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The Great Barrington Declaration

Despite the fact that the signatories to this declaration are undoubtedly riven with conflicts of interest, lack credibility in the eyes of respectable science and are probably horrible idiots, I agree with every word.

The Great Barrington Declaration

As infectious disease epidemiologists and public health scientists we have grave concerns about the damaging physical and mental health impacts of the prevailing COVID-19 policies, and recommend an approach we call Focused Protection.

Coming from both the left and right, and around the world, we have devoted our careers to protecting people. Current lockdown policies are producing devastating effects on short and long-term public health. The results (to name a few) include lower childhood vaccination rates, worsening cardiovascular disease outcomes, fewer cancer screenings and deteriorating mental health – leading to greater excess mortality in years to come, with the working class and younger members of society carrying the heaviest burden. Keeping students out of school is a grave injustice.

Keeping these measures in place until a vaccine is available will cause irreparable damage, with the underprivileged disproportionately harmed.

Fortunately, our understanding of the virus is growing. We know that vulnerability to death from COVID-19 is more than a thousand-fold higher in the old and infirm than the young. Indeed, for children, COVID-19 is less dangerous than many other harms, including influenza.

As immunity builds in the population, the risk of infection to all – including the vulnerable – falls. We know that all populations will eventually reach herd immunity – i.e. the point at which the rate of new infections is stable – and that this can be assisted by (but is not dependent upon) a vaccine. Our goal should therefore be to minimize mortality and social harm until we reach herd immunity.

The most compassionate approach that balances the risks and benefits of reaching herd immunity, is to allow those who are at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk. We call this Focused Protection.

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 PCR 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.

Those who are not vulnerable should immediately be allowed to resume life as normal. Simple hygiene measures, such as hand washing and staying home when sick should be practiced by everyone to reduce the herd immunity threshold. Schools and universities should be open for in-person teaching. Extracurricular activities, such as sports, should be resumed. Young low-risk adults should work normally, rather than from home. Restaurants and other businesses should open. Arts, music, sport and other cultural activities should resume. People who are more at risk may participate if they wish, while society as a whole enjoys the protection conferred upon the vulnerable by those who have built up herd immunity.

On October 4, 2020, this declaration was authored and signed in Great Barrington, United States, by:

Dr. Martin Kulldorff , professor of medicine at Harvard University, a biostatistician, and epidemiologist with expertise in detecting and monitoring of infectious disease outbreaks and vaccine safety evaluations.

Dr. Sunetra Gupta , professor at Oxford University, an epidemiologist with expertise in immunology, vaccine development, and mathematical modeling of infectious diseases.

Dr. Jay Bhattacharya , professor at Stanford University Medical School, a physician, epidemiologist, health economist, and public health policy expert focusing on infectious diseases and vulnerable populations.

Sign the Declaration

Co-signers

Medical and Public Health Scientists and Medical Practitioners

Dr. Eyal Shahar , MD professor (emeritus) of public health at the University of Arizona, a physician, epidemiologist, with expertise in causal and statistical inference.

Dr. Eitan Friedman , MD, PhD. Founder and Director, The Susanne Levy Gertner Oncogenetics Unit, The Danek Gertner Institute of Human Genetics, Chaim Sheba Medical Center and Professor of Medicine, Department of Internal Medicine and Depertment of Human Genetics and Biochemistry, Tel-Aviv University

Dr. Rajiv Bhatia , MD, MPH a physician with the VA health system with expertise in epidemiology, health equity practice, and health impact assessment of public policy. He formerly served as a Deputy Health Officer for San Francisco for 18 years.

Dr. Michael Levitt , PhD is a biophysicist and a professor of structural biology at Stanford University. Prof. Levitt received the 2013 Nobel Prize in Chemistry for the development of multiscale models for complex chemical systems.

Dr. Rodney Sturdivant , PhD. associate professor of biostatistics at Baylor University and the Director of the Baylor Statistical Consulting Center. He is a Colonel in the US Army (retired) whose research includes a focus on infectious disease spread and diagnosis.

