Category Archives: Detroit

Scouting is OK and doing fine.

The Boy Scouts of America filed for bankruptcy some months ago, and I’d began this article as a project to discover what went wrong. They have gotten mountains of bad press amidst land sales and lost membership, and there is a class action law suit over sexual abuse. Everything about this suggested that scouting had lost its way, and I thought I explore what. My sense after some searching is that scouting is doing fine, serving its members despite its troubles and growing in part because of them.

Baden-Powell in Africa his Stetson The Boy Scout retained much form Baden-Powell, including the hat.

The basic idea of scouting was to provide an environment where boys would d become men, learning to be prepared, and be helpful, decent, active human beings. Some details have changed, but the goal remains, and I’d say they are reasonably successful. But that’s getting ahead. I’m better off starting my story by describing two army scouts, one British one American, who met fighting the Boer wars in the late 1890s. The American was an Indian-raised cowboy, a US army scout named Fredrick Burnham. He joined the British in South Africa as a scout against the natives and Dutch (The Boers). He was good at it, gaining valuable information, leading raids, and blowing things up. Such activities made him a hero of boys of a previous generation, but leaves current sensitivities a bit on edge.

The other scout was his boss, lieutenant general Robert Baden-Powell, an excellent scout himself, but also and organizer, artist, writer, speaker, and spy. He’d run intelligence in India, and now ran it in Africa, spying on the Boers and leading others like Burnham to do the same. Burnham taught Baden-Powell survival techniques he’d learned from the Indians, including “woodcraft”. Baden-Powell brought organization and a positive, faith-based attitude towards difficult situations; “Be prepared”

Frederick Russell Burnham with his signature Stetson campaign hat. The hat and curchif would become part of the Scout uniform, and the woodcraft methods of tracking and survival would become central to Boy scouting, both in the US and in England.

Baden-Power also wrote a book on military scouting illustrated with his own drawings, it became a hit with young, male readers in turn of the century England. Retiring from the military, Baden-Powell noted the enthusiasm among boys and put together a military-style scout-camp for boys on Brownsea Island, UK. From there, scouting grew: in numbers, in properties, and in scope. Baden-Powell devised the oath: “On my honor, I will do my best; To do my duty to God and my country and to obey the Scout Law; To help other people at all times; To keep myself physically strong, mentally awake and morally straight.” It was the embodiment of a positive, active, masculine life — but it appealed to women too. A few years later “Girl Guides” were founded in England; Boy Scouts and “Girl Scouts” were founded in the US as independent, parallel organizations. So what went wrong?

It is clear that some of the military aspects of scouting are out of tune with current, non militarism, but that’s not something quite new. Perhaps, I thought, the current problems came because of gender dysphoria – -that active masculinity is somewhat out of fashion, as is the white-supremacy at the heart of the Boer war. Then I thought that, perhaps the problem was when the organization accepted women, and thus it wasn’t for boys, uniquely, or that it had dropped the physical requirements, or the belief in God. What was left. Perhaps the problem was poor financial management, or that sex-laws had become a minefield with #metoo and transgender. These are all problems, but not exactly new, and I no longer see them as problems with Scouts as such.

Boys still want to be active and relevant, and seem to still take to woodcraft even if they realize that woodcraft isn’t likely to be that useful. It is enough that woodcraft is sometimes useful, and that it’s fun and provides a training for other things. Though boy-girl interactions are fraught, I no longer see it as a problem. Scouting provides an avenue to maturity, and If the particulars of maturity have changed, the general attraction has not. That numbers are down is not a problem either. Some religious groups have left, particularly the Mormons, and some scouts have moved on to other activities: soccer, tennis, band, etc. Even with these other avenues, there are still some 4 million Scouts in the US including Scouts BSA and Girl Scouts. After 100 years, that’s not a failing organization.

A lot of the bad press comes, I think, from the fact that things changed fast in the US, far faster than in British version of scouting. In Britain, gay leaders were accepted in the 1980s; the US didn’t accept them till 2015. British scouting accepted girls in the 1970s, the Boy Scouts didn’t admit them till 2018, and didn’t accept transgender members till 2019. It was all so sudden. US scouting changed their name then and dropped the belief in God, also the need for wood lore and swimming. The rapid changes left older leaders dazed, but were probably for the best, and over-due. The law suits and bankruptcy also seems to have caused more trouble to the leaders than for the scouts; scout troops were always fairly autonomous.

As for the military aspect, some of it remains, and I get no sense that it’s resented. it seems to help distinguish the Boy Scouts (Scouting BSA) from the Girl Scouts; Girl Scouts focuses on economics and social activism, while Scouting BSA has been able to use the military preparedness to position itself as the more rugged alternative, and the more masculine, even if it accepts girls.

Some in management would like to go further away from Badden-Powell’s Boer-war outlook, to be more like the Girl Scouts. In Market Week, the Scouts’ director of communications claims to have …”positioned BSA to be the primary internet organization that serves diversity and deprived communities.” That sounds like a me-too to Girl Scouting, and the Girl Scouts have filed suit to prevent it.

