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The Coronavirus Discussion Thread.

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Almost 1/2m patients vaccinated yesterday - really great to see the vaccination programme moving so quickly.


 
Posted : 24/01/2021 12:33 am
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Figures are reporting a slight delay in Scotland unfortunately.

The number of 80-year-olds vaccinated in Scotland by Friday stood at 13% – in Wales it was 24%, in Northern Ireland it was 45% and in England it was 56% – some four times the Scottish figure.

Nicola Sturgeon originally ignored the offer of help from the British armed forces but is only now allowing them to step in, so hopefully things will get moving now.


 
Posted : 24/01/2021 9:33 am
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The reason for the numbers in Scotland is the high priority given to care homes. IIRC as of last week in Scotland 90+% of care home residents and staff had been inoculated, in England 60%

Care homes take longer per person to inoculate. Also again IIRC more healthcare staff have been inoculated

Having now completed the care homes we are moving onto the 80+ year olds at pace.


 
Posted : 24/01/2021 9:38 am
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It was a reasonable decision to start in the care homes first as patients were moved from Scottish hospitals into care homes without tests or with their positive tests ignored when it had been stopped elsewhere – resulting in the proportion of deaths with Covid-19 in Scottish care homes being 47% to England’s 30%.


 
Posted : 24/01/2021 9:53 am
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Careful with those “proportions”… care homes haven’t been hit harder in Scotland than England. Still, I agree that prioritising care homes and NHS staff seems like the right move.

EDIT: looks like your data is from before August as well. A lot has happened since then.


 
Posted : 24/01/2021 10:00 am
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Look to recent numbers - care home deaths in scotland are falling now - in england rising.


 
Posted : 24/01/2021 10:04 am
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I though some people here would find this post interesting.

https://idjotherwise.github.io/nlp-otherwise/covid/eda/2021/01/22/covid-england.html

An analysis of death rates in England, with some pretty graphs and code examples to boot.


 
Posted : 24/01/2021 11:30 am
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The number of 80-year-olds vaccinated in Scotland by Friday stood at 13%

That number was refuted by the FM at the daily press conference. I can't recall the exact phrase she used but I'd paraphrase it as something to do with plates and arses.


 
Posted : 24/01/2021 11:34 am
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Did she do the laser eyes thing? Effing scary her dirty look 🙂


 
Posted : 24/01/2021 11:42 am
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Nah, it wasn't that one. It was the condescending "are you an absolute idiot" look, combined with the smirk.


 
Posted : 24/01/2021 12:04 pm
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That number was refuted by the FM at the daily press conference. I can’t recall the exact phrase she used but I’d paraphrase it as something to do with plates and arses.

She descried it as "inaccurate" even though it was based the latest published data - good to see Trumpian politics outlive their inventor.


 
Posted : 24/01/2021 12:29 pm
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I'd like to retort but I guess this thread is best with the politics kept out of it

apologies for my part in taking this to politics


 
Posted : 24/01/2021 12:32 pm
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I think that most people don't write grasp what frontline NHS staff means. The average person probably thinks it's just Doctors & Nurses in ICUs but the reality is that it's anyone who is doing clinical work in contact with patients whether in-patients, out- patients or community based.

@tj - if you were treating a member of my family I'd want you to be jabbed up so don't feel guilty about it.


 
Posted : 24/01/2021 12:44 pm
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@tj You're of no use to NHS if you get sick. I'm guessing that we'll need many of the staff to work in hot zones in hospital before the peak is over just to ensure the load is balanced.

Stay safe.


 
Posted : 24/01/2021 12:54 pm
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Well, I wonder who will get those two @ ‘s


 
Posted : 24/01/2021 12:57 pm
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Ta folks. I really am hoping to avoid any more contact with covid. One outbreak I had to work thru was nasty enough. How those on the real front line are coping I do not know.

Ta for the kind words


 
Posted : 24/01/2021 1:00 pm
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Almost 1/2m patients vaccinated yesterday – really great to see the vaccination programme moving so quickly.

Yeah, numbers will be high, when they are going against scientific advice and the actions of the rest of the world by delaying the 2nd jab. Which is probably why they are doing it


 
Posted : 24/01/2021 1:05 pm
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Yeah, numbers will be high, when they are going against scientific advice and the actions of the rest of the world by delaying the 2nd jab. Which is probably why they are doing it

Not delaying would also be going against scientific advice, there are two schools of thought - probably more, we are following the advice from the body set up to advise the government for this purpose.


