{"id":1753,"date":"2020-06-02T12:24:03","date_gmt":"2020-06-02T12:24:03","guid":{"rendered":"http:\/\/www.uncharted-worlds.org\/blog\/?p=1753"},"modified":"2022-11-15T22:34:02","modified_gmt":"2022-11-15T22:34:02","slug":"easing-the-lockdown-in-england","status":"publish","type":"post","link":"https:\/\/www.uncharted-worlds.org\/blog\/2020\/06\/easing-the-lockdown-in-england\/","title":{"rendered":"Easing the &#8220;lockdown&#8221; in England"},"content":{"rendered":"<p>Lots of arguments going on at the moment about &#8220;easing the lockdown&#8221;.<\/p>\n<p>Some people say: <strong>we&#8217;re <a title=\"Guardian article where Professor John Edmonds warns of the risks, 29 May 2020.\" href=\"https:\/\/www.theguardian.com\/world\/2020\/may\/29\/covid-19-spreading-too-fast-to-lift-uk-lockdown-sage-adviser\">not ready<\/a>, and it&#8217;s dangerous<\/strong>.<\/p>\n<p>Some people say: <strong>but look at what it&#8217;s costing us to stay at home<\/strong> &#8211; people getting lonely and miserable, businesses going bust, parents and carers under stress, school routines disrupted, people who love each other being kept apart.<\/p>\n<p>All these concerns are legit. All these problems are happening at once.<\/p>\n<h2><a name=\"emergency-measure-not-long-term-solution\"><\/a>Emergency measure, not long-term solution<\/h2>\n<p>Where I&nbsp;think both &#8220;sides&#8221; can agree is: <strong>&#8220;Lockdown&#8221;<\/strong> is meant to be an <strong>emergency measure<\/strong>.<\/p>\n<p>It&#8217;s like: if a car&#8217;s coming straight at you, you try to jump out of the way, even if you might fall over and get some bruises. Maybe there&#8217;s a problem with the road layout in the first place; maybe you could&#8217;ve fixed that before, maybe you can fix it later; but in that moment, jumping away is what you&#8217;ve got.<\/p>\n<p><strong>If you have a viral epidemic going on<\/strong>, the way you <em>want<\/em> to be able to handle it is: <strong>know where the virus is<\/strong>. Then you can have only a small fraction of people in quarantine, for a few weeks each. This is known as &#8220;containing&#8221; the disease.<\/p>\n<p>If you do it that way, the only people who need to be in quarantine are <strong>the ones who actually <em>have<\/em> the virus<\/strong>, <strong>plus the ones who might have just caught it from them<\/strong>.<\/p>\n<p>And you <strong><em>can<\/em><\/strong> manage it like that! if you have a good system for testing people, and following up with their friends and contacts! That&#8217;s pretty much what the successful countries have done for covid &#8211; assisted by getting everyone to wear masks in public.<\/p>\n<p>Telling everyone-in-general to stay home, when most people actually don&#8217;t have the virus &#8211; that&#8217;s a <strong>last resort<\/strong>, for when you <em>haven&#8217;t<\/em> managed to do it &#8220;the right way&#8221;, and there&#8217;s a disaster in progress.<\/p>\n<p>Doing it &#8220;the right way&#8221; turns out cheaper in the long run.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.uncharted-worlds.org\/blog\/wp-content\/uploads\/2020\/06\/EasingTheLockdown.jpg\" alt=\"Words in colour: &quot;the so-called LOCKDOWN is meant to be an emergency measure, &amp; next we need to know where the virus is, &amp; masks4all. Credit: @unchartedworlds.\"><\/p>\n<h2><a name=\"well-why-arent-we-then\"><\/a>Well why aren&#8217;t we then<\/h2>\n<p>Unfortunately for us, our government <a href=\"https:\/\/www.gov.uk\/government\/news\/covid-19-government-announces-moving-out-of-contain-phase-and-into-delay\">decided at first they weren&#8217;t going to keep up the effort of doing it that way<\/a>. They were just planning to let most of us get ill. I&nbsp;think at first, they weren&#8217;t even going to have the &#8220;lockdown&#8221; either.