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A Rational Reopening Guide

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Author

Megan Mansell

  • Credentials: Megan Mansell is a former district education director over special populations integration, serving students who are profoundly disabled, immunocompromised, undocumented, autistic, and behaviorally challenged; she also has a background in hazardous environs PPE applications. She is experienced in writing and monitoring protocol implementation for immunocompromised public sector access under full ADA/OSHA/IDEA compliance.
  • E-mail: [email protected]
  • Twitter: @mamasaurusMeg

A Rational Reopening Guide

A framework for operating any facility or business during COVID

The United States already has a body of law that requires making accommodations for persons with disabilities; if we start from the premise that Americans should be able to determine the level of risk they’re willing to take, all of those concepts can be extended to provide accommodations to anyone who is concerned about exposure to COVID, whether because they are vulnerable or because they live with someone who is vulnerable.

The first step is to ask everyone whether or not they consider themselves immunocompromised (IC). This can include people who themselves are immunocompromised or who live with someone who is immunocompromised. Allowing people to identify whether or not they consider themselves immunocompromised allows us to create reasonable accommodations for accessing the public sector. Some people cannot mask, and others prefer not to, but we can still allow them to safely access shared spaces if we know how many individuals are truly in need of accommodation.

Those who cannot or prefer not to mask should be free to assess their own risk, especially for a contagion with a 99.6% recovery rate.

If we ask everyone to identify the population they belong to, it all falls into place.

Read the full article on Rational Ground.

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News

Covid cases are not spiralling out of control, says King’s College – The Telegraph

Covid-19 rates are not surging, researchers at King’s College have said after results from its symptom tracker app showed a far less deadly virus trajectory than Imperial College findings.

https://www.telegraph.co.uk/news/2020/10/30/covid-19-rates-not-surging-reveals-kings-college-research/

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Opinion

Three facts No 10’s experts got wrong – Dr Mike Yeadon, Daily Mail

  • We have experience of SARS in 2003 and MERS in 2012, while in the UK there are at least four known strains of coronavirus which cause the common cold.
  • Many individuals who’ve been infected by other coronaviruses have immunity to closely related ones such as the Covid-19 virus.
  • Multiple research groups in Europe and the US have shown that around 30 per cent of the population was likely already immune to Covid-19 before the virus arrived – something which Sage continues to ignore.
  • Prof. John Ioannidis, professor of epidemiology at Stanford University in California, have concluded that the mortality rate is closer to 0.2 per cent – 1 in 500 infected die.
  • Around 45,000 Covid deaths in the UK
  • Approximately 22.5million people have been infected – 33.5 per cent of our population – not Sage’s 7 per cent calculation.
  • Not every infected individual produces antibodies.
  • The human immune system has several lines of defence:
    • Innate immunity which is comprised of the body’s physical barriers to infection and protective secretions (the skin and its oils, the cough reflex, tears etc);
    • Inflammatory response (to localise and minimise infection and injury), and the production of non-specific cells (phagocytes) that target an invading virus/bacterium.
    • Antibodies that protect against a specific virus or bacterium (and confer immunity) and T-cells (a type of white blood cell) that are also specific.
  • T-cells that are crucial in our body’s response to respiratory viruses such as Covid-19.
  • World Health Organisation says 750million people have been infected by the virus as of October and almost none have been reinfected.
  • Mortality in 2020 so far ranks eighth out of the last 27 years.
  • The death rate at present is also normal for the time of year – the number of respiratory deaths is actually low for late October.
  • Not only is the virus less dangerous than we are being led to believe, with almost three quarters of the population at no risk of infection.
  • I am convinced this so-called second wave of rising infections and, sadly, deaths will fizzle out without overwhelming the NHS.

https://www.dailymail.co.uk/news/article-8899053/DR-MIKE-YEADON-Three-facts-No-10s-experts-got-wrong.html

Categories
News

Coronavirus second wave has claimed the lives of just 17 victims under 40: Official figures show the disease is 100 times as deadly for the oldest victims as it is for the young – Daily Mail

  • Only 17 people under 40 died with Covid between the end of August and the middle of this month.
  • Increased infections among children and young adults has not led to their hospitalisations or deaths.
  • One person under the age of 20, and another 13 under 40, have died with coronavirus in English hospitals since the start of September.
  • 1,425 patients over 80 have died over the same period, along with another 1,093 aged between 60 and 79.
  • 247 deaths among working-age people since the end of summer compared with 2,026 among pensioners

https://www.dailymail.co.uk/news/article-8890811/Coronavirus-claimed-lives-just-17-victims-40-figures-elderly-risk.html

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News

How teenagers ended up operating crucial parts of England’s test and trace system – The Guardian

 workers at the call centre who have been “upskilled” to this level are mostly school-leavers and students, with no relevant qualifications. While the job is officially advertised at between £16.97 and £27.15 per hour, they are all being paid the minimum wage, which means £6.45 for the 18- to 20-year-olds (most of them) and £8.72 for over-25s.

Serco issued an internal notice explaining this change, which was leaked to the press. From 21 October, it said, “a number of experienced agents from Serco and Sitel will assist with index case tracing”.

What it didn’t say is that some of these “experienced agents” are 18 years old. The “appropriate training” for the magical transformation to “experienced clinician”, my contact tells me, lasted four hours. It was conducted remotely, as they now work from home, and consisted of a PowerPoint presentation, an online conversation, a quiz, some e-learning modules and some new call scripts.

