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Sweden's liberal pandemic strategy questioned as Stockholm death toll mounts

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I don’t know about the rest of Europe, but Anders Tegnell himself was convinced that there would be no second wave in Sweden because of Sweden’s many infections in the first four months of the pandemic and the alleged level of (herd) immunity in the country. And for the past month or so, he has been busy telling his compatriots that it was a European, but not a Swedish problem. Europe had a second wave, Sweden didn’t.


An example:

STOCKHOLM, Oct 15 (Reuters) - Sweden reported 1,075 new coronavirus cases on Thursday but the country’s top epidemiologist said a recent rise in new infections was not the sign of a second wave.
Sweden, which has shunned lockdowns, leaving most schools, restaurants and businesses open throughout the pandemic, has seen the number of new cases trending higher since early September.
Many European countries are re-introducing restrictions to prevent the COVID-19 spread after a spike in transmissions. State Epidemiologist Anders Tegnell said countries like the Netherlands, France and Spain were experiencing a second wave but this was not the case in Sweden.“That would take a rather substantial spread in large parts of society that we are not at all seeing in Sweden,” he told reporters, adding however that the recent increase in cases needed to be taken “very seriously”.
Sweden's coronavirus cases keep rising, but official says it is not a second wave (Reuters, Oct. 15, 2020)


Asked about a second wave later, when the numbers in Sweden continued to rise, Anders Tegnell declared that it wasn't important what you call it. However, he didn't hesitate at all when declaring the condition in the rest of Europe a second wave.
 
An example:




Asked about a second wave later, when the numbers in Sweden continued to rise, Anders Tegnell declared that it wasn't important what you call it. However, he didn't hesitate at all when declaring the condition in the rest of Europe a second wave.

Tegnell is deluded.
 
Vetenskapens värld - Corona: hopp och förtvivlan

The most recent show from Vetenskapens värld, (The World of Science) a Swedish popular science program, usually very good:

Nu kommer vaccinen mot covid-19. Hur kommer de att stärka vår motståndskraft mot coronaviruset? Alltfler rapporter kommer också om att coronaviruset kan ha långtidseffekter - förstört luktsinne, kronisk trötthet och huvudvärk. Håller långtidssymptom av covid-19 på att bli ett nytt problem för tusentals svenskar? Vetenskapens värld ger de senaste svaren om viruset och vaccinen - från USA, Europa och Sverige.
Corona: hopp och förtvivlan (SVTplay.se, Nov. 1, 2020)
Now the vaccines against Covid-19 are on the way. How will they strengthen our immunity against the coronavirus? There are also more and more reports about long-term effects of the coronavirus - ruined sense of smell, chronic fatigue and headaches. Are long-term symptoms becoming a new problem for thousands of Swedes? The World of Science presents the most recent answers about the virus and the vaccine - from the USA, Europe and Sweden.
Corona: hope and despair

Apparently, one segment of the show is about a clinic in Stockholm that, based on alt.med. ideologies, takes advantage of the despairing long-haulers.
I can watch it online in Denmark (subtitled in Swedish), but I guess that isn't much use of those of you outside of Scandinavia.


ETA: The controversial clinic is this one:
Klinikens grundare läkaren Jonas Axelsson jobbar också som immunolog på Karolinska universitetssjukhuset. Han har en teori att de långtidssjuka har en ärftlig sårbarhet och en kronisk herpesinfektion som gör att deras immunförsvar löper amok när de smittats av covid-19.
Klinik forskade om långtidscovid utan tillstånd (SVT.se, Nov. 2, 2020)
The founder of the clinic, the doctor Jonas Axelsson, also works as an immunologist at the Karrolinska University Hospital. He has a theory that the long-haulers have an inherited vulnerability and a chronic herpes infection, which make their immune system run amok when they are infected with Covid-19.
Clinic was researching long-term Covid-19 without permission
 
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Smittspridningen mer omfattande än Folkhälsomyndighetens värsta scenario (SVT.se, Nov. 4, 2020)
The spread of infections was more massive than the Public Health Agency’s (PHA) worst case

When you see the graphs of the projections from the PHA and of reality, the PHA scenarios are so misleading that they might as well have been done by Trump with a sharpie.

