Tag: public health

First Test and Protect data published

Breaking the chain of virus transmission

The first set of data from week one of the coronavirus (COVID-19) Test and Protect system has been published.

The data, which will be published weekly, shows:

  • the number of positive index cases from 28 May to 7 June
  • the number of index cases where contact tracing has been completed
  • the number of contact traces

Since Test and Protect was launched, 681 cases have tested positive with 741 contacts traced.

The level of data published will continue to improve once the data is robust and validated.

Cabinet Secretary for Health Jeane Freeman said: “Since 28 May, contact tracers across the country have followed up each new positive test to ensure those who may have come into contact with the virus take steps to isolate. By doing so, we can break the chains of transmission while slowly changing lockdown measures.

“The average number of people traced for each positive case reflects that we are still in phase 1 of lifting lockdown restrictions and people should not be mixing with large numbers of people outside of their own household.

“I would encourage anyone who has symptoms of COVID-19 to come forward as early as possible and get a test immediately to help us supress the spread of the virus.

“Contact tracing is one part of our work to tackle the COVID-19 pandemic. Physical distancing and good hand and cough hygiene continues to play a vital role in helping to minimise the spread of infection.”

20-06-10-covid19-publication_summary

Test and Protect was rolled out across Scotland on 28 May 2020.

The Test and Protect data is published on Public Health Scotland’s website.

FM: Young People – you are not immune

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House on Friday 5 June:

Good afternoon everyone. As you can see, I’m joined today by Iain Livingstone, Chief Constable of Police Scotland and by Professor Jason Leitch, our National Clinical Director.

I’ll start today – as I always do – by updating you on some of the key statistics in relation to COVID-19.

As at 9 o’clock this morning, there have been 15,582 positive cases confirmed – which is an increase of 29 from yesterday.

A total of 995 patients are in hospital with confirmed or suspected COVID-19. That represents a decrease of 26 from yesterday, including a decrease of nine in the number of confirmed cases.

Now as I said yesterday, in relation to the number of people who had their deaths registered in the previous day, we have to be very careful at reading too much into single day figures, but nevertheless I think it is reasonable to point out, that this is the first time since the 30 March, that the number of patients in hospital has been lower than 1,000. So again, a positive indication of the progress that we are making.

A total of 23 people last night were in intensive care with confirmed or suspected COVID-19. That is a decrease of five since yesterday.

I am also able to confirm today that since 5 March, a total of 3,778 patients who had tested positive for the virus have now been able to leave hospital.

In the last 24 hours though, 14 deaths have been registered of patients confirmed through a test as having COVID-19 – that takes the total number of deaths in Scotland, under that measurement, to 2,409.

Now as I always do, I want to stress that these numbers are not just statistics. They are individuals whose loss is being deeply felt by their loved ones. So – once again – I want to send my deepest condolences to everyone who has lost a loved one to this virus.

I also want to express my thanks – as I always do – to our health and care workers.  Your efforts are enormously appreciated – and not just by me and by the Scottish Government, they are appreciated, I know, by everyone in Scotland.

There are – of course – many other frontline and key workers who are helping the country through this crisis and with the Chief Constable here today, I want to take the opportunity to say a special thank you again, to our police officers and staff. They are also working under real pressure at the moment but they are doing an exceptional job for all of us.

There are two items I want to cover today.

The first concerns the economic impact of COVID-19.  I have just come from the Cabinet sub-committee on the economy earlier this morning – where we noted the latest monthly report, from our Chief Economist. 

That document, which was published this morning, provides a summary of Scotland’s key economic statistics.

Among other things, it shows that – in the first half of May – almost 1/5 of businesses in Scotland were temporarily closed and that contributed to more than 750,000 people being furloughed or unable to work as normal.

The report also shows that turnover is down in almost every sector of our economy.

And it contains new modelling, which takes account of the different phases for easing lockdown. On that basis, the report forecasts a more gradual economic recovery – one which might not see us return to pre-crisis levels, for a number of years.

In short, today’s publication confirms the scale of the economic crisis that we now face. In doing that, it further underlines why government action is so important and why it will continue to be so important.

The Scottish Government has already allocated more than £2.3 billion to help businesses and protect jobs.  And of course that’s before we consider important UK-wide measures currently in place – such as the Job Retention scheme.

That kind of support is helping to mitigate some of the economic impact of this crisis.  And it will continue to be vital as our businesses seek to rebuild.

And I want to again today give an assurance that the Scottish Government is determined to everything we can to support that process of rebuilding and recovery.  We will continue to do everything we can to protect your livelihoods.   That’s important in the short-term, but it is also vital to help lay the groundwork, for a sustainable economic recovery.

Of course that recovery will be helped by continued progress against this virus. If we have a set-back in tackling the virus, it will make the re-opening of our economy all the more difficult.

So the second item I want to cover today, is directly related to the first, and it concerns the current lockdown restrictions and particularly how I hope the people will comply with them over this weekend and beyond.

We’re now, of course, at the close of the first full week since we moved into phase 1 of our route map out of lockdown – and eased some of the restrictions.  So far, the vast majority of people have stuck by the new rules.  And I want to take the opportunity again today, to thank all of you who have continued to do the right thing.

However, it’s also clear that – over the past week – not absolutely everyone has done that.  The Chief Constable may say more later about compliance – and how the restrictions will be enforced, if necessary.

