Quotulatiousness

May 8, 2020

The Wuhan Coronavirus lockdown – “perhaps the worst policy mistake ever committed by Western governments during peacetime”

Toby Young on the fall of “Professor Lockdown”, the former top advisor to the British government on the response to the Wuhan Coronavirus epidemic:

The reason for looking into the political affiliations of the scientists and experts who’ve been advising governments across the world during this crisis is that it may throw some light on why those governments have made such poor policy decisions. Will the vast majority of those advisers turn out to be left-of-centre, like Professor Ferguson? I’m 99% sure of it, and I think that will help us to understand what’s happened.

I don’t mean they’ve deliberately given right-of-centre governments poor advice in the hope of wrecking their economies for nefarious party political reasons or because they’re members of Extinction Rebellion and want to destroy capitalism. Nor do I believe in any of the conspiracy theories linking these public health panjandrums to Bill Gates and Big Pharma and some diabolical plan to vaccinate 7.8 billion people. I have little doubt they’ve acted in good faith throughout – and that’s part of the problem. The road they’ve led us down has been paved with all the usual good intentions.

The mistakes these liberal policy-makers have made are depressingly familiar to anyone who’s studied the breed: overestimating the ability of the state to solve complicated problems as well as the capacity of state-run agencies to deliver on those solutions; failing to anticipate the unintended consequences of large-scale state interventions; thinking about public policy in terms of moral absolutes rather than trade-offs; chronic fiscal incontinence, with zero inhibitions about adding to the national debt; not trusting in the common sense of ordinary people and believing the only way to get them to avoid risky behaviour is to put strict rules in place and threaten them with fines or imprisonment if they disobey them (and ignoring those rules themselves, obviously); arrogantly assuming that anyone who challenges their policy preferences is either ignorant or evil; never venturing outside their metropolitan echo chambers; citizens of anywhere rather than somewhere… you know the rest. We’ve seen it a hundred times before.

More often than not, the “solutions” these left-leaning experts come up with make the problems they’re grappling with even worse, and so it will prove to be in this case. The evidence mounts on a daily basis that locking down whole populations in the hope of “flattening the curve” was a catastrophic error, perhaps the worst policy mistake ever committed by Western governments during peacetime. Just yesterday we learnt that the lockdowns have forced countries across the world to shut down TB treatment programmes which, over the next five years, could lead to 6.3 million additional cases of TB and 1.4 million deaths. There are so many stories like this it’s impossible to keep track. We will soon be able to say with something approaching certainty that the cure has been worse than the disease.

May 2, 2020

Drawing some conclusions from our Wuhan Coronavirus experiences

At Catallaxy Files, Justinian the Great provides an expanded list of nine lessons we should learn from our still ongoing Wuhan Coronavirus (aka “Chinese Batflu”, “Kung Flu”, “Bat-biter Bronchitis” and other names our betters insist we not use):

1. Models are not infallible.

When dealing with complex subject matter involving lots of uncertainties, unknowns and data gaps, modelling will almost certainly be wrong. That doesn’t make them worthless but nor does it mean they should be elevated to infallible status and acted upon as though they constitute proof of something.

If we can’t get epidemiological models right involving trajectories of months what is the chance of climate models being correct considering they involve substantially greater uncertainty, unknowns and data problems involving trajectories of decades to centuries?

[…]

2. Experts can get it wrong.

The pandemic has shown that epidemiologists and health experts the world over have got COVID-19 wrong at one stage or another.

The most famous example is the Imperial College model that forecast 2.2m deaths in the United States and over 500,000 deaths in the UK. Critics have argued this was never plausible but it was the catalyst for UK lockdown policy.

[…]

3. Experts can disagree

Experts can disagree and this is normal in science (and policy making).

During the pandemic, health experts across the world have disagreed over epidemiology models (e.g. R0) ranging from thousands of deaths to millions, over treatments (i.e. the efficacy of anti-virals and anti-malarials), over who and how to test (targeted (symptomatic) versus broad based (even antibody testing), how to record cases and fatalities (e.g. Italy counting deaths with COVID the same as due to COVID, Belgium recording deaths suspected to be COVID related but not verified), the origin and nature of the virus (laboratory/synthetic or wet market/natural), over what the public health response should be (full lockdowns, targeted lockdowns, Sweden (minimal) or something in-between), and the susceptibility of children to the virus, leading to divergence on school closures.

[…]

4. The Precautionary Principle – No such thing as a free lunch

The COVID-19 crisis is a classic case of the precautionary principle in action. The policy measures put in place have been justified by the worse case scenarios of epidemic models forecasting mass deaths and hospital systems in collapse. These scenarios have been hyped up by an alarmist media presenting such scenarios / predictions as established fact.

Part of the problem stems from politicians abdicating responsibility for decision-making and hiding behind health experts as human shields. These experts have nothing to gain and everything to lose from underestimating the epidemic. No-one wants to be blamed for hundreds of thousands of preventable deaths.

[…]

5. If you can’t trust the WHO in a pandemic why would you trust the IPCC on climate change?

The neo-liberal (in international relations terms) notion that the UN (and other international institutions) are independent actors working altruistically for the global good has been blown to bits during the COVID-19 pandemic.

The conduct of the WHO and its complicity with China throughout the pandemic has demonstrated what realists have always known, i.e. international institutions are not independent actors, but instead reflect the interests of great powers in the international system.

[…]

6. If you can’t trust the Chinese in a pandemic how can you trust them on climate?

The COVID crisis also demonstrates why should not trust a communist dictatorship to act truthfully, transparently or ethically, much less put global interests above national interests even in times of an international crisis.

