Anonymous
Post 05/15/2020 22:19     Subject: Re:Elrich plan for MoCo

Anonymous wrote:
I’m going to be as thrilled to vote against Elrich as I am Trump. I hate incompetence regardless of the party.


I 100% agree.

Me too. What a joke today was.


Agree. And I'm a Takoma Park Democrat--i.e. his base. It's not even the result--i.e. extended closure--that I think is unreasonable. But the incredible vague plan, inane standards, and disregard for economic hardship. He's playing at being President, as if he has a CDC and PPE manufacturing and rigorous data at his disposal, instead of recognizing he is county executive with none of the above, and questionable authority to boot.


Agree 100% with this. I am beyond frustrated that our county council seems to be no more functional than the WH. Earlier this week I received an email from a councilman touting the proposal he had sent to Elrich for a plan to test nursing homes, and a meeting he was requesting next week to discuss he proposal. Are you kidding me? Two months in and you have a proposal, and in another week or two you’ll start discussing it? We are F’d.

Imagine a hot summer to come, with no county rec programs, no public pools open, and thousands of low income kids living in homes with no a/c, parents with no jobs and the stimulus checks long since spent. We have some serious social breakdowns coming.
Anonymous
Post 05/15/2020 21:37     Subject: Elrich plan for MoCo

So guys:

Elrich wants a 14 day decline in deaths. We have averaged 14 deaths a day.

So does that mean he wants deaths down to zero?

Anonymous
Post 05/15/2020 16:44     Subject: Re:Elrich plan for MoCo

Anonymous wrote:
Anonymous wrote:
Anonymous wrote:As a data scientist, if we look at what data is published by the state. https://data.imap.maryland.gov/search?q=COVID-19 (time series data - health site gives daily snapshot)
look at what we know about COVID in Moco specifically around the nursing home cases , (deaths taking 90% of the Moco deaths this week), and expecting that nursing home patients are unlikely to recover at the same rate or with same outcome as someone outside the nursing home, *

the criteria Erlich and Gayles - even if we give the benefit that it is well intentioned, is impossible to achieve.

There really should be a robust committee of medical professionals around this and with transparent data on this. Hogan should not allow them to do a separate approach.

*The situation in the nursing homes is really terrible for all involved. Really terrible. There is no science to show that the outcome for those Moco nursing home patients who acquired the disease weeks ago will miraculously have better than national outcomes and there will be a long tail of daily deaths from this. That said, the spread, from the nursing homes to staff and community can be prevented. or at least significantly slowed Hogan outlined that plan weeks ago, but its very unclear to me what is actually happening at the MoCo level. For the normal citizen, us locking down more will have no impact on that terrible situation.











I 100% agree. I am not a data scientist, but can do basic descriptive statistics. I got the sense MoCo's approach didn't make sense, so brought the numbers to my husband, who does data analysis all day long, and supervises data scientists.

He said, "That's the stupidest fking approach I've ever seen."



I supervise some data scientists these days who do visualizations. I think a student from UMD could do quick visualizations (Power BI / tableau) and that help explain the absurdity of this pretty quickly. My skills are a bit rusty. It's not just showing where it doesn't make sense, but hyper focus on resources where we need it.



Sure, absolutely. You could do it Tableau very quickly. The data are all there.
Anonymous
Post 05/15/2020 15:55     Subject: Re:Elrich plan for MoCo

Anonymous wrote:
Anonymous wrote:It's been made pretty clear northern va, moco, and dc will be in lockstep. Just pay attention to what those other areas are saying and ignore this wishy washy nonsense.


? So you're saying MoCo will just blindly go along with NoVA and the District, even if MoCo hasn't met its unattainable criteria for reopening? I doubt it.


