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So, Sweden may well have been right.....

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AdamWW

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There are enough statisics now to show that anyone under 40 without any relevant health condition is at very low risk.

As for this 'their life is never the same again' - can you actually give any examples of this? The evidence seems to suggest that the vast majority of people who have had it recover without any lasting issues.

OK reading this I can see that it looks as if I was linking the two which wasn't my intention.

There is plenty of evidence that at least some people who have been seriously ill aren't making quick recoveries - you wouldn't expect that from someone who has been on a ventilator for days or weeks, but there seems to be evidence that it's going beyond that.

I wasn't suggesting that it's likely that someone under 40 has permanent health issues from having Covid-19 - but I don't think we should be telling people that it can't possibly happen because there is too much uncertainty at present.

Whatever we might think of the approach which has been taken, I think we can agree that the messaging is a mess. Actually it’s an utter shambles.

In terms of the question in the OP. I’d have preferred a Sweden style approach, with a few tweaks. Certainly the evidence so far, four months in, appears to show that they aren’t worse off than us in terms of deaths, but are a lot better off economically.

At this point, with 20/20 hindsight, I’d rather have had:

- no lockdown, but social distancing measures, encouragement to work from
home etc. sufficient keep R rate at a level that prevented the NHS from being overwhelmed (the fact the Nightingale hospitals sat idle suggests we could have accepted a higher R rate than was the case). Above all cancer treatments etc should have continued throughout to a greater extent than has been the case.

- isolation of the vulnerable, particularly in care homes (if we had done that we would have prevented 1/3 of the deaths suffered, albeit this would have been balanced my more deaths in the general population);

- allowing the fit and healthy to continue to live their lives much closer to normal than has been the case;

- more honesty from the government that we are going to have to accept a lot of deaths *whatever happens*, and that we need to balance minimising COVID deaths against deaths from other causes.

What we have ended up with is the worst of all worlds: a damaging lockdown; and a high death rate.

So what level of R do you pick to keep the hospitals OK? A fixed value of R doesn't give you a fixed number infections per day - it tells you whether infections go up or down, and when they go up they can go up very fast. So what's the plan - choose it at a rate that lets infections rise slowly enough, and then when they get too high you start locking down more? Or hope by then we have enough immunity? How do you tune it so carefully?

If we'd managed to get to R=1 at the start (infections constant, which looks like where we are now) we'd be locking in the high infection levels we had then, until and unless it starts to drop due to acquired immunity.

But Sweden achieved the same thing and their numbers continue to decline.

Spain and France both had strict lockdowns; is there R value less than one right now?

Well that may be a step too far, but scaring people unnecessarily isn't a sensible solution either!

But how far do we take that? We can't eliminate it... We can't make everyone stay at home until a vaccine is widely available.

When people say the numbers in Sweden are declining, can I just check that we mean that the infected fraction of the population is dropping, not that deaths are dropping? Because the two would tell us rather different things.

Knowing the rates of infection at the start are key. I’m not medically qualified, but I do know that exponential curves are very unforgiving.

Many seem to be arguing that because the NHS wasn’t overwhelmed the lockdown wasn’t needed or we had room to do something different. I find it hard to believe there would have been fewer deaths in the UK had we ‘done a Sweden’.

I agree. What might have worked for us two weeks earlier could have been a distaster if done when we did lock down.

Their travel message doesn't restrict travel; it talks about travelling safely.

Parts of London and Stockholm have perfect conditions for the virus to spread, and yet the virus is receding in those areas, so if that is not due to levels of immunity, I'd be curious to hear what anyone else thinks could be causing that!

Yes - Sweden talks about travelling safely, as does England. But from what I have read (I think there is someone here who can correct me if I'm wrong), Sweden (again despite what some people seem to think) has changed their restrictions over time, and they went from telling people not to travel unless they must, to saying that trips by car (NOT public transport) for 1 or 2 hours was OK, to now as you say telling people they can travel but do it safely.

You want me to explain why how infection levels in London could be dropping if it's isn't due to acquired immunity? Well, so far as I know the current evidence is that it might be dropping, might be rising, might be staying the same, so what we see is consistent with continued social distancing keeping transmisson down.

If infection levels are dropping in Stockholm (not just deaths - I've explained why that's not a good indicator) then it might indeed suggest they have considerable immunity - but I don't think it's conclusive evidence.

I don’t suppose anyone imagines it was a straight choice between locking down or carrying on regardless with no consequences. But there might well have been a better middle ground. What I find disappointing is that the government seemed to adopt one approach, but then (too late) lost its nerve and flip flopped from the initial approach to something more stringent

It might indeed be a loss of nerve, but they have good justification for what I think in hindsight was not a terribly good policy, because the advice they were being given went from "Don't lock down- there's no exit strategy" to "If you do that the NHS will collapse - you must lock down even though we've no idea how we'll get out of it".

