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by brigandish 2285 days ago
How widespread is widespread? Japan, South Korea, China, Hong Kong, Taiwan… these are countries in which people wear masks in large numbers on a normal day.

They all still have an R0 above 1.

4 comments

They also happen to be the countries that have the most control over the epidemic.

https://studylib.net/coronavirus-growth

Those countries also have higher population densities and public transport usage than some of the western countries. How can you say the mask isn’t helping?
> How can you say the mask isn’t helping?

I didn't but I also didn't make the claim that they would help so I suggest we start by getting claimants to back up their claims before we get anyone checking claims to prove negatives.

We need universal mask wearing AND unlimited testing. South Korea showed it works. In Japan, even without widespread testing the spreading is still slower than the west. It's true Singapore does not mandate mask use, but they have thorough contact tracing and draconian quarantine laws.
Excuse me - what "draconian quarantine laws"?
How is that draconian? If you're issued a stay-home notice, STAY AT HOME.
Does Japan? Last I saw, they had an inexplicably low curve. Despite not really testing or doing other measures.
Well, I live in Japan and went out properly today for the first time in days, and I can tell you that the R0 is above 1 by eye simply by the way people are behaving.

Social distancing isn't happening much at all, and unless the population is magically becoming immune then there's no way R0 is less than 1. The real questions are whether that will translate into symptomatic and serious cases, and when.

Right. My hypothesis has been that the virus is showing in all places. Something is marking the places with serious cases.
I think the reason it's inexplicably low is that they haven't really been testing.
But there isn't a big spike in pneumonia/ER/ICU numbers either. So it's supposedly not a case of high undetected number of infected running around, laying in hospitals, and it doesn't seem like the government is trying to downplay it either, even if their testing protocol is not extensive enough. (Though they are of course incentivized due to the Summer Olympics.)
Considering the physical proximity of Japan and China (30% of tourists to Japan are Chinese) the fact that Japanese hospitals haven’t been overwhelmed like Italy suggests the virus is not spreading as rapidly there. (Testing may also be a concern but lack of testing cannot hide overwhelmed hospitals).
But why? I have pushed my air quality hypothesis. What other reasons are there.

And you can't just claim social distancing. Unless they have shut down their trains, where people are literally packed in, that just doesn't fly. (So, have they?)

There are a number of thoughts I have, but I'm puzzled as well. My first explanation is that the Japanese are simply more hyegeinic than most other countries I've been to. Fastidious is the word that comes to mind. They wash hands often, wear clean clothes, wear masks or stay home when sick, don't shake hands or touch often.

Second explanation that comes to mind is that they tend to be just healthier than other countries. They have low obesity, exercise correctly and routinely, walk and ride bikes to get where they go, and do all of this even when elderly. The counterpoint to this is that they have a really high smoking population.

Source: I lived there for two years.

The first one could explain why it isn't spreading there. Without testing, hard to know if that is accurate. Reports from other threads supports that it is there, but not severe cases. (Sadly, anecdotes...)

Second is also tougher to square. The risk pool is supposedly older people, per reports from Italy. But, that doesn't seem to square with age profiles of Japanese. So??

Couple of possibilities I've been thinking about:

The virus has been in Italy for a lot longer than they think, and they get close to each other/have actual contact a lot (I don't know if that's actually true, I've never been to Italy)

Maybe they mostly have a particular mutation that is more deadly/infectious

Don't discount the possibility that figures are being massaged in various ways. One is the obvious lack of widespread testing. Another is the reports of people with symptoms being turned away. Then there are the kodokushi[0] numbers which are a clue to how the government already deals with uncomfortable mortality figures - let alone those kudokushi who may die because of the virus - and a over a million deaths a year (I don't know the monthly totals) in which to hide a few hundred (initially) deaths, especially while still in flu season.

In short, I trust the figures here about one step more than ones coming out of China.

[0] https://slate.com/news-and-politics/2015/06/kodokushi-in-agi...

I can't square that it has been in Italy substantially longer than Japan. Nor that Italians touch each other more than Japanese. Have you ever seen the videos of commuter trains in Japan?

So, possible, but seems not as likely to be the explanation.

Relying on a particular mutation seems less plausible than difference in air quality exposure that can be measured today.
Don't they wear masks on trains?
Have you seen the trains? No amount of mask would stop some spread there.
Uhh, show me evidence that China's official numbers and South Korea have r0 above 1 please. It looks like it's finally under 1 right now...