 
Posted : 24/01/2021 1:10 pm
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Aye - more of the population with some immunity or less of the population with more immunity

Trouble is I feel no confidence in Johnson making decisions for the right reasons - the headline figure of numbers given a jab will be his guide

I have been told my second jab will be 6 - 8 weeks


 
Posted : 24/01/2021 1:12 pm
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Trouble is I feel no confidence in Johnson making decisions for the right reasons

This

And I'm pro Conservative


 
Posted : 24/01/2021 1:16 pm
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With the 12 week gap, does that mean they won't be going down the priority list until everyone has both jabs in the higher risk groups?


 
Posted : 24/01/2021 1:43 pm
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With the 12 week gap, does that mean they won’t be going down the priority list until everyone has both jabs in the higher risk groups?

Who knows, but presumably if the whole thing isn't to grind to a logistical halt at that point, they have to increase both the supply of the vaccine and the capacity to vaccinate. You can make an educated guess that Boris and co haven't even thought that far ahead - this is government by essay crisis and the dog ate their homework.


 
Posted : 24/01/2021 2:26 pm
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Just under 492,000 vaccinations yesterday with NI still to report.


 
Posted : 24/01/2021 3:11 pm
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Lots of recent reports in the papers of the EU having their scheduled vaccine deliveries reduced by both Pfizer and AZ. Have the UK been affected?


 
Posted : 24/01/2021 3:37 pm
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I think it is the belgian plants being affected.
AFAIK the Pfizer is coming from Belgium so might be, but the az one is being made in Wrexham


 
Posted : 24/01/2021 4:06 pm
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I think the site in Wrexham just puts the vaccine in vials, so I think we could be impacted by the 60% reduction in capacity


 
Posted : 24/01/2021 4:33 pm
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Back from this mornings session and went well, although we're getting intermittent supplies now, I think we've got another dose of Pfizer coming this week, and maybe (I'm really not sure, as I'm not in the gang that sorts the logistics) some doses of AZ. so while in our PCN site we're already invited Priority group 4 (<70 and Extremely vulnerable) we're not vaccinating on as many days in the coming weeks as we have been for the last fortnight.


 
Posted : 24/01/2021 4:40 pm
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Are you told what you've been given - Pfizer, AZ?   And is the plan that you'll be given the same when you get the second dose?


 
Posted : 24/01/2021 4:46 pm
 Del
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IMO it's entirely appropriate that you get the jab tj. anyone who is in and out of a clinical establishment for the course of their employment should be treated as a priority alongside the elderly and infirm.


 
Posted : 24/01/2021 4:54 pm
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Are you told what you’ve been given – Pfizer, AZ? And is the plan that you’ll be given the same when you get the second dose?

Had to take my elderly mum for her jab a week or so ago as she's currently in a wheelchair. She was told she was getting the Pfizer jab and given an info sheet specific to that vaccine. She was also given a card with "Pfizer biontech", the vaccine batch no. and date given recorded on it. There is a box below for all the same details to be recorded for the second jab


 
Posted : 24/01/2021 5:03 pm
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Are you told what you’ve been given – Pfizer, AZ?   And is the plan that you’ll be given the same when you get the second dose?

As a patient? Yes, you get a wee card that has the detail on it. You don't get a choice but if you've had a severe anaphylaxis reaction to a flu jab before, you'll be offered the AZ.

Yes you'll get the same vaccine for both doses.


 
Posted : 24/01/2021 5:07 pm
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Thanks blokeuptheroad and nickc. I'm waiting to hear when my wife and I gets ours (I'm over 70).


 
Posted : 24/01/2021 5:10 pm
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Would a 4 tier system not be better but horrendous to impliment.
Tier 1 gets jabbed 3 weeks apart
Tier 2 gets jabbed 6 weeks apart
Tier 3 gets jabbed 9 weeks apart
Tier 4 12 weeks
Tier 5 12 to 15 unless T cell productiin falls with very long gaps

Tier 1 80+ medicaly vulnerable
Tier 2 70 +
Tier 3 60+
Tier4 50 plus
Tier 5 every over 21


 
Posted : 24/01/2021 5:21 pm
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It was a reasonable decision to start in the care homes first as patients were moved from Scottish hospitals into care homes without tests or with their positive tests ignored when it had been stopped elsewhere – resulting in the proportion of deaths with Covid-19 in Scottish care homes being 47% to England’s 30%.

