Our proposal for mass testing and tracing in the SW is gaining traction. Time for Devon MPs and councils to act.

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The proposal by Hilary Ackland, Claire Wright and myself that we need a regional strategy for Covid-19 in the South West has gained quite a bit of attention, but also some misunderstandings. 
  • UnknownWe are NOT pressing for a regional release of the lockdown at this stage. 
  • What we ARE arguing is for a large-scale return to testing, tracing and monitored quarantining of those who are infectious and their contacts, as advocated by Exeter University’s infectious disease expert Dr Bharat Pankhania.
With an ambitious programme, this should be feasible in this area, since infection is estimated at only around 2 per cent of the population rather than the much higher levels estimated in other areas.
  • This would need not only a lot more tests but also rapid expansion of testing and tracing teams beyond the Public Health team, using district Environmental Health staff, and recruiting many others. 
Dangers of delay
Five weeks ago, Hilary, Claire and I with other colleagues were calling for the large-scale social distancing, but the Government was dragging its feet. We were criticised for not following the Government’s position, but it is now the view of virtually all informed opinion that the Government moved too late.
The danger is that something similar may be happening now over testing. Without a programme like the one Dr Pankhania is advocating, we are left simply waiting for a vaccine (next year?) – or risk the lockdown being lifted when we don’t know where the virus is, leading to a second wave with even more deaths.
I hope that Devon MPs and councils will see that a mass testing and tracing programme should be the local (and eventually national) priority and that all will use their influence to press forward on this.

Local firm produces ear guards for carers using face masks; contact me if you can use them

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unnamedBeer-based Pecorama are making these ear guards, free of charge, to help carers wearing face masks for lengthy periods. They are being used and much appreciated in one local home where a resident has had the virus.

Email me cllrmartinshaw@gmail.com if you are a carer or care home manager and would like Peco to supply you with some.

They are based on a design produced by an enterprising school in Scotland and a video explaining them can be found at https://www.youtube.com/watch?v=QVpMvQpwgVM

Help build up a picture of the pandemic in Devon and nationally – report your health status through this app

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Help slow the spread of #COVID19 and identify at risk cases sooner by self-reporting your symptoms daily, even if you feel well.

Download the app https://covid.joinzoe.com/

Care home crisis: now almost 10 per cent of Devon homes have Covid-19 infection

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According to new information which I have been given, a much larger number of homes are now infected, roughly double the figures mentioned in my previous post. This confirms the desperate urgency of improving PPE for care home staff and ensuring that everyone transferred into a home from hospital is tested first, as the Government has very belatedly promised.

Statement by Devon county councillors calling for a regional public health approach to containing the epidemic in the South West

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PEOC

The RD&E – the death rate from Covid-19 is barely 10% of the rate in the worst affected trusts. We need extensive testing, tracing and quarantining of cases and contacts to control the virus

 

 

Statement by County Councillors Hilary Ackland (Exeter), Martin Shaw (Seaton and Colyton) and Claire Wright (Otter Valley):

The South West is experiencing the epidemic in a different way from other regions. We have the lowest levels of hospitalisation and death from Covid-19 in the country. South West councils, MPs and the police have had some success in preventing second-home owners and tourists further spreading the virus. 

We therefore support the call by Dr Bharat Pankhania, Exeter University’s infectious disease and public health expert, to take advantage of the lockdown to introduce a regional approach to the epidemic in the South West, with intensive testing, tracing and quarantining to eliminate the virus. 

We call on Directors of Public Health in the region to devote all available resources to this approach, and on Devon MPs to press the Government to give the necessary support for this.

While we do not believe the lockdown can be lifted imminently, effective control of the epidemic in the South West would be an important step forward towards a national solution and would enable local leaders to make the case for a regional approach to lifting the lockdown in due course.

Martin Shaw adds:

As of two days ago, 21 people had died of Covid in the RD&E trust, compared to almost 200 in many trusts in other regions. This shows that the epidemic is still very uneven – a patchwork of variable local epidemics, as Dr Pankhania has argued in the BMJ. We should press for an effective SW strategy.

PPE for care homes remains scandalously lacking, while at least 21 homes in Devon are infected

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UnknownI am hearing new stories of shortages of PPE for care home staff in the local area, along the lines of the story on BBC Spotlight last night. I gather that new national systems are being established for routine supply of PPE to the health and care sector, but these are still not up and running.

Emergency drops

Recognising the difficulty, the Local Resilience Forum has had two emergency drops of PPE in the last week, which have been allocated to district councils and also to the CCG for primary care.  It has flown out of the door but Devon does have limited supplies available from this resource for homes which have less than two days’ supply left.

In case of emergency, ie less than three days supply remaining, care homes are advised to go to the National Supply Disruption Resource (NSDR) which is managed nationally.  However at least one care home were told that care homes would not be supplied through this route.

Homes infected

It seems we are still some weeks away from having a secure source of supply for the care sector. Meanwhile, the disease has been confirmed in 21 out of 400 or so care homes in Devon, which is probably an underestimate of the extent.

The only encouraging thing I have heard is that one patient from a local home was admitted to Intensive Care – contrary to national reports that care home patients are not being admitted – which seems to confirm the impression that the outbreak here is less severe and there is still capacity.