Yes, that's what I'm saying. The'll walk it back, say they're reassured by XYZ criteria instead and bla bla bla cover their asses about the fact they set out this impossible criteria. Moco will not be a lone island of closure if everyone else opens.
Anonymous
Post 05/15/2020 14:17     Subject: Re:Elrich plan for MoCo

Anonymous wrote:
Anonymous wrote:As a data scientist, if we look at what data is published by the state. https://data.imap.maryland.gov/search?q=COVID-19 (time series data - health site gives daily snapshot)
look at what we know about COVID in Moco specifically around the nursing home cases , (deaths taking 90% of the Moco deaths this week), and expecting that nursing home patients are unlikely to recover at the same rate or with same outcome as someone outside the nursing home, *

the criteria Erlich and Gayles - even if we give the benefit that it is well intentioned, is impossible to achieve.

There really should be a robust committee of medical professionals around this and with transparent data on this. Hogan should not allow them to do a separate approach.

*The situation in the nursing homes is really terrible for all involved. Really terrible. There is no science to show that the outcome for those Moco nursing home patients who acquired the disease weeks ago will miraculously have better than national outcomes and there will be a long tail of daily deaths from this. That said, the spread, from the nursing homes to staff and community can be prevented. or at least significantly slowed Hogan outlined that plan weeks ago, but its very unclear to me what is actually happening at the MoCo level. For the normal citizen, us locking down more will have no impact on that terrible situation.











I 100% agree. I am not a data scientist, but can do basic descriptive statistics. I got the sense MoCo's approach didn't make sense, so brought the numbers to my husband, who does data analysis all day long, and supervises data scientists.

He said, "That's the stupidest fking approach I've ever seen."



I supervise some data scientists these days who do visualizations. I think a student from UMD could do quick visualizations (Power BI / tableau) and that help explain the absurdity of this pretty quickly. My skills are a bit rusty. It's not just showing where it doesn't make sense, but hyper focus on resources where we need it.

Anonymous
Post 05/15/2020 13:50     Subject: Re:Elrich plan for MoCo

Anonymous wrote:
Anonymous wrote:As a data scientist, if we look at what data is published by the state. https://data.imap.maryland.gov/search?q=COVID-19 (time series data - health site gives daily snapshot)
look at what we know about COVID in Moco specifically around the nursing home cases , (deaths taking 90% of the Moco deaths this week), and expecting that nursing home patients are unlikely to recover at the same rate or with same outcome as someone outside the nursing home, *

the criteria Erlich and Gayles - even if we give the benefit that it is well intentioned, is impossible to achieve.

There really should be a robust committee of medical professionals around this and with transparent data on this. Hogan should not allow them to do a separate approach.

*The situation in the nursing homes is really terrible for all involved. Really terrible. There is no science to show that the outcome for those Moco nursing home patients who acquired the disease weeks ago will miraculously have better than national outcomes and there will be a long tail of daily deaths from this. That said, the spread, from the nursing homes to staff and community can be prevented. or at least significantly slowed Hogan outlined that plan weeks ago, but its very unclear to me what is actually happening at the MoCo level. For the normal citizen, us locking down more will have no impact on that terrible situation.











+1. To all this. The thing that concerns me the most is that there appears to be two people making decisions for Montgomery county (vs. the team Hogan has) and that the approach seems haphazard and not driven by the data. I get his periodic email is and have seen nothing about how they are going to address the spread within and between nursing homes.

I wonder if ElricH would be going against the state if the governor were another democrat (and in saying this as a Dem), and how stubborn he will be to stick to these criteria. It literally could be months before we get to Phase 1.


He’s just hedging. If the reopening goes well in rest of state, he’ll open in two weeks when pg does. If it doesn’t, he’ll claim he was right all along. I just think these silly power plays by the county execs take away from the stronger (and correct) message that Trump is wrong, centralized public health decision making is better.
Anonymous
Post 05/15/2020 13:35     Subject: Re:Elrich plan for MoCo

Anonymous wrote:It's been made pretty clear northern va, moco, and dc will be in lockstep. Just pay attention to what those other areas are saying and ignore this wishy washy nonsense.


