The 2020-21 COVID-19 and 1918-19 Spanish Flu epidemics: How do they compare?

Now that we’re down the road a good ways with the COVID-19 pandemic, it’s interesting and perhaps instructive to make a comparison between the current pandemic, and the 1918 H1N1 (influenza) pandemic, colloquially known as the “Spanish Flu,” that happened a little over a century ago.

There is no firm consensus on when the 1918 H1N1 pandemic actually began, but according to the U.S. Center for Disease Control and Prevention, it was first identified in U.S. military personnel in the spring of 1918 and ran its course for at least 44 weeks until May 1919, killing approximately 675,000 people in the United States.  

In as much as the U.S. population was about 100 million at that time, the 1918 H1N1 pandemic’s death rate was about 6.4 per thousand people (0.6% of the population).

By contrast, the COVID-19 pandemic has been underway for 89 weeks (and counting) in the U.S., killing about 783,000 people here so far. The U.S. population had grown to about 330 million by 2020, so the COVID-19 death rate thus far is about 2.4 per thousand people (0.2% of the population).

University of California – San Francisco epidemiologist George Rutherford has compiled a summary chart for the 1918 H1N1 pandemic in the U.S.  According to the data, Spanish Flu’s first wave occurred in July 1918, followed by a second and far deadlier wave between October and December 1918 – and then a third less-deadly wave in February and March 1919, as depicted in Dr. Rutherford’s chart. At the peak of the second wave in November 1918, the U.S. experienced 24 deaths per thousand population per week.

It’s interesting to see how this historical data compares to the COVID-19 pandemic, which began in the U.S. with a first wave between March and June 2020, followed by a smaller wave between July and September 2020. The largest and deadliest wave occurred between October 2020 and March 2021, when the weekly death rate peaked at 7 per thousand population.  The fourth and most recent wave began in August 2021 until the present. You can view the weekly deaths per thousand population for both pandemics on this chart:

Pandemic comparisons

What’s clear is that, so far, the COVID-19 pandemic has lasted twice as long, while being one-third as deadly as the 1918 H1N1 pandemic.

This leads to an interesting insight. On the economic front, with comparatively little government regulation or monetary relief to citizens, the business cycle back in the early part of the 20th century tended to be shorter but much more volatile than it is today, exhibiting higher highs followed by lower lows.

Similarly, the degree of government regulation and involvement in matters of public health, including strong support for the rapid development of new vaccines, has been much greater during the COVID-19 pandemic than it ever was during the 1918 H1N1 pandemic.

It would seem that increased government involvement during economic and public health crises tends to moderate the ill effects — but at the cost of prolonging the misery.

The question is whether this connection is causation or coincidence. Please share your own thoughts in the comment section below.

(h/t Nelson Nones for researching and plotting the comparative stats.)

Tissue issue: Explaining the curious connection between the coronavirus pandemic and toilet paper shortages.

How did the pandemic drive consumers to purchase reams and reams of toilet paper?

Just after coronavirus cases started appearing in Europe and North America, two things began to happen.  One was restrictions on people’s movements — soon leading to lockdowns nearly everywhere.

The other was a run on toilet paper that seemed to go on for months and months.

While other necessities suffered temporary product shortages as well, toilet paper in particular seemed to be affected the most. And as its disappearance from the store shelves became widely reported, the shortage began to take on near mythic proportions.

Photos of barren shelves were plastered all over the news and shared on social media – even giving the rise to a flourishing resale market in which the price of TP skyrocketed.  

It’s little wonder that at the same time, thefts of toilet paper began to be reported across the globe.

Surveys conducted among consumers in North America and Europe found more than a few people admitting that they had begun hoarding toilet paper – more than 17% of North Americans and nearly 14% of Europeans acknowledging so.

Just what is the correlation between a health crisis like COVID-19 and the sudden unavailability of a product like TP, of all things?

It’s the kind of question that no doubt intrigues researchers in the field of consumer behavior.  In January, a team of five analysts in Spain published a review of the available research on the topic.  Their reporting suggests that several factors were likely at work – some more significant than others.  Here is a synopsis of what they reported:

Potential Factor #1:  Diarrhea

As coronavirus cases began to rise, more people were experiencing increased gastrointestinal symptoms and diarrhea — either induced by stress or by the COVID-19 itself.  However, medical studies suggest that only about 13% of people who contract COVID have significant diarrhea as one of the symptoms or side effects.  That 13% is actually a relatively low proportion of COVID patients, and therefore can’t explain much of the global surge in toilet paper purchases.  Verdict:  Unlikely factor.

