When it comes to COVID-19, one way or another countries around the world are eventually going to achieve herd immunity.  The way most countries are approaching the situation currently will stretch out the amount of time it’s going to take.  There are good reasons for that.  But now that the virus has been with us for close to a year we’ve learned not everyone is at the same risk of a serious outcome.  Some leading epidemiologists think it’s time to take another look at the global response to COVID.  As businesses close, millions look for work, seniors long for a hug from a loved one, and young people dream of getting back to their favourite sport, a new approach is being recommended.

The first few days of October, a group of epidemiologists headed by Harvard University’s Dr. Martin Kulldorff, Oxford University’s Dr. Sunetra Gupta, and Stanford University’s Dr. Jay Bhattacharya met to discuss the way governments around the world are reacting to the COVID-19 crisis.  As a result of their discussions they posted The Great Barrington Declaration, a call for “Focused Protection”.  The declaration outlines a new strategy they hope governments around the world will soon adopt.  Coming out of their meeting the three co-signers of the declaration were interviewed by Freddie Sayers of UnHerd.  Here’s the fascinating discussion of why these leading thinkers are calling for a different global response to the pandemic.

“This is the saner approach, the more scientific approach,” the authors tell Freddie Sayers

The Great Barrington Declaration

As infectious disease epidemiologists and public health scientists we have grave concerns about the damaging physical, and mental health impacts of the prevailing COVID-19 policies and recommend an approach we call Focused Protection.

Coming from both the left and right, and around the world, we have devoted our careers to protecting people. Current lockdown policies are producing devastating effects on short and long-term public health. The results (to name a few) include lower childhood vaccination rates, worsening cardiovascular disease outcomes, fewer cancer screenings and deteriorating mental health – leading to greater excess mortality in years to come, with the working class and younger members of society carrying the heaviest burden. Keeping students out of school is a grave injustice. 

Keeping these measures in place until a vaccine is available will cause irreparable damage, with the underprivileged disproportionately harmed.

Fortunately, our understanding of the virus is growing. We know that vulnerability to death from COVID-19 is more than a thousand-fold higher in the old and infirm than the young. Indeed, for children, COVID-19 is less dangerous than many other harms, including influenza. 

As immunity builds in the population, the risk of infection to all – including the vulnerable – falls. We know that all populations will eventually reach herd immunity – i.e.  the point at which the rate of new infections is stable – and that this can be assisted by (but is not dependent upon) a vaccine. Our goal should therefore be to minimize mortality and social harm until we reach herd immunity. 

The most compassionate approach that balances the risks and benefits of reaching herd immunity, is to allow those who are at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk. We call this Focused Protection. 

Adopting measures to protect the vulnerable should be the central aim of public health responses to COVID-19. By way of example, nursing homes should use staff with acquired immunity and perform frequent PCR testing of other staff and all visitors. Staff rotation should be minimized. Retired people living at home should have groceries and other essentials delivered to their home. When possible, they should meet family members outside rather than inside. A comprehensive and detailed list of measures, including approaches to multi-generational households, can be implemented, and is well within the scope and capability of public health professionals. 

Those who are not vulnerable should immediately be allowed to resume life as normal. Simple hygiene measures, such as hand washing and staying home when sick should be practiced by everyone to reduce the herd immunity threshold. Schools and universities should be open for in-person teaching. Extracurricular activities, such as sports, should be resumed. Young low-risk adults should work normally, rather than from home. Restaurants and other businesses should open. Arts, music, sport and other cultural activities should resume. People who are more at risk may participate if they wish, while society as a whole enjoys the protection conferred upon the vulnerable by those who have built up herd immunity.

Great Barrington, Massachusetts, 4th October 2020

To sign the declaration, follow this link
www.GBdeclaration.org