In terms of predators and law suits, while one could claim that scouting should have done better, I think the troops themselves did well, though the upper management fell short, and tried to protect their own. Still, it is something of a defense to say you tried your best in an uncertain situation. There are no claims that leaders encouraged pederasts. The only claim is that they did not do enough to prevent them. While not everyone did their best, many did. Pederasts are drawn to kids organizations, and there is always be a tension between inclusiveness and protection. I’m reminded of the Be Prepared song (Tom Lehrer). it seems appropriate to the new scouting.

Robert Buxbaum, February 12, 2021

My two-mode commode.

Our new, two-mode commode.

We just got a new toilet. Commonly called a commode, and it’s got a cool feature that I’d seen often in Europe but rarely in the US: two levels of flush strength. There is a “small flush” option that delivers, about 3 liters, intended for yellow waste, and a “big flush” option that delivers 6 liters. It’s intended for brown waste, or poop.

The main advantage of two mode flushing, in my opinion, is that the small flush is quieter than the normal. The quality of the flush is quite acceptable, even for brown waste because the elongated shape of the bowl seems better suited to pushing waste to the back, and down the drain. The flush valve is simple too, and I suspect the valve will last longer than the “flapper valve” of my older, one mode commodes. The secondary advantage is from some cost savings on water. That was about 1¢ per small flush in our area of Michigan, but the water department changed how they charge for water in our area and the cost savings have largely disappeared. Even under the old system, the savings in water cost amounted to only about $15 per year. At that rate it would take 15 years or more to pay for the new commode.

There is no real need for water savings in Michigan, and particularly not in our area, metro-Detroit. In other states there often is, but our drinking water comes from the Detroit river, and the cleaned up waste goes back to the river. It’s a cycle with no water lost no matter how much you flush, and no matter how big shower heads. I’d written in favor of allowing big flush toilets and big shower heads in our state, but the Obama administration ruled otherwise. Trump had promised to change that, but was impeached before he could. Even Trump had changed this, Biden has reversed virtually every Trump order related to resource use including those prohibiting China from providing critical technology to our water and power systems. Bottom line, you have to have a low-flush toilet, and you might as well get a two-mode.

Our commode has an elongated front, and I’d recommend that too. It can minimize floor dribbles, and that’s a good thing. The elongated shape also seems to provide a smoother flush path with less splatter. I would not recommend a “power flush” though for several reasons, among them that you get extra splatter and a louder flush noise. We’d bought a power flush some years ago, and in my opinion, it flushed no better than the ordinary toilet. It was very loud, and had a tendency to splatter. There was some slight water savings, but not worth it, IMHO.

Robert Buxbaum, February 8, 2021. I ran for water commissioner with several goals, among them to improve the fairness of billing, to decrease flooding, and to protect our water system from cyber attack.

New York and San Francisco rents fall, Detroit rises for now.

Rents in New York and San Francisco are far less expensive than before the pandemic. It’s been a boon for the suburbs, the south and the midwest, one that’s likely to continue unless Biden steps in. Before the pandemic, rent in San Francisco for a one bedroom apartment averaged over $3700 per month. New York rent was similar. People paid it because these cities offered robust business and entertainment, the best restaurants and bars, the best salons and clubs, the best music, museums, universities, and theater. New York was Wall Street, Madison Avenue and Broadway; San Francisco was Silicon valley and Hollywood. These cities were the place to be, and then the pandemic hit.

Post COVID-19, the benefits of big city life are gone, and replaced by negatives. The great restaurants are mostly gone; the museums, theaters, and salons, shut along with Hollywood. Wall Street and Madison Ave have gone on-line, as have the universities. If you can work and study from anywhere, why do it from an expensive hotbed of Corona.

People of means left the big cities with the first lockdowns. Wall Street moved on line, with offices in New Jersey, and many followed, along with college students, and hotel and restaurant workers. New York’s unemployment rate increased from 4-5% to over 9.5% today, among the highest rates in the nation, 9.5%. It would be higher if not for the departures. Crime spiked; the murder rate doubled. To keep people from leaving, landlords have lowered rents and many will now forgive a month or two of rent to keep apartments full with some rent coming in and an illusion of exclusivity. This is good for tenants, but tough on landlords.

Detroit rent history, 2014 to January 2021. Rents fell a lot on election day, maybe because of Biden, or because we think the pandemic is over.

As things stand, the suburbs and smaller cities are the beneficiaries of the exodus. Among the cities benefiting the most are cities in the south and mid-west: states that are more open and are relatively low cost: Phoenix, Oakland, Cleveland, St. Petersburg, and even Detroit. Detroit’s rents were already moving up as auto manufacturing returned from Mexico, see chart. Between early 2017 and October 2020, they went from $500/month to $1250/month for a 1 bedroom apartment, according to Zumper. Detroit rents fell after election day, but are still up 20% on the year. The influx of wealthier working folk to Detroit is welcome to some, unwelcome to tenants who find their rents are raised. I think it’s is a sign of a healthy economy that people follow life-quality, and that rents follow people. Our landlords are happy, but there are a lot of Detroit renters who are not

Joe Biden has promised to step in to make things right for everyone. He promised to have the government pay people’s rent so they don’t get evicted. I presume that means paying about double to people in NY and SF as to those in Detroit. He claims he will shutter smokestack industries too, and create the good jobs of the future in computers and high tech. It’s a nice claim. I suspect it’s a bailout of big city landlords, but what would I know. I suspect that the US would be better off if Joe just sat back and let New York rents fall, while allowing Detroit to gentrify. Detroiters need not worry about rents getting too pricy here. We’ve1500 shootings per year, that 15 times more than NYC, per capita. Unless that ratio changes, Detroit will continue to be the lower rent city.

