Justin Sullivan San Francisco Covid-19 testing isolate infection Justin Sullivan San Francisco

How to stoke an epidemic

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losangelesblade.com

A pedestrian walks by a closed sign on the door of a restaurant on March 17, 2020 in San Francisco  (Photo by Justin Sullivan/Getty Images) Gabriel Rotello.

As we watch the disastrous results of reopening and the surge in new infections, I keep thinking that we’re running a giant epidemiological experiment designed to illustrate how to make an epidemic as catastrophic as possible.

In an epidemiological nutshell, the resurgence is happening because we are largely ignoring the three fundamental factors that determine whether an epidemic grows or shrinks, namely Prevalence, Infectivity and Contact Rate.

If you really want to bring an infectious epidemic like Covid-19 under control, you better try to address all three. Prevalence Prevalence is

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