Potential Factor #2:  Actual Product Shortages

A more likely explanation for the run on toilet paper is that the product was merely one of numerous necessities that consumers went out to purchase in abundance as lockdowns began to take effect around the world.  But whereas items like canned foods were able to be more readily restocked, toilet paper wasn’t.  In this scenario, supply chains weren’t prepared for the sudden the shift in demand from commercial-quality to residential-quality toilet paper, paper towels and such.  As a result, it took longer for production to retool and meet the increased demand.  Verdict:  Somewhat more likely factor.

Potential Factor #3:  Fear — Magnified by the Media

As the news media began to report on empty shelves, toilet paper buying patterns that had initially been in line with those seen for other sought-after goods now reached frenzied proportions.  The “FOMO factor” (fear of missing out) increased bulk buying and hoarding behaviors even more.

Adding to the fevered environment was an additional factor, as explained by Dr. Brian Cook, who is a member of the Disaster Risk Reduction initiative at Australia’s University of Melbourne:

“Stocking up on toilet paper is … a relatively cheap action, and people like to think that they are ‘doing something’ when they feel at risk.”

The TP buying craze has been seen before.  Toilet paper shortages were recorded during the political crisis in Venezuela in 2013 … following the terror attacks on the Twin Towers in New York City 2001 … and even as far back as the 1973 OPEC oil crisis.

I guess the bottom line is this: When the sh*t hits the fan, it’s the toilet paper that wipes out …

The ripple effects — good and bad — of the COVID-19 pandemic on our health and wellness.

One of the lessons that the COVID-19 pandemic has taught us is that the advent of an unexpected medical danger can have ripple effects that go well-beyond just the specific health matters at hand. 

One that has been well-covered in the news is how the precautions most people are taking to avoid contracting the coronavirus are driving flu cases down to levels never before seen.  This chart pretty much says it all:But as it turns out, there are some other, perhaps more unanticipated consequences — ones that have positive and negative aspects.

We’re reminded of this in the form of several newly published reports.  One report comes from Altria, the largest U.S. producer of tobacco products.  According to Altria, the onset of the COVID-19 pandemic appears to be responsible — at least in part — to halting a decades-long steady decline in cigarette usage among Americans.

While the trend hasn’t actually gone in reverse, Altria does report that in 2020, the cigarette industry’s unit sales in the U.S. were flat as compared to 2019. 

That’s a big shift from the 5.5% annual decline in usage that was observed between 2018 and 2019.

As for the reasons behind such a sudden shift in consumer behavior, the Altria report touches on several probable factors, including:

  • People had more opportunities to smoke because of spending more time at home rather than the office.
  • More disposable income available for smokes because of less money being spent on commuting, travel and entertainment expenses.
  • The heretofore-robust growth of substitute products (e-cigarettes) was reversed in response to reports about unexplained lung illnesses among e-cigarette users, the ban on flavored vaping products, plus increased taxes on e-cigarette products.
  • A more acute sense of personal stress and anxiety in the wake of the coronavirus pandemic.

The newest trends in cigarette usage can’t be good for seeing a return to the decline in death rates that are tied to smoking.  Unfortunately, those rates remain high: The effects of smoking account for more than 480,000 deaths in the United States each year.

On the other hand, there are positive ripple effects related to the coronavirus pandemic, too.  As it turns out, the medical innovations that have been part of the worldwide response to the pandemic are delivering parallel positive benefits in the broader war on cancer. 

One piece of evidence is the success of newly developed mRNA vaccines for combating the COVID-19 virus.  Those same vaccines are now being repurposed to battle various forms of cancerous tumors.

Naturally, any such development on the cancer treatment front won’t be a quick “silver bullet” solution in the decades-long battle to defeat cancer.  But a report released in January 2021 by the American Cancer Society points to the promising success that such new initiatives are having. 

