Coronavirus: can herd immunity really protect us?

Jeremy Rossman in The Conversation:

Our bodies fight infectious diseases through the actions of our immune systems. When we recover, we often retain an immunological memory of the disease that enables us to fight off that same disease in the future. This is how vaccines work, creating this immune memory without requiring getting sick with the disease.

If you have a new disease, such as COVID-19, that we don’t have a vaccine for and no one in the country has ever been infected with, the disease will spread through the population. But if enough people develop an immune memory, then the disease will stop spreading, even if some of the population is not immune. This is herd immunity, and it is a very effective way to protect the whole of a population against infectious disease.

But herd immunity is typically only viewed as a preventive strategy in vaccination programmes. If we don’t have a vaccine – as we don’t for COVID-19 – achieving herd immunity would require a significant proportion of the population to be infected and recover from COVID-19. So what would this mean for the spread of the disease in the UK?

More here.

The Collapse of the Trump Administration

Greg Valliere of AGF Investments over at the firms’ website:

THE MARKETS HAVE COLLAPSED, the sports world has collapsed, and the Trump Administration has collapsed — abdicating to the steely Nancy Pelosi on policy, abdicating to health experts like Dr. Anthony Fauci, and potentially abdicating to Joe Biden in November.

WHEN THE HISTORY OF THIS SHOCKING COLLAPSE is written, its defining chapter may focus on Donald Trump’s appalling speech on Wednesday night — poorly delivered, filled with errors, insulting to European allies, and a disaster for the financial markets.

WE TALKED WITH INSIDERS YESTERDAY who are stunned by the speech and Trump’s improvised happy talk. One source said that within the White House, there’s dismay that policy is being crafted by Jared Kushner, who has no expertise on health issues.

THERE’S BEEN NO DIRECTION from the White House on policy responses, so Pelosi has filled the void, winning concession after concession, prevailing with 14 days of paid sick leave, more generous unemployment benefits, free virus testing, etc. Many of the concessions could be permanent.

More here.

The Trump Presidency Is Over: Americans have now seen the con man behind the curtain

Peter Wehner in The Atlantic:

The president’s misinformation and mendacity about the coronavirus are head-snapping. He claimed that it was contained in America when it was actually spreading. He claimed that we had “shut it down” when we had not. He claimed that testing was available when it wasn’t. He claimed that the coronavirus will one day disappear “like a miracle”; it won’t. He claimed that a vaccine would be available in months; Fauci says it will not be available for a year or more. Trump falsely blamed the Obama administration for impeding coronavirus testing. He stated that the coronavirus first hit the United States later than it actually did. (He said that it was three weeks prior to the point at which he spoke; the actual figure was twice that.) The president claimed that the number of cases in Italy was getting “much better” when it was getting much worse. And in one of the more stunning statements an American president has ever made, Trump admitted that his preference was to keep a cruise ship off the California coast rather than allowing it to dock, because he wanted to keep the number of reported cases of the coronavirus artificially low. “I like the numbers,” Trump said. “I would rather have the numbers stay where they are. But if they want to take them off, they’ll take them off. But if that happens, all of a sudden your 240 [cases] is obviously going to be a much higher number, and probably the 11 [deaths] will be a higher number too.” (Cooler heads prevailed, and over the president’s objections, the Grand Princess was allowed to dock at the Port of Oakland.)

On and on it goes.

To make matters worse, the president delivered an Oval Office address that was meant to reassure the nation and the markets but instead shook both. The president’s delivery was awkward and stilted; worse, at several points, the president, who decided to ad-lib the teleprompter speech, misstated his administration’s own policies, which the administration had to correct. Stock futures plunged even as the president was still delivering his speech. In his address, the president called for Americans to “unify together as one nation and one family,” despite having referred to Washington Governor Jay Inslee as a “snake” days before the speech and attacking Democrats the morning after it. As The Washington Post’s Dan Balz put it, “Almost everything that could have gone wrong with the speech did go wrong.”

