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by lgeek 2295 days ago
> It's dawning on me that what China and South Korea are achieving, although impressive, leads to a lengthy stalemate that makes life impossible for millions of people.

It's not a stalemate, they're still getting new cases at a pace that allows their medical system to cope.

> In the absence of a vaccine

It's a pretty safe bet one will become available pretty soon. Meanwhile, more is being learned about how to handle infections and improve the outcome.

> the aim is to flatten the curve but still get the whole thing over and done with in about 6 months

There are 4000 ICU beds in the country in total, most of which will be in use due to other kind of cases at any one time. [1] But let's assume you can make that number available for coronavirus patients for 6 months. So you have 4k*26 = 104k ICU bed-weeks available. There's been talk of 60% of the population getting infected to build up herd immunity [2] (somehow ignoring that there seems to be a nontrivial reinfection rate [3]), so almost 40 million people. It's not very clear how many infected people end up needing intensive care. In Italy, it was 10% of the people who tested positive [4]. But only the worst cases get tested once the epidemic is widespread, so let's say maybe 0.5% of the infected people need ICU (wild guess here since no country with a large number of infections is testing people with mild symptoms, but I think I'm being conservative). 0.5% of 40 million is 200k patients. If each of them need an ICU bed for 2 weeks, that's 400k bed-weeks.

Basically we're talking about most of the 6 months period of the NHS being overwhelmed and coronavirus having a high mortality rate.

[1] https://www.bbc.com/news/health-51714498

[2] https://www.independent.co.uk/news/health/coronavirus-herd-i...

[3] https://www.reuters.com/article/us-china-health-reinfection-...

[4] https://www.statnews.com/2020/03/10/simple-math-alarming-ans...

1 comments

Yes. But if instead stretch the epidemic out over two years with very extreme social distancing measures (if that is even possible), what would the human cost be in terms of food shortages, loneliness, fear, suicide, depression, economic depression, people with other health conditions not being able to get treated etc. It's not straightforward.
None (farmers are distant already), some, relief (fear would come from warehouses of sick and dying, not too much time at home), unknown, unknown, some, none.