I don't buy Sturgis study below.

Why? Really big effect. Makes me skeptical

One rule of thumb I teach is:

if effect size of a social phenomenon using noisy data is very large -- be wary

So was Sturgis harmless?

No.

But I doubt it caused 250,000 cases.

Thread
First, there are a bunch of methodologic issues and two different threads do nice job sorting them out

One by @AssumeNormality



Second by @RexDouglass



But there's another reason beyond these to be skeptical

2/6
It doesn't pass the sniff test

Yes it was a crazy large rally

Yes there was a ton of irresponsible behavior (no mask, no distancing, lots of bars in evening)

I would not be surprised if it set of big outbreaks -- hundreds of cases, may be thousands

But 250K??

3/7
One way to is to look at where the ralliers came from -- 10% from the Dakotas, 90% from elsewhere.

So let's look at the Dakotas -- actually, here, the story is pretty good.

It appears that in the days following the end of the rally, large spikes in cases in the Dakotas.

4/7
So that checks out

Across Dakotas, likely additional 1K to 2K cases total since rally

Not huge -- but in Dakotas (small populations), you see it

What about other 90% of Ralliers?

Where are they from?

Authors identify them coming from big counties in AZ, CO, CA, NV, etc

5/7
But when you look at those counties, no big (or even small) uptick in cases in days/weeks following Sturgis

Not in Maricopa, SD, LA, Denver or Las Vegas

If none of the big counties saw a spike, 250K additional cases seems implausible.

6/7
If Sturgis really was 20% of all cases in US since rally, we should see counties where people went back to light up.

They don't

These counties rising pre-rally and flatten post rally (mostly).

Synthetic counties may be not good controls

But here's the lesson

7/8
If Sturgis is responsible for 20% of cases in the past month, we should be able to see it in the raw data.

Because that's a massive effect. Massive.

But we don't

If I'm missing it or am wrong, would love to know how

8/9
Final thoughts:

1. Sturgis rally was wholly irresponsible. 500K folks gathered with little respect for COVID

2. LIkely super spreader event, causing thousands of cases, some deaths

3. But think unlikely to be responsible for 260k cases (20% of all US cases)in short order

Fin

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More from @ashishkjha

5 Sep
Almost every day, I am asked about the Russian vaccine.

Lots of questions of whether we should "take it" or not.

My answer has been -- no idea -- haven't seen the data.

Now we have data!

So let's look at the data -- what does it tell us?

Thread
New study out in today's @TheLancet with real data.

So that's exciting

Key findings:

First, these are adenovirus vector vaccines. Like the Oxford Astrazeneca, CanSino and others

Nothing new or particularly innovative here

Link to study:

sciencedirect.com/science/articl…
And?

Two vectors, 76 patients

Relatively young, healthy patients in 2 hospitals

And bottom line is largely positive:

Recipients generated humoral (antibodies) and cellular (T cells) immune response

Lots of side-effects (fevers, pain) but nothing serious.

Short-term

3/5
Read 6 tweets
4 Sep
As we head into fall, worth reflecting on the past 3 months, and what it portends for next few

While things are clearly better since summer peak, serious warning signs ahead

The biggest one?

We go into Labor day with much more infection than we did Memorial Day

Thread
So a walk down memory lane

We opened up Memorial Day with 20,000 daily cases, 5.4% test positivity rate

We peaked around July 22, we had about 75,000 daily cases, nearly 9% positivity rate

As we enter Labor Day, we are at about 40,000 new cases, 6.3% positivity rate

2/5
Compared to the peak, we are clearly better

But few things should worry us

1. We're going into fall with a lot more disease than we entered summer

2. Our test positivity rate higher now than June 1: means we are missing more cases

3. Our testing is DOWN over past month
Read 8 tweets
24 Aug
I am back after 5 days off of twitter, email, media

Here's my quick summary of what happened with COVID

1. UNC, few other universities decided to ignore sound public health advice and just "go for it". It didn't work out all that well. So they blamed the students

Thread
Summary of last 5 days contd:

2. Infections continued to fall across many parts of US (good!) but so did testing so hard to sort out how much. Falling hospitalizations also assuring

3. Deaths remained high. But lagging indicator -- and will come down in upcoming days/week

2/4
Summary..

4. Schools continued to open where they shouldn't (eg Mississippi) and often immediately shut down because of predictable outbreaks

5. Schools in places where safe to open (NYC) struggled because folks (understandably) are worried when they see GA, MS headlines

3/4
Read 5 tweets
15 Aug
The debate on testing continued today

Testing czar Admiral Giroir and I were both on @CNN offering differing views on:

What’s being done & what isn’t
What’s working & what isn’t
Who is providing effective leadership & who isn’t
And what’s needed to meet the challenge

Thread
First, I believe that Admiral Giroir is a patriot. He cares about this country and I'm sure he is trying his best.

So none of this is personal.

But 1000 Americans are dying needlessly.

Every single day.

So it is important we get this right.

2/6
Too many test results are taking too long to come back to be useful for tracing

In many places, testing not widely available and people are having to waiting in long lines

The federal government has NOT done everything it can.

3/7
Read 8 tweets
14 Aug
Good morning.

Our testing czar says our testing levels are "sufficient".

That declining testing is not a problem -- because cases are declining.

Seems reasonable, right?

Actually, no.

The data tells us a different, nuanced story.

Thread
Let's start this story 2 weeks ago

There were 13 states in the "red zone" (>25 cases/100K/day).

They were states like AZ, SC, FL, etc.

In those states, testing has fallen 23%!

And % of test positives collectively flat at 13%

Meaning that they continue to miss many cases
But what if we examine the 13 states with lowest case incidence?

Like NY, MI, etc.

They have few cases. You'd expect them to do few tests, right?

Actually, they're testing twice as many people (per capita) as hot zones

And in past 2 weeks, their testing has gone UP 4%

2/4
Read 7 tweets
12 Aug
5 days ago, I tweeted that COVID trends in Texas were concerning

Over past few days, data from TX has gone from bad to worse

And I don't understand. Why is testing falling off a cliff?

But the big picture here is this:

Texas is in trouble and has to turn things around

Thread
Here are the key numbers for TX (based on 7 day moving avg) -- now vs 2 weeks ago

# of tests down 50% (60K to 30K)
Cases largely flat (around 7K)

Percent positive way up: 24%. A crazy high number

And Rt.live has the Rt of TX at 1.13 (3rd highest in nation)

2/3
covid19-projections.com models that TX actually has 10X more cases than identified: 70K cases a day.

Another words -- they are missing 90% of the cases

Yet, talk now is restarting schools, sports (especially football)

Can't really do these w/out new control measures

3/4
Read 5 tweets

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