I'm not sure Sweden has an exit strategy any more than we do. Their present measures are a bit less strict than ours, but their caseload is a bit higher than ours as a result. Neither us nor them have a viable way out of our current measures that doesn't involve either a very effective treatment[1] or a vaccine. In effect, what they've done is gone straight to what we have now without the lockdown. It seems to have worked for them (probably because of higher compliance with what measures did exist) but they are by no means "home and dry" - no country is.

Yes I'd agree with that, except that I think it might also have worked for them but wouldn't for us because they had a lower level of infections when they started. If we'd gone for a Sweden-like approach in, say, early February, we would have been in a very different position. But without the benefit of hindsight I'm not sure they could have brought in such strict restrictions (essentially no international travel, and only essential domestic travel).

Their exit strategy is to build immunity among the population.

Of course that may be what happens here too, but if it does it'll be by accident rather than design!

It may be how they get out of it but they have denied that herd immunity is the plan. They have said that the plan was to keep infections at a level that the health system can cope wth, in a way that is sustainable long term - if that results in herd immunity then that's good, but not the aim.

So this highly infectious virus is stopped from transmitting by people keeping 1m apart, most of the time when they can remember and there's room on the pavement or wherever....... And you really believe that ?
If social distancing is working to suppress the virus that can only be because the virus isn't anywhere near as infectious / easy to catch as we were told. Ironically that is perfectly possible because much of what the government has told us is rubbish, remember "this virus is indiscriminate" ?

UK Government : "This virus is indiscriminate"

111409162_corona_cases-nc-resized.jpg


NOTE : the death rates in the graph are actually wrong, they're lower than quoted, particularly now that doctors are getting better at treating the virus side effects. Even more importantly the graph does not take into account that not everyone is susceptible to Covid, examples of couples where one gets the virus and the other doesn't are common, plus the fact that only 17% of the passengers on the Diamond Princess actually caught the virus.

If some people are naturally immune, that has absolutely no impact on a graph showing your chances of dying if you become infected.
And yes - I do believe that this is highly infectious and transmission is reduced by the various measured we're taking. I think you have to be quite selective about what evidence you look at to think otherwise.

So how do you explain the lack of big outbreaks after the mass gatherings at beaches, Black Lives Matter demos and suchlike, many of which were almost 2 months ago?? People there were certainly not social distancing and in the widely-published beach photos, the mask-wearers were in a tiny minority!
With respect, your assertion is beginning to sound like the sales pitch for buying ‘elephant repellant’. When the potential customer says ‘but we don’t get elephants around here’, the salesman says that is testament to how effective the product is

Because while you can show scary looking photos of large gatherings, they're not what the majority of the population is doing?

It's a good point about the elephant repellant, but I don't see how we'll end up with huge restrictions for years unnecessarily because nobody dares to stop.

The government continues to relax restrictions and I'm sure will continue to do so as long as infection rates don't start to rise (or maybe indeed if they do rise, if they reckon we'll cope over the winter and can convince themselves they'll go down again when the weather improved).

We also get to benefit from other countries taking different approaches (not just Sweden) and see how things go there.

There are countries being more cavalier than us - if we see infections dropping away in these countries with small loss of life, that's quite a big clue that we might want to take a different approach here.
 
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sjpowermac

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An article on ‘Forbes’ indicates that High Schools and universities in Sweden closed:

High schools and universities closed, but younger children stayed in school, shops stayed open and Swedes were encouraged to socially isolate and stay a few feet away from each other, but to do so voluntarily.

It also seems that about a third of the country went into voluntary ‘lockdown’:
The analysis finds that nearly a third of Swedish residents voluntarily self-isolated.

In the event that the U.K. hadn’t had a lockdown, I think it’s reasonable to suppose that a third (or more?) of the country would have voluntarily self-isolated, with the attendant impact on the economy.

Earlier in the thread we have heard how during April pubs and restaurants in Sweden were struggling for customers. Perhaps the situation in the UK and Sweden, certainly during April, wasn’t quite as different as we have been led to believe?

The health care system in Sweden wasn’t overwhelmed, but it seems there might be a darker side to this:

“Analyzed by categorical age group, older Swedish patients with confirmed COVID-19 were more likely to die than to be admitted to the ICU, suggesting that predicted prognosis may have been a factor in ICU admission,”

or in more blunt terms...

“This likely reduced ICU load at the cost of more high-risk patients dying outside the ICU.”
In conclusion, education in Sweden was disrupted, a fair proportion of the population locked themselves away (as I believe people in the UK would have too, rightly or wrongly) and the situation there doesn’t seem to have been all sipping cappuccinos in the sun...