70 svenska barn drabbade
Hyperinflammation – en gåta för forskarna (Aftonbladet.se, Nov. 4, 2020)
70 Swedish children affected
Hyper inflammation – an enigma for the researchers

And children are not the only ones who get it. Some young people are affected, too:
Max, 18, visste inte att han haft covid-19 – fick farliga syndromet (Aftonbladet.se, Nov. 4, 2020)

Som första region införde Uppsala lokala allmänna råd för att minska smittspridningen. Efter drygt två veckor har man ännu inte uppnått önskat resultat – snarare tvärtom.
– Smittspridningen har dubblerats på en vecka, säger hälso- och sjukvårdsdirektör Mikael Köhler.
Smittspridningen ökar i Uppsala trots skärpta råd (DagensNyheter.se, Nov. 4, 2020)
Uppsala was the first region to introduce local general recommendations to lower the contagion. After about two weeks, they still don’t have the desired result – on the contrary.
– The contagion has doubled in a week, says health and hospital director Mikael Köhler
The contagion is increasing in Uppsala in spite of stricter recommendations

Corona ökar i hela landet: Varnar för brist på skyddsutrustning (Aftonbladet.se, Nov. 4, 2020)
Corona is increasing all over the country: Varns about lack of PPE

Med den svåra våren i färskt minne följer personalen på Östra sjukhuset i Göteborg utvecklingen av antalet smittade och inlagda patienter med stor oro.
– En del har sagt: Blir det en omgång till så säger jag upp mig, säger Matilda Eriksson, huvudskyddsombud på sjukhuset.
Tröttkörd personal fruktar andra coronavåg (DagensNyheter.se, Nov. 4, 2020)
With the black spring as a recent memory, the staff at Östra Hospital in Göteborg are anxiously following the development of the number of cases and hospitalizations.
– Some people have said: If there is going to be another round of this, I quit, says Matilda Eriksson, chief safety representative at the hospital.
Exhausted staff fear second corona wave
 
Forget about Chinese bats and the Wuhan flu. Worry about mink and the Danish flu.

Muteret mink-virus i Danmark kan true vaccine i hele verden (TV2.dk, Nov. 4, 2020)
Mutated mink virus in Denmark may threaten vaccine in the whole world

Flere restriktioner i Nordjylland skal mindske muteret coronasmitte (TV2.dk, Nov. 4, 2020)
More restrictions in North Jutland to contain mutated coronavirus

Alle mink i Danmark skal aflives.
Det oplyser statsminister Mette Frederiksen (S) onsdag på et pressemøde.
Aflivningerne skyldes, at der er sket en mutation af coronavirussen blandt danske mink, som kan bringe effekten af en fremtidig coronavaccine i fare.
Og spreder den nye muterede virus sig, kan den blive udgangspunkt for en ny verdensomspændende pandemi.
Så alvorligt var budskabet fra Kåre Mølbak, faglig direktør på Statens Serum Institut, på pressemødet.
- Vi har kunnet se, at der er mutationer af coronavirussen, og det betyder, at den immunitet, man får - som naturlig flokimmunitet eller igennem en vaccine - mister man, siger direktøren.
- Det skyldes, at den muterede virus er så forskellig fra den kendte coronavirus, at vi bliver nødt til at designe vaccinerne om, før vi har den nye mink-virus dækket. Det er derfor, vi agerer med den her alvorlige risikovurdering, siger Kåre Mølbak.

En pandemi af dimensioner
Også Hans Jørn Kolmos, der er professor i klinisk mikrobiologi, frygter, at Danmark bliver oprindelsessted for den næste variant af epidemien.
Og det risikerer at ske, hvis ikke der handles nu, siger han.
- Vi kan få en pandemi af dimensioner som ved den spanske syge. Vi taler ikke om, at det her er en lokal eller national, men en international udfordring, siger Hans Jørn Kolmos til TV 2.
- Vi er oppe i en dimension, hvor vi ikke kan diskutere relevansen af at aflive de her mink. Det er indlysende nødvendigt. Det er af hensyn til folkesundheden, siger han.
Derfor vurderer han også, at myndighedernes nye tiltag er fuldstændig relevante og nødvendige.

