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New lockdown in England, including school closures, announced by Johnson, 4/1/21

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Carlisle

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With hindsight, I would have preferred the March lockdown to have been earlier, more robustly enforced at the border, and focused on elimination.
Would you have willingly endured the shortages, rationing & price increases that would’ve resulted from banning all foreign lorries entering the UK from last March for an indefinite period ? & even worse if the rest of Europe had acted similarly.
 
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DorkingMain

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Would you have willingly endured the shortages, rationing & price increases that would’ve resulted from banning all foreign lorries from entering the UK from last March for an indefinite period ? & even worse if the rest of Europe had acted similarly.
The trouble is, it took until June for any consideration to be given to this sort of international travel (absolutely essential) and large numbers entering the UK via commercial air travel (in most cases, not essential). Other countries acted much earlier on this and banned international travel without specific exemptions, and we made no attempt to do so.
 

35B

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Would you have willingly endured the shortages, rationing & price increases that would’ve resulted from banning all foreign lorries entering the UK from last March for an indefinite period ? & even worse if the rest of Europe had acted similarly.
I said “with hindsight”; my views have changed over the last year as the utter inadequacy and the huge human costs of a suppression strategy have become apparent. I also notice that those countries that have made it work have done so with political leadership that has been willing to say what they’re doing and why.

However, when a virus can cause 100,000 deaths in less than a year, put 40,000 people in hospital, and still leave no more than about 10% of the population with any immunity, the choices are pretty poor.

I was not advocating closing borders to all trade, as plenty of trade crosses borders without relying on lorry drivers to take it there.

Rather, I was acknowledging that a policy reliant on social distancing and lockdowns to suppress the spread of a disease is doomed to undergo repetition if the goal is suppression - the reservoir of disease remains, and is able to regain traction. That leaves either elimination or natural herd immunity, and I consider a strategy of natural herd immunity by far the worse of the two.
 

317 forever

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We can kiss good bye then to most pubs, small shops, cafes and restaurants, heritage railways, theatres, concert halls and cinemas. Anything I've missed? That just about embraces all the things I used to do.

It's as if there is an attitude along the lines of "We must stay alive in order to keep the Covid death numbers down. However, within our lives we must not have any pleasures nor any money-making small businesses". :(
 

DustyBin

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I said “with hindsight”; my views have changed over the last year as the utter inadequacy and the huge human costs of a suppression strategy have become apparent. I also notice that those countries that have made it work have done so with political leadership that has been willing to say what they’re doing and why.

However, when a virus can cause 100,000 deaths in less than a year, put 40,000 people in hospital, and still leave no more than about 10% of the population with any immunity, the choices are pretty poor.

I was not advocating closing borders to all trade, as plenty of trade crosses borders without relying on lorry drivers to take it there.

Rather, I was acknowledging that a policy reliant on social distancing and lockdowns to suppress the spread of a disease is doomed to undergo repetition if the goal is suppression - the reservoir of disease remains, and is able to regain traction. That leaves either elimination or natural herd immunity, and I consider a strategy of natural herd immunity by far the worse of the two.

We’ll probably have to agree to disagree over your final point. If we’d gone for natural herd immunity I believe we’d most likely be in a similar place to where we are now in terms of deaths, but we wouldn’t have suffered the same level of economic and societal damage. The net result of all these restrictions equates to tinkering around the edges, changing the shape of the graph slightly, but it’s all ultimately futile. Even with hindsight I can’t see how an elimination would have been viable for us, countries like the Czech Republic almost achieved it and were subsequently ravaged. New Zealand and Australia are outliers in all of this, they’ve done what is (arguably) right for them which is fair enough, but you can’t compare their situation with ours.
 

317 forever

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Not from labour at least. Starmer to me seems to love lockdown. After all under Corbyn it seened a socialist party in all but name who's main principles are state control.

I agree that Labour may well have been just as harsh in their impositions of lockdowns. Starmer often pre-empts a recommendation of a lockdown or "circuit breaker" early. He and others, most notably Anneliese Dodds, have critised the lack of an effective test, trace and isolate system. I find the word isolate especially alarming - and I mean for the unassurance of being allowed out for our choice of fresh food purely based on the speculation or fallacy that we were anywhere near anyone with Covid.

