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  • you'll be aware of this Public Health England document that child for news has seen that says they expect 80% of the population to be infected and perhaps 15% to be hospitalized.

  • Those sort of percentages that you recognize a UK level on the Scottish level.

  • They are there, the numbers are consuming, and they're the kind of numbers we'd be working with for the last few weeks.

  • They're not on gold toe happen on Wednesday, which is one of the reasons why the method we're trying to apply in Scotland in the UK is too smooth, that hospitalization over time so that we protect the vulnerable on.

  • We protect our health service.

  • But if those numbers are potentially correct, you're talking about in England almost eight million people requiring hospitalization in Scotland, would it be about 800 thousands without mitigation?

  • So if we did nothing, that's what the science tells us.

  • If we do stuff on you can't argue yet that we haven't been doing stuff and we're gonna have to do more things over the next few weeks, even today that maybe choices made around what the next stage is.

  • Our with mitigation, that number comes down significantly.

  • However, don't misunderstand me.

  • This is going to be a challenge.

  • For all of the UK Health Service is over.

  • The next few months will not want to make that disappear.

  • So your expectation is if the measures you're taking work, then we're not going to see eight million people in hospital.

  • That's correct.

  • But we are going to see people in hospital with this virus on.

  • To be honest, some people are gonna die off the disease this virus causes.

  • The vast majority of people are going to recover.

  • Their gonna have minor illness.

  • They're going to stay home for seven days, like the advices on.

  • They're going to recover and they're gonna go back to their daily lives.

  • Another revelation from that document was that N HS staff in England wouldn't be routinely tested.

  • Will they be routinely tested in Scotland?

  • So we're looking in Scotland at what we call critical workers and critical workers.

  • The simplest group is probably imagine those working in the nuclear power industry or those working in our a nuclear somebody.

  • So we are looking categories of critical workers in Scotland.

  • Critical workers will include health and care workers and we will test them.

  • The only reason for that is not so.

  • We know something special about the disease.

  • The reason we do that is so we can get them back to work in the front line of whatever it is they do, whether they're running the police control room or running the intensive care unit at the Queen Elizabeth Hospital in Glassell testing.

  • If they're showing symptoms, correct.

  • How many task It's then are then how many N HS stuff?

  • So the numbers don't really make much sense to compare one with the other.

  • We have absolutely adequate tasting in Scotland.

  • In fact, Glasgow is no doing the confirmatory testing, so we're not having to send any tests anywhere else.

  • We are absolutely confident we contest the communities we need.

  • There's another very important testing point.

  • Scotland will this week moved to population level testing, moving to potentially testing 1.2 million people to allow us to monitor the disease.

  • Over time, we have to look after the individuals, which is what you're talking about.

  • But we also have to look after the population.

  • We have to know when to intervene population level, and we only know that if we know what's happening with the virus across the whole country.

  • So you anticipated you would like to test and you have the capacity to test 1.2 million people in Scotland.

  • Those 1.2 million people won't be on the same d.

  • So we will test people with symptoms in what we call our sentinel practices.

  • Their practices that we already used for tasting for seasonal flu for tasting for other diseases.

  • It's a public health measure that allows us to monitor disease over a population.

  • Now remember, if you come to hospital with severe symptoms and you're really sick off course, we will test you and we will treat you in.

  • The health service is in the country, are ready for that eventuality.

  • People might be wondering why this sort of community testing hasn't been happening already.

  • When the World Health Organization is very clearly implored countries to test on trace every single case, So are we at the movement testing and tracing every single case?

  • No, we're not.

  • We did that in phase one.

  • We were on this program and others talking about the containment fees off the virus, and that was the advice in the containment phase.

  • Find the case, see where they've traveled from test of contacts.

  • Put them in homes.

  • No wood in a different fees.

  • Within the delay phase of the virus, the virus is here.

  • I would love to be able to come on your program and see if we can get rid of this virus.

  • If we just all hunkered down, the virus will go away.

