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The (High) Cost Of Lockdowns: A Preliminary Report

The (High) Cost Of Lockdowns: A Preliminary Report

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The (High) Cost Of Lockdowns: A Preliminary Report Tyler Durden Fri, 11/20/2020 - 16:20

Via The American Institute for Economic Research,

In the debate over coronavirus policy, there has been far too little focus on the costs of lockdowns. It’s very common for the proponents of these interventions to write articles and large studies without even mentioning the downsides. 

Here is a brief look at the cost of stringencies in the United States, and around the world, including stay-at-home orders, closings of business and schools, restrictions on gatherings, shutting of arts and sports, restrictions on medical services, and interventions in the freedom of movement. 

Mental Health

  • During late June 2020, 40% of US adults reported to be struggling with mental health or substance abuse. CDC (June 2020) US

  • Of adults surveyed, 10.7% had thoughts of suicide compared to 4.3% in 2018. CDC (August 2020) US

  • Reported symptoms of anxiety were three times higher than they were in Q2 2019 and reported symptoms of depression were four times higher than they were in Q2 2019.  CDC (August 2020)  US

  • Of individuals aged 18-24, 25.5% considered suicide.  CDC (August 2020) US

  • In New York alone, Google searches increased for phrases and words: anxiety, panic attack, and insomnia. JAMA (October 2020)  New York

  • Between April and October, the portion of emergency visits related to mental health for children (5-11) increased by 24% and 31% for 12-17 year olds compared to 2019.  CDC (November 2020)  US

  • In late June, 13% of survey respondents said they had started or increased substance use to cope with the pandemic.  CDC (August 2020) US

  • More than 40 states have reported increases in opioid-related mortality. AMA (October 2020) US

  • From January 2020 to March 2020, 19,416 people died from drug overdoses, which is 3,000 more than in 2019 of the same quarter. CDC (2020) US

The Economy

Unemployment 

  • Unemployment rate increased to 14.7% in April 2020. This is the highest rate of increase (10.3%) and largest month over month increase in history of available data (since 1948).  BLS (May 2020)  US

  • In March, 39% of people living with a household income of $40,000 and below reported a job loss.  Federal Reserve (April 2020)  US

  • The unemployment rate between February and April increased by 12% for women and 10% for men.  Bureau of Labor Statistics  US

  • Mothers of children aged 12 and younger lost 2.2 million jobs between February and August (12% drop), while fathers of small children lost 870,000 jobs (4% drop).  Stateline (August 2020)  US

  • One out of four women who were surveyed reported their job loss was due to lack of childcare, twice the rate of men surveyed.  Washington Post (July 2020)  US

Education

  • About 24 million children may drop out of school next year as a result of the lockdown’s economic impact.  UN (October 2020)  Worldwide

  • A decrease in life expectancy by 5.53 million years of life is found to occur for US children due to the closing of US primary schools.  JAMA (November 2020)  US

  • 30,806 internships were lost (a decrease of 52%) between March 9 and April 13.  Glassdoor (April 2020)  US

  • Between March 9 and April 13 travel & tourism internships fell 92%; IT dropped 76%, architecture & engineering 65% and telecommunications 65%. Accounting & legal internships fell the least, dropping 22%.  Glassdoor (April 2020)  US

Healthcare

  • At the 10-week mark of lockdown, 2.1 million people in the UK were waiting for breast, cervical, or bowel cancer screening.  Cancer Research UK (June 2020)  UK

  • Diagnosis for 6 cancers (breast, colorectal, lung, pancreatic, gastric, and esophageal) has declined 46.4% compared to 2018.  JAMA Research Letter (August 2020)  US

  • Pancreatic cancer diagnosis has dropped 24.7% compared to 2018.  JAMA Research Letter (August 2020)  US

  • Breast cancer diagnosis has dropped 51.8% compared to 2018.  JAMA Research Letter (August 2020)  US

