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Opinion

Alistair Haimes: The virus that turned up late

“There are really only two particularly unusual things about the Covid-19 epidemic: the timing of its arrival and the lockdown some countries declared.”

Deaths per day, as is well-reported, peaked around Easter; and because deaths lag infections by something around three weeks, this implies that infections peaked sometime in mid-March. If you add up all the bars in the chart and fill in the blank area of deaths still to come, we are looking at a killer that, in scale, is bad-but-nothing-special compared to killers of previous years. Panning out: as a killer worldwide, it looks as though Covid is going to take a toll perhaps 1% of 1918’s Spanish Flu.

…the dark blue line is 2019-20, with Covid-19; the turquoise and red lines are the bad flu years of 1998-99 and 1999-2000.

…Covid-19 is narrowly in third place as a killer to remember, behind the 1998-99 and 1999-2000 influenzas (2017-18’s ‘Beast from the East’, the green line, doesn’t place), a point also made by American statistician William Briggs.

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Opinion

Ten reasons to end the lockdown now – Dr. John Lee, The Spectator

Even if one could understand why lockdown was imposed, it very rapidly became apparent that it had not been thought through. Not in terms of the wider effects on society (which have yet to be counted) and not even in terms of the ways that the virus itself might behave. But at the start, there was hardly any evidence. Everyone was guessing. Now we have a world of evidence, from around the globe, and the case for starting to reverse lockdown is compelling.

  1. You cannot understand the significance of this virus simply by looking at the raw death figures
  2. The policy response to the virus has been driven by modelling of Covid – not other factors
  3. We don’t know if lockdown is working
  4. We should ease the lockdown to save lives
  5. Lockdown is not sustainable
  6. Lockdown directly harms those most likely to be affected by coronavirus
  7. Lockdown directly harms those who will be largely unaffected by coronavirus
  8. The health service has not been overwhelmed nor likely to be 
  9. The virus is almost certainly not a constant threat
  10. People can be trusted to behave sensibly

https://www.spectator.co.uk/article/ten-reasons-to-end-the-lockdown-now

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News

Are ventilators killing people? – Off-Guardian

Intubation and ventilation were billed as the only way to treat Covid19 patients in the early days of the outbreak, but now some medical professionals are questioning the practice.

Perhaps it is not surprising, then, that according to this article 66% of UK Covid19 patients put on ventilators are dying. A recent study found that, in New York, 88% of ventilated Covid patients died. In Italy it was over 81%, in Wuhan it was 86%.

Conversely, South Korea has reported good early results treating Covid19 patients with other forms of oxygen therapy, or “non-invasive ventilation”.

The question arises: If ventilators are not recommended for respiratory infections, may do more damage than they prevent and are less effective than non-invasive ventilation, why are they being so widely used?

Well, one possible reason is that, according to the WHO guidelines, non-invasive ventilation could contribute to the spread of the virus via “aerosolisation”. This is repeated in guidelines from the CDC, ECDC and other national institutions.

The UK’s NHS goes one step further again, with their March 19th protocol actually calling mechanical ventilation the “preferred” option over non-invasive ventilation or other oxygen therapies.

This leaves wide open the possibility that hospitals are using treatments known to cause harm, simply to avoid the hypothetical spread of the virus.

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News

Misallocated NHS resources fuelled spread of virus in care homes, say bosses – The Observer

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.

https://www.theguardian.com/society/2020/may/03/misallocated-nhs-resources-fuelled-spread-of-virus-in-care-homes-say-bosses

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News Videos

NHS virus app to be tested amid privacy concerns – Channel 4 News

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Publications

Three-quarters of people with flu have no symptoms – NHS (2014)

Approximately 20% of people had an increase in antibodies against influenza in their blood after an influenza “season”. However, about three-quarters of infections were symptom-free, or so mild they weren’t identified through weekly questioning about whether participants had a cough, cold, sore throat, or a “flu-like illness”.

https://www.nhs.uk/news/medical-practice/three-quarters-of-people-with-flu-have-no-symptoms/

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News Videos

Businessman Luke Johnson: Coronavirus lockdown is “Project Fear Mark 2… Enough is enough” – talkRADIO

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News

Two new waves of deaths are about to break over the NHS, new analysis warns – The Telegraph

A new analysis by Edge Health, a leading provider of data to NHS trusts, warns that a second and then a third wave of “non-corona” deaths are about to hit Britain. Unless radical solutions can be found to resume normal service and slash waiting lists, the NHS may be forced to institute a formal regime of rationing.