…People ask me, “is this a cockup or a conspiracy?”. The correct answer is both. The government is using the pandemic to shift the boundaries between public and private provision, restructure public health and pass lucrative contracts to poorly qualified private companies. The inevitable result is a galactic cockup. This is what you get from a government that values money above human life.

https://www.theguardian.com/commentisfree/2020/oct/28/england-coronavirus-covid-test-and-trace-teenagers

Categories
Videos

PCR Pandemic: Interview with Virus Mania’s Dr Claus Köhnlein

https://youtu.be/-LToSnpz8A4
  • AIDS was a testing pandemic, just like COVID-19.
  • Many of the excess deaths for COVID-19 were due to inappropriately high dosages of hydroxychloroquine during experimental study trials.
  • High COVID-19 excess deaths stopped after the trials were ended.
  • Professor Martin Landry, leader of the UK-based Recovery trial, may have made a mistake in proposing high dosage of hydroxychloroquine. It seems he confused it with diiodohydroxyquinoline, treatment for treatment of amoebiasis.
  • The treatment caused the damage.
  • The danger of over-treatment is everywhere because the industry wants to sell diseases.
  • COVID-19 is a self-limiting disease.
  • The data shows that COVID-19 has no more killing potential than the yearly flu.
  • Masks and lockdowns are ridiculous and damaging the whole population.
  • It’s a political thing and not a health problem.
  • Remdesivir is an immunosuppressant and useless against COVID-19.
  • You have to live with viruses and you can’t fight against them.
  • There is no treatment against COVID-19.
  • The treatment against COVID-19 is to rest, like the flu.
  • The problem is testing. If you stop the test, you’ll see nothing.
  • Lockdowns were an overreaction.
  • Vaccines are probably not a solution. You’ll have to vaccinate everyone every year. It’s good businesses.
Categories
Opinion Videos

Government by decree – Covid-19 and the Constitution – Lord Sumption

Transcript of speech

Government by decree: Covid-19 and the Constitution
Lord Sumption
Cambridge Freshfields Annual Law Lecture
27 October 2020, 6pm

During the Covid-19 pandemic, the British state has exercised coercive powers over its citizens on a scale never previously attempted. It has taken effective legal control, enforced by the police, over the personal lives of the entire population: where they could go, whom they could meet, what they could do even within their own homes. For three months it placed everybody under a form of house arrest, qualified only by their right to do a limited number of things approved by ministers. All of this has been authorised by ministerial decree with minimal Parliamentary involvement. It has been the most significant interference with personal freedom in the history of our country. We have never sought to do such a thing before, even in wartime and even when faced with health crises far more serious than this one.

It is customary for those who doubt the legality or constitutional propriety of the government’s acts to start with a hand-wringing declaration that they do so with a heavy heart, not doubting for a moment the need for the measures taken. I shall not follow that tradition. I do not doubt the seriousness of the epidemic, but I believe that history will look back on the measures taken to contain it as a monument of collective hysteria and governmental folly. This evening, however, I am not concerned with the wisdom of this policy, but only with its implications for the government of our country. So remarkable a departure from our liberal traditions surely calls for some consideration of its legal and constitutional basis.

The present government came to office after the general election of December 2019 with a large majority and a good deal of constitutional baggage. It had not had an absolute majority in the previous Parliament, which had rejected its policy on the terms for leaving the European Union. It had responded to Parliamentary opposition with indignation. The Attorney-General told the House of Commons in September 2019 that they were unfit to sit, surely one of the more extraordinary statements ever made in public by a law officer of the Crown. The government had endeavoured to avoid Parliamentary scrutiny of their negotiations with the EU by proroguing it, and had been prevented from doing so by the Supreme Court’s decision in Miller (No. 2). The ground for the Court’s intervention was that the prorogation impeded the essential function of Parliament in holding the government to account. This decision was certainly controversial in expressing as a rule of law something which had traditionally been regarded as no more than a political convention, although I have no doubt for my part that the Court was right. But whether it is properly classified as law or convention, the constitutional principle which the court stated was surely beyond question. Governments hold power in Britain on the sufferance of the elected chamber of the legislature. Without that, we are no democracy. As the court pointed out, the dependence of government on Parliamentary support was the means by which “the policies of the executive are subjected to consideration by the representatives of the electorate, the executive is required to report, explain and defend its actions, and citizens are protected from the arbitrary exercise of executive power.” The present government has a different approach. It seeks to derive its legitimacy directly from the people, bypassing their elected representatives. Since the people have no institutional mechanism for holding governments to account, other than Parliament, the effect is that ministers are accountable to no one, except once in five years at general elections.

Within four months of the election, the new government was faced with the coronavirus pandemic. The minutes of the meetings of SAGE, its panel of expert scientific advisers, record that shortly before the lockdown was announced the behavioural scientists advised against the use of coercive powers. “Citizens should be treated as rational actors, capable of taking decisions for themselves and managing personal risk,” they had said. The government did not act on this advice. Encouraged by the public panic and the general demand for action, it opted for a course which it believed would make it popular. It chose coercion. For this, it needed statutory powers.

There were three relevant statutes.

The Coronavirus Act was passed specifically to deal with Covid-19. This hefty document of 348 pages with 102 sections and 29 schedules was pushed through all its stages in a single day in each House as the lockdown was announced. In the time available, no serious scrutiny of its terms can have been possible. The Act was primarily concerned to enlarge the government’s powers to marshal the medical resources of the country and to authorise additional public expenditure. But tucked away in Schedules 21 and 22 were additional powers to control the movement of people. Schedule 21 authorises public health officials to screen and test people for infectious diseases. They are given extensive powers to control the movement of any one found to be infectious and to call on the police to enforce their directions. Schedule 22 confers on the Secretary of State extensive powers to forbid “events” or “gatherings” and to close premises for the purpose of controlling the transmission of Covid-19. For present purposes, however, the important point to note is that apart from the power to prevent events or gatherings, the Act conferred no power to control the lives of healthy people. The measure stood in a long tradition dating back many centuries by which infectious diseases were controlled by the confinement of infectious people, not by the confinement of healthy ones.

A power to confine healthy people was, however, conferred by another Act, the Civil Contingencies Act 2004. The Civil Contingencies Act is the only statute specifically designed for emergencies serious enough to require the kind of measures that we have had. It authorises ministers to make regulations to deal with a wide variety of “events or situations”, including those which threaten “serious damage to human welfare”. These are defined so as to include things which may cause loss of life or illness. The regulation-making power could not be wider. Ministers are authorised to do by regulation anything that Parliament could do by statute, i.e. anything at all. In other words, it authorises government by executive decree. Specific examples given in the Act include restricting the movement or assembly of people and controlling travel. In enacting these provisions, Parliament recognized that emergency legislation of this kind is constitutionally extremely dangerous. It therefore provided for the powers to be exercisable only under stringent Parliamentary control. I shall return to that.

