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The Netherlands and Belgium Decided to Try Herd Immunity and it's Been a FAILURE

The Netherlands has tried to adopt an "intelligent lockdown", but the infection is spreading rapidly and it has one of the world's highest mortality rates from the pandemic.

The Dutch have also been accused of failing to show solidarity with countries in southern Europe hit hardest by coronavirus.

What is an 'intelligent lockdown'?

The Dutch are among the few openly embracing the contentious idea of group or herd immunity. It's an approach characterised by one Dutch global health expert as cold and calculated. Having shunned the stricter measures of neighbouring states the government has pursued an "intelligent" or "targeted" lockdown. It wants to cushion the social, economic and psychological costs of social isolation and make the eventual return to normality more manageable.

My local florist, ironmonger, delicatessen, bakery and toy store are still serving customers. Posters on the door and sticky tape on the floor encourage people to give each other space. Staff at the tills wear surgical gloves. Only those businesses that require touching, like hairdressers, beauticians and red light brothels, have been forced to cease trading. Schools, nurseries and universities are closed until at least April 28. Bars, restaurants and cannabis cafes are shut, although they seem to be doing a roaring trade in takeaways.

"We think we're cool-headed," explained Dr Louise van Schaik of the Clingendael Institute of International Relations. "We don't want to overreact, to lock up everybody in their houses. And it's easier to keep the generations apart here, because grandpa and grandma don't live at home with their children." People have been advised to stay at home, but you can go out if you are unable to work from home, or have to grab groceries or fresh air, as long as you maintain 1.5m (5ft) social distance. It helps that the Dutch appear to be broadly compliant. One survey suggested 99% of people kept their distance and 93% stayed at home as much as possible. Prime Minister Mark Rutte described the Netherlands as a "grown-up country". "What I hear around me, is that people are glad that they are treated as adults, not as children," he said on Friday. Sometimes this lockdown feels invisible. Cities may be quieter, but children still clamber on climbing frames and teenagers cycle side-by-side.

How Dutch went beyond UK on herd immunity

When the UK's chief scientific adviser revealed a plan to develop a broad immunity across the population, within days researchers revealed it could claim a quarter of a million lives, and the UK changed course. Allowing a deadly virus to spread through society to create a level of immunity implicitly means accepting people will die. It was initially embraced by the Dutch government too, but then rapidly repackaged as a useful by-product rather than the main goal. "We can delay the spread of the virus and at the same time build up population immunity in a controlled manner," he said. "We have to realise that it can take months or even longer to build up group immunity and during that time we need to shield people at greater risk as much as possible." Prof Claes de Vreese of the University of Amsterdam believes the UK government did not have measures in place for such a policy. "It left people dangling and feeling like they were part of a bizarre social experiment," he says.

Can it work?

Dutch public health agency RIVM has launched a study to see how far antibodies created when people are exposed remain effective in preventing re-infection. "It's kind of like creating your own internal vaccine, by being exposed to it and then letting your body generate those antibodies naturally, to turn into a vaccination which doesn't yet exist," Prof Aura Timen from the RIVM told the BBC. She stressed they were still doing all they could to slow the pace of transmission of Covid-19 to "flatten that curve".

Offsite Link
by Anonymousreply 8April 6, 2020 3:33 PM

Continued

The problem is that the number of deaths in the Netherlands seems relatively high for a population of 17.2 million. "We have a good reporting system for people who have become infected, who have been hospitalised, but also for death," explains Prof Timen.

Reality sets in as deaths rise.

The Netherlands is now scrambling to increase its hospital capacity, with the peak of the crisis anticipated in two weeks and deaths as high as 175 in one 24-hour period. Some 1,650 people have died since the crisis began and over 6,600 have been admitted to hospital. Some patients have been transferred to Germany to free up beds and the Ahoy Rotterdam concert hall, which was supposed to host Eurovision 2020, is to become an emergency facility. There are plans to quadruple the number of tests and healthcare workers not directly involved in treating coronavirus patients will also be screened. But there have been setbacks too. When a million masks shipped in from China were deemed faulty, the government had to order an urgent recall. There is a shortage of personal protective equipment (PPE), so students in Delft are working on transforming swimming snorkels into surgical masks and local artist Space Fantastic is collecting fabric donations and running a legion of volunteers frantically sewing masks for those on the front line.

