Alaska's C0VID-19 Count For Friday March 20, 2020

The State's new post today shows:

• 3 new positive tests  (two more were reported after the report was posted)
• New category - 'Community Contact' is now 'Non-Travel'
• Date was added - wasn't there yesterday

The second part is structured the same as yesterday.  Some observations:

• The earlier reports distinguished between new positive and new negative tests.  The chart above doesn't show when the positives (confirmed) tests happened, only where.
• The charts below don't distinguish between the cumulative positive and negative tests or the daily positive or negative tests
• So, there's no way to figure out how new positive (confirmed) tests are increasing over time, unless you have made screen charts of the previous days' announcements
• Which is more or less why I started these posts and created my own table to track the daily changes in tests and daily changes in cumulative results
• The cumulative chart (below) shows a line, but there are only actual numbers on the last day, so you have to estimate for the other numbers
• The daily tests chart (further below) doesn't even have numbers for the last day, so you have to guess those numbers as well.  You can get reasonably close, but these are numbers they have and we shouldn't have to approximate.  
• Before yesterday, the reports distinguished between completed confirmed and negative tests.  They don't do that any more.  I'm assuming that the confirmed are now part of the total number of tests given.  

However, today's graphs (below) present a new challenge for me. The numbers don't add up right for me.  I still have a low grade fever and a cough and so maybe I'm just not concentrating hard enough, but this isn't high level math.   

When I use their numbers in the first chart, the cumulative totals 

• for State Tests (529) plus 
• the commercial tests (169) 
• adds up to 698 total tests since they started testing.

Going back to yesterday's post*  we see there were 513 total tests.  So subtracting

• yesterday's total 513
• from today's total of 698
• tells you that there were 185 more tests since yesterday

But when you go down to the next graph and add the numbers it comes out differently

• the blue line showing number of state tests posted today (for yesterday) we get something close to 75  - we have to guesstimate because the actual number isn't listed
• and the red line showing the number of commercial tests is just about 55
• 75+55 = 130
• which is 55 less than what the top chart (compared to yesterday's posted totals) comes to
• and even if you add or subtract a few digits because you're guessing off a graph, it's still significant

*(I have to send you to my blog post on this because the state's count page for yesterday has been replaced with today's (Friday) So you can't go back there.  Fortunately I've been posting screenshots.)

I did send an email to the state department of health to see whether I'm missing something, but there's been no response.

But that leaves me with a difficulty in putting the correct numbers in my cumulative chart.  I've done my best.

Alaska Covid-19 Data by Steve on Scribd

I understand that the Governor drastically cut state employees last year.  On top of that the people left are struggling with a massive disaster like the state has never seen.  It takes experience and time to figure out the most important numbers to report and how to report them and the state is clearly figuring this out while facing a zillion other tasks.

My intent here originally was to simply document the numbers as they changed day-to-day since that wasn't possible if you just looked at the daily reports (which replaced the previous days' reports.)   I'm doing the best that I can and appreciate any suggestions readers might have to do it better.  Or to let me know if someone else is doing this elsewhere.

https://docs.google.com/spreadsheets/u/2/d/e/2PACX-1vRwAqp96T9sYYq2-i7Tj0pvTf6XVHjDSMIKBdZHXiCGGdNC0ypEU9NbngS8mxea55JuCFuua1MUeOj5/pubhtml#  has been trying to track each state daily, but it would appear that Alaska's changing formats has, for the moment anyway, messed up their scraping system.  The latest they have for Alaska is a total of 6 positive and 402 negative for a total of 408 tests.

If you go to the State tab, you'll see this comment for Alaska:

"Unclear if their reported number means "persons tested" or "specimens tested." We count them as "persons tested" because the header indicates this is the case. Negatives reported on site have decreased at various times in recent hours, without explanation."

"The state [of Alaska] Public Health Laboratories had more than 1600 kits as of Tuesday."

Since I haven't seen this number anywhere, I thought I'd post it now.  It came in an email from Deputy Director, Alaska Division of Public Health Jill Lewis in response to my direct question about how many tests we had.  Last week she'd mention the number 500 tests.  So this time I asked:

"Do you have any updates on the number of tests Alaska has? (The state website has now reported that over 500 tests have been given.)"