For my part, I want to set out very clearly again today, what the current rules are.  And to do that, instead of focussing on what we are now allowed to do, I want to again emphasise what we’re asking everyone not to do because it’s by not doing the things, that we know from the evidence that allows the virus to spread more easily, that we will keep it under control.

So to start, you mustn’t meet people from other households indoors. I know that might be a particular temptation on a weekend like this – when we’re expecting again poor weather. 

But let me be clear, that is extremely high risk. We know –  and we don’t know everything yet about this virus – but we do know that it transmits much more easily between people inside than it does outside.

So if you’re not willing to meet outdoors  – in all likelihood the rain  – please do not meet up with people from other households at all and I cannot emphasise that strongly enough.

I am not exaggerating when I say that if you do meet people from other households indoors, you are putting yourselves and you are putting them at risk of getting the virus of becoming ill with it and potentially dying from it and I would ask you not – please – to take that risk.

However, while the risk of meeting outdoors is lower, it is not absolutely zero  – so that means that if you do meet outdoors, you must not get within 2 metres of members of another household.

You should certainly not be shaking their hands or hugging them, difficult though I know that is and you shouldn’t share food of utensils with people from other households of touch hard surfaces that they may also have touched because again, these are ways in which we know the virus spreads relatively easily.

And were asking that – when two households do meet up – there should be no more than eight people in total in a group. In addition, you should not go more than five miles for recreation and you shouldn’t leave your face uncovered if you are in and enclosed space like a shop and public transport.

Wearing a face covering helps you protect others – and having others wear a face covering – means that they help protect you.

A more general point I want to make is that – even now – you should still be seeing far fewer people than you might normally do.  And you should still be trying to stay at home as much as you possible.

Basically, if you start to feel that your social life is returning to normal – that’s not a good sign right now.

That message applies to everyone – but it’s perhaps particularly relevant to young people. I want, today, to make a special plea to all of you, the young people of Scotland.

Many of you – I know – will be desperate to spend more time with your pals, after weeks of being apart.  You might even think that as young people, you are less likely to become seriously ill as a result of the virus and I know this from speaking to the young people in my own life.

But I want to be very clear – you are not immune from this virus, you can get it and it can be very harmful to you.

But even if you’re not seriously affected yourself, you can still pass it on to other young people.  They might then pass it on to others who are at greater risk from COVID-19 – such as their parents or grandparents.  And that could have really tragic consequences.

So I would urge you – and I know you all know how important this is  –  please don’t just think about your own risk, please think about the risk to your parents and your grandparents and to your friends’ parents and grandparents.

Don’t take risks that you could end up regretting and possibly grieving in the weeks ahead. Please stick to the rules.

Can I also say finally, just a very brief word and a very heartfelt word to those who I know want to make their voices heard this weekend in support of Black Lives Matter.

I want to urge you to make your voices heard. We all feel very strongly about this but I want to ask you, to do so safely.

In normal times, I may well have been planning to join a gathering of support this weekend. But coming together in mass gatherings right now is simply not safe. It poses a real risk to health and it poses a real risk to life.

So I would encourage you to read the statement that was issued yesterday by Kadi Johnson, Sheku Bayoh’s sister, and by Humza Yousaf, Anas Sarwar and Aamer Anwar asking people to protest in different ways.

For example you can make your voice heard online, you can lobby elected representatives, or you can make a donation to anti-racism campaigns but please, please, try to stay within the rules that are there for your own protection and above all please stay safe.

In fact, that’s a message which all of us should heed.  If you’re wondering whether or not it’s okay to do something this weekend, ask yourself if you’ve giving the virus an opportunity to spread.   And if you’re in doubt about whether your plans are within the rules or not, please err on the side of caution.

Above all else, please remember that every single decision we take right now as individuals, will affect the safety and the wellbeing of everyone.

The progress we’ve made against this virus – over these past few weeks – is real and I say that every day because I mean it – and it is as a result of all of us, overwhelmingly, sticking to these rules.  And that kind of collective effort will continue to be vital – as we slow the spread of this virus, even further.

I’m confident that the vast majority of you will continue to play your part.  And I want thank all of you, in advance, for showing that solidarity with each other and for doing exactly that.

FM: Progress – but DO NOT meet people from another household indoors

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Thursday 4 June):

Good afternoon. Thank you very much for joining us for today’s briefing. I want to start with my usual update on the current position in relation to Covid-19.

As at 9 o’clock this morning, there have been 15,553 positive cases confirmed – that is an increase of 49 from yesterday.

A total of 1,021 patients are currently in hospital with either confirmed or suspected Covid-19. That represents a total decrease of 96 from yesterday, including a decrease of 21 in the number of confirmed cases.

A total of 28 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 6 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,758 patients who had tested positive and required hospital treatment for the virus have been able to leave hospital.

And in the last 24 hours, 9 deaths have been registered of patients confirmed through a test as having the virus – that takes the total number of deaths in Scotland, under that measurement, to 2,395.

Now, as I often say, we cannot and indeed we should not read too much into any one day’s figures – and tomorrow’s figure or the next day’s figure may be higher than the one I have just given you – but I think it is still worth noting that yesterday was the first weekday, since 27 March, when the number of deaths registered under our daily measure was in single figures.

I think that demonstrates the progress we are making against this virus, but it also underlines why we all continue to need to comply with the public health guidance, so that we can continue to make this progress and don’t allow it to go into reverse.

But of course 9 deaths is still too many, and thinking of those 9 lives lost reinforces the point I make every day: that these figures are not just statistics; they represent people – unique and irreplaceable individuals – whose loss will have left families shattered and grieving. So I want to send my condolences once again to everyone who has lost a loved one to this virus.