If we can’t believe China about infection rates, how can we believe their carbon accounting? If we can’t trust China to reduce the spread of a virus, how can we trust China to reduce the growth in CO2 emissions? If we believe China has captured/corrupted the WHO how do we know it hasn’t captured/corrupted the IPCC? If China will prioritise national interest in a health crisis, why won’t China prioritise national interest in a climate crisis? If we don’t believe China action/excuses in a pandemic why would we believe China action/excuses on climate change? If we can acknowledge China is trying to exploit the health crisis geo-strategically (i.e. South China Sea military manoeuvres) and geo-economically (belt and road and coercive threats), why will it not exploit climate change in the exact same way?

May 1, 2020

Theodore Dalrymple on the authoritarian innovations we’ve so meekly accepted thanks to the Wuhan Coronavirus epidemic

Filed under: Britain, Government, Health, Law, Liberty — Tags: , , , , , — Nicholas @ 03:00

Getting back to “normal” is going to be much more difficult now that the powers-that-be know for certain that we’re all quite comfortable tugging the forelock and bending the knee given the right kind of orders:

Armed Metropolitan Police near Downing Street in London.
Photo by Stanislav Kozlovskiy via Wikimedia Commons.

As for the collective or political lessons of the epidemic, I fear them more than rejoice in them. They seem to me likely to reinforce a tendency to authoritarianism, and to embolden bureaucrats with totalitarian leanings. One of the surprising things (or perhaps I should say the things that surprised me) was how meekly the population accepted regulations so drastic that they might have made Stalin envious, all on the say-so of technocrats whose opinions were not completely unopposed by those of other technocrats. There was, as far as I can tell, no popular demand for the evidence that supposedly justified the severe limitations on freedom that were imposed on the population. I suppose an encouraging interpretation of this readiness of the population to do as it was told is that it demonstrated that, all the froth and foam of opposition to political leaders notwithstanding, fundamentally the authorities were trusted by the population to do the right thing. Much as we lament, therefore, the intellectual and moral level of our political class, there are limits to how much we despise it. In other words, we believe that our institutions still work even when guided or controlled by nullities.

A less optimistic interpretation, as usual, is possible. Our population is now so used to being administered, supposedly for its own good, under a regime of bread and circuses, that it is no longer capable of independent thought or action. We have become what Tocqueville thought the Americans would become under their democratic regime, namely a herd of docile animals. Only at the margins — for example, the drug-dealers of banlieues of Paris — would the refractory actually rebel against the regulations, and that not for intellectual reasons or in the name of freedom, but because they wanted to carry on their business as usual. (I should perhaps mention here that I number myself among the sheep.)

In Britain, at any rate, the epidemic revealed how quickly the police could be transformed from a civilian force that protects the population as it goes about its business into a semi-militarised army of quasi-occupation. This transformation is not entirely new, alas; it has been a long time since the policeman was the decent citizen’s friend. Under various pressures, not the least of them emanating from intellectuals, he has become instead a bullying but ineffectual keeper of discipline, whom only the law-abiding truly fear.

I first sensed this development many years ago this when a traffic policeman asked to see my licence. “Well, Theodore …” he started, calling me by my first name when a few years before he would have called me “Sir.” This change was significant. I had gone from being his superior, as a member of the public in whose name he exercised his authority, to being a kind of minor, whom it was his transcendent right to call to order. He was now the boss, and I was now the underling.

The change in uniform, too, has worked in the same direction. Traditionally, since the time of Sir Robert Peel, the uniform of the British policeman was unthreatening, deliberately so, his authority moral rather than physical. Now, he is festooned with the apparatus of repression, if not of oppression, though in effect he represses very little of what ought to be repressed in case it fights back. The modern police intimidate only those who do not need deterring; those who do need it know that they have nothing much to fear from these whited sepulchres, these empty vessels. Incidentally, the French police have undergone a similar deterioration in appearance: gone is the reassuring képi in favour of the moron’s baseball cap, and some of them now dress in jeans with a black shirt with the word POLICE across its back, which is not difficult to imitate and makes it impossible to know whether a policeman really is a policeman or a lout in disguise.

French Gendarmerie at the Eurockéennes of 2007.
Photo by Rama via Wikimedia Commons.

The Covid-19 epidemic has come as a great boon to the British police. Increasingly criticised for their concentration on pseudo-crimes such as hate speech at the expense of neglecting real crimes such as assault and burglary, to say nothing of organised sexual abuse of young girls by gangs of men of Pakistani origin, they could now bully the population to their heart’s content and imagine that in doing so they were performing a valuable public service, preserving the law and public health at the same time. Thus they transformed their previous moral and physical cowardice into a virtue.

Of course, in bullying the average citizen who was very unlikely to retaliate they took no risks, unlike with genuine wrongdoers and law-breakers, who tend to be dangerous; but the fact remains that most individual policemen joined the force motivated by some kind of idealism, a desire to do society some service, though they soon had these naïve fantasies knocked out of them by the morally corrupt or bankrupt leadership of the hierarchy which owes its ascendency to its willingness to comply with the latest nostrums of political correctness. The faint embers of the policeman’s initial idealism were no doubt rekindled by the opportunity to prevent the spread of the virus, as they supposed that they were doing, but some of them, at least, far exceeded even their flexible and vaguely-defined authority and began to inspect citizens’ shopping bags to determine whether they were hoarding goods that might be in short supply. This was a step too far, and at last there were protests; the police desisted.

April 26, 2020

“If it saves just one life…”

Filed under: Economics, Government, Health, Liberty — Tags: , , , , — Nicholas @ 03:00

Hector Drummond illustrates the moral failure of falling back on the “if it saves just one life” trope as a justification for any and all restrictions on free people:

Not actually the official symbol of Britain’s National Health Services … probably.

