Tag Archives: coronavirus testing

Are clothes essential in a pandemic? It’s the news from Britain

Posted on by
59

In a protest over the Welsh government’s ban on stores selling nonessential goods during the current lockdown, Chris Noden turned up at a supermarket in nothing but his undies and tried to shop while his wife followed along behind and recorded everything on her phone. A store employee kept him from going in, and as soon as Noden got him to admit that clothing was essential, he decided he’d made his point and left.

“I understand they have to control crowds in shops,” he said later, “but if someone really needs something or an item, what is it to stop them? They are actually blocking these aisles off with sweets, chocolate, bottles of vodka, whisky, lager, they are blocking it off with all nonessential items, essentially. I don’t know what is essential or not, it is a bit mad, like.”

What he’s talking about is that supermarkets blocked off areas selling nonessentials.

It’s true that he does seem to get stuck on a thought and repeat it, but he managed to make his point all the same. It’s also true that he didn’t just wear his undies. He also wore shoes, socks, a mask, and a tattoo. 

The essentials, essentially.

My thanks to Ocean Bream. If it hadn’t been for her, I’d have missed this and what a tragedy that would’ve been.

*

Irrelevant photo: If I remember right, this is a thistle. Gorgeous, isn’t it?

Meanwhile, on October 29, British papers reported that nearly 100,000 people a day were catching Covid in England. That’s based on a study by Imperial College London, which also estimated that the rate of infection was doubling every nine days. That takes us close to the peak of infections last spring, although the death rate for people who have severe Covid is down from last spring, probably because a lot’s been learned about how to treat it.

Every age group in every region shows growth in the number of cases. In London, the R rate–the number of people each infected person passes the disease on to–was 3. The Southeast, Southwest, and East have an R rate above 2. On a national average, it’s grown from 1.15 to 1.56.

Regional lockdowns in the north may have slowed the spread, although they don’t seem to have stopped it. The government is frantically trying to avoid a national lockdown.

*

But it’s all going to be okay, because the government has plans to do a Covid test on 10% of England’s population every week, using tests based on saliva, which are easier to manage than the current ones and give a result in thirty minutes. The plan is ambitious, headline-grabbing, and badly thought out. In other words, pretty much what anybody who watches this government would expect. 

The idea is that local directors of public health will “be eligible to receive” tests “equivalent to” 10% of their population. Which is a roundabout way of saying that’s how many tests they’ll get, but with a small escape clause in case someone needs to wriggle through the definitions of equivalency and eligibility. A properly motivated politician could emerge from that snarl rumpled and stained but still claiming victory.

In a moment of heroic bad planning, the project was launched without anyone talking to the local governments and health officials whose cooperation it depends on. 

What will the program expect of them? The head of the test and trace program, Dido Harding, said local authorities will “be responsible for site selection and deployment of [lateral flow] testing in line with their priorities.”

Lateral flow? Oh, come on, you know that. It’s what happens when things flow laterally, which is to say sideways.  

Did that help? 

I thought it would.

But it’s even better than that, since we’re translating. Things will flow not just sideways but also in a line with their priorities, which we can assume run sideways.

Whose priorities? I’m not entirely sure. Local governments’, probably, and they’ll get to choose their priorities by picking Option A or Option A. That way it’ll be their fault if Option 3 turns out to have been the obvious choice. Honestly, anyone would’ve been able to see it.

And no, I didn’t add that “[lateral flow]” business. That was some desperate reporter trying to condense a document full of waffle and bureaucro-speak.

So are local people wild about the program? Not demonstrably.

An anonymous director of public health said, “There is no point in testing large numbers of the population unless you do something with the results. We really, really want to improve testing and tracing, but once again this is the wrong way to go about it.”

Another public health official–a senior one, whatever that may mean, and also  anonymous–said, “We don’t know who does the contact tracing or how the workforce [to carry out the tests] is resourced. [That means paid for–and this is my addition.] We are trying to work out how this fits with the test-and-trace strategy with PCR testing and how any positive results are followed up and people are isolated.”

PCR testing is the kind that’s currently being done–the slower, more invasive kind of test.

And yet another anonymous senior public health official said, “They have come to us with a proposal that is poorly thought through. It is not clear what the cost is or the amount of work involved and there is nothing about contact tracing.”

As for the existing test and trace system, it might just meet its target of testing 500,000 people a day by the end of the month, but it’s done it by getting the results back to people more slowly than promised–sometimes at half speed–and bungling the tracing element. One in five people who test positive and are referred to the tracing side of the system are never heard of again. They’re abducted by flying saucers and held out of range of cell phones–or if you’re British inflected, mobile phones, whose name only promises that you can move them around, not that they’ll work where you so foolishly brought them. 

Are those lost people isolated while they’re there so they can’t pass on the virus? That’s the thing: We don’t know. But if you will get yourself abducted by flying saucers, you can’t blame Dido Harding for it, can you?

It’s also possible that the system’s missing more than one in five people. It depends when you wandered into the movie. Another article says less than 60% are reached, so that would be two out of five. 

I think. 

Oh, never mind the specifics. It’s all just a lovely, poetic way of saying the program’s a mess.

One article I found included an example of the kind of snafu that happens in the vicinity of the test and trace system: a small war over who’d pay for a portable toilet at a mobile testing station. The central government (I’m reasonably sure that would be the test and trace program itself) refused. Because they’re test and trace, after all, not test and toilet. That left two local entities playing hot-potato with it for days. In the meantime, the station couldn’t be set up, because no matter how little you pay people, and even if you put them on zero-hours contracts, they will want to pee eventually. 

