But if you want a more complete breakdown of how I view the Barrington Declaration, I'll indulge you.
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.
There are no lockdowns right now. While my kids might have missed out on in-person schooling, they also missed out on getting COVID during the non-vaccine days. I worked from home and missed out on getting COVID too. We missed out on spreading it to others during this time. Many who missed cancer screenings also missed dying of COVID. Though I don't recall doctor's offices and hospitals being closed for business, so I'm not sure why we would have missed out on those things. I'm also not sure why missing in-person school for a year would have had higher mental health damage than losing more loved ones to a disease.
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.
Again, children spread the virus to the elderly and vulnerable. Long-term care facilities have employees. Those employees have children. Those children live in the same home as the employees. How would these patients be protected while we build this immunity? What was the plan here?
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 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.
Aha. So we...what? Only have nursing home employees who have had COVID? How does that work? Infect them on purpose and those who live keep their jobs? Who does these jobs while the employees are home recovering and contagious? Or, are you suggesting that the employees should be forced to get vaccinated to keep their jobs? But personal freedom! And given that getting COVID once does not make one immune from getting it again, what then? And, I must point out that this absolutely ignores the risks of long-COVID or the unknowns about what long-term effects there are from being so sick with it.
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.
Again, who is vulnerable? Yes, my brother is an anecdotal example. I have lots of other ones too. The vaccinated people I know who have had COVID with symptoms are experiencing minor colds. The unvaccinated people I know who have COVID with symptoms have been pretty damned sick. "Healthy" people. But forget that. Who is not considered vulnerable and how do you know? I honestly made a list of my vulnerable pros and cons and I'm not sure where I land personally. If I got it and was fine, well of course, because I'm not vulnerable. If I got it and was hospitalized for one or two possible comorbidities, I clearly was one of the vulnerable and should have stayed home hiding while everyone else went out and did their thing.
Here are the primary comorbitities listed by the CDC:
Cancer
Cerebrovascular disease
Chronic kidney disease*
Chronic lung diseases limited to:
Interstitial lung disease
Pulmonary embolism
Pulmonary hypertension
Bronchopulmonary dysplasia
Bronchiectasis
COPD (chronic obstructive pulmonary disease)
Chronic liver diseases limited to:
Cirrhosis
Non-alcoholic fatty liver disease
Alcoholic liver disease
Autoimmune hepatitis
Diabetes mellitus, type 1 and type 2*
Heart conditions (such as heart failure, coronary artery disease, or cardiomyopathies)
Mental health disorders limited to:
Mood disorders, including depression
Schizophrenia spectrum disorders
Obesity (BMI ≥30 kg/m2)*
Pregnancy and recent pregnancy
Smoking, current and former
Tuberculosis
Now look around you at the general population. Some of these seem to be pretty common, don't they? Are people with any of these things "vulnerable"? There aren't going to be that many people out and about getting herd immunity risk-free in this scenario. Lots of people have comorbidities without knowing it. I have fatty liver disease. I discovered that as a non-obese person only because I tried to donate a kidney to my aunt and had the most comprehensive health screening of my life. There is no way I would have had any clue I had that otherwise. But, comorbidity. Makes me vulnerable. I also used to smoke. I feel like a pretty healthy person, but there you go.
But hey, this amazing thing called a vaccine can actually confer immunity to those who suffer from comorbidities. If they still get Omicron, they're probably not getting very sick from it. Going in bare-back on this one didn't seem too smart pre-vaccines. You talk about limiting healthcare options...whew...people would be dying in the hospital parking lots from non-COVID stuff for all the COVID patients.
So yes, I've read it. It just does not seem well-thought out to me.
[This message edited by DevastatedDee at 8:13 PM, Tuesday, January 18th]