So, once again:

"The state Public Health Laboratories had more than 1600 kits as of Tuesday [March 17,2020]."

She didn't mention commercial labs and whether they have additional tests.

Alaska Keeps Changing How They Report COVID-19 Tests And Results

I've been tracking the COVID-19 tests and results here because I found the state website that posts "Case Counts" was just giving daily snapshots and the previous day's data were replaced with the new data.  So there was no way to see the progression of positive test results or even of how many tests were given out.

So today's report was totally different.  Here's what they've generally looked like:

Then yesterday - above is yesterday - they also added a table.  You can see that in yesterday's post.  

Today this box which summarizes the numbers is GONE.  Now we get this:

And . . .

Having the graph is an improvement to the extent that it shows the number of tests per day, since the beginning.  And from this we learn that they started testing on March 2, 2020.  The previous charts all said on the bottom "Cumulative since 1/1/2020" which didn't make much sense since clearly Alaska wasn't testing in in early January.  Today we see not in February either.  The two graphs make it hard to track the numbers over time precisely.  At least the top one has numbers for the last date.  We don't have that for the bottom chart.  And if these were really professional charts, you'd be able to run the cursor along the red and blue lines and see the number for each date.  These are just images.  

AND the cumulative State and Commercial lab test numbers now include positive tests whereas before they were only negative tests.  Making it impossible to continue my charts based on these charts. (Maybe not, but someone smarter than I am, needs to tell me how.)

Previously, the separated out the tests each day that were positive and negative.  Now you have to go up to the chart and get that information and add and subtract numbers from the graphs to keep regular numbers.  I'm also not sure what the importance of distinguishing between State tests and Corporate tests is.  But someone in the Department of Health thinks it's significant enough to make that distinction.  

And what we don't get here is the chart which shows the progression of positive tests.  We just get the cumulative positives.  (That's in the first chart from today, above.)

Melissa S. Green commented yesterday that in MY table, I ought to switch the columns and rows so they will be easier to read in this format.  It was a great suggestion and I'd been wondering what was going to happen as I got more dates and we moved further to the right.  But how big a job would that be?  Argh.  Google told me quickly that it was no big deal.  (I'm using Apple's Numbers rather than Excel)  Just open the file, click on the whole table, go up to the table tab, then click "Transpose rows and columns."  Done!  

So here's today's updates.  My cough and fever are still festering and so I hope I've gotten all the numbers right.  (subtracting the positives from the cumulatives for negative tests etc. - not hard math, but helps to have a clear head.)

Alaska Covid-19 Data by Steve on Scribd

I would note that there were three more positive test results announced this afternoon (after the website was updated.) Two were not immediately related to travel.  In the Governor's press conference this afternoon, I think they said that if these new cases were connected to previously detected cases that were travel related, then they would also be considered travel related.  I don't understand why, unless they just don't want any "community" cases which can't be blamed on people bringing the virus from elsewhere.  If these cases, for example, are listed as travel related, how will cases related to these new ones be classified?  It seems to me that if people who haven't traveled get the virus, then they got it through contact with someone in the community, whether those folks brought it from Outside or not.


[A personal note here.  As I was going through these charts and commenting on them and figuring out ways to improve them, it reminded me very much of reviewing graduate MPA (Masters of Public Administration) student papers, particularly capstone papers.  Our students had to suffer through these kinds of critiques, but most, ultimately said thank you when they could see how much better their papers were.  And this is the kind of written feedback they'd get from me so that they would understand how I thought they could make their papers better.  I hope none of my old students were responsible for these charts.  And I understand how hard it is to make great presentations of information - especially on tight deadlines.  This is really hard stuff to do right.  My sole intent here is  to help Alaskans get the best information they can.]


And thanks Mel.

What Do Evil And Plague Look Like?

Let's start with Evil.  I first learned Alex Gibney's name when Taxi To The Dark Side played at the 2006 Anchorage International Film Festival.  The story of the Afghan taxi driver who ends up tortured and dying in Baghram Air Force Base.  It was powerful and my favorite doc that year and probably my favorite film overall.  And it went on to win an Oscar for best feature documentary.  Gibney has made a lot of films since then.

