*Important document* for Scotland - won’t make the headlines, but publication of Covid-19 Surveillance and Response plan today. Will be key in terms of how the pandemic is monitored and responded to in 🏴the coming months. Key points 1/8 gov.scot/news/monitorin…
Surveillance: Existing and new data, plus information via #TestAndProtect. But from #TestAndProtect we also need to understand % of positive cases successfully contacted, % of identified contacts who could be reached, and whether self-isolation guidance followed 2/8
Data & Intelligence Network - lots of elements here via key agencies @P_H_S_Official, Directors of Public Health @fphscot@NHSScotland@uni_scot & others. Virus Surveillance Dashboards for localities one to watch here - we all need info on what is happening in our local area 3/8
Managing outbreaks. Seen already in a tiny cluster addressed in @dgcouncil. Local businesses & organisations will have an important role to play here, along with the public health response, particularly collection of customer & visitor contact details. 4/8 gov.scot/publications/t…
Decision making following an outbreak - key guidance here for organisations and businesses when a case is identified - what they need to do (crucially - engage with local public health teams) 6/8
Engagement and Communication - comms specialists in NHS Boards will play a key role here in partnership with local authorities @COSLA, and I would add, mass media campaigns needed even if locally targeted (imposition of local #lockdowns but hopefully can be avoided) 7/8
Let’s keep our Testing capacity AT SCALE and not lose it. Concerns about ethics of testing overstated, #Covid19 testing is not invasive compared to many other tests. @WHO have said ‘test, test, test’ & this will be important to get @nhscotland key services up & running again 8/8
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🧵(1/21) on research & policy. Today @NeilDotBrien (Minister for Primary Care & Public Health) announced the roll out of a national incentive scheme in 🏴 for #smokingcessation in #pregnancy. This is underpinned by 20 years of studies & teamwork. Reflections on #lessonslearned
Building the evidence for prevention policies like this take time, but if the evidence is robust, wider societal shifts are in favour, you work with funders, respected #advocacy partners, research participants and experienced civil servants it can happen. gov.uk/government/new…
2003. I was a lecturer @uofglasgow. I met an experienced paediatrician, Prof David Tappin. He had worked for years w. @CotDeathTrust & was committed to reducing still births & infant mortality. He knew smoking in pregnancy harmed mothers & babies & wanted to do more to prevent it
A lot of discussion about separating those at risk to protect them from becoming infected w. SARS-CoV-2. ‘Let’s protect the elderly & vulnerable from Covid19 & the rest of us get on with our lives’. New paper shows how challenging this would be (PREPRINT not peer reviewed) 1/10
Cohort study of 1.3 million residents in Greater Glasgow & Clyde (UK’s largest health authority area). Sample: those registered with GPs in @NHSGGC. Of these, 32,533 (2.47%) in the official ‘shielding’ category but a further 347,374 (26.41%) were classified at moderate risk 3/10
Mass media is a powerful tool to promote public health. Not just campaigns (see our @NIHRresearch funded series of systematic reviews on this) but also for policy makers & professionals to explain why measures, interventions or services are needed 2/9 ncbi.nlm.nih.gov/books/NBK54070…
Evidence from well conducted studies shows that sustained communication of public health messages, (including repetition of messages over an extended period) is far more effective than shorter, time limited communication 3/9
Please to see today the release of more data from 🏴Scotland’s #TestandTrace (Test and Protect) via @P_H_S_Official. More to follow. But this is progress. Important for transparency & comparisons within UK & internationally. 1/7 beta.isdscotland.org/find-publicati…
Since 28th May, 1,835 individuals in the system with a positive test & 7,449 contacts traced (around 4 contacts per index case). More detailed data only available from July 21st for the whole country by which point all NHS Boards were using the same Case Management System. 2/7
This means we don’t have more (public) detail on 1,835 individuals and contact tracing linked to them, but instead the 925 in the Case Management System. But very encouraging that 922 of them were successfully reached. This is over 99% of individuals with a positive test. 3/7
Thinking about this a bit more - the #smokefree#facecoverings comparison. I do think it is relevant, but with caveats. In March 2016 I visited a main railway station in Scotland the day before and the day after the smokefree law came in. 1/5
The day before, people were smoking on the concourse, in cafes at the station and elsewhere. The next day, no one I saw was smoking. Not a single person. The difference was sudden and really noticeable. Plus in time, data showed that overall compliance was strikingly high. 2/5
Last week I visited a local large supermarket. I’d say fewer than one in five people were wearing face coverings. I went back just now, the 2nd day of it being mandatory. Almost everyone, with a couple of exceptions, was wearing a face covering. 3/5
Been meaning to compose a thread to thank all the journalists for the hours they've put in during this #COVID19 pandemic in the UK & further afield. Often working from home, juggling like the rest of us. 1/6
They get a lot of grief but so many are brilliant and a wealth of information & insight. I’m a public health researcher but it’s so difficult to keep up with #COVID19 developments, moving so quickly that I and others simply can’t just rely on academic networks for updates. 2/6
Journalists don’t always get it right and there is ALOT of misinformation out there. But a free press is essential. Let’s not forget how lucky we are to have this in the UK and some, but not all, other countries. 3/6