I mean, they could just mandate flu vaccine for everyone in or entering the country. I can see that being sufficient, without continuing the cumbersome isolation policies post-COVID.
> recent studies show that flu vaccination reduces the risk of flu illness by between 40% and 60% among the overall population during seasons when most circulating flu viruses are well-matched to the flu vaccine.
There's not one single "flu" - when you get a flu vaccination it's good for some particular strains which are (iirc) prevalent or particularly virulent at a given point when they're administered.
Have you met the rest of the world? I'd rather spend an age in Lothlórien than deal with Trump. I mean, at least Sauron actually had Infrastructure Week.
Unfortunately influenza has animal reservoirs that COVID-19 does not seem to. It is unlikely we could permanently eliminate it. Maybe a few seasons of reduced numbers, but that's probably the best you could expect.
They are, they are also a reservoir of many other unknown diseases yet to come. But people don't get into close contact with bats as often (unfortunately this time it probably happened from the unsanitary Chinese wet markets).
It did not come directly from bats to humans, there was another intermediate host species. We don't know which, pangolins possibly, or minks or some other species, probably in closer contact to humans than bats.
Right. The other thing is that (as far as I know) there are no species in which sars-cov-2 is endemic. It may be that (besides humans) there had only ever been one other carrier of this particular virus. There are probably close relatives of sars-cov-2 that are common in bat species, but not necessarily the exact same strain.
It seems unlikely such isolation is going to be needed to eradicate influenza. A universal flu vaccine ("FLU-v") passed phase 1 and 2 clinical trials earlier this year [1] [2], and is moving on to phase 3 trials.
Everyone did a good job. The government did a good job. The people did a good job. A lot of sacrifices in the right places.
And just last night NZ time, we had the results of the elections. Current government won by a landslide. And surprisingly a Greens candidate won in Auckland Central. On mobile - but Chloe is just great for Auckland Central!
I agree that they did a good job, but I get tired of seeing others comparing NZ to other countries who didn't do so well--countries whose populations are 500-1000x bigger than NZ.
New Zealand has 5 million inhabitants. That would mean these other countries would need to have billions of people (2.5-5B people). I suspect you just missed a decimal when looking up the number.
Being an island and having a government that doesn't openly reject science certainly helps but they still needed to actually get it done. Which they did. Now they are in the comfortable situation that they can quarantine visitors and sit tight until there is a long term solution. Meanwhile their economy can function pretty normally.
Well, being an island a 'bit far away' certainly helped.
In Portugal I know folks that drove from London, Paris, Utrecht (Netherlands) and even Moscow to avoid the no fly laws so they could vacation here. I personally know 3 families that drove from Moscow to the Portuguese south during the lockdown period. (And I am sure based on the foreign plates I saw, various orders of magnitude more did so as well).
This is not to say it was all the foreigners, but it is much easier to control a pandemic if you can close all the borders (Madagascar anyone?) and have a smaller population. (This is also not to say NZers shouldn't be praised, but just a land border with 2-3 countries would probably see a lot of these efforts go to waste)
That has nothing to do with islands or not. Just lack of political will to enforce.
In Vietnam, when there was a new outbreak in Da Nang, the whole city was isolated from the rest of the country. Flights grounded. Roads closed, with checkpoints. Trains stopped. This lasted for several weeks until it was clear that situation was under control.
Some Canadian provinces had setup measures to prevent unnecessary travel.
Same in Australia. Travel between states is restricted based on how affected each area is. It didn't start perfectly for border communities, but it was mostly fixed in a couple of weeks.
There are 5 mains highways that connect Portugal and Spain. Then are around 15 (can't find the details, from memory) that are normal roads where you can also do the crossing. Then you have several smaller roads you can also do the crossing. If you are really really into it, then you can also cross it by walking in several other places.
Having 24/7 border patrol between two land connected countries setup and agreed over 20+ crossing points isn't something easy to do, specially during a pandemic where those agents are also needed elsewhere (and there were border patrols along the mains roads, but not close to all).
Compare to only entering by airplane where you can a) prevent planes from landing by just sending an email (exaggerating) and b) anyone that lands goes through a funnel where you can easily quarantine them.
And you can't compare a city, with 1,285 km2 with a country of 92,212 km2 (and other countries even more) and talk about border controls. Portugal also did the same to a city with some success but still there were flaws in the patrolling.
No one said it would be easy. But for a country to deploy even a few hundred people shouldn’t be a challenge.
If a country can’t close a road, how would it hold up during an attack or war?
This should be a well trained, standard procedure.
Canada is in between mainland US and Alaska. US citizens were allowed to drive thru without diversion. Some didn’t follow the rules and made unnecessary detours. They were fined $600,000 for that. You just need a couple of these cases to make the news to deter people from skirting the laws.
Da Nang also had small road leaks at first. Then those who were diverting via those roads were caught and punished. Roads were closed.
The US population, as an example, is only about 70 times that of New Zealand. This is a large difference, but I have yet to see any reasonable argument as to why this matters beyond "the population is small so it doesn't count".
> I have yet to see any reasonable argument as to why this matters
The major factor that accelerates spread is the frequency/duration of interactions between different people.
