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Exit strategy predictions

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Qwerty133

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Is there? The only things I've seen has been the WHO cautioning that we can't assume any immunity as no studies have been done



The government only forced a selection of businesses to close, primarily because they were places where you get large gatherings of people. Every other business, was actively encouraged to remain open - working from home where possible but fully permissible to go into work where WFH wasn't possible. They should by all means remind businesses that they are allowed to stay open unless they're on that list, but I don't think there's many categories on that list which should be opened up until we're further down the line - potentially allowing some more 'non-essential' retail and other businesses where they can demonstrate suitable social distancing measures are in place (eg Libraries)
The problem with reopening community libraries will be that in many areas they are mostly or entirely 'staffed' by volunteers, the majority of whom are likely to be over 70 and therefore vulnerable. I also wonder when libraries do reopen libraries the best way would be for click or call and collect only (possibly combined with volunteers collecting and delivering books to and from the doorsteps of those shielding, as many community libraries are very small and some people would almost certainly outstay their welcome and potentially infect half the stock when choosing what to borrow.
When relaxation can occur it is essential that large non essential shops that can more easily allow social distancing are allowed to reopen at the same time, or preferably before, smaller shops in the same sector. It will also be essential that stores are allowed to choose their own ways to restrict the numbers of those allowed inside to enable social distancing as what may appropriate for some will not for others (it would probably make sense for furniture stores to be appointment only for example while the budget end of clothing stores would manage better with a queuing system), and that some relaxations of the equality act are considered where it will better manage the numbers of people in parts of a store (large clothing shops with distinct sections for men and women would almost certainly be better off having separate queues for the men's and women's sections).
 
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Domh245

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You're right that it's too early to be definitive, but there are scientific opinions, e.g. in here and I saw an interview with the woman leading the Oxford vaccine development team who stated categorically that a vaccine would give much stronger immunity than actually having the virus.

I can't find anything to that effect (vaccine = stronger immunity) from Sarah Gilbert or Jenner Institute generally, but I'll take your word for it!

Further, one 2007 report on SARS demonstrated that its antibodies dissipated after an average of two years, making patients potentially vulnerable to reinfection. A study of MERS found antibodies tended to stick around for a bit longer, but not in everyone.

As for the bits about disappearing antibodies and the potential for reinfection, then we're back to the whole "the virus can't effectively be stopped" unless we manage to eradicate it during a period when everyone is immune. It may be my schoolboy understanding of vaccines, but if antibodies generated in response to the virus disappear after a period of time then so will those produced in response to vaccines, unless the vaccine allows for some kind of 'superimmunity' which we won't know for several years yet! If that is the case and immunity isn't something that can be done it's either learn to live with it and accept the death toll (or hope for effective treatment) or continue in perpetuity with varying degrees of lockdown, quarantines, and test&trace.
 

Domh245

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The problem with reopening community libraries will be that in many areas they are mostly or entirely 'staffed' by volunteers, the majority of whom are likely to be over 70 and therefore vulnerable. I also wonder when libraries do reopen libraries the best way would be for click or call and collect only (possibly combined with volunteers collecting and delivering books to and from the doorsteps of those shielding, as many community libraries are very small and some people would almost certainly outstay their welcome and potentially infect half the stock when choosing what to borrow.

Libraries was just the first thing I picked out from the list that looked like it could adopt the supermarket approach of maximum capacity, one way systems and floor markings. They are currently allowed to remain open for "Digital library services and those where orders are taken electronically, by telephone or by post (for example no-contact Home Library Services) may continue. " so most of what you propose should be doable now!
 

HH

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As an aside, it's interesting to note that in a a few weeks, the results around Gilead Sciences Remdesivir. The aility to treat the most at-risk would have a strong positive effect on the condition's we're all under
The Amercians are claiming noticeable benefits, but say it's not a magic bullet. The Chinese, reported today in Lancet, say it's even less effective.
 

