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What happens to extremely vulnerable after 12 WEEKS?

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By:
Angoose
When: 14 Apr 20 14:43
Dotchinite, you jumped to a conclusion, something that it is best to avoid.

As to your suggestion that there would not be a strain placed on the NHS should social distancing be put in place only for the most vulnerable, this is not in alignment with the advice given to the government.

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By:
Dotchinite
When: 14 Apr 20 14:50
It certainly read like that to me Angoose. So you now accept the figures i was quoting were accurate.
By:
Angoose
When: 14 Apr 20 14:59
In regard to the age groupings, yes you were quoting accurately quoting figures from a reliable source.
By:
Dotchinite
When: 14 Apr 20 15:01
Based on the fact that virtually no healthy people under 40 have died what makes people think that if this virus could be spread solely amongst this section of the community it would overwhelm the NHS.
By:
Angoose
When: 14 Apr 20 15:02
The analysis provided by Imperial College shown above.
By:
Angoose
When: 14 Apr 20 15:04
5,252 new confirmed cases reported today, a daily average of 5,029 between April 11 and April 14.
The daily average for the first ten days of April was 4,799.

This suggests we have not yet arrived at the peak.
By:
Dotchinite
When: 14 Apr 20 15:17
Not sure which of those lines represent what in suggesting.
By:
Dotchinite
When: 14 Apr 20 15:18
I also thought they were building critical care capacity?
By:
Angoose
When: 14 Apr 20 15:24
For clarity, what are you suggesting ?

All "healthy" under 40's to be set free from  lockdown ?
Something else ?

You can build as much critical care capacity as you want relatively quickly, but you can't create trained staff to work there with the same speed.

However you try to apply "licence to roam" freedoms to sections of the population, it will create significant resentment and be very difficult to police.

No easy answers.
By:
Angoose
When: 14 Apr 20 15:25
Here is a description of the various measures that are charted.

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By:
Dotchinite
When: 14 Apr 20 15:38
I was suggesting waiting until past the peak then letting out young fit and healthy people. Id leave it to the experts to judge what range of ages would be best to start with but from the figures to date virtually no under 40s who were healthy have died from this. Of course a few would if millions were infected and more might need treatment especially the fat.
If the old and ill were safely locked up they shouldnt be at risk and i just cant see how enough 20s or 30s would need treatment to overwhelm the NHS.
Ive read the descriptions and none of them are close to what im suggesting.


We are going to have to do something soon anyway regardless of new cases as the economic price is soaring out of control and I cant see any better alternatives.

I think resentment already exists from the young and they are the ones who are locked down for no personal benefit. In fact lots have lost an awful lot. THe old and sick shouldnt be resentful of anything as all this is for their benefit.
By:
Whisperingdeath
When: 14 Apr 20 15:52

I think resentment already exists from the young and they are the ones who are locked down for no personal benefit. In fact lots have lost an awful lot. THe old and sick shouldnt be resentful of anything as all this is for their benefit.


Yep

I have every sympathy for the youngsters. My generation is Fceking things up for them
By:
casemoney
When: 14 Apr 20 15:58
Death figures look like the 2015 Flu figures on one Graph I seen , difference being they were not reported daily

772 Todays figure , Thought would be more , after the weekend ,can hopefully see us heading towards
the 600 Figure by the weekend ..
By:
Cider
When: 14 Apr 20 15:59
IT is saying that he's in the extremely vulnerable group. This is not to be confused with the people deemed to be vulnerable, eg over 70.

The government and advisers have said all along, the number one aim is to reduce the stress on the NHS as a whole, ie ensuring anyone who needs care in a hospital can get it. So the measures have reduced the spread while increasing NHS capacity.

