Sunday, June 21, 2020

How Iceland Beat the Pandemic Without Imposing a Lockdown

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Article Contributor(s)

Nikhita Gautam

Article Title

How Iceland Beat the Pandemic Without Imposing a Lockdown

Publisher

Global Views 360

Publication Date

June 21, 2020

URL

Downtown Reykjavik, Iceland

Downtown Reykjavik, Iceland | Source: Robingileo via Wikimedia

Like the rest of the world, Iceland also has to face the COVID-19 situation. This European country of approximately 3.5 lakh population registered the first case of COVID-19 virus on the 1st March 2020 and the number of the infected hit a peak on the 5th May 2020. The active cases declining afterwards and on 24th of May there were only three active cases. Iceland’s response to COVID-19 has been widely lauded.

The country’s small population enabled extensive testing; instead of simply testing symptomatic or exposed people, also tested the general population. Along with the Icelandic health authorities, deCode Genetics, which is an organization committed to mapping and understanding the human genome, undertook the task of testing the general and non-symptomatic population for free. Consequently, Iceland has tested a higher portion of inhabitants than any other country, making it easier to trace how the infection spreads. There has been no lockdown imposed; however, the government has been taking measures to spread awareness for voluntary self-quarantine measures. The government also banned gatherings of more than 20 people on 24th of March which was relaxed to 200 from 25th of May.

The strategy followed by the government of Iceland was based on robust testing, contact tracing of infections, social distancing, increasing public’s awareness of hand-sanitation and voluntary self-quarantine, along with strict measures in healthcare institutions. Through effective contact tracing the healthcare workers were able to reach out to people who came in contact with COVID-19 infected people and recommend them to self-quarantine.

The government was very open in communicating with the citizens on the status of COVID-19 situation in the country. Half an hour long daily briefing on Iceland’s local response to the pandemic was relayed on the public’s screens for the past months until the 25th of May. The briefings were led by Þórólfur Guðnason, Alma Möller and Víðir Reynisson who are the Chief Epidemiologist, Director of Health and Director of Iceland’s Department of Civil Protection and Emergency Management respectively.

Iceland has shown that robust testing regime, contact tracing, and clear communication to the public can be very effective in controlling the COVID-19 before it could turn into a pandemic.

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February 4, 2021 4:43 PM

Sweden’s No Lockdown Policy: How That Changed The Outcome

Sweden has gone against conventional wisdom in its response to the COVID-19 situation. While the neighbouring countries like Denmark, Finland and Norway imposed strict lockdown on the places and services frequented by the public, Sweden has chosen to not do so at all during the initial phases when COVID-19 started taking the shape of a worldwide pandemic. The public places like Cafes, restaurants, gyms, malls, playgrounds, ski slopes and some of the schools were kept open all across Sweden.

The country’s fight against the threat of pandemic was handled exclusively by the Public Health Authority, with no political interference. They believed that a lockdown only serves to delay the virus, which is not necessary since the health services are equipped to deal with the cases. They also made it clear that achieving herd immunity is also not their aim. The public authorities in Sweden instead relied on the public's sense of responsibility, and appealed to them to do frequent hand washing, observe social distancing and keep people over 70 years old from going out.

The state epidemiologist, Anders Tegnell, made multiple statements about the state’s unusual approach, such as 1) “Once you get into a lockdown, it’s difficult to get out of it,”, “How do you reopen?  When?” 2) “There is no evidence whatsoever that doing more at this stage would make

any difference. It’s far better to introduce stringent measures at very specific intervals, and keep them running for as little time as possible” , 3) " As long as the healthcare system reasonably can cope with and give good care to the ones that need care, it's not clear that having the cases later in time is better”.

The assumption of public responsibility did not work for Sweden and there were people out on the streets, in cafes, restaurants and playgrounds. Not wearing a mask was the social norm instead of the reverse. The models for charting the virus spread given by the concerned authorities also turned out to be faulty forcing them to rescind it. Over 2000 Swedish researchers and doctors signed a petition which claimed that there was not enough testing,tracking or isolation in the country. They believed that the authority has clearly not planned their response and that the authority’s claim for herd immunity has very little scientific basis, even though the government has repeatedly claimed that herd immunity is not what they were aiming for.

Sweden’s lax approach to the combating of coronavirus forced its neighbouring Scandinavian countries to close the border for the Swedish citizens. Some of the Swedish officials were worried for the possible harm to the long term relations between Sweden and its neighbours.  Also, the plan of letting life go on as usual to avoid the economic recession occurring due to a lockdown also failed as it didn’t shield  the country from economic slowdown.

Here comes the question; was the lockdown successful or not? There are some comparisons that have been drawn which indicate more deaths per 100,000 people than in nearby countries with homogenous population, even though it is significantly lesser than some of the European countries. While the infections rates are double that of Denmark, the death rates in comparison are much higher. This difference has been attributed to the fact that approximately half of these deaths have occurred in old care homes despite the stated priority of the officials to protect the elderly. This has been in part to the volunteer program, which replaced symptomatic old age home cares with new volunteers, hence increasing exposure. Another factor is the lack of protective equipment in such homes, along with laws preventing administration of medical procedures without the presence of doctors. There were reports of people threatened with lawsuits for banning visitors.

All of this led to Mr.Tegnell claiming that the ideal policy would have been something between what Sweden adopted and what the other countries did, in the light of what they know now. However this claim of Mr.Tegnell will be put to test when the second wave comes, later in time.

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