  • “The Netherlands Cancer Registry has seen as much as a 40% decline in weekly cancer incidence.”  JAMA Research Letter (August 2020)  Netherlands

  • Pre-Covid, Medical University of South Carolina dropped from 20 stroke-related calls daily (or 550 per month) to about nine in mid-April.  Washington Post (April 2020)  US

  • UK (suspected) cancer referrals have decreased 75% since Covid-19 restrictions were implemented.  JAMA Research Letter (August 2020)  UK

  • 38% decrease in STEMI treatments in 9 major hospitals across the US.  JACC (June 2020)  US

  • In Italy, cardiological diagnostic procedures decreased 56%, PCI 48%, structural interventions 81% and PCI in STEMI 40%.  REC Interv. Cardiol. (2020)  Italy

  • Cardiovascular disease is the leading cause of death in the US; Premature cardiovascular disease and stroke mortality costs $137.5 billion in lost future productivity.  AHA (2020)  US

  • Admissions for chemotherapy decreased 45-66% while urgent referrals for early cancer diagnosis decreased 70-89%.  Lai et al. (2020)  UK

  • During April weekly emergency department (ED) visits declined 42% from the previous year average of 2.1 million to 1.2 million.  CDC (October, 2020)  US

  • In 2018 patients visiting the ER for opioid overdoses are 100 times more likely to die by drug overdose in the year after being discharged. They are 18 times more likely to die by suicide relative to the general population.  NIMH (May 2020)  US

  • Hospital financial losses will be as high as $323.1 billion for the entire year.  AHA (July 2020)  US

Crime

  • During the first six months of 2020 murder and nonnegligent manslaughter offenses increased 14.8%, and aggravated assault offenses were up 4.6%.  FBI (September 2020)  US

  • Property crime offenses declined 7.8%; except for motor vehicle thefts, which increased 6.2%.  FBI (September 2020)  US

  • Arson increased 19.2% in the first six months of 2020 compared to the same time the previous year; and increased 52.1% in cities with populations of 1,000,000 or more.  FBI (September 2020)  US

  • Between June and August 2020 homicides increased 53% and aggravated assaults increased 14% compared to the same period in 2019.  NCCJ (September 2020)  US

  • A UK domestic abuse charity (Refuge) reported a 25% increase in calls made to helpline since the start of lockdowns.  Refuge (April 2020)  UK

Food and Hospitality

  • Restaurants have spent an additional $7,400 on PPE and enhanced safety protocols (training, cleaning, Plexiglas, etc.) which will take 66% of businesses 6 months to recoup.  QSR (September 2020)  US

  • The restaurant industry is set to lose $240 billion in revenue and 8 million employees in 2020.  QSR (September 2020)  US

  • In May, nearly 75% of independent restaurants reported new debts greater than $50,000; 12% reported additional debt at $500,000 and above.  FSR (August 2020)  US

  • 1 in 3 restaurants are expected to close.  FSR (August 2020)  US

  • 86% of restaurants reduced staff due to Covid-19; 40% of restaurants expect to be out of business by March 2021.  QSR (September 2020)  US

But apart from that... lockdowns have been very successful?

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Fuel poverty in England is probably 2.5 times higher than government statistics show

The top 40% most energy efficient homes aren’t counted as being in fuel poverty, no matter what their bills or income are.

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Julian Hochgesang|Unsplash

The cap set on how much UK energy suppliers can charge for domestic gas and electricity is set to fall by 15% from April 1 2024. Despite this, prices remain shockingly high. The average household energy bill in 2023 was £2,592 a year, dwarfing the pre-pandemic average of £1,308 in 2019.

The term “fuel poverty” refers to a household’s ability to afford the energy required to maintain adequate warmth and the use of other essential appliances. Quite how it is measured varies from country to country. In England, the government uses what is known as the low income low energy efficiency (Lilee) indicator.

Since energy costs started rising sharply in 2021, UK households’ spending powers have plummeted. It would be reasonable to assume that these increasingly hostile economic conditions have caused fuel poverty rates to rise.

