After sidelining scientists, Europe plays catchup
with new coronavirus wave
Experts warned that infections would surge again but
politicians resisted new lockdowns.
BY DAVID M.
HERSZENHORN AND JILLIAN DEUTSCH
October 16,
2020 2:58 pm
https://www.politico.eu/article/scientists-eu-coronavirus-second-wave/
The EU's
national leaders pledged Thursday to follow "the best available
science" in their coronavirus response. But after weeks of resisting that
same expert advice, they're now chasing the wave.
With
infections skyrocketing, countries are reimposing containment measures every
day. But the reluctant and haphazard responses across Europe show how political
leaders spent the recent weeks in collective denial.
Even now,
they're bedeviled by the same quandary they faced since the pandemic started:
Following the scientific advice will save lives but also stands to devastate
economies.
The tension
between public health guidance and the political and economic reality was on
stark display in Berlin Wednesday, as Germany announced new restrictions and
Chancellor Angela Merkel and Bavarian State Premier Markus Söder urged fast and
decisive action.
"It
would be better to be in front of the wave," said Söder. "You do not
run after the wave."
EU leaders
have reopened schools and eased other restrictions in recent months.
But it's
clear the second wave of new infections is already crashing over European
states, including Germany and Söder's own Bavaria.
Fearful of
the economic cost of new lockdowns and leery of political backlash from
citizens desperate for normal life, EU leaders have reopened schools and eased
other restrictions in recent months, in what has turned out to be false hope
that the worst of the crisis had passed.
Even
countries that thought they beat the virus in the spring are seeing high case
numbers, such as Portugal and nations in Central and Eastern Europe.
Some
scientists say they're aghast at the complacency of political leaders, given
that they had projected caseloads would rise in any event with the colder
weather and social life returning indoors.
“We see
exactly the same thing happening again — it’s like we have a communal loss of
memory of what happened six months ago,” said Debby Bogaert, a professor of
infectious diseases at the University of Edinburgh.
Some
countries are seeing the backlash over their countries' management of the first
wave take a more serious turn. In France, Health Minister Olivier Véran and
former Prime Minister Edouard Philippe, among others, had their homes searched
as part of a government inquiry into their handling of the pandemic.
And in some
cases, the contradictions between reality and policy this week bordered on the
absurd.
European
Council President Charles Michel insisted EU leaders meet in person this week,
only to have Commission President Ursula von der Leyen and Finnish Prime
Minister Sanna Marin leave to self-isolate after each of them discovered they
had been in contact in recent days with someone who tested positive.
Last week,
on the same day that European Parliament President David Sassoli said he was
self-isolating, the Parliament announced it would resume plenary sessions in
Strasbourg. On Thursday, Parliament reversed course, saying travel to
Strasbourg would be impossible.
Meanwhile,
the push by national politicians to resume normal life seemed to clash with
scientific advice and defy the visible increase in reported infections.
In France,
President Emmanuel Macron finally took take action on Wednesday by announcing
curfews in nine cities, nearly a week after the country registered a record
more than 26,000 cases in one day. In March, by contrast, it was only around
the daily total of 1,000 before the government required everyone to stay at
home.
Other
countries are still wavering.
Belgium has
tried a mix of measures since August, when cases began jumping, but it kept
bars and many night establishments open. It was only in recent weeks as
hospitals began to fill up — and with the entire country classified as a red
zone — that tougher measures were announced.
Across
Europe, public health experts had long predicted a second wave and warned that
the virus would continue to pose a grave threat until the advent of vaccines —
which still remain several months away, if not longer.
And yet,
some governments actively chose not to implement experts’ recommendations for
harsher measures. The Dutch government’s team of experts complained at the end
of September that the government was sidelining them on issues such as masks.
Then, last Tuesday, it announced a sharp U-turn with a partial lockdown.
"They
wait and wait and wait, whereas people in public health ... know that you need
to act now — not in a week or next month" — Debby Bogaert, professor at
the University of Edinburgh
In Ireland,
experts recommended the country implement the strictest measures possible in
early October. But the government decided to keep bars, restaurants and shops
open, arguing that experts didn't understand the economic consequences of such
extreme measures.