The key stats are telling:  American cancer death rates have dropped steadily since 1991 – with an overall decrease of ~31% in the death rate through 2018 that was capped by a one-year decline of ~2.5% observed in 2017-18 alone. 

The ACS report summarizes:

“An estimated 3.2 million cancer deaths have been averted from 1991 through 2018 due to reductions in smoking, earlier [cancer] detection, and improvements in treatment, which are reflected in long-term declines in mortality for the four leading cancers: lung, breast, colorectal and prostate.”

Not surprisingly, lung cancer is the biggest driver of the death rate decline. Whereas a dozen years ago the overall survival rate for non-small cell lung cancer was just 34%, in 2015 it was 42% (and it’s higher today).

Looking forward, even as we eagerly anticipated the large-scale rollout of COVID-19 vaccinations which can’t come soon enough, we can also be happy in the hope that the emerging science will deliver a parallel positive impact on cancer treatments – so long as we can convince people not to regress in their smoking habits.

What lifestyle adjustments – positive or negative – have you or people you know made over the past year?  Beyond the risks of the coronavirus itself, what other new health challenges have you or they faced in its wake?  Please share your perspectives with other readers here. 

Change agent: COVID-19’s ripple effect on BtoB marketing and sales.

Before the coronavirus pandemic hit the world of business (and nearly everything else), marketing and sales in the BtoB realm had already undergone some pretty big changes in recent decades.

Historically, B2B sales were primarily a matter of face-to-face, physical contact. Often, the “road warriors” of those times would spend the majority of their weeks traveling to visit with customers and prospects at their places of business, or meeting them at trade shows.

But the turn away from that traditional model began in the 1980s and 1990s with building security concerns. Then along came 9/11 …

Technology has played a big part in the evolution — and has actually helped accelerate it with e-mail, database management, digital advertising, online RFP pricing/bid systems and other innovations affecting the nature of customer engagement.

Let’s not forget social networks, too — with LinkedIn being a particularly lucrative tool assisting many sales and marketing professionals in finding and nurturing prospects.

Somewhere along the way, the functions of marketing became much more than merely branding, advertising, and lead generation. Today, BtoB marketing is involved in every stage of the customer relationship.

Along comes COVID-19 in early 2020, which seems certain to drive further change. For one thing, virtual engagement has become a necessity instead of a merely an option.

At the same time, one could posit that customer retention has taken on more importance than ever before. It’s no wonder we’re hearing the phrase “retention is the new acquisition” stated with such frequency at the moment.

Roger McDonald

International strategic business advisor Roger McDonald believes that business has come full circle, returning to Peter Drucker’s classic maxim from more than 30 years ago: “Business has only two functions: marketing and innovation. These produce revenues. All others are costs.”

In McDonald’s view:

“Perhaps we are at a tipping point, where senior management will move beyond metrics of lead generation to nurture marketing’s evolving role as an organizer of systems, IT initiatives, and salesperson engagement for both acquisition and retention.”

One thing seems quite clear as we emerge from nearly three months of mandated COVID-isolation: We won’t return to an “old normal.” Those eggs have already been broken and scrambled.

What are your thoughts on which BtoB marketing and sales fundamentals have changed in light of the coronavirus disruption? Please share your thoughts with other readers in the comment section below.

As the American workplace reopens, not all employees are onboard with returning to the “old normal.”

A new survey finds that nearly half of employees who are currently working from home want to keep it that way.

The forced shutdown of the American workplace began in mid-March. Only now, ten weeks later, are things beginning to open back up in a significant way.

But those ten weeks have revealed some interesting attitudinal changes on the part of many employees. Simply put, quite a few of them have concluded that they like working from home, and don’t much care to return to the “traditional” work routines.

It’s an interesting development that illustrates yet another manifestation of “the law of unintended consequences.” For decades, the opportunities to work from home seemed to be a realistic proposition for only a distinct minority of certain white-collar workers and top-level managers.

Reflecting this dynamic, prior to the Coronavirus outbreak just ~7% of the U.S. private sector workforce had access to a flexible workplace benefit, as reported in the 2019 National compensation Survey released by the Bureau of Labor Statistics.

Suddenly, working from home went from being a rarefied benefit to something quite routine in many work sectors.

