A study evaluating COVID-19 responses around the world found that mandatory lockdown orders early in the pandemic may not provide significantly more benefits to slowing the spread of the disease than other voluntary measures, such as social distancing or travel reduction.
Background and Aims
The most restrictive non‐pharmaceutical interventions (NPIs) for controlling the spread of COVID‐19 are mandatory stay‐at‐home and business closures. Given the consequences of these policies, it is important to assess their effects. We evaluate the effects on epidemic case growth of more restrictive NPIs (mrNPIs), above and beyond those of less restrictive NPIs (lrNPIs).
We first estimate COVID‐19 case growth in relation to any NPI implementation in subnational regions of 10 countries: England, France, Germany, Iran, Italy, Netherlands, Spain, South Korea, Sweden, and the US. Using first‐difference models with fixed effects, we isolate the effects of mrNPIs by subtracting the combined effects of lrNPIs and epidemic dynamics from all NPIs. We use case growth in Sweden and South Korea, two countries that did not implement mandatory stay‐at‐home and business closures, as comparison countries for the other 8 countries (16 total comparisons).
Implementing any NPIs was associated with significant reductions in case growth in 9 out of 10 study countries, including South Korea and Sweden that implemented only lrNPIs (Spain had a non‐significant effect). After subtracting the epidemic and lrNPI effects, we find no clear, significant beneficial effect of mrNPIs on case growth in any country. In France, e.g., the effect of mrNPIs was +7% (95CI ‐5%‐19%) when compared with Sweden, and +13% (‐12%‐38%) when compared with South Korea (positive means pro‐contagion). The 95% confidence intervals excluded 30% declines in all 16 comparisons and 15% declines in 11/16 comparisons.
While small benefits cannot be excluded, we do not find significant benefits on case growth of more restrictive NPIs. Similar reductions in case growth may be achievable with less restrictive interventions.
Our mission: save the NHS by neglecting ourselves and the NHS. I received numerous CCG advice and flow-charts on the coronavirus-centric mass processing of patients. Most of it was about whom not to see, and who could pass the pearly gates of the hospitals. Then there was the advice on the parallel IT and video-consultation medical industrial revolution: our new NHS normal.
…For clarity, the “D” in coronavirus means “disease”, the second “S” in SARS-CoV-2 means “syndrome”. In a sense, the WHO had already decided Covid-19 was a distinct disease entity caused by a novel coronavirus before characterising it as a syndrome called SARS-2, and before the naming of the virus as SARS-CoV-2. The importance of scientific syntax and semantics cannot be overemphasised. Such cognitive slip-ups trickle unnoticed into general parlance and may have fatal consequences for us as a species.
Without a definite cause, one cannot definitively conclude to treat anything in particular. Is Covid-19 a syndrome, a mixed bag of symptoms and signs that has been negligently and politically globally fast-tracked to a scientifically wrong conclusion? Is it, in practice, a conflation of different, distinct disease entities including influenzae, rhinoviruses, pneumoniae and other coronaviruses, not to mention other non-infectious phenomena?
When deciding whom to listen to in the covid-19 era, we should respect those who respect uncertainty, and listen in particular to those who acknowledge conflicting evidence on even their most strongly held views. Commentators who are utterly consistent, and see whatever new data or situation emerge through the lens of their pre-existing views—be it “Let it rip” or “Zero covid now”—would fail this test.
- Instead of indiscriminate rules, we should be concentrating on protecting the vulnerable.
- The rest should be allowed to get on with normal life and acquire some natural immunity.
- The Government’s policy is founded upon a great lie — that we are all vulnerable to Covid so it is necessary to take over the lives of everyone.
- For healthy people under 60 the symptoms are usually mild or non-existent.
- About 90 per cent of deaths have been of people aged over 70. Most are in their 80s or 90s.
- Infections don’t matter a row of beans unless they lead to hospitalisations or deaths.
- Out of nearly 43,000 dead with Covid-19, just 41 have been under 25.
- What we are seeing now…is the first spike…which has come back to hit us. Just as their advisers told them it would, back in February and March.
- So why are Johnson and his crew doubling down on failure? This is about covering politicians’ backs.
- Current lockdown policies are producing devastating effects on short and long-term public health.
- Keeping these measures in place until a vaccine is available will cause irreparable damage, with the underprivileged disproportionately harmed.
- We know that vulnerability to death from COVID-19 is more than a thousand-fold higher in the old and infirm than the young.
- COVID-19 is less dangerous for children than many other harms, including influenza.
- All populations will eventually reach herd immunity.
- Our goal should therefore be to minimize mortality and social harm until we reach herd immunity.
- Adopting measures to protect the vulnerable should be the central aim of public health responses to COVID-19.
- Those who are not vulnerable should immediately be allowed to resume life as normal.
- Simple hygiene measures, such as hand washing and staying home when sick should be practiced by everyone to reduce the herd immunity threshold.
- Young low-risk adults should work normally, rather than from home.
- Restaurants and other businesses should open.
- Arts, music, sport and other cultural activities should resume.