Who likes charts?

Of course you all like charts. They provide clear, concise information at a glance. A picture’s worth a thousand words and all that.

Herewith four charts showing four aspects of the Chinese Xi Snot virus across three countries – Israel, Sweden and India.

First up is their vaccination rates (fully vaccinated)

Next are their confirmed case rates.

The result for intensive care (India’s data is not good enough to be included here.

The all important Case Fatality Rate (CFR). The CFR is the total number of deaths divided by the total number of people that have the disease’s symptoms. In contrast, the IFR (Infection Fatality Rate) is the total number of deaths divided by the total number of people that carry the infection.

Unlike the Flu there are no solid estimates yet for national Covid-19 IFRs since the virus has not been around long enough to build the data around that key factor of people who get infected but show no symptoms and do not get tested. In the USA the CDC annually calculates the IFR for flu since it has decades of data that allow it to be confident that its figures are correct. The flu IFR is about 0.1% and there are no age-specific breakdowns of that figure.

Nevertheless, at the end of 2020 the CDC did try to calculate the IFR values of Covid-19 (Alpha) and even break it up into age-specific estimates, which are now very low at:

  • 0.003% for 0–19 years
  • 0.02% for 20–49 years
  • 0.5% for 50–69 years
  • 5.4% for 70+ years.

Israel has the latest Delta variant raging away but with no increase in the death rate, while similarly vaccinated Sweden has seen only a slight uptick in cases, while India moves along seemingly unchanged. Given that Israel pushed early and fast on their vaccination programme, the implication is that the population’s immune systems there are not as well protected against variants of the virus as in India and Sweden, likely because their immunity has been built more from exposure to the disease than to vaccinations.

On a side note the tiny island nation of Iceland, which has something like 71% of its population fully vaccinated has made a similar announcement to that of the Prime Minister of Australia in abandoning a zero-Covid-19 policy:

Icelandic health authorities hoped to achieve herd immunity through widespread vaccination, but those hopes were dashed when the fourth wave of infection began in late summer 2021. Local data shows, however, that vaccinated individuals are less likely to contract the SARS-CoV-2 virus and that vaccines are very effective at staving off serious illness.

Based on this information, the government’s current policy is to curb the spread of infection using mild social restrictions, rather than imposing harsh restrictions in order to eliminate the virus entirely. This policy allows Icelandic society to operate as openly as possible at any given moment.

The implications for New Zealand are clear:

  • Opening up the nation internally and across the borders will mean Covid-19 variations spreading through the population.
  • A vaccination rate of 70% across the whole population seems to be the best that might be achieved.
  • Vaccinations will not provide full protection against the variants, though it will greatly reduce the chances of severe illness and death in the most vulnerable, people aged 70+.
  • Herd immunity cannot be achieved by vaccination alone, especially given the targeted nature of the mRNA vaccines, and that their immunisation potency appears to decline in a matter of months (hence the talk of ongoing booster shots).
  • The death rates for these variants will not approach even the CFR flu-like levels of Covid-19 (Alpha).
  • Therefore future decisions on lockdowns should not be based on case numbers but on hospitalisation and deaths.
  • Push hard for treatments that work against Covid-19 infections, starting with monoclonal antibody treatment, which appears to be very successful.

Frankly there should be no further lockdowns at this point.