Failed State Now It is Failed States

The Coronal Virus and Challenge to Our State Organizations

Part 8

Friday March 13, 2020

 

Month World Virus Cases World Virus Deaths
January 31 10,017 120
February 7 30,000 700
February 14 65,000 1,400
February 21 77,000 2,250
February 28 84,000 3,000
March 6 101,000 3,408
March 13 136,000 5,000

 

Path of the Virus

It continues its expansion across the world. Nations with the best testing and vigorous health procedures have the fewest relative cases. Examples are the city of Hong Kong, Taiwan, South Korea and Singapore. Hardest hit in Europe is Italy with hospitals and intensive care units overwhelmed. Every state in the United States has cases with Washington, California, and New York currently the largest numbers. Most of the cases in Texas are from passengers of cruise ships that have been transferred to Lackland Air Force base in San Antonio. As of Thursday, March 12, 2020, there were over 200 hundred there and 330 have been transferred there since February. Current practice appears to be that if after 14 days of quarantine and there are no symptoms of infection, the person is released.

Many questions remain unanswered.

  • One is the availability and accuracy of tests for infection.
  • Two is what can be done to prevent infection.
  • Three is how long can the virus be present in the body and communicated before symptoms including tests can detect the disease.
  • Four is the duration of the disease.
  • Five is if re-infection can occur.
  • Six is what groups are most susceptible.
  • Seven is the pattern of demand from infection on the hospital network.
  • Eight is what steps will increase the person’s immune system and what specific treatment are available.
  • Nine is the availability of a vaccine.

Economic Issues

A separate consideration apart from the specifics of the virus, prevention and treatment is how this is affecting the community and the economy. The immediate issues are levels of working and trade. Holding one’s job is critical to survival but if one works with others then the risk of acquiring the virus is increased. Providing work conditions that emphasize keeping a distance of perhaps 6 feet from other persons lessens the likelihood of person-to-person transmission. The virus can remain viable on surfaces for several hours; so spraying disinfectants and the use of hand sanitizers are critical components in every work site and in the auto.

An economy needs trade; so purchasing fuel, food, clothing, auto repairs and hardware keeps businesses going and generates sales taxes central to state revenues in Texas.

Economic Consequences

This is the 800-pound gorilla in the room: the economic consequences. While the threat to individual health is large and growing with the burden on the health system sure to hit record levels, economic slowdowns and even seizures are the greatest problem. Texas as the nation’s leading exporting and importing state is starting to feel the consequences greatly. Watch local gasoline prices. When regular gas is below $2.00, problems are coming.

Oil and related exports represent as much as 10% of employment in the state and the Houston and the Permian Basin of West Texas are starting to feel the sharp drop in oil prices and energy consumption first. Manufacturing especially in electronics but also in automobiles and capital equipment is a second large component and is very much in the world model of “just in time” and component outsources to many countries.

Apple and its IPhone are very illustrative. The device is designed in our country. The raw materials are sourced from several other countries. Lithium, a significant component in the battery, is mined in South America and Australia. Chile is the largest source. It is mined and shipped to China, Japan and South Korea where most lithium ion batteries are made. Most of the individual components in the phone are manufactured by a Taiwanese company, Foxconn that uses very low wage labor in dozens of factories in China.

This model of manufacturing just like last week’s example of the production of drugs including antibiotics and vaccines knits together far-flung corners of the world but making the product very susceptible to supply chain breakages from local labor disputes, conflicts between nations, transportation and communication disorders and, in the case of the coronavirus, a disease that closes factories across much of China and then in other countries.[1]

Challenges for State Agencies

State agencies through their lines of contact with Austin and between their fellow agencies will be better informed than many local agencies, groups and businesses. It is important to reach out to local groups including neighbors to keep all better informed and prepared.

This virus has exposed the vulnerability in many dimensions of our current world. The volatility in stock markets around the world and in the major source of energy, oil, in the world illustrates the building panics.

