Saturday, March 28, 2020

Tracking

Covid cases in New Mexico may have begun their exponential rise. The confirmed number of cases stands at 191 as of yesterday, a rise of 55 over the day before, quite a jump after a week or more of no more than a couple of dozen new cases daily. So far, about 10,000 people with symptoms have been tested.

The first death connected to Covid in New Mexico happened on March 22. However, it was not identified as a Covid death until March 24, and it was reported on March 25. The 70 year old man with underlying conditions took sick and was transported to the hospital on March 22. He died in the hospital later that day. As I understand it, a test was not administered until after he died. But I could be wrong about that -- he may have been tested before he died but results were not received until afterwards.

This suggests to me that there are asymptomatic cases or mildly symptomatic cases that quite suddenly become life threatening and they are devilishly hard to identify -- until it's too late.

But it also suggests that comparatively speaking they are very few in the overall universe of symptomatic New Mexicans, let alone in the population as a whole.

Nevertheless, as identified cases start an exponential rise, it's pretty clear that the virus has been circulating for some time, weeks at least, and that there are likely to be many asymtomatic or mildly symptomatic individuals spreading it even though initially their numbers might be very low.

The first identified cases in NM were among people who had recently returned from travel to Egypt, Italy and New York. These people were isolated, their contacts were traced and isolated, and initially it seemed the virus was contained. But then, community transmission started turning up -- people who had not traveled to or through hot spots and who had to their knowledge not been in contact with anyone who had or was suspected to have Covid-19. At least some of these community spread cases appeared to have connection to the highways in that they appeared near the three interstates that criss-cross New Mexico. Clusters of cases then appeared in the Permian Basin oil fields which are closely connected with the Texas oil fields. Destinations for well off escapees from various hot spots -- destinations like Taos and Santa Fe -- started showing clusters.

Albuquerque is a special case, as it's the only large city in New Mexico. Although there are more cases there than anywhere else in the state, they are still relatively few given the population and the cross-roads nature of the city. People travel to and from and through Albuquerque from everywhere, by air, rail, truck and automobile, and some are no doubt bringing the virus with them largely unbeknownst.

Until yesterday, there were no controls on travel except for the "shelter in place" rules that were implemented as soon as the first community spread case was identified. Those rules were gradually tightened until the schools were closed and eventually all non-essential businesses were ordered shut down, gatherings of more than five were prohibited, and people were told to stay home except for essential trips (groceries, pharmacy and such).

As of yesterday, people arriving by air were ordered to self-isolate for two weeks, and those who came in contact with them were also ordered to self-isolate. There are still no restrictions on highway travelers, however, and it seems to me the virus will continue to spread via the highways as more and more people flee the hot spots. The flight of the wealthy to their resorts, summer homes, and bunkers is one of the primary means of spreading this virus. And they are still fleeing New York and Los Angeles and other hot spots. Some are coming to New Mexico, to their ranches spread around the state, to their pied a terres and estates in Santa Fe and Taos, and some are no doubt bringing it with them.

If New Mexico is on an exponential track for the virus we'll see quick doubling of cases every few days, or maybe not. We'll see.

So far, there are no confirmed cases in my county. The virus may be spreading anyway, and at least for the time being, there's no way for us to avoid going into Albuquerque now and then for meds and such that have to be picked up.

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