’re going to suffer every day. That’s not happening. Your mind & body will adjust. Joy & freedom are still on the table.

And this was my favorite bit:

Second, embrace radical acceptance. Let go of expectations and control. What you did last month doesn’t serve you today. Let the world, today, teach you a new way to be happy, joyous, and free. If we live in denial, fear, or self-pity, we will miss the gift.

See also how to deal with our collective pandemic grief. (thx, meg)


Pandemic Travel Posters (Inviting You to Stay Home)

Pandemic Travel Posters

Pandemic Travel Posters

Jennifer Baer of the “Coronavirus Tourism Bureau” made some travel posters designed to get you interested in staying inside and exploring your own home during the pandemic. Posters are available for purchase.


Grocery Store Worker Offers Suggestions for Staying Safe While Shopping During the Pandemic

Rebecca Marquardt works at a grocery store and has some tips/suggestions/requests for grocery shoppers on how to keep themselves and grocery store employees healthy while shopping during the pandemic.

1. Make an organized shopping list so you can get in and out.
2. Stock up (DON’T hoard) so you don’t have to come in as often.
3. Go to the bathroom at home.
4. Sanitize your hands right before you enter the store.
4 1/2. Forgot when I filmed β€” wipe down the shopping cart/basket.
5. Touch only what you need to.
6. Maintain space between you, other customers, AND employees.
7. Ask if we’d like you to bag your own groceries.
8. Wash your reusable bags!
9. Sanitize your hands when you leave the store.

Are people serious with #3?! Jesus. I know it can be difficult to think of something as simple and ubiquitous as grocery shopping as requiring forethought, but these are not normal times. Make a plan and stick to it. The goal is to minimize your exposure (to keep yourself and workers safe) while getting necessary supplies. Marquardt’s list is really good, but I’d add a few more things based on common sense & policies I’ve seen at other stores:

1. Send only one person per family to do the shopping. And especially don’t bring your kids into the store.
2. Wear a mask.
3. Take only what you absolutely need into the store β€” no big purses or bags if you can help it. Use a paper shopping list; keep your phone in your pocket. Have your credit card out of your wallet and in a pocket for ease of use. All this minimizes the things you touch and need to potentially disinfect later.

Again, I know it feels completely idiotic to have to think about going to the store like you’re Serena Williams prepping for a Grand Slam final. It seems like an overreaction. But as Williams would probably be the first to tell you, preparation and careful execution of a plan are things that can help you feel more confident, comfortable, and in control about a potentially stressful event. We owe it to Marquardt and other store workers to keep them safe during all of this while they work to keep us fed and stocked with essentials. (via digg)


Chris Ware’s Moving Pandemic-Themed Cover for the New Yorker

Chris Ware Covid-19

This is Chris Ware’s illustration for the cover of this week’s New Yorker, the magazine’s annual Health Issue. The pandemic had to be the topic for the cover, and Ware’s daughter suggested that the specific theme focus on the families of the healthcare workers on the front lines of the crisis.

“As a procrastination tactic, I sometimes ask my fifteen-year-old daughter what the comic strip or drawing I’m working on should be about β€” not only because it gets me away from my drawing table but because, like most kids of her generation, she pays attention to the world. So, while sketching the cover of this Health Issue, I asked her.

“‘Make sure it’s about how most doctors have children and families of their own,’ she said.

“Good idea. And a personal one: one of her friend’s parents are both doctors; that friend, now distilled into a rectangular puddle of light on my daughter’s nightstand, reported that her mom had temporarily stopped going to work, pending the results of a COVID-19 test.


People Behave More Cooperatively During Disasters

I’ve been wanting to write something about this for a few weeks now, so I was glad to find this short but meaty Twitter thread by Dan Gardner about how people react in a crisis: they get more cooperative, not less.

Please remember: The idea that when disaster strikes people panic and social order collapses is very popular. It is also a myth. A huge research literature shows disaster makes people *more* pro-social. They cooperate. They support each other. They’re better than ever.

But the myth matters because it can lead people to take counterproductive actions and adopt policies. The simple truth is we are a fantastically social species and threats only fuel our instinct to pro-social behaviour.