Robert Buxbaum, January 17, 2021.

1500 people shot in Detroit, 4/5 survive; some thoughts.

There are two remarkable things about shootings in Detroit. One is how many there are. About 1500 Detroiters last year, about 0.2% of the city’s population. The other remarkable tidbit is that only about 1/5 of them died. More specifically, there were 1173 non fatal shootings. There were also 327 criminal homicides, but many shooting deaths in Detroit are non-criminal, as in self-defense, or police interventions, and there are also many criminal homicides that are done with knives or poison. Put this together and it seems that only about 1/5 or those shot, perhaps 327 out of 1500 total. The headline from June 21, 2020 reads: 1 fatal, 11 non-fatal shootings in Detroit overnight. You almost feel like getting these guys marksmanship lessons, but there seems to be more at play.

Even in photography, a fair percentage of shooters miss simple head shots.

The number of shootings are way up this year, and drugs – alcohol is to blame, here and in other cities. People have lost their jobs to COVID and globalization, more in Detroit than in most cities, but the government has offered checks that are used for alcohol and drugs. Most Detroit shootings begin as arguments that turn violent. There is also some gang shooting, enhanced by a bout of prison releases, because of COVID.

Drugs and alcohol help explain the low death rate. It’s hard to shoot straight when you’re drunk or stoned, and hard even if you’re not, as Alexander Hamilton found. In Detroit, many of these hit were hit in non-vital areas (I tell folks to avoid those areas :). But another part of the low death rate is lower caliber bullets. Military caliber bullets were in short supply this year, and as best as I was able to tell, a fair number of shootings were with 22 and 25 instead of the military cartridges, 9mm and bigger that were popular years ago. A 9mm cartridge is shown as the center picture below, between a 22lr and a 45. Big bullets make for big holes and high death rates.

Per capita, the Detroit shooting rate is about 15 times that of New York City. New York saw roughly the same number of shootings as Detroit, 1,531 in a city 15 times bigger, and 462 criminal homicides The cause does not appear economic. but social. When Detroit’s unemployment rate fell, the murder rate did not. Thanks to COVID, Detroit’s unemployment rate is lower than New York’s. My only thought is that the culture is the difference, that the culture in New York is such that arguments do not turn violent as regularly.

Size comparison; 22, 9mm, 45. Big bullets leave big holes.

Stricter gun laws will not help, I think. Michigan’s gun laws make it hard to own pistols with barrels less than 16″ long. The net result is that most crime in the city is done with illegal guns. In general, countries with strict gun laws have more violent crime, not less. I would like to encourage private citizens to choose smaller bullets for self defense though, 22 or 32, and not military grade, 9mm. As a private citizen, you have to bring in the criminal, or storm a building. Your only goal is to get the criminal to stop without harming yourself. A 22 will get the criminal to stop. It will killl too, just less often. A 22 caliber bullet killed Bobby Kennedy, and Reagan was nearly killed with one. A small caliber bullet is less likely to kill you in an accident, or to kill people standing behind the target. This year, some 11 police forces came to a consensus report on use of the minimum of force necessary; read it here. For a private citizen, that’s a 22. Besides, speaking from my own limited experience, I find it easier to aim a small bullet.

Robert Buxbaum, January 10, 2021

MI hunting: You can arm bears; you just can’t buy bullets.

Large chunks of Michigan shut down for the prime days of hunting season, from the middle of October to early November. About 8% of the state gets a hunting license each year, some 800,000 people, all trying to “Bag a buck.” Michigan is an open carry state for rifles and holstered pistols, something seen recently in the state capitol, I’d say this was an illegal example since there is also a brandishing law, but it gives a sense of things here. About 29% of the state owns at least one gun, and usually more. There are about as many guns as people. Getting bullets, on the other hand, is near impossible, both for handguns and for most rifles, shotguns excluded.

A lot of the attraction of hunting is that you get to eat what you kill. Mot people do this or donate it to a food back. Hunting is also cheaper than golf. Rural farmers also hunt to protect their crops from crows, squirrels, rabbits, rats, snakes, and raccoons. This is legitimate hunting, in my opinion, even though you typically don’t eat crow. Some people do hunt bear, but that’s a different story (I like to be dressed). It’s possible that the bullet shortage is just a hiccup in the supply chain, “supply and demand” but it’s been going on for 12 years now so I suspect it’s here to stay.

Michigan, was once a Republican, pro-gun stronghold. It has swung Democrat and anti-gun for the last few years. Bulletes have been scare for about that long, at least since the Obama election or the Sandy Hook shooting. Behind this is a general trend of urbanization and class-action law suits. At this point, few sporting stores carry guns or bullets, and those that do, tend to hide them in a back room. Amazon carries neither bullets nor guns, and the same holds at e-bay, Craig’s list, and Walmart on line. Dunhams still sells guns but the only bullets, when I visited today were, 17 caliber, 227 and duck-hunting, shotgun shells. Gone were normal handgun calibers: 22, 25, 32, 38, 45, 357, and 9mm. The press seems OK with duck or moose hunting; not so OK with anything else.

