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Opinion

The evidence for the ‘Rule of 6’ is not promising – UnHerd

As always, we have to be careful before drawing out firm conclusions from data when many other factors may be involved. But we can be clear that the restrictions on family meet-ups in the Northern Lockdown areas have not managed to prevent positive cases increasing.

https://unherd.com/thepost/the-evidence-for-the-rule-of-6-is-not-promising/

Categories
Opinion

Boris Johnson needs to bin the rule of six- The Spectator

  • The ‘rule of six’ has no scientific evidence to back it up, and may well end up having major social consequences.
  • Increased activity at the end of summer leads to an increase in acute respiratory infections, as it does every year.
  • Oxford University’s Centre for Evidence Based Medicine: no scientific evidence on the effects of measures such as distancing on respiratory viral spread. No study pointing to the number six. If it’s made up, why not five or seven?
  • Admissions for Covid, critical care bed occupancies and deaths are now at an all-time low.
  • There are currently 600 patients in hospital with Covid compared to over 17,000 at the height of the epidemic. An average of ten patients a day die with Covid registered on their death certificate, compared to over 1,000 at the peak.
  • Shift in focus away from the impact of the disease is a worrying development.
  • Severity of the pandemic was monitored by numbers of cases, numbers of admissions, and deaths. All three measures are open to misinterpretation if their definitions are not standardised.
    • Cases are being over-diagnosed by a test that can pick up dead viral load.
    • Hospital admissions are subjective decisions made by physicians which can vary from hospital to hospital.
    • Even deaths have been misattributed.
  • Cases will rise, as they will in winter for all acute respiratory pathogens, but this will not necessarily translate into excess deaths.
  • Models ignore the vast expertise of our clinicians and public health experts who could provide a more robust approach based on their real-world healthcare experiences.
  • The current Cabinet is inexperienced:
    • the Health Secretary has been in post for just over two years now;
    • the PM and the Chief Medical Officer a year;
    • The Joint Biosecurity Centre is overseen by a senior spy who monitors the spread of coronavirus and suppresses new outbreaks;
    • New chair of the National Institute for Health Protection who has little or no background in healthcare.
  • The recognised alert threshold for ‘regular’ acute respiratory infections is 400 cases per 100,000.
  • Britain’s mental health has deteriorated. During lockdown, a fifth of vulnerable people considered self-harming, routine healthcare came to a standstill, operations were cancelled, and cancer care put on hold.
  • The most glaring initial blunder was not observing what was going on in other European nations and learning from their mistakes.
  • Life should return to as close as possible to normality.

https://www.spectator.co.uk/article/boris-johnson-needs-to-bin-the-rule-of-six