== Doublepost prevention - post automatically merged: ==

It's obvious Sturgeon wants to go for Zero COVID. She's been banging on about elimination since last year, it's hardly shocking she'll want to do this (now why would she want to do that?? There's nothing significant on her mind which she needs to try and win public opinion over for this year, is there?)

She probably wants to paint the picture that the only reason Covid remains prevalent in Scotland is because Scotland remains part of the UK. She may well hope that enough people will buy into this, quietly forget that Covid is global, and then vote for independence when Indyref2 finally happens.
 
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philosopher

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However, when a virus can cause 100,000 deaths in less than a year, put 40,000 people in hospital, and still leave no more than about 10% of the population with any immunity, the choices are pretty poor.

I was not advocating closing borders to all trade, as plenty of trade crosses borders without relying on lorry drivers to take it there.

Rather, I was acknowledging that a policy reliant on social distancing and lockdowns to suppress the spread of a disease is doomed to undergo repetition if the goal is suppression - the reservoir of disease remains, and is able to regain traction. That leaves either elimination or natural herd immunity, and I consider a strategy of natural herd immunity by far the worse of the two.
I agree the choices are pretty poor but I think whatever approach is taken, ultimately it will be many years (if ever) before a definite conclusion can be made on what approach would have be best.

It often seems to be portrayed in the media as a binary choice: Either it is full on suppression with a full lockdown or go for natural herd immunity while attempting to protect the vulnerable. I think both these approaches have big problems, one risks an unacceptably high death toll, the other risks considerable and long lasting economic and social damage.

Personally I think the government should be trying to pursue a middle ground between the two. Yes there should be some social distancing like banning of large events, restricting the size of gatherings and encouraging working from home. However very strict suppression that includes lockdowns, banning almost all indoor socialising and closing schools for months at a time in my opinion is in the long run going to result in more harm than good.
 

duncanp

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Personally I think the government should be trying to pursue a middle ground between the two. Yes there should be some social distancing like banning of large events, restricting the size of gatherings and encouraging working from home. However very strict suppression that includes lockdowns, banning almost all indoor socialising and closing schools for months at a time in my opinion is in the long run going to result in more harm than good.

In other words, the approach which was taken in Sweden.

This could be supplemented with advice about asking people to voluntarily limit their journeys, limit the number of different pubs or restaurants they visit, and do things locally as much as possible

Having had experience of COVID-19, I think many people would be willing to engage with such a policy providing they were allowed some measure of freedom and an acceptable quality of life.
 

DustyBin

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In other words, the approach which was taken in Sweden.

This could be supplemented with advice about asking people to voluntarily limit their journeys, limit the number of different pubs or restaurants they visit, and do things locally as much as possible

Having had experience of COVID-19, I think many people would be willing to engage with such a policy providing they were allowed some measure of freedom and an acceptable quality of life.

Yes exactly, although I try not to mention Sweden on every thread. I’m a relatively recent advocate of the traditional epidemiological, sorry Swedish, approach as I wanted to wait and see what happened but you can’t ignore Sweden at this point. The argument against is always that Sweden and the UK are not comparable countries, but you don’t even need to get into that debate. Compare Sweden with say Norway and explain to me how their outcome has been so much worse, because I can’t see that it has?
 

yorksrob

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There's no doubt in my mind that Sweden's approach is far better than ours.

The problem is that there are too many people involved in policy with a vested interest in rubbishing it now.
 

Bikeman78

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I said “with hindsight”; my views have changed over the last year as the utter inadequacy and the huge human costs of a suppression strategy have become apparent. I also notice that those countries that have made it work have done so with political leadership that has been willing to say what they’re doing and why.

However, when a virus can cause 100,000 deaths in less than a year, put 40,000 people in hospital, and still leave no more than about 10% of the population with any immunity, the choices are pretty poor.

