There’s increasing consensus that the new B 1.1.7 variants* of the Covid virus really are importantly more transmissible than the previous versions, which then raises the question of whether NZ-style lockdowns will still work. You’ll see people trying to do simple arithmetic on the basic reproduction number, R, to work this out, but it’s more complicated than that.
In a very simple epidemic model, the number of people infected by a case is the number of people they come into contact with, multiplied by the probability that they infect each one. You would think of interventions such as lockdown as affecting the first factor and differences in the virus as affecting the second. In this model, if a new variant has R about 1.3 times higher than the existing virus, for the same contact rate, it is increasing the infection probability by 30%. If lockdown decreases R for the old virus from, say, 2.5 to 0.8, then it would decrease it from 2.5×1.3 to 0.8×1.3 for the new virus. That’s not a completely useless way to think, but it’s nowhere near good enough for government work.
The issue is that interventions don’t affect all transmission equally. Imagine we had the impossible perfect lockdown, so you only came into contact with people in your bubble — any essential shopping was done by perfect zero-contact delivery or something. Obviously, the virus would not spread between bubbles; that’s exactly what we’re assuming. However, the effective reproduction number would still be greater than 1 initially, because the virus would spread within bubbles. A combination of testing and isolation and just running out of susceptible people in affected bubbles would get the effective reproduction number down near zero eventually, but there would never have been any between-bubble spread.
In the real world, or even in New Zealand, we won’t have the impossible perfect lockdown. But back in April alert level 4 reduced between-bubble transmission a lot, and it will be combined with now knowing about masks and airborne transmission plus now having much more testing capacity than in April plus now having faster tracing than in April. Is that enough? Well, you need a more sophisticated model to tell you, one that’s between our two simple extremes of no population structure and perfect lockdown. We have those models, and what I’m hearing is that level 4 lockdown would work, but it’s not clear that level 3 would work.
There are other related questions where you need a model rather than simple intuition. For example, is the new variant more likely than the old ones to appear with no obvious contact to the border (as in August), making a lockdown more likely? Apparently, the answer is “yes, much more likely”.
It’s amazing how far you can get with unstructured differential-equation models for epidemics, and they are still valuable, but for some questions you need to model something closer to the real population, and it’s harder and takes longer and the results don’t necessarily have a simple intuitive explanation.
* if you don’t say “China virus”, you probably shouldn’t be saying “UK strain”
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