The government chose not to include a general lockdown power in the Coronavirus Act and not to use the power that it already had under the Civil Contingencies Act. Instead it resorted to the much more limited powers conferred by Part IIA of the Public Health (Control of Disease) Act 1984, as amended in 2008. Section 45C(1) authorises the Secretary of State to make regulations “for the purpose of preventing, protecting against, controlling or providing a public health response to the incidence or spread of infection or contamination in England and Wales.” That sounds very wide, but the problem about it is that the power is couched in wholly general terms. It is a basic constitutional principle that general words are not to be read as authorizing the infringement of fundamental rights. The best known formulation of what has been called the “principle of legality” comes from the speech of Lord Hoffmann in Ex parte Simms [2000] 2 AC 115, 131. His words are well known, but they are so apposite as to be well worth repeating. Parliament, he said, “must squarely confront what it is doing and accept the political cost. Fundamental rights cannot be overridden by general or ambiguous words. This is because there is too great a risk that the full implications of their unqualified meaning may have passed unnoticed in the democratic process. In the absence of express language or necessary implication to the contrary, the courts therefore presume that even the most general words were intended to be subject to the basic rights of the individual. In this way the courts of the United Kingdom, though acknowledging the sovereignty of Parliament, apply principles of constitutionality little different from those which exist in countries where the power of the legislature is expressly limited by a constitutional document.” There are few more fundamental rights than personal liberty. The effect of the principle of legality is that those proposing its curtailment must be specific about it and take the political heat.

So what specific powers to curtail personal liberty does the Public Health Act confer? The answer is that its main purpose is to confer extensive powers on magistrates to make orders in relation to particular people thought to be infectious or specific premises thought to be contaminated. Magistrates can make orders disinfecting infectious people, quarantining or isolating them or removing them to hospitals, among other things. They can order the closure or decontamination of contaminated premises. Ministers are given very limited powers in this area, only two of which were relevant to the lockdown or to current measures of social control. Under Section 45C they have a specific power to make regulations controlling “events or gatherings”. A “gathering” is not defined, but the context shows it to be concerned with more substantial assemblies than ordinary social interchange in peoples’ homes. The object was to deal with threats to public order. Otherwise the only specific power conferred on ministers is a power to do some of the things that a magistrate could do. The result is that ministers can make regulations controlling people thought to be infectious. There is no specific power under the Act to confine or control the movements of healthy people. To interpret it as conferring such a power would not only be inconsistent with the principle of legality. It would also be contrary to the whole tenor of this part of the Act. It is axiomatic that if a statute deals in terms with the circumstances in which a power can be exercised so as to curtail the liberty of the subject, it is not open to a public authority to exercise the power in different or wider circumstances. The courts will I suspect be tempted to give the government more leeway than they are entitled to. But on well established legal principles, the powers under the Public Health Act were not intended to authorise measures as drastic as those which have been imposed.

Why did the government not include a lockdown power in the Coronavirus Act given that it was drafted at the inception of the crisis? The most plausible explanation is that it thought that there might be difficulty in getting such a thing through Parliament without further debate and possibly amendment. Why did they not use the Civil Contingencies Act, which was already on the statute book? The most plausible answer is that the Civil Contingencies Act required a high degree of Parliamentary scrutiny which ministers wished to avoid. Emergency regulations under the Civil Contingencies Act must be laid before Parliament in draft before they are made. If the case is too urgent for that, they must be laid before Parliament within seven days or they will lapse. If necessary, Parliament must be recalled. Even if the regulations are approved, the regulations can remain in force for only 30 days unless they are renewed and reapproved. Unusually, Parliament is authorised to amend or revoke them at any time. By comparison the degree of scrutiny provided for under the Public Health Act is limited. In urgent cases, regulations under the Public Health Act have provisional validity, pending Parliamentary approval, for 28 days, and that limit is extended for any period when Parliament is not sitting. Parliament cannot amend them, and once it has approved them it cannot revoke them. They remain in force for whatever period ministers may decide. These differences in the level of Parliamentary scrutiny were remarked upon at the time when the powers in question were added to the Public Health Act in 2008. The government of the day told the Constitution Committee of the House of Lords that the lesser degree of Parliamentary scrutiny was appropriate because the powers under the Public Health Act were not intended to authorize anything very radical. They were mainly directed at controlling the behaviour of infected people, and then only in cases where the proposed measure was urgent but “minor in scope and effect.”

The problems begin with the very first days of the lockdown. In his televised press conference of 23 March, the Prime Minister described his announcement of the lockdown as an “instruction” to the British people. He said that he was “immediately” stopping gatherings of more than two people in public and all social events except funerals. A number of police forces announced within minutes of the broadcast that they would be enforcing this at once. The Health Secretary, Mr. Hancock, made a statement in the House of Commons the next day in which he said: “these measures are not advice; they are rules.” All of this was bluff. Even on the widest view of the legislation, the government had no power to give such orders without making statutory regulations. No such regulations existed until 1 p.m. on 26 March, three days after the announcement. The Prime Minister had no power to give “instructions” to the British people, and certainly no power to do so by a mere oral announcement at a Downing Street press conference. The police had no power to enforce them. Mr Hancock’s statement in the House of Commons was not correct. Until 26 March the government’s statements were not rules, but advice, which every citizen was at liberty to ignore.

To complain about the gap of three days during which the government pretended that the rules were in effect when they were not, may strike some people as pedantic. The regulations were eventually made, albeit late. But it revealed a cavalier disregard for the limits of their legal powers which has continued to characterise the government’s behaviour. Over the following weeks the government made a succession of press statements containing what it called “guidance”, which went well beyond anything in the regulations. These statements had no legal status whatever, although this fact was never made clear. The two-meter distancing rule, for example, never had the force of law in England. Many police forces set about enforcing the guidance nonetheless, until the College of Policing issued firm advice to them that they had no business doing so.