How the Dutch enraged the Italians

The Dutch are largely pro-European, so when a letter by prominent Italians to a German paper condemned them for a "lack of ethics and solidarity in every respect", the words stung. The Netherlands and Germany led opposition to easing the debt burden on southern states through the issuing of "coronabonds". Both countries pay more into the EU than they get out, but this "scroogy", arrogant Dutch approach was destined to backfire, says global health lecturer Remco van de Pas of Maastricht University. What's more, it is seen as self-defeating. "If the whole south collapses, the rich north ceases to exist," as Dutch National Bank ex-president Nout Wellink put it bluntly. The Dutch rely on other EU countries buying their exports, says Prof Claes de Vreese. "We have a shared interest bouncing out of it in economic terms in a way that keeps the union and the euro in a strong place." Then came an admission from the Dutch finance minister. Yes, the Netherlands' initial response lacked empathy.

Prime Minister Rutte proposed an EU emergency fund to cover the immediate medical costs of the crisis, with contributions from the member states. "It would not serve as a loan or guarantee, but as a gift to those in need." Their hand was forced. "The Dutch have benefited tremendously from the European Union, its open labour, market and mobility," Dr Van de Pas told me.

But the idea of an intelligent lockdown, driven by evidence and numbers, is very different from the stricter approach in neighbouring Belgium, where fatalities have also been high. For Dr Van de Pas it's a cold and calculated Dutch approach, that can

by Anonymousreply 1April 5, 2020 8:45 PM

[quote] What is an 'intelligent lockdown'?

Who knows? Best thing for them really. Their therapy was going nowhere.

by Anonymousreply 2April 5, 2020 8:52 PM

Here's a comparison of the Netherlands, NY and Italy

Netherlands population 17,000,000 February 27 First Case April 5 17,851 cases 1,776 deaths 9.94% fatality rate

NY population 19,000,000 March 1st First Case March 22nd Lock Down March 22 16,900 cases 150 deaths 0.88% fatality rate

Italy population 60 million January 30 First Case March 9th Lock Down March 13 17,660 cases 1,266 deaths 250 per day 7.17 % fatality rate

by Anonymousreply 3April 5, 2020 8:53 PM

Netherlands - population 17,000,000

February 27 - First Case

April 5 - 17,851 cases . . . . 1,776 deaths

9.94% fatality rate

- NY population - 19,000,000

March 1st First Case

March 22nd Lock Down

March 22 - 16,900 cases . . . . 150 deaths

0.88% fatality rate

- Italy population - 60 million

January 30 First Case

March 9th - Lock Down

March 13 - 17,660 cases 1,266 . . . . deaths 250 per day

7.17 % fatality rate

by Anonymousreply 4April 5, 2020 8:57 PM

"17,851 cases 1,776 deaths 9.94% fatality rate "

That's a HUGE fatality rate, on the face of it. But without knowing how the statistic were gathered, we can't hit the panic button, for all I know the only people being tested are people who've already been hospitalized. We won't know what the fatality rates really are until entire populations are screened.

But even for hospitalized patients, that's a huge fatality rate, same for Italy. Maybe there really is an extra-deadly strain of the virus there, and there was nothing to be done but early and strict lockdowns.

by Anonymousreply 5April 5, 2020 9:14 PM

The Danes had it right with their economy freeze.

by Anonymousreply 6April 5, 2020 9:34 PM

Well now they are fucking it up by letting everyone get sick and die

by Anonymousreply 7April 6, 2020 3:26 PM

We are not doing herd immunity anymore. Rutte floated it but got shut down as the death rate rose in Brabant and Limburg. (Which, the reason it's so high is that everyone infected each other during Carnival (the southern NL's Mardi Gras) just like New Orleans).

The only difference between NL and France or Spain's total lockdown is that we can go to small shops 1-3 at a time. The country has been better compliant at social distancing and wearing masks (mainly because the Dutch culture of 'act normal not antisocial'). An occasional teenage crew isn't following the rules, and then you tell them off.

Feel completely safe and both the NL and BE governments are doing well with advisories, reporting, and explanations.

by Anonymousreply 8April 6, 2020 3:33 PM
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