<\/p>\n<p>Eventually they twigged that, <a title=\"Guardian article by Professor Anthony Costello, exploring to what extent the Sage group of government advisers &quot;over-focused on using pandemic influenza as a guideline&quot;\" href=\"https:\/\/amp.theguardian.com\/commentisfree\/2020\/may\/18\/sage-advice-britain-coronavirus-science-government-policy\">unlike with a typical &#8216;flu epidemic<\/a>, letting it burn straight through the population could easily mean half a million early deaths, which would <a title=\"Insightful article by Dominic Minghella, with some ideas about what Johnson may have been thinking at the time.\" href=\"https:\/\/www.minghella.com\/stay-at-home-protect-the-nhs-save-boris\/\">make them look quite bad<\/a>. So&nbsp;now they <em>are<\/em> making some kind of attempt to set up &#8220;testing, tracing, supported isolation&#8221; like a lot of people had recommended in the first place.<\/p>\n<p>But even after a couple of months of most people staying at home, they still haven&#8217;t got very far yet with putting these better systems in place.<\/p>\n<ul type=\"disc\">\n<li>You still might not be able to get a <strong>test<\/strong> for the virus.<br \/>\n<blockquote><p>Even if you are successful in requesting a test, we cannot guarantee you will get one. It depends on how many tests are available each day in different parts of the country.<\/p>\n<p class=\"quote-source\">&#8211; <a href=\"https:\/\/www.nhs.uk\/conditions\/coronavirus-covid-19\/testing-for-coronavirus\/ask-for-a-test-to-check-if-you-have-coronavirus\/\">NHS site, 2 June 2020<\/a><\/p>\n<\/blockquote>\n<\/li>\n<li>The drive-through test system, doing about a third of the tests, <a href=\"https:\/\/www.theguardian.com\/world\/2020\/may\/28\/coronavirus-testing-hit-struggle-match-results-with-nhs-records\">doesn&#8217;t yet link in reliably with the NHS<\/a>, so your own doctor might not be sent your test result.<\/li>\n<li>There are the beginnings of plans for tests for whether you&#8217;ve <em>already had<\/em> the virus, but not yet for everyone:<br \/>\n<blockquote><p>the start of a major new national antibody testing programme, with plans to provide antibody tests to NHS and care staff in England from the end of May.<\/p>\n<p class=\"quote-source\">&#8211; <a href=\"https:\/\/www.gov.uk\/government\/publications\/coronavirus-covid-19-antibody-tests\/coronavirus-covid-19-antibody-tests\">gov.uk site, 2 June 2020<\/a><\/p>\n<\/blockquote>\n<\/li>\n<li>Even though some extra people have been hired to do <strong>contact tracing<\/strong> over the phone, lots of them have been <a href=\"https:\/\/www.theguardian.com\/commentisfree\/2020\/may\/30\/boris-johnsons-test-and-tracing-system-britain-lockdown\">paid to sit at home and not actually do any of the work yet<\/a>, and there&#8217;s problems with the system they&#8217;re supposed to be logging into.(We actually <a href=\"https:\/\/www.theguardian.com\/uk-news\/2020\/apr\/06\/uk-missed-coronavirus-contact-tracing-opportunity-experts-say\">already have experienced contact tracers in the UK<\/a>, based in councils&#8217; environmental health departments, who otherwise would&#8217;ve been tracking down outbreaks such as norovirus or salmonella &#8211; but not enough of them for this situation, hence recruiting new ones.)<\/li>\n<li>If you get rung up and told you might have the virus, at the moment there <a href=\"https:\/\/twitter.com\/DrClaireH\/status\/1267389364633513984\">isn&#8217;t a way to tell if it&#8217;s a genuine contact tracer ringing you, or if it&#8217;s a scammer<\/a>!<\/li>\n<\/ul>\n<p>It&#8217;s a few steps in the right direction, but it&#8217;s nowhere near what other countries have already managed.<\/p>\n<h2><a name=\"numbers\"><\/a>Numbers<\/h2>\n<p>As well as setting up how exactly this all fits together, you have to think about how many people are needed, how many labs for the test results, etc. The <strong>resources you have for testing and tracing<\/strong> have to be <strong>enough for the current number of cases<\/strong>.<\/p>\n<p>Here again, the government&#8217;s earlier slowness is working against us.