More here.

My Sister, My Daughter: Behind the Scenes of a Great American Film

Mark Horowitz in The New York Times:

Fifty years ago, the screenwriter Robert Towne said to his girlfriend, “I want to write a movie for Jack.” He meant Nicholson — in those days, and possibly even now, there is only one Jack — who had just had his breakout role in “Easy Rider.” “A detective movie,” Towne explained. “Maybe Jane Fonda for the blonde.” He knew he wanted to set it in Los Angeles before the war, like a Raymond Chandler novel. But that was about the extent of it. When he told Nicholson, the actor naturally asked, “What’s it about?”

“I don’t know,” Towne admitted. “Water.”

This exchange appears in “The Big Goodbye: ‘Chinatown’ and the Last Years of Hollywood,” by Sam Wasson. Not exactly the seminal Rosebud story one hopes to discover in a new history of a favorite film. Still, from that modest inception, great things did come. Four years later, Paramount Pictures released “Chinatown,” written by Towne, directed by Roman Polanski, produced by Robert “The Kid Stays in the Picture” Evans. (Faye Dunaway, not Jane Fonda, played “the blonde.”) And now, almost a half-century later, “Chinatown” routinely appears on the short lists of best Hollywood films, whether they’re generated by the American Film Institute or the BBC. One panel of British film critics even voted it the single best film of all time.

“Chinatown”’s murky and amoral plot — involving a corrupt web of stolen water rights and sleazy land development, behind which lurk the even darker sins of murder and incest — resonated with demoralized Watergate-era audiences. Nominated for 11 Academy Awards, the film lost for best picture of 1974 to “Godfather II,” but Towne won for best original screenplay.

“The Big Goodbye” is part of a welcome and newish publishing trend: deeply researched and elaborately subtitled books about a single movie, which explore and reframe the film as an inflection point within the broader culture. Three recent and admirable examples are “We’ll Always Have Casablanca: The Life, Legend, and Afterlife of Hollywood’s Most Beloved Movie,” by Noah Isenberg; “The Wild Bunch: Sam Peckinpah, a Revolution in Hollywood, and the Making of a Legendary Film,” by W. K. Stratton; and “High Noon: The Hollywood Blacklist and the Making of an American Classic,” by Glenn Frankel.

More here.

Saturday Poem

House of Cards

I miss you winter evenings
With your dim lights.
The shut lips of my mother
And our held breaths
As we sat at the dining room table.

Her long, thin fingers
Stacking the cards,
Then waiting for them to fall.
The sounds of boots in the street
Making us still for a moment.

There’s no more to tell.
The door is locked,
And in one red-tinted window,
A single tree in the yard,
leafless and misshapen.

by Charles Simic
from
Virginia Quarterly Review

America Is Broken

David Wallace-Wells in New York Magazine:

What we are seeing right now is the collapse of civic authority and public trust at what is only the beginning of a protracted crisis. In the face of an onrushing pandemic, the United States has exhibited a near-total evacuation of responsibility and political leadership — a sociopathic disinterest in performing the basic function of government, which is to protect its citizens.

Things will get worse from here. According to a survey of epidemiologists released yesterday, the coronavirus outbreak probably won’t peak before May. That doesn’t mean it will be over by May, of course, but that it will be getting worse and worse and worse over the next two months, and for much of that time, presumably, exponentially worse. And so the suspension of the NBA season and Tom Hanks and Rita Wilson’s announcement that they are sick with COVID-19 will seem, in relatively short order, like quite small potatoes. And for all of that time, the country’s response will be commanded and controlled by Donald Trump.

More here.

