{"id":50,"date":"2020-06-04T09:05:00","date_gmt":"2020-06-04T08:05:00","guid":{"rendered":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/2020\/06\/04\/covid19-what-are-the-chances\/"},"modified":"2021-03-25T08:36:36","modified_gmt":"2021-03-25T08:36:36","slug":"covid19-what-are-the-chances","status":"publish","type":"post","link":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/2020\/06\/04\/covid19-what-are-the-chances\/","title":{"rendered":"COVID19 &#8211; what are the chances??"},"content":{"rendered":"<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">This is the age of many new and not many welcome things. Yet the incredible availability&nbsp;of data should now be able to tell us far more about COVID19 and what this means for us. In particular, its comparison to pandemic flu, which is sometimes touted in cyberspace and in politics.<\/span><\/p>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">So let&#8217;s look back and see how many&nbsp;people&nbsp;have been infected and what happened to them?<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span>  <\/p>\n<h3><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"font-size: large;\">What are the overall chances of dying from COVID19?<\/span><\/span><\/h3>\n<div><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"font-size: large;\"><br \/><\/span><\/span><\/div>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/890033\/COVID19_Weekly_Report_03_June.pdf\">Public Health Englands latest tally<\/a>&nbsp;is perhaps the place to start. As of the 3rd June there has been a total of 217,076 cases and 35,456 deaths. The case fatality rate is thus 1.6%, but this of course misses all those people out there who don&#8217;t get tested due to mild or absent symptoms, or because they don&#8217;t want to or can&#8217;t get tested.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Based on this, the overall mortality in the population varies from 30 to 70 people per 100,000 people. In Devon with our wonderful &#8216;peripherality&#8217; our chance, so far, of dying from COVID19 has been 0.03%, rising to 0.078 in the current hot spots in the North.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Put another way, 99.93% of people in Devon have survived thus far. However this is not to minimise the pandemic or its effects, the average death rate of 50 deaths per 100,000 people adds up to a 32,000 deaths across the UK.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/p>\n<h3><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: large;\">What happens to people who do get infected?<\/span><\/h3>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Information from Public Health England offers an idea <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/888254\/COVID19_Epidemiological_Summary_w22_Final.pdf\">how many people in the community<\/a> have come across COVID19 in terms of developing antibodies. The tests were done on blood donors to give a sort of baseline of the number of people in the community who have been infected.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Of course we assume the test are reliable. Like anything else, <a href=\"https:\/\/www.360dx.com\/immunoassays\/study-finds-abbott-coronavirus-serology-test-more-accurate-euroimmun-test#.Xt3Zyy2ZM1I\">they are far from perfect. <\/a>Yet they are more likely to be accurate in this sample of blood donors who would not have been having active symptoms at the time of sampling. People seeking tests for symptoms might not have generated the antibodies the tests measure.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">So this represents the best measure of background level we have right now.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/p>\n<table align=\"center\" cellpadding=\"0\" cellspacing=\"0\" style=\"margin-left: auto; margin-right: auto; text-align: center;\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\"><a href=\"https:\/\/1.bp.blogspot.com\/-AiUX_lDrNkk\/Xtyn-Gc8LZI\/AAAAAAAAAUA\/aLTv1YYcWykVPy-811kDaUeqLinotzFaACLcBGAsYHQ\/s1600\/seroprevalance.png\" style=\"margin-left: auto; margin-right: auto;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" data-original-height=\"583\" data-original-width=\"939\" height=\"247\" src=\"https:\/\/1.bp.blogspot.com\/-AiUX_lDrNkk\/Xtyn-Gc8LZI\/AAAAAAAAAUA\/aLTv1YYcWykVPy-811kDaUeqLinotzFaACLcBGAsYHQ\/s400\/seroprevalance.png\" width=\"400\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: small;\"><b>UK Prevalence of COVID19&nbsp;<\/b><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Results vary across the county, but my previous&nbsp;guesstimate&nbsp;of about 2% in the South West turns out not to be far off the 4% these figures reveal.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Put another way, 96% of us down here in the South West have not come across the infection and nor have 86% of&nbsp;Londoners.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">With such an infections disease, this is rather a surprise. Either the restrictions have been very&nbsp;successful, or there is more to COVID19 immunity than meets the eye. I think there is but that&#8217;s another story.<\/span><\/p>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>So, lets get the back of the envelope out:<\/b><\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The figures show that about 8% of people have developed immunity to the virus. For a UK population that represents about 5 million people.