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We must hold a steady course on our response to covid-19

Cutting transmission of the coronavirus is vital to prevent hospitals being overwhelmed and schools shutting, but also to stop it evolving

EARLY on in the pandemic, we heard a lot about behavioural fatigue – the hunch that people would quickly grow tired of restrictions on their lives and throw caution to the wind. It was a factor in the reluctance of the UK government to go into lockdown too quickly, a delay that led to the virus getting out of hand.

We don’t hear very much about behavioural fatigue any more. We feel it. The prospect of further restrictions or even “circuit breaker” lockdowns (see “Should we plan for regular ‘circuit-breaker’ coronavirus lockdowns?”) is greeted with dread, and the very real possibility of disobedience.

This isn’t the time to let our guard down. Two obvious reasons are that we don’t want to overwhelm hospitals or shut schools. But there is another reason to mask up, observe distancing and stick to any extra rules that apply: to prevent the virus from evolving.

Up to now, we have been lucky on this score. SARS-CoV-2 has changed little since it emerged. It is so stable genetically that drugs and vaccines in development ought to work against all variants currently circulating (see “Is the coronavirus evolving and will it become more or less deadly?”).

Yet we cannot take that for granted. The virus does have the capacity to mutate into something worse, but can only do so if it is transmitted from human to human.

Cutting off transmission is therefore vital while we await a vaccine. If and when that vaccine arrives, high levels of uptake are vital for the same reason. Even more so, in fact, as the vaccine will put pressure on the virus to mutate.

“Unfortunately, herd immunity is bad science and would also expose us to the risk of viral evolution”

Fatigue is also partially responsible for the enthusiastic welcome that the herd immunity strategy, or “letting the virus rip”, has received in some circles. It undeniably has a certain freedom-loving appeal. (see “It is bad science to say covid-19 infections will create herd immunity”), and would also expose us to the risk of viral evolution.

Risk is something we are notoriously bad at assessing. This pandemic has brought new challenges for individuals in balancing the risks to themselves and others, and for governments in balancing the needs of different sectors of society (see “Your covid-19 risk: How to navigate this new world of uncertainty”). But the behavioural fatigue fiasco showed the danger of basing policy on plausible-sounding hunches. We must not make that mistake again.

Topics: coronavirus / covid-19