The extremely vulnerable group is a massive challenge. My understanding is that the letter said shielding was to last at least 12 weeks. It may come down to amounts what is a personal choice, once the pressure on the NHS is fully under control.
By:
casemoney
When: 14 Apr 20 16:03
Think IT spot on the Vulnerable will be 12 months ..... As for everyone else will be a shift 1st of June getting many back to work , Some sports will return BCD , Financially the LOCKDOWN cannot
go on will have more affect than the Virus Going Forward ..
By:
lurka
When: 14 Apr 20 16:04
You would have to assume that the UK govt are going to let it spread even more after the first peak if they are building numerous hospitals that haven't been used during the first peak. There is no other reason why they'd build them. Focus still seems to be to let people get infected after reopening rather than tracking and tracing like most countries will and WHO advise.
By:
casemoney
When: 14 Apr 20 16:05
Cider spot on , My mo in law 77 no lung problems , many in their 70s are , as for the very vulnerable Lockdown how many leave the house any way ??
By:
Cider
When: 14 Apr 20 16:07
My feeling is that the government will be resistant to keeping the extremely vulnerable under effective house arrest and separated from family indefinitely. It will come down to a personal choice.
By:
Dotchinite
When: 14 Apr 20 16:19
Yes lock down is a poor word. Of course all people should be allowed to go out should they wish.

As should all young and fit people be allowed to stay in their bedrooms cowering for as long as they want to. So long as they arent being paid for by the state once this initial period is over.
By:
wolf3011
When: 14 Apr 20 16:55
Id sooner be dead than locked away in terror personally- we will all be dead eventually, it's about quality of life and expecting the young to be holed up protecting a tiny percentage of people when the government is encouraging elderly people to sign do not resuscitate documents is not only complete hypocrisy but madness. If the vulnerable are concerned, they should be indoors and allow the healthy to live their lives which lets face it is limited for everyone
By:
Dotchinite
When: 14 Apr 20 16:58
Good post wolf.
By:
InsiderTrader
When: 14 Apr 20 17:10
Interesting post Wolf.

My situation is my wife has chronic heart problems. I read with her issue mortality if end up in hospital with Covid is around 50%.

I could not live with myself if I went out and brought it back into the house.

But can we really be isolated for over a year? I am a gambler but no idea how to measure up this risk.
By:
wolf3011
When: 14 Apr 20 17:39
Sorry to hear of your wifes health issues Insider, perhaps it warrants speaking to a cardio specialist in more detail to get clarity
By:
duffy
When: 14 Apr 20 17:39
What do you do with all the people that aren't in the at risk group but do not want to come out until there is a vaccine, let's assume all the "young" will, but what about if you've got a bunch of 40/50 year olds that fill 1000's of jobs that are fearful with no vaccine available amid the likelihood that 1000's more will get infected before this is over and don't want to risk it.

Do we tell them that they need to pull themselves together? There might be more jobs available for the young to fill so it might work out.
By:
1st time poster
When: 14 Apr 20 17:46
I would imagine you couldn't pay most sensible people to get on a tube
By:
mrcombustible
When: 14 Apr 20 20:29
Coronavirus distancing may need to continue until 2022, say experts
Scientists say one-time lockdown will not bring pandemic under control

C
Hannah Devlin Science correspondent

@hannahdev
Tue 14 Apr 2020 19.44 BSTLast modified on Tue 14 Apr 2020 20.08 BST
Shares

Physical distancing measures may need to be in place intermittently until 2022, scientists have warned in an analysis that suggests there could be resurgences of Covid-19 for years to come.

The paper, published in the journal Science, concludes that a one-time lockdown will not be sufficient to bring the pandemic under control and that secondary peaks could be larger than the current one without continued restrictions.

One scenario predicted a resurgence could occur as far in the future as 2025 in the absence of a vaccine or effective treatment.

Marc Lipsitch, a professor of epidemiology at Harvard and co-author of the study, said: “Infections spread when there are two things: infected people and susceptible people. Unless there is some enormously larger amount of herd immunity than we’re aware of … the majority of the population is still susceptible.



“Predicting the end of the pandemic in the summer [of 2020] is not consistent with what we know about the spread of infections.”

In its daily briefings, the UK government has not outlined plans beyond the current restrictions, but the latest paper adds to a building scientific consensus that physical distancing may be required for considerably longer in order to keep case numbers within hospitals’ critical care capacity.

Papers released by the government’s scientific advisory group for emergencies (Sage) in March suggested that the UK would need to alternate between periods of more and less strict physical distancing measures for a year to have a plausible chance of keeping the number of critical care cases within capacity.



The prospect of intermittent distancing raises difficult questions about what guidance will be given to high-risk groups, including over-70s and those with compromised immune systems.

It may be possible to relax distancing measures periodically while maintaining cases within a volume that health services can cope with, but the grave health risks of infection to some people will remain the same until a vaccine or highly effective treatments are available.

