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		<title>Our World In Data - UnHerd</title>
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					<title>The great climate change fallacy</title>
					<link>https://stage.unherd.com/2021/11/the-great-climate-change-fallacy/?edition=us</link>
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						<![CDATA[Tom Chivers]]>
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							<![CDATA[Boris thinks we're  5-1 down at half time. Credit: Chris Jackson/Getty]]>
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							<![CDATA[<p><strong>Tom Chivers</strong> is a science writer. His second book, <em>How to Read Numbers</em>, is out now.</p>
]]>
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						<unherd:twitter_handle>TomChivers</unherd:twitter_handle>
															<unherd:author_bio>
						<![CDATA[ is a science writer. His second book, <em>How to Read Numbers</em>, is out now.]]>
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										<pubDate>Wed, 03 Nov 2021 00:00:00 +0000</pubDate>
					<updated>Tue, 30 Nov 2021 21:25:23 +0000</updated>
							<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Boris Johnson]]></category>
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		<category><![CDATA[RCP 8.5]]></category>
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								<![CDATA[The hysterical headlines are based on an unlikely scenario]]>
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								<![CDATA[<p>We are “quite literally” in the “last chance saloon,” <a href="https://www.theguardian.com/environment/2021/oct/31/cop26-literally-the-last-chance-saloon-to-save-planet-prince-charles" target="_blank" rel="noopener">says Prince Charles</a>. Humanity is “about 5-1 down at half-time,” <a href="https://www.theguardian.com/environment/2021/oct/29/cop26-humanity-5-1-halftime-climate-crisis-boris-johnson" target="_blank" rel="noopener">says Boris Johnson</a>. People will curse this generation of politicians worse than they did that which appeased Hitler, <a href="https://twitter.com/bbclaurak/status/1455208478994206720" target="_blank" rel="noopener">says Justin Welby</a>, the Archbishop of Canterbury, because they are allowing “a genocide on an infinitely greater scale”.</p>
<p>Are things quite that bad? Well, if you read the headlines, yes: we’re on course for disaster and we don’t seem to be turning. “Business as usual” will lead to <a href="https://www.nytimes.com/2021/02/11/opinion/climate-change-himalayas.html" target="_blank" rel="noopener">a catastrophic collapse of Himalayan glaciers</a>; and <a href="https://www.nytimes.com/2021/07/21/opinion/climate-change-heat-waves.html" target="_blank" rel="noopener">devastating heatwaves</a> in the southern United States, according to the <em>New York Times</em>. What’s more, the same newspaper <a href="https://www.nytimes.com/article/climate-change-global-warming-faq.html" target="_blank" rel="noopener">said last week</a> ahead of COP26, “If we continue with business as usual, by the end of the century, it will be too hot to go outside during heat waves in the Middle East and South Asia.”</p>
<p>But all these stories share one thing: they are based on the IPCC’s RCP 8.5 scenario. It’s not an exciting name, but 8.5 is often described as “business as usual”. Hence the headlines.</p>
<p>RCP 8.5 is not business as usual, though; it’s an unlikely worst case. This means a large fraction of the public debate on climate change mitigation is driven by an increasingly implausible scenario, which was unlikely when it was proposed, and is even less so now. The more we focus on this scenario, though, the more pessimistic — and the more hopeless — the situation will seem.</p>
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<p>Back in 2007, after <a href="https://www.ipcc.ch/assessment-report/ar4/" target="_blank" rel="noopener">the fourth IPCC report</a> was published, climate scientists wanted to create new emissions scenarios, imagining how they might change in the coming decades and what impact they would have on the climate. But while there was <a href="https://www.nature.com/articles/nature08823" target="_blank" rel="noopener">a plan</a> to make in-depth scenarios ahead of the fifth report in 2013, scientists would need to start running models for that report as soon as 2010. They needed something that could be used in the meantime.</p>
<p>So four “representative concentration pathways”, RCPs, were developed: RCP 2.6, 4.5, 6.0 and 8.5[1.  <span style="font-weight: 400;">The numbers refer to the amount of “</span><a href="https://en.wikipedia.org/wiki/Radiative_forcing#IPCC_usage" target="_blank" rel="noopener"><span style="font-weight: 400;">radiative forcing</span></a><span style="font-weight: 400;">”: that is, the change to the Earth’s energy balance, in watts per metre squared. So under RCP 6.0, each square metre of the earth’s surface would absorb six more watts of energy than it would lose to space, relative to pre-industrial times.]</span>. They were, roughly speaking, a highly optimistic scenario regarding emissions, two middling scenarios, and a highly pessimistic one. RCP 8.5 was there as a realistic worst case. Even at the time, it was viewed as unlikely. But two unfortunate things confused that picture.</p>
<p>First, of the four RCPs, only 8.5 imagined a world with no climate policy. And second, its authors <a href="https://link.springer.com/article/10.1007/s10584-011-0149-y" target="_blank" rel="noopener">described it</a> as “a high-emission business as usual scenario” – meaning that it was at the high end of emissions for business as usual, but which was taken to mean in some quarters that high emissions were business as usual.</p>
<p>So RCP 8.5 became synonymous with “business as usual”. There are dozens of studies published every year <a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0,6&amp;q=rcp+8.5+%22business+as+usual%22&amp;scisbd=1" target="_blank" rel="noopener">describing it as such</a>: this one <a href="https://www.nature.com/articles/s41612-021-00178-7" target="_blank" rel="noopener">says</a> that “Business-as-usual will lead to super and ultra-extreme heatwaves in the Middle East and North Africa”. It is a mainstream part of climate science.</p>
<p>“The problem isn’t that people study these scenarios,” says <a href="https://thebreakthrough.org/people/zeke-hausfather" target="_blank" rel="noopener">Zeke Hausfather</a>, a climate scientist at the Breakthrough Institute. “It’s that they frame them as the most likely outcome in the absence of policy. That was probably never true, but I’m sure it’s not true now.”</p>