<\/p>\n<p>Because the UK government waited so long to activate &#8220;emergency measures&#8221; in the first place,<sup><b><a class=\"footnote\" title=\"What I mean by saying the government &quot;waited so long&quot;.\" href=\"#footnote.waited-to-close-schools\" name=\"waited-to-close-schools\">1<\/a><\/b><\/sup> the epidemic had already spread to thousands and thousands of people across the country by the time most people started staying at home. Even after two months of slowdown, a month or so past the April peak, we still now have thousands and thousands of people sick with the virus.<\/p>\n<p>We actually have more people dying at the moment than when the so-called &#8220;lockdown&#8221;<sup><b><a class=\"footnote\" title=\"When is a lockdown not a lockdown?\" href=\"#footnote.lockdown-terminology\" name=\"lockdown-terminology\">2<\/a><\/b><\/sup> first started! Known COVID-19 deaths here this last week have been over 200 <em>per day<\/em>; we&#8217;d had a total of about 200 deaths <em>altogether<\/em> up till the day that schools were closed, maybe fewer.<sup><b><a class=\"footnote\" title=\"Source of recent deaths statistic.\" href=\"#footnote.recent-deaths\" name=\"recent-deaths\">3<\/a><\/b><\/sup>.<\/p>\n<p>Looking at the numbers of current cases is part of why scientists think the government&#8217;s taking a big risk now.<\/p>\n<blockquote><p>Prof Devi Sridhar of Edinburgh University, a member of the Scottish government\u2019s Covid-19 advisory group, <a title=\"Guardian article: &quot;Health officials make last-minute plea to stop lockdown easing in England &quot;.\" href=\"https:\/\/www.theguardian.com\/world\/2020\/may\/31\/health-officials-make-last-minute-plea-to-stop-lockdown-easing-happy-monday\">said<\/a> she feared a rise in coronavirus numbers in England was inevitable.<\/p>\n<p>\u201cThe only thing that might save England is the good weather, and the warmth if this virus does indeed die outside quite quickly,\u201d she said. \u201cBut it is incredibly worrying, because the numbers are not low enough to have a testing and tracing system take over.\u201d<\/p><\/blockquote>\n<h2><a name=\"not-much-is-different-yet\"><\/a>Not much is different yet<\/h2>\n<p>So, when I&nbsp;see the government already talking about &#8220;easing the lockdown&#8221;, I&nbsp;do think myself that it&#8217;s likely to turn out pretty similar to a re-run of March, then April &#8211; with the virus quickly spreading further, and thousands more people dying early. Probably more people are aware of the risks now, but other than that, I think not much is different since then.<\/p>\n<p>(It looks kind of like, the government doesn&#8217;t want to admit things <em>aren&#8217;t <\/em> ready for the next stage. They want us to think things like, &#8220;well, Denmark&#8217;s reopening schools, so it must be reasonable for us to do the same&#8221; &#8211; leaving out how Denmark&#8217;s already got their epidemic down to 2 or 3 deaths a day.)<\/p>\n<p>I&nbsp;feel very worried for the people who will be made to go back to work, and for the people who <em>still<\/em> don&#8217;t have a reliable supply of protective equipment. I&nbsp;think <strong>everyone who <em>can<\/em> avoid meetups and travel is best off still sticking to that<\/strong>, or at least being as careful as they can.<\/p>\n<p>My thoughts are also with the medics who have already been through some <a title=\"Article about working in intensive care with COVID patients, following consultant Dr Jim Down. By Edward Docx in the New Statesman.\" href=\"https:\/\/www.newstatesman.com\/politics\/health\/2020\/05\/peak\">heavy levels of overwork and emotional strain<\/a> in the &#8220;first wave&#8221; of the epidemic, pulling hundreds of people through near-death experiences, and supporting dying people and their families.<\/p>\n<blockquote><p>I&nbsp;fear, too, that most people are unaware of how exhausted, stunned \u2013 shellshocked, even \u2013 some NHS staff and care workers are. How daunted we feel as we watch lockdown being relaxed before proper testing, tracing and isolation infrastructure are in place.