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Re:London will be overwhelmed by Covid in a fortnight says l... by polote on Wednesday January 06, 2021 @06:58PM (#25664617)
if we let the virus lives its life, maximum 2% of pop will die, 90 more % will live normally and a few percent will have covid related health issues. so we sacrifice a few percent of population for the future of the others
Re:London will be overwhelmed by Covid in a fortnight says l... by ldrndll on Wednesday January 06, 2021 @07:06PM (#25664727)
Care to cite any stats supporting your assertion that a maximum of 2% of the population would die? During periods where the healthcare system has been overloaded the mortality rates have been many multiples of that during times when healthcare is provided at an appropriate level.

What’s more, do you have any reasonable figures to suggest why letting a percentage or more of the population die unnecessarily, consigning even larger numbers to long-term health problems and so forth is somehow a good choice?

Re:London will be overwhelmed by Covid in a fortnight says l... by malandrew on Wednesday January 06, 2021 @07:57PM (#25665664)
> During periods where the healthcare system has been overloaded the mortality rates have been many multiples of that during times when healthcare is provided at an appropriate level.

If you ask people to cite statistics for their claims, you should also do so for your claims such as this one.

Re:London will be overwhelmed by Covid in a fortnight says l... by ldrndll on Wednesday January 06, 2021 @09:17PM (#25666450)
I think it’s appropriate to ask for stats for suggestions that run counter to accepted wisdom. That doesn’t put the onus on me to provide evidence of generally accepted facts. Suggesting that we should let the virus run wild through the population is contrary to guidance from the WHO, any number of national health organisations, etc. So no, I don’t feel the need to cite statistics for my position, as it’s not the novel one.

It is an axiom of healthcare that outcomes suffer in an overburdened healthcare system, and readily apparent why that is the case. That said, for those too lazy to look, here’s literally the top result for me when googling terms related to this: https://www.kabc.com/news/covid-19-mortality-rates-rise-as-h...

Re:London will be overwhelmed by Covid in a fortnight says l... by Aeolun on Wednesday January 06, 2021 @07:26PM (#25665091)
> What’s more, do you have any reasonable figures to suggest why letting a percentage or more of the population die unnecessarily, consigning even larger numbers to long-term health problems and so forth is somehow a good choice?

If I squint my eyes a bit. Reduce the burden on the pension system?

Re:London will be overwhelmed by Covid in a fortnight says l... by jlokier on Wednesday January 06, 2021 @08:21PM (#25665938)
If I squint my eyes, I don't think it would even reduce the burden on the state pension system when you take into account the benefit system it is part of.

Long-term disabled or ill people who are unable to work will effectively take early retirement (in some cases they can draw on their actual pension early too), and depend on state support from then on whether it's called pension or something else. The duration of payouts will be longer than for ordinary retirement age.

It's not just miserable for those survivors, it's expensive for the state.

Long-term health problems are also likely to cost more in healthcare later.

Re:London will be overwhelmed by Covid in a fortnight says l... by Aeolun on Thursday January 07, 2021 @06:28AM (#25669827)
True, but do more people end up in long term care than dead?

I’d guess so, based on what I read so far, but not sure.

Re:London will be overwhelmed by Covid in a fortnight says l... by lostlogin on Wednesday January 06, 2021 @07:07PM (#25664751)
... or you can lock down, eradicate it and go back to normal (except for international travel). It passed that point in many places now unfortunately. I’m in Auckland, NZ and it’s a normal summer. We have also learned that NZs terrible road toll is unrelated to tourists, who we previously blamed.

Have you considered that of 100 friends, family and acquaintances you’d see two die and 10 would have a painful and difficult future?

