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Old Mar 11, 2020, 10:13 am
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In order to reduce noise in the Coronavirus / Covid-19 : general fact-based reporting thread, and to create a central place to invite any member to ask a basic question about the impact of COVID-19 on travel, your moderators have decided to open this separate "lounge" thread for related discussion that isn't strictly fact-based reporting.
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Old Mar 5, 2020 | 8:10 am
  #16  
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Originally Posted by trueblu
I think the US government needs to change its messaging. This will _inevitably_ happen in the next 7-10 days IF, as I suspect, we discover there are hundreds (or possibly thousands) of cases in the US that had not been counted due to lack of testing over the last 6 weeks. That's still a couple of doublings from if we were to change behaviours now, but it's better than nothing.

I'm actually not advocating shutting down all international or domestic travel. But I think people should really limit to _absolutely essential_ travel. Conferences and large trade shows should probably cancelled. I would do the same for cruises, because although any one cruise right now is low risk, once a ship has an outbreak, it presents a massive burden to the healthcare infrastructure. I don't advocate shutting schools for now, since it will take many essential workers out of the workforce by making them take on childminding duties, but that may need to happen in communities with transmission, and EARLY. And critically, there should be widespread messaging about the benefits of social distancing.

The most important things that need to happen from a federal perspective are a) widespread testing to get a sense of baseline: without that, you can't model what the epidemic growth rate will be, b) announce publicly, preferably by the President, that testing will be free (this isn't an issue for most countries, it IS an issue in the US), c) ramp up measures to increase production of PPE, secure internal supply chains etc.

All of the above are very doable, and won't bring most of the economy to a halt, although certain pockets will certainly take a massive hit, but that's coming anyway: the cruise-ship industry is going to be dead over the next 6 months no matter what, better to bury it now before it causes more damage to early containment and mitigation efforts.

tb

A number of scientific conferences are getting canceled for instance. Especially ones where a lot of people come in internationally, One I was supposed to attend in Florence next month is still on but I cancelled and I would be surprised if many attended.
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Old Mar 5, 2020 | 8:24 am
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Originally Posted by Visconti
I'm ok with this. But, any US Const Lawyers chime in if this is legal? Or, can it be declared via EO or even Martial Law? Again, afterwards, start with travel restrictions, or risk the infection all over again?
Which this ?

The US can presumably not shut down all cruise travel globally, but it should hopefully not be difficult to close all US waters/ports to cruise ships.

Not sure that the federal government can shut down movie theaters or sports stadiums, but state/local health departments regularly shut down restaurants that spread diseases or violate heath codes.

Perhaps some sort of carrot and stick approach? You can shut down now and we will help you with stimulus funds.

Or you can try to continue to operate (perhaps with additional local heath mandates that are very costly to implement such as deep cleaning every theater after every show), but when (not if) you go out of business when customers eventually stay away because they realize it isnt a good idea to go see a movie now (or because Hollywood postpones the launch of every popular movie like James Bond), you will be on your own.

Personally, I see a lot of small businesses that are marginally profitable go out of business when just a small percentage of the population decides that going out for dinner or shopping at a small boutique for non essential products right now is neither wise nor needed.
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Old Mar 5, 2020 | 8:33 am
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Originally Posted by notquiteaff
Which “this” ?

The US can presumably not shut down all cruise travel globally, but it should hopefully not be difficult to close all US waters/ports to cruise ships.

Not sure that the federal government can shut down movie theaters or sports stadiums, but state/local health departments regularly shut down restaurants that spread diseases or violate heath codes.

Perhaps some sort of carrot and stick approach? You can shut down now and we will help you with stimulus funds.

Or you can try to continue to operate (perhaps with additional local heath mandates that are very costly to implement such as deep cleaning every theater after every show), but when (not if) you go out of business when customers eventually stay away because they realize it isn’t a good idea to go see a movie now (or because Hollywood postpones the launch of every popular movie like James Bond), you will be on your own.

Personally, I see a lot of small businesses that are marginally profitable go out of business when just a small percentage of the population decides that going out for dinner or shopping at a small boutique for non essential products right now is neither wise nor needed.
Ok. Should we do this now with 200 reported infections, or wait until we test for 1,000? And, then only in infected areas or everywhere in the Nation?
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Old Mar 5, 2020 | 8:35 am
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Originally Posted by notquiteaff
Personally, I see a lot of small businesses that are marginally profitable go out of business when just a small percentage of the population decides that going out for dinner or shopping at a small boutique for non essential products right now is neither wise nor needed.
Agreed.
Although it will also depend on how innovative and quick-thinking they might be. For instance (if suitable), they could still stay in business if they implement a customer-friendly delivery service. Won't work in all cases though...
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Old Mar 5, 2020 | 9:14 am
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Originally Posted by notquiteaff
Do we close the barn door when 1 of 10 horses has escaped, or do we wait for five more to run out?