In late April, The Grossman Group, a Chicago-based leadership and communications consulting firm, conducted an online survey of nearly 850 U.S. employees who are currently working from their homes.  A cross-section of age, gender, geography, ethnicity and education levels were surveyed to ensure a reliable representation of the U.S. workforce.

The topline finding from the Grossman research is that nearly half of all workers surveyed (48%) reported that they would like to continue working from home after the COVID-19 pandemic passes.

The reasons for preferring work-from-home arrangements are varied. Certainly, the prospect of reduced commuting time is a major attraction, along with other work/life balance factors … and while some employees have found that setting up an office in their home isn’t a simple proposition, it’s also clear that many employees were able to adjust quickly during the early days of the workplace lockdown.

David Grossman, CEO of The Grossman Group, sees in the survey findings a clear message to employers:  Worker preferences have evolved rapidly, necessitating a re-imagining of traditional ways of working. Grossman says:

“A great deal has changed in employees’ lives in a short time, and if we want them to be engaged and productive, we’re going to have to be willing to meet them where they are as much as possible … that’s a ‘win-win’ for companies and their people.”

He adds:

“Many employees have gotten a taste of working from home for the first time – and they like it.”

Interestingly, the Grossman Group survey found practically no generational differences in the attractiveness of a work-from-home option; whether you’re a Baby Boomer, a Gen X or Gen Z worker, the attitudes are nearly the same.

Of course, not every type of work is conducive to working remotely. Many jobs simply cannot be done without the benefit of a “destination workplace” where mission-critical machinery, equipment, laboratory and other facilities are accessed daily. But the COVID-19 lockdown experience has shown that employees can be productive no matter where they are, and a “one-size-fits-all” approach to the workplace likely won’t cut it in the future.

This might be a little difficult for some people to hear, but employers will have to set aside concerns about potential slackening employee motivation and productivity in a remote working environment, lest they lose their talent to other, more flexible employers who are figuring out ways to manage a remote workforce effectively over the long-term.

As David Grossman contends, “More flexibility adds value to the employee experience, builds engagement, and brings results.”

Additional findings from the Grossman Group research can be accessed here.

What are your thoughts on the topic, based on your own experiences and those of your co-workers over the past 10 weeks? Please share your opinions with other readers here.

 

The (Very) Real Privacy Concerns Raised by Contact Tracing

Last week, I linked to a “guest” blog post about the challenges of contact tracing as part of the way out of the worldwide coronavirus pandemic.  The piece was authored by my brother, Nelson Nones, who heads up a company that has developed software capabilities to support such functions. One reader left a thoughtful response citing the personal privacy concerns that any sort of effective contact tracing regimen inevitably raises.

It’s an important issue that deserves an equally thoughtful response, so I invited Nelson to share his own thoughts on the issue. Here’s what he wrote to me:

The introduction of new contact tracing apps for smartphones has raised quite a few privacy fears around the globe. This is a very hot topic right now which deserves attention. However, to keep my original article about the ability to conduct effective contact tracing on point, I purposely sidestepped the privacy issue — other than mentioning privacy fears briefly in the ‘Technology Limitations’ section of the article. 

Here I’ll expand a bit. Naturally, the coronavirus pandemic has raised a lot of concern about Orwellian “big brother” surveillance and government overreach, but what many people may not realize is that it’s not about expanding “the target population of surveillance and state control” as the commenter notes. When it comes to public health, governments – including state governments in the United States – have possessed these powers for a long time. 

I first discovered this in my own personal life about 20 years ago. I was at work in Long Beach one day when I received a call from the California Department of Health, informing me that I was confirmed to have a highly contagious gastrointestinal infection and ordering me to submit regular stool samples until my tests came back negative. I was informed that if I did not do so, I could be forcibly quarantined — and fined or even jailed — if I refused to cooperate. 

My first question to myself was, “How the h*ll and why the h*ll did they target me?”  

I had recently returned from a trip to Thailand and started having GI issues, so I went to my doctor and gave a stool sample. They performed a lab analysis which confirmed a particular type of infection that was listed on the Department of Health’s watch list, so I was informed that my doctor was obliged by law to report my case to the Department of Health.  

The Health Department, in turn, was obliged by law to contact me and issue the orders given to me – and by law I was obliged to comply with their orders. 