Building organizational and personal resiliency is the critical response. Examining the narrow and precarious source of supply of many health and medical items suggests increasing research and development in Texas to promote more local sources and more redundancy in such critical elements of health and wellbeing!

Broad Economic Indicators of the Impact

Major indicators of economic activity continue to contract. Most central to the Texas economy is the price of oil and it has dropped as low as low as $29 and closed Thursday, March 12, 2020 at $31. Two things are happening. One is factory closings in China and sharp drops in travel particularly by air and thus there is less consumption. Both Russia and Saudi Arabia, major oil producers seem to be increasing production to force higher cost oil frackers out of business. Injecting water and sand into petroleum bearing strata has been an American invention that has increased the nation’s supply of oil and until this year, America was the world’s leading producer. But as a general rule prices below $50 a barrel, makes fracking uneconomic and is leading to a number of oil company failures. Such international competition led to oil price collapses in the 1980’s and 1990’s with severe consequences for much of Texas.

The economic reality for the last two decades is that the American economy has lost much manufacturing to other parts of the globe. While computers, the internet, software such as operating systems, data analysis, drugs, vaccines have mainly been American inventions, the production of many of these have moved off-shore to nations with cheaper labor and fewer environmental restrictions. By some measures such as gross domestic production to stock valuations, stock markets have been heavily overvalued. Some have observed that the coronavirus has served to disturb the euphoria of investors and that stocks have far to fall.

The charts below show closing prices for Texas oil on Thursday March 12, 2020.  Such data are reflective of an economy in decline with sharp drops since February. Oil is a measure that reflects general economic activity over the world.

Current Situation: Coronavirus Disease 2019 (COVID‑19) Outbreak

Newly Issued for First Responders:

https://dshs.texas.gov/coronavirus/ems.aspx

Threats

The Coronal Virus and Challenge to Our State Organizations

Part 7

Friday March 8, 2020

 

Month World Virus Cases World Virus Deaths
January 31 10,017 120
February 7 30,000 700
February 14 65,000 1,400
February 21 77,000 2,250
February 28 84,000 3,000
March 6 101,000 3,408

 

Path of the Virus

The virus (covid-19) has been known since December of 2019 and appears to come from a Chinese city, Wuhan, in the province of Hubei in one of China’s inland more industrial regions. The most frequent explanation is that the virus jumped from an animal, a bat or a pangolin (scaled, anteater-like mammal), to a human in a food store. The virus has spread rapidly in all of China and now appears in over 87 countries. Asia, Europe and North America are the continents with the highest rates of infection. Limited numbers from Africa and Latin America may be more a function of the level of health systems’ capabilities. But covid-19 is far less widespread than the common flu (9 to 45 million cases each year) that has led to over 85,000 deaths this year. Importantly comparisons of it to the common flu raise concerns of the extent of the spread in coming months and the resulting deaths, illnesses, medical costs and broader economic impacts.

In the United States the greatest number of cases are in the states of Washington and California. There are a total of 179 cases. There have been 10 deaths in Washington and 1 in California. 17 states have confirmed cases. Texas has 1 at Lackland Air Force base in San Antonio that was flown there by the Federal government after being evacuated from Asia. One confirmed case was announced in Ft. Bend near Houston and Austin has one potential case as of the first week of March.

Health Threats

This virus is highly contagious with a 2-4% fatality rate as compared to .01% for the seasonal flu. These are grave numbers. It means that if the United States cannot contain the spread of the virus then as high as 4%, 13 million deaths out of a population of 330 million can occur. The world population of nearly 8 billion means the risk of 300 million deaths. The last comparative pandemic was the Spanish Flu of 1918 when a third of the world’s population, 500 million were infected and with a 10% fatality rate resulted in 50 million killed.[1] Without a vaccine to prevent infection or some drug to cure the infection the first order of action is containment including quarantine.