So a country such as NZ, that has:
- a much smaller population
- a much less dense/more spread out population
- geographic isolation from the rest of the world
- its population split across two islands
- a small fraction of the international and domestic passenger movements that the US, Europe and Asia have
- a very small number of infection cases in the country when the world suddenly woke up to the scale of the problem in mid-late March
- a centrally managed national health system (and government)
- a cohesive and compliant society
... will have a vastly easier (like, exponentially easier) time controlling the virus.
NZ deserves credit for handling it well before it got out of control and they're deservedly enjoying the benefits now.
But the conditions that made it even possible for NZ to achieve this apply in very few other places.
I can't actually fathom a way the US could have contained the virus the way NZ did, no matter who was in power federally ("just be like China" obviously can't happen).
(FYI I'm an Australian living in Melbourne, which has partially similar conditions to NZ but has spent the past 4 months battling a "second wave" and enduring a brutal lockdown which is just starting to ease now. That was after we'd seemed to have beaten it in May, and the rest of the country has stayed on top of it. So I know what it looks like to win and lose against this virus. Though even then, our case numbers and fatalities are far lower than the US and many European countries.)
China was able to do it with a massive outbreak and the largest number of people. Clearly it has to do with social dynamics and a competent government with a lot of power. Rather than the specific size of the country
That's obviously disgusting and there's plenty of examples (Korea, Vietnam, Taiwan) who didn't do that. Korea never even fully locked down. Also, I'm extremely unhappy that my government let more than 200,000 people die at least 95% of which were easily avoidable.
How about we build a village somewhere in NZ or elsewhere with very strict rules for every new person who arrives. Like bringing a negative test and self isolating for 14 days.
Then slowly grow this village this way and celebrate life without masks and social distancing.
Of course, there would be a Covid outbreak at some point in time. Would that be the end of paradise or might there be a way to get back to zero infections? 14 days of full isolation of a whole village seems like something that might be possible.
What do the digital nomads among you think about this?
Having to hole up for 2 weeks after you go anywhere outside the village is a high cost. Unless all your friends and family move into this village, the gains are pretty low...
The gains seem pretty good from here on the inside.
Overseas travel is possible, but no thank you. Domestic travel is up among many people I know and there are nice places to go.
NZ already goes without masks because they realized that a short but complete lockdown would result in much less death, and because of the ability to reopen completely, less long term economic harm.
NZ is already reopened (internally, not to foreign travel) without masks or social distancing. They also reopened travel with most states of Australia.
The population got on board with the lockdown so it was short and effective. The US efforts in that regard are ineffectual so the half-assed lockdown and mask wearing will need to continue indefinitely until there is a vaccine, which is the only hope left.
> The US efforts in that regard are ineffectual so the half-assed lockdown and mask wearing will need continue indefinitely until there is a vaccine, which is the only hope left.
- The US received 100,000 airline passengers per week from Wuhan and Shanghai, and pax kept arriving after the travel ban via Africa and Canada afterwards
- the CDC initially provided non-working test kits for weeks
- the CDC and China should have started work on the vaccine after SARS-1 in 2003
- the US has 50 states and thus decentralized mgmt.
- the only hope for the US is herd immunity, so hug a stranger today!
This raises some questions about the flu though, right? The COVID lockdown effect mostly stopped the virus getting a toehold in the country. Does this imply that the flu is mostly imported too?
Maybe the short, sharp lockdown did stop the flu, but it feels more plausible to me that the ongoing severe border controls are what's keeping it down while the country more or less goes about life as normal.
The border controls and quarantine stopped importation to the community, the lockdown on gatherings stopped transmission within the community.
Both measures together likely stopped the flu just as they stopped the coronavirus. Keep in mind that both the flu and Covid are transmitted in the same way, respiratorily, but the flu is much less contagious, so eliminating transmission of the coronavirus is almost certainly also going to eliminate transmission of the flu.
Australia saw a similar effect, the flu season in NSW was one tenth of what it normally is.
Right, but NZ has had a pretty light lockdown compared to other countries. To use the language of other posts, if the "reservoirs" of influenza were uniformly distributed, we'd expect NZ to have more flu than the United States or Europe where (time-integrated) lockdowns have been stricter.
Look at the pre-election videos covering campaigning in New Zealand -- crowds of maskless people, politicians hugging supporters etc. Stadiums full of rugby supporters. Not a COVID transmission risk, but wrt the flu it's obviously no different from a regular season -- except for the borders.
In San Francisco people are distancing a lot more. It's understandable why we have more COVID cases, but when winter rolls around it'll be very interesting to see if the same difference in flu cases is seen. A non-uniform distribution of reservoirs might be something we can conclude with borders closed.
Outside of the quarantine zone, New Zealand hasn't had a new case of Covid in three weeks. Every detected case in NZ in the past three weeks has been from people getting off planes, going into quarantine, and testing positive.
Also, outside the quarantine zone, no one in New Zealand is in the hospital with Covid.
I guess I have a hard time understanding this strategy outside of an expectation of a viable, long-term vaccine. Aren’t you simply just trying to wait it out? It’s not like the virus is going to give up after a few years.
