Category Archives: Britain

Britain still in covid-19 lock down – with the lunatics in charge of the asylum

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More on covid pandemic 2020-2?

Britain still in covid-19 lock down – with the lunatics in charge of the asylum

The same issues keep on coming up and the Government of the Buffoon (but with the Buffoon himself stating out of the limelight) still makes policy decisions which most find mind-boggling. Welcome to Britain – but if you come after 8th June be prepared to put yourself in a 14 day quarantine.

Testing

The much vaunted figure of 100,000 tests per day was, surprise, surprise, attained on 31st April – but not on too many days since. And in place of an investigation into why numbers are not going up we are merely given another number and another target date.

But some doubts have been cast on whether the information is even accurate, with the possibility that some tests are being counted twice. That might be a valid approach if that was the way they have been counted in the past – but shouldn’t have people been informed of that? I’m sure than most people would have thought that the number of tests carried out was, in fact, the same as the number of people tested.

I might be missing something but is the Government still declaring how many tests are carried out each day? It seems those numbers were bandied about when it suited but things have gone quiet as the targets are difficult to attain. And now all the news is about the new antigen test. So two different tests which will cause even greater confusion and make it almost impossible to know what is going on.

Test – Track – Isolate

Adam Kucharski, working on the mathematical analysis of infectious diseases at the London School of Hygiene and Tropical Medicine, Radio 4, World at One, 21st May;

Q. Is the NHS Confederation correct that there should be no lifting of lock down until a plan for contact tracing is in place?

‘Countries have to be very careful about lifting restrictions without having something to replace them that can ensure a reduction in transmission. Over time we can have more targetted measures, such as track and trace, when we don’t need the more blanket measures. We are still seeing infections appear so we have to be cautious in how we lift those measures.’

Q. Are other European countries lifting lock down measures without track and trace in place?

‘It’s not entirely clear what the long term strategy is in some of the countries. If you lift restrictions then outbreaks can occur and be spread fairly easily so unless there’s something to replace restrictions you may well see other outbreaks occur.’

Q. How easy is it to have personnel doing the contact tracing and is the app necessary?

‘We probably need both these things to work in tandem. Manual contact tracing is labour intensive and if you look at countries who have done this, like S Korea, they have access to a lot more data, such as credit card transactions, phone location data. Even with that level of oversight very quickly the manual effort can increase. The app can particularly pick up contacts that are very difficult to trace. To identify someone in your own house is very easy, identifying some one you sat two tables away from in a restaurant would be much harder. Here apps could potentially add a lot more value.’

Q. Do apps need to be closely integrated to those doing the manual work?

‘From a public health point of view these things are always more effective if you integrate them because then you don’t have them overlapping in effort and wasting resources. Also we need to be thinking about social distancing measures that remain in place alongside these. Other countries that have used contact tracing have still kept infection control and physical distancing. Ideally we can do that in some more moderate way but we need to think of this as a sequence of tools and find the best possible way of combining them.’

Q. We hear of issues of those employed to do the tracing not knowing exactly what to do. Can you see contact tracing all happening by the beginning of next week?

‘To make sure of identifying contacts and to be confident, especially of lifting measures, we do need to ensure that we are capturing quite a large proportion of transmissions. Our modelling shows as soon as you get delays in identifying contacts this will lead to more transmissions. We want the system to be as effective as possible.’

On 20th May the Buffoon made a big thing about a ‘world-class’ contract tracing system being up and running by 1st June. Only a day later that was changed to ‘early next month (June)’ but now without the much vaunted NHSX Smartphone app.

The NHS Confederation was still cautious about any major changes in the lock down before effective contact tracing was in place. Niall Dickson, chief executive of the confederation, said on 21st May;

‘We are absolutely clear that contact tracing is the right thing to do, it is absolutely critical, it has got to be in place to prevent any notion of a second surge if the lock down is being further released.’

Testing – or not

Although already mentioned it doesn’t do any harm to remind people about the report that surfaced on Tuesday which criticised the decision to stop community testing on March 12th.

Antibody tests

These are likely to be the next ‘best thing’, theoretically providing proof of whether someone has already contracted the infection, recovered and possibly immune to any re-infection. Their efficiacy still hasn’t been proven (but even so the Government has a contract with the pharmceutical giant Roche to provide millions of such tests) but already major companies are playing on peoples’ fears, and hopes of immunity, and are selling them online.

The high street chain Superdrug was one of the first. On sale 21st May, sold out on 22nd – at £69.00 a pop.

14 day quarantine on international arrivals

Loath as I am to have to say so but I agree with one of the most unpleasant present day representatives of the free market economy, Michael O’Leary, the Chief Executive of the budget airline Ryanair, that the introduction of a 14 day quarantine for anyone arriving in the UK is a crass and irrational response to any fear of the virus coming into the country. Millions of people have arrived in the UK since the lock down was declared on 23rd March and any measures to protect the country so late in the day borders on the farcical. After a lock down the last thing you need is a further restriction on movement – especially one that doesn’t make any sense at all.

More details were unveiled on the afternoon of 22nd May. For some reason this will not come into force until 8th June. There will be exemptions – but what’s the point of a rule if there are exemptions which will basically undermine the rule?

The role of unions in the covid-19 pandemic

When we live in a time ‘ruled’ by a bunch of useless public schoolboys (and girls) – who most of the time of the covid-19 pandemic in Britain seem to be running around like chickens with their heads cut off – it’s an opportunity to those organisations of the workers to show some ability, insight and forward thinking and take on a role of leadership. In light of the fact there is no revolutionary Marxist-Leninist Party to take up that banner it has been left to the Trade Unions. However, with few exceptions, they have shown themselves lacking.

In the early days of the lock down there were a number of wildcat strikes where workers were taking immediate action to safeguard their safety – decided upon and organised at a local level, without recourse to the national leadership and certainly with no concern of so-called ‘cooling off periods’ and the only ballot being a showing of hands.

Most of the time we hear of trade unions in the present situation it’s when the union leadership reacts to an event, this is from both individual trade union leaders and the Trades Union Congress (TUC) which should be presenting a unified approach of organised labour to the ‘unprecedented’ crisis that covid-19 has brought to the fore.

At the moment it’s the education trade unions that are not covering themselves in glory. At best they are merely frightened at worse they display a total inability to analyse and respond to an unknown situation. Instead of looking for ways out of the problem they seem to look for reasons NOT to do something, being obstructive in the face of the (admittedly half-baked and muddled) plans of the Buffoon and his government to get education moving again.

One of the education union leaders, Mary Bousted, of the National Education Union (NEU), seemed to treat the whole thing as a game and a poll carried out by the NASUWT, one of the other education unions, found that only 5% of its 30,000 members believed it was safe for children to return to education on 1st June – going against the vast majority of the scientific evidence that such a move was neither prejudicial to the children nor the teachers themselves. And these are the people entrusted with the education of future generations.

We can all criticise how this pandemic is being managed (and that’s all I’m doing on these posts) but there comes a time when to move forward others have to take the reins of leadership. The British Labour Party is incapable of doing so and that leaves the task to the workers organised in their unions – but that won’t be the case if all the unions do is cower in a corner and hope the the pandemic will just go away. They are acting just the same as the Government.

Problems don’t solve themselves and it’s for organised labour to face up to the problems now or they will have no chance of having any positive impact upon society when we return to the ‘new normality’ – a normality which will have many more hundreds of thousands of workers in unemployment on top of the abysmal situation we have allowed workers conditions to fall into in the years before anyone ever heard of covid-19.

Nationalists

The nationalist parties in the UK, especially the Scottish, have loved playing their own game in the last two months of the all Britain lock down. The fact that areas such as health were devolved as part of the capitulation to the nationalists means that here is an area where the devolved governments have a great deal of autonomy. And the Nationalists have used it to their utmost, perceived, advantage. But they don’t like it when it’s pointed out.

Profiteering during the pandemic

Although there may be positive changes in attitude by many during this pandemic, which makes the society more cohesive, there will always be those who seek to profit from the misery of others. There’s constant mention in Britain (when isn’t it when it comes to any crisis?) of the Blitz (the aerial bombing of London and other major cities in Britain by the Nazi air force in the Second World War) and the Dunkirk Spirit (when retreating British armed forces escaped from western France in 1940) and how the country came together. But they conveniently forget the looting of bombed properties, the ‘Black Market’, the ‘spivs’ (small time conmen), break-ins and burglaries, rapes and murders that went on in the black-outs as well as all-round profiteering when companies knew they could charge the Government what they liked for their goods or services.

