MissAdventure
That's my thinking, too.
Little outbreaks which can be contained and dealt with; a bit like we thought it might be all that time ago.
I agree totally.
The first step is to get the infection rate down to <1:100,000, which is achievable with hard lockdown. It would mean there would still be up to 600 people in the whole country infected at any one time.
The next step is to keep it at that level. It could go either way. 600 cases could easily become 1,200; 1,200 could become 2,400 and so on. That's what started happening again in September. The other direction would see the 600 dwindling to isolated cases and outbreaks, which are jumped on.
To prevent the numbers increasing, there needs to be an efficient local test, trace, isolate and support system. Contacts of the 600 would need to be contacted and forced to isolate. In order to enforce that, they would need in some cases to be supported, which might mean financial support if they couldn't work, hotel accommodation if they lived in overcrowded accommodation, domestic support if children or vulnerable people were involved, fetching essential food shopping and medications, etc. Yes, it would mean each case would be expensive, but much cheaper in the long run, if everybody else could start getting on with their lives.
People who are seriously ill would have the best treatment available with the maximum number of staff. The vaccine would mean that very few people would be very ill anyway. The NHS could get on with clearing the backlog of other cases.
Three conditions are needed:
1 Enforcement of a hard lockdown.
2 An effective test, trace, isolate and support system.
3 Management of border controls.