I also want to express my thanks– as I always do – to our health and care workers, for the incredible work you are doing in incredibly challenging circumstances. My thanks goes to each and every one of you. The entire country owes you a debt of gratitude.

I am joined today by the Chief Medical Officer and the Cabinet secretary for Health. The Cabinet Secretary has some information to share about the prioritisation of cancer services, and the Chief Medical Officer will focus on figures which were published yesterday relating to patients in intensive care.

Before they speak, I want to  acknowledge the job losses announced yesterday at Rolls Royce in Inchinnan.  That announcement will have been devastating news for the workforce and their families, at what is already a very anxious time – and unfortunately it may not be the last of its kind in the period ahead. I want to stress that the Scottish Government will do everything we can to secure as good an outcome as we can for those whose jobs are at risk.

Yesterday’s news emphasises a point I have made before – that alongside a public health emergency, we are also now dealing with an economic emergency, on a scale none of us have experienced.

And that requires – and it will get – the attention and focus of the Scottish Government, just as the health emergency has and continues to get.

We have already allocated more than £2.3 billion to help businesses in Scotland through measures such as grants and business rates relief. That is in addition to welcome UK Government measures such as the furlough scheme.

Mitigating and addressing the economic costs of Covid is going to become an even greater priority in the weeks and months ahead.

But alongside that, and as part of our response, we also want to help businesses, where possible, to adapt and find new markets.

One of the areas where we have been doing that already, is in relation to personal and protective equipment, or PPE – in Scotland.

We are publishing a report today that summarises how we are securing PPE for health and care workers in Scotland – it also sets out the work we are doing to develop a manufacturing chain for that equipment.

To demonstrate the scale of some of this work, it’s maybe worth looking at an item such as fluid resistant surgical masks. Those are masks which help to prevent blood, bodily fluids and secretions from one person – including water droplets from coughs – coming into contact with the mouth or nose of the person wearing the mask.

Prior to Covid-19, National Services Scotland would provide around 57,000 of those masks to our health and care sector each week.

Now, instead of needing 57,000 masks a week, we need 4 ½ million. That is an 80-fold increase.

To meet that demand, we are importing equipment from overseas. 100 million fluid resistant masks have been imported from China, and a further 60 million are on order.

But we are also working with suppliers in Scotland to establish domestic supply chains.

Alpha Solway, a firm based in south-west Scotland which specialises in protective clothing, is due to start producing masks in August.  They have taken on 30 new staff to do so, and they are using raw material sourced from Don & Low in Forfar.

As a result, we hope that in due course, manufacturers in Scotland will be able – not just to meet demand for these masks here in Scotland – but also provide them to other parts of the UK or to other countries in Europe.

There is a similar story in relation to other items of equipment. We are creating supply chains for non-sterile gowns and FFP3 masks.  In addition, Berry BPI are planning to make 2-3 million new aprons a week in Greenock. A number of smaller Scottish enterprises are planning to make visors.

And CalaChem Ltd has produced 580,000 litres of hand sanitiser at its Grangemouth plant, using ethanol provided by Whyte & Mackay.

Many other Scottish businesses have diversified in order to help with the provision of PPE and I am grateful to each and every one of them.

They have worked alongside public service bodies such as NHS Scotland, Scottish Development International and the National Manufacturing Institute for Scotland.

And it is worth highlighting that in many cases, companies are not simply making existing products. They are often using innovation to improve the equipment – for example by ensuring that face masks fit better on small faces, and that more equipment can safely be re-used.

Fundamentally, the Scottish Government’s priority – which we are achieving – must always be to ensure that we have adequate stocks of PPE.

Our health and care service workers – the people who help and protect us – must themselves be protected.

That is important at the moment, but also for the future, as we look to reopen the NHS, and maintain secure stocks of equipment for social care.

We will always, when necessary, place major orders with overseas suppliers.

However we are also increasingly taking advantage of the expertise of manufacturers here. Doing that gives us greater reassurance that supplies will be secure in the long term, and it also creates real benefits in terms of jobs and exports.

Those benefits don’t of course come close to balancing the wider economic harms caused by this pandemic – and so the Scottish Government will continue to work with business and the UK Government to address those. But these benefits are welcome nonetheless. And they are a testament to the ongoing importance and excellence of our manufacturing sector here in Scotland.

I will hand over to the Cabinet Secretary and Chief Medical Officer in a moment. Before I do that, however, I want to re-emphasise our key public health guidance.

And I’m asking you today to focus not just on what you are now allowed to do as a result of the small changes we made last week – but to focus even more so on what we are still asking you not to do.

It is by not doing certain things right now that we will help stop the virus spreading – so that means not meeting other households indoors, not coming within 2 metres of people from other households, not shaking their hands or hugging them, not sharing food or utensils with others or touching hard surfaces they may also have touched and not leaving your face uncovered in enclosed spaces like shops and public transport.

So I’m asking you to think about all of that every time you leave home or meet with someone from another household.

And, particularly, ahead of a weekend when the weather forecast is more traditionally Scottish ie heavy rain – I want to particularly emphasise this point:

You cannot and must not meet people from another household indoors – that is a sure fire way of allowing this virus to spread again.

So if you’re not willing to get your waterproofs on and meet outdoors, don’t meet up at all.

I cannot emphasise that enough.

So to recap –

You should still be staying home most of the time, and you should still be meeting fewer people than normal. If your life feels like it is getting back to normal at the moment, you should ask yourself whether it should be and whether you are complying with all the guidance.

