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by zaroth 2287 days ago
I understand everything that you wrote is just speculation starting from the conditional, “If COVID-19 digs in deep in the US then...” but I just don’t follow the logic.

It’s not our first pandemic. It won’t be the last. And I don’t see any reason at all to think why people won’t go back to living their lives at the first possible opportunity.

But what does “dig in deep” even mean? In the vast majority of cases it’s a mild virus with symptoms generally lasting a week.

If anything I think at the end of all this people will be deeply suspicious the next time the WHO declares a pandemic and insists we need to shut down the world economy.

We are not dealing with an exponential function. We are dealing with a logistics function, I.e. an “S” curve.

The predominant factor to coming out the other side of the curve is herd immunity.

IMO, the faster that young and middle age people acquire herd immunity, the safer it is long term for the elderly who are at the highest risk, because it drives R0 below 1 and extinguishes the pandemic.

The flaw with “flatten the curve” is overly simplistic thinking around the severity of cases. The best way to eliminate severe cases, assuming strict containment is impossible or cripplingly costly, is to gain herd immunity in the low-risk populations.

1 comments

> It’s not our first pandemic. It won’t be the last.

As far as I can tell, for almost all Americans, this is our first pandemic. The closest analogue might be polio in the 1950s, but maybe 10% of the population remembers that.

Going down the list, none of the remaining pandemics within living memory seem to have made a large impact on life in the US [1].

It’s not crazy to imagine changes from this event. There doesn’t seem to be much precedent here for it.

[1] https://en.m.wikipedia.org/wiki/List_of_epidemics

In 2009 we had swine flu, H1N1 which was declared a pandemic by the WHO.

> These final estimates were that from April 12, 2009 to April 10, 2010 approximately 60.8 million cases (range: 43.3-89.3 million), 274,304 hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306) occurred in the United States due to pH1N1.

It remains to be seen if the hospitalizations or deaths due to COVID approach or exceed the levels of H1N1, which itself was less fatal than a typical flu.

Certainly the response to COVID is markedly different. But I think in the end what will matter is the actual numbers impacted. If the virus turns out to be not as deadly as H1N1 I think people will seriously question the role of the media in building up hysteria around this coronavirus.

https://www.cdc.gov/h1n1flu/estimates_2009_h1n1.htm