Tag: Covid vaccinations

Stop the Third Wave!

Einstein is purported to have said that the definition of insanity is doing the same thing over and over again and expecting a different result.

A shiver went down my spine and I thought of Einstein when Johnson said that the Government would be sticking to its Roadmap and planned to lift all restrictions on 21 June.

What has happened to ‘Data Not Dates’?

When the Roadmap was published back in February, it said:

“Before taking each step, the Government will review the latest data on the impact of the previous step against four tests.

The tests are:

1. The vaccine deployment programme continues successfully.

2. Evidence shows vaccines are sufficiently effective in reducing hospitalisations and deaths in those vaccinated.

3. Infection rates do not risk a surge in hospitalisations. which would put unsustainable pressure on the NHS.

4. Our assessment of the risks is not fundamentally changed by new Variants of Concern.”

Test 4 has not been met.

Variant B1617.2 (the “Indian” variant) was designated a Variant of Concern on 7 May (there are rumours that it wasn’t designated sooner so as not to divert attention from the 6 May elections…), and yet Step 3 – the opening up of indoor hospitality and entertainment, and the introduction of the Green List for foreign holidays – went ahead on 17 May. Since then the “Indian” variant has been surging across the UK, particularly in our poorest, most deprived communities. Its speed of transmission is greater than previous variants and, while vaccination seems to be working, 60 percent of the adult population have yet to be fully vaccinated, and the variant is spreading exponentially among younger people.

While young people are less likely to die from Covid, they are highly vulnerable to the devastating and life-changing effects of Long Covid. And they can spread it to their peers and unvaccinated at-risk adults. As the WHO explains: “When a virus is widely circulating in a population and causing many infections, the likelihood of the virus mutating increases. The more opportunities a virus has to spread, the more it replicates – and the more opportunities it has to undergo changes.”

At the moment, the UK’s vaccination programme is in a race against the virus’ ability to spread, mutate and vary to a point where the vaccines may not work. This is why local public health experts are crying out for more vaccines and for permission to vaccinate younger cohorts. Even though the vaccines take time to work, without a functioning Test and Trace system they are this Government’s only defence against Covid.

We are on the cusp of a third wave.

Germany recognises this and has barred UK travellers. Spain and Portugal may soon regret valuing their income from UK tourists more highly than the health of their citizens – understandable though their desire to restart their tourist industry is.

Alongside going ahead with Step 3 and then sticking to their plan to ease all restrictions on 21 June, there has been a marked shift in the Government’s approach. Some rules are being changed to guidance. So, you can only have 30 guests at your UK wedding but you may go on that holiday to an Amber List country – it’s your choice and it will be your fault when you infect your hosts or bring another variant back with you. And not only will you get the blame, you may even get an early morning welcome home knock on the door from Priti Patel rather than a friendly local health worker or mutual aider (she does so love going round with her enforcers, so do give her a hug from us all!).

There is an alternative to waiting for the third wave to hit us – and it doesn’t mean staying in lockdown – although it does mean not throwing those masks away and hanging on a bit longer before hitting the beaches and bars.

That alternative is to pursue a comprehensive elimination strategy, based on tried and tested public health principles, rather than this Government’s chaotic policy of “living with the virus”, with its on-off lockdowns, 4.5 million cases of Covid-19, 127,710 needless deaths (as at 22 May 2021), and untold numbers of people with long-term chronic illnesses.

New Zealand, Australia, Vietnam, Taiwan and countless other countries have pursued this strategy, and it has led to far fewer deaths and much less economic damage. People in these countries are going to cinemas, rock concerts and football matches, enjoying socialising and meeting friends without restrictions.

This is the Zero Covid approach. And it is the surest way to Stop the Third Wave.

We must combine the UK’s mass vaccination programme with

  • an effective, local and fully funded Find, Test, Trace, Isolate and Support operation run by the NHS and local authorities, providing full financial support and practical assistance to all those required to shield or self-isolate.
  • all workplaces, including schools, colleges and public transportation, being made Covid-safe, and certified as safe by trade unions and/or public health authorities; and continued working from home to be encouraged and supported;
  • continuing personal protection and mitigation measures such as social distancing, handwashing, mask-wearing, and good ventilation;
  • effective measures to address international travel – including free testing and quarantine – based on public health requirements not immigration control;
  • Quick action to stamp out any new outbreaks.

The scandal of “NHS” Test and Trace epitomises this Government’s approach. Having bunged a staggering £37 billion of taxpayers’ money to the private companies running this joke of an organisation – a body that should be in the vanguard of our defences against the spread of the virus – we now learn that just last week it managed to “lose” the details of hundreds of people infected with the B1617.2 variant, thus helping its spread. Yet Serco’s contract to run this dangerous and expensive failure has just been renewed.