Netflix has Slumloard Millionaire up now, a look at Jared Kushner's real estate world.  One section of the film looks at how Kushner bought rent controlled apartment buildings in NYC and then practiced all sorts of harassment techniques to get renters out - ceilings fall in from floods above, jackhammers all night, nothing repaired, toxic materials, etc.

Then there's the story of 666 Fifth Avenue which Kushner bought when prices were sky-high, just before the 2008 crash.  And how he then had to scramble to find money to pay his debts.  Among the schemes was squeezing low income tenants in his various buildings - and the film particularly focuses on the Baltimore area.  There are late fees, tacked onto rent that get deducted so that the renter hasn't paid the full rent which allows for more fees the next month.  Meanwhile the renter doesn't know any of this is happening and just keeps paying the regular rent and falling further behind. While this nickle-and-diming can't raise what Kushner needs, over thousands of tenants it adds up.  A reporter walks the neighborhood and shows us all the doors with shaming notices prominently taped onto people's door.  Then there's the lady who has complained about the lack of repairs in her apartment and gotten a signed waiver to leave her lease.  Three years later she starts getting notices from JKSomethingLLC.  She has no idea who that is.  They are demanding $3000 for cutting out on her lease three years ago. She no longer has the waiver, she never thought she'd still need it.  Fortunately, an investigative reporter finds her and writes about her.  That gets her an attorney who locates the housing records that prove her allegation she left legally.  And JK suddenly and magnanimously agrees to drop the bill.

This is just evil.  And this is one of the key people advising the president.   Some even say he's running a shadow coronavirus task force made up of business leaders.  But we don't get daily reports from them.  The behavior highlighted in the movie is fair warning for Kushner's task force is to help him and business campaign supporters figure out how to siphon off as much of the money earmarked to fight Coronavirus as possible.  helps himself and his father-in-law to every spare dollar they can get off the government.    Trump even referred to the head of Carnival Cruises today as his friend Micky who is offering cruise ships for non-COVID-19 hospitals.  I'm sure 'offering' as in I'll only charge twice what I would make if all my ships weren't sitting idle now.  (I'd note that Carnival owns Princess Lines.)


Now let's switch to Plague.  Here's a paragraph from an article by Jennifer Cooke, a plague expert.  She wrote her dissertation on the Bubonic Plague and then converted it to a book.  She writes about how she hadn't expected to experience one.

"What can I tell you about contagious epidemics? What will happen to us? Soon, we will see people scared of one another. Soon, a celebrity with COVID-19 will die. Soon, infected houses will display a sign warning delivery drivers and neighbours. Or non-infected houses will, attempting to reassure. Soon, there will be pets without owners, newly made strays fending for themselves. The most vulnerable will suffer even more. Domestic violence rates will sky-rocket. We will see armed forces patrol the streets. We will tell each other incredible stories we have heard of cruelty, of misery, but also of heroism, of generosity. There will be social unrest. There will be cult weirdos and strange beliefs, doomsters baying about the end of times. There will be exploiters, quacks, and fraudsters. But there will also be simple kindnesses, more phone calls between family members, between friends. We will all work less, if at all. There will be absurdity. And there will be incredible community support, for the people by the people. There will be ingenious new forms of entertainment and the revival of older forms that we have forgotten or stashed at the back of the cupboard. There will be incredible boredom and a lot of cleaning. This is what my knowledge tells me."

There's lots more there.  She also gets into Daniel Defoe's book on the plague, which ADN write Michael Carey also wrote about today.   There's also a link to the original Journal of The Plague Year for people who want a preview of what's coming.  (Times are different.  Science plays a bigger role now, but we still have many religious charlatans who use calamity to their advantage.  (As I recall, every natural disaster during he Obama years was a sign from God.  I don't see that so much not that the charlatan in chief is in office.)