The reason that nations, states and provinces have such powers is to contain and control the spread of infectious diseases. This means that governments have the power to forcibly isolate people who are confirmed to be infected — and they also have the power to forcibly quarantine people who are suspected (but not yet confirmed) to be infected.  

Whether or not, and how, they choose to exercise those powers depends on the nature of the disease, how it’s transmitted, whether or not an epidemic or pandemic has been declared, and whether or not proven cures exist. Moreover, rigorous protocols are in place to protect people against the abuse of those powers.  

But the bottom line is: in most countries, including the United States, if you are unfortunate enough to catch an infectious and communicable disease, you have no constitutional right to prevent the government from identifying you and potentially depriving you of your civil liberties, because of the risk that you could unknowingly infect other people. 

Think of it as a civic duty — just as you have no constitutional right to prevent the government from ordering you to perform jury service. 

Medical science is so advanced these days that most diseases can be contained and controlled without having to inconvenience more than a relatively small number of people, which is why most people have no idea that governments possess such vast powers. But COVID-19 is a once-in-a-century outbreak that’s so novel, so poorly understood, and so communicable that nearly everyone in the world is being deprived of their civil liberties right now out of an abundance of caution.  

Realistically, one could expect these restrictions to remain in place unless and until COVID-19 vaccines and/or therapies are invented, proven and made available to the public – at which time it will (hopefully) be possible to manage COVID-19 like the seasonal flu, which doesn’t require draconian public health measures.    

As for the new smartphone apps, have a look at this recent article that appeared in Britain’s Express newspaper which will give you a good idea of how “hot” this topic has become.  

The key question here is whether or not the database backend (which is the software that my company Geoprise makes) is “centralized” or “decentralized.” A “centralized” backend follows the Singapore model and contains personally-identifiable information (PII) about everyone who registers the app with a public health authority and/or is confirmed to be infected.  

Conversely, some researchers are proposing a “decentralized” backend which serves only as a communications platform, and only ever receives anonymized and nonlinkable data from the smartphones.  

This is the privacy and security model that Apple and Google are following, but there is no way that such a “decentralized” backend could ever serve as a contact tracing database in the traditional sense. That’s because a traditional contact tracing database, by definition, always contains linkable PII. (Incidentally, our Geoprise software could be used in either a “centralized” or “decentralized” manner.) 

The key thing to understand about even the most “centralized” of the smartphone apps, such as Singapore’s TraceTogether app, is that they contain numerous privacy and security safeguards. Here’s a short list: 

  • The data which is captured and retained on individual devices identifies a particular smartphone only by an encrypted “TempID” which changes periodically (Singapore’s recommendation is to change the TempIDs every 15 minutes). This makes it impossible for a smartphone owner or eavesdropper to reconstruct complete histories of encounters held on the devices in a personally-identifiable way.
  • As my original article states, the contact tracing apps don’t use or store geo-location data (i.e. “where your smartphone was”) because GPS measurements are too unreliable for proximity-sensing purposes. Instead they use the device’s Bluetooth radio to sense other Bluetooth-enabled devices that come within very close range (i.e. “devices that were near your smartphone”).
  • The apps are opt-in. You can’t be compelled to download the app or register it with the public health authority (unless you happen to live in Mainland China — but that’s yet another story!).
  • Only people who are confirmed to be infected are ever asked to share their history of encounters with the public health authority.
  • Sharing your history of encounters is voluntary. You can’t be compelled to upload your contact tracing history to the public health authority’s backend server.

Apple and Google appear to be taking this a step further by: 

  • Allowing smartphone owners to “turn off” proximity sensing whenever they wish (such as when meeting a secret lover during trysts, or for more innocuous occasions).
  • Allowing smartphone owners to delete their history of encounters on demand, and to erase all data when uninstalling the app.
  • “Graceful dismantling” – to quote one researcher:“The system will organically dismantle itself after the end of the epidemic. Infected patients will stop uploading their data to the central server, and people will stop using the app. Data on the server is removed after 14 days.”  

The bottom-line on privacy and government overreach, I think, is for everyone to step back a safe distance from one another, and take a deep breath …

Contact Tracing: The giant obstacle smack in the middle of the road to COVID-19 recovery.

