A Laissez-Faire Strategy Marked by Blinkers to Fulfill Established Pandemic Goals-The Case of Sweden

Int J Environ Res Public Health. 2021 Sep 10;18(18):9551. doi: 10.3390/ijerph18189551.

Abstract

Objectives: To examine (i.e., contextualize and visualize) the consequences of a laissez-faire strategy characterized by blinkers to fulfill established pandemic goals. The aim is to shed light on the implementation of pandemic measures based on post hoc (after-the-fact) reactions and actions instead of pre hoc ones (in advance).

Study design: This study is based on weekly updates of pandemic variables (i.e., cases, tests, percentage of positive tests, hospitalizations, Intensive Care Unit (ICU) admissions, deceased, and 7- and 14-day incidence) in Sweden from the start of the pandemic in March 2020 until March 2021.

Method: This study reports the empirical findings based on Swedish pandemic variables during 52 consecutive weeks, related to the pandemic, all of which has been divided into three time periods to separate the 1st and 2nd waves of the pandemic, and considers them all together as one time period.

Results: The findings illustrate the implementation of pandemic measures and the subsequent consequences of a laissez-faire strategy characterized by blinkers. People become diseased and then deceased. This reveals strong associations between the assessed pandemic variables and its subsequent consequences on morbidity and mortality, based on post hoc reactions and actions.

Conclusions: The implementation of a pandemic strategy should react and act pre hoc, and to take the safe with the unsafe. Governments and public health agencies should take into account the inevitable associations between pandemic variables. Intertwined pre hoc measures of prevention, enforcement, and monitoring should be implemented in society to avoid the implementation of a laissez-faire strategy based on post hoc reactions and actions.

Keywords: COVID-19; health policy; healthcare; public health pandemic.

MeSH terms

  • COVID-19*
  • Goals
  • Humans
  • Pandemics* / prevention & control
  • SARS-CoV-2
  • Sweden / epidemiology