Targeted Risk Mitigation

I am unaware of any country other than Sweden that has taken a targeted risk mitigation strategy to deal with SARS-COV-2. It appears to me that the citizens of other countries have been treated as amorphous, to be pummelled towards the impossible goal of virus elimination. “We had to destroy the village in order to save it.” That cliched quotation, supposedly from a US army general in Vietnam, may be a myth, but it does describe the apparent attitude of most governments in response to COVID19.

Risk mitigation has costs. Therefore, mitigation techniques should be applied only where they are needed and only if they can be reasonably expected to work.

Using Europe as an example, here is the median age data by country:

Across the continent, the median age is less than 44. (It has created up to around 46 in some countries.) That means more than half the European population is aged less than 44.

With that in mind, consider the mortality experience of the last 5 years up to the end of 2020, plus year to date 2021. This comes from the European Mortality Monitoring study that collects data from 29 participating countries. The following chart shows excess deaths (ie different from normal, where normal is based on continuous mortality investigations) for ages up to 44. Each line represents a calendar year of data, split by weeks 1 to 52. I have deliberately withheld the legend so that the lines are not identifiable as any particular year. Your challenge is to guess which coloured lines represent 2020 and 2021.

This analysis ought to inform policy response and mitigation targets. More than half the population is being hammered financially, psychologically and socially unnecessarily.