Incidentally, this point is made, and is forgotten, after every disaster. Remember 9/11? Everyone was astonished that snarling, greedy, individualistic New Yorkers were suddenly behaving like selfless saints. No need for surprise. That’s humanity. That’s how we roll.

A reader suggested I check out Rebecca Solnit’s writing on the topic, and indeed she wrote an entire book in 2010 about this: A Paradise Built in Hell: The Extraordinary Communities That Arise in Disaster. Solnit recently spoke to CBC Radio about her research.

I had learned by reading the oral histories of the 1906 earthquake, and by reading the wonderful disaster sociologists in a field that begins in part with Samuel Prince, looking at the Halifax Explosion in 1917 … that actually in disasters, most people are altruistic, brave, communitarian, generous and deeply creative in rescuing each other, creating the conditions for success of survival and often creating these little disaster utopias where everyone feels equal. Everyone feels like a participant.

It’s like a reset, when you turn the machine on and off and on again, that our basic default setting is generous and communitarian and altruistic. But what’s shocking is the incredible joy people often seem to have, when they describe that sense of purpose, connection, community agency they found. It speaks to how deeply we desire something we mostly don’t have in everyday life. That’s a kind of social, public love and power, above and beyond the private life.

I’ve put this 2016 episode of On Being with Solnit on my to-listen list.

The amazing thing about the 1989 earthquake β€” it was an earthquake as big as the kind that killed thousands of people in places like Turkey and Mexico City, and things like that. But partly, because we have good infrastructure, about 50 people died, a number of people lost their homes, everybody was shaken up. But what was so interesting for me was that people seemed to kind of love what was going on.

That same year in the aftermath of the election, she wrote an essay called How to Survive a Disaster.

I landed in Halifax, Nova Scotia, shortly after a big hurricane tore up the city in October of 2003. The man in charge of taking me around told me about the hurricane-not the winds at more than a hundred miles an hour that tore up trees, roofs, telephone poles, not the seas that rose nearly ten feet, but the neighbors. He spoke of the few days when everything was disrupted and lit up with happiness as he did so. In his neighborhood all the people had come out of their houses to speak with each other, aid each other, to improvise a community kitchen, make sure the elders were okay, and spend time together, no longer strangers. “Everybody woke up the next morning and everything was different,” he mused. “There was no electricity, all the stores were closed, no one had access to media. The consequence was that everyone poured out into the street to bear witness. Not quite a street party, but everyone out at once-it was a sense of happiness to see everybody even though we didn’t know each other.” His joy struck me powerfully.

More reading material on this, via Gardner: Disaster Mythology and Fact: Hurricane Katrina and Social Attachment, Psychological disaster myths in the perception and management of mass emergencies, There Goes Hurricane Florence; Here Come the Disaster Myths, and 5 Most Common (and Most Dangerous) Disaster Myths.

Note: A version of this post first appeared in Noticing, the kottke.org newsletter. You can subscribe here.


You Should Be Wearing a Face Mask

Wear A Mask

Have you been wearing a face mask when going out in public recently? There’s been a lot of debate recently about whether they are effective in keeping people safe from COVID-19 infection, and it’s been really challenging to find good information. After reading several things over the past few days, I have concluded that wearing a mask in public is a helpful step I can take to help keep myself and others safe, with the important caveat that healthcare workers need access to masks before the rest of us (see below). In particular, I found this extensive review of the medical and scientific literature on mask & respirator use helpful, including why research on mask efficacy is so hard to do and speculation on why the CDC and WHO generally don’t recommend wearing them.

I was able to find one study like this outside of the health care setting. Some people with swine flu travelled on a plane from New York to China, and many fellow passengers got infected. Some researchers looked at whether passengers who wore masks throughout the flight stayed healthier. The answer was very much yes. They were able to track down 9 people who got sick on the flight and 32 who didn’t. 0% of the sick passengers wore masks, compared to 47% of the healthy passengers. Another way to look at that is that 0% of mask-wearers got sick, but 35% of non-wearers did. This was a significant difference, and of obvious applicability to the current question.

