Sunday 1 November 2020

More Lockdown Idiocy

So, days after denying that they would impose another national lockdown, Boris Johnson has imposed another national lockdown. Why would anyone be surprised, as they seem to average one big U-Turn per week. Of four senior Ministers in the meeting that discussed it, one of them leaked it to the media, thereby, forcing Johnson's hand to announce it, before he had time to change his mind once again. That's an indication of divisions in the government's inner circle, but they are nothing compared to the divisions within the Tories' parliamentary party, or the party in the country. No wonder, because the lockdown strategy is bonkers.

The government imposed a lockdown in March that, like this one, was supposed to only last three weeks, but which was continually extended, and then essentially continued by the imposition of regional lockdowns, particularly in the North, as Tory areas, in the South, began to baulk. The national lockdown, despite continuing for months, was a complete failure. It supposedly reduced infections, but, as the recent Edinburgh University study showed, its not infections per se that are the problem, but infections of the elderly, who are the ones actually at risk from it. Infections of the young and healthy are actually a good thing, as they create herd immunity amongst the population, which is the only realistic means of totally stopping its spread, and killing it off. But, of course, as soon as the lockdowns were relaxed, the true situation emerged, as reported infections increased rapidly, once again. As I'd said months ago, that is like a forest fire where no firebreaks have been created, so that any remaining embers, just set the forest alight again.

The government needed to end the lockdown, because although it was a lockdown of social activity rather than of employment, the former impacted some of the latter, and the costs of that were enormous and unsustainable. Bribing people with furlough payments not to work, not to produce the goods and services that society requires is insane, and unsustainable. It will completely wreck the economy for years to come in a way that will cause far more deaths and ill-health than COVID is ever likely to achieve. Now, it has the worst of all worlds as it has been forced to impose another lockdown, and to reintroduce the bribes to people not to work and produce, which will create an economic and financial crisis on an unprecedented scale.

It has been forced to do that, because it never developed an alternative strategy to such lockdowns, and the only strategy that has any chance of working – that proposed in the Great Brarrington Declaration, which is the strategy I basically proposed back in March – would mean accepting that its original lockdown strategy had been a mistake, and one that had caused the deaths of tens of thousands of old people. In part its been forced into that position, because all of those others that had called for that lockdown strategy, some of the government scientific advisors, as well as the Labour opposition, themselves had a vested interest in not admitting they got it terribly wrong.

Many of them have looked for a way out in the hope that a vaccine or an effective test and trace system would come to their rescue. But a vaccine is at least six months away, and there is no chance of test and trace ever working, because 90% of infected people show no or few symptoms, and so are never tested. Germany which did have an effective and efficient test and trace system has still seen a massive rise in new infections. Test and trace is a diversion, whose purpose is only to get people to go along with further lockdowns in the interim, just as the continued talk of a vaccine on the horizon is intended to do. But, its almost certain that most countries will develop herd immunity naturally before they ever get an effective vaccine rolled out on a wide scale.

As with the first national lockdown, and as with the regional lockdowns the new lockdown is absurd. On the one hand, we have people old they can't go into local shops selling non-essential items, despite the fact they might be in there for less than ten minutes, could wear masks, and physical distancing could be employed, yet, they can continue to go to supermarkets. The experience of that previously, and recently in Wales, shows how absurd that is. Not only did it mean some products were denied to shoppers who were already in the shop, but contact with others in a supermarket is far more likely than in a local small shop.

Again people can't go to the pub or restaurant, where the data suggests infection rates are in any case low, but, unless they are one of the tens of thousands of people that work in such places, who are likely to be soon joining the dole queue, they are expected to continue to go to work, where they will sit for eight hours, in a confined environment with dozens or hundreds of others workers. And to get to and from those places of work, they will have to cram together for half an hour or more on public transport, breathing in other peoples germs. There is absolutely no logic to the lockdown.  It is idiotic.

Labour's continued opportunistic response is even more idiotic. Brigitte Phillipson put forward Labour's standard line that if only the government had listened to them and imposed lockdowns harder and faster everything would by now have been hunky-dory. Slimey Starmer repeated the argument on Andrew Marr. But, of course, its nonsense. If the first national lockdown lasting months didn't work, why on Earth would any sensible person think that a lockdown lasting just three weeks would work? At the same time, Labour seems to think that you can simply have no one working and producing anything, and yet you can just print money from the Magic Money Tree, and hand it to people to buy all of the things that no one is producing!