In Conversation with Elizabeth Kadetsky

Re’Lynn Hansen in Punctuate:

The Memory Eaters is told in the context of 1970s and 1980s New York City. The memoir moves from her parents’ divorce to her mother’s career as a Seventh Avenue fashion model and from her sister’s addiction and homelessness to her own experiences with therapy for post- traumatic stress disorder. The Memory Eaters is about  consciousness fractured by addiction and dementia, and a compulsion for the past salved by nostalgia. More can be found at  https://elizabethkadetsky.com/

Punctuate: In your opening chapters of your memoir you celebrate your mother as a great watcher: “We watched people. My mother was fascinated by the common place. That what you saw in Vogue happened first on the streets of New York.”  You connect watching with a learning style, stating how you and your mother deconstructed the “why” of the look. You write so well of these moments of watching. Can you speak to the connection of watching to memoir writing?

Elizabeth Kadetsky: Coming of age in the 1970s, I was exposed, through my mother, to a lot of what you might call groovy spirituality that enshrined this idea that you would find truth if you just relaxed your brain enough to let it come to you. This was the thinking behind the versions of so many of the trendy ideologies that we adopted: I Ching, astrology, Ouija Board, palm reading. I don’t think that we believed in the magic of any of these systems in the least. The idea was that these were all tools that helped you get more in tune with your subconscious. So, my mother’s ideas about “watching” definitely came out of that, that there was a sort of divine intelligence that you could tap into through paying close attention in both dream and waking life. It’s funny because when I think about it now I see the pitfalls of this mindset, especially for the writer.

More here.

Japan confirms first case of person re-infected with coronavirus

Joseph Guzman at The Hill:

Japan is reporting its first case of a person becoming reinfected with the coronavirus after showing signs they had fully recovered, according to Reuters.

Osaka’s prefectural government confirmed Wednesday a woman working as a tour bus guide tested positive for coronavirus for the second time after developing a sore throat and chest pain. The woman, who is said to be in her 40s, first tested positive in late January and was discharged from the hospital on Feb. 1 after showing signs of recovery.

Reuters reports Health Minister Katsunobu Kato said the government would need to monitor the condition of others who were infected and later discharged as health experts investigate testing positive for COVID-19 after an initial recovery.

As much remains unknown about the virus, cases of reinfection have health experts worried that the illness could remain dormant after an apparent recovery.

More here.

Friday Poem

After the Election: a father speaks to his son

He says, they will not take us.
They want the ones who love
another god, the ones whose
joy comes with five prayers and
songs to the sun in the mornings
and at night. He says, they will
not want us. They want the ones
whose tongues stumble over
silent e’s, whose voices creak
when a th suddenly appears
in the middle of a word. They want
the ones who cannot hide copper skin
like we can. He says, I am old. I lived
through one revolution. We can hide
our skin. We have read the books.
He says, we are the quiet kind, the ones
who stay late and do not speak,
the ones who do not bring trumpets
or trouble. He says we are safe in silence.
We must become ghosts.

I think, so many are already
dust, tried to stay thin, be small,
tried breaking their own bone and voice,
tried to be soft, like a heart in the middle
of the night. So many tried to be
nothing, to be only breath. Be still
enough to be left alone. Become
shadows, trying not to be bodies.

It never works. To become nothing.
They come for the shadows too.

by M. Soledad Caballero
from Split This Rock

Coping, Camaraderie, and Human Evolution Amid the Coronavirus Crisis

Robin Wright in The New Yorker:

Across the globe, a coronavirus culture is emerging, spontaneously and creatively, to deal with public fear, restrictions on daily life, and the tedious isolation of quarantine. “This is a bad science-fiction movie that is real,” Agustín Fuentes, an evolutionary anthropologist at the University of Notre Dame, told me, in a late-night discussion this week, about how covid-19 may alter the human journey. He envisions a profound evolutionary process to insure the survival of the species as pandemics become more common. It’s already visible.