A major problem is that the lack of real financial and practical support provided for those who are asked to self-isolate means that Test and Trace is increasingly disregarded, as are the lateral flow tests we are being asked to administer to ourselves. If you can’t afford not to go to work, what’s the point of getting tested?

And when you do get to work, the odds are that your workplace won’t be Covid-safe, especially if there is no trade union to argue for protection, but you daren’t complain because you could be fired and not rehired. There have been 3,872 Covid outbreaks in workplaces and 4,253 outbreaks in education settings yet not a single employer has been prosecuted for breaching Covid regulations. The lack of enforcement of proper protection for workers by the Health & Safety Executive is just one of the many outrages of the UK’s handling of the pandemic.

George Monbiot has spelt out the tragedy of the Government’s policy towards the UK’s borders: “During the first three months of the pandemic – from 1 January until lockdown on 23 March last year, 18 million people arrived in the UK from abroad. But only 273 of them were obliged to quarantine. By contrast, across the 12 months to March 2020, 23,075 people were thrown into immigration detention centres: prisons for people who have not been convicted of any crime but are suspected of entering – or remaining in – the country without the correct paperwork. Astonishingly and incomprehensibly, on 13 March 2020 the Government dropped any obligation on passengers arriving in this country to self-isolate. As a result, we know that on 31 March 2020, a week into lockdown, there were 895 people in detention and none in official quarantine.

Only on 8 June was quarantine reintroduced, and even then the system was so leaky and ill-enforced that it might as well not have existed. While other nations imposed strict border measures from the outset, preventing widespread infection, an analysis by the Covid-19 Genomics UK Consortium discovered that, as of 22 May 2020, the virus had been introduced to the UK by travellers on at least 1,300 occasions.”

A year later, things aren’t much better. The stories from returning travellers of the long waits and enforced mingling in the arrival halls of our airports, as well as the recent delay in limiting flights from India, are down to a Home Office and Border Force which would rather persecute and jail refugees and EU citizens than safeguard our collective public health.

Nobody is safe until everybody is safe.

A global pandemic must be fought globally. The UK’s hoarding of vaccines is disgraceful, as is its failure to support vaccine patent waivers and to make substantial donations to Covax. Its cuts to overseas aid are already having a harmful impact on the ability of countries in the global south to protect their populations against the pandemic.

Speedy deployment of vaccines internationally without trade or patent restrictions, funded by developed countries and global corporations, is an essential part of a comprehensive worldwide public health strategy to minimise infections and the mutations/variants they enable.

Labour’s leadership needs to move from supporting the Government’s failed, deadly approach to supporting and advocating the only strategy which can Stop the Third Wave – Zero Covid.

22 May 2021

None of us are safe until we are all safe

When, late on a winter’s Friday afternoon, I received a text inviting me to book an appointment for a Covid vaccination I was taken aback by the intensity of my feeling of relief. It was as though a weight had been lifted off me – a weight I didn’t realise had been crushing me down from the time I first learnt about Coronavirus.

I am someone with ‘underlying health conditions’, someone who is ‘clinically extremely vulnerable’. I’ve been chronically ill all my adult life. I have had major operations; years of searing pain; I have lost decades of my life to chronic fatigue; I have been in intensive care and know what steroids and opiates do to your head as well as your body. I didn’t need the government to tell me to stay at home to protect myself. I knew that Covid could kill me and what a Covid death would involve.

Over 2.2 million of us have been stuck indoors, often alone, for months and months. We have received minimal support – relying on friends, neighbours and local volunteers for the most basic help. School children are not alone in needing laptops, broadband and tech help. Short term self-isolators are not the only ones who need a massive increase in financial support.

Our unmitigated joy at the prospect, and then the reality, of vaccination should not be underestimated. Most of us are of an age and/or disability to know and understand pain and grief. We did not expect to escape being counted amongst the hundred thousand and rising who have died an unnecessary, preventable, painful obscenity of a death as the virus has been helped to spread by this Tory government’s inhumane and heartless policies.

And, despite the miracles being wrought by the world’s scientists, we cannot yet be sure that we will escape that fate.

The conventional line is that the Tory government is incompetent – and of course it is. But it isn’t incompetence which very efficiently handed out £21.6 billion worth of contracts for PPE, hospital supplies and an outsourced failed test and trace system to a raft of politically connected companies and individuals;  which embraced, and then denied embracing, a herd immunity strategy; which pledged ‘whatever it takes’ funds to local authorities and then reneged on that promise; which spent £840 million on their Eat Out SuperSpreader while refusing to feed kids during half term; which for a decade ran down, underfunded and privatised our ‘world beating’ National Health Service – and then clapped as staff from overseas were shown the door in the name of taking control. None of that was due to incompetence. Rather, it was a brutal demonstration of the dominant political and economic ideology of our times – one based on individualism rather than collectivity, competition rather than mutuality, big business rather than public health – Profit before Patients, Profit before People, Profit before Life.

