Thursday, 12 March 2020

Covid-19: the latest update from London

Hi guys, I thought I'd give you all a quick update from London about the whole Covid-19 situation here. Now firstly, there's no much change to my regular routine - I mostly work from home anyway given that my clients are all over the world and it makes very little difference to me whether I am sitting in the office or at home if I am talking to a client in Taiwan. The only thing that I do regularly is go to my local gymnastics club for training four times a week and I would get really upset if I was no longer able to do that as I am actually in pretty good shape now. The thing is that we are unable to make plans for our next holiday for the moment - my partner is awaiting a medical appointment with the local hospital and good grief, they have such a lousy system. You need your local GP to refer you to the hospital - but the hospital then will call you once they get round to processing your case and we're just waiting for the phone to ring, for them to ask him in for an appointment and until then, we can't book anything and the hospitals are probably overwhelmed with the whole Covid-19 situation. Apart from not being able to go on holiday because of this, well really, nothing much has changed. But here's a few snapshots of how Covid-19 is now affecting life in London and also my thoughts on some of the latest developments.
We all know that the cases are hugely under-reported - all we know is that there are many people with Covid-19 out there but most of them are suffering from very mild symptoms but nonetheless passing it on as carriers. So here's a true story from my friend Jason who had just returned from Italy and he had a bit of a cough - usually something he would totally ignore given that it really was no big deal, but in light of the current circumstances, he went to seek medical advice. So he was told, "because you're in the low risk group (he is a young adult in good health), we're not going to test you. But don't leave your house for 2 weeks, you need to self-isolate just in case you are ill." Jason then asked the doctor if he could just pay for a test and the doctor replied, "oh we don't do the tests here, we need to refer you to the hospital and we're only referring the elderly and those who have underlying medical conditions for the test. But seriously, please self-isolate for 2 weeks and check yourself for fever." And so Jason asked the doctor, okay and what if I get a fever? The doctor then said, "uh, well, then you need to make sure you really stay at home since it's not like we have a cure for this, just self-quarantine." Hence at this stage, we have simply no idea if Jason has Covid-19 or not - because he is not tested, the system isn't testing people like him who are deemed 'low-risk'. However, even if Jason did have Covid-19, then he is not showing up in the official statistics because our testing system basically is so inadequate that they are only bothering with those in the high risk category: the elderly and those with underlying health issues. There must be thousands like Jason out there who may have Covid-19 - unless they are all tested, we cannot trust the official statistics. 

This is in huge contrast to East Asian countries like South Korea and Singapore where testing is carried out with ruthless efficiency and has gone a long way in helping contain the virus. There are two reasons why the testing is so pathetic in the UK - firstly, whilst we have a national health service, it is hugely bureaucratic, under-funded, under-staffed and it is ill-equipped to cope with such a crisis. Currently, they are trying to slash the amount of time you have to wait for a Covid-19 test result from a week to 24 hours - but there are testing kits in places like China and Taiwan which can offer you results in 10 to 15 minutes. However, the very bureaucratic nature of the NHS means that they need to go through months of tedious, boring paperwork before they can consider purchasing any new equipment - so they would rather let patients die than get better testing kits because of this kind of bureaucracy. Secondly, the government prefers testing to be limited because if we implemented a South Korean style testing regime and tested all people like my friend Jason, then the numbers would jump from a few hundred cases to well over 10,000 or even 100,000 cases in a few hours. Most of those people would have very mild or no symptoms at all, but still such a headline would send shock waves into stock market and cause it to crash even further as the true scale of this pandemic is revealed. The government is already struggling to deliver a Brexit and having the economy crash like this isn't going to do them any favours, hence they would deliberately want to limit the availability of testing to keep the official figures low and even if it means a lot more old people die as a result of this virus, the government is cruel and evil enough to turn a blind eye to that as their first priority is the economy.
The same situation is facing America where a lot of the poor don't have access to medical insurance and healthcare, so they cannot even afford to show up at a hospital and get warded for a severe case of Covid-19 induced pneumonia as that would be incredibly expensive. So even if you do make testing free of charge in America, many of the poorer Americans with no health insurance just wouldn't get tested and hope that they can just recover the same way they would from a bad case of flu. 44 million Americans have no health insurance and a further 38 million have inadequate health insurance. This is a man-made disaster we're witnessing in one of the world's richest countries - Trump and his government doesn't care about these poor people, he only cares if the stock market crashes because that would hurt his fellow rich people who have invested in the stock market. Even at this time of crisis, Trump is such a fucking idiot that he is tweeting shit like a wall would protect America from the virus - at which point I can only shake my head and think, what kind of person would want a moron like that for their president? What? Seriously? With nearly 800 cases of Covid-19 in America and only 7 confirmed cases in Mexico, I'm thinking that Mexico needs the wall to be protected from Americans with the virus. Well both Trump and Johnson are both fucking idiots and I've accepted that we live in a world where enough poor and stupid people are willing to vote for them - I'm just glad that when it all this shit comes crashing down, I have enough personal wealth to make sure I will be okay no matter how bad things get. The only consolation is that Trump is woefully out of his depth to handle a crisis like this - a public health emergency on an unprecedented scale, so if things get really bad in America, Trump may lose the next election. That would be the one silver lining in this dark cloud.