  • It's not going to happen.

  • So no, we have to delete the spread of the virus to a low, the vulnerable to be protected on the hail service to manage.

  • So that's why the testing regime change is now for four very good scientific reasons.

  • So we taste those with really bad symptoms on, then treat them.

  • But we also taste the population level to know when to intervene our population.

  • Do you understand why there is public anxiety when they hear that sort of messaging from the W.

  • H.

  • O saying that they want every case, every case to be tested on DDE, he you are citing our own scientific evidence was saying that's not happening in the UK I understand public anxiety.

  • I can't miss it.

  • I have a family I have 79 year old parents.

  • I have nieces and nephews who are at school today.

  • The W actual guidance is for 194 countries.

  • They have a different job from the Scottish government and the U.

  • K government.

  • They have to have Gaitan's that applies in Santa goal in Somalia, in Syria and in Scotland.

  • So when it reaches the country, it shouldn't be a surprise that that guidance would be nuanced and change that adapted to what that country's health service can do.

  • Andi should do so.

  • Health service looks very different from the health service in South Korea or in Japan.

  • So we are adapting the based science available, including the W to advice on what we see in other countries as we monitor the virus and it's spread on DDE.

  • What are scientists tell us about what we should do for our populations.

  • So there is divergence between the approach that the UK and Scotland is taking from the messaging that we hear from the deputy Rachel.

  • So we think we're using the W H O guidance to inform our approach to the four U K countries.

  • So Shankland looks very, very different even from Glasco.

  • Never mind from Tuscany.

  • So the hail service is the key, or systems that we have in each of these contexts varies.

  • So it would be foolish of us to take some kind of cookie cutter approach from somewhere else in the world and apply it to a Scottish, Welsh, Irish or English context.

  • So we have to take the based advice we can from the epidemiologists on from the behavioral Scientists.

  • Add that into our culture, our society can do and should do and then apply that to our country.

  • People don't look.

  • People don't need to look very far to see a radically different approach, the Irish prime minister said this weekend.

  • He said that people who have been out this weekend should avoid contact with seniors or people with chronic diseases.

  • You could make them very, very sick.

  • Do you believe that people who have been out in Scotland in the UK this weekend to have contact with elderly people could make them very, very sick?

  • I do not believe that's necessary.

  • I visited my people.

  • Just tell me and I will visit them again this week.

  • I am asymptomatic.

  • I do not have the new cough or the fever that would make me stay home for seventies.

  • I'm the last person in the world all to criticize other countries views.

  • This is a hard thing to solve.

  • It's not straightforward.

  • I'm in touch with my counterparts in Ireland in other parts of the world.

  • You would expect us to do that.

  • The chief medical officers are in touch with theirs so other countries can choose what they do for their demographics and their science.

  • I can tell you that in Scotland, on the UK, we're following that science really, really closely.

  • Cases can be transmitted when people are asymptomatic, will pre symptomatic they can.

  • But it's unusual.

  • We learned more about the virus all the time as cases rise in other parts of the world and in the UK So one of the reasons for dally, in fact, is to allow us to do more research both on the violence itself and its effect on the population leading eventually to better treatment vaccine etcetera.

  • So the more we learn about the virus, the better.

  • It appears from around the world that the vast majority of transmission is in symptomatic individuals.

  • That makes sense because it's a droplet split, so it's spread by you coughing, sneezing, other other things.

  • It's not in the ear.

  • It's not an aerosol virus.

  • So therefore, you have to take it from a suffers or a human being and put it in you.

  • So you have to touch your nose, your eyes or your mouth.

  • So if we wash your hands, clean our surfaces, then the virus can't get into us.

  • You say, Yeah, it's a bad transmission between people on People would have gone to work.

  • Thio schools t just going about their daily life today on buses, on trains there have been in confined spaces where they're they're individuals, many people in the rest of the world calling for quite aggressive social distancing measures in Ireland, again asking for people to stay six feet apart from other people.

  • They will look and ask Why we again the outline.

