Pandemic Update: Sea Change in Sweden

The European outlier of Sweden was embraced by American conservatives as an example of a government relying not on heavy-handed business and social restrictions but voluntary compliance by individuals to reduce viral spread. No longer.

January 14, 2021, 11:00 AM PST

By Irvin Dawid

Social Distancing

A lot has changed in Motala, Sweden since June 2020. | Jeppe Gustafsson / Shutterstock

Early in the pandemic, Sweden had captured the world's attention by largely allowing people and businesses to make their own decisions in terms of altering behavior to reduce viral transmission. While they paid a steep price in terms of having one of the world's highest Covid death rates, the state epidemiologist remained very popular for not imposing restrictions—that's how our post last May, "The Great Scandinavian Pandemic Experiment," ends.

There is no shortage of articles on the popularity of Anders Tegnell. Regardless of how sustainable the policy he devised turns out to be, he clearly he has won the admiration of most of the Swedish people.

By the summer, infections had plummeted and deaths had plateaued, as Worldometer graphs show. The country was looking like a coronavirus success compared to other European countries where the second surge had begun, observed 

Now, though, the question is whether the country’s current low caseload, compared with sharp increases elsewhere, shows that it has found a sustainable balance, something that all Western countries are seeking eight months into the pandemic — or whether the recent numbers are just a temporary aberration.

Sadly, it turned out to be the latter, reports Miriam Berger for The Washington Post (source article). The aforementioned graphs show a steep increase in infections in mid-October, followed by deaths in November. And like another European country that recently enacted stronger coronavirus restrictions, preserving the integrity of the health care system is the driving force.

While public health experts in Sweden have argued that voluntary measures can significantly reduce transmission, the country is now struggling to handle a surge in cases at overstretched hospitals.

“We have a lot of patients being admitted to intensive care units, and there is no sign of that decreasing,” Anders Tegnell, Sweden’s state epidemiologist, said Tuesday, Bloomberg reported. “Unfortunately, the same goes for fatalities.”

Government acts

On Jan. 8, the national legislature known as the Riksdag took action by enacting a temporary law to "enable more communicable disease control measures to be taken to counteract congestion and thus prevent the spread of COVID-19," notes a news release.

If necessary, it will be possible to prohibit public gatherings of a certain size at places to which the public have access and close premises that serve food and drink. The temporary COVID-19 Act is to apply from 10 January until the end of September 2021.

“These measures are far-reaching but they are necessary, not least to alleviate the situation for the health care workers, who are toiling day and night,” Sweden’s Prime Minister Stefan Löfven said on Jan 8, Bloomberg News reported.

Berger ends her piece with the somber appraisal of the country's handling of the pandemic by Sweden’s King Carl XVI Gustaf in his annual end-of-the-year speech last month.

“I think we have failed,” he said. “We have a large number who have died and that is terrible.”

Sweden's cumulative Covid death rate per capita is substantially lower than the U.S., 95 per 100,000 people vs. 117 per 100k, according to Worldometer, but the two nations have essentially the same daily average for the last week of 0.99 deaths per 100k, according to The New York Times.

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Friday, January 8, 2021 in The Washington Post

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