*

However hot that potato was, though, it’s a small one. Here’s a considerably larger one:

After advertising for people with a health or science degree (or an equivalent something or other) to work with experienced clinicians  in the English test and trace system, Serco–a private contractor–instead upgraded a bunch of people who were already working there, people with no relevant degrees or experience and who were working for minimum wage. That’s £6.45 an hour if you’re between 18 and 20 and £8.72 if you’re over 25.

You may have noticed that some years are missing there. That’s okay. Most of the callers are in the 18 to 20 group.

The job as originally advertised–the one the minimum-wage folks got moved into–was supposed to pay between £16.97 and £27.15 an hour. The people who got moved into the job are still working for minimum wage. 

That’s called upskilling. It’s not called up-paying. 

We can’t exactly say they weren’t trained. They got four hours of power-point training, an online conversation, a quiz, some e-learning modules (doesn’t that phrase send a thrill down your spine?), and some new call scripts. 

“It’s been an absolute shitshow,” one highly anonymous caller told a reporter. The callers are talking to people who’ve lost family members. People who cry. People who are in pieces. And the callers’ training manual says things like, “If somebody’s upset, be patient.” 

It leaves some of the callers themselves in pieces. They’re young. They have no training to help them deal with this. They’re in over their heads and they know it. 

I can’t imagine the system’s working any better for the people they call.

Somewhere in between advertising the higher pay level and giving the job to people at the lower one, the Department of Health and Social Care made a decision to split the job in two. The first set of callers would make the initial calls and then “qualified health professionals” would follow up. 

But Mr, Ms, of Mx Anonymous says, “There is no other call by a trained clinician.” The callers read out a list of symptoms, refer anyone who needs medical advice to 111, the Covid hotline, and only if they decide that there’s an immediate risk do they pass calls to a clinical lead. 

So this is, on average, a 20-year-old being asked to decide if there’s an immediate risk. No disrespect to 20-year-olds–I was one myself once–but you don’t have a lot of life experience to draw from at that age.  

Have I mentioned that the test and trace service is privatized? And that to date it’s cost £12 billion–more than the entire budget for general practice. More than the NHS capital budget for buildings and equipment.   

Which is one reason that a group of doctors have called for the money to be diverted to local primary care, local NHS labs, and local public health services. Local, local, and local. 

I’m not expecting anyone to listen to them.

*

And so we don’t end on a completely sour note, Taiwan has marked 200 days without a domestically transmitted Covid case.

Its success is due mostly to reacting early and sanely: establishing coordination between government departments; emphasizing the use of masks; quarantining new arrivals. It didn’t hurt that both the strategy and communications with the public were led by experts.

It’s a radical concept, but it just might work.

Tea, biscuits, and sewage: It’s the pandemic news from Britain

Posted on by
87

How did the  Great British Public cope with lockdown? By spending an extra £24m on tea and coffee in the last three months, and they splurged an extra £19m on biscuits–or to put that in American, on cookies. 

Alcohol? Sales were up by 41% this month. And people are reading more, although based on the alcohol sales they can’t remember a word of it come morning.

A number of readers have written that they look for something upbeat in these posts. I hope that qualifies. I’m vain enough that I want people to remember what I write, but let’s face it, I’ve written–yea, and published–some stuff that if they couldn’t remember it by morning they’d be doing me a favor.

*

Screamingly irrelevant flowers. Whatsit flowers. In bloom. In our yard. They’re wonderful–the slugs don’t eat them.

By the end of October, the Great British Government will have some Great British Walk-In Testing Centers open in the hope that they’ll persuade more people to get tested. According to Great Government Estimates, the current testing program is picking up only a third of the estimated 1,700 Great New Infections per day.

Why? For starters, they’re testing either primarily or only people with symptoms. That leaves the symptomless carriers walking around shedding their germs. The rumor mill insists that if you go deeply enough into the small print of the government website you’ll find that symptomless people can be tested, but the font must be too small for my aging eyes. I haven’t found it. 

Of course, you can also just lie about having symptoms, and if I thought I’d been exposed I’d do it with no hesitation, but most people aren’t as [fill in your choice of adjective(s) here] as I am, and counting on people lying when it’s necessary isn’t the best way to set up a program.

Meanwhile, the centralized Test and Trace system is missing 45% of infected people’s close contacts. Or according to a different source, 20%. (Those may cover different areas. They may not. Go figure.)Local teams miss 2%, but we can’t rely on them because it’s important to privatize the service so someone can make a profit.

Does my writing look bitter in this?

*

With twelve hours to go before face masks became compulsory in some places in England but not in others, the government released details on who-what-when-where-how. 

Okay, less than twelve hours, but I like round numbers.

We won’t do all the details. If you need them, go someplace sensible. But to give you a sense of how well thought out the guidelines are, if you’re a shop worker, you don’t have to wear a mask but if you’re a shop customer you do. However, they’re strongly recommended for shop workers. Where appropriate. 

What’s appropriate? The shop has to figure that out.

You do have to wear a mask in a bank. You don’t have to wear one in a movie theater. The virus is highly distractible. Give it a good shoot-em-up and it forgets its goal, which is to spread. Money, on the other hand, bores it shitless, so in a bank it continues to methodically infect your cells and spew forth its colleagues to infect new people.

Assuming, of course, that you’re a carrier. Which I don’t wish on any of us, but we can’t cover all the possible variations here. We’ll sink under the weight of verbiage. It’s bad enough as it is.

