Guardian film reviewer Peter Bradshaw does not like the new French film Deception, directed by Arnaud Desplechin, based on one of Philip Roth’s many pseudo-autobiographical novels. And one of the things he really doesn’t like about this French film is that… it’s French.
Desplechin doesn’t change any nationalities. His Roth is still supposed to be American, and the object of his love is still English. But Desplechin casts French people, speaking French. Denis Podalydès plays Roth and Léa Seydoux is the English actor. So the fundamentally important, dramatically savoury difference between them is obliterated.
C’est pas vrai! A French director cast French actors in his film, and let them (I’m trying not to hyperventilate here) speak FRENCH! How could this be allowed to happen? He seems to have gotten the Hollywood rule, that European characters (of whatever nationality) are always supposed to be played by British actors, exactly backward!
Could you imagine a critic commenting on a film by a British or American director set in a non-English-speaking country, that complains that the director cast British or American actors speaking English, which completely misses the nuances of dialect differences?
Spielberg doesn’t change any nationalities. His Schindler is still supposed to be Moravian, and his antagonist Amon Göth is still Austrian. But Spielberg casts British people, speaking English. Liam Neeson plays Schindler and Ralph Fiennes is the Austrian Nazi. So the fundamentally important, dramatically savoury difference between them is obliterated.
I mention this particular example because I do recall seeing a German review of Schindler’s List that did complain about the dialect issue, but only as an issue about the dubbing by the regular German representatives of those particular British actors, speaking their regular high German. No one would have suggested that an American director really should have made his film in German to begin with.
The UK government is holding fast to its plan to drop all pandemic restrictions as of 19 July, even in the face of rapidly increasing infection rates, hospitalisation rates, and Covid deaths — all up by 25-40% over last week. And numerous medical experts are being quoted in the press supporting the decision. What’s going on?
To begin with, Johnson has boxed himself in. He promised “Freedom Day” to coincide with the summer solstice, and then was forced to climb down, just as he was from his initial “infect everyone, God will recognise his own” plan last March, on realising that his policies would yield an unsustainable level of disruption. The prime minister has, by now, no reputation for consistency or decisiveness left to protect, but even so he probably feels at the very least that a further delay would undermine his self-image as the nation’s Fun Dad. At the same time, the the new opening has been hollowed out, transformed from the original “Go back to living your lives like in pre-pandemic days” message to “Resume taxable leisure activities, with the onus on individuals and private businesses to enforce infection-minimisation procedures.” Thus we have, just today, the Transport Secretary announcing that he expected rail and bus companies to insist on masking, even while the government was removing the legal requirement.
But what are they hoping to accomplish, other than a slight reduction in the budget deficit? The only formal justification offered is that of Health Secretary Sajid Javid, who said on Monday
that infection rates were likely to get worse before they got better – potentially hitting 100,000 a day – but said the vaccination programme had severely weakened the link between infections, hospitalisations and deaths. Javid acknowledged the risks of reopening further, but said his message to those calling for delay was: “if not now, then when?”.
“Weakened the link” is an odd way of putting a situation where cases, hospitalisations, and Covid deaths are all growing exponentially at the same rate. What has changed is the gearing, the chain and all of its links is as strong as ever. In light of that exponential growth, what should we make Javid’s awkward channeling of Hillel the Elder?
I’ll talk about “masking” as synecdoche for all measures to reduce the likelihood of a person being infected or transmitting Covid. We need to consider separately the questions of when masking makes sense from an individual perspective, and from a public perspective. The individual perspective is straightforward:
On the societal level it’s more complicated, but I do find the argument of England’s Chief Medical Officer Chris Whitty… baffling:
“The slower we take it, the fewer people will have Covid, the smaller the peak will be, and the smaller the number of people who go into hospital and die,” he said. By moving slowly, he said modelling suggested the pressure on the NHS would not be “unsustainable”. Prof Whitty said there was less agreement on the “ideal date” to lift restrictions as there is “no such thing as an ideal date” . However, he said a further delay would mean opening up when schools return in autumn, or in winter, when the virus has an advantage and hospitals are under more pressure.
