Science

Sweden, which refused to implement a coronavirus lockdown, has so far avoided a mass outbreak. Now it's bracing for a surge in deaths.

Sweden
People in Stockholm on March 25. JONATHAN NACKSTRAND/AFP via Getty Images)
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Sweden, which broke international trends by not implementing a lockdown in its bid to slow the coronavirus, has so far avoided a mass outbreak. But it's now bracing for a surge in cases.

As European countries moved into strict lockdown mode — including the closure of nonessential businesses and police-enforced orders for people not to leave their homes — Sweden carried on almost normally.

The country moved to protect the most vulnerable while doing little to slow the virus through the rest of the population as most workplaces, restaurants, and bars remained open.

People have been urged to practice social distancing and avoid traveling to help the slow the virus' spread. The government restricted social gatherings to a maximum of 50 people, a revision down from 500 people.

Sweden has not seen a mass outbreak like some other European countries, such as Italy and Spain. But it has not completely avoided the virus: As of Tuesday morning, the country had reported just over 7,200 cases and 477 deaths.

'We will count the dead in thousands'

On Saturday, Prime Minister Stefan Löfven said the coronavirus may have spread slower in Sweden than in many other countries, but that did not mean it could avoid its worst effects.

stefan lofven
Swedish Prime Minister Stefan Löfven.  Dan Kitwood/Getty

"We have chosen a strategy of trying to flatten the curve and not get too dramatic a process because then the healthcare system probably will not cope," he told Sweden's Dagens Nyheter newspaper, according to The Guardian. "But it also means that we will have more seriously ill people who need intensive care. We will have significantly more deaths. We will count the dead in thousands."

Sweden's parliament may also introduce more restrictive measures, which could include shutting transport links, closing shops and restaurants, and putting new limits on public gathering.

People sit in a bar in Stockholm, Wednesday, March 25, 2020. The streets of Sweden's capital are quiet but not deserted. Sweden has some of the most relaxed measures in Europe in the fight against the coronavirus outbreak. So far, only gatherings of over 500 people are banned and elementary and middle schools remain open. The new coronavirus causes mild or moderate symptoms for most people, but for some, especially older adults and people with existing health problems, it can cause more severe illness or death. (AP Photo/David Keyton)
People in a bar in Stockholm on March 25.  Associated Press

But Löfven appeared to reject the idea that Sweden's unusual strategy was at fault, saying people "should not dramatize" the differences between the approaches.

"We're doing it in a somewhat different way," he said, adding that "sometimes that is because we are in different phases" of the outbreak.

Anders Tegnell, Sweden's chief epidemiologist, also defended the country's strategy. 

"We think we've already taken the most important measures," he said. "Stay home if you feel ill; work from home if you can. And we have to ensure that we protect our older fellow citizens."

He added: "You could alter other rules, such as those governing trips to the restaurant or gatherings. But you get the best effect when everyone simply sticks to the basic code of conduct."

Some scientists and health experts have been critical of the country's response, which resembles an earlier plan in the UK that said the virus should move through most of the population so that it could build up a "herd immunity."

That plan was abandoned when modeling showed it would have resulted in up to 250,000 deaths.

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Sinéad Baker
Sinéad Baker is a Military and Defense Correspondent based in Business Insider's London bureau, writing about Russia's invasion of Ukraine and NATO actions.Sinéad most often covers soldiers' experiences, military strategy, battlefield developments, weapons systems, the defense industry's response, and the impact on NATO and European security, and geopolitical decisions that surround the Ukraine war. She has reported from NATO’s frontlines and around Europe,  has interviewed multiple prime ministers and defense ministers, has appeared on BBC News and The Guardian's politics podcast, and has been cited by Congressional hearings.Sinéad has also extensively covered US politics and previously led Business Insider's breaking news coverage from London.Sinéad previously completed a master's degree in investigative journalism at City, University of London, and has written for The Guardian, The Observer, and TheJournal.ie. Sinéad is the former editor of the multi-award-winning The University Times in Dublin.Expertise
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