Dr. David Katz , MD, MPH, President, True Health Initiative and the Founder and Former Director of the Yale University Prevention Research Center

Dr. Laura Lazzeroni , PhD., professor of psychiatry and behavioral sciences and of biomedical data science at Stanford University Medical School, a biostatistician and data scientist

Dr. Simon Thornley , PhD is an epidemiologist at the University of Auckland, New Zealand. He has experience in biostatistics and epidemiological analysis, and has applied these to a range of areas including communicable and non-communicable diseases.

Whoops, just posted a link to the three dissenting doctors - and all the others who’ve signed the declaration, of whom I wasn’t aware (thanks spike!) - under the headline ‘Are these three doctors ‘covidiots’?’

Also, I can’t see a ‘covid’ category in the subject list offered when making a new post. Would you like to merge my post with spike’s, P? And instruct me how to use the ‘covid’ category, please?

Thanks @spike. I’ve just posted (before reading this) Ron Paul and he starts with exactly this. So apologies for the duplication, but then Ron Paul goes on with more.

Two clips from Prof Gabriel Scally, of the Independent SAGE group on the subject of the Great Barrington proposals and herd immunity.

Essentially pointing out that it’s the poor, the ethnic minorities, and those who are moderately at risk (not the high risk groups) who will bear the brunt of this approach. Also points out that it is essentially impossible to protect more vulnerable people from the virus.

The rich, of course, will be unscathed by this approach.

Cheers
PP

Has been put on TLN now and discussed

The libertarian agenda was quickly zoomed in on. That’s not ideal, though not necessarily a deal-breaker in itself. The other side of that coin is that politically ‘better’ sources may also be tainted with the stop-Trump agenda of … everyone but the Trump supporters. I’d say this is certainly infecting the treatment side there, and elsewhere.

The video is by Dr John Campbell (apols if already posted here). It’s very live, low tech - featuring pens and paper!! - and a bit fumbly, but I rather like him.

What is poor is pointed out by good old fashioned John - they are a group of academics who are not referring to any research! I looked for links in vain.
In conjunction with their apparent other agenda, I’m inclined to think this is only a statement of their politics. He also suggests their proposal not much different from what’s been done already here.

I think at this stage proposals need to refer to evidence.

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Cheers Evvy. The same problem I had with Dr Reiner Fuellmich.

Proposals absolutely must be based on evidence. I don’t know if you read the article on super-spreaders, but one of the things I thought was interesting was how Japan decided to stop the spread of covid by actively pursuing the super-spreaders and closing down any clusters that emerged.

They carefully used both forward and backward contact tracing, and universal mask wearing.

That sounds like an evidence based approach. Antibodies are spreading through the population, but deaths are extremely low. In order words, it’s trialled and tested in the real world and we know it works. Why are we even looking at other hypothetical academic exercises when we have a template that had been proven to work?

The Gt Barrington proposal seems incredibly naive to me. It looks exactly like something that someone who had almost no recent practical experience with public health would come up with. There are so many complications that is hard to know where to start, for example:

  • how should we deal with multi-generational households? Younger and older mixing together, as is most common in poor and ethnic minorities households?

  • how do we protect people who are not in the highest risk category? People with comorbidities like diabetes or hypertension? They would not be allowed to shield and would have to go to work. Sure they might not be in the riskiest category, bit they can still get very ill, and there are a lot of such people. This could easily start overwhelming the ability of the NHS to cope… What’s the plan?

  • how do we guarantee that, as the virus spreads through more and more of the population (by design), those people who are shielding because they are in a high risk group are kept safe? What a gamble…

  • what’s the plan to help parents who cannot work from home but have children that have serious comorbidities? Should they shield? How will they be able to of they have no savings? What about children who act as carers for their (grand)parents? Who will take over that duty?

There are so many problems with their strategy that it seems essentially impossible to make it work. It’s so easy to say “let’s just protect the vulnerable and let everyone else get the illness - why has no one thought of this before?”. The devil is in the detail…

Cheers
PP