Pandemic reports from the Departments of Health, Bad Planning, and Unlikely Allies

The Guardian interviewed past British health ministers about their experiences. The best bit of advice came from Kenneth Clarke: “Get the prime minister to take as little interest in the subject as possible.” The best demonstration of cluelessness came from Jeremy Hunt: “I was gobsmacked to find that 150 patients a week die in the NHS because of treatment errors. Then I discovered that this was actually true all over the world, it’s what happens in medicine.”

Ah, Jeremy, it does me good to see that you came into the job with a real grounding in the subject.

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Medical staff from the St. Peter Hospital turned out to meet Belgium’s prime minister, Sophie Wilmès. As her car rolled majestically between the two evenly spaced lines of people wearing scrubs, they turned their backs. It was to criticize staff shortages, low pay, budget cuts to health care, and the use of less qualified staff to do part of nurses’ jobs. I don’t know if it’ll change government policy, but it’ll sure as hell change the way the government organizes Wilmès’s public appearances.

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Irrelevant photo: These are called, um, something. I always forget. They’re wonderful to touch, though.

Britain’s wrestling with the question of whether to reopen schools in June. So what does science have to tell us? 

Not much.

Only a few useful studies have been done, and they point in opposite directions. An Italian one from the town of Vo, which had a major outbreak, didn’t find a single kid under ten who’d been infected, even though plenty of them lived with people who were sick. Studies from Iceland, Norway, and Korea have similar findings.

But.

There’s always a but, isn’t there?

A British Office of National Statistic study looked at 10,000 people and found that the same proportion of people tested positive for the virus across all age groups. Or at least it found “no evidence” of differences, which may or may not be the same thing. (There’s always an or as well as a but. Or there is around here.) If you’re willing to trust a non-professional’s translation of that–and I admit, it’s a risk–kids get infected at the same rate as adults.

A German study seems to back that up. 

So is it safe to reopen the schools? I have no idea. If serious testing and contact tracing were in place, they could make a better argument for it.

Has the government studied the situation? It’s not impossible, but studying the situation has a way of bringing out all kinds of inconvenient information, so I wouldn’t put a lot of money on it.

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So what’s happening with contact tracing? You would have to ask, wouldn’t you? A company that has a contract to recruit contact tracers emailed applicants to say that the jobs they were applying for had been put on hold because the government’s considering an alternative to the app that it had bet its chips on.

At which point the Department of Health said the email was wrong. The chips are still on the existing app. And the company that sent the email said it was all a miscommunication. 

So how’s the app performing on the Isle of Wight, where it’s being tested? Slightly under half of the population has downloaded it, although that may include people who downloaded it twice (that would’ve been me, but I don’t live there and don’t use a smartphone) or who are from the mainland and so don’t count. Still, it’s a better take up than in Singapore (20%) or Australia (25%). 

On the other hand, it’s an early, dumbed-down version of the app. It only asks about two symptoms. If a person’s answers send up red flag, their contacts get a warning. But there’s no way for the person to enter a test result (assuming that the government gets its testing centers working well enough for the person to get their results back in a reasonable time). So contacts get warned but then they’re left to wander around wondering what they should do. Isolate? Go to work? Write their wills?

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And now a report from the Department of Bad Planning: Not only didn’t the government talk to teachers’ unions before announcing that the schools would reopen, it didn’t talk to city governments before announcing that the lockdown would be loosened. 

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The Department of Unlikely Allies reports that a hundred people (or several hundred, depending on your source) demonstrated in London on Saturday, protesting (variously) the lockdown, 5G, the fake virus, contact tracing, and the vaccine that doesn’t exist yet, although to be fair they didn’t say that it did, they were just getting their licks in in advance. 

The protest was called by the UK Freedom Movement, which circulated a flyer on Facebook, saying, “We say no to the coronavirus bill, no to mandatory vaccines, no to the new normal and no to the unlawful lockdown.”

It called sixty mass gatherings around the country, but it’s not clear how many of them gathered. A dozen people micro-massed in Southampton. 

The group Hope Not Hate, which “uses research, education, and public engagement to challenge mistrust and racism,” said, “It is notable how diverse the people leading the groups appear to be, with some groups moderated entirely by vegan activists, others by committed Brexiteers and still others by full-blown conspiracy theorists.”

If I can translate that, these are people who wouldn’t normally talk to each other. Lockdown’s driving people to discover all sorts of new possibilities. Isn’t it wonderful?

Overall, a recent poll shows that the British public not only supports the lockdown but is uneasy about easing it.

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After the leak of a report indicating that the government was thinking about freezing public sector wages, Boris Johnson has said no one has had that thought, even in passing. I only mention that because I caught a few drops of the leak and squeezed them out here, so I thought I should mop them up. I should also get out of the metaphor before I drown in it.