<p>Most obviously, we don’t live in a world without climate policies. The <a href="https://www.eea.europa.eu/themes/climate-change-adaptation/global-climate-change-policies" target="_blank" rel="noopener">Paris protocols</a> commit signatories to goals of keeping warming below 2°C and aiming for below 1.5°C. So “business as usual” is a global effort to reduce emissions.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2019/09/why-climate-change-isnt-the-end-of-the-world/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2019/09/why-climate-change-isnt-the-end-of-the-world/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2019/09/GettyImages-1163398643.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2019/09/why-climate-change-isnt-the-end-of-the-world/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2019/09/why-climate-change-isnt-the-end-of-the-world/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Why climate change isn&#039;t the end of the world</h5></a><p class="author"><a href="https://stage.unherd.com/2019/09/why-climate-change-isnt-the-end-of-the-world/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p>Second, and most important, the world has changed its energy mix far faster than RCP 8.5 expected. Hausfather points out that “current solar prices are below what the models think they’ll be in 2050”, and coal use has dropped <a href="https://ourworldindata.org/grapher/coal-consumption-per-capita?tab=chart&amp;country=~OWID_WRL" target="_blank" rel="noopener">in recent years</a>. In order for emissions to reach what RCP 8.5 imagined, we’d need to increase coal use per capita <a href="https://www.sciencedirect.com/science/article/abs/pii/S0360544217314597#page=15" target="_blank" rel="noopener">by about 700%</a> from today’s levels, spectacularly reversing the recent decline.</p>
<p>And this means that the really devastating levels of warming envisioned by RCP 8.5 are even less likely: we’re probably looking at a situation of <a href="https://thebreakthrough.org/issues/energy/3c-world" target="_blank" rel="noopener">3°C warming</a> above pre-industrial levels, compared with the 4°C, 5°C or <a href="https://www.tcd.ie/Economics/assets/pdf/Seminars/20152016/Gernot%20Wagner&amp;Weitzman.pdf" target="_blank" rel="noopener">even 6°C</a> that <a href="https://thebreakthrough.org/issues/energy/3c-world" target="_blank" rel="noopener">RCP 8.5 predicts</a>. As Hausfather said in <a href="https://www.nature.com/articles/d41586-020-00177-3" target="_blank" rel="noopener">a <em>Nature</em> piece last year</a>, 3°C is still “a catastrophic outcome”, but it’s a heck of a lot better than it used to be.</p>
<p>It’s worth noting that while the emissions that get the world to RCP 8.5 are highly unlikely, the outcomes that 8.5 predicts are still plausible. One of the uncertainties in the climate is the feedbacks. For instance, as the world gets hotter, ice melts. Ice reflects sunshine, while dark earth absorbs it. So the less ice there is, the faster the world warms, reducing ice. That’s a positive feedback system: it tends to accelerate changes.</p>
<p>On the flip side, the more CO<sub>2</sub> there is in the atmosphere, the faster plants grow, and the more they suck from the atmosphere. That’s a negative feedback system, and it tends to moderate changes.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/07/the-corrosive-tribalism-of-climate-science/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/07/the-corrosive-tribalism-of-climate-science/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/07/GettyImages-1234185983-1.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/07/the-corrosive-tribalism-of-climate-science/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2021/07/the-corrosive-tribalism-of-climate-science/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Can we trust the climate scientists?</h5></a><p class="author"><a href="https://stage.unherd.com/2021/07/the-corrosive-tribalism-of-climate-science/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p>The exact magnitude of the many possible feedback systems in the atmosphere is uncertain. As the Siberian permafrost melts, will it release gigatonnes of CO<sub>2</sub>? It is possible that even under more optimistic emissions scenarios, the feedback systems will push more carbon into the atmosphere, so we end up with the same CO<sub>2</sub> concentrations as we would have done under RCP 8.5. And there’s another layer of uncertainty, which is “climate sensitivity”. It’s not precisely known how much warming a given increase in CO<sub>2</sub> concentrations will cause; perhaps even if the amount of carbon in the atmosphere is relatively low, the warming will be greater (although that <a href="https://www.carbonbrief.org/ipcc-how-the-ar6-wg1-summary-for-policymakers-compares-to-its-predecessor" target="_blank" rel="noopener">now looks less likely</a>).</p>
<p>So really bad outcomes are possible even without RCP 8.5-level emissions. We’d have to get “incredibly unlucky” with feedbacks for the world to end up warming that much, says Hausfather, but we can’t eliminate the possibility.</p>
<p>As a result, there’s an ongoing row among academics about whether RCP 8.5 (and its equally pessimistic successor[2.  <span style="font-weight: 400;">In the latest IPCC report, the RCPs have been replaced with something else, called SSPs. Only one of the new SSPs, SSP5, is compatible with RCP 8.5. Research using both is combined into a scenario called SSP5-8.5. I’m going to refer to RCPs throughout, for simplicity.]</span>) should be used at all. <a href="https://www.colorado.edu/envs/roger-pielke-jr" target="_blank" rel="noopener">Roger Pielke Jr</a>, a professor of public policy and environmental studies at the University of Colorado, Boulder, argues that it essentially has no place: that it’s based on an implausible scenario, even if you could end up somewhere similar because of uncertainties elsewhere. “Two wrongs don’t make a right,” he says.</p>
<p>But <a href="https://geography.exeter.ac.uk/staff/?web_id=Richard_Betts" target="_blank" rel="noopener">Richard Betts</a>, a climate scientist at Exeter University and the Met Office, and one of the authors of the UK government’s<a href="https://www.ukclimaterisk.org/" target="_blank" rel="noopener"> climate change risk assessment</a>, argues differently. We need to be aware of the risks of these 4°C worlds that we could – plausibly – still find ourselves in, he says. And there’s been lots of research done on worlds like that, mostly using RCP 8.5.</p>