Why did the government, once they had announced the lockdown on 23 March wait for three days until 26th before making their regulations, and then resort to the emergency procedure on the ground that it was so urgent that Parliament could not be consulted in advance? The obvious answer, I am afraid, is that Parliament adjourned for the Easter recess on 25th. They deliberately delayed their urgent regulations so that there would be no opportunity to debate them before the recess. The period of 28 days before any kind of Parliamentary scrutiny was required was thus extended by the 21 days of the recess, i.e. to the middle of May.

This is not the only respect in which the level of Parliamentary scrutiny of the executive has been curtailed. The Coronavirus Act authorises any payments connected with coronavirus without limit and without any form of advance Parliamentary scrutiny. The Contingencies Fund Act, which passed through every stage in the House of Commons on the day after the Coronavirus Bill, authorised an increase in the statutory maximum in the Contingencies Fund, from to 2 per cent of the previous year’s authorised expenditure, to 50 per cent. The result was to make an additional £266 billion available to the government with no advance Parliamentary scrutiny. These measures departed from a century and a half of constitutional principle by which Parliament controls exactly how public funds are spent.

There was a number of other steps radically affecting the rights of individuals, which the government took without any Parliamentary sanction. Most of these involved exploiting existing regulatory regimes. The two meter distancing rule, for example, was uncritically adopted by the Health and Safety Executive. As a result, a number of building sites and factories where it was impractical to observe it were required to close although not included in the closure orders made under statutory powers. Perhaps the most remarkable example concerns the steps which the government took to deprive people of access to medical and dental services. The provision of medical and dental services was expressly excluded from the closure orders made under the Public Health Act. But a combination of government advice and government-inspired pressure from regulators was used to limit access to general practitioners. They were required to conduct video triages and refer serious cases to hospitals while telling other cases to wait. This has had a serious impact on the diagnosis and early treatment of far more mortal diseases than Covid-19, notably cancer. More drastic still were the steps taken to close down dental practices. On 25 March the Chief Dental Officer, a government official, published a statement referring to the Prime Minister’s announcement of the lockdown and requiring dentists to stop all non-urgent activity. In reality, they were required to stop even urgent activity. Their role was limited to carrying out a video triage of patients. Urgent cases were to be referred to a small number of local urgent dental units which essentially performed extractions. Treatment was refused in other cases. This direction, which had no statutory basis, left many people in pain or discomfort and threatened a significant number of dental practices with insolvency. Even after it was lifted at the beginning of June, distancing rules were imposed which seriously reduced the number of patients that a dentist could see and made many dental practices financially unviable. This is a serious matter, because the government’s use of non-statutory procedures like these escapes Parliamentary scrutiny. Parliament may, for example, be taken to have approved, albeit seven weeks late, the exception in the Health Protection Regulations which allowed the provision of dental services to continue. Parliament has never had the opportunity to approve the instruction of the Chief Dental Officer to the opposite effect.

These events give rise to concern on a number of counts. The most draconian of the government’s interventions with the most far-reaching economic and social effects have been imposed under an Act which does not appear to authorise them. The sheer scale on which the government has sought to govern by decree, creating new criminal offences, sometimes several times a week on the mere say-so of ministers, is in constitutional terms truly breathtaking. The government has routinely made use of the exceptional procedure authorizing it in urgent cases to dispense with advance Parliamentary approval, even where the measure in question has been mooted for days or weeks. Thus the original lockdown was imposed without any kind of Parliamentary scrutiny until the middle of May, seven weeks later. Thereafter, there was little scope for further scrutiny. Even the powers which the government purported to exercise were gratuitously expanded by tendentious and misleading “guidance”, generally announced at press conferences.

A special word needs to be said about the remarkable discretionary powers of enforcement conferred on the police. The police received power to enforce the lockdown regulations by giving directions to citizens which it was a criminal offence to disobey. Fixed penalty notices are normally authorised in modest amounts for minor regulatory infractions, parking and the lesser driving offences. The government’s Regulations, however, authorised them for a great variety of newly created offences and sometimes in very large amounts. On 26 August the government introduced by decree an offence of “being involved” in a gathering exceeding thirty people, and empowered any policeman in the land to issue a fixed penalty notice of £10,000. This sum, enough to ruin most people, was far in excess of any fine that would be imposed by a court for such an offence. The power, which was originally advertised as being intended to deal with “raves” has of course been widely exercised for other purposes. In particular, it has been used to suppress protests against the government’s coronavirus policies. On 30 August, the police served a £10,000 fixed penalty notice on Mr Piers Corbyn for addressing a rally against masks in Trafalgar Square. The regulations contain an exception for political protest, provided that the organisers have agreed a risk assessment and taken reasonable steps to ensure safety. On 26 September the police broke up a demonstration against the government’s measures, whose organisers had agreed a risk assessment and had taken reasonable steps. The police claim to have done this because some of the demonstrators had not acted in accordance with the arrangements made by the organisers. They cleared the square using batons with considerable violence, injuring some 20 people who were guilty of nothing other than attending an apparently lawful protest. There is a noticeable process of selection involved in these actions. No such fines, arrests or assaults have been seen in other demonstrations, such as those organised by Black Lives Matter, or Extinction Rebellion which did not observe social distancing but were thought to have greater public support. The Mayor of London applauded the police action. The silence from civil rights organisations such as Liberty was deafening.

The police’s powers of summary arrest are regulated by primary legislation, the Police and Criminal Evidence Act 1984. Under Regulation 9(7) of the original lockdown regulations, the government purported to amend that Act by enlarging their powers of arrest so that they extended to any case in which a policeman reasonably believed that it was necessary to arrest a citizen to maintain public health. I need hardly say that the Public Health Act confers no power on ministers to amend other primary legislation in this way.

In fact, the police substantially exceeded even the vast powers that they received. In the period immediately after the announcement of the lockdown, a number of Chief Constables announced that they would stop people acting in a way which the regarded as inessential, although there was no warrant for this in the regulations. One of them threatened to go through the shopping baskets of those exercising their right to obtain supplies, so as to ensure that they were not buying anything that his constables might regard as inessential. Other forces set up road blocks to enforce powers that they did not have. Derbyshire police notoriously sent up surveillance drones and published on the internet a film clip denouncing people taking exercise in the Derbyshire fells, something which people were absolutely entitled to do. When I ventured to criticise them in a BBC interview for acting beyond their powers, I received a letter from the Derbyshire Police Commissioner objecting to my remarks on the ground that in a crisis such things were necessary. The implication was that in a crisis the police were entitled to do whatever they thought fit, without being unduly concerned about their legal powers. That is my definition of a police state.