<\/p>\n<p>&#8211; <a title=\"Article by Rachel Clarke, a palliative care doctor in the NHS.\" href=\"https:\/\/www.theguardian.com\/books\/2020\/may\/30\/this-man-knows-hes-dying-as-surely-as-i-do-a-doctors-dispatches-from-intensive-care\">Dr Rachel Clarke<\/a><\/p><\/blockquote>\n<h2><a name=\"masks-for-all\"><\/a> Masks for all<\/h2>\n<p>On the up side, though&#8230;<\/p>\n<p>Evidence from across the world increasingly shows that wearing simple fabric masks does work to protect ourselves, if everyone does it. It&#8217;s <a title=\"&quot;How Hong Kong Did It: With the government flailing, the city\u2019s citizens decided to organize their own coronavirus response.&quot; Article by Zeynep Tufekci in the Atlantic.\" href=\"https:\/\/www.theatlantic.com\/technology\/archive\/2020\/05\/how-hong-kong-beating-coronavirus\/611524\/\">one of the reasons why<\/a> Hong Kong, a densely populated place with direct flights from Wuhan, has still had only four known deaths from COVID-19.<\/p>\n<p>And although it would help a lot if our government did get properly behind #Masks4All&#8230; that&#8217;s one avenue where we can take a lead without relying on them.<\/p>\n<p><a href=\"https:\/\/theconversation.com\/amp\/masks-help-stop-the-spread-of-coronavirus-the-science-is-simple-and-im-one-of-100-experts-urging-governors-to-require-public-mask-wearing-138507\">This article from Jeremy Howard has a good short explanation of why masks work<\/a>.<\/p>\n<p><a href=\"https:\/\/masks4all.co\/faqs-for-mask-skeptics\/\">Here&#8217;s an &#8220;FAQ for skeptics&#8221; about wearing masks<\/a>.<\/p>\n<p><a href=\"https:\/\/www.uncharted-worlds.org\/blog\/2020\/04\/fabric-masks\/\">Here&#8217;s my own previous article about fabric masks, making them &amp; wearing them<\/a>. (I&nbsp;might do a follow-up to this at some point, because I have some thoughts on improvements in mask design.)<\/p>\n<p><a href=\"https:\/\/www.radio.cz\/en\/section\/picture-of-week\/a-mask-tree-as-a-form-of-solidarity\">Here&#8217;s a lovely photo of a &#8220;mask tree&#8221; in Czechia<\/a>. \u201c<span class=\"quote\">Volunteers are making cloth masks at home and hanging them on \u201cmask-trees\u201d for passers-by in need.<\/span>\u201d How&nbsp;cool is that?!<\/p>\n<div class=\"footnotes\">\n<p>Statistics &amp; other notes&#8230;<\/p>\n<div class=\"footnote\">\n<p><a class=\"para\" href=\"#waited-to-close-schools\" name=\"footnote.waited-to-close-schools\">1<\/a>. <strong>Waited so long<\/strong>: For example, you can compare the gap between &#8220;first death from the virus&#8221; and schools closing. <a href=\"https:\/\/pappaspopulism.com\/coronavirus-spain-and-greece\/\">Greece closed all schools the very day of the first confirmed death in their country<\/a>; the UK waited 19 days, <a href=\"https:\/\/www.theguardian.com\/world\/2020\/apr\/30\/five-already-dead-by-time-uk-reported-first-coronavirus-death\">2 March<\/a> to 20 March.<\/p>\n<p>That is, schools officially closed in England at the end of Friday 20 March (although some had in fact closed before that). I&nbsp;think some further slowdown measures officially began on Monday 23 March, but here I&#8217;m using the last school day as a non-wishy-washy point of comparison.<\/p>\n<p><a href=\"https:\/\/twitter.com\/DHSCgovuk\/status\/1241058983336706050\">The government&#8217;s own figures for 20 March<\/a> said there&#8217;d been 177 known covid deaths in total at that point. I&#8217;ve also seen it reported as 194; the gap might be because on the day, some deaths hadn&#8217;t yet been documented.<\/p>\n<p><a title=\"Article by Dominic Minghella, &quot;Eleven Days in March&quot;\" href=\"https:\/\/www.minghella.com\/eleven-days-in-march\/\">Dominic Minghella wrote about the haunting lost opportunity of that delay<\/a>, and the fact that he himself was one of the people unwittingly spreading the virus in the days just before &#8220;lockdown&#8221;.