Det er muligt at inddæmme smitten
Som status er nu, er det dog muligt at inddæmme smitten, inden det potentielt går galt.
Det skal ske med to værktøjer, siger Kåre Mølbak.
- For det første skal man fjerne reservoiret, altså minkene, og så skal man sikre, at der sker smittebekæmpelse i samfundet, siger han.
- Det er de elementer, som vi også kender fra epidemibekæmpelsen i foråret. Det er den berømte værktøjskasse. Der kommer flere værktøjer ud af kassen, men lige såvel som at smitten blandt slagteriarbejdere kunne stoppes og blandt unge universitetsstuderende, så kan den også stoppes blandt mink, siger han.
Det er altså ikke for sent at inddæmme smitten med den muterede version af coronavirus og sikre, at den ikke kommer ud til resten af verden, pointerer han.

WHO er advaret
Sundhedsminister Magnus Heunicke fortæller på pressemødet, at de europæiske sundhedsagenturer er orienteret om fundet af muteret smitte i mink.
- Danmark har i dag i henhold til det internationale sundhedskodeks orienteret Det Europæiske Smitteagentur og WHO om fundet af muteret coronavirus, siger Magnus Heunicke.
Frygten er en ny pandemi, vi starter her i Danmark - WHO er advaret (TV2.dk, Nov. 4, 2020)
All mink in Denmark to be put down.
So says PM Mette Frederiksen (Social Democrat) at a press briefing Wednesday.
The reason for the extermination is that a mutation of the coronavirus has occurred in Danish mink, which may endanger the effect of a future corona vaccine.
And if the new mutated virus spreads, it may become the starting point of a new world-wide pandemic.
That was the serious message at the press briefing from Kåre Mølbak, director of the Serum Institue of the State of Denmark.
- We have observed mutations of the coronavirus, and this means that the immunity acquired – as natural herd immunity or by means of a vaccine – will be lost, the director says.
- This is because the mutated virus is so different from the well-known coronavirus that we will have to redesign the vaccines before the new mink virus is covered. This is why we react with this serious risk assessment, says Kåre Mølbak.

The mother of a pandemic
Hans Jørn Kolmos, professor of clinical microbiology, also fears that Denmark may become the origin of the next variation of the pandemic.
And there is a risk that this may happen if we don’t act now, he says.
- We may have a pandemic the size of the Spanish Flu. We are not talking about a local or a national but about an international challenge, says Han Jørn Kolmos to TV2.
- We are talking about a dimension where the relevance of putting down these mink is indisputable. The necessity of doing so is obvious. For the sake of public health, he says.
Therefore, he also estimates that the new measures of the authorities are completely relevant and necessary.

It is possible to contain the spread of the infection
In the present situation, it is possible to contain the spread before it potentially goes wrong.
Two tools are necessary, says Kåre Mølbak.
- First of all, we have to elmininate the reservoir, i.e. the mink, and then we have to ensure that spread in the community is contained, he says.
- Those are the elements that we know from the fight against the pandemic this spring. Those are the well-known tools. More tools will be taken out of the box, but just like the transmission among meat-packing workers and among young university students could be stopped, it can also be stopped among mink.

WHO has been warned
At the press briefing, minister of health Magnus Heunicke says that the European Centre for Disease Prevention and Control has been informed about the mutated coronavirus found in mink.
- According to the international standards of health, Denmark has informed the European Agency of Infectious Diseases and WHO about the discovery of mutated coronavirus, says Magnus Heunicke.
We fear that a new pandemic may start here in Denmark – We have warned WHO


So far nobody has suggested that the tool applied to mink to contain and hopefully eliminate the new strain also be applied in future outbreaks at meat-packing plants or universities.