The salesman at Dunham’s said that he had moved to bow hunting, something that’s becoming common, but it’s incredibly difficult even with modern bows. I can rarely hit a non-moving target at 50 feet on the first arrow, and I can only imagine the frustration of trying to hit a moving target after sitting in a cold blind for days waiting for one to appear whose distance and placement is unknown, and that might disappear at any moment, or attack me then disappear.

Part of the problem is that arrows travel at only about 250 ft/s, or about 1/6 the speed of a bullet. Thus, an arrow fired from 50 yards takes about 0.6 seconds to hit. In that time it drops about 6 feet and must be aimed 6 feet above the deer if you hope to hit it. A riffle bullet falls only about 2 inches, about 1/36 as much. Whaat’s more, though an arrow is about three times heavier than a hunting bullet, its slow speed means it hits with only about 1/10 the kinetic energy, about the same as hunting with a 22 from a handgun.

There are those who say the bullet shortage will go away on its own because of supply and demand. That’s true until the government steps in in the name of public safety. Though recreational marijuana and moonshine are both legal, government regulation means that prices are high and supply is limited, with a grey market of people buying high and selling higher. I’m seeing the same with ammunition; there is tight supply, a grey market, and a fair number of people trying to reload spent ammunition using match-tips for primers. Talk about white lightning.

R. E. Buxbaum, December 24, 2020.

A pacifist’s personal protection, a 22 revolver.

Before a pacifist buys a gun, there are two critical questions to ask: One is ‘how would I feel if I killed a criminal?” The other is ‘how would I feel if I missed and killed someone else? In my case, I’d feel awful either way. My thinking, even with the criminal, is that I tried my best to do more good than bad, and part of that is to minimize the chance of killing needlessly. Statistics suggest that gun carrying, in general, does good by deterring violent criminals. To be able to stop a deadly attack, while minimizing the chance of killing– particularly an innocent bystander — I’m inclined to a low power gun that’s easy to conceal and easy to aim well. This leads me to suggest a 22 revolver with a barrel that’s not too long to conceal, nor too short for good aiming, 2.5-4″ seems ideal.

An analysis of what percent of people stop attacking when hit by one bullet of different calibers. The 32 and shotgun are the best, in part because the shooter tends to stop shooting at one shot. With a 9 mm, the shooter keeps on shooting, likely doing more damage than necessary.

At this point I’d like to say that I am not a gun expert. I’ve fired perhaps 15 guns in my life including 5 revolvers. The easiest of these to shoot was a Glock 9mm, heavy, large and powerful, but it think it would be too large to carry or draw in a deadly situation, and the Glock was not cheap. The 22s were all smaller guns, and the 22 cartridges, especially the 22lr, are dirt cheap, costing 8 to10¢ each, or $40-$50 for a box of 500. It’s not the 9mm are super expensive, but they cost 25-30¢ each or $25 to $30 for a box of 100. The price is higher today, over $1 each, because of an ammo shortage, but it’s coming down.

Another advantage of the 22 is that the kill power is lower. A 9mm round will go through the person you are shooting at, and kill the person behind, and can kill on a riccoshet. I like that the 22 won’t do this. I also like that the 22, more effective than almost any other round at stropping a criminal, and getting him to go away. As the chart above shows, there is a 60% stop after the perpetrator is hit once, and that’s my goal — getting him to go away. A shotgun is far more effective as a deterrence, over 80%, but it is much more likely to kill, and much harder to conceal carry. The chart above is from a wonderful analysis of the effect of different calibers used in crimes, read it here. The author, Greg Ellifritz, suggests that the reason the 22 is so effective at stopping a criminal is psychological: criminals stop if shot even once, especially from a civilian, and only civilians use 22s. Larger calibers are better appear to be less effective, though they will be better at stopping a really determined attacker, e.g. someone on PCP. But that’s not the environment I work in, and I suspect it’s not the majority of crime. Overall, one shot from a 9mm does not do a good job stopping an attacker. Another good option is a 32. It was the choice of Theodore Roosevelt and J. Edgar Hoover. It tends to be used by detectives and other professionals, but the bullets are expensive.

I’ve done a meta-analysis of Greg Ellifritz’s death data, and confirm that the 22 is the second least deadly of all bullet types, after the .25. Of 154 people hit with 22 bullets, there 28% fatalities, 43 deaths. The 9mm is more deadly: of those hit with a 9 mm bullet, 44% died, in part because people shooting 9mm tend to shoot more bullets, nearly twice as many as 22 shooters in danger situations.

It takes two hands to cock a semi-automatic, that is to draw the first round into the chamber. Gif from ammuniotndepot.com

Handguns for 9mm rounds tend to be semi-automatic with light triggers and large magazines. Guns for 22 tend to be revolvers with heavier triggers and small loads, 5 to 7 rounds. I suspect that a light trigger leads to more missed shots and misfires, and I notice that many folks with semiautomatics, find they jam in danger situations. In the famous duel between Hamilton and Burr, Hamilton hit the branch above Burr’s head, likely because he’d set his trigger very light. Burr’s trigger was set heavy, and he shot straight. When you are nervous, gun with a light trigger can go off early and miss or kill the wrong person. A lot of the people killed with guns in Detroit, I notice, were killed by mistake, because the shooter missed, or because of a ricochet (I did an analysis of Detroit crime early on in this blog). A ricocheting 22 has very little kill power left.

