The government says the coronavirus rules are tough enough. The problem is compliance
I've been looking at the data and it says something quite different… sort of
A THREAD on what’s going on
This chart comes from the UCL’s brilliant covid-19 social study, which regularly asks more than 70,000 people about their experience of lockdown
It shows that compliance is higher than at any point since the first lockdown
The UCL survey distinguishes between majority compliance (following most of the rules) and complete compliance (following all the rules)
Both have been rising sharply since December – basically in line with the virus
Majority compliance is now at 96%, the highest since April
Complete compliance is now at 56%, the highest since May
With one crucial exception, which I'll get to later, self-reported compliance is really very good
Which rules are people breaking and bending? The covid social study gives can tell us
Meeting up with more than the recommended number of people is where people tend to ignore the rules outright (never here means "I never obey that rule")
But again, generally adherence is good
Since I published this piece yesterday, I've had two overwhelming reactions: surprise and disbelief.
Of course they may well be right, but it does feel as if compliance is now one of things, like crime, where no amount of data will convince people that things are actually improving
Still, to take the question seriously – looking at the data, four reasons stand out
First, the virus is more transmissible. Yes, it’s obvious, but it’s worth repeating
Second: the rules are looser. You can see this in the movement data. It’s roughly between lockdown 1 and 2, which is about what you’d expect based on the rules
This chart shows retail footfall via @Springboard_: it’s highest in retail parks, where more shops are open and there’s more chance to be distant
To me this suggests people are respecting the rules but also taking advantage of available opportunities
Ministers have urged people to stay at home so I guess you could say this is rule-breaking, but shops *are* open
If you want to stop shopping, you might need to close shops
(I meant to say there were three reasons rather than four, so count taking advantage of opportunities as reason three, or 2.5 or whatever. Anyway, the point is that you can move around quite a bit *and* still be within the rules)
The final reason is by far the most important
There is one rule that seems to be being routinely ignored - and it's probably the most important rule we have
The covid social study asked people how many days they isolated for after they had symptoms
This results are frankly horrifying
Isolation with symptoms is THE rule. Next to that, everything else pales into insignificance
But for some reason ministers don't seem to focus on it. Instead, we hear about breaches of social distancing in supermarket queues
I asked @ScienceShared for his thoughts on what could be done. This is long, but it's really worth reading all of it
To end this embarrassingly long thread. The data suggests people ARE sticking to the rules, except the rule that matters above all others
I would humbly suggest that we need to shift our focus / ENDS
Forgot to link to the covid social study. It is such a fantastic resource. Its results should really be better known covidsocialstudy.org/results
Huge credit to @Daisy_Fancourt and team for all their creativity and persistence
I hate quote tweeting rather than replying directly but I will just so I can add this to the thread
I'd say we should believe it, because Springboard measure footfall with tracking cameras. this isn't a survey, it's direct observation
For people asking: yes, there is demographic information on who does and doesn’t isolate. The main difference this survey pinpoints is between older and younger adults, although perhaps not the way you might think
This is right and it's a puzzle to me as well. The researchers say it's related to people still experiencing symptoms. Hard to know what to make of that and I've asked for more clarity
I tend to trust the conclusion on non-compliance because it echoes other large studies. This big survey found that only 18% of people isolated with symptoms - worse than the results in the covid social study kcl.ac.uk/news/effective…
• • •
Missing some Tweet in this thread? You can try to
force a refresh
I want to tell you a hopeful story. A story about the things that can be done here and now to mitigate this terrible illness
Eighteen months ago, I caught a cough. It was a little annoying, so I took a day off work, thinking that would be the end of it
The next morning, I woke up and everything was different
Long covid is a condition with an almost endless list of symptoms. For me, it meant a complete loss of energy, most noticeably in my brain. I made my living writing and talking. Now I was barely able to take on a complex thought or hold a lengthy conversation
Don’t like putting personal things on Twitter, but I’ve just logged on after a while and found a load of DMs asking why I’ve disappeared, which is… a good question
If you haven’t seen me recently it’s because I’ve got a nasty case of long covid. Eight months and counting :(
My main symptoms are fatigue and brain fog. Medically I’m in perfect health – none of the tests show anything – but I have *much* less energy. If I push myself too hard then I just collapse. It’s like someone has reached inside and turned me off. It's scary
My health has improved since this all began in March. I don’t have to go to bed for days after checking my emails. But I still get tired very easily, even after relatively moderate activity – and I have a two-year-old, so keeping things moderate isn't straightforward
On the rare occasions their data was used for contact tracing, businesses were encouraged to call customers themselves, a breach of data protection law
The Open Government Partnership is an international club which supports open government around the world
Its intervention means the UK will become the ninth of its 78 members to go under review, joining a list that includes Bulgaria, Malawi and Malta news.sky.com/story/uk-gover…
When the Open Government Partnership was set up in 2011, the UK really was the world leader in open government
Public Health England is set to be replaced by the new National Institute for Health Protection
But no-one knows what's going to happen to the bits of PHE that aren't about health protection. You know: mental health, obesity, smoking, air quality, health inequality...
According to the senior staff at the meeting (below), a final decision hasn't been made, but Matt Hancock has given "a very strong steer" about what he wants to happen to these parts of PHE
He wants them to be under the control of Matt Hancock