However, according to the Lilee fuel poverty metric, in England there have only been modest changes in fuel poverty incidence year on year. In fact, government statistics show a slight decrease in the nationwide rate, from 13.2% in 2020 to 13.0% in 2023.

Our recent study suggests that these figures are incorrect. We estimate the rate of fuel poverty in England to be around 2.5 times higher than what the government’s statistics show, because the criteria underpinning the Lilee estimation process leaves out a large number of financially vulnerable households which, in reality, are unable to afford and maintain adequate warmth.

Blocks of flats in London.
Household fuel poverty in England is calculated on the basis of the energy efficiency of the home. Igor Sporynin|Unsplash

Energy security

In 2022, we undertook an in-depth analysis of Lilee fuel poverty in Greater London. First, we combined fuel poverty, housing and employment data to provide an estimate of vulnerable homes which are omitted from Lilee statistics.

We also surveyed 2,886 residents of Greater London about their experiences of fuel poverty during the winter of 2022. We wanted to gauge energy security, which refers to a type of self-reported fuel poverty. Both parts of the study aimed to demonstrate the potential flaws of the Lilee definition.

Introduced in 2019, the Lilee metric considers a household to be “fuel poor” if it meets two criteria. First, after accounting for energy expenses, its income must fall below the poverty line (which is 60% of median income).

Second, the property must have an energy performance certificate (EPC) rating of D–G (the lowest four ratings). The government’s apparent logic for the Lilee metric is to quicken the net-zero transition of the housing sector.

In Sustainable Warmth, the policy paper that defined the Lilee approach, the government says that EPC A–C-rated homes “will not significantly benefit from energy-efficiency measures”. Hence, the focus on fuel poverty in D–G-rated properties.

Generally speaking, EPC A–C-rated homes (those with the highest three ratings) are considered energy efficient, while D–G-rated homes are deemed inefficient. The problem with how Lilee fuel poverty is measured is that the process assumes that EPC A–C-rated homes are too “energy efficient” to be considered fuel poor: the main focus of the fuel poverty assessment is a characteristic of the property, not the occupant’s financial situation.

In other words, by this metric, anyone living in an energy-efficient home cannot be considered to be in fuel poverty, no matter their financial situation. There is an obvious flaw here.

Around 40% of homes in England have an EPC rating of A–C. According to the Lilee definition, none of these homes can or ever will be classed as fuel poor. Even though energy prices are going through the roof, a single-parent household with dependent children whose only income is universal credit (or some other form of benefits) will still not be considered to be living in fuel poverty if their home is rated A-C.

The lack of protection afforded to these households against an extremely volatile energy market is highly concerning.

In our study, we estimate that 4.4% of London’s homes are rated A-C and also financially vulnerable. That is around 171,091 households, which are currently omitted by the Lilee metric but remain highly likely to be unable to afford adequate energy.

In most other European nations, what is known as the 10% indicator is used to gauge fuel poverty. This metric, which was also used in England from the 1990s until the mid 2010s, considers a home to be fuel poor if more than 10% of income is spent on energy. Here, the main focus of the fuel poverty assessment is the occupant’s financial situation, not the property.

Were such alternative fuel poverty metrics to be employed, a significant portion of those 171,091 households in London would almost certainly qualify as fuel poor.

This is confirmed by the findings of our survey. Our data shows that 28.2% of the 2,886 people who responded were “energy insecure”. This includes being unable to afford energy, making involuntary spending trade-offs between food and energy, and falling behind on energy payments.

Worryingly, we found that the rate of energy insecurity in the survey sample is around 2.5 times higher than the official rate of fuel poverty in London (11.5%), as assessed according to the Lilee metric.

It is likely that this figure can be extrapolated for the rest of England. If anything, energy insecurity may be even higher in other regions, given that Londoners tend to have higher-than-average household income.

The UK government is wrongly omitting hundreds of thousands of English households from fuel poverty statistics. Without a more accurate measure, vulnerable households will continue to be overlooked and not get the assistance they desperately need to stay warm.

