The Fickle ‘Science’ of Lockdowns

Experts foresaw before Covid that the strategy would fail. The authorities embraced it anyway.

By Phillip W. Magness and Peter C. Earle. Mr. Magness is director of research and Mr. Earle a research faculty member at the American Institute for Economic Research. Excerpts:

"before March 2020, the mainstream scientific community, including the World Health Organization, strongly opposed lockdowns and similar measures against infectious disease. 

That judgment came from historical analysis of pandemics and an awareness that societywide restrictions have severe socioeconomic costs and almost entirely speculative benefits."

"In March 2019 WHO held a conference in Hong Kong to consider NPI measures against pandemic influenza. The WHO team evaluated a quarantine proposal—“home confinement of non-ill contacts of a person with proven or suspected influenza”—less indiscriminate than the Covid lockdowns. They called attention to the paucity of data to support this policy, noting that “most of the currently available evidence on the effectiveness of quarantine on influenza control was drawn from simulation studies, which have a low strength of evidence.” The WHO team declared that large-scale home quarantine was “not recommended because there is no obvious rationale for this measure.”

A September 2019 report from Johns Hopkins University’s Center for Health Security reached a similar conclusion: “In the context of a high-impact respiratory pathogen, quarantine may be the least likely NPI to be effective in controlling the spread due to high transmissibility.” This was especially true of a fast-spreading airborne virus, such as the then-undiscovered SARS-CoV-2."

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In March 2019 WHO held a conference in Hong Kong to consider NPI measures against pandemic influenza. The WHO team evaluated a quarantine proposal—“home confinement of non-ill contacts of a person with proven or suspected influenza”—less indiscriminate than the Covid lockdowns. They called attention to the paucity of data to support this policy, noting that “most of the currently available evidence on the effectiveness of quarantine on influenza control was drawn from simulation studies, which have a low strength of evidence.” The WHO team declared that large-scale home quarantine was “not recommended because there is no obvious rationale for this measure.”

"A September 2019 report from Johns Hopkins University’s Center for Health Security reached a similar conclusion: “In the context of a high-impact respiratory pathogen, quarantine may be the least likely NPI to be effective in controlling the spread due to high transmissibility.” This was especially true of a fast-spreading airborne virus, such as the then-undiscovered SARS-CoV-2."

"the study concluded that lockdowns were “not demonstrably effective in urban areas."

"While the study found some benefits from smaller-scale quarantines of patients and their families during the 2003 SARS outbreak, it concluded that a fast-spreading disease, combined with “the presence of mild cases and possibility of transmission without symptoms,” would make these measures “considerably less successful.”

Medical historian John Barry, who wrote the standard account of the 1918 Spanish flu, concurred about the ineffectiveness of lockdowns. “Historical data clearly demonstrate that quarantine does not work unless it is absolutely rigid and complete,” he wrote in 2009, summarizing the results of a study of influenza outbreaks on U.S. Army bases during World War I. Of 120 training camps that experienced outbreaks, 99 imposed on-base quarantines and 21 didn’t. Case rates between the two categories of camps showed “no statistical difference.” “If a military camp cannot be successfully quarantined in wartime,” Mr. Barry concluded, “it is highly unlikely a civilian community can be quarantined during peacetime.”

A Johns Hopkins team reached similar conclusions in 2006: “No historical observations or scientific studies” could be found to support the effectiveness of large-scale quarantine. The scientists concluded that “the negative consequences of large-scale quarantine are so extreme . . . that this mitigation measure should be eliminated from serious consideration.” They rejected the modeling approach for relying too heavily on its own assumptions—circular reasoning that confuses a model’s predictions with observed reality."

"When the Wuhan region of China imposed harsh restrictions on Jan. 23, 2020, Anthony Fauci questioned the move. “That’s something that I don’t think we could possibly do in the United States, I can’t imagine shutting down New York or Los Angeles,” Dr. Fauci told CNN."

"The empirical evidence didn’t change."

"the lockdown strategy originated from . . . speculative and untested epidemiological models."

"Mr. Ferguson produced his model by recycling a decades-old influenza model that was noticeably deficient in its scientific assumptions. For one thing, it lacked a means of even estimating viral spread in nursing homes."

"In 2001 he predicted that mad cow disease would kill up to 136,000 people in the U.K., and he chastised conservative estimates of up to 10,000. As of 2018 the actual death toll was 178. His other missteps include predicted catastrophes for mad sheep disease, avian flu and swine flu that never panned out."

"Not a single country reached the predicted mortality rates of their “unmitigated spread” or even the “mitigation” model—the latter premised on social-distancing measures similar to what many governments enacted. Even Mr. Ferguson’s extreme “suppression” model, which assumed a strict lockdown curtailing public contacts by 75% for over a year, predicted more deaths than occurred in 170 of 189 countries. Imperial predicted up to 42,473 Covid deaths in Sweden under mitigation and 84,777 under uncontrolled spread. The country, which famously refused to lock down, had some 13,400 deaths in the first year."

"lockdown stringency is a poor predictor of Covid-related mortality. Our examination of the 50 U.S. states and 26 countries found no discernible pattern connecting the two"