? So you're saying MoCo will just blindly go along with NoVA and the District, even if MoCo hasn't met its unattainable criteria for reopening? I doubt it.
Anonymous
Post 05/15/2020 13:32     Subject: Re:Elrich plan for MoCo

It's been made pretty clear northern va, moco, and dc will be in lockstep. Just pay attention to what those other areas are saying and ignore this wishy washy nonsense.
Anonymous
Post 05/15/2020 13:22     Subject: Elrich plan for MoCo

Anonymous wrote:I"m hoping Hogan will eventually override this, or Elrich etc will be forced to backtrack.


I think when it becomes clear MoCo can't meet the testing criteria, they'll be forced to backtrack.
Anonymous
Post 05/15/2020 13:21     Subject: Re:Elrich plan for MoCo

Anonymous wrote:As a data scientist, if we look at what data is published by the state. https://data.imap.maryland.gov/search?q=COVID-19 (time series data - health site gives daily snapshot)
look at what we know about COVID in Moco specifically around the nursing home cases , (deaths taking 90% of the Moco deaths this week), and expecting that nursing home patients are unlikely to recover at the same rate or with same outcome as someone outside the nursing home, *

the criteria Erlich and Gayles - even if we give the benefit that it is well intentioned, is impossible to achieve.

There really should be a robust committee of medical professionals around this and with transparent data on this. Hogan should not allow them to do a separate approach.

*The situation in the nursing homes is really terrible for all involved. Really terrible. There is no science to show that the outcome for those Moco nursing home patients who acquired the disease weeks ago will miraculously have better than national outcomes and there will be a long tail of daily deaths from this. That said, the spread, from the nursing homes to staff and community can be prevented. or at least significantly slowed Hogan outlined that plan weeks ago, but its very unclear to me what is actually happening at the MoCo level. For the normal citizen, us locking down more will have no impact on that terrible situation.











+1. To all this. The thing that concerns me the most is that there appears to be two people making decisions for Montgomery county (vs. the team Hogan has) and that the approach seems haphazard and not driven by the data. I get his periodic email is and have seen nothing about how they are going to address the spread within and between nursing homes.

I wonder if ElricH would be going against the state if the governor were another democrat (and in saying this as a Dem), and how stubborn he will be to stick to these criteria. It literally could be months before we get to Phase 1.
Anonymous
Post 05/15/2020 13:17     Subject: Elrich plan for MoCo

I"m hoping Hogan will eventually override this, or Elrich etc will be forced to backtrack.
Anonymous
Post 05/15/2020 12:45     Subject: Re:Elrich plan for MoCo

Anonymous wrote:As a data scientist, if we look at what data is published by the state. https://data.imap.maryland.gov/search?q=COVID-19 (time series data - health site gives daily snapshot)
look at what we know about COVID in Moco specifically around the nursing home cases , (deaths taking 90% of the Moco deaths this week), and expecting that nursing home patients are unlikely to recover at the same rate or with same outcome as someone outside the nursing home, *

the criteria Erlich and Gayles - even if we give the benefit that it is well intentioned, is impossible to achieve.

There really should be a robust committee of medical professionals around this and with transparent data on this. Hogan should not allow them to do a separate approach.

*The situation in the nursing homes is really terrible for all involved. Really terrible. There is no science to show that the outcome for those Moco nursing home patients who acquired the disease weeks ago will miraculously have better than national outcomes and there will be a long tail of daily deaths from this. That said, the spread, from the nursing homes to staff and community can be prevented. or at least significantly slowed Hogan outlined that plan weeks ago, but its very unclear to me what is actually happening at the MoCo level. For the normal citizen, us locking down more will have no impact on that terrible situation.











I 100% agree. I am not a data scientist, but can do basic descriptive statistics. I got the sense MoCo's approach didn't make sense, so brought the numbers to my husband, who does data analysis all day long, and supervises data scientists.