  • So we believe that social distancing when approve it is the right thing to do, and we're social distancing booze with symptoms already on Over the days and weeks to come, we will have to take Maur measures around exactly what you describe.

  • We have to do that at the right moment when when the virus is at the stage where we think it's required, because this is a long haul to to suggest that we should put older people in homes and lock them in for four months.

  • That gives us a whole lot of new problems.

  • Other people.

  • So so there are.

  • There are suggestions that if we lock down the country, if we close the border, close the schools, get everybody in the house is then that's going to solve our problem.

  • The problem with that is you'd have to do that for a long, long time.

  • So so we don't think that's required at this stage.

  • There may be a point at which we choose to do MME.

  • Or we tell the public to do other things.

  • But we have to do that when the curve is at the right point in order to protect the public.

  • What harm could come from people keeping their distance at the moment, staying six feet apart so you can't keep 60 million people six feet apart?

  • It's if only what?

  • A simple as that.

  • I honestly wish it was like a video game, and if we pressed e B would happen.

  • But But it isn't.

  • It's It's human behavior on protecting that vulnerable community now.

  • People with symptoms Let's cool it again.

  • People with symptoms with a new cough on Dora fever should stay home, but those without symptoms can go about their business as normal for now.

  • Do you worry?

  • You're asking people with symptoms mainly, quite mild symptoms compared to what people are used to.

  • You're asking them to stay at home and do something they've never done before with these mild symptoms.

  • Do you worry that they're going to do that?

  • That message is not going to go through.

  • Get through when?

  • At the same time, the hearing, other messages like, Well, we're all gonna get it anyway.

  • So I've been challenged by in the last few days in this new find media career of mine, where those who think I'm not taking it seriously enough on those who think I'm taking it too seriously.

  • The balance is really difficult here, and you see in other countries and other places where that balance is really challenging, so we need the public to do things the public is not used to doing, and we're goingto have to get them to do that for quite a long time.

  • It's why the panic buying is is a challenge for us because we want everybody to wash your hands.

  • No, just you.

  • So leave.

  • So for other people.

  • So So we need.

  • We need this society to behave in a particular way.

  • So therefore I the interventions carefully chosen for scientific reasons on the timing of the interventions for the same scientific reasons are crucial.

  • To what extent has the messaging around herd immunity?

  • Do you think undermined this effort to get people with mild symptoms to isolate for the greater good of society?

  • I don't think it's undermined It.

  • There is, are there is, ah, a bit off work to be done in the messaging with the whole of society, those who watched Channel four news, but also those who do it.

  • So I've done sports programs, and I never thought the national clinical director would be on a sports program later today, I'm going to do a music program, so we have to get the message out to young people, two kids to the elderly who are wanted and lonely, perhaps that they're gonna be left in their houses for a long period.

  • So we have to get that messaging that we're doing.

  • Two things were caring for the individuals who are sick, and the health service is all ready for that on the air, getting more ready for more patients on.

  • We're protecting the population particularly vulnerable at the same time.

  • I mean, do you agree with Sir Patrick Valence, the chief scientific adviser, that one of the aims off the UK government is four people to develop some immunity to this disease?

  • I do.

  • I absolutely agree with him because we have no choice.

  • You can't get rid of the virus.

  • You can wish it away, but it will not go.

  • So therefore, we have to manage the infection safely across the whole population, while at the same time treating the individuals who gets sick.

  • And that's why the Health Service's are ramping up.

  • They're adjusting to allow us to be able to do that.

  • The British Society of Immunology say we don't know yet if this novel virus will induce long term immunity, Why are you so sure that it will when they're not?

  • So we know that if you get it, you don't appear to get it again.

  • So from the data again, we're landing all the time.

  • From data around around the world on scientists, including Scottish and UK, scientists are linking with their partners in Australia, in Korea and China.

  • Toe land more and more about this finest, but it appears very, very rear, if ever you get it twice.

