Men, Women, Covid and Risk by Les May

A RECENT article on the BBC news website was headed; ‘Covid: Teachers "not at higher risk" of death than average’. But buried within it was a more interesting take on who in the working age population, that’s 20 to 64 year olds, are at the greatest risk of death from Covid 19.

The ONS looked at death rates from coronavirus in England and Wales between 9 March and 28 December 2020. It found 31 in every 100,000 working-age men and 17 in every 100,000 working-age women had died of Covid-19. This equated to just under 8,000 deaths among 20-64-year-olds. (Which you will note is rather higher than the ‘Anti-lockdown brigade’ would have us believe) Two-thirds of these deaths were among men.

The same pattern emerged among teachers when primary and secondary staff were taken together. There were 18 deaths per 100,000 among men and 10 per 100,000 among women. These figures are of course both less than for the whole population. Breaking that down by role, the figures for secondary school teachers were 39 deaths per 100,000 people in men and 21 per 100,000 in women. These figures are of course both more than for the whole population.

Amongst nurses the same pattern appeared, 79 male nurses per 100,000 and 25 female nurses per 100,000. For care workers it was 110 men per 100,000 and 47 women per 100,000.

Even if secondary teachers were at higher risk than some other professional jobs where few or no deaths have occurred it is nothing like the risks faced by non-professionals.

Per 100,000 men aged 20-64, the figures were 119 restaurant and catering staff, 106 metal-working machine operatives, 101 taxi drivers and 100 security guards. These compare with a figure of 31 per 100,000 for the working age male population as a whole. In approximately comparable roles for women the figures per 100,000 were 27 retail and sales assistants and 22 cleaners. In summary people working in insecure, low paid have suffered a higher death rate than ‘professionals’ and amongst them men have been significantly more at risk than women.

There’s nothing new in this. This is what I wrote in an article for Northern Voices last June with the title Levelling The Gradient. ‘There is little appetite in the UK for recognising the effects of our very unequal society on the lives of our citizens, irrespective of their skin colour. Even when studies to examine the impact of inequality are done, their findings are ignored. And it’s not just the Tories who are wilfully blind. In February two of the candidates for the Labour leadership felt that a Jewish pressure group and a ‘trans’ pressure group needed their public support, but when the Marmot review which looked at differences in health outcomes appeared later in the month it had zero impact on the campaign.

The media gave prominence to only one finding; that 'Female life expectancy declined in the most deprived 10 percent of neighbourhoods’ and ignored both the large disparity in life expectancy (LE) between people of higher and people of lower economic and social status, and that, irrespective of economic status women tend to live longer than men. (see page 18, Figure 2.4) reported in the review. (my emphasis).

http://www.instituteofhealthequity.org/resources-reports/marmot-review-10-years-on/the-marmot-review-10-years-on-full-report.pdf

These disparities also exist with regard to the disability free life expectancy (DFLE), i.e. the number of years of life someone will have free from disability. The review referred to these differences as forming a ‘social gradient’.

What the review showed was that in England, the difference in life expectancy at birth between the least deprived 10% of the population and the most deprived 10% was more than 9 years for men and more than 7 years for women. Life expectancy at birth for men living in the most deprived areas in England was 74 years, compared with 83 years in the least deprived areas; the corresponding figures for women were 79 and 86 years in 2016-18. (see pages 15-17, figures 2.1, 2.2 and 2.3) in the review.’

The British Left has become obsessed with ‘Institutional Racism’. I would like to see more attention paid to ‘Institutional Inequality’.

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