Coronavirus: Business as Usual … for now

CORONAVIRUS ACTION PLAN PUBLISHED

The Scottish Government, Welsh Government, Northern Ireland Executive, and the UK Government have today jointly published an Action Plan setting out a collective approach to the ongoing outbreak of coronavirus (COVID-19).

The Scottish Government has also published additional Scotland-specific guidance on its resilience and response arrangements, which provides further detail on how the response will be delivered and coordinated if there is a sustained epidemic.

First Minister Nicola Sturgeon said: “The Scottish Government and NHS Scotland are well-prepared to deal with a coronavirus outbreak. As well as the four nations’ Action Plan published today, we have also published tailored guidance for Scotland’s unique landscape.

“The Action Plan and the detail of our additional resilience arrangements for Scotland set out very clearly what we know so far about coronavirus, the different phases of managing an infection of this nature, what each phase means and the actions that have been or could potentially be taken at each stage.

“Much of this planning is based on reasonable worst case scenarios which will be refined as our understanding of the virus develops, but it is vital that we are well equipped to deal with all possibilities as this outbreak grows globally.

“We will continue to work closely with the UK Government, Welsh Government and the Northern Ireland Executive as part of a coordinated response to this virus.”

Health Secretary Jeane Freeman said: “Scotland is well equipped to deal with infections of this kind and health boards and social care services plan and prepare for a range of emergencies in order to minimise disruption as far as possible.

“We have a proven track record of dealing with challenging health issues and follow the highest safety standard possible to protect health and social care staff, patients and the public.

“The NHS has been specifically preparing for the possibility of further spread of coronavirus since it was first detected in Wuhan and today’s planning information outlines the processes and protections in place to ensure a coordinated response to this outbreak.”

Scottish Conservative shadow health spokesman Miles Briggs MSP said: “Understandably many people in Lothian are deeply concerned about whether the Scottish NHS will be able to cope with the extreme demands that the Coronavirus will place on it.

“Over the last six years we have seen a significant reduction in hospital beds with the loss of hundreds of acute hospital beds over a six year period.

“The worst case scenario outlined by SNP Ministers and the Chief Medical Officer suggests a high number of vulnerable patients will require hospitalisation. The SNP must therefore consider the worst case scenario and recommission NHS beds across the hospital estate urgently.

“It is the responsibility of all of us regardless of politics to make sure that guidance is followed to help protect individuals and families and to provide advice and assistance especially to the most vulnerable in our society.”

Prime Minister Boris Johnson told the press this morning: 

Good morning and thank you for coming along, and I am very glad to be joined this morning by the government’s Chief Medical Officer and Chief Scientific Advisor.

Today we have published the Coronavirus Action Plan setting out how all four parts of the UK will take all necessary and reasonable steps to tackle this outbreak.

The plan has four strands. Containing the virus, delaying its spread, researching its origins and cure, and finally mitigating the impact should the virus become more widespread. That is, contain, delay, research, mitigate.

And let me be absolutely clear that for the overwhelming majority of people who contract the virus, this will be a mild disease from which they will speedily and fully recover as we’ve already seen.

But I fully understand public concern, your concern, about the global spread of this virus. And it is highly likely that we will see a growing number of UK cases.

And that’s why keeping the country safe is the government’s overriding priority. And our plan means we’re committed to doing everything possible based on the advice of our world leading scientific experts to prepare for all eventualities.

Let’s not forget – we already have a fantastic NHS, fantastic testing systems and fantastic surveillance of the spread of disease.

We will make sure the NHS gets all the support it needs to continue their brilliant response to the virus so far.

The plan does not set out what the government will do, it sets out the steps we could take at the right time along the basis of the scientific advice.

Our country remains extremely well prepared, as it has been since the outbreak began in Wuhan several months ago.

Finally, crucially, we must not forget what we can all do to fight this virus, which is to wash our hands, you knew I was going to say this, but wash our hands with soap and water. And forgive me for repeating this but there will be people who will be tuning into this for the first time: wash your hands with soap and hot water for the length of time it takes to sing Happy Birthday twice.

It’s simple advice but it’s the single most important thing we can do, as I think our experts would attest.

But at this stage, and with the exception of all of the points I have just mentioned, I want to stress that for the vast majority of the people of this country, we should be going about our business as usual.

Coronavirus_action_plan_-_a_guide_to_what_you_can_expect_across_the_UK

Coronavirus: Scottish case ‘likely’

Preparations for a coronavirus (COVID-19) outbreak in Scotland have been accelerated, as the virus continues to spread beyond China.

Several European countries have announced their first coronavirus cases. The cases in Austria, Croatia and Switzerland all  appear to be linked to the growing outbreak in Italy, where there are now more than 300 cases with eleven deaths.

The first positive virus test has also been recorded in South America, where a Brazilian resident just returned from Italy.

The Scottish rugby team played a Six Nations international match in Italy on Saturday but the corresponding Women’s game was postponed.

First Minister Nicola Sturgeon chaired a Scottish Government Resilience meeting (SGoRR) to discuss preparedness in Scotland yesterday. 

Health Secretary Jeane Freeman, who also attended the meeting, said: “Though the risk to individuals remain low, and all test results have come back negative so far, the Chief Medical Officer has advised that it is highly likely that we will see a positive case in Scotland as coronavirus continues to spread.

“We are expecting an outbreak and are working hard to ensure we have plans in place to contain it as best we can. The NHS and Health Protection Scotland have an established plan to respond to anyone who becomes unwell.

