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Old Jul 4, 2021, 8:40 am
  #256  
 
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Originally Posted by fransknorge
The mistakes of last summer are being repeated, I even think it is way worse and the first consequences are showing, several countries with low vaccination rates are seeing cases grow again (France, Spain, Portugal, several districts of Germany, ...).
In Catalogne the Reff is above 2 now, this is the case increase. If I were you I would not book flight there, lockdown incoming.
Most people older than 50 have been fully vaccinated. We should be looking at hospitalisations and deaths, not at positive cases. Many positive cases among young people help to create herd immunity!
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Old Jul 4, 2021, 9:32 am
  #257  
 
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Originally Posted by Sjoerd
Most people older than 50 have been fully vaccinated. We should be looking at hospitalisations and deaths, not at positive cases. Many positive cases among young people help to create herd immunity!
correct. Although it is a lagging indicator by a week or two Unfortunately, the UK (which one might look at as the canary in this coal mine) is seeing an increase in said hospitalizations. I have not looked at cases vs. hospitalizations to see if it's lower than last time ( it should be). And the UK is further along the vaccination curve than Europe. So... Warning signs.

​​​​​​​USA is following the same trajectory as well. We will see.
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Old Jul 4, 2021, 9:47 am
  #258  
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Originally Posted by Sjoerd
Most people older than 50 have been fully vaccinated. We should be looking at hospitalisations and deaths, not at positive cases. Many positive cases among young people help to create herd immunity!
Answers taken from other thread that applies there.

Originally Posted by squawk

Firstly at the individual level, it matters because there are still plenty of people the vaccination does not fully protect: even with the very good efficacy we are seeing, there are those who are simply unlucky and end up very unwell or dead. But this also apples to those who have a compromised immune system (for whom the efficacy is likely to be lower, perhaps considerably lower), and for those who cannot have the vaccine for whatever reason (e.g. allergy, mental health). All of these people depend on sufficient population-level immunity to shield them: i.e. getting the rest of the population vaccinated, not simply "all the vulnerable".

Secondly, at the population level, it matters: even if someone is callous enough to say they don't care about these individuals, a small percentage of a large number of people is still a lot of people. While relatively few (as a percentage) are ending up in hospital now, we're back to a situation of significant growth in infections. If this continues unchecked, then eventually hospital capacity will be overwhelmed - with all the negative consequences for non-Covid health outcomes. Sure, that point will be at a higher level of "people infected" than in pre-vaccine times, but it will still happen eventually.

Finally, as our experience with emergence of the more infectious variants including Alpha (Kent) and Delta (India) shows, having large numbers of infected people acting as reservoirs of the virus means that more variants will inevitably emerge, risking vaccine escape and putting all that we've sacrificed so much for at risk. To reduce this risk to be manageable, we want to be keeping infections low, not letting them rip through the 'non-vulnerable' population.
Originally Posted by fransknorge
And there are more:
For every million new infections, we might expect 100K-200K (mostly young) people living with long covid. Many will find their ability to work or study affected. The longer term impact of covid on the organs are unknown - but we know covid can damage the body.
Cases are highest & vax rates lowest in deprived areas, and people more likely to need hospital and get long covid. Children in deprived communities suffer more from education disruption. Letting infection rates soar will exacerbate inequalities
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Old Jul 4, 2021, 9:53 am
  #259  
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We are indeed seem to have increasing trends in Europe. From the worldometer this week's trends, here are the numbers:

Luxemburg +413%
Isle of Man +350%
Finland +92%
Malta +89%
Spain +88%
Greece +82%
Iceland +70%
UK +67%
Denmark +65%
Portugal +57%
and so on...

Europe as a whole is +38%
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Old Jul 4, 2021, 10:03 am
  #260  
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Originally Posted by ryman554
correct. Although it is a lagging indicator by a week or two Unfortunately, the UK (which one might look at as the canary in this coal mine) is seeing an increase in said hospitalizations. I have not looked at cases vs. hospitalizations to see if it's lower than last time ( it should be). And the UK is further along the vaccination curve than Europe. So... Warning signs.

​​​​​​​USA is following the same trajectory as well. We will see.
"The spread of Delta has led the U.K. government to postpone by a month the ending of Covid restrictions until July 19. But ministers are increasingly confident that the unlocking will take place as planned because vaccinations have broken the lockstep between new cases, later hospitalizations and deaths.Data from Public Health England show that there were 117 deaths among 92,000 Delta cases logged through June 21. Fifty of those—46%—had received two shots of vaccine.

But rather than suggest Delta is displaying a worrying ability to evade the vaccine and cause severe illness, scientists say those figures support the shots’ effectiveness."