You do have to wear a mask when you go into a sandwich shop or cafe, but when you sit down to eat you can take it off. There’s no need to liquidize your sandwich and infuse through the layers or shove the mask into your mouth as you bite into your sandwich. If there’s table service, though, the virus getss lazy, so again, no mask.

Cabinet Minister Brandon Lewis explained that this is all “clear, good common sense.” 

I hope he and I have cleared things up.

Some chains have announced that they won’t be enforcing the rules. The police have said they can’t be bothered. 

Thanks, everyone. Speaking only for myself and a few hundred of my closest friends, we appreciate everything you’re doing to keep us safe. We’ll have to rely on the Great British Institutions of quiet social pressure and tutting. According to Hawley’s Small and Unscientific Survey, they work. My partner stopped at the store today and everyone was wearing a mask except for one man. He looked around uneasily and tied a sweatshirt around his face. So that’s 100% out of a sample of one.

*

Early studies in several countries make it look like sewage sampling will give an early warning of local coronavirus flare ups, even before people notice any symptoms. That bit of news comes from the most romantic of cities, Paris. From Eau de Paris, in fact, which sounds like something ladies dabbed behind their ears and on their wrists when I was a kid but is, in fact, the water and sewage company.

Who said the virus hasn’t brought us anything to enjoy?

*

As long as we’re in France, a hospital in Lyon is running trials on a breathalyzer-like Covid detector that gives a result in seconds. They hope to have it up and running by the end of the year so they can test patients as they come in. If it gets through the early tests, the next hurdle will be making it affordable. At the moment, it’s too expensive to distribute widely.

*

An international team has identified what seem to be the most powerful anti-Covid antibodies. Some of them, they think, hold promise as treatments. You may be able to get more out of the article than I could, so I’ll give  you a link. I didn’t even understand enough to make jokes. What little I’m telling you comes from a dumbed-down summary. What I do understand–or think I understand–is that the antibodies could be reproduced on a large scale and work as a treatment. 

Potentially.

*

And finally, 84 of the world’s richest people have called for governments to tax the world’s wealthiest people–including them–more heavily to fund the world’s recovery from the Covid-19 crisis. The pandemic’s economic impact, they say, could last for decades and “push half a billion more people into poverty” while they–the world’s wealthiest–have money and it’s desperately needed. 

Hope, despair, and statistical glitches: It’s the pandemic news from Britain

Posted on by
44

A couple of scientists discovered that Public Health England may be overcounting coronavirus deaths–or as they put it, overexaggerating them. They’re numbers people, not word people. I’d underexaggerate an equation if you were silly enough to let me near one.

Having heard about this, the health secretary, Matt Hancock, is calling for an urgent review of England’s coronavirus deaths.

Why’s this urgent? Because Britain has the highest Covid death rate in Europe, and England has the highest rate in Britain. And that doesn’t look good. So that sense of urgency that was missing when front-line workers were catching the virus (and, some of them, dying) because they couldn’t get protective gear? The one that was missing when an early lockdown could have prevented ten thousand or so deaths? It’s come out of quarantine feeling reinvigorated, partially exaggerated, and raring to go. Dissect those numbers, kids, because we need a better result.

*

Irrelevant photo: a rose

The statistical glitch that may be overexaggerating the numbers is this: Anyone who tested positive for the virus and later died is counted as a virus death, although they could, for all we know, have been killed by a meteor or a health secretary falling from the sky. Fair enough. But it’s also true that many people, especially in the early stages of the pandemic, never got tested at all. I’m not sure how many of them were counted as Covid deaths. The person I know who died of it of wasn’t counted as a virus death. That’s one out of one, so 100% of my sample went uncounted.

There’s no accepted standard for untangling coronavirus deaths from other deaths, and given the complexity of the situation we’re in, that’s not surprising. Different countries are using different standards. The best measure is probably a count of excess deaths, which compares the deaths of, say, June 2020 with those in June 2019. 

*

I read recently that Australian researchers have developed a new coronavirus test which can spot both current and past infections using a blood sample. It takes only 20 minutes to get a result. They’ve filed for a patent and are trying to gather both government and commercial support (that means money in case you were about to offer them a nice letter) so they can ramp up production.

It sounds hopeful, and it reminds me that I’ve posted news about a variety of other tests that also sound promising. I’d see and article about them, drop the news into a post, and then never hear of them again. Britain’s still using the same-old, same-old–the test with a false negative rate of 30%. 

So I asked Lord Google about other Covid tests, hoping to find updates on at least one or two of the ones I’d mentioned. Instead, I found one being developed in Canada that promises a 15-minute turnaround and the possibility that it could be done at home. It’s not one of the tests I’ve written about before, but what the hell, it’s a nice shred of hope.

And we do need shreds of hope. This one’s being developed by Sona Nanotech and doesn’t have approval yet. It sounds like it still relies on sticking something long and unpleasant up your nose or down your throat. 

You may be able to untangle the explanations better than I could. I found the article hard going. 

A saliva test had a trial run in Britain–and this is one I wrote about–but it turns out to miss more cases than testing mucus does. So we’re back to sticking something long and uncomfortable up your nose and down your throat. It’s better than no test at all and could be useful for people who can’t or won’t put up with the other, but it doesn’t seem like the solution to our problems. What is clear is that testing’s crucial in controlling the spread of the disease. 

*

The government set itself a target of June 33 to get all covid tests back to people in 24 hours, but at the beginning of July and 50% of the tests still weren’t being returned in time. During the first week of July, they actually managed to get fewer results back to people on time than during the week before.