… But we’ve got to figure out how to do it right.

In recent days, news reports about the coronavirus pandemic have gravitated from a shortage of ventilators and possible overcrowding in the nation’s hospitals to how best to reopen the economy (and society).

The challenge, of course, is how to “reopen” in responsible ways that don’t result in a new flare-up of COVID-19 cases.

Governors, medical professionals and governmental personnel have been cogitating about this issue for a number of weeks now, and it appears that some “baby steps” are starting to be taken in some states, with other jurisdictions to follow in the coming days and weeks.

One of the biggest obstacles in the way of bringing the economy – and life – back to some semblance of “normal” is being able to know who has, or has had, the coronavirus — and beyond that identifying who the people are that each affected person has interfaced with in the previous weeks.

There’s the old-fashioned way of doing contract tracing: undertaking in-depth interviews with patients to learn who they have interfaced with for 15 minutes or longer over a period of 2-3 weeks … and then interviewing those persons plus the people they’ve interfaced with … and so on down the line.

Those suspected of being exposed can then be directed to quarantine themselves for the requisite two-week period so as to arrest the spread of the virus.

This is a hugely costly undertaking.

Moreover, it’s labor-intensive — to the tune that a state like Massachusetts is attempting to hire 1,000 new workers to undertake these duties. And that’s just to get through Phase 1 of the recovery effort.

The other challenge with traditional contact tracing is that the data being collected is based on memory and recollections, which as we all know are prone to fallibility.

In our tech-savvy world, some giants are “on the case” – entities like Google and Apple that have teamed up to use cellphone tracking technology to “keep tabs” on people’s movements and thereby know what people may have been exposed to the COVID-19 virus.

Of course, this solution is also prone to gaps in coverage, as phones aren’t turned “on” at all times, not to mention that significant swaths of the population – particularly the elderly – aren’t using cellphones equipped with the types of location information functionalities that can be tracked.  (Surprisingly perhaps, smartphone penetration worldwide still languishes at only around 45% of cellphone users.)

And then there’s always the issue of “privacy” lurking the background – a factor which can’t be ignored in a world where many people are already suspicious of governments snooping into their private lives.

But there could be other methods to employ by which contact tracing can be made more efficient, and more accurate – and at a more reasonable price tag.

Recently my brother, Nelson Nones, whose company, Geoprise Technologies Corporation, specializes in encrypted data management, outlined just such a practical solution that can accomplish this trio of disparate-yet-important goals.

His article on the topic, titled “Call to Action: Recovering from the COVID-19 Pandemic,” has been published and can be read here.

I find the article as persuasive as it is understandable to a technology layperson like myself. Moreover, it seems as though the solutions proposed could become an essential software-as-a-service (SaaS) solution not just for government agencies but for private business organizations, too.

Action is already happening, but so far, the results have been somewhat mixed despite strong support from governments, private businesses and end-users. Functionalities need to continue to build.

But it looks like we may be on our way … and that’s extremely good news for anyone who has an interest in reopening the economies of the world – and going back to living life the way humans were meant to live it.

Virtual Meetings: Will the COVID-19 virus accelerate a trend?

One of the big repercussions of the Coronavirus scare has been to shift most companies into a world where significant numbers of their employees are working from home. Whereas working remotely might have been an occasional thing for many of these workers in the past, now it’s the daily reality.

What’s more, personal visits to customers and attendance at meetings or events have been severely curtailed.

This “new reality” may well be with us for the coming months – not merely weeks as some reporting has indicated. But more fundamentally, what does it mean for the long-term?

I think it’s very possible that we’re entering a new era of how companies work and interact with their customers that’s permanent more than it is temporary. The move towards working remotely had been advancing (slowly) over the years, but COVID-19 is the catalyst that will accelerate the trend.

Over the coming weeks, companies are going to become pretty adept at figuring out how to work successfully without the routine of in-person meetings. Moving even small meetings to virtual-only events is the short-term reality that’s going to turn into a long-term one.

When it comes to client service strategies, these new approaches will gain a secure foothold not just because they’re necessary in the current crisis, but because they’ll prove themselves to work well and to be more cost-efficient than the old ways of doing business. Along the same lines, professional conferences in every sector are being postponed or cancelled – or rolled into online-only events.  This means that “big news” about product launches, market trends and data reporting are going to be communicated in ways that don’t involve a “big meeting.”