<p><a href="https://www.giss.nasa.gov/staff/gschmidt/" target="_blank" rel="noopener">Gavin Schmidt</a>, the director of NASA’s Goddard Institute, adds that using extreme scenarios allows modellers to tease out causality in a way that more narrow ones don’t. “It allows you to see non-linearity, allows you to look for thresholds,” he says. “You get a stronger signal to noise ratio.” The actual emission scenarios are less likely, he agrees, but studying them helps us understand the climate system better.</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2021/05/how-science-has-been-corrupted/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2021/05/how-science-has-been-corrupted/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2021/05/gettyimages-1211656392-594x594-1.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2021/05/how-science-has-been-corrupted/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2021/05/how-science-has-been-corrupted/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>How science has been corrupted</h5></a><p class="author"><a href="https://stage.unherd.com/2021/05/how-science-has-been-corrupted/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Matthew Crawford</a></p></div></a></div>
<p>The trouble is that if a journalist sees two graphs in a study, one of a plausible RCP 4.5 world and one of a much more dramatic RCP 8.5 world, they’ll probably want to run the RCP 8.5 graph, “because it’s more impressive,” says Hausfather. “And they’ll say scientists predict this much sea level rise, or this many heat deaths. And it’s not accurate because you’d need to add ‘but only if we burn all our coal or get very unlucky’.”</p>
<p>There’s also a risk that RCP 8.5 will crowd out research into other areas. For instance, Our World in Data’s <a href="https://ourworldindata.org/coral-reefs#to-understand-the-impact-of-climate-change-and-ocean-acidification-on-coral-reefs-we-need-more-experiments-at-lower-levels-of-warming-and-CO&lt;sub&gt;2&lt;/sub&gt;-concentrations" target="_blank" rel="noopener">recent efforts to understand human impacts on biodiversity</a> have been hampered because <a href="https://www.nature.com/articles/nature22901" target="_blank" rel="noopener">almost all the research</a> into coral reef collapse has been carried out using RCP 8.5. Predictably enough, <a href="https://ourworldindata.org/coral-reefs#to-understand-the-impact-of-climate-change-and-ocean-acidification-on-coral-reefs-we-need-more-experiments-at-lower-levels-of-warming-and-CO&lt;sub&gt;2&lt;/sub&gt;-concentrations" target="_blank" rel="noopener">all the coral dies in that scenario</a>. But what would coral reefs look like under 2°C of warming, or 3°C? We don’t really know.</p>
<p>(People have got in touch to suggest that recent studies have looked into the other pathways, and they do seem to show severe impacts on coral even at lower concentrations.)</p>
<p>The RCP 8.5 debate is heated. Pielke Jr and Schmidt in particular have a <a href="https://twitter.com/search?q=from%3Aclimateofgavin%20rogerpielkejr&amp;src=recent_search_click" target="_blank" rel="noopener">longstanding mutual animosity</a>, and Schmidt feels Pielke Jr has “spent 20 years trying to elbow out scientists from the centre ground” on climate change. So it’s hard for a journalist to get involved without taking sides.</p>
<p>But it’s important, because the more we associate the worst-case scenario with business as usual, the more pessimistic the public debate will be. “It might demotivate people,” says Hausfather. “It’s much easier to see the Paris goals [of no more than 1.5°C warming] as achievable if you know we’re on course for a 3°C world, rather than a 5°C one.”</p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/07/why-we-stopped-trusting-experts/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/07/why-we-stopped-trusting-experts/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/07/GettyImages-671580868-e1594809567505.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/07/why-we-stopped-trusting-experts/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2020/07/why-we-stopped-trusting-experts/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Why we stopped trusting &#039;experts&#039;</h5></a><p class="author"><a href="https://stage.unherd.com/2020/07/why-we-stopped-trusting-experts/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Oliver Traldi</a></p></div></a></div>
<p>I disagree with Pielke Jr: RCP 8.5 has its place, because as Betts says, there’s a whole range of research into unlikely but plausible scenarios using it, and if you’re doing risk assessments, you need to look at outcomes that <a href="https://stage.unherd.com/2020/04/could-anyone-have-predicted-covid-19/" target="_blank" rel="noopener">probably won’t happen but which would be disastrous if they did</a>, so you can try to avoid them. At the moment the papers looking at those scenarios all use 8.5.</p>
<p>But on the other hand, if the IPCC puts out RCPs without explicitly saying which are the most likely, then policymakers and journalists will take whichever scenario most suits their needs, whether that’s pretending there’s no problem, or magnifying the problem for the sake of a headline. This isn’t the fault of climate modellers. But no one involved in the IPCC is explicitly saying “RCP 8.5 is pretty unlikely,” and that fateful phrase “business as usual” is still attached to it.</p>
<p>Hausfather has a solution for this: attach explicit percentage likelihoods to the different scenarios – say that RCP 4.5 is 45% probable, or RCP 8.5 is 5% probable. They’d be necessarily subjective but at least it would show that no one thinks they’re all equally likely, or that RCP 8.5 is the course we’re already on. Betts agrees.</p>
<p>There’s a risk that climate sceptics will leap on ideas like this, and say that climate scientists have systematically overstated the risk of climate change; Betts says that this already happens. But climate change is <a href="https://www.cisl.cam.ac.uk/resources/sustainable-finance-publications/unhedgeable-risk" target="_blank" rel="noopener">an unhedgeable risk</a>, and we need to pay attention to even unlikely outcomes if they’re very bad, in the same way that you wouldn’t play Russian roulette even if it’s only a 17% chance of death. Besides, even the less dramatic 3°C worlds involve dangerous levels of sea level rise, heat waves, and millions of unnecessary deaths a year. You’d think that’d be worrying enough.</p>