I was not advocating closing borders to all trade, as plenty of trade crosses borders without relying on lorry drivers to take it there.

Rather, I was acknowledging that a policy reliant on social distancing and lockdowns to suppress the spread of a disease is doomed to undergo repetition if the goal is suppression - the reservoir of disease remains, and is able to regain traction. That leaves either elimination or natural herd immunity, and I consider a strategy of natural herd immunity by far the worse of the two.
Would elimination be possible? Perhaps for the UK but not for mainland Europe. At some point in the future a new disease will turn up for which there is no vaccine. What then? We can't do a repeat of the last 10 months for years or decades. If life consists purely of work, or sitting in the house, with no fun or seeing friends and family then, frankly, what is the point of being alive?
 

Domh245

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The trouble is, it took until June for any consideration to be given to this sort of international travel (absolutely essential) and large numbers entering the UK via commercial air travel (in most cases, not essential)

I must have imagined the collapse in passenger numbers:

1612091110019.png

You can see that it took until June for passenger numbers to even start to increase, restricting this beforehand would have been pretty ineffectual to say the least. During April/May there were an average 7000 passengers/day (not all of them necessarily entering the country) I am not convinced that restrictions would have had a material effect, unless we had the massive foresight to start putting restrictions in January
 

35B

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We’ll probably have to agree to disagree over your final point. If we’d gone for natural herd immunity I believe we’d most likely be in a similar place to where we are now in terms of deaths, but we wouldn’t have suffered the same level of economic and societal damage. The net result of all these restrictions equates to tinkering around the edges, changing the shape of the graph slightly, but it’s all ultimately futile. Even with hindsight I can’t see how an elimination would have been viable for us, countries like the Czech Republic almost achieved it and were subsequently ravaged. New Zealand and Australia are outliers in all of this, they’ve done what is (arguably) right for them which is fair enough, but you can’t compare their situation with ours.
I’m not convinced about the death toll, because it’s been achieved despite measures like social distancing and lockdowns. Otherwise, I acknowledge the validity of your concerns over sustainability, especially of maintaining border controls sufficient to prevent regrowth.
 

Class 317

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Going back to lockdown effectiveness or no lockdown effectiveness only a handful of countries have stuck to a strong clear strategy after releasing lockdowns and all have been focused on keeping Covid as low as possible or local elimination. It's therefore hard to make judgements on other countries where post lockdown strategies have been constantly changing.

I think restrictions on international arrivals with strong controls on testing and quarantine of arrivals seems to have a strong correlation with lower post lockdown restrictions and less damage to economies and people s general health and wellbeing.

For the UK prospective I agree that NI would be an issue in any elimination or low Covid approach that could have been taken but then again Ireland may have been prepared to follow a joint approach.

In terms of trade, over 80% of UK trade comes in via means other than driver accompanied hgv's. There are possible ways to deal with the 20% including switching to rail freight, air freight, extra container freight or more simply moving to unaccompanied trailers with changes to ports and possibly having to use ports like Newhaven and Ramsgate to relieve pressure on Dover.

At short notice when France closed the border supermarkets diverted significant amounts via other routes in a matter of hours ensuring few shortages. DHL moved all our exports at work via airfreight within 24 hours. Supply chains are far more resilient than is often assumed.

I'd support strong measures on all arrivals to allow opening up domestically even though work wise it would be bad for me as I work for a manufacturer where 50% of our business is tied to aerospace so job cuts are certain at some point and such a strategy would make these more likely.

Indeed a strategy of very strong measures on arrivals has been applied in Sweden which supports their suppression without lockdown strategies.

Whatever other strategies are implemented to lift lockdown, a strong option on border control until vaccines have achieved herd immunity would seem prudent to reduce the risk of having to reimplement other restrictions.

If strong border controls had been implemented back in March after the first lockdown a Swedish like approach may have been possible.
 

35B

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I agree the choices are pretty poor but I think whatever approach is taken, ultimately it will be many years (if ever) before a definite conclusion can be made on what approach would have be best.

