Matt Hancock orders third review on link between vitamin D and Covid

‘A third review into the link between vitamin D and Covid has been ordered by the UK health secretary as more studies suggest that having low levels of the “sunshine hormone” raises the risk of death.

‘Matt Hancock has again asked the National Institute for Health and Care Excellence (Nice), which sets NHS England clinical guidelines, and Public Health England (PHE) to “re-review” their prior appraisals, after the authorities began “encouraging” people to take vitamin D supplements rather than merely “advising” it.

‘Nice has twice said there was not sufficient causal evidence to support the use of vitamin D in high doses in hospitals to treat or prevent the respiratory illness. However, recent pilot and observational studies have suggested positive effects. A Queen Mary University of London study recently found that high-dose vitamin D supplementation significantly protects against respiratory illness.’

Read here (The Guardian, Feb 5, 2021)

All countries should pursue a Covid-19 elimination strategy: Here are 16 reasons why

‘As governments draw up their battle plans for year two, we might expect them to base their strategies on the wealth of data about what works best. And the evidence to date suggests that countries pursuing elimination of Covid-19 are performing much better than those trying to suppress the virus. Aiming for zero-Covid is producing more positive results than trying to “live with the virus”.

‘Here are 16 reasons why we think all countries should at least consider an elimination approach:

1. It saves lives.
2. The elimination of community transmission also spares populations from “long-Covid”.
3. Elimination is pro-equity.
4. Countries that have eliminated Covid-19 are experiencing less economic contraction.
5. Elimination is achievable and works in a variety of settings.
6. The virus can be eliminated even after intense local transmission has occurred.
7. It’s easier if more countries adopt this approach.
8. The rollout of effective vaccines will make Covid-19 elimination easier to achieve.
9. Having an explicit “zero-Covid” goal provides a strong motivating and coordinating focus.
10. It is sustainable.
11. If the virus mutates, elimination still works.
12. It also still works if vaccines provide only limited long-term protection.
13. It may reduce emergence of more dangerous virus variants.
14. The use of lockdowns should be less necessary.
15. Vigorous control of Covid-19 infection has substantial co-benefits.
16. It provides a good interim strategy while we identify an optimal long-term approach, which is currently uncertain.  

Read here (The Guardian, Jan 28, 2021)

We're about to see a wave of long Covid. When will ministers take it seriously?

‘Long Covid is shorthand for a range of conditions. Some scientists divide them into three broad categories, others into four. Of these, one seems to ring a bell. It’s a cluster of symptoms that bear a strong similarity to myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS). This is a devastating condition that affects roughly a quarter of a million people in the UK, and is often caused, like long Covid, by viral infection...

‘The NHS is now setting up specialist clinics to treat long Covid. But already, apparent mistakes are being made. Without the necessary caveats, the NHS recommends steadily increasing levels of exercise for people suffering from post-Covid fatigue. But as ME/CFS patients with post-exertional malaise know, this prescription, though it sounds intuitive, could be highly damaging.

‘We need massive research programmes into both long Covid and ME/CFS, coupled with better information for doctors. But above all, we need something that currently seems a long way off. A government that gives a damn.’

Read here (The Guardian, Jan 21, 2021)

Covid has exposed how incompetent the British state is, from top to bottom

‘Coronavirus has revealed a country so ill-governed that current politicians cannot be blamed for all of it. The traditional model holds that ministers decide on the general direction of policy and officials interpret and implement it. This balance of roles has been eroded at least since the turn of the century, largely by a ministerial craving for headlines that led to a daily welter of central initiatives, interventions and vanity projects. Officials are expected not to challenge but to obey.

‘This has clearly affected the calibre and morale of the civil service, with high-profile departures from Downing Street, the Home Office and Foreign Office. Johnson also gave too much prominence to scientists, hoping to blame them if things went wrong, and then found himself in perpetual conflict with them. This in turn allowed Scotland, Wales and Northern Ireland to appear blessed with decisive and clear-sighted leadership by contrast.’