<p>Every week, people see headlines, based on <a href="https://www.pnas.org/content/117/21/11350" target="_blank" rel="noopener">RCP 8.5 scenarios</a>, that say things like <a href="https://www.ft.com/content/072b5c87-7330-459b-a947-be6767a1099d" target="_blank" rel="noopener">three billion people could face “near-unliveable conditions” </a>by 2070. Understandably, people are rattled; and some are even saying they’re <a href="https://astralcodexten.substack.com/p/please-dont-give-up-on-having-kids" target="_blank" rel="noopener">not having children</a>. People are more scared than they need to be.</p>
<p>Climate change is extremely bad. But we’re not in the “last chance saloon”, if that means that we face some inevitable catastrophe, or 5-1 down and facing ruinous defeat; and the politicians at COP26 are not guilty of facilitating a worse genocide than Hitler’s. Archbishop Welby <a href="https://twitter.com/JustinWelby/status/1455207850213617665" target="_blank" rel="noopener">apologised </a>for that. But it’s an understandable mistake if he’s always being told that “business as usual” means a march to doom.</p>
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						<![CDATA[Tom Chivers]]>
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							<![CDATA[The more testing we do, the more accurate the modelling. Credit: Dan Kitwood/Getty ]]>
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							<![CDATA[<p><strong>Tom Chivers</strong> is a science writer. His second book, <em>How to Read Numbers</em>, is out now.</p>
]]>
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						<unherd:twitter_handle>TomChivers</unherd:twitter_handle>
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						<![CDATA[ is a science writer. His second book, <em>How to Read Numbers</em>, is out now.]]>
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										<pubDate>Tue, 31 Mar 2020 23:05:14 +0000</pubDate>
					<updated>Wed, 09 Sep 2020 08:49:55 +0000</updated>
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		<category><![CDATA[Austerity]]></category>
		<category><![CDATA[Coronavirus]]></category>
		<category><![CDATA[COVID-19]]></category>
		<category><![CDATA[Imperial College model]]></category>
		<category><![CDATA[Our World In Data]]></category>
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								<![CDATA[We may have far more infections than previously thought, and constructing models to estimate numbers is extremely hard]]>
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								<![CDATA[<p><span style="font-weight: 400;">The national conversation is dominated by coronavirus statistical models at the moment. The Imperial College model, the Oxford model, the </span><i><span style="font-weight: 400;">other</span></i><span style="font-weight: 400;"> Imperial model. </span></p>
<p><span style="font-weight: 400;">I want to talk about the models, and what they tell us, because the outputs of these models drive the government’s response — and thousands of lives could turn on them. It’s important, therefore, that we understand them, and why the numbers they give us are so different. These figures led Peter Hitchens, the <em>Mail on Sunday</em> columnist, to </span><a href="https://twitter.com/elleprovocateur/statuses/1243328047845191681"><span style="font-weight: 400;">complain</span></a><span style="font-weight: 400;"> that the number of deaths has jumped around from 500,000 to 20,000, to 5,000. I can see why people are confused, if they just think “the models” are taking the same numbers and spitting out these weirdly different results.</span></p>
<p><span style="font-weight: 400;">But first, I want to talk about something much simpler. It’s the question that many of us, I’d say, most want to know, when we’re anxiously thinking about Covid-19 and ourselves and our loved ones. That is: if someone gets the disease, how likely are they to die?</span></p>
<p><span style="font-weight: 400;">The splendid Our World in Data (OWID) — who, full disclosure, I’ve been doing some editing for during this crisis — have been</span><a href="https://ourworldindata.org/covid-mortality-risk"><span style="font-weight: 400;"> working on answering that question</span></a><span style="font-weight: 400;">. So has Oxford’s equally splendid </span><a href="https://www.cebm.net/covid-19/global-covid-19-case-fatality-rates/"><span style="font-weight: 400;">Centre for Evidence-Based Medicine</span></a><span style="font-weight: 400;"> (CEBM). </span></p>
<p><span style="font-weight: 400;">It is probably the most basic question you can ask about a disease, a</span><span style="font-weight: 400;">nd yet it’s bloody hard to answer. It changes between places and over time, and between different groups; it depends on a variety of hard-to-measure factors, and the answer you get </span><i><span style="font-weight: 400;">itself</span></i><span style="font-weight: 400;"> directly affects our understanding of several other numbers, all of which are vital to any model of the disease.</span></p>
<p><span style="font-weight: 400;">So. You may have heard a term being used: the “case fatality rate”, or CFR. That is the number of deaths divided by the number of confirmed cases. When journalists talk about the “death rate”, that’s often what they are referring to. If a country has 10,000 confirmed cases and 100 deaths, then the CFR in that country is (100/10,000), or 1%.</span></p>
<p><span style="font-weight: 400;">That is not what we are looking for, and it is probably not even very close to what we are looking for.</span></p>
<p><span style="font-weight: 400;">Instead what we want is the “infection fatality rate”, or IFR. That is the number of deaths divided by the number of people who </span><i><span style="font-weight: 400;">actually have the disease</span></i><span style="font-weight: 400;">. The number of people who have </span><i><span style="font-weight: 400;">tested positive </span></i><span style="font-weight: 400;">for the disease is probably only a fraction of the total number who had it, because only a fraction of the population has actually been tested. </span></p>
<p><span style="font-weight: 400;">Obviously, the IFR is much harder to determine accurately. The only people getting tested will be the people who are most ill, so your IFR is probably much lower than your CFR, because your denominator — the number you’re dividing by — is probably much bigger. </span></p>
