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Ask HN: What happens next after a successful lockdown?

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Re: Ask HN: What happens next after a successful lockdown?

#41
I’m surprised that no one here is mentioning the example of South Korea. [1]

They are not in total lockdown, but they are doing extensive testing and contact tracing, and substantial isolation of anyone who might be contagious.

Once we get testing infrastructure ramped up, this is not an unreasonable plan in the United States.

[1]: https://www.bbc.com/news/world-asia-51836898

Re: Ask HN: What happens next after a successful lockdown?

#43
post #3

Resume work after countries have the capacity to test everyone who has a fever. Maintain strong hygiene and social distance if possible. Firefight clusters of outbreaks where they occur. Wait for treatment and vaccine.

> Wait for treatment and vaccine. Isn't this a virus? There's not a single virus that we have a treatment for - we know how to deal with bacteria but not viruses.

Treatment won't be completely effective but can reduce death rate. There are hundreds of trials ongoing, 1 or 2 or 3 may work well enough to give to people.

Re: Ask HN: What happens next after a successful lockdown?

#45
post #18

Earlier quoted context omitted.

> The only way out for us unless we significantly ramp up testing and lockdown is to admit defeat and simply optimize for slowing down the onslaught. This has already happened. “Flatten the curve” takes it as written that most people will be exposed to the virus, and thus aims instead to just spread those exposures over a long enough period to avoid overwhelming the health care system.

I saw a statistical analysis of the flatten the curve idea but assuming we couldn't ramp up the number of intensive care beds, it took 3600 days to fit everyone in under the "available health care" line. It's still a good strategy for right now because it gives us some extra time to ramp testing and healthcare up.

Was this the article you were reading with the 3600 days analysis? I just read it. Not sure what to make of it yet.

https://medium.com/@joschabach/flattening-the-curve-is-a-dea...

Re: Ask HN: What happens next after a successful lockdown?

#46
One word...

Summer..

once the summer starts and we see 30c or above , i think the spread will be limited and the quarantine might end.

But, worrying part is what comes next, without a Vaccine, coming Winter might be lethal, and we may end up with same cycle..

https://www.scmp.com/news/china/science/article/3074131/coro...

Re: Ask HN: What happens next after a successful lockdown?

#47

It's your typical pandemic response: - denial - placating measures - minor lockdowns - major lockdowns and panic (running to the store to stockpile toilet paper, for some reason) - total quarantine - life slowly returns to normal China is now on the final stage (restaurants and stores reopening, etc), with the rest of the world between 2 and 3 months behind. Most people are unable to comprehend exponential growth, so…

Total quarantine isn't happening in any western country

Well, here in Czech Republic (in between Germany, Austria, Poland and Slovakia):

- state wide quarantine from Monday morning, people can go only to work, to get groceries or to hospital/doctor

- all puliblic gathering over 30 people banned, but probably moot due to the above

- borders closed, foreigners can't go in and citizens can't travel travel out

- cross border trains/buses shut down, flights stopped

- schools closed for ~week already

- only food, medicine and drug stores are open, all other shops are closed

- there is a new exception for stores selling fabrics and clothes, as people are using clothes/fabric to manufacture their own protective masks

- all restaurants closed, only food takeout is allowed

- public transport is generally running, but the driver is extra-protected to not be in contact with riders (no selling of tickets, etc.), in some cities public transport is free to avoid any contact with riders and personnel at all

- everyone who arrived from the outside from an at risk country needs to do 14 day quarantine or else get crazy fines and possibly jail time

- a couple towns and villages (around 20k people) have got extra quarantined due to of-nominal number of cases, people can't leave the are for at least 14 days

- the army is helping out the police with patrolling the border crossings and to distribute medical supplies, army aircraft also just went to a round trip to China for more medical materials from Shenzen

- hospitals are clearing of any non essential surgeries and patients who can go home

- medical school students have been drafted to help in hospitals

There is a nice Wikipedia page summarizing many of the restrictions and overall progress (case numbers, etc.):

https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_t...

Pretty tough and so far surprisingly well executed measures I would say. People are generally respecting the special rules and there is a rather low amount of grumbling, considering this is Czech Republic.

Also a lot of solidarity - theaters sewing face masks, universities enrolling computer labs to Folding@Home, teaching student taking care of children of medical personnel, middle school student doing grocery shopping for old people who are most at risk, etc.

Now let's hope this all works and we can get this over with in a reasonably time in good shape.

Re: Ask HN: What happens next after a successful lockdown?

#48

One word... Summer.. once the summer starts and we see 30c or above , i think the spread will be limited and the quarantine might end. But, worrying part is what comes next, without a Vaccine, coming Winter might be lethal, and we may end up with same cycle.. https://www.scmp.com/news/china/science/article/3074131/coro...

Summer might help, but there have been cases in the tropics, so it's not completely killed by higher temperature.

Re: Ask HN: What happens next after a successful lockdown?

#49

The primary goal right now is to flatten the curve so the growth doesn't stay exponential for any longer than it has to. Once that flattens out and the growth rate slows or decreases a concerns is that folks will head back out, assuming the coast is clear. That could cause a second wave of infections that restarts this whole thing. Folks not taking this seriously is a problem, imagine what happens when folks who don'…

Subsequent waves should be a lot easier to contain if we’re prepared for them and act immediately at the first signs of renewed spread. Apart from contact tracing, judicious use of targeted, local lockdowns in areas where community spread pops up again can prevent the need for country-wide lockdowns.

Re: Ask HN: What happens next after a successful lockdown?

#50
post #41

I’m surprised that no one here is mentioning the example of South Korea. [1] They are not in total lockdown, but they are doing extensive testing and contact tracing, and substantial isolation of anyone who might be contagious. Once we get testing infrastructure ramped up, this is not an unreasonable plan in the United States. [1]: https://www.bbc.com/news/world-asia-51836898

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