Read here (The Guardian, Jan 4, 2020) 

Covid-19 has shown us that good health is not just down to biology

‘Of all the lessons we’ve learned from this pandemic, the most significant is how unequal its effects have been. Wealth, it turns out, is the best shielding strategy from Covid-19. As poorer people crowded together in cramped housing, the rich escaped to their country retreats. Two of the largest risk factors for dying from Covid-19 are being from a deprived background and being from a minority-ethnic background, pointing to the underlying role of social inequalities, housing conditions and occupation.

\‘Our society’s recovery from this disease should be centred on building more equal, resilient societies, where people in all parts of the world have access to both protection from the disease and access to research developments. It all starts with government. At the end of a gruelling 11 months, I’m left with Abraham Lincoln’s words in my mind: the pandemic has shown that we need “government of the people, by the people, for the people” – not just government for the wealthy elite. Perhaps that’s the strongest legacy of Covid-19.’

Read here (The Guardian, Dec 25, 2020)

UK scientists trial drug to prevent infection that leads to Covid

‘British scientists are trialling a new drug that could prevent someone who has been exposed to coronavirus from going on to develop the disease Covid-19, which experts say could save many lives.

‘The antibody therapy would confer instant immunity against the disease and could be given as an emergency treatment to hospital inpatients and care home residents to help contain outbreaks. People living in households where someone has caught Covid could be injected with the drug to ensure they do not become infected too. It could also be given to university students, among whom the virus has spread rapidly because they live, study and socialise together.’

Read here (The Guardian, Dec 25, 2020)

World's media ask how it went so wrong for 'Plague Island' Britain

‘In the eyes of the world’s media, Britain – a “Plague Island” led by a man who thinks “optimism is a substitute for hard truths and proper management” – is currently getting a good lesson in “what ‘reclaiming sovereignty’ means”...

‘Much of the blame was on Boris Johnson, whose U-turn on Christmas had “once more shown the yawning gulf between the prime minister’s airy promises and the real world,” said Germany’s Die Welt. That vacuum, however, is now “fast being filled with the anger and fear of a nation hit ever since by horror story upon horror story”. The continental blockade could well be “preparing the British for what Brexit might actually mean”, the paper said, “since there is still no agreement on a trade deal, 10 days before the deadline.”

‘The Netherlands’ NRC Handelsblad said that no one in the UK would have a normal Christmas: “not even a tiny bit of one. The ports are closed; London’s stations witnessed a veritable exodus; tens of kilometres of trucks are stranded on the country’s motorways; ministers are publicly saying the virus is out of control.”...

The Sydney Morning Herald: ‘Britain’s response to the pandemic had been “mired in inaction, plagued by failures of the state to mobilise and Johnson’s own destructive habit of promising false dawns simply because he cannot stand to be the bearer of bad news”.’

Read here (The Guardian, Dec 22, 2020)

Rapid Covid-19 home test developed in Australia approved for emergency use in US

‘A rapid, over-the-counter Covid-19 test developed by Australian firm Ellume has been given emergency approval in the United States. The US Food and Drug Administration (FDA) approved the Brisbane-based company’s 20-minute Covid-19 Home Test on Tuesday as the US battles the virus that has infected 16.5 million people and killed more than 300,000 people in the country.

“By authorising a test for over-the-counter use, the FDA allows it to be sold in places like drug stores, where a patient can buy it, swab their nose, run the test and find out their results in as little as 20 minutes,” the FDA commissioner, Stephen Hahn, said in a statement.’

Read here (The Guardian, Dec 16, 2020)

The magnifying glass: How Covid revealed the truth about our world

‘A fitting symbol of this global pandemic would be a magnifying glass. For while the virus ended and upended so many lives, and spawned a whole new vocabulary – social distancing, furlough, herd immunity, R number, circuit breaker, bubble, unmute – it did not remake the global landscape so much as reveal what was already there, or what was taking shape, just below the surface.

‘It amplified it, sometimes distorting it, sometimes illuminating it in alarming detail. Covid‑19, the disease that was first reported to the World Health Organization one year ago this month, served as a lens through which we were able to see our politics, our planet and ourselves with a new and shocking clarity. It made 2020 a year of revelation, even if what was uncovered was not nearly as new as we might imagine.’

