Discussion about this post

User's avatar
Misa's avatar

During the first season of the pandemic, arguments for and against intervention were based on the same underlying assumption about transmission of the virus – an assumption which may well be wrong. That assumption is direct, measles-like transmission.

For a new measles-like virus we might reasonably expect to see exponential growth as the infected become infectious and the largely susceptible population supplies more bodies to be infected. As ever larger numbers are infected and begin to recover, the remaining susceptibles become harder to find, spread slows…you know how it goes. This is the SIR model - Susceptible, Infected, Recovered.

This is supposed to describe a single epidemic wave.

Team Panic says, ‘OMG, exponential growth! We’ll all be infected twice over by Tuesday week.’

Team Evil says, ‘Everybody, chill. It won’t get you all. We know it will only infect, like, 60 or 80% of the population. That’s herd immunity, man.’

This, of course, further terrifies Team Panic: ‘Monsters!’

As the great epidemiologist R.E. Hope-Simpson pointed out, pandemics – in the form of influenza epidemics – explode, rapidly infecting huge numbers of people, and then, just when it looks as though the whole population is going to get it, cases peak abruptly, and in a couple weeks or so it’s all over.

It seems that such epidemics usually attack no more than 15% of a population, quite unlike predictions based on the SIR model and direct, measles-like transmission.

Hope-Simpson questioned the model of direct spread. It appeared to him that epidemics ended just as they ought to be set to really take off. He pointed out numerous shortcomings in what he called the ‘current concept’ of direct spread.

If our concept of transmission is wrong, measures designed to interrupt the spread of the virus are likely to fail; promises that it’s all over now because so many people must have been infected will also be wrong.

And here we are. Competing ideas about how to respond to a virus, both of which are likely to be wrong.

Team Panic says, ‘See, it wouldn’t have ended without our measures!’

Team Evil says, ‘See, it ended because of herd immunity, not your silly measures! It’s over’

Six months later we have the same argument all over again.

I suppose the only paradox here is that the opposite of a bad idea is usually another bad idea.

Expand full comment
cm27874's avatar

It’s a virus that causes long-term symptoms even if you don't catch it. Recently, the University of Mainz published a study on long Covid. Around 40% of people that tested positive for Covid reported some symptoms even six months after infection. BIG story in the media. However, what the media did not report but what was in the study nevertheless, is the fact that the (much larger) control group of non-infected people had 40% long Covid symptoms as well.

Expand full comment
13 more comments...

No posts