<\/span><\/p>\n<div style=\"clear: both; text-align: center;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><a href=\"https:\/\/1.bp.blogspot.com\/-8mGHoaLuSUY\/Xt3lFPkhxrI\/AAAAAAAAAUM\/eYeHCINWYasBVe1dFuGJ0insbCzpUmeZwCLcBGAsYHQ\/s1600\/back-of-the-envelope-calculation.jpg\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" data-original-height=\"562\" data-original-width=\"800\" height=\"140\" src=\"https:\/\/1.bp.blogspot.com\/-8mGHoaLuSUY\/Xt3lFPkhxrI\/AAAAAAAAAUM\/eYeHCINWYasBVe1dFuGJ0insbCzpUmeZwCLcBGAsYHQ\/s200\/back-of-the-envelope-calculation.jpg\" width=\"200\" \/><\/a><\/span><\/div>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">With 60,000 hospital admissions that means that your chance of being hospitalised with your COVID12 infection is about 1.2%<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The study below shows the overall hospital mortality from COVID is 26%.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>So the overall mortality so far for anyone infected is 0.3%, or just less than one in 300.<\/b><\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b><br \/><\/b><\/span>  <\/p>\n<h3><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: large;\">What happens to those admitted to hospital?<\/span><\/h3>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">It is&nbsp;reassuring&nbsp;to know that for the majority of people COVID infection will not be a problem.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">However for those with more severe symptoms hospital admission is necessary and this has so far been the case for about 60,000 people in the UK with peaks over March and April, declining slowly since.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><a href=\"https:\/\/www.bmj.com\/content\/369\/bmj.m1985\">A paper from<\/a> the &#8220;International Severe Adult Respiratory and Emerging Infection Consortium<b>&#8221; <\/b>otherwise know as ISARIC detailed what happened to over 20,000<b>&nbsp;<\/b><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">hospital <\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">admissions<\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">&nbsp;to UK hospitals since the onset of the pandemic. This represents about 35% of the total 60,000 COVID-19 admissions in the UK in between 6th February and 19th April, when cases were increasing rapidly.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">In words and graphs, this is what they found.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>Overall:<\/b><\/span><\/p>\n<ul>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The average age of patient admitted was 73 years.<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">60% of admissions were men.<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The median age of those dying was 80. &nbsp;(for every case over 80 there was one below)<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The average age of the 17% of people needing mechanical ventilation was 61<\/span><\/li>\n<\/ul>\n<p><b><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">For patients not needing admission to intensive care:<\/span><\/b><\/p>\n<div style=\"clear: both; text-align: center;\"><a href=\"https:\/\/1.bp.blogspot.com\/-Gl5bkrXFgHY\/Xs0yU0xe3zI\/AAAAAAAAARA\/AbD4AAA4-ScEfJMCisVYRW2-5kOkoSqwACLcBGAsYHQ\/s1600\/outcomes.large.jpg\" style=\"clear: right; float: right; margin-bottom: 1em; margin-left: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" data-original-height=\"1600\" data-original-width=\"1224\" height=\"400\" src=\"https:\/\/1.bp.blogspot.com\/-Gl5bkrXFgHY\/Xs0yU0xe3zI\/AAAAAAAAARA\/AbD4AAA4-ScEfJMCisVYRW2-5kOkoSqwACLcBGAsYHQ\/s400\/outcomes.large.jpg\" width=\"303\" \/><\/a><\/div>\n<ul>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">47% were discharged<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">27% were still receiving care<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">26% died<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>For the 17% transferred to critical or intensive care:<\/b><\/span><\/p>\n<ul>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">28% had been discharged<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">41% were still receiving care<\/span><\/li>\n<li><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">32% died.<\/span><\/li>\n<\/ul>\n<p><b style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Other illnesses in those hospitalised were:<\/span><\/b><\/p>\n<ul>\n<li><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Chronic cardiac disease &#8211; 30.9%<\/span><\/li>\n<li><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Diabetes &#8211; 20.7%<\/span><\/li>\n<li><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Chronic pulmonary disease &#8211; 17.7%<\/span><\/li>\n<li><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Chronic kidney disease &nbsp;&#8211; 16.2%<\/span><\/li>\n<li><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Asthma 14.5%<\/span><\/li>\n<li><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"background-color: white; color: #333333;\">No other illness &#8211;&nbsp;<\/span><span style=\"background-color: white; color: #333333;\">22.5%<\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">In some ways, COVID19 is doing just what would be expected, hitting the most vulnerable the hardest. Nonetheless nearly one in 5 admissions were of previously fit people.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">I hope that the hospital mortality will come down with time as the pandemic enters a calmer phase and management and treatment improves.