We may argue about how much effect government regulations have on the rate of the virus spreading, but I have never before heard anyone argue that the rate of change of government regulation is relevant. Of course, too rapid gyrations in public policy may confuse or anger the public. But how the rapidity of changing the rules relates to the size of the peak seems exceptionally obscure. To the extent that you are able to have any effect with the regulations, that effect should be seen directly in R0, and so in the weekly growth or contraction of Covid cases. If masking can push down the growth rate its effect is essentially equivalent at any time in terms of the final infection rate, but masking early gives fewer total cases.
To see this, consider a very simple model: With masking cases grow 25%/week, without masking they shrink 20%/week. So if we have 1000 cases/day now, then after some weeks of masking and the same number of weeks without masking, we’ll be back to 1000 cases/day at the end. But the total number of cases will be very different. Suppose there are 10 weeks of each policy, and we have four possibilities: masking first, unmasking first, alternating (MUMU…), alternating (UMUM…). The total number of cases will be:
Of course, the growth rate will not remain constant. The longer we delay, the more people are immune. In the last week close to 2 million vaccine doses have been administered in the UK. That means that a 4-week delay means about 4 million extra people who are effectively immune. If we mask first, the higher growth rate will come later, thus the growth rate will be lower, and more of the cases will be mild.
The only thing I can suppose is that someone did an economic cost-benefit analysis, and decided that the value of increased economic activity was greater than the cost of lives lost and destroyed. Better to let the younger people — who have patiently waited their turn to be vaccinated — be infected, and obtain their immunity that way, than to incur the costs of another slight delay while waiting for them to have their shot at the vaccine.
The young were always at the lowest risk in this pandemic. They were asked to make a huge sacrifice to protect the elderly. Now that the older people have been protected, there is no willingness to sacrifice even another month to protect the lives and health of the young.
The Robert Koch Institute produces estimates of variants of concern on Wednesdays. My projection from two weeks ago turns out to have been somewhat too optimistic. At that point I remarked that there seemed to be about 120 delta cases per day, and that that number hadn’t been increasing: The dominance of delta was coming from the reduction of other cases.
This no longer seems to be true. According to the latest RKI report, the past week has seen only a slight reduction in total cases, compared to two weeks ago, to about 604/day. And the proportion of delta continues to double weekly, so that we’re now at 59%, meaning almost 360 Delta cases/day. The number of Delta cases has thus tripled in two weeks, while the number of other cases has shrunk by a similar factor. The result is a current estimated R0 close to 1, but a very worrying prognosis. We can expect that in another two weeks, if nothing changes, we’ll have 90% Delta, around 1100 cases in total, and R0 around 1.6.
Of course, vaccination is already changing the situation. How much? By the same crude estimate I used last time — counting single vaccination as 50% immune, and looking back 3 weeks (to account for the 4 days back to the middle of the reporting period, 10 days from vaccination to immunity, and another 7 days average for infections to turn into cases), the above numbers apply to a 40% immune population. Based on vaccinations to date the population in 2 weeks will be 46% immune, reducing the R0 for Delta to around 1.5. In order to push it below 1.0 we would need to immunise 1/3 of the remaining population, so we need at least 64% fully immunised. At the current (slowed) rate of vaccination, if it doesn’t decelerate further, that will take until around the middle of September, by which point we’ll be back up around 10,000 cases/day.
Germany is in a confusing place with its pandemic developments. Covid cases have been falling as rapidly here as they have been rising in the UK: More than 50% reduction in the past week, dropping the new cases to 6.6 per 100,000 averaged over the week, under 1000 cases per day for the first time since the middle of last summer. At the same time, the Delta variant is rapidly taking over. Last week the Robert Koch Institute reported 8%, thisweek it’s 15%. Virologist Christian Drosten, speaking on the NDW Coronavirus podcast this week (before the new Delta numbers were available) spoke of the 80% level in England that, he said, marked the watershed between falling and rising case numbers.