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A new study makes singing look–well, nothing’s safe these days but as safe as anything else is. Anecdotal evidence had been pointing to it as a great way to spread little virii.

The anecdotes? A number of choirs popped up as virus hotspots, leading to the logical assumption that singing caused the spread. It’s common sense. Singers breathe deeply and exhale powerfully, so why wouldn’t they both spread and take in better than your average amateur breather? 

Well, because it doesn’t work that way–or it doesn’t seem to. I won’t rule out a contradictory report coming in next week. In the meantime, though, a specialist in fluid mechanics experimented to see how far singers and instrumentalists could shoot air, with all its virus-carrying droplets and aerosols.

Singers propel air about half a meter–maybe a foot and a half. His best guess is that the choir outbreaks came from socializing before or after singing, although the director of one choir swore they’d all been careful about both distance and sanitizing their hands.

The study also showed that flutes, oboes, and clarinets propelled air further than larger wind instruments. 

Stay away from people carrying flutes, please. They’re dangerous.

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The U.S. Navy reports that thirteen sailors who’d apparently recovered from Covid-19, testing negative, tested positive for a second time. The same thing has been reported in South Korea. It’s possible, but far from certain, that the disease becomes dormant in a person’s system and then reactivates. 

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The Department of Greed and Despair wishes to inform you that some of the protective gear that’s being sold comes with phony documentation. So as people return to work, they can’t know if they’re being handed workable protective gear or not. 

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And finally, from the Ray of Hope Department, two vaccine updates:

A vaccine being worked on in the U.S. shows that the vaccine did create antibodies in eight people in the test, although this stage of the test is about safety, not effectiveness. 

Another vaccine being tested in Oxford protected monkeys against pneumonia and the most severe symptoms of the virus, but it hasn’t been tested in humans yet. 

The pandemic update from Britain (and elsewhere): arms, archeology, and apps

Rest easy, people. Someone is addressing the Covid-19 crisis. The Academie Francaise has announced that we’re dealing with la Covid, not le Covid. In other words, the virus is grammatically female.

The French language divides its nouns into male and female, and which gender a noun belongs to has nothing to do with any intrinsic quality of the thing itself. Nobody knows whether a sandwich considers itself more female than male, and nobody except the sandwich cares. A linguist could explain it all to you (and I’m looking forward to whatever comments you leave, my friends), but in the meantime, as far as I can see, you deduce the word’s femininity or masculinity out of a sixty-forty mix of thin air and history, which you whip until the resulting froth looks inevitable. 

In this case, the Academie decided that the root of the word Covid is maladie–illness–which is already feminine, so Covid is also feminine. And since this is all about getting the language right, I apologize for missing the accent mark in Academie: I’m writing this first thing in the morning and my accent marks are asleep.  

Irrelevant photos: Hydrangeas.

In the absence of the Academie’s decision, though, people started calling it le Covid, making it masculine. Will they change? No idea. On the one hand, French speakers seem to take the Academie seriously. On the other hand, language is a slippery beast and it can slither out of even the most powerful hands. 

Spanish is (I think–let me know if I’m wrong) closer to English in not recognizing anyone’s final authority over the language, but the Real Academia de la Lengua Española has just decided that Covid is feminine. To date, it’s been predominantly masculine, or at least people have written and spoken it as if it is. What’ll happen next? You’re on the edge of your chair, aren’t you? We’ll just have to wait and see–if we can remember to check back.

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So what’s the news on coronavirus immunity? Not much. No one knows yet if having had the virus gives you immunity. I mention that because so many people are sure they know what the scientists don’t.

Arne Akbar of the British Society of Immunology said that an antibody test “does not tell us if these antibodies will stop you getting sick from Covid-19 in the future or how long any protection generated might last.” And just to complicate the picture, he also said, “The immune system is extremely complex and there are lots of ways that it can generate immunity, antibodies being only one.”

So what good does antibody testing do? It can help experts figure out how many people have had Covid-19 and what its spread is. 

Some 10% of Londoners may (emphasis on may) have been infected with it, and maybe 4% of the rest of the country. At this stage, so much isn’t known (and so many people talk as if it was) that you’d be wise to stock up on wishy-washy words: suggests, probably, may, might, and could, possibly are all available from my Etsy shop. I’ll give you 20% off if you let me know that I referred you to me.

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And while we’re talking about bargains, the British government spent almost £20 million buying up drugs that Donald Trump claimed would cure Covid-19. I can’t say for sure that the two things are linked, only that they both happened.

What did it get for its money? Chloroquinine phosphate, choloroquinine, hydroxycholoroquinine (those are normally used for malaria and other diseases), and lopinavir/ritonavir (normally used for HIV). 