ETA:
Denmark has said it would cull around 15 million minks after a mutated version of the coronavirus spread to people. The government said the mutation poses a risk to the efficacy of future vaccines. (DeutscheWelle, Nov. 4, 2020)
Denmark announces cull of 15 million mink over Covid mutation fears - Mutated virus infects 12 humans, sparking concerns that effectiveness of future vaccine could be affected (Guardian, Nov. 4, 2020)
Mink causes new Covid mutation in humans - is Denmark the new Wuhan? (Berlingske.dk, Nov. 4, 2020)
 
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The thing is that if you can blame it on population density or not being an Island, or "Jhinah" then you don't have to accept that the real fault lies with your government and yourselves. Humans have this inbuilt dislike for taking responsibility for their errors and admitting that they got this wrong and it's costing hundreds of lives, well that is too much so far better to throw away the masks and then blame it all on things out of their control.

It's meaningless referring to Australia's population density - for example - as 3 persons per square kilometre, as Dann did, when the fact of the matter is that most of the population is concentrated around two or three large metropilises/metropolii, albeit the population densities of Perth, Canberra and Sydney hovers around the 350 - 450 /1 sq km whereas Melbourne has staggering 20,700/1 sq km. (Compare and contrast to Stockholm's 4,800/1 sq km.) This makes the '3 persons per square kilometres in Australia' statistic wholly misleading, when density of population is a factor in the demography of contagious diseases. It is not 'blame' it is 'putting things into perspective'. After all, epidemiologists present their infection figures conventionally as no of persons per 100,000. (This is true of births and deaths.) As Covid-19 is highly contagious then it does become salient to look at how closely people live nearby each other.
 
Muteret mink-virus i Danmark kan true vaccine i hele verden (TV2.dk, Nov. 4, 2020)
Mutated mink virus in Denmark may threaten vaccine in the whole world

Flere restriktioner i Nordjylland skal mindske muteret coronasmitte (TV2.dk, Nov. 4, 2020)
More restrictions in North Jutland to contain mutated coronavirus


All mink in Denmark to be put down.
So says PM Mette Frederiksen (Social Democrat) at a press briefing Wednesday.
The reason for the extermination is that a mutation of the coronavirus has occurred in Danish mink, which may endanger the effect of a future corona vaccine.
And if the new mutated virus spreads, it may become the starting point of a new world-wide pandemic.
That was the serious message at the press briefing from Kåre Mølbak, director of the Serum Institue of the State of Denmark.
- We have observed mutations of the coronavirus, and this means that the immunity acquired – as natural herd immunity or by means of a vaccine – will be lost, the director says.
- This is because the mutated virus is so different from the well-known coronavirus that we will have to redesign the vaccines before the new mink virus is covered. This is why we react with this serious risk assessment, says Kåre Mølbak.

The mother of a pandemic
Hans Jørn Kolmos, professor of clinical microbiology, also fears that Denmark may become the origin of the next variation of the pandemic.
And there is a risk that this may happen if we don’t act now, he says.
- We may have a pandemic the size of the Spanish Flu. We are not talking about a local or a national but about an international challenge, says Han Jørn Kolmos to TV2.
- We are talking about a dimension where the relevance of putting down these mink is indisputable. The necessity of doing so is obvious. For the sake of public health, he says.
Therefore, he also estimates that the new measures of the authorities are completely relevant and necessary.

It is possible to contain the spread of the infection
In the present situation, it is possible to contain the spread before it potentially goes wrong.
Two tools are necessary, says Kåre Mølbak.
- First of all, we have to elmininate the reservoir, i.e. the mink, and then we have to ensure that spread in the community is contained, he says.
- Those are the elements that we know from the fight against the pandemic this spring. Those are the well-known tools. More tools will be taken out of the box, but just like the transmission among meat-packing workers and among young university students could be stopped, it can also be stopped among mink.

WHO has been warned
At the press briefing, minister of health Magnus Heunicke says that the European Centre for Disease Prevention and Control has been informed about the mutated coronavirus found in mink.
- According to the international standards of health, Denmark has informed the European Agency of Infectious Diseases and WHO about the discovery of mutated coronavirus, says Magnus Heunicke.
We fear that a new pandemic may start here in Denmark – We have warned WHO


So far nobody has suggested that the tool applied to mink to contain and hopefully eliminate the new strain also be applied in future outbreaks at meat-packing plants or universities.


