Tag Archives: reopening schools

How do we unlock a lockdown?

Posted on by
44

Britain’s poking its nose out of lockdown and looking around to see if it’s safe for the rest of the body politic to follow. A lot of people have been vaccinated–or half vaccinated, which will, we hope, hold us for the time being. The number of new Covid infections is dropping. The number of deaths is dropping. The daffodils are blooming.

Daffodils have no antiviral properties, but they do make people feel good.

So what are the prospects of getting out of this mess without setting off a new spike?

 

Daffodils. Take three and call me in the morning–or is that joke so dated that you have to be over 70 to get it?

Peeking out of lockdown

Britain’s four component nations will chart their own routes out of lockdown and each will look contemptuously at the choices the other three made, but we’ll only follow England’s here, because that’s complicated enough, thanks. 

Stage one is reopening the schools, which will open on March 8, and initially all students from secondary level on up were supposed to return at once, bright-eyed and with a negative Covid test in hand.

How were they supposed to get that negative test result? We’ll skip the details, but headteachers said there wouldn’t be time–it would take a good three weeks to get everyone tested. Teachers unions and school governors had been calling for a phased return for a good long while, although the government was ignoring them.

Hell, what do they know?

Then two days after announcing the plan, the government did a U-turn. Of course secondary schools can bring the kids back in stages. 

You’d think a government would be embarrassed to be this visibly disorganized, but if it bothers them they hide it well. And the outrage machine that makes up a large segment of the British media doesn’t seem to be bothered by it.

Once they’re back in school, older kids will take a continuing series of tests–the quick kind called lateral flow tests, which are problematic. They miss a lot of cases in the best of circumstances and miss more when done by non-experts. The kids will have a few tests at school and after that they’ll take them home to do themselves. 

These are school kids, remember. They’re the definition of non-experts. So don’t expect too much from the results here.

The government’s Scientific Pandemic Influenza Group on Modelling says the scientific consensus is that opening the schools this way will drive up the R number–the number of people that each infected person goes on to infect–by anywhere between 10% and 50%. 

Have I mentioned that teachers haven’t been a priority category in the drive to vaccinate the country? So they’re being asked to take a deep breath, walk into class, and roll the Covid dice. Masks are at least recommended for older kids in class, not just in the hallways, but that’s recommended, not required. 

Elementary school kids? Nope, they haven’t even gone that far. 

And in case the message on masks sounds too coherent, though, the school standards minister (who knew we had one?) went on TV to say that masks and testing weren’t compulsory. Parents could decide whether their kids would use either. 

“I despair,” the head of one school was quoted as saying.

Let’s not go through the unlocking stage by stage. What matters is that before the country moves from one stage to the next, the situation will be evaluated. If it looks good, we move on. If not, we wait. So far so good, but what they’ll be measuring isn’t the number of cases but the number of deaths, the number of hospital admissions, the number of people vaccinated, the variant situation. So if a gazillion twelve-year-olds all test positive, it’s okay as long as deaths and hospitalizations don’t get out of control.

Are you getting a sense of why this makes my skin itch? People who test positive are the early warnings of a new spike, but the assumption seems to be that cases can be contained as long as they’re not hospitalized or dying. That kids won’t pass it to families. That teachers won’t be hospitalized and won’t pass it to partners and parents. That kids themselves won’t get seriously ill. That somehow you can get through this thing without having to worry about new cases. That as long as the hospitals aren’t overwhelmed and people aren’t dying in the streets, it’s okay. 

What the government’s doing is betting heavily here on vaccines and tests, hoping to keep the number of cases down to a manageable level until those save our hash. And it may work. In the meantime, forgive me if I scratch where it itches. I like our hash. I don’t want to see us lose it.

The Royal College of Paediatrics and Child Health says that vaccinating children and teenagers could be the way out of this mess,  but the vaccine trials involving kids have only just begun. We should hear the results in six months or so. That’s not a quick hash-saver.

*

Another detail that makes me itch as we poke our collective nose into the open air is that healthcare workers still don’t have proper protective equipment. Twenty healthcare bodies have written  to the prime minister about this. In response, the prime minister rumpled his hair and asked if he didn’t look cute. 

