Just on the Step 3 for Melbourne.
RATING VICTORIA’S COVID-19 ROADMAP
Epidemiologist Professor Tony Blakely gives Victoria’s Roadmap out of the COVID-19 restrictions 8 out of 10 – noting there may be scope for easing some restrictions sooner
By Professor Tony Blakely, University of Melbourne
Victoria’s Roadmap out of the COVID-19 restrictions is good but there are grounds for tweaking it, says University of Melbourne expert Professor Tony Blakely
pursuit.unimelb.edu.au
Extract (and my bolding):
Which only leaves one trigger – moving to Step 3.
This is the one we were charged with focusing on in our modelling. It’s also the one everyone is focusing on and using to judge the Roadmap.
As pointed out earlier, the trigger proposed in the Roadmap to get to Step 3 is a 14-day average of less than five cases per day, and less than five mystery cases in total over the last 14 days.
Ouch – that is tough. By this standard, NSW wouldn’t be at this step.
Our modelling suggested that easing too soon from Step 2 (that is from Stage 3-like restrictions) increases the risk of a lockdown by Christmas. But while our model is clever, it’s not so clever that it can incorporate all nuance.
For example, mystery versus non-mystery cases, and being able to isolate clusters of highly interconnected cases from more disperse cases.
That requires expert judgement.
If we can keep mystery cases low and keep clusters isolated, and we are mostly aiming for tight suppression with elimination only as a welcome bonus, then I think we could relax the trigger for getting to Step 3.
Moreover, we should recognise the growing expertise of our public health workforce to sledgehammer outbreaks early, and contact trace. And we could evolve to smart mask policy including requiring better fitting masks on public transport and busy indoor environments.
These factors should increase our protection from a resurgence.
These tweaks – I argue – could see us transition safely to Step 3 at a higher threshold than five cases on average per day, and considerably earlier than the October 26 target, without too much increased risk.
So, that is a score of three out of five on Triggers: one point lost for that all important transition to Step 3, and half a point off for each of the next two Triggers due to lack of clarity about mystery cases.
A total score of 8 out of 10.
Overall, this Roadmap is good. It is transparent. And we can tweak it to become even better as we go.
Dan and the Health Officers have stated that they reserve the right to change things, and today we saw that with the Dining Rules (ie moving straight to indoor dining, and not outdoor dining only).
If the
five mystery cases in total over the last 14 days. requirement remains then this looks to be the requirement that will determine when Step 3 in Melbourne occurs as we will soon be under the 14 day average of 5 re day requirement. (Note was a typo at 50, changed to 5)
On the 14 day measures mystery cases are about 11 % of 14 day cases. If that % remained it would mean that 14 day cases would need to have dropped to about 55 cases. (Last 14 days is 741 cases).
On the hopeful side daily cases have been dropping steadily. On the negative side cases could flatten off, and indeed over the last five days have flattened off which is more than a tad worrying.
With few restrictions NZ, Qld and NSW ( all with different settings) recent experience shows that if restrictions are few that reducing the case rate is a very slow process and so easing restrictions now in Melbourne to Step 3 would seem to be off the table till at least the daily case rate drops to say 3 - 9 per today.
Hopefully the recent flattening is just an iterative step. But who knows......
Alternatively if unknown cases do plummet that may cause some re-assessment as well. With lower cases per day it should easier to get a quite low unknown number of cases per day.