…In these early days of the global pandemic, human creativity has centered largely on simple forms of relief and release. In China, the epicenter of the covid-19 outbreak and a nation where almost eight hundred million people have experienced some form of lockdown, night clubs that were forced to shut their doors have turned to virtual “cloud clubbing.” Viewers can watch d.j. sets on streaming platforms and send in messages to be read live, to create the illusion that they are connected. The new reality show “Home Karaoke Station” features famous singers taking requests, engaging with viewers, and performing—from self-quarantine in their own homes. Shuttered gyms have offered workout classes online or via the popular WeChat social-messaging app. Other Chinese people on WeChat created a group looking for love under lockdown. In one of the twenty-plus mass-quarantine centers in Wuhan, the megacity where this coronavirus first emerged, women have turned to karaoke to lift the spirits of sequestered groups. At night, echoes of “Wuhan Jiayou”—or “Stay Strong Wuhan”—have been heard as Chinese shout encouragement at each other from their windows.

In Iran, another of the covid-19 “red zones,” doctors and nurses—individually and in groups—have participated in a coronavirus dance challenge, posting videos of themselves dancing to lively music in hazmat suits.

More here.

Annual Report to the Nation: Cancer Death Rates Continue to Decline

From CDC Newsroom:

This year’s report showed that overall cancer death rates decreased 1.5% on average per year from 2001 to 2017, decreasing more rapidly among men (by 1.8% per year) than among women (1.4% per year). The report found that overall cancer death rates decreased in every racial and ethnic group during 2013–2017. “The United States continues to make significant progress in cancer prevention, early detection, and treatment,” said CDC Director Robert R. Redfield, M.D. “While we are encouraged that overall cancer death rates have decreased, there is still much more we can do to prevent new cancers and support communities, families, and cancer survivors in this ongoing battle.”

National Status of Cancer Report Findings

The data analyzed in the report combines cancer incidence data collected by CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) Program, as well as mortality data from CDC’s National Center for Health Statistics.

The report found that from 2013 to 2017:

Among men, death rates decreased for 11 of the 19 most common cancers, were stable for four cancers (including prostate), and increased for four cancers (oral cavity and pharynx, soft tissue including heart, brain and other nervous system, and pancreas). Among women, death rates decreased for 14 of the 20 most common cancers, including the three most common cancers (lung and bronchus, breast, and colorectal), but increased for cancers of the uterus, liver, brain and other nervous system, soft tissue including heart, and pancreas. Rates were stable for oral cavity and pharynx cancer. Overall cancer death rates among children ages 0 to 14 years decreased an average of 1.4% per year. Among adolescents and young adults ages 15 to 39 years, overall cancer death rates decreased an average of 1.0% per year. Melanoma death rates decreased 6.1% per year among men and 6.3% per year among women. Lung cancer death rates decreased 4.8% per year among men and 3.7% per year among women. However, lung cancer continues to be the leading cause of cancer death, accounting for about one-fourth of all cancer deaths.

More here. (Note: Mortality from cancer increased for 60 years in parallel with increase in smoking, and now has declined steadily by 1% a year mostly because of effective anti-smoking campaigns bringing the death rate down to what it was in 1930)

Agnes Callard: The End is Coming

Agnes Callard in The Point:

Probably this is not the end of the world. But a plague is creeping around the globe at a seemingly exponential rate, killing some of us and affecting all of us. And this pandemic is only the most recent and most sudden of a series of afflictions facing humanity. We are rapidly replacing our natural habitat with one that is, on the one hand, made by human beings, and, on the other, proving difficult for us to manage—a situation we euphemistically refer to as “climate change.” On the political front, the past decade has seen a rise in civil unrest worldwide, and the leaders of a number of countries have given us reason to be less optimistic than we used to be about the prospects for global democracy. Given the ever-cheapening technology, weapons—including those of mass destruction—must be proliferating unnoticed. And all of the above is happening against a backdrop of low economic growth and stagnant wages, at least for most of the world’s wealthiest countries.

