{"id":5750,"date":"2020-04-25T18:43:26","date_gmt":"2020-04-25T23:43:26","guid":{"rendered":"http:\/\/steve.cooleysekula.net\/blog\/?p=5750"},"modified":"2020-04-26T13:31:04","modified_gmt":"2020-04-26T18:31:04","slug":"the-virus-strikes-back","status":"publish","type":"post","link":"https:\/\/steve.cooleysekula.net\/blog\/2020\/04\/25\/the-virus-strikes-back\/","title":{"rendered":"The Virus Strikes Back"},"content":{"rendered":"\n<p><em>(updated 4\/26\/2020 with demographic and testing data)<\/em><\/p>\n\n\n\n<p>Maybe it&#8217;s because Texas, as a state, sent signals that it was &#8220;okay&#8221; to behave like we used to. Maybe it&#8217;s because the President lied to the nation over, and over, and over again about the reality of COVID-19. Maybe it&#8217;s because people have become complacent. Maybe it&#8217;s because testing is improving in our county. Maybe it&#8217;s because that kid who helped Jodi with her groceries today, who decried shutting down What-a-Burger just to save human lives, has been going out for fast food with his friend more than he let on.<\/p>\n\n\n\n<p><strong><em>Any way you split it, Collin County, TX  is losing ground to the SARS-CoV-2 virus. <\/em><\/strong>We are home to a population of 1 million people. As of April 13, the county had only performed 3464 tests of people for SARS-CoV-2. As of today, we have 639 known cases of COVID-19. The number of cases reported each day is climbing again, doubling about every 22 days; that&#8217;s a decrease in the doubling rate from our recent best, which was 35 days (over one month). Our worst doubling rate was before shelter-in-place restrictions were put in place, with a case doubling rate of every 2 days.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/steve.cooleysekula.net\/blog\/wp-content\/uploads\/2020\/04\/Collin_New_Cases-1-1024x683.png\" alt=\"\" class=\"wp-image-5751\" width=\"674\" height=\"449\" srcset=\"https:\/\/steve.cooleysekula.net\/blog\/wp-content\/uploads\/2020\/04\/Collin_New_Cases-1-1024x683.png 1024w, https:\/\/steve.cooleysekula.net\/blog\/wp-content\/uploads\/2020\/04\/Collin_New_Cases-1-300x200.png 300w, https:\/\/steve.cooleysekula.net\/blog\/wp-content\/uploads\/2020\/04\/Collin_New_Cases-1-768x512.png 768w, https:\/\/steve.cooleysekula.net\/blog\/wp-content\/uploads\/2020\/04\/Collin_New_Cases-1.png 1200w\" sizes=\"auto, (max-width: 674px) 100vw, 674px\" \/><figcaption>Texas public health data says that new cases of COVID-19 are on the rise, doubling at a rate not seen in about a week, reversing recent positive trends. Something has changed, and not for the common good. Rolling average of new cases per day,  over 7 days. is in pink; new cases each day is in dashed purple. Key events in Texas health policy are indicated with arrows. It&#8217;s honestly too soon to know how the re-opening of the state is actually affecting the case load, but the coincidences are stunning.<\/figcaption><\/figure>\n\n\n\n<p><strong>Update: <\/strong>if scientists were part of our county&#8217;s <a href=\"https:\/\/www.dallasnews.com\/news\/public-health\/2020\/04\/22\/collin-county-plans-return-to-work-after-different-stay-at-home-approach-were-cautiously-optimistic\/\">process of planning for the economic reopening<\/a>, they would be able to inject data from other places that have relaxed social distancing and re-opened. We have much to learn from cities and regions that have already tried this experiment&#8230; and it hasn&#8217;t gone well.<\/p>\n\n\n\n<figure class=\"wp-block-embed-twitter wp-block-embed is-type-rich is-provider-twitter\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\"><p lang=\"en\" dir=\"ltr\">Japanese prefecture of Hokkaido, an island of 5.3M people, had done well early w COVID response, and it relaxed social distancing, restarted businesses Mar 18. A resurgence in cases forced him to restart state of emergency April 14.      <a href=\"https:\/\/t.co\/lisJxajWxJ\">https:\/\/t.co\/lisJxajWxJ<\/a><\/p>&mdash; Tom Inglesby, MD (@T_Inglesby) <a href=\"https:\/\/twitter.com\/T_Inglesby\/status\/1254471052849287174?ref_src=twsrc%5Etfw\">April 26, 2020<\/a><\/blockquote><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script>\n<\/div><\/figure>\n\n\n\n<p><em>(Tom Inglesby is the director of the Johns Hopkins University  Center for Health Security. He is a medical doctor who completed his internal medicine and infectious diseases training at Johns Hopkins University School of Medicine, where he also served as Assistant Chief of Service in 1996-97. Dr. Inglesby received his MD from Columbia University College of Physicians and Surgeons and his BA from Georgetown University.)<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Coda<\/h2>\n\n\n\n<p>The judge who oversees Collin County <a href=\"https:\/\/www.collincountytx.gov\/healthcare_services\/Documents\/20200424%20Chris%20Hill%20Executive%20Order%20CH-04.pdf\">proclaimed on April 24<\/a> that his executive order from March 20, declaring various closures, shall expire on April 30. This he proclaimed even as the progress the county had made in controlling the virus&#8217;s spread was reversing. Here is what will end on April 30 as a result of this new order ending the March 20th order:<\/p>\n\n\n\n<p><em>Effective as of 11:59 PM on Friday, March 20, 2020, and continuing for as long as the Declaration of Local Disaster for Public Health Emergency remains in force;<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\" start=\"2\"><li><em>All Collin County government offices shall be closed for unscheduled in-person services.<\/em><\/li><li><em>All Collin County government offices shall remain open for scheduled in-person appointments, as well as by phone, by mail, and online. Citizens requiring in-person services may schedule an appointment by contacting the appropriate department.<\/em><\/li><li><em>The Collin County Commissioners Court shall continue to meet as scheduled. Commissioners Court meetings will not be open to on-site visitors, but all meetings will continue to be broadcast live on the county website, and provision will be made for the public to participate electronically in every meeting.<\/em><\/li><\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(updated 4\/26\/2020 with demographic and testing data) Maybe it&#8217;s because Texas, as a state, sent signals that it was &#8220;okay&#8221; to behave like we used to. Maybe it&#8217;s because the President lied to the nation over, and over, and over again about the reality of COVID-19. Maybe it&#8217;s because people have become complacent. Maybe it&#8217;s [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":5751,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"activitypub_content_warning":"","activitypub_content_visibility":"","activitypub_max_image_attachments":3,"activitypub_interaction_policy_quote":"anyone","activitypub_status":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[7],"tags":[],"class_list":{"0":"post-5750","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-life","8":"czr-hentry"},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/steve.cooleysekula.net\/blog\/wp-content\/uploads\/2020\/04\/Collin_New_Cases-1.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/posts\/5750","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/comments?post=5750"}],"version-history":[{"count":7,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/posts\/5750\/revisions"}],"predecessor-version":[{"id":5759,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/posts\/5750\/revisions\/5759"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/media\/5751"}],"wp:attachment":[{"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/media?parent=5750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/categories?post=5750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/steve.cooleysekula.net\/blog\/wp-json\/wp\/v2\/tags?post=5750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}