A slowly building immunity among the lowest risk group seems like a better long term strategy, and put the old and at risk people into something like New Zealand.
We carry on as normal, like we are. We have to quarantine for 2 weeks when coming into the country, that is the price. Are you under the impression that something more onerous is happening?
This is normal for your country which is self-sustainable, other countries cannot follow the same strategy for multiple reasons. I wish we were NZ, but we aren't. We rely on tourism, our whole economy has been build around that, closed borders and 14 days isolation will bury everything. Anyone can suggest a lockdown, but some countries cannot work that way and have to find a compromise, not bet on a vaccine somewhere in the near future (when?).
New Zealander here: Why would we need to give up? We can come and go from New Zealand (with an isolation period) and life is normal once you are inside. Non-residents can’t come without some big hurdles though.
If that’s needed.
Keep in mind that until relatively recently it took a lot longer to get to New Zealand as it was common to come here by ship. My parents and grandparents got here that way and it worked ok.
It's a great strategy! The internal economy is open because people aren't afraid to be out and about, shopping and going to sporting events, etc. Even in US states with absolutely no restrictions on indoor dining etc. there was a huge drop in activity from, well, people having normal self-preservation instincts.
A strong vaccine candidate within the next 6 months is a strong likelihood, along with antibody-based therapeutics. So the plan is to hold out, keep the internal domestic economy moving forward - the tourism hit was going to happen anyway, so might as well have everything else as operational as possible.
Herd immunity is not a strategy, it's just what used to happen before we understood that we could actually reduce the impact of disease on our lives.
> A strong vaccine candidate within the next 6 months is a strong likelihood
There's zero evidence to support this assertion. First there's zero evidence that it's "strong", whatever that means. Second there's zero evidence that we'll have it in the next 6 months. Remember, it also has to be safe, not just "strong". Ensuring that takes a lot of time.
Well, perhaps this could be the first communicable disease of its kind that doesn't produce immunity in the survivors... Perhaps we should craft our response based on that assumption?
How long does immunity last? How robust is it? How will we know what the cost would be, so we can make an informed decision on the tradeoffs? Do we have a robust model of the broad immunity response that can help make sound policy decisions?
(These are all honest questions, I’m not leading. I don’t know where to find this information summarized.)
Can you name another communicable disease where "herd immunity through natural propagation" is the recommended treatment?
Even relatively less dangerous viruses, like influenza, have strong vaccination programs, and relatively more dangerous viruses (measles, mumps, smallpox, etc.) are only words I know because of the vaccines I got as a child. I can't think of a disease with a nontrivial mortality rate that we don't aggressively vaccinate and have public health measures to prevent. Can you?
A few weeks of lockdown destroyed civilisation? With the exception of international travel, life is more or less as per normal in NZ right now. What are you even talking about.
Months of lockdown have destroyed somewhere between a quarter and half of all small businesses in Canada.
The resultant unwinding of commercial real-estate debt hasn’t even begun. The deflationary spike and follow-on “riding the dragon” of inflationary response by central banks hasn’t even begun.
When we finish consuming our personal reserves, and begin in earnest to try to supply food and lodging to the, what, 50% of the population not “employed” by government, what do you guess is going to happen.
It will be illuminating, at least, to those who think they understand how civilization works...
> Can you name another communicable disease where "herd immunity through natural propagation" is the recommended treatment?
This was the standard of care for chickenpox (herpes zoster, aka shingles) until 10 or 20 years ago, for example. Sure, the mortality rate is lower, especially among healthy children.
I'm less than a decade older than you (younger than 35!) and was intentionally exposed to chickenpox as a child at the advice of my pediatrician in the Seattle area. And I've had shingles in my 20s as well, so I'm certainly pro-vaccine.
There may have been a vaccine 35 years ago (I'll take your word for it), but it was not the standard of care even ~25 years ago.
(And to be clear, I'm not advocating for exposing people to COVID, at all. You asked a very broad question upthread with an easy counter-example — chickenpox — and I provided the counterexample.)
That’s complicated though. Getting it as an adult is REALLY nasty, hence the previous history to try and get it done as a kid. Now we immunise instead...
The govt offers chickenpox vaccines here in NZ for kids now. I think it has been a fairly recent addition to the vaccination schedule but it was definitely there 3 years ago when sprog number one arrived.
Well, back in the day if one kid got chicken pox other parents would bring their own children around so they could get the infection done and dusted. The younger the child the better.
We have anecdotes of reinfection. But on the whole, it is very, very uncommon. This suggests that there is some degree of lasting protection in most people.
Your 'of its kind' phrasing does all the work, and it's not justified. Plenty of viruses don't create useful immunity, from flu to AIDS to the other seasonal coronaviruses, where immunity length is in the order of a few months...
The Netherlands (where I'm from) aimed for herd immunity in the beginning of the pandemic. So no strict measures just enough to make sure our health care isn't overrun. This was perfectly fine in the first few months, now they are still doing the same measurements (no real lockdown or any strict measures) while our health care is being overrun because of a 2nd wave. This time herd immunity is nowhere to be found.
I can only imagine that NZ is indeed sitting this out till a vaccine is available, because if countries that had herd immunity as a goal in the first place to not have that goal anymore, it probably means it isn't feasible.