“Scotland is well-prepared for a significant outbreak of coronavirus but there is currently no treatment or vaccine. Therefore, preventing the spread of any outbreak will be vital, and the Scottish Government is working closely with NHS Scotland and Health Protection Scotland to ensure this.

“We have a proven track record of dealing with challenging health issues and have public health and infectious disease experts working intensively on these issues.

“The public also has a vital role to play in helping us contain any outbreak by following the latest health and travel advice, and following basic hygiene precautions, such as washing hands and covering their nose and mouth with a tissue when coughing or sneezing.”

Preparations in Scotland to date include:

  • the establishment of two testing laboratories in Glasgow and Edinburgh to speed up identification of confirmed cases
  • Supplying GP surgeries with face masks and ensuring hospitals are fully stocked with personal protective equipment
  • Updating of public health legislation to make coronavirus a notifiable disease

The latest numbers of test results are published at 2pm each day on the Scottish Government website.

Updates on public health advice for coronavirus can be found on the NHS Inform website, and a free helpline has also been set up for those who do not have symptoms but are looking for general health advice: 0800 028 2816.

For the general public who are planning to travel abroad, guidance can be found on fitfortravel. Where a COVID-19 risk is identified then country pages will be updated.

Anyone who has arrived in the UK from the areas listed below since 19 February is advised to stay indoors and avoid contact with other people, even if they do not have symptoms. Those who have returned from these areas and display or develop symptoms should  phone their GP or NHS24 on 111 out of hours:

  • Iran
  • specific lockdown areas in Northern Italy as designated by the Government of Italy
  • special care zones in South Korea as designated by the Government of the Republic of Korea
  • the Hubei province in China

For South Korea, anyone who visited the two cities at the centre of the outbreak, Daegu and Cheongdo, is advised to self-isolate for 14 days, even if they do not have symptoms.

For Iran, all returning travellers are requested to self-isolate, even if they do not have symptoms.

For northern Italy, all travellers returning from specific lockdown areas identified by the Italian Government are advised to self-isolate, even if they do not have symptoms.

Any other travellers returning from parts of Italy north of Pisa, Florence and Rimini in the past week are asked to monitor their health, and self-isolate if they develop symptoms.

Anyone who has travelled to the UK from Cambodia, Laos, Myanmar and Vietnam is also now advised to monitor their health, and self-isolate if they develop symptoms.

Public health advice to reduce the risk of acquiring and spreading respiratory infections by practising good respiratory hygiene, includes:

  • avoiding direct hand contact with your eyes, nose and mouth
  • maintaining good hand hygiene – washing hands with soap and water or alcohol hand sanitiser, after coughing or sneezing, after going to the toilet, and prior to eating and drinking
  • wherever possible avoid direct contact with people that have a respiratory illness and avoid using their personal items such as their mobile phone
  • when coughing or sneezing cover your nose and mouth with disposable tissues and dispose of them in the nearest waste bin after use

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Halfway there: organ donor registrations hit new high

51.7% of Scotland’s population are now on the register.

More people than ever are signed up to the Organ Donor Register in Scotland, latest figures show. In 2018, there were 148,000 new registrations from people willing to be organ donors.

And the new registrations mean that the total number of people registered in Scotland has risen to a record high of almost 2.8 million – or 51.7% of Scotland’s population.

Meanwhile, in the last year 829 people in Scotland received a transplant. However there are currently more than 550 people in Scotland waiting for an organ transplant which could save or transform their lives.

The Scottish Government is working on a package of measures to further increase the number of potential donors. This includes legislation introduced to the Scottish Parliament to move to a soft opt-out system for organ and tissue donation. A public consultation in 2017 showed 82% of respondents supporting this move.

Public Health Minister Joe FitzPatrick (above) said: “It’s great to have a record number of people on the Organ Donor Register. This increases the chance of a potentially life-saving and life-changing gift for someone this year.

“However, with more than 550 people still waiting for a transplant, I would encourage people to consider making it their New Year’s resolution and join the Organ Donor Register. One donor can save up to nine lives and transform even more by donating tissue.

“Thanks to the generosity of donors and their families and the work of the NHS, we’ve seen great progress on organ donation over the last few years. We are working on a number of measures to increase donor numbers and save the lives of more people in Scotland.

“The move to a soft opt-out scheme aims to further increase the number of donors, while honouring the donation decision that a person has made in life.”

The figures and data below are from NHSBT:

The number of opt-in registrations (148,488) in Scotland between 4 December 2017 and 3 December 2018. The total may increase as registrations are processed.

In 2017/18, 829 people in Scotland received an organ or cornea/sclera transplant.

As of 4 December, 563 people are waiting for a transplant.

On 4 December 2018, there were 2,796,456 people residing in Scotland on the UK Organ Donor Register (area defined by the ONS NHS Postcode Directory). This is 51.7% of the Scottish population. This is based on 5,404,700 of the Scottish population, figure taken from the mid 2016 population estimates from the Office of National Statistics.

The Human Tissue (Authorisation) (Scotland) Bill will change organ and tissue donation from the current ‘opt-in’ system to a soft ‘opt-out’ system. Under the proposed system, if someone has not stated a decision about donation, they may be deemed as having authorised it. This would mean that, in addition to ‘opting in’  donation could also proceed where a person had not opted-out. There would also be safeguards to minimise the risk of a person becoming a donor if they would not have wished to donate.

People in Scotland can register to become an organ donor through the Organ Donation Scotland

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