Youyang Gu Profile picture
May 25, 2021 18 tweets 7 min read Read on X
Is containing COVID-19 a requirement for preserving the economy? My analysis suggests: probably not.

In the US, there is no correlation between Covid deaths & changes in unemployment rates.

However, blue states are much more likely to have higher increases in unemployment.

🧵 Image
We can dive deeper by looking at levels of restrictions in each state, using the Oxford Covid-19 Government Response Tracker (OxCGRT).

More restrictions in a state is NOT correlated with fewer COVID-19 deaths.

However, more restrictions IS correlated with higher unemployment. ImageImage
The most interesting data point is South Dakota.

As the only state to never order closures of restaurants, bars & retail, SD actually saw a 0.5% DECREASE in unemployment since the pandemic started. It also never ordered a mask mandate.

Its deaths per capita is the 10th highest.
As we all know, the level of restrictions is strongly correlated with the political leaning of a state.

Putting it all together, it's possible more restrictions can explain why blue states saw higher unemployment increases since the start of the pandemic than red states. ImageImage
But interestingly, political lean (and level of restrictions) is NOT correlated with total Covid deaths.

Regardless of one's political beliefs, the data does not support that blue states did better than red states at containing Covid, or vice versa. Image
Even if you remove the Northeast states that were hard-hit early on in 2020 (NY, NJ, CT, MA), the correlation is still very weak.

While not a concrete proof, this supports the theory that the virus is inherently unpredictable, regardless of restrictions, political beliefs, etc. Image
Here are a few other factors I looked at: age, population density, urban vs rural, and income. All show no or minimal correlations with deaths.

If you had showed me this data before the pandemic, I would've expected a much higher correlation. But we must adapt to new data. ImageImageImageImage
There is a common belief among many that restrictions are universally effective in containing Covid, and that containment is a prerequisite to preserving the economy.

At least in the US, the data does not appear to support this theory.
Note of caution: this analysis abstracts the nuances in each state. For example, some states had no choice but to enact strict restrictions.

And of course, the impact of Covid on the economy is a complicated issue and cannot be boiled down into a few graphs or Tweets.
This is a just a simple analysis, but I hope we can view this data with an unbiased approach and learn from it.

All of the data I presented here can be found on my GitHub: github.com/youyanggu/covi…
To conclude, I believe it's important that we avoid politically-driven narratives like "state X is wrong and should've followed state Y's example".

The science does not support a "one solution fits all" approach, and what works for some states may not work for others.

/END
Update: I looked at a few more correlations based on the feedback: weather, education, % blue collar jobs, and vaccination status.

As many also mentioned, correlation != causation. But the lack of correlations here suggests that luck + randomness may play a large role. ImageImageImageImage
Here's another good takeaway: If you look at the bottom left quadrant (low deaths + low unemployment), the states that fared well are a mix of blue, red, and purple states.

Perhaps we can learn from the states that did well regardless of their politics. Image
Update #2: Note that I’m not disagreeing with studies that say restrictions reduce Covid cases/deaths in the *short term*.

But *eventually* you have to relax those measures, & states with more restrictions will be more susceptible to the next wave, leading to more restrictions.
Update #3: Some people noted that my analysis is subject to endogeneity/reverse causality. It’s a fair critique, though here’s why I don’t think it’s a significant issue:

1. I show a lack of correlation.
2. Relative ordering of restriction levels are ~constant over time (ex ⬇️). Image
While some suggested there can be confounding variables I didn’t consider, I still have yet to find any variable that has significant predictive power for total Covid deaths by state.

Below, I included two more variables I looked at: obesity rates & % minority population. ImageImage
To reduce misinterpretation: I believe restrictions are effective in certain situations such as during surges to preserve healthcare capacity.

Outside of those, I think the evidence for their effectiveness is low, especially since most states are reactive rather than proactive.
June 22 Update: Here is my follow-up analysis on this topic with more variables and multivariate regressions:

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More from @youyanggu

Aug 5, 2021
People were worried cases would spike further when the UK lifted almost all remaining restrictions in July. The opposite happened.

We must acknowledge that restrictions aren't all that effective in Western countries.