The only rational solution was to accept that the virus almost exclusively targets the elderly, with the mean average age of death from it now being 82. Had the government, from the beginning, told everyone living in a household with someone over 60, or with underlying medical conditions, to self isolate, or risk death, then all resources could have been focused on enabling them to do that, and avoiding contact with the virus. That would have prevented 45,000 older people being infected and dying from the virus. It would have prevented them and many more becoming ill and placing additional burdens on the NHS. Had the NHS itself, from the start, established isolation wards, so that those with the virus never came into contact with other patients, its spread in hospitals, and subsequently into care homes, could have been avoided. If all care workers, whether in care homes or visiting people in their homes, had been provided with adequate PPE, and contact protocols, then there is no reason why they would have spread the virus to the old and the sick either.

Mark Walport argued this morning that the idea of shielding the elderly was not possible, because young people also care for older people. That is no argument. If these younger people are care workers then they should have PPE and contact protocols to prevent them infecting those they care for. That care homes did not do that, and became killing fields for the virus is a disgrace. That they still are not doing that, is an even bigger disgrace. The same applies in hospitals. If what he means is younger people who are carers for their own parents etc., then the solution is clear that either they must self isolate as well as their parents, so as to avoid contracting the virus, or they have to relocate, and their role be taken over by professionals, and the function of the state, in all these cases, should have been to have focused its resources on enabling people to achieve that, including adequate financial support where young carers needed to stay home from work to self isolate.

But, the reality is, in how many cases does that actually apply? The vast majority of people over 60 do not live with younger members of their households. My wife and I do live with my eldest son, but as we have been isolating since March, he has had to do the same. Of those elderly people who need care, a large proportion are in care homes, or else get care in the home from the NHS or Social Services, and there it is a simple question of those carers being properly trained and equipped to prevent them spreading the virus. This is not rocket science.

Yet, the fact that such objections are continually raised as though they represent a significant problem begs the question why?

4 comments:

George Carty said...

I'm increasingly sceptical that this new lockdown will even work (in sense of getting R enough below 1 to matter), because at least during the first lockdown we closed all the schools, as well as having the seasons on our side.

Note that Wuhan's lockdown was a failure in that it only reduced R from 3.9 to 1.3: this is probably because of transmissions within households as well as by key workers. It was only when the Chinese started forcibly incarcerating those who tested positive or show symptoms, along with their contacts, that R fell to 0.3 and the virus was brought under control.

How many lockdown supporters in the scenario would throw in the towel and change to advocating a herd immunity approach, how many would advocate closing the schools again, and how many would double down suggesting we need to adopt the Chinese model of forcible quarantine in Britain?

Boffy said...

George,

The R number is a complete fiction. Its put out as part of the whole bread and circuses performance around this fiasco to suggest that those making the policies are in some way basing it on science, and accurate data, when they are not, and cannot. The R number is a statistical guess, but its not even as scientific or accurate as the statistical guesses of opinion polling. It would require that the actual testing undertaken was accurate, which it isn't, it would require that, the tracing of all those who had been in contact with those tested were actually traced, which they aren't, and it would require knowing how many of those to be traced already had immunity to the virus from some previous infection, which they don't.

Its a total fiction. The tests are unreliable because they fail to pick up about 30% of infections, whilst at the same time they are unreliable, because they produce huge false positives amongst people who already have immunity - which is probably what is happening with the supposed rise of infections in Sweden. The tests are unable to distinguish between dead viruses, still in the body, and live viruses, and the cases where that has been shown of holidaymakers in Italy, indicates that this condition can last for months. Similarly, we now know that antibodies decline after about 3 months, which means that some people who already have immunity are not being picked up as such, which is giving a false indication of he level of existing herd immunity. The level of antibodies always declines to any pathogen, after several months, for some it takes a year, or so, but that does not mean thee is no immunity. It simply means the body does not need those antibodies to attack the pathogen currently. The immune system produces them again quickly, along with other forms of immunity if and when the virus attacks the body again.