Let me ask you a question. Would you give up your job, your savings, your kids’ economic future, your pension, your parents’ current pension, your house, and your mental health, if I told you that doing so may possibly extend my old, sick grandfather’s life by a year or two? I don’t suppose you’d be too keen, would you? In fact, even the most mild-mannered of people is likely to get angry at the sheer effrontery of such a request.

What if I told the world the same thing? What if I told the world that if everyone in every country gave up their wordly possessions, and spent the rest of their lives in grinding poverty, then it’s possible that my grandfather might get to see Christmas? And suppose that there was some bare plausibility to this, based on a computer model developed by scientists at Imperial College. What do you think the world is likely to say to me? The polite response would be, “Sorry to hear about your grandfather, but we’re not going to do this”. The less polite response would be more like … well, just incredulous laughter, and slammed doors.

The reason I bring up these hypothetical scenarios, though, is that all over social media we are hearing about the Covid-19 lockdown being “worth it if it saves just one life”. But would the people saying this really be willing to give up, say, their own house, car and possessions and teenage daughter to someone who is suicidally depressed over their lack of prospects in life? No. Would they be prepared to serve ten years in jail if it saved the life of someone at risk of being killed by gangsters? No. Would they be happy with having the government forcibly remove a kidney from them to extend the life of someone with failing kidneys? No. Economic ruin and loss of liberty is not something we generally regard as a fair trade for a stranger’s life. Generally even the bleeding hearts among us will say, and rightfully so, “I’m sorry for this person, but they are not entitled to this, and I will not damage my life to any great extent for them”. Charitable donations are one thing. So is volunteer service. But that’s it.

Another thing I am seeing is people who say, “Anything is worth it if it saves lives”. Anything? Really? Shall we ban alcohol then? Because some people die from alcohol. Cars? Paracetamol? Steak knives? Shall we ban mobile phones, because terrorists might use them to communicate with? Shall we lock up for life anyone convicted of a minor juvenile crime, in case they turn out to be a killer? The whole idea is too ridiculous for words, yet all over the world there are fearful people hiding in their homes and posting such thoughts. It is one thing to feel sorry for them, but their stupid ideas shouldn’t pass unchallenged.

April 21, 2020

One of the few good things happening during the Wuhan Coronavirus epidemic – deregulation

Filed under: Bureaucracy, Government, Health, USA — Tags: , , , , — Nicholas @ 03:00

Patrick McLaughlin, Matthew D. Mitchell, and Adam Thierer on the benefits of suspending many existing regulations during the ongoing epidemic:

As the COVID-19 crisis intensified, policymakers at the federal, state, and local levels started suspending or rescinding laws and regulations that hindered sensible, speedy responses to the pandemic. These “rule departures” raised many questions. Were the paused rules undermining public health and welfare even before the crisis? Even if the rules were well intentioned or once possibly served a compelling interest, had they grown unnecessary or counterproductive? If so, why did they persist? How will the suspended rules be dealt with after the crisis? Are there other rules on the books that might transform from merely unnecessary to actively harmful in future crises?

In many cases, rule departures or partial deregulations undertaken during the crisis are tantamount to an admission by policymakers that some policies that were intended to serve the public interest fail to do so. “The explanation for many of these problems is that outdated 20th-century rules stymie 21st-century innovation,” noted former Florida Governor Jeb Bush in a recent Wall Street Journal editorial. “In an emergency, many of those rules can be waived by executive order. After the crisis, there will be momentum to challenge the stale rules that hindered our response. This is likely to go well beyond dealing with pandemics,” he argued. Similarly, lawyer and commentator Philip K. Howard has asserted that “the same kind of energy and resourcefulness will be needed to get America’s schools, businesses, government agencies and nonprofits up and running again” and has suggested the need for a “temporary Recovery Authority with a broad mandate to identify and waive unnecessary bureaucratic hurdles to recovery.” In addition, Wall Street Journal columnist and Brookings Institution Senior Fellow William A. Galston has called for a “Coronavirus 9/11 Commission” to study the governance failures witnessed during the crisis, arguing that “the immediate effects of Covid-19 are bad enough. Failing to learn from it would be criminal negligence for which future generations won’t forgive us.”

The crisis has been a stress test for American institutions. It has laid bare the outdated, overlapping, and often contradictory morass of rules that make it difficult for public and private organizations to respond to changing circumstances. In many cases, these rules persist not because they protect the public from danger but because they protect organized interest groups from new competition. Rules also persist because agencies rarely prioritize retrospective reviews aimed at eliminating unnecessary or potentially harmful rules. On the contrary, agencies typically have a vested interest in maintaining regulations that often took years to generate. Agency employees who have developed expertise in those rules, just like their counterparts in the private sector, have a financial interest in preserving these rules. In this way, “Agencies are stakeholders with respect to their own regulations.”

Once the COVID-19 crisis subsides, there is likely to be considerable momentum to review the rules that have slowed down the response. Some of those rules should probably be permanently repealed and others amended to allow for more flexible responses in the future.

April 20, 2020

“New York City subways were ‘a major disseminator — if not the principal transmission vehicle — of coronavirus infection'”

Filed under: Government, Health, Politics, Railways, USA — Tags: , , , , , — Nicholas @ 05:00

Randal O’Toole wonders why the lone sacred cow of mass transit is still running, despite its potential role in spreading disease:

MTA NYC Subway 1 trains at 125th St., 14 May, 2018.
Photo by Mtattrain via Wikimedia Commons.