Social media and paid media will likely play larger roles in broadcasting the major announcements that are usually reserved for the year’s biggest meeting events. Harnessing techniques like animation, infographics and recorded presentations will happen much more than in the past, in order to turn information that used to be shared “in real life” into compelling and engaging web content.

The same dynamics are in play for formerly in-person sales visits. The “forced isolation” of social distancing will necessitate presentations and product demos being done via online meetings during the coming weeks and months. Once the COVID-19 pandemic subsides, in-person sales meetings at the customer’s place of business will return – but can we realistically expect that they will go back to the levels that they were before?

Likely not, as companies begin to realize that “we can do this” when it comes to conducting business effectively while communicating remotely. What may be lost in in-person meeting dynamics is more than made up for in the convenience and cost savings that “virtual” sales meetings can provide.

What do you think? Looking back, will we recognize the Coronavirus threat as the catalyst that changed the “business as usual” of how we conduct business meetings?  Or will today’s “new normal” have returned to the “old normal” of life before the pandemic?  Please share your thoughts with other readers here.

COVID-19: Whither the Pandemic?

Last week, I published a post about the burgeoning spread of Coronavirus infections, based on the perspectives of my brother, Nelson Nones, who lives and works in East Asia.

I’ve now received an updated analysis from him which is quite interesting.  It’s based on plotting COVID-19 infection rates against average February temperatures for 123 countries.

Here are his findings:

  • The world’s worst COVID-19 hotspots (China, Italy, Iran, South Korea, France, Spain, Germany and Switzerland) are clustered in a February temperature band ranging from -9 to +7 degrees C.
  • The world’s least contagious COVID-19 countries are clustered in a February temperature band ranging from +10 to +28 degrees C. Among those, the poorest countries are the least contagious; the richest (Singapore, Australia and Malaysia) are the most. Presumably this is because international travel is more common in richer countries.
  • Finland, the US, Japan, UK, Taiwan and Thailand lie near the best-fitting trend.
  • With the progression of the seasons, mean temperatures in the US will climb from -4C in February to +20C in July. Following the best-fitting curve, this means the US infection rate would be 63% (nearly two-thirds) lower in July than the present 4 cases per million.

Nelson’s conclusion:  “The pandemic won’t last!”

In conducting his analysis, Nelson used COVID-19 case data and country populations come from the worlometers.info news feed. Average February temperature data come from the World Bank.

These are interesting stats, to be sure — and interesting prognostications as well.  Caution should be the watchword in these times.  But the Coronavirus news may be uniformly brighter as the seasons warm.

What are your thoughts?  Feel free to share your views in the comment section below.

The Coronavirus Threat: A view from East Asia.

Regular readers of Nones Notes Blog know that my brother, Nelson Nones, has lived and worked outside the United States for nearly 25 years – much of that time in East Asia. So naturally I was curious about his perspectives on the spread of the Coronavirus from its epicenter in Wuhan, China, what precautions he is taking in the face of the threat, and his perspectives on how the actions of Asian countries affected by the outbreak may be mitigating the potential effects of the virus.

Here is what Nelson wrote to me in response to my query:

The Coronavirus has not affected my business here in Bangkok to date. I did make a trip to Singapore during the last week of January and to Taiwan during the first week of February, after arriving back in Thailand from the U.S. on January 12th.  I haven’t been sick at all – before or since.

However, in an abundance of caution I am keeping myself at home as much as possible, and I have decided not to travel anywhere until the current hullabaloo dies down.

As for the situation here in Thailand, this country is actually the location of the first COVID-19 (Coronavirus) case ever recorded outside Mainland China. This was back on January 13th, just two weeks after China first notified the World Health Organization (WHO) of the new disease, and only two days after China recorded its first COVID-19 death.  

The patient here in Thailand was a Chinese woman who had traveled from Wuhan, the epicenter of the pandemic.

Since then, Thailand has recorded 42 additional cases for a total of 43 patients, of whom only one died (on Sunday March 1st), and 31 have recovered.  This leaves 11 active cases – all considered mild.