The Conversation

Torran Semple receives funding from Engineering and Physical Sciences Research Council (EPSRC) grant EP/S023305/1.

John Harvey does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

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Looking Back At COVID’s Authoritarian Regimes

After having moved from Canada to the United States, partly to be wealthier and partly to be freer (those two are connected, by the way), I was shocked,…

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After having moved from Canada to the United States, partly to be wealthier and partly to be freer (those two are connected, by the way), I was shocked, in March 2020, when President Trump and most US governors imposed heavy restrictions on people’s freedom. The purpose, said Trump and his COVID-19 advisers, was to “flatten the curve”: shut down people’s mobility for two weeks so that hospitals could catch up with the expected demand from COVID patients. In her book Silent Invasion, Dr. Deborah Birx, the coordinator of the White House Coronavirus Task Force, admitted that she was scrambling during those two weeks to come up with a reason to extend the lockdowns for much longer. As she put it, “I didn’t have the numbers in front of me yet to make the case for extending it longer, but I had two weeks to get them.” In short, she chose the goal and then tried to find the data to justify the goal. This, by the way, was from someone who, along with her task force colleague Dr. Anthony Fauci, kept talking about the importance of the scientific method. By the end of April 2020, the term “flatten the curve” had all but disappeared from public discussion.

Now that we are four years past that awful time, it makes sense to look back and see whether those heavy restrictions on the lives of people of all ages made sense. I’ll save you the suspense. They didn’t. The damage to the economy was huge. Remember that “the economy” is not a term used to describe a big machine; it’s a shorthand for the trillions of interactions among hundreds of millions of people. The lockdowns and the subsequent federal spending ballooned the budget deficit and consequent federal debt. The effect on children’s learning, not just in school but outside of school, was huge. These effects will be with us for a long time. It’s not as if there wasn’t another way to go. The people who came up with the idea of lockdowns did so on the basis of abstract models that had not been tested. They ignored a model of human behavior, which I’ll call Hayekian, that is tested every day.

These are the opening two paragraphs of my latest Defining Ideas article, “Looking Back at COVID’s Authoritarian Regimes,” Defining Ideas, March 14, 2024.

Another excerpt:

That wasn’t the only uncertainty. My daughter Karen lived in San Francisco and made her living teaching Pilates. San Francisco mayor London Breed shut down all the gyms, and so there went my daughter’s business. (The good news was that she quickly got online and shifted many of her clients to virtual Pilates. But that’s another story.) We tried to see her every six weeks or so, whether that meant our driving up to San Fran or her driving down to Monterey. But were we allowed to drive to see her? In that first month and a half, we simply didn’t know.

Read the whole thing, which is longer than usual.

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Problems After COVID-19 Vaccination More Prevalent Among Naturally Immune: Study

Problems After COVID-19 Vaccination More Prevalent Among Naturally Immune: Study

Authored by Zachary Stieber via The Epoch Times (emphasis…

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Problems After COVID-19 Vaccination More Prevalent Among Naturally Immune: Study

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

People who recovered from COVID-19 and received a COVID-19 shot were more likely to suffer adverse reactions, researchers in Europe are reporting.

A medical worker administers a dose of the Pfizer-BioNTech COVID-19 vaccine to a patient at a vaccination center in Ancenis-Saint-Gereon, France, on Nov. 17, 2021. (Stephane Mahe//Reuters)

Participants in the study were more likely to experience an adverse reaction after vaccination regardless of the type of shot, with one exception, the researchers found.

Across all vaccine brands, people with prior COVID-19 were 2.6 times as likely after dose one to suffer an adverse reaction, according to the new study. Such people are commonly known as having a type of protection known as natural immunity after recovery.

People with previous COVID-19 were also 1.25 times as likely after dose 2 to experience an adverse reaction.

The findings held true across all vaccine types following dose one.

