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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?

#51
post #29

Earlier quoted context omitted.

and spain

Germany is close, they just announce new measures bit by bit every day. Next step not unlikely to be total quarantine.

Switzerland is in state of emergency since today, it's great because they can deploy military to help.

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

#52
post #26
post #18

Earlier quoted context omitted.

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.

Presumably not everyone needs a hospital bed. Most are fine to take a few days of bed rest, many who would normally be hospitalized out of caution can be cared for by family at home with teledoc guidance, it's a small percentage at high risk who need hospital care.

a small percentage of a large number is still a large number. 80% infected within 1 year and ~10% of those require hospitalization. usa: 350m => 80% is 280M => ~30 million hospital/ICU beds for 2-4 weeks. this is on top of regular/ongoing hospitalisation. hence it hitting any african country or india with the same force would be devastating.

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

#54
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

Because it's too late. The time for that in the US was at least two weeks ago. This is why the US response to this has been driving so many of us crazy. The later you respond the fewer options you have.

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

#55

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…

It's not clear anyone avoids a second wave. Nor do we know how significant it could be.

We don't know about natural immunity duration, or if and when there's a vaccine, and for how long it will be effective. We don't know about mutations.

I think a lot of the questions are only answered 2 years from now.

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

#56

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

That is not correct for some days now. Many other countries in EU have entered a state of emergency with various levels of quarantine at national level: Italy (but that's old news), Spain, France, Belgium, Estonia etc. None as extreme as China, but measures are intensifying gradually.

In Czech Republic, only essential businesses are allowed to function, although the measures are not as extreme as they were in China. Restaurants are closed, or serve food only for takeaway, shopping centers are pretty much deserted, gatherings in large numbers are banned. Although, the quarantine is far from total: people still go outside, and parks are very crowded (some look like superspreaders congresses - that is, lots of kids playing), and surprisingly we are allowed to go to work, regardless of the type of business. In my opinion, this is allowed because doing otherwise would have significant economic costs, and so far it's hard to justify it: there are just 300+ confirmed cases in CZ. Of course, there will be plenty more unidentified cases, and the sh*t will hit the fan. It's just a matter of time.

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

#57
post #37

How long did the HIV vaccine take? Use that as a yard stuck. A lockdown isn't 'successful' it does little, except drag society into the dirt while a little time is bought to work things out. Time China bought us but we squandered. If you're lucky it's a winter desease so it'll become summer and it'll die off. But that's coin flipping a little. Treatments might be found but it's hard to know how fast, especially while…

> A lockdown isn't 'successful' it does little, except drag society into the dirt while a little time is bought to work things out. Slowing down the spread is useful to soften the blow on medicinal infrastructure.

The flatten the curve meme has become toxic. Maybe it always was.

Have a look at a flatten the curve with actual numbers not cartoons.

Make sure the hospital capacity is seasonal and accounts for the fact nurses and doctors will wear out and supply's will dwindle.

Then say it softens the blow.

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

#58
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

Because it's too late. The time for that in the US was at least two weeks ago. This is why the US response to this has been driving so many of us crazy. The later you respond the fewer options you have.

The original question was what to do post-lockdown.

To be clear, lockdown is the only option for the US right now. But then what?

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

#59

Earlier quoted context omitted.

Regarding immunity, there is evidence that such immunity (if it exists) is short-lived, and after a little while recovered individuals are susceptible to being infected again.

Do you have a reference for that as I keep hearing it repeated but I'm yet to see any real evidence for it.

I’m not OP, just a concerned parent who is trying to figure things out. I have not been able to locate a single scientific study about this. Rather, the evidence all seems to be news reports of people testing positive, then negative and then positive again. Since it isn’t scientific, all the usual caveats apply - we don’t know much about how effective those tests were and again, these are news reports.

If you’re interested, I can post some news reports. Forbes actually has a pretty good rundown of the various news articles, but Forbes isn’t always the best place for facts or safe browsing, so I’ll avoid posting that one. In the interest of fairness, I can also post (much older) news reports that called HIV/AIDS “Gay Related Immuno-deficiency” and we know how good that science was.

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

#60

If social distancing can bring the number of cases down to a manageable level, you can switch to a traditional public health approach: Test anyone showing symptoms, and aggressively trace and test any contacts of known cases.

Wouldn't they be afraid that if the rules are relaxed the single cases would spiral up and start it all over again?
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