Certified Coronavirus Immunity as a Resource and a Way Back to Normality

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VIVES
BRIEFING
2020/01

           Certified Coronavirus
           Immunity as a Resource
           and a Way Back to
           Normality

           David Stadelmann*, Reiner Eichenberger**, Rainer Hegselmann***,
           David Savage**** and Benno Torgler*****

           *University of Bayreuth, Germany, Centre for Behavioural Economics, Society
           and technology (BEST), Centre for Research in Economics, Management and
           the Arts (CREMA) and associated researcher of VIVES, KU Leuven
           **University of Fribourg, Switzerland and CREMA - Center for Research in
           Economics, Management and the Arts
           ***Frankfurt School of Finance & Management, Germany
           ****University of Newcastle, Australia and Centre for Behavioral Econmics,
           Society and Technology (BEST)
           *****School of Economics and Finance and Center for Behavioural Econom-
           ics, Society and Technology (BEST), Queensland University of Technology

           We would like to thank Gerd Folkers, Marco Frank, Bruno Frey, Christian Girardi, Raymond Frem-
           pong, Anna Maria Koukal, Alison Macintyre, Simon Milligan, Florian Mitscherlich, Thomas
           Ochsenkühn, Jan Osterloh, Margit Osterloh, Katja Rost, Patricia Schafer and Frederik Wild for
           important discussions. The editors publish short articles together with experienced coauthors
           which propose robust solutions to large-scale societal problems requiring a combination of in-
           sights from social sciences.
CERTIFIED CORONAVIRUS IMMUNITY AS A RESOURCE
2    VIVES BRIEFING 2020/01
                                                        AND A WAY BACK TO NORMALITY

    As a result of the Corona crisis we are all living               As the number of immune people grows, re-
    in a state of emergency. But we are desperate                    strictions on all but the most vulnerable can be
    to get back to normal quickly. Some people are                   gradually relaxed. Those who are already im-
    losing hope and the economic costs of lock-                      mune could go back to their economic and so-
    down measures increase rapidly. However, as                      cial activity immediately and could even provide
    the disease spreads, the crucial resource for                    active support to the health care system. Their
    overcoming the crisis is growing as well. That                   engagement and contribution to society and the
    resource are people who are immune to Co-                        economy would reduce the risk of overburden-
    rona. This vital resource must be employed ef-                   ing the health care system and would reduce
    fectively,   it   must    be certified,        it     must       the potential for an economic and social break-
    be searched for, it must be found, and it may                    down. The resource of immune people is al-
    even be actively produced. How can this be                       ready much greater than we know: All those
    done?                                                            who have been infected with the virus are im-
                                                                     mune, but many may not have even realized
    CORONA IMMUNITY AS A GROWING RE-                                 that they had the disease (asymptomatic
    SOURCE                                                           cases). Consequently, they have never been

    It seems generally accepted that in most cases                   tested.

    the course of the COVID-19 disease is mild, of-
                                                                     Employ immune people
    ten resulting in no or few symptoms. The prob-
                                                                     Immune people can be reinstated to all activities
    ability of full recovery is high for many people,
                                                                     and can pursue all social contacts as usual.
    especially for younger people and those without
                                                                     More importantly they may voluntarily commit to
    previous illnesses. Those who have survived
                                                                     help in the care of the elderly and the sick with-
    the   disease     are,   according        to        current
                                                                     out endangering especially those people who
    knowledge, largely immune. The probability of
                                                                     are at risk. Such examples already exist: The
    contracting exactly same virus a second time
                                                                     U.S. Rand Paul had coronavirus and has now
    within a few years and passing the disease on
                                                                     recovered. He started volunteering at a hospital.
    is small compared to a first illness.
                                                                     The quickest possible and most comprehensive
    There are now already millions of people who                     engagement of immune people is therefore sen-
    have been infected with the Coronavirus and                      sible from a public health, an economic, and a
    who are now immune. Their immunity makes                         social perspective. Their employment is neces-
    each of them individually a valuable resource in                 sary for our society to return to normality.
    the fight against the virus, a resource that grows
    as the number of people infected increases. An-                  Issue immunity certificates
    tibodies from immune people might even be                        To make full use of their power, people with im-
    used to produce blood serum as a potential                       munity must once again be able to move freely,
    treatment. Moreover, from a societal perspec-                    without any restriction and without fear. To do
    tive, the larger the stock of persons with immun-                so, they must know for sure that they are im-
    ity, the lower the risk of infection for the elderly             mune, and other people must be able to distin-
    and those with pre-existing medical conditions.                  guish them from the non-immune. That is why
CERTIFIED CORONAVIRUS IMMUNITY AS A RESOURCE
3    VIVES BRIEFING 2020/01
                                                 AND A WAY BACK TO NORMALITY

    they need a reliable immunity certificate for             Find immune people
    proving immunity which can be based on having
                                                              The value of the immunity certificate facilitates
    antibodies or having experienced the illness.
                                                              the search for people who are already immune.
    This immunity certificate serves as a kind of
                                                              Those who are certified immune no longer need
    “passport” to normality and certifies the value of
                                                              be anxious about the disease, nor do they need
    the resource. Such certificates should not only
                                                              to remain in isolation as they resume a reason-
    be given to the domestic population, but coro-
                                                              ably normal life. This systematically provides in-
    navirus immune doctors, nurses, helpers or
                                                              centives for healthy people who may have been
    travelers from other countries should also be
                                                              infected to think about whether they may have
    certified accordingly.
                                                              had mild symptoms of the disease, such as loss