Link to the article:

For balance, the linked paper does have some support for the idea of ‘doing a Sweden’:
The Swedish COVID-19 strategy has thus far yielded a striking result: mild mandates overlaid with voluntary measures can achieve results highly similar to late-onset stringent mandates. However, this policy causes more healthcare demand and mortality than early stringent control and depends on continued public will.
 
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AdamWW

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An article on ‘Forbes’ indicates that High Schools and universities in Sweden closed:

It also seems that about a third of the country went into voluntary ‘lockdown’:

In the event that the U.K. hadn’t had a lockdown, I think it’s reasonable to suppose that a third (or more?) of the country would have voluntarily self-isolated, with the attendant impact on the economy.

Earlier in the thread we have heard how during April pubs and restaurants in Sweden were struggling for customers. Perhaps the situation in the UK and Sweden, certainly during April, wasn’t quite as different as we have been led to believe?

The health care system in Sweden wasn’t overwhelmed, but it seems there might be a darker side to this:

or in more blunt terms...

In conclusion, education in Sweden was disrupted, a fair proportion of the population locked themselves away (as I believe people in the UK would have too) and the situation there doesn’t seem to have been all sipping cappuccinos in the sun...

Link to the article:

For balance, the linked paper does have some support for the idea of ‘doing a Sweden’:


Yes - I think it's easy to exaggerate both the differences between Sweden and us, and the difference between what happened here and what would have happened if the government had been much less strict.
 

yorkie

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I don't think we should be telling people that it can't possibly happen because there is too much uncertainty at present.
It would be wrong to say it can't possibly happen, but some younger people can be badly affected by 'flu too. No-one claims it can't happen with 'flu but equally people don't overstate the risks either.

I think that's the issue many of us posting in this thread have with Covid19; some people overstate the risks and use this to suggest the strategy should be to completely surpress the virus at all costs. I reject their claims as it's not feasible to do that.

....So what's the plan - choose it at a rate ...
Well you can't just "choose the rate", clearly. As for "what's the plan?", well anyone can ask that of anyone, but I don't think many countries really have a plan, other than wait and see and make it up as you go along, which is certainly the case for the UK based on the evidence I've seen.

.
If we'd managed to get to R=1 at the start (infections constant, which looks like where we are now) we'd be locking in the high infection levels we had then, until and unless it starts to drop due to acquired immunity.
This is a paradox: clearly, as you say, it will drop due to immunity, but until then it is going to be unavoidably high. So if you act really early with very low levels, the measures are going to take an unsustainably long period of time.

.
When people say the numbers in Sweden are declining, can I just check that we mean that the infected fraction of the population is dropping, not that deaths are dropping? Because the two would tell us rather different things.
It's both! See https://www.worldometers.info/coronavirus/country/sweden/

Daily new deaths have been steadily declining since mid April.

Daily new infections was rising much later than this, but this may have been partly due to increased infections and partly due to more younger people becoming infected. The 7 day average figure has been declining constantly throughout July.

Yes - Sweden talks about travelling safely, as does England. But from what I have read (I think there is someone here who can correct me if I'm wrong), Sweden (again despite what some people seem to think) has changed their restrictions over time, and they went from telling people not to travel unless they must, to saying that trips by car (NOT public transport) for 1 or 2 hours was OK, to now as you say telling people they can travel but do it safely.
We have forum members based in Sweden who could answer this, but I refuse to believe Sweden would not have been better than the UK in terms of its messaging in this area, as ours has been appalling.
You want me to explain why how infection levels in London could be dropping if it's isn't due to acquired immunity? Well, so far as I know the current evidence is that it might be dropping, might be rising, might be staying the same, so what we see is consistent with continued social distancing keeping transmission down.
If you look at the data https://data.london.gov.uk/dataset/coronavirus--covid-19--cases you can clearly see that the rate slowed down in London compared to elsewhere in the UK much earlier. If you look at people in hospital with Covod19, almost all early cases were in London, and if you look at when cases started to drop in London, cases were still rising elsewhere, and then did not drop so quickly. You appear to have avoided the question, which is fine, but as you don't have an alternative explanation, I am none the wiser as to how you appear to be disagreeing (if indeed you are disagreeing, I really don't know what your argument is!)


If infection levels are dropping in Stockholm (not just deaths - I've explained why that's not a good indicator) then it might indeed suggest they have considerable immunity - but I don't think it's conclusive evidence.
If they are not building up immunity, do you have any alternative suggestion?