That being said, I don't see how _any_ country is able to do anything other than sit this out. Everyone in the US, NL, even DE (which is doing okay in Europe) or NZ and TH (with no local infections) cannot do anything else than to wait for a vaccine to be available or before we just accept this as a reasonable risk.
Personally I think accepting the risk is the most likely situation. I do not have much confidence in a good vaccine being available in 2021, personally I'll get back on the plane in 2021 and just accept the risk. I als know that this is something a lot of people will not accept, but we cannot lock up the world economy for a few years for a virus where the fatality rate for healthy people is so low.
> That being said, I don't see how _any_ country is able to do anything other than sit this out. Everyone in the US, NL, even DE (which is doing okay in Europe) or NZ and TH (with no local infections) cannot do anything else than to wait for a vaccine to be available or before we just accept this as a reasonable risk.
Tactical lockdowns with a strategic approach of maintaining rapidly escalating procedures on a hair trigger is the approach NZ's been taking, and thus far, it's afforded them a much better quality of life compared to the rest of the world.
It's whack-a-mole, but shit, it's cheaper and more effective than whatever it is we're doing in the US.
Why do you say that now in 2nd wave health care is being overrun? Amount of cases is much higher, but amount of deaths and hospitalizations is much lower.
Why do it slowly? If you're planning to infect everyone anyway might as well get it over with quick.
Unless of course you're worried about the side effect of making a large number of people seriously ill, but if you don't see a way of doing it without causing a ridiculous number of people to fall ill then perhaps it isn't the best choice?
Wasn’t this what all of the “flatten the curve” messaging was about in March? Yes. The reason to slow things down is to avoid overwhelming the health care system.
But if you're talking about infecting a large part of the population deliberately then it seems to me you should try to do it as quickly as possible because isolating the vulnerable part of society from the rest is not a sustainable situation.
And well, if we're talking about infecting a large part of society anyway then health and human lives are apparently already expendable to some extent.
I guess if herd immunity is your best option you want to do it as quickly as you can without overwhelming things.
Which is why the “Lock down hard to flatten the curve” thing never really made sense to me. If you prevent all transmission you’ll just drag out the pain. I thought cases are just going to shoot back up when you open so what’s the point?
(Turns out I was wrong though. Delaying cases was very valuable. People getting sick now are much more likely to survive.)
Why would the strategy be difficult to understand when the results so obviously speak for themselves?
Sure, NZ's approach cannot be replicated everywhere else, but the fact is they have this under control and their people can (now) go about their lives.
I think the approach and results have been great. But I'm not clear on what the long term plan will be. Will NZ keep its policies this way indefinitely? Same question for China and other areas that have it under control.
Assuming a vaccine doesn't come, why shouldn't NZ keep their policy up indefinitely? Testing and quarantining visitors doesn't seem that onerous to me. Certainly beats just letting it run wild in the population.
Can NZ produce enough food for its population? If so, that definitely seems like the right place to be in case of the apocalypse. Beautiful land, gorgeous ocean, intelligent populace, and far, far away from everyone else.
There are ~6 sheep per person in NZ and lots of wine, so I’m gonna go with yes.
Also, there’s the Hokitika Wildfoods Festival in NZ (https://en.m.wikipedia.org/wiki/Hokitika_Wildfoods_Festival), where everyone dresses up in costumes and voluntarily eats foods that one might resort to during an apocalypse. Highly recommended.
It has good amount of meat/fish, exporting a lot now. But fruits and veggies are harder due to weather (but still possible with green houses, hydro, etc, tho to a smaller scale). It still needs corn, wheat, soy, etc to be imported.
We could be entirely self-sufficient in wheat etc, if we chose to be. Our current reliance on imports is just the free market at work - more money in dairy, and we're right next to a country that grows wheat far more efficiently.
I've watched quite a few wheat fields I grew up near become dairy pasture.
As someone not in NZ, I gotta say, the half-destruction of my way of life for the foreseeable future seems way worse than total destruction for a short period.
It has a chance to work for islands, but not anywhere else except maybe North Korea.
During the last few months it has been about how to manage, while waiting for the vaccine. That plan seems to require the half-destruction of many people’s lives unfortunately.
While in theory true, in practice borders are not 100% effective. Locking the doors encourages people to climb through the windows, even islands can be entered by boat.
Opening the borders with a strict two week quarantine enforcement seems like the only sane way to proceed (as NZ has done)
And then some countries will die because they are majorly dependent to international travel and tourism. Not every country in the world is self-sustainable. Closed borders are an easy strategy, but cannot be applied everywhere in the world. Take a look in EU which is built under the open-borders strategy, take a look at any country which economies depend heavily on tourism, and so on.
I wish every country was like NZ where we could apply such measures, but we aren't. In example, my country Greece with closed border would face a more extreme economic crisis than 10 years ago.
I am not talking about trade, but passenger travel. Greece relies heavily on tourism. Closed borders or even 14 days of isolations will kill the tourism industry, all related economic sectors and the whole country will be buried in unemployment. What's a viable strategy for such countries?
