Re-opening to the virus? How the UK government’s conditions for ending the lockdown differ from the WHO.

These are the WHO’s conditions for a safe ending to lockdowns These are very clear and are aimed at eliminating the virus.

  1. Disease transmission is under control
  2. Health systems are able to “detect, test, isolate and treat every case and trace every contact”
  3. Hot spot risks are minimized in vulnerable places, such as nursing homes
  4. Schools, workplaces and other essential places have established preventive measures
  5. The risk of importing new cases “can be managed”
  6. Communities are fully educated, engaged and empowered to live under a new normal

These are very clear and are aimed at eliminating the virus. In China, the point at which disease transmission was under control was when deaths were down to single figures.

As in China, at that point the Health system has to know where any new infection takes place and have the equipment and infrastructure to rapidly intervene, test, contact trace and isolate to prevent it getting out again. This virus is very infectious and spreads very quickly.

At that point, anyone coming in from an area where the virus is still in spate will need to be tested and quarantined if need be and all schools and workplaces will have to have the appropriate preventive measures in place and be fully equipped.

The last point is as crucial as the others. Communities have to know the risks, know the procedures and recognise that this is not a blip that will “disappear like a miracle” (D.Trump) but a threat that will still be lurking at least until a vaccine is produced – which is scheduled to take 18 months if all goes well. So, even when we are out of the woods, we could still meet a wolf; and have to be on our guard.

The UK government puts different conditions. They say

  1. The government must have confidence that the NHS can still provide sufficient critical care and specialist treatment across the UK.
  2. Secondly, there is a need to see a sustained and consistent fall in the daily death rate to be confident the UK is beyond the peak of the outbreak.
  3. There also must be reliable data from SAGE that the infection rate has decreased to manageable levels.
  4. Testing capacity and PPE must be in hand to meet supply for future demand.
  5. There also must not be a risk of a second peak of infection that could overwhelm the NHS.

As the words are not the same, the differences must be deliberate. While some of them sound similar, the devil is in the detail.

  • Being “beyond the peak” can be any time from when death rates start to decline in a “sustained and consistent” way. It does not necessarily mean that the death or infection rate would be under control if the restrictions were lifted.
  • There is no specific mention of schools or workplaces, no mention of imported cases, no mention of having to minimise the risks in vulnerable hot spots.
  • There is an emphasis instead on making sure that the NHS is not overwhelmed. A laudable aim in itself, but when you consider that it is currently being achieved by pre-triage on the one hand and rapid removal of the elderly into hotspots like care homes on the other, you can see its limitations.
  • There is no mention of communities being fully educated, engaged and empowered to live under a new normal, which reflects the UK’s relatively lackadaisical lockdown.
  • Having infection rates at “manageable levels” does not mean the same as having them “under control.” “Under control” means on the path to elimination. Manageable means copeable with, not overwhelming.
  • Avoiding the “risk of a second peak” is not the same as eliminating the virus. Their bottom line is that the second peak should not be so great as to overwhelm the NHS. That could describe the current situation. The NHS is not being overwhelmed, but the UK has the second highest daily death rate in the world.
  • The phrase “testing capacity and PPE must be in hand to meet supply for future demand” implies that there is going to be a future demand. This is not the same as having a system ready and primed to “detect, test, isolate and treat every case and trace every contact”. Managing. Not eliminating.

So, we have a half way house policy here. Just as the UK “lockdown” is half a lockdown.

The danger is that there will be a return with infections at too high a level; so the rate of infection will go up again, without adequate PPE, without a testing and contact tracing system in place – with schools one of the first places to open simply to have kids taken care of during the day so the economy can “open” (in Trump’s phrase) and their mums and dads can go back to work.

This would let the genie back out of the bottle and then require restrictions to come back in to stop it running out of control. So instead of getting a grip and crushing the virus in one determined go, we end up with a reactive yo yo of restrictions going up and down; with the presumption that a vaccine will arrive like the cavalry coming over the hill. The problem with this – of course – is that it might not.

So, an apposite question for Labour (and others) to be asking is why it is that the government is not adopting the WHO guidelines without equivocation.

Lives rest on this.

Do What Works.

The per capita death rates from COVID19 are expressed here in how many deaths there have been in China, the USA and UK per million people. The figures are taken from here from 15 April.

https://www.statista.com/statistics/1104709/coronavirus-deaths-worldwide-per-million-inhabitants/

The Chinese figure has been uprated from 3 to 4.5 to reflect the backdated increase in deaths in Wuhan announced yesterday. In case the figures for the USA and UK are not clear on the graph, these are; USA 101. UK 206.

While the US response is widely and rightly seen as a mess, there is a tendency in the UK to give the government far more of a benefit of the doubt than it deserves. chart (3)

It should be clear from this that China’s experience should be studied and learned from, while the UK and US are not models to be followed.

The bottom line right now is that China did not end its lockdown until deaths were in single figures. The relaxation of social distancing now being contemplated in parts of Europe and being discussed in the UK will let the genie back out of the bottle. Disaster will follow if this course is pursued. The only safe path to an exit is through a tightened lockdown.