Obviously not on anything like the same scale (although we don’t now all that’s been going on in the last couple of months) profiteers have already had a field day and are filling their boots when they can. Although the Competition and Markets Authority (CMA) is a part of Government nothing will happen about these abuses. The response of the Government to this sanctioned theft? The Department for Business maintained ‘the vast majority’ of firms were acting responsibly.

How is knowledge growing about covid-19?

After infections and deaths over a period a little under three months since the first death on 5th March the statistics of the infections and deaths in the intervening period have started to paint an interesting picture of the pandemic – as it has worked its way through the UK but whilst also filling in the international picture.

Taking the statistics up to the week ending 8th May it’s possible to say (according to David Spiegelhalter, Professor of Statistics at Cambridge University);

  • ‘pattern of covid deaths is changing
  • ‘around half the deaths from covid were in the community – and therefore only half in hospitals’
  • ‘the median age of deaths for women was 87, for men 82’
  • ‘this shows the penetration into care homes’
  • ‘epidemic in the community seems to be largely under control’
  • ‘in care homes and even hospitals there’s a bigger risk of infection’
  • ‘1 in 1600 of the population have died of covid’
  • ‘for those over 90 ‘1 in 70’
  • ‘for kids between 5 and 14 there’s only been one registered death, in a population of 7 million – although there will probably be more’

Other information from the statistics available at this moment, 22nd May;

  • 90% of those who had died in March and April had ‘underlying health conditions’
  • in 25% of all deaths the persons had diabetes (although it is not specified whether that is Type 1 or 2) – that came out as 5,800 out of 22,000 deaths in hospital
  • those with dementia and Alzheimer are highly at risk
  • at any one time (according to statistics released for the first two full weeks of May) 1 in 400 people in the UK are infected. That means the chances of meeting one by chance is very low – the problem with covid-19, however, is because an infected person can be asymptomatic and be infectious you don’t know who that one person might be.

How is the virus spread?

By a small percentage of the population normally. This has been the pattern with previous recent outbreaks such as HIV, SARS and Ebola – and now covid-19 it has been proposed. This report suggests that events where there are a lot of people, in very close proximity and where there might be a lot of vigorous activity, such as fitness centres or night clubs, could be classified as ‘super-spreader events’. Nothing is certain here as the spread of any infectious disease can be complex, but such studies start to suggest that certain activities and locations could be pin pointed as potential infectious hot spots which could then be approached in a considered manner.

Such an approach is needed to get away from the blanket approach which, honestly, only displays fear and ignorance – the approach that has characterised virtually all countries response to the pandemic.

Universities in Britain – all Open University now

The Open University was established in 1969 with the aim of providing part time, distance learning degree opportunities for those who (for various reasons) couldn’t commit to a full time university course. And it did – and is still doing – its job very well, the invention of the internet making distance learning more proactive and with occasional meet ups with fellow course members at various times of the year. But this was the exception – not the rule.

When the lock down was declared in March all universities eventually closed down, sent their students and staff home and any teaching went on line. This time of year is exam time and so even exams are taking place online – although I don’t know exactly how they are doing that. This made sense in the initial stages when knowledge of the virus was in its early stages.

But what normally also happens at this time of year is that the new intake of, mainly, 18 year olds decide at which university they want to study. At least one, Manchester University, stated they would only have lectures online for the first term of the 2020-2021 academic year – others are expected to follow suit.

However, on 19th May Cambridge University declared that all lectures would be online for the whole of the academic year.

If this matter becomes more general I can’t see why anyone would want to go to university in the academic year 2020-2021 – especially first year students. Going away to university in Britain isn’t just about education. For first year students it’s the first time any of them have been in any way independent in their lives. It’s the moving away from the parental home (although that trend has reversed with the costs of living expenses in the last few years) that makes staying in further education more attractive – as is the so-called ‘campus experience’. And those foundations get laid down in the first year – subsequent years work and study (theoretically) take precedence.

Universities have already stated (as has been the case since the lock down in March) that even if teaching goes online students would still be expected to pay full fees. Even if students do enrol in universities and the ‘social distancing ‘ rules remain the same there’s absolutely no incentive to leave home and pay the huge expense rent and other living expenses in often substandard accommodation and perhaps with people with whom you would rather not spend too much time.

The wider community would also suffer if the thousands of expected students stayed away for a year. Education has become so much of a business in the last 20 years or so that students and what they spend can be as important to a city as is foreign tourism – be that national or international. This is, yet again, a decision which seems to have been taken without taking into account the fall out.

And who is this really protecting? Students in their late teens or early twenties are among the least likely to suffer serious consequences from covid-19 and wouldn’t be at any greater risk than if they stay at home.

I just don’t understand this decision, another example of how risk averse (based upon no evidence) Britain has become.

The old may be dying but it’s the young who will pay the long term price

A report by the Resolution Foundation reports that it’s the young who are going to carry the long term consequences of the pandemic.

It found that;

  • young employees are most likely to have lost work due to furloughing, jobs losses and hours reductions
  • compared to prime-age adults, a smaller proportion of young employees had the same pay in May as before the coronavirus crisis hit
  • young (and old) employees are the least able to weather the crisis by working from home

On top of this the number of new job vacancies has also fallen sharply – 170,000 fall from February to April, according to the Office of National Statistics (ONS).

And all the debt that’s being accumulated in the last couple of months will be expected to be paid by someone – hands up the young.

The poor you will always have with you (Mark 14:7)

It’s amazing how the poor are also thought about in times of crisis – but totally ignored in the ‘good times’. There have been many declarations of concern for the poor in the last two months of the lock down such as the homeless and children who need to claim free school dinners (who are always, insultingly, described as coming from ‘deprived backgrounds’).

In the debate about whether or not schools should restart (or at least part of them) on 1st June, Andy Preston, the Mayor of Middlesbrough, argued that it was important to open the schools as soon as possible as this was imperative for the ‘deprived’ children as they need education to get them out of their ‘deprivation’.

This is merely an example of the crassness of British society. There’s the concept, constantly being promoted by those who have the wealth and the power that it only needs an extra push for the poor to drag themselves out of the mire in which they find themselves – this is the so-called ‘social mobility’ lie.

Such arguments are loved by those in power as it places all the responsibility of their poverty on the poor themselves – all they need is to pull themselves up by their own boot straps. This idea was pushed in the 19th century and it’s still with us now in the 21st. Those 200 years have not eradicated poverty and neither will the next 200 if things remain the same.

The sanctimonious Victorians made such trite statements and those who continue in the same vein maintain that ‘improvements’ in poverty can be made without any substantial changes to society. They don’t realise, or accept, that poverty is a pre-condition for the existence of capitalism.

Activities which result in large donations to charities are applauded, the very existence of food banks in every town is considered an ‘advance’, but if people are really serious about eradicating poverty, in this country or any other part of the world, a much more systemic change is necessary.

Putting matters into perspective

Amphan is the name of the cyclone that has been battering India and Bangladesh in the last few days, made landfall early on 21st May and then headed north. Events like this should make people living in the privileged ‘industrialised’ countries put the covid-19 pandemic into perspective. Before this cyclone moves away hundreds, if not thousands, of people are likely to lose their lives.

Bangladesh is one of the countries which is particularly susceptible to climate change as the vast majority of the country is only a few metres above sea level. The winds that are moving inland will no longer be causing damage but the amount of water in the rainfall when the storm hits the high mountains will eventually arrive at the Bay of Bengal, flooding the huge low lying delta on its way.

And those in different parts of the world whose lives were precarious before the arrival of covid-19 will now be in even more danger of the ravages of poverty. The 60 million (surely only a wild guestimate) of these people identified by the World Bank certainly puts the numbers of deaths in Europe, so far due to the pandemic, into some sort of perspective.

Changes to laws under the radar

The various British governments (of whatever colour) have built up a reputation of releasing contentious reports or trying to introduce changes to legislation on ‘quite news days’. They are also not averse to slipping in such law changes when everyday is a big news day and covid-19 drowns out everything else.

That’s what is happening to changes in the already draconian anti-terrorism laws. You wouldn’t have thought there was any need to restrict even more any legal rights for a suspected (but not convicted) ‘terrorist’ – but not the British Government. When someone can be arrested and held just on the say so of the security services already the Tories (no doubt with the implicit support of all the other political parties in Parliament) now want to increase unlawful detention indefinitely.

Whenever ‘terrorist’ legislation is discussed in Britain the argument is always presented, by the State, that if you’ve done nothing wrong you have nothing to fear. However, everyone should be aware that the definition of a ‘terrorist’ is growing all the time and can theoretically include any anti-State activity.

