The Sunday Guardian

Scientific, political opinions combine to build UK’S corona strategy

- ANTONIA FILMER LONDON

There remains the mystery why UK is not conducting testing NHS frontline staff until the first week in April.

The UK government has rightly said it was and would be guided by science. Nobody expects politician­s to be scientists or scientists to be politician­s. The scientists concerned with UK coronaviru­s are the Scientific Advisory Group for Emergencie­s (SAGE). Both scientific and political opinions combine to make strategy in the coronaviru­s emergency.

Both the government’s and SAGE’S advice have evolved rapidly as coronaviru­s has spread worldwide. The advice over the past week to protect the NHS from being overwhelme­d with critically ill patients has been dynamic, from last week hoping to cultivate “herd immunity” and expecting up to 500,000 deaths, Monday announced almost an instant “lockdown” advocating total social-distancing for a period of 21 days, Thursday announced the situation was likely manageable for the NHS and a new UK fatalities expectatio­n of circa 5,700. The peak is now expected in mid-april and not mid-may.

The herd immunity strategy assumed that at least half UK’S population would become inevitably infected, but was contested by other experts, partly because of the lack of testing involved; testing to know the extent and spread of the menace is essential to decision making. Other scientific experts argued for containmen­t to prevent the infection from spreading.

Academics, scientists and mathematic­al modellers all have a part to play in deciding a consensus on strategy. Difference­s of opinion are not a good look for the government. To be challenged so publicly at the onset was an embarrassm­ent, although most of the terrified population succumbed readily to the social-distancing advice that followed. In future, folks will want to know if the fatality estimates were exaggerate­d to make folks compliant.

There remains the mystery why UK is not conducting testing NHS frontline staff until the first week in April. Is this a residual herd immunity strategy? Thus, if UK gets a second wave of Covid-19 a good proportion of frontline staff will have developed immunity.

Italy’s scientific advisor Walter Ricciardi, reacting to the overcrowdi­ng scenes on London’s undergroun­d as key workers struggled to get to work, said UK’S lockdown came ten days too late, since it is now thought UK’S patient zero occurred in mid-january.

The Office of National Statistics shows that the combined deaths for England, Wales and elsewhere in January, February and March 2019 were between 53,000 and 43,000, the number decreasing as the weather improves; later with hindsight it will be interest to review how Covid-19 alters that figure.

There are subtle difference­s day to day, with government advice. On 23 March the advice published was to stay at home with only essential outings permitted (unless you were a key worker). On Thursday the advice was to go to work (but work from home if possible). Was this an attempt to soften the blow of the economy grinding to a halt, or to allow for some of that herd immunity to build up, especially since there is talk of an antibodies test to help people who have had the virus return to work?

The risk level of Covid-19 to UK has been raised to high. Britain has chosen to buy British ventilator­s from Dyson and Gtech, a government spokesman suggested that the email invitation to join the EU joint ventilator procuremen­t scheme was not received.

City Airport has morphed into RAF Nightingal­e to support the Excel Centre that is London’s new Corona hospital, with 500 respirator­y beds immediatel­y available and a future capacity of up to 4,000. Similar temporary hospitals are planned for Birmingham and Manchester.

David Nabarro, WHO’S coronaviru­s special envoy and Imperial College academic, praised China’s response to their epidemic, then warned “once an outbreak has been contained and ended, we should be prepared for it to return.” In February, Dr Nabarro called for government­s to cooperate and put political difference­s aside. He said: “High-quality cooperatio­n between government­s is the only way in which human suffering can be reduced.”

There is some evidence that countries are working in tandem, a cursory look at the dates that internatio­nal air services were suspended and the dates forecast for resuming show remarkable alignment.

Nobody could have anticipate­d Covid-19 but its devastatin­g human and economic impact shows internatio­nal collaborat­ion and sharing data is essential for detection, prevention, research and results. To this end following the virtual G20, Boris Johnson has announced £210million to fund vaccine research.

Until couple of weeks ago, US President Donald Trump was riding high on his “Indian honeymoon”, ensuring a new support base from among the 1 million strong Indian-american vote bank; his popularity was soaring, with a perception building in America that he’s been able to contain unemployme­nt; simultaneo­usly supporting his political dossier were the American stocks that were at a record high in that period. Trump was building his campaign on these things. But currently, he cannot look at any of these things. Everything changed in just two weeks, with the coronaviru­s pandemic showing its scary face, first in Europe and then bringing the “Superpower America” to its knees— scared, panicked and helpless, praying for a miracle cure to stop the growing list of those affected, only next to what the country faced during the Civil War.

With more than 104,000 confirmed Covid-19 cases on Saturday and rising (by the time this article is published), America’s superpower tag is on test. President Trump’s re-election prospects are also hanging fire. a

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Boris Johnson
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