The hazards of comparing statistics from different times and places are well known. But not, apparently, in Hong Kong public health circles, where COVID figures are looking distinctly shaky.
In the early days of the epidemic anyone who thought they had COVID rushed immediately to the nearest doctor – or if they couldn’t afford a doctor to the nearest Accident and Emergency Department. Doctors and hospitals were required to report cases of COVID to the authorities. So if we were told there were 1,000 new COVID cases yesterday this was probably – give or take the odd case with no symptoms and the odd false positive – the actual figure.
Thursday morning’s newspapers said we now had a daily total of over 10,800, passing the 10,000 level for the first time since the springtime spasm when it threatened on a couple of occasions to reach 80,000. In fact the daily figure given was 10,856, implying that no sparrow coughs without its ailment being recorded by the Centre for Health Protection. Which is, alas, not true.
I have heard of numerous friends, acquaintances, friends of friends and acquaintances of acquaintances, plus the odd relative, who have had COVID. None of them resorted to the official health care system. The standard way of dealing with COVID, at least for otherwise healthy adults, has become a matter of self-treatment. The victim takes some pills and retires to bed, keeping as much separation from friends and family as his or her living arrangements allow.
Some amusement was caused on the estate where I live when the management sent round a circular saying that we had a case on the premises. Public areas would be disinfected, U-bends watered, and security staff reminded to wear face masks, sensible measures which we were urged to copy.
The funny thing about this is that we all knew about previous cases which had not become official. There was some doubt whether the latest one was our fourth or fifth case, but nobody supposed it was actually the first.
Hong Kong people are traditionally self-reliant. The consensus is now that your ordinarily healthy citizen who has had four jabs of the good stuff will either not get COVID or get the harmless version. The ailment is no longer a public problem. We can handle it ourselves.
I am not suggesting the the rate of reported to unreported cases is as high as my local experience might suggest. Houses with multiple bedrooms offer more amateur quarantine possibilities than your standard Hong Kong flat, let alone your standard Hong Kong subdivided flat, bedspace or whatever.
Indeed the Penny’s Bay quarantine accommodation, regarded with some dread among inhabitants of comfortable upmarket homes, may well seem an attractive prospect to people whose living arrangements are more basic. They’re coming to take me away, as the old song had it, hooray.
On the other hand, though, being in quarantine implies not being at work. This is a financial problem for some people, who will no doubt be tempted to regard their minor symptoms as being no bar to attending the usual day’s toil, even if that means breathing on strangers.
My point is not that the official figure is too low. My point is that it is worthless. It could be too high, though that seems unlikely, or it could be too low. COVID has ceased to be a disease which is routinely reported, so we have no reliable way of knowing how prevalent it now is.
Yet we are still being told that if the official figure passes some threshold, up or down, there will be consequences – respectively more restrictions on gatherings and travel, or less.
Clearly it would be foolish to suppose that I am the only person who has noticed that policy is now being made on the basis of fictitious statistics. The danger is not just that erroneous fears or hopes could lead to misguided policies. The danger is that people will entirely lose faith in the government’s public health efforts.
These are already in bad odour in some quarters. They seem to be out of step with the rest of the world, bewilderingly changeable, and prone to political pollution. There is no Chinese medicine, traditional or otherwise, that has any demonstrable effect on COVID. The limits on gatherings – 500 for marathons, eight for dinners, four for political protests – make no sense. Too many top, and not-so-top, people seem to be exempt from all restrictions.
From a long-term point of view this looks worrying. We must all hope that we can trust the learned prophet who announced last week that the current epidemic will finish next summer because epidemics usually subside after three years, though one does wonder. Perhaps this one will be different?
With more certainty we can say that sooner or later there will be another epidemic. When that day comes it would be useful if Hong Kong people trusted their government.
tim's experiment 
It seems to me that your figures are well off the truth. I know personally at least 20 people who have knowingly had Covid and the only people who have reported it to the authorities are those for whom doing so would avoid or defer them having to take another more or less useless injection in order to have a social life (or indeed, officially even to do the shopping, but no-one checks that). The vast majority have not reported in.
The latest rules for banquets and bars are a complete joke. Everyone I know who goes to them has used the same RAT picture over and over again.
The administration is widely held in utter contempt for their pig-headed rules concocted in their ivory towers in which they are totally disconnected from reality.