It often seems to be portrayed in the media as a binary choice: Either it is full on suppression with a full lockdown or go for natural herd immunity while attempting to protect the vulnerable. I think both these approaches have big problems, one risks an unacceptably high death toll, the other risks considerable and long lasting economic and social damage.

Personally I think the government should be trying to pursue a middle ground between the two. Yes there should be some social distancing like banning of large events, restricting the size of gatherings and encouraging working from home. However very strict suppression that includes lockdowns, banning almost all indoor socialising and closing schools for months at a time in my opinion is in the long run going to result in more harm than good.
That’s where we need to agree to disagree. I believe that the government has been trying something along the lines of that middle way, and that it is not sustainable in the long term as it results in both economic and medical harms, without seriously mitigating either. That leaves one or other of the two extreme positions; my view based on our experience of the last year is that the direct and indirect death toll of a natural herd immunity approach is an unacceptably high price to pay, and therefore that elimination is the lesser evil. However, that is with hindsight for the situation we were in 11 months ago.

In the position we’re now in, my views is that getting vaccines rolled out widely enough to not just save lives but also massively reduce the pool of infected people is key. If immunity is relatively short lived, then it’s not just a question of protecting the very vulnerable, but also of denying Covid the hosts who will spread it to them as the immunity wanes. What worries me is the current tone of discussion that focuses on how quickly we can release measures, rather than actually focusing on the circumstances that would need to be met to permit them safely to be released. That would be to repeat the patterns of last year.
 

bramling

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I said “with hindsight”; my views have changed over the last year as the utter inadequacy and the huge human costs of a suppression strategy have become apparent. I also notice that those countries that have made it work have done so with political leadership that has been willing to say what they’re doing and why.

However, when a virus can cause 100,000 deaths in less than a year, put 40,000 people in hospital, and still leave no more than about 10% of the population with any immunity, the choices are pretty poor.

I was not advocating closing borders to all trade, as plenty of trade crosses borders without relying on lorry drivers to take it there.

Rather, I was acknowledging that a policy reliant on social distancing and lockdowns to suppress the spread of a disease is doomed to undergo repetition if the goal is suppression - the reservoir of disease remains, and is able to regain traction. That leaves either elimination or natural herd immunity, and I consider a strategy of natural herd immunity by far the worse of the two.

I suspect history will judge the “close borders and eliminate” strategy to be the best regarded one.

However, this still doesn’t mean it would have worked well here
~ there’s no way we would have closed the borders in time
~ we would have needed a much harsher lockdown
~ it gambles on a vaccine and in the absence of one isn’t a long-term solution
~ could end up in a worse state if it does break down
~ could we have actually sealed our borders effectively?
~ what happens regarding Northern Ireland?
 

DustyBin

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I’m not convinced about the death toll, because it’s been achieved despite measures like social distancing and lockdowns. Otherwise, I acknowledge the validity of your concerns over sustainability, especially of maintaining border controls sufficient to prevent regrowth.

Our underlying difference of opinion therefore is over the effectiveness of the measures you mention; I don’t think they do much other than potentially delay the inevitable. That can of course be beneficial in itself but so far I don’t think we’ve managed to get the timing right....
 

yorksrob

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That’s where we need to agree to disagree. I believe that the government has been trying something along the lines of that middle way, and that it is not sustainable in the long term as it results in both economic and medical harms, without seriously mitigating either. That leaves one or other of the two extreme positions; my view based on our experience of the last year is that the direct and indirect death toll of a natural herd immunity approach is an unacceptably high price to pay, and therefore that elimination is the lesser evil. However, that is with hindsight for the situation we were in 11 months ago.

In the position we’re now in, my views is that getting vaccines rolled out widely enough to not just save lives but also massively reduce the pool of infected people is key. If immunity is relatively short lived, then it’s not just a question of protecting the very vulnerable, but also of denying Covid the hosts who will spread it to them as the immunity wanes. What worries me is the current tone of discussion that focuses on how quickly we can release measures, rather than actually focusing on the circumstances that would need to be met to permit them safely to be released. That would be to repeat the patterns of last year.