It worked in Czech Republic, hell we even opened our borders up back in June and the measures that were in place kept things broadly manageable (note: we're not even an island, we're smack bang in the middle of Central Europe). What sank us was that the government capitulated, patted themselves on the back for a job well done and removed the requirement for masks on public transport, in shops, in offices etc. In the last week they've since had to clamp down severely and it's going to tank the economy where I live. I'm not going to pretend it was rosy under the restrictions, many businesses were hurting but weren't completely crippled, but many had found a way to survive. And we've since gone from being the envy of continental Europe to having some of the highest per-capita new cases per day in the world.
I'm not sure what else you can do other than try to keep things under control while a potential vaccine or at least treatment is developed. Give up and just let it spread through the population, whoever lives wins?
Had the vaccine been available in august or September this year, then the Czech strategy would be best.
But vaccines are not made that fast, it looks like 18 months is realistic and locking down countries that long is just not feasible.
I think you may be misunderstanding what I am saying. We had:
1. a hard initial lockdown lasting a few weeks, while the virus was exploding throughout Europe. masks everywhere. basically everything closed. borders closed.
2. a subsequent easing of many rules - masks almost everywhere; public transport, shops, offices, and restaurants/bars. international travel possible with quarantine from selected countries.
3. an almost total relaxation of all of the rules
I think the "Czech strategy" you're referring to is #1. I am saying that #2 was an acceptable compromise that caused some grumbles but kept a lid on things while permitting a relatively normal life for most people. #3 is IMO completely responsible for the current state of affairs. If 18 months is a realistic estimate for a vaccine then I genuinely think we could have managed with strategy #2 for that period. If a vaccine is not forthcoming then ... fine we would have given it a shot and without completely tanking our economy by becoming a little hermit republic, and without overwhelming our healthcare system in the meantime.
I mean you can't have your cake and eat it, I know that. But I really believe the balance we struck was sustainable.
edit: btw I hope this doesn't seem like I'm angry at you or anyone here in this thread. This is just a discussion and an interesting one. My tone is just probably influenced by my current cranky mood which is caused by other things unrelated to HN, and re-reading my words I can't tell how it's coming across :-)
Parent post referred to total destruction, and while I don't actually see "destruction" as the right frame for covid restrictions I was taking their premise and running with it - so if NZ had a period of total destruction, we've got ongoing partial destruction in north america.
"Comments should get more thoughtful and substantive, not less, as a topic gets more divisive."
Edit: you've unfortunately been posting in the flamewar style a lot. We're trying for something different than that here, which gets destroyed when people go into flame mode, so if you could please take the guidelines and the intended spirit of the site more to heart, we'd be grateful.
I'm sorry you feel that way but I disagree. Note when I made the comment there were very few other comments. I've been posting to this forum for 13 years. If humour and wit are not considered appropriate then I will attempt to refrain from their application to succinctly convey an idea.
Take a look at every other flagged comment in the same thread from other users and note what they have in common. It isn't conversation style.
People overestimate their own humour and wit, and underestimate the provocations they supply to others. I don't mean to pick on you personally—we all do this. But it's certainly a thing.
I'm well aware that you've been posting here for 13 years. I think that's great. Unfortunately your recent comments (say, this year at least) have been full of swipes at other users—not all of them (fortunately!), but enough that you've been doing it routinely. That's just not cool. Would you please edit those out when you post? I certainly don't want to ban you but we ban others for that kind of thing and at some point we have to apply the rules fairly.
I honestly dont understand their strategy. These "wins" are only sustainable if they never open their borders. And once they do, covid and influenza will come back. Only option I can see is to maintain isolation until a vaccine is available but that could be a long way away.
I'm so sick of seeing New Zealand get praise for it's response. Just like Iceland, it's a tiny ass island, and yes - if you close your borders, don't produce or import anything globally, of course you'll knock it out. Then you open up again (just like we did here in Iceland) and boom, covid skyrockets again. It's not magic, it's just hiding in a cave.
You're projecting Iceland onto NZ just because they're relatively remote island nations. Iceland is very European in its skeptical and resentful response to the low-tech response to covid: masking, washing hands, social distancing. That's why when people have brought covid over it has spread through society like it has. People in NZ by the sounds of it are acting much more like ppl in SE/E Asia, adopting the low tech WHO strategy. That's why things are as they are in NZ, and why Iceland keeps suffering from outbreaks. And it's why your analogy of Iceland and NZ is a false one.
Me neither. This would be the most anti-immigrant and anti-tourist policy I could imagine and something a far right government in an Eastern European hell hole would implement to keep undesirables away.
That it's being celebrated as a victory by supposed progressives is giving me a headache. Turns out immigrants are dirty disease carriers who we must be isolated from the rest of us clean volk.
And all it took for people to agree to this is for Trump to be against it.
I can't imagine anyone being for it if Trump locked up every Mexican for two weeks before letting them in the US and fining/arresting/deporting everyone who tried to avoid the quarantine - no humans are illegal.
You're right. If Trump tried to only apply a two week quarantine to people coming from Mexico people would be against it. If he'd done a quarantine for all people entering the US back when there were only a handful of cases we'd be in a much better place right now. I suspect that would have been viewed as an overreaction by many people but based on what we've learned since then I think people would've come around.