We shouldn’t let the dominance of one problem in society blind us to what is going on around us, hidden and without our permission.

More on covid pandemic 2020-2?

Now into the third month of lock down – confusion remains in Britain

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More on covid pandemic 2020-2?

Now into the third month of lock down – confusion remains in Britain

Most people were waiting for the easing of the lock down but when it was announced it came with the confusion and questions we have become used to from the Buffoon and his gang.

Testing, track and trace

A couple of differences of the NHSX app (now being ‘piloted’ on the Isle of Wight) from that produced by Apple/Google (and which is being used in many other countries) is that in the UK version people report their symptoms BEFORE a test whilst elsewhere the reporting comes AFTER a test. Also the Apple/Google version actually helps Bluetooth (the way the Smartphones communicate with each other) work better. But the NHSX is not free of the ‘tech giants’ – it needs their permission to work at all – therefore the tech companies remain the ‘gatekeepers’ of any app.

From the beginning one of the arguments given by States to encourage use was that it was voluntary, that no one would be forced to download and activate it. That’s becoming less of a case as some app will almost certainly play a part of any movement of people between countries. This is already being used in Honk Kong for any international arrival and some version will almost certainly be obligatory in many other copy cat countries – even before it has been proven that these apps are actually any use. Just helps to keep a track on people’s movements.

The rocky road of the NHSX app

The pilot has gone very quiet in the last few days – after the fanfare of its release and the ‘overwhelming’ take up.

By now plans should have been in place to extend the pilot to other parts of Britain, although this has now been delayed – until when nobody is saying.

And needless to say we are still no closer to a resolution of the matter of privacy – presumably the Government hopes that if they say nothing for long enough people will get bored with asking the question. That’s also one of the things unlikely to happen. Security concerns continue with fears that it allows an opening to hackers.

Not only is the roll out of the unproven app been delayed so has the contact tracing. The problem, at least in England, is that there is no strategy which doesn’t rely almost entirely on the app’s information. By now this should all have been up and running – if we had listened to Government promises – but by their own admission the contact tracing won’t be up an running before some time in June. And don’t talk about the figures, or the actual people involved. That also seems to change as often as the British weather.

The latest (20th May) ‘information’ is that there will be 25,000 tracers working from 1st June (world-beating’ according to the fantasist Buffoon). I have no doubt those numbers will be reached (as did the 100,000 tests on April 30th – but few days since) and work will begin on that day but of what use is another matter. One issue that has to be resolved before this contact tracing can be effective is to increase the speed at which results are obtained. It currently takes 4/5 days to get a result – that’s far too slow to make the isolation part of the concept useful.

The ‘Norwich Experiment’ – tacking and tracing

Neil Hall, Earlham Institute, Norwich, on a project to test and monitor the whole population of Norwich; Radio 4, World at One, May 15th;

‘The major problem with this virus, and the reason it’s been so difficult to contain, is that it transmits from people who are asymptomatic, before they get ill, or in some cases, from people who don’t get badly ill at all.

That means if you are only testing for the virus from people who are presenting at a doctor’s or a hospital or even if you’re contact tracing you are always playing catch up with the virus. You’re always a step behind. The idea of mass community testing is that you identify those asymptomatic cases before they become ill or before they are identified in a chain through contact tracing.’

Q. You want Norwich to be a city in which that is done?

‘The size of Norwich is about right, 140,000 people, challenging but doable. Also Norwich has one of the highest proportion of molecular biologists per head of population with government funded institutes and a research hospital, etc., in the city.’

Q. How do you test everybody?

‘The idea we’ve been working on is people would be sent a testing kit to their house. That might involve some self-swabbing but research has shown that simple saliva tests are pretty accurate. The kit is bar coded with peoples’ details and then sent back depending upon the logistics being discussed. People would be informed if they had a positive test and would have to self-isolate.’

Q. How far is the push to make it happen? Is the Government on board?

‘There are a lot of partners involved but no funding from National Government. The national government strategy at the moment is putting its weight behind testing of individuals who are sick or in high risk environments.

Mass community testing will also provide a huge amount of information about how the virus is spreading in the community and that will inform government policy nationally. If we know, for example, how asymptomatic cases are in transmission, how important public transport is, how important work place is or households are in the replication of the virus then the government will know when it can relax restrictions and when it has to reinforce them.’

The Track-Trace-Isolate (TTI) strategy in Scotland

Jason Leitch, Clinical Director, Scotland on extension of the covid-19 symptoms (to include taste and smell) and contact tracing in Scotland, Radio 4, World at One, 18th May;

Q. Why has the list of symptoms changed?

‘Science changes all the time. The WHO (World Health Organisation) has a long list of symptoms for covid-19 none of which are, unfortunately, very specific. So you have to cast a net as wide as you can to detect covid-19 but no tos wide you capture the whole population. The evidence has increased on the loss of taste and smell so this has been now, across the four countries of the UK, been added to the list.

We’ve always wanted those with symptoms to self-isolate. We don’t do this with other infections so we have created a fear in society. We don’t want to put 60 million in isolation so we have to be balanced.’

Q. Is it important to get the contract tracing implemented before easing the lock down in Scotland?

‘It’s a kind of parallel process. The WHO says there are six measures you have to have in place before thinking about any dramatic changes to your lock down.

The first is to suppress the virus. The second is a reliable test, trace and isolate system. We [in Scotland] have added an S to our TTI, which is Support.

People underestimate the level of support some need in order to self-isolate – not everybody lives in an environment where a 14 day isolation, although annoying, won’t be that restricting. So we need to think about the support people might need to do that.’

Q. Do you have enough tracers to do that?

‘Tracing exists already across Europe for sexually transmitted diseases etc., so the public health community are very used to contact tracing. We’ve decided to organise this in Scotland around the 14 regions and we are using staff from various sectors to fulfil the need. We’re aiming for 2,000 by the end of the month.’

Q. Why no app?

‘Not no app, considering the app. A digital solution to help with contract tracing and we’re beginning to test in three of our Health Boards with an app really as a boost for the contact tracer to help them along. Contact tracers are detectives, they are used to doing that, their training is about who you were with, where were you, it’s quite an elaborate interview.

The NHSX app is still in development. We need to know about the privacy of it. When we’re reassured about those three things then we’ll happily embrace it. We don’t need it, we’ll have contract tracing without it but if we feel it adds a layer of information, a layer of data then we will, of course, use it if it is safe to do so.’

‘Easing’ the lock down – how will people respond?

Professor Robert Dingwall, School of Social Science, Nottingham Trent University, member of the New and Emerging Respiratory Virus Threat Advisory Group (NERVTAG), Radio 4, World at One, 18th May, on how people will react to the easing of the lock down;

Q. There are some people terrified of opening their front doors again. What will happen when people start to go out more?

‘The Government campaign to get us all to stay at home has probably been more effective than they would have wanted it to be in terms of raising the level of anxiety among the population. Surveys show we are easily the most anxious country in Europe about the impact of the virus. In the news coverage there’s been this relentless drum beat of death that’s rather overshadowed the fact that most people (80%) won’t need to go anywhere near a hospital and virtually all those that do will come out again in one piece.’

Q. Was that due to the Government message or the sense of community in protecting the NHS?

‘It’s probably the way the Government has gone about it. It’s also the attraction of kinds of stories for the media. Deaths are full of human interest and there are lots of opportunities for ‘intrepid reporters’. It’s a combination of things. The coronavirus has been overlayed on a number of pre-existing tensions and conflicts. We were a fairly divided society to start with. This hasn’t exactly helped.’

Q. What do you think will make a difference?

‘We might see quite a period of tension and possibly some micro-aggression between people who are more or less risk averse, for example visually impaired people who are unable to maintain social distancing rules are already being abused. Conflicts about masks, what two metres looks like and whether two metres is relevant at all. Those things are going to run for quite a while.’

Q. We were told schools had to shut. What has changed to make them safe now?

‘One thing that has certainly changed is out understanding of the science around children and the transmission of infection. With influenza children are clearly super-spreaders – although we never close schools over the winter because of this. What we now understand [with covid] is that children get a relatively mild form of the disease and they certainly don’t transmit it any more than adults. And teachers are no more at risk in school than going about everyday business in the community.’

The Blame Game

In one of the early post on covid-19 I suggested that having the scientists at the regular press conferences was to have a ready scapegoat if things went pear shaped. As the country entered the third month of the lock down – although now with certain caveats – the accusations started to fly around.

