Coronavirus outbreak

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roubaixtuesday

self serving virtue signaller
Herd immunity imo implies people become immune by catching and recovering from the virus.

Fully vaccinated and protected is the way out of this crisis..maybe semantics but thats different to herd immunity.

Herd immunity is normally used to include both naturally and vaccine acquired immunity.

There is not a single example of her immunity being acquired solely through natural infection.
 

Johnno260

Guru
Location
East Sussex
Also bear in mind there is a chunk of the population that will for whatever reason refuse any vaccination, a fair number attend those marches in London.

I don’t know how many there are in total but hopefully not a significant %
 

PK99

Legendary Member
Location
SW19
Herd immunity imo implies people become immune by catching and recovering from the virus.

Fully vaccinated and protected is the way out of this crisis..maybe semantics but thats different to herd immunity.

The dictionary definiton is:
Herd Immunity
resistance to the spread of an infectious disease within a population that is based on pre-existing immunity of a high proportion of individuals as a result of previous infection or vaccination


And this works to the same definition:

https://www.mayoclinic.org/diseases...th/herd-immunity-and-coronavirus/art-20486808
 

PK99

Legendary Member
Location
SW19
Herd immunity imo implies people become immune by catching and recovering from the virus.

Fully vaccinated and protected is the way out of this crisis..maybe semantics but thats different to herd immunity.

Your understanding, as stated above, is wrong:


The percentage of people who need to be immune in order to achieve herd immunity varies with each disease. For example, herd immunity against measles requires about 95% of a population to be vaccinated. The remaining 5% will be protected by the fact that measles will not spread among those who are vaccinated.31 Dec 2020

Herd immunity, lockdowns and COVID-19 Coronavirus disease
 

lane

Veteran
Given the R number seems to increase with every variant, a proportion won' t be vaccinated, vaccines are not 100% effective and people infected get re infected, immunity decreases over time and new variants will be able to evade to an extent previously aquired immunity, it seems that herd immunity may well never be achieved.
 

Low Gear Guy

Veteran
Location
Surrey
Herd immunity is normally used to include both naturally and vaccine acquired immunity.

There is not a single example of her immunity being acquired solely through natural infection.
Medieval Europeans acquired immunity of a sort to flu and other viruses. This became evident when the Spanish invaded South America and took their diseases with them.

This situation occurred after many generations of premature deaths I.e. herd immunity was eventually reached at a high price.
 

PK99

Legendary Member
Location
SW19
Given the R number seems to increase with every variant, a proportion won' t be vaccinated, vaccines are not 100% effective and people infected get re infected, immunity decreases over time and new variants will be able to evade to an extent previously aquired immunity, it seems that herd immunity may well never be achieved.

That seems to be the case, as it is with the ever mutating influenza virus. We cope with that and the annual death toll. But provided there is sufficient (herd) immunity to slow transmission, and protection from major illness if infected, the longterm covid position will be similar.
 

lane

Veteran
Except Covid seems worse than the Flu in terms of death and hospitalizations so will be harder to live with and one way or another will impact people's lives more than Flu has.
 

Wobblers

Euthermic
Location
Minkowski Space
I responded (on 12 Jun):
"Reworking, adding in the already vaccinated as @McWobble suggested.
10% (basis for that estimate shared upthread) chance that those susceptible will catch it. The average fraction of those that catch it who end up in hospital is 1% (another assumption which I'm not certain is robust, but I've seen quoted), Spread over 30 days (see previous 'model') 30 days either side of peak that'd suggest (planning figures) = 580pd, peaking at (estimate) 1160pd. (NB Latest figure (12 Jun) is 187pd on 8 Jun and the peak in January was 4,232pd (7-day average).)
To reiterate: "Put it this way, it's not going to be in the thousands, and the NHS can handle it (see Test 2).
[By all means flag these analyses and use them as a stick to beat me in late August.]"

Quoting @McWobble “if the hospitalisation fraction for the vaccinated really is 1% of those who become ill, I'd expect total numbers to be 10-15% lower than my above figure [“a peak of 4,800 hospitalisations per day.”]”
My estimate was a peak of 1160pd. I had not referred to herd immunity in my estimates.
28 Jun: How are we going? They seem to have stopped publishing hospital admissions: last data are 227 on 22 Jun: a steady increase of about 3 per day (UK).

They have updated the hospitalisation figures. Like you, I'm a little suspicious over the 1% figure.

For the 29th June: 358 hospitalisations. Given that it takes about 7 days from the onset of symptoms to hospitalisation, we need to look at the new infections on the 22nd June: 11481.

That's a 3% conversion from infection to hospitalisation. That's much worse than I was expecting. Granted, most of those hospitalised will be those who aren't fully vaccinated, but there is still the worrying indication that Delta has in part negated the vaccination benefit of reduced likelihood of hospitalisation.

We can extrapolate. It appears that infections are doubling every ten days or so (and actually that may be conservative). Assuming that's the case, by the end of the month there will be eight times the number of new infections as there was today - that's 200,000. Likewise, hospitalisations will be eight times higher - and be exceeding 2000/day at that point. Note that it's estimated that around 150,000/day were being infected when the first lockdown was implemented back in March last year.

In short, we'll be right back in the same situation we were in at the start of the first lockdown. A reasonable upper end estimate of hospitalisations is 6000/day by the end of the first week in August. That's perilously close to overwhelming the NHS. We can hope - perhaps even expect - that continued vaccination will bring the hospitalisation rate to below the current 3%. But... I don't expect herd immunity to start to reduce the numbers of infections until late August - so this high rate of hospital admissions will continue for weeks. I fear August will be touch and go for the NHS.

Note that none of the above is intended to be rigorous! - calling it "semi-quantitative" is rather generous. But that''s not my intention, rather, I want to emphasise that we're scarcely into the foothills of this third wave, and it's likely to be much worse than most people appreciate. My fear is that the last half of summer is likely to be much tougher than any of us would hope for.

That we're now seeing talk of mask wearing being a matter of "personal conscience" after the 19th July - this is extraordinarily unwise. Removing restrictions is likely to worsen the situation. It might be a good idea to avoid crowds and crowded areas (especially indoors) for at least couple of months. Especially if you're in a vulnerable category, or haven't yet been fully vaccinated.
 
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DCLane

Found in the Yorkshire hills ...
@McWobble I agree with you.

It seems that we've suddenly moved to a fully open society, leaving everyone to survive how they can. An 'if you're not vaccinated then that's your problem' approach.

Sajid Javed's looking at the financial impact, not the health one, so it becomes a free-for-all from July 19,th.

I've been careful, but around a lot of people this past week due to my son racing a lot. Now that's reducing I'm stepping back and not mixing. Otley races were far too packed this week and too risky for my own health, even if I'm no longer classed as vulnerable
 

classic33

Leg End Member
One side effect I noticed after the easing of restrictions, the last two times, has been an increase in the number of places that were closed, now storing their bins on public footpaths.

This done in order to increase the outdoor space available. None fastened shut, and often overturned. If we're not careful, the next problem will be rats.
 
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