HH

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As for the bits about disappearing antibodies and the potential for reinfection, then we're back to the whole "the virus can't effectively be stopped" unless we manage to eradicate it during a period when everyone is immune. It may be my schoolboy understanding of vaccines, but if antibodies generated in response to the virus disappear after a period of time then so will those produced in response to vaccines, unless the vaccine allows for some kind of 'superimmunity' which we won't know for several years yet! If that is the case and immunity isn't something that can be done it's either learn to live with it and accept the death toll (or hope for effective treatment) or continue in perpetuity with varying degrees of lockdown, quarantines, and test&trace.
The implication was that the immunity would last longer with a vaccine, but it won't be a permanent immunity (as I understand it, vaccines for these types of virus are never permanent). Doesn't that simply mean that you would need to refresh your immunisation if the virus was circulating again.
 

111-111-1

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The implication was that the immunity would last longer with a vaccine, but it won't be a permanent immunity (as I understand it, vaccines for these types of virus are never permanent). Doesn't that simply mean that you would need to refresh your immunisation if the virus was circulating again.


It could be like the Tettanis Jab that needs a booster periodically.
 

Jozhua

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And yet yesterday Sweden had over 100 deaths, while neighbouring (and similar in every way apart from covid-19 strategy) Norway had just 6. It appears that Sweden is relying on herd immunity, despite the scientific evidence that immunity from having the disease is both weak and short-lived.

It's a brave decision to go against what everyone else is doing, but if it weren't for the fact that the majority of the population is voluntarily "locking down" then things might have been very ugly indeed by now. Only time will tell if that has been enough.


This appears to ignore the fact that they are carrying out a lot more tests now, so you would expect to see an increase in cases detected.

Not a prediction, but what I think the governemnet should do as it's first easing, is to allow more businesses to trade. It's already happening, with both large businesses (Maccy D's, B&Q, etc) and small (the increase in car journeys was today described as work related). By making official that what is happening anyway, they avoid some difficult issues and get a chance to see what the effect is on R. Plus it's also the biggest benefit to the economy.

If more people can start working again it may help in a number of other areas (such as domestic violence) as well.
Sweden's plan isn't herd immunity, it is voluntary social distancing and lighter 'lockdown'. Their immunologist in chief essentially says that herd immunity may be a by-product, but it is certainly not the aim.

There are 2m distancing billboards up and the streets are noticeably less busy than usual according to reports on the ground. I think within coming weeks, especially in countries like the US and UK, the gap will close between Sweden and everyone else.

Norway also has half the population of Sweden, which closes that gap slightly. However, I think that the main point is, most countries will see a widespread outbreak at some point, it is just a matter of time, lockdown may only delay the process.
This was an opportunity for them really - let people "creep" out of lockdown themselves, if it goes well they take the credit, if it goes badly they lock down tighter and blame us.
That's true, it could very well be the plan, at least I hope the government is already acknowledging the fact people are struggling and beginning to go out more again. If not, they could find themselves blindsided somewhat!
Extending the lockdown beyond 7 May would be both political and economical suicide. If the government neither ease some of the restrictions nor give any indication of when they will be relaxed, people will just refuse to obey them.
I think the 7th of May would be a good date to look at relaxing the restrictions, although I think they will be extended by another three weeks at least...
I can't find anything to that effect (vaccine = stronger immunity) from Sarah Gilbert or Jenner Institute generally, but I'll take your word for it!

As for the bits about disappearing antibodies and the potential for reinfection, then we're back to the whole "the virus can't effectively be stopped" unless we manage to eradicate it during a period when everyone is immune. It may be my schoolboy understanding of vaccines, but if antibodies generated in response to the virus disappear after a period of time then so will those produced in response to vaccines, unless the vaccine allows for some kind of 'superimmunity' which we won't know for several years yet! If that is the case and immunity isn't something that can be done it's either learn to live with it and accept the death toll (or hope for effective treatment) or continue in perpetuity with varying degrees of lockdown, quarantines, and test&trace.

I think vaccines are a generally more effective form of immunisation than getting the disease.

