When you listen carefully enough and long enough to a variety of epidemiologists, you can start to see that their pandemic strategies are converging — or at least complementary.
This might seem surprising after the angry flap over the Great Barrington Declaration, which pushed a herd immunity strategy. A group more representative of the mainstream scientific community then presented a scathing response they called the John Snow Memorandum.
But what if these two approaches have more in common than it might appear?
The essence of the herd immunity strategy is to take advantage of the observation that COVID-19 is a thousand times deadlier in people over 60 than in people under 30. In principle, if you could find a way to protect all those older people, then encouraging younger ones to go on with life could lead to so-called herd immunity — a state in which enough people are immune to hold the disease in check.
Opponents equate herd immunity with running millions of people off a cliff. But there's a reason it's caught on with some members of the public. It is, at long last, a strategy. That puts it far ahead of the Trump administration's non-strategy of doing almost nothing and telling people the disease will go away.
Harvard epidemiologist Marc Lipsitch, who has signed the Snow petition, said in a news conference this week that the big objection to the herd immunity strategy is that nobody has figured out how to protect the vulnerable. Even now, the virus is again creeping into nursing homes despite best efforts to protect residents.
The objection, in other words, is not that thousands or millions would die if the strategy worked, but that we'd see additional deaths if it failed, and that it's likely to fail.
On the other hand, trying to essentially eradicate the virus — as in New Zealand — is also extremely unlikely to work in a country the size of the U.S. Social distancing and mask-wearing can slow the spread of the disease, but won't make it go away.