I think this is the wrong back-of-the-envelope calculation, because it depends on the overall expansion rate of the virus, and the difference between Delta and Alpha, which is likely particularly large in the UK because of the large number of people who have received just one AstraZeneca dose, which seems to be particularly ineffective against Delta. There’s another simple calculation that we can do specifically for the German situation: In the past week there have been about 810 cases per day, of which 15.1% Delta, so, about 122 Delta cases per day. The previous week there were about 1557 cases per day, of which 7.9% Delta, so also about 123 Delta cases. That suggests that under current conditions (including weather, population immunity, and social distancing) Delta is not expanding. This may mean that current conditions are adequate to keep Delta in check, while Alpha and other variants are falling by more than 50% per week.
This suggests a very optimistic picture: that total case numbers will continue to fall. Within a few weeks Delta will be completely dominant, but the number of cases may not be much more than around 100 per day. And that ignores the increasing immunity: The infections reported this week occurred in the previous week, and the immunity is based on the vaccinations two weeks before that. With about 1% of the population being vaccinated every day, we should have — relative to the approximately 70% non-immune population* 20 days ago — already have about 15% reduced transmission by the first week in July. And at current vaccination rates we can expect, by the end of July that will be 30% reduced, providing some headroom for further relaxation of restrictions without an explosion of Delta cases.
That does raise the question, though, of why the general Covid transmission rate in Germany seems to be lower than in the UK. I don’t see any obvious difference in the level of social-distancing restrictions. Is it just the difference between single-dose AZ versus Biontech? If so, we should see a rapid turnaround in the UK soon.
* I’m very roughly counting each dose as 50% immunity.
Contentious advice will be removed from the government website, a spokesperson confirmed on Tuesday evening. It had advised against all but essential travel to and from eight areas of England where the Covid variant identified in India has been spreading. Instead, people will be advised to “minimise travel”.
This gets to something that I observed last spring when I (like many people) decided to immerse myself in the literature of epidemics — The Last Man, La Peste, Journal of the Plague Year, Pale Horse Pale Rider: In an epidemic, people can’t help but think of contagion as a moral failing, and so, thinking of themselves as blameless, underestimate the possibility that they could unwittingly infect someone else. This makes it socially uncomfortable to insist that others practice necessary hygiene, because it sounds like you’re accusing them of secret turpitude. Strangers should wear masks, but “we’re friends”, or even — much too casually — “you’re in my bubble”.
Thus two Bolton residents, whose hotel reservations on the Isle of Wight had been cancelled purely from abhorrence of their municipal origins, complained to the press: “Bolton people are being treated like lepers”.
On a literal level we have here people who are feared to be at high risk of carrying an explosively contagious infection that produces an acute disease with no very good treatment, that is often rapidly fatal; complaining that they are being unjustly shunned as though they might be carrying a different, mildly contagious infection, that produces a chronic disease that can be completely cured with medication.
But, of course, what they really mean is, we’re being treated like morally culpable potential disease carriers. This is a status that has traditionally been conferred on carriers of leprosy, something we do not question, but that only highlights our moral — hence also virological — purity.
The BBC is being scourged for having been — 25 years ago — once insufficiently open and honest with its rightful liege lords (in this case, the then Princess of Wales). Apparently they tried to trick her into giving an interview, though the BBC says it has a handwritten note from her saying she didn’t mind, and she would have done the interview anyway.
In the course of discussing this Diana’s brother is quoted saying “he ‘draws a line’ between the [BBC] interview and her death two years later.” It’s an interesting phrase, of a rare sort that I call auto-antonyms. The same words might mean two diametrically opposite things. I think he means to say that the two events are causally connected — as though by a straight line. But he could also mean that even though one event followed the other, he considers them to be completely separate — to emphasise which he would draw a (dividing) line between them.