A single action revolver requires cocking by that can be done with one hand; a double action doesn’t need any cocking. Gif from ammuniotndepot.com

Every semi-automatic I’ve tried required a two handed, “racking” step, see above. Thus, unless you leave a cartridge in the chamber while walking around, you need two free hands and an extra second or two to rack the first bullet before you can shoot. That’s OK on a range, but in a danger situation racking is a problem. Even trained policemen with semi-automatics have been killed by knife-wilding criminals because the criminal didn’t need the extra second or two while the policeman racked the first round.

Racking takes strength and coordination, plus an awareness of legal isuess. If you rack too soon and the situation de-escalates, you could be charged with “brandishing.” In most states it’s illegal to brandish a weapon in a non-deadly situation. You have to wait with your gun in your pocket or holster until you are in mortal danger. With a revolver, you don’t need to rack. Even a single action revolver can be cocked with one hand while the weapon is in your pocket. See the process in the figure above. Double-action revolvers don’t require cocking, and that can be a plus. On the other hand, I figure that the sound of a gun cocking might be useful to signal to a criminal that you are serious without getting you into the problems of brandishing.

De-cocking a single action revolver.

Revolvers have another interesting plus in that it’s easy to un-cock revolver, even using one hand, see gif. With semi-automatic pistols, there rarely a graceful way to remove the bullet from the chamber, certainly not with one hand. In theory, you can shoot from your pocket too; it’s something I’ve seen in the movies, but a semi-automatic will almost certainly jam if you try. If the assailant grabs your arm, or otherwise attacks you, you have every right to fire, but you don’t want a jam, or to hit yourself. Most defensive shootings are from close range.

Speaking of jamming, even experts get jams on a fairly regular basis, and beginners have this problem a lot. They forget to hold the gun tightly enough, or they buy rounds that don’t quite match the gun. Rounds that are too weak or powerful cause problems for semi-automatics. I’ve never seen a revolver jam, and if the round doesn’t fire, you can click again, and another round will appear. With a semi-automatic, clearing a jam is a lot of work: more than I can expect in a danger situation.

I should mention that the folks from ammunition depot, the place I got the gifs, recommends 9mm semi-automatics for personal protection because of the extra “stopping power”. Read their opinion here. I disagree, and here is one last reason: Like many other suppliers, they are out of 9mm cartridges, and have been for months. Perhaps it’s panic buying like with toilet paper, or a manufacturing disruption; 22 lr cartridges are still in stock. Supply problems will likely go away, but it’s another reason to look at the 22.

Robert Buxbaum, December 11, 2020. Some vocabulary words: a bullet is the projectile that comes out the barrel. A round = a cartridge. It’s the thing that you put in the gun before shooting. There are several 22s, all with the same size (diameter) bullet, 0.223″ OD, but with different lengths and power, from short to wmr. Different guns can use different cartridges. Meir Kahane was killed by a 22, as was Bobby Kennedy.

Aspirin protection from heart attack and COVID-19 death.

Most people know that aspirin can reduce blood clots and thus the risk heart attack, as shown famously in the 1989 “Physicians’ Health Study” where 22,000 male physicians were randomly assigned to either a regular aspirin (325 mg) every other day or an identical looking placebo. The results are shown in the table below, where “Myocardial Infarction” or “MI” is doctor-speak for heart attack.

TreatmentMyocardial InfarctionsNo InfarctionTotalfraction with MI
Aspirin13910,89811,037139/11,037 = 0.0126
Placebo23910,79511,034239/11,034 = 0.0217

Over the 5 years of the study, the physicians had 378 MI events, but mostly in the group that didn’t take aspirin: 1.28% of the doctors who took aspirin had a heart attack as opposed to 2.17% for those with the placebo. The ratio 1.28/2.17 = 0.58 is called the risk ratio. Apparently, aspirin in this dose reduces your MI risk to 58% of what it was otherwise — at least in white males of a certain age.

A blood clot showing red cells held together by fibrin fibers. Clots can cause heart attack, stroke, and breathing problems. photo: Steve Gschmeissner.

Further study showed aspirin benefits with women and other ethnicities, and benefits beyond hear attack, in any disease that induces disseminated intravascular coagulopathy. That’s doctor speak for excessive blood clots. Aspirin produced a reduction in stroke and in some cancers (Leukemia among them) and now it now seems likely that aspirin reduces the deadliness of COVID-19. Data from Wuhan showed that excessive blood clots were present in 71% of deaths vs. 0.4% of survivors. In the US, some 30% of those with serious COVID symptoms and death show excessive blood clots, particularly in the lungs. Aspirin and Vitamin D seem to help.

.The down-side of aspirin use is a reduction in wound healing and some intestinal bleeding. The intestinal bleeding is known as aspirin burn. Because of these side-effects it is common to give a lower dose today, just one baby aspirin per day, 81 mg. While this does does some good, It is not clear that it is ideal for all people. This recent study in the Lanset (2018) shows a strong relationship between body weight and aspirin response. Based on 117,279 patients, male and female, the Lanset study found that the low dose, baby aspirin provides MI benefits only in thin people, those who weigh less than about 60 kg (130 lb). If you weigh more than that, you need a higher dose, perhaps two baby aspirin per day, or a single adult aspirin every other day, the dose of the original doctors study.