<\/p>\n<p><a href=\"https:\/\/medium.com\/@tomaspueyo\/coronavirus-act-today-or-people-will-die-f4d3d9cd99ca\">Tomas Pueyo wrote a very useful analysis<\/a> around that time, explaining that with the virus spreading as it was then, every death on day X probably reflected about 800 infections on day&nbsp;X. Going by that estimate, there were probably about 140,000 infections in the UK by the time schools closed, compared to 800 infections in Greece when <em>they<\/em> closed schools.<\/p>\n<p>(I&nbsp;understand TP&#8217;s sums, and I&nbsp;still think that&#8217;s probably not far off as an estimate for <em>then<\/em>. Note, though, that you can&#8217;t use the same calculation <em>now<\/em>, because it relies partly on estimating how fast the virus is spreading, which varies depending on what&#8217;s happening. And it hasn&#8217;t been spreading so fast in recent weeks &#8211; not surprisingly, because that was the whole point of having people stay at home.)<\/p>\n<p>We can also note that nearly all the other European countries closed their schools before the UK did. (For clarity: in that sentence I&#8217;m talking about the actual calendar date, not the delay from first covid death. I&nbsp;haven&#8217;t done a comparison of all the delay-from-first-death stats, though it would be interesting.)<\/p>\n<\/div>\n<div class=\"footnote\">\n<p><a class=\"para\" href=\"#lockdown-terminology\" name=\"footnote.lockdown-terminology\">2<\/a>. <strong>When is a lockdown not a lockdown?<\/strong> I&nbsp;keep putting quotes around the word &#8220;lockdown&#8221;, because I don&#8217;t actually think it&#8217;s the right word for what happened in the UK. Ours was more of a &#8220;slowdown&#8221;. Many <a href=\"https:\/\/www.opendemocracy.net\/en\/oureconomy\/dont-buy-the-lockdown-lie-this-is-a-government-of-business-as-usual\/\">&#8220;inessential&#8221; workplaces were still open<\/a>, even though people working there were <a href=\"https:\/\/www.opendemocracy.net\/en\/opendemocracyuk\/revealed-thousands-at-risk-from-covid-19-in-dangerous-call-centres\/\">fearful of catching the virus<\/a> &#8211; probably many of them equally fearful of losing their job and thereby their home. <a href=\"https:\/\/en.wikipedia.org\/wiki\/COVID-19_pandemic_lockdown_in_Italy\">Italy&#8217;s<\/a> emergency lockdown seems to me to have been much stricter, more actually &#8220;locked&#8221;. Ours was half-baked.<\/p>\n<\/div>\n<div class=\"footnote\">\n<p><a class=\"para\" href=\"#recent-deaths\" name=\"footnote.recent-deaths\">3<\/a>. <strong>Recent deaths<\/strong>: Official government figures for the last week in May average out around 240 COVID-19 deaths per day. There&#8217;s different ways of counting deaths, but I&#8217;ve not seen any figures <em>less<\/em> than that.<\/p>\n<p>For total deaths up to the start of the slowdown, see footnote 1.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>We need solutions more sustainable than &#8220;lockdown&#8221;.<\/p>\n","protected":false},"author":1,"featured_media":1752,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51,45],"tags":[],"class_list":["post-1753","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid","category-uk-politics"],"_links":{"self":[{"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/posts\/1753","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/comments?post=1753"}],"version-history":[{"count":7,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/posts\/1753\/revisions"}],"predecessor-version":[{"id":1761,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/posts\/1753\/revisions\/1761"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/media\/1752"}],"wp:attachment":[{"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/media?parent=1753"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/categories?post=1753"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.uncharted-worlds.org\/blog\/wp-json\/wp\/v2\/tags?post=1753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}