Okay, what the government actually said was that it was monitoring the evidence and would update advice “where necessary.” And by the way, didn’t the prime minister look cute?

Healthcare workers are four times more likely to become infected than the rest of us, and within hospitals people working in intensive care have gotten the highest grade protective equipment, but it turns out that people working on the general wards have double their rate of infection–and less effective protective gear.

But, what the hell, the country’s only had a year to get this right. And we do have a prime minister who knows how to rumple his hair.

Meanwhile, the government is paying consultants to locate the protective equipment that it owns and that it stored someplace, although no one person knows exactly where. Billions of pounds worth of the stuff is stashed here and there.

“We have amounts in containers, in storage around the country; there are some on the docks and there are some en route from China,” the auditor general said. 

I wonder if that’s what’s on the floor by my computer. If so, I’d really like it out of there when the prime minister’s done with his hair. It was only supposed to be there for a couple of days. 

Some of the equipment will go out of date if it’s not used. Some of it is needed in hospitals and (yup, see above) isn’t available. Some of it–possibly all of it–was bought by external consultants at inflated prices and I should have known better than to let them store it on my floor but they were being so damn nice. 

Anyway, they don’t seem to have a central system to track all this, so they’re paying consultants to figure out what they own and where they can find it. 

You’d laugh if it weren’t so expensive. 

 

The sciency stuff

Lab studies have confirmed that the mutation common to the British, South African, and Brazillian variants really does make Covid more contagious than the original form. The initial argument was based on modeling, and I was holding out for confirmation, thinking that maybe the variants had just gotten lucky. Now, damn them, the scientists have given me what I asked for. So yup, it’s more contagious.

New York and California–not to be left out–have developed (or found, since we don’t really know where any of the variants first emerged) variants of their own. Let’s not panic about them until more is known. There’s always time for that later.

*

A new quick Covid test has been developed in France. It gives you a result in ten minutes–a third the time of the lateral flow tests–and it’s more accurate, although still not perfect. It’s 90% accurate, with the remaining 10% taking the form of both false negatives and false positives.

That’s good news, but it’s going into a three-month trial, so don’t rush out and try to buy a few thousand of them for your local school. 

*

The US Food and Drug Administration has said that Johnson & Johnson’s one-dose vaccine is both safe and effective. That’s not yet approval, but it’s a move in the right direction. If you don’t read past the headlines, you may not fall in love with it: It’s only 66% effective, which is lower than the be-sequined two-dose vaccines that crossed the finish line first and got all the cheering.

Read past the headlines, though.

The vaccine was tested in the US, several Latin American countries (sorry–I don’t know which ones), and South Africa, and 66% is the number that comes out of the jar once you pour all those results together and shake them. In the US, it was “much closer” to the be-sequined numbers. The effectiveness depended on which variants were prevalent in which countries. 

How much closer is “much closer”? In the US, it’s 72% effective. In South Africa, 57%. After that, I run out of numbers. Sorry. 

That’s still not in the 90% zones of the star vaccines, but all the vaccines (“all” here means the ones that have been approved in the US, but may well include others that are in use around the world) are 100% effective at preventing hospitalization and death. That’s no small thing. 

 

Creativity and lockdown
In a recent blog post, Emma Cownie asked, Can the boredom of lockdown push us to be more creative? For her, the answer has been yes, and it’s also worked that way for Peter Quinn, who creates special effects for a living. You know special effects–those things we see in movies that kids think are real and adults–um, yeah, we sometimes think they are as well. I won’t try to describe what he’s done, but he’s created a few sequences just to make himself laugh, and he’s strung them together in a video clip. 

They made me laugh too. Go on. Watch it. It’s good for your immune system.

Does lockdown damage the economy? 

Posted on by
58

If British lockdown is a song, the chorus is a sour political sound that comes from throwback Members of Parliament calling for lockdown’s end. Let’s look at lockdown and the impact it has on an economy, since that’s one of the primary arguments against it. 

