Victoria’s five-day lockdown may not quash Delta – here's what our modelling predicts instead
Victoria has entered a five-day lockdown to control its growing outbreak of the more infectious Delta variant.
Until midnight on Tuesday restrictions mean residents are only allowed to leave home for essential reasons, can only travel five kilometres away from home, and need to wear masks outside the home, among other measures.
Breaking: Victoria has recorded six new cases of coronavirus on the first day of its fifth lockdown of the pandemic, on top of the six cases announced yesterday afternoon. https://t.co/vqoAgc1Phm
— The Age (@theage) 15 July, 2021
We consider the lockdown essential, and we strongly support this rapid action. However, our modelling predicts a five-day lockdown may not be enough.
Instead, we predict at least 30 days of restrictions will be needed before Victoria reaches three days without community transmission.
That’s if we take into account current and predicted case numbers, the fact we’re dealing with the more infectious Delta variant, and with current levels of vaccination.
The good news is Victoria is more likely to reach these three “doughnut days” sooner if vaccination rates pick up, even modestly.
How did we come up with these figures?
We built a mathematical model based on nine COVID-19 outbreaks across four Australian states (including Victoria) since the start of the pandemic. We posted details online as a pre-print. So our model has yet to be independently verified (peer-reviewed).
Our model allows us to predict – given current case numbers, the particular variant in circulation, and vaccination rates, among other variables – how long public health restrictions such as lockdowns need to last to achieve particular outcomes. Our model also allows us to predict how many cases an outbreak has at its peak.
Models are mathematical tools to predict the future – something, of course, no one can do with 100% certainty.
However, our model differs from others because it considers the difference between mystery cases and cases linked to a known case.
It also comprehensively integrates the effects of various public health measures, such as social distancing, wearing masks, contact tracing, and vaccination.
Read more: Scientific modelling is steering our response to coronavirus. But what is scientific modelling?
What did we find about Victoria?
When we plug data about Victoria’s latest outbreak into our model, this is what we find.
Our model predicts the number of daily reported cases of community transmission will continue to climb over the next week or so. Even with the current lockdown, we predict a peak of at least 30 cases a day over the next seven to 14 days.
We predict this outbreak will last for at least 30-45 days before Victoria can return to three days of zero community transmission.
Measured easing of restrictions can occur before this time, which Victorian Premier Daniel Andrews flagged might be possible for regional Victoria.
Statewide lockdown reason from @DanielAndrewsMP: exposure sites across the state, Geelong v Carlton game, Geelong is a regional team.@DanielAndrewsMP says “we will release those parts of Regional Victoria if we can before Tuesday, if it is safe to do so,”@10NewsFirstMelb
— Simon Love (@SimoLove) 15 July, 2021
However, given the fact Delta is more transmissible than the original Wuhan version of the virus, controlling Victoria’s outbreak will inevitably be more difficult and take longer than dealing with an earlier outbreak of similar size.
New South Wales knows too well how hard it is to get a Delta outbreak under control, something our model predicted.
Read more: A tougher four-week lockdown could save Sydney months of stay-at-home orders, our modelling shows
Back to Victoria, our model supports a hard lockdown that minimises the chance of ongoing transmission.
Strict lockdown (80% reduction in social activities) and mandatory mask use in public spaces and workplaces (90% coverage) – equivalent to what’s expected in Victoria’s current lockdown – have been effective in previous outbreaks in Victoria and other states.
However, we predict the same approaches may only have a 50:50 chance to contain this Delta outbreak in Victoria.
This means the Delta variant is likely to linger, bouncing at a level of a dozen cases for weeks. This means public health authorities will find it hard to decide how and when to lift restrictions.
Please give me good news
In our favour is at least 25% of Victorians have received at least one dose of a COVID vaccine.
Our model suggests even modest rises in the vaccination coverage in Victoria, by an additional 5% for example, would dramatically increase the chance of controlling the outbreak from 50% to more than 80%. If an extra 10% were vaccinated, the chance of controlling the outbreak is 94%.
This is because evidence is mounting vaccinated people are less likely to transmit the virus to others. That’s in addition to the vaccines’ well-known benefits in reducing your chance of severe disease.
So getting as many Victorians vaccinated as quickly as possible is critical.
Read more: Should I get my second AstraZeneca dose? Yes, it almost doubles your protection against Delta
What do we make of all this?
Our study conveys a simple message. The battle against the Delta variant in the latest outbreak in Victoria will likely be tough, but going early has given us the best chance.
This lockdown will not be as effective as earlier ones in Victoria, and coming out of this will need to be carefully managed.
So keeping to the health advice, and vaccinating more Victorians as soon as possible even over the next few weeks, are key to handling this outbreak.
Read more: Lockdowns don't get easier the more we have them. Melbourne, here are six tips to help you cope
This article originally appeared on The Conversation, and was co-authored with Guihua Zhuang and Zhuoru Zou from Xi’an Jiaotong University, China.
