A RISE in the use of sedation to manage ‘lockdown distress’ amongst the elderly may have contributed to a stark increase in dementia death rates, a charity has warned.
Figures show in all the deaths involving Covid-19 between March and June 2020, 92% had at least one pre-existing condition with dementia accounting for almost a third.
- From late-February 2020, Birmingham City Council gave care homes a £1,000 extra cash to take in hospital patients in a hurry, including some with coronavirus.
- Reason: more NHS beds could be freed up for coronavirus patients.
- Care home had to bid for the resident in a four hour window and, if their bid was ‘winning’, organise admission within 24 hours – regardless of the citizen’s Covid-19 testing or diagnosis status at the point of discharge.
- Care home manager, Jane Farr, of Digby Manor care home in Erdington, believes her rejection of the offer is one of the reasons none of her residents have been infected.
- From late February, any in-patients deemed ‘fit to discharge’ were rapidly moved out of hospital so hospital staff could focus on coronavirus patients.
- Dr David Rosser, chief executive of University Hospitals Birmingham (UHB) said the city created too much capacity – indicating some of the frantic measures to empty beds turned out to be not needed.
- From April 15 the Government’s rules changed and all discharged residents were supposed to undergo a test first.
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- Credentials: PhD Engineering, MBA
- E-mail: [email protected]
- YouTube: Alfonso Longo
- Download: Document on Google Drive
Covid 19 X-Factor in Spain – Nursing Homes: UNDERSTANDING WHAT REALLY HAPPENED
The nursing homes, their structure and management, explain the impact of the covid-19 pandemic in Spain.
DIRECTLY: because of the weight of its mortality
CAUSALLY: because of its effect on the transmission of the virus to the rest of the population
Therefore, in order to minimize the impact of covid on society, its impact on nursing homes must first be minimized.
(Note that the document is hosted on Google Drive.)
“Intensive care units are getting empty, the wards are getting empty, we are really seeing a decrease — and that despite that people are really loosening up. The beaches are crowded, social distancing is not kept very well … but still the numbers are really decreasing. That means that something else is happening – we are actually getting closer to herd immunity. I can’t really see another reason.”
“I can’t say if the Swedish approach was right or wrong – I think we can say that in one or two years when we are looking back. You have to look at the mortality over the whole period.”
“I don’t think that we have more new cases, I think we are just detecting more cases”
“We found that if you have a mild case you can be negative for antibodies afterwards … in those almost all of them had strong T-cell activity. This study says that there are cases that you can have a strong T-cell response even though you have not had antibodies, meaning that you have encountered the virus and built up immunity.”
- 2.4% of all tests were positive (9,674 out of 397,197)
- 3.9% of residents tested positive (6,747 out of 172,066)
- 3.3% of asymptomatic residents tested positive (5,455 out of 163,945)
- 80.9% of residents who tested positive were asymptomatic (5,455 out of 6,747)
- 1.2% of asymptomatic staff tested positive (2,567 out of 210,620)
Interview notes and charts
- The difference between what the government was telling us and what their information was telling us was so extreme and outrageous.
- Exponential means a “constant rate of growth.” The government data in March was clearly showing that the COVID-19 was declining, not growing exponentially. This was the same in all countries you could see the data. [See chart 1]
- A constantly declining growth rate will make a bell curve. The government were standing in front of bell curve graphs during their briefings yet they were telling us we were in the middle of the epidemic.
- It was very clear that we were heading to a peak sometime around early to mid-April.
- You don’t have to be complicated mathematics to see that COVID-19 was running out of steam almost from day one.
- The conclusion from the Centre for Evidence-Based Medicine seems to be that it’s impossible to predict if there will be a second wave.
- Sweden’s epidemic looks identical to the UK’s but they did not lockdown. Their datapoint indicates there won’t be a second wave. There has been no spike in Denmark either. [See chart 2]
- Unknowns: has summer affected COVID-19 and will there be a mutation?
- Will illnesses during the autumn and winter be mis-attributed to COVID-19? Poor media coverage means that we can’t be sure.
- Symptoms of COVID-19 are very similar to the flu. Something could look like a second wave but will we really know?
- The lockdown is costing a Brexit bill a week.
- The government response seems to have been skewed by Neil Ferguson’s modelling data. The make-up of government advisors seems to be a recipe for groupthink, which is very dangerous.
