Sweden bans public events of more than eight people
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Why did this not pan out? Why is Sweden seeing a second wave as well? Why did the number of infections soar, while it should theoretically have remained constant?
Also, way more people are indoors in November in Sweden than August. Many people travel to remote cabins in the summer - August in Stockholm is about as deserted as San Francisco during Burning Man. They're mostly back by September, bringing more people in proximity. I'm in Seattle and Washington is locking down again, as colder temps have brought the long predicted fall spike.
If those in power knew a Fall spike would likely occur, would it have made sense to encourage healthy people to seroconvert during the summer, when the flu is less prevalent? Instead, this was purposefully stretched into the flu season.
Why? Who benefits from fear and lockdowns?
Well one part is incompetence. And the other is that a fall spike was just a hypothesis. We didn't know for sure.
We did not encourage healthy people to seroconvert during the summer because achieving the necessary numbers of infected would have caused millions of deaths. This was the UK's original plan and they backed off when they actually ran the numbers and saw how many fatalities it would require.
Also, catching Covid sucks for a lot of people, even if they survive. Encouraging people to catch it during summer seems pretty irresponsible.
It's almost never a good medical strategy to intentionally get ill.
Pox parties are extremely dangerous.
Who benefits from fear? I'd guess weapons companies.
Who benefits from lockdowns? No idea. Pro gamers?
I can't really decide if you're posting here to stir up a reaction or if you are strongly convinced that seroconversion is a good idea. But just for the sake of discussion, you should consider that the chance of side effects is high enough that many people would actively resist seroconversion. So my guess would be that people who consider that to be a great idea are a 5% minority. That's why governments will likely not do it.
Japan did it. Japan learned from the docking of the Princess cruise there and the results from each passenger. Those results were quite interesting.
And death rates by age group are revealing. The young without co-morbidities have great prospects.
September Tokyo study said, "Boston Children’s Hospital and Beth Israel Deaconess Medical School, Boston, say their study suggests that seroprevalence for SARS-CoV-2 rose to almost 50% ..."
https://www.news-medical.net/news/20200924/Tokyo-citizens-ma...
These are mainstream medical professionals from USA making findings that Tokyo is at herd immunity.
But when people suggest active seroconversion they usually mean that you start infecting otherwise healthy individuals deliberately to increase herd immunity.
So while both groups use the same word, they mean quite different things.
The basic R0 is believed to be around 5.7, so even with precautions such as social distancing, masks, and hand washing (which won't be followed flawlessly), it's still trying to mitigate something outstandingly infectious. You need to bring the R0 to 1.0 for the number of cases to only increase at a constant rate, as for anything above 1 every 10 cases will lead to more than 10 new cases, which compounds as it spreads.
The virus is in cats, so it is not going away.
Sweden has a healthy population, tons of spare healthcare capacity, inexpensive healthcare, a high propensity to social distance, an outdoorsy culture, low socioeconomic disparity, and very few people living in multi-generational households. The US, sadly, has none of that.
Also, Sweden did have a few restrictions in place. They shut down high schools and universities, and strongly encouraged WFH if possible. Arguably, most of red state US had even looser restrictions than that.
HN's perspective on lockdowns might be skewed by the fact that most of us here live in places that actually did have a good faith reasonable response to COVID, but it didn't really work in the absence of a coordinated nationwide response.
...care to expand on this hypothesis? I've heard variations on a theme around this. I live in an area which seems to have close to 100% mask compliance for the last several months as near as I can tell, and we still have cases increasing. I guess I'm having a hard time believing that it is visitors from Texas (or where ever) coming in and spreading coronavirus. What it seems to indicate to me, is that public shopping, etc. isn't a driver behind the spread.
I have no idea whether this is actually the case in Sweden or not, but it seems like one possibility could be that people/businesses were originally taking additional measures beyond what was legally required but then stopped.
Now that multiple vaccines are around the corner, minimizing infections can most definitely save lives. Would they have done better if they had been stricter? Yes. But there was no way to know this back then.
