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Ask HN: Is UK government insane or genius?

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81–90 of 772 posts

Re: Ask HN: Is UK government insane or genius?

#81
post #30

From a PR point of view this is not a clever move. The very phrase 'herd immunity' says a lot about what they think of people. It is also a highly memorable phrase, much like 'shock and awe' and sometimes you just don't need a 'marketing slogan' for something divisive.

> The very phrase 'herd immunity' says a lot about what they think of people ...You know they didn't invent the phrase, right? It's a term of art, and has been the standard term for that epidemiological concept for many decades. https://en.wikipedia.org/wiki/Herd_immunity

I did not claim that they invented the words. English is a rich language and some words resonate better. From your article:

> Herd immunity (also called herd effect, community immunity, population immunity, or social immunity).

Community immunity would rhyme and not be received as negatively by those that already hate the government as the herd word. It would also convey community, which is a caring nice word.

Re: Ask HN: Is UK government insane or genius?

#82
post #65
post #33

One region of Italy is close to their ICU beds limit, despite a full lockdown. And they have more beds per person than the UK. Without a full lockdown, won't they run out of beds very quickly, thus increasing the death rate a lot?

The average age of a fatal case is still north on 80 years. The UK plan is effectively to get as many people as possible that are young, and thus at a super low risk of needing hospitalization to get infected, so that they can recover and then be immune, thus making it hard for the virus to sweep through again. If 30% or more of the population were immune, it would be much harder to get a new outbreak started. With a…

Are we sure that you're immune once you've been infected?

Re: Ask HN: Is UK government insane or genius?

#83
post #35

Earlier quoted context omitted.

>> Death Rate = (number of deaths / number of cases) = probability of dying if infected by the virus (%) That's not a great way of measuring the death rate during an on-going epidemic. They should be measuring the number of people who died today / number of cases a week ago.

Why a week ago? If it takes longer than a week for victims to die, in a situation with rapidly increasing infections that will give a very distorted number.

The best source I found on the subject -- a disease modeler with CDC who was giving an interview -- said that their current estimates used 5-day doubling, 15-day median time to death, and 1% CFR to do their estimates.

For the modeler, the purpose was estimating the true number of cases (which they estimate as current_deaths * 800 for a first-order approximation) -- but similarly, you could use that to estimate CFR by taking (num_cases / 8) as the denominator. Except, of course, that you can't realistically estimate num_cases. With the exception of Diamond Princess and possibly South Korea, everybody's numbers tell you more about the number of tests they run than the number of infected that exist.

One doctor from John Hopkins, for example, estimated that there are between 50k and 500k cases in the US as of 3 days ago -- and my own admittedly-amateur estimations using CDC numbers for deaths from influenza and all-cause pneumonia could only set an upper bound of ~400k cases as of March 1st

Re: Ask HN: Is UK government insane or genius?

#84
post #31

I’m going to try and lay out the case in as neutral terms as I can, although to be clear I think they are probably right. They’re going to take an awful lot of stick for it though, and indeed already are. They believe that there are basically two mitigation strategies. One is to have a very drastic early lockdown that shuts down the virus before it spreads widely. The problem with that is, once you lift the lockdown…

Please don't post duplicate comments to HN (https://news.ycombinator.com/item?id=22577808). It strictly lowers the signal/noise ratio and makes merging threads a nightmare.

Re: Ask HN: Is UK government insane or genius?

#85
It looks like to me just a comfort pill for the public. They basically acknowledged that they can't handle the crisis already. So what they gonna do? They want it to appear to be an advice from expert, to persuade the public, rationalize a forced decision.

The uncomfortable truth is, the British government have weighted cost and benefit, and they have decided, the death of thousands or more is not worth the cost of near-absolute lockdown of a country, It might lead to total breakdown of the economy, full-recession, and that may cost more lives anyway. These elder people are old enough anyway, and the death rate for young is just 0.2%. (which rise to 1.3% for people elder than 50, and 6% for elder than 60 according to data from China)

What does those number mean? If you and your partner's parents are elder than 60 years old, there is 25% chance, at least one of them will die. That is, very likely, you're going to hear it from your best friends that one of their parents died from COVID-19. Are you okay with that? (Under the assumption everyone will get infected anyway). And beware, these statistics are not final, and mostly from patients who received some level of medical care, although we do not yet know how many of those heavily-ill patients received intense care. Without medical care, the number could easily double, after all, it takes time to die, that's just how lung disease works.