.....

"The data show that, overall, the fatality rate for confirmed cases of Covid-19 has been lower than it was with the Alpha variant, which was first spotted in the U.K. late last year and has since spread around the world. Public Health England pegged the fatality rate for Alpha at 1.9%. It estimates the fatality rate for Delta is closer to 0.3%, which scientists say reflects both mass vaccination and improved treatment for Covid-19. And the vaccine also reduces the chances of catching the virus at all."

Some Vaccinated People Are Dying of Covid-19. Here’s Why Scientists Aren’t Surprised.
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Old Jul 4, 2021, 4:53 pm
  #261  
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Originally Posted by nk15
We are indeed seem to have increasing trends in Europe. From the worldometer this week's trends, here are the numbers:

Luxemburg +413%
Isle of Man +350%
Finland +92%
Malta +89%
Spain +88%
Greece +82%
Iceland +70%
UK +67%
Denmark +65%
Portugal +57%
and so on...

Europe as a whole is +38%
As for Finland, the numbers "shot up" when many busloads of football fan tourist returned from Euro2021 from St Petersburg. Within a week numbers went beck to normal.
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Old Jul 4, 2021, 5:00 pm
  #262  
 
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Originally Posted by WilcoRoger
As for Finland, the numbers "shot up" when many busloads of football fan tourist returned from Euro2021 from St Petersburg. Within a week numbers went beck to normal.
And Iceland only had 5 fully vaccinated tourists test positive without showing symptoms so those percentages don't mean much.
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Old Jul 5, 2021, 4:27 am
  #263  
 
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Yet again, I feel as if people are misrepresenting the arguments for caution - effectively creating 'straw men'. Deaths are not the only metric that we should be concerned about.

Originally Posted by Silver Fox
vaccinations have broken the lockstep between new cases, later hospitalizations and deaths.
Indeed, but this is not news (the evidence has simply grown stronger). I don't think anyone with any expertise is arguing the opposite; indeed many on here including corporate-wage-slave have been pointing this out for some time. We can quibble about "broken" vs "weakened" the link - I would argue the latter, because there very clearly still is a link between cases and deaths. But overall this is excellent news and something we should be very pleased by.

However...

Even if the proportion of infected people needing hospital treatment is very low (e.g. due to Delta being less serious), the absolutely numbers will still be large if the number of people infected is large. And if Delta continues to spread at the rate it has recently - which seems a distinct possibility, if not accelerating as a result of the plans for July 19th - then there will be a lot of people who catch it.

More importantly, we don't have a fully (or even near-fully) vaccinated population: the UK, which is further on in this process than most of Europe, is at not quite 2/3 of adults fully vaccinated (33,614,952) as I write this. The numbers are complex (e.g. 86% of people are partially vaccinated which offers a modicum of protection; but many others will be within 2 weeks of their first or second jab, which means they're less protected).

Either way, we're looking at a considerable number - perhaps 15 million adults - who are not fully vaccinated, plus quite a lot of under-18s who may themselves not be badly affected but will undoubtedly contribute to spreading the virus. Even at a 0.3% fatality rate, that suggests perhaps 45,000 total adult deaths were they all to be infected by Delta (this is a gross, gross oversimplification intended only to get a sense of scale, so don't rely on it for anything other than this).

But the real issue here is hospital capacity. A Delta wave, running unchecked through the unvaccinated/partially vaccinated remaining population, will eventually exceed the capacity of our hospitals to treat them. Even before that, it will constrain the non-Covid services that the NHS is able to offer - meaning more delayed cancer diagnoses and treatment, for example. If this becomes inevitable, then it will lead to more lockdowns down the line.

What I find genuinely baffling about the British government's new found enthusiasm for 'living with' the virus is that they appear to be adopting tactics that will prevent us from doing that for more than perhaps 6-8 weeks. It seems self-defeating.

Ignoring the spiralling infection rate now will simply mean a greater likelihood of an unsustainable number of people requiring hospital treatment later on. A more sensible approach would be to try to keep numbers suppressed until the double vaccination programme more or less at completion - which won't actually be that long now.

