Italy is a somewhat interesting case. Many recent infectious disease studies have highlighted the often much higher death rate, due to flu, in Italy, than most other places. They use an excess death figure and Italy is almost always at the top of it (in Europe anyway). There were over 70000 excess deaths from 2013-2017, which peaks in 14/15 (20000) and 16/17 (25000). One of the reasons that is given is the fragile, very old people, living in Italy. Whilst I’m not trying to downplay anything, it is interesting that Italy’s elderly population suffers in this way almost every year. I suppose a key question for the British government is; are delderly Italians dying with the virus or because of it?
the long-term studies will determine the long term causation, and what in particular it's provoking in elderly or people with underlying health conditions.
On the BBC article earlier there was talk that transmission from asymptomatic people might not be so strong:
Prof Jonathan Ball, an expert in molecular virology at the University of Nottingham, said the study confirmed that for the vast majority of cases, the incubation and therefore quarantine period for new coronavirus, will be up to 14 days.
And, encouragingly: "There is little if any evidence that people can routinely transmit virus during the asymptomatic period."
https://www.bbc.co.uk/news/business-51809318
and from this Chinese link back in Feb:
Rather, it appears that considerable transmission is occurring among close contacts. To date, 20 provinces outside of Hubei have reported 1183 case clusters, 88% of which contained 2 to 4 confirmed cases. Of note, 64% of clusters documented thus far have been within familial households (Chinese Center for Disease Control and Prevention presentation made to the WHO Assessment Team on February 16, 2020). Thus, although COVID-19 seems to be more transmissible than SARS and MERS, and many estimates of the COVID-19 reproductive number (R0) have already been published, it is still too soon to develop an accurate R0 estimate or to assess the dynamics of transmission. More research is needed in this area as well.
https://jamanetwork.com/journals/jama/fullarticle/2762130
I am of the view our response has been woeful, but perhaps, just perhaps, the cluster model has been further developed with updated figures and that is the method.
Or, as is my view, the more likely reason is financial gain over human pain, teamed with "if we only test cases presenting as serious enough to need hospitalisation, we keep the public calmer by low case rates being reported, we keep things ticking along and we take that view that the majority we refuse to test will only be mild". I think it's partially a tactic based on banking on 80/85% being ok. Thus, we see figures such as higher % of deaths, higher % needing hospitalisation because we're selectively testing.
Ultimately, I think it will mean more of us will get ill, and more of our family and friends will die, but I think the capitalist nature of our society means a certain level of deaths is seen as more tolerable than financial calamity and public disorder at rapidly rising case levels and restrictions on freedoms. Basically, they're trying to hoodwink us into accepting mild coronavirus for the majority and being infected to keep the ball rolling. Obviously, what we don't know is the long-term effects are, what a second or third strike will do or what's next to pop up.