lpm wrote: Thu Mar 19, 2020 11:09 pmThe UK is at 144 fatalities on 19 March..
When was Italy at 144 fatalities?
On 5 March.
How many days ago was 5 March?
14 days.
We keep running the maths, various methods, using confirmed cases and fatalities and calculations of the exponential. And every single time it comes up with the same answer. We are about 14 days behind Italy. We are 14 days behind now, were 14 days behind a week ago, were 14 days behind at the start of the month.
Which is why we were shocked at last week's announcement claiming we were 4 weeks behind Italy and so only needed limited action. If they'd said 16 days or something it would have been fine. But 4 weeks was plain wrong. All the charts show it to be wrong. The daily evidence keeps showing it was wrong.
We are 6 days behind Spain. 3 days behind France. We can see the future.
Indeed. I had the impression that the "4 weeks behind Italy" comment was based on the idea that there were actually 5000-10000 cases in Italy at the time, as compared to the official numbers (not just the currently incubating cases, but actual infectious cases which had not been counted). However, it's not like the UK has implemented South Korea's testing and tracing policy either. And it's not like the UK's intensive care provision is orders of magnitude greater than that of northern Italy either.
This idea of monitoring it and being ready to implement measures to flatten the curve at the right moment so people don't get bored of having to stay home... if Italy's death rate is actually starting to level off now it will reach roughly double the number of deaths which Hubei province declared. This would be because the lockdown was not strict enough early enough.
The CFR from Hubei compared to the rest of China, and Italy compared to Hubei, might lead you to think that there could be about an order of magnitude more cases here than in the official numbers. The solution to this is for
everyone to stay at home and if not to maintain social distancing. Simply, assume that you are an asymptomatic carrier and don't go near other people.
But another thing Italy did was to implement things first for a week and then ok we need another week and ok we need a whole month and ok for two weeks of that it's going to be even more strict and by the way it's another month. So it kind of broke it up into manageable chunks of time. Better than saying in February that everything is locked down until June, even if in the end everything will probably be locked down until June in one way or another. (We are all hoping that the situation will peak over the next 5 days or so, in the north of Italy at least; in the south they will suffer the effects of lots of people rushing home just before the north locked down.)
What they didn't do is say "at the right moment we will ask that everyone over 70 will have to stay isolated for 4 months" even if it's going to end up being 4 months here anyway. There's more of a sense that if everyone can stay home as much as possible maybe those over 70 who do need to go out can do so with much less risk.
I can kind of understand that there would have been much less will to comply with the lockdown if it would have been implemented back when the issue did not seem so serious. This is not the same as the idea that if it goes on too long people will get bored of it. There would be also be an issue at the point when it seems like the rate of new cases has dropped to almost zero but you can't completely unlock everything just yet in case there are a few cases still incubating (or, at least you have to remain extremely vigilant). I can imagine people thinking that they can start to relax once it seems like "the worst is over" which would only cause another flare up a week or two later. I don't have a simulation (yet) which indicates how much longer the lockdown has to be for every day of delay at the beginning.
"Ah but if we suppress it now it will only come back in the autumn and that will be worse" well if you can suppress it now you can suppress it then too, except you will be better prepared with more testing and ICU capacity and maybe useful therapies and even vaccines which have been developed in the meantime so you'll get to it quicker and it will be less bad.