Not so much a pandemic, more a free vaccine
Here’s a novel way of looking at the H1N1 flu pandemic, by courtesy of Ron Law, a New Zealand risk and policy consultant.
He’s been scanning the statistics for the pandemic, and concludes in a letter to BMJ (October 3, p 768, BMJ 2009;339: b3959) that death rates are about one per 20,000 to 30,000 infections. Given that about 3,000 deaths have been reported worldwide, he draws the conclusion that there must have been between 60 and 90 million cases.
By any measure, he says, H1N1 is a benign flu virus. New Zealand normally has about 400 flu deaths a year: this year there were 17. “It could be argued that the pandemic has resulted in 383 lives being saved, which makes it more effective than any flu vaccine” he concludes.
So don’t think of it as an infection, more a vaccine in easily accessible form for which nobody has to pay a penny.
I’m not sure how seriously Mr Law intends us to take this, but since his letter was sent to BMJ he’s sent a rapid response to his own letter, saying that total deaths have been revised upwards to 4,000, meaning that 80-120 million people have had H1N1 “with no significant disruption to emergency, medical, social or commercial aspects of society”.
Elsewhere he’s put it even more strongly, saying: “It could be argued that it is so benign that having supplanted the 'normal' flu, as it has in countries like Australia and New Zealand, it will actually go down in history as the first pandemic that saved lives... now there's a thought....”

Ron Law (not verified) wrote,
Fri, 09/10/2009 - 03:36
Hi Nigel. You say, "I’m not sure how seriously Mr Law intends us to take this, but since his letter was sent to BMJ he’s sent a rapid response to his own letter, saying that total deaths have been revised upwards to 4,000, meaning that 80-120 million people have had H1N1 “with no significant disruption to emergency, medical, social or commercial aspects of society”."
I see the CDC has said this week that infection rates in the USA have been 5-10 percent meaning 15 to 30 million infections across the States. The BMJ asked for permission to put my letter in the print version... I had submitted it as an e-letter. The infection fatality data actually comes from a combination of New Zealand, Australian and USA data...
In New Zealand over 11 percent of the 4.3 million citizens were infected this past winter with 18 deaths. That's an infection fatality rate of 1:26,000. Similar figures exist for australia and even new york city. Applying that to the 4,000+ deaths reported globally that equates to 105 million infections.
So it's not my data... I've just done the maths.
Regards
Ron Law
Post new comment