Would things in the UK get as bad as in Italy? I don't know - but we are certain that things will get a lot worse over the next few weeks at least before they will get any better. Many are hoping that the warmer weather in spring would stop the spread of the virus but I think that's just wishful thinking. There's a lot of uncertainty at the moment, a simple example is my friend visiting from Spain at the moment. He is due to go home next week but he is now afraid that his flight may be cancelled if things in Spain become as bad as in Italy - if there is a sudden explosion of cases in London, then he may be faced with a quarantine period when he gets back to Spain as he lives in an area with very few cases. He wants to change his flight to go home earlier, ahead of schedule but the airline is telling him that as Spain is not badly affected at the moment, they won't be able to change his flight for free and it would involve a hefty fee to change his flight. Another friend has just been told not to go into the office tomorrow and I asked her, "how long will they expect you to work from home for?" And she said, "until further notice, quite frankly nobody knows what the hell will happen tomorrow, or this time next week. Would the situation get worse, how quickly and how much worse? Nobody has a freaking clue - we simply can't make any long term decisions as a result. So we're now just doing a lot of conference calls and all meetings are cancelled. I would be treating myself to an extra hour in bed since I don't have to commute into the office though, I could get used to this." I get the sense that people are hoping for the best but expecting the worse. Then there's a question of enforcement: even if they want to lock down a city like London, are there enough police officers to enforce a very strict lock down? Can you even find the manpower to make a lock down effective - this is a very big city with 9.3 million people.
The other issue I have faced is how a lot of companies have been plunged into a period of uncertainty - they are cancelling events like conferences, they are stopping their staff from taking business trips and even asking them to work from home if possible. In light of all of this, a lot of projects have been put on hold and so earlier this year, I was looking at doing something quite exciting with the Taiwanese institutional market - that has all been put on hold because everyone's waiting for the whole situation to calm down before making any decisions. A few of my business contacts have chanced on a business opportunity: China, Singapore and Taiwan have had a head start of a good two months in terms of dealing with this pandemic whilst Europe and America have only just awoken to the reality of just how bad things can get. So there are various parties in the Far East looking to sell the best testing kits over to countries who are willing to buy them - but we're not just looking at governmental organisations buying in bulk, anyone running a venue with a lot of people coming and going all the time could need these tests kits: hotels, universities, factories, schools, nursing homes, private hospitals - you name it. One company I'm dealing with has a test kit that can deliver results in just ten minutes, so imagine being able to test all passengers at a major international airport. If you can get accurate results in ten minutes, you can actually have a window of opportunity between the passengers arriving at the airport and boarding the plane to make sure that everyone getting on that plane is tested and you only allow those who are not infected to board the plane - if one airline does that, then every airline would follow suit quickly because passengers will demand it.

