Analysis – Saturday, 17 September 2022

WHO: End In Sight But We Are Not There Yet
Meanwhile, incidence is increasing or slated to do so

The press might have shortened the WHO's statement a little (such as Al Jazeera, CNN, Seattle Times, the German tagesschau, but unlike the BBC and kind of Le Monde) and therefore I am putting the missing part here again: WE ARE NOT THERE YET. In fact, if we were to act as if the pandemic were over and stopped the preventive measures, the pandemic will certainly continue. And then other, potentially more dangerous variants could emerge (such as currently the BA.2.75 variant in India - see Times of India) and our economies would need to be subsidised with billions of dollars more. In particular the WHO recommends that vaccination of the vulnerable groups, the elderly, the health care workers and the chronically ill, should to get to 100%.

Germany and France see a rising incidence but in France, mortality continues to drop while it is rising in Germany. 
In the USA incidence decreases still but mortality remains stubbornly at a too-high level. Washington State's incidence is rising (remaining closer to Western Europe as it has before) and its mortality is stagnating at a too-high level. Tunisia is clearly the odd one out. Its numbers are exceptionally low and with a test-positive rate of below 5%, one could assume that these numbers are correct. Predicted real numbers are much higher, comparable to those in the USA.

Summary (reported numbers)

 Daily incidence, ITU occupancy and deaths are 7-day averages per 100K people based on reported numbers.
Actual numbers might be (considerably) higher. Arrows = tendency.
Mortality projections are from 9 September.
They assume the continuation of current measures up to the end of 2022.
 See the help page for explanations.

 Daily
Incidence
Daily
ITU /
ICU
Daily
Deaths
Daily
Pos. Rate
Cumulative
Excess 
Death  
Mortality
Projection  
USA19.2 ↘︎1.1 ↘︎0.130 →21.3% 14.6%↘︎↗︎
WA State13.6 ↗︎0.8 ↘︎0.129 ↗︎10.3% ↘︎11.1%↗︎
France37.9 ↗︎1.1 ↘︎0.043 ↘︎18.5% ↑11.2%↘︎↗︎
Germany39.2 →0.8 ↘︎0.109 ↗︎51.3%  07.0%↘︎↗︎
Tunisia00.4 ↘︎   0.005 ↓04.2% ↓15.7%↗︎

A Scientific Look Back - And Forward

As mentioned above, the WHO has issued a report on the future course of the COVID-19 pandemic. At the same time, on 14 September, the Lancet Commissions published a paper on lessons for the future from the COVID-19 pandemic (PDF).

To cite the beginning: "This staggering death toll is both a profound tragedy and a massive global failure at multiple levels. Too many governments have failed to adhere to basic norms of institutional rationality and transparency, too many people—often influenced by misinformation— have disrespected and protested against basic public health precautions, and the world’s major powers have failed to collaborate to control the pandemic."

These words resonate well with what I have been saying in this blog and so do the authors' key findings:


  • The proximal origin of SARS-CoV-2 remains unknown,
  • The WHO acted too cautiously and too slowly on several important matters,
  • Most governments around the world were too slow to acknowledge its importance and act with urgency in response,
  • Co-ordination among governments was inadequate on policies to contain the pandemic,
  • Epidemic control was seriously hindered by substantial public opposition to routine public health and social measures (the WHO coined the term "Infodemic"),
  • Inequitable access to vaccines, especially in Africa (African CDC, see Al Jazeera),
  • The sustainable development process has been set back by several years, and thus
  • Much larger financial flows from high-income to low-income regions [are] warranted.

So far so good. In preparedness for future pandemics (and for the remainder of the current one), the panel further recommends 

  • Continued global co-ordination and a strengthening of the WHO.
  • Countries should maintain a vaccination-plus strategy (mass vaccination, availability and affordability of testing, treatment for new infections and long COVID (test and treat), complementary public health and social measures).
  • Unbiased search of the origin of SARS-CoV-2.
  • Establishing an understanding of exposure routes and the highest-risk environments for transmission should always be among the first essential steps for scientists in response to future disease threats, because this knowledge should determine effective control strategies for reducing risk.
  • Global surveillance and regulation of domestic animal and wild animal trade, and take stronger measures against dangerous practices.
  • Countries should strengthen national health systems on the foundations of public health and universal health coverage, grounded in human rights and gender equality (well duh, and the conservatives in the US won't listen anyway).
  • Each country should determine and expand national pandemic preparedness plans (duh, but most governments will not do it).

© 2023 Praying Mantis Studios    //    Declaration of Data Protection (in German)