Alaska COVID-19 Update 3 More Positives For A Total Of 6 Since Friday [Updated With COVID-19 Video Showing Progression of V]

NOTE:  Today's update says it was updated yesterday at 7pm instead of today at 12:30pm, so these added numbers don't reflect 24 hours since the last posting.

This chart and the one at the bottom from here.

[UPDATED March 18, 2020 8:20pm:  Since the announcement above is listed as being posted at 7pm on March 17, and there was no new one today when I looked after today's scheduled post - I used it and assume it would cover for today.  But since yesterday's was posted at 7pm, I thought I'd check.  And sure enough there's a new update from 12:30pm today.  I checked and I got mine at 12:43pm so there's might have been posted shortly after that.  It looks pretty much the same.

Maybe that just had the wrong time stamp on it and fixed it.  But it's really helpful to notify readers why you made a change - in this case the date and time have been changed.

Meanwhile, three more cases have been reported in the news today.  Based on the video below and other writers, I'm expecting the number of positives to jump pretty quickly in the next week or two.]

In the last few days we've gone from 0 positives, to 1 positive, to 3, then to 6.  Since only a tiny percent of our population has been tested, I expect that numbers will start to go up quickly once testing is more widespread.  Meanwhile people are out and about without knowing if they are positive or negative.

I saw a distinction yesterday between diagnostic testing (to determine a patient's treatment) and surveillance testing (to keep track of the overall spread of the virus in the community.)  It seems to me that Alaska has focused on diagnostic testing.

Here's my update from the numbers I put up yesterday.  I'm trying to track this on a continuous basis so people can see the daily and weekly increases in people tested and results.  As I do these, only the last column should change each day.  I'd note again, that 'today's' posting says it was posted yesterday at 7pm.  (The notice has said everyday they'll post at 12:30pm daily weekdays).  So, technically, there are two posting from yesterday, so the increase is only up to 7pm yesterday.  And the increase is more for half a day.

Alaska Covid-19 Data by Steve on Scribd

This report also had a new chart attached to it that gives overall numbers.

Region*	Travel-Related**	Close Contact	Total
Anchorage	2	0	2
Gulf Coast	0	0	0
Interior	3	0	3
Mat-Su	0	0	0
Northern	0	0	0
Southeast	1	0	1
Southwest	0	0	0
TOTAL	6	0	6

 *Economic regions definitions

**Exposure/source of the virus was outside of Alaska.

You'll see the state is perhaps trying to console us by pointing out that all the cases are people who traveled and brought the virus back to Alaska.  But we don't know how many people they interacted with before they were tested and isolated.


[UPDATE 5:44pm]

The video below does a good job of showing (based on Wuhan data) how many actual cases there are compared to the identified cases, for various reasons.  One could argue this doesn't apply so well to us here in Alaska because, so far, the cases were brought in from Outside.  (All the more reason to be screening passengers on Alaska bound jets.  Our geographic isolation makes it relatively easier to check on people entering the state.)  But as people bring the virus in and spread it before getting sick, we're going to see similar dynamics.

Did Health Experts Show These Predictions To Trump? Imperial College Report Summary

[You have to click on the embedded tweet below yo see the whole thread.  When you get to the original's Tweet, click on show thread.]

]
Trump seems to be taking COVID-19 more seriously - or at least how his response may reflect on him.  This Twitter thread summarizes the findings of the Imperial College predictions - if we do nothing, if we take moderate precautions, if we go to total self-isolation.

Many of us may not be here next year.

We can now read the Imperial College report on COVID-19 that led to the extreme measures we've seen in the US this week. Read it; it's terrifying. I'll offer a summary in this thread; please correct me if I've gotten it wrong.https://t.co/AwE2cHIbeJ

— Jeremy C. Young (@jeremycyoung) March 17, 2020

2 More Positive Alaska Tests - Trying To Track COVID-19 In Alaska

The state COVID-19 page replaces yesterday's data with today's data.  So unless you've been screen-saving or otherwise saving the data each day, there's no real way I've found to keep track of things.  So in this post I'm adding a table that allows you to see testing numbers and results over time.

