COVID-19 cases caught early by Lateral Flow Device tests

Thousands of COVID-19 cases have been detected by the Asymptomatic Testing Programme, a Scottish Government evaluation has found.

More than 6.6 million LFD results reported by Scots were considered in the Asymptomatic Testing Programme Evaluation which looked at nine testing pathways including community testing, early learning and childcare settings and the Health and Social Care workforce.

The number of positive cases identified by LFD testing, then confirmed by PCR, was 7,271, according to the study which looked at the period between November last year and June 2021.

The data shows widespread uptake of testing among the general population through the pathways, including the universal offer.

https://youtu.be/Q92_ZJRWqiI

Health Secretary Humza Yousaf said: “Scotland’s Testing Strategy  is a key part of our approach to controlling the Covid-19 pandemic and minimising transmission.

“This report shows the importance of regular asymptomatic testing in capturing cases of the Covid-19 often before symptoms emerge. These would otherwise go undetected or be found much later in the virus progression, once symptoms had developed.

“As we go into this holiday period, frequent testing with lateral flow devices is essential and I would urge people to make sure they report the results – whether positive, negative or void – which only takes a few minutes.

“Everyone should do a lateral flow test before mixing with people from other households. That means before going to a pub, to a restaurant, visiting someone’s house, or even going shopping.”

Scotland launches recruitment drive for new blood donors

We need to welcome 3,300 donors per week to ensure blood supplies remain at safe levels

Scottish hospitals are currently supplied by the smallest pool of blood donors this century, the Scottish National Blood Transfusion Service (SNBTS) has revealed. This festive season, SNBTS are asking people to register as a blood donor, or to return and donate if they have not given for a while.

During the Pandemic (from 2019 to 2020), active blood donors in Scotland fell from over 105,000 to fewer than 92,000. This is a real-time reduction of nearly 13% meaning 13,000 fewer people gave blood in a single year.

Although the donor base has started to rebuild in 2021 and Scotland now has 96,000 active blood donors, SNBTS are asking new donors to come forward over the festive period, or those who have got out of the habit to return and donate.

Dr Sylvia Armstrong-Fisher, SNBTS says, ‘During the pandemic, NHS Scotland relied on commitment from existing donors who gave very regularly. We’d like to thank all of these people who supported us at such an important time.

“However, alongside the natural lifecycle of blood donors retiring every day, this led to the community of active donors shrinking to its lowest level since records began.

“We need to welcome 3,300 donors per week to ensure blood supplies remain at safe levels and, with fewer people donating regularly, we want to welcome 50 new or returning blood donors every single day over the festive and Winter period.

‘During the pandemic we have made many positive changes to blood collection, to make giving blood as easy as possible for donors. We are now offering more weekend sessions in our donor centres, and have opened our flagship donor centre in Livingston, which is now welcoming over 800 donors a month. To book your appointment to donate, you can use our online portal.

‘Maintaining a safe and regular supply of blood to hospitals is our top priority. Thank you to everyone who has supported patients in Scotland over the past two years. We look forward to welcoming you soon. Please join this amazing club today and book an appointment to support Scotland’s patients over the Festive period and into the new year.’

Inverness

Helping publicise the campaign are 29yr old Kate McRae, husband Mike (35), and little daughters Abigail (4 months) and Hollie (2) from Ardersier, near Inverness. Kate, an accounts assistant for Arnold Clark, suffered a massive postpartum haemorrhage after giving birth to Abigail earlier this year.

Her life was saved by 12 transfusions given by 12 different people across Scotland. Mike, who has Colitis, also received a lifesaving transfusion when he was just 18. Without blood donors, there would be no MacRae family.

Kate says, ‘We just want to say thank you to everyone who gives blood, in particular the people who gave blood for Mike, and the twelve people who gave blood and blood products for me. I lost nearly all the blood in my body, there’s no doubt that without those people my children wouldn’t have a mother, and my husband wouldn’t have a wife.

‘It’s the best thing you could give this Christmas’

Mike says, ‘It’s scary to think that if people didn’t take half an hour, 45 minutes out their day to give blood, we could be having a very different conversation.’

Aberdeen

In addition to the MacRaes, Dr Musa Watila (47) is joining the call to arms.

A specialty doctor in Neurology at Aberdeen Royal Infirmary, Dr Watila lives with sickle cell disease and needs transfusions every eight weeks. He loves being a doctor and helping those in need, because as Dr Watila says, ‘I understand very well what it means to be on the other side of the table as a patient.’