New treatments, a vaccine, or increasing critical care capacity could alleviate the need for stringent physical distancing, according to the paper in Science. “But in the absence of these, surveillance and intermittent distancing may need to be maintained into 2022,” the authors conclude.


The overall numbers of cases in the next five years, and the level of distancing required, were found to depend crucially on the overall current levels of infection and whether all those who are infected gain immunity and, if so, for how long. The authors cautioned that these are big unknowns and that a precise prediction of the long-term dynamics is not possible.

If immunity is permanent, Covid-19 could disappear for five or more years after the first outbreak, the paper suggests. If people have immunity for about a year, as is seen for some other circulating coronaviruses, an annual outbreak cycle would be the most likely outcome.

Asked to speculate on which of these scenarios was more likely, Lipsitch said: “Reasonable guesses are that there might be partial protection for close to a year. On the long end, it might be several years of good protection. It’s really speculative at this point.”

Under all scenarios considered, however, the models found that a one-time lockdown would result in a resurgence after restrictions are lifted.

Serological surveys, assessing the proportion of the population carrying protective antibodies, will be crucial to establish whether people have long-lasting immunity.



Other teams have found evidence that the immune response varies across people, with those who only have mild or no symptoms showing a far weaker response.

Prof Marion Koopmans, the head of virology at the Erasmus University Medical Centre in Rotterdam, whose team is studying the antibody response of those infected, said complete and permanent protection would be unusual for a respiratory virus.

“What you would expect to see – hope to see – is that people who have had it once … the disease would get milder,” she said before the latest paper was released.

Mark Woolhouse, a professor of infectious disease epidemiology at Edinburgh University, said: “This is an excellent study that uses mathematical models to explore the dynamics of Covid-19 over a period of several years, in contrast to previously published studies that have focused on the coming weeks or months.

“It is important to recognise that it is a model; it is consistent with current data but is nonetheless based on a series of assumptions – for example about acquired immunity – that are yet to be confirmed. The study should therefore be regarded as suggesting possible scenarios rather than making firm predictions.”
By:
Angoose
When: 14 Apr 20 20:40
An interesting read, further confirming that there is more unknown that is currently known about this virus.
By:
1st time poster
When: 14 Apr 20 20:46
be ironic if the knuckledraggers after Brexit, have to go around the streets,shopping,pubs etc wearing afacemask for the next 2 years,after wanting them banned, LaughLaugh,wonder what doris will label everyone for wearing them, Laugh
By:
treetop
When: 14 Apr 20 22:43
Anyone with any sense will think twice before rushing out and embracing their family and neighbours in abundance for quite a while.
By:
Whisperingdeath
When: 14 Apr 20 22:43
Sorry to hear of your wifes health issues Insider, perhaps it warrants speaking to a cardio specialist in more detail to get clarity

Why do you need to speak to a specialist?

If you are vulnerable protect yourself or those close to you if they are.

If she has to go to hospital there is a good chance she will die.

If she goes on a ventilator there is more than a 50% chance she will die.

Don’t take any chances, keep her safe and be careful when you go out.

Maybe wolf might suggest you take some advice from the Prime Minister, The Health Secretary or The Chief Medical Officer. I have noticed you have been one of the few Insider Trader to defend them. Perhaps you should ask them for advice on how to avoid catching the virus and killing your wife.
By:
ekbalko
When: 14 Apr 20 23:26
Reported on local news tonight that the Nightingale hospital in the North East due to open at the end of the month unlikely to be needed. North East and Cumbria hospitals only half full.Lots of areas where this thing hasn`t got a grip.
By:
lurka
When: 15 Apr 20 02:09
the number of cases in Sunderland has jumped from 365 recorded yesterday to 647 today, a rise of 282 patients.
In South Tyneside, it has gone from 125 cases up to 217, a rise of 92 people
By:
InsiderTrader
When: 15 Apr 20 10:48
Whisperingdeath
14 Apr 20 21:43
Joined: 25 Dec 11
| Topic/replies: 26,905 | Blogger: Whisperingdeath's blog
Sorry to hear of your wifes health issues Insider, perhaps it warrants speaking to a cardio specialist in more detail to get clarity

Why do you need to speak to a specialist?

If you are vulnerable protect yourself or those close to you if they are.

If she has to go to hospital there is a good chance she will die.

