UK’s Johnson stumbles into yet another crisis

Boris Johnson is right back where he was six months ago: faced with a choice of how far to clamp down on freedoms in order to suppress the coronavirus’s transmission. Only then the strategy was simple. Britain’s lockdown was to protect the capacity of the National Health Service (NHS) in order to save lives. This time, the goal is more complicated and so are Johnson’s choices.
There may be disagreements on what exactly a second wave is — the UK has come a long way from seeing 500 deaths a day in March (there were 27 were recorded on September 19) — but the arrow is moving in the wrong direction and the question is how the government will respond. In Britain infections are doubling about every week. Only the US, Brazil, India and Mexico have had more deaths from the virus.
A second wave was “inevitable,” Johnson has said. Perhaps so, but it’s also the result of clear mistakes. The worst of these is the failure to ensure that the country’s Covid testing system could meet the inevitable surge in demand that would come with people resuming normal activities.
Britain isn’t alone here. France, Spain, the Netherlands and elsewhere in Europe are facing second waves too, with the World Health Organization saying last week that Europe’s infections are now higher than the peak in March. The causes are similar: the lifting of restrictions, people returning from holiday travel, and the reopening of schools, combined with testing problems and in some places poor compliance with social distancing, especially from younger populations.
On the face of it, things ought to be easier this time. We have a better handle on how to prevent transmission, how to treat hospitalised patients and how to protect the most vulnerable. That ought to mean fewer fatalities. And yet, in other ways this period could be even more dangerous.
The narrative that Britain’s NHS is coping with this crisis downplays the enormous costs. While it may be more prepared in terms of beds, personal-protective equipment for staff and knowledge of the virus, it’s also struggling with employee fatigue and a massive backlog of non-Covid cases to plow through. For people who have been living with undiagnosed or slow-moving cancers, hips that need replacing or other illnesses, this period has been torturous. Even if it manages to avoid a surge in coronavirus hospitalisations this winter, the NHS could well face a different kind of crisis as it tries to meet non-Covid demand.
When it comes to implementing new lockdown restrictions, the public health situation suggests erring on the side of caution, but doing so would be economically and politically difficult. The UK government’s decision to end its popular furlough scheme at the end of October means a sharp rise in unemployment is likely. The economy is forecast to shrink 10% in 2020. Almost any action that Johnson is considering — including a two-week “circuit breaker” lockdown in October to coincide with school holidays — will carry economic costs that will worry the Treasury, which already looks set to extend some business support loans due to the new lockdown pressures.
The government’s strategy — to suppress the virus to keep education and the economy open, as Health Secretary Matt Hancock described it — may seem logical, but there’s very little agreement on how that can now be accomplished. The hope that limited, geographical lockdowns — with contained economic fallout — will be enough seems to be fading. From Tuesday, more than 13 million Britons will face a host of new lockdown restrictions, including 10pm curfews. There will be hefty new fines for those who break these rules.

—Bloomberg