Persons may be infected but without symptoms for a week or more and there is some concern that current tests can miss such infected persons. It is thought that persons can spread the disease before being detected as infected. The virus can live on various surfaces for as much as several days. Some persons seem to be able to be clear of symptoms and then suffer a relapse more serious. There are no persons that appear to have natural immunity and like the annual flu, it could infect millions of persons this year and next.

Economic Consequences

The spread of the virus is rolling back much of the globalization created in the last 4+ decades as well as threating manufacturing, energy and food production and supplies of many things. Perhaps the most immediate problem is the availability of a variety of pharmaceutical items, including masks, antibiotics, medicines and vaccines.

According to US Congressional hearings, something like 80% of present medicines consumed in the United States are produced in China.[2] This includes Chinese companies and foreign drug companies as well as American companies that have outsourced their drug manufacture in joint ventures with Chinese partners. According to Rosemary Gibson[3] of the Hastings Center Bioethics Research Institute, who authored a book in 2018, China Rx, on the theme, the dependency is alarming.

Gibson cites medical newsletters giving the estimate that today some 80% of all pharmaceutical active ingredients in the United States are made in China. “It’s not just the ingredients. It’s also the chemical precursors, the chemical building blocks used to make the active ingredients. We are dependent on China for the chemical building blocks to make a whole category of antibiotics… known as cephalosporins. They are used in the United States thousands of times every day for people with very serious infections.”

The “made in China” drugs today include most antibiotics, birth control pills, blood pressure medicines such as valsartan, blood thinners such as heparin, and various cancer drugs. It includes such common medicines as penicillin, ascorbic acid (Vitamin C), and aspirin. The list also includes medications to treat HIV, Alzheimer’s disease, bipolar disorder, schizophrenia, cancer, depression, and epilepsy, among others. A recent Department of Commerce study found that 97 percent of all antibiotics in the United States came from China.

Few of these drugs are labeled “made in China” as drug companies in the USA are not required to reveal their sourcing. Rosemary Gibson states that the dependency on China for medicines and other health products is so great that, “…if China shut the door tomorrow, within a couple of months, hospitals in the United States would cease to function.” That may not be so far off.

Challenges for State Agencies

For state agencies the first challenge is to deal with the stresses on employees, work with other agencies and businesses struggling with shortages and provide local leadership in conditions as vast as any have seen. State agencies should continuously update employees and those the agencies work with.

Agencies that have substantial general contact with the public such as health, public safety, child and adult protective services, and education may need to equip employees with sanitation equipment such as masks and hand sanitizers. Institutions that house people must especially guard against infections. These steps must be taken in what is appearing to be growing shortages of routine and prescriptive medications as well as sanitizing chemicals, disposable paper products and routine cleaning supplies.

Agencies would be well-advised to anticipate higher levels of absenteeism, developing backup procedures when critical persons are absent, expanding remote and work-from-home capabilities, etc. It might be well in certain areas to encourage workers to stay home. Amazon with its corporate headquarters in Seattle is encouraging many to stay home and work from there for the rest of the month of March.

State agencies through their lines of contact with Austin and between their fellow agencies will be better informed than many local agencies, groups and businesses. It is important to reach out to local groups including neighbors to keep all better informed and prepared.

This virus has exposed the vulnerability in many dimensions of our current world. The volatility in stock markets around the world and in the major source of energy, oil, in the world illustrates the building panics.

Building organizational and personal resiliency is the critical response. Examining the narrow and precarious source of supply of many health and medical items suggests increasing research and development in Texas to promote more local sources and more redundancy in such critical elements of health and wellbeing!

Individual health, organizational effectiveness under increased absenteeism and the impact on the health and hospital system are all one dimension of the impact of this virus. The second impact is upon local, national and world economies. The initial impact is being seen in travel, lodging, restaurant and entertainment industries. In the coming months we will see impacts in manufacturing, sales, housing, mining and energy as a slowing world economy reacts to deaths, illnesses and quarantines. The general value of traded companies as reflected on indices like stock averages or measures of the production and consumption of energy like oil are indicators of the rate of the second dimension. In the coming months if the impact continues, unemployment will rise, tax revenues decline and public fears about general security will rise.

