Chris - to say the Barrington Declaration is controversial would be a great understatement. I would not put myself or others at risk by taking their claims at face value.
I'm not sure how you would be putting yourself and others at risk by following their advice, which was centered on protecting the most vulnerable. By deciding not to attend ASLOk, you have made a determination that any contact you might have with ASLOk participants could result in you infecting vulnerable people in your local community. I don't think Gupta, et. al. would have a problem with your decision. More likely, they would applaud your efforts.
The Conversation: The Great Barrington Declaration's advocacy for naturally acquired herd immunity to COVID-19 amounts to a global chickenpox party: naive and dangerous.
www.queensu.ca
This is rich.
1. It creates a false dichotomy.
The declaration rhetoric offers a false choice between a wholesale return to our pre-pandemic lives (which is objectively dangerous) versus a total lockdown (which no one advocates).
Characterizing the GBD position as rhetoric, implying insincerity on the part of the authors made me immediately question the sincerity of Archer's counterarguments. GBD didn't call for a "wholesale return to" a "pre-pandemic" state of affairs. It called for targeted protection of the most vulnerable, and made a number of suggestions with regard to protecting the elderly in care homes. And despite Archer's claim that no one was advocating total lockdowns, the record speaks for itself.
2. The Barrington declaration gives oxygen to fringe groups.
The signatories did not intend to support such fringe groups, but their rhetoric invalidates public health policy and feeds the
19 per cent of North Americans who don’t trust public health officials.
There's that r-word again. This is weak argument against a public health policy proposal that is based not only on previous experience dealing with SARs and influenza, but also on plans to deal with future pandemics, plans developed since 2003 and 2009, but ignored. These plans focussed on containing or slowing the spread of the virus, isolating and treating the infected, and protecting the most vulnerable with targeted measures. For instance, school closures were one of the public health measures listed in the event of a severe
influenza outbreak, because children are especially at risk. By the time the declaration was published, health authorities had a good understanding of who was and wasn't at risk from Covid-19, and kids weren't one of them. Yet schools were closed anyway. I wouldn't characterize myself as a 19-percenter, but I can see why some would question public health officials, if only because of the contradictory messaging over the course of the pandemic.
3. The Barrington declaration puts individual preference far above public good.
The declaration advocates that, “individual people, based upon their own perception of their risk of dying from COVID-19 and other personal circumstances, personally choose the risks, activities and restrictions they prefer.”
If these views were applied to traffic safety, chaos would ensue as we each chose our own speed limit and which side of the road to drive on. Public health matters, and the approach of the declaration to
place ideology over facts helps fuel the pandemic.
This is disingenuous. The statement isn't ideological. It's simply reiterating the right of adults to have a say over their own health care, that individuals can make their own assessments with regard to what risks they take with their
own lives. Nowhere does the declaration give licence to individuals to put the most vulnerable at (greater) risk. Under the GBD, the most vulnerable were to be isolated, and those directly responsible for their wellbeing carefully screened and tested. Sticking with Archer's traffic-safety analogy, there's nothing to stop a mask-wearing motorist from exceeding the speed limit. Instead, we rely on most people being responsible most of the time. Given the overwhelming adherence to public health restrictions in western nations to date, Archer was fueling mistrust.
4. The declaration misunderstands herd immunity.
Herd immunity occurs when a large enough proportion of the population has immunity, usually more than 70 per cent. Viral spread is then slowed because the virus largely encounters immune people. Herd immunity can be safely achieved by vaccines, but in order to “naturally” develop herd immunity, people must first survive the infection.
Given what was known about the virus in November 2020, when the rebuttal was published, herd immunity had already been underway for more than six months. Because many infected with Covid-19 were asymptomatic, we have no way of gauging exactly how many people had been infected to date. Moreover, by October, when the GBD was published, it was clear that deaths from the disease were almost exclusively among the elderly and those with certain co-morbidities such as obesity, diabetes, and cardio-vascular conditions. (Of 999 Covid deaths in Australia to date, almost 97 percent were 60 or over.) Finally, Gupta argued in a
recent podcast that had authorities focussed on the most vulnerable from the beginning, including dispensing vaccines to the most vulnerable first--regardless of age, many lives could have been saved. She went so far as to say that she would have preferred to see her doses of the vaccine go to someone more vulnerable than her.
5. The declaration offers no details on how it would protect the vulnerable.
In Ontario, more than
60 per cent of COVID-19 deaths have occurred in residents of nursing homes and long-term care (LTC) facilities. COVID-19 is imported into LTCs from the community by relatives and health-care workers, so we must prevent viral spread in the community to keep these vulnerable people safe.
The experts have spoken: ...
On the contrary, Kulldorff, Gupta, and Bhattacharya made specific recommendations wrt to how to safeguard the elderly, regardless of where they live:
Para 7 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.
I don't think proponents of the GBD were (or are) asking anyone to take any claims at face value. Their premise, as I understand it, is based on the global health policies and plans developed in the wake of SARS. To my knowledge,
none of these plans involved "lockdowns," certainly no stay-at-home orders as we have witnessed.
I'm not buying Archer's claim that GBD is guilty of spreading an "infectious bad idea." Their proposals were based on a hypothesis, just as the models that have been used to justify unprecedented public heath measures were based on a hypothesis. But Archer's position on the matter seems clear enough:
The experts have spoken: ...
The latest numbers I have seen from the World Health Organization is that vaccines are providing 80-90% protection against infection, and vaccinated people who are infected have vastly reduced effects. So if I lived alone on a mountain, I would come down from it to play ASL in Cleveland. But I don't. That 10-20% chance of getting infected, even if I don't suffer ill effects, still puts my friends, family and neighbours at greater risk than they need to be. I do know people with compromised immune systems. I do know people who are over 70. I do know people who cannot be vaccinated for legitimate reasons. I'm not going to put them at risk for the sake of a boardgame. I'm comfortable in the company of other fully vaccinated people.
As Gupta explains, unlike the vaccine for measles, the Covid vaccine doesn't provide permanent, or in some cases even temporary, protection from infection, and little if any from transmission. What the Covid vaccine does do is reduce the severity of the disease, allowing people to survive an infection and develop a resistance to the virus. IOW, even if the entire world population were vaccinated tommorow, vaccination would not eliminate Covid. And given the talk about a "booster" shot, "herd immunity" may not be such a bad idea after all.
I'm not comfortable in the company of people who have decided that their "freedom" is worth putting me and my community at greater risk. I've lost enough people in my circle from this pandemic, I'm not going to lose more by my own neglect. So I will not be attending ASLOK this year.
You are free to make your own decisions wrt your own health and that of others close to you. However, I don't think it's fair to claim that other's are putting their freedoms ahead of yours. They have not made you attend ASLOk against your will. Nor have they denied you access to vaccines. To suggest that there is a malicious disregard for your personal wellbeing is a bit much.