About lockdowns, I don't profess to know the future as the experts here do. I'm just noticing the trending of USA vs. no-lockdown Sweden. These are absolute numbers, not a rate, so I'm just noticing that one line is currently going up and the other is going down. From
Coronavirus Pandemic (COVID-19) - Statistics and Research
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If by "we" you mean USA, this statement presented as fact looks pretty absurd when no-lockdown Sweden is used as a comparison. According to John Hopkins data, the current USA morality rate per 100,000 people is 46.86, and Sweden's is 56.4 .
Mortality Analyses With John Hopkins saying there are are 153,314 deaths and the USA population being about 330 million, the USA mortality rate checks out. (CDC says the number of deaths is 137,922, but I guess we have to put up with the experts disagreeing by ~10%).
Sweden's no-lockdown mortality rate is 20.36% higher than USA's. Based on that, if USA had followed Sweden's procedure, there would have been 184,529 deaths by now based on the higher John Hopkins death count.
What's your justification for that "over a million" claim?
Hi guys. It's been a long day with a Costco trip, replacing a defunct RO water system, a hardware store run for bits and pieces, and some good old fashioned grilling on the barbecue. It's not "all TDS all the time" for me.
The question posed about justification is a good one. Let's dig into it. I've been interested in Sweden since the beginning. FOR THE RECORD: I think it's important that different countries try different strategies because that way we can compare notes later and figure out what worked best. So I'm glad that Sweden tried something different, but of course I'm sad that the results were so poor.
It's easy to look at the juxtaposed graphs and come to a conclusion that "no lockdown" is a better strategy than "lockdown," particularly given our curve is going up and Sweden's is going down. And as you say, if we scale Sweden's results up to our population level, you only get a 20% increase over our own death rate/numbers.
So, why do I say we would have so many more deaths than that if we didn't lock down?
The answer (part 1) is that Sweden is nothing like the United States. Baked into their death rate is essentially their way of life which is different from ours in lots of ways. For example, their population density is very low when you factor the "inhabited" areas of the country. They spread out much more than we do. They have many nice cities but only one has more than a million people living there. Here's from Wikipedia a list of their 10 biggest cities showing populations, showing only three cities with more than 200k people:
So, a major point is that because their way of life is very spread out, in this way the virus has a bit harder time spreading. Makes sense, right? Now, that's not to say that Swedes don't group together: for example, they are much more likely than a lot of Americans to take public transportation, particular in their "big cities."
You could also look at obesity rates (
here) since obesity is a major contributor to death susceptibility with COVID-19. The US is much fatter than Sweden. Funny side note: I'm eating a brownie for dessert as I write this message about us being fat. Maybe not so funny, because while I have flirted with weight issues for the last 15 years, the "quarantine 15" is a real thing for me. I've started cutting back and exercising more. But damn these are good brownies.
@mat200 somwhere also remarked on other cultural differences about Nordic folks, that they aren't very "kissy" I think he said.
So, a better comparison is between Sweden and its Nordic neighbors Finland and Norway, as they all share a similar way of life.
Click here to read my post from Friday, in which I compared these three countries.
TL/DR: Sweden, by "not locking down" subjected its citizenry to a per-capita death rate 10X its neighbors that locked down pretty tightly.
The answer (part 2) is that Sweden did lock down, sort of, eventually. Now, what's with all these quotes I'm doing around "not locking down." The answer is that while Sweden started off pretty blase about the whole pandemic thing, they eventually realized they were headed for disaster and reversed course.
Click here to read a post from 7/21 where I gave references about the things Sweden implemented and when. Really, they did quite a lot and locked down much travel, reduced density indoors at places like bars and restaurants, and asked their citizenry to restrict interactions. They got a late start, which is why they had a huge (per capita) spike, but they worked at it and citizens complied pretty well, and they are out of the woods more or less now.
So, Sweden's "no lockdown" strategy evolved into a "lockdown guidance, with some compulsory bits" strategy. Again I reinforce that their citizens generally respect the government and generally comply with reasonable requests in a time of crisis. Like, if the government says to wear a mask, they wear a mask during the pandemic and argue about it later, right? They don't go around talking about how it's a violation of their civil rights, with pretty few exceptions. Masking isn't political for the most part there, like it became here. Anyway, they took increasingly strong measures, turned the tide against coronavirus, and now things are looking good and they are relaxing some of the stricter parts of their strategy while watching for hot spots.
The answer (part 3) is that in the US, we were heading for a collapse of the health system, and only the lock down averted a complete disaster. Stick with me here, I know this sounds like some liberal exaggeration, so let me back it up with some facts.
The first fact is a very important one: even before lock downs were implemented, the R value for the virus was dropping. People were scared and listening to authorities to take precautions to some extent, so the "doubling every 2.5 days" of cases had dropped, but in much of the country (not just New York and Michigan!) it was still doubling every 4-6 days. You can get R values over time from several places but the reality is that most places still had a mushrooming number of infections/day until after the lock downs started. Many places, including Indiana where I live, were very close to exceeding their ICU capacity. Indiana was on average days to a week away from having to turn people away from the hospitals. We maxed out with room for around 2x as many COVID-19 patients as we had. That's basically one doubling, for us probably 5-6 days. And because of the lag between "infections" becoming "cases" becoming "hospital admissions" we would have been over the redline of infections before we knew we were cooked. This was happening in a lot of cities around the country, some more than others, and not so much in the rural areas (with exceptions like meat packing plant locations).
So, (second fact) we didn't have good testing then
(we still have systemic testing problems: my wife's first test took 13 days to give a result, in JULY!!!) so we didn't really know how much infection there was, nor did we understand at what rate it would convert into hospitalizations. Locking down was the answer because we weren't doing enough to slow the spread and get to a less-than-1.0-R-value which is needed to shrink infections. It would have gotten worse and worse, and the hospitals would have been unable to accommodate all the sick and dying, and we would have had much more death in April and May than we saw.
And (third fact) the deaths would have been in part due to Corona, in part due to other health conditions like heart attacks and pregnancy complications and all sorts of other things usually treated well (or at least adequately) by our health system.
Next (fourth fact) infectious diseases don't infect everybody. 70% is a typical figure tossed about. Not 330M would get the virus. But maybe 200M might get it.
If it got really bad, there would have been mass riots about the poor response and the $hit might have hit the fan, for real. That's on the outside edge for sure. Might not have happened. But it might have. In this case it could add millions more as the government tried to reassert control.
So, if the thing kept spreading we would have had a worst case scenario with something like 200M infections (most of which would be sub-clinical), 20M "cases" needing clinical care, all in a couple months. Our case fatality rate started out around 6-7%; now it's around 4% last time I looked, but given the strain on our system by such a surge as we would have seen, I'm sticking with 6% deaths. This gives us 1.2M deaths. There would also have been a lot of collateral death, due to the things I mentioned above. So, probably closer to 2M deaths. Keep in mind, people "don't die a lot" due to interventions by our health system. If it got overwhelmed by COVID-19, there would have been a huge surge of people dying for stupid reasons.
That's my reasoning. The numbers are estimates open to interpretation. Keep in mind in the US we generally don't comply so well. Here in Indiana, before the recent mask mandate, if I went to the grocery store I would see MAYBE 75% masked and maybe 60% properly masked (no nose sticking out). Today I went to several stores and there was 100% mask compliance and nearly nobody poking their nose out.
So, for us at least, we need strong direction to do things for our own good. Sad, but true.
I'm curious to hear your thoughts. You asked a good question and I hope I gave a good answer.