Imagine that there was no vaccine and the pandemic became an endemic that nobody could escape... and the only viable option was herd immunity. Had that happened, the Swedish strategy would have put them ahead of most. They would have taken a smaller hit to the economy while not losing that many more lives in a given period (do note that, in that case, the period would have been much longer and most of those who died last year had pre-existing conditions and something else would have most likely killed them within the next few years anyway).
To be clear I'm not claiming that all pandemic control measures are ineffective. We just don't have strong scientific evidence that they are effective at the national level over long periods. Sometimes things just happen randomly. Is it possible that Sweden just flipped the coin to heads a bunch of times in al row and now it finally came up tails?
Every country that has chosen suppression as their strategy, has been able to do it.
Australia, China, Laos, Mongolia, New Zealand, Nigeria, Ruanda, South Korea, Taiwan, Vietnam.
https://ourworldindata.org/coronavirus-data-explorer?zoomToS...
Swedes spend a lot of time outdoors, especially in the summer. (Not suggesting more than elsewhere; most places seemed to have better numbers in the summer.) Now that the weather is turning less pleasant, more people spend more time indoors. Therefore, transmission is rising again.
> Sweden should have enjoyed a flat and sustainable level of infections.
So I think therefore that this didn't really happen, which means now we get our second wave. In some places, such as the nearby town of a few thousand, we are actually only starting to get a first wave as we never really had a first wave yet.
Still almost no mask wearing, though. Not sure when or if masks will happen here, although I have seen packs of them at the market now.
Again, I am no expert and I have not looked at actual transmission numbers throughout the summer etc. This is just my best guess.
Edit: What I mean is, I don't think most regions of Sweden had sustained levels of transmission during the summer, in case that wasn't clear.
I think we can now conclude that covid19 behaves seasonally, just like other respiratory viruses.
But nobody knows exactly why. There are many theories, but none universally accepted: Summertime higher vitamin D levels from sunlight, maybe this gives better immune defense. Sunlight disinfects surfaces. Colder air is dry, respiratory droplets stay afloat longer and spread better in dry air. People's mucous membranes stay healthier in more humid air, maybe they are more susceptible for virus attacks in dry air. Maybe the patterns of how much people meet each other indoors is different in cold weather.
I don't know how you can possibly establish a seasonal trend before we've even observed it for a single seasonal rotation.
Long history.
> However, email exchanges obtained by Swedish journalists under freedom of information laws show Tegnell discussing herd immunity as an objective in mid-March, days after the World Health Organization declared Covid-19 a pandemic.
However, herd immunity was never the goal, as you can read from the email exchanges in the original source the article links to. It was merely a discussion about a possible side effect of the actual goals, which was to prevent a collapse of the Swedish healthcare system, and to prevent side effects that lockdowns have (because they're not a silver bullet either).
Now, if they were successful is another question. I'm a Swede and I do not agree with our strategy.
Edit: To the downvoters, see sibling comments. Just because it doesn't fit whatever narrative you want to have doesn't change the facts.
This is not a defense of the strategy they did follow, which appears to have failed badly.
https://www.bbc.com/news/world-europe-53498133
> Sweden's authorities never said achieving herd immunity was their goal, but they did argue that by keeping more of society open, Swedes would be more likely to develop a resistance to Covid-19.
https://www.politico.eu/article/sweden-coronavirus-didnt-see...
> Speaking to Times radio on Sunday, Torbjörn Sohlström said that Sweden’s maverick no-lockdown coronavirus response did not seek to boost the number of infections and reach a critical mass of infected to stop the virus from spreading.
etc.
(It might help to consider what a "herd immunity" strategy would actually look like, vs the extremely light touch they actually took.)
Final edit: this was a good look at the handling from a NZ journalist talking to a Swedish researcher from Lund University who looked at the international media coverage. Worth a listen if you want to understand how the "Sweden herd immunity" meme spread https://www.rnz.co.nz/programmes/the-detail/story/2018769007... _and_ how that's hiding some of the negative aspects of the Swedish approach you might not have heard about.