The numbers have gone up in all countries, so I dont know what we would be waiting for.
In my view, I don't think this is an easy decision. It's easy for us throwing out ideas where consequences to real people are non-existent. If I were making this decision, I'd need more than "this could happen, but on one knows" before taking some of the more extreme measures. Additionally, since the past 10 years of pathogens aren't relevant, can we have a case on why the 1918 should apply here? If we have a high degree of confidence this will be similar to 1918, let's by all means use all our powers to completely shut down the country until it's stamped out. Even then, do we allow foreign travel to introduce this again or another one?

Originally Posted by notquiteaff
And it probably does make sense to do it regionally. It is a big country, not all schools nationwide are equally at risk.
Sure, let's start for WA and CA, in particular that cruise ship on my home shores. Can Gov Newsom send them back? To another State? Not allow anyone to leave until there's 14 day days of infection free passengers? I'm all for surgically targeting high risk areas and demographics.

And, while we're stamping this out, what's to stop anyone from abroad slipping through and starting the infestation all over again? Seems kind of inefficient making all these sacrifices here only to risk another potential...er...high frequency infection from an unwitting traveler. Or, are we satisfied that our testing measures at our borders are effective enough?
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Old Mar 5, 2020 | 9:37 am
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Originally Posted by Visconti
In my view, I don't think this is an easy decision. It's easy for us throwing out ideas where consequences to real people are non-existent.
no disagreement there.

Sure, let's start for WA and CA, in particular that cruise ship on my home shores. Can Gov Newsom send them back? To another State? Not allow anyone to leave until there's 14 day days of infection free passengers? I'm all for surgically targeting high risk areas and demographics.

And, while we're stamping this out, what's to stop anyone from abroad slipping through and starting the infestation all over again? Seems kind of inefficient making all these sacrifices here only to risk another potential...er...high frequency infection from an unwitting traveler. Or, are we satisfied that our testing measures at our borders are effective enough?
It seems stupid/short sighted to keep the ship at sea. Whether there are infected people aboard or not, eventually the ship will be docked. And CA would seem the best equipped state for that. What is to be gained by making access to the ship difficult for health vs. docking the ship (and keeping the pax onboard until the 21 cases have been tested)? Then, if there are positive results, get everybody off the ship and quarantine them either at home (if in driving distance) or in motels.

re anyone from abroad - I think we are beyond the point where we can stop every single infected person from spreading it further. I suspect the risk from international travel might get reduced magically as more and more routes get shut down due to lack of travelers.

Testing measures at the border? Which ones? Temperature checks are relatively cheap and easy and may catch some cases, but they are obviously not going to catch every case. And why stop at international travel - is Florida at greater risk from travelers from EU or from WA state?
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Old Mar 5, 2020 | 9:43 am
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Originally Posted by notquiteaff
no disagreement there.



It seems stupid/short sighted to keep the ship at sea. Whether there are infected people aboard or not, eventually the ship will be docked. And CA would seem the best equipped state for that. What is to be gained by making access to the ship difficult for health vs. docking the ship (and keeping the pax onboard until the 21 cases have been tested)? Then, if there are positive results, get everybody off the ship and quarantine them either at home (if in driving distance) or in motels.

re anyone from abroad - I think we are beyond the point where we can stop every single infected person from spreading it further. I suspect the risk from international travel might get reduced magically as more and more routes get shut down due to lack of travelers.

Testing measures at the border? Which ones? Temperature checks are relatively cheap and easy and may catch some cases, but they are obviously not going to catch every case. And why stop at international travel - is Florida at greater risk from travelers from EU or from WA state?
Temperature checks may not even catch most cases since people can spread while they are asymptomatic. That is probably a big part of the reason this is already worse than SARS.
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Old Mar 5, 2020 | 9:46 am
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Originally Posted by notquiteaff
It seems stupid/short sighted to keep the ship at sea. Whether there are infected people aboard or not, eventually the ship will be docked. And CA would seem the best equipped state for that. What is to be gained by making access to the ship difficult for health vs. docking the ship (and keeping the pax onboard until the 21 cases have been tested)? Then, if there are positive results, get everybody off the ship and quarantine them either at home (if in driving distance) or in motels.
I thought it may be prudent to learn from and avoid some of the missteps Japan made when dealing with their cruise ship. Hopefully, we just won't pick a date and release them into my backyard. You know, this is close to home for me, and I may just start feeling fear.

Originally Posted by notquiteaff
Testing measures at the border? Which ones? Temperature checks are relatively cheap and easy and may catch some cases, but they are obviously not going to catch every case. And why stop at international travel - is Florida at greater risk from travelers from EU or from WA state?
We can close borders at any time for a valid reason. Restricting freedom of movement within the 50 States is...ah...I think against the US Const, or something along those lines.

