3/20 Decompensation

Posted Posted in COVID-Diary

Another three-way conversation recorded From a colleague with family in Madrid: “I think it is very good that Ohio moved very swiftly; this was not the case in Madrid and the consequences are apparent. It is also shocking how fast everything happened… almost no issue by the beginning of the spring break, but major issues […]

3/19 Reciprocity

Posted Posted in COVID-Diary

I think there is a basic confusion between stopping the current outbreak and what is the long term, endemic, state of the virus, interventions, and risks associated with the virus.  We are in ‘stop the outbreak’ urgency while coping with the outbreak’s consequences for at risk groups. Some of the confusion is due to multiple […]

3/18 shortages

Posted Posted in COVID-Diary

Another 3 way conversation recorded Protective gear shortages: Ohio Governor’s briefing says insufficient protective equipment (PPE) in state and actions to “conserve” supplies. A colleague just got a story from a nursing friend: all the nurses received their ONE paper bag last night with their PPE in it which they were instructed to “reuse” for […]

3/16 Polycentric governance in action

Posted Posted in COVID-Diary

Social scientist (@RebeccaGruby) asks Ostrom’s Polycentric Governance should say a lot about how to handle outbreak.    The response to COVID-19 is a form of polycentric governance: multiple, overlapping decision-making centers operating with some autonomy, acting in ways that take account of others. Polycentricity scholars, what are some useful insights from our work? A few […]

3/15 Satire on unethical policies

Posted Posted in COVID-Diary

The announced English government policy (already collapsing) that large gatherings do not need to be cancelled/banned and that schools do no need to be closed is hard to justify especially given NHS overload, presumably they wanted to try to reduce the economic losses of responding to the outbreak.  Then they rolled out a justification claiming […]

3/14 Getting slammed

Posted Posted in COVID-Diary

Looking at the  Italian doctors interview about his ICU getting slammed and trying not to be overwhelmed by the surge.   A lot of the stuff we talk about in general is evident in his experiences.  It also parallels our study of a mass casualty response – the clinicians adapt to somehow make up a […]

3/12 Resilience perspectives on pandemics

Posted Posted in COVID-Diary

We can think about the current unfolding epidemic as a case at scale of the general systems issues we have been thinking/writing… about for more than a decade. We are part of a multi-national scale natural laboratory on managing a spreading disruption relative to saturating critical points in the response system.  Looking at this analysis […]