The death rate is obscene, and all the more so when you discover that it doubled in just 76 days – 76 days which included Christmas and the on-off opening of schools, and this current phoney lockdown. And just look at the lockdown. It designates estate agents as key workers, allows employers to insist workers come in regardless of health and safety on their commute as well as at work, keeps non-essential construction sites working, allows cleaners to go between homes but bans your mum from visiting, leaves the homeless to freeze on the street, keeps nurseries open but closes reception classes, and provides so little support that only a tiny minority of those who must self-isolate if the virus is not to spread further can afford to do so.

Two young men have been fined £10,000 each for organising a snowball fight. But where are the big fines for bosses threatening workers with the sack if they object to being put at risk? The BBC reports that between 6 and 14 January, the Health and Safety Executive (HSE) received 3,934 complaints relating to coronavirus and took enforcement action in just 81 cases, usually a verbal or written warning, with only one company facing tougher action.

Johnson and his ministers are being quite rightly castigated for saying that ‘they did everything they could’, and the list of their failures is getting longer and longer. But we are not seeing any alternative on offer.

The death rate is expected to increase exponentially over the winter months and the age groups being hospitalised and dying are becoming younger. There is a clear danger that, as vaccines are rolled out, the virus will develop the ability to bypass them through mutation, so they either don’t work, or work less well, against new variants.

Our futures cannot rely on vaccines.

They are only half the story – and can only be half of an effective strategy.

Because none of us are safe until we are all safe.

In the UK, the plan is for 14.6 million people in the top four priority groups to receive the first dose of vaccine, then 17.2 million in the next five groups. That leaves 21 million adults who may receive their first dose by the autumn – and their second three months later, by next Christmas. Those figures don’t include children and assume a steady supply of the vaccine will be available.

And, despite a good start to the UK vaccination programme – noticeably run by public sector health experts rather than privatised profiteers – the wheels are already starting to come off. Distribution is erratic, essential second doses are being delayed and, more seriously, we are seeing the beginnings of the vaccine wars, so predictable when we live in a country ruled by protectionists and nationalists, who have just bragged about brokering an acrimonious divorce from our nearest trading neighbour. A mix of EU bureaucracy, vaccine nationalism and the interests of Big Pharma are a potentially fatal combination. And of course this vaccine nationalism isn’t just about the UK and the EU. Just 25 doses of vaccine have been administered across all poor countries compared with 39 million in wealthier ones. I’ll repeat those figures – 25 compared to 39,000,000.

This is a global pandemic. None of us are safe until we are all safe.

An alternative – and additional – strategy to vaccination is essential.

Vaccination has to go hand in hand with a policy of elimination.

That is the policy which has been followed by countries as diverse as New Zealand, Taiwan, Vietnam and Australia. Closer to home, it has also been followed by the Isle of Man, which is now Covid free.

It is not too late for that policy to be adopted here. If it isn’t we will be left hanging around in on-off lockdowns waiting for the death knell for the next 100,000 of our loved ones. And then the next 100,000.

What does a proper elimination strategy involve? It needs a short, sharp, hard lockdown to drive down case numbers combined with and followed up by an effective, public sector track and trace system, comprehensive testing and quarantining for all UK arrivals. Workplaces and shops need to be made safe (the trade unions know how to do this even if employers don’t), with properly funded and supported self-isolation – either at home or in good alternative accommodation – as well as physical distancing and mask wearing. In this way community transmission of the virus can be slashed so that vaccination will have time and space to work and mutation is less likely.

Few if any of those in power seem to grasp that this strategy minimises costs and disruption to education and business, as well as saving the most lives. Instead, Groundhog Day is back – yet again the Tory right are calling for an end to the lockdown and Labour are calling for the schools to reopen. Both anthropomorphise the virus and want us to think it is going to consult its calendar to check term and bank holiday dates – half term maybe, Easter definitely!

The government can do this. It is doing it this week in response to the South African variant – testing, testing, testing (anyone else remember the WHO calling for just that last March?), using local authority public health experts, with Matt Hancock stating that they are coming down hard on the virus and that their goal is to eliminate every single case.

This is the opportunity Labour needs to embrace a full elimination strategy and, rather than piecemeal criticisms, Labour must put forward a detailed and comprehensive package of the measures that should be taken immediately if not just schools but our whole society is to be able to get on with our lives and plan for a better future.