I haven't see anyone talking about policy since Trump got elected. I've seen people screaming for their teams and calling everyone who disagrees with them a fascist. To the point an actual fascist policy like that of NZ is celebrated as a progressive victory.
> Only option I can see is to maintain isolation until a vaccine is available
What puzzles me is why you don't see this as the only good strategy for any country that has the capacity to attempt it. It's the strategy that saves most lives.
There are currently 10 countries in the Pacific, including NZ, that have no COVID cases. They could form a bubble and allow travel between them.
Yesterday kiwis were allowed to fly to Australia and enter the general population without quarantine.
Because waiting for a new invention as part of policy is idiotic. Science does not work a on schedule. A vaccine is not 12 months away, it can be invented tomorrow, or it can never be invented because it never becomes more than 5% effective.
And so they'll be holed up a while. So? The vast majority of humans never leave their countries their entire lives.
If the time comes that they're willing to let their elders die so the wealthiest among them can travel or fOr tHE eCoNOmY, they can always open up their borders.
What they have is a choice. They had their elections last night and governing party was re-elected by a landslide, which means the people are happy with their current strategy.
> waiting for a new invention as part of policy is idiotic.
>The vast majority of humans never leave their countries their entire lives.
The majority of people in New Zealand are 0th of 1st generation immigrants. The majority leave the country at least once a year and have multiple citizenships.
>Saving lives and buying time is not idiotic.
Yes, Queen Victoria buying time for the invention of penicillin is idiotic.
NZ can wait. If it really turns out that there is no vaccine they can still try different strategies. Until then, this is the best possible option a country could pick.
> Yesterday kiwis were allowed to fly to Australia and enter the general population without quarantine.
The Australian general population? That's fine, it's getting back in to NZ that's the issue.
There will come a point where lives will be sacrificed in order to get economies going again. It's harsh, but true.
Has NZ's economy escaped unscathed? I'd imaging that tourism is quite a large part of their GDP; but if I as a tourist have to quarantine for two weeks on arrival there's really not much point in visiting NZ at all.
Once the rest of the world starts operating again, vaccine or not, NZ will have to follow and relax their isolation. They're hoping that by the time that comes there'll be a vaccine or better treatments. But there's no guarantee of that. The rest of the world will be in the position where those who would have died from Covid have already probably died, but NZ won't.
Yes. The main point in the article is that an 'eldery woman... with rare cancer.. and receiving chemotherapy' died after getting covid a second time.
Most people now who get it aren't dying. The number of positive test cases is skyrocketing, but deaths aren't. There'll come a point where only death rates will used to judge whether lockdowns should continue or not, not infection rates.
And, they could progressively open their borders to those presenting with negligible carrier risk. Sufficiently voluminous & cheap testing can keep traveller risk very low, as well as the growing number of travellers who are recovered-immune & vaccinated.
It's a numbers game. Hide out for a year or two. Protect vulnerable members of society and preserve a mostly normal way of life, except for tourism industry (which is largely dead regardless of what we choose to do in NZ).
If there's a vaccine in 2021 it will turn out to have been a good bet.
New Zealand is a tiny island with an authoritative government with a history for banning anything they don´t like and completely shut down the country. I'm still not sure why everyone praises this nation for it's response - they implemented extreme measures on the people and closed the doors - that's not innovative, it's just fear on a massive scale.
Is fear bad a priori? I don’t think so, this is an unprecedentedly dangerous virus, I think if you’re not at least a little scared then you’re delusional.
Dismissing action as motivated by fear is ridiculous, we should be scared of dangerous things and let that fear motivate us to take rational action.
Oh come now, we can exercise and advocate for caution and good sense without pretending that this virus is more dangerous than polio or measles or the 1918 flu or any of the markedly more severe viruses.
Why should I care? How should the accuracy of qualitative comparisons of this with past pandemics affect our decision making? If this isn’t as bad as the Spanish flu, how should that change our response to the current pandemic?
You do realize that anyone who reads your comment can also read the rest of the thread and see for themselves that you’re incorrect, right? What advantage can there be in doubling down? In whatever case, I corrected your error and you don’t dispute it, so I think this thread has served its purpose. I’ll be ducking out now.
um, I'd argue respectfully that "unprecedentedly dangerous" is the phrase approaching the delusional.
when this whole thing started, I did what any self respecting analyst would do: try to calculate the numbers and calculate the likely outcomes and risks (primarily to my own family).
And I kept arriving at the conclusion: it's statistically bad in the sense of spread and infectiousness, but as a virus and comparative lethality it's not THAT bad. The main danger was from responses/strongly compressed infection timing, and assuming you didn't overreact and your health system held out, if your family were in their 50s or younger and healthy, existentially it wasn't much worse than the flu (and for the youngest, possibly even less dangerous).
but what I was scared of was the human response.
Because it targets the old and infirm, and because they largely control most wealth and power, and because we largely don't have mature ways of dealing with mortality in common cultural discourse, and because a lot of our countries have become increasingly partisan, I figured the response would probably be bad/chaotic/ and have lots of badly targeted over-reactions, unintended consequences, and probably a lot of name calling, fear mongering and virtue signalling. our media has just gone crazy.