But first, today's report:

Two new confirmed cases showed up in Fairbanks.  According to the State 334 people have been tested.  I have not been able to get an answer to the question:  how many tests does Alaska have and how many do we expect to have soon?   The original number that was bandied about was 500.  We're 166 shy of that number.  It's not clear why people are being cagey about numbers of available tests.

Anyway, here's my first stab at tracking the tests:

Alaska Covid-19 Data by Steve on Scribd

Is everyone who should be tested getting tested?  This Tweet suggests that access to doctors and cost is a factor that might be limiting who gets tested.

Talked to a friend today. She has coworkers who suspect have COVID. They have no health insurance, so won’t/can’t get tested. Oh yeah they work in food service industry

— Sam Snyder (@builditbiggerak) March 17, 2020

107 More Negative Tests In Alaska - Message From Italy On What To Expect

This was posted by the state Friday - 143 people had tested negative and one positive.  That was an increase of one positive and 84 negatives since the day before (I only know this because I had a screen shot from Thursday).  And the day before was the total since January 1.  So they had rapidly increased the testing - more than doubling the people tested.

So here's today's numbers:

They don't post these numbers over the weekend.  All we know is that since the Friday post, they've tested another 107 people all of whom tested negative.   Presumably this includes people tested Friday, Saturday, and Sunday.

In any case, the state is testing people at a much faster rate than they had been.  Though I didn't look at that page before Wednesday when only 60 people had been tested. Since then 4 times that many have been tested.

The only positive person was reported to be a foreign national cargo pilot who went directly to his hotel and then called for medical help.  He would have had contact with only a few people - other crew, customs, van or taxi driver, and the hotel check in desk.  A group small enough to have been contacted and tested.  But I'm only guessing at what should have happened.

Meanwhile I found out today that my email to the state public health department with my questions hadn't actually been sent Friday.  So I've resent it and got a confirmation they received it.

Some obvious questions that arise now:

1.  How many tests does Alaska have?  I was told 500 by a couple of people Friday.  No one could tell me if we got more.  If not, we've used half of them.

2.  Did more come?  I'm guessing there are more tests or they are on the way, since the testing screening has loosened up since I got turned down on Wednesday.

3.  Why test?  One of my questions is about the objective of testing in Alaska.  I couldn't find a stated objective on the website.  It seems there are several overlapping goals:
1.  treat the patient
2.  protect health care providers
3.  protect the general public

So did my doctor, on Friday, when they had ruled out flu and RSV,

1. decide based on her assessment of me as not likely to have COVID-19, turn down my second request for a COVID-19 test?  Or 
2. did she also consider the scarcity of tests and decide my taking a test would not be a good use of the tests?  (At that time I did mention that something had changed because they had tested over 80 people the day before, more than all the tests since they began testing.) Or
3. Was she considering the public health needs to test everyone who has any chance of having the virus to identify all carriers and then all the people they had been in contact with?   

Clearly the last one was not a highly weighted part of her calculation.  Since they were willing to test me for flu and RSV, I have to conclude the decision was made based on her assumption about the availability of tests.  But the model from other places is to test as many as possible to identify carriers and then all their contacts.  

Meanwhile, Anchorage is shutting down.  Schools have been closed.  University is only teaching classes electronically and the campus is pretty much closed.  Public buildings like libraries and museums are closed.  As of this afternoon, restaurants and bars are closed except for take-out and delivery.  Groups of more than 50 people are not allowed.  OLÉ classes I was signed up for at the end of March are cancelled.  The Alaska Press Club Conference in April is postponed.  

The only sporting event I'm aware of that has NOT been cancelled is the Iditarod race which began before people caught on.  The newspaper had an article about the village of Shaktoolik not allowing the mushers into the village, but set a checkpoint and rest place outside the village.  

What the article didn't include was mention of how the 1918/19 influenza wiped out - literally - many Native villages.  In some there were only a few survivors.  So their concern is not overblown.  In fact the report I linked to above says:

"This DHSS analysis also predicts, based on 2016 population data, how many people would die in Alaska if a similar pandemic were to occur today. If we had a flu season with the same rate of death as the epidemic wave in the late fall of 1918, the estimated number of deaths would be 11,970 Alaskans."