What’s my problem with that? As yet, there’s no scientific evidence that they’re any use against Covid-19. They might be. They also might not be. The New England Journal of Medicine reported that one trial of lopinaetc. showed no “observable benefit.” 

But that’s a minor objection. The real one is that they’re horrible words to type. You have no idea why I have to go through here. On top of which, lupus patients use hydroxyetc. and are worried about a drug they depend on being snapped up on the theory that something just might pan out.

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Want more bargains? Who wouldn’t. Britain’s given £1 billion worth of contracts to companies without any competitive bidding process. Because we’re in a crisis.  

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Enough about Britain. Let’s talk about Texas, which has always been a little crazy. I’m originally from New York, but I can claim half a right to say that because my partner is a Texan born and raised. If I get in trouble on this, I’m calling her as my witness.

The state recently eased its coronavirus restrictions, allowing restaurants, malls, and some other businesses to open, but it didn’t include bars, tattoo parlors, and other essential services, outraging some half a dozen business owners, who called in heavily and visibly armed civilians to stand around looking heavily armed and threatening. Then they opened up for business. 

I don’t know where it’s all headed. Not anyplace good.

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But I shouldn’t single out Texas. In Turkey, as elsewhere, teachers have encouraged kids to draw rainbows and put them in their windows during the lockdown. Then some of the local education boards told them to stop. Rainbows are part of a plot to turn the kids gay. 

Oh, sure, you can laugh if you want, but I’m gay–okay, lesbian; that’s close enough–and I saw rainbows as a kid. And not just one rainbow but lots of them, both the kind in the sky and the kind on paper. That happened repeatedly. And look where it led.

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In Spain, informal groups of parents are stepping in to help families whose kids are going hungry during the lockdown. And neighborhood associations and other local groups are supplying food, medicine, cleaning products, and (in one case) a tablet so a teenager could keep up with her school work. Social services are overwhelmed and haven’t been able to keep up with the need.  

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Back to Britain: With people in lockdown getting bored enough to name their socks and teach them to leap through dog collars, a landscape archeologist from Exeter University, Chris Smart, has harnessed their skills and their boredom. He has them looking at aerial surveys of the Devon-Cornwall border for signs of ancient settlements. 

So far, they’ve found thirty settlements that date back to sometime between 300 BCE and 300 CE, along with twenty miles of road that linked Roman forts. 

“It will be hundreds [of settlements] by the time the volunteers are finished,” Smart said. “We’re seeing a much greater density of population than we thought.”

They’ve also found twenty prehistoric burial mounds, plus hundreds of medieval farms, field systems, and quarries. And so far, they’ve only worked on a tenth of the area.

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In the village where I live, all our socks are named and yesterday morning my neighbor and I got excited about the possibility that the dump had reopened. Or as everyone but me calls it, the tip. If it has, we could all load up our green waste and take it for a drive.

I don’t actually have any green waste to take up there, but I was excited about Jane going.

Admit it: You understand. You know you do.

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Every Thursday, Britain goes through the ritual of clapping for NHS and other frontline workers. They’re risking their lives for us. We love them all indiscriminately. Cynics see the cynicism of it–the government encourages us to clap but can’t manage to get them the protective gear or the equipment they need–but we do it anyway. Because we mean it. Because it feels right. Because a moment of solidarity with your neighbors just feels good.

Now a leaked document tells us the government’s considering a three-year freeze on public sector workers’ pay, including the pay of those heroic folks they encourage us to go out and clap for. Because someone has to be sacrificed to make up for the deficit we’re running and if it’s not going to be the people who can afford it most easily (and it’s not), then it’ll have to be the people who aren’t in a position to fight it effectively.

And I think I’m cynical.

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A professor of infectious diseases, Paul Garner, caught Covid-19 and has been blogging about its effects. More than seven weeks later, he’s still sick.

The disease stays with some people like that. They call it the long tail of the virus. Garner says it kept coming up with new, disturbing symptoms. He had a muggy head, tinnitus, an upset stomach, pins and needles, breathlessness, dizziness, arthritic symptoms–. The list goes on.

And it would seem to get better and then come back. 

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To learn more about the disease outside of hospital settings, King’s College, London, has introduced a tracker app where people can log their symptoms. 

There’s good clinical data for people in the hospital but not in the community, Professor Tim Spector said, but “there is a whole other side of the virus which has not had attention because of the idea that ‘if you are not dead you are fine.’ “

Rather than the cough, fever, and loss of the sense of smell that we’re told to watch for, some people get muscle aches, a sore throat, a headache. And Professor Lynne Turner-Stokes, also of King’s College, said Covid is capable of attacking any organ, including the lungs, brain, skin, kidneys, and nervous system. It can cause blood clots or confusion, delirium, and coma. 

“I’ve studied 100 diseases,” Spector said. “Covid is the strangest one I have seen in my medical career.”