When you do meet people from another household, you must stay outdoors, and you must stay 2 metres apart from them.

Don’t meet with more than one other household at a time, don’t meet more than one a day – and keep to a maximum – I stress, a maximum – of 8 people in a group.

Wash your hands often. Take hand sanitiser if you are out and about.

Wear a face covering when you are in shops or on public transport.

Avoid touching hard surfaces – and clean any you do touch.

And if you have the symptoms of Covid-19 – a new, continuous cough; a fever; or a loss of, or change in, your sense of smell and taste – you must get tested, and follow the advice on self isolation.

Above all else, please remember that the decisions each of us take as an individual, affect the health and wellbeing of all of us.

Please, continue to do the right thing, and to stick to those guidelines. It really, really matters, and it matters as much now as it did at the start of this pandemic. By doing so, we will continue to slow the spread of the virus, and save lives. So thank you, once again, to all of you for doing that.

Re-mobilise, Recover, Re-design: next steps for NHS Scotland

NHS Scotland will begin resuming some services that have been suspended, delayed or deferred due to coronavirus (COVID-19), whilst continuing to protect emergency, urgent and maternity care.

‘Re-mobilise, Recover, Re-design, The Framework for NHS Scotland’ sets out how Health Boards will follow national and local clinical advice to safely and gradually prioritise the resumption of some paused services. Health boards will introduce these plans while maintaining COVID-19 capacity and resilience and providing appropriate support for social care.

The Interim Chief Medical Officer and National Clinical Director have provided an initial outline on what services could be prioritised in the next phase of Health Board mobilisation planning.

These include:

  • cancer services, especially referrals and postponed treatments
  • expanding treatments for non-cancer urgent inpatients and outpatients
  • outpatient therapies where delay will increase the risk to patients, such as management of macular degeneration, paediatrics and respiratory services
  • mental health support
  • treatment room services such as blood monitoring and B12 injections

Health Secretary Jeane Freeman said: “The coronavirus pandemic has seen an unprecedented response from our NHS and care staff. Our fantastic staff have delivered a massive reorganisation of services in just a matter of weeks. This has ensured that our NHS has not been overwhelmed. 

“We are taking an evidence-based, cautious and phased approach to resuming services to ensure the virus continues to be suppressed. While NHS Scotland will remain on an emergency footing, this framework sets out our approach for the next phases as we continue to respond to this pandemic.

“Our approach is not only driven by clinical priorities but also what matters to people’s quality of life like pain clinics, dental treatment and preventative work like cancer screening.”

Interim Chief Medical Officer Dr Gregor Smith said: “Re-mobilise, Recover, Re-design, The Framework for NHS Scotland sets out the steps being taken to safely resume some paused NHS services across Scotland.

“It ensures that the successful steps taken to maintain services during the pandemic are learnt from and built upon. This includes the significant innovations introduced across the NHS to assess patients utilising digital technology.

“The reality is coronavirus is likely to be with us for some time to come, and so many changes made in the coming weeks and months have to be measured against the need to keep the virus under control, continuing to protect the NHS and save lives.

“Our approach will be informed by national and local clinical priorities. We will continue to work with health boards, local authorities, Royal Colleges, professional bodies, unions and other key stakeholders to ensure this is robust and up to date.”

 You can read Re-mobilise, Recover, Re-design, The Framework for NHS Scotland online.

Test and Protect

Health Secretary Jeane Freeman explains how we can all play our part in the fight against coronavirus (COVID-19):

Test and Protect is NHS Scotland’s new approach to controlling the spread of coronavirus (COVID-19) in the community.

The system will help to prevent you from spreading the virus, and protect the country from a second peak. But just like lockdown, it can only work if we all play our part.

From today, if you have any of the symptoms of COVID-19 – a new continuous cough, temperature or loss or change of taste or smell – you should immediately visit NHS Inform or call 0800 028 2816 if you can’t get online.

It is really important you do this as soon as you suspect you have symptoms. The quicker the NHS can tell if you have the virus, the better chance we all have of stopping it spreading.

When you contact the NHS you will be able to book a test at a mobile testing unit, a drive-through testing centre or order a home testing kit.

While you wait for that result, it is important that you and everyone in your household self –isolates.

If you test positive, you will need to self-isolate for 7 days, and your household for 14.

That has always been the case.  What’s new is that now, as we begin to ease some of the lockdown measures, in order to keep the virus suppressed, we will also need to trace your close contacts and advise them to isolate for 14 days, with support.

So if you get a positive test result you will be asked who you have been in close contact with. This includes people in your household, people you have had direct face to face contact with for any length of time, and those you have been within 2 metres of for 15 minutes or more.

This NHS system is entirely confidential, when the people you have been near are contacted they will not be told who it is that they have been in contact with. This information is only collected and used by NHS Scotland for the purposes of tracing your contacts. The Scottish Government will not have access to it.

If you receive a call or a message from a contact tracer to say you have been in contact with someone who has tested positive, they will ask you to self-isolate immediately. It is hugely important you do this in order to stop the spread of the virus.

It is only by all playing our part, getting tested, providing information and agreeing to isolate, that we can cut the numbers of people getting the virus.

You can find guidance on the Scottish Government website to help you self-isolate, which includes advice on what to do if you care for someone who is shielding, and how you can access food and medicine. It’s also a good idea to take steps to ensure that you are prepared in advance, in case you are ever  asked to isolate.