We may not have arrived at the end, but we have certainly arrived at the thought of it. Medical, environmental, political, economic and military problems seem to have joined forces to remind us that the story of humanity is, at some point, going to draw to a close. That’s a very painful thought to have. It also raises a serious philosophical problem.

More here.

The Skeptical Utopianism of György Konrád

Ferenc Laczó in Taxis:

György Konrád passed away after prolonged illness on September 13, 2019, at the age of 86, two days after the architect László Rajk Jr. (who had just turned 70) and less than two months after the philosopher Ágnes Heller at the age of 90. The departure of three prominent Hungarian public intellectuals admired in Hungary and the world over has led commentators — perhaps especially since these deaths came so soon after those of Imre Kertész and Péter Esterházy — to mark “the passing of a key intellectual generation” and even “the end of an era.”

Konrád and Heller both belonged to that most unfortunate generation of Central and Eastern European Jews who were born during the Great Depression at the time of the rise of Nazism and Stalinist mass crimes. Along with novelists Imre Kertész and István Eörsi, philosophers Ferenc Fehér and György Márkus, historians György Ránki and Iván T. Berendand economist János Kornai, Konrád and Heller were members of the most intellectually exciting generational cohort of Jews in twentieth-century Hungary — perhaps the most internationally renowned such group in modern Hungary, with the possible exception of the towering figures of György Lukács, Karl Polányi and Karl Mannheim, all of whom were born in Budapest between 1886 and 1893.

More here.

Tips for the Depressed

George Scialabba at n+1:

How to Keep Your House from Becoming a Disaster Area

THIS IS STRAIGHTFORWARD: you pay someone to do it. Otherwise, forget it. After a while, depression is exhausting beyond words. Vacuuming, dusting, laundry, changing the sheets, washing the dishes, cooking, shopping—together these are as hard as running the Boston Marathon would be for the average out-of-shape non-depressed person. You will forget things, lose things, drop things, spill things, break things, run into things. Don’t be mad at yourself—remember, you’re being invisibly, silently, savagely tortured. You have a perfect right to let things go a bit.

more here.

Five Women, Freedom and London Between the Wars

Patricia Craig at the Dublin Review of Books:

Think of Bloomsbury and what might spring to mind is its “orderly profligacy and passionate coldness”. (The phrase is Elizabeth Hardwick’s, in one of her early essay/reviews for The New York Review of Books.) But there was always more to Bloomsbury than this suggests. First came the actual geographical locality – the streets and squares and architecture of a part of central London – and then the associations imposed on top of it: literary, scholarly, urbane or bohemian. Bloomsbury as an idea continues to reverberate, in ways both gossipy and profound. Bedazzling sexual intrigues and a spot of intellectual hauteur are only a part of it. And however many words have been expended on Bloomsbury (and there have been a lot), there is always more to be said. Francesca Wade’s superbly engaging Square Haunting takes up the theme, but at the same time narrows and intensifies its focus. Wade homes in on a single square, Mecklenburgh Square, which is not at the heart of the potent locality but rather on its periphery.

more here.

Sleep and the Dream

László F. Földényi at The Paris Review:

As I fall asleep, I leave my body and my soul behind, all the while palpably returning back to my body and my soul. But what is actually going on here? It is not my body that has changed, or my soul, but rather my relation to both. By day, when I’m awake, I usually observe my body from without, and although I am only capable of imagining myself as a physical body, I don’t identify myself with it. In a similar way, I don’t fully identify with my soul either. If I’m awake, for the most part I think of it, as it were, as someone (or something), which cannot exist without me, and yet is not completely identical to me. I would almost speak of it in the third-person singular. This is Descartes’s final inheritance; not even I can avoid his influence. In the moment when I began to speak about the body or about the soul, I unwittingly behave as if it were possible to distinguish between them. And in doing so I imperceptibly differentiate myself from them. I create a differentiation between the soul and the body.

more here.