Re: Ask HN: Is UK government insane or genius?

#86
I suggested this a few days ago and it was not a popular idea, but if you can enforce a sufficiently strong quarantine for the elderly, I believe this could decrease the total number of deaths (although the total number of infections will be higher than with universal social distancing, the faster it spreads, according to most simulations).

Re: Ask HN: Is UK government insane or genius?

#87
post #82
post #65

Earlier quoted context omitted.

The average age of a fatal case is still north on 80 years. The UK plan is effectively to get as many people as possible that are young, and thus at a super low risk of needing hospitalization to get infected, so that they can recover and then be immune, thus making it hard for the virus to sweep through again. If 30% or more of the population were immune, it would be much harder to get a new outbreak started. With a…

Are we sure that you're immune once you've been infected?

Certain? No. Nobody can realistically be certain yet.

There is only one case that I've been able to find of a person who was diagnosed twice that can't easily be explained away as having been discharged while still infected. And even that case might be one like that.

Re: Ask HN: Is UK government insane or genius?

#88
post #54

I like tomp's comment from a few days ago, feels like the UK playing a game theory https://news.ycombinator.com/item?id=22555643 1) no pandemic, no action -> government was "right", avoided wasting money -> reelected 2) no pandemic, action -> government was "wrong", wasted a lot of money, damaged the economy, inconvenienced the lives of the population -> voted out 3) pandemic, no action -> government was "wrong", cau…

This clip of the political sitcom Yes Minister from the 1980s is making the rounds on our social media, as it explains that thought process succinctly, and hilariously: https://m.youtube.com/watch?v=qNjFIwRYEIo

A better analogy might be that of Kodos the Executioner from an episode of the original Star Trek series: https://en.wikipedia.org/wiki/The_Conscience_of_the_King. Guess right and be hailed as saving as many lives as one practically could in the face of disaster; guess wrong and be remembered as a mass murderer. Never thought I'd see it happen in real life.

(For Simpsons fans, this character is the one from which Kodos of Kodos & Kang originates.)

Re: Ask HN: Is UK government insane or genius?

#89
post #16
post #11

So let's assume that building immunity is even a possibility even though there is no evidence to support this while there exists substantial evidence to the contrary (people getting reinfected)? Not happy to be living in the UK if that's really the plan.

> while there exists substantial evidence to the contrary (people getting reinfected)? No. There are instances of people testing negative and then testing positive again, but the strong consensus is that this probably results from faulty testing and/or changes in how viral material manifests at different stages in a person's infection. The chance is very small that people are truly getting re-infected.

>No. There are instances of people testing negative and then testing positive again, but the strong consensus is that this probably results from faulty testing and/or changes in how viral material manifests at different stages in a person's infection. The chance is very small that people are truly getting re-infected.

This is also why testing everyone and anyone is a bad idea. Half or more of positive tests of people without symptoms being tested because they are in close contact with infected seem to be false positives. https://www.ncbi.nlm.nih.gov/pubmed/32133832 I've seen something else I can't find at the moment that says that only about 10% of those with both potential COVID19 symptoms and a contact history indicative of possible contact are positive. It's both pointless and dangerous to have someone get a false positive reading, perhaps do self-quarantine for 14 days, then go out and promptly get (not re)infected.

The US government (and I think UK too) is getting a lot of criticism for restricting testing to those who meet the requirements of symptoms and contact history, but it's almost certainly because the CDC is aware of this. The Canadian government, too; Prime Minister Trudeau is not being tested, although his wife is positive, because he is asymptomatic. https://www.usatoday.com/story/news/world/2020/03/12/sophie-...

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