ETA:
Denmark has said it would cull around 15 million minks after a mutated version of the coronavirus spread to people. The government said the mutation poses a risk to the efficacy of future vaccines. (DeutscheWelle, Nov. 4, 2020)
Denmark announces cull of 15 million mink over Covid mutation fears - Mutated virus infects 12 humans, sparking concerns that effectiveness of future vaccine could be affected (Guardian, Nov. 4, 2020)
Mink causes new Covid mutation in humans - is Denmark the new Wuhan? (Berlingske.dk, Nov. 4, 2020)

The mink:

Mink are dark-colored, semiaquatic, carnivorous mammals of the genera Neovison and Mustela, and part of the family Mustelidae, which also includes weasels, otters and ferrets.

<snip>

Minks are among the animals that can be infected with the coronavirus.[19] Transmission of the virus from minks to humans was first documented in the Netherlands by way of genetic tracing, which prompted the government to bring forward to the end of 2020 a ban on mink farming scheduled to go into effect in 2024.[20] The U.S. Department of Agriculture (USDA) confirmed that cases of minks infected with COVID-19 had been documented in Utah in August 2020.[21] In November 2020, Denmark, the world’s largest producer of mink fur, announced it is to cull its entire population of 15 to 17 million minks to stop the spread of a mutated strain of the virus which has been linked to the animals.
https://en.wikipedia.org/wiki/Mink

I just wonder whether it is taking a sledgehammer to crack a nut.
 
It's meaningless referring to Australia's population density - for example - as 3 persons per square kilometre, as Dann did, when the fact of the matter is that most of the population is concentrated around two or three large metropilises/metropolii, albeit the population densities of Perth, Canberra and Sydney hovers around the 350 - 450 /1 sq km whereas Melbourne has staggering 20,700/1 sq km. (Compare and contrast to Stockholm's 4,800/1 sq km.) This makes the '3 persons per square kilometres in Australia' statistic wholly misleading, when density of population is a factor in the demography of contagious diseases. It is not 'blame' it is 'putting things into perspective'. After all, epidemiologists present their infection figures conventionally as no of persons per 100,000. (This is true of births and deaths.) As Covid-19 is highly contagious then it does become salient to look at how closely people live nearby each other.


See post 2780. The distance between those cities will make a difference. Are they far apart? Or do they form an urban sprawl where a large number of people commute from one city to the other twice a day?
 
...whereas Melbourne has staggering 20,700/1 sq km...

Nope. but nice try.

Inner-city Melbourne has a population density of 20k/km2, but it's only a little over 1 square kilometre, so it's less than 1% of the city's population.

Melbourne's density - based on the metric you're using for all the other cities - is 497/km2.
 
The mink:

https://en.wikipedia.org/wiki/Mink

I just wonder whether it is taking a sledgehammer to crack a nut.


If the vaccines are useless against the new mutation, a sledgehammer is absolutely necessary.
For some time, Danish government workers have already had confrontations with mink farmers who refused to let their mink be put down.
It makes a shift to the elimination strategy essential, but nobody (but me) is talking about that yet.

Coronavirus was recently discovered in a Swedish mink farm, too: Coronaviruset upptäckt på minkfarm i Sölvesborg (SVT.se, Oct. 24, 2020)
I don't know if it was the mutated version.
 
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As are people who still take him seriously. And there are an awful lot of those, unfortunately:
Svensk politik: Förtroendet för Tegnell i topp när smittan ökar (DagensNyheter.se, Oct. 30, 2020)
Swedish politics: The confidence in Tegnell is at the top when the contagion is increasing
Stockholm syndrome?

There are four key components that characterize Stockholm syndrome:

A hostage's development of positive feelings towards the captor
No previous relationship between hostage and captor
A refusal by hostages to cooperate with police forces and other government authorities (unless the captors themselves happen to be members of police forces or government authorities).
A hostage's belief in the humanity of the captor because they cease to perceive the captor as a threat when the victim holds the same values as the aggressor[7]


https://en.wikipedia.org/wiki/Stockholm_syndrome
 
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Nope. but nice try.