6 months later (and in the lockdown in Melbourne), I stand by most of my initial judgements. One problem locally (and maybe NZ shares this problem, I dunno), it's that the trump/Johnson swing to the right/populism left the opposition (we have Labor in power locally too, so the opposition is conservative) being relatively flirting with anti-science and anti-int
tellectualism as well as general juvenile behaviour and responses, so even though one might not fully support local actions (I don't fully support the lockdown extents in both Melbourne or NZ long term), there isn't really a viable political alternative presented either.
I regret saying "unprecedentedly dangerous" because it puts the focus on comparing this with past pandemics, which is irrelevant to my point, and I'm not really interested in having that conversation.
They can go out to a bar or movie theater right now. All movie theater chains in the US are about to close for good, and 1/7th of small businesses in the US are now closed for good.
Socially distanced, theaters lose money if they open. They aren’t open and therefore no films because the studios do t want to take more of a write down, since they’re already trimming 20% of their muscle (fat is long gone)
Short term results only. We don't know yet about long term results (for the economy, for global poverty, for people mental healths, for extra deaths of cancer, for obesity people getting spending time at home, and so on).
NZ has has 1/8900 of the US death toll. We have 1/66th the US population.
It’s hard to argue that our response is going to cause more deaths than the US response. It almost feels like cheating to compare NZ to USA where covid is concerned.
OK, go on, trash my karma too for the perfectly valid comment, you angry narrow-minded internet warriors, I don't care, I'll create a new account when you trash this one completely.
And a very big island just next door, not quite as authoritative but doing almost as well in the pandemic, Australia, has just opened its doors to New Zealanders. I think we are doing quite well down under thanks to good government and a community that seems to think other lives are as important as our own.
This isn't about freedom, it's about responsibility and competence. Pandemics are our new normal. We've been anticipating pandemics for decades, in movies, books, etc, and here they finally are. They are both predictable and predicted.
There's a competent, pro way of handling pandemics, and incompetent, amateur way of handling them.
The pro way is brief but comprehensive shutdowns + distancing + masks + sanitizing + testing & tracing + travel restrictions. It only takes 4-8 weeks of that to shut down a pandemic, then everyone can get back to being their normal, self-centered, freedom-loving selves.
The amateur way is to scream about it like a child, refuse to take measures to help stop the outbreak, and be so brainwashed that you're unable to distinguish a conspiracy for a real emergency. Which is of course what Trump and half the US has done.
Sometimes a pandemic is just a pandemic, not a conspiracy of the global elites.
Some folks think NZ is paying a price for this but it appears to be a lot cheaper than the price the US is and has been paying, certainly in lives but also economically. Here is the relative performance of the US and NZ in 2020 according to the Bureau of Economic Analysis at the US Commerce Department and Stats New Zealand. We're paying a price both in US lives and worse economic performance for the current US policy.
I think may are comparing annualised figures for the US and quarterly figures for NZ. Annual growth in NZ was consistently higher than the quarterly change in the past (which couldn't be the case for annualized figures).
I agree. NZ isn't very well traveled compared to the U.S. or most of western Europe. And NZ's population is like 1/20th of Los Angeles County. It's not surprising that the little island handled the virus so well--it'd be more surprising if they didn't.
What do you mean when you say ‘NZ isn't very well traveled compared to the U.S.’?
I had a look about and according to the things I can find, New Zealanders travel abroad about twice as much as US Americans. And keep in mind that pretty much everywhere a New Zealander can go is more infected than NZ.
We also have a lot less international clout than the US and less money. This matters.
As a country we have less people per square km than the US, perhaps by half. But the US is not vastly more populated the New Zealand when examined as a whole, and USA is nowhere near the top when you order countries by population density.
Our population is about 1/66th (5 million versus 330 million) that of the US, but our death toll is 1/8,900th (25 versus 224,000). I don’t believe the reasons you list explain this. In protecting its citizens New Zealand has done better than the average and the US has done worse.
I'm kind of surprised that being an island would help, actually. Is international travel into prosperous islands really less than into equally prosperous contintental countries? Most long-distance travel is by air anyway.
You can't land just anywhere on an island, but you can take lots of roads into large countries on a continent. Islands have much more control over arrivals than landlocked countries with lots of neighbors and very integrated road & train networks.
Trucking goods over land will spread a lot more covid than shipping over sea (with seamen no longer allowed to leave ship). That is the big factor I reckon.
So islands will ship everything already, whereas most land-countries move a lot of goods with trucking, and spread the disease that way, even when land-borders are closed.
International travel can be closed off with little repercussion.
But China is also kicking ass. Everyone in a city gets tested if there are even a few cases. Thailand also seems to be doing ok. Italy also has it under control for now.
There are clearly strategies that would work for non-islands.
> Lockdown measures had not managed to stop ordinary colds and respiratory illnesses, such as rhinoviruses - which had dropped slightly during lockdown but bounced back soon after. "A lot does come down to their reservoirs and some are so well-adapted for humans and they're so widespread in the population that they are not affected a great deal by the lockdown."
