Change the strategy - accept some risk.
The current approach "..focused on preventing every avoidable death.." is effectively a 'no risk' strategy which means imprisonment at home for most of us, possibly for years.
That is not acceptable.
That is not acceptable.
Why the contribution is important
Incarceration of any group of the of the population for an indeterminate time will lead to mental breakdown, penury, and eventually to resistance and ultimately revolution.
Politicians hold the responsibility to determine both a way out of the effects of the virus and a way of returning to the population its freedoms and rights.
This is not possible without taking risks, and risk brings casualties.
The decisions and the balance are difficult, but it is unavoidable.
Politicians hold the responsibility to determine both a way out of the effects of the virus and a way of returning to the population its freedoms and rights.
This is not possible without taking risks, and risk brings casualties.
The decisions and the balance are difficult, but it is unavoidable.
by tmper on May 05, 2020 at 04:07PM
Posted by NDM May 05, 2020 at 16:10
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Posted by Whisk3y May 05, 2020 at 16:12
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Posted by Lee May 05, 2020 at 16:13
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Posted by mklayne May 05, 2020 at 16:14
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Posted by ScottMillar May 05, 2020 at 16:17
Every life does absolutely matter but lets not cocoon the entire population and systematically change the way that we live.
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Posted by lindyloo May 05, 2020 at 16:19
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Posted by ryantravers May 05, 2020 at 16:20
https://www.ons.gov.uk/[…]/weekending24april2020
So why do we suddenly want to eliminate all possible deaths due to Covid-19 when this is never done with any other disease. The "No risk" strategy is ignorant of the fact that life is inherently risky and we need to grow up and accept that.
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Posted by Euan May 05, 2020 at 16:21
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Posted by jdmacd May 05, 2020 at 16:27
Have to give people some more responsibility after 7 weeks .
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Posted by Floydianslipuk May 05, 2020 at 16:28
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Posted by elainee May 05, 2020 at 16:37
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Posted by lggl May 05, 2020 at 16:37
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Posted by deltakc May 05, 2020 at 16:38
Yes some risk have to be taken but the government took some before the lockdown and then realised that it was the wrong approach.
I’m sure if you or your loved ones were suddenly stricken with a severe case of this horrible virus you would be much more concerned and have more empathy about the seriousness of this illness and the number of people dying
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Posted by Davemac1960 May 05, 2020 at 16:40
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Posted by JaneL May 05, 2020 at 16:51
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Posted by davidthomaswalsh May 05, 2020 at 16:51
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Posted by Scotelka May 05, 2020 at 16:56
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Posted by Tonyretals May 05, 2020 at 17:07
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Posted by OwenVickers May 05, 2020 at 17:58
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Posted by codenamev May 05, 2020 at 18:00
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Posted by BiggGrumperz May 05, 2020 at 18:04
I have friends awaiting cancer treatment, my wife awaits a hysterectomy. What happens if we get another spike? What will you say to those selfless NHS workers then?
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Posted by Llynn May 05, 2020 at 18:27
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Posted by Engineer May 05, 2020 at 18:52
Therefore, any return to normality will have to be very gradual and with social distancing measures maintained, otherwise this virus will take hold again very quickly with a second wave far worse than the first and this is what the UK Government and regional parliaments all fear the most.
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Posted by ProtestTheHero May 05, 2020 at 19:15
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Posted by LAM May 05, 2020 at 21:54
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Posted by crglkhrt May 05, 2020 at 22:41
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Posted by Stephaniekeachie May 05, 2020 at 23:17
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Posted by MairiM May 05, 2020 at 23:35
Ive actually been tearful reading many of the comments on here this evening - people pleading to just be allowed to walk their dog near the calming water, promising not to go near anyone else. Its upsetting that this is what we've been forced to become.
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Posted by OldDeuteronomy May 06, 2020 at 03:16
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Posted by lynnemacsween May 06, 2020 at 12:01
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Posted by LauraAR May 06, 2020 at 14:28
It's not a personal decision, you can't choose to avoid it or not, you could pick it up anywhere and at any time. You might be willing to take the risk because you think you'll be fine if you get it but the people you pass it onto didn't agree to that.
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Posted by Edin1234 May 06, 2020 at 14:48
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Posted by jrob May 06, 2020 at 15:16
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Posted by BSL May 06, 2020 at 16:43
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Posted by Mk1975 May 06, 2020 at 20:13
Shield the elderly and vulnerable as they are making up the highest level of deaths and integrate the others back into a new normal. Tobacco, alcohol and obesity cause strain on the NHS and kill thousands each year but we’ve not banned them. Allow schools to go back as studies are showing children aren’t at risk and don’t transfer the disease to adults so no danger there. This will halt the future disparity in education between those children receiving virtual lessons and those not. Also those completing theirs lessons and those not. This allows the gradual introduction of people to the workplace which will stop future generations suffering tax burdens and loss of jobs. All of the above improves mental health of nation. Also stops the prioritising of elderly and infirm over people waiting with existing illnesses such as cancer and stops the future health time bomb were creating.