I don't think that more frequent vaccinations are that big of a deal compared to what we currently live with, I'm not someone who perticularly struggles with having them though, I can understand for some who fear needles might be less easy! (Just staring at the wall for 30 seconds while it's done does the trick tbh)

I'm sure there will be multiple different vaccine solutions available in the end, at least if one of them works to buy us a few months until a better one is available, then that will be very useful still.
 

takno

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Libraries was just the first thing I picked out from the list that looked like it could adopt the supermarket approach of maximum capacity, one way systems and floor markings. They are currently allowed to remain open for "Digital library services and those where orders are taken electronically, by telephone or by post (for example no-contact Home Library Services) may continue. " so most of what you propose should be doable now!
Libraries aren't completely useless as a place to borrow books, but it's somewhat ancillary to their other uses in a lot of the country. They still provide the most effective internet access for a large marginalised chunk of society, and a relatively safe space for vulnerable children and adults. They are also an important group activity resource for kids, and increasingly somewhere to get out of the house for people who are in normal times expected to work from home but have neither the space or quiet to do so. Finally in a lot of areas that have managed to keep them staffed they are the first point of call for council services like bus passes

Opening them as a one-way system for essential book-grabbing with browsing forbidden would be worse than useless
 

Huntergreed

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During the Scottish briefing today, Nicola Sturgeon made it quite clear that she doesn’t expect any changes to come from the review of the measures next week, simply because of the death rate and infection rate not falling low enough to not risk overwhelming the NHS if restrictions were lifted. Looks like we’re in this for another three weeks if she’s right, that would take us to May 28th before another review.
 

yorksrob

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I think that as we'll likely be looking at incremental measures, rather than any large scale grand release, it might be worth reviewing weekly rather than three-weekly.
 

Mojo

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The problem with garden centres is that the term doesn't only refer to those businesses which genuinely exist on the sale of bedding plants (and related items) but also includes places better describer as mini department stores which people make day trips out of browsing through and happen to sell a relatively small range of overpriced plants alongside the clothing, furniture and equally overpriced coffee. The former type is quite possibly the kind of business that could be allowed to reopened early on in the relaxation of restrictions and may well be visited by all groups of society but that latter type is almost certainly much higher risk (and was the type of place I was thinking of when saying the clientele are old and rich) and should not be reopened in the earlier stages unless other clothing (for example) stores are reopened.
Funnily enough you should mention this; I’ve just found a semi-local garden centre that is still open, precisely because it is not just a place selling plants. It has a butcher and greengrocer concession on site, as well as areas selling local products such as honeys and soaps.
 

Domh245

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I agree on the need to move to weekly reviews rather than 3 weekly. 3 weeks ago we had just had our worst day but now we are in a significantly better place (around/slightly under half as many hospital deaths as on the peak) - waiting another 3 weeks before the next review, especially as more and more people start to have lockdown fatigue whilst deaths dwindle further would be absurd
 

scotrail158713

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I think that as we'll likely be looking at incremental measures, rather than any large scale grand release, it might be worth reviewing weekly rather than three-weekly.
I agree on the need to move to weekly reviews rather than 3 weekly. 3 weeks ago we had just had our worst day but now we are in a significantly better place (around/slightly under half as many hospital deaths as on the peak) - waiting another 3 weeks before the next review, especially as more and more people start to have lockdown fatigue whilst deaths dwindle further would be absurd
Agreed. Weekly makes more sense now, in the stage we’re at.
 

nlogax

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I agree on the need to move to weekly reviews rather than 3 weekly. 3 weeks ago we had just had our worst day but now we are in a significantly better place (around/slightly under half as many hospital deaths as on the peak) - waiting another 3 weeks before the next review, especially as more and more people start to have lockdown fatigue whilst deaths dwindle further would be absurd

Another +1 on weekly vs 3 weekly. As we start to see businesses reopen of their own accord (I'm thinking specifically of the massive queue around a Burger King that reopened in Hampshire this morning) then governments will have to adapt more quickly when shaping official guidelines.
 

underbank

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Another +1 on weekly vs 3 weekly. As we start to see businesses reopen of their own accord (I'm thinking specifically of the massive queue around a Burger King that reopened in Hampshire this morning) then governments will have to adapt more quickly when shaping official guidelines.

Takeaways didn't have to close in the first place, so they're not trying to breach rules or use loopholes or stealth to re-open. I'd like to see more of this, i.e. the businesses re-opening that need never have closed. It's a little perverse to relax the rules allowing more businesses to open, when lots of them, already allowed to open, are staying closed.
 

CaptainHaddock

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Takeaways didn't have to close in the first place, so they're not trying to breach rules or use loopholes or stealth to re-open. I'd like to see more of this, i.e. the businesses re-opening that need never have closed. It's a little perverse to relax the rules allowing more businesses to open, when lots of them, already allowed to open, are staying closed.