The first case of human-to-human virus transmission within Thailand was recorded on January 16th, affecting a taxi driver. Of the 43 cases confirmed so far, 25 affected Chinese citizens; seven affected Thai citizens with travel histories to China, Japan or South Korea; seven affected Thai citizens who work in the tourism or healthcare industries; and the remaining four were other domestic cases (of which only two potentially represent “community spread”).  Thailand’s infection growth factor peaked on January 26th.

Being one of the world’s most popular tourist destinations (especially from China), Thailand has never imposed any travel restrictions, even from China (nor has the U.S. ever imposed any COVID-19 travel restrictions on Thailand), but all arriving international passengers are screened by an initial body temperature check. Those who fail the initial screening are required to disclose their travel histories within the past 14 days, in detail.  If they have travelled to or from any affected areas, and exhibit any COVID-19 symptoms, they are immediately quarantined at a specially-designated hospital for isolation and treatment.

Under the circumstances, and considering its geographic proximity to China as well as the normal volume of Chinese tourist travel, I think Thailand’s containment efforts so far have been successful and offer some lessons for the United States. Containment in India, Indonesia and Bangladesh so far is even more impressive (Indonesia reported its first two cases only on March 2nd).

Displayed below is a listing of South, Southeast and East Asian countries, ranked by population (together with the U.S. for comparison purposes), showing the number of cases and deaths reported so far:

* Excludes Diamond Princess cruise liner cases.

Sources:

Case data are from https://www.worldometers.info/coronavirus/#countries

Populations are from https://en.wikipedia.org/wiki/List_of_countries_by_population_(United_Nations)

The countries shaded in green, above, are those which did not require advance visas for Chinese citizens holding ordinary passports, prior to the imposition of temporary COVID-19 travel restrictions. These countries were either visa-free or allowed “visa on arrival.”

The countries in red typeface, above, are those which had imposed temporary COVID-19 travel restrictions as of early February 2020. These include “entry bans on Chinese citizens or recent visitors to China, ceased issuing of visas to Chinese citizens and re-imposed visa requirements on Chinese citizens or countries that have responded with border closures with China.” (See https://en.wikipedia.org/wiki/Visa_requirements_for_Chinese_citizens for source data.)

It’s quite clear from the data above that, excluding Mainland China itself, there is little or no correlation between the incidence of COVID-19 cases or deaths and the leniency of a country’s previous or current travel restrictions in so far as Mainland Chinese are concerned.

Indeed, all of the four countries having a higher number of cases than Thailand (Japan, South Korea, Hong Kong and Singapore) required advance visas before the COVID-19 outbreak, and all but one (Hong Kong) had imposed COVID-19 entry bans as of February 2nd

Conversely, apart from Thailand, the countries which did not require advance visas before the COVID-19 outbreak have averaged fewer than one case per country (although all of them except Cambodia and East Timor had imposed temporary COVID-19 travel bans by February 2nd).

The countries shown in bold typeface above are those which are geographically closest to the COVID-19 epicenter. An average of 570 COVID-19 cases have been reported within each of these 10 countries; only Laos has been immune so far. Conversely, an average of 6 COVID-19 cases have been reported within each of the remaining 26 countries (excluding China itself).

From these data, I’ve drawn the following four generalizations:

  • Outside of Mainland China, international travel bans and visa restrictions are not effective tools for controlling the spread of COVID-19 disease within a country.
  • Geographic proximity to Mainland China is well-correlated to the historical spread of COVID-19 disease in South, Southeast and East Asia.
  • Vigilant screening and disposition of suspected cases is vital to containing the spread of COVID-19 disease, as Thailand’s experience demonstrates.
  • Allowing high concentrations of suspected cases to form without treatment, such as Wuhan (China), the Diamond Princess docked at Yokohama (Japan) and Shincheonji church at Daegu (South Korea), is a recipe for disaster.  

Of course, the virus and its spread is an evolving narrative, and Nelson’s observations may soon be overwhelmed by new developments. Still, I was somewhat surprised to read that the situation is not quite as dire as the news reporting here in the U.S. would seem to indicate.

Have you heard from overseas friends or colleagues about how they are responding to the Coronavirus outbreak? Please share their perspectives with other readers here.