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by mike_hearn
355 days ago
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Details matter! Medieval quarantine ships worked against plague and cholera because those pathogens spread very differently to aerosolized coronavirus, and had very different mortality profiles. You can't just lump every possible pathogen into one bucket labelled "contagion" then claim you now understand it. That's exactly the kind of broken thinking and fake expertise that led to so much loss of trust. Your choice of papers is an example of this problem in action: https://pmc.ncbi.nlm.nih.gov/articles/PMC2966666/ - it's about school closures+flu, but people got upset about school closures because unlike flu COVID overwhelmingly affected the very old and very sick, so it didn't make sense to close schools to protect kids. It's also the kind of analysis that's likely to be P-hacked. https://pmc.ncbi.nlm.nih.gov/articles/PMC1929395/ - a mortality report on Asian flu. What point are you trying to make with this paper? If it's about school closures again, it gives attack rates of 59% for asian flu in schools, but attack rate for SARS-CoV-2 in schools was measured at more like 4% (again, with mild cases that didn't endanger the kids). You can't reduce infectiousness and impact by 10x+ and say they're the same. https://pmc.ncbi.nlm.nih.gov/articles/PMC2808319/ - SARS-1 this time, which is at least a coronavirus! But it's also one that had very different mortality/spread profiles to SARS-CoV-2 (I don't personally think it should have been called SARS-2 because of this difference, even though they're closely related otherwise). It's an observational regression analysis again, so low quality evidence, but what it shows is that even for SARS-1 where quarantine was more effective the number-needed-to-quarantine was uselessly high, with 7.5 infected needed to be quarantined to eliminate just one case. That's completely unworkable especially as social distancing isn't even close to the same thing as an actual quarantine. This paper is the sort of analysis that led to the pre-2020 WHO recommendations against quarantine and travel restrictions for RV epidemics, and supports what I'm saying: they could easily have known social distancing wouldn't work, and probably did know. |
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I have just linked to basis to believe exactly that.
Sure, it may have turned out that COVID-19 would be totally different (though it didn't -- we now know empirically social distancing was helpful here too), but even if it had, clearly there was evidence to assume from the start that distance from infected person would be a component of infection rate.