See also this review of relevant scientific literature, this NY Times piece, this Washington Post opinion piece by Jeremy Howard (who is on a Twitter mission to get everyone to wear masks):

When historians tally up the many missteps policymakers have made in response to the coronavirus pandemic, the senseless and unscientific push for the general public to avoid wearing masks should be near the top.

The evidence not only fails to support the push, it also contradicts it. It can take a while for official recommendations to catch up with scientific thinking. In this case, such delays might be deadly and economically disastrous. It’s time to make masks a key part of our fight to contain, then defeat, this pandemic. Masks effective at “flattening the curve” can be made at home with nothing more than a T-shirt and a pair of scissors. We should all wear masks β€” store-bought or homemade β€” whenever we’re out in public.

At the height of the HIV crisis, authorities did not tell people to put away condoms. As fatalities from car crashes mounted, no one recommended avoiding seat belts. Yet in a global respiratory pandemic, people who should know better are discouraging Americans from using respiratory protection.

I have to admit that I have not been wearing a mask out in public β€” I’ve been to the grocery store only three times in the past two weeks, I go at off-hours, and it’s rural Vermont, so there’s not actually that many people about (e.g. compared to Manhattan). But I’m going to start wearing one in crowded places (like the grocery store) because doing so could a) safeguard others against my possible infection (because asymptomatic people can still be contagious), b) make it less likely for me to get infected, and c) provide a visible signal to others in my community to normalize mask wearing. As we’ve seen in epidemic simulations, relatively small measures can have outsize effects in limiting later infections & deaths, and face masks, even if a tiny bit effective, can have a real impact.

Crucially, the available research and mask advocates stress the importance of wearing masks properly and responsibly. Here are some guidelines I compiled about responsible mask usage:

  • Don’t buy masks (or use new masks you might have at home) while there is a shortage for healthcare workers, especially not N95 respirators (which are difficult to use properly anyway). Make a mask at home. Skiers & snowboarders, wear your buffs or ski masks. Donate any unused masks or respirators you may have to healthcare workers.

  • Make sure your mask fits properly β€” limit any gaps between the mask and your face as much as you can. (Facial hair can limit mask effectiveness.)

  • While wearing your mask in public, don’t fuss with it β€” touching your face is bad, remember? Wear it at home for a few hours to get used to the sensation. Then when you’re ready to go out, put it on properly and don’t touch it again until you’re back home (or in the car or whatever). Part of the point of the mask is for you to touch your face less.

  • Limit reuse of potentially contaminated masks. Discard or, if possible, wash or disinfect masks after public usage or at the end of the day.

  • Wearing a mask doesn’t mean you can safely go do a bunch of things without fear of getting infected. The idea here is to protect yourself while engaging in necessary activities in public. Wearing a mask doesn’t mean you can visit grandma safely or discard the six-feet-away rule.

  • Don’t do anything stupid like spraying your mask with a household cleaner that contains bleach and put it on. Come on.

So that’s what I’ve personally concluded from all my reading. I hope wearing masks can help keep us a little safer during all of this.

Update: From Ferris Jabr at Wired, It’s Time to Face Facts, America: Masks Work.

It is unequivocally true that masks must be prioritized for health care workers in any country suffering from a shortage of personal protective equipment. But the conflicting claims and guidelines regarding their use raise three questions of the utmost urgency: Do masks work? Should everyone wear them? And if there aren’t enough medical-grade masks for the general public, is it possible to make a viable substitute at home? Decades of scientific research, lessons from past pandemics, and common sense suggest the answer to all of these questions is yes.

Update: The Atlantic’s Ed Yong weighs in on masks:

In Asia, masks aren’t just shields. They’re also symbols. They’re an affirmation of civic-mindedness and conscientiousness, and such symbols might be important in other parts of the world too. If widely used, masks could signal that society is taking the pandemic threat seriously. They might reduce the stigma foisted on sick people, who would no longer feel ashamed or singled out for wearing one. They could offer reassurance to people who don’t have the privilege of isolating themselves at home, and must continue to work in public spaces. “My staff have also mentioned that having a mask reminds them not to touch their face or put a pen in their mouth,” Bourouiba noted.