<p><span style="font-weight: 400;">So if your country has tested absolutely everyone and found all cases of the disease, then your IFR is the same as your CFR, or 1%. But if it has only found 10% of the people with the disease, then your 10,000 confirmed cases are just the tip of a 100,000-person iceberg. With those 100 deaths, your IFR would be (100/100,000) or 0.1%.</span></p>
<p><span style="font-weight: 400;">Sadly, all we know is the CFR, and it changes hugely from country to country. Professor </span><a href="https://www.phc.ox.ac.uk/team/jason-oke"><span style="font-weight: 400;">Jason Oke</span></a><span style="font-weight: 400;">, a statistician at Oxford University and one of the people behind the CEBM analysis, points out that the CFR in Italy is many times higher than that in Germany; 11% of confirmed cases have died in the former, compared to 0.79% in the latter. “That can’t be down to healthcare differences,” he says: “Italy isn’t a third-world country. And it can’t be demographics — Italy has an old population [and older people are at greater risk], but Germany isn’t far behind it.” </span></p>
<p><span style="font-weight: 400;">The likely explanation is that the difference is down to testing. Italy has largely tested people with symptoms, in hospitals; Germany has tested many thousands of people who have no symptoms. That probably helps prevent some deaths, but the most direct impact will be that it hugely increases the denominator; again, if you’re dividing your 100 deaths by 100,000 instead of 10,000, your death </span><i><span style="font-weight: 400;">rate</span></i><span style="font-weight: 400;"> will be much smaller. Germany’s will be closer to (but not the same as) the IFR, the number we really want.</span></p>
<p><span style="font-weight: 400;">So, a country’s CFR will vary depending on how many tests it’s done, because that changes the denominator. But at least the numerator — the number being divided — is probably pretty straightforward, right? A death is a death.</span></p>
<p><span style="font-weight: 400;">Sadly, that’s not the case either. Dr </span><a href="https://www.oxfordmartin.ox.ac.uk/people/dr-hannah-ritchie/"><span style="font-weight: 400;">Hannah Ritchie</span></a><span style="font-weight: 400;">, one of the data scientists at OWID, points out that the death statistics are complex too, for two reasons. One is prosaic: a lot of people who have the disease and will die of it have not yet died. “The period from onset to death is about a month,” she says. So your simple “divide the numerator by the denominator” rule — the number of deaths by the number of patients — doesn’t work, because your number of deaths is a product of how many people had the disease a month ago, not how many people have it now.</span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/03/would-you-take-a-coronavirus-risk/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/03/would-you-take-a-coronavirus-risk/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/03/GettyImages-1214099719.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/03/would-you-take-a-coronavirus-risk/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2020/03/would-you-take-a-coronavirus-risk/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Would you take a coronavirus risk?</h5></a><p class="author"><a href="https://stage.unherd.com/2020/03/would-you-take-a-coronavirus-risk/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">That’s bad enough. But there’s a more profound problem, which is that deaths themselves can be recorded very differently in different places. Professor Sir </span><a href="https://www.csap.cam.ac.uk/network/david-spiegelhalter/"><span style="font-weight: 400;">David Spiegelhalter</span></a><span style="font-weight: 400;">, a statistician at the University of Cambridge, says that the UK simply counts people who have tested positive and then died. </span><span style="font-weight: 400;">But in some other countries, people are recorded as having died of Covid-19 if they had the symptoms, even if they weren’t tested (“suspected” as opposed to “confirmed”); in others, people outside hospitals are not tested and so are not recorded. </span></p>
<p><span style="font-weight: 400;">“Even the number of deaths is not a perfect statistic at all,” Spiegelhalter says. <em>El Pais</em> did an interesting look at some of the international differences </span><a href="https://english.elpais.com/society/2020-03-30/tracking-the-coronavirus-why-does-each-country-count-deaths-differently.html"><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;">; Britain&#8217;s Office for National Statistics explains why its numbers look different from the official Government ones </span><a href="https://blog.ons.gov.uk/2020/03/31/counting-deaths-involving-the-coronavirus-covid-19/"><span style="font-weight: 400;">here</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">To some extent it doesn’t matter, says Spiegelhalter: as long as each individual country maintains the same regime, ”the number of deaths is still a good monitor for the shape of the epidemic”. </span></p>
<p><span style="font-weight: 400;">But it’s not clear that they are fixed; countries may have good reasons to change the way they collect data as circumstances change, but it apparently happens often enough that the World Health Organisation feels that they have to</span><a href="https://www.who.int/docs/default-source/coronaviruse/global-surveillance-for-covid-v-19-final200321-rev.pdf"><span style="font-weight: 400;"> ask countries to notify them</span></a><span style="font-weight: 400;"> when they do it. Famously, China did so earlier in the epidemic, but others do too: in complying with the WHO’s request, Australia has </span><a href="https://www1.health.gov.au/internet/main/publishing.nsf/Content/cdna-song-novel-coronavirus.htm"><span style="font-weight: 400;">noted</span></a><span style="font-weight: 400;"> that it has changed its definition of a Covid-19 “case” (and therefore a Covid-19 “death”) at least 12 times since 23 January. </span></p>
<p><span style="font-weight: 400;">So, in essence, to work out the IFR — the number we want — we need to know two other factors: the number of people infected with Covid-19, and the number of people who died of it; the denominator, and the numerator. And, sadly, both numbers are uncertain.</span></p>