For those who cannot leave their home and who cannot get the help they need from family, friends or online, the National Assistance Helpline (0800 111 4000) is available Monday to Friday, from 9.00 am 5.00 pm.

We have also published guidance for employers which makes clear that they should support anyone who  needs to self-isolate as part of Test and Protect. We are also working with the UK Government to ensure that people are fully protected by their employment rights and benefits, such as Statutory Sick Pay as a minimum.

Of course, the best way to avoid having to isolate, is to follow the rules on physical distancing and stay 2 metres apart from anyone outside of your own household.

Test and Protect will be part of all our lives for the foreseeable future, until we know we have fully suppressed the virus, or there is a treatment or a vaccine that we can be confident will protect people properly.

So as we slowly change the lockdown restrictions, for everyone to enjoy more freedoms, we must all play our part by isolating when we are asked to.

FIRST Minister Nicola Sturgeon is expected to announce the first steps on the road to a loosening of lockdown restrictions at lunchtime today.

Covid symptoms? Book a Test

Test and Protect – NHS Scotland’s approach to controlling the spread of coronavirus (COVID-19) in the community – will be rolled out across all health boards from tomorrow (Thursday 28 May).

From that date, everyone aged five and over who has COVID-19 symptoms of a new continuous cough, temperature or loss or change in sense of taste or smell should go to NHS Inform online or call 0800 028 2816 to book a test.

Under the system, people will need to isolate with their household as soon as they have symptoms and, if they have a positive test result, they will be asked to provide details of all recent close contacts to NHS contact tracers.  Those people will be contacted and asked to isolate for 14 days.

As part of the roll out, guidance for individuals and employers has been published which sets out advice on what to do if someone is displaying symptoms or if they have been in close contact with someone who has tested positive for COVID-19.

It includes information on how to self-isolate safely as part of Test and Protect, what plans need to be made by households and families, and how to help older people or those with underlying health conditions.

Additional support for self-isolation is also being made available to those who need it through the National Assistance Helpline.

First Minister Nicola Sturgeon said: “The aim of Test and Protect is to protect the public from spreading COVID-19 and to protect the country from a second peak.

“By ensuring those who may have come into contact with the virus take steps to isolate, we can break the chains of transmission and keep the virus suppressed whilst slowly changing lockdown measures.

“This approach can only work if we all play our part. From Thursday, we are asking everyone aged five and over who has COVID-19 symptoms – a new continuous cough, temperature or loss or change in sense of taste or smell – to book a test as soon as possible.

“It is important to do this as soon as symptoms are suspected. The quicker the virus can be identified, the better chance there is of stopping it spreading.

“It remains vital that alongside Test and Protect people continue to follow physical distancing advice and practise good hand and cough hygiene.”

Cllr Stuart Currie , COSLA Health and Social Care spokesperson, said: “COVID-19 continues to have an impact on all of our daily lives and it is important that we carefully manage the transition out of lockdown. 

“That is why we welcome the Test and Protect guidance that has been co-produced by Scottish Government and NHS Scotland in partnership with Local Government.

“It is vital that people work together to follow this advice and self-isolate when required, not just for their own safety, but in order to protect others. Only by taking this approach will we be able to slow the spread of the virus.

“Local Government has already been at the forefront of efforts to support people during lockdown, providing essential services and assistance to the many people in Scotland who don’t have a network of support in place.  We will continue to support our communities by taking a central role in the delivery of Test and Protect.”

Guidance for the public, including a summary is available online along with guidance for employers. 

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First Minister talks Test & Protect

Statement given by the First Minister Nicola Sturgeon at a media briefing in St Andrew’s House yesterday (Tuesday 25 May):

Good afternoon. Thanks for joining us for today’s briefing.

I want to start – as I always do – by updating you on some of the key statistics in relation to Covid-19 in Scotland.

As at 9 o’clock this morning, there have been 15,185 positive cases confirmed – an increase of 29 from yesterday.

A total of 1,200 patients are in hospital with confirmed or suspected Covid-19. That represents a total decrease of 69 from yesterday, including a decrease of 16 in the number of confirmed cases.

A total of 36 people last night were in intensive care with confirmed or suspected Covid 19. That is a decrease of 4 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,589 patients who had tested positive for the virus have been able to leave hospital.

And unfortunately, in the last 24 hours, 18 deaths have been registered of patients who have been confirmed through a test as having Covid-19 –  that takes the total number of deaths in Scotland, under that measurement, to 2291.

Each one is an individual whose loss is a source of grief to many. I want to send my condolences to everyone who has lost a loved one to this virus.

I also want to express my gratitude – as I always do – to our health and care workers, for everything you are doing in such testing circumstances.

Today, I want to focus on the launch of NHS Scotland’s test, trace and isolate programme – Test and Protect – the logo for which you will see behind me.

From the end of this week, through Test and Protect, anyone who suspects they have Covid-19 will be tested.

If you test positive, your close contacts will be traced and advised to isolate for 14 days.

The aim of Test and Protect is to quickly identify cases of the virus and then act to break the chains of transmission.

On 4th May, we published our initial plans.

I can confirm today, that the system will go live in every one of Scotland’s 14 health board areas on Thursday.

Test and Protect will be an important tool in the months ahead – it will help us suppress the virus while we slowly ease lockdown restrictions. But it will only be effective if we all play our part.

So today I’ll set out what the capacity of the new system will be at the point of launch and how this will develop.

And I’ll set out how you as an individual, your household, your workplace and your employer can support us in making it work.