Jeremy Hunt, one time Tory Health Minister, now Chair of the House of Commons Health and Social Care Select Committee, on 19th May;

‘… some of the decisions, notably on testing, represent some of the biggest failures of scientific advice to ministers in out life time.’

Therese Coffey, Secretary of State for Work and Pensions, when asked why community testing was ended on 12th March, in a testy reply on 19th May;

‘If the science was wrong I’m not surprised people think we then made the wrong decision.’

The issue can be clarified very easily here. Advice does not equate to decision. The only way to know the facts is for the Government to publish all the documents at the time. The longer this takes (as they will come out at some time in the future) the more it looks like the Government has something to hide.

The Nationalists and Covid-19

I haven’t really quoted extensively from politicians in previous posts but am doing so here with a contribution from Gordon Brown, at one time Labour Prime Minister, who dislikes the Scottish Nationalists as much as I do, Radio 4, World at One, 19th May, on how the pandemic has been approached in the ‘devolved’ Scotland;

‘Half of the deaths in Scotland are in care homes. It’s tragic that even today not all care home residents and workers have been tested. It’s a great failure of public policy to have known about this problem for weeks, to have known that the one way that we could find out whether people are at risk is testing early and testing routinely and not being able to bring in a system as the capacity was simply not good enough. Less than 3% of people have been tested so if we are going to avoid a second wave we’ve got to act urgently to have not just mass testing but routine testing.

We are not talking about thousands of tests a day but hundreds of thousands per day. If we are trying to ease the lock down then we have got to give people reassurances, we’ve got to prevent a second wave, we’ve got to get the R figure down.

With testing [on the return of schools] you can guarantee to people that they can be assured that those who have got this disease are not going to be passing it on. Where are the hundreds of thousands of tests? There’re clearly not here. The contact tracing is not yet working and therefore the strategy which was supposed to be to test, to trace and isolate cannot be working in full. And that was the basis of the Government’s decision to end the lock down and to end it gradually.

In Government you’ve got to make decisions on your priorities and then you’ve got to act of them quickly. Since March 12th when it was decided to give up testing in the communities there has been an absolute failure to recognise that if we are going to end the lock down there were certain things that we had got to have put in place. If you can’t say ‘get vaccinated’ you should be saying ‘get tested’ and you should make it possible for people to get tested.

Q. Do you fear for the Union [that’s the United kingdom] when you see different nations going their own way?

‘We were bound to have differences of approach to issue like schooling when you have different systems in schooling. What the real problem is is the lack of co-operation between the different parts of the Union and the lack of common purpose. The desire to be seen as separate for the sake of being separate is the problem and over time we have got to recognise that we’ll benefit and achieve more by working together than isolating yourself and making a virtue of being apart.’

All in this together?

As with the recovery from economic crash of 2008 (caused by the reckless gambling and rush for easy money by the financial institutions) so in the battle against covid-19, we are supposed to be all in this together, a common fight against a common enemy who knows no barriers such as wealth. The words were empty in 2008 and are as worthless in the present pandemic. There’s one law for the rich and one for the poor.

On the 17th May it was reported that the author Neil Gaiman travelled all the way from New Zealand to the Isle of Skye in Scotland.

A number of issues are raised here;

  • why was he allowed to leave New Zealand in the first place? The country is making a big issue about how well it has managed the pandemic locally, why don’t they help other countries enforce their travel restrictions?
  • why was he allowed to transit the United States?
  • why wasn’t he questioned when he arrived in London? There are so few travellers now surely just so they don’t get bored Border Officials must ask the reasons for people travelling to the country – especially as there has been so much fuss recently about why a quarantine is being talked about in the future but not in the past – don’t these immigration officials have any idea what is being discussed in the country?
  • why are the rich so arrogant that they think they can boast about their activities on Twitter – even when most of the people who would read such social media messages wouldn’t be able to do what he did – another rhetorical question, the rich do what they do because they can.
  • why do the police bother to interview him when they know they are not going to do anything anyway. And even if they do take ‘action’ what’s a £100 fine to the rich?
  • this coming Bank Holiday in Britain there will probably be thousands of people who will be breaking the rules. There will be big coverage of this in the media with politicians (and a number of ‘key workers’) making moral judgements about such ‘thoughtlessness’. But why should they abide by the rules when all you need to flaunt them is money. If the State was serious about ‘we’re all in this together’ they would make an example of the prick Gaiman – but that’s not going to happen.

Travel on public transport

‘Coronavirus (COVID-19): safer travel guidance for passengers’ is the heading of the official guidance published by the Tory Government on 12 May 2020.

This is like something out of the 1940s where those in power regularly talked down to the vast majority of the population. They might argue that its design, and wording, is in an age of hyperlinks but it just reads as if they are addressing small children where repetition of the same phrases is the only way to get people to learn.

It’s been estimated that to maintain social-distancing on public transport it would not be able to operate at more than 15% capacity, some argue even less. That’s not sustainable for any real length of time. For the last seven or eight weeks buses nationally have been running at a much lower capacity – but this is all being heavily subsidised by the Government. If the money can be found during the covid-19 pandemic why wasn’t it there in the past when the public transport system was being run down as it ‘wasn’t financially viable’? These Tory bastards have got a lot to answer for – as are the people who accepted their lies over the years.

On 13th May, the first day of the limited return to work, the ASLEF union complained, on behalf of their drivers on the London Underground, that there were too many passengers. I don’t really understand what they are thinking about. At some time in the future (next week, next month, next year – but by then there’ll be no London Underground) the transport system has to get back to some sort of normality.

Especially in London. There are, on a normal day, 4 million Tube journeys and 6 million bus journeys. If, soon, Transport for London is not able to get the numbers back to that sort of level you might as well abandon the capital. We have heard for years about the social cleansing when it comes to housing in London. The people who keep the capital working (those in mostly poorly paid jobs with awful conditions – night work or getting up a the crack of dawn) don’t live closer than many miles from the centre. They depend totally upon public transport and a fatuous suggestion to walk or go by bike shows a total lack of understanding of how major cities, especially London, function.

Also if you consider how much London (as do many other cities in Britain) depends upon tourism then you will need the transport system up and running, with full capacity, if there is any plan to get London back to anywhere near what it was pre-March 2020.

Neither is the idea of walk, cycle or use you own car really feasible in most of the country. After years of being encouraged to leave their cars at home people are now being encouraged to drive to work. Congestion, air and noise pollution will go through the roof.

So instead of complaining that their members are at risk the union has to do, what the rest of the country has to do, and that’s come up with ways to protect people if they are perceived to be at risk, so they can do their job. The virus will not go away. We can either close down until there’s an effective vaccine or live with it.

All indications, from the very beginning, is that the virus is particularly dangerous for a certain section of society (even though, from time to time others might also get a bad, and even lethal infection). But that happens with any virus, even the common cold or the flu.

Even the Department of Transport understands you can’t have a public transport system and maintain ‘social-distancing’. Public Transport without ‘social distancing’ is called a taxi or a chauffeur driven car.

After a couple of months of trying to instil fear in the population to get them to do what they want the Government has now got to come up with a strategy to get public transport back to running as it should do – together with the virus. It has to happen some time – and sooner rather than later – so why not now?

Following complaints from transport workers and other ‘key-worker commuters’ about ‘overcrowding’ on trains, on 14th May train companies stated there would be more trains in the week beginning the 18th. Why couldn’t the train companies been informed of the policy change in sufficient time for them to arrange for those ‘more trains’ to be available when there was an increase in the number of passengers?

By allowing people to travel, basically as far as they like in private vehicles, the Government is also effectively penalising the poorer section of the population – who don’t have a car and under normal circumstances would travel on public transport. In all the decisions that have been taken since the beginning of March it’s almost impossible to see any structure or strategy at all. Decisions are made but with no thought to their consequences. If Britain is ever to restore some some of normality – for the vast majority of the population – one of the issues that needs resolving is that of public transport and than would need a complete rethink of the concept of ‘social distancing’.

Vocabulary of ‘Opposition’ Parties in a Parliamentary Democracy

‘too soon’, ‘too late’, too much’, ‘too little’, ‘not enough’, ‘more honest’.

Companies abusing the furlough scheme

By 13th May 800 companies had been reported to Her Majesty’s Revenue and Customs (HMRC) for fraudulently claiming on the furlough scheme whilst having people at work.