Of the female participants who received the Pfizer-BioNTech vaccine, for instance, 82 percent who had COVID-19 previously experienced an adverse reaction after their first dose, compared to 59 percent of females who did not have prior COVID-19.

The only exception to the trend was among males who received a second AstraZeneca dose. The percentage of males who suffered an adverse reaction was higher, 33 percent to 24 percent, among those without a COVID-19 history.

Participants who had a prior SARS-CoV-2 infection (confirmed with a positive test) experienced at least one adverse reaction more often after the 1st dose compared to participants who did not have prior COVID-19. This pattern was observed in both men and women and across vaccine brands,” Florence van Hunsel, an epidemiologist with the Netherlands Pharmacovigilance Centre Lareb, and her co-authors wrote.

There were only slightly higher odds of the naturally immune suffering an adverse reaction following receipt of a Pfizer or Moderna booster, the researchers also found.

The researchers performed what’s known as a cohort event monitoring study, following 29,387 participants as they received at least one dose of a COVID-19 vaccine. The participants live in a European country such as Belgium, France, or Slovakia.

Overall, three-quarters of the participants reported at least one adverse reaction, although some were minor such as injection site pain.

Adverse reactions described as serious were reported by 0.24 percent of people who received a first or second dose and 0.26 percent for people who received a booster. Different examples of serious reactions were not listed in the study.

Participants were only specifically asked to record a range of minor adverse reactions (ADRs). They could provide details of other reactions in free text form.

“The unsolicited events were manually assessed and coded, and the seriousness was classified based on international criteria,” researchers said.

The free text answers were not provided by researchers in the paper.

The authors note, ‘In this manuscript, the focus was not on serious ADRs and adverse events of special interest.’” Yet, in their highlights section they state, “The percentage of serious ADRs in the study is low for 1st and 2nd vaccination and booster.”

Dr. Joel Wallskog, co-chair of the group React19, which advocates for people who were injured by vaccines, told The Epoch Times: “It is intellectually dishonest to set out to study minor adverse events after COVID-19 vaccination then make conclusions about the frequency of serious adverse events. They also fail to provide the free text data.” He added that the paper showed “yet another study that is in my opinion, deficient by design.”

Ms. Hunsel did not respond to a request for comment.

She and other researchers listed limitations in the paper, including how they did not provide data broken down by country.

The paper was published by the journal Vaccine on March 6.

The study was funded by the European Medicines Agency and the Dutch government.

No authors declared conflicts of interest.

Some previous papers have also found that people with prior COVID-19 infection had more adverse events following COVID-19 vaccination, including a 2021 paper from French researchers. A U.S. study identified prior COVID-19 as a predictor of the severity of side effects.

Some other studies have determined COVID-19 vaccines confer little or no benefit to people with a history of infection, including those who had received a primary series.

The U.S. Centers for Disease Control and Prevention still recommends people who recovered from COVID-19 receive a COVID-19 vaccine, although a number of other health authorities have stopped recommending the shot for people who have prior COVID-19.

Another New Study

In another new paper, South Korean researchers outlined how they found people were more likely to report certain adverse reactions after COVID-19 vaccination than after receipt of another vaccine.

The reporting of myocarditis, a form of heart inflammation, or pericarditis, a related condition, was nearly 20 times as high among children as the reporting odds following receipt of all other vaccines, the researchers found.

The reporting odds were also much higher for multisystem inflammatory syndrome or Kawasaki disease among adolescent COVID-19 recipients.

Researchers analyzed reports made to VigiBase, which is run by the World Health Organization.

Based on our results, close monitoring for these rare but serious inflammatory reactions after COVID-19 vaccination among adolescents until definitive causal relationship can be established,” the researchers wrote.

The study was published by the Journal of Korean Medical Science in its March edition.

Limitations include VigiBase receiving reports of problems, with some reports going unconfirmed.

Funding came from the South Korean government. One author reported receiving grants from pharmaceutical companies, including Pfizer.

Tyler Durden Fri, 03/15/2024 - 05:00

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