If she goes on a ventilator there is more than a 50% chance she will die.

Don’t take any chances, keep her safe and be careful when you go out.

Maybe wolf might suggest you take some advice from the Prime Minister, The Health Secretary or The Chief Medical Officer. I have noticed you have been one of the few Insider Trader to defend them. Perhaps you should ask them for advice on how to avoid catching the virus and killing your wife.

^

I did take Boris' advice and we locked down on the 23rd March when he spoke about shielding the vulnerable. So far so good. It will be interesting to see what the advice is after the 12 weeks is up. Re-reading it actually says 'at least' 12 weeks.

My question was more how does this actually become safe ever without a cure or vaccine.
By:
InsiderTrader
When: 15 Apr 20 10:49
* Correction 16 March
By:
Whisperingdeath
When: 15 Apr 20 11:28
Sorry IT it doesn’t get any safer. There probably will be a vaccine but we do not know how effective it will be. Just do what you are doing and follow your instincts. If I could say one thing in all honesty please do not believe what the Government tell you. Protect your wife at all times. They are looking* to manage the strain in the NHS not protect vulnerable people. If they wanted to protect vulnerable people all the care workers would have had proper PPE. The virus will come back when we go back to work but they hope to manage it over the summer. They have the Nightingales at the ready in case it kicks off again and goes out of control.
By:
lurka
When: 15 Apr 20 11:56
Yes IT as an older person I'd be most worried about all these Nightingale hospitals being thrown up but remaining empty. I don't think the UK is past its peak like some on here do. But it looks to me like they are containing the spread they let get out of hand in the early stages and will then open up the lockdown and let it spread even more once the initial wave has peaked and they have more capacity in place.

They still want herd immunity ASAP and we already know that they are worried about a second wave in Winter. They are not building all of these hospitals for nothing or for them to be left empty.
By:
1st time poster
When: 15 Apr 20 12:01
herd immunity

92,000 positive case just roughly 50 million short of what would be needed to achieve herd immunity, and still no evidence that virus reacts in same way that herd immunity would in normal flu etc
By:
lurka
When: 15 Apr 20 12:08
Another mug taking case numbers as if that's all of them Crazy Herd immunity is the only way to defeat a virus whether you like it or not, in the absence of a cure. That's the reality for the whole of Europe now, whether you achieve it via infection or a vaccine or a bit of both. The question is how many deaths are you willing to allow in order to get there. How quickly are you willing to let it spread to get there sooner? And from all the evidence, the UK is the most willing country in Europe if not the world to get there ASAP.
By:
Angoose
When: 15 Apr 20 12:14

Apr 15, 2020 -- 11:56AM, lurka wrote:


Yes IT as an older person I'd be most worried about all these Nightingale hospitals being thrown up but remaining empty. I don't think the UK is past its peak like some on here do. But it looks to me like they are containing the spread they let get out of hand in the early stages and will then open up the lockdown and let it spread even more once the initial wave has peaked and they have more capacity in place.They still want herd immunity ASAP and we already know that they are worried about a second wave in Winter. They are not building all of these hospitals for nothing or for them to be left empty.


lurka, like yourself I cannot yet see evidence that the peak of new cases has passed in the UK.
Average daily new cases for April 11 - 14 has been 5,029, was 4,799 between April 1 and 10.

As for the Nightingale hospitals, there is a significant element of politics behind their creation.

The government was concerned regarding tv pictures of overstretched hospitals during the winter season BEFORE COVID-19 became an issue, thus are taking no chances now the virus is here.

A bit like your car insurance, you spend the money but hope that you never have to use it.
The threat of a second wave is real, maintaining extra medical capacity a sensible move.

By:
lapsy pa
When: 15 Apr 20 12:14
On an optimistic note maybe in 8/9 weeks time the rate of an infected person passing it on goes well below what the scientists hoped, ie something like infected person infects .43 of another persons,you know i am saying but not putting it great. It is quite a long time away.

I would agree with being suspicious of "official" advice, the gut is screaming.Northern Ireland is supposed is be pinpointing where cases and or deaths occured( i read that somewhere).
So in the dark, if i walked say through downtown Coventry city centre i would like to know what percentage of the people around me have it,they do County numbers and specific hospital deaths but that isn't enough but that goes back to testing again.
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