He also writes about something I’ve been wondering about: is the virus airborne, what does that even mean, when will we know for sure, and how should that affect our behavior in the meantime?

These particles might not even have been infectious. “I think we’ll find that like many other viruses, [SARS-CoV-2] isn’t especially stable under outdoor conditions like sunlight or warm temperatures,” Santarpia said. “Don’t congregate in groups outside, but going for a walk, or sitting on your porch on a sunny day, are still great ideas.”

You could tie yourself in knots gaming out the various scenarios that might pose a risk outdoors, but Marr recommends a simple technique. “When I go out now, I imagine that everyone is smoking, and I pick my path to get the least exposure to that smoke,” she told me. If that’s the case, I asked her, is it irrational to hold your breath when another person walks past you and you don’t have enough space to move away? “It’s not irrational; I do that myself,” she said. “I don’t know if it makes a difference, but in theory it could. It’s like when you walk through a cigarette plume.”

And from the WHO, here’s a video on how to wear a mask properly.

Update: One of the reasons I started to wear a mask when I go out in public was to “provide a visible signal to others in my community to normalize mask wearing”. Maciej CegΕ‚owski’s post touches on this and other reasons to wear a mask that don’t directly have to do with avoiding infection.

A mask is a visible public signal to strangers that you are trying to protect their health. No other intervention does this. It would be great if we had a soap that turned our hands gold for an hour, so everyone could admire our superb hand-washing technique. But all of the behaviors that benefit public health are invisible, with the exception of mask wearing.

If I see you with a mask on, it shows me you care about my health, and vice versa. This dramatically changes what it feels like to be in a public space. Other people no longer feel like an anonymous threat; they are now your teammates in a common struggle.


Cellphone Data Shows How Quickly Partying Spring Breakers Spread Across the Country

People on Spring Break in Florida for the past couple of weeks were famously unconcerned with social distancing measures implementing in other areas of the country to help stem the tide of COVID-19 infections and save lives. Using cellphone location data from just the phones of the people gathered on a single beach in Fort Lauderdale, Florida, this video shows just how far those people spread across the country when they went home, possibly taking SARS-CoV-2 with them. They go everywhere.

Show of hands: who feels uncomfortable being reminded of the extent to which 3rd party companies know the location of our cellphones? With tools like the one demonstrated in the video & other easily available info, it has to be trivial to identify individuals by name using even “randomized” data and so-called metadata. (via @stewartbrand)


Simulating Many Scenarios of an Epidemic

Back when the COVID-19 pandemic was beginning to be taken seriously by the American public, 3blue1brown’s Grant Sanderson released a video about epidemics and exponential growth. (It’s excellent β€” I recommend watching it if you’re still a little unclear on how things are got so out of hand so quickly in Italy and, very soon, in NYC.) In his latest video, Sanderson digs a bit deeper into simulating epidemics using a variety of scenarios.

Like, if people stay away from each other I get how that will slow the spread, but what if despite mostly staying away from each other people still occasionally go to a central location like a grocery store or a school?

Also, what if you are able to identify and isolate the cases? And if you can, what if a few slip through, say because they show no symptoms and aren’t tested?

How does travel between separate communities affect things? And what if people avoid contact with others for a while, but then they kind of get tired of it and stop?

These simulations are fascinating to watch. Many of the takeaways boil down to: early & aggressive actions have a huge effect in the number of people infected, how long an epidemic lasts, and (in the case of a disease like COVID-19 that causes fatalities) the number of deaths. This is what all the epidemiologists have been telling us β€” because the math, while complex when you’re dealing with many factors (as in a real-world scenario), is actually pretty straightforward and unambiguous.

The biggest takeaway? That the effective identification and isolation of cases has the largest effect on cutting down the infection rate. Testing and isolation, done as quickly and efficiently as possible.

See also these other epidemic simulations: Washington Post and Kevin Simler.

Note: Please keep in mind that these are simulations to help us better understand how epidemics work in general β€” it’s not about how the COVID-19 pandemic is proceeding or will proceed in the future.