It might indeed be a loss of nerve, but they have good justification for what I think in hindsight was not a terribly good policy, because the advice they were being given went from "Don't lock down- there's no exit strategy" to "If you do that the NHS will collapse - you must lock down even though we've no idea how we'll get out of it".
But we know that model was wrong; this is just a re-run of the previous thread we were debating in a few weeks ago, in which this was brought up, and the model was demonstrated to be wrong. We are now just going through the same arguments again but the difference now is that the evidence that Sweden are on course is even stronger, and the evidence that Spain and France's strategy may be flawed is also stronger.

So, we can have the same debate now that we had before if you want, and you can say the evidence is not yet compelling if you want, but it's becoming more compelling all the time.

Yes I'd agree with that, except that I think it might also have worked for them but wouldn't for us because they had a lower level of infections when they started. If we'd gone for a Sweden-like approach in, say, early February, we would have been in a very different position. But without the benefit of hindsight I'm not sure they could have brought in such strict restrictions (essentially no international travel, and only essential domestic travel).
You can't be sure it wouldn't have worked for us. You are right that the earlier we had acted, the more difficult it would have been to justify any restrictions, and that is something many people do miss. But based on how quickly transmission was occurring before any measures were brought in, I'd argue that if we would have had to act earlier, you're talking a matter of days. The entire discussion surrounding 'could we have done what Sweden did' is based on hindsight, and you can argue over the minutiae indefinitely but the basic answer is surely "yes"
It may be how they get out of it but they have denied that herd immunity is the plan. They have said that the plan was to keep infections at a level that the health system can cope wth, in a way that is sustainable long term - if that results in herd immunity then that's good, but not the aim.
No-one is ever going to say herd immunity is "the plan". But then it would also be foolish to say the plan is to eliminate a virus that the experts say cannot be eliminated, would you agree? It would be equally foolish to say the plan is to restrict our lives indefinitely until a vaccine (well, maybe less so now, but certainly at the start that would have been crazy). So what does that leave you with? Ultimately the problem is that there can be no clear, long term "plan" that is acceptable to all, and guaranteed to work. Therefore, at least with Sweden's approach you can be reasonably sure that, whatever happens, there will be an end in sight and you have not trashed mental health and the economy in the mean time.

It's a good point about the elephant repellent, but I don't see how we'll end up with huge restrictions for years unnecessarily because nobody dares to stop.
I think if a vaccine was not becoming available soon, there would be that risk.
Earlier in the thread we have heard how during April pubs and restaurants in Sweden were struggling for customers. Perhaps the situation in the UK and Sweden, certainly during April, wasn’t quite as different as we have been led to believe?
Our week before the actual lockdown was not too dissimilar to the path that Sweden took; Sweden then moved towards implementing similar measure that we have in place now, e.g. instead of closing restaurants, making the sort of adjustments we have here since they reopened.

The health care system in Sweden wasn’t overwhelmed...
Indeed, which Prof Ferguson had incorrectly predicted would happen with the measures they took (as discussed in the previous thread linked to earlier; this thread is effectively duplicating that one, except the evidence is even stronger to support Sweden's method over (say) Spain's than it was then!

...the situation there doesn’t seem to have been all sipping cappuccinos in the sun...
Not sure anyone here said it was. Some people do try to falsely claim Sweden did not implement any measures but that's a myth and not my argument at all. My argument is that their measures were/are sensible, proportionate, and are producing better outcomes in the longer term.
 
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sjpowermac

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Yes - I think it's easy to exaggerate both the differences between Sweden and us, and the difference between what happened here and what would have happened if the government had been much less strict.
I’m definitely of the mind that there are no easy answers.

Some seem to be implying that had we ‘done a Sweden’ everything would have turned out significantly better with the economy. If that’s really the case then I’m at a loss as to why we need the ‘Eat out, to help out’ promotion to get people back into restaurants.

Some people claim the reluctance of people in the U.K. to go back to pubs/restaurants is down to the government scaring them. I’m not certain that I buy this idea.

Who can really blame anyone in an ‘at risk’ category for being cautious back in March, April or even now? Add in anyone who has parents or other relatives in an at risk category and that accounts for a significant proportion of the population.

I’m not saying for a moment that people have analysed the risks correctly or not and anyhow, that’s simply none of my business. I keep returning to the same point: you can’t force people to return to pubs/restaurants/clothes shops.
 

DB

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Some seem to be implying that had we ‘done a Sweden’ everything would have turned out significantly better with the economy. If that’s really the case then I’m at a loss as to why we need the ‘Eat out, to help out’ promotion to get people back into restaurants.

Some people claim the reluctance of people in the U.K. to go back to pubs/restaurants is down to the government scaring them. I’m not certain that I buy this idea.