He said, "That's the stupidest fking approach I've ever seen."
Anonymous
Post 05/15/2020 12:42     Subject: Re:Elrich plan for MoCo

As a data scientist, if we look at what data is published by the state. https://data.imap.maryland.gov/search?q=COVID-19 (time series data - health site gives daily snapshot)
look at what we know about COVID in Moco specifically around the nursing home cases , (deaths taking 90% of the Moco deaths this week), and expecting that nursing home patients are unlikely to recover at the same rate or with same outcome as someone outside the nursing home, *

the criteria Erlich and Gayles - even if we give the benefit that it is well intentioned, is impossible to achieve.

There really should be a robust committee of medical professionals around this and with transparent data on this. Hogan should not allow them to do a separate approach.

*The situation in the nursing homes is really terrible for all involved. Really terrible. There is no science to show that the outcome for those Moco nursing home patients who acquired the disease weeks ago will miraculously have better than national outcomes and there will be a long tail of daily deaths from this. That said, the spread, from the nursing homes to staff and community can be prevented. or at least significantly slowed Hogan outlined that plan weeks ago, but its very unclear to me what is actually happening at the MoCo level. For the normal citizen, us locking down more will have no impact on that terrible situation.









Anonymous
Post 05/15/2020 11:55     Subject: Re:Elrich plan for MoCo

The two concerns I bolded are the two that don't make sense to me.

Healthcare has not been forced to close by the shutdown. The reason fewer people are seeking ER treatment is not due to the shutdown, it's because people don't feel safe going. If opening up increases the amount of virus, even more people will feel unsafe and not go. The reason why doctors are canceling in person procedures is because they don't feel that they can do them safely. They worry about patients becoming infected with covid, and they worry about other things due to lack of PPE. Increasing the number of infections in the community will increase those problems. This is a problem that will definitely become worse, not better, if we reopen in a matter that isn't safe.

As for small businesses, we know that small businesses in places that aren't shut down are hurting too. We know that in places like Sweden, people are avoiding places, and businesses are still in jeopardy. Allowing these businesses to open, when the actual business won't be there to bring in money, is just a ploy to get out of paying unemployment to people, and without unemployment people will be hurting worse.


Actually, as a PP said, elective procedures opened up only a week ago. "Elective Procedures" does not cover all preventative health screenings (my GYN just rescheduled a regular checkup due to the lockdown). And, the message from the County is to gin up people's fears in a way that isn't justified by the reality. Moving to Phase 1 (which after all is a pretty conservative step) helps place fears in context. So I think the postponement of Phase 1 makes ER visits less likely, not more likely.

As for small businesses, we know that after the baby steps of opening (Phase 1), many businesses are still not going to make it. They won't be able to hold on with the limited capacity etc. But those who have a shot of holding on - why take that away?!!! If a hair salon can open at 50% capacity, and there are customers willing to take the risk, and the healthcare system can handle, then why make it impossible for the business to make any money at all? Maybe it's the difference between 10 people being unemployed and 5 people being unemployed. That's huge when you multiply it across businesses!!!!
Anonymous
Post 05/15/2020 11:16     Subject: Elrich plan for MoCo

Anonymous wrote:So Elrich & Gayles say they need to see a 14-day decline in cases, deaths, hospitalizations, ICU admissions, and ER usage by COVID patients. Fine.

But here's the thing: We haven't actually been adding a huge number of cases or having a huge number of deaths per day.

I don't want to minimize cases or deaths, but I took a 7-day average for MoCo cases: it's 206. Keep in mind that, given a statewide case increase of about 1,000 per day, proportionately we should be adding about 170/day. So we're not doing hugely above what would be expected, and the overage is likely mostly due to universal nursing home testing (MoCo has a lot of nursing homes).

The 7-day average for daily deaths is 14.

So they want a decrease on daily deaths below 14? That's unrealistic, especially considering 90% of last week's deaths in MoCo were in nursing homes.



Very good points. Today's data release from MD shows 44 deaths state-wide. So MoCo's number of deaths is pretty low to begin with.