<p><span style="font-weight: 400;">How much does any of this matter? Well: now, I’m going to try and build my very own, rather stupid model. I’m not going to try to predict the future; I’m just going to try to use some very simple numbers to “predict” the number of cases there are in the UK </span><i><span style="font-weight: 400;">right now</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">First, the number of reported Covid-19 deaths in the UK </span><a href="https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public"><span style="font-weight: 400;">is 1,408</span></a><span style="font-weight: 400;">. Second, the lag between infection and death is about three or four weeks; let’s say three. Third, the number of (confirmed) cases in the UK has been doubling about </span><a href="https://ourworldindata.org/coronavirus#growth-of-cases-how-long-did-it-take-for-the-number-of-confirmed-cases-to-double"><span style="font-weight: 400;">every three to five days</span></a><span style="font-weight: 400;">; let’s say five (and assume it’s staying constant; forget social isolation for now).</span></p>
<p><span style="font-weight: 400;">With those numbers, we can plug in our guess at the IFR (the infection fatality rate, remember: the </span><i><span style="font-weight: 400;">real</span></i><span style="font-weight: 400;"> number we want to know, the “if I get it, how likely am I to die” number) and use it to work out roughly how many cases we’d expect </span><i><span style="font-weight: 400;">now</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">So what number should we use as our IFR? I’m going to use three: one from Imperial College London’s MRC team, the one behind the famous model; and two from CEBM. Imperial’s </span><a href="https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-Europe-estimates-and-NPI-impact-30-03-2020.pdf"><span style="font-weight: 400;">latest work</span></a><span style="font-weight: 400;"> assumes an IFR of 1%; CEBM estimates it to be </span><a href="https://www.cebm.net/covid-19/global-covid-19-case-fatality-rates/"><span style="font-weight: 400;">between 0.1% and 0.26%</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">If we take the Imperial 1%, then that means that we can multiply the 1,408 deaths now by 100 to get the number of people who’d had the disease three weeks ago, because we think about one in 100 of them died. So about 140,000 people.</span></p>
<p><span style="font-weight: 400;">Then we can take our doubling time — we said five days — to get how many cases we’d see now. In three weeks, 21 days, you’d see four doublings; two to the power four is 16. So 16 times 140,000, which is 2,240,000. We could imagine that we’ve probably got about two million cases now.</span></p>
<p><span style="font-weight: 400;">But let’s use the CEBM numbers. First the highest one, 0.26%. If we take that, we can multiply the 1,408 deaths by 400, instead of 100, to give us the number of infections three weeks ago. That is 560,000. Then we can multiply </span><i><span style="font-weight: 400;">that</span></i><span style="font-weight: 400;"> by 16 to give us an estimate of how many there are now: about 9,000,000.</span></p>
<p><span style="font-weight: 400;">And how about if we use their lowest estimate, 0.1%? Same routine: 1,408 multiplied by 1,000, multiplied by 16: more than 20,000,000.</span></p>
<p><span style="font-weight: 400;">So by changing a single number, the IFR, to one of three plausible values, in a very simple model, we get outputs that range from “3% of people have already had it” to “30% of people have already had it”. And that’s before we start messing around with the other assumptions; is doubling time three days, not five? Is infection to death four weeks, not three? Is “1,408 deaths” even correct?</span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/03/self-isolation-is-feeding-my-warhammer-addiction/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/03/self-isolation-is-feeding-my-warhammer-addiction/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/03/warhammer.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/03/self-isolation-is-feeding-my-warhammer-addiction/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">More from this author</span></a><a href="https://stage.unherd.com/2020/03/self-isolation-is-feeding-my-warhammer-addiction/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Self-isolation is feeding my Warhammer addiction</h5></a><p class="author"><a href="https://stage.unherd.com/2020/03/self-isolation-is-feeding-my-warhammer-addiction/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Tom Chivers</a></p></div></a></div>
<p><span style="font-weight: 400;">I want to reiterate: this is a very simple, stupid model, put together by a journalist, not an epidemiologist. The actual models will be far more complex, and will take into account other things — the number of cases in hospital and so on — to try to ground them in objective fact. Don’t mistake this for some plausible estimate of infection numbers. And there are loads of other things to worry about: people suffering long-term health consequences, even if they live; people dying of other things because the healthcare system is overwhelmed.</span></p>
<p><span style="font-weight: 400;">But the problem that I’m illustrating is real. Small, plausible adjustments to your inputs make your model spit out very different things. The assumptions you make are vital. We haven’t even started to think about other crucial things — for instance, government interventions, and how effective they are. </span></p>
<p><span style="font-weight: 400;">“The different scenarios — isolation, closing schools, quarantines — they come with massive assumptions about how adherent people are,” says Ritchie. “You get massively varying outputs, depending on what you put in.” Plus, of course, it’s all circular: your model influences how you respond; your response changes what numbers get put back into the model.</span></p>
<p><span style="font-weight: 400;">What you need is better numbers, to plug into the models. And that’s what people are trying to get. The CEBM paper uses, among other things, </span><a href="https://nordiclifescience.org/covid-19-first-results-of-the-voluntary-screening-in-iceland/"><span style="font-weight: 400;">numbers from Iceland</span></a><span style="font-weight: 400;">, which — being tiny — managed to test a huge proportion of its population, nearly 3%. It found 963 cases and just two deaths; an CFR of 0.2%, from which the CEBM extrapolates an IFR of 0.05%. But that’s likely an underestimate, because quarantining has protected the elderly, the most at-risk group. Others have </span><a href="https://www.medrxiv.org/content/10.1101/2020.03.05.20031773v2"><span style="font-weight: 400;">done something similar</span></a><span style="font-weight: 400;"> with passengers on the cruise ship Diamond Princess, finding a CFR of around 1% — likely an overestimate, since the passengers tended to be older.</span></p>