On Money Box, Radio 4, on both 2nd May and 16th May, there was a section of various ‘anomalies’ surrounding the so-called ‘furlough’ scheme where employers get 80% of their employees wages paid for by the State. But it hadn’t been in place for more than a couple of weeks before abuses of the system were raising their ugly heads;

  • ‘furloughed’ but still being expected to work from home
  • employers cutting peoples’ wages during the lock down
  • using the fear of isolation to get away with illegal practices
  • these matters all should remind us of the importance of unions, which too many people have consigned to history. The idea that ‘most people are only one wage packet away from destitution’ is as true today as when wages actually came in packets.

Ken Clarke (Tory, ex-Chancellor of the Exchequer), Radio 4, World at One, 13th May, said that there would be cases of fraud and there would be some companies that wouldn’t have survived despite the pandemic, but who have taken money from the State in furlough schemes, business grants and loans, but that it was the maintenance of the good companies that was most important.

In the past the State would hound anyone unlawfully claiming state benefits and would spend huge amounts to get a conviction – but company cheats will get a way with murder.

Being open on the ‘scientific advice’

About three weeks ago Hancock said the Government would be open about the advice it was using to arrive at the decisions they want to impose on the population. However, when reminded of this on 13th May (during Prime Minister’s Questions in the House of Commons) his response was ‘in due course’.

This issue came to the fore, once again, on 19th May. At that date of the 110 papers that were part of scientific advice to the Government only 28 had been released.

David Spiegelhalter, Professor of Statistics at Cambridge University, on Radio 4, World at One, 19th May;

Q. Does the Government need to be more transparent when it comes to the evidence upon which it is basing its policy decsions?

‘This discussion has been going on for a long time and many people have been calling for greater transparency. Apart from security reasons advice should be as open as possible. Covid is not an intelligent opponent, it’s not going to find out things.’

Q. What needs to be released now that hasn’t been?

‘Much would have been done rather rapidly and it’s not fair to the researchers who have produced it to put it out in the public domain. SAGE does come up with a summary statement and it would be helpful if that were made available.’

Personal Protective Equipment (PPE) and Care Homes

Nadra Ahmed, Chair National Care Association, in the preference given to the NHS over care homes when it came to PPE, 14th May;

‘PPE had been requisitioned for the NHS but when it came to us it was a sort of supply/demand market which was completely out of control with providers desperate for PPE so here we were suddenly left completely abandoned.’

There have been countless stories of care homes trying to buy PPE on the ‘open market’ and finding that to get even the basics they would have to pay 2, 3 or even 4 times the normal asking price. In any sort of crisis like a pandemic (or war or natural disaster which effects the whole country) the government should take matters in hand to control the price of the necessaries, whether it be food or, as in this case, protective equipment. To do otherwise just stuffs money into the pockets of spivs and gangsters.

The advice on care homes in the early days

Jennie Harries, Deputy Chief Medical Officer for England, on what they thought was the threat to residents (and staff) at care homes in the early days of the outbreak in Britain, 13th May;

‘Throughout the outbreak, and it would have been the same for any other, we look at the background of the epidemiology, they would be monitoring background diseases and so that document [scientific advice to Government] will be looking at where we knew there was a background risk of transmission. I think that, at the time, there weren’t any sustained community transmissions though we clearly had cases around.’

But surely here, from the very beginning, before the first cases were being publicised in Britain, it was accepted worldwide that those over the age of 70 with ‘underlying medical conditions’ were those most at risk. That risk rose sharply the older the person was, not least because they would be more likely to develop these ‘underlying medical conditions’ and the biggest concentration of these old people, certainly in those wealthier countries where a care home structure existed, would have been in care homes. Added to that most care homes are probably both overcrowded (in the terms of the space per resident) and understaffed – another couple to add to the recipe of disaster.

The ‘Swedish Experiment’ – an evaluation

Lena Hallegren, Swedish Health Minister, Radio 4, World at One, 13th May;

Q. Do you have any sense of the level of immunity in Sweden due to the approach you have followed? Do you know how many people have been infected?

‘Not now. In a week or so we will have an opinion about that. We probably have some immunity but we’re not sure. No figures yet. We know more people were infected in Stockholm than in other parts of Sweden. We will have numbers of infected and immunity in a week or two.’

Q. In Sweden half of all deaths have been in care homes and 25% in their own homes. How do you protect those receiving care when those looking after them are mixing in the community without lock down?

‘We are trying to figure out the changes we need to do to protect the vulnerable in a better way. I think it’s a combination of many things. It’s a fact we have to be even better with our guidelines when it comes to basic hygiene rules …. but also looking at part time workers, which means a lot of people are coming into places where there are vulnerable people. … We also have to work out how to use the PPE (Personal Protective Equipment) and we can do more when it comes to testing people, both the residents and the staff in care homes. ….. It’s still a problem. ….. The main issue was in Stockholm. ….. I hope we are better prepared in other parts of the country but I cannot say for sure.’

Q. Even though you don’t have the same sort of lock down it looks like you’ll have the same sort of economic pain as elsewhere?

‘We didn’t make any kind of choice between a lock down for economic reasons or not. We decided we wanted to have a better combination of the legally binding ones [measures] and the voluntary ones but the ones we felt we could stick with all the time, because this virus won’t disappear from our society, unfortunately, so we have to have measures and restrictions to keep all the time.

We also have big suffrance [sic] in our economy, a higher unemployment rate, even if we’re trying to help business, companies, the stores to keep up. But that’s difficult.’

Q. Are you expecting that Sweden will gain higher levels of ‘herd immunity’ because of your approach?

‘We don’t have a goal of ‘herd immunity’ but, of course, we’re interested in knowing about immunity. To know how many people have been infected, how many have gained immunity, what does that mean for our society.

We’re trying to save our health care system from a big amount of patients at the same time, to flatten the curve. We think that has been quite successful, if I may use that word, as we still have 20 – 30% availability in intensive care units. The health care has been able to receive and to care for the infected patients.’

Not too good an interview and she didn’t argue Sweden’s case particularly well, I didn’t think. It’s strange that Sweden hasn’t been collecting infection and death numbers on a daily, rolling basis so don’t really understand why there’s a wait of ‘a week or two’ before they are available. I was surprised to hear that care homes were ‘forgotten’ about in Sweden – as they were in Britain – and that obviously accounts for the high percentage of deaths in them (50%). It’s also interesting that they followed the measure they did, specifically to protect the health care system (as was the lock down in the UK, supposedly) and not for economic reasons – as the country’s economy is also in a bad way.

The most important point in this short interview is the recognition, in Sweden, from the very beginning, that the virus would be around for a long time and any measures taken had to be seen in a longer perspective. Presumably this would also be the type of measures other countries, such as Britain, would have to follow to regain some sort of society so Sweden’s experience could be useful internationally. If the health system was broken by this approach it places more questions on the efficacy of the British approach and also a question mark on how to move forward in a meaningful manner.

Hallegren is a little bit vague when it comes to the situation in the care homes and ‘hopes’ matters will improve rather than providing confidence that it will. On 19th May the situation in the Swedish care homes was questioned – but I’m not absolutely sure that this situation was being discussed in an effort to undermine the more relaxed approach Sweden has so far taken in relation to the pandemic.

Reasons for change

Chris Whitty, Chief Medical Officer for England, 11th May;

‘Really what we’re trying to do is to take very small steps which allow us to be sure that we’re not going to end up with an increase in transmissions again. We recognise that we’re going to have to do change for a long period of time and making things sustainable is extremely important.’

Why it’s safe to be outside

Lucy Yardley, Professor of Health Psychology, who sits on the scientific advisory body, SAGE, on 10th May;

‘There’s a study, for example, in China, of 7,000 people who’d been infected with coronavirus. Only 1 of those 7,000 people had been infected outside and that was during a conversation. We don’t know if they were socially-distancing but I suspect they probably weren’t. So that gives you an idea that the risk outdoors, if you remain socially-distanced, is very,very small indeed, which I think is behind the guidelines.’

Poorer workers more vulnerable – yet again

A report from the Office of National Statistics, issued on 10th May, found that;

  • men in low skilled, low paid jobs are twice as likely to die of covid-19 but there are many caveats over the information – a lot of important facts, such as social and health background, age, ethnicity, smoker/drinker, etc., not known in this study
  • perhaps too partial and thus resulted in knee jerk reactions

The General, Municipal Boilermakers Union (the GMB – should, perhaps, think of changing its name) declared the ‘figures horrifying’.

Len McCluskey, General Secretary of ‘Unite the Union’, in response said, on 11th May, it was the poorer workers who were expected to return to work, and take the most risk;

‘It’s certainly an obvious division that blue collar workers, factory workers, mainly lower paid workers are being told to go back to work while those with a higher earning scale can stay safely at home.’

