Wednesday 16 February 2022

No country for old people

The Dutch Safety Board (OVV) has just published its report into the way the Dutch government handled the first phase of the corona pandemic in 2020.

If you want to assess the success or failure of actions, you first have to clarify what the goals of the actions were. There is usually a discussion of these goals in a report, at least in the preamble.

How do we remember earlier pandemics?
We conclude that the flu pandemic in 1918 was the worst pandemic in recent history because it killed the most people worldwide. The 2009 swine flu pandemic resulted in less than 300,000 deaths globally and is considered relatively mild.

Therefore, in my opinion, preventing excess deaths is a major goal of preventive measures during a pandemic. There are of course other goals and the different goals should be weighed before choosing a course of action.

A discussion of goals with the emphasis on saving lives cannot be found in the OVV report. The reason is simple: saving lives was/is not a relevant goal in the Dutch corona policy.
There are three illustrations for this lack of interest in mortality during the pandemic.

1. It is not compulsory to report deaths from corona in the Netherlands.
A policy directed towards preventing deaths from the virus would want to know how many people were dying from the virus.

2. The infected elderly were not given the necessary treatment that could have saved them.
No smiling photos of old people leaving hospital after a long fight against the corona virus in the Netherlands, as they would not have been admitted to hospital.
This also happens in other countries, but there is a difference.
In the UK it was exposed in a Sunday Times article: “Revealed: how elderly paid price of protecting NHS from Covid-19”.
In the Netherlands it is the accepted norm.

3. Lack of priority for vaccinating the elderly.
Remember the smiling photos of the old people who received the first corona vaccines. They were a signal of hope.
Not in the Netherlands. The first photo was of a happy nurse, the second was of a beaming television doctor. 
I remember an uplifting photo in German newspapers; it took another three weeks before the first old person was vaccinated in the Netherlands.

The German nurse who vaccinated the first person in Germany said he was happy that Germany had started to vaccinate. It was important to start as soon as possible because every day people were dying.
The Dutch Minister of Health when confronted with a question about the Dutch tardiness with vaccinations replied: it was not important when you started as the Dutch would eventually catch up with the rest of Europe.

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