Sit‐​down restaurants and bars have been shut down. Public officials are discouraging or even forbidding people from doing “unnecessary travel,” even if it is to visit a second home where they might be able to socially distance themselves better than in their first, more urban home. All sorts of other rules are being passed, all supposedly for our own good.

So why are urban transit systems still running? A 2018 study found that “mass transportation systems offer an effective way of accelerating the spread of infectious diseases.” A 2011 study found that people who use mass transit were nearly six times more likely to have acute respiratory infections than those who don’t. Not surprisingly, a study published a few days ago found that New York City subways were “a major disseminator — if not the principal transmission vehicle — of coronavirus infection.”

Transit agencies say they are helping “essential workers” go about their business. But if they are so essential, isn’t it important to find them a safe way of getting to work? If we truly cared about people’s safety, then transit services should have shut down at the same time we closed other non‐​essential businesses and asked people to stay at home.

[…]

Unfortunately, the transit lobby has successfully turned government‐​subsidized transit into a sacred cow. Transit is supposedly greener than driving when in fact it’s an energy hog. Transit is supposedly needed to help poor people get to work when in fact the people most likely to commute by transit are those earning more than $75,000 a year.

When the pandemic took away most of transit’s customers, instead of shutting down, which would have been the responsible thing to do, transit agencies demanded that Congress give them $25 billion, tripling federal support to transit this year. Thanks to transit’s sacred cow status, Congress agreed without any serious debate.

Effectively, Congress rewarded the agencies for spreading disease. It would have been better to use that money to help transit‐​dependent essential workers buy a car so they could have a safe way of getting to work.

New York City subway system.
Image by Jake Berman (maps.complutense.org) based on information from the MTA, via Wikimedia Commons.

April 19, 2020

In healthcare matters, Confederation is working as intended

Filed under: Cancon, Europe, Government, Health — Tags: , , — Nicholas @ 03:00

Chris Selley on the viewing-with-alarm concerns that we don’t have a single nation-wide standard of care, and why the Swedish approach to the Wuhan Coronavirus epidemic is worth observing closely:

Front view of Toronto General Hospital in 2005. The new wing, as shown in the photograph, was completed in 2002.
Photo via Wikimedia Commons.

Last week, Maclean’s reported on a group of University of Ottawa researchers who had found, to their consternation, that each province offers different advice to people who think they might be showing coronavirus symptoms. “Even in a cross-Canada pandemic as devastating as this, there is not a single, evidence-based Canadian standard of care simply for self-assessment,” the researchers wrote.

It’s strange how many Canadians seem uncomfortable with the most basic design of their country, which is that of a federation. What the U of O researchers find alarming is not just a matter of Canada operating as it was intended to operate, but also a good example of the benefits. Provinces and territories can shape their responses to the needs of their populations. They can learn from each other what works. It’s a living laboratory.

In the same vein, assuming things don’t go catastrophically wrong, we should be thankful that Sweden is sticking to its guns in avoiding a total lockdown. That, too, will provide very useful data in preparation for COVID-the-next.

It is important to realize that lockdowns take a human toll, sometimes fatal, just like coronaviruses (though probably not on the same scale). Emergency room doctors are worried about their lack of business nowadays, the National Post‘s Richard Warnica reported Friday. “Doctors believe … patients who are afraid of contracting COVID-19 are just waiting (to seek treatment) and getting sicker,” Warnica reported. The head of a Vancouver ER department noted that opioid overdose deaths are up, even as his hospital treats far fewer. Are they overdosing alone, whereas before they might have been saved? When we postmortem this pandemic, we will hear about sexual and domestic assaults, suicides and other isolation-related harms. They will need to be weighed against the risks inherent in a less draconian approach.

Sweden’s strategy has been somewhat caricatured. High schools and universities closed; people aged 70 or older were advised to self-isolate; large gatherings ceased. Easter travel was down a reported 90 per cent. More Swedes have reportedly filed for unemployment benefits than during 2008 crash. Restaurants, pubs and cafés remain open, which seems unfathomable to a Canadian. But “it’s a myth that it’s business as usual,” as Sweden’s deputy prime minister Isabella Lovin told the Financial Times this week.

April 17, 2020

Chris Selley – “… if John Q. Bylaw is hassling you just for taking a walk, for heaven’s sake get your smart phone out and make a righteous stink”

Our proto-surveillance society is moving rapidly toward all-surveillance, all the time and the current justification is to fight the Wuhan Coronavirus epidemic:

For civil libertarians, these are alarming times — but less alarming than they might be. During a pandemic, when everyone agrees life cannot go on as normal, people who place maximum value on individual freedom are liable to look rather selfish. “Trust our leaders” types get a big boost.

But if Canadian officialdom has not botched its response to this crisis, neither has it excelled. Theresa Tam’s defenders are right that official advice will naturally change over the course of a pandemic — but nothing justifies her proactive downplaying of the COVID-19 risk at a time when several Canadian governments were, we now know, woefully unprepared. The pandemic doesn’t care that Prime Minister Justin Trudeau went to Harrington Lake, against advice from three governments including his own to stay away from any second homes — but it would have been so bloody easy for him not to go, to set an example. It’s equally inconsequential that Andrew Scheer added six more human beings than necessary to a government charter flight from Regina to Ottawa — and it would have been equally easy for him not to bring his family along.