How many people have been infected in Britain?

David Spiegelhalter, Professor of Statistics at Cambridge University, astounded that people still don’t know how many people have likely to have been infected, on 10th May;

‘They’re hungry for details, for facts, and yet they get fed, what I call, number theatre – which seems to be co-ordinated really much more by the No. 10 communications team rather than genuinely trying to inform people about what’s going on. I just wish that the data, which has been brought together was presented by people who really knew its strength and limitations and could treat the audience with some respect.’

More on covid pandemic 2020-2?

Britain at the time of ‘Our Plan to Rebuild’ – a strategy of sorts

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More on covid pandemic 2020-2?

Britain at the time of Our Plan to Rebuild – a strategy of sorts

I wouldn’t go to the extent of calling it a strategy, but things have changed slightly with the policy of restoring some aspects of life in Britain to the time before the start of the pandemic – what we are having to call the ‘new normal’, which has an indeterminate end.

This was introduced to the British people by means of a muddled and confused television broadcast by the Buffoon on Sunday evening 10th May (although with speculation about what he would say going on for the best part of a week before) and then a ‘detailed’ document – Our Plan to Rebuild – made public on the afternoon of the 11th May. (I’ve linked to an annotated version, where I’ve highlighted things which struck me as I read it. Might make quicker reading for those who don’t want to go through the 51 printed pages.)

Testing

As always pole position in these posts. Unfortunately not good news for the Buffoon and his government.

On 4th May, Grant Shapps, the Transport Secretary, admitted that;

‘If we had had 100,000 test capacity before this thing started and the knowledge that we now have retrospectively, I’m sure many things could be different.’

Hindsight’s a wonderful thing – everyone can be correct after the event. However, another pandemic, because of the way society is organised at present, is more than likely in the not too distant future. That means the lessons from the present, covid-19 pandemic have to be learnt by those who have the ability to influence matters. From what we’ve learnt about preparations for a potential pandemic (prior to the covid-19 outbreak), where we were told was all in hand and that the country was well prepared for whatever any pandemic would throw at us, we will have to monitor, very closely, what happens after covid-19 is a bad memory.

On 7th May it was reported that Coronavirus testing restricted across London after chemical shortages – this at the same time as the Buffoon ‘promised’ the number of tests by the end of May would be 200,000 per day (still a remarkably small number to that which is really required to ensure efficient and meaningful contact tracing).

A week ago an article reported the UK Government was in talks with the huge pharmaceutical company Roche over the provision of an antibody test – this is the test that tries to see if someone has had the virus (whether with symptoms or asymptomatic) and whether they are, therefore, possibly immune. There’s been some controversy over the reliability of these tests but that won’t stop 1) Roche selling such tests and making millions, or 2) this Government buying such tests which don’t do what it says on the tin – ref. PPE from Turkey last month.

Test-track-trace

Dr Jeanelle de Gruchy, President of the Association of Directors of Public Health (UK), Radio 4, World at One, commenting on the UK’s test-track and trace strategy, 7th May;

Q. What role can local health authorities play in the programme of contract tracing?

‘I think, as we have found in the last few months, local public health teams and indeed local councils and the voluntary sector have played a huge role in actually addressing or tackling covid on the ground in local places. And what we’re trying to do, and say to national now, is ‘you need to listen to the experiences of how things work on the ground’. We know we all have a lot of work to do on the ground in making contact tracing accepted and the best that it can be at stopping the disease.’

Q. Can you explain why its important this is done at a local level?

‘Somebody has got a phone and they have been asked to go home and self-isolate, what we need to know is does that person live by themselves, do they have access to food or medication? Then what if that person is a teacher or parent or a pupil and the school wants to know and understand what to do next. So who can explain and advise the school? What if its a business owner? They might need support. So from the phone call we say ‘please go and stay at home.’ There’s a lot of work that needs to go into making accepted the programme that people stay at home and self-isolate.’

Q. What sort of numbers are we talking about?

‘18,000 is what they are talking about nationally. Councils have got teams of people already working, as I said, in supporting local communities that are coping with covid. This is now the next phase of that. We will be using all our local teams working on this.

What we would say is that a lot of this does need resourcing. Local Government, local Public Health are working at full capacity and we need to ensure that we’ve got the funding and resources available to make that be the most efficient programme that we can locally so we really get a grip on the disease.’

Q. Resources you don’t have at the moment?

‘We have experienced a lot of cuts over the last few years and that has meant fewer people on the ground so we are working from a lower base. We know the Government’s made money available for local government to respond to covid but we would say it still falls short of what’s required. Some of the contact tracing needs to be real show leather on the ground. Getting out, finding people who might not have access to a phone or might be in a certain circumstance where they don’t engage with a national service at all. We need to be out there ensuring that we find those people, that we support them to self-isolate and that does take resources so that’s something we would ask for. As you design a national programme, that absolutely needs to be delivered locally, as well, and in an integrated way. We need locally to have those resources to make it happen.’

What is highlighted here is that the cuts the Tories have made in the last 12 years or so, all as part of austerity (to mitigate the disaster the very system they represent had caused in the first place) has resulted in the country being unable to confront the pandemic. This is in all services that have been stretched in the last couple of months due to these cuts in finance, the NHS, local government as well as the education sector which will face problems in the future to get things back working.

There have also been criticisms of the way the contact tracing is planned to be implemented – some of which are based on the Government trying to follow this policy ‘on the cheap’ (10th May).

NHSX app – and the pilot on the Isle of Wight

Professor Tim Spector, professor of genetic epidemiology at King’s College, London, criticising the, what he considered, failings of the NHSX app which is presently being piloted on the Isle of Wight and which is planned to be rolled out across the UK later in the month. The Government has refused to work with his team on a symptom app which has been collecting information from, now, more than three million people since March. On 10th May he said;

‘The virus effects people in many different way, we have about 15 different symptoms, all of which can be associated with having a positive virus swab test. So the idea that we reduce this really complex, mysterious, virus just to two little symptoms and rely all of our strategies on that is going to miss about half the cases really makes no sense in the current environment.’

On 6th May there were other doubts about the NHSX app when some ‘experts’ were suggesting it was vulnerable to ‘malicious false alerts’, although to be fair this has also been said about the Apple/Google app which is being used in many countries.

Another aspect of depending upon technology to do the work in the UK is the fact not everyone updates their Smartphones at the same way they change their underpants – as is the case in a number of the more prosperous countries in Asia. That means the app won’t work in a Smartphone a few years old, mainly as they don’t have Bluetooth – as mentioned in a previous post.

A little bit of the technical aspects of the pilot – and also a schematic of how it will work. It includes reference to the source code in an effort to ally fears of those who don’t trust the authorities when it comes to surveillance.

There was also bad news for the app when it came to security. Anonymous sources revealed the app had initially failed all of the tests required in order to be included in the NHS app library, including cyber security, performance and clinical safety.

To add to confusion from Government’ statements on Sunday and subsequently an article on one of the IT websites reported that NHSX was even developing a second app – which is without the privacy and security issues mentioned above. If so it makes you wonder what will come next.

Experts – and when (or if) they will arrive at a consensus

Since the beginning of the lock down we have been constantly told the Government is ‘following scientific advice’ – the problem is there’s no real consensus when it comes to that advice. There are many examples of this and although in the situation of an unknown virus it shouldn’t be a surprise theories differ, in fact that’s the way science advances.

However, there must come a time when a general consensus is arrived at for the world to go forward – we have it with the climate emergency why not in how to deal with a pandemic? Confusing scientific advice on top of confusing political advice is a recipe for disaster. There are a number of examples of varying points of view in the last five weeks but one that stands out is the wearing of face masks/some sort of covering over the nose and mouth.

Although some ‘experts’ were fighting their corner over this at the beginning of March there does seem to have been a move. It is now accepted the wearing of masks won’t, in any meaningful way, protect the wearer, however if someone is unknowingly infected the wearing of a mask may (and it is considered only a may and not really a significant, measurable effect) prevent that person from passing the infection on to another.

However, the way it has been dealt with is that mask wearing is becoming more common but by the fearful – as they think they might be protected if they wear one – and not by those who understand it might possibly prevent the spread from themselves. Hence not, in the main, based on scientific evidence but because the scientists couldn’t get their act together early on.