 

The costs of lockdown

Those wild-eyed radicals at the International Monetary Fund looked at the changes in travel, electricity use, and unemployment claims and say the economy deteriorated before government restrictions came into force and also began to recover before they were lifted. Voluntary social distancing and lockdowns, they say, had almost exactly the same impact. In other words, the problem is the pandemic, not the lockdowns.

A different study compared Demark and Sweden and reports almost the same drop in consumer spending during the first wave of the pandemic, although Denmark locked down and Sweden didn’t. Again, they’re saying the economic damage came from the pandemic, not the lockdown.

We could go on, getting into quality-adjusted life years (QALYs), which are a particularly grisly measurement the National Health Service uses (and for all I know, so do health insurance companies or other countries’ health services) to decide if a medicine or treatment is a good buy–or at least an affordable one. It weighs additional length of life against quality of life against money. Because money’s the ultimate measure of everything in our economy, folks. Even our lives.

Irrelevant photo: Crocuses coming up in spite of our recent cold snap.

But I’ll leave you at the door of QALYs while I go home and have a nice cup of tea all by myself. Or with you if you show up and the pandemic’s over. The calculations involved are enough to scare me off. What I can tell you is that the article I’m linking to claims that the lockdown opponents are using QALYs wrong when they cite them to prove their point. 

I’d probably use them wrong too, and prove no point at all. Hence the tea. 

*

Speaking of money and Covid, landlords in England can’t evict tenants who fall behind in their rent because of the pandemic, but that only holds till the end of March. After that, anything could happen. The ban could be extended. The ban could be allowed to lapse. Spaceships could land and magically implant some good sense into all of us.

I like the third possibility myself, but I admit it’s not the most likely.

Some 450,000 families are behind on their rent because of the pandemic. If you want your hair to turn as gray as mine, you can add in the number of families who’ve fallen behind on their mortgage payments. They can’t be evicted yet either, but they’re facing the same three possibilities. 

*

Reopening the schools or keeping them closed is an alternative chorus of the lockdown song.

A study looking at Sweden, with it no-lockdown approach to the pandemic, reports that keeping the schools open with only minimal precautions meant the teachers faced a doubled risk of catching Covid. And their partner had a 29% higher risk. 

The point of comparison was teachers who shifted to teaching online.

The kids’ parents had a 17% higher risk. Not enough kids were tested for them to register in the study.

 

Variant news

Scientists have found some new Covid variants. One popped up in southern California. It was found in October and it’s spread around the country and into other countries, including Australia and New Zealand, where we can assume it’s been stomped out thoroughly.

It’s not clear yet if it behaves any differently from the same-old, same-old variants, but it carries a change on the spike protein, which may or may not turn out to be important. 

The spike protein? It’s the key that lets the virus into human cells. The fear is that a change there may mean the virus gets better at breaking in or at evading our immune systems–or our vaccines. 

Another new Covid variant’s been found in Britain, in Denmark, in the U.S., in Australia, and in some other countries. So we don’t get to wave the flag over this one. It also has some changes to the spike protein, but it’s too early to know how significant the changes are. 

Some experts are recommending surge testing to try to stomp the beast out. Other experts are saying, “Yes, you idiots, but until you offer financial support to people who test positive, a lot of people will hide out instead of getting tested because they can’t afford to take two weeks off work. Or ten days. Or three minutes.”

That’s probably not an exact quote, but it is a good point.

*

Recent newspaper articles gave people a good scare by saying that British variant–also called the Kent variant; one of our world-beating contributions to the pandemic–is linked to a higher death rate. But that’s the same as saying it causes more deaths. It’s one of those read-the-fine-print things. 

A variant being linked to a higher death rate means it may be the cause but it may just happen to be in the room when the higher death rate happens. It hangs out with a rough crowd and they’re happy to let it take the blame. The variant has spread through nursing homes, which are full of people who are particularly vulnerable. The virus wouldn’t have to be supercharged to do a lot of damage among them.

But it’s also possible–not proven, but possible–that people infected with it have higher viral loads, which could both make it more contagious and harder to treat. But even that last part, about a higher viral load making it more contagious and harder to treat, is speculation.