In that case why did Greggs - Britain's biggest bakery chain - close all their shops when probably 99% of their business is takeaway food?
 

Bletchleyite

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In that case why did Greggs - Britain's biggest bakery chain - close all their shops when probably 99% of their business is takeaway food?

Because they didn't think their kitchen layout worked with distancing. That was the same with Maccy's.

My local chippy has just reopened, having redesigned the layout so they can work safely and fitted screens.
 

underbank

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In that case why did Greggs - Britain's biggest bakery chain - close all their shops when probably 99% of their business is takeaway food?

You'd have to ask them!

Maybe they thought there'd be too few customers, not enough staff available to work, maybe difficulties in adapting to 2m social distancing, difficulties with supply chain, etc. Lots of reasons why shops closed, but the fact remains, many didn't need to according to the law!
 

nlogax

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Takeaways didn't have to close in the first place, so they're not trying to breach rules or use loopholes or stealth to re-open.

No, they didn't have to, but they chose to mostly for the protection of their staff and their customers in situations where distancing was impossible to implement.
 

Huntergreed

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Would it not make it much easier for many businesses if the social distancing guidance was reduced down to 1m. This has been proven to be just as effective and would, without a doubt, make it much easier especially in small shops, kitchens etc to get businesses up and running again.
 

CaptainHaddock

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Would it not make it much easier for many businesses if the social distancing guidance was reduced down to 1m. This has been proven to be just as effective and would, without a doubt, make it much easier especially in small shops, kitchens etc to get businesses up and running again.

I agree; one metre is after all the WHO's recommendation, quite why the UK government chose to double that is something of a mystery!
 

Mojo

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In that case why did Greggs - Britain's biggest bakery chain - close all their shops when probably 99% of their business is takeaway food?
I suspect a lot of it had to do with protests with organisations and individuals being highly critical of such organisations that remained open.

As time has gone on it’s become very clear that this is going to be going on for the foreseeable, hence organisations looking at their finances and deciding to open back up again.
 

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I agree; one metre is after all the WHO's recommendation, quite why the UK government chose to double that is something of a mystery!

Think along the lines of the series of "Yes Minister" & "Yes Prime Minister". Interestingly Austria started out with a 3 metre separation, and have now dialled this back to 1 metre as they start to relax measures. I suspect this dialling back will have be carefully noted by Johnson et al, they seem to be waiting to see what everyone else does, perhaps so that if some measures don't work they have an insta-scapegoat....??
 

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Think along the lines of the series of "Yes Minister" & "Yes Prime Minister". Interestingly Austria started out with a 3 metre separation, and have now dialled this back to 1 metre as they start to relax measures. I suspect this dialling back will have be carefully noted by Johnson et al, they seem to be waiting to see what everyone else does, perhaps so that if some measures don't work they have an insta-scapegoat....??
It might really be for economic need but the government could reduce from 2m to 1m by referring to developing understanding of the risk etc etc.
 

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They must of disagreed with the WHO recommendations.

Or they know British people are a bit disobedient so one thing that works is to ask for more than you actually want them to do. The classic was that because pre-camera most people drove around at roughly 10mph over the limit, so if you wanted people doing 50 you'd post a 40 limit.
 

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It might really be for economic need but the government could reduce from 2m to 1m by referring to developing understanding of the risk etc etc.

Should an reduction be made in the future, they would certainly have to explain why they varied from the original recommended distance and what they know understand that is allowing the change.
 

Huntergreed

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Should an reduction be made in the future, they would certainly have to explain why they varied from the original recommended distance and what they know understand that is allowing the change.
I would imagine that, like many other things, they would simply say their decision was “guided by the scientific evidence”
 

takno

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Should an reduction be made in the future, they would certainly have to explain why they varied from the original recommended distance and what they know understand that is allowing the change.
Sturgeon managed to claim that the science had changed, and that the science didn't actually even support wearing facemasks but she was bored of hearing people go an about it, in almost the same sentence the other day. I'm not aware of the science on facemasks having moved an inch, so I don't think they'd have any trouble claiming it had moved a metre on social distancing
 
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