<p><span style="font-weight: 400;">Another way has been to screen small groups who are in quarantine, such as the Diamond Princess passengers or passengers on aircraft, to see how many people 1) test positive and 2) show symptoms. If you know how many people have the disease but are asymptomatic, then you can extrapolate to the wider population — if you’re testing all the people who are symptomatic, and you know that 50% of infected people don’t show symptoms, and you find 20,000 cases, you can estimate that the real number is more like 40,000.</span></p>
<p><span style="font-weight: 400;">But there’s a problem here, too, which is that “asymptomatic” is not a simple thing, according to George Davey Smith, an epidemiologist at the University of Bristol. If you’re sitting in quarantine and you cough, you might be recorded as symptomatic; but out in the real world, you’re not going to take yourself to hospital for a gentle cough, so you still won’t get tested. </span></p>
<p><span style="font-weight: 400;">Instead of there being a neat “symptomatic/asymptomatic” division, you have a third group: people with some symptoms but who think it’s just a cold in the chest. (As I write, I’m coughing a little; but I don’t think that’s Covid-19, I think it’s just because I went for a run this morning and the cold irritated my lungs. But I’d probably be recorded as “symptomatic” if I were in quarantine and being screened.)</span></p>
<p><span style="font-weight: 400;">And yet another way is to look at how many people die every year, and how many people are dying now, and seeing whether more people are dying than usual. That’s how we attribute deaths to flu each year, says Spiegelhalter; the European Monitoring of Excess Mortality group (EuroMOMO) uses this data to say that in an average year in the UK, 17,000 deaths are “associated” with influenza. But so far there is no excess death at all, except in Italy: the </span><a href="https://www.euromomo.eu/"><span style="font-weight: 400;">EuroMOMO charts</span></a><span style="font-weight: 400;"> are all around the seasonal average. That will likely change, but we forget that in a population of millions, you’d expect thousands of deaths every day anyway: even the Covid-19 pandemic is still being lost in the noise.</span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/03/GettyImages-1208642237.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Don’t trust the psychologists on coronavirus</h5></a><p class="author"><a href="https://stage.unherd.com/2020/03/dont-trust-the-psychologists-on-coronavirus/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Stuart Ritchie</a></p></div></a></div>
<p><span style="font-weight: 400;">In the end, we need testing. And not just the sort of testing we have now — PCR testing, which shows who has the virus right now; we need serological testing, which shows who has had it in the past. That will come along relatively soon, and hopefully can be quite quickly used to test randomly selected people, like an opinion poll sampling a population; then we can see how many people have had it, and from there work out the IFR. But for the moment we don’t have that. </span></p>
<p><span style="font-weight: 400;">I wanted to write this to give an impression of how appallingly difficult the modeller’s job is. I write, sometimes, pieces about statistics — I suggested that claims about the </span><a href="https://stage.unherd.com/2019/12/is-the-epidemic-of-loneliness-fake-news-2/"><span style="font-weight: 400;">loneliness epidemic</span></a><span style="font-weight: 400;">, </span><a href="https://stage.unherd.com/2019/02/do-we-really-have-a-suicidal-generation/"><span style="font-weight: 400;">teen suicides</span></a><span style="font-weight: 400;">, and </span><a href="https://stage.unherd.com/2019/08/was-it-the-sun-that-won-brexit/"><span style="font-weight: 400;">the media’s influence on Brexit</span></a><span style="font-weight: 400;"> were overstated, for instance. They involved very basic maths, done for very low stakes: if I messed up, if I failed to carry a 2 or whatever, I would look very stupid and would be very embarrassed, but no one would die. </span></p>
<p><span style="font-weight: 400;">Whereas, if the Imperial College modellers get it wrong, with their far more complex maths and their far more uncertain inputs, they could sway government policy enormously. Whether we lock down society or carry on as normal depends heavily on the outputs of models like these. And it’s not that there’s an easy “better safe than sorry” option; if we crash the economy, it will (eventually) cause real health problems. </span></p>
<p><span style="font-weight: 400;">A </span><a href="https://www.health.org.uk/publications/reports/the-marmot-review-10-years-on"><span style="font-weight: 400;">February 2020 review</span></a><span style="font-weight: 400;"> found that 10 years of austerity may have caused the growth in life expectancy to stall, especially among the poorest; I’m sceptical of the “</span><a href="https://fullfact.org/health/130000-preventable-deaths-austerity/"><span style="font-weight: 400;">130,000 deaths caused by austerity</span></a><span style="font-weight: 400;">” stat, but it’s pretty clear that it had a real negative impact. The post-Covid-19 world will almost certainly involve huge austerity to pay for the vast costs incurred during the virus. </span></p>
<p><span style="font-weight: 400;">Get it wrong one way, and thousands of people die unnecessarily from the virus; get it wrong the other, and you crash our public services and kill people that way. (I’ve only seen one attempt to model the health outcomes of that crash, and I have no way of judging it; for what it’s worth, though, it does say they will be </span><a href="https://jvalue.co.uk/papers/J-value-assessment-of-combating-Covid-19-Thomas-23.3.2020.pdf"><span style="font-weight: 400;">extremely terrible</span></a><span style="font-weight: 400;">; on the other hand, recessions </span><a href="https://www.nature.com/articles/d41586-019-00210-0"><span style="font-weight: 400;">don’t seem to shorten life expectancy</span></a><span style="font-weight: 400;">, so who knows.)</span></p>
