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Not Gonna Lie

Summary:
Not gonna lie … the more I dig into the statistical analysis of the Wuhan coronavirus outbreak (I used to call it nCov2019, but going forward I’ll call it COVID-19 to follow the latest World Health Organization naming convention), the more I believe that the virus has not been contained in China and that we are far more likely than not to have a major outbreak of the disease outside of China. This statistical analysis is principally based on two research papers (both attached here as PDFs), one written by WHO-sponsored doctors based in Hong Kong and published in The Lancet, and the other written by DARPA-sponsored researchers based at Los Alamos National Labs. The skinny from these notes is that COVID-19 is ridiculously infectious. Yes, it’s airborne. Yes, it’s

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Not Gonna Lie

Not gonna lie … the more I dig into the statistical analysis of the Wuhan coronavirus outbreak (I used to call it nCov2019, but going forward I’ll call it COVID-19 to follow the latest World Health Organization naming convention), the more I believe that the virus has not been contained in China and that we are far more likely than not to have a major outbreak of the disease outside of China.

This statistical analysis is principally based on two research papers (both attached here as PDFs), one written by WHO-sponsored doctors based in Hong Kong and published in The Lancet, and the other written by DARPA-sponsored researchers based at Los Alamos National Labs. The skinny from these notes is that COVID-19 is ridiculously infectious. Yes, it’s airborne. Yes, it’s waterborne. If it’s anywhere near you, odds are you’re going to catch it. I mean, when China is sterilizing and quarantining paper money from Hubei province, that should give you an idea that no one has any idea whatsoever how to contain the disease once it’s in a population center.

So when I read that there were more new cases of COVID-19 infection identified yesterday on that cruise ship in Yokohama than were identified in all of Africa and the Southeast Asian sub-continent, you can forgive me for believing that we *already* have a cluster of COVID-19 cases in cities like Djakarta … it’s just not being measured. How long will it take for this cluster to reach a noticeable mass given COVID-19’s high reproduction baseline? Using Wuhan as an example, I figure three or four weeks.

We also have a front-line doctor’s report coming in from Wuhan, also published in The Lancet, and real-time feedback from doctors in Singapore and Beijing on what they are observing in patients-under-investigation (PUI). The skinny here is that Wuhan fell because the healthcare system in that city collapsed. Doctors and nurses themselves contracted the virus in vast numbers, and once hospitals became a source of infection rather than treatment, the Chinese authorities made the decision to shut off the city and effectively let the disease run its course.

This is what we must avoid when/if there is an outbreak outside of China.

I believe we must stop playing the “Confirmed Cases” game, which is just that … a public relations game … and start doing three things:

  1. PROTECT healthcare professionals with pre-positioned gear NOW (esp. in cities like Jakarta);
  2. INFORM healthcare professionals with better diagnostic criteria NOW (Singapore is doing strong work here);
  3. INSULATE healthcare professionals with (much) bigger isolation wards that should be built NOW (esp. in cities like Jakarta).

Unfortunately, I don’t believe any of this is going to happen, in large part because senior leadership of the World Health Organization is primarily concerned with maintaining the favor of their Chinese patrons and toeing the (literal) party line. The way that WHO leadership has handled COVID-19 thus far is not just a disgrace, not just a humiliation for the thousands of people doing good and important work under WHO auspices … it’s a betrayal of the entire world.

Yep, strong words. And here’s my latest note to back it up – The Industrially Necessary Doctor Tedros.

When WHO Director General Tedros recommended on Feb. 4 that there should be NO systematic limitation on air travel and visa issuance in and out China, he KNEW that the CCP-provided “evidence” for that recommendation was a crock. How did he know? Because independent WHO-sponsored doctors had published their paper on Jan. 31 showing that the CCP-provided evidence was a crock.

Barf.

Is there good news? Yes. If you’re young and female, you have an excellent chance of surviving an infection, and perhaps being asymptomatic entirely. On the other hand, if you’re an older male with a pre-existing cardiovascular condition or high cortisol levels … well, that’s a problem.

The critical thing is that we can’t let another city fall like Wuhan did.

Not gonna lie … they got us in the first half. But I think if we prepare and strengthen our healthcare systems NOW, we can still win the game.

About Ben Hunt
Ben Hunt
He is the chief investment strategist at Salient, a $14 billion asset manager based in Houston and San Francisco, and the author of Epsilon Theory, a newsletter and website that examines markets through the lenses of game theory and history. Over 100,000 professional investors and allocators read Epsilon Theory for its fresh perspective into market dynamics.

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