Many people think that in an emergency public authorities should be free to behave in this way because the ordinary processes of lawmaking are too deliberate and slow. I do not share this view. I believe that in the long run the principles on which we are governed matter more than the way that we deal with any particular crisis. They are particularly important in a country like ours in which many basic rights and liberties depend on convention. They depend on a recognition not just that the government must act within its powers, but that not everything that a government is legally entitled to do is legitimate. The Public Health Act requires any exercise of its regulation-making powers to be proportionate. The government has included in every regulation to date a formulaic statement that it is. But its actions speak differently. Its public position is explicable only on the basis that absolutely anything is justifiable in the interest of hindering the transmission of this disease. I reject that claim. Powers as wide and intrusive as those which this government has purported to exercise should not be available to a minister on his mere say-so. In a society with the liberal traditions of ours, the police ought not to have the kind of arbitrary enforcement powers that they have been given, let alone the wider powers that they have not been given but have exercised anyway. These things should not happen without specific Parliamentary authority, in the course of which the government can be required to explain its reasons and the evidence behind them in detail, and its proposals can be properly debated, amended or rejected by a democratic legislature. Their imposition by decree, even if the decrees are lawful, is not consistent with the constitutional traditions of this country.

There are, I would suggest, at least three lessons to be learned from this dismal story.

The first lesson is one to which I drew attention in my BBC Reith lectures last year. Our society craves security. The public has unbounded confidence, which no amount of experience will dent, in the benign power of the state to protect them against an ever wider range of risks. In Britain, the lockdown was followed by a brief period in which the government’s approval ratings were sky-high. This is how freedom dies. When societies lose their liberty, it is not usually because some despot has crushed it under his boot. It is because people voluntarily surrendered their liberty out of fear of some external threat. Historically, fear has always been the most potent instrument of the authoritarian state. This is what we are witnessing today. But the fault is not just in our government. It is in ourselves. Fear provokes strident demands for abrasive action, much of which is unhelpful or damaging. It promotes intolerant conformism. It encourages abuse directed against any one who steps out of line, including many responsible opponents of this government’s measures and some notable scientists who have questioned their empirical basis. These are the authentic ingredients of a totalitarian society.

So, I regret to say, is the propaganda by which the government has to some extent been able to create its own public opinion. Fear was deliberately stoked up by the government: the language of impending doom; the daily press conferences; the alarmist projections of the mathematical modellers; the manipulative use of selected statistics; the presentation of exceptional tragedies as if they were the normal effects of Covid-19; above all the attempt to suggest that that Covid-19 was an indiscriminate killer, when the truth was that it killed identifiable groups, notably those with serious underlying conditions and the old, who could and arguably should have been sheltered without coercing the entire population. These exaggerations followed naturally from the logic of the measures themselves. They were necessary in order to justify the extreme steps which the government had taken, and to promote compliance. As a strategy, this was completely successful. So successful was it that when the government woke up to the damage it was doing, especially to the economy and the education of children, it found it difficult to reverse course. The public naturally asked themselves what had changed. The honest answer to that question would have been that nothing much had changed. The threat had not been fairly presented in the first place. Other governments, in Germany, in France, in Sweden and elsewhere, addressed their citizens in measured terms, and the level of fear was lower. It is not fair to criticise the government for the mere fact that the death toll in Britain is the second highest in Europe. There are too many factors other than government action which determine the mortality of Covid-19. But it is fair to blame them for the fear which means that Britain seems likely to suffer greater economic damage than almost every other European country.

The ease with which people could be terrorized into surrendering basic freedoms which are fundamental to our existence as social beings came as a shock to me in March 2020. So has much of the subsequent debate. I certainly never expected to hear the word libertarian, which only means a believer in freedom, used as a term of abuse. Perhaps I should have done. For this is not a new problem. Four centuries ago the political theorist Thomas Hobbes formulated his notorious apology for absolute government. The basis of human society, he argued, is that people have no right to be free, for they completely and irrevocably surrender their liberty to an overpowering state in return for security. In an age obsessed with escaping from risk, this has become one of the major issues of our time.

I have criticised the way in which the government has invaded civil liberties with limited Parliamentary scrutiny or none. But of course Parliamentary scrutiny is not enough unless Parliament is to willing to live up to its high constitutional calling. It has to be ready to demand rational explanations of ministerial actions and to and to vote down regulations if they are not forthcoming. There is unfortunately little evidence of this. The public’s fear effectively silenced opposition in the House of Commons. The official opposition did not dare to challenge the government, except to suggest that they should have been even tougher even quicker. Parliament allowed the Coronavirus Act to be steam-rollered through with no real scrutiny. It agreed to go into recess at the critical point in March and April when the need for active scrutiny of government was at its highest. When it returned, it meekly accepted government guidance on social distancing, and submitted to a regime under which only 50 out of the 650 members could be in the Chamber at any one time with up to 120 more participating remotely on screens. This has meant that instead of answering to a raucous and often querulous and difficult assembly, whose packed ranks can test governments with the largest majorities, ministers had an easy ride. The exclusion of most of the House from participating in the core activities for which they had been elected by their constituents, was a most remarkable abdication of the House’s constitutional functions. It has reduced its scrutiny of the government to the status of a radio phone-in program.

