There is a lot of speculation
about when the lockdown caused by the pandemic will end. As a lay person my own
best call is that it will be some time before we should do this. The main
factor in any decision to relax confinement measures has to be the health needs
of citizens. Without a vaccine the Coronavirus remains a terrible threat to our
well being and to the most vulnerable amongst us.
The pandemic is far from over, and
its significant economic consequences, allied to those of Brexit, are still to
be felt.
Some commendable and welcome
investigative reports by journalists and media platforms have begun to shine a
light on the confusion, lack of planning, irresponsible decisions, public
utterances, neglect, and disregard for the lives and welfare of their citizens
that has marked the response of some governments and government agencies to
this global threat.
The absence of political
leadership in Britain in the early stages of the crisis, including the failure
of its Prime Minister Boris Johnson to attend the critical February meetings of
its Cobra co-ordinating committee, have all been highlighted. So too has the
adherence by some unionist leaders to the British strategy, even when it was
clear that that strategy was at odds with the recommendations of the World
Health Organisation.
The failure by the British and Irish governments to
respond speedily to protect our elderly and most vulnerable citizens,
especially in nursing and care homes, and others potentially in other
congregated settings is already attracting significant criticism. There was
also the widespread lack of guidelines and Personal Protection Equipment for
front line staff in hospitals, nursing and care homes and for those involved in
keeping our food and essential services open.
Some commentators are trying to excuse governments
for not being as prepared as they should have been. But the fact is that the
threat of pandemics has been known for a very long time. In the last two
decades there was SARS (severe acute respiratory syndrome) in 2002-4, then the
H1N1 influenza in 2009, and in 2012-14 there was the worst outbreak to date of
the Ebola virus which killed over two thousand people.
Last September, four months before
the Wuhan outbreak, the Global Preparedness Monitoring Board published its
report – A World at Risk – which examined the world’s preparedness for global
health emergencies on the back of the outbreaks of the last 20 years.
In their foreword the
organisation’s Co-Chairs H.E. Dr Gro Harlem Brundtland, a former Director
General of the World Health Organisation and Mr Elhadj As Sy, the Secretary
General of the International Federation of Red Cross and red Crescent
Federations, reviewed recommendations from previous high-level panels and commissions.
They wrote: “.....there is a very real threat of a rapidly moving
highly lethal pandemic of a respiratory pathogen killing 50 to 80 million
people and wiping out nearly 5% of the world’s economy. A global pandemic on
that scale would be catastrophic, creating widespread havoc, instability and
insecurity. The world is not ready.”
On 30 January the World
Health Organisation declared the Coronavirus outbreak a “a global emergency”.
Yet on the same day the Irish Times reported that: “The risk of Coronavirus
cases occurring here remains moderate and Ireland is well prepared
for any outbreak, according to the Health Service Executive... “You are
extremely unlikely to catch novel Coronavirus from someone in
Ireland,” Joe Ryan, HSE national director of services, told a briefing on
Thursday. While there have been 10 confirmed cases in the EU, the likelihood of
further cases being brought into Europe is moderate, he said.”
Within weeks the South’s Health
Service, undermined by successive Fianna Fáil and Fine Gael governments,
including a recruitment embargo, and by the austerity policies of Fine Gael led
governments from 2011, found itself confronted by a huge challenge. It was not
properly prepared for or equipped to deal with the health crisis which emerged.
In Britain a Sunday Times report two weeks ago
quoted an adviser to Downing Street saying that while Britain had at one time
listed a possible pandemic as the No 1 threat; “pandemic planning became a
casualty of the austerity years when there were more pressing needs.” The
source said preparations for a no-deal Brexit “sucked all the blood out of
pandemic planning” in the following years”.
There are already calls for a
public enquiry into how the British government responded. There may be a need
also on this island for similar investigations.
In the meantime our frontline
workers continue to put themselves in danger as they care for those affected by
Covid-19. Last Thursday I once again joined the public show of solidarity for
NHS staff. The applause is heartfelt. Our admiration for our doctors and nurses
and hospital ancillary staff is sincere.
Community solidarity has been one
of the great positives to come out of this crisis. Shop staff, those who stack
the shelves in food stores, care staff in nursing homes, lorry drivers, taxi
drivers, postal workers, delivery drivers, those working in garages,
pharmacies, and making and delivering food, and many others have made it
possible for those of us who are in lock-down to put food on our tables, heat
our homes, and receive essential services. Most of these workers are in
precarious employment – among the lowest paid– but now they are the rock upon
which our society functions.
At the same time community and
voluntary groups and neighbours have ensured that food parcels and where
practical hot food, is delivered to those in need. Across Ireland community and
Church halls, GAA facilities, other sporting and social clubs and Orange halls,
volunteer workers have come together to help. Theirs is the true spirit of
community and volunteerism. Without their selfless efforts many of our most
vulnerable citizens would fall through the cracks of a system which was already
deeply flawed and which is stretched to breaking point.
Minister Deirdre Hargey MLA and Paul Maskey MP
That concern for others is at the
core of a community solidarity and leadership which is saving lives.
So, let’s continue to be careful. No rushing to end
the protections which have helped so far to protect citizens. Let us also give
some thought to the future. Some commentators are talking about the need to get
back to normal. Normal? What we had before the pandemic wasn’t normal. What we
need is change. Big bold societal change. One lesson that is now patently
obvious is that the initial failure to adopt an all-island strategy to confront
Covid-19 was a mistake.
Under the current ‘Foot and Mouth
Disease Control Strategy’ for the North which was revised in 2016 the six
counties is “recognised as a separate epidemiological unit from the rest of the
UK and would liaise with the Republic of Ireland during an outbreak of FMD in
either or both jurisdictions. It is recognised by the Department of
Agriculture, Environment and Rural Affairs (DAERA) and the Department of
Agriculture, Food and Marine (DAFM) that sustained co-operation between both
administrations would be essential to reduce the further spread of FMD”.
It appears we can have an
all-island strategy for protecting animal health but not human health. This is
a stupid and irresponsible position and underlines the desirability of creating
an all-island health service. This must be one of our goals in the time ahead.
It is needed even more now.
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