Can anyone explain why colds have not come down as well? I don't understand what they mean by reservoirs.
As a related question, I've read that we all have cold viruses inside of us all the time, and they can be triggered by an immune weakness (such as by being in the cold outside). I've also read that you get a cold only because the virus is transmitted to you from someone else (which is more likely in the cold months when we're huddled together). Which is it? Can you develop a cold from a pre-existing internal virus with zero contact from another person?
I'm no expert but NZ houses suck. Little to no insulation. Some air can go in gaps between doors and windows, etc. Central heating is non-existant. Old stock. Mouldy. Damp. During winter some landlords tell their tenants to open windows to air the house out. That might be it?
On the subject of the effectiveness of lockdowns I would suggest taking some time to read this well researched, cited, and sourced article about China's influence with regard to lockdowns and Covid 19
> In March, Chinese state media began describing the strategy of “herd immunity”—allowing the coronavirus to spread among the young and healthy—as a violation of “human rights,” an Orwellian formulation given that lockdowns are essentially a blanket suspension of rights.
> Initially, British Prime Minister Boris Johnson also opted for herd immunity. But on March 13, suspicious accounts began storming his Twitter feed and likening his plan to genocide. This language almost never appears in Johnson’s feed before March 12, and several of the accounts were hardly active before then. Britain locked down on March 23.
Note, though: circulating cold & flu viruses serve to "boost" prior immunity via new mild/asymptomatic cases each year. Without these, immunities are decaying.
So it's possible that when more normal interchange with the rest of the world resumes, NZ (and others) will have some "very bad" traditional cold/flu seasons. (It may feel like Covid, but not be.)
> Note, though: circulating cold & flu viruses serve to "boost" prior immunity via new mild/asymptomatic cases each year. Without these, immunities are decaying.
No, not really. I understand where you're comming from but this is a myth, that even some generalists doctor contribute to.
Yes the immune system can "register" a new pathogen and how to produce antibodies for them, but honestly we have vaccine for (almost) every sickness that can put a non-immunodepressed down if the immune response is too late, and adequate serums and care when a vaccine isn't available.
But your immune system do not "decay" if not stimulated. At all, and it might even be the opposite (the effect is within the error margin of the studies for now).
> we have vaccine for (almost) every sickness that can put a non-immunodepressed down if the immune response is too late
The 40-60% effectiveness of annual flu shots would beg to differ. And more often it is your immune response being wildly overreactive and attacking healthy cells that causes problems, not a “late response”
> But your immune system do not "decay" if not stimulated.
Sure it does, for one that’s the whole point of booster shots; your immune response to certain pathogens can decay over time (wether acquired from vaccine or naturally).
Additionally the “Hygiene Hypothesis” suggests our world being so clean, and our immune systems not being challenged, has led to a large spike in allergies (like peanuts) as the body searches for anything to attack.
Immunity absolutely decays in many cases unless refreshed. For example, many vaccines require later booster shots.
See also the strong evidence around a "boosting" effect from circulating chickenpox cases. Namely, that the availability of the chickenpox vaccine, by reducing the amount of environmentally-circulating chickenpox virus, is now preventing natural reinforcement of adults' immunity via asymptomatic encounters, and thus leading to more (painful, symptomatic) cases of shingles, especially among people in their 30s/40s:
People chearleading lockdowns here, are completely misguided. There's really no evidence that it were masks or lockdowns. (There's really no evidence that mask and/or lockdowns do absolutely anything to COVID or flu, now or in the past, BTW).
> It's more likely that COVID just out-competed the normal flu.
"Out-competing" another disease requires them to both be present in the population they're competing over. This was never really the case for COVID-19 in New Zealand -- the country went for months with no identified cases of community transmission.
Thanks. OK. That might be different. If they did already have a very low presence, then they might have just suppressed it and border controls and low traffic prevented seeding new cases from abroad.
Elsewhere in the world we're seeing similar 98% drop in flu cases, starting even before the preventing measures.
A lot to learn from NZ. A similar success story is the Atlantic provinces of Canada (everything east of Quebec), which have done exceptionally well.
Decisive action taken early to avoid excessive sacrifices later. And a population that was on board with that decisive action. Many lessons in leadership to learn here.
Here in central Canada I just keep watching the government and populace respond to things two to three weeks late, and half-assedly. Schools were shut down decisively in early March but it took almost two weeks after that to close obvious things like _shopping malls_ and _gyms_. No mask mandates in most cities until August. And apparently we learned nothing from the spring because the second wave is leading to the same inept and slow inaction. 70+ cases alone linked to one gym (a spin studio) near me but that region is still allowed to have gyms (with maskless participants!!) open.
It is a little disappointing to see this post get so quickly flagged off of the front page when there is another COVID-19 post that better fits preconceived notions still there that is seven times as old and has one third of the votes.
It makes having a well balanced discussion of the news difficult when articles that offend some political sensibilities have such a high barrier to entry in terms of how much they get flagged that they have no chance to survive in the first 50 posts (COVID related or otherwise).
What I'm curious about is other illnesses which would also die out due to the lock downs. Surely sexually transmitted infections have fallen off a cliff?
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