Firstly we said that to launch Test and Protect nationally we needed the ability to conduct over 15,000 tests a day.  I can confirm today that this capacity is now in place.

It will be delivered through a combination of NHS labs, academic partners, the Scottish National Blood Transfusion Service and the Lighthouse Lab in Glasgow.

Secondly, we said we would enhance and extend use of the software that public health teams already use for contact tracing in relation to other infectious diseases.

That software has been piloted in Fife, Lanarkshire and Highland over the last week and I can confirm that it will be operational in every health board by Thursday.

Thirdly, we said that we’d aim to have 2000 contact tracers available by the end of this month.

Based on current demand estimates, we assess that around 700 will be needed in the early phase. However, I can confirm that by the end of the month we will have a pool of around 2000 to draw on if necessary.

This is a system that will operate at a scale not seen before in Scotland. Over the first couple of weeks, it will need to bed down. But introducing it at the same time as we take the first cautious steps out of lockdown gives us the opportunity to address any operational issues ahead of a potentially more substantial easing of restrictions at the next review date in 3 weeks.

Over the next few weeks, we will also add enhancements to the system.

As I said earlier, the technology used by contact tracers will be in place from the start. But we will also add a digital platform to allow people who test positive to enter details of their contacts online.

We will also continue to build testing capacity and make access to testing more locally accessible. We will keep you updated on all of that.

Let me now outline what we are asking you, the public to do.

Let me stress that, just like lockdown, this is something that will only have the desired effect if we all do what is required. It can’t be seen as optional.

To make sure we all understand what is required, a public awareness campaign will start later this week. And during June, information will be delivered to every household across the country.

But let me set out the basics here.

https://twitter.com/i/status/1265341932223336448

Firstly, as of Thursday we are asking that if you have any of the symptoms of COVID-19 – that is a cough, temperature or loss of taste or smell – you take immediate steps to book a test.

Please don’t wait to see if you feel better after a day or two – time is of the essence, so get in touch as soon as you experience symptoms.

You should go to nhsinform.scot or, if you can’t get online, call NHS 24 on 0800 028 2816.

Online you can ask for a test for yourself, or for someone else that you live with, and book it at one of the drive through testing centres or mobile testing units. For some, there will also be the option of a home testing kit. As I said earlier, in the coming weekswe will be working to further expand local access to testing.

If you can’t go online, you should call NHS 24 on 0800 028 2816. An adviser will then go through some questions with you, and book you in for a test.

While you wait for your test and the result, it is essential that you and your household self-isolate.  That means staying at home at all times – with the exception of going for the test. You shouldn’t go to the shops, out for exercise or to see anybody else.

In line with the current guidance, the person with symptoms should isolate for 7 days from the start of your symptoms.

Other members of the household should self-isolate for 14 days.  If any of them start to display symptoms during that time, they should also go through the testing process.

If your test comes back negative, you and your household can end your isolation.

However, if you are contacted to be told that you have tested positive, you will be asked at that stage for details of people that you have been in contact with.

The definition of a contact is people within your household, people you have had face to face contact with, and people who have been within two metres of for a period of 15 minutes or more.

I want to take the opportunity now to assure you that your privacy will be respected at all times during this process.

The information you provide will be held securely within the NHS and used only for the purposes of tracing your contacts.

It will not be used by the Scottish Government – indeed, we won’t have access to it. All the work of identifying and tracing contacts will be done within Scotland’s NHS.

Let me turn now to what to do if you receive a call from a contact tracer to say that you have been in contact with someone who has tested positive.

It is no exaggeration to say that how you – how any of us – respond will be vital in stopping the spread of the virus.

We will ask you to self-isolate immediately – the success of Test and Protect will really depend on all of us trusting this advice and, for the sake of ourselves and each other, agreeing to abide by it.

If you are at work, the advice will be to immediately head home, taking care to come into contact with as few people as possible.

We have published guidance this morning for employers, making clear they should support anyone who is asked to self-isolate by Test and Protect.

If you are well, and can work from home, then your employer will expect you to do so, but they should not ask you to go into work.

The Scottish Government is also in contact with the UK Government to ensure that employment rights and entitlement to benefits including statutory sick pay, take account of the fact that people may be off work or unable to attend appointments through no fault of their own.

We have also published today general advice for anyone who is asked to self-isolate. Remember that this is something over the months ahead that could happen to any of us – on more than one occasion.

This includes hygiene advice for your home, advice for other people in your household, what to do if you care for someone who is shielding or clinically vulnerable, and what to do if you need help accessing food and medicine or even accommodation. It also suggests how we can all make some preparations in advance.

Now, I know there’s a lot of information here to take in. But don’t worry, we will be taking steps to ensure everyone knows what we are asking you to do.

For now, let me leave you with these points.

Test and Protect is an important tool for us in the period ahead. The more effective it is, the more of the lockdown restrictions we will be able to lift.

However, it can’t do all the work of suppressing the virus. We will all continue to have a vital role to play in our everyday lives. That means even as we ease lockdown, physical distancing, good hygiene and following appropriate advice will continue to be essential.

And so too will all of us doing what is asked of us. Test and Protect will only work if we all come forward for testing when we have symptoms and if we all agree to self-isolate when asked.

And if the government steps up to give you the support you need to do so.

In short, Test and Protect will require exactly the same spirit of solidarity and care for each other as lockdown has done.

It will be a collective national endeavour.