It's good to know some jurisdictions haven't lost the ability to discuss things on scientific merits just yet.
Monumental incompetency/groupthink at our small CDC-equivalency (Folkhälsomyndigheten) during the spring. Disaster was narrowly avoided by heroic work by healthcare workers/hospitals. A lot of people died though. Death per capita levels are similar to US levels, not to rest-of-Nordics levels (e.g. Norway/Denmark/Finland). This isn't acceptable.
Herd immunity was the obvious plan all along although it was publicly denied. Recent "leaked" emails have revealed the truth.
The same people responsible for the above are still in charge. It will be a long winter.
Source: Jag är svensk. (I am Swedish.)
Take care and all the best!
Not "similar", it was the highest per capita death rate in the world alongside the UK for 2 months.
https://www.statista.com/statistics/1104709/coronavirus-deat...
Their policy was and continues to be an abject failure.
Real healthy community discussion going on.
But up to a few weeks ago, it seemed that Sweden's policy of not introducing any measures that weren't long-term sustainable had worked kindof ok. It certainly hadn't been a complete disaster. People will point out that Sweden did worse than its immediate neighbours who locked down more. But Sweden also did better than places like the UK and USA who locked down more. There are probably many factors to that (e.g. Sweden has a high proportion of people who live on their own etc).
But the Sweden data (until a few weeks ago) did point to the idea that some sort of herd immunity might be achievable, perhaps due to latent T-cell immunity from other coronaviruses. Not conclusively, but it was an interesting data point to discuss if anyone was able to keep an open mind about it.
(Side note : and here's the important point for people involved in the Dem/Rep battle over Sweden - if Sweden was having success with their covid policy, that success could only have been understood in the context of Sweden’s highly developed welfare state and social system: universal healthcare, paid sick leave, paid leave to care for sick kids, subsidized daycare & pre/after-school care. The USA barely has any of those things.)
Anyway if you read the linked article, there's a graph halfway down showing a massive second wave in Sweden, much bigger than the first, and so now they are having to lock down more.
But hopefully its all moot now anyway becasue we have multiple vaccine candidates on the way.
edit: yes of course vaccine distribution is going to take some time
Actual delivery of vaccines to the general public is probably still a minimum of 6 months away, even assuming we have enough vaccine doses to cover the general public. We are in the middle of accelerating case counts right now, and we don't have the luxury of waiting that long.
What is the difference in testing for covid at the beginning compared to now? I seems that no one takes into account that the world wide deaths are down as infections spike, and that the two week latency doesn't seem to be a factor.
Can’t wait for all the self congratulatory articles about how Sweden was wrong all along.
Sweden's daily mortality rate is .2 vs the US at .3 and EU at .6. All of them have a daily case rate of around 40.
I’ll make it easier. The only comparable neighbor who is actually close to them is Denmark.
The others are an order of magnitude better.
Also, Sweden’s economy dropped even more than its comparable neighbors’ economies.
> "People attacking Sweden don't realize Finland and Norway were actually more laissez faire.
> Since early June, Finland and Norway have had less restrictive policies--and they've done remarkably well."
This is, of course, not true.
Demographics, population density, social mores, healthcare, geography, climate are drastically different across Europe.
while they have an uptick in cases, deaths are steady.
Edit: What this chart makes pretty clear, who dies from covid 19. Sweden has < 100 people who were not older than 50 who died, while elderly got completely wrecked.
I don't see it as Sweden giving it's previous position so much as reacting rationally to new circumstances.
Obviously strict isolation works. Wearing masks And avoiding large enclosed gatherings are common sense and almost certainly help. But beyond that, there isn’t any evidence based plan. There is guessing and post-hoc just-so stories. The idea that the public is to blame and if we had only “followed the science” we’d have it beat by now is weirdly moralizing nonsense.