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by alkonaut 2213 days ago
(Edit: I agree with some of these, just not all - I come across as dismissive below just because I responded to only those I disagree with...)

> Claimed that there won't be any risk for widespread spread in Sweden.

This is incorrect. That was a momentary assessment "right now we don't see that risk". That obviously never meant "We can't see that this will ever happen".

> Over and over again made claims that "the peak of transmission has been reached" once it started in Sweden during March/April - every time incorrect.

When was the first time this happened? I think what people found weird was that cases and deaths kept going up afterwards. But that doesn't mean the peak of transmission hasn't happened. The peak of hospitalizations/deaths etc was Apr 24 or thereabout, that means peak of transmission was a couple of weeks before that. When did he first say it?

> (Ironically) denied the existence/significance of asymptomatic/presymptomatic transmission (he's still not admitting that it plays a significant role).

He's arguing that there is still no clear evidence it is. I'm going to give him a pass on that. You might argue that one should act as though it might be because we don't know so better safe than sorry - and I'd agree with that too.

> Made multiple, way too optimistic claims about when Stockholm might have reached herd immunity (May, June) - in reality, it's far far away.

I also found these confusing. But perhaps he looks at different numbers such as the bend in various curves rather than serological numbers (in that case he's very bad att communicating clearly what he means). I'm still optimistic that actual immunity can be much higher than serological tests show, because people turn out to have innate immunity /immunity that isn't IgG/IgA. But yes - he shouldn't be so optimistic in public I think.

> - Claimed that children don't spread the virus in significant ways (as far as I know, there is no consensus about that).

Again, if you look at it as "Don't take any action based on anything that isn't scientifically clear" rather than "Assume worst case and act accordingly". What's becoming clear is that the FHM is extremely afraid of the consequences of mitigations (lockdowns, school closing) on public health. Example: if you count a semester lost at school as 6 months life lost - then you can start to make the numbers add up. I don't know exactly how they value things - but I trust they know what they are doing. Essentially I think that the FHM assign a high value to parameters such as personal freedom, domestic abuse, mental health, future healthcare budget... and a rather low value, to the value of a year of life for people 75 and over. This sounds ethically cynical (especially in e.g. a Catholic worldview). To me it's absolutely natural to set up these equations and balance deaths vs. other things (Not just "the economy" but "public health" in general, including the wellbeing of school children etc).

1 comments

"When was the first time this happened? " March 5th " Det finns anledning att tro att ökningen av antalet svenska fall har nått sin kulmen, säger Folkhälsomyndighetens statsepidemiolog Anders Tegnell till DN. " https://omni.se/tegnell-om-virusfallen-jag-tror-att-det-vars... So on March 5, he believed that Sweden had reached the peak of infections. As if Wuhan, Italy - and at that point a bunch of other countries that were seeing rapid early infection - never happened. To me, just astonishing.

"You might argue that one should act as though it might be because we don't know so better safe than sorry - and I'd agree with that too." Indeed. I remember taking a flight on March 1 and being on high alert and pretty nervous, because already at that point, I had been reading in non-Swedish media about indications regarding asymptomatic transmission, and I was assuming that local transmission in Europe already was ongoing in various countries. While I didn't catch the virus, in hindsight, it clearly was a correct assumption. I early on internalized that instead of relying on advice from Tegnell and his health agency, I had to rely on my own understanding/sense-making, information consumption, on foreign experts and common sense.

"I don't know exactly how they value things - but I trust they know what they are doing. " For me, it's the opposite: Absolutely zero trust. And I had not even an opinion about him and his agency before Corona (I didn't even know of him). So this is not the result of a long-standing mistrust of Swedish authorities. This is the first time I am so strongly feeling a total lack of trust.

Wow yeas Mar 5th was probably around a month before it actually peaked, at least. Now, I don't know what data that statement was based on, it's possible that the days leading up to that really showed it - but in that case I don't think they were clear enough in saying a few days later that "nope, no it's not going down it's clearly still up".

I don't doubt that they are professionals but they are lousy communicators that somehow believe that sounding positive doesn't make them sound incompetent eventually. Sounding pessimistic and then positively surprised would be equally bad (scientifically) but would have much better optics!

3 days later Tegnell (March 8) said he had been "a bit too optimistic" (something he stated a couple of more times since then) and that the increase "might go on for a few more days".

"Därför verkar peaken dra ut ytterligare något eller några dygn mer än jag trodde, säger han och tror att kulmen kommer att nås i början på nästa vecka." https://omni.se/anders-tegnell-om-kulmen-jag-var-lite-for-op...

Personally I don't buy this being mostly a communication issue. I see this as an actual inability in intelligent, complex, system's thinking. In his brain, there is no large "simulation" of a global pandemic. There is a very small perspective, focusing only on Sweden, and only on the here and now, and the evidence that already has been produced. With this, one is doomed to be always behind, to ignore a lot of valuable knowledge, always being "too optimistic", and accumulating fatalities along the way. Obviously, his team doesn't seem to have contributed with a lot more either (or they have been ignored by him, who knows how the internal dynamics are)

He might be a scientist. But there are good scientists. And there are bad ones. Right?