In this study of COVID patients, published in July, those who had been taking aspirin fared far better than those who did not A followup study will examine the benefits of one baby aspirin (81 mg) with and without Vitamin D, read about it here. I should note that other pain medications do not have this blood-thinning effect, and would not be expected to have the same benefit.

While it seems likely that 2 baby aspirins might be better in fat people, or one full aspirin every other day, taking a lot more than this is deadly. During the Spanish flu some patients were given as much as 80 adult aspirins per day. It likely killed them. As Paracelsus noted, the difference between a cure and a poison is the dose.

Robert Buxbaum, November 27, 2020.

Locked down so long, it’s looking up: the up-side of COVID-19.

I’m not crazy about the COVID isolation, but there are up-sides that I’ve come to appreciate. You might too. Out of boredom, I was finally got into meditation. It was better than just sitting around and doing nothing.

It’s best not to look at isolation as a problem, but an opportunity. I’ve developed a serious drinking opportunity.

And it’s an opportunity to talk to myself. I told myself I’ should quit drinking. Then I figured, why should I listen to a drunk who talks to himself.

A friend of mine was on drugs, but then quit. Everyone in his house is happy, except for the lamp. The lamp won’t talk to him anymore.

The movies are closed, and the bars, and the gyms. It gives me another reason not to go to the gym.

Did you know that, before the crowbar was invented, crows used to drink at home.

The real reason dogs aren’t allowed in bars: lots of guys can’t handle their licker.

There’s time to spend with my children. And they look like me.

I like that I don’t commute. Family events are over zoom, funerals (lots of funerals), meetings, lectures. They come in via the computer, and I don’t have to dress or attend. No jacket, no pants… no travel …. no job.

My children are spending more time with us at home. We have virtual meals together. I discovered that I have a son named Tok. He seems to like my dad-jokes.

My wife is finding it particularly tough. Most every day I see her standing by the window, staring, wondering. One of these days, I’ll let her in.

I asked wife why she married me. Was it for my looks, or my income, or my smarts. She smiled and said it was my sense of humor. 🙂

My wife is an elementary school teacher. She teaches these days with a smart board. If the board were any smarter, it would go work for someone else. It’s necessary, I guess. If you can’t beat them, you might as well let the smart board teach. I think the smart board stole the election. It began by auto-correcting my spelling. Then it moved to auto correct my voting. The board is smarter and better than me (Hey, who wrote this?)

some mask humor
I’ve learned to love masks, though some of them are hot.

You’d think they’d reduce the number of administrators in the schools, given that it’s all remote. Or reduce the price of college. It would be nice if they’d up the number of folks who can attend. So far no. Today the Princeton alumni of Michigan is sponsoring video-talk by Princeton alumnus, George Will. I wanted to attend, but found there was limited seating, so I’m on the waiting list (true story). By keeping people out, they show they are exclusive. Tuition is $40,000 / year, and they keep telling us that the college is in service of humanity. If they were in the service of humanity, they’d charge less, and stream the talk to whoever wants to listen in. I have to hope this will change sooner or later.

Shopping for toilet paper was a big issue at the beginning of the pandemic, but I’ve now got a dog to do it for me. He goes to the store, brings it back. Brings back toothpaste too. He’s a lavatory retriever. (I got this joke from Steve Feldman; the crowbar joke too.)

I don’t mind that there are few new movies. There are plenty of old movies that I have not seen, and old TV shows too.

This fellow is the new head of Biden’s COVID-19 task force. He’s got a science-based plan for over-population and the disease.

I like that people are leaving New York and LA. It’s healthy, and saves on rent. Folks still travel there, mostly for the rioting, but lockdowns are nicer in Michigan.

More people are hunting, and hiking, and canoeing. These are active activities that you can do on lockdown. The old activities were passive, or going out to eat. Passive activities are almost a contradiction in terms.

We’re cooking more at home, which is healthier. And squirrel doesn’t taste half bad. If I live through this, I’ll be healthy.

I’m reading more, and have joined goodreads.com. I’ve developed a superpower: I find can melt ice cubes, just by looking at them. It takes a while but they melt.

A lot more folks have dogs. And folks have gotten into religion. Wouldn’t it be great, if after death we fond that dyslexic folks were right. There really is a dog.

Let’s love the virus. If we don’t, the next crisis will be worse.

There was an election last week. My uncles voted for Biden, which really surprised me. They were staunch Republicans when they were alive. My aunt got the ballot and convinced them. She was a Democrat when she was alive.

I got pneumonia vaccine shot, and a flu shot. That wasn’t a joke. I think it’s a good idea. Here’s why. People mostly die from pneumonia not the virus.

Before COVID, the other big crisis was global warming. Al Gore and Greta Thunberg claimed we had to shutter production and stop driving to save the planet. COVID-19 has done it. The next crisis is over-population. COVID is already curing that problem — not so much in China, but in the US, Europe, and South America.

Just As a final thought, let’s look at the bright side of the virus. If we don’t, the next crisis will be worse. Take Monty Python’s advice and Always look at the bright side of life.

Robert Buxbaum, November 20, 2020.