Do I have much experience in this field? Hell no, not at all - I am a finance guy, I work in banking, but I am a businessman and I know an opportunity when I see one. The products come with the right certifications and the buyers will not accept a defective product - the appropriate checks and balances are in place. This is no more than supply chain management and few people in the West needed these test kits two months ago, but suddenly they cannot get their hands on it fast enough. It is a new product and the supply chain doesn't exist or at least is a mess at the moment - I spot a business opportunity and before you say, "you're an evil bastard trying to make money out of misery, during the time of a pandemic", my reply to that is simple: if people like me can help get more testing kits into the right hands in the West faster, then more lives can be saved. Remember right wing governments like the ones in the US and UK don't want people tested because it would reveal the true number of cases in the country and that would cause the stock market to crash even further - however, if we can use the private sector to get testing kits into the right hands, then we can ignore the impact it may have on Trump's popularity and the stock market and make sure we help those who are most vulnerable with this vital piece of testing and diagnosis equipment. If I haven't said this enough, I'll say it again: I fucking hate Trump. I hate Trump so much. I also hate Johnson as well. It has been a long time since we have had politicians we can trust. And if I can use my skills as a businessman to bring them down by hurting their popularity, then I shall take great joy in doing so and if I can make some money in the meantime, then why the hell not? At least this is far more sophisticated than those people selling toilet paper, hand-sanitizing gels and face masks on the internet at inflated prices.
Finally, I would like to talk about Trump's bizarre travel ban that hit the news today: we all knew he is so fucking stupid so this doesn't surprise me. He has suspended all flights from 26 countries in the Schengen Zone to the US, but that doesn't include the UK or Ireland. That's a highly ineffective measure because that's a massive loophole. Italy is one of the worst affected countries in the world at the moment - imagine if I wanted to travel from Turin (in the north of Italy) to New York, I can't take a direct flight from Turin to New York - they don't exist. But I can simply fly from Turin to London, transit in London and then fly from London to New York. That's a very common route in any case because Turin is a relatively small city with no direct flights to America in any case - you would need to connect through another big city like Rome, London, Paris or Amsterdam anyway if you wanted to fly to America from somewhere like Turin and the London route remains open. Is this latest travel ban going to cover an Italian passenger traveling through London to the US? No, because London isn't covered in the ban which is bizarre because the situation in London is no better than a lot of places in the 26 countries covered in this ban which covers country like Slovakia and Latvia with just 10 cases each. There are currently 460 cases in the UK (this number reflects poor testing and under-reporting) and just 43 cases in Ireland, yet neither the UK nor Ireland are covered in this ban. I'm just some guy who travels quite a lot for my holidays and I saw the massive loophole in this policy in about 5 seconds? In any case, there is already plenty of cities in America where the virus has taken hold and there is much evidence of community spread - so it is not a virus that foreigners are bringing into America, no the virus is already spreading from person to person in these American communities: people who have never even left America before are getting the virus, so he is shutting the stable doors long after the horses have bolted.

So what will happen as a result of this travel ban? Well, the people who would get hit hardest are the European airlines like KLM, Lufthansa, Air France, Iberia and Swiss who are going to be forced to cancel flights to America because their European passengers cannot travel on those flights. Americans returning to America on these flights are exempt and will be allowed to enter the US, but these airline are probably not going to bother operating half-empty flights to America and back. By the same token, airlines who operate routes originating in the UK and Ireland for American destinations are going to be getting a lot of bookings today as travelers in Europe scramble to reroute themselves via London, Dublin, Manchester and other cities in the UK and Ireland in order to exploit this loophole. So airlines like Aer Lingus, British Airways, Virgin Atlantic, along others like American Airlines, Delta and United who do fly to London are the net beneficiaries of this policy. So someone who was hoping to travel on a direct flight from Berlin to New York will now have to transit via somewhere like London or Dublin - that's utterly ridiculous because that assumes that the authorities in the UK and Ireland will take responsibility to screen all US-bound transit passenger. There's no evidence to suggest that British and Irish airports are any better equipped than European or American airports when it comes to screening infected passengers for the virus and if the American authorities were that concerned, then they need to test and monitor all disembarking passenger at American airports given that we need to queue for a long time to get through US customs.
So that's it from me for now - what do you think? How have you been affected by Covid-19? Have you changed or canceled your travel plans? Are you working from home? Are you washing your hands more often? Do you think that there are plenty of people like my friend Jason out there who probably have the virus but are untested and thus are not showing up in the statistics? How bad will things get in Europe and North America? And what do you think of Trump's latest travel ban? Anyway, in light of the situation, a colleague recently mentioned that people have been afraid of Chinese people wearing masks in public and I replied, "do you know how many European people have died from the Corona virus in places like Italy? This is no longer a Chinese virus, it hasn't been for weeks - plenty of white people are dying from it, keep up with the news. This virus kills white people like you too, you know. This virus is less racist than us human beings - it doesn't discriminate, it will kill anyone." Leave a comment below please and many thanks for reading.