Perhaps our correspondent on here in Sweden can tell us, but my understanding is that the Swedish government and media have not constantly tried to terrify the population with doom-and-gloom, worst-case stories, whereas here we have been bombarded with them every day for months. This is pretty much certain to have affected the perception of the risk among the general population, so it's hardly surprising if many are reluctant when told 'right, you can go back out for a curry now' - and meanwhile the doom and gloom stores continue alongside this.
 

yorkie

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I’m definitely of the mind that there are no easy answers.
Agreed.
Some seem to be implying that had we ‘done a Sweden’ everything would have turned out significantly better with the economy.
Their economy has been less affected than ours, though
Some people claim the reluctance of people in the U.K. to go back to pubs/restaurants is down to the government scaring them. I’m not certain that I buy this idea.
I know of people who have been scared; it's less clear how much of that was Government messaging vs media reporting. We've had many threads discussing this before, but the "stay home, save lives" messaging and media reporting did scare some people in my opinion. See the following threads where this was discussed:

As people have mentioned, the problem we have currently is that too many people have been utterly terrified by the government messaging.
If they want to gradually encourage people back to work as the lockdown eases, they are going to need to bin the stay home and save lives slogan.
Maybe that's the whole point? We know that an awful lot of people are now terrified of leaving their homes because the "stay home save lives" message worked too well.
And whilst doing so, pay attention to the scaremongering media - something that I have got myself into a bad habit of doing (mainly to laugh at the political answers that are given). Although I am still leaving home (and have no objections to doing so, I just don't have a reason to at the moment!).
I think people are either level headed and get on with there day or they get sucked into statistics and don’t want to leave home. They seem to think others should too which is wrong.
....We have to be more focused and stop being paralysed with an all embracing fear. It's that fear itself that is starting to cost lives....
A lot of people are scared to go near public transport at the moment.
There is a frightening number of people who seem obsessed with having everyone locked up stricter and harsher. It really does scare me.
....young people stuck at home, bored witless and scared for their future. ....


(there are many more examples)

Who can really blame anyone in an ‘at risk’ category for being cautious back in March, April or even now?
Many others have been scared too. People forget that even among the highest risk categories, survival rates are very high. I have a colleague who has been terrified of getting the virus, even though she is fit and healthy, and has fallen out with her daughter over it.
I’m not saying for a moment that people have analysed the risks correctly or not and anyhow, that’s simply none of my business. I keep returning to the same point: you can’t force people to return to pubs/restaurants/clothes shops.
It would be a lot easier if they had not been prevented from going to them and if, instead, we had implemented appropriate measures, as Sweden did, to keep them open.

Perhaps our correspondent on here in Sweden can tell us, but my understanding is that the Swedish government and media have not constantly tried to terrify the population with doom-and-gloom, worst-case stories, whereas here we have been bombarded with them every day for months. This is pretty much certain to have affected the perception of the risk among the general population, so it's hardly surprising if many are reluctant when told 'right, you can go back out for a curry now' - and meanwhile the doom and gloom stores continue alongside this.
Absolutely. I am shocked this is even up for debate!
 
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AdamWW

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It would be wrong to say it can't possibly happen, but some younger people can be badly affected by 'flu too. No-one claims it can't happen with 'flu but equally people don't overstate the risks either.

I think that's the issue many of us posting in this thread have with Covid19; some people overstate the risks and use this to suggest the strategy should be to completely surpress the virus at all costs. I reject their claims as it's not feasible to do that.

I'm certainly not suggesting that, but I think it would be unwise so say that we know the risks and that they are as low as flu.

Well you can't just "choose the rate", clearly. As for "what's the plan?", well anyone can ask that of anyone, but I don't think many countries really have a plan, other than wait and see and make it up as you go along, which is certainly the case for the UK based on the evidence I've seen.

OK let me rephrase. The UK is about to start a lockdown. You want to choose to let the hospitals reach but not exceed capacity. How do you choose what the right restrictions are to do that?

We have forum members based in Sweden who could answer this, but I refuse to believe Sweden would not have been better than the UK in terms of its messaging in this area, as ours has been appalling.

From here (dated 5th June):
" Sweden will lift its coronavirus restrictions on domestic travel on June 13th, allowing people without symptoms to travel within the country this summer. "
...
" Unlike in several other countries, Sweden's domestic travel restrictions have never been enforced; they are only part of a set of strong public health recommendations, along with for example social distancing and good hand hygiene. However, people are expected to follow them, with officials describing them as "not optional".

If you look at the data https://data.london.gov.uk/dataset/coronavirus--covid-19--cases you can clearly see that the rate slowed down in London compared to elsewhere in the UK much earlier. If you look at people in hospital with Covod19, almost all early cases were in London, and if you look at when cases started to drop in London, cases were still rising elsewhere, and then did not drop so quickly. You appear to have avoided the question, which is fine, but as you don't have an alternative explanation, I am none the wiser as to how you appear to be disagreeing (if indeed you are disagreeing, I really don't know what your argument is!)