However, the basic problem is even more fundamental. Under its standing orders, the House of Commons has no control over its own agenda. Its business is determined by the Leader of the House, a government minister, and by the Speaker. Backbenchers, however numerous, have no say and the official opposition not much more. In this respect the Commons is unlike almost every other legislature in the world. Other legislatures determine their own agenda through bipartisan committees or rules which entitle members with a minimum level of support to move their own business. When, in September, MPs began to kick back against the government’s dictatorial measures, the only way that they could do it was to tack a proviso onto a resolution authorizing the continuance of the Coronavirus Act, requiring the government to obtain Parliamentary approval of regulations made under the Public Health Act. The Speaker, probably rightly, ruled this out as an abuse. But it should not have been necessary to resort to devices like this. The standing orders date from another age when there was a shared political culture at Westminster which made space for dissenting views, and a shared respect for the institution of Parliament. The procedures of the House are not fit for a world in which the government seeks to shove MPs into the margins. Speaker Hoyle was surely right to accuse ministers of despising Parliament. But it will take more than schoolmasterly lectures to address the problem. Over the past few decades, the House of Commons has lost much of the prestige and public respect that it once enjoyed. Mr Cox’s strictures against Parliament in September 2019 were outrageous. But Parliament will richly deserve them unless it can rise to the challenge of controlling the most determined attempt by any modern government to rule by decree.

So much for the first lesson of recent events. The second is a variant of Lord Acton’s famous dictum that power corrupts and absolute power corrupts absolutely. Ministers do not readily surrender coercive powers when the need has passed. The Scott Inquiry into the Matrix Churchill scandal, which reported in 1996, drew attention to a broad class of emergency powers which had been conferred on the government at the outset of the Second World War until such time as His Majesty should declare by Order in Council that the war had ended. These had been kept in force by the simple device of ensuring that no such Order in Council was ever placed before His Majesty. They were still being used in the 1970s and 1980s on the footing that the Second World War was still in progress, for purposes quite different from those originally envisaged. Likewise, the powers conferred on ministers and the police by the Terrorism Acts of 2000 and 2006 have been employed not just to combat terrorism but for a variety of other purposes, including the control of peaceful demonstrations, the enlargement of police stop and search powers to deal with ordinary non-terrorist offences, and the freezing of the assets of Icelandic banks for the protection of their UK depositors. It will therefore surprise no one that the present government, having announced on 23 March that the lockdown would last until the NHS was able to cope with peak hospitalisations, should have continued them in May and June after this objective had been achieved. Ministers did this notwithstanding the warning of their scientific advisers in reports submitted to SAGE in February and March that a lockdown could delay infections and deaths but not stop them. Once again, fear persuaded people to accept the surrender of their liberty, even when the lockdown was no longer capable of the objective originally claimed for it. If the government had made its regulations under the Civil Contingencies Act, as it should have done, they would have had to be reapproved by Parliament every 30 days. Even with a relatively supine House of Commons, it is permissible to hope that Parliament would at least have called for a coherent explanation of this pointless and profoundly damaging decision.

The third and last lesson which I want to draw from these events is that government by decree is not only constitutionally objectionable. It is usually bad government. There is a common delusion that authoritarian government is efficient. It does not waste time in argument or debate. Strongmen get things done. Historical experience should warn us that this idea is usually wrong. The concentration of power in a small number of hands and the absence of wider deliberation and scrutiny enables governments to make major decisions on the hoof, without proper forethought, planning or research. Within the government’s own ranks, it promotes loyalty at the expense of wisdom, flattery at the expense of objective advice. The want of criticism encourages self-confidence, and self-confidence banishes moderation and restraint. Authoritarian rulers sustain themselves in power by appealing to the emotional and the irrational in collective opinion. The present government’s mishandling of Covid-19 exemplifies all of these vices. Whatever one might think about the merits of its decisions, it is impossible to think well of the process which produced them, which can only be described as jerky, clumsy, inconsistent and poorly thought out. There is not, and never has been an exit plan or anything that can be described as a long-term strategy – only a series of expedients. The Public Accounts Committee of the House of Commons reported in July that the lockdown was announced without any kind of cost-benefit analysis or advance planning for its disruptive economic effects. The many relevant social and educational considerations were disregarded in favour of an exclusive concentration on public health issues and only some of those. These are all classic problems of authoritarian government. It is habitually inefficient, destructive, blinkered and ultimately not even popular.

The British public has not even begun to understand the seriousness of what is happening to our country. Many, perhaps most of them don’t care, and won’t care until it is too late. They instinctively feel that the end justifies the means, the motto of every totalitarian government which has ever been. Yet what holds us together as a society is precisely the means by which we do things. It is a common respect for a way of making collective decisions, even if we disagree with the decisions themselves. It is difficult to respect the way in which this government’s decisions have been made. It marks a move to a more authoritarian model of politics which will outlast the present crisis. There is little doubt that for some ministers and their advisers this is a desirable outcome. The next few years is likely to see a radical and lasting transformation of the relationship between the state and the citizen. With it will come an equally fundamental change in our relations with each other, a change characterized by distrust, resentment and mutual hostility. In the nature of things, authoritarian governments fracture the societies which they govern. The use of political power as an instrument of mass coercion is corrosive. It divides and it embitters. In this case, it is aggravated by the sustained assault on social interaction which will sooner or later loosen the glue that helped us to deal with earlier crises. The unequal impact of the government’s measures is eroding any sense of national solidarity. The poor, the inadequately housed, the precariously employed and the socially isolated have suffered most from the government’s. Above all, the young, who are little affected by the disease itself, have been made to bear almost all the burden, in the form of blighted educational opportunities and employment prospects whose effects will last for years. Their resentment of democratic forms, which was already noticeable before the epidemic, is mounting, as recent polls have confirmed.

The government has discovered the power of public fear to let it get its way. It will not forget. Aristotle argued in his Politics that democracy was an inherently defective and unstable form of government. It was, he thought, too easily subverted by demagogues seeking to obtain or keep power by appeals to public emotion and fear. What has saved us from this fate in the two centuries that democracy has subsisted in this country is a tradition of responsible government, based not just on law but on convention, deliberation and restraint, and on the effective exercise of Parliamentary as opposed to executive sovereignty. But like all principles which depend on a shared political culture, this is a fragile tradition. It may now founder after two centuries in which it has served this country well. What will replace it is a nominal democracy, with a less deliberative and consensual style and an authoritarian reality which we will like a great deal less.

https://resources.law.cam.ac.uk/privatelaw/Freshfields_Lecture_2020_Government_by_Decree.pdf

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Visitor Contributions

The SARS-CoV-2 Pandemic

In the interest of public debate, we allow visitors to share opinions, experiences and research that may be of value to others. This is a visitor contribution from our Discussions page.

