I suspect the newness of the virus and the lack or absence of clarity about most aspects to do with transmission, infection and healing creates fertile ground for the need to always get the next sound bite or ‘fact’ out.
It was not that long ago that the British Medical Association crawled out from under whatever rock it’s been hiding under for months to undermine official medical advice – not government – that spacing the vaccines over 12 weeks is safe. But the British Medical Association said that was “difficult to justify” and should be changed to six weeks.
The medics of course hit back and backed the government’s decision to delay the second dose for up to three months, after the “difficult to justify” pronouncement from the BMA.
In a piece in the Guardian, president of the Royal College of Pathologists, said the college supports the government plan to delay second doses. This article quotes Professor David Salisbury, the former director of immunisation at the Department of Health, who said the BMA’s intervention risked “undermining the confidence that doctors and the public can have in the recommendations that have been made after very careful consideration”.
Divergent views such as these are, and there’s a very good word in Arabic that captures this, ‘ijtihad’. In its literal meaning, the word refers to effort, physical or mental, expended in a particular activity. It has its origin in the rights of jurists under early Islam to exercise original thinking. In a nutshell, in a COVID19 context, it means we all try our best to explain and rationalise given the information available to us.
Where this becomes really interesting, was captured in a debate on 22 January at Brighton and Hove City Council on a health and well-being notice of motion. A motion that showed aspiration and perhaps good intentions but lacked the leadership to take tough decisions on how adult social care can be funded in Brighton and Hove. I laid out the how in a column late last year on Conservative Home.
Perhaps to maintain public sympathy to their cause, it appeared a few days ago that the self-selecting scientists come wanna be politicians on Independent Sage pulled a 180 degree turn on their core plank – more and tougher lockdowns. It was not that long ago that this group issued a statement pointing to the clear and present danger posed by COVID19 calling for an immediate national lockdown. This was seized on by the British press, especially the Independent Newspaper, who then argued that England should go into full national lockdown immediately, citing ‘rising coronavirus cases and a new highly contagious variant of the virus’.
The turnaround came a mere 3 weeks later, when the Independent published research highlighting how the pandemic and the response had taken a “devastating toll” on the mental well-being of young people. Similar noises were coming from Independent Sage and the ‘Left’ who having called for tougher lockdowns, had to admit that the unequal impact of the pandemic on ethnic minority groups extends beyond infection and mortality rates with people of BAME background more likely to be worse affected by the lockdown, for example in terms of their mental health, and also by the economic recession to come and projected job and income losses.
This must surely be an area where issues around equalities, racism and the ‘whiteness’ of our scientific community has to be flagged and addressed. Who plays judge and jury when patters of equality raise their head between competing priorities in public politics, both with a small and a capital ‘P’. Simon Ricketts picks up the matter of the London cycle lane in his most recent blog and the legal view on this, Temporary Covid Measures – Planning, Traffic, Local Government: There May Be Trouble Ahead.
Simon rightly points out that the contentious nature of decisions which balance priorities, as between the use of streets by through traffic and by communities, has been one of the political themes of the pandemic, particularly in London.
The same must surely be true for balancing lockdowns with the impacts on communities. Decisions loom not only the local elections in May in England, but also on the big events in 2020 coming up, the Olympics in Tokyo, Expo in Dubai, and closer to home in Brighton and Hove, Festival and Pride!