Dundee

Dundonian chip shop owner Martine Curran (40) is supporting the drive, showing her gratitude to the blood donors who saved her life four years ago when her organs neared failure after giving birth to daughter Mara.

Martine says, ‘I would just like to say to everybody thank you, thank you so much for taking the time out your day to come and give blood. You can’t imagine how it feels – I’m just so grateful, every day I’m grateful to you all for giving blood and giving me the chance to be here, and be spending time with the ones I love.

‘You think you’re just going in to have a baby, you’ll go in, go out, it’s all happy experience. I didn’t get to take my baby home, but I eventually got home to her, so thank you. If it wasn’t for you going to give blood I wouldn’t have had that chance.’

Glasgow

Giffnock mum Louise Pennington’s seven year old daughter Freya was diagnosed with Acute Lymphoblastic Leukaemia last November. She spent a month in hospital, needing ten transfusions over this time, before finally being able to go home just before Christmas.

Louise remembers one transfusion in particular. ‘One day Freya really wasn’t well from the side effects of treatment. She was lethargic, very sick, she had lots of mouth ulcers and sores. The doctor could tell, just by looking at her, she would need a blood transfusion that day.

‘Watching her it hit me, the enormity, that someone had given their blood and Freya would feel a bit better afterwards. I had an overwhelming sense of gratitude that someone had donated this for Freya to feel better. It wasn’t a tablet created in a lab, but a real person who had made her better. I just wanted to say thank you to anyone who had given up their time to donate.’

  • There are eight different blood groups. SNBTS aim to retain 5-7 days supply of all eight blood groups at all times. At this time, people with the blood groups A and O are particularly asked to come forward. You can see Scotland’s daily blood stock levels on scotblood.co.uk
  • Book an appointment to give blood by creating your online donor account at scotblood.co.ukcontacting us online, or phoning 0345 90 90 999 (Monday to Friday, 9am-5pm).

UK coronavirus alert level increased from Level 3 to Level 4

Following advice from the UK Health Security Agency and in the light of the rapid increase in Omicron cases, the UK Chief Medical Officers and NHS England National Medical Director have recommended to ministers that the UK COVID-19 alert level should increase from Level 3 to Level 4.

Transmission of COVID-19 is already high in the community, mainly still driven by Delta, but the emergence of Omicron adds additional and rapidly increasing risk to the public and healthcare services.

Early evidence shows that Omicron is spreading much faster than Delta and that vaccine protection against symptomatic disease from Omicron is reduced. Data on severity will become clearer over the coming weeks but hospitalisations from Omicron are already occurring and these are likely to increase rapidly.

When vaccine protection is reduced in the way that is happening with Omicron it is essential to top up that protection with a booster. Both booster vaccines (Pfizer and Moderna) increase the immune response substantially and show good effectiveness although with some reduction compared to Delta.

The NHS is currently under pressure mainly driven by non-COVID-19 pressures. With a variant spreading with increased transmissibility and reduced vaccine effectiveness, we are likely to see this pressure rise soon.

It is extremely important that if you are eligible, you get your COVID-19 vaccination now – whether this be your first, second or booster dose.

People should continue take sensible precautions including ventilating rooms, using face coverings, testing regularly and isolating when symptomatic.

Chief Medical Officer for England, Professor Chris Whitty

Chief Medical Officer for Northern Ireland, Professor Sir Michael McBride

Chief Medical Officer for Scotland, Professor Gregor Smith

Chief Medical Officer for Wales, Dr Frank Atherton

NHS England National Medical Director, Professor Stephen Powis

Covid-19: Holyrood Committee launches inquiry into rise in number of excess deaths

An inquiry into the cause of increased excess deaths in Scotland since the start of the pandemic has been launched by the COVID-19 Recovery Committee.

Recent data published by the Scottish Government shows deaths in Scotland are 11% above the average for this time of year and have been above the average for the last 26 weeks. The Committee will investigate whether this rise in deaths is being caused by COVID-19 directly, or the indirect health effects of the pandemic.

The Committee is seeking views on the following questions:

• Has the public health emergency shifted from COVID-19 deaths to deaths from non-COVID-19 conditions?
• Is there evidence that patients are now presenting with greater acuity?
• What accounts for the deaths from non-COVID-19 conditions?
• Is there enough of a strategic focus on the indirect health impacts of the pandemic?
• What are the realistic options open to the government in addressing the indirect health impact of the virus in winter 2021/22?