We then have the crazy situations of high profile scientists going against their own advice. The recent case of Neil Ferguson having a visitor to his home which breaks the lock down guidelines is one thing, his excuse/reason is another. He stated that as he had already contracted the infection, and survived, he had an element of immunity and so it was OK for him to do what he did. However, that’s the very argument used by other scientists who disagreed with the lock down in the first place. They were arguing for testing and selective isolation and letting the rest of the population carry on as normal so that, over a period of time, a certain amount of ‘herd immunity’ would be build up in the population.

Views on the ‘next stage’ and how to go forward

As the Buffoon turned the transition from the lock down to ‘a still not entirely clear’ move to the ‘next stage’ many have been expressing their views on how this should be done – and also expressing their fears if certain issues were not addressed sufficiently well.

(Here I’m including a couple of interviews from commentators who were talking about this a month ago – so readers can consider if a) those ideas were correct and b) if any good points have been taken on board by the Government.)

David Nabarro, World Health Organisation (WHO) Special Envoy for Covid-19, speaking on the Radio 4 programme ‘Today’, 13th April;

‘This virus isn’t going to go away and we don’t know if the people who have had the virus stay immune afterwards and will not get it again. And we don’t know when we’ll have a vaccine. … So what we’re sating is get society defended. Yes, we’ll have to wear masks, yes, we’ll have to do more physical distancing, yes, we must protect the vulnerable but most importantly we all learn how to interrupt transmission. It’s a revolution!’

Professor Susan Michie, Behavioural Science adviser, speaking on Radio 4, World at One, 14th April;

‘There’s a lot of new behaviours that people will have to learn to adopt and that’s going to require different types of things. In addition to that it’s living with uncertainty and carrying on for a long time, many many months, if not years into the future. And I think there is something new that people won’t accept. I think people had thought this was going to be a few weeks, or may be months of difficulty, then we’ll be able to get a test and then we’ll know we’re immune and then we can go back to our normal business.

What’s become very clear is that that won’t be the case and so its absolutely imperative that if we are to keep the number of deaths down that people really do learn very simple steps that are very difficult to adopt behaviours.

Not touching your eyes, nose and mouth. Washing your hands when you come in from buildings, before eating and preparing food. And these things take time to build into habit. But we need to make them habit just as cleaning our teeth is now habit.

…. People touch their face 20 plus times an hour without being aware of it.

… The government needs to be very clear, very precise and very evidence based and really explain to people why these measures, that are effortful, that may be restricting what we want to do and why are these necessary? So we need specific clear advice but also explantation if the government is going to carry on taking the people with them.

… There’s been so much uncertainty about the nature of the virus, the nature of the transmission, the nature of the type of tests we need. All of these issues are still being studied and new knowledge is coming up every week.

So we’re in a very uncertain situation. But in that uncertain situation there’s a real need to be clear and evidenced based as we can in terms of what we’re expecting who to do what. And there has been confusion, we still carry on receiving confusing messages. For example, the whole issue about non-essential work. There seems to be a lot of people who are having to do non-essential work and working in unsafe working conditions when that doesn’t seem to be policy.’

One idea that doesn’t seem to be have been included in the ‘Our plan to rebuild’ is one from Edinburgh, 6th May, which suggested a lock down exit plan which allowed for restrictions to be eased for 60% of population. Aspects might be in the next stage but what are missing are the two words ‘segmenting and shielding’, which is a concept I hadn’t seen described as such before.

Carl Heneghan, Director of the Centre for Evidence Based Medicine at Oxford University, on Radio 4, World at One, 7th May;

Q. You’ve always been sceptical of the need for the whole economy to be shut down. Is the Government being too cautious?

‘There comes a time in what we’re calling the [economic] depression in the lock down and people need to remember that austerity is a major threat to people’s livelihoods but also a major threat to health. Post 2010 120,000 excess deaths occurred because of austerity. What we now need to do is move to a situation where we can feel confident about moving back to what we call ‘mitigation’. And ‘mitigation’ is what is happening in Sweden and you do that in a staged way.

There are three concepts that are really important.

The first is the concept of health security, the ability of our nation to secure proficient, affordable and consistent health care supply for our requirements, a resilience to cope and then we use the evidence and data to drive a regional approach to this because it’s a very different outbreak to places like the south west compared to London, and if we do that well and we remain confident, we can use the evidence to understand what’s happening.

This virus will be with us for a few more months, into July, and then we will have pockets of outbreaks but in this stage, if we manage that well, we test, track and isolate, we can be confident we can overcome this infection and get to a point where we can rebuild the economy.’

Q. We keep hearing the Government is focussed on R rate. Are you suggesting there should be a different approach in different parts of the country?

‘R is a very interesting concept, generally the R number will be calculated after the event when people come back and say we understand what has happened. With this infection we are clear there are people spreader events, its very difficult to manage in confined spaces like nursing homes, in hospitals. What we should be doing is using the data that can reassure us.

For instance, since the peak admissions have come down by 72%, deaths are also halving every two weeks. So I would focus on the evidence at hand, use the data from admissions and ambulance calls, and check 111 calls. And if they start to go up when you open schools you understand the impact of what you’re doing, in terms of the evidence that matters.’

Q. Would opening schools be one of the first things you should do?

‘With a staged approach next week I would get some of the businesses going, I would monitor the evidence, then I would start to roll out primary schools, bring them back in a staged manner. Now I’m only talking about what our neighbours are doing, do it in a staged way and you use the evidence to understand the response of what you are doing. For example, if you opened up the Tube and it started to get overcrowded and what we saw was a spike in admissions, a spike in concentration, you would understand clearly that was a threat you’d need to reduce.

So what I’m saying is use the evidence to drive response and not use models to try and think about what you might think is going to happen in the future. Evidence shows we need to manage it.’

Q. One of the ‘Five Tests’ was whether the NHS will be overwhelmed. Would it be so in a ‘second wave’?

‘What I think needs to happen is a resilience to cope. The NHS now has to think about structure and strategy. Our neighbour Germany has more beds so they did not have to do what we had to do which was to build Nightingale Hospitals. The second concept is that we need to go back to the concept of ‘fever hospitals’, where we understood that to manage infection you had to have personal protection equipment there all the time. So I say we need more hospitals built in the community, more beds and some of them to be repurposed as infection hospitals … If we do that we can train for an infection outbreak and when they come we can have added facilities so we don’t have to shut down all of the NHS – which we’ve done this time, which has a potential to cause collateral damage to other conditions.’

Mark Woolhouse, professor of infectious disease epidemiology at the Usher Institute in the College of Medicine and Veterinary Medicine, University of Edinburgh and presently one of the Government’s scientific advisors, 10th May;

‘There should be a change of approach. We can’t stay at home forever, with the current R number as it is, the rate of the decline of the virus. If we’re trying to get down to positions where there are literally only hundreds of new cases a day in the UK we are going to be in lock down for months. So something has got to change both to our approach in controlling the virus but also in the messages that goes with that.’

Francis O’Grady, General Secretary Trade Union Congress (TUC), on ensuring employers should be legally responsible for providing a safe working environment for workers returning after lock down, on 10th May;

‘At the moment we’re in the strange situation where people can’t socialise particularly with their extended families, without risking a big fine. Yet what goes on behind workplace doors, according to the Government, is a matter for individual employers discretion.’

The Swedish compared to the British experience

Since the coronavirus started to take hold in Britain I was sure the ‘run and hide’ approach proposed by the incompetents in control of the country surely couldn’t have been the best way to approach a pandemic. We were, in effect, doing nothing other than what the population did during the Black Death of 1348 or the Great Plague of London in 1665. Hadn’t our increase in medical knowledge and out immense technology taught us anything in those intervening hundreds of years?

Whilst not wishing to undermine the problems involved nor the threat this most simple of organisms poses to human life it will not be defeated if all we do is let it run its course without attempting to tackle it face on. If not outbreaks will be causing disruption and chaos for years.

Military phraseology has been used constantly since the first cases and deaths were reported in the UK, ‘we are at war’, ‘front line’, ‘collateral damage’ (an odious term that’s unfortunately become part of the language now), etc. But to use other military analogies the British response is similar to the disastrous retreat of Dunkirk in 1940 – which was then turned into an amazing victory. What followed Dunkirk was four years where there was no significant British army presence in Europe and the brunt of the fighting against the Hitlerite forces was taken on by the Soviet Union and the Red Army. In a similar way the British response to covid-19 is one of waiting, hoping, praying, some one, some where will come up with a solution to the problem.