I truly hope my pessimism here is unfounded, but it does seem like nothing has been learned by politicians over the last year.
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Old Jul 5, 2021, 5:22 am
  #264  
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And there are still plenty of other problems:
- Death and hospitalizations: yes the link is weakened but there are still a large part of the European population unvaccinated or with a moderate/small vaccine efficiency due to medical conditions. In Bulgaria the vaccination rate is 14%. In France, 15% of the +65yo are unvaccinated, that means if all unvaccinated were to be infected the potential for 300 000 hospitalizations and 100 000 deaths.
As the link weaken, there are more young people in the hospitals in proportion. Of course absolute number are different. But if the transmission are not curbed then in absolute number this will grow enough to put stress on the hospitals in UK, France, etc ... And the big problem with the young is that they spend more time in the hospitals than the old ones, as they actually fight and usually survive, instead of dying and freeing a bed. That can quickly fill up hospitals which are already nearly full.





2. Long Covid. I think the UK governments knows what they are doing in a way as they have announced the opening of 15 new clinics 100% dedicated for children with long COVID. Around 8% of infected children develop long COVID. There are now around 380 000 people with COVID symptoms for more than one year. This can easily double by letting the transmission. And in countries with lower vaccination rate, this will be even more.



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Old Jul 5, 2021, 6:16 am
  #265  
 
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Originally Posted by fransknorge
And there are still plenty of other problems:
That can quickly fill up hospitals which are already nearly full.
Hope you won't mind me fact-checking this one. from .gov.uk's dashboard, number of C-19 hospital cases and patients in mechanical ventilation:



.


Same for Italy but in one chart, again governmental data at national level. Ospedalizzati = hospital cases. Terapia intensiva = ICU.

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Old Jul 5, 2021, 7:13 am
  #266  
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This is COVID only, a small part of the picture, hospitals now are being filled by the long backlog of surgeries, treatments, etc ... delayed in the past months. They take beds and if you add some more COVID hospitalizations to the level of 10% of the wave of last winter this will be a problem again. And do not forget the flu this winter.
And also I was speaking Europe as a whole, not just UK. The picture is different there. The backlog problem is the same there but vaccination rates lower, specially among fragile populations.
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Old Jul 5, 2021, 7:49 am
  #267  
 
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Originally Posted by fransknorge
And also I was speaking Europe as a whole, not just UK. The picture is different there. The backlog problem is the same there but vaccination rates lower, specially among fragile populations.
Cite?

For instance here in the Netherlands almost everyone >50 AND everyone vulnerable is now fully vaccinated. Most people between 30 and 50 have had one shot and they are currently busy with the 16-30 group.
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Old Jul 5, 2021, 7:56 am
  #268  
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This is variable per country. In France the +65 yo are 75% vaccinated. In Netherlands this is around 75-85% so higher but still some left. 15% left is a lot of susceptible people to get infected. Spain only 50% for the age range 60-69 yo (but higher for older).
https://www.rivm.nl/en/covid-19-vacc...tion-programme
https://covidtracker.fr/vaccintracker/
https://www.spainenglish.com/2021/07...ions-in-spain/
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Old Jul 5, 2021, 8:25 am
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Originally Posted by fransknorge
This is variable per country. In France the +65 yo are 75% vaccinated. In Netherlands this is around 75-85% so higher but still some left. 15% left is a lot of susceptible people to get infected. Spain only 50% for the age range 60-69 yo (but higher for older).
https://www.rivm.nl/en/covid-19-vacc...tion-programme
https://covidtracker.fr/vaccintracker/
https://www.spainenglish.com/2021/07...ions-in-spain/
Thanks.

The Dutch example will be interesting to watch in the next few weeks: we have almost fully opened up on June 26 - restaurants, nightclubs all open, no more masks in shops (only public transport still requires a mask), lots of people going back into the office, loads of parties and gatherings where everything was like it was 2019….

So cases have gone up by 58% (last week compared to the week before) mainly amongst younger people. One nightclub in Enschede had 600 guests the first evening they were open, of which 180 are now confirmed to be infected…. Supposedly everyone was tested negative before being allowed in, however there are stories about forged negative tests, no checks of the QR code, bouncers waving everyone in….

Hospitalisations and deaths are still on the way down (still every day sees fewer people in hospital than the day before, and a few days with zero Covid dead or only one or two).

It will be interesting to see what happens the next couple of weeks.
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Old Jul 5, 2021, 9:42 am
  #270  
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Originally Posted by fransknorge
----
2. Long Covid. I think the UK governments knows what they are doing in a way as they have announced the opening of 15 new clinics 100% dedicated for children with long COVID. Around 8% of infected children develop long COVID. There are now around 380 000 people with COVID symptoms for more than one year. This can easily double by letting the transmission. And in countries with lower vaccination rate, this will be even more.



https://twitter.com/DrZoeHyde/status...335305216?s=20
These are all preparations for a mass casualty event....They are pulling the band aid....

Britain prepares to ‘live with the virus’ and remove nearly all covid restrictions (msn.com)
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