Monday 16 March 2020

Why is Britain, besieged by coronavirus, deaf to the pleas of an old Professor of Global Health called Anthony Costello ?

The Professor, who is 67 years old, trained as a doctor in Paediatrics and Neonatology at University College London in the 1970s. In his early 30s he lived for two years in Baglung district in western Nepal, two days walk from a road, he was interested in challenges to mother and child health in poor, remote populations. When he was 46, in 1999, he published his pioneering book on how to improve newborn infant health in developing countries and from 2015 to 2018 he was 'Director of Maternal, Child and Adolescent Health' at the World Health Organisation in Geneva. He is strongly critical of the Government's approach to the Coronavirus crisis :

"Ultimately, we need a vaccine and vaccine creates herd immunity, not a disease which kills 400,000 people. So we've got to mobilise the country and I thought that's what they were preparing over the last month and they were obviously not doing it."

He was interviewed by Channel 4 News yesterday and when asked by Matt Frei : "Are we going to be Italy in two weeks from now ?" 

He answered : "Yes. Look, you can't fight a virus if you don't know where it is. The basic principle of the World Health Organisation is that you find, test and isolate and treat every case, to break the chains of transmission and the UK policy is worrying because they announced at the press conference that they're going to stop population testing. That's crazy. That's not going to delay the epidemic, its going to accelerate it and we will certainly be in the same situation as Italy, whether its in 10 days or 2 weeks or a bit further. I don't have any problem with worrying or arguing about social distancing and mass gatherings and the timing of that, but we must be getting the data and what's happening and everything in the WHO Report from China is doable here. Why can't we do it ?

Matt Frei : "What should the Government be doing now ?"

The Professor : "They should be :

mobilising the country

setting up mobile testing centres


getting the test results down, like China, from 12 days to 3 days


identifying family clusters and getting them isolated


looking after people who can't look after themselves in isolation centres


getting CT scans out into the communities or into populations where they can get them quickly if they've got pneumonia


and obviously do the treatment the the NHS can provide, but you've got to prevent and we can get this down. It's worked in China. It's worked in Korea. It's worked in Singapore. Giving up now and saying : "Well, we're just going to let this rip. It's going to cause a catastrophe."

When asked about Italy he said :

"They're trying to cope like China did with the explosion of cases in Wuhan and when they realised they'd messed up, they put in place all of this structure Iv'e described and it took 7 weeks, but after 7 weeks they had it under control and more, if it is going to flare up again, when they loosen things, they've got a nation wide system in place and they've got the data, they've got the mechanism and they loosen it gently and then dampen it down again. Ultimately, we need a vaccine and vaccine creates herd immunity, not a disease which kills 400,00 people. So we've got to mobilise the country and I thought that what they were preparing over the last month and they were obviously not doing it."

Matt Frei : "Can we turn this round at this stage ? Yes or No ?"

The Professor : "Yes, I think we can. It's going to take time. It'll take 2 months at least. But why not ? Why can Asian countries do it and we can't ?"

In 2018 Anthony published his book 'The Social Edge. The Power of Sympathy Groups for our Health, Wealth and Sustainable Future.' It explained why a new science of cooperation is needed and suggests twenty two social experiments which use sympathy groups for resolving 21st century problems.

Might this time of crisis be just the time for sympathy groups to be formed ?

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