The views expressed are those of the individual posters themselves. Please read our Comments and contributions disclaimer.

Author

George Michael

  • Credentials: Physics graduate, University College London (UCL); Senior Research Analyst
  • Contact: LinkedIn

The SARS-CoV-2 Pandemic

The COVID-19 pandemic has impacted the world at a horrific scale, and people are trying to form their own opinions — rightly so — on topics ranging from disease severity to government policy. However, the general public are not exposed to a consistent flow of reliable information, so many are suffering from fear, confusion, and isolation, exacerbated by extreme differences in opinion on how seriously any aspect of the pandemic should be taken. These are the problems that this report aims to address.

Read the full article on Medium: The SARS-CoV-2 Pandemic

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Publications

COVID-19 outpatients: early risk-stratified treatment with zinc plus low-dose hydroxychloroquine and azithromycin: a retrospective case series study – PubMed

The aim of this study was to describe the outcomes of patients with coronavirus disease 2019 (COVID-19) in the outpatient setting after early treatment with zinc, low-dose hydroxychloroquine and azithromycin (triple therapy) dependent on risk stratification. This was a retrospective case series study in the general practice setting. A total of 141 COVID-19 patients with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the year 2020 were included. The main outcome measures were risk-stratified treatment decision and rates of hospitalisation and all-cause death. A median of 4 days [interquartile range (IQR) 3-6 days; available for n = 66/141 patients] after the onset of symptoms, 141 patients (median age 58 years, IQR 40-67 years; 73.0% male) received a prescription for triple therapy for 5 days. Independent public reference data from 377 confirmed COVID-19 patients in the same community were used as untreated controls. Of 141 treated patients, 4 (2.8%) were hospitalised, which was significantly fewer (P < 0.001) compared with 58 (15.4%) of 377 untreated patients [odds ratio (OR) = 0.16, 95% confidence interval (CI) 0.06-0.5]. One patient (0.7%) in the treatment group died versus 13 patients (3.4%) in the untreated group (OR = 0.2, 95% CI 0.03-1.5; P = 0.12). No cardiac side effects were observed. Risk stratification-based treatment of COVID-19 outpatients as early as possible after symptom onset using triple therapy, including the combination of zinc with low-dose hydroxychloroquine, was associated with significantly fewer hospitalisations.

https://pubmed.ncbi.nlm.nih.gov/33122096/

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News

Government struck £119m Covid advertising deal weeks before first lockdown – The Telegraph

The Cabinet Office signed the lucrative contract with London-based OMD Group as the Government began to gear up its response to the crisis.

Ministers struck a  deal worth up to £119m with one of the world’s biggest marketing companies for a Covid campaign three weeks before the country went into a national lockdown, official filings show.

https://www.telegraph.co.uk/business/2020/10/25/government-struck-119m-covid-advertising-deal-weeks-first-lockdown/

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News

Has Covid killed off the flu? Experts pose the intriguing question as influenza cases nosedive by 98% across the globe – Daily Mail

There’s just one curious problem: flu, it seems, has all but vanished.

The disappearing act began as Covid-19 rolled in towards the end of our flu season in March. And just how swiftly rates have plummeted can be observed in ‘surveillance’ data collected by the World Health Organisation (WHO). 

https://www.dailymail.co.uk/health/article-8875201/Has-Covid-killed-flu.html

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Opinion

The Zelenko protocol – Dr. Eleftherios Gkioulekas, University of Texas Rio Grande Valley

A webpage curating content related to the early outpatient treatment protocol that has been proposed by Dr. Vladimir Zelenko for the SARS-CoV-2 virus. This web page is maintained by Eleftherios Gkioulekas, who is solely responsible for the content of this page. Eleftherios Gkioulekas has a Ph.D in Applied Mathematics from University of Washington in 2006. He is not a medical doctor and does not give medical advice. 

https://faculty.utrgv.edu/eleftherios.gkioulekas/zelenko/index.html

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Publications

MHRA urgently seeks software tool to process the expected high volume of Covid-19 vaccine Adverse Drug Reaction – Tenders Electronic Daily

TED (Tenders Electronic Daily) is the online version of the ‘Supplement to the Official Journal’ of the EU, dedicated to European public procurement.

The MHRA urgently seeks an Artificial Intelligence (AI) software tool to process the expected high volume of Covid-19 vaccine Adverse Drug Reaction (ADRs) and ensure that no details from the ADRs’ reaction text are missed.

https://ted.europa.eu/udl?uri=TED:NOTICE:506291-2020:TEXT:EN:HTML&tabId=1

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News

Coronavirus not among 10 most common causes of death in September – Sky News

There were 2,703 excess deaths across England and Wales in September, official figures show – but coronavirus was not in the 10 leading causes of fatality.

The leading cause of death in September for both nations was dementia and Alzheimer’s disease.

https://news.sky.com/story/coronavirus-not-among-10-most-common-causes-of-death-in-september-ons-12111980

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Publications

The engines of SARS-CoV-2 spread – Science Magazine

The engines of the SARS-CoV-2 pandemic—household and residential settings, community, and long-distance transmission—have important implications for control. Moving from international to household scales, the burdens of interventions are shared by more people; there are few international travelers, but nearly everyone lives in households and communities. Measures to reduce household spread may appear particularly challenging, but because they directly affect so many, they need not be perfect. Household mask use and partitioning of home spaces, isolation or quarantine outside the home, and, in the future, household provision of preventive drugs could have large effects even if they offer only modest protection. Conversely, control measures at larger spatial scales (for example, interregional) must be widely implemented and highly effective to contain the virus. Indeed, few nations have managed to curb infection without stay-at-home orders and business closures, particularly after community transmission is prevalent.

https://science.sciencemag.org/content/370/6515/406.full

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Opinion

Is the NHS at risk of being overwhelmed by Covid? – The Spectator

Matt Hancock, the Health Secretary, has gone back to Plan A, reviving his ‘protect the NHS’ message from March and now wears a facemask with those words on it. The Prime Minister is repeating the slogan. It’s  deeply controversial with senior doctors who fear that it discourages the sick from seeking help – which might explain the 28,000 excess at-home deaths over the last few months. The NHS is worried about this and has countered with its own advert, urging people to seek medical help. I looked at this in my latest Daily Telegraph column.