Indoor Voices, A Quarantine Group Blog Just Like The Old Days

A few weeks ago, writer Kyle Chayka Tweeted “I predict a great Blogging Renaissance,” to which also writer Kevin Nguyen responded, “i kinda wanna do a weird free-for-all quarantine blog.” Then they added other writer Bijan Stephen and started Indoor Voices, a group blog which has now grown to about 80 members, all of whom miss what the internet used to be like AND happen to be home quite a bit at the moment. (To cement old school credentials, Indoor Voices is hosted on ancient blogging platform Blogspot, the place I got my blogging start in 2004. (Out of an abundance of shame, I absolutely will not be linking to this first blog.))

From the Indoor Voices about page:

Blogging is not a substitute for direct action. Direct action in this case involves staying home. Blogging is one thing to do while staying at home. Please wash your hands. It’s hard to believe, but there was a time where the internet was just full of casual websites posting random stuff. And you’d go to them maybe even multiple times a day to see if they had posted any new stories. It was something we all did when we were bored at our desks, at our jobs. Now there are no more desks. But there are still blogs.

There’s no theme, except quarantine. There’s no schedule, except people post every day whenever they want. As you might expect from a group of 80 people, post subjects vary. There are beauty tips, missives to Deadwood and Steven Universe, strategies to get through your pile of New Yorkers, and a regularly featured What Should You Do Tonight? I myself have posted about working from home with kids (it’s…fine), what help small businesses need right now, and Quarantine, an anthem sung to the tune of Dolly Parton’s, Jolene. (This level of blogging productivity hasn’t been seen by me since 2014.)

In a brief interview, cofounder Kevin Nguyen had this to say about Indoor Voices:

We started Indoor Voices because we were nostalgic for classic days of blogging, and partly as an inside joke. Then we realized that the blogs we missed felt like an inside joke that a small community was in on. So far, we’ve been really thrilled with the creative, chaotic energy that people have been putting forward. It’s writing for writing’s sake, and we’ve enjoyed seeing just how diverse and funny and strange that’s been. Probably helps that we’re all slowly going stir crazy.

Note also, Kevin’s first novel, New Waves, is finally out. It’s my most anticipated read of the year, but don’t take my word for it. Almost every publication that writes about books regularly listed it as anticipated as well.


How to Shop Safely in a Pandemic

Note: Please check the updates below for some important corrections to some of the information in this video.

From Dr. Jeffrey VanWingen MD, a video on how to ensure that your grocery shopping experience is as safe as possible and to avoid potential COVID-19 infection from plastic and metal surfaces. I’m going to be honest with you: a lot of this seems like overkill (as it should β€” see the Paradox of Preparation). However, this is also pretty much what I’ve been doing after grocery shopping for the past 2 weeks because I am a fastidious motherfucker1 with plenty of time to wipe down groceries. If it comes down to a choice between watching 7 more minutes of The Mandalorian or wiping down my groceries before putting them in the fridge, I’m gonna wipe them groceries. Baby Yoda can wait.

See also this PDF from Crumpton Group about how to keep your household free of the outside effects of the COVID-19 pandemic.

Household members should understand that their principal effort should be directed towards isolating the inside of the home from the pandemic effects outside. All physical thresholds of the home will serve as a cordon sanitaire. Strive to decontaminate everyone and everything to the best practical degree before entering.

Many of Dr. VanWingen’s recommendations mirror those in the PDF. See also expert guidance on COVID-19 and food safety. (thx, meg)

Update: I have not had a chance to read it yet (was attending to some other things this evening β€” family, trying to have some normalcy), but I’ve been told that this thread is a good response to the video above. I’ll have a closer look at it tomorrow.

Update: Ok, I’ve read Don Schaffner’s thread criticizing this video. At least I think this is the video he’s referring to because he never says it outright β€” which I’ll get to in a minute. (Schaffner is a professor in the food science department at Rutgers who I linked to the other day in my post on COVID-19 and food safety.) As he notes, there are a couple of factual errors and VanWingen does offer some dubious advice, particularly about washing food with soap (which I didn’t take seriously). I do not believe, however, that VanWingen was suggesting that people leave frozen items and perishables in a warm garage for 3 days and that the normal rules of food safety are somehow countermanded by potential coronavirus contamination. If you want to leave that box of Cheerios that you don’t need in the car for 3 days, go right ahead. He definitely should have been clearer on that point though.