Meanwhile,
U.K. Prime Minister Boris Johnson has ignored an expert committee’s
recommendation to impose a “circuit breaker” for nearly a month.
Bogaert
lamented that politicians are moving at "their own speed" — and it's
much slower than experts would move.
"They
wait and wait and wait, whereas people in public health ... know that you need
to act now — not in a week or next month — because then you're running again
after the fact," she said.
Summer is
over
After the
spring lockdowns, many countries encouraged summer travel to recoup financial
losses. In May, Greek Prime Minister Kyriakos Mitsotakis even called tourism
the “epilogue” of lockdowns. as he pushed for a quick re-opening.
But not all
politicians had their heads in the beach sand.
In July,
the EU health commissioner, Stella Kyriakides, urged countries to use the
summer and get prepared for a possible second wave of cases in the fall,
pushing for more testing, contact tracing and interoperable tracing apps.
But
infections increased — albeit slowly — over the summer in some countries, and
by early September, the numbers were rising across much of Europe.
On
September 24, Kyriakides repeated her call.
“We cannot
lower our guard,” said Kyriakides, who was herself forced to isolate briefly
because of an infection risk. “It is abundantly clear that this crisis is not
behind us. We are at a decisive moment, and everyone has to act
decisively."
Her
challenge: The EU has virtually no legal authority over health policy — and
national governments remain unwilling to take cues from Brussels.
On
September 4, for example, the Commission rolled out a proposal to increase
coordination among EU countries on travel restrictions. EU national ministers
dawdled over the plan for five weeks, and ultimately approved it only after
watering down provisions on how governments would treat travelers coming from
higher-risk zones.
State of
the science
There are
scientific explanations for the rising caseload in Europe. For one thing,
countries have drastically increased testing.
Another
clear trend is that the virus is now circulating largely among healthier young
people, which has meant overall fewer hospitalization rates and fatalities.
Moreover, doctors know much more about how to treat COVID-19 with drugs such as
remdesivir and dexamethasone.
“The death
rate — given the age distribution and given the incidence rate — will be
exactly what it was in the spring” — Karl Lauterbach, German Social Democrats
parliamentarian
But some
warn a rise in deaths is now almost certain — it's simply a matter of math.
“The death
rate — given the age distribution and given the incidence rate — will be
exactly what it was in the spring,” said Karl Lauterbach, a German scientist
and parliamentarian from the Social Democrats. And the situation will be worse,
he said, in countries that “postpone important, necessary measures the
longest.”
Still, many
scientific experts have been reluctant to declare that full-scale lockdowns are
necessary, which has given some politicians more reason to hold off.
In a paper
published in the Lancet in September, scientists pointed to restrictions on
movement in 82 countries around the globe: “Although such measures might have
saved lives, they have come at a heavy socioeconomic cost.”
At the same
time, it's difficult to devise more targeted strategies. In September, European
Centre for Disease Prevention and Control Director Andrea Ammon declined to
recommend that all EU countries close bars and restaurants. Instead, she urged
countries to be vigilant in surveillance to identify hotspots and try reducing
opening hours or limiting capacity.
Similarly,
in a communication published Thursday, the Commission urged young people to “do
more” to halt the spread.
Bahar
Tuncgenc, a psychologist at the University of Nottingham, said government
should not blame citizens but communicate more clearly.
"Governments
need to be transparent about what their goals are, what the plan is and what
the possibilities are moving forward," Tuncgenc said.
She said
she was perplexed at why politicians didn't prepare the public for a
resurgence. “There's no way governments didn't know that this would continue
into the winter," Tuncgenc said. "All scientific advice was saying
that.”
Elisa
Braun, Nette Nöstlinger, Eline Schaart, Barbara Moens, Jakob Hanke Vela, Paola
Tamma and John Rega contributed reporting to this article.
This
article is part of POLITICO’s premium policy service: Pro Health Care. From
drug pricing, EMA, vaccines, pharma and more, our specialized journalists keep
you on top of the topics driving the health care policy agenda. Email
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