It is not clear to me whether an occupational health vaccination programme *in addition* to the national programme could be made. There then becomes an issue as to which occupations and which groups within those occupations this applies to.
By prioritizing occupations above priority groups set out by the JCVI will mean that, as supply is severely constrained, there is a risk of deaths increasing as vaccines are diverted away from those most vulnerable to death from catching Covid.
This would be a political choice.
The Home Secretary has confirmed today that occupational vaccination would be as part of *Phase 2* of the vaccine roll-out (i.e. after over-50s, frontline care/health staff and the clinically vulnerable).
The JCVI is expected to decised on Phase 2 prioritization in mid-February.
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We need to treat the new variant as a new pandemic, and recalibrate our response accordingly.
A short thread.
The responses to Covid so far - 'Covid-secure', social distancing, etc. have up until now been calibrated on two things:
- the transmissibility of Covid
- a political calibration based on society's acceptance of direct effects of Covid (deaths etc) balanced against other effects
We have a new variant that is *so much more transmissible* that something is going to have to give
"By 15 February we *aim* to *have offered* a first vaccine dose to everyone in the top four priority groups identified by the Joint Committee on Vaccination and Immunisation (JCVI):
This is more nuanced message than in the Prime Minister's statement on 4 January which is ambiguous: 'expect to have offered' in the first paragraph' and 'vaccinating' in the second
The Government is making the same mistakes as it did in the first wave. Except with knowledge.
A thread.
The Government's strategy at the beginning of the pandemic was to 'cocoon' the vulnerable (e.g. those in care homes). This was a 'herd immunity' strategy. This interview is from March.