Inner-city Melbourne has a population density of 20k/km2, but it's only a little over 1 square kilometre, so it's less than 1% of the city's population.

Melbourne's density - based on the metric you're using for all the other cities - is 497/km2.

I got the information from Google front page:

20,700 people per square kilometre
Inner-city Melbourne has the highest population density of any region at 20,700 people per square kilometre.Mar 27, 2019

Here's where Australia's population lives, and where it's ...www.businessinsider.com.au › australia-population-den

However, I take your point the inner city is only one square kilometre only.
 
See post 2780. The distance between those cities will make a difference. Are they far apart? Or do they form an urban sprawl where a large number of people commute from one city to the other twice a day?

AIUI Three of Australia's large connurbations are concentrated on the south west coast with one in the south east. Then there is Queensland up north, a vast area, and a massive outback.

(ETA: Just looked at a map and my fond visualisation of Australia is all wrong. It is Perth which is an outlier in the far West whilst the other urban areas are along the South and South East. Queensland is more to the North East than North. There is also Brisbane, Adelaide and Sydney along this South - South East coastline.)

Here in Finland Helsinki is something like 170 km away from where I live. At one point Sanna Marin closed it for two weeks, meaning police manned the main roads leading out (although Finns are not beyond knowing the hideaway little back roads!) and only medics and 'people with an accepted reason' were allowed out or in. It seemed to bring the infection under control a bit but is not something that can succeed in the long run, especially as the constitution states that Finns have a right to free movement anywhere in the country.

The Helsinki population density is 1,400/1 sq km and as in Stockholm, there is a higher rate of infection amongst the Somali population. This is a result of recent newcomers having less space and less choice in where they live, as well as being in the higher density parts of the city.

Where I am in the countryside there are less than 100 persons /1 sq km and only a total of about ten infections so far. However, this being a highly conformist non-complaining country, people diligently wear masks in buses and supermarkets and are isolating the older generation, as 'advised' by the government. Care homes like elsewhere have been hit hard.

But, yeah, the hot spot infection areas tend to be Helsinki, Savo (not sure why this is) and Tornio way up in the North West on Sweden's border. From East to West, or West to East Finland is quite vast: a good seven or eight hour drive from one side to another and North to South or South to North, 800 km border with Russia, so most people fly. So, not a lot of intermingling between different regions, unlike England, where you can be in Birmingham from London within an hour or so, and Edinburgh to Glasgow quite quickly, crosswise East to West.

ETA Sweden is similar, a vast country, which people seem to picture as a cozy little place where they can hop from one town to another all in a couple of days and are shocked by the sheer size of the place and the distances needed to travel between, say, Uppsala in the North or from Stockholm to Wallander country in Ystad. So can Sweden's high infection rate be due to much travelling between its large metroplises/metropolii? I wouldn't have thought so, but certainly population densities must be a factor with 4,800/per sq km in a typical large town.
 
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No, it definitely isn't good news. The problem is described in an article from this morning:

Professor i infektionsimmunologi Jan Pravsgaard Christensen fra Københavns Universitet forsker blandt andet i vacciner. Han forklarer, at den nye mutation særligt er et problem for kommende vacciner, fordi mutationen ligger i de dele af virus, som vaccinen forsøger at ramme.
Ny corona-mutation er en kæp i hjulet på vaccinen: Det ved vi om 'cluster 5' (DR.dk, Nov. 5, 2020)
Professor of infection immunology Jan Pravsgaard Christensen from the University of Copenhagen researches vaccines. He explains that the new mutation is a particular problem for future vaccines because the mutation is in the parts of the virus that the vaccine is targeting.
New coronavirus mutation is a spoke in the wheel of the vaccine: What we know aobut 'cluster 5'
 
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Wednesday:
Coronavirus - countries (Worldometers, Nov. 4 2020)
Deaths per million (Total deaths) New cases Serious/Critical
Sweden: 593 (5,997) 3,198* 85 *according to SVT.se
Denmark: 126 (729) 936 24
Finland: 65 (361) 293 15
Norway: 52 (282) 622 12
Iceland: 50 (17) 31 3
Iceland has 798 active cases, Faroe Islands 5, New Zealand 73.
The Faroe Islands have 19 in quarantine, 0 hospitalized.
 
