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Sweden and coronavirus

Keeping the lockdown in place, as is, is also condemning people to death. We already have sufferers of other illnesses going untreated because of hospital restrictions, and the government isn't going to keep paying 80% of 8 million people's salaries indefinitely. That's going to stop pretty soon. Businesses will fold left right and centre and the mass poverty will kill countless more people. Either way, people are going to die.

Nobody says that we should keep the lockdown in place indefinitely though. That is not even happening in Wuhan.

And shutting up elderly people and vast swathes of the population indefinitely (which seems to be happening in Sweden to some extent) in their homes while everyone else hopes for the best is also going to cause deaths from suicide and loneliness etc.
 
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Of course not, but there are hospitals cancelling people's procedures not because of the lack of capacity due to treating covid patients, but because of perceived fears of bringing the virus into the establishments or patients contracting C19 whilst in there.
Perceived fears? Hospital infections have been rampant. I have a colleague whose bariatric surgery was cancelled but he's in at least three high risk groups (morbidly obese, diabetic and copd) and would be a goner if he got it. Properly equipped hospitals with proper PPE and proper infection control would be the way to stop hospital infections, not sending already sick people into known centres of infection.
 
Sweden's biggest failure has been its inability to keep covid out of care homes. Far from the only country to fail here - clearly the UK also failed in that regard, as did Ireland and others. But it is the one thing I find it hardest to excuse because more rigour could and should have prevented it.

Experience

That does appear to be a pattern everywhere that death-prevention has failed. As elsewhere, the under-50s have been virtually untouched in Sweden - just a few dozen dead, and their figures appear to show not a single fatality under 40 - while the over-80s have been mowed down, with more than 1,500 dead. It's been pretty similar here - around 200-odd under-40s dead in the UK out of 40k+.

I don't say that to make light of the death figures, but surely this distribution has to be factored in to policy-making from now on. School-age children, for instance, are virtually 100 per cent safe from dying of c-19, and most of their teachers are very safe as well. And there are other issues to do with, eg, social services that have ground to a halt for a huge number of people at risk from things other than covid-19.

For hospitals, clearly way better separation is needed. Prof John Ashton suggested using Nightingale beds for non-covid patients. Seems pretty sensible.
 
This is just a practical issue - it can be done. Obviously carers need to be extremely careful about hygiene etc. In Germany they have been treating covid patients at home using a de facto parallel medical system, literally down to separate, dedicated Covid GPs, using dedicated covid cars. The decision as to whether or not a person with covid is then transferred to hospital is made by the GP, rather than the chaotic UK method, ie you are somehow supposed to self-diagnose when you are seriously ill enough and then you just rock up at a hospital.

By the way, Germany failed to shield vulnerable people in care homes:

As of 17 May 2020, Germany had reported 22 071 infections related to institutions caring for elderly (long-term care, nursing homes), disabled people, homeless people, migrants, or those in prisons. Of these, 8 536 cases were in staff (42 died) and 14 740 cases were in residents. Of the residents 2 966 died (20%), representing 37% of all 7 914 deaths related to COVID-19 in Germany.

 
Perceived fears? Hospital infections have been rampant. I have a colleague whose bariatric surgery was cancelled but he's in at least three high risk groups (morbidly obese, diabetic and copd) and would be a goner if he got it. Properly equipped hospitals with proper PPE and proper infection control would be the way to stop hospital infections, not sending already sick people into known centres of infection.
Right, but what if this goes on for another 2 years? Or more? The point is that Sweden may not have this wrong. If there are secondary/tertiary waves they could be better placed in the future because of the way they've dealt with it now because they've developed better immunity/resistance.
 
School-age children, for instance, are virtually 100 per cent safe from dying of c-19, and most of their teachers are very safe as well.
It's got fuck all to do with whether kids can get it and everything to do with whether they can spread it. Have you met any children? The little ones especially are unparalleled as a vector for disease and the bigger ones aren't much better.
 