People will need the help of family, friends, colleagues and employers. Volunteers who have been supporting efforts to distribute food and care for the vulnerable through lockdown will have a valuable part to play in supporting people through Test and Protect. Government will have to ensure the right capacity, resources and support is in place.

And all of us will have to agree to make sacrifices for the common good – just as we have been doing.

In short, by agreeing that some of us will have to stay home at times – when we have symptoms, test positive, or have been in contact with someone who tests positive – we can gradually move away from a situation where everyone has to stay home all of the time.

As I said earlier, we will make much more information available in the days and weeks to come.

But let me leave you with the most important message – from Thursday, if you have symptoms you should go online to NHS Inform or call NHS 0800 028 2816 0800 and book a test straight away.

And for now, all of us must continue to stick with lockdown measures.

So please, stay at home except for essential purposes.

When you do leave the house, stay more than two metres from other people. And do not meet up with people from households other than yours.

You should wear a face covering if you are in an enclosed space such as a shop or on public transport. This is one of the issues covered in the Transport Transition Plan that we will also publish later this afternoon.

You should also continue to wash your hands thoroughly and regularly.

And if you or someone else in your household has symptoms of Covid-19, then you should stay at home completely.

At the moment, these actions are vital – to slow the spread of the virus, protect the NHS, and save lives.

So thank you once again, for helping to do that.

At least 80 million children at risk as COVID-19 disrupts routine vaccination effort

Measles in India
A newborn receives a routine vaccination at an immunization site, in Ghaziabad, Uttar Pradesh India.

COVID 19 is disrupting life-saving immunization services around the world, putting millions of children – in rich and poor countries alike – at risk of diseases like diphtheria, measles and polio.

This stark warning comes from the World Health Organization, UNICEF and Gavi, the Vaccine Alliance ahead of the Global Vaccine Summit on 4 June, at which world leaders will come together to help maintain immunization programmes and mitigate the impact of the pandemic in lower-income countries.

According to data collected by the World Health Organization, UNICEF, Gavi and the Sabin Vaccine Institute, provision of routine immunization services is substantially hindered in at least 68 countries and is likely to affect approximately 80 million children under the age of 1 living in these countries.

Since March 2020, routine childhood immunization services have been disrupted on a global scale that may be unprecedented since the inception of expanded programs on immunization (EPI) in the 1970s. More than half (53%) of the 129 countries where data were available reported moderate-to-severe disruptions, or a total suspension of vaccination services during March-April 2020.

“Immunization is one of the most powerful and fundamental disease prevention tools in the history of public health,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

“Disruption to immunization programmes from the COVID-19 pandemic threatens to unwind decades of progress against vaccine-preventable diseases like measles.

“At the 4 June Global Vaccine Summit in London, donors will pledge their support to Gavi, the Vaccine Alliance, to sustain and accelerate this lifesaving work in some of the most vulnerable countries. From the bottom of my heart, I urge donors to fully fund the Alliance. These countries, these children especially, need vaccines, and they need Gavi.”

The reasons for disrupted services vary. Some parents are reluctant to leave home because of restrictions on movement, lack of information or because they fear infection with the COVID-19 virus. And many health workers are unavailable because of restrictions on travel, or redeployment to COVID response duties, as well as a lack of protective equipment.

“More children in more countries are now protected against more vaccine-preventable diseases than at any point in history,” said Dr. Seth Berkley, Gavi CEO.

“Due to COVID-19 this immense progress is now under threat, risking the resurgence of diseases like measles and polio. Not only will maintaining immunization programmes prevent more outbreaks, it will also ensure we have the infrastructure we need to roll out an eventual COVID-19 vaccine on a global scale.”

Transport delays of vaccines are exacerbating the situation. UNICEF has reported a substantial delay in planned vaccine deliveries due to the lockdown measures and the ensuing decline in commercial flights and limited availability of charters.

To help mitigate this, UNICEF is appealing to governments, the private sector, the airline industry, and others, to free up freight space at an affordable cost for these life-saving vaccines. Gavi recently signed an agreement with UNICEF to provide advance funding to cover increased freight costs for delivery of vaccines, in light of the reduced number of commercial flights available for transport.

“We cannot let our fight against one disease come at the expense of long-term progress in our fight against other diseases,” said Henrietta Fore, UNICEF Executive Director.

“We have effective vaccines against measles, polio and cholera. While circumstances may require us to temporarily pause some immunization efforts, these immunizations must restart as soon as possible, or we risk exchanging one deadly outbreak for another.”

Next week, WHO will issue new advice to countries on maintaining essential services during the pandemic, including recommendations on how to provide immunizations safely.

Mass immunization campaigns temporarily disrupted

Many countries have temporarily and justifiably suspended preventive mass vaccination campaigns against diseases like cholera, measles, meningitis, polio, tetanus, typhoid and yellow fever, due to risk of transmission and the need to maintain physical distancing during the early stages of the COVID-19 pandemic.

Measles and polio vaccination campaigns, in particular, have been badly hit, with measles campaigns suspended in 27 countries and polio campaigns put on hold in 38 countries.

At least 24 million people in 21 Gavi-supported lower-income countries are at risk of missing out on vaccines against polio, measles, typhoid, yellow fever, cholera, rotavirus, HPV, meningitis A and rubella due to postponed campaigns and introductions of new vaccines.

In late March, concerned that mass gatherings for vaccination campaigns would enflame transmission of COVID-19 WHO recommended countries to temporarily suspend preventive campaigns while assessments of risk, and effective measures for reducing COVID virus transmission were established.