Speaking as the inquiry was launched, Siobhian Brown MSP, Convener of the COVID-19 Recovery Committee said: “The latest data released by the Scottish Government shows an alarming rise in the number of excess deaths since the start of the pandemic.

“Recent media reports suggest the pandemic has led to delays and decreases in the number of patients being diagnosed with illnesses, such as cancers, which can negatively impact the efficacy of treatment.

“We are keen to learn more about the indirect health impacts of the pandemic and whether the public health emergency has shifted from COVID-19 deaths to deaths from non-COVID-19 conditions.

“Every death is a tragedy, whether caused by COVID-19 or not, and it is essential that we establish the root causes of these deaths and find out what has led to this spike in the number of lives being lost.”

Let the Committee know your views here: 

https://yourviews.parliament.scot/covid19/excess-deaths-covid19-pandemic

Research reveals Brits are much more appreciative of the great outdoors since pre-pandemic

  • New research shows Brits have become much more appreciative of the great outdoors since before the pandemic and will continue to enjoy nature even through winter
  • More than half of us are prioritising wellbeing & mental health much more than pre-COVID times
  • 88% of us believe that connecting with the natural world improves wellbeing & mental health
  • We value rural holidays because they help us to unwind, rest and destress, spend time outdoors, discover new places and bond with friends or family
  • Almost three quarters of Brits are looking to holiday in the UK between now and the end of 2022, with over a fifth of us planning not one, but three or more staycations in that time  
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During the pandemic, we’ve had little choice but to holiday at home, discover local green spaces and landscapes and appreciate nature. As we adjust to our new and ever changing ‘normal’ it seems the need to enjoy the outdoors is here to stay – even through the winter months.

Research by Yonder.com – new travel brand offering responsible, authentic, nature-rich stays and experiences – reveals that more than half of Brits (52%) have become much more appreciative of the great British outdoors over the last 18 months, with 45% of the population planning on making the most of the UK’s natural beauty this winter by getting outside for a walk, hike or cycle.

A hardy one in ten (11%) say they’ll be braving icy waters for some paddle boarding or wild swimming and nearly a fifth (18%) will enjoy outdoor fitness throughout the winter season.

Yonder wellbeing expert and chartered psychologist, Suzy Reading, believes that for many of us, the great outdoors provided some solace and respite from unwelcome news, unfamiliar restrictions, and the loneliness of periods of lockdown or isolation.

Suzy says: “At such a bleak time, nature offered us all the perfect escape from everything going on. It gave us space, a change of scene, and an opportunity to reconnect, not only with our loved ones, but with the natural world around us.

“It also gave us a powerful antidote to the sensory overload we were all feeling after being glued to technology – whether for work, home-schooling or socialisation.”

What Brits love most about the colder months especially, are autumn colours (66%), fresh air (61%), winter landscapes (52%), long walks (43%) and frosty mornings (43%). And our commitment to outdoor living is evidenced by confirmation from nearly 50% of respondents that they’re investing more in outdoor kit (thermals, coats, waterproofs, camping gear, boots, wetsuits) than in previous years.

The survey also shows how more than half of Brits (55%) are now prioritising wellbeing and mental health much more than they were pre-pandemic.

“After the last two years, we’re acutely aware of the importance of protecting and prioritising our mental health”, says Suzy. “The collective experience we’ve all been through has drastically changed the way we look at our wellbeing and shown us how the outdoors plays a huge role in helping us maintain balance in such hectic world.”

So it makes sense that what we most value about rural holidays is the opportunity to unwind, rest and destress (46%), spend time outdoors (45%), discover new places (40%) and bond with friends or family (30%).

It’s clear that being outdoors makes us feel good. A whopping 88% of Brits believe that connecting with the natural world improves wellbeing and mental health. Benefits include feeling more positive, rejuvenated, energised, inspired, and/or less stressed.

Suzy says: “It doesn’t have to be a full-on itinerary or programme. Even a 15-minute stroll through a woodland or along the coast can do wonders to restore our equilibrium, instil a sense of calm and reap the benefits nature can bring to us.”

Other positives of being outdoors are being able to enjoy ‘me time’ to gather thoughts and reflect (29%) and connecting or reconnecting with friends & family (20%).

Results show we’ll continue to nurture our wellbeing in the coming year via wholesome and outdoorsy getaways. Almost three quarters (72%) of Brits are looking to holiday in the UK between now and the end of 2022 – with over a fifth of us planning not only one, but three or more staycations in that time.

As for where we’ll be headed; the coast (46%), rural destinations (32%), small towns and villages (30%) and national parks (28%) top Brits’ staycation location favourites.