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: large;\"><br \/><\/span><\/p>\n<h3><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: large;\">So how does this compare to flu?<\/span><\/h3>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">I keep hearing that this the pandemic is not any worse than flu (think Trump and&nbsp;Bolsonaro). How true is this? Over the last 5 years average deaths in England from flu,<a href=\"https:\/\/fullfact.org\/health\/coronavirus-compare-influenza\/\">&nbsp;reported by PHE<\/a>&nbsp;run at 17,000 a year with a peak of 28,000 in 2014\/15 and a low of 1,700 in 2018\/19.<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">In that sense it COVID19 is already 3.5 times worse that Flu in terms of deaths, and we are still surfing along long tail of the first wave.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><u>H<a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/888093\/National_influenza_report_28_May_2020_week_22.pdf\">ospital data<\/a><\/u>&nbsp;reveals that over this flu season there has been 1,815 admissions for complications related to flu which makes COVID19&#8217;s impact 33 times worse than flu.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">We have been lucky with flu this year, but COVID19 problems are in&nbsp;addition&nbsp;to flu, not instead of it.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The comparison also fails when we consider our flu immunisation programme has conferred &nbsp;high levels of immunity in the at risk populations hit so hard by COVID19. Perhaps the present pandemic also sheds light on how well we have done to combat the dangers of flu, though new strains are being&nbsp;generated&nbsp;making the future unpredictable.&nbsp;<\/span><\/p>\n<p><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">So flu pales in significance when compared to COVID19 and any comparison can be, um, put to bed. With painful irony, this particularly apples to Trump&#8217;s America and Bolsanaro&#8217;s Brazil.&nbsp;<\/span><br \/><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/p>\n<h3><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"background-color: white; font-size: large;\"><b>Behind the numbers<\/b><\/span><\/span><\/h3>\n<p><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/span><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">From my point of view the hospital<\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">&nbsp;figures are make sobering reading. There have been many very sad scenarios played out for individuals and their families. &nbsp;<\/span><\/span><br \/><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">BAME groups and the&nbsp;<span style=\"caret-color: rgb(51, 51, 51);\">underprivileged<\/span>&nbsp;have been particularly hard hit both by the virus and the economic impact. The Black Lives Matter protests coincide increased recognition of the difficulties&nbsp;bestowed on people by the colour of ones skin and inherited poverty which have led to poor health outcomes due to COVID19.<\/span><\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The worthy noise of the protests is in sharp contrast to the deafening silence of the tobacco and sugar industries. T<\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\">heir terrible history of slavery, environmental&nbsp;destruction and their ongoing&nbsp;<\/span><\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\">negative impact on health&nbsp;continues&nbsp;to be rewarded by extravagant global profits<\/span><\/span><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">.<\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">When I saw the statue of Coulson, that prolific slave trader, pulled down and dumped into the murky waters of Bristol harbour I saw a number of historic threads being puled together: slavery, sugar, obesity, diet, all encapsulated in that one moment.&nbsp;<\/span><br \/><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/span><\/p>\n<h3><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif; font-size: large;\">Reasons to be cheerful?<\/span><\/span><\/h3>\n<p><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/span><b><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Treatment<\/span><\/b><br \/><b><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/b><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Things will get better. There is still lots of hope for the many antiviral treatments under evaluation despite some early disappointments with remdesivir and hydroxychloroquine. NHS staff have learned much about how to improve management of COVID19 patients and together with the hope for a vaccine, COVID is something we can live with. We will have to.<\/span><\/span><br \/><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/span><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"background-color: white; caret-color: rgb(51, 51, 51);\"><b>Better reactions<\/b><\/span><\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Understanding of the virus and its behaviour&nbsp;<\/span><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">is<\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">&nbsp;getting better all the time. We have been very much behind the curve, but hopefully will do better next time.<\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">&nbsp;<\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">Experience lay behind the quick reactions of China and South Korea who had to deal with COVID19&#8217;s cousin SARS back in 2003, now we have no excuses.