PS - So, if it's both stupid and short sighted to keep the ship at sea, to what end would we close ports of entry? Wouldn't any cruise ship just show up and would know of our "both stupid and short sighted" to keep a ship at sea policy, and eventually be assured entry?

Last edited by Visconti; Mar 5, 2020 at 10:12 am Reason: PS...
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Old Mar 5, 2020 | 10:24 am
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Despite the fear, there doesn't seem to be a lot of coronavirus in the USA right now. By noon EDT, we only have 6 new cases today and a grand total of 8 people hospitalized in serious or critical condition. It seems like common sense that we should do our best to keep it this way.

While the USA looks alright, I can't say the same about Italy. That area in northern Italy is reminding me of Wuhan. Italy has 769 new cases today. I know it's inconvenient, but can anyone tell me why any foreigner who's been to Italy in the last 2 weeks should be admitted to the USA? Similarly, every American who wants to return from Italy should require a 2 week self-quarantine. We effectively did this with China, and it worked. We can do it for 2 weeks and then extend as necessary. This is common sense. Let's keep this disease out of the USA as much as possible. Just because they're Europeans doesn't mean we should treat them differently from Chinese. A disease doesn't care about your nationality or skin color.
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Old Mar 5, 2020 | 10:29 am
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Originally Posted by iahphx
Despite the fear, there doesn't seem to be a lot of coronavirus in the USA right now. By noon EDT, we only have 6 new cases today and a grand total of 8 people hospitalized in serious or critical condition. It seems like common sense that we should do our best to keep it this way.

While the USA looks alright, I can't say the same about Italy. That area in northern Italy is reminding me of Wuhan. Italy has 769 new cases today. I know it's inconvenient, but can anyone tell me why any foreigner who's been to Italy in the last 2 weeks should be admitted to the USA? Similarly, every American who wants to return from Italy should require a 2 week self-quarantine. We effectively did this with China, and it worked. We can do it for 2 weeks and then extend as necessary. This is common sense. Let's keep this disease out of the USA as much as possible. Just because they're Europeans doesn't mean we should treat them differently from Chinese. A disease doesn't care about your nationality or skin color.

That is certainly a VAST underestimate of cases in the US.
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Old Mar 5, 2020 | 10:30 am
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Originally Posted by Visconti
Consider the following:

2004 - SARS
2008 - Avian
2010 - Swine
2012 - Mers
2014 - Ebola
2016 - Zika
2018 - Ebola
2020 - Now, Corona

In addition to all of the above, I can't even recount all the other "dire" needs we were briefed on. Perhaps, the Coronavirus is different? Even then, I just don't feel the sense of fear and urgency, because, as they say, I've been around the block so many times. While anything is possible and this "may" prove as or more catastrophic than the Experts are predicting, my experience has been that "this time it's different" are the four most expensive words in history.
The only one of these that I should have worried about (though didn't) was H1N1 swine flu, which spread like wildfire. The others were containable and were contained. It's been very clear since the early days of this that this is different, uncontainable.
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Old Mar 5, 2020 | 10:34 am
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Originally Posted by Visconti
I thought it may be prudent to learn from and avoid some of the missteps Japan made when dealing with their cruise ship. Hopefully, we just won't pick a date and release them into my backyard. You know, this is close to home for me, and I may just start feeling fear.
What are those lessons? And did US authorities prepare for the next ship?

Letting them actually dock probably wasnt a mistake. What is the alternative - a Westerdam odyssey?

Leaving the pax on the ship with the crew wandering around probably was a bad idea. Not sure whether its clear yet whether the ships HVAC was a factor.
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Old Mar 5, 2020 | 10:35 am
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Originally Posted by iahphx
Despite the fear, there doesn't seem to be a lot of coronavirus in the USA right now. .
We're only seeing small numbers because of lack of testing. It's likely just as widespread as in Europe. Test everyone with symptoms, and the numbers will match Europe. A travel ban only makes sense, if we find out whether the US has avoided sustained community spread.
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Old Mar 5, 2020 | 10:37 am
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Originally Posted by iahphx
Despite the fear, there doesn't seem to be a lot of coronavirus in the USA right now. By noon EDT, we only have 6 new cases today and a grand total of 8 people hospitalized in serious or critical condition.
Those who do many tests have many confirmed cases.
Those who do few tests have few confirmed cases.
Those who do no tests have no confirmed cases.
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Old Mar 5, 2020 | 10:37 am
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Originally Posted by GadgetFreak
That is certainly a VAST underestimate of cases in the US.
So what? The biggest virus problem in the USA right now is fear. The biggest virus problem in Italy is the virus. Why bring more of it here? Other than inconvenience, what plausible rationale could there be to not excluding Italian travellers from the USA right now?
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