Pneumonia vaccine in the age of COVID

A few days ago, I asked for and received the PCV-13 pneumonia vaccine, and a few days earlier, the flu shot. These vaccines are free if you are over 65, but you have to ask for them. PCV-13 is the milder of the pneumonia vaccines, providing moderate resistance to 12 common pneumonia strains, plus a strain of diphtheria. There is a stronger shot, with more side-effects. The main reason I got these vaccines was to cut my risk from COVID-19.

Some 230,00 people have died from COVID-19. Almost all none of them were under 20, and hardly any died from the virus itself. As with the common flu, they died from side infections and pneumonia. Though the vaccine I took is not 100% effective against event these 13 pneumonias, it is fairly effective, especially in the absence of co-morbidities, and has few side effects beyond stiffness in my arm. I felt it was a worthwhile protection, and further reading suggests it was more worthwhile than I’d thought at first.

It is far from clear there will be a working vaccine for SARS-CoV-2, the virus that causes COV-19. We’ve been trying for 40 years to make a vaccine against AIDS, without success. We have also failed to create a working vaccine for SARS, MERS, or the common cold. Why should SARS-CoV-2 be different? We do have a flu vaccine, and I took it, but it isn’t very effective, viruses mutate. Despite claims that we would have a vaccine for COVID-19 by early next year, I came to imagine it would not be a particularly good vaccine, and it might have side effects. On the other hand, there is a fair amount of evidence that the pneumonia vaccine works and does a lot more good than one might expected against COVID-19.

A colleague of mine from Michigan State, Robert Root Bernstein, analyzed the effectiveness of several vaccines in the fight against COVID-19 by comparing the impact of COVID-19 on two dozen countries as a function of all the major inoculations. He found a strong correlation only with pneumonia vaccine: “Nations such as Spain, Italy, Belgium, Brazil, Peru and Chile that have the highest COVID-19 rates per million have the poorest pneumococcal vaccination rates among both infants and adults. Nations with the lowest rates of COVID-19 – Japan, Korea, Denmark, Australia and New Zealand – have the highest rates of pneumococcal vaccination among both infants and adults.” Root-Bernstein also looked at the effectiveness of adult inoculation and child inoculation. Both were effective, at about the same rate. This suggests that the the plots below are not statistical flukes. Here is a link to the scientific article, and here is a link to the more popular version.

An analysis of countries in terms of COVID rates and deaths versus pneumonia vaccination rates in children and adults. The US has a high child vaccination rate, but a low adult vaccination rate. Japan, Korea, etc. are much better. Italy, Belgium, Spain, Brazil, and Peru are worse. Similar correlations were found with child and adult inoculation, suggesting that these correlations are not flukes of statistics.

I decided to check up on Root-Bernstein’s finding by checking the state-by state differences in pneumonia vaccination rates — information available here — and found that the two US states that were hardest hit by COVID, NY and NJ, have among the lowest rates of inoculation. Of course there are other reasons at play. These states are uncommonly densely populated, and the governments of both made the unfortunate choice of sending infected patients to live in old age homes. At least half of the deaths were in these homes.

Pneumonia vaccination may also explain why the virus barely affected those under 20. Pneumonia vaccines was available only in 2000 or so. Many states then began to vaccinate about then and required it to attend school. The time of immunization could explain why those younger than 20 in the US do so well compared to older individuals, and compared to some other countries where inoculation was later. I note that China has near universal inoculation for pneumonia, and was very mildly hit.

I also took the flu shot, and had taken the MMR (measles) vaccine last year. The side effects, though bad, are less bad than the benefits, I thought, but there was another reason, and that’s mimicry. It is not uncommon that exposure to one virus or vaccine will excite the immune system to similar viruses, so-called B cells and T-cell immunity. A recent study from the Mayo Clinic, read it here, shows that other inoculations help you fight COVID-19. By simple logic, I had expected that the flu vaccine would help me this way. The following study (from Root-Bernstein again) shows little COVID benefit from flu vaccine, but evidence that MMR helps (R-squared of 0.118). Let men suggest it’s worth a shot, as it were. Similar to this, I saw just today, published September 24, 2020 in the journal, Vaccines, that the disease most molecularly similar to SARS-CoV-2 is pneumonia. If so, mimicry provides yet another reason for pneumonia vaccination, and yet another explanation for the high correlations shown above.

As a final comparison, I note that Sweden has a very high pneumonia inoculation rate, but seems to have a low mask use rate. Despite this, Sweden has done somewhat better than the US against COVID-19. Chile has a low inoculation rates, and though they strongly enforced masks and social distance, it was harder hit than we were. The correlation isn’t 100%, and masks clearly do some good, but it seems inoculation may be more effective than masks.

Robert Buxbaum, November 7, 2020.

COVID-19 in Sweden vs the US; different approaches, near identical outcomes.

Today, Michigan and several other, Democrat-run states are in fairly broad COVID lockdown. The justification for this is that it is “THE science”, as if this were the only possible behavior if you believe the disease is deadly and contagious. The other fellows, the governors of Republican-run states are framed as deniers of the science. Strangely enough, although this disease is most -definitely contagious and deadly, killing 209,000 Americans so far, about 0.064% of the US this year, it is far from clear that a broad lockdown is the only way to stop the disease. Sweden avoided a general lockdown, leaving its schools and restaurants open, and has seen the disease follow an almost destructive path to that of the US, with a death rate that is currently slightly lower than ours. See the excess death plot below. Sweden seems to have avoided a second, summer spike.

