Soumya Profile picture
23 Jan, 12 tweets, 3 min read
I just realized that an Indian folktale my dad told me when I was a kid prepared me to cover COVID and my mind is blown. so this is how it goes:

(stay tuned if you want to understand how COVID outbreaks seem to suddenly become unstoppable!)
an Indian king made all of his subjects give him the rice they grew every year and didn't leave them any of the surplus. then there was a famine and the villagers had no rice and the king wouldn't give them any because he wanted to save it for himself
a smart little girl convinced the king to give her just one grain of rice today and then for the next thirty days, double the rice he had given her the day before. so tomorrow, he'd give her two grains, the next day four grains, and so on for thirty days
on the ninth day, the king gave the little girl 256 grains of rice. so far, she'd gotten 511 grains total, just about enough only a small handful. the king starts to think that the girl isn't very smart since he's barely given her any rice
on the 13th day, she got 4,096 grains, enough to fill a small bowl. on the 16th, she got 32,768 grains. all together, the little girl had gotten enough rice to fill up two bags which, while a good amount, barely made a dent in the king's stockpile so he remained unfazed
but then on the 24th day, the king had to give her 8,388,608 grains of rice. on the 29th, the girl was presented with the contents of two royal rice storehouses. and on the 30th day, the king had to give her 536,870,912 grains of rice, clearing out the final four storehouses
in total, the girl received more than a billion grains of rice in 30 days!

obviously I loved this story as a kid because it was about a little girl outsmarting a king, but now I've realized it's literally just a story about exponential growth and how it surprises everyone
if we think about each grain of rice as a person, the first one is a person with COVID, who then gives it to two other people

those two people then give it to two more, and those next four people each give it to two people, so they infect eight people etc etc
by just the sixth infection cycle, 127 people have COVID -- first 1, then 2 more, then 4 more, then 8 more, then 16 more, then 32 more, then 64 more. this is why it seems like small numbers suddenly turn into thousands.

by day 10, we've totaled more than 1,000 grains of rice
and that's what happens if people *don't* change their behavior and each sick person just keeps infecting two people throughout. if we drop our guard etc, they might infect even more and the numbers could clim even faster
anyway, I'm thinking that instead of writing this big story we should've just posted a link to this folktale latimes.com/california/sto…
here is a link to the folktale jwilson.coe.uga.edu/EMT668/EMAT668…

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More from @skarlamangla

25 Jan
A happy San Francisco Mayor London Breed says that Gov. Newsom's lifting of the stay-at-home order is good news. The city's COVID numbers are all trending downwards and outdoor dining can resume. "It's good news."
"You can get your hair done, you can get your nails done," starting on Thursday, Breed says. Outdoor museums, zoos, outdoor entertainment like skateparks and indoor funerals for up to 12 people were all banned but now will reopen on Thursday.
There will also be capacity increases at grocery stores and retail shops, Breed says.
Read 5 tweets
25 Jan
Gov. Newsom just started his press conference. It's gonna be a doozy!
Newsom says that ICU capacity will be above 15% across the state by Feb. 21st Image
Gavin is really Gavin-ing today: "The goal of this announcement is to socialize our projections as well as illuminate and further advance an understanding, a deeper understanding, of what today means and it doesn't mean."
Read 7 tweets
25 Jan
after California instated stay-at-home orders for most of the state in early December, our mobility -- a measure of how much everyone is moving around -- dropped to the lowest level since May. that undoubtedly helped turn around our terrible surge
maybe the rules can be loosened as things are improving, but they're barely improving! there are still way too many people in the hospital and health care workers are still stretched so thin ... like, look at this graph Image
the worst-case scenario we talked about so much, the surge-upon-a-surge, was about what would happen if there was a Christmas or NYE surge on top of the Thanksgiving/fall surge. as in, what happens when cases are already really high and they start growing again...
Read 13 tweets
25 Jan
California officials just announced that the regional stay-at-home orders have been lifted across the state.
There were three regions that were under the order as of today – San Joaquin Valley, Bay Area and Southern California -- and are no longer. Sacramento already exited on Jan. 12.
“Californians heard the urgent message to stay home as much as possible and accepted that challenge to slow the surge,” said state public health officer Dr. Tomás Aragón. “Together, we changed our activities knowing our short-term sacrifices would lead to longer-term gains."
Read 9 tweets
25 Jan
So if this does happen, my guess would be that a stay-at-home order would remain in place in LA County because we approved one before the state’s was imposed. Same with outdoor dining. But I guess we’ll find out tomorrow!

Never a dull day during the pandemic...
Things in LA are trending in the right direction, but they’re still bad! There are still 6,697 hospitalized with COVID in LA County. At the peak in the summer, there were 2,200. Easing up now, before things are fully better, would set us up for that dreaded surge upon surge.
The only reason we were able to turn things around in LA is because people reallyyyy cut down on their activities. And that’s great and we should be proud of ourselves. But we all know by now what happens when we stop doing those things 👀
Read 4 tweets
22 Jan
California may look worse than Florida in terms of cases. But how much testing you do affects your case counts. If you don't test that many people, your case counts look artificially low.

This is how FL and CA compare in cumulative death counts, a much more reliable metric
We all remember when someone asked to "slow down the testing, please."

As he said, "When you test, you create cases.”
California has tallied 90 COVID deaths for every 100,000 residents compared with 119 out of 100,000 in Florida. In other words, if California had the same death rate as Florida, California would have a cumulative death toll of more than 47,000, instead of its 35,000.
Read 11 tweets

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