It’s okay, though, because we went right into July without passing June 33. 

And our world-beating test and trace system is managing not to trace the contacts of 21% of the people who test positive. Russian hackers may be interested in the vaccines being developed here, but they are, very wisely, passing on the opportunity to steal and replicate our test and trace system.

*

In the meantime, Britain’s chief scientific advisor, Patrick Vallance, announced on July 16 that he didn’t see any reason to change the advice that people who can work from home should. 

The next day, Boris Johnson–he is, somehow or other, our prime minister–said that starting on August 1 employers would be given “more discretion” on calling employees back.

*

Johnson told us recently the pandemic will all be over “in time for Christmas.” He did, at least, add “hopefully,” but to anyone who knows the history of World War I it has an ominous sound. When the first volunteers marched off to the sound of brass bands and cheering, that was the prediction: It would all be over by Christmas.

The war went on for four years and, arguably, destroyed a generation of young men.

Coffee mugs and vaccines: It’s the pandemic news from Britain

Posted on by
46

Let’s not go into the details of the government’s plan to jump-start the British economy. Let’s talk instead about the serious stuff: The chancellor, Rishi Sunak, presented his budget sitting at a desk the size of Ohio with a computer in front of him and rows of identically bound books behind him, looking at a printout, pen in hand as if he’s about to take three zeros away from a whole bunch of programs and add one to a bunch of other, worthier ones.

Have I built up enough suspense yet?

So there he is, presenting himself to the nation as the guy we can trust to save our asses from looming economic disaster, and what does he have on the corner of his desk? A mug. 

No big deal, you say? I’d have said the same thing, but some wiseacre spotted that it’s a £180 mug. The kind that keeps your beverage at exactly the temperature you set it to. 

“Our smart mug,” the copy on the mug’s website drones, “allows you to set an exact drinking temperature and keeps it there for up to three hours, so your coffee is never too hot, or too cold.”

And the promotional copy comes with a spare comma at no extra charge. Bonus points if you can spot it.

It’s good to be reminded that the country’s being led by people who understand how ordinary folks live.

The identically bound books? Did he buy them wholesale because they make an impressive backdrop? 

Nah, that’s too cynical even for me. I would never plant that thought in your head.

Irrelevant photo: a stone age monument.

*

Okay, I shouldn’t exaggerate. The mug doesn’t really cost £180. It costs £179.95, but by the time they add shipping and handling–hell, I figured we’d be somewhere in the neighborhood.

*

Drive-in comedy clubs have opened in London parking lots, allowing you to go to a live (sort of) show without risking the spread of the virus. You park, you tune your radio to whatever they tell you to tune it to, and you watch someone perform standup on a big screen. If you’d like to laugh, you honk your horn to set that tone of communal experience that’s so important in live theater. 

You’re welcome to laugh as well, but you’re less likely to want to, because something about hearing other people laugh makes us laugh. If other people are laughing, our bodies decide, we must be hearing something funny. We’re herd animals. It’s the same mechanism that sets whole fields full of cows laughing at the same time.

FYI: In British, a parking lot is a car park. In American, a car park is a parking lot. In the rest of the world, I’m out of my depth so I’ll shut up. 

*

The government missed another coronavirus testing target. Does anyone care anymore? Nah. We just tell each other, “Well, at least they’re still setting targets. That means they’re trying, right?”

The correct answer to that is, “Right.” It makes us feel so much better.

This target was about getting test results to people. By the end of June, 100% were supposed to get toe people in 24 hours. Or–why be misers?–possibly more than 100% Instead, they managed 54.9% by July 1. But hey, close enough. They both involve numbers. And months. So the will was there.

*

The government has finally extended testing to asymptomatic workers whose  jobs put them in contact with lots of people–folks like cab drivers, pharmacists, and cleaners. 

What took the government so long? Good question. Without testing asymptomatic people, we’re not likely to get ahead of this beast.

But I don’t really give you a full picture here. I focus on the fuckups and the bad decisions. That’s partly because they infuriate me and partly because they’re easy to make fun of. And the government makes so many of them. Wouldn’t I be ungrateful not to enjoy that bounty?

In spite of the incompetence this government’s so good at, cases are going down by somewhere between 2% and 5% a day. Assuming, of course, that anyone knows what the numbers are given how limited testing’s been. 

*

It looks like Britain will tell the European Union that it doesn’t want to be part of an EU corona virus vaccine-buying plan. According to a House of Commons committee, that’s because Britain refused to pay the EU some money this year. According to government ministers, though, it’s because Britain can get just as good a deal on its own. Besides, the EU plan would limit the number of doses it could get, would be slower than going it alone, and the grapes were sour anyway.

We’ll be fine.

*

Enough about Britain. Let’s hear from New York.

A Manhattan branch of the upscale (I think–I haven’t been there) food market Trader Joe’s has had long lines outside since the start of the pandemic, and people on the line do what people do these days when they have to wait: They talk on their phones. Loudly. Driving the people who live in the building (or possibly buildings, but we only know about one–and by we, of course, I mean me) behind them nuts, because let’s face it, most of those conversations are dull as ditchwater and even the ones that aren’t, you know, sometimes you just want to sleep in, or have your own conversation, or think your own thoughts.

So being New Yorkers, the people in one building took action: They copied down parts of the conversations they overheard, put them on signs, and hung them out their windows. 

“Stacey,” one read. “Shut up. No one cares you are getting more frozen berries for your epic smoothies.”

They change some of the names, but there’s no guarantee.

“You know what Jaclyn!? I think he IS cheating on you.”

