The Italian Gov recons they are not far from the peak of their containment... if that's the case then wouldn't an Italian style lockdown enacted quickly enough, maybe at the start of March (I don't know the numbers), have prevented what we're presumably going to see if the numbers really are 100x higher than reported?
While I don't think there was really any way to properly stop this outbreak killing thousands, I think more could have been done by our own government to prevent the spread. With Bojo openly boasting about shaking the hands of Coronavirus sufferers in hospital, he also helped pushed the narrative that this was just a bad case of the flu.
When this is all said and done, it’ll be interesting to see what actually could have been done. I assumed at the start of March that we’d be under full lockdown within days, yet it took weeks… it seems like the writing had been on the wall for long enough that the government could have acted quicker than it did to contain this outbreak.
Not sure where the silver lining is though, because while containment might be too late to overwhelm the NHS, isn't still needed to make sure that the country/economy doesn’t just collapse?
The silver lining is that the actual rate of infections versus hospitalisations is a lot lower than the official numbers suggest - it also means that even with the lockdown, there could well be a peak of several million infections in this first wave, but that deaths are limited to ca. 20000 range; and hospitalisations will hopefully be just about manageable - but there will be a period of a couple of weeks where a lot of people who need care simply won't get it.
Hindsight is a great thing, but the fact is that a very harsh lockdown like that seen in Wuhan could simply have been ignored and then it becomes an impossible task for the police/armed forces to enforce; civil obedience and cooperation from the masses is required, and thus lockdown methods need to take into account the likelihood of effectiveness... unfortunately, the alternative is to have a government who allow local authorities to weld people into their properties, detain people immediately for breaking rules etc., and with no guarantee that these measures are going to provide a long-term benefit (i.e. Wuhan may be no better off than they were if and when another wave strikes, and those months of terrible pain suffered by their citizens will have been for nothing...)
The thing that has me thinking is: It's a given that all quarantine durations will be lengthened. But even so, how does one resume normal life after all European countries have reached, what they believe will be, their peaks in infections and death tolls? We cannot just simply open all borders, shops, restaurants, public transport, and believe we can hinder the disease from spreading on a massive scale again?
That's the thing that has me wondering, and worrying. Even with all these strict measures, how are we going to resume working life, bring back the economy into running order, and stop the disease from initiating another massive wave of infections and deaths?
There will have to be big changes. The best case scenario is a 'rinse and repeat' idea that will see numerous small waves of infection (combined with new lockdowns etc.) until either a vaccine or treatment is generally available, or herd immunity kicks in (when ca. 60% of the population have had the virus already).
If it turns out that the virus has already spread much faster and farther than confirmed cases suggest (which it has, but the question is to what extent... 10x more, 100x more?...), then the up side is that herd immunity will start to kick in within a couple of months from now. Those who need to avoid infection completely (basically anyone who is ill or over 70) will need to stay shielded for some time beyond that.
That said, in the coming months we can expect to see more effective drug treatments, and the widespread availability of home testing kits, improvements in PPE distribution and progress on a vaccine (and, not to mention a build-up of immunity as more and more people recover from the virus).
While that is happening, future lockdowns will be able to be less stringent. There can (and should) also be simple measures taken to make shielding of vulnerable groups easier.... one idea would be to make the 1st hour of every day for every shop or public space open to vulnerable groups and protected workers only, plus say a full morning or two (and/or evening) available to these people. Public transport, too, could be segregated to allow vulnerable groups to travel separately. Other steps like home delivery services can also be stepped up to help minimize the economic damage caused by lockdowns.
My guess is that this 1st wave will be bad for many countries... very bad. But... we will be considerably better prepared for future waves, and eventually a combination of treatments and immunity will wipe this thing out.