15 comments:

  1. Oh I have just realized another route to America from continental Europe is to transit via Canada or Mexico. So for example, you can fly from Paris to Toronto, then from Toronto onward to the US. Or alternatively, you can fly from Madrid to Mexico City, then onward to the US. Trump's plans has so many holes in it, it is ludicrous.

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  2. Oh and I did have a lucky escape - I was going to book a skiing trip for my partner and I to Norway as soon as he sorts out his medical appointments with the hospital, but I only just heard today that Norway has had a massive spike in cases in the last 24 hours and are considering an Italian style lock down which means closing everything from airports to ski resorts - goodness me. Imagine if I had booked a holiday to Norway before seeing that latest development. Well, I will sit tight, let my partner get his hospital appointment over and done with then revisit the issue of our next holiday then. Who knows what the hell will happen in say two weeks.

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  3. My previous office was functionally like an internal (our clients are other entities under the same group) regional consultancy, and as I understand the activities have totally died down. No travels, everyone is on work from home until further notice. Given the nature of the office, it pretty much means work is very slow and the staff is under-utilized.

    As for myself, I recently changed into healthcare. Every other day there are morale-raising emails from top-management and various tactical initiatives dealing with this - one thing I got involved in fairly quickly was epidemiological modelling, to see how the virus would spread in Singapore.

    I myself think the initial scare will die off eventually as people get used to living and coping with it; no different from car accidents say. It'll be part of the 'accepted risks of life' that everyone else carries around. Since it's still relatively new in the West it's having the freak-outs that the East had.

    I'm thinking things will be worse in Europe and NA because firstly, it's more unpalatable to pull off the somewhat draconian measures China and SG used in their countries. Also, Europe is highly connected. I doubt people would be so happy giving up this 'freedom of borders' (Cough, Brexit, cough). Secondly, bureaucracy and a labyrinthian, dysfunctional healthcare system. You've touched on it for Britain, and while I'm unfamiliar with the rest of EU I'm almost certain they are knee deep in it as well. Bureaucracy is EU's signature export.

    Meanwhile for NA, the healthcare system is just as defunct and the POTUS has been stirring a resentment against technical experts. The exact people needed now to combat the spread - how are you going to square the narrative?

    Based on what I know about Trump, I'm just gonna guess that he had no reason to call the travel ban besides wanting to look like he's taking tough decisions. Shinzo Abe did the same thing in Japan, closing down schools abruptly. I view those as bungled political responses no different from HK police handling the riots - these guys haven't been tested in such a manner before and now they're acquiring experience on how to go about it. I'm sure if we weather the storm and such an event appears again, there'll be much smarter decision making. SG's experience with SARS comes to mind.

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    1. What you said about Trump and Abe hits the nail on the head - trying to look like tough guys who can make tough decisions and appear presidential. But let's see, there's a part of me that thinks that it is a man-made disaster in the US given the state of their healthcare system, that's going to cause the virus to spread there and it's gonna get real bad there.

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  4. Ummmm, is it not the case that immigration pre-clearance is required for all passengers on international flights heading to the US ?

    And that airlines get hit with financial penalties for any turn-backs at immigration for passengers they have boarded ? (to most/all countries not just the US).

    Hence, not 100% sure, but far from convinced that a Schengen passport holder would get the required clearance from US, or that UK airlines would be in any great rush to allow boarding to such passengers at LHR, LGW etc.