I would argue that the approach we took over summer was successful in allowing activity to resume while keeping cases low. Such an approach is far more sustainable than attempting to keep people locked up for months on end.

The gradual release of restrictions over June and July allowed most of the country to have some respite, rather than a year (or two) of hell.
 

35B

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I suspect history will judge the “close borders and eliminate” strategy to be the best regarded one.

However, this still doesn’t mean it would have worked well here
~ there’s no way we would have closed the borders in time
~ we would have needed a much harsher lockdown
~ it gambles on a vaccine and in the absence of one isn’t a long-term solution
~ could end up in a worse state if it does break down
~ could we have actually sealed our borders effectively?
~ what happens regarding Northern Ireland?
I would argue that the approach we took over summer was successful in allowing activity to resume while keeping cases low. Such an approach is far more sustainable than attempting to keep people locked up for months on end.

The gradual release of restrictions over June and July allowed most of the country to have some respite, rather than a year (or two) of hell.
Where I differ is that the politics were all about lockdown measures being strictly temporary, and without real articulation of a strategy behind them other than "protect the NHS". I believe a different style of politics - shall we say more Churchillian? - could have achieved those results by setting out clear objectives and outcomes. At the time it would have been politically brave, to say the least, and I know that I for one was in the camp that believed it would not be sustainable or deliverable. Which, incidentally, is why I qualify my comments with "in hindsight".

The one really difficult question is NI - as we saw with both Brexit last year and vaccine politics last week. As the ROI managed to implement their own restrictions, which impinged on NI residents, I doubt it would have been impossible.
 

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rather than actually focusing on the circumstances that would need to be met to permit them safely to be released.
Why do people need to continuously justify why they should have basic freedoms? It should not be up to us to convince people that something is 'safe'. If people want to impose lasting and hugely damaging restrictions on our lives they should be having to explain why restrictions are overwhelmingly needed, that no alternatives are available, and that the benefits outweigh the costs.

The default is not lockdown, although I fear now some see it that way.
 

brad465

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Where I differ is that the politics were all about lockdown measures being strictly temporary, and without real articulation of a strategy behind them other than "protect the NHS". I believe a different style of politics - shall we say more Churchillian? - could have achieved those results by setting out clear objectives and outcomes. At the time it would have been politically brave, to say the least, and I know that I for one was in the camp that believed it would not be sustainable or deliverable. Which, incidentally, is why I qualify my comments with "in hindsight".

The one really difficult question is NI - as we saw with both Brexit last year and vaccine politics last week. As the ROI managed to implement their own restrictions, which impinged on NI residents, I doubt it would have been impossible.
I do think the NHS essentially being a religion in this country has been exploited heavily by the Government with Covid restrictions. I reckon this is why we haven't seen unrest on a large scale yet.
 

yorksrob

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Where I differ is that the politics were all about lockdown measures being strictly temporary, and without real articulation of a strategy behind them other than "protect the NHS". I believe a different style of politics - shall we say more Churchillian? - could have achieved those results by setting out clear objectives and outcomes. At the time it would have been politically brave, to say the least, and I know that I for one was in the camp that believed it would not be sustainable or deliverable. Which, incidentally, is why I qualify my comments with "in hindsight".

The one really difficult question is NI - as we saw with both Brexit last year and vaccine politics last week. As the ROI managed to implement their own restrictions, which impinged on NI residents, I doubt it would have been impossible.

The public are only complying with measures because they believe they are temporary. Any strategy based on long term restrictions at home will not achieve buy in. There can be no blank cheque on how long restrictions on basic freedoms will last.

People will possibly accept them on foreign travel for longer while the rest of the world catches up.
 

Yew

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Why do people need to continuously justify why they should have basic freedoms? It should not be up to us to convince people that something is 'safe'. If people want to impose lasting and hugely damaging restrictions on our lives they should be having to explain why restrictions are overwhelmingly needed, that no alternatives are available, and that the benefits outweigh the costs.

The default is not lockdown, although I fear now some see it that way.
Very well put!
 