<p><span style="font-weight: 400;">So I’m very sympathetic to the modellers. But there are things which would help, and which they can do, but haven’t, so far at least. Ferguson’s team has not released the code his model is based on; he says he is </span><a href="https://twitter.com/neil_ferguson/status/1241835454707699713"><span style="font-weight: 400;">working with software developers</span></a><span style="font-weight: 400;"> to do so, but proponents of open science, like Davey Smith and his colleague Marcus Munafò, say this isn’t happening fast enough. </span></p>
<p><span style="font-weight: 400;">“These models are so sensitive to their assumptions,” says Munafò. “And they’re black boxes.” The code is 13 years old; it’s vital that other scientists are allowed to look at it, check it for mistakes and stress-test its assumptions. There are </span><a href="https://alhill.shinyapps.io/COVID19seir/"><span style="font-weight: 400;">other, open-source models</span></a><span style="font-weight: 400;"> available, but the Imperial one is still kept under wraps, and it shouldn’t be.</span></p>
<p><span style="font-weight: 400;">Because a lot rides on the outputs. If millions have already been infected and the disease is less deadly than we think, then our response should be very different to if millions are </span><i><span style="font-weight: 400;">still</span></i><span style="font-weight: 400;"> to be infected and tens or hundreds of thousands more will die. </span></p>
<div class="ref-ar"><a href="https://stage.unherd.com/2020/03/how-90s-russia-prepared-me-for-coronageddon/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><a href="https://stage.unherd.com/2020/03/how-90s-russia-prepared-me-for-coronageddon/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><img decoding="async" src="https://stage.unherd.com/wp-content/uploads/2020/03/GettyImages-113418597.jpg?w=300" /></a><div class="content"><a href="https://stage.unherd.com/2020/03/how-90s-russia-prepared-me-for-coronageddon/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span class="meta">Suggested reading</span></a><a href="https://stage.unherd.com/2020/03/how-90s-russia-prepared-me-for-coronageddon/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><h5>Nineties Russia prepared me for coronageddon</h5></a><p class="author"><a href="https://stage.unherd.com/2020/03/how-90s-russia-prepared-me-for-coronageddon/?edition=us&#038;ref=refinnar" class="text-decoration-none border-0"><span>By</span> Daniel Kalder</a></p></div></a></div>
<p><span style="font-weight: 400;">The </span><a href="https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-Europe-estimates-and-NPI-impact-30-03-2020.pdf"><span style="font-weight: 400;">latest from Ferguson’s team</span></a><span style="font-weight: 400;"> suggests that between 1% and 5% of the UK’s population has already been infected. Oke of CEBM thinks that that could be an underestimate — he thinks that the disease was circulating in China for a month or so before it was announced. “There were early reports of doctors saying they were seeing unusual respiratory symptoms, which were suppressed,” he says. That could have brought it all here much earlier. </span></p>
<p><span style="font-weight: 400;">When I mentioned </span><a href="https://stage.unherd.com/thepost/half-the-country-infected-i-doubt-it/"><span style="font-weight: 400;">the Oxford “study”</span></a><span style="font-weight: 400;"> — in fact a model showing what plausible inputs could produce what we’ve seen, one of which was a very low IFR and huge number of people already infected — he didn’t endorse it, but said “I think a lot of people have underestimated how far this has already spread, and how early.” Davey Smith also thinks that those Imperial figures could well be an underestimate. I have no idea if they’re right or wrong, but whether they are or not matters a great deal.</span></p>
<p><span style="font-weight: 400;">For the record, to take us back to the beginning, Peter Hitchens had flatly misunderstood what was going on. The 500,000 number was a worst-case scenario if we did nothing; the 20,000 was Ferguson’s team’s estimate of what we’d see now that social-distancing measures and so on are in place. </span></p>
<p><span style="font-weight: 400;">The 5,000 wasn’t from Ferguson’s team at all but from </span><a href="https://www.medrxiv.org/content/10.1101/2020.03.25.20041475v1"><span style="font-weight: 400;">an electrical engineering group also at Imperial</span></a><span style="font-weight: 400;"> who just eyeballed the death curve on the China graph, fitted the UK numbers so far onto that, and extrapolated from there. “They explicitly say they’re not doing any epidemiological modelling at all,” says Spiegelhalter, “and they retracted it two days later on Twitter,” after it became obvious that it was wrong.</span></p>
<p><span style="font-weight: 400;">But we shouldn’t be complacent and assume that, just because people are misunderstanding what the modellers are doing, the models must be correct. Everything that comes out of them is the product of what goes in, and </span><i><span style="font-weight: 400;">all </span></i><span style="font-weight: 400;">of that is going to be wrong, to some degree. “The key point is that the numbers we have now are not correct,” says Ritchie. </span></p>
<p><span style="font-weight: 400;">If you look back to previous outbreaks, such as the 2009 swine flu epidemic, the numbers people were using while it was still going on were wildly different from the ones scientists settled on afterward: early estimates in 2009 </span><a href="https://www.eurosurveillance.org/content/10.2807/ese.14.33.19309-en"><span style="font-weight: 400;">were between 0.1% and 5.1%</span></a><span style="font-weight: 400;">; the eventual WHO estimate </span><a href="https://www.reuters.com/article/us-health-flu-who/world-must-prepare-for-inevitable-next-flu-pandemic-who-says-idUSKBN1QS1EP"><span style="font-weight: 400;">was just 0.02%</span></a><span style="font-weight: 400;">, similar to seasonal flu. In a fast-moving situation, it is easy to make large mistakes. (In either direction! I am not suggesting that the Covid-19 situation will necessarily be similarly overstated.)</span></p>
<p><span style="font-weight: 400;">These models are the best information we have at the moment. But they are hugely uncertain, and likely to be wrong. All we can do is try to get better information for them, and make the best decisions we can under conditions of appalling uncertainty — and be forgiving of the modellers who are desperately trying to make life-changing, history-changing decisions at high speed and with bad data. </span></p>
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