Forum Topic

Cure worse than the disease?

There is increasing discussion online and in the media regarding the "exit strategy".  At one extreme we could lift all restrictions soon and accept that the NHS may be swamped and that a lot of vulnerable people will die.  At the other extreme we continue with the lockdown restrictions until we have completed the NHS capacity ramp up, have sufficient antibody and antigen tests and have better data about prevalence, morbidity etc. There are costs associated with each strategy. Understandably, the stories of suffering and deaths dominate the headlines. But we know that there will be significant and increasing problems as the lockdown continues.  Business failing, unemployment rising, poverty increasing, childrens' education disrupted, mental health problems, domestic violence, breakdown of social order to list the obvious ones.There has been a remarkable consensus so far about the need to follow the government's instructions, perhaps because of the perceived authority of the scientific advisers.  But there is a fallacy in taking their advice as final. They are epidemiologists, virologists, clinicians etc. so they will tend to see problems from the perspective of their specialty. Ultimately this has to be a decision taken by us all collectively (no, I'm not talking about a referendum, I mean via our representatives locally and nationally, the media, and forums like this).I get the impression that the experts are still not in a position to give a timescale, so the lockdown seems to be open ended. Clearly this cannot continue for much longer.  Should we move to the Swedish model of a lighter approach? Should we set a deadline for easing restrictions?

Andy Riley ● 1955d24 Comments

Good points Adam,Recall that the original strategy was to build herd immunity with distancing, hygiene and isolation of the vulnerable.  This was abandoned in favor of mass house arrest based on the dodgy pandemic modelling from the Imperial College team and elements of the media obsessed with attacking the government. The problem now is that significant segments of the British population seem to have taken to these authoritarian measures with some relish and seem to be rather enjoying the opportunities to spy and curtain twitch.  I think the lock down strategy was originally defensible in the light of said dodgy modelling, but now we have more data and it is clear and a much better understanding of the threats from the virus (and a clearer idea of the the threats from the lock down).An interesting piece on the BBC web site today says that the first French case was in December, a month earlier than previously thought.https://www.bbc.co.uk/news/world-europe-52526554This could explain why numerous studies have shown that far more people have been exposed than the original modelling assumed and perhaps why cases tend to tail off quicker than expected.The challenge now is how to explain the changes in the science and how that can lead to a relaxing of policy.  For anyone who understands how science works this is not a major issue,  but I worry that there will be a substantial number of people saying "but last month they said that, now they are saying this. Why can't they be consistent?"

Andy Riley ● 1925d