The NHS has learned much from the first wave of Covid. PPE equipment, for example, is now in bountiful supply. Basic medical techniques – better use of blood thinners, oxygen therapy, steroids etc – are having a big impact on survival rates. When Boris Johnson went into intensive care, his survival chances were about 50 per cent. Now, they would be closer to 70 per cent. The trajectory this time is nowhere near as daunting – the below graph shows the rise of Covid patients needing critical care. As the data shows, intensive care unit (ICU) usage is 13 per cent of what it was at the end of March. (These figures are from the Intensive Care National Audit & Research Centre.)

https://www.spectator.co.uk/article/how-likely-is-the-nhs-to-be-overwhelmed-by-covid-

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News

Pub closures not backed by evidence – The Herald Scotland

A leading bacteriologist has said he was not surprised to learn that pub owners are pursuing a legal challenge against lockdown closures saying he had been left ‘frustrated’ by the absence of hard data informing some decisions.

https://www.heraldscotland.com/business_hq/18816036.coronavirus-pub-closures-not-backed-evidence/

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Opinion Videos

Dr. Mike Yeadon on The James Delingpole Channel

https://youtu.be/sbMJoJ6i39k

Interview highlights

  • COVID-19 is not a dread disease that will kill everyone.
  • The initially high case fatality rate of COVID-19 was because the medical community didn’t know how to treat it.
  • The fatality rate of flu is 0.1% (1 in every 1,000 who are infected end up dying).
  • Ventilators are the wrong option if you do not have an obstructed airway disease.
  • Prod. Ioannidis: The infection fatality ratio of COVID-19 is 0.15%. This is pretty much the same as the flu.
  • We should just ask people to be careful but otherwise go about your daily life.
  • These things pass every year. This is the first ‘social media pandemic.’
  • The normal practice for intensive care beds in the NHS is to run them almost full. This is because a lot of intensive care bed assignment is planned.
  • ICU use at the height of the pandemic was has very low because the NHS was run as light as possible to cope with a second wave.
  • Respiratory viruses don’t do waves.
  • This is not opinion but is basic understanding among experts in the field. It is supposrted by the highest quality science. Sir Patrick Vallance knows this.
  • COVID-19 follows the Gompertz Curve.
  • You have immunity after your body has fought off a respiratory virus. If that was not the case, you’d be dead. Immunity probably lasts decades based on evidence from other viruses.
  • Gompertz Curve is identical in all heavily infection regions.
  • Something awefull happened in the middle of the year: PCR swab test.
  • It is not true that if you test more people you’ll save more lives. A certain percentage of the test will come up positive even if there’s no virus in you.
  • False positive rate wasn’t released.
  • Kate Barker wrote in a government document on June 3rd, 2020, to SAGE: test has an unknown false positive rate; based on similar tests it may be between 1%-2%. This is a big deal.
  • Based on 1%: for every 1,000 people you test, 10 will come back positive, even if they don’t have the virus. If prevalence is only 0.1% as reported by ONS, only 1 in 1,000 will be genuine. This means 9 in 10–in other words 90%–are false.
  • Pillar 2 testing would have caused of the most of the positives to be false.
  • 1,700 people die normally every day in the UK. During the summer, only about 10 were dying per day of covid.
  • More testing, more false positives. We’ll never escape covid if we keep testing because most of the positives will be false. This is immunology 101. Sir Patrick Vallance would have known this.
  • Influenza is a high mutation-rate virus. Coronaviruses are relatively stable so once you’ve recovered, you are probably immune for decades.
  • COVID-19 kills 0.15%-0.2%, slightly more lethal than the average flu. Once it’s gone through the population, it won’t come back.
  • 99.94% survive COVID-19 and will be resistant for a long time.
  • COVID-19 is 80% similar to SARS-COV-1.
  • People who were exposed to SARS have T-cell immunity 17 years later. Evidence for COVID-19 all point in direction.
  • Our bodies have many lines of defense, including innate immunity and T-cells. Antibodies are in the last line of defense.
  • Study shows around 30% prior immunity to SARS-COV-2. It was due to exposure to common-cold coronaviruses.
  • The claim made by Sir Patrick Vallance that more than 90% are susceptible is a lie.
  • Mass testing of the well populating is the worst problem as it generates false positives, fear and control.
  • If you’re immune, you can’t be infected or infectious. Herd immunity is already in play in London.
  • If SAGE is correct, London should be ‘ablaze’ with deaths.
  • Current testing methods are not forensically sound.
  • Tests detect common cold and dead virus.
  • SARS-COV-2 has never really been a public health emergency.
  • We do not need the vaccine to return to normal. Most people are not in danger from COVID-19. More people are in danger from car crashes and we accept that risk.
  • Best case scenario is that the vaccine is 50% effective. Natural immunity might be better.
  • The most vulnerable often don’t respond well to vaccines and die anyway.
  • SAGE is giving lethally wrong advice.
  • The reason the pandemic is not over is because SAGE says it’s not.

Categories
News

Social media’s struggle with self-censorship – The Economist

Within hours of the publication of a New York Post article on October 14th, Twitter users began receiving strange messages. If they tried to share the story—a dubious “exposé” of emails supposedly from the laptop of Hunter Biden, son of the Democratic presidential nominee—they were told that their tweet could not be sent, as the link had been identified as harmful. Many Facebook users were not seeing the story at all: the social network had demoted it in the news feed of its 2.7bn users while its fact-checkers reviewed it.

https://www.economist.com/briefing/2020/10/22/social-medias-struggle-with-self-censorship

Categories
News

NHS faces winter with ‘2,000 less’ beds than last year – HSJ

The NHS has ‘significantly less’ beds now than last winter and parts of the system ‘don’t have enough’, a NHS England and Improvement director has admitted.

https://www.hsj.co.uk/quality-and-performance/exclusive-nhs-faces-winter-with-2000-less-beds-than-last-year/7028680.article