This seems like an interesting experiment. Slovakia is testing entire population (5m) over 2 w/ends. Testing is ‘voluntary’ but those not participating must self-isolate for 10d. The first round covered 1m people with 1% positivity.
(1/n) @dwnews
In theory, absent issues with false negatives, could an approach like this drive the virus out of a country within a couple of weeks after testing? Imperfect because of false negatives and secondary tx during isolation, but it would surely do more than 6 was in L5 (for all) (2/n)
Eg, assume 1% positive rate from round 1 is correct, then Slovakia will end up with 50k people in isolation for 10-14days after a full testing cycle. After that cases will be the false negatives & secondary tx during isolation. (3/n)
So then a second cycle of targeted testing for family members/careers of the positives from the first cycle, should capture most of secondary tx. Plus a random sampling of negatives from cycle 1 to see how much secondary tx came from the false negs. (4/n)
The end result could be a near elimination of cases in about 4-6 weeks with less than 6m (!) tests. But no lockdown or severe restrictions throughout for 99% of the population who are testing negative. (5/n)
Could this work for Ireland? We test ~100k/week so a big stretch to get to 2.5m/week let alone 5m/week. There will be false positives too but still a small fraction of entire population & a better alternative (and outcome?) than L5? Is there anyway to make it work?
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How are things going in Level 5? Cases and positivity rates are coming down nicely. How does this compare to wave 1 and can this help us to predict where we might get to by December? Let’s have a look ...
(1/n)
I’ve aligned waves 1 & 2 using their peaks. The y-axis is the 7d moving average of daily cases as a fraction of each wave’s peak. Wave 1 peaked at ~872 c/d and came down to about 50 c/d by June. So far, wave 2 has peaked at 1169 c/d & its falling. Where will it fall to?
(2/n)
Next, I (naively) extend wave 2 using the corresponding portion of wave 1; very simple yes, but probably a reasonable, if optimistic, estimate that saves on the modelling.
It suggests that we will get to about 144 cases/day on Dec 4.
(3/n)
Slovakia's drive to test its entire population over 2 weekends got off to a good start on Saturday with 2.5m tested and 1% positivity. Those 25k positives are now in quarantine. A voluntary programme with opt-outs required to quarantine for 10 days.
(1/n) theguardian.com/world/2020/nov…
Next weekend the second half will be completed and presumably another ~25k positive cases will be found. So approx. 50k people will be in quarantine for 10-14 days. The remaining >5.4m people will presumably be free to go about their business with limited restrictions. (2/n)
There will be false positives among the 50k positives, possibly a fair few of them, but the alternative is that everyone goes into lockdown so this seems like a reasonable trade-off. There will also be false negatives circulating but there shouldn't be too many of them. (3/n)
We can now see transmission rates after L3, as we began L5. Much better than start of L3. Almost all counties either in or near the lower-left quadrant (low transmission & falling). A great good from which L5 can do its work if we all do out bit. link.medium.com/z5HrNtUB3ab
Here’s the same picture from just a few days ago ... we were moving in the right direction but still more to do.
And back at the start of L3 it was much worse again because by and large most counties had high and rising transmission rates (upper-right quadrant). So we have come some distance already ...
Now that we are closing in on the end of October there is an opportunity to look back at the data from Ireland’s Level 3 restrictions to determine: was it working; why we needed to move to L5; and what this means for the future.
(1/12) link.medium.com/Wj7KAIHpXab
Here's the county transmission picture from Oct 7, at the start of L3. We want to be in the lower-left quadrant (low & falling transmission rates) but counties are mostly spread across the upper-right (high and rising transmission rates). Not good.
(2/12)
However, by Oct 18 things had improved, at least in the sense that transmission rates were falling. Most counties were on the right trajectory now. Good but with room for improvement. But if L3 was working why then the need to move to L5?
(3/12)