Meanwhile, certain big Canadian cities have so obviously overstepped the mark, by cracking down on perfectly safe behaviours — walking in parks, notably — as to highlight the value of some don’t-tread-on-me pushback. An unscientific survey of social media suggests not a single real human being supports the City of Ottawa’s latest ridiculousness: Days after its bylaw officers threatened a father and son for kicking a ball around [noted here], fined a man $880 for walking his dog, and allegedly assaulted a man questioning his eviction from a park — none of which seems to be supported by the provincial emergency act they were ostensibly enforcing — a public health official now advises against exchanging properly distanced outdoor pleasantries with one’s neighbours lest it “turn into a parking lot or backyard party.” (Don’t laugh: Studio 54 was a cozy little jazz bar before Mick Jagger and Debbie Harry showed up one night with some records and a pound of blow.)

For civil libertarians who remember life before smart phones, meanwhile, the plan Google and Apple are working on to help governments control COVID-19 might as well be custom-designed to induce heebie-jeebies. The basic idea is that your phone’s operating system would reach out to other phones via Bluetooth and record the date, time, duration and location of the meeting. No personal information need be attached to those data points, just the identity of the device. When someone reports a COVID-19 diagnosis on an app, using a code provided by their public health department, devices that had been nearby would receive a warning that their owners might have been exposed, and should take such measures as local authorities advise.

It could be the stuff of dystopian sci-fi. You can just see the guy with the giant translucent computer screen shouting “magnify! Enhance!” Really, though, this comes down to a simple question: Whom do you least distrust? A co-production between Google, which is not at all known for respecting users’ privacy, and Apple, which at least seems to make an effort? Or governments?

April 12, 2020

Minimum alcohol pricing – a policy so good you have to lie about it

Filed under: Britain, Economics, Government, Health, Wine — Tags: , , , , , — Nicholas @ 05:00

Scotland has had legal minimum prices for alcoholic beverages since mid-2018. If you read a random selection of mainstream media coverage, you’d know that it’s been a huge success, with vastly improved public health results at a price to consumers measured in mere pennies. As with all propaganda efforts, if you tell the lies often enough, people may believe you:

There has been all sorts of rubbish written about minimum pricing since it was introduced in Scotland in May 2018. Nicola Sturgeon has lied about in the Scottish Parliament. The BBC has gone to extraordinary lengths to spin the policy as a success. The public have been told that alcohol-related hospital admissions have gone down when they have gone up. We have seen the media fall for blatant cherry-picking. We have been told that rates of problem drinking have gone down when we don’t have any evidence either way.

One of the few solid facts — that there were more alcohol-related deaths recorded in Scotland in 2018 than in 2017 — has been sidelined. Instead, the media have focused on a disputed, and relatively small, decline in alcohol sales as if that were an end in itself. Any port in a storm (fortified wine sales have definitely benefited from minimum pricing).

Figures from the calendar year of 2018 are of limited use because minimum pricing didn’t begin until May 1st. Today, for the first time, I can reveal the monthly mortality figures for Scotland, England and Wales. They show that there was no difference between the change in annual death rates from alcohol-related causes, regardless of whether the country had minimum pricing in place. Both England/Wales and Scotland saw a decline between May and December of seven per cent (compared to the previous year).

This graph is published in a new briefing paper I have written for the IEA. It summarises all the evidence gathered to date on deaths, hospitalisations and sales, plus exclusive new data.

Importantly, it contains estimates of the costs to consumers. Among the more outlandish claims made by the Sheffield modellers was the idea that moderate and low income consumers would be barely affected by minimum pricing. They predicted that a low income moderate drinker would only pay an extra 4p a year! This was never realistic, not least because it was based on the minimum price being set at 45p and they defined a moderate drinker as someone consuming the equivalent of just two pints of lager a week, but it worked from a PR perspective because it quelled politicians’ fears about the policy being regressive.

April 4, 2020

Eighteenth century health improvements through “ventilators”

Filed under: Britain, Health, History, Technology — Tags: , , , , — Nicholas @ 03:00

In the latest Age of Invention newsletter, Anton Howes relates how a mistaken belief still led to a significant improvement in health:

The west view of Newgate Prison, circa 1810, by George Shepherd (1784-1862).
Wikimedia Commons.

One of the most worrying diseases of the mid-eighteenth century was typhus. We now know that it is spread by lice or fleas, but at the time, like so many other diseases, it was thought to be caused by noxious air — “malaria”, for example, literally means “bad air”. This was not a silly theory. It was based on empirical observation, which perhaps explains why the belief in such noxious miasmas persisted for so long — well into the late nineteenth century, if not the early twentieth, before finally being ousted by germ theory. Our ancestors were not stupid, no matter how strange their beliefs might appear in hindsight. (Also take alchemy, or the belief that some animals spontaneously generated.)

The Central Tower of the Palace of Westminster is actually a disguised ventilator.
Photo by Cary Bass via Wikimedia Commons.

Typhus fit the miasma theory especially well because it frequently appeared in confined spaces, like ships’ holds, prisons, mines, workhouses, and hospitals. The disease was thus often called “gaol fever”, or “hospital fever”. And there was the fact that at least one of the solutions designed to combat miasmas, the ventilator, actually seemed to work. This ventilator was not the kind that is in such high demand right now, used to help feed oxygen into patients’ lungs, but instead a machine used to get the air flowing in and out of confined spaces — like a 1740s air-conditioning unit.

At first glance, removing the stale air from a space shouldn’t do anything against typhus. But mortality declined drastically in the prisons and ships to which the ventilator was introduced. It halved the number of deaths per year in Newgate prison, where the bellows-like machinery was powered by a windmill, and the inmates of the Savoy prison fared even better. On ships, too, mortality declined among mariners, passengers, soldiers, and especially among the group that suffered most from long voyages across the eighteenth-century Atlantic: slaves.