    So whilst the Great Orange Dumbf has introduced yet another insane policy I don't think the hole you imagine is anywhere near as big as you think it is ?

    Furthermore, LHR-->JFK LHR-->EWR and other combinations are the most profitable routes in the world, largely due to to the high incidence of Business and First passengers. These have all gone for the time being. A few Schengen passengers routing themselves via London isn't going to fill the financial hole BA and Virgin are in, in common with the entire airline industry. So its a bit of a stretch to suggest they will benefit from this policy - especially as any sane individual would expect Dumbf to expand his ban to the UK very shortly, and thus avoid travelling there altogether.

    Just my 2C.

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    1. Hi PH. This was discussed with another friend on Facebook - the thing is that travel within the EU is mostly controlled by e-gates, so you know the drill, you shove your passport into a machine, it does a scan of your face and you get through the gates. No need to interact with a human - stamps in passports are not required. Such stamps are only given if you need a visa to visit the UK - so if you're from China, then yeah you will need to produce a passport with a valid visa when you arrive, before you get your passport stamped. But if you're an EU citizen, that's not required.

      In terms of immigration pre-clearance, the airlines are only interested if you have your ESTA - the fact is there is no way an airline can check if an Italian national has been in Italy in the last few days or in London, since Italians don't need a visa to reside in the UK whilst we're still in the Brexit-transition phase anyway. So it's unfair to place this onus on airlines to check if an Italian passenger has been in the UK for the last 14 days or in Italy (or elsewhere in the Schengen zone) since there's no paper trail via the passport, the only way is to ask them and of course, the passenger can lie about where they've been if there's no way to check. Certainly, an Italian citizen resident in London would not be subject to these restrictions if he hasn't been to Italy in say the last 4 months. But how is the airline going to differentiate him from someone who has just crossed over from Milan?

      To put things in perspective: an alternative proposed would be a blanket ban on all Italian citizens (regardless of where in the world they are) would be highly unfair to those Italians who are healthy and resident in another part of the world like New Zealand. So again, the only alternative is better testing, faster testing and implementing contact tracing as they have done very well in Singapore and South Korea - that's the successful model. Trump's knee jerk reactions are just terrible.

      All airlines have been hit hard by this - I'm not saying that this is going to give BA, Virgin Atlantic and other American airlines a massive windfall, but clearly if EU passengers are going to be rerouting through UK/Ireland, then that's new business they weren't expecting prior to Trump's latest announcement.

      As for why the UK wasn't included in this ban, I am also left scratching my bald head. It makes no sense, but then again, Trump rarely does.

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    2. Well, we'll see how it pans out I guess. I personally don't foresee the airlines taking the risk of the turn backs at US immigration. My expectation will be that a Schengen zone passport will be enough for them to deny you boarding on the transatlantic leg.

      Lets face it most Italians live it Italy, Germans in Germany etc, and those 'unfairly caught' by a blanket rule and who are genuinely resident elsewhere will be a small minority. Or they might conveivably allow you to prove your residence in the UK if applicable.

      As I type this I've just read the Lufthansa and Delta have the begging bowl out to their governments already. And impending job cuts at BA were announced earlier today. The industry is stuffed.

      Hence my guess is that the airlines have much bigger fish to fry than getting into a fight with the US government by delivering a bunch of people into the USA that the US government clearly doesn't want there.

      Where do you stand on bail-outs for airlines by the way ? I'd be interested to hear your views on that.

      Regards
      Pete

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    3. Well, denying anyone with a Schengen zone passport is still a clumsy rule - so for example, a British or Australian person may have been living in Italy but as he has a British or Australian passport (and not say an Italian passport), he is able to board the plane to America in London whilst an Italian person living in London who has not set foot in Italy for months can't get on that plane? There are plenty of exceptions to the rules.

      London's actually an incredible diverse city - that's part of the reason why I have fallen in love with London. Did you know that London has so many French people here that it is the 6th biggest French city? More French people live in London than Bordeaux, Nantes or Strasbourg. The same can be said about Germans, Italians, Spanish, Swedish, Dutch, Belgian, Polish etc communities in London - it's an amazingly diverse place and that's why I feel so at home here, everyone's a minority in some way. So whilst most Italians live in Italy, so many of them live in London too. I have good friends who are Italians and of my tenants, two are Italians, one is Danish and one is Iranian. That's the kind of place London is.