<\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>Looking after care homes properly<\/b><\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b><br \/><\/b><\/span><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"background-color: white;\">With adequate supplies of equipment and constant testing, care homes could be kept COVID19 free. Many problems remain, particularly viability of&nbsp;homes&nbsp;affected by infection, &nbsp;fragmentation of the sector, patchy&nbsp;communication&nbsp;and the growing issue of underfunding.<\/span><\/span><\/p>\n<p><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>Better and more local restrictions if at all<\/b><\/span><\/span><br \/><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b><br \/><\/b><\/span><\/span> <span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">However slow our lockdown was, I cannot see any explanation for the low rates of death here in Devon other than restriction of movement. Indeed since its relaxation our R0&nbsp;number&nbsp;has been creeping up, now standing at 1 as of early June. Local restrictions, if needed at all, can be tailored to reduce infectivity without the economic hits of blunderbuss national approaches.<\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><b>Population Health is in the spotlight<\/b><\/span><br \/><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><\/span><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The social determinants of health are critical in making pandemics better or worse. In this sense even hardened free-marketeers must see that we cannot afford current levels of poverty and that Austerity has cost farm more than it ever saved. This hard evidence provides impetus to integrate health and wellbeing more into political decisions.&nbsp;<\/span><\/span><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">The dramatic effect of pre-existing illnesses caused by smoking and diet is sobering too, yet this offers positive messages for how to stay well and avoid the many avoidable risk factors.&nbsp;<\/span><br \/><span style=\"background-color: white; color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><br \/><\/span><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"background-color: white; caret-color: rgb(51, 51, 51);\"><b>Staying well has never been more important<\/b><\/span><\/span><\/p>\n<p><span style=\"background-color: white; color: #333333;\"><span style=\"font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\">While we cant do anything about our age or the colour of our skin, there are lots of positive things we can do to reduce our risk of COVID19 as well as a host of other illnesses. Many people have taken positive action to improve their health.&nbsp;<\/span><\/span><br \/><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><\/p>\n<div style=\"text-align: center;\"><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\">***<\/span><\/span><\/span><\/div>\n<p><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\">As I reflect on of Coulson&#8217;s bronze sinking into the mud, I too hope for change. The connection between the horrors of slavery and its role in the production of sugar and tobacco are coming more into the public mind. The pernicious effects of these industries continue to manifest today as lung disease, obesity and diabetes which particularly hits the BAME community and are brought into sharp focus by COVID19.&nbsp;<\/span><\/span><\/span><br \/><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\">Everything is linked.<\/span><\/span><\/span><br \/><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><\/p>\n<div style=\"clear: both; text-align: center;\"><a href=\"https:\/\/1.bp.blogspot.com\/-RxKMRjKmk30\/Xt3-MyNMC_I\/AAAAAAAAAUk\/6hMU14k3_14HmxHQ-wgBBCvjawzieU_TgCLcBGAsYHQ\/s1600\/coulson.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" data-original-height=\"351\" data-original-width=\"624\" height=\"223\" src=\"https:\/\/1.bp.blogspot.com\/-RxKMRjKmk30\/Xt3-MyNMC_I\/AAAAAAAAAUk\/6hMU14k3_14HmxHQ-wgBBCvjawzieU_TgCLcBGAsYHQ\/s400\/coulson.jpg\" width=\"400\" \/><\/a><\/div>\n<p><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><\/p>\n<h3><\/h3>\n<p><span style=\"background-color: white;\"><span style=\"color: #333333; font-family: &quot;arial&quot; , &quot;helvetica&quot; , sans-serif;\"><span style=\"caret-color: rgb(51, 51, 51);\"><br \/><\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This is the age of many new and not many welcome things. Yet the incredible&hellip; <a href=\"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/2020\/06\/04\/covid19-what-are-the-chances\/\" class=\"more-link btn btn-link\">Read More&hellip; <span class=\"screen-reader-text\">Continue reading COVID19 &#8211; what are the chances??<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","footnotes":""},"categories":[20],"tags":[],"class_list":["post-50","post","type-post","status-publish","format-standard","hentry","category-viruses-and-us"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts\/50","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/comments?post=50"}],"version-history":[{"count":1,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts\/50\/revisions"}],"predecessor-version":[{"id":667,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/posts\/50\/revisions\/667"}],"wp:attachment":[{"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/media?parent=50"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/categories?post=50"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drbannonsblog.aprendo.co.uk\/drbannonsblog_wp\/wp-json\/wp\/v2\/tags?post=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}