mrswdk wrote:My responses aren't knee-jerk or parroted from government ministers. I work in healthcare service design/delivery and have spent a fair bit of time recently reading the NHS advice (NHS isn't controlled by ministers), WHO advice (independent body) and views of various international experts in epidemiology.
Okay. Well, I do not work in healthcare in any way, so I respect that you have some expertise to bring to bear. I do read quite a bit, however, and I'm not scientifically illiterate so I do bring some ability to critically evaluate what I'm reading.
Here's an interview with Larry Brilliant. It has a very interesting exchange. Just one paragraph, but I see very similar comments in many, many other articles.
https://www.wired.com/story/coronavirus-interview-larry-brilliant-smallpox-epidemiologist/(Q)Should we be wearing masks?
(A)The N95 mask itself is extremely wonderful. The pores in the mask are three microns wide. The virus is one micron wide. So you get people who say, well, it's not going to work. But you try having three big, huge football players who are rushing for lunch through a door at lunchtime—they're not going to get through. In the latest data I saw, the mask provided 5x protection. That's really good. But we have to keep the hospitals going and we have to keep the health professionals able to come to work and be safe. So masks should go where they’re needed the most: in taking care of patients.
So, in the end he says the same thing most of the experts say. Reserve these for the health care workers. But in doing so he admits the masks work. His argument is not that they don't work, but (partially reading between the lines) that there's a shortage and we need to keep them for the healthcare workers. Fair enough, I can understand that in a shortage you address the highest priorities first. But that's a completely different animal from what we are being told by the government -- that the masks don't work.
In the end, most of the articles I see either outright admit or come close to admitting that the masks do work. But our governments, through their own negligence, allowed a shortage to occur, and now that the shortage is here they are taking care of their own people and sending a big F.U. to the public. The thing is, even at this late date, the shortage is unnecessary. Taiwan and South Korea -- forgive me for constantly harping, but they are the big success stories I keep coming back to -- retooled factories, even had military personnel making masks. They were also a bit late out of the gate, but they made it a priority and caught up. Taiwan
makes 10 million masks a day now, and they were
rationed by family to make sure every family had a supply at home.
mrswdk wrote:You're drawing a correlation between 'masks' and rate of success controlling the COVID outbreak, I'm saying there are way more factors at play and the evidence suggests it's some of those other factors that are the important ones.
I'm not saying the masks are the only element. We've been arguing about masks and so most of what I've said is about masks, but I'm not denying the importance of other elements. For starters, they're testing a much broader swath of the population that what we do in North America. That allows them to find infected people and isolate them before they become symptomatic. Also, everybody owns a thermometer and takes their own temperature regularly. This too helps find infected people sooner than waiting for other symptoms.
We won't know until it's all over and all the research papers are written, exactly which elements were most decisive. You don't know for sure, and I don't know for sure. All we can do is try to reason it out and try to keep an open mind.
You point out that South Korea was quick to cancel sporting events and other large gatherings, which I agree was also an important element. But what they have
not done, is shut down entire cities. The kind of total shutdown that happened in Wuhan, and that is now happening in many European and American cities, wasn't needed. My thinking has evolved since I started that "shut down the quarantines" thread, but in general I still think shutting down an entire city to catch an illness should not be necessary. It's like using a sledgehammer to crack a walnut.
The Korean and Taiwanese strategy was very individual-focused. Test as many people as possible, have them take their temperature to further help catch infections, focus on those who are actually sick and quarantine them, have individuals in the wider society protect themselves with hygiene and masking. Locking up 10 million people because 10 thousand are sick is completely excessive, provided that more intelligent choices are used.
It's really ironic to me that the allegedly individualistic West is engaging in these vast totalitarian city shutdowns, while the allegedly collectivist hive minds of East Asia are focused on identifying and quarantining the sick, not the healthy. Most people in Taiwan, South Korea, and Singapore are going to work, and they will come out of this with their societies and economies in relatively whole condition.