But it’s not clear exactly why. After all, the ventilator did not kill the typhus-ridden lice or fleas. I have a few theories as to what must have been going on. Perhaps, by improving the supply of oxygen to confined spaces, people’s bodies were simply better served to deal with all manner of diseases. Surgeons aboard slave ships sometimes noted that, without proper ventilation, many slaves would simply die in the night of suffocation. Or perhaps the ventilator’s effectiveness had something to do with its drying effect. The machine was used to prevent grain stores from becoming humid, thus staving off damp-loving weevils. The ventilators might thus have staved off typhus through a similar means: although I’m not so certain about body lice, humid conditions are preferred by fleas. Regardless of the real reasons, the ventilators worked, and even when they did not reduce mortality, they made confined spaces more bearable for those who had to endure them. Ship captains reported that they did not even have to force their sailors to pump the ventilator’s bellows, because they liked the cool air so much. Ventilators were soon installed in the House of Commons, and in many of London’s theatres.

From the Wikipedia entry on architectural ventilation:

The development of forced ventilation was spurred by the common belief in the late 18th and early 19th century in the miasma theory of disease, where stagnant ‘airs’ were thought to spread illness. An early method of ventilation was the use of a ventilating fire near an air vent which would forcibly cause the air in the building to circulate. English engineer John Theophilus Desaguliers provided an early example of this, when he installed ventilating fires in the air tubes on the roof of the House of Commons. Starting with the Covent Garden Theatre, gas burning chandeliers on the ceiling were often specially designed to perform a ventilating role.

Mechanical systems
A more sophisticated system involving the use of mechanical equipment to circulate the air was developed in the mid 19th century. A basic system of bellows was put in place to ventilate Newgate Prison and outlying buildings, by the engineer Stephen Hales in the mid-1700s. The problem with these early devices was that they required constant human labour to operate. David Boswell Reid was called to testify before a Parliamentary committee on proposed architectural designs for the new House of Commons, after the old one burned down in a fire in 1834. In January 1840 Reid was appointed by the committee for the House of Lords dealing with the construction of the replacement for the Houses of Parliament. The post was in the capacity of ventilation engineer, in effect; and with its creation there began a long series of quarrels between Reid and Charles Barry, the architect.

Reid advocated the installation of a very advanced ventilation system in the new House. His design had air being drawn into an underground chamber, where it would undergo either heating or cooling. It would then ascend into the chamber through thousands of small holes drilled into the floor, and would be extracted through the ceiling by a special ventilation fire within a great stack.

Reid’s reputation was made by his work in Westminster.

March 27, 2020

The Wuhan Coronavirus sucks, our data on it sucks … but our media suck most of all

Filed under: China, Government, Health, Media, USA — Tags: , , , , , — Nicholas @ 05:00

The all-hysteria, all the time media will have much to regret once the worst of the Wuhan Coronavirus epidemic has run its course:

  • The data we have sucks, and thus any conclusions we are drawing mostly suck too. The data is worse than just being incomplete or bad — if it was randomly distributed, we could live with that. But the lack of test kits and how we have deployed the few we have means that the data is severely biased. We are only testing people who are strongly symptomatic. If there is a normal distribution of outcomes from this disease, we are only testing on the right side of the distribution. We have no idea where the median is or how long the tail is to the left side of asymptomatic outcomes. The only thing we absolutely know about the disease is its not as deadly as the media is portraying as we are missing hundreds of thousands of cases in the denominator of the mortality rates. The media has also been terrible about reporting on risk factors of those who died. When a bunch of people died suddenly in Seattle, one had to read down 5 paragraphs into the story to find that they were all over 70 in an old-age home. Or when prime-of-life people die, facts such as their being type 1 diabetics — a known severe risk factor for this virus (and one that makes it different from the flu) are left out.
  • The media is constantly confusing changes in measurement technique and intensity with changes in the underlying progress of the virus itself. Changes in case numbers have as much to do with testing patterns and availability than they do with the real spread of the disease.
  • While COVID-19 is likely worse than the normal flu, our perceptions of how much worse are strongly affected by observer bias. Frankly, if every news broadcast every night spent 15 minutes reciting flu deaths each day, we would all be hiding in our homes away from flu. They present a healthy man in his thirties dying clearly as the tragedy it is, but the spoken or unspoken subtext is, “this is abnormal so this thing is much worse.” But it seems abnormal because we do not report on the very real stories of healthy young people who die of the flu. My nephew who was 25 years old and totally healthy with no pre-existing conditions died of the flu last month — and no one featured this tragedy on the national news.
  • The data we are getting sucks worse because the media has decided, as one big group, that for our own good they are going to limit all facts about the virus to only the bad ones. There is a strong sense — you see it on Twitter both in Twitter’s policies as well as Twitter group attacks — that saying anything that might in any way reduce one’s fear of the disease should be banned for our own good. One of the more prominent examples was Medium removing an article NOT because it was proven wrong but because it took one side of a very open question and it was obviously decided it was “unsafe” to allow that side to even be aired.

Sensible risk management is not compatible with the “precautionary principle”

Filed under: Government, Health — Tags: , , , , , — Nicholas @ 03:00

David Zaruk wrote last week for Science 2.0 Europe:

Two decades of the precautionary principle as the key policy tool for managing uncertainties has neutered risk management capacities by offering, as the only approach, the systematic removal of any exposure to any hazard. As the risk-averse precautionary mindset cements itself, more and more of us have become passive docilians waiting to be nannied. We no longer trust and are no longer trusted with risk-benefit choices as we are channelled down over-engineered preventative paths. While it is important to reduce exposure to risks, our excessively-protective risk managers have, in their zeal, removed our capacity to manage risks ourselves. Precaution over information, safety over autonomy, dictation over accountability.

