Pushing Public Health Messages by Les May

ROCHDALE THE 'WORST AFFECTED' BY VIRUS!

I LIVE in Rochdale, one of the metropolitan boroughs that make up Greater Manchester. Last Saturday lunchtime I was treated to the sight of our local council leader speaking on a BBC news programme about the negotiations with the government about the financial support which would be available if ‘Tier Three’ restrictions come into force. He also raised doubts about whether the additional restrictions were necessary, citing the fact that the negotiators had been presented with ‘old data’ about infection levels.

Last Wednesday I watched the Deputy Chief Medical Officer, Jonathan Van Tam, present graphics showing how in the past few weeks rising Covid 19 infections, which were substantially affecting young adults have spread initially, are now moving into the older parts of the population in my town and others like it. These of course are the people whose illness places greatest strain on the NHS and who are most likely to die.

The next day Sky News ran a piece which made the claim that my town, Rochdale, is the borough worst affected by the virus.

Now I don’t wish to suggest that Allen Brett, or Bretty as he likes to style himself, was being deliberately misleading in his comments about the infection levels in Rochdale, but I will say that I find it a little surprising that our council leader seemingly had not taken the trouble to be briefed by Rochdale’s Director of Public Health, Andrea Fallon, about the situation in the town. She’s the expert in these matters, not him. Or perhaps it’s not really so surprising.

Since March when the initial ‘lockdown’ was imposed it can hardly be said RMBC has been proactive in its approach to handling the pandemic. Residents have received precisely two communications about Covid 19, one A5 leaflet came in late March and the second a couple of months ago. No doubt the response would be that there is comprehensive information about the ‘rules’ we are supposed to adhere to on the RMBC website.

Indeed there is, but in the jargon of the computer world, this is a ‘pull strategy’. In other words if you want to get the information, which is liable to change at any moment, you have to be sufficiently motivated to go and find it. If you are a MS Windows user are you sufficiently motivated to access the Microsoft website every time you switch your computer on to make sure that your machine has the latest security patches? Knowing that you are not, MS adopts a ‘push strategy’. Each time you switch on the new patches are sent to your machine automatically; you don’t have to do anything to keep your machine safe.

Some of the money being given to local councils in the Greater Manchester area should be spent on implementing such a ‘push strategy’ to disseminate the latest information about the status of Covid 19 infections in our towns as assessed by the Director of Public Health. This could be done by running an Internet based service dedicated to doing just that. Residents would initially register an e-mail address with the service, and would receive regular updates, encouragement to continue self isolating if asked to do so and advice about infection control in their daily routine. Why should it have taken a query to a local councillor to supply evidence to support a statement she had made to unearth the fact that there was an interactive map* showing the rolling seven day number of new infections in the area I live in? How many councillors are themselves aware of this?

This virus is not going to go away quickly and we have to learn to live with it. The optimistic view of how the future is going to unfold is that at some time not too far ahead, an effective vaccine will be discovered. If we are lucky this may happen. But even if it does the first recipients will be those in involved in health care who are daily putting their own lives at risk treating Covid 19 patients and those who are particularly vulnerable due to existing conditions. The rest of us, and that includes old people like me, will have a lower priority. It may take two or more years before everyone who wants it has been given the vaccine.

The pessimistic view is that we will never have an effective vaccine or effective therapeutic drugs. This is at least a possibility which should not be discounted. Many colds are caused by coronaviruses and in the past one or two million years we humans have never evolved immunity to ‘the common cold’. So in the absence of medical methods of removing the threat to human life presented by this virus, be it for another couple of years or stretching into the future, we are left with public health interventions to mitigate its danger. This should be part of any ‘roadmap’ for the future.

In the fight against this virus it is not enough for us to be passive entities obeying rules we did no make and perhaps do not understand the logic of. Our first priority should not be to acquaint ourselves with the ever changing ‘rules’; it has to be doing whatever is necessary to keep ourselves and our families safe from infection. It is no use local politicians complaining that hospitality venues should not be closed because community transmission is highest where households mix, unless they also have a strategy for discouraging household mixing. To do this we need to have all the information available about where the infection rate is highest, where it is increasing at the fastest rate in our local area and regular reminders about why this is happening and the part our behaviour is playing in this.

Getting this information and advice on a regular basis to residents in the boroughs around Greater Manchester and similarly affected conurbations, isn’t ‘rocket science’. It simply needs a bit of imagination and effort on the part of local councils. If they cannot even manage this what makes anyone think they could run a less shambolic ‘Track and Trace’ system than the present government?

* Initially this map could be found at;

https://www.arcgis.com/apps/webappviewer/index.html?id=47574f7a6e454dc6a42c5f6912ed7076

If you go to this site you will be redirected to;

https://coronavirus-staging.data.gov.uk/details/interactive-map

This is more detailed and more informative, but the text is not so easy to read.

If the links above are not ‘live’ then copy and paste the link into your browser.