Does COVID-19 have the same rate of death as the 1918 flu?  It's complicated to figure out.

For those who are still skeptical about the reactions to the virus - or have family and friends who are still scoffing - I offer you this message from Jason Yanowitz who identifies six stages of the epidemic in Italy.  It was originally on Twitter, I'll just put up a few of the images as he walks through what people were thinking as things went quickly to terrible.

By Stage 3, 25% of Italy was under quarantine, but bars and restaurants were still open.

It's spread to the whole country.  

Stage 6 has everything shut down and people need registration papers to be out on the streets.  If you're out and positive, you can be charged with murder.  

There are so many people who have no concept of math beyond the simplest parts.  So graphs mean nothing to them.  The idea of exponential growth means, if anything, 'big growth'.  So maybe this Twitter thread can get people to understand that, NO, this is not big government ruining your lives, but big government doing what only it can do to save lives.  

Here's the link again to the article that has all these Tweets.

How To Make Quarantine Enjoyable And Productive

There are ways to put a little low cost luxury into your cocoons until we become post COVID-19 butterflies.  Instead of whining about what you don't have.




We started the day off with an out of the ordinary (for us) breakfast.  It was wonderful.  It's not hard to do.  But if you don't have a waffle iron, you can make pancakes or French toast.







And in these months of never-ending hand washing, get some really nice soap.  When we cleaned out my mothers house after she died, we found lots of wonderful soap.

We still have a few bars left.

On top is an I. Magnum French milled bar.  It smells so good, I may just keep it for sniffing now and then.  In the middle is Origins Lime and Geranium, and then the Yardley April violets.  The other three are soaps we bought in the San Telmo weekend market last summer in Buenos Aires.  A husband and wife make the soap, under the name Paskarito.  These are glycerin based soaps.

The price of many good soaps is less than what many people pay for a coffee these days, and a soap can last you several weeks or more.  For example










I went back and found this picture at the market where we bought the soaps.  She's mixing ingredients here.  (I also saw how many pictures I took that never got to the blog!)










And you can also go pull books off the shelves and read.  All those books you've never gotten too.  Or the ones you've promised yourself to read again.  And magazines too.  The only one I intentionally subscribe to is The Sun.  There's always one big interview (this month with Randy Blazak on why white supremacy persists), short stories, poems, a readers write section (a different topic each month and this month is 'shortcuts').  And there are black and white photos, "Sunbeams" (quotes on a selected topic, which this month seems to be 'masculinity').   I'm

"The American ideal of masculinity . . . has created cowboys and Indians, good guys and bad guys, punks and studs, tough guys and softies, butch and faggot, black and white.  It is an ideal so paralytically infantile that it is virtually forbidden - as an unpatriotic act - that the American boy evolve into the complexity of manhood"   - James Baldwin 

"I do like men who come out frankly and own that they are not gods."  - Louisa May Alcott, Jo's Boys

"There be certain times in a young man's life when, through great sorrow or sin, all the boy in him is burnt and seared away so that he passes at one step to the more sorrowful state of manhood."  Rudyard Kipling, "The Dream of Duncan Parrenness"

I've only just started Overstory by Richard Powers.  I love the The Echo Maker  which had sandhill cranes as an integral physical and metaphorical role in the book.  I'm not too far into Overstory but it's clearly about the importance of trees to humans and to the earth.

And for those of you who have little ones home with you, challenge their curiosity.  Make learning an adventure.  There's so much available online that even with the libraries closed, there's lots to do.  For example:

 http://www.sciencekids.co.nz/gamesactivities.html,

http://www.kidsites.com/sites-edu/art.htm

https://www.puzzle-maker.com/CW

https://www.tasteofhome.com/collection/easy-recipes-for-kids-to-make-by-themselves/


And don't forget - forced isolation means you can get your income taxes done on time this year.  Or you can clean out that closet you've been avoiding.

Lists are a good way to get more done in less time.  Just a thought.  While you're eating your waffles.

Beauty Break

Enough of this COVID-19.  Bright sunshine sparkling back from dazzling snow outside.  Small wonders inside.