Right, but what if this goes on for another 2 years? Or more? The point is that Sweden may not have this wrong. If there are secondary/tertiary waves they could be better placed in the future because of the way they've dealt with it now because they've developed better immunity/resistance.
We don't know the infection rates. Being in a better position for a second wave in that sense depends entirely on how many people have had it. There are models suggesting both extremes but if it's under ten percent you're going to need a few more waves to build an advantage. Won't give much edge in second or third waves.

ETA and that's all assuming immunity for people who've had it.
 
It's got fuck all to do with whether kids can get it and everything to do with whether they can spread it. Have you met any children? The little ones especially are unparalleled as a vector for disease and the bigger ones aren't much better.
Yes, sure. I've heard more than one parent expressing different views, though, essentially irrational worries. The little ones have been back for weeks now in Denmark. Many Danes didn't want that to happen at the time, but it's been ok.
 
It's been pretty similar here - around 200-odd under-40s dead in the UK out of 40k+.

I don't say that to make light of the death figures, but surely this distribution has to be factored in to policy-making from now on. School-age children, for instance, are virtually 100 per cent safe from dying of c-19, and most of their teachers are very safe as well. And there are other issues to do with, eg, social services that have ground to a halt for a huge number of people at risk from things other than covid-19.

248 confirmed Covid-19 deaths in age groups 0-39 for registrations ending May 8th. And thats England & Wales, I havent time to ad Scotland and Northern Irelands numbers right now.

Not sure why we would restrict ourselves to the under 40's though. Especially not when talking about teachers. In the 40-59 age range, there were 2463 deaths (same source/details as my previous figure for under 40).

I was hoping you might notice from all those total mortality by age graphs I did the other day but I can see I was wasting my time.
 
Yes, sure. I've heard more than one parent expressing different views, though, essentially irrational worries. The little ones have been back for weeks now in Denmark. Many Danes didn't want that to happen at the time, but it's been ok.
That's a rather imprecise claim. Would be nice if you could give some detail rather than assuming I have prior knowledge of or half an hour spare to read about Denmark.
 
248 confirmed Covid-19 deaths in age groups 0-39 for registrations ending May 8th. And thats England & Wales, I havent time to ad Scotland and Northern Irelands numbers right now.

Not sure why we would restrict ourselves to the under 40's though. Especially not when talking about teachers. In the 40-59 age range, there were 2463 deaths (same source/details as my previous figure for under 40).

I was hoping you might notice from all those total mortality by age graphs I did the other day but I can see I was wasting my time.
So 300 rather than 200? Ok. Under 3,000 total deaths in the under-60s is remarkable to me for how low it is as a figure that includes a period when the infection level was way higher than it is now, particularly as it includes a large number of people with serious underlying conditions. I do think some of the risk-evaluation going on here is a bit off. Around that number of people die in road accidents every year, but that doesn't stop people from driving.
 
I do think this is a conversation worth happening and I've been thinking about posting a specific thread about it for a while but it seems have blown up on this thread. Its not controversial to say lockdown itself is a killer, the government scientists have been quite clear on this. We are without doubt storing up all sorts of problems for the future.

I'm certainly not saying lockdown was wrong in the first place and I'm not advocating just dropping it now but as we come out of lockdown and the anxiety on this website builds its important to have the discussions on what is guiding government and its not just as simple is Johnson is a cunt who is acting to protect billionaires. I mean he is, but there are other factors as well.
 
That's a rather imprecise claim. Would be nice if you could give some detail rather than assuming I have prior knowledge of or half an hour spare to read about Denmark.
The precision wrt 'it's been ok' would come from the estimated R-value remaining under 1, which it has. As long as that happens, tomorrow will be better than today.
 
The “BBC’s Maddy Savage” is editor of thelocal.se and has a very long history of putting out some very dubious “factual” coverage of all sorts of stories. In fact wherever there’s a marketing or campaign budget available to be spent on some advertorial dressed up as unbiased reporting, there springs up a story on thelocal assuring the world things are this way, or that way in sweden. The whole enterprise (Thelocal) seems to be a propaganda-for-hire outfit to me*, so it’s really no surprise to learn her story on the BBC site turns out to be “Whoops, a little bit wrong!”.

