Some rambling thoughts about lessons from 2021, and what might be coming for 2022.
1. Vaccination has transformed things for the better in UK and developed world. We've failed the developing world and need to sort that with the utmost urgency.
2. Variants (delta, omicron) can change things extremely rapidly.
3. Vaccination isn't enough on it's own. It doesn't provide sufficient, durable protection to control major outbreaks. These are very likely to come, and we need to avoid lockdowns in response, and any significant restrictions if at all possible.
4. We need more routine health care and social care capacity so we can cope with peaks (this was also true pre-covid for general winter pressure)
5. We have many other weapons: ventilation, air filtration, homeworking, support for isolation, mask wearing etc. We need a proper strategy on implementing these.
6. We need an emergency response plan for new variants. That should include stockpiling antivirals, which now look very, very promising.
7. We should immediately send anyone comparing covid responses to Nazism to a re-education camp North East of Yekaterinburg.
All of this requires a huge amount of cash. But far less than not doing it.