      As for bail-outs, there's only so much one can do. I believe in the free market and someone will jump in and fulfill the demand when things get back to normal again. Thus there's no point in bailing out airlines for now, I'll let them go under then help new ones emerge in the future.

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    4. Agree 100% that using passport country would be a clumsy rule. But we live in extraordinary times given the current 'Leader of the Free World'. Clumsy would be almost subtle by his standards!

      Yeah I am aware of the diversity of London. I lived there long enough, and am just outside it currently. I am also aware of it being the 5th/6th biggest French City, but nonetheless it has under 1% of French passport holders. For the next few weeks and months broad brush rules and reactions will be the rule. That's not by the way to say that I condone any of this b/s, just a realist's opinion on where we now are.

      The US is only about 2 weeks behind Europe in terms of the exponential growth of this thing, and given their lack of testing to date might already be in the same place. We see other countries rushing to close borders today, when all the indications are that this thing is already pretty much everwhere already. The world's gone mad.

      Also agree re the bail outs. In fact I'm fine with the governments nationailising them now and privatising later, provided existing shareholders are 100% wiped out first. The airline industry has had more bailouts than the banks (I think?), and even the banks don't get a free pass any more, post 2008.

      By the way, I think we will have a massive shift in the UK response to this thng in the next 72/96 hour, as the WHO have pretty much told us that we are doing it wrong, and public opinion will demand a more rigourous approach starting right about now. But that's a discussion for another day.

      Have a great weekend !



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    5. Hi Pete, as for Trump being clumsy, good grief, I'm with you on that one.
      As for London, yes that's why I feel at home here and I wouldn't feel at home say in the English countryside. Ironically, things change quickly the moment one crosses over into Wales where I have my bragging rights to be more Welsh than most Welsh people since I speak Welsh fluently. But scratch beneath the surface of the fact that I speak Welsh, beyond the language, actually I don't have that much in common with a lot of the poorer working class Welsh folks there even if we do share a common language. You can tell from my attitude towards the airline industry that I'm quite right wing economically, so I don't think a lot of those common folks will like where I stand on closing the Welsh mines for example - even if I can express those opinions in Welsh.

      Ref the world's gone mad, read my latest post on Tony, Mr Hall and Melanie and who should go into self-quarantine. Good grief.

      I just got tickets for a West End musical tonight cos I think the theatres will be shut soon and right now, we're just like, okay, but shut them next week, not tonight! I've paid for those tickets already and I want my show! I wanna see Vanessa Williams on stage!!!

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  5. Came across this reddit thread. Not sure if this is genuine, but it would explain why your friend was asked to self-isolate.

    https://www.reddit.com/r/Coronavirus/comments/fif105/the_unofficial_uk_plan/

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    1. I stay the fuck away from forums like Reddit because they are totally anonymous and full of paranoid idiots with fucking ridiculous conspiracy theories.

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    2. Well, the guy who wrote the article that reddit was linking is Professor Ian Donald. According to his twitter profile, he's a Psychologist:Social, & Environmental research, & behavioural factors in Anti-Microbial Resistance. Emeritus Professor, University of Liverpool. https://twitter.com/iandonald_psych

      It's being reported on two sites so far.
      https://www.ibtimes.co.in/uk-self-infect-low-risk-population-coronavirus-this-only-way-stop-covid-19-815087
      https://www.mirror.co.uk/news/uk-news/coronavirus-uk-taking-big-risk-21691835

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    3. Sure, the two sites that are reporting on what Professor Ian Donald may not be trustworthy, but the guy himself does appear to have a page on the University of Liverpool. https://www.liverpool.ac.uk/population-health-sciences/staff/ian-donald/

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    4. Seems like the UK is trying out the herd immunity strategy, like what Professor Ian Donald suggested they were trying to do.

      https://www.wired.co.uk/article/herd-immunity-uk-coronavirus-robert-peston

      https://twitter.com/faisalislam/status/1238097745971421184

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