WHO has since monitored the situation and has now issued advice to help countries determine how and when to resume mass vaccination campaigns. The guidance notes that countries will need to make specific risk assessments based on the local dynamics of COVID-19 transmission, the health system capacities, and the public health benefit of conducting preventive and outbreak response vaccination campaigns.

Based on this guidance, and following growing concerns about increasing transmission of polio, the  Global Polio Eradication Initiative (GPEI), is advising countries to start planning for the safe resumption of polio vaccination campaigns, especially in polio high-risk countries.

Despite the challenges, several countries are making special efforts to continue immunization. Uganda is ensuring that immunization services continue along with other essential health services, even funding transportation to ensure outreach activities. And in Lao PDR, despite a national lockdown imposed in March, routine immunization in fixed sites continued with physical distancing measures in place.

Pictures: WHO

Scottish Government funding to support health and wellbeing

£8 million for community projects to help combat isolation

Funding of more than £8 million is helping projects to deliver mental health support and wellbeing services for people who are feeling isolated during the coronavirus (COVID-19) pandemic.

The funding was allocated to 344 projects, who are providing support in communities across Scotland, including to those who are self-isolating or shielding.

It is part of a £50 million Wellbeing Fund that is helping people through the pandemic.

Communities Secretary Aileen Campbell said: “Adjusting to life under lockdown is tough and although we have all found it difficult, for some, the strain on their mental health and wellbeing has been a real struggle.

“A quick phone call or dropping off a few essential groceries can have a huge positive impact on people who may be self-isolating or shielding for health reasons. Small acts of kindness will also help those people who have seen their support network – whether that be friends, extended family, colleagues or community groups – disappear almost overnight.

“That is why this funding has been so important. It has enabled groups providing mental health and wellbeing support, alongside other vital services, to offer help and advice as we deal with this pandemic. I am glad we have been able to support groups across Scotland to provide these lifelines at a hugely difficult time.”

Space and Broomhouse Hub in Edinburgh is using £20,500 of wellbeing funding to provide services supporting mental health and combating isolation for a range of age groups. That includes keeping in touch by phone with elderly people who are self-isolating and providing food parcels and ‘boredom buster’ packs to families.

Bridie Ashrowan, Chief Executive at The Broomhouse Project, said: “Our community hub is helping many people locally to manage the traumatic consequences of COVID-19, such as empty kitchen cupboards, paying bills, anxiety, social isolation, digital exclusion, increased stresses on family relationships, and lack of respite for carers, young carers and adults.

“Our amazing staff, volunteers and trustees are delivering this with kindness and community. A huge thank you to the Scottish Government for enabling us to progress this work when it is much needed.”

In Dumfries and Galloway, the Lincluden After School Group has used £15,841 of Wellbeing funding to provide extended respite care services for parents of children with additional support needs, helping to prevent burnout and maintain stability during the crisis.

Kathleen Procter, Manager of the Group, said: “At this scary and unprecedented time, we can’t thank the Scottish Government enough for putting the Wellbeing Fund in place to support charities.

“The funding we received will allow us to provide vital support for children with additional support needs or disabilities. This is a very unsettling time for these children and we are grateful to be able to play our part in continuing to provide as much normality and routine for them as possible.”

The £50 million Wellbeing Fund supports organisations across the third sector that are providing important services for people as a result of coronavirus. It is part of the £350 million emergency coronavirus funding announced by the Communities Secretary on 18 March.

£33 million of the Wellbeing Fund is open to applications, with grants available between £5,000 and £100,000.

The fund is being delivered through national organisations and funders including Scottish Council for Voluntary Organisations, Corra Foundation, Inspiring Scotland, Impact Funding Partners, The Hunter Foundation, The STV Children’s Appeal, and all of Scotland’s 32 Third Sector Interfaces (TSIs) which provide a single point of access for support and advice for the third sector within local areas.

Phase one of the Wellbeing Fund worth £14 million, has been awarded to a total of 558 projects to provide targeted support in local areas.

Applications for the second round of the Wellbeing Fund opened on 8 May to all organisations that did not apply or receive funding during the first round. As of 20 May, 237 applications had been received during round two worth £4,169,206.

Mental Health Awareness Week: Kindness Matters

NHS 24 reminds us that kindness matters during Mental Health Awareness Week:

NHS 24 is taking time during Mental Health Awareness Week to remind those who might need some support of their Breathing Space service, and the importance of being kind to yourself.

Breathing Space is a free, confidential phone and web based service for people in Scotland experiencing low mood, depression or anxiety.  The service offers a friendly ear while also providing professional support to those who might need it.

Tony McLaren, National Coordinator of Breathing Space, says: “We all need support from time to time, and it’s really important to remind ourselves that it’s ok to ask someone for help.

“Sometimes we can feel a bit stuck- you might think that others appear to be coping well, so why do I feel I am struggling? It’s worth remembering if you aren’t comfortable speaking to friends or family, you can ask for help on the phone as well. Our advisors will give you time to open up, should you be experiencing distress in your life.

‘Please don’t feel you have to wait until things are very bad to get in touch. Our service is there to provide space to think about why you might be feeling anxious or low. At this time it’s important to look after our mental health, and remind ourselves that kindness matters.”

Breathing Space is available on 0800 83 85 87 or on www.breathingspace.scot, Monday-Thursday 6pm to 2am and from Friday 6pm-Monday 6am.

Find us at www.twitter.com/nhs24 and www.facebook.com/nhs24