“Hey Christopher, we can hear that Match, Tinder, Bumble and maybe Grindr have not been doing you justice in these times.”

You can find more on Instagram: @traderjoeslineUWS.

Has it make people shut up? Given how many signs there are, I’d guess not, but it’s made everyone who lives in the building happier.

The pandemic update from Britain: golf balls, antibodies, and shreds of hope

Posted on by
87

As the English coronavirus policy wanders off in a different direction than the one Scotland, Wales, and Northern Ireland are following, things are getting predictably strange around here. But first, some background. 

Anyone who isn’t from the U.K. could be forgiven for thinking that Britain’s all one country, with one government, one flag, and one national anthem, and one national policy. And it is. But it also isn’t.

Scotland, Wales, Northern Ireland, and England are all nations within that one country, with their own flags, and (except for England) their own national anthems, and (except for England) their own governments. So the British government governs Britain, but it also governs England. 

We won’t get into national anthems right now. The British–or maybe that’s the English; I’m American originally, so I get dizzy when we talk about this stuff–only sing when they’re drunk anyway.

Irrelevant photo: a rose

Are you making any sense of this at all? 

No, I didn’t think so. The problem is, it could easily take up the whole post, but we need to move on to the important stuff, which is golf, so let’s condense it and say that the British government devolved some powers to the national (which you could call regional if it makes you happier) governments, and because of that when the prime minister announced to a baffled public that instead of staying home to beat the virus everyone now had to stay alert to beat the virus, the regional governments said, effectively, “You’re out of your mind.” They’re keeping both the lockdown and the stay-home slogan.

As a result (and we’ve finally gotten to the point), a golf course that straddles the border between England and Wales can’t figure out whether it’s open or closed. The Llanymynech golf club has fifteen holes that are in Wales, two that are in England, and one that starts in Wales and ends in England. Its official policy at the moment is, “We don’t know what we can do.”

I suggest opening the English holes but warning players that if a ball crosses into Wales, pffft, it will disappear in midair. 

*

In case my explanation of British politics doesn’t leave you confused enough, allow me to add that Britain isn’t really a country. We just call it that to confuse outsiders. The country’s full name is the United Kingdom of a Bunch of Random Places.

*

J.K. Rowling loved England’s new “stay alert” slogan enough to tweet, “Is Coronavirus sneaking around in a fake moustache and glasses? If we drop our guard, will it slip us a Micky Finn? What the hell is ‘stay alert’ supposed to mean?”

Dave Ward, of the Communication Workers Union, loved it too. He said, “Stay alert? It’s a deadly virus not a zebra crossing.”

A zebra crossing? That’s not a place where zebras cross. Zebras aren’t native to the country allegedly known as Britain. It’s a place where pedestrians cross a street, and it’s marked with white stripes that make it look nothing like a zebra.

It’s pronounced ZEBBra, not ZEEbra.

And the British spell mustache with an O, moustache, as if a small rodent had crawled in.

*

A healthcare company, Randox, was awarded a £133 million contract to produce Covid-19 testing kits for the Department of Health and Social care, without any competitive bidding. And the company just happens to pay Owen Paterson, who’s a Conservative MP, a former cabinet minister, and a big-league Brexiteer, £500 an hour to consult about the consulty-type things that consultants consult about. That adds up, in his case, to about £100,000 a year, and if a person was careful about the small things she or he could probably live on that. Although mercifully he doesn’t have to, since he also has his MP’s salary and expenses, plus I have no idea what else.

It’s not illegal for MPs to consult with or lobby for companies that do business with the government as long as their lobbying doesn’t (and I’m going to quote from an article in the Guardian here, because, A, I trust them to get their facts straight, and, B, I don’t understand a word of it, so I can’t paraphrase) “help to give an exclusive financial benefit to the client and the client [didn’t initiate] the lobbying.” 

So who can initiate the lobbying? The planet Saturn when it’s in the house of cocaine, because that’s always conducive to profit. 

I kind of thought, silly me, that the whole point of lobbying was to gain an exclusive financial benefit. But it’s all okay, beause the Department of Health and Social Care says it’s increased its testing capacity at phenomenal speed. 

Clap your hands and say with me: “I do believe in fairies. I do believe in fairies.”

*

The coronavirus tests that the National Health Service currently uses look for the presence of the virus itself in a person’s system. But there’s a different kind of test, which can pick up the presence of antibodies, spotting people who have the virus now but also people who used to have it and are better. Using it would let you test a sample population and figure out how far the beast has spread, which would let policymakers figure out what they’re actually dealing with. And (forgive me, I know this is a huge leap) let them make  sensible decisions about how to handle it. 

It could also provide useful information to people working on vaccines, including whether immunity exists at all and if it does whether it will be lifelong or short lived. A study from Shanghai hints that people who had a lighter case of the bug may come away with a lighter immune response. Widespread testing should give a better picture of that as well.

Antibody tests are evaluated on the basis of two things: their specificity and their sensitivity. 

Specificity means the proportion of healthy people the test recognizes as healthy, and for the test to be useful this has to be close to 100%. I’m going to explain this without understanding it myself, so if you have a seat belt, this would be a good time to fasten it. You could also stick your fingers in your ears and hum. It just might help.

If a test is 90% accurate, instead of mislabeling 10% of the population, it would (if 5% of the population had been infected) mislabel 70%. I’ve gone over that several times and it almost makes sense to me, but then it slips away. 

I’ll tell you what, don’t worry about it. It won’t make you happy. Numbers so seldom do. Let’s talk about sensitivity instead. 

