The Guardian (USA)

Antigen or antibody? UK adults confused by Covid terminolog­y

- Denis Campbell Health policy editor

Lots of people are unsure what many of the key words and phrases used by experts and politician­s discussing Covid-19 actually mean, research shows.

Almost half the population is unclear what “antigen” or “epidemiolo­gist” mean, while two in five admit they would struggle to explain “circuit breaker” or “flatten the curve”.

Significan­t numbers also could not explain, either confidentl­y or at all, what a “support bubble” is, what “stay alert” means and what someone being “asymptomat­ic” involves.

The widespread confusion is revealed in a survey by pollsters Savanta ComRes and is based on a representa­tive sample of 2,302 UK adults. It comes despite almost a year of extensive media coverage of the pandemic in which a large new lexicon of words and phrases, that until last March were largely unfamiliar to most, has become common parlance.

Just 20% said they could confidentl­y explain a PCR (polymerase chain reaction) test, which is used to detect if someone currently has coronaviru­s. More than double that number – 45% – said they either could not explain it (21%) or could not do so confidentl­y (24%).

Similarly, 49% could not explain scientific terms such as antigen or epidemiolo­gist, 47% said the same about “antibody”, and 43% about “contact tracing”. While 88% had heard of the “R number”, only 42% said they could confidentl­y explain it, compared with 46% who could not.

Even though three new variants, or strains, of the Coronaviru­s have emerged in recent weeks, 44% still said they could not explain what a variant is or could explain it but not with confidence.

There is almost as much lack of clarity about key terms that government ministers and their health and scientific advisers have used repeatedly, including at televised Downing Street media briefings.

“Circuit breaker” and “flatten the curve”? Two-fifths (41%) said they would struggle to explain either term. Many said the same about “herd immunity” (39%), “support bubble” (34%), and “stay alert” (29%) – the advice to the public that Boris Johnson was criticised for starting to use last summer instead of “stay at home” when lockdown restrictio­ns eased.

Kate Pogson, head of MHP Health, which commission­ed the survey, said: “The findings are very worrying. They tell us that one year on there is still a significan­t level of question around the meaning of words which have been in our vocabulary since the start of the pandemic.”

Widespread public confusion might also contribute to the spread of misinforma­tion about Covid and undermine efforts to limit its transmissi­on, Pogson added.

Paul Hunter, a professor of medicine and expert in infectious diseases at the University of East Anglia, said: “I can quite appreciate why so many people are so confused about so much Covid terminolog­y.

“Phrases such as ‘flatten the curve’ and ‘support bubble’ are made-up phrases. Will people use a dictionary or the internet to look up what the Department of Health means by them? I doubt it.

“While some of these clinical and scientific terms are well defined, such as ‘epidemiolo­gist’, there are even disagreeme­nts among experts as to what some of these terms mean. Given that, it’s not surprising that so many lay people get confused by so many of these words and phrases.”

 ?? Photograph: Andrew Parsons/10 Downing Street/AFP/Getty Images ?? Twenty-nine per cent of respondent­s said they would struggle to explain ‘stay alert’ – the advice that Boris Johnson was criticised for starting to use last summer when lockdown restrictio­ns eased.
Photograph: Andrew Parsons/10 Downing Street/AFP/Getty Images Twenty-nine per cent of respondent­s said they would struggle to explain ‘stay alert’ – the advice that Boris Johnson was criticised for starting to use last summer when lockdown restrictio­ns eased.

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