Re:London will be overwhelmed by Covid in a fortnight says l... by Taurenking on Thursday January 07, 2021 @06:51AM (#25669988)
Let's see how things are once winter rolls over
Re:London will be overwhelmed by Covid in a fortnight says l... by matthewmacleod on Wednesday January 06, 2021 @07:03PM (#25664680)
This is obviously not true, since allowing the virus to spread freely massively increases the rate of fatalities and long-term illness once healthcare becomes overwhelmed.
Re:London will be overwhelmed by Covid in a fortnight says l... by smcl on Wednesday January 06, 2021 @07:11PM (#25664813)
So by that calculation 1.32 million people (2% of 66 million) would die and we're supposed to NOT react strongly to people who hold that opinion?
Re:London will be overwhelmed by Covid in a fortnight says l... by matz1 on Wednesday January 06, 2021 @07:34PM (#25665290)
As supposed of advocating lockdown ? How many million of people would suffer from lockdown?
Re:London will be overwhelmed by Covid in a fortnight says l... by smcl on Wednesday January 06, 2021 @07:38PM (#25665363)
Really not sure how to perform that comparison. How do we equate one death vs one "suffer", and how do we count the "suffers" of people who take ill of covid in the free-for-all scenario? I think the ball is in your court on this one but, frankly, good luck
Re:London will be overwhelmed by Covid in a fortnight says l... by matz1 on Wednesday January 06, 2021 @07:40PM (#25665409)
So not sure then do lockdown anyway?
Re:London will be overwhelmed by Covid in a fortnight says l... by smcl on Wednesday January 06, 2021 @07:43PM (#25665454)
Well we actually have a very good idea of how many people would die of Covid if the entire population of the UK got Covid.

We don't know how many people have ... whatever you are proposing we compare that against.

So faced with the options of "prevent the deaths of over a million people" and "matz1 doesn't like lockdown but doesn't want to talk about or quantify it" I think the choice is pretty clear. Unless you want to elaborate further?

Re:London will be overwhelmed by Covid in a fortnight says l... by matz1 on Thursday January 07, 2021 @11:41AM (#25673285)
whats the evidence that lockdown can 'prevent the deaths of over a million people' ? Keep in mind Lockdown can cause death as well.
Re:London will be overwhelmed by Covid in a fortnight says l... by smcl on Thursday January 07, 2021 @12:09PM (#25673772)
This is coming from the figures the other anti-lockdown guy gave for the number of deaths they expect - 2% deaths of the UK population is ~1.32 million people. If you don’t get covid, you don’t die of covid. If you lockdown, you don’t get covid. It’s a simplification but it’s a start.

What you have said is that people will suffer under lockdown - but you haven’t really tried to quantify that. You’ve decided that’s a lost cause and have moved onto “lockdown causes death” ! Amazing.

Re:London will be overwhelmed by Covid in a fortnight says l... by matz1 on Thursday January 07, 2021 @12:31PM (#25674173)
>If you don’t get covid, you don’t die of covid

Likewise If you get covid, doesn't mean you will die from covid. vast majority of people will be fine.

>If you lockdown, you don’t get covid. It’s a simplification but it’s a start

Maybe you don't get covid but if you lockdown, you may suffer/die from starving/mental health issue instead.

>What you have said is that people will suffer under lockdown - but you haven’t really tried to quantify that

Is it really hard to think that lockdown would cause at least some unemployment, some bankruptcy, some mental health issue ?

>“lockdown causes death”

Unemployment has long been associated with a significantly increased risk of death.

I don't have the precise number but how are you sure that the damage from virus is greater than damage from lockdown ?

Re:London will be overwhelmed by Covid in a fortnight says l... by frereubu on Wednesday January 06, 2021 @08:00PM (#25665717)
To add to that, there would also be a large number of people suffering from long-term complications who may not be able to work and will need ongoing medical care.
Re:London will be overwhelmed by Covid in a fortnight says l... by smcl on Wednesday January 06, 2021 @08:16PM (#25665892)
Indeed there would. The naive estimate of deaths is bad enough, the knock on impact is a bit harder to wrap our heads around in terms of magnitude, but would still be severe.