https://www.telegraph.co.uk/global-health/science-and-disease/two-new-waves-deaths-break-nhs-new-analysis-warns/

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News

Don’t gag NHS workers – Spiked

NHS staff have been warned against speaking out on ‘political’ issues in relation to coronavirus, including the widespread shortages of personal protective equipment (PPE).

https://www.spiked-online.com/2020/04/22/dont-gag-nhs-workers/

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News

The hospital I work in is so quiet – MumsNet

Forum posts apparently show NHS workers and patients discussing the empty UK hospitals. Screenshot below.

https://www.mumsnet.com/Talk/coronavirus/3886452-The-hospital-I-work-in-is-so-quiet

Go to forum

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News Opinion

Coronavirus Lockdown and What You Are Not Being Told Part 2 – Off-Guardian

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News

NHS using ‘flawed’ COVID-19 test – missing 25% of positives – OpenDemocracy

NHS laboratories are using a flawed test for coronavirus, according to a leaked Public Health England document seen by openDemocracy. Experts warn that the test fails to detect up to 25% of positive COVID-19 results.

Although the current test is known to be inconsistent, NHS labs are nonetheless being advised to continue using it, while an urgent “migration” or shift to a commercially available test takes place.

https://www.opendemocracy.net/en/opendemocracyuk/exclusive-nhs-using-flawed-covid-19-test-missing-25-of-positives/

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News

NHS told to expect ‘huge number’ of legal challenges after pandemic – HSJ

Specialist lawyers say legal challenges against CCGs and providers inevitable

Risks around deprivation of liberty, neglect, safeguarding, and potential gross negligence manslaughter

https://www.hsj.co.uk/coronavirus/nhs-told-to-expect-huge-number-of-legal-challenges-after-pandemic/7027448.article

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News

NHS crisis: 20 hospitals declare black alert as patient safety no longer assured – The Guardian (2017)

More than 20 hospitals in England have had to declare a black alert this week after becoming so overcrowded that they could no longer guarantee patient safety and provide their full range of normal services.

https://www.theguardian.com/society/2017/jan/11/nhs-crisis-20-hospitals-declare-black-alert-as-patient-safety-no-longer-assured

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News

Ineffective flu vaccine added to 50,000 extra deaths last winter, ONS says – The Independent (2018)

It was the worst winter on record for more than 40 years, with the 1975-76 season being the last time deaths climbed so high above the expected levels.

The NHS was rocked by a record winter crisis in early 2018, with a massive rise in flu cases and sub-zero temperatures triggered by the Beast from the East storm, which added further to death rates.

“The number of excess winter deaths in England and Wales in 2017 to 2018 was the highest recorded since the winter of 1975 to 1976,” said Nick Stripe, from the ONS Health Analysis and Life Events team.”

https://www.independent.co.uk/news/health/flu-vaccine-deaths-nhs-ineffective-crisis-bad-weather-illness-2017-a8660496.html

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News

Exclusive: Nightingale largely empty as ICUs handle surge – HSJ

London’s Nightingale hospital has remained largely empty, with just 19 patients being treated at the facility over the Easter weekend, HSJ understands.

https://www.hsj.co.uk/service-design/exclusive-nightingale-largely-empty-as-icus-handle-surge/7027398.article

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News

Flu piles pressure on over-stretched NHS hospitals – Daily Mail

This article in January, before COVID-19 scare, was already warning about a hospital crisis for this year’s flu wave.

https://www.dailymail.co.uk/health/article-6603277/Flu-piles-pressure-stretched-NHS-hospitals-outbreak-KILLS-26-people-week.html

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News

Cancer deaths set to soar amid coronavirus crisis – Daily Express

CANCER deaths caused by the indirect effects of Covid-19 on the NHS will outstrip the number predicted to die from the virus, experts have warned.

https://www.express.co.uk/news/uk/1268059/cancer-deaths-coronavirus-nhs

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News

Hospital A&E wards ‘in crisis over shortage of emergency doctors’ – The Guardian (2016)

Article from 2016:

Royal College of Emergency Medicine says workforce is not growing fast enough to keep pace with rising numbers of patients.

https://www.theguardian.com/society/2016/aug/10/hospital-a-and-e-crisis-shortage-emergency-doctors

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News

Offline: Is the NHS in crisis? – The Lancet (2017)

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31187-X/fulltext