Quote:
Originally Posted by ToothSayer
Again, it's all about R. If it's stable at close to 1 everything is under control and you're doing fantastic mass vaccinations before winter. If it sneaks up you just increase restrictions slightly and you're back down to 1. Texas, Florida, Arizona and other places got large scale partial herd immunity for a very low death rate.
If it's soaring at crazy rates like Europe is, you're in the doodoo. You need to aggressively shut things down to arrest it. And Europe already has quite a few restrictions, especially the last few weeks - masks, some things closed, no large events, etc. It's spreading at catastrophe rates despite that.
If you weren't a European cheerleader (why aren't you criticizing your own leaders for Belgium's toxic mix of the highest deaths in the world with plenty of restrictions, instead of attacking the US?) you'd see how much worse Europe's situation is.
The things is, there's going to be no widespread vaccine or cure before the winter onslaught, and economies are going to suffer terribly if R is high. Europe is woefully unprepared while the US is in great shape. I've explained this before but perhaps MIT Technology Review will help people understand why the US is so well placed:
This effect is even more pronounced when there's partial isolation/personality responsibility type behavior. The first wave ripped through everyone as life was normal; in contrast the prolonged US burn through went through the high contact nodes, the ones who don't isolate, the ones who are very social and touchy feel and unclean, the ones around superspreaders, nurses, retail workers, the young, prostitutes, minorities, the dense suburbs, etc.
Thus the US is in a fantastic place - it has about the same deaths as many European states (less than Belgium though!) with an effective immunity percentage perhaps 3-4x higher than in Europe. The US has likely reduced R by 0.5-1 in most places which is huge for controlling this and surviving winter without lots of damage.
1/ Why is R close to 1 at a higher level of infection better than R > 1 at a lower level of infection?
I agree R > 1 is bad, but your argument makes no sense. If 2 countries have identical testing strategies and number of tests being performed, and 1 has 8% positive stable, and 1 has 4% positive increasing, who is doing better?
2/ I never denied that the trend in EU is bad, it's terrible and partial lockdowns will be necessary and are already being done (though with protests now, too!
). Our political leaders are failing in bringing out a message that is understood by the people, and it is creating friction everywhere, and as a result infection. This is exactly the same that has been happening in the USA for months
.
I hope the political leaders focus on pushing down the infection again eventually, unlike the USA who has chosen to kill 300-500k a year until there is a vaccine.
3/ Again, my whole point is that your herd immunity theory is based on assumptions that we don't know a lot about yet. You are using uncertain assumptions to sell something as 100% accurate. We don't know how strong or long immunity is for people who didn't get sick, we don't know how many people got C19, we don't know how much % herd immunity we will need during Winter to stop the spread.
I'd also like to point out that NY & NJ infection is also moving up again, despite from what I understand life still looking incredibly different in both.
4/ The only thing I have defended Belgium for in this thread is their transparency. Data for public consumption is very detailled, and we chose to not try to downplay the numbers. But we were unprepared and the virus spread everywhere in our tiny country, resulting in some very bad things happening.
Also, you know and are deliberately ignoring that Belgium has one of the lowest gaps between excess death & C19 deaths due to our counting strategy.
There is also not a doubt in my head that USA excess death will look worse than Belgium excess death by the end of this crisis. And possibly even official statistics.
Lets compare May 18 to today
:
May 18:
Belgium 774 deaths per million
USA 285 deaths per million
September 26:
Belgium 859 deaths per million
USA 631 deaths per million
The gap decreased from 489 to 228.
Though I agree Winter will probably have different trends.