With so much beauty on our doorstep and the opportunity that the pandemic has provided to help us discover it, nature in Britain has clearly become a compelling and year-round attraction.

Omicron: Scottish cases no longer linked to a single event

The number of cases of the Omicron variant in Scotland has risen to 29, it has been confirmed.

Commenting on the increase in Omicron cases to 29, First Minister Nicola Sturgeon said: “The number of Omicron cases now being reported in Scotland is rising, and cases are no longer all linked to a single event, but to several different sources including a Steps concert at the Hydro on 22 November.

“This confirms our view that there is now community transmission of this variant within Scotland. Given the nature of transmission we would expect to see cases rise – perhaps significantly – in the days ahead.

“However, health protection teams are continuing work through contact tracing, isolation and testing to slow the spread as far as possible while we learn more about the new variant’s impact. Ministers are also keeping the situation under daily review.”

MHRA approves Xevudy (sotrovimab), a COVID-19 treatment found to cut deaths and hospitalisation by 79%

This monoclonal antibody – the second to be authorised by the Medicines and Healthcare products Regulatory Agency – is for people with mild to moderate COVID-19 who are at high risk of developing severe disease.

Another COVID-19 treatment, Xevudy (sotrovimab), has today been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) after it was found to be safe and effective at reducing the risk of hospitalisation and death in people with mild to moderate COVID-19 infection who are at an increased risk of developing severe disease.

This follows a rigorous review of its safety, quality and effectiveness by the UK regulator and the government’s independent expert scientific advisory body, the Commission on Human Medicines, making it the second monoclonal antibody therapeutic to be approved following Ronapreve.

Developed by GSK and Vir Biotechnology, sotrovimab is a single monoclonal antibody. The drug works by binding to the spike protein on the outside of the COVID-19 virus. This in turn prevents the virus from attaching to and entering human cells, so that it cannot replicate in the body.

In a clinical trial, a single dose of the monoclonal antibody was found to reduce the risk of hospitalisation and death by 79% in high-risk adults with symptomatic COVID-19 infection.

Based on the clinical trial data, sotrovimab is most effective when taken during the early stages of infection and so the MHRA recommends its use as soon as possible and within five days of symptom onset.

Like molnupiravir, it has been authorised for use in people who have mild to moderate COVID-19 infection and at least one risk factor for developing severe illness. Such risk factors include obesity, older age (>60 years), diabetes mellitus, or heart disease.

Unlike molnupiravir, sotrovimab is administered by intravenous infusion over 30 minutes. It is approved for individuals aged 12 and above who weigh more than 40kg.

It is too early to know whether the omicron variant has any impact on sotrovimab’s effectiveness but the MHRA will work with the company to establish this.

Dr June Raine, MHRA Chief Executive said: “I am pleased to say that we now have another safe and effective COVID-19 treatment, Xevudy (sotrovimab), for those at risk of developing severe illness.

“This is yet another therapeutic that has been shown to be effective at protecting those most vulnerable to COVID-19, and signals another significant step forward in our fight against this devastating disease.

“With no compromises on quality, safety and effectiveness, the public can trust that the MHRA have conducted a robust and thorough assessment of all the available data.”

Professor Sir Munir Pirmohamed, Chair of the Commission on Human Medicines, said: “The Commission on Human Medicines and its COVID-19 Therapeutics Expert Working Group has independently reviewed the data and agrees with the MHRA’s regulatory approval of Xevudy (sotrovimab).

“When administered in the early stages of infection, sotrovimab was found to be effective at reducing the risk of hospitalisation and death in high-risk individuals with symptomatic COVID-19. Based on the data reviewed by the Commission and its expert group, it is clear sotrovimab is another safe and effective treatment to help us in our fight against COVID-19.”

Sotrovimab is not intended to be used as a substitute for vaccination against COVID-19.

The government and the NHS will confirm how this COVID-19 treatment will be deployed to patients in due course.

Transparent face masks to be introduced by NHS Scotland

Help for people with communication needs

New transparent face masks, made in Scotland, have been approved for use in health and social care settings.

The new transparent masks, which feature a clear front panel to enable lip reading,  will make communication easier and help reduce the challenges the pandemic has created for those with communication needs.

NHS National Services Scotland began distributing the masks to Health Boards in November, and they will be in use from early December onwards.

The product has been designed and made by Scottish PPE supplier, Alpha Solway, based in Dumfries and Galloway, and is the result of close collaboration with NHS National Services Scotland.

