We Need Data on the Virus, and the USS Roosevelt Is an Invaluable Source of It

There is an ongoing outbreak of Covid-19 on the Nimitz class carrier, USS Roosevelt. The outbreak is severe, and today the CO, Capt. Brett Crozier, wrote an impassioned letter requesting onshore quarantine of the entire crew.

The first criticism that Captain Crozier raises is “Inappropriate focus on testing.” Crozier objects that tests provide little information: given the close proximity of those on board, they have presumptively been exposed, and should be isolated. Further, Crozier quantifies a relatively high rate of false negatives.

The captain is certainly correct regarding what is his primary responsibility–his ship and crew. But testing on the Roosevelt could provide invaluable information that could lead to far better policies in the United States, and the world at large. From a larger perspective, the opportunity for testing on the Roosevelt is something that cannot be allowed to slip away.

As I have noted repeatedly here, and on Twitter, policy is currently based on incredibly flawed data. In fact, the most useful piece of data is from a cruise ship Diamond Princess. The Roosevelt could provide a far bigger sample, and one that contains valuable information about the impact on non-elderly, relatively healthy individuals.

Even one of the things that Captain Crozier objects to–the presence of false negatives–is important. Quantifying that rate can provide information that greatly improves the inferences that can be drawn from other samples (apropos my earlier Bayes Rule post).

I understand that there are myriad competing considerations here. The health of the crew. The operational readiness of one of the most important combatants in the US Navy. Operational safety–e.g., who is going to operate the reactors and ensure that other systems are maintained properly even if the ship is not deployed? (You don’t leave a CVN parked in the driveway for a few weeks.)

Among those competing considerations, from Captain Crozier’s perspective, testing is indeed a near irrelevance. But it is extremely relevant for informing how we deal with the crisis around the world. The social value of this data is great indeed. I hope that those in the Pentagon, and in the administration, find a way to address Captain Crozier’s concerns while at the same time seizing on this opportunity to generate data that could save thousands of lives and trillions of dollars.

Coda: Another benefit here is that by the nature of the military, there would be excellent data at hand on virtually any interesting covariate you can think of–age, health conditions, socioeconomic background, etc. Combining BUPERS data with testing and clinical data from CVN-71 could provide a plethora of actionable insights.