* At least the Sweden site, I don't read their other country output.
Cheers. My dark'n'stormy fuelled googling yesterday failed to come up with anything on ms savage, except for some rather bland liberal statements. Greed and/or sensationalism might fit her bill, rather than naivity, stupidity or ideology. Was rather defensive on twitter when challenged about the 'right wing critic' 'we spoke to him in his capacity as a doctor...'
 
The other thing that disgusts me about some of the logic involved with herd immunity is that the idea that only those in the groups we class as vulnerable will die from this virus is simply not true. The scale of death is much smaller in other groups, but its still there, and the whole shielding the vulnerable plan therefore implicitly condemns some younger people to death.

I don't think you've got the logic of the herd immunity vs lockdown right here.

Lockdown isn't saying, 'we'll make sure young people won't get covid', it's saying 'we'll stagger their infection rate so as to manage the impact on the health service - but they'lll still be exposed in the end'.

For the whole population that could be argued (because you could easily overwhelm a health service) - but for groups who aren't at risk there's very little difference between the two. In both approaches a certain number of not-at-risk people will contract covid and die and I doubt there's a huge difference in those numbers (at least I can't see why there should be a big difference).

The only way lockdown doesn't imply that ultimately we all get exposure is if you are arguing that it should be maintained until a reliable vaccine is available - ie likely to be years. I find it hard to see how this can happen.
 
Hasn't there been a problem with younger people dying from things like strokes and covid being missed tho?

248 confirmed Covid-19 deaths in age groups 0-39 for registrations ending May 8th. And thats England & Wales, I havent time to ad Scotland and Northern Irelands numbers right now.

Not sure why we would restrict ourselves to the under 40's though. Especially not when talking about teachers. In the 40-59 age range, there were 2463 deaths (same source/details as my previous figure for under 40).

I was hoping you might notice from all those total mortality by age graphs I did the other day but I can see I was wasting my time.
 
The precision wrt 'it's been ok' would come from the estimated R-value remaining under 1, which it has. As long as that happens, tomorrow will be better than today.
And the precision with regards to 'little ones have been back for weeks now'? What ages? What level of participation? How many weeks? If it's less than four then you won't have seen much effect on the R number, especially when you're dealing with a vector that has the highest resistance to the symptoms of the disease itself.

But 'little ones back ok'. You're arguing on the level of Daily Mail headlines there mate.
 
Not sure why we would restrict ourselves to the under 40's though. Especially not when talking about teachers. In the 40-59 age range, there were 2463 deaths (same source/details as my previous figure for under 40).

Since I'm right at the top end of that range and I'm also an asthmatic who smoked for 30 years you can bet I checked these figures out. But age correlates extremely well with ill-health, particularly the sort of chronic long term diseases which seem to be crucial to bad outcomes in covid - obesity, COPD, diabetes etc etc. For healthy people the risk is still extremely low.
 
Right, but what if this goes on for another 2 years? Or more? The point is that Sweden may not have this wrong. If there are secondary/tertiary waves they could be better placed in the future because of the way they've dealt with it now because they've developed better immunity/resistance.

Sweden now has the highest 'per million people' death rate in Europe. We are close behind.
 
Nobody is saying the lockdown should go on indefinitely though. But it's the fact that opening up without testing facilities are in place will just lead to another lockdown. And considering how many people have died from covid in New York state (about 0.1 of the population when upper level estimates are only that around 20% have had it).

And have many people on this thread actually been to Sweden tbh, their quality of life and measures on social equality etc are far better than anything we have here and yet they are still having a shocker. Highest proportion of elderly people living alone and working from home even before the crisis.
 
Sweden now has the highest 'per million people' death rate in Europe. We are close behind.

