An anecdote described in Horst Siebert's book The Cobra Effect retells the story of a bounty being offered to control the number of cobras in India.
A bounty was offered for each cobra.
You can see what's coming next, can't you.
People started breeding cobras in order to collect the bounty.
When the authorities caught wind of the scheme, they ended the bounty payment, and the entrepreneurial cobra breeders let their cobras loose.
So instead of controlling the cobra problem, it exascerbated it.
We need to ensure that people are incentivised to come forward for a test, to self isolate if that test is positive, and *not* to become infected to collect the bounty.
This may particularly be an issue for younger people who are less likely to have severe repercussions.
Compliance with self-isolation when people catch Covid is a real issue. It's great to see the Government is briefing that the problem is being given full consideration.
Unintended consequences (as with Eat Out to Help Out) are important and have to be considered fully.
My and other views have been quoted in this Guardian article.
I hope that SAGE and SPI-B advice has informed the DHSC policy paper mentioned in the article.
We need to treat the new variant as a new pandemic, and recalibrate our response accordingly.
A short thread.
The responses to Covid so far - 'Covid-secure', social distancing, etc. have up until now been calibrated on two things:
- the transmissibility of Covid
- a political calibration based on society's acceptance of direct effects of Covid (deaths etc) balanced against other effects
We have a new variant that is *so much more transmissible* that something is going to have to give
"By 15 February we *aim* to *have offered* a first vaccine dose to everyone in the top four priority groups identified by the Joint Committee on Vaccination and Immunisation (JCVI):
This is more nuanced message than in the Prime Minister's statement on 4 January which is ambiguous: 'expect to have offered' in the first paragraph' and 'vaccinating' in the second
The Government is making the same mistakes as it did in the first wave. Except with knowledge.
A thread.
The Government's strategy at the beginning of the pandemic was to 'cocoon' the vulnerable (e.g. those in care homes). This was a 'herd immunity' strategy. This interview is from March.