It’s not time to panic over this one–we’ll have all the time we need to do that later if we have to. 

The non-speculative good news is that the current vaccines do a good job of targeting the variant. 

 

A quarantine update

If England’s rules on quarantine hotels looked absurd over the weekend, with its insistence on mixing people from Group A with people from Group B and then treating only Group A as scary enough to quarantine–

We’ll start that over, okay? If they looked absurd over the weekend, Scotland’s looks almost as silly today. Scotland, we read at first, was going to have everyone do a hotel quarantine: Group A right along with Group B. Now it turns out there’s a loophole. A father and daughter who flew from the U.S. by way of Ireland can quarantine at home. Because they came through Ireland. 

I’m happy for them. The child’s eight and hasn’t seen her mother in sixteen months. But it makes no sense at all. 

 

A bit of good news

Okay, I admit that this isn’t going to give us anything immediate, but long term it could help. An antiviral called EIDD-2801 (they haven’t passed that one through a focus group yet) may fight Covid in several ways: In the lab, it keeps Covid from replicating and from infecting human cells. In a mouse trial, two days of treatment reduced virus replication 25,000-fold when they gave it two days after exposure and 100,000-fold when they gave it twelve hours before and after exposure. 

They’ll be going into phase 2 and 3 trials in humans to test its safety and effectiveness in Covid patients.

Will Britain go into full Covid lockdown?

Posted on by
100

Covid cases are rising across Britain, with ambulances backing up outside the hospital doors and hospitals reporting that the rivets are popping out of their metaphorical bluejeans. The Independent Sage group is calling for another national lockdown. 

What’s Independent Sage? It’s a scientific advisory group that the government doesn’t listen to because it’s independent. The government has its own fully domesticated Sage group, but I can’t guarantee that it listens to them either.

 

Current Covid restrictions

As I write, 40% of England is in the highest Covid restriction tier–that’s tier 4–with the devolved governments (Wales, Northern Ireland, Scotland) setting assorted their own standards and if I had a shred of decency I’d cover them as well but it’s hard enough to keep this mess straight without taking in all its complications. I live in Cornwall, which legally speaking is part of England. That sets my focus. 

Apologies. I’m not a real newspaper, I just suffer from the occasional delusion that I should be. 

Irrelevant photo: A tree, pointing–as trees around here do–away from the coast and its winds.

One of the primary differences between tier 4 and the lockdown we had earlier in the year, when the government woke up and noticed that the pandemic hadn’t skipped merrily over Britain on its way to the US or Ireland, is that under tier 4 the schools stay open. 

The cabinet office minister, Michael Gove–a man who looks like a balloon wearing a bowtie–says England’s secondary schools will be safe to reopen after the holidays if the kids come back in stages instead of all at once. They’ll be protected by rapid-results Covid testing, which is roughly 50% accurate (not to mention 50% inaccurate, which sounds 51% more shocking than if you put it the other way around). 

Teachers unions and an organization of school governors say the testing can’t realistically be set up in the time they’ve been given. Other than those small problems, though, it’s a great plan.

As an aside, I agree that it’s cheesy to attack people for their looks, but you have to make an exception for some people. Not because of their looks. Because of their actions. 

Okay, it’s cheesy in all situations. What can I tell you? I’m not a good person. 

The cabinet is reported to be split over reopening the schools, and Independent Sage has called for schools to be reopened only when smaller classes, adequate ventilation, and free masks can be organized. That will all happen the minute someone locks the current government in a back room–I understand there’s a small one available underneath Big Ben–and launches a coup.

 

Assorted recommendations

A study by the London School of Hygiene and Tropical Medicine says the only way for the country not to exceed the levels of intensive care unit usage set during the first Covid peak is to impose nationwide tier 4 restrictions after Boxing Day (that was December 26, which has come and gone without the advice being followed); keep the schools closed throughout January; and vaccinate 2 million people a week. 

I can’t find any ongoing vaccination figures, but in the first week roughly 138,000 people were vaccinated. I’m not good with numbers, but I’m reasonably sure that’s less than 2 million.