Sensitivity is how many people who’ve had the virus the test is able to spot and (if I understood this correctly, which I can’t guarantee) how strong an antibody response to the virus a person has to have to register on the test. 

Two U.S. companies now have Food and Drug Administration approval for antibody tests that have 99.8% specificity and 100% sensitivity. The problem with them both is that they can’t be done at home. Someone medical has to take a blood sample and a lab has to process it.

Britain (remember than imaginary country, Britain, the one that’s really called the United Kingdom of Several Other Places?)–

Let’s start over: Britain has been chasing after a test that can be done at home and sold by the million, cheaply. In April, the government of our imaginary country spent £16 million buying 4 million tests, which turned out to fail on both sensitivity and specificity but other than that were great. 

Something in the neighborhood of 17.5 million more tests have been ordered provisionally from other suppliers. If they work, and if they’re used in a competent, coordinated way, we might find a way out of this mess. 

I was feeling good until I typed competent and coordinated. 

Still, the possibility of widespread testing, especially if it can be combined with tracing and sanity, does bring us a quick glimpse of hope.

*

Poland had a presidential election on Sunday with a record turnout of 0%. Even someone as mathematically impaired as I am can take that in. 

The vote wasn’t canceled, but on the other hand the polling stations stayed closed. 

What’s that got to do with the coronavirus? Opposition politicians had been pushing to postpone the election because of the pandemic, asking the government to declare either a state of emergency or a national disaster. The government refused, saying the situation wasn’t serious enough.   

The electoral commission now says it has two weeks to set a new date. 

*

A Republican state representative from Ohio, Nino Vitale, is refusing to wear a face mask because it would hide the image of god.

If you want to decide for yourself whether he looks like god, you can find photos of him here. Including one where he’s pointing a handgun. As gods do.

The White House is now requiring staff to wear masks. The president? He doesn’t have to.

Meanwhile, Kam Buckner, a Democratic state representative from Illinois was stopped by police as he came out of a store wearing a mask and gloves. Do I need to tell you that Buckner’s black and Vitale’s white?

He asked why he was being stopped and the cop (allegedly) said, “People are using the coronavirus to do bad things. I couldn’t see your face, man. You looked like you were up to something.”

*

And finally, some those shreds of good news that I promised you.

In Germany, the R number–basically, the rate at which the virus spreads–has fallen below 1. I want to keep this brief, so just take my word that this is good.

Iceland plans to let people coming into the country avoid quarantine by taking a Covid-19 test.

In Athens, the pandemic has led to pedestrians and cyclists taking over the public spaces abandoned by cars, and it’s such a hit that the city plans to ban cars from the city center permanently.

The World Health Organization says four or five treatments offer a shred of a hint of a possibility of hope for the fight against the virus. They don’t stop the virus, but they do seem–in very early trials–to limit the disease’s severity or shorten the time a person stays ill. That’s progress, people, or at least a faint whiff of it.

I hope the link at the top of the paragraph works–it’s from the Guardian‘s news update, which will inevitably move on.

The pandemic news from Britain: tracing, testing, and goals no one expects to meet

Posted on by
46

Britain’s Prime Blusterer, Boris Johnson, set a new coronavirus testing goal: 200,000 tests a day by the end of May.

Did we meet our last testing goal? Well, no. We were supposed to be testing 100,000 people by the end of April and the government mythically met the goal for one day–the last day April had to offer–by counting tests that hadn’t been tested yet. After that, the numbers dropped down again.

But hey, They’re all all numbers. What’s your problem? When you’ve seen one number, you’ve seen ’em all.

Anyway, we now have a newer, cheerier, even more unreachable goal. And we’re happy.

*

Irrelevant photo, because we all need something cheery in our lives: This is an odd geranium that a friend gave us. It only flowers after three years. Then it kicks the bucket and you have to hope you save some seeds.

Starting on Monday, the lockdown will be eased slightly, allowing people to leave the house more often and for a wider range of activities as long as they keep their distance from other people, although if localized infection rates go up, the restrictions may be adapted for those areas. (The link for that is that same as the one above. We’re all about efficiency here.)

Adapting the restrictions to smaller ares makes sense (as Almost Iowa pointed out in comments he left on an earlier post) but it’s also likely to mean that richer areas, which allow for more space between people when they’re outside and where people are statistically less likely to be hit as hard by the virus, will have an easier lockdown than poor areas.

And by areas, of course, I mean people.

*

I’ve been hearing tales, from here in Cornwall, about people who book Covid-19 tests, show up, and then can’t get tested. One person got to her test to find out that the testing team had already gone home, presumably because they ran out of tests but who really knows?

Instead of doing what Hawley’s Small and Unscientific Survey says half the population would do, which is , “Fuck it,” she booked a second test. But they didn’t get the results back to her, so she followed up. they were backed up, They said. It might take as much as five days before they could test her sample.

After five days, I’m told, the sample has to be thrown away.

But it’s all privatized, so it’s all good. Because when private industry runs things, it’s more efficient.

*

Okay, sooner or later I’ve got to write about the contract-tracing app that’s being introduced. I’ve been avoiding it because I’m too damn old to be at ease in the virtual world. Here’s about as much I can follow:

The National Cyber Security Centre says it’s good, and it says it in as down-homey a way as it can, given that it’s British and I’ve never heard anyone British say “down home.” It’s got to be an Americanism. Someone British might say “homely,” meaning not ugly (which is what an American would mean) but homey, but they wouldn’t say it in this context. I only tossed it in because I thought we needed a break. Homely isn’t the same thing as down home.

