1. Is there a middle ground between lockdowns – with school, business and office
closures, curfews, and isolation – and a laissez-faire "let it rip" approach? gbdeclaration.org
2. In the Great Barrington Declaration, co-signed now by many thousand medical scientists and
practitioners, we laid out such a middle-ground alternative, with greatly improved focused
protection of older people and other high-risk groups.
3.The aim of focused protection is to
minimize overall mortality from both COVID-19 and other diseases by balancing the need to
protect high-risk individuals from COVID-19
4.while reducing the harm that lockdowns have had
on other aspects of medical care and public health. It recognizes that public health is concerned
with the health and well-being of populations in a broader way than just infection control.apha.org/-/media/files/…
5. This may surprise some readers given the unfortunate caricature of the Declaration, where some
media outlets and scientists have falsely characterized it as a "herd immunity strategy"
6. that aims
to maximize infections among the young or as a laissez-faire approach to let the virus rip through
society.
7. On the contrary, we believe that everyone should take basic precautions to avoid
spreading the disease and that no one should intentionally expose themselves to COVID-19
infection.
8. Since zero COVID is impossible, herd immunity is the endpoint of this epidemic
regardless of whether we choose lockdowns or focused protection to address it.
9.Lockdown proponents assert without evidence that the only way to protect the older vulnerable
population is to limit general community transmission, in effect arguing that focused protection
is impossible.
10. We disagree. Standard public health practice regularly seeks creative ways to
protect vulnerable people from a host of diseases and conditions that threaten them, and COVID19 should not be an exception.
11. e.g., frequent on-site testing and limiting staff rotations in nursing homes, free home delivery of
groceries for the home-bound vulnerable, providing disability job accom. for older
vulnerable workers, and temporary accom for older people living in multi-generational
homes.
12. Inconsistent with the standard pandemic preparedness plans that existed before the COVID-19
epidemic, lockdowns are, and have always been, a radical approach to infection control.ecdc.europa.eu/en/seasonal-in…
13. Focused protection is the middle ground that will end the pandemic with the least harm to the
vulnerable and non-vulnerable alike. Read in full - gbdeclaration.org/focused-protec…
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Lockdown Harms #mentalhealth 1. UK @mentalhealth foundation November report states,there has been a slow decline in people coping with the COVID-19 restrictions and the impact this has on their mental health
2. The report states that Almost half (45%) of the UK population had felt anxious or worried in the previous two weeks. Feelings of loneliness were higher in younger people too, with 38% aged 18-24 , which has been consistently higher across all waves than the general population.
3. A decline in our populations’ ability to cope with the stress of the pandemic-from 62% to 73%. Of those who reported not coping with this stress well (17%),those who have pre-existing mental health condition(s) were more likely to not be coping very well or not at all well-37%
This year many countries have experienced reduced access to a fully functional healthcare system. Whilst it is difficult to forecast the harms and deaths that will result from this, we are beginning to see more data on this as we progress into 2021.
2.
It is becoming clear that one of the biggest threats to public health in the years ahead is that of cancer patients and cancer services. A report from @Carnall_Farrar - The Disruption and recovery of cancer from Covid 19.tinyurl.com/ybpp4v4k noted that
3. “The major disruptions to the cancer pathway have effectively stopped cancer screening, reduced referrals by more than 40%, and as a consequence have impacted considerably on cancer diagnosis and treatment, (including surgery, chemotherapy, and radiotherapy).”
1. The harms of lockdown are unequally distributed. Economists have found that only 37% of jobs in the US can be performed wholly on-line, and high-paying jobs are overrepresented among that set.
2. Declaring janitors, store clerks, meat packers, postal workers, and other blue-collar workers as "essential" workers in most states, regardless of whether they qualify as high COVID mortality risk, the lockdowns have failed to shield the vulnerable in these occupations.
3.The economic dislocation from the lockdowns has increased the number of households where young adults who have lost their jobs co-reside with vulnerable older parents which may increase the risk of COVID-related death.
1. We are resolute in our criticism of the #lockdown response to #Covid19
There is a growing body of evidence-based studies that show the collateral damage being caused by the current approach is causing devastating harm that will be felt for years ahead.
2.Since March 2020 #cancer screening has been suspended, routine diagnostic work deferred, and only urgent symptomatic cases prioritised for diagnostic intervention. thelancet.com/journals/lanon…