Carlisle

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I do think the NHS essentially being a religion in this country has been exploited heavily by the Government with Covid restrictions. I reckon this is why we haven't seen unrest on a large scale yet.
Perhaps thats down to the longstanding general decline in respect & enthusiasm for religious institutions & leaders, Politicians, Heads Of State, big business etc being much less pronounced towards our medical & Scientific academia
 
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Mojo

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Which is good, as there is no evidence they have any effect on the spread.
AIUI the reason for imposition of curfews is to make the state’s job of enforcing the rules easier, rather than for any kind of perceived benefit.

Of course different countries have done different things - some have made all retailers and take-a-ways closed by the curfew time, and others have allowed people to still go out to a shop after that time.

Hopefully after the protests in the Netherlands, other countries won’t be so keen to follow suit.
 

35B

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Why do people need to continuously justify why they should have basic freedoms? It should not be up to us to convince people that something is 'safe'. If people want to impose lasting and hugely damaging restrictions on our lives they should be having to explain why restrictions are overwhelmingly needed, that no alternatives are available, and that the benefits outweigh the costs.

The default is not lockdown, although I fear now some see it that way.
If 100,000+ deaths in less than a year aren't a clear reason for doing something, I don't know what is - and that includes how the relaxation of restrictions is managed.

As for what is the best approach, I have outlined my view of where I believe policy should have been, and why I believe it would have been better had the government acted differently last year.
The public are only complying with measures because they believe they are temporary. Any strategy based on long term restrictions at home will not achieve buy in. There can be no blank cheque on how long restrictions on basic freedoms will last.

People will possibly accept them on foreign travel for longer while the rest of the world catches up.
That depends on how the restrictions are presented and messaged. A time limit is obviously easiest to cope with, but clear presentation of the policy objective, the strategy, and the steps can go a long way to getting support. That's not a blank cheque, but a bargain.
I do think the NHS essentially being a religion in this country has been exploited heavily by the Government with Covid restrictions. I reckon this is why we haven't seen unrest on a large scale yet.
Possibly, though I also give the British public as a whole some credit for their altruism.
 

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If 100,000+ deaths in less than a year aren't a clear reason for doing something, I don't know what is - and that includes how the relaxation of restrictions is managed.
We have upwards of 600,000 deaths a year anyway so willing to bet a good proportion of those would have occurred in not too distant future anyway. We need to realise death is an inevitably, you never save a life, you just delay death.
 

yorksrob

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We have upwards of 600,000 deaths a year anyway so willing to bet a good proportion of those would have occurred in not too distant future anyway. We need to realise death is an inevitably, you never save a life, you just delay death.

This is an important point that the wider population need to be educated on. Yes, at times over the past year, excess deaths have been very high. At others it hasn't. Once the year has panned out, the overall excess death figure compared to the average will be unusually large. But not as large as I think many people would expect. People need to be educated to the reality that COVID will likely become just one of the various fatal afflictions that we have lived (and died) with for centuries.
 

brad465

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This is an important point that the wider population need to be educated on. Yes, at times over the past year, excess deaths have been very high. At others it hasn't. Once the year has panned out, the overall excess death figure compared to the average will be unusually large. But not as large as I think many people would expect. People need to be educated to the reality that COVID will likely become just one of the various fatal afflictions that we have lived (and died) with for centuries.
I once did a thread on the concept of "human exceptionalism" and argue that Covid has really shone a light on it, even if the actual concept is not acknowledged, with regards to trying to save lives and in general increase life expectancy, even though doing so only leads to more health problems in later life.
 

DorkingMain

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This is an important point that the wider population need to be educated on. Yes, at times over the past year, excess deaths have been very high. At others it hasn't. Once the year has panned out, the overall excess death figure compared to the average will be unusually large. But not as large as I think many people would expect. People need to be educated to the reality that COVID will likely become just one of the various fatal afflictions that we have lived (and died) with for centuries.
I think there's also a problem with everyone considering COVID in isolation.

We're still not really told how many people are actually dying from COVID, vs COVID being a factor in worsening a situation where someone was already seriously ill
 
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