Doctor John Lee, retired Professor of Pathology and former NHS Consultant Pathologist, Radio 4, World at One, 12th May;

Q. What’s the most important thing we should bear in mind about the R number?

‘The trouble with what’s happened is we are in such an extraordinary situation that governments are looking for a sort of secure way out. I think they fastened on to the R number as an idea of certainty to allow us to map a road out of this.

The trouble with the R number is that it is a modelling output, it’s not a number we actually know what it is. It’s based on a lot of variables which are constantly changing, things like; how infectious the disease is; how the population behaves; what the immunity is doing and even, possibly, how nasty the virus is. It’s nastiness might have been changing during the epidemic and obviously lots of people are starting to get asymptomatic infections and we don’t know who they are, we don’t measure them, its all going to make a difference to the R number.

The thing we have to understand is that epidemiological modelling is even more like weather forecasting rather than laboratory science and the lock down, changes in behaviour that we’ve had, social distancing, we have to ask ourselves, ‘would we be willing to undergo this sort of change in our lives on the basis of a long range weather forecast based on poor data?’ That’s essentially what we’re doing with epidemiological modelling with the R number.’

Q. Is every country measuring R in the same way?

‘I don’t know to be honest. I would imagine it’s similar because epidemiology is a subject and people draw to each other amongst that subject. Whether the data is the same, whether measurements and the testing is the same, whether the population measures are the same, clearly there are differences between countries. What is quite striking to me is the fact the R number is very similar in lots of countries and you have to ask the question whether anything could have been done which made a big difference to it. Everybody’s assuming the lock down has been changing the curve and that social distancing has been changing the curve but actually, when you compare different countries, the curves aren’t that significantly different.

This is a respiratory virus that probably spreads on the wind and in the air. We’re sharing air spaces in shops and in work and all this and it’s not clear, to me, that those drastic actions that we’ve been having have really been making such an enormous difference to the curves which might have been slightly similar anyway.’

Q. You think the lock down has been pointless?

‘Well, I wouldn’t say pointless because this is a new virus and so what we were going to have was a big spike of cases and that is what we have seen. The lock down has, possibly, flattened that spike a bit and it has allowed us to build up extra capacity in the NHS but the point is, when we look back on this in 3, 4 or 5 years time, it’s not clear that the actions would have made any difference to the actual total number of people who have died due to the virus because it’s now out there, it is going to spread in the population so what we’re doing at the moment is prolonging an economic misery and damage to health, direct damage to health, because of the lock down.’ (Interruption.)

Q. Don’t we have the evidence of other countries who acted more quickly having lower death rates?

‘The thing is this is a new epidemic so some countries seem to have been able, by very rapidly acting on the very severe model of disease containment, to have contained the disease. But, of course, unless they keep themselves isolated for ever the virus is going to spread again. It seems to me surely what we should be doing, and I think the Swedish model is a better model, what we should be doing is to find a sustainable way to live with this virus rather than go into a panic mode of shutting everything down and then we have to persuade ourselves sooner or later that the sky is not falling and come back out again in which case the virus will start to spread again, that we have to live with it.

I think we’re in much better position to live with it now than we were before because we do have extra capacity in the NHS, we do understand more about the virus, we have got better supportive treatment.’

Sweden and Denmark took wildly different approaches to handling the coronavirus pandemic – but so far, it hasn’t made much difference.

Johan Giesecke, who helped shape Sweden’s approach to coronavirus, says lock down does not protect vulnerable in care homes. The important aspect here is the care homes. In Britain it was known from the very beginning that it was in care homes where the vast majority of the very much most vulnerable would be found.

But what did the Government do in Britain; basically ignored those vulnerable people; denied the care workers Personal Protective Equipment (PPE); was slow in doing anything when both the deaths in care homes started to rise and there were countless calls from those working in the sector that decisive action was needed, yesterday; never accepted that cuts in this sector over years had made the vulnerable even more so; and continued to play to the gallery in its so-called policy of containment. And it took the Government weeks to even start to count people dying in care homes (or in their own homes).

What all the above has meant is as of 13th May, almost half of all the deaths attributed to covid-19 have now occurred outside hospitals; the daily death rate is now greater in care homes than hospitals; and it’s almost certain that before this first wave is over (let alone any subsequent ‘waves’) more people would have died due to the virus either in care homes or in their own homes. And that doesn’t take into account any ‘collateral’ deaths – when people have died due to lack of access to normal NHS facilities and treatment.

Greater surveillance worldwide on the back of covid-19

Some time ago, can’t find the exact reference, there was suggestion in South Korea that those who might be ordered to stay at home, if they were identified as being a risk through the electronic contact tracing, and had been ordered to self-isolate, would have to wear an electronic wristband – connected to their Smartphone to ensure they didn’t break the quarantine.

Coronavirus lock down causing ‘creeping’ expansion of intrusive surveillance tactics. It’s in times of crisis capitalist governments use the fear and chaos, which is normally a backdrop to the event, to introduce laws and ‘temporary’ measures to help them deal with the situation. However, there has been a tendency for these laws to remain (if only in the background – consider the Prevention of Terrorism Act 1974, which was renewed, almost as a formality every six months for fifteen years) and the temporary becomes permanent. And then it’s too late.

In the article of The Independent, 26th April, Clare Collier, the advocacy director of the human rights group, Liberty, said;

‘We will make it through this crisis but we must do so with our rights intact. … The police have been handed sweeping powers in response to the coronavirus outbreak, and the expansion of intrusive surveillance is troubling. …. Overzealous policing will undermine public trust in the authorities, which is vital for protecting public health. Meanwhile, the normalisation of surveillance and the concerning techniques we have seen in recent weeks could have impacts which last far beyond this pandemic.’

Snippets of news – which I haven’t had the chance to put here before

As before some of these bits might be slightly out of date, but they are all part of the story of how this pandemic raged through Britain – not least due to the incompetence of the Buffoon and his cohort.

I reported on this a few weeks ago, shows the sort of society in which we live the charlatan is still getting away with it – Camberwell church continuing to sell fake Covid-19 cure.

Being at home all the time causes all kinds of problems, some which have existed long before the arrival of the virus but also some that have been exacerbated by the forced lock down. Domestic abuse cases have already been recorded as increasing in number in the last five weeks and the Government threw a few crumbs to the problem. Almost immediately declared too little and too late.

Sarah Green, of the End Violence Against Women Campaign, said, way back on 11th April;

‘a lot more money needed for support services throughout the country.’

Airlines are always in the news, either begging for bail outs or not abiding by their legal requirements when it comes to refunds. As with many issues they are flagged in the media before they actually become policy, so was the case with the 14-day quarantine for air passengers’ arriving at UK airports. (A policy which I think is somewhat strange, even though it is happening in other countries in Europe, and is, as are many policy decisions, a refusal to face the problem and look for solutions.) This is also mentioned in the Our plan to rebuild document.

Also in the most recent document is the new covid-19 alert system.

A few points about the lack of planning by the Government when it came to providing the necessary equipment to the NHS and care homes as well as the drugs necessary to keep people alive in Intensive Care.

a) ventilators

b) reusing PPE

c) intensive care drug shortage

d) changes in guidance in using PPE

Public support universal basic income, job guarantee and rent controls to respond to coronavirus pandemic, poll finds. Many say things will be different after the virus is brought under some sort of control – however the situation of the majority of the population could get worse or better. If it is left to the politicians and the establishment to decide it will be the former.

A BBC Panorama investigation broadcast on Monday, 27th April, revealed key items of PPE were not included in the government’s pandemic stockpile when it was established in 2009. According to the BBC, the government subsequently ignored warnings from its expert pandemic committee recommending the purchase of missing stock. The investigation also revealed millions of medical face masks are currently unaccounted for. The 2009 stockpile list included 33m masks, but only 12m have been handed out.

There’s an ongoing debate on how the virus is spread. Most people, myself included, from what we’ve been told so far, believe the virus is spread in the air, small droplets from an infected person then entering the system of another near by – the whole social-distancing theory revolved around this form of transmission. However studies have proposed transmission might be through virus aerosols.

What will happen to the climate emergency when covid-19 is history? Many of us would like the matter to be addressed seriously and there are already calls for that. However, that will be an uphill struggle. The economy will be in a mess (and unless things changed radically) the ‘recovery’ will follow the same pattern as it had in the past, i.e., looser regulation ‘to get things moving’; less control of those regulations that do exist; lack of money to invest in projects which might not give a quick return; less money so people use older materials, as in cars and other less environmental equipment; unless a solution is found soon – a growing dependence upon private transport as public transport is discouraged and will get even worse than it was pre-March 2020; and the issue falling from the headlines.

More on covid pandemic 2020-2?