 Independent Sage has called for: 

  • Covid tracing to be run by local public health staff, since contracting it out has been a staggeringly expensive disaster, and for it to trace not just who the identified carriers gave the disease to but also who they got it from. 
  • Practical support to be given to people who have to isolate. They cite New York as an example, where support can range from money to a hotel room to pet care.  In Britain, they say, less than 20% of people with symptoms self-isolate.
  • Workplaces to be adapted to prevent transmission. This would involve funding, inspection, and certification of all workplaces.
  • Financial support to be available to the public. Inequality, they say, plays a central role in the pandemic. 

 

Who gets the vaccine?

Tom Sasse, of the Institute for Government, has called for a public debate about vaccination priorities. National Health Service staff weren’t in the top priority group, although their work exposes them to the virus and staffing shortages are one of the reasons the hospitals’ rivets are popping out of place. 

They are in the second group, which is now being vaccinated, but they’re getting just 5% of the doses, which translates, in expert language, to nowhere near enough to go around. 

 

Life under lockdown 

A new report on what Britons did during the height of lockdown tells us that they spent 40% of their waking time watching TV–90 minutes a day more than in the comparable month last year. 

How much time is that? If 90 minutes leaves London traveling west at a speed of 65 miles per hour and Arabella British stays awake watching 40% of her TV from her couch–which she may call a sofa or a settee or a davenport, depending on what class she comes from or wants to sound like she comes from–

Sorry, where were we? All I have to do is catch a whiff of how class affects British word choice and I get disoriented. And extremely American.

The couch. I was trying to work out how much time, in absolute numbers, Arabella British spent watching TV during (or was it before?) lockdown, but I’m beginning to understand that I won’t come up with the number. Possibly not with the figures I’ve been given and definitely not the mind I so impulsively bought. She watched a lot of TV. Let’s leave it there. With a second full-scale lockdown looking possible, you have to wonder if we’ll keep in touch with reality at all or just give in and lose ourselves in our screens. 

*

A small group of Britons lurched into the cold brick wall of reality just hard enough to decide they didn’t like it, so they packed up and fled.

What am I talking about? A bunch of British tourists at a Swiss ski resort were told to quarantine for ten days from the date of their arrival to avoid spreading Britain’s new Covid variant all over Switzerland. 

Or maybe they were staying in several Swiss ski resorts, not one. It doesn’t matter. Swiss officials found about 420 British tourists, told them to stay in their rooms to avoid infecting anyone else, and about half of them packed up and snuck away in the night, leaving a trail of their possible germs all the way to the French border and from there back to Britain.

In case that doesn’t offend you sufficiently, I’ll add that once they got home some of them called the hotel to ask if they still had to pay for the nights they’d booked but not used. Or if I’m guessing right about the sort of people they are, they called not to ask but to demand a refund. 

 

Update

The Oxford-AstraZeneca vaccine has just been approved for use in Britain. It’s cheaper and easier to produce and store than the Pfizer vaccine, although the statistics on how effective it is are a bit on the murky side. It’s far better than nothing. Right now, that looks pretty good.

Fun with the pandemic: It’s the update from Britain

Posted on by
26

What could possibly go wrong when they reopen England’s schools? Well, they may be short of 6,000 buses. If so, the problem will hit kids who get to school on public transportation. Some bus companies reduced the number of buses on their routes when the pandemic hit, and social distancing will reduce capacity even further.  

Just to make this more fun, no one knows where the shortages will be. Some councils (that translates to local governments) are putting on kids-only public buses. Others are installing dart boards and using the tried-and-true method of having a blindfolded, socially distanced elected official throw a single dart. If she or he misses the board, no extra buses will be needed.

Bus companies got extra funding to ride out the pandemic (if you’re American, fasten your seat belt, because the language is going to get bumpy), but coach companies didn’t. 

Irrelevant photo: Morris dancers. Because what could be more fun that putting on a costume and whacking at one stick with another stick? This is from way before the pandemic, when people–yes, really–did stuff like this. 