If they are not building up immunity, do you have any alternative suggestion?

Yes. Absolutely. It's the same as my argument about death figures. These show people tested, and they aren't from random samples, they are from people who have symptoms. You may recall that at the start you didn't even get a test just for having symptoms, you had to be ill enough to be admitted to hospital.

So...imagine a perfect lockdown and zero transmission. All infections you see are from before lockdown. There will be a varying time from infection to become ill enough to end up in hospital - as is the way of such things it is likely to cluster around the peak value - so you will see a peak and then drop off - what you're seeing is that as more time goes on, more and more people who were going to get seriously ill have done so.

But even if you do better and just sample people at random, you will still get a peak because the incubation time varies.

So it's really not so simple as saying that when you see infections drop off, you must be seeing transmission dropping.

You have to keep everything else the same otherwise you will see changes in restrictions mirrored in the graphs, in a way that isn't immediately obvious (i.e. a step change in transmission is transformed into a peak).

But we know that model was wrong; this is just a re-run of the previous thread we were debating in a few weeks ago, in which this was brought up, and the model was demonstrated to be wrong. We are now just going through the same arguments again but the difference now is that the evidence that Sweden are on course is even stronger, and the evidence that Spain and France's strategy may be flawed is also stronger.

So, we can have the same debate now that we had before if you want, and you can say the evidence is not yet compelling if you want, but it's becoming more compelling all the time.

I am really not trying to open up that debate. Just pointing that the governmen has a good justification for arguing that the sudden change of policy to a lockdown was because they were following advice from SAGE, not because they suddenly lost their nerve.

Our week before the actual lockdown was not too dissimilar to the path that Sweden took; Sweden then moved towards implementing similar measure that we have in place now, e.g. instead of closing restaurants, making the sort of adjustments we have here since they reopened.

Indeed, which Prof Ferguson had incorrectly predicted would happen with the measures they took (as discussed in the previous thread linked to earlier; this thread is effectively duplicating that one, except the evidence is even stronger to support Sweden's method over (say) Spain's than it was then!

Not sure anyone here said it was. Some people do try to falsely claim Sweden did not implement any measures but that's a myth and not my argument at all. My argument is that their measures were/are sensible, proportionate, and are producing better outcomes in the longer term.

Well we'll have to agree to differ over how certain we can be that had we implemented Sweden's measures instead of what we did, we'd be in a better place. Not surprising because we are interpreting the infection and death figures in very different ways.
 

sjpowermac

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It would be a lot easier if they had not been prevented from going to them and if, instead, we had implemented appropriate measures, as Sweden did, to keep them open.
There seems to be a narrative in these threads that the British public are unable to think for themselves. Is this a view that you support?

How do you account for one third of the Swedish population going into voluntary self-isolation? Were they unable to think for themselves too?
 

Yew

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Yes. Absolutely. It's the same as my argument about death figures. These show people tested, and they aren't from random samples, they are from people who have symptoms. You may recall that at the start you didn't even get a test just for having symptoms, you had to be ill enough to be admitted to hospital.

So...imagine a perfect lockdown and zero transmission. All infections you see are from before lockdown. There will be a varying time from infection to become ill enough to end up in hospital - as is the way of such things it is likely to cluster around the peak value - so you will see a peak and then drop off - what you're seeing is that as more time goes on, more and more people who were going to get seriously ill have done so.

But even if you do better and just sample people at random, you will still get a peak because the incubation time varies.

That might be true for an instantaneous drop in infection, but for a gradual drop off (which is probably more realistic), the tails will (mostly) even out when comparing each days results

There seems to be a narrative in these threads that the British public are unable to think for themselves. Is this a view that you support?
I suppose that we were demonstrably not allowed to act on our own conclusions, perhaps if drastic action had not been forced upon us, we would have seen similar results
 

sjpowermac

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Perhaps our correspondent on here in Sweden can tell us, but my understanding is that the Swedish government and media have not constantly tried to terrify the population with doom-and-gloom, worst-case stories, whereas here we have been bombarded with them every day for months. This is pretty much certain to have affected the perception of the risk among the general population, so it's hardly surprising if many are reluctant when told 'right, you can go back out for a curry now' - and meanwhile the doom and gloom stores continue alongside this.
How do you account for one third of the Swedish population going into voluntary self isolation (as mentioned in the article I linked to earlier)?
 

Bletchleyite

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How do you account for one third of the Swedish population going into voluntary self isolation (as mentioned in the article I linked to earlier)?