Thirty years ago there were some who envisioned a new united Germany combining the best of east and west: A vibrant market economy with an expanded commitment to economic justice, a confident democratic federal government balanced by a greater variety of states, and a commitment to individual liberty reinforced by the recent experience of dictatorship. A bridge between the solid democracy in America and the rising democracy in Russia.
Instead, Covid has revealed the modern Federal Republic as the combined worst of both systems: A timid central government in thrall to private business interests, unable to take decisive action to protect public health because of a lack of confidence that their authority would be seen as sufficiently legitimate. A resurgent right wing inspired by American and Russian ethnonationalists to express their individual liberty by rejecting even elementary public health measures. And now, a public vaccination campaign dominated by the financial and status needs of private physicians, and prioritising those people with high levels of what the East Germans called Vitamin B — “B” for “Beziehungen“, connections, the way scarce resources were distributed under socialism.
When the vaccination program started it was concentrated in large vaccination centres (Impfzentren). These were highly efficient, providing rapid throughput and simple logistics, and the official priorities of the Permanent Vaccination Commission (Ständige Impfkomission, or STIKO) — covering people over 60 years old, those with serious medical conditions putting them at elevated risk of Covid complications (including pregnant women and their companions), police, teachers, and government officials — could be securely monitored.
There were two major problems with this system: First, the physicians in private practice, for whom vaccinations were traditionally a great money spinner, felt that they were losing money and influence; Second, there was no unobtrusive path to providing priority immunisation to people who were important, influential, or just rich, threatening to lead to the sort of blatant corruption that just embarrasses everyone. This led the government* to bring the GPs into the vaccination program, paying them upwards of €50 per vaccine. The GPs, unsurprisingly, rushed to vaccinate their friends and favourite patients — particularly those patients with private insurance, who they are generally keen to hold on to, as the private insurance covers all manner of treatments that the public insurance won’t pay for, and the payment levels are generally significantly higher.
How should one respond to this? The Ethics commission is very concerned… that people who haven’t been clever enough to work the system might be jealous of the superior people who have. Here is a comment from a recent podcast interview with commission chair Alena Buyx:
AB: We shouldn’t confuse the people who have gone the extra mile and somehow managed to get it organised, or had a stroke of luck, with those who have cheated.
Spiegel: … It could be that someone who isn’t so resourceful… for various reasons, it could be social background, it could be language, it could be some lack of access to information –and I can understand that they might feel he or she feels like you’re taking something away from them.
AB: These are things that one couldn’t have imagined earlier. We have vaccine envy and also vaccine guilty conscience. But all I can say is: Good People, every vaccination is a good vaccination… Those who have been lucky, or who have profited from this “flexibility” — if they haven’t cheated anyone — they should enjoy their good fortune.
In my social circle — definitely well off — is just about everyone vaccinated, and always the whole family, including the university-age children. None of them in the vaccination centre, always in the GP practice or through doctors they know personally. In other words, since the GPs have been doing vaccinations the prioritisation has fallen away de facto, at least for the “higher” levels of the population. This is not pretty, but as long as they’re managing to vaccinate up to a million people a day in Germany, I find it acceptable. One shouldn’t make a fuss about the people who try to cut ahead at the vaccination centres; Germany has much bigger problems than someone getting vaccinated a few days early. And, by the way, this is how it’s always been, that those who make the most noise prevail, and presumably that’s why Homo sapiens has managed to survive.***
* Just to be clear, this is not the official justification. This is a purely speculative exercise on my part. It’s hard to think of any other justification, though. It’s not as though the GPs were otherwise unoccupied, with huge amounts of spare capacity for taking on vaccination duty.
I just discovered that German Fathers’ Day (today) is identical with the national religious holiday Christi Himmelfahrt, or Feast of the Ascension. Thus is the recognition of fathers identified with the single most famous example in Western culture of a man abandoning his family to finish his work. And he was going to join up with his own “true” father, who (as he had just remarked) had already abandoned him.