Cabinet Secretary for Health, Humza Yousaf said: “Although face masks are essential to reduce the spread of coronavirus, it can cause difficulties for people who rely on lip reading, or have other communication needs. 

“Patients and staff have rightly been calling for an alternative to the usual surgical face masks in clinical settings, so I am pleased NHS Scotland is rolling out these new, innovative transparent masks.

“These masks mean staff and patients can communicate clearly while staying safe.

“It is also great news that the masks are being made right here in Scotland. Businesses across Scotland worked hard to set up a new Scottish PPE supply chain at the start of the pandemic.

“This was an important part of our response to the coronavirus and this new and innovative product illustrates the long term benefits a domestic PPE supply chain can bring.”

Mary Morgan, Chief Executive for National Service Scotland said: “Patient care is of the utmost priority and clear communications is critical to delivering the best possible experience for patients.

“Our procurement team have been working hard to distribute transparent masks to health boards across Scotland in time for December. This is a key step in improving communications with patients and staff as we continue through the pandemic.”

“Stick with it, Edinburgh”

Council Leaders urge citizens to help keep Covid numbers down

Edinburgh’s Capital Coalition leaders today urged city residents to keep up and renew efforts to help limit the spread of the Covid virus. The call from Council Leader Adam McVey and Depute Council Leader Cammy Day comes after MSPs heard an update from the First Minister yesterday

A recent national decline in Covid cases has slowed in the past few weeks and hospitalisations and admissions to intensive care units are rising across the country. 

Cllr McVey said: We know with this pandemic that we have to be constantly vigilant and respond quickly to changes in infection rates, so that we keep a lid on case rises as much as we can to protect ourselves, our families and our fellow citizens.

As we head towards winter we’re asking all our residents to please keep sticking together on this and renew our collective efforts to slow the virus’s spread in our communities. 

Get both your jags and, if eligible, your third, booster dose when six months have passed since your second; carry on following the public health guidance on hand-washing, face-coverings, ventilation and meeting outdoors wherever possible; and test yourself regularly with the free lateral flow tests that can be ordered online or collected from chemists, libraries and our community testing centres.

Cllr Day said: “Unfortunately we’re definitely not out of the woods with the pandemic yet, although vaccinations have made a massive difference and helped us return to something much closer to ‘normality’ again.

“We all want to safeguard this progress and also we’ve got to reduce the severe pressure our health and care services are under as we approach the difficult winter months. That means we’re going to have to pull together, look out for one another and avoid giving the virus opportunities to spread as much as we can.”

RECKLESS: Scottish Government plans ‘set to decimate NHS dentistry’

To signal the return of a ‘business as usual’ model when the country is still in the grip of a pandemic is utterly reckless

The British Dental Association Scotland has warned that plans to return NHS practices to pre-COVID models of work will devastate dental services across the country.

Cabinet Secretary Humza Yousaf yesterday wrote to every NHS dental team in Scotland, indicating that all emergency support will be withdrawn by 1 April 2022. Since the first lockdown NHS practices have operated under a COVID support package, reflecting pandemic pressures and tight restrictions that continue to limit capacity across the service. 

A return to delivering a low margin/high volume model of care is, BDA Scotland contends, simply unsustainable under current conditions. While some restrictions may ease in the coming months, there are no indications the service is likely to return to anything resembling ‘business as usual’.

With a growing number of staff facing abuse from frustrated patients unable to secure appointments, the BDA has warned the move will only raise patient expectations, while pushing NHS colleagues into the private sector or out of dentistry altogether.

Yousaf has signalled minor changes to the payment system for dentists that will take effect from 1 February 2022, largely covering the treatment of children. While welcome, these reforms will have a negligible impact on capacity within the service and will not ease the pressure on practice finances once the COVID support payments are withdrawn.

The SNP committed to delivering free NHS care for all in Scotland in the recent election. The BDA has stressed this approach runs counter to that vision, and that real focus and energy must be applied to developing a new, sustainable model for delivering care.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “The Scottish Government seems set to pull the rug out from under every dedicated NHS dentist.

“If Ministers had an objective to decimate NHS dentistry, this approach would offer a great starting point. To signal the return of a ‘business as usual’ model when the country is still in the grip of a pandemic is utterly reckless. The net result will be to push colleagues out of the NHS and to leave this profession altogether.

“Ministers put NHS dentistry front and centre in their pitch for government. To deliver on their promises we need real commitment to find a new and better way for delivering for the patients that need us.”