I don't believe any of the data out of China. At some point I expect that there will be an overnight conversion to herd immunity. The new lockdown clearly is not going to work, and not because of schools which are irrelevant, and should have stayed open anyway the first time, if nothing else. COVID is providing good cover for the government for the fact that the NHS, lacking a hundred thousands nurses, and on he verge of collapse anyway, as anyone who has been to A&E over the last few years will testify, would have suffered a severe Winter crisis with o without COVID. There are currently more deaths from flu and pneumonia than from COVID even with the recent increase, and that is likely to increase in coming months. The NHS would probably have collapsed over the Winter, and now the Tories with Labour help will blame it on COVID instead.

IF Britain accidentally crashes out of the EU, then the immediate chaos will dwarf lockdown chaos, and it is of course, possible that if Johnson still feels captive of the Right, he will be pushed into that. In which case, martial law under cover of COVID restrictions may well be at the back of his mind.

George Carty said...

On Twitter I confronted Simon Wren-Lewis, who has harshly criticized the UK government along with others across Europe for not locking down a month earlier. He argues that the purpose of lockdowns is to get case numbers low enough for test-and-trace to function, so I confronted him with the example of Germany, whose government cannot be dismissed as incompetent in the way that the UK government can be, and where a test-and-trace system that was probably one of the best in Europe still failed.

As far as I'm concerned, a test-and-trace system cannot be classed as "successful" unless it prevents future lockdowns. Do people like him think that people can be indefinitely browbeaten (with talk of anti-lockdowners being a "death cult" and the like) into putting up with never-ending intermittent lockdowns?

Wouldn't the people be so desperate to get their lives back that they'll demand that (one way or another) lockdowns are brought to an end once and for all, either by adopting a herd immunity policy (regardless of how many old and vulnerable people die as a result) or by accepting a Chinese-style suppression policy, which (though horrendously brutal: involving the incarceration of thousands or even millions of people, most of whom won't even have been infected) is at least over after a couple of months?

As for R, can't it also be obtained (albeit with a time lag of a week or three) by using the more reliable statistics of hospitalizations or deaths, and aren't false positives anyway only really an issue if the rate of true positives is extremely low (such that the true positives are swamped by the false positives)

While the numerical data coming out of China is almost certainly fake, aren't there other more general indications (that couldn't be faked) that China has not suffered a Covid death toll comparable to Western countries? For example, the Iranians dug mass graves (during the worst of the pandemic in their country) that were so large that they were detected by US spy satellites, while no similar mass graves have been detected in China.

Boffy said...

George,

Many of the proponents of lockdown are like sheep, and very ill-informed. They have just followed on behind he calls for lockdowns as a means of supporting a meme, and being seen to be attacking the government. A week or so ago, I posted a comment on Alan Simpson MP's blog, where he was opposing herd immunity and so on. He failed to post the comment, and then subsequently sent me an e-mail responding to the points I had made. It was clear from his comments in the e-mail that he really does not know his arse from his elbow when it comes to basic facts in relation to herd immunity and vaccination, or in relation to the actual per capita mortality rates as they now exist, for example in Sweden compared to elsewhere.

They are locked into a meme and unable to think critically for themselves. They placed their faith in a lockdown leading to the virus disappearing, which it was never going to do. Then when it was obvious that was not going to happen, but lockdowns were destroying economies, they placed their faith in a quick vaccine. But safe vaccines take on average 5 years to develop. They now seem prepared to risk people's lives, and give further ammunition to the anti-vaxxers, by rushing out an unsafe vaccine, to save their skins. But, even a rushed vaccine is not going to be available until middle of next year. So, in the meantime, they have to fill the vacuum left by the failure of lockdowns by claiming that the solution lies with test and trace which has equally failed, and will equally fail no matter how efficiently implemented, as with Germany.

Even the scale of testing proposed for Liverpool isn't going to work, especially given the unreliability of he proposed tests. You would need to test everyone everyday for that to work, even if the tests were reliable, and that isn't going to happen. And, the same applies to the R number. Its ridiculous to say they know whether the R is 3 rather than 1, let alone 1.3 rather than 1.1. They simply do not have the accuracy and reliability of data to make such calculations, and the main reason is that 90% of infected people are essentially asymptomatic or not ill enough to seek medical attention or to get tested.

Its all smoke and mirrors designed to keep people tagging along behind a failed strategy. All the time, the main beneficiaries are the medical industrial complex in the big pharma companies, the health bureaucracy, and the medical science departments of the Universities like Imperial, UCL, Cambridge and so on that depend on the medical-industrial complex and government and big pharma financing to continue their activities, and into which many of its faculty subsequently find lucrative careers, or buy outs of their own biotech start ups.