Article prepared by Witold Wisniewski.
I think we still have a variety of different scenarios and I think there is no responsible person who can say what exactly will happen in next months, or even years. We know very little about the virus; we don’t know how long the pandemic will take, we don’t know if it will last or come back regularly, we don’t what will happen to our economy if supply chains break down, we don’t fully understand the costs of fighting the virus, or the consequences government responses, we even don’t know yet what our infrastructure can become (just to give the simplest example: most entrepreneurs try to go online now, but can our IT systems deal with this demand? How quickly can the capacity of the IT systems can be increased?).
There is simply too many factors to predict. There is still a good chance that over the next few months we will simply have serious losses, but we will back to the “business as usual” scenario. And, unfortunately there is a space for many much worse scenarios as well.
Personally, I think it is a “Black Swan”. This is the potential game changer which will transform the way we do business. If you would like to read a bunch of facts and my interpretation of it, which led me to this conclusion, go to section 1.
Also personally I don’t like crying pessimism. I like to see the reality at it is, and look for opportunities. If there is a pain, there is also a painkiller. So if you would like to know more about what I think we should to do with our businesses now, go to section 2.
1. Coronavirus: reproduction number 1.4 to 2.5 (source) – this means that one infected person infects on average up to 2.5 people.
2. Mortality rate: 3.4% (source) (calculated as cumulative current total deaths / current confirmed cases), but the data is based also on data from China, where most cases come from. What is the problem with the Chinese data? Firstly, the Chinese government could apply strict measures which cannot be available in democratic countries. Secondly, there is a problem with data reliability: the Chinese government hid uncomfortable facts in the past, just to look better to the public.
Lets talk about data from Italy: I calculated the mortality rate: 8.3%(source). Issues with using data from Italy – the mortality rate can be higher than everywhere else because:
– when the virus began to spread, they didn’t develop very strict measurements. When they did, people did not follow them.
– the mortality rate is high because there is a significant number of older people who often are smokers.
– In Northern Italy, the health service capacity limit has been exceeded.
3. Incubation period: range from 1-14 days, most commonly around five days. This means that typically, in the first 5 days, an infected person will not have symptoms and will infect other people. Most person have mild symptoms which can be easily ignored. Children don’t get strong symptoms (so schools could soon be the COVID-19 hubs). Also asymptomatic transmission is possible and likely plays an important role in spreading this virus(source)
4. The vaccine is not known – it should be developed some time in the middle of next year(source)
5. We don’t know if the coronavirus is a seasonal virus or a year-round virus
6. The virus is deadly especially for older people. Younger people usually don’t die so often, but suffer from severe symptoms. Partial data says that half of infected people are younger that 56 years(source).
7. A World Health Organization examination of data from 56,000 patients suggests: 6% become critically ill, 14% develop severe symptoms(source).
8. The coronavirus epidemic in the UK might last until spring 2021(source).
9. As many as 80% of the population are expected to be infected with Covid-19 in the next 12 months, and up to 15% may require hospitalisation(source). UK population in 2018 was 66 435 000(source). Over 53 mln people might be infected, 7.9 million people may require hospitalisation. The forecast of the potential of 80% society infected in light of mortality rate is worrying me.
10. Up to 30 per cent of people who are hospitalised due to the coronavirus will need intensive care(source) (my calculation: in total 2 mln 391 thousands).
11. Results from a 2020 study of 138 people admitted into hospitals in Wuhan, China found that 26 percent of those admitted had severe cases and needed to be treated in the intensive care unit (ICU)(source).
12. Number of ICU beds (intensive care unit): 4100 in the UK(source), in Scotland 58(source). The UK government has a plan to deal with pandemic to avoid situation where there are not enough ICU beds to treat people(source) and to isolate the most vulnerable, but there is some scientific critique which shows this strategy is expected to fail(source), even with conservative assumptions.
13. The UK government’s strategy to minimise the impact of COVID-19 “ was to allow the virus to pass through the entire population so that we acquire herd immunity”(source).
Potential issues are:
– I was looking for information if anybody has done something like that before. I didn’t find any. Can we really steer the epidemic?
– are we really able to isolate effectively older and ill people?
– RNA-viruses mute quickly. Let say the government plan works, we lost “loved ones ”, and then the virus mutate. We may not be resistant to mutations.
– we don’t know long term consequences – there is pre-printed research (please be carefully with this data – it has not been fully reviewed, so it should be treated as an option, not a fact) which suggests that COVID-19 may cause kidney and testis damage(source) and other issues.
– There is no proof that recovery of the disease gives lasting resistance.
14. The UK government shifts towards ‘suppression’ after new analysis of coronavirus death rate(source) (250000 deaths). If I understand this properly, they based previously on hospitalisation rates for a different disease, with lower rates of intensive care needed(source).
A few more thoughts on the facts. It looks we have two main ways to deal with the outbreak:
Coronavirus hits demand and supply simultaneously. That puts governments in a very unfavorable situation (manipulation of interest rates can be very difficult).
My point is: an event which affects 60-80% of the population and modifies our behaviours, has to change how we do our business. Soon or after we might observe that old, well performing solutions don’t work anymore (I’m talking about all levels: strategies, business models, processes, management systems, relations – every single element of the business can be affected and will need an adaptation).
I think there is one more threat: the epidemic can atomise us and disintegrate the social capital. We can’t be selfish, we have to pull together if we want to overcome it.
I believe we need to use the approaches, tools, methods and paradigms which can help us observe, learn and change better and faster. There is a few of my thoughts about how you can secure your business:
If you would like to have a chat about your business, discuss how to transform it to prepare for the Black Swan just drop me an email.
Author: Witold Wisniewski.