From the Editor of the Lancet on the failed UK approach:
On 24 January, Chinese doctors and scientists reported the first description of a new disease caused by a novel coronavirus. They described how a strange series of cases of pneumonia had presented in December in Wuhan, a city of 11 million people and the capital of Hubei province. At that time, 800 cases of the new disease had been confirmed. The virus had already been exported to Thailand, Japan and South Korea.
Most of the 41 people described in this first report, published in the Lancet, presented with non-specific symptoms of fever and cough. More than half had difficulties in breathing. But most worryingly of all, a third of these patients had such a severe illness that they had to be admitted to an intensive care unit. Most developed a critical complication of their viral pneumonia – acute respiratory distress syndrome. Half died.
The Chinese scientists pulled no punches. “The number of deaths is rising quickly,” they wrote. The provision of personal protective equipment for health workers was strongly recommended. Testing for the virus should be done immediately a diagnosis was suspected. They concluded that the mortality rate was high. And they urged careful surveillance of this new virus in view of its “pandemic potential”.
That was in January. Why did it take the UK government eight weeks to recognise the seriousness of what we now call Covid-19?
In 2003, Chinese officials were heavily criticised for keeping the dangers of a new viral disease, severe acute respiratory syndrome (Sars), secret. By 2020, a new generation of Chinese scientists had learned their lesson. Under immense pressure, as the epidemic exploded around them, they took time to write up their findings in a foreign language and seek publication in a medical journal thousands of miles away. Their rapid and rigorous work was an urgent warning to the world. We owe those scientists enormous thanks.
But medical and scientific advisers to the UK government ignored their warnings. For unknown reasons they waited. And watched.
The scientists advising ministers seemed to believe that this new virus could be treated much like influenza. Graham Medley, one of the government’s expert scientific advisers, was disarmingly explicit. In an interview on Newsnight last week, he explained the UK’s approach: to allow a controlled epidemic of large numbers of people, which would generate “herd immunity”. Our scientists recommended “a situation where the majority of the population are immune to the infection. And the only way of developing that, in the absence of a vaccine, is for the majority of the population to become infected.”
Medley suggested that, “ideally”, we might need “a nice big epidemic” among the less vulnerable. “What we are going to have to try and do,” he said, was to “manage this acquisition of herd immunity and minimise the exposure of people who are vulnerable.” Sir Patrick Vallance, the government’s chief scientific adviser, suggested that the target was to infect 60% of the UK’s population.
Something has gone badly wrong in the way the UK has handled Covid-19. I know Chris Whitty, the chief medical officer, and Patrick Vallance. I have the utmost respect for both. They have had the services of some of the most talented researchers in the world to draw on. But somehow there was a collective failure among politicians and perhaps even government experts to recognise the signals that Chinese and Italian scientists were sending. We had the opportunity and the time to learn from the experience of other countries. For reasons that are not entirely clear, the UK missed those signals. We missed those opportunities.
https://www.theguardian.com/commentisfree/2020/mar/18/coronavirus-uk-expert-advice-wrong