OK so this was a blatant misrepresentation at the time and it still is today. The proportion of deaths in Scottish care homes was only higher because the number of deaths across the population was lower. It was literally a case of taking a good stat and twisting it to create a misleading stat. It's pretty sad to see it still being repeated but I guess that's the nature of the game.


 
Posted : 24/01/2021 6:41 pm
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Not delaying would also be going against scientific advice, there are two schools of thought – probably more, we are following the advice from the body set up to advise the government for this purpose.

It's a big jump from 3 to 12 weeks - which suggests the government were given a range and went for one extreme of it. Which would be a fairly high risk strategy as there is no margin for error. You have to wonder if the government is hoping evidence would turn up within the next month or so pointing to one jab being effective enough. I'm a bit concerned that vaccination could be too successful - if we start getting to 3 to 4 million a week then in 8-12 weeks we have to be at 6 - 8 million. A better approach might be to start on second doses now 2 million a week is being hit. I'm not proposing stopping at 2million but to grow the number of first vaccinations a bit more steadily. It would be better to get the most vulnerable / at greatest risk of infection to maximum as quickly as possible?


 
Posted : 24/01/2021 7:15 pm
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About those nursing homes...

Lilly just reported the results of treating staff and residents with banlanivimab as a means of prophylaxis (think passive vaccination). For a population of 299 residents and 666 staff, they noted an 80% reduction in COVID19 infections in residents. I reverse-engineered the (limited) results in that press release, using brute force statistical methods, to show that the two-month vaccine efficacy is impressive in residents (77%), but perhaps less so in staff (38%). Clearly, staff have much higher exposure to contagion, which suggests that the vaccine efficacy in the Phase 3 Pfizer trial may not be has high in people working in high COVID exposure roles. The protection from serious infection looks like a robust conclusion.


 
Posted : 24/01/2021 7:16 pm
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Local authority FB page posted to remind people to Stay at Home, Protect the NHS, Save Lives.

First response is some bloke saying "I pay my taxes for the NHS to protect ME, why should I gave to protect them?"

I ignore it, thinking it's just some knob thinking he's being funny, but no, there's a load of posts supporting him, wanting to know what the NHS has been doing with all the millions they've saved by not doing routine operations and cancer treatment.

I just despair sometimes. Is there not some way of linking people's posts on FB to their vaccine invite, and using it as a way to just discreetly cull the idiots?


 
Posted : 24/01/2021 8:03 pm
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Worth repeating here. Covid is good business for Tory donors. Why this isn't frontpage news shows how broken and corrupt our system is.

Of the million laptops Government ordered for remote learning during lockdown, more than three quarters have come from Computacenter. The total value of the contracts awarded to Computacenter is at least £198 million. Its founder, Sir Philip Hulme, has donated hundreds of thousands of pounds to the Conservative Party in recent years and Mr Hulme’s wife has also donated £100,000 as recently as the 2019 Election.

And now it transpires that some of the laptops supplied do not meet the minimum standards set out in the DfE specification and many contain malware.

A school in Bradford which received 90 Geobook 1E laptops via the Computacenter booking system this week found they had been handed devices infected with a malware virus. A letter from the school’s deputy head states: "Upon unboxing and preparing them it was discovered that a number of the laptops are infected with a self-propagating network worm (Gamarue.I). The network worm looks like it contacts Russian servers when active."

An online forum used by school IT experts suggests this is far from an isolated incident - numerous schools have reported the virus to the DfE. Reports suggest laptops have arrived with no sound driver installed, causing access issues for pupils.

And, from what we can see, it appears that the price they’ve charged for some of their devices is almost twice what it should be. The DfE has redacted key pricing documentation from the published contracts, so we are unable to provide a definitive cost per laptop or tablet. However we do know that in September and October last year, the DfE placed three contracts valued at £39.7m with Computacenter. The deal required Computacenter to supply 192,400 devices. This equates to an average cost of £206 per device. But experts have told us they would expect the basic laptops to cost the taxpayer closer to the region of £100 per device. An education IT expert who wanted to remain anonymous told us: “When it comes to the GeoBook, we had seen similar laptops on sale via China for less than £100.”

The Government is yet to publish the contract award for the additional 300,000 laptops it announced 4 days after we launched our latest legal challenge. So we don’t know who the contract has been handed to - or at what cost to the taxpayer. But on the basis of their track record, you’ll forgive us if we aren’t optimistic about what will come to light.