Current Situation: Coronavirus Disease 2019 (COVID‑19) Outbreak

Newly Issued for First Responders:

https://dshs.texas.gov/coronavirus/ems.aspx

How Some Are Coping: https://www.nytimes.com/2020/03/05/business/coronavirus-offices-covid-19.html

https://www.kxan.com/news/coronavirus/texas-2nd-3rd-confirmed-covid-19-cases-announced-in-harris-county/

https://www.dshs.texas.gov/coronavirus/

Broad Economic Indicators of the Impact

[1] https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html

[2] https://www.uscc.gov/sites/default/files/2019-10/July%2031,%202019%20Hearing%20Transcript.pdf

[3] https://www.thehastingscenter.org/team/rosemary-gibson/

Critical Indicator for Economies of Texas and Mexico-Oil

A Threat From China

Texas and The Broader Environment

Written on January 29, 2020

We messaged earlier this week of a report appearing in news media in the Mexican State of Tamaulipas and our border counties in South Texas of the possibility of a professor of molecular biology at a college in Tamaulipas who had traveled to Wuhan, China during the Christmas Holidays to be with family members and who returned to Reynosa from Wuhan via Mexico City. He was hospitalized with symptoms that were characterized as those of the new coronavirus that first appeared in December in Wuhan. China has stopped air, train and automobile traffic to and from Wuhan, a city of 11 million and extended a ban to several other cities now totaling nearly 40 million people. China had great difficulty in 2002-2003 from a related coronavirus-SARS. That outbreak occurred in southern China with over 8,000 cases, 774 deaths and spread to 37 countries. It resulted in a sharp decline in economic activity in China and with its trading partners. China is a far larger economy today. Already stock prices in Chinese companies have dropped this week.

It is too early in this disease outbreak to determine how virulent the disease is and most who have died have been older men with other health conditions. However such viruses can mutate and because of the substantial world trade and travel with China, the world’s second largest economy, the spread of this virus may be greater and more rapid than occurred 17 years ago.

Decline in Economic Activity

There are two direct consequences for Texas. One is that there has already begun a lessening of economic activity in China. Oil, the largest traded commodity is off 10% this week. 5% of Texas trade occurs with China and this is likely to be affected if the disease expands. The city, Wuhan, is compared to Chicago as a manufacturing hub that includes auto and electronic components used by companies in Europe and the United States. China has pushed expansion of trade in much of Latin America and that will affect Mexico where 35% of Texas trade occurs. Texas is America’s leading export state and 1 out of every 14 jobs in Texas is involved in import-export activity.

Virus in Texas

The second direct consequence is the risk of the virus coming into Texas. So far known cases have only been identified in the State of Washington from a man who had come from Wuhan, China. He is in hospital isolation in Seattle. Known cases are in Taiwan, South Vietnam, South Korea, Singapore and Japan. There are reports of cases in Mexico including one in LA from a flight from Mexico City and one on Thursday, January 23, 2020 reported by Houston media in Brazos County from a student at Texas A&M who recently returned from Wuhan, China. If the virus does come to Texas and spreads, it can have a substantial impact on schools, shopping centers, hospitals and office complexes: all where large numbers of people come into contact with each other. None of our agencies would be unaffected and the reality that most agencies have a presence in urban Texas means the risks of transmission are considerable. I would strongly urge all to follow the pattern of this potential epidemic and prepare procedures if it has something of the impact that is starting to be seen in central China.

The map below shows the somewhat circular pattern as the virus spreads from its origin in the large industrial and shipping port city of Wuhan. I think the two most likely vectors into Texas will be universities that have students and faculty that travel to China and companies that have trade relations with China. That will include electronics and agriculture. My University just issued a reminder of travel to areas that might pose dangers to the traveler and included this area of China as a new locale. The posting here:  https://global.utexas.edu/risk/travel/restricted-regions/list