  • Whatever happened to “Keep out of reach of children”? Now we cannot be trusted and all products must be child-safe.
  • Whatever happened to “Handle with care”? Now safety by design has removed the need for individuals to exercise common sense or risk reduction measures.
  • Whatever happened to trust? Now individuals are no longer left with the capacity to make their own decisions in managing personal risks.

These are good things” precaution advocates would retort “since people often make mistakes and bad things can better be prevented!”. While continuous improvement of safety systems has its value, the bigger the fences, the less autonomously the individuals will react (creating a society of docile followers). The precautionary approach implies a lack of trust in individuals’ capacities to make their own (rational) choices. The over-engineered risk-management process would remove any situation where choices could be made. Fine for cases where there are no trade-offs, disruptions or loss of benefits (when the sheep have plenty of grass in their field), but in times of crisis (exposure to hazards), when precaution is your only tool, then sacrifice is the only solution.

[…]

When the public now sees everything of modern life (work, school, public events …) cancelled in a knee-jerk precautionary impulse, is it any wonder they are panicking? Enter the opportunist to sell you the silver solution or the naturopath detox remedy to put your mind at ease. Enter the quack to tell you to drink bleach. Enter the racist who will use the fear to mobilise outrage. Exit rationality and risk management.

With no bullets left in the risk-management gun, the only thing left to do is run … or as it is more commonly called: apply the precautionary principle. Precaution should only be applied after other risk management measures have failed but given how horribly inadequate our capacities to govern have become, it is the only strategy our regulators have come to know.

Slide from a presentation by Patti Gettinger, 2011-07-11.
Original slideshow at https://fr.slideshare.net/regsgridlock/the-precautionary-principle-8656034

H/T to Johnathan Pearce for the link.

March 18, 2020

When You Run Out of Stuff to Hoard – Rationing 1940 – On the Homefront 001

Filed under: Britain, China, Europe, Food, Germany, History, India, Japan, WW2 — Tags: , , — Nicholas @ 04:00

World War Two
Published 17 Mar 2020

In this first episode of On the Homefront, Anna tells you about division of labour, food production and rationing in the early years of the war.

Join us on Patreon: https://www.patreon.com/TimeGhostHistory
Or join The TimeGhost Army directly at: https://timeghost.tv

Follow WW2 day by day on Instagram @World_war_two_realtime https://www.instagram.com/world_war_t…
Between 2 Wars: https://www.youtube.com/playlist?list…
Source list: http://bit.ly/WW2sources

Hosted by: Anna Deinhard
Written by: Spartacus Olsson
Produced and Directed by: Spartacus Olsson and Astrid Deinhard
Executive Producers: Bodo Rittenauer, Astrid Deinhard, Indy Neidell, Spartacus Olsson
Creative Producer: Joram Appel
Post-Production Director: Wieke Kapteijns
Research by: Spartacus Olsson
Edited by: Mikołaj Cackowski
Map animations: Eastory (https://www.youtube.com/c/eastory)

Sources:
IWM A 1699, A 7812, A 19891, D 6773, A 11856, A 11857, D 10565, D 9366, D 15530, D 10465, D 20087, D 20079, D 7958, D 2373, D 14667, D 7966
Taking blood pressure (SC 191775), National Museum of Health and Medicine https://www.flickr.com/photos/medical…
Picture of Elsie Widdowson and Robert McCance with their staff, courtesy of British Nutrition Foundation
Pie Chart by Ates Evren Aydinel from the Noun Project
Pie Diagram Half by Trevor Dsouza from the Noun Project
Farm by Symbolon from the Noun Project
Meat by chiccabubble from the Noun Project
Fish by Vectors Market from the Noun Project
butter by Nick Bluth from the Noun Project
potatoes by Vectors Point from the Noun Project
Vegetable by Eucalyp from the Noun Project
Poop by Jordan Díaz Andrés from the Noun Project
shelf by Zach Bogart from the Noun Project
Tea box by Tomas Knopp from the Noun Project
Jam by Vichanon Chaimsuk from the Noun Project
Biscuits by John Burraco from the Noun Project
Cheese by Erin Agnoli from the Noun Project
eggs by Oleksandr Panasovskyi from the Noun Project
butter by Imogen Oh from the Noun Project
can by Anniken & Andreas from the Noun Project

Soundtracks from the Epidemic Sound:
Gavin Luke – “Seasons of Change”
Johan Hynynen – “Dark Beginning”
Anthony Earls – “The Songs We Sing”
Fabien Tell – “Last Point of Safe Return”
Reynard Seidel – “Deflection”
Farell Wooten – “Blunt Object”
Johannes Bornlof – “The Inspector 4”
Howard Harper-Barnes – “Prescient”
Howard Harper-Barnes – “London”
Philip Ayers – “Under the Dome”

Archive by Screenocean/Reuters https://www.screenocean.com.

A TimeGhost chronological documentary produced by OnLion Entertainment GmbH.

From the comments:

World War Two
57 minutes ago (edited)
This is the first episode of On the Homefront. For those of you who haven’t watched our trailer or have seen the Between Two Wars episode on the Home Revolution, let me introduce you to Anna. She will be telling us all about the homefronts and the people on them in these monthly sub-series. Now, we know that this episode might seem to be playing on the Corona related hoarding that is going on, but this was already produced before any of that made the news. In any case, as many of you are sitting in your own homefronts, I hope this episode offers some relief and perspective. If you like it, do make sure to Join the TimeGhost Army to keep us running! You can do so at https://timeghost.tv or patreon.com/timeghosthistory
Cheers, Joram

March 11, 2020

QotD: Orthorexia

Filed under: Business, Food, Health, Media, Quotations, Science, USA — Tags: , , , , — Nicholas @ 01:00

The American media and our popular culture both celebrate a fear of safe, nutritious food if it is not labeled “organic.” To be consistent then, why don’t we also celebrate anti-vaxxers’ fear of safe vaccines, which are also not “organic?” To be clear, I am not an anti-vaxxer. I am strongly pro-vaccine. Everyone in my house is vaccinated, and I am appalled at the outbreaks of contagious diseases due to anti-vaxxers. But let’s be clear, a Venn diagram of those who obsess about organic food and anti-vaxxers will reveal a major overlap. If you know an anti-vaxxer, he is most likely committed to an organic diet.