But the bulk of VanWingen’s video was about how to handle your groceries and takeout food coming into your house to minimize the chance of infection. (And as I mentioned, much of it mirrors the advice in this document and in Dr. Michael Lin’s document from a couple of weeks ago β€” this isn’t just his opinon or my opinion.) If we are to take seriously a) the assumption that anyone could have COVID-19 (including yourself & grocery workers) that we are operating under w/r/t to handwashing & keeping a 6-foot distance, b) the preliminary results that suggest that SARS-CoV-2 can last on some surfaces for days, and c) that person-to-surface-to-person transfer of SARS-CoV-2 might result in infection (i.e. the reason we are doing all this handwashing and face not-touching), then we should be disinfecting surfaces that other people have been touching recently. Right? We should assume that all surfaces are contaminated. This doesn’t seem outlandish, especially when grocery stores are restocking shelves continuously β€” that bag of chips that you put into your cart may have been placed on the shelf only 30 minutes before. How is disinfecting your Oreos package when you get home from the store a bad idea? Sure, wash your hands before you eat, but if you have kids, you know how futile that can be sometimes, especially when Oreos are involved. So why not just clean the package? Ditto with transferring takeout food to new containers and giving it a blast in the microwave to warm it up.

Schaffner’s stance is that most surfaces aren’t contaminated to a high degree, which is undoubtably true. Having watched the video & read Schaffner’s advice (and other advice by other experts), where your personal comfort level with making sure the surfaces you and your family come into contact to are disinfected is up to you. Ultimately, advice from experts is still advice and you have to figure out whether it works for you. It’s easy to believe you should wash your hands frequently because that’s universal advice. But “you should disinfect surfaces you touch” and “you don’t have to worry too much about disinfecting your grocery packages” are genuinely conflicting bits of advice from well-meaning experts! You’ve gotta use your noggin and make up your own mind, based on your personal idea of risk and safety. It’s gonna land differently with different people.

Finally, I’m going to get a little cranky here, but I found Schaffner’s overall tone in the first few tweets of that thread mocking, ungenerous, and unhelpful. Instead of gently offering alternative authoritative advice, he subtweeted (by refusing to link to the video and calling Dr. VanWingen not by his name but referring to him as “the video MD”) and made fun of VanWingen’s outfit. I know it must be frustrating to see what you perceive as misinformation out there, but we do not need Doctor vs Doctor battles here. Everyone’s just going to get defensive and dig their heels in.

Update: From Joseph Allen of Harvard’s School of Public Health, Don’t panic about shopping, getting delivery or accepting packages.

Yes, the virus can be detected on some surfaces for up to a day, but the reality is that the levels drop off quickly. For example, the article shows that the virus’s half-life on stainless steel and plastic was 5.6 hours and 6.8 hours, respectively. (Half-life is how long it takes the viral concentration to decrease by half, then half of that half, and so on until it’s gone.)

And here’s how to take reasonable precautions when getting a package delivery or going to the grocery store:

You can leave that cardboard package at your door for a few hours - or bring it inside and leave it right inside your door, then wash your hands again. If you’re still concerned there was any virus on the package, you could wipe down the exterior with a disinfectant, or open it outdoors and put the packaging in the recycling can. (Then wash your hands again.)

What about going to the grocery store? The same approach applies.

Shop when you need to (keeping six feet from other customers) and load items into your cart or basket. Keep your hands away from your face while shopping, and wash them as soon as you’re home. Put away your groceries, and then wash your hands again. If you wait even a few hours before using anything you just purchased, most of the virus that was on any package will be significantly reduced. If you need to use something immediately, and want to take extra precautions, wipe the package down with a disinfectant. Last, wash all fruits and vegetables as you normally would.