  • So if we can manage that, that would suggest that those people will then help us get to an immunity across the whole society.

  • Things are not easy decisions, but the alternative that people are offering, which is close the borders send everybody home for a prolonged period that that that doesn't that's not without cost, either.

  • Just to be clear, this idea of herd immunity is still part of the overall strategy.

  • I'm not so sure I like the the freeze because it's it's taken on a connotation that perhaps is a little bit worrying for people.

  • What we're trying to do is manage the spread of the virus safely over time in the population, and that will lead to more people getting the virus on survivor, get, get, get people.

  • Getting the virus is part of our plan, to deal with it over a sustained and long period.

  • We don't have a choice that people will get the violence.

  • Can I just ask you about what measures people are taking themselves or what workplaces have taken to try and protect people from because we see images from the rest of the world whether it confirmed cases and people sweep in and decontaminate the area, that is not what work places in this country of being advises.

  • It's not.

  • We expect people to take this very seriously, but not to panic.

  • We expect people with symptoms to stay home and over the next days and weeks there will be other interventions that we will use an individual and a population level to deal with the rise and vital cases that we will see inevitably over the next few weeks.

  • But we're not doing the contact tracing on the individual extreme measures that we took in the beginning of this vital a pandemic, which we did do it across the UK know would in a second phase of the daily fees which doesn't require us to do that anymore.

  • I just want to share with you an email from Glasgow university to its staff after it had three confirmed cases.

  • They say that the health protected Scotland guidance is that if you are symptom free after seven days, you can go back to work.

  • There is no need for contacts of known cases to self isolated facts unless they develop a fever or persistent cough.

  • On.

  • The advice is that there is no value in deep cleanings faces used by confirmed cases.

  • Do you agree with that?

  • I do agree with that.

  • The Health Protection Scotland website is a great source off calming advice for the public.

  • The base place to go is for Scotland, for any chess inform scored, although I understand other countries are using it almost as much as Scottish people are using it.

  • So there's public advice.

  • But there's also their professional advice for businesses for care homes for other places where people congregate on health protection.

  • Scotland have to be very helpful in that advice.

  • So where there's been a confirmed case in workplaces were not deep cleaning those areas where that person worked, we are not.

  • Can you see where that might be a cause for concern for people.

  • If they're worried, the bites contagion.

  • I can see why the whole vital pandemic is a cause for concern for people.

  • What we're trying to do is Kam Li on overtime, do with it.

  • I can tell people that the health service is in the UK already to treat those who are sick to de, irrespective of if they have the virus or not, there will be a road traffic accidents.

  • Today.

  • People will have stocks today.

  • The health service is already on.

  • I can assure them that our population level the four chief medical officer's, the politicians, the clinical advisers like me are in lock step with her to do with us in terms off the intensive care capacity we've been told that will double in Scotland.

  • Can you give us a timeframe?

  • It will double when it requires two double.

  • So just know we don't need double the intensive care bits because we don't have patients yet to are that sick.

  • So we will double as and when that's required and we will cut back on elective surgery as and when that is required.

  • Also, Al owes us two then train staff to be ready for that intake off patients.

  • Andi, just just to clarify if it required it could be doubled this week.

  • If necessary.

  • It could absolutely be double this week.

  • It will not be necessary this week.

  • It could be that that that's gonna be a reassurance for a lot of people.

  • In terms of ventilators.

  • We've heard in England how many they have on the drive to try and get more.

  • How many way have enough ventilators for every intensive care bit, including the doubling off the intensive cubits around 400 on more?

you'll be aware of this Public Health England document that child for news has seen that says they expect 80% of the population to be infected and perhaps 15% to be hospitalized.

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A2 初級 新型コロナウイルス 新型肺炎 COVID-19

スコットランドの国家臨床責任者、群れの免疫、検査、コロナウイルスへの取り組みについて (Scotland’s National Clinical Director on herd immunity, testing & how country's tackling coronavirus)

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    林宜悉 に公開 2021 年 01 月 14 日
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