Our culture accepts as a scientific fact that organic food is healthier than non-organic food. You can watch TV, read popular magazines, or listen to healthy-living gurus, and overwhelmingly you will be told that organic food is healthier than non-organic food. Recipes tend to call for organic produce and ingredients. And it goes beyond organic foods. Genetically-modified foods are slandered as “frankenfoods” concocted by mad scientists in a laboratory. Further, we are admonished to avoid anything that is not “natural.”

OK then. Vaccines are genetically modified, lab-made, and certainly not natural. Being anti-vax seems a logical extension of the natural, organic lifestyle.

I know several people — including family members — who have so completely bought into the natural-organic hype that they genuinely believe GMO and non-organic foods are poisonous. They would rather starve themselves and their children to death than ingest a gram of non-organic food. They look at the shelves of a regular grocery store and see rows and rows of poison. There is a medical term for this fear of safe healthy food — it’s called “orthorexia.” I am not shocked that some of these individuals are anti-vaxxers. Instead, I am shocked (and relieved) that some of the orthorexics I know actually do vaccinate themselves and their children.

Buck Throckmorton, “Organic Food & Anti-Vaxxers – Does The Fear of Safe Food Lead to Fear of Safe Vaccines”, Ace of Spades H.Q., 2019-12-08.

February 23, 2020

China’s government and the coronavirus epidemic

In Quillette, Aaron Sarin shows how the Chinese government has systematically failed to respond adequately to the epidemic which broke out late in 2019in Wuhan and risks “losing the Mandate of Heaven”:

As of this writing, the epidemic’s death toll is still rising, and many of these deaths can ultimately be traced to the paranoid rigidity of the Xi Jinping administration. By late December 2019, doctors in Wuhan were already sounding the alarm over cases of what appeared to them to be SARS. Instead of listening to their warnings, the authorities summoned eight of these doctors for a dressing-down. They were warned of the punishments they could face for “rumour-mongering.” News of their detention was broadcast to tens of millions: a clear message to anyone else who might have been thinking about discussing viruses in public.

The Party’s leaders actually knew enough to be worried by this point — they alerted the World Health Organisation on December 31st — and yet still they hid the truth from the public. This neurotic obsession with secrecy has certainly cost lives. If the medical community had been informed of the outbreak back in December, hospitals could have stockpiled the necessary supplies. But now there are drastic shortages, and patients are dying in hallways and waiting rooms.

Even the critics of authoritarian dictatorship will usually agree that the system beats democracy for sheer efficiency, but the coronavirus debacle has turned that old wisdom on its head. Where we might have expected cold and methodical governance, we have found dithering bureaucrats, unable to take a step in any direction, paralysed by what Xu Zhangrun calls “systemic impotence.” Weeks went by and citizens swarmed in and out of Wuhan, picking up the virus and transporting it to the far corners of the country. Local government officials stayed quiet, wary of the heavy hand of Xi Jinping. On January 23rd, a citywide quarantine was finally announced, but eight long hours passed before it was enacted — time enough for a million or more to flee the city.

The Wuhan lockdown was repeated in other parts of the country (most recently the southern megacity of Guangzhou), and some observers praised the speed with which new hospitals were constructed from scratch. These very visible displays of its power aside, the Party has moved far too slowly at every stage of the crisis. Diagnostic testing required samples to be sent all the way to a laboratory in Beijing, and this delayed the distribution of testing kits to many of the hospitals in Wuhan. Even when testing kits were available, patients still found themselves trapped in a Kafka-esque web of bureaucracy. According to Reuters, the tests have been refused to people who fail to make it through a complex reporting system involving hospital authorities, district authorities, city health authorities, and disease control officials.

None of this should come as a surprise. The cliché about the efficiency of authoritarian systems was always, on closer analysis, something of a low-resolution image. In the old days of the Soviet Union, speedy industrial growth obscured the reality of a fragile system largely devoid of autonomous decision making. During the 1920s, the Communist Party’s state planning committee Gosplan was established with the impressive-sounding mission of creating a series of five-year plans to govern the economy. But over the next 70 years, the vast majority of these plans were radically revised and rewritten, or more frequently ignored altogether in favour of Joseph Stalin’s arbitrary dictates. Indeed, Gosplan actively tried to avoid making decisions at all, because committee members knew Stalin would have them shot and replaced if their ideas produced unwelcome results. In the end, fear saps the efficiency of all authoritarian regimes, and the Chinese Communist Party is no exception.

Li Wenliang has emerged as the most vivid symbol of the Party’s latest failure. Li was one of the Wuhan doctors disgraced for discussing the coronavirus on social media. A few days after his police warning, he contracted the virus himself, and on February 6th he died. It was during the period of Li’s short illness that the Party apparently realised its error and decided to absolve the doctors, but still the central government would accept no blame for the tragedy. Instead, the Supreme Court (which is controlled by the CCP) scolded the local government in Wuhan — an unusual move, no doubt designed to create a scapegoat for surging public anger. The truth is that the city’s officials had been faced with an impossible job. They obediently followed orders, and now they will be punished for it.

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