An interesting question is whether that would have happened here. I think some people would have done, but would it have been as many as that? I'm not sure.
 

sjpowermac

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I suppose that we were demonstrably not allowed to act on our own conclusions, perhaps if drastic action had not been forced upon us, we would have seen similar results
I’ve posed the question to others, I’ll ask you too: how do you account for one third of the Swedish population going into voluntary self-isolation? It’s mentioned in the article I linked to earlier.
 

sjpowermac

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An interesting question is whether that would have happened here. I think some people would have done, but would it have been as many as that? I'm not sure.
I think it’s a highly relevant topic. I don’t believe that people locked down merely because governments told them to. That’s really at the heart of this.

I’m not overly convinced either by the direct comparisons between the U.K. economy and Sweden’s: this rather assumes the make up of the economies are similar, which I don’t think is the case.
 

Bantamzen

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I’ve posed the question to others, I’ll ask you too: how do you account for one third of the Swedish population going into voluntary self-isolation? It’s mentioned in the article I linked to earlier.

Simple, because it says it right there in your linked paper, working from home. And that was something we could easily have mirrored here without a lockdown scenario.
 

sjpowermac

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Simple, because it says it right there in your linked paper, working from home. And that was something we could easily have mirrored here without a lockdown scenario.
Are you saying that people in Sweden who chose to work from home all decided to avoid pubs and restaurants too?

What do you think would have been the impact on economic activity in the U.K., even without the ‘scary’ government messaging, if we had chosen to do very little in March? The trains/pubs/restaurants were all empty (or certainly a lot less busy) in the 10 days or so before the lockdown started.
 

Bantamzen

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Are you saying that people in Sweden who chose to work from home all decided to avoid pubs and restaurants too?

No, but naturally when people are not communing footfall for lots of pubs & restaurants falls with it. For example I will often call for a pint or two either in Leeds or Shipley on my way home from the office. However working as I am from home, I'm not doing that and so trips to the pub are limited to when I deliberately go out as I would have done before lockdown, with the commute pints effectively on hold.
 

scarby

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Perhaps our correspondent on here in Sweden can tell us, but my understanding is that the Swedish government and media have not constantly tried to terrify the population with doom-and-gloom, worst-case stories, whereas here we have been bombarded with them every day for months. This is pretty much certain to have affected the perception of the risk among the general population, so it's hardly surprising if many are reluctant when told 'right, you can go back out for a curry now' - and meanwhile the doom and gloom stores continue alongside this.

I would say that as everywhere the tabloid media hasn't been perfect, but certainly the messaging from the authorities I have found to be very measured and straightforward. The general impression I have got is that people in general have not been terrified, far from it, though of course I know of some people who have been.

To answer the other questions about travel advice, yes, what has been written on here is more or less correct. It was at first to not travel "unless you must", though as I said earlier "must" was left up to the individual to decide, it then became "within 1-2 hours reachable by car" and since early June is unrestricted, but travelling using local public transport is still discouraged. Travelling by inter-city train, where one has a reserved seat, is not discouraged and I believe these trains are booking up to around 65% of seat capacity.

Most of the messaging I have found to be clear, though I did have a discussion with my other half in the spring when there was a newspaper notice that said something along the lines of "Avoid travelling during the spring public holiday periods to meet family and friends" - I contended that did that therefore mean it was okay to travel not in the holiday periods and/or if not meeting family and friends.

No, but naturally when people are not communing footfall for lots of pubs & restaurants falls with it. For example I will often call for a pint or two either in Leeds or Shipley on my way home from the office. However working as I am from home, I'm not doing that and so trips to the pub are limited to when I deliberately go out as I would have done before lockdown, with the commute pints effectively on hold.

I am sure that had a big effect in Sweden. People did not stop going to bars/restaurants altogether, even in April I saw some that were reasonably patronised. However, because all office personnel who could work from home did so, the very substantial "after work" bar crowd basically vanished.
 
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Bantamzen

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I am sure that had a big effect in Sweden. People did not stop going to bars/restaurants altogether, even in April I saw some that were reasonably patronised. However, because all office personnel who could work from home did so, the very substantial "after work" bar crowd basically vanished.

Exactly. Many pubs and restaurants in towns and cities, especially close to major transport hubs work hard to get the attention and custom of the commuter. It you lose say 30% of the commuters, and in many towns & cities it was considerably more, you lose the footfall of these and you'd expect to see a correlated downturn in business.
 

sjpowermac

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No, but naturally when people are not communing footfall for lots of pubs & restaurants falls with it. For example I will often call for a pint or two either in Leeds or Shipley on my way home from the office. However working as I am from home, I'm not doing that and so trips to the pub are limited to when I deliberately go out as I would have done before lockdown, with the commute pints effectively on hold.
Would you agree that at least some of the job losses and economic problems the U.K. is facing are down to people working from home and hence not frequenting city centre pubs/restaurants/coffee shops? Do you think we should get all the office workers back in offices?
 