What’s the difference? A bus runs a local route in a metropolitan area. A coach runs between cities. Or internationally. Possibly interplanetarily. But it’s still, physically speaking, a bus. Or so says Lord Google, although he doesn’t mention the interplanetary routes. Only a few of us know about them. We scoop up hints from the far corners of the internet and piece together the patterns.

Coaches are largely for privately chartered trips. 

Let’s review that: A bus is not a coach. A coach is a bus only different. And a couch is neither.

You’re welcome.

Why do we need two separate words? So that we’ll know who not to fund, silly. Also to confuse Americans who pretend to know something about Britain but understand less than they think they do. I don’t promise that I got the definitions right. What I can tell you with authority is that there is a difference and that it’s a mystery tightly held by people who descended from the Druids and who still know some of their secrets.

What do coaches have to do with the problem of kids getting to school? Some school districts may have to hire coaches to pretend they’re buses. But by November, the best data-driven dartboards predict, 18,000 of the 42,000 people working in the coach industry will be out of jobs and nearly 16,000 coaches will be off the roads. That’s something like half the UK’s fleet.

See lack of funding, above.

The Department of Education has issued guidance to local authorities saying that “at least 50% of journeys to school of two miles or less” need to be done on foot or by bike to leave space on the buses for longer trips.

And they’re going to convince the kids to do that how, exactly?

*

Another unexpected result of the pandemic has been that cooks are turning back to canned food. Or as they put it here, tinned food. When the pandemic and panic buying rode into Britain like two lonely horsemen of the apocalypse, canned tomatoes disappeared off the shelves as quickly as toilet paper. 

No, sorry, I don’t have the recipe.

Sales of canned food went up 72.6% in March. That’s compared to March of 2019. 

So what are the canned-food companies doing? Kicking off a canned food festival on Instagram, dragging in TV chefs with Michelin stars to convince us that a curry involving canned spinach, potatoes, and chickpeas is a good idea.

I’ll go as far as the chickpeas. After that, I’m outta here. 

To be fair, they’re urging people to donate to food banks, so I can’t make fun of them too much.

*

The pandemic hasn’t sent Britain back to the age of Victorian prudery, but the country does have a new set of guidelines on how to shoot sex scenes. It comes from Directors UK and it’s about how to handle “nudity and simulated sex.” I recommend paying attention, because you can never predict when you’ll be called on to deal with simulated sex. If I’d known when I was twenty–

Nah, we’ll skip the details. I could’ve spared myself no end of awkward situations.

What are the directors going to do? Well, for one thing–and I know this will shock you–they recommend looking at scripts to see if sex scenes couldn’t be replaced with emotional intimacy. 

See? I told you you’d be shocked.

They recommend looking at some of the classics (Casablanca’s mentioned) to see how sexual tension can be built without the flapping breasts that are generally thrown in as a quick and easy substitute.

They also raise the possibility of actors quarantining for two weeks before shooting a sex scene or using real-life partners. In case emotional intimacy’s too much work and the flapping breasts are absolutely necessary.

In Australia, a long-runnnig soap, Neighbours, has started shooting again. Actors keep a meter and a half apart and (you’d guess this, since it’s not practical at that distance) there’s no kissing. 

*

Facial recognition technology is having a hard time telling the difference between a person wearing a mask and a spoof of a face. That made the news because shoppers who use it to pay for things with their phones are either having to take their masks off or enter a code instead, but the CCTV cameras of the world are having a quiet breakdown in a back room somewhere. Their failure rate ranges from 5% to 50%.

*

Since the organization that will replace Public Health England is being handed to the person who set up England’s world-beating test and trace program, I can’t let you go without an example of test and trace success:  An anonymous tracer writing in the Guardian says, “I was hired as a contact tracer in the north-west of England at the end of May. . . . 

“In 12 weeks I have not made a single call, despite working 42 hours a week. . . . We have a WhatsApp group comparing notes with other call handlers and quite a few haven’t had even one job. . . . 

“Given that the north-west has seen some of the biggest spikes in infections, you would think we would be busy. . . . 

“Despite not being allocated any cases in three months, I was offered an extension on my contract this morning.”

Outsourced tracing companies have missed 46% of contacts in the hardest hit parts of England.

It’s all good though.