The COVID-19 goldrush continues for those fortunate enough to have links to the Conservative Party. Sadly this time it’s the most vulnerable families picking up the pieces, and fighting for the most basic provisions to continue their child’s education.

Thank you,

Jolyon Maugham QC
Director of Good Law Project

https://goodlawproject.org/


 
Posted : 24/01/2021 8:24 pm
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I can see a link to that Good Law Project article appearing on my FB feed very shortly.....


 
Posted : 24/01/2021 8:34 pm
 Del
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TiRed,

there was a chap on 'more or less' from the JCVI who explained the logic/reasoning behind the extended gap between doses of pfizer TL;DR average efficacy estimated by pfizer in the first 21 days was calculated as low because they'd started (or rather done their averaging) from day one, when realistically you wouldn't expect any effect at that point. if you averaged starting at day 10 (for instance and my memory is hazy of exactly what was said) you get an efficacy rate of ~90% for one dose?

while i'm no friend of this government nor a fan of how they've handled things it seems like a reasonable strategy to extend the dosage interval if it means you get 'some' protection in to people while production is ramping up particularly in light of a faster spreading virus variant. even if it does mean that hat mancock et.al. gets to quote an inflated number for those vaccinated i couldn't GAS if it means people actually have a better chance with this thing.

and, sorry, there's a very good chance i'm being thick but how do the Lilly findings for banlanivimab relate to pfizer?


 
Posted : 24/01/2021 9:46 pm
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Apologies if this isn't the right thread for such a question. I'll happily delete if so.

How risky would a several night stay in a Lake District hotel be in June? Their website says all the usual about Covid cleaning etc.

It's a big if but if the person using the room before me has Covid is there anything I can do to minimise risk? Bring my own pillows? Clean all surfaces with wipes?

Again apologies if this isn't the right thread.

Thanks


 
Posted : 24/01/2021 10:16 pm
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Well I've spent the day conducting the analyses the JCVI should have done using trial simulations to recreate the data to 21d and then extend on. I agree with the premise that the efficacy from 0-21d is poor (~50%) and should be disregarded. And from 10-21d is much better (~80%). But what about from 21-84d? Does immunity wane faster if only one dose is given> Moderna reported relatively rapidly waning antibody and neutralization titers in Phase 1. But efficacy in Phase 3 (in about 1000 subjects with one dose). Analysis ongoing. There really is very little data to make the call.

and, sorry, there’s a very good chance i’m being thick but how do the Lilly findings for banlanivimab relate to pfizer?

You're not thick. I just needed more context: Banlanivimab is a monoclonal antibody exquisitely targeting netralisation of the virus receptor binding domain (RBD) of the spike protein. The dose given (4.2g) will have generated concentrations in tissues hundreds of times higher than the polyclonal antibody response the vaccine will make against the same spike protein (alos mainly at the RBD site). So Banlanivimab could be viewed as a best-case scenario of what antibody protection against infection can achieve, or at least in the same ball-park as the vaccine, with regards to protection. I hope that's clear?

I was hoping for more in staff, personally.


 
Posted : 24/01/2021 10:20 pm
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Is that the sort of drug we should be offering to every person working on public transport/supermarkets etc until they are vaccinated or is that not a possibility?


 
Posted : 24/01/2021 10:53 pm
 Del
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You’re not thick

I don't think you have the data to be able to say that with confidence. 😉

Thank you. So, immediate results of a single Pfizer dose pretty reasonable, possible fall off in longer term performance but, more critically, not tested. Correct?

Is Banlanivimab an appropriate treatment for the immuno-compromised?  What's the availability? (I have a friend with (I think) hep-b)


 
Posted : 24/01/2021 11:40 pm
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Yes. No data on the rate of loss of protect after one dose. That’s the challenge really. I suspect it won’t be bad, but there is little data (none for Pfizer vaccine) to support the decision.

Monoclonal antibodies like banlan should be the first line of defence for those who cannot generate an immune response. They are being tested for prophylaxis and they will come eventually. I’d have given one to my aunt last week so she could be protected for a knee replacement because she’s not vaccinated yet. She postponed the operation until she has been vaccinated.

None are formally approved yet so can’t be used. Give it six months. Maybe longer.


 
Posted : 25/01/2021 12:41 am
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