Read here (The Guardian, Dec 11, 2020)

Tucked into the Covid-19 stimulus package? Protection for corporations

‘US Representative Alexandria Ocasio-Cortez has been one of the few Democratic lawmakers to spotlight what’s really going on. Last week, she tweeted: “If you want to know why Covid-19 relief is tied up in Congress, one key reason is that Republicans are demanding legal immunity for corporations so they can expose their workers to Covid without repercussions.”

‘The bipartisan initiative aims to obscure its Dr Evil level of depravity by superficially depicting the liability shield as merely temporary. But that seems like a ruse, as indicated by private equity mogul and senator Mitt Romney of Utah, who said the federal Covid-19 liability shield provision “provides a temporary suspension of any liability-related lawsuits, state or federal level associated with Covid-19, giving states enough time to put in place their own protections”.’

Read here (The Guardian, Dec 5, 2020)

An effective response to Europe’s fiscal paralysis: George Soros

‘With Hungary and Poland vetoing the EU budget and Covid recovery fund, the case for issuing perpetual bonds has never been stronger

‘Perpetual bonds offer the great advantage that the principal never has to be repaid; only the annual interest is due. The discounted present value of future interest payments diminishes over time – it will approach, but never reach, zero. A certain amount of financial resources – say, the €1.8tn currently planned – would go several times further if it were used to issue perpetual bonds rather than ordinary bonds. This would largely solve Europe’s financial problems.

‘If one country issued perpetual bonds, it would have the additional advantage that other European countries would find it an example worth following. The Frugal Five should find perpetual bonds particularly attractive. After all, they like to save money.’

Read here (The Guardian, Dec 1, 2020)

Is the new Covid vaccine our way back to normality? - Video explainer by The Guardian

‘The news this week that the Pfizer/BioNTech Covid-19 vaccine was effective on more than 90% of trial recipients is of huge importance. The efficacy is significantly higher than hoped for and so far there appear to be no safety concerns.

‘The Guardian's health editor, Sarah Boseley, explains that, while this is a major breakthrough, there are still several hurdles to overcome, and restrictions, such as wearing masks, social distancing and remote working, must remain in place for the time being.’

View here (The Guardian, Nov 13, 2020)

Hopes of Covid vaccine for more than 1bn people by end of 2021

‘More than 1 billion people could be immunised against coronavirus by the end of next year with shots from the first two companies to reveal positive results, after the latest vaccine was shown to be nearly 95% effective in trials. The inclusion of high-risk and elderly people in the Moderna trial suggested the vaccine would protect those most vulnerable to the disease, said Peter Openshaw, a professor of experimental medicine at Imperial College London, who described the results as “tremendously exciting”.

‘Though it is more expensive, Moderna’s vaccine could potentially provide a major advantage over Pfizer’s, which requires ultracold freezing between -70C (-94F) and -80C from production facility to patient. Moderna said it had improved the shelf life and stability, meaning its vaccine can be stored for six months at -20C for shipping and long-term storage, and at standard refrigeration temperatures of 2C to 8C for 30 days.’

Read here (The Guardian, Nov 16, 2020)

Daisy Chain: Can a Cornish town adapt to survive another lockdown?

‘When the remote town of St Just, Cornwall, was locked down in March, the small community worried that its economy wouldn't survive. But one town councillor, Daisy Gibbs, rallied an army of volunteers to form 'the Daisy chain', an informal support network to ensure every household in the district had support. Inspired by her imagination and resilience, filmmaker Sky Neal followed the Daisy Chain for seven months, as local businesses adapted and the community pulled together to realise a more sustainable future. However, as a second wave of restrictions threatens, the town has to dig deep to find the resilience they need to ensure their future. Can they re-invent their local economy to survive and thrive beyond Covid?’

View here (The Guardian, Nov 2, 2020)

Cate Blanchett: ‘Covid-19 has ravaged the whole idea of small government’

In this extract from her essay collection Upturn, the actor considers the disruptions of the pandemic and the renewed fervour for social and economic justice...