Basically - this is not nothing, it’s being treated like a Big Deal because it legitimately is. There’s a lot of talk from the “treatment is worse than the disease” crowd, scant few of whom are experts. And like climate change and evolution deniers many of the arguments seem to boil down to conspiracy theories or the It’s Always Sunny In Philadelphia argument - “science is a liar ... sometimes”: https://youtu.be/Zgk8UdV7GQ0

Re:London will be overwhelmed by Covid in a fortnight says l... by selimthegrim on Wednesday January 06, 2021 @07:08PM (#25664764)
And what happens when you get more mutant strains that do God knows what. You want to bet it’ll be 2%? What about 1895 and 1918?
Re:London will be overwhelmed by Covid in a fortnight says l... by frereubu on Wednesday January 06, 2021 @07:25PM (#25665053)
> so we sacrifice a few percent of population for the future of the others

No, you sacrifice an uncertain percentage of the population (but probably larger than you suggest because healthcare systems would be quickly overwhelmed by a massive spike in cases) to both death and long-term sickness and disability, but for what? Lockdown causes people to lose their jobs, children to miss school, and others to suffer problems with mental health (although to use your phrasing, this would just be "a few percent" of the population) but it saves people's lives and health.

I'm also really disappointed that people don't get the idea that people dying and having long-term health issues doesn't screw the economy too.

Re:London will be overwhelmed by Covid in a fortnight says l... by jlokier on Wednesday January 06, 2021 @07:57PM (#25665656)
I suppose you are free to decide that 1.32 million people in the UK should die an avoidable death, so that others have an easier life for a few months. Yes it's a value judgement. But it's a particularly awful value to hold:

- Advocating for the death of a million people when it's avoidable is abhorrent

- It would be more than that, due to the collapse of health services, causing people who would currently survive to die instead

- It would be more again due to the increased likelihood of viral mutations when left to run rampant

- Also due to the collapse of health services, most deaths would be outside hospitals, i.e. at home, slowly suffocating to death

- Some would survive with brain damage due to lack of oxygen at home

- While dying, people at home would know if they could get a hospital place they'd probably survive, and avoid brain damage, but they can't get one

- It wouldn't even boost the economy, because a million deaths is actually quite a drag on the economy, especially when most of them are dying at home with their families staying at home to look after them due to collapse of the health services

- It would be horrendously traumatic; a lot of people would struggle to work afterwards after watching their family members, friends, neighbours and people they know die at home slowly from an avoidable cause

- It would cause tremendous social division, as many of the traumatised people having watched their family members (& friends, etc) die, avoidably, would know it was caused by the actions of their own neighbours & local community, along with national decision-making to "sacrifice" those million

- That's just deaths; survivors with long Covid would also be a large drag on the economy, struggling or unable to work, requiring support, and potentially expensive for the healthcare services and their familiies in later life if it's long-term organ damage as some fear. The numbers with long Covid would exceed the current number of official unemployed

- Advocating for serious life-long disability for another several million people when it's avoidable is abhorrent too

Re:London will be overwhelmed by Covid in a fortnight says l... by patrec on Wednesday January 06, 2021 @07:14PM (#25664858)
There are already multiple working vaccines. Why on earth would you even contemplate killing or permanently damaging over a million people, just in the UK alone? Do you really think that 90% of the remaining population will be cool with that and continue to lead a normal life amidst all of this? Even a good fraction of other people in the bottom decile for empathy might waver in their commitment to lead a normal and maximally economically productive life if they are (understandably) worried about the risks this brings to their own well-being.
Re:London will be overwhelmed by Covid in a fortnight says l... by cawlin on Wednesday January 06, 2021 @07:24PM (#25665040)
Just casually let ~150 million people die. Cool.
Re:London will be overwhelmed by Covid in a fortnight says l... by PaulDavisThe1st on Wednesday January 06, 2021 @07:20PM (#25664959)
Congratulations on totally missing the point.

[ EDIT: the number I originally used for "requiring hospitalization" were way off. I've edited to reflect data from September provided by the CDC. The 20% -> ICU figure comes from the NYC experience in May, but seems roughly correct from other global hotspots ]

Roughly 0.4% of those who catch COVID19 will require hospitalization. Of those, 20% will require ICU treatment.

In the end, the entire human race will be exposed to SARS-COV-2. If that happens all on the same day, or week, or month or probably even year, no health care system in the world can possibly deal with the case load.

Some of those who might have survived COVID19 with hospital care will die.

But (and this is the important part) those with other medical conditions that timely and effective health care could have treated will also die. Trauma (e.g. car or tool accidents). Infectious disease. Cancer. Chronic health conditions.