    Search for immune people                                  of smell and taste. Active cooperation with au-
                                                              thorities to obtain the immunity certificate be-
    Like other valuable resources, people immune
                                                              comes particularly rewarding. The same applies
    from the novel coronavirus must be sought out,
                                                              to patients with mild symptoms, who are cur-
    and this requires broad administration of tests.
                                                              rently suffering from fears of stigmatization, pre-
    Testing is not only about identifying virus carri-
                                                              venting self-identification as potentially sick.
    ers in order to protect society; it must also be
    about the fact that immune people can help to             Produce immune people
    save society. On the one hand, tests for viruses
                                                              Like other resources, immunity may even be ac-
    can be used to identify people who are currently
                                                              tively produced. Individuals may want to seek
    infected and who are then known to be immune
                                                              immunity voluntarily (under medical supervi-
    around two weeks after infection when potential
                                                              sion) through self-infection. Self-infection can
    symptoms and infectiousness have subsided.
                                                              be managed and organized by public or private
    On the other hand, tests for antibodies can be
                                                              health service providers and supported, if nec-
    used to find people who have never been tested
                                                              essary, by regulatory rules. Thus, the produc-
    – but were infected and had no symptoms of the
                                                              tion of immunity can potentially be organized
    disease – and are now already immune. These
                                                              without any major externalities, and actively in-
    people do not yet know about their immunity.
                                                              creasing immunity can help in the fight against
    Since the test capacity is still small today de-
                                                              a pandemic.
    spite rapid growth in facilities, the first step is to
    search for immunity in infection hotspots. Tests
                                                              CONCLUSION AND IMPLEMENTATION
    for antibodies are already approved and they
    are in use. Over time, better and better tests will       Until a truly effective treatment or vaccination is

    be introduced and mass production is possible.            available, already immune people are the cru-

    Searches may be conducted worldwide to find               cial resource in the fight against Corona. This is

    and certify immune people.                                true even under substantial uncertainty; moreo-
                                                              ver, it holds if current government measures are
                                                              relaxed for the general population because of
                                                              their enormous economic and social costs, or if
                                                              we see a substantial downward assessment of
CERTIFIED CORONAVIRUS IMMUNITY AS A RESOURCE
4    VIVES BRIEFING 2020/01
                                               AND A WAY BACK TO NORMALITY

    the health dangers of Corona for the general            REFERENCES
    population. After all, Corona is certainly danger-
                                                            Eichenberger, R., Hegselmann, R. & Stadel-
    ous for the elderly and for people with health
                                                            mann, D. (March 21, 2020). "Corona-Immunität
    problems. Immunity certificates do not neces-
                                                            als entscheidende Ressource: Der Weg zurück
    sarily have to be issued by European or an in-
                                                            in die Normalität", Beiträge zur aktuellen Wirt-
    ternational authority. Individual regional author-
                                                            schaftspolitik No. 2020-03, Center for Research
    ities such as federal states or autonomous re-
                                                            in Economics, Management and the Arts
    gions can issue immunity certificates inde-
                                                            (Switzerland)
    pendently of each other. Trustworthy authorities
    can then accept immunity certificates mutually.         Eichenberger, Reiner, Hegselmann, Rainer &

    In particular, nation states can issue immunity         Stadelmann, David (April 03, 2020). "Zertifi-

    certificates not only for their immune citizens but     zierte Corona-Immunität als entscheidende

    also for foreigners. Immunity certificates may al-      Ressource: Eine überlegene und robuste Exit-

    ways be relevant for people who travel a lot do-        Strategie", Beiträge zur aktuellen Wirtschafts-

    mestically or internationally. Understanding im-        politik No. 2020-07, Center for Research in Eco-

    mune people as a resource is therefore essen-           nomics, Management and the Arts (Switzer-

    tial and will enable a faster return to normality       land)

    from the current crisis.                                Eichenberger, R., Hegselmann, R., Savage D.,
                                                            Stadelmann, D. & Torgler, B. (2020). "Certified
                                                            Corona-Immunity as a Resource and Strategy
                                                            to Cope with Pandemic Costs", Kyklos, forth-
                                                            coming, DOI: 10.1111/kykl.12227

                                                            Stadelmann, D., Eichenberger, R., Hegselman,
                                                            R., Savage, D. and Torgler, B. (2020). “Certified
                                                            Corona-Immunity as a resource and a way back
                                                            to normality”, Observer Research Foundation
                                                            Expert Speak, April 5, 2020
CERTIFIED CORONAVIRUS IMMUNITY AS A RESOURCE
5    VIVES BRIEFING 2020/01
                                               AND A WAY BACK TO NORMALITY

    VLAAMS I NSTITUUT VOOR ECONOMIE EN SAMENLEVING
    VLAMINGENSTRAAT 83 - BUS 3550
    3000 LEUVEN, BELGIË

                      David Stadelmann
                      University of Bayreuth, Germany
                      & Associated Researcher of VIVES, KU Leuven
                      david.stadelmann@uni-bayreuth.de

                      Reiner Eichenberger
                      Universtität Freiburg, Switzerland
                      reiner.eichenberger@unifr.ch

                      Rainer Hegselmann
                      Frankfurt School of Finance and Management, Germany
                      m.konopnicka@fs.de

                      David Savage
                      Newcastle Business School
                      david.savage@newcastle.edu.au

                      Benno Torgler
                      Centre for Behavioural Economics, Society and Technology, QUT, Australia
                      benno.torgler@qut.edu.au

    The VIVES Briefings are set up to fuel the debate on the economic and social development of regions. They
    do this by means of short contributions from their own and affiliated researchers. The briefings are mostly
    based on ongoing fundamental research.

    An electronic version of the briefings is available on the VIVES website:
    https://feb.kuleuven.be/VIVES/vivesenglish/publications/briefings
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