Yew

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Would you agree that at least some of the job losses and economic problems the U.K. is facing are down to people working from home and hence not frequenting city centre pubs/restaurants/coffee shops? Do you think we should get all the office workers back in offices?
Some of, certainly, though I feel it's probably a minor driver; city centres are still convenient places to meet others, and I feel the drop off is probably more due to restrictions and lack of confidence.

Regarding working from offices, I think there's a balance between those who can work effectively (say, 80% effectiveness, as a handwavey number) versus those who can only do some bits of work, and the rest is less effective. (This could be due to the role, home office equipment/environment, or other distractions). I'd support reopening for those who can'twork from home effectively (unsure about childcare though, maybe in september?), and regular sessions to touch base for the rest; maybe one day a week (depending on other concerns) to build up those personal connections and have a change of pace. 4 Months of continuous WFH (and living with ongoing restrictions/pandemic) has certainly started to erode me a bit, I can't see that ever happening normally.

For the avoidance of doubt, I'd exclude those who live with high-risk people from any compulsion, and could almost support 100% furlough if they'd like.
 

Bantamzen

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Would you agree that at least some of the job losses and economic problems the U.K. is facing are down to people working from home and hence not frequenting city centre pubs/restaurants/coffee shops? Do you think we should get all the office workers back in offices?

Because we locked down much more heavily than Sweden, the effect of homeworking & shutdowns will have had a much greater effect. In Sweden whilst potentially a third of them were working from home, they were not compelled to completely lock themselves away. And so the economic effect whilst large, was nowhere near as bad there as it was here. Remember at one point we had almost 9.5 million people furloughed, many of those from the bars, restaurants and shops that couldn't sustain any kind of business lost as a result of lockdown measures.

So ultimately we will have to get as many office workers back as soon as possible, as entire local economies rely on their business and cannot be easily relocated or repurposed.
 

DelW

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There are enough statisics now to show that anyone under 40 without any relevant health condition is at very low risk.

As for this 'their life is never the same again' - can you actually give any examples of this? The evidence seems to suggest that the vast majority of people who have had it recover without any lasting issues.
There was an interview on BBC radio this morning with a Scottish airline pilot, aged 42, who contracted the disease in Vietnam. He was hospitalised there for months, much of the time in an induced coma and on life support machines. He was returned to Britain a couple of weeks ago but is still in hospital and barely able to walk.

Summarised in an article on the BBC website:
https://www.bbc.co.uk/news/uk-scotland-53544345
A Scottish pilot, who spent more than two months on a ventilator in Vietnam, has warned Britons "not to be blasé about coronavirus" as lockdown eases.

Stephen Cameron, 42, from Motherwell, was Vietnam's sickest patient and became known nationwide as Patient 91.

"I'm a living example of what this virus can do and how it is serious," he told the BBC from his Wishaw hospital bed.

His doctors say he now faces "a long path" to recovery,
 
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AdamWW

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There was an interview on BBC radio this morning with a Scottish airline pilot, aged 42, who contracted the disease in Vietnam. He was hospitalised there for months, much of the time in an induced coma and on life support machines. He was returned to Britain a couple of weeks ago but is still in hospital and barely able to walk.

Summarised in an article on the BBC website:
A Scottish pilot, who spent more than two months on a ventilator in Vietnam, has warned Britons "not to be blasé about coronavirus" as lockdown eases.

Stephen Cameron, 42, from Motherwell, was Vietnam's sickest patient and became known nationwide as Patient 91.

"I'm a living example of what this virus can do and how it is serious," he told the BBC from his Wishaw hospital bed.

His doctors say he now faces "a long path" to recovery,

But of course that's not very informative if it's a one in a million occurance.

While I'm arguing that we shouldn't just assume that ones chance of long term consequences from this are very low, we also shouldn't read an isolated story of someone who has had big problems and get overly concerned.

I'd like to see some statistics and they seem lacking at the moment - I did read a survey which concluded a frighteningly large percentage of 'survivors' had ongoing health problems, but it looked like they were somewhat self-selected.

The Covid app people should have the best view, and they don't seem to be offering much concrete that I can see.
 

bramling

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One that wants to preserve it's voter base :!:

I’m not sure it’s older people who are the terrified types. On the contrary the elderly lady next to me in the bank earlier got herself in a state and after a couple of minutes threw her mask off and went to walk out, in the end having to be brought back by staff who dealt with it well and helped her do what she’d gone in there for.

I get the impression it’s more middle-aged females who seem more bothered. I think some men in the same age group also see self-appointed enforcer roles as a bit of bravado.
 

Grumpy Git

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I was working in Sweden last week.

Had to wear a face mask at work but otherwise apart from an odd "keep your distance" floor sticker, everywhere appeared just as before the lockdown to me. No screens or facemasks/visors in shops or pubs/restaurants.
 
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