(Except Australia, who just entered their 6th lockdown)
It's interesting that some experts would rather question the accuracy of the data than acknowledge this reality.
Many bad papers looked at these curves in 2020 & concluded that more restrictions is followed by a decline in cases, when the decline would've happened regardless.

If we apply the same flawed logic here, one can say that the lifting of restrictions is followed by fewer cases.
Read 6 tweets
Jul 22, 2021
Thanks @ScottGottliebMD! On data, research & messaging, there’s lots of room for improvement at the CDC.

For modeling, they were right in enlisting @reichlab to run Forecast Hub: cdc.gov/coronavirus/20…

They’ve crowdsourced 30+ teams for weekly updates.

Of course, the modeling isn’t perfect & never will be. But this ensemble of forecasts coming from 250+ researchers has helped add clarity for many over the past year.

The CDC deserves credit for taking a conscious, hands-off approach on this.

technologyreview.com/2021/05/28/102…
That said, I do think there's too much focus on modeling cases/deaths. For ex, I've haven't seen many efforts on vaccination forecasts or infections/immunity estimates.

There may be some reluctance in the general scientific community to do this, so it's hard to blame one entity.
Read 4 tweets
Jul 1, 2021
On its last model update on March 5, 2021, covid19-projections.com projected that 180 million people in the US will be vaccinated by July 1 (1+ dose).

Today, July 1, @CDCgov reported that the US surpassed 180M people vaccinated.

Not all models are bad.

covid19-projections.com/path-to-herd-i… Image
Since I began making vaccination projections in Dec 2020, I have consistently predicted a return to normal by Summer 2021.

Some said it was too optimistic, others too pessimistic.

It appears that as of this week, all states (minus HI) are fully reopen.

ImageImage
Of course, this is a new normal - we will never return to pre-pandemic normal.

The Delta variant will be around. People will still be infected, even among the vaccinated.

But that's expected. Efforts must continue to focus on vaccinating the vulnerable population.
Read 4 tweets
Jun 30, 2021
South Dakota has a vaccination rate of 50% (1+ dose). Maine is at 66%. So is Maine better protected?

Not quite. If you factor in immunity from natural infection, SD has a total population immunity of ~70%, while ME is at ~62%.

I created a calculator: docs.google.com/spreadsheets/d…
Many existing immunity estimates only look at a single metric: vaccination rate. But there are two main issues:

1) Not all vaccinated individuals are fully immune
2) They do not take into account acquired natural immunity

This calculator attempts to correct for this.
Looking at the US:
- 54% of the population have been vaccinated
- Natural infection rate is ~30-40% (covid19-projections.com/path-to-herd-i…).

If you assume the vaccination rate of previously infected individuals is slightly lower (say 45%), that gives a total population immunity of ~65%.
Read 5 tweets
Jun 22, 2021
I believe income inequality is the single best predictor of total Covid deaths in the US.

Not income, but income *inequality*. The R^2 is surprisingly high: 0.35.

Thanks to @joe_sill, I was able to look at over 40 different variables, and expands on my analysis from last month.
It's honestly shocking how correlated the Gini coefficient, a measure of inequality in wealth distribution in a state, is with total Covid deaths.

No other predictor I've seen comes close.

Props to @joe_sill for the finding and an excellent dataset:

Income is not correlated at all with total Covid deaths, but income *inequality* is.

While intuitively this makes sense, this clear dichotomy was extremely surprising for me.

(By the way, there is almost no correlation between income and income inequality)
Read 13 tweets
May 18, 2021
Dr. Fauci said this week that racism led to unacceptable disparities in health for minority groups, "especially African Americans, Hispanics & Native Americans".

Time & time again, Asian Americans are overlooked & left out.

A 🧵 on model minority myth.

May is Asian American & Pacific Islander (AAPI) Heritage Month.

I want to take this thread to address something that means a lot to me personally:

The myth of the model minority and why everyone, intentionally or unintentionally, can fall for the myth.
First, these is no doubt that minority groups across the US are disproportionally impacted by this pandemic. We must do better to protect everyone.

But leaving out Asian Americans is perpetrating the same systemic racism that is driving high death rates in AAPI communities.
Read 12 tweets

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