There’s something fascinating about 19th and 20th century English antisemitism. In continental Europe hatred of Jews was seen as fundamentally political, hence controversial, and was viewed with some distaste by many bien-pensant intellectuals.
Not so in England, where anti-Semitism was never so passionate or violent, but also never particularly controversial until the Nazis went and gave it a bad name. It’s all over the literature, hardly seeming to demand any comment, as I noted with some surprise a while back about the gratuitous anti-Semitism in The Picture of Dorian Grey.
Anyway, I just got around to reading for the first time Olaf Stapledon’s Last and First Men. It’s a remarkable piece of work, barely a novel, giving a retrospective overview of about a billion years of human history from the perspective of the dying remnant of humanity eking out its last days on Neptune. And the early parts, at least, are blatantly antisemitic. Chapter 4 tells of a time, still only thousands rather than millions of years in our future, when all racial and national distinctions have vanished through intermixing of populations and the creation of a world state. There is just one exception: the Jews. They are still there, defining themselves as a separate “tribe”, that uses their native “cunning” — specifically, financial cunning — to dominate their weaker-minded and less ruthless fellow humans:
The Jews had made themselves invaluable in the financial organization of the world state, having far outstripped the other races because they alone had preserved a furtive respect for pure intelligence. And so, long after intelligence had come to be regarded as disreputable in ordinary men and women, it was expected of the Jews. In them it was called satanic cunning, and they were held to be embodiments of the powers of evil… Thus in time the Jews had made something like “a corner” in intelligence. This precious commodity they used largely for their own purposes; for two thousand years of persecution had long ago rendered them permanently tribalistic, subconsciously if not consciously. Thus when they had gained control of the few remaining operations which demanded originality rather than routine, they used this advantage chiefly to strengthen their own position in the world… In them intelligence had become utterly subservient to tribalism. There was thus some excuse for the universal hate and even physical repulsion with which they were regarded; for they alone had failed to make the one great advance, from tribalism to a cosmopolitanism which in other races was no longer merely theoretical. There was good reason also for the respect which they received, since they retained and used somewhat ruthlessly a certain degree of the most distinctively human attribute, intelligence.
I was having a conversation recently about Biblical ancestry and the antediluvian generations, and it got me to thinking about how scientists sometimes like to use biblical references as attention-grabbing devices, without actually bothering to understand what they’re referring to — in this case, the so-called “mitochondrial Eve”. The expression was not used in the 1987 Nature paper that first purported to calculate the genealogical time back to the most recent common ancestor (MRCA) of all present-day humans in the female line, but it was a central to publicity around the paper at the time, including in academic journals such as Science.
The term has come to be fully adopted by the genetics community, even while they lament the misunderstandings that it engenders among laypeople — in particular, the assumption that “Eve” must in some sense have been the first woman, or must have been fundamentally different from all the other humans alive at the time. The implication is that the smart scientists were making a valiant effort to talk to simple people in terms they understand, taking the closest approximation (Eve) to the hard concept (MRCA), and the simple bible-y people need to make an effort on their part to understand what they’re really talking about.
In fact, calling this figure Eve is a blunder, and it reveals a fundamental misunderstanding of the biblical narrative. Eve is genuinely a common ancestor of all humans, according to Genesis, but she is not the most recent in any sense, and suggesting that she is just confusing. The MRCA in the Bible is someone else, namely the wife of Noah. Appropriately, she is not named, but if we want a name for her, the midrashic Genesis Rabbah calls her Na’ama. She has other appropriate characteristics as well, that would lead people toward a more correct understanding. To begin with, she lived many generations after the first humans. She lived amid a large human population, but a catastrophic event led to a genetic bottleneck that only she and her family survived. (That’s not quite the most likely scenario, but it points in the right direction.) And perhaps most important — though this reflects the core sexism of the biblical story — there was nothing special about her. She just happened to be in right place at the right time, namely, partnered with the fanatic boat enthusiast when the great flood happened.