Basing our current plans on guesses is a hugely dangerous way to go about this.
Why the contribution is important
Stops creating a future health time bomb that could kills thousands and re starts economy which stops future inequality as well as social issues and will go some way to stopping a tax burden on future generations.
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Posted by Colin87 May 06, 2020 at 20:59
I am sure the SG does not want to stand up every day from now on to tell us about everyone who dies ever day for flu etc
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Posted by Dougieo May 06, 2020 at 21:03
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Posted by Debrastorr May 06, 2020 at 21:06
I’m sorry for comfort is being disrupted but frankly, tough.
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Posted by yebaws May 06, 2020 at 22:53
And we need to look into the figures in a different way. The headline figure of 30K deaths is not all it seems. The vast majority of these deaths are of elderly people and people with underlying conditions. A significant number of them would have died anyway during the period. The headline figure should be the extra deaths due to CV-19, taking into account demographics and seasonal variations. Account should also be taken of the extra deaths that will happen / have happened because of the lockdown - undiagnosed cancers, late presentation coronary, a whole host of other medical conditions that would normally have been picked up by GP's.
The government approach has been populist and "dumbed down" rather than intelligent an nuanced. the public are, as usual, treated like slightly simple children.
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Posted by LauraJones May 07, 2020 at 08:36
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Posted by DennisThecat May 07, 2020 at 10:24
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Posted by Alasdrum May 07, 2020 at 13:35
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Posted by randomchaos May 07, 2020 at 15:26
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Posted by JoysieJ May 07, 2020 at 20:00
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Posted by NH May 07, 2020 at 20:35
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Posted by tmper May 07, 2020 at 23:09
A. The phrase 'focused on preventing every avoidable death' is part of the 'strategy'.
It is contained in the document listed at the top of the Ideas web site page where it says "On 23rd April 2020 we published “The Coronavirus(COVID-19): Framework for decision making”. Follow this link and in Section 1 you can find this text...
“Every individual member of Scottish society matters and our entire strategy is focused on preventing every avoidable death. There is no such thing as a level of "acceptable loss". That is an approach which reflects our commitment to safeguarding human rights and upholding human dignity. It is the ethically correct approach to take. And it reflects the caring, compassionate and inclusive ethos of Scottish society.”
B. A second wave of Coronavirus is a certainty.
It is true that if all of the existing cases are identified and are either cured or die ; and this must include all of the asymptomatic carriers who show no symptoms; and that no visitors to this country at every border are allowed entry without quarantine and are then confirmed free of the virus, then there would be no second, third or subsequent waves.
The probability of achieving this is a timescale of less than years is vanishingly small. Miss just one case and a few weeks later you have another wave and it starts again.
C. Considerable cognitive damage will occur to a population denied social access. Humans are social animals and their mental wellbeing depends on social interaction. Loneliness also shortens life.
Life is inherently dangerous, and we all live with many risks. Life needs to be lived.
The stated strategy denies these rights and is thus wrong.
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Posted by WilfredLawrieNicholasJohnson May 08, 2020 at 09:22
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Posted by TeaSpoonFairy May 08, 2020 at 13:22
Information that allows individuals to get an appreciation of their own risk of death from C-19 (which is about the same as your age-adjusted risk of dying this year from any cause, incidentally) and the societal effects stemming from the potential scale of spread would be a valuable contribution to the debate and make resuming activities post-lockdown easier for many.
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Posted by FM79 May 08, 2020 at 14:08
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Posted by erdabrown May 08, 2020 at 15:28
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Posted by Chimp May 08, 2020 at 15:35
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Posted by gilldougall May 09, 2020 at 09:07
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Posted by Stitchwort May 09, 2020 at 10:33
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Posted by XR May 09, 2020 at 11:22
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Posted by GordonM May 09, 2020 at 11:54
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Posted by waxwing May 09, 2020 at 14:32
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Posted by seileasdar May 09, 2020 at 15:36
It's inconvenient, yes, it will cause damage to financial income and the economy.
But they can be rebuild - maybe even better and less focussed on wealth and consumerism.
Try reviving your most dearest and closest loved one after the virus struck and they got into difficulties. It won't be the same anymore.
I'd rather save lives than an overinflated hyperconsumerist world.
They are far more precious.
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Posted by JMB May 09, 2020 at 16:37
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Posted by petermuir79 May 09, 2020 at 17:49
Currently the risk of myself passing away from Covid 19 is the same as me driving 185 miles a day (it was on the BBC the other day).
I drive for a living and do in excess of 250mils a day 5 days a week.