‘For the arts, I fear the good old days of root and soil porous gateway-ism are a thing of the past. The relationship between artist and audience has changed fundamentally. The tools of the future on hand today, from selfies to Zoom, are just awkward attempts to grab back the surface appearance of connectivity. Real connectivity will need to find a new way. The good news is, it will – and it will be fascinating and illuminating and confronting.’

Read here (The Guardian, Oct 29, 2020)

Covid-19 blood plasma therapy has limited effect, study finds

‘It has been touted as a breakthrough treatment by Donald Trump, and there are hopes that blood plasma containing coronavirus antibodies may help British patients during the second wave of Covid-19 as well. But a study, which is published in the British Medical Journal (BMJ) on Friday, suggests “convalescent plasma” has only limited effectiveness and fails to reduce deaths or stop the progression to severe disease.

‘The research involved 464 adults with moderate Covid-19 who were admitted to hospitals in India between April and July. Approximately half received two transfusions of convalescent plasma, 24 hours apart, alongside standard care, while the control group received standard care only. One month later, 19% of those who received the plasma had progressed to severe disease or had died of any cause, compared with 18% in the control group. Plasma therapy did, however, seem to reduce symptoms, such as shortness of breath and fatigue, after seven days.’

Read here (The Guardian, Oct 23, 2020)

Vietnam is fighting Covid without pitting economic growth against public health

‘The motto for the first phase was that if we stay alive, the question of wealth and the economy can come later. Ordinary people did suffer, such as the gig economy workers: whenever I order a Grabcar (a south-east Asian version of Uber) these days, the vehicle that arrives is always newer and more expensive that what I’m used to; as a driver explained, those who used to pick me up in their cheaper cars have had to sell them to stay afloat, leaving only those with deeper pockets left in the market.

‘But now the government has shifted its anti-Covid strategy towards the economy. The tactics for the second wave are more sophisticated. Contact tracing is still prompt and aggressive but lockdown and isolation are more selective; international flights have been opened for foreign workers, such as engineers from South Korea’s LG, who are needed to keep the economy functioning.’

Read here (The Guardian, Oct 20, 2020)

Covid-19 has exposed the catastrophic impact of privatising vital services

‘The Covid-19 pandemic has exposed the catastrophic fallout of decades of global privatisation and market competition. When the pandemic hit, we saw hospitals being overwhelmed, caregivers forced to work with virtually no protective equipment, nursing homes turned into morgues, long queues to access tests, and schools struggling to connect with children confined to their homes. People were being urged to stay at home when many had no decent roof over their heads, no access to water and sanitation, and no social protection. 

‘For many years, vital public goods and services have been steadily outsourced to private companies. This has often resulted in inefficiency, corruption, dwindling quality, increasing costs and subsequent household debt, further marginalising poorer people and undermining the social value of basic needs like housing and water. We need a radical change in direction.’

Read here (The Guardian, Oct 19, 2020)

The anti-lockdown scientists’ cause would be more persuasive if it weren’t so half-baked

‘The [Great Barrington] declaration, which calls for an immediate resumption of “life as normal” for everyone except the “vulnerable”, is written by three science professors from Harvard, Oxford and Stanford, giving it the sheen of academic respectability. But there is much to set alarm bells ringing. It makes claims about herd immunity – the idea that letting the virus rip among less vulnerable groups will allow a degree of population-level immunity to build up which will eventually protect the more vulnerable – that are unsupported by existing scientific evidence... And what are scientists doing fronting a campaign whose back office is run by a thinktank that flirts with climate change denial?’

Read here (The Guardian, Oct 11, 2020)

Germans embrace fresh air to ward off coronavirus

‘Ventilating rooms has been added to the German government’s formula for tackling coronavirus, in refreshing news for the country’s air hygiene experts who have been calling for it to become official for months. The custom is something of a national obsession, with many Germans habitually opening windows twice a day, even in winter. Often the requirement is included as a legally binding clause in rental agreements, mainly to protect against mould and bad smells. But while some people may dismiss the method as primitive, “it may be one of the cheapest and most effective ways” of containing the spread of the virus, Angela Merkel insisted on Tuesday.’

Read here (The Guardian, Sept 30, 2020)