But this is dependent on what the actual rate of people having the disease is - basically no one has any idea anywhere except (as far as I know) in a few studies in very local areas where everyone has been tested and then retested a few weeks later. But it should be the case that Sweden has had a much higher general infection rate than the rest of Europe - that would be the logical consequence of much higher rates of social mingling. If so then while their death rate per million is higher, their death rate per exposure or per case could be exactly the same and lockdown countries are just smoothing these extra cases into the future. We just don't know. But I think it sort of must be the case that Sweden has had more cases or exposures.
 
Nobody is saying the lockdown should go on indefinitely though. But it's the fact that opening up without testing facilities are in place will just lead to another lockdown. And considering how many people have died from covid in New York state (about 0.1 of the population when upper level estimates are only that around 20% have had it)
Well exactly. It's as if the government have mismanaged the lockdown to the point where people just think 'fuck it'. I don't want a lockdown forever. I want a contact tracing system that works because it wasn't given to Cummings' mate to make a few quid out of. I want a health system that works and I'd like a coherent plan for getting everyone back to work and school.

I genuinely can't believe some of the posters flogging the dead horse of herd immunity on this thread without any scientific evidence to show that it's possible. Other countries have done this without fucking everyone over. I don't accept that we should just shrug our shoulders, send the kids back to their saliva swapping and get on the tube without demanding something better. What a load of dogshit.
 
Nobody is saying the lockdown should go on indefinitely though. But it's the fact that opening up without testing facilities are in place will just lead to another lockdown. And considering how many people have died from covid in New York state (about 0.1 of the population when upper level estimates are only that around 20% have had it).

Well put. For me its about the timing of relaxing restrictions rather than not implementing them in the first place. Sweden could have saved many lives and they will probably in the long term point out how much better the decision was but I think you have to go for where the immediate danger is and build for the long term as well.
 
And the UK provided a fine demostration about how easily it is to construct 'shield the vulnerable' rhetoric when actually the long0standing plan involved extra risk for those very groups. NHS Englands 'reverse triage' plan was the very opposite of shielding the vulnerable, it was placing them in harms way for the sake of avoiding pictures of overwhelmed hospitals.

Obviously a 'shield the vulnerable' approach can be empty rhetoric, but it's also possible that it be carried out. The fact that more-or-less every rich European state has had a care-home scandal over covid merely reveals the fact (obvious to anyone whose been paying attention) that mostly modern states don't care much about old people in modern society, whatever they say - that was true before covid.

It also underlines the fact that carehomes will be a locus of covid deaths because age is the key determinant of likelihood of death from covid.
 
I genuinely can't believe some of the posters flogging the dead horse of herd immunity on this thread without any scientific evidence to show that it's possible. Other countries have done this without fucking everyone over. I don't accept that we should just shrug our shoulders, send the kids back to their saliva swapping and get on the tube without demanding something better. What a load of dogshit.

Indeed, thanks for saying this, I've been struggling to find the words in the face of some of the absurd and dangerous sentiments expressed in this thread today.
 
Indeed, thanks for saying this, I've been struggling to find the words in the face of some of the absurd and dangerous sentiments expressed in this thread today.

What would be absurd and dangerous would be to make decisions without even discussing alternatives. Is it literally taboo to do this? We have basically no idea in any European country what the actual infection rate is. That means we have no idea what the actual death rate is. Without that information everyone's guessing, including you.
 
Indeed, thanks for saying this, I've been struggling to find the words in the face of some of the absurd and dangerous sentiments expressed in this thread today.
It would be nice if we could establish once and for all that herd immunity vs lockdown forever is a false dichotomy. It seems as if everyone who's argued against immediate lifting of the lockdown has been told they must want lockdown forever. They're not the only two choices and neither is the best response to the problem.
 
What would be absurd and dangerous would be to make decisions without even discussing alternatives. Is it literally taboo to do this? We have basically no idea in any European country what the actual infection rate is. That means we have no idea what the actual death rate is. Without that information everyone's guessing, including you.
So you're agreed what we need to do is ramp up testing of all kinds straight away? Because that's what elbows has been saying for months.
 
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