{"id":9428,"date":"2021-02-27T03:05:29","date_gmt":"2021-02-27T08:05:29","guid":{"rendered":"https:\/\/ckms.ca\/?p=9428"},"modified":"2021-02-27T03:05:29","modified_gmt":"2021-02-27T08:05:29","slug":"this-overlooked-variable-is-the-key-to-the-pandemic","status":"publish","type":"post","link":"https:\/\/blog.ckms.ca\/?p=9428","title":{"rendered":"This Overlooked Variable Is the Key to the Pandemic"},"content":{"rendered":"<p>It\u2019s not R.<\/p>\n<p>Source: <em><a href=\"https:\/\/www.theatlantic.com\/health\/archive\/2020\/09\/k-overlooked-variable-driving-pandemic\/616548\/\">This Overlooked Variable Is the Key to the Pandemic<\/a><\/em><\/p>\n<hr \/>\n<p>Very interesting read.<\/p>\n<p>Forward vs. reverse contact-tracing:<\/p>\n<p>&#8220;As Adam Kucharski, an epidemiologist and the author of the book\u00a0<a href=\"http:\/\/kucharski.io\/books\/\" data-omni-click=\"r'article',r'',d,r'intext',r'36',r'None'\"><em>The Rules of Contagion<\/em><\/a>, explained to me, if we can use retrospective contact tracing to find the person who infected our patient, and\u00a0<em>then<\/em>\u00a0trace the forward contacts of the infecting person, we are generally going to find\u00a0<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.08.01.20166595v1.full.pdf\" data-omni-click=\"r'article',r'',d,r'intext',r'37',r'None'\">a lot more cases<\/a>\u00a0compared with forward-tracing contacts of the infected patient, which will merely identify\u00a0<em>potential<\/em> exposures, many of which will not happen anyway, because most transmission chains die out on their own.&#8221;<\/p>\n<p>Japan&#8217;s &#8220;cluster-busting&#8221; strategy:<\/p>\n<p>&#8220;Oshitani told me that in Japan, they had noticed the overdispersion characteristics of COVID-19 as early as February, and thus created a strategy focusing mostly on cluster-busting, which tries to prevent one cluster from igniting another. Oshitani said he believes that \u201cthe chain of transmission cannot be sustained without a chain of clusters or a megacluster.\u201d Japan thus carried out a cluster-busting approach, including undertaking aggressive\u00a0<a href=\"https:\/\/twitter.com\/nataliexdean\/status\/1278748748374577153\" data-omni-click=\"r'article',r'',d,r'intext',r'55',r'None'\">backward tracing to uncover clusters<\/a>. Japan also focused on ventilation, counseling its population to avoid places where the three C\u2019s come together\u2014crowds in closed spaces in close contact, especially if there\u2019s talking or singing\u2014bringing together the science of overdispersion with the recognition of airborne aerosol transmission, as well as presymptomatic and asymptomatic transmission.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s not R. Source: This Overlooked Variable Is the Key to the&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[169,48,42,140],"class_list":["post-9428","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-covid-19","tag-health","tag-japan","tag-paul","wpcat-1-id"],"_links":{"self":[{"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=\/wp\/v2\/posts\/9428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9428"}],"version-history":[{"count":0,"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=\/wp\/v2\/posts\/9428\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ckms.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}