"While Britain’s pandemic plan assumes a new virus will be unstoppable, Asian countries focused on containment in a bid to minimise mortality " telegraph.co.uk/global-health/…
The epic failure of Western countries was already in the making for a long time. It is not only due to undecided political leaders, but also due to a deficient epidemiological knowledge base with which experts have cognitively framed the pandemic in the crucial first 2-3 month.
The same holds true for the a 2013 German pandemic scenario developed for the Parliament dipbt.bundestag.de/dip21/btd/17/1… Nowhere does it feature the idea that suppression/containment should be a priority or even could be a viable strategic option.
Note the German scenario assumes a SARS-like virus with an IFR ten times higher than that of #Covid19. Though the scenario expects 7,5 Mio deaths, the proposed measures don't include epidemiological insights gained by East Asian countries after their SARS experiences
There seems, then, only one plausible conclusion: The virus was and is not unstoppable. But wrongly assuming so plunged us into the current mess, with hundreds of thousands of deaths and the self-imposed destruction of our economies.
That kind of mistake should humble the scientific community in the West. The puzzle why epidemiology in the "West" only focused on an "influenza strategy" as pointed out by @devisridhar
In Germany (at least) a learning process has not yet started in earnest. Few if any conversations with virologists and epidemiologists from East Asia are happening. Why not?
The clarity with which some experts zeit.de/2020/52/corona… are now calling for a quasi-suppression strategy comes to late. This view, in fact, was a fringe position in the first half of the year 2020.
Suppression strategies must be a crucial element of the future pandemic tool box and a core component of preparedness. Fatalist assumptions of the unstoppability of a virus need to be replaced with rational and balanced strategies.
For that to happen #EpidemicOrientalism needs to be defeated, as it was one great factor in distorting the assessment of scientists.
"There were no provisions to supervise the agents’ activities beyond their work with Swiss authorities. What is more, because the agents’ unofficial status probably meant they were travelling on tourist visas," ...
"they could have had access to the whole Schengen area, said Peter Dahlin, the director of Safeguard Defenders." theguardian.com/world/2020/dec…
Germany's tabloid @BILD reports that by now 94% of all infections in Berlin are untraceable. Local health administrations often do lack (after obviously useless months of preparation) basic software and data processing tools bild.de/politik/2020/p…
Looking at the rising positive share of tests, #Covid19 is out of control. And yet, it is still not the top priority for authorities to mobilize resources and keep health agencies from collapsing and improve their speed and efficiency in coping with rising numbers infections
Now, we are in the middle of an escalating epidemic situation that was of course utterly unpredictable 😱 t-online.de/gesundheit/kra…
Its difficult to explain why so many leading Western #epidemiologists and #virologists, against all advice from East Asia, still openly or indirectly suggest that "herd immunity" should be the ultimate strategic rational for Western governments responding to #Covid_19 /1
China's 82 (?) years old hero-scientist Zhong Nanshan notes: "Vaccination is the way to acquire immunity. Herd immunity won’t work – the cost and sacrifices are too huge,” ... referring to the situation when a large percentage of a population has become immune to an infection."/3
Beyond the international "blame game" heating up, epidemiologists, virologists and health studies researchers need proper data and/or plausible estimates on many aspects of the pandemic. Since China is weeks ahead of the curve, its data are critical to understand #Covid_19 better
Ein Beitrag im Tagesspiegel zeigt klar was falsch läuft mit der Wissenschaftskommunikation in Deutschland während (und vor der) Corona-Pandemie. Beginnen wir mit einem Zitat zur "Letalität" von Covid-19. 1/
"Gemessen an der Letalität, also der Anzahl der Fälle, die zum Tode führen, liegt sie etwas über der Influenza-Grippe: In Deutschland sterben nach aktuellen Trends zirka 0,3 bis 0,4 Prozent aller infizierten Patienten." tagesspiegel.de/politik/epidem… Diese Angaben sind problematisch 2/
Wir müssen wegen der sehr präzisen Daten Südkoreas annehmen, dass im best-case 1,48% aller Covid-19 Patienten sterben werden statista.com/statistics/109… Warum best-case? Weil es in Südkorea niemals zu einer Überlastung des Krankenhäuser kam und volle Versorgung sichergestellt war. 3/
However, there's no time for policy mistakes. "Flattening" for instance is a dangerous illusion that can and does not work medium.com/@joschabach/fl…@OttoKolbl /2
Flatting is also a totally contradictive appraoch: while the epidemiological goal is to make the pandemic last longer, the economic logic is to make the pandemic as short as possible to prevent economic systems around the world from collapsing. Flattening does not make sense /3