I’m sorry, but I have to ask: Why do you read this stuff?

Now, back to our point: The app’s so good that it won’t drain your battery, steal your data, or invade your privacy. It won’t even make you flip the E and R if you write center instead of centre. But that’s because it can’t–nothing’s that powerful yet. I only spelled it that way because, hey, I figure it can spell its name any way it wants.

Do I believe them about the privacy thing?

Umm. I think I’m gonna have to hear it from someone else first, and some experts have raised concerns about it. They know all sorts of things about this that I don’t, so in my ignorance I lean in the direction of listening to them. Especially since one of the reassurances about privacy is that the app asks your permission before it can do various things, and we all know how well we read the fine print when an app asks our permission before it can do something.

The app is a centralized one, so all the information your phone collects goes through whoever’s running this beast–a private company, as it happens, so it will be handled efficiently.

But forget privacy. I’ve clicked okay on so many websites that I doubt I have a scrap of the stuff left. Or if you can’t forget it, set it aside for a minute. Both the Health Service Journal and Business Insider say it won’t work on newer phones and Androids.

Both Google and Apple have dedicated tracing apps that we’re not using.

Downloading it isn’t mandatory, which is a good thing since I have a dumb phone, which is no better with apps than I am.

*

At a virtual summit organized by the World Health Organization, a global alliance pledged $8 billion to develop vaccines and treatments for the virus and distribute them fairly.

The U.S. didn’t take part.

Why not? As the kids all said where I grew up, “Because.”

That was enough to explain pretty much anything.

*

Stay safe out there if you can. I’ve explained this before, but it’s worth repeating: I don’t have so many readers that I can afford to lose any.

The pandemic update from Britain: testing, protective gear, and condom sales

Posted on by
41

Britain’s still in lockdown, but the government–after a good bit of pushing–has announced that it’s preparing an exit strategy.

That’s not pushing from people who want the freedom to infect their neighbors and loved ones but from people who accept that lockdown’s necessary but want to end it in some way that doesn’t undo the progress. Along, predictably, with pushing from business people who get to sleep at night by counting money disappearing over the fence instead of sheep.  

Stay tuned. We’re told we’ve passed the peak of the epidemic. Stay tuned on that too. I hope it’s true.

Testing & Protective Gear

Britain’s been frantically trying to test more people because the government set an arbitrary goal for itself and doesn’t want to look like the kind of government that can’t meet its own arbitrary goals. Also (and I can’t help thinking it’s their secondary concern, but then I’m getting more cynical by the minute) because testing’s necessary if we’re ever going to get the virus under control. 

Irrelevant photo: begonia

The government is managing to perform more tests. It may even meet its goal. But the testing’s a shambles. To get a test, people are having to drive all over hell and gone and wait in a long line of cars only for some of them to be told that the tests have run out and then (by the computer) that they can’t rebook because they were just tested. (Yes, that seems to have happened to at least one someone.)

A statement from NHS Providers, the organization of National Health Service hospitals, says, “NHS trust leaders…feel they are on the end of a series of frequent tactical announcements extending the testing criteria to new groups with no visibility on any longer term strategy, and are being expected at the drop of a hat to accommodate these changes with no advance notice of planning.”

*

Britain had a chance to buy 50,000 home testing kits from a company in the U.S. but wrote back to say, “Ho, hum, boring boring boring. Not interested.”

The test is less invasive than and at least as accurate as what it’s using now, and it allows people to test themselves at home instead of booking an appointment, driving, waiting, being told they’ve run out of test kits, and all the rest of that joy. And all that sounds good, but the home testing kits didn’t come with a side of fries, so why bother?

And as long as the right number of tests get performed–or at least logged–it’s all good.

*

British coroners have been told not to look at systemic failures to provide protective gear when they consider deaths among NHS workers. They can consider human failure, though. So basically, they can blame the individual but not the system. 

And they wonder why people break windows.

*

Britain isn’t the only country struggling to get protective gear to frontline staff. German doctors have posed naked to draw attention to how vulnerable the lack of protective equipment has left them.  

But Britain is probably the only country that, in order to boost the amount of protective equipment it can boast about providing, counts each glove separately instead of counting them in pairs. It also counted body bags, paper towels, and cleaning equipment as protective gear.

*

A British textile factory belonging to the department store chain John Lewis has at long last been contracted to make 8,000 clinical gowns, but other textile firms say they’re desperate to help and can’t get the government to respond.

See breaking windows, above.

Other Triumphs in the Supply Chain

A batch of 250 ventilators that were bought from China on April 4 have turned out to be unusable and possibly dangerous. They supplied a variable level of oxygen and the oxygen connection base was marked “non-EU.” Technical staff spent days trying to make them work and couldn’t.

They also had a fabric case that made them hard to clean and were designed for ambulances, not hospitals.

Other than that, they were great, though.

They cost somewhere between £1,000 and £2,500 each. I’m not sure why there’s a range of prices but if you’re in the market for a few hundred, you’ll want to hold out for the lower price.

Light Relief and Good News

Three London roommates missed their commute so much that they recreated it in their shower and posted it on TikTok. 

Yeah, go on, follow the link. 

*

Captain Tom Moore, the 99-year-old (now 100-year-old) who raised £33 million for the NHS by walking laps around his garden, supported by his walker, received 125,000 birthday cards. By now it’s probably more. The post office was overwhelmed and his grandson’s school offered to open and display them. 

They found £60,000 inside the cards.

*

This probably won’t surprise you, but condom sales are down since the lockdown started. 

‘Nuff said. 

