0.19% is much lower than even the low bound of consensus scientific estimates; the Ionnidis paper on which he bases these estimates has also received significant direct criticism. In my opinion Ioannidis is a disingenuous hack who has thoroughly discredited himself during this pandemic, and from what I can tell his agenda-driven Covid punditry is popular on Fox News and Breitbart but not taken seriously by professional epidemiologists.
The US CDC's best estimate of IFR as of a planning scenaario document from September was 0.5% for people aged 50–70, and 5.4% for people aged 70+. (This is not the best source available, but miscellaneous journal papers could be criticized as cherry-picked.) Adjusted population IFR varies from place to place, depending on the proportion of seniors, people with pre-existing health problems, access to medical care, etc., but nowhere in the US is it as low as 0.19%.
If you want a credible widely cited meta-analysis, try e.g. https://link.springer.com/article/10.1007/s10654-020-00698-1 from December which calls Covid "far more dangerous than influenza", and estimates the IFR to be at least 5–10x higher.
> The estimated age-specific IFR is very low for children and younger adults (e.g., 0.002% at age 10 and 0.01% at age 25) but increases progressively to 0.4% at age 55, 1.4% at age 65, 4.6% at age 75, and 15% at age 85.
> As shown in Fig. 6, population IFR (computed across all ages) ranges from about 0.5% in Salt Lake City and Geneva to 1.5% in Australia and England and 2.7% in Italy.
> Supplementary Appendix O: [We estimate that during winter 2018–19] the population IFR for seasonal influenza was in the range of 0.04% to 0.08% – an order of magnitude smaller than the population IFR for COVID-19.
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> increase in stillbirths in UK
The UK has royally screwed up most aspects of pandemic response. Just like Brexit and everything else the Tories have had their hands on in the past few years. You don't see the same problems in other wealthy island nations like New Zealand or Taiwan.
(With the notable exception that the UK has done a decent job sequencing a large collection of viral samples.)