- Epidemiology (the way a disease spreads through the population) is not complicated science. The government could have had lots of people who were very good at this but they didn’t.
- We should have cocooned the vulnerable, make sure the NHS has capacity and “let it rip” through the population.
- We should never have had an open-ended lockdown.
- The ‘R number’ is just the difference of in the number of people infected after each generation of a disease. Britain crossed the ‘magical R of 1’ line a few days before lockdown and the same day as Sweden. Whatever interventions have been done doesn’t seem to have had any effect. [See chart 3]
- COVID-19 is mostly a care home and hospital disease. This was obvious very early on. Old people should not have been moved from hospitals into care homes. It seems as if we knowingly seeded the most vulnerable environment with the disease.
- 37% of our deaths are care home residents but they are only 0.5% of our population. Of them are dementia sufferers.
- Over 20% of the infections were picked up in the hospitals. COVID-19 seems more like MRSA than influenza in that it’s an infection control problem.
- COVID-19 is much more comparable to flu for the rest of the population.
- 1968 flu killed 80,000 people in the UK.
- This last winter was a low flu winter. It’s quite possible that the people who died of COVID-19 are those who didn’t die.
- If you overlay COVID-19 deaths with the 2000 flu season, they look very similar. [See chart 4]
- 95% of deaths have had another serious disease. Most people have almost no chance of dying from COVID-19.
- If you are under 40, you have more chance of being struck by lightning that dying of COVID-19.
- If you are under 60, you have more chance of drowning.
- At any age, you have more chance of dying on the roads than dying of COVID-19.
- Lead indicators of 111 and 999 calls with COVID-19 symptoms show there was no spike after VE Day celebrations or BLM protests. In fact, it was even coming down at lockdown. That lockdown was big change for COVID-19 is invisible in the data. [See chart 5]
Chart 1: COVID-19 was declining in Europe as of march. It was not growing exponentially
Chart 2: Sweden’s epidemic looks similar to the UK’s but they did not lock down.
Chart 3: Britain crossed the ‘magical R of 1’ line a few days before lockdown
Chart 4: COVID-19 deaths overlayed with the 2000 flu season
Chart 5: No spike after BLM protests
It is remarkable how many deaths during this pandemic have occurred in care homes. According to the Office for National Statistics, nearly 50,000 care home deaths were registered in the 11 weeks up to 22 May in England and Wales — 25,000 more than you would expect at this time of the year. Two out of five care homes in England have had a coronavirus outbreak; in the north-east, it’s half.
Not all these deaths, however, have been attributed to Covid-19. Even when death certificates do mention it, it is not always clear that it is the disease that was the ultimate cause of death. The data refers to people who died with Covid-19 present in their bodies, whether or not it was the direct cause. This raises questions about whether there’s another reason for many of these deaths which has gone largely unnoticed while attention has been focused on Covid-19. This is not just a British phenomenon, but one seen across Europe.
Senior social care leaders are calling on ministers to prioritise unlocking care homes amid growing concerns that mental health problems are contributing to the deaths of residents.
“Most important is stopping the transmission from hospital to nursing home,” Lum said. “We do a very good job on isolation. Once we have any person infected we isolate them in hospital for three months and at the same time we isolate all the close contact people in a separate quarantine centre for 14 days for observation.”
Shockingly, the UK government was not alone in pushing the crisis into care homes. In New York, the centre of the world’s worst outbreak, it is a similar story. Care homes were not only neglected for PPE and testing, but were also ordered to take in Covid patients. Homes could be fined $10,000 or lose their operating licence if they refused to comply with the rules. In Lombardy, the hardest-hit region of Italy, care homes were paid extra to take in Covid patients from hospitals.
The carnage in care homes ought to be the biggest scandal of the Covid crisis.
Care home residents confined to their rooms and forbidden visits from loved ones are giving up on life and “fading away”, say staff and families.
“The virus won’t be the killer of these people, it’s the distress and fear of not seeing family that is doing it,” said one carer who asked to remain anonymous but has reported her concerns to the Care Inspectorate in Scotland.
It has become clear that a hard lockdown does not protect old and frail people living in care homes—a population the lockdown was designed to protect.3 Neither does it decrease mortality from COVID-19, which is evident when comparing the UK’s experience with that of other European countries.
A failure to provide care homes with enough NHS expertise and hospital equipment has exacerbated the growing coronavirus crisis among their residents, senior care figures have warned.