So let me back out and to do my job, before my job is no longer there for me.
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Posted by AlJones May 09, 2020 at 22:18
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Posted by JulieColl May 10, 2020 at 09:33
We need to be allowed to decide what level of risk we are willing to take, then move on with our lives accordingly.
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Posted by Henderson May 10, 2020 at 11:38
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Posted by conniel May 10, 2020 at 11:40
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Posted by fja1980 May 10, 2020 at 12:10
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Posted by Charlotta May 10, 2020 at 16:14
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Posted by geforse1 May 10, 2020 at 17:09
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Posted by carerbear May 10, 2020 at 18:09
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Posted by nltcthgc May 10, 2020 at 20:55
A common sense approach does work if you trust your population to be sensible. The majority of people are behaving sensibly and social distancing appropriately. There will always be minor transgressions, but that is ok. The majority of drivers drive at least slightly over the speed limit, but we don't take this kind of heavy handed approach over a few excess road traffic accident deaths.
Sweden is proof that a minimal lockdown is not disastrous.
While the headline death figures thrust on us by the media look terrible, taken in context and perspective, they are not that different to many other illnesses and a lot less than many more. Considering that 3 million children a year die from malnutrition in a world plagued with obesity should help put covid 19 in perspective.
The oft quoted R number is a poor estimate of the infection rate as we have no idea how many people have been infected. It should not be used as a validation for extending the lockdown.
A vaccine is not guaranteed, even in 12 to 18 months.
A vaccine is very unlikely to be 100% effective. Consider the flu and the fact that hundreds of thousands of people still die from it annually despite a vaccine being available.
Based on scientific history, it is almost certain a cure will not be found for many, many years, if at all.
You would never know if someone had the virus as the scientific experts are telling us 80% of people will experience very mild symptoms or none at all.
Given the above, when will people feel that it is safe to lift the lockdown?
If the hospitals are now geared up to cope with a spike in cases, the lockdown should be lifted completely.
Protect the vulnerable, but let them make their own decisions about risk. I have elderly parents and many friends in the vulnerable category who are desperate to get out and about as normal, because they have earned the right to manage the risks themselves.
To date, 1857 people have died with (not of, the difference is important) vivid 19 in Scotland. It is sad when anyone dies, but this is by no means a catastrophe and should certainly not be compared to war like many politicians have done - that does a great disservice to the millions of men, women and children who gave their lives to the real horrors of war.
Obesity and it's associated diseases of diabetes, cardiovascular disease and several cancers kills many times more lives every year than covid 19 ever will. If the Scottish government really wanted to save lives, they'd save far more by getting people to exercise and lead healthier lifestyles than any lockdown ever will. It's ironic that the scientists and doctors are saying the best way to protect yourself from covid 19 is to stay fit and healthy, yet the lockdown restrictions prevent millions of people from doing that.
Lift the lockdown, let people live their lives and make their own decisions about risk.
I am 48 years old and would give my life for my children's freedom. I'm sure most parents and grandparents would to. This is nothing to do with the economy, this is about putting our children first, they are the most vulnerable people in our society and should always come first.
Thank you for listening, but please do your own research and make your own judgements.
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Posted by jeankemp May 11, 2020 at 02:02
The question ought to be "Do we want to eliminate this virus". If we do, then we have we have to control the continuing number of deaths, in order that the Test, Trace and Isolate policy has a chance of success. To achieve that we have to maintain lockdown for a while. To let this virus rampage through the summer will not bring back the "normality" so many people desire. It will lead to more untold suffering - and maybe the NHS will not cope the next time round!
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Posted by Henderson May 11, 2020 at 10:15
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Posted by sconnor May 11, 2020 at 12:27
We must prioritise getting the economy back up and running whilst accepting that there will be risks involved for those who return to work. The risks can be managed, mitigated and minimised.
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Posted by Gi May 11, 2020 at 12:36
People need to learn from history and take this seriously. Human lives first over all else.
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Posted by Cathol May 11, 2020 at 14:03
If we are not exposed their will insufficient immunity across the population. The Flu is widespread, vaccine’s are only for those at high risk so why would it be any different for covid 19...
It is now evident that covid 19 is not deadly to everyone, protect those most at risk and focus on treatment methods for those whose immune response is causing deaths.
Deaths have/are/will increase from other causes, a massive drop in cancer referrals, increase in deaths at home. General health will deteriorate and will put a bigger strain on the NHS going forward.
Care home deaths are the largest %, yet they have been locked down longer suggesting infections are coming in via asymptomatic staff.