Mortality is Sweden vs the US; Ignore the last 2-3 weeks, it takes time for this data to be compiled

It’s bad enough for “THE SCIENCE” when you see the anti-science, no-lockdown solution provide the same result, or close. Earlier in the summer I noted that Sweden and Michigan had near the same outcome, with Sweden slightly better. It’s now the case that Sweden is doing better than the US, and much better than the D-lead lockdown states. The highest six death rate states are all D-lead, lockdown states, NY, NJ, Mass, Conn, LA, and RI, and rates are double the US average in New York and New Jersey. Perhaps the solution is a general opening, like in Sweden, but before we rush to this, it’s probably worthwhile to do some re-thinking.

Deaths per week, under 18. Any excess deaths caused by COVID-19 are invisible here, lost in the scatter.

One thing that Swedes seem to have appreciated that the US experts didn’t is that the disease hardly affects those the under 18, and that’s basically the entire K-12 student body. Sweden therefore left their K-12 schools open, while we closed ours in the US beginning in early April. At right I’ve plotted the US deaths per week for under 18 for the last three years, that is from before COVID till now. There is no evidence of excess COVID-19 deaths for this group. If anything anything, the under 18 death death rate is lower after COVID than before. This resistance of this group helps explain part of why the Swedish approach didn’t cause increased deaths. Kids in Sweden got the disease, but didn’t die of it, and likely infected their parents. The Swedes didn’t bother trying to protect everyone, but only the most vulnerable, the old people. Sweden was not completely successful at this, but we were perhaps worse, despite the general lockdown.

The excess deaths US for the 65+ bracket plotted by week of the year for 2020 (blue), 2019 (grey) and 2018 (yellow). Nearly 200,000 of the excess deaths of 2020 — the vast majority — are in this age bracket.

But what about the middle-age people that the kids would have infected, the parents and teachers. For middle age people, those in the 18-65 range, it seems to make a difference how physically fit you are, and the Swedes tend to be fit. Obesity is a big co-morbidity for this disease, and Americans tend to be obese, with things getting worse during the lockdown. Swedes also wash their hands more than we do (or so is their reputation) and they go out in the sun. There is evidence that the sun helps, and vitamin D too. A stark way of seeing how much fitness helps, for even those over 18 is to consider that, of the 1.3 million men and women of the US military, there have been only 7 COVID deaths. That is a rate 1/100 of the national average for a population that is entirely over 18. This is not to say that the death rate is quite 5 per million, (7/ 1.3 million = 5 per million), but it’s probably below 50 per million. That is to say, at least 10% of the military was likely infected.

I’m inclined to agree with Dr. Fauchi that we are not yet at herd immunity, or even close, even in states like Michigan where death rates have leveled out. Only 20% of the state shows antibodies and real herd immunity would require 75% or so. Further supporting this, our death rates are 1/2 that of New Jersey. If we were at herd immunity, that could not have happened. It is possible though that we have a sort of pseudo herd immunity, where many people in the MI population have some level of T-cell immunity. T-cells do a good job eating disease (here’s a video) but they get overwhelmed when we are exposed to more than a low dose of virus. This dose-response is common in respiratory diseases, and Dr. Fauchi has related it to T-cell immunity, though he does not speak in these directions often.

Michigan death rates to September 2020 The disease seems to be over, though only about 20% of the state shows antibodies.

T-cells can cause someone to be immune to a few viral hits, but not immune to higher doses. Assuming that’s what’s going on in MI and MA, and NJ, I’m inclined to suggest we can open up these states a bit, according to the Swedish model. That is make careful efforts to clean public transport, and encourage hand washing and surface cleaning. That we prohibit large gatherings, and we take care isolate those over 65 and protect old age homes. In the US, virtually all the deaths were of people over 65, and about half were people over 85, with men being particularly vulnerable. A heterogeneous opening of this sort has been recommended by scientists as early as March.

There are three major problems with lockdowns that keep us from all virus particles. These lockdowns kill the economy, they leave us with lousy education, and they likely leave us as at-risk for the disease later on, when the lockdown is lifted. Instead a heterogeneous opening leaves the economy running and exposes us to some small exposure, at a level that our typical level of T-cell immunity may be able to handle. Over time we expect our T-cell immunity will rise and we’ll be able to take off our masks entirely. It’s a nice route to a cure that does not require a vaccine.

The above approach requires us to trust that people will do the right thing, and requires us to accept that each may do it in his/her own way. Some may not wear the mask all the time, but may chose exercising, or staying in the sun and taking vitamin D. Some may keep to masks, or focus on hand washing. Some may try unapproved drugs, like hydroxychloroquine. We will have to be able to accept that, and our experts will have to be able to step back from running everything. In China and Russia, the experts tried run every aspect of farm production, using only science methods. The result was famine. A similar thing happened in Ireland and got a potato famine. It’s good to have expert advice, but as far as making the actual decision in each location, I put a lot of weight on the choices of those who will bear the consequences.

Robert Buxbaum September 30, 2020. As a summary, I’m for opening schools, opening most states, with masks, and hand-sanitizer, at lower occupancy ( ~50%), limiting large gatherings, going to zoom as much as possible, and isolating the aged particularly the old age homes. I also recommend vitamin D and iodine hand sanitizer.