Important caveat: the coronavirus half-life times are for room temperature. For colder temperatures (like in the fridge or especially the freezer), the virus will last longer. So maybe wipe down that bag of frozen peas even if you’re not going to use them for a couple of days.

  1. Hey, if you don’t know what you should be doing in a certain situation w/r/t to coronavirus, just ask your most detail-oriented friend. You know, the one who shows up to things on time and is usually a fussy pain in your ass. They’ll have a plan all ready to go and will be happy to share it with you because they’ve been waiting YEARS for some shit like this to happen. NOW IS OUR TIME TO SHINE!↩


What To Do About Our Collective Pandemic Grief Before It Overwhelms Us

For That Discomfort You’re Feeling Is Grief, HBR’s Scott Berinato interviewed David Kessler, who he calls “the world’s foremost expert on grief”, about what we’re collectively feeling as we deal with the COVID-19 pandemic.

HBR: People are feeling any number of things right now. Is it right to call some of what they’re feeling grief?

Kessler: Yes, and we’re feeling a number of different griefs. We feel the world has changed, and it has. We know this is temporary, but it doesn’t feel that way, and we realize things will be different. Just as going to the airport is forever different from how it was before 9/11, things will change and this is the point at which they changed. The loss of normalcy; the fear of economic toll; the loss of connection. This is hitting us and we’re grieving. Collectively. We are not used to this kind of collective grief in the air.

HBR: You said we’re feeling more than one kind of grief?

Kessler: Yes, we’re also feeling anticipatory grief. Anticipatory grief is that feeling we get about what the future holds when we’re uncertain. Usually it centers on death. We feel it when someone gets a dire diagnosis or when we have the normal thought that we’ll lose a parent someday. Anticipatory grief is also more broadly imagined futures. There is a storm coming. There’s something bad out there. With a virus, this kind of grief is so confusing for people. Our primitive mind knows something bad is happening, but you can’t see it. This breaks our sense of safety. We’re feeling that loss of safety. I don’t think we’ve collectively lost our sense of general safety like this. Individually or as smaller groups, people have felt this. But all together, this is new. We are grieving on a micro and a macro level.

And what can we start to do about our grief?

Understanding the stages of grief is a start. But whenever I talk about the stages of grief, I have to remind people that the stages aren’t linear and may not happen in this order. It’s not a map but it provides some scaffolding for this unknown world. There’s denial, which we say a lot of early on: This virus won’t affect us. There’s anger: You’re making me stay home and taking away my activities. There’s bargaining: Okay, if I social distance for two weeks everything will be better, right? There’s sadness: I don’t know when this will end. And finally there’s acceptance. This is happening; I have to figure out how to proceed.

Acceptance, as you might imagine, is where the power lies. We find control in acceptance. I can wash my hands. I can keep a safe distance. I can learn how to work virtually.

Kessler recently came out with a new book called Finding Meaning: The Sixth Stage of Grief.

I wrote a bit about grief a couple years back in this post How Do You Help a Grieving Friend?

One of the odd things about getting older (and hopefully wiser) is that you stop chuckling at cliches and start to acknowledge their deep truths. A recent example of this for me is “the only way out is through”. As Devine notes, in this video and her book It’s OK That You’re Not OK, there’s no shortcut for dealing with pain…you have to go through it to move past it.

See also a collection of resources for dealing with death compiled by Chrysanthe last year. (via laura olin)

Update: Trouble Focusing? Not Sleeping? You May Be Grieving by novelist R.O. Kwon:

Other people who couldn’t stay home were going to work every day β€” many without the option, the privilege, of doing otherwise β€” while here I was, home, and I couldn’t, of all things, write. Yes, there’s a pandemic, and yes, I felt by turns anxious, furious, and terrified, but it’s 2020 in America, and I’ve felt quite anxious, furious and terrified for a while. The inability to work, though, was new.

But then it occurred to me, as I ate another astringent chip, that this lassitude, the trouble focusing, the sleep difficulties, my exhaustion: Oh yes, I thought, I remember this. I was grieving. I was grieving in early March, I’m still grieving now, and chances are, you are, too.

(via @_chrysanthe)