And in killing all these people, you've made nothing better for those who survive, because if you think the economy has gone to hell under current attempts to deal with it, you clearly cannot imagine it as the entire health care system melts down.

COVID19 is not a personal health crisis. Most people will not die of it (even though hundreds of thousands will, which is not going to be much comfort to their families, friends, colleagues and neighbors. It is a public health crisis that threatens to overwhelm our health care systems and thus have far worse effects than just the disease itself.

Re:London will be overwhelmed by Covid in a fortnight says l... by usaphp on Wednesday January 06, 2021 @07:43PM (#25665461)
> Roughly 20% of those who catch COVID19 will require hospitalization. Of those, 20% will require ICU treatment.

Where do you get these numbers from? California has about 50k new cases per day, with probably another 50k cases that were not tested. According to your stats 20k people will require hospitalization and 5k will require an ICU bed per day.

Re:London will be overwhelmed by Covid in a fortnight says l... by simonbarker87 on Wednesday January 06, 2021 @07:48PM (#25665520)
How is this comment getting down voted, the 20% and 20% they used might be a bit off but the overall message is solid
Re:London will be overwhelmed by Covid in a fortnight says l... by PaulDavisThe1st on Wednesday January 06, 2021 @08:00PM (#25665712)
I've updated the first 20% with a more accurate number. Not sure why I got that so wrong.
Re:London will be overwhelmed by Covid in a fortnight says l... by Supermancho on Wednesday January 06, 2021 @07:32PM (#25665238)
> Roughly 20% of those who catch COVID19 will require hospitalization.

Where do you get this from? I do think, of those requiring hospitalization, there is somewhere around a <20% mortality rate (it seems to vary by region).

Re:London will be overwhelmed by Covid in a fortnight says l... by PaulDavisThe1st on Wednesday January 06, 2021 @08:03PM (#25665759)
The number was very, very, very wrong. I've corrected it. My point remains intact, I think.
Re:London will be overwhelmed by Covid in a fortnight says l... by jlokier on Wednesday January 06, 2021 @08:31PM (#25666039)
> In the end, the entire human race will be exposed to SARS-COV-2.

This statement is false.

(With regard to any reasonable definition of exposure to the current virulent strains and assuming the vaccines do their job.)

One major purpose of the vaccines is to cause R < 1 and the virus to fade out, so that most humans will not be exposed to the virus ever in their lives. The other major purpose is for those humans who are exposed to it, to significantly reduce the chance of the virus causing harm.

Like putting out a fire before it spreads everywhere. Some things are burned but not everything is even touched by the flame, if it's put out.

Re:London will be overwhelmed by Covid in a fortnight says l... by PaulDavisThe1st on Wednesday January 06, 2021 @08:43PM (#25666162)
The epidemiology I saw near the beginning of the pandemic was fairly clear that even when R0 drops substantially below 1, the virus will be endemic to human existence.

Sure, it's certainly up for debate (and the future) whether or not the rate will drop low enough that most humans escape exposure. That will depend on more than just R0 - we still don't know if the vaccines (any of them) prevent transference, and the emergence of new variants with higher R0 values but identical infection mechanisms (which most people would agree is the same virus) may also complicate this quite a bit.

So sure, maybe I should have dialed it back to "it's entirely possible that the entire human race will be exposed to SARS-COV-2, though if we are lucky that probably won't happen".

I don't think that changes my fundamental point that the crisis for a pandemic like this is not in personal health - "Am I going to die?" - but in the public health - "can my society's health care systems still function?"

Re:London will be overwhelmed by Covid in a fortnight says l... by jlokier on Wednesday January 06, 2021 @09:32PM (#25666575)
I read that too, when the epidemiologists were saying it could become endemic, but if it does, it's unlikely to be the current virulence, which is what counts when discussing deaths etc.

The evolution of viruses like this is they tend to mutate into milder strains as they become endemic. At that point the milder version may still cause excess deaths (like flu does, and unfortunately it would be in addition to flu deaths), but not at the same virulence.

But an endemic virus does not necessarily mean every human will be exposed to it. There are diseases which are almost but not quite eradicated by widespread vaccination, and keep going in clusters, surviving in pockets here and there.