Drug Dealing

Not long ago (time’s adrift in lockdown, or at least I am, so let’s keep it vague) I wrote that a test of remdesivir had been abandoned because it wasn’t helping and the side effects (liver and kidney problems) were too damaging. But the preliminary results of a different test show more promise: It cut recovery time from 15 days to 11 and the death rate in the group on remdesivir was 8% compared with 11.6% in the control group.

The full data from the trial hasn’t been released and it’s not a knockout blow in any case, so I wouldn’t set off any fireworks yet, but the drug hasn’t been ruled out.

More Light Relief and Good News

A 7-year-old, dressed as a tricertops, has been riding his toy tractor to deliver food to neighbors. Who could fail to be nourished?

I’d love to give you a link for that but you’ll just have to take my word and say “Awww,” because he looked very cute. It was on the evening news and all Lord Google wanted to talk about when I looked for a picture of the kid was a 65-million-year-old triceratops skull that was found somewhere or other and isn’t going to deliver lunch to anyone. 

*

A couple of companies have come together to refurbish bikes that have been abandoned at train stations so they can be donated to key workers. 

No, I don’t know why anyone would abandon a bike at a train station, but some 20 are left behind every month. And they’re lonely. So this is good news for everyone. 

Religion and the Coronavirus

Germany’s government and religious groups are trying to work out safety guidelines for religious services as the lockdown there eases, and one sticking point is how to handle singing, which is not only an important part of many services but a great way to spread the virus. You know all that business about projecting your voice? When you do it, you also project tiny droplets of spit, and riding on them, if you happen to be harboring the virus, are even tinier little viral warriors, looking for new humans to assault, all of them yelling some viral version of “Yee ha!” but they’re so small that you can’t hear them.

I don’t think any controlled studies of this have been done yet, but I can offer you an impressive bit of anecdotal evidence from one Protestant cathedral in Berlin: 59 out of 78 choir members became infected.

*

Many evangelical churches in the U.S. have pushed their members to keep on showing up to services, and they’re logging–this may not surprise you–a high incidence of coronavirus. And hinting that there might be some sort of cosmic justice, that includes their ministers. 

The All-Important R Number

Germany, having slowed the spread of the virus, is warning about the danger of a second wave in the summer or fall. It all has to do with the R number.

You know: the R number. 

Okay, I didn’t know the R number either. It sounds like one of those things from algebra class that helped make high school such a misery, but it’s not. Or if it is, I’m damned if I’ll admit it.

The R number measures how many people an infected person passes the bug on to–in other words, the reproduction rate of the virus. Without controls, an infected person passes it on to two or three people. The German R number is now below one. That means it’s spreading, but slowly. 

If it stays below one, the theory goes, the virus will eventually fizzle out. Anything above one and it will grow exponentially: I give it to, let’s say, one and a quarter people (c’mon–we’re dealing with averages here), they all give it to one and quarter people, and those people all and so forth, and before you know what’s hit you, a lot of people are sick.

German researchers recommend using this time while the spread has been slowed down to massively expand testing capacities and contact tracing.

A German coronavirus expert writes that “to achieve herd immunity we need 60-70% of the population to carry antibodies to the virus. The results of antibody tests suggest that in Europe and the U.S. in general, we are in the low single digits, but the tests are not reliable.” 

A second wave of infections, he says, can’t be contained only by humans handling the contact tracing. Electronic contract tracing will be needed.

*

The British R number right about now is estimated to be somewhere between 0.6 and 0.9. Keep your eye on that word estimated.

*

A study from Imperial College London and Ipsos Mori will follow 100,000 people to see if transmission rates are low enough to come out of lockdown safely. The participants will be given home test kits to see if they’re currently infected, then tested again in four to six weeks, or when it loooks like lockdown restrictions are ready to be relaxed. 

The International Grab Bag

As of April 28, Hong Kong had had just four Covid-19 deaths and 811 recoveries.

Worldwide, there had been 220,000 known deaths and 957,000 recoveries. When you look at those numbers, though, remember that not all coronavirus deaths are officially attributed to the virus. In Britain, for example people who died of Covid-19 in care homes are only now being added to the list of pandemic deaths. It’s a small victory for sanity and reliable statistics, although I’m not sure how much practical difference it makes. I’ve been trying to find out if deaths in the community are being counted and I’m still not sure. 

That still leaves the problem of deciding who’s a coronavirus death when testing isn’t available. To a large extent, it’s up the doctor who signs the death certificate, which could easily lead to undercounting.

*

In the U.S., the number of known coronavirus deaths is now larger than the total number of American soldiers who died in the Vietnam War. If you feel the need for a statistic, 58,220 died in the war. 

*

Brazil’s response to the virus has been in a category of its own. It’s had 50,000 deaths. When reporters asked its president, Jair Bolsonaro, about the death rate having reached 474 in a day, he said, “So what? I’m sorry. What do you want me to do about it? I’m a Messiah, but I don’t do a miracle”

Only he said it in Portuguese, so you’ll find varying translations.

*

Meanwhile, China is trying to contain a new outbreak in a northeastern province, Heilongjiang. 

Money and the Virus

The British government, in its wisdom, has rejected a call to bar companies that use offshore tax havens from receiving bailouts and support packages resulting from the pandemic. 

It was a silly idea anyway. I mean, just because they avoid taxes, why should that keep them from getting taxpayer support?

***

I’ve gone on longer than I meant to, even after booting out a lot of news. I’m going to try posting shorter updates more often and see how that works. In the meantime, stay well. It’s crazy out there.