No, it definitely isn't good news. The problem is described in an article from this morning:


Professor of infection immunology Jan Pravsgaard Christensen from the University of Copenhagen researches vaccines. He explains that the new mutation is a particular problem for future vaccines because the mutation is in the parts of the virus that the vaccine is targeting.
New coronavirus mutation is a spoke in the wheel of the vaccine: What we know aobut 'cluster 5'

In that case, you'd better make sure that virus is shut down right away.
 
”Rusta för en våg av langidssjuka” (SvenskaDagbladet.se, Nov. 5, 2020)
”Get ready for a wave of long-haulers”


I augusti jobbade jag min sista vecka. Efter femton års tjänstgöring på Karolinska sjukhuset behövde jag en timeout. Och ja, jag erkänner, corona var droppen, det som tog knäcken på mig. Innan sommaren, när så många av oss stod på knä efter en lång vår i skyddsmask och behövde vila som mest, fick jag höra att man inte skulle bevilja några tjänstledigheter till hösten. Jag fick helt enkelt inte ihop ekvationen, jag ville skriva nästa bok och återuppta forskningen. Och jag behövde vila. Men det var även något annat som hade betydelse för mitt beslut, nämligen behovet av att bearbeta. Och jag tror inte att jag var ensam om den känslan.
Bearbeta vad? Jag hade en känsla av att vi kunde ha gjort mer, och bättre, under epidemins första månader. Jag var med och fattade beslut om patienter som inte fick optimal vård. Vi såg tsunamin komma rullande, vi hörde vad våra italienska kollegor varnade oss för, men vi agerade för långsamt. Till exempel ifråga om vilka mediciner som skulle ges, eller vilka som skulle läggas i respirator. Jag klandrar ingen, varken intensivvård eller chefer, men min personliga känsla, mina egna tillkortakommanden, var jag tvungen att hantera, och bearbeta, själv.
”Corona tog knäcken på mig – orkar kollegorna?”
(SvenskaDagbladet.se, Nov. 5, 2020)
In August, I had my last week at the job. After fifteen years of service at Karolinska Hospital, I needed a timeout. And yes, I admit it, corona was the last straw. Before the summer, when so many of us were on our knees after a long spring wearing a protective mask and really in need of rest, I was told that no leave of absence would be granted in autumn. I simply could not hold it together, I wanted to write my next book and to start doing research again. And I needed rest. But something else was also an important part of my decision, i.e. the need to process my experience. And I do not think I was alone in this feeling.
Process what? I had the feeling that we could have done more, and better, during the first months of the epidemic. I was involved in making decisions about patients who did not receive optimal care. We saw the tsunami coming, we heard what our Italian colleagues were warning us about, but we acted too slowly. For instance, in terms of which medications were to be administered, or which patients should be on ventilators. I do not blame anyone, neither intensive care nor managers, but I had to cope with my personal feelings, my own shortcomings, and to process it for myself.
"Corona broke me – will my colleagues have the energy to continue?"
 
Borgmester: Restauranter, cafeer og barer tvangslukkes i syv kommuner - idrætslivet lukkes ned (Nov. 5, 2020)
Mayor: Restaurants, cafés and bars are forced to shut down in seven municipalities - sports are shut down
And people have been told to stay within their own municipalities unless it's absolutely necessary to leave them. All kinds of culture events are cancelled.
These restrictions are much harder than the lockdown in March-April.


Ifølge avisen B.T. bliver kræfter fra Livgarden sendt ud for at hjælpe med arbejdet i forbindelse med aflivningen af de mange mink.
Amalienborg udskiftes med minkfarme: Livgarden skal ud til minkene (DR.dk, Nov. 5, 2020 - 11:54)
According to the newspaper B.T., the queen's lifeguard will be sent to assist with the work of culling the many mink.
Amalienborg (the queen's castle) will be replaced by minkfarms. The lifeguard are on their way to the mink farms.
They won't be in charge of the actually culling, though. :) I assume their job is to pacify the mink farmers.
 
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