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Posted by RuthBradley May 11, 2020 at 14:43
In all settings identify the most at risk groupings and the allocation of duty of care to mitigate those risks and give timely and effective guidelines to sectors on best practice for risk mitigation.
examples:
Schools: Staff are highest risk...good to divide staff in to teams similar to healthcare. Green Team of admin and non-contact staff teaching staff who continue to deliver teaching remotely; Red team of pupil facing contact low risk staff with training, protocols and ppe where necessary. Families would need to accept some degree of increased risk of contagion between children and children of shielders may need separate provision.
Retail: Staff are highest risk and duty of care of management to safeguard them with appropriate premises layouts and integrated infection control plan and training. The style of Argos and Screwfix which limits public access to the retail premises to a Hot Zone entrance area is ideal. Public should be required to wear facemasks (cloth acceptable) in indoor retail areas to limit contamination and reduce risk to staff and other shoppers from fomites and contaminated air.
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Posted by Zaffarella May 11, 2020 at 14:57
Now that lockdown has gained the time to put capacity in place the “stay safe” narrative will need to change to reflect;
Fatal for less than 1%
Vast majority (over 80%) asymptomatic or mild; relatively few have required hospitalisation.
Current strain is fairly narrow in its target.
People die; in Scotland 4,700 people, on average, each month every year (average 2001-2019 per NRS). There were 1,559 Covid deaths in Scotland as at 2 May. Many of those dying with Covid 19 on the death certificate (but not necessarily a contributory factor) would have died in any event this year.
May never be vaccine; it would wrong and very costly to society at large to wait for one – accordingly we must manage this.
Covid 19 now endemic and should be dealt with like any other perennial virus.
Going forward Covid 19 can be managed by creating capacity (Infectious diseases hospitals?). Unfortunately, those in care homes are amongst the most susceptible to the virus, some form of gateway regime or system for entrance to care homes will be required.
Fitness (substantially issues caused by obesity) makes a massive difference to outcome; this is an opportunity to reinforce that being fit will save lives and the NHS
I am glad to see that the Swedish approach has now been commended by the WHO as an exemplar for moving forward. Although it has controls, it has allowed more social interaction. This approach will certainly have reduced any “future wave”. As at 11 May, the UK (with a population 6.56 times that of Sweden) has had 31,855 deaths. Sweden has recorded 3,225 deaths. That is 66.4% of the UK total. The Swedish approach has to be considered, as it is less damaging to society and the economy at large.
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Posted by MikeJohnston May 11, 2020 at 16:35
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Posted by rptcal May 11, 2020 at 18:35
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Posted by Brett May 11, 2020 at 18:57
The current position enables incremental change offering clear, considered and consistent advice to the nation.
Each death is heart breaking to hear about. In the actions we take going forward we must ensure that we can look back and at the very least say that we have acted with care and compassion.
Planning undertaken now will also have benefits for the longer term. Rushing to an ill advised quick judgement would have huge repercussions. This virus isn't going anywhere and we should recognise this in our planning. Measures we put in place now can be adapted but they should mindful of their medium term use ie. until a treatment or vaccine can be found and is available for use.
I am not niave, the change that I wish to see may not happen. However if we fail to recognise and act in the interests of the people of this country at this time. I would ask, if not now, when?
The respect for keyworkers by the people of this country has been obvious and this will broaden as more people return to their roles. It should not be forgotten that when we clap for keyworkers or veterans. That currently they reply on charities to pick up the slack from under funding. Neither are charities.
It is admirable to protect workers at home on furlough and business with grants. To upscale NHS capacity and investment. It must not be the case that a new normal forgets the lessons of the past. Change should happen. It should happen incrementally in a safe and sustainable manner.
The framework principles and measures are spot on and it should always remain a priority to:
Reduce harm
Maintain support
Respect and renew our nation.
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Posted by IMcK May 11, 2020 at 20:40
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Posted by Kgal May 11, 2020 at 20:45
You acknowledge in your framework document that the restrictions themselves are causing harm to people, the economy and society. We need a detailed assessment of those risks immediately and public debate so the risks on both sides can be weighed up. That process needs to be transparent, as does the sharing of any models etc which you are currently using to inform current lockdown policy. For example, is there any specific evidence to show that lockdown (as opposed to say social distancing measures only) is more effective in suppressing the virus? (see e.g. the position in Sweden and also recent findings from New York showing largest percentage of infections arise in people who have been "staying at home").
I also think the focus on cumulative death figures in isolation is very unhelpful for informing the public about what the true risk might be to them in relation to the virus. For example, the risk to healthy under 45s is so minimal but that message is not effectively communicated. For example, you have parents and teachers terrified to go back to school. People take risks everyday but because they don't get the same coverage people simply get on with their lives. It is like a message flashing up on your dashboard every time you started your car to say "your odds of having a car crash on this journey will be 1 in x". The general public need to be given those tools to help with weighing up the real risk to them, relative to all the other risks they may take in life on a daily basis.
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Posted by Bek2020 May 11, 2020 at 21:15
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