 

UK daily death stats seriously understated.

Understatement is not a charming national characteristic in this case. The Office for National Statistics (ONS) – which does a weekly update to take into account the deaths that have taken place outside hospital – has just published the following.

Our data shows that of all deaths in England and Wales that occurred up to 3 April (registered up to 11 April), 6,235 involved COVID-19 compared with the 4,093 deaths reported on 4 April 2020 by @DHSCgovuk http://ow.ly/4kHD50zdo9L

So for the week ending 3 April the total Coronavirus deaths in the UK were half as high again as those being announced by the government. 6,235. Not 4,093. That looks like this. the daily totals announced in the press briefings are just the blue part of the circle. Bear the in mind every time a new figure is announced.

chart (1)

While including these on a daily basis would be very difficult – and attempts to do so in France have led to wild fluctuations in daily totals that make trends harder to discern – these additional deaths should be factored in; and the provisional nature of the daily figures made clear at the daily press briefings.

With many of the most vulnerable elderly people in particular pre-triaged not to take up hospital beds and reports of significant spread of infections within Care Homes – where staff are even less likely to have proper PPE than front line medics – this gap could well grow in the next week.

The rate at which the UK and US are taking an increasing share of the daily deaths can be seen here in the FT.  https://www.ft.com/coronavirus-latest.

My next post will look at these death rates per capita.

 

 

 

US and UK death rates stand out.

chart

This graph shows the totals of reported global deaths for April 10th. With the usual caveats that many places in the developing world may be under reporting – the figures for the USA and UK stand out starkly. One in three of all reported deaths in the USA. One in six in the UK.

UK daily figures only include deaths in hospital, not those at home or in Care Homes; so the actual figures will be worse; probably significantly so. The Office for National Statistics will be updating these on Tuesday, so I will do another graph to take that into account then.

Three things to note.

  • The number of deaths in China on 10 April was zero.
  • With the UK death rate projected by the IHME (1) to hit a peak on April 17th with 1 674 deaths on that day, this is not a time to be prioritising talk of “exit strategies”.
  • Those concerened with these should be studying the Chinese experience of cranking society back into life – as the only country that has began to do so an a large scale.
  1. http://www.healthdata.org/covid/updates

Death and Exits. A stronger challenge needed from Labour.

The emergency measures being taken to deal with the immediate acute coronavirus crisis- and the preparedness to take them – can be seen as a model for the emergency measures we need to take to save ourselves from climate breakdown. Making extraordinary efforts to return to the “normal” functioning of an economy and society that is destroying the conditions for its own existence is like treating a patient to recover from an acute illness just to put them on palliative care only for a chronic underlying condition that has no need to be fatal. 
The Coronavirus is an acute challenge that could – if let rip – kill millions globally. All other issues are redefined by it. The crisis will go on for months and there will be no return to “normal” afterwards. So many things previously considered impossible have become inevitable in the last three weeks and some “impossible demands” will look absurdly moderate quite soon.
  • The necessary measures to effectively suppress coronavirus cost China a 20% drop in its economy in one quarter. They were prepared to do that, did it, and we should learn from them. In doing so they averted a potential 11.5 million deaths in a few months (assuming an 80% infection rate and 1% death rate).

 

  • The confused half measures being taken in the “West” will take longer and lead to more deaths.  This graphic from the FT illustrates the impact of the different approaches used in China and the US in deaths per million.

HubeiThis was from March 31st, so the Chinese bubbles will still be the same size. The US bubbles will now be significantly larger, and be even larger than that next week, and the week after. On March 31st 1550 had died in New York. By April 7th it had risen to 5489; so the New York bubble here should be just under four times as big.

 

  • This raises a real scream of financial pain from fractions of capital who are willing to sacrifice lives to keep the system running as it is. Open or covert advocates of “herd immunity” in the UK, Presidents Trump and Bolsonaro, the Wall Street Journal, columnists in the Times and Telegraph have taken this line; sometimes with absolute swivel eyed consistency (Bolsonaro); sometimes seeming to concede one moment, only for the content of the argument to pop up again even as the label is disavowed. This account of the argument in the cabinet on this is very revealing. (1)

 

  • We in the Labour movement have to be completely unambiguous that lives come first.  Herd immunity was not “probably” wrong (2). It was wrong full stop. If allowed to “work through” the population we could have had half a million deaths – which is more than the total UK casualties in World War 2. – by the autumn. The first step to an economy designed to serve the people is not to sacrifice the people for the economy. That applies directly to any “exit strategy”.

 

  • The best time to have taken all necessary measures to eliminate the virus was when we first knew about how dangerous it was – instead of dicking about for two months – the second best time is now. That includes the government using powers to require industry to manufacture PPE, ventilators and whatever equipment is needed to effectively expel this virus out of the population – as demanded by UNITE, UNISON, the BMA and RCN last Friday. (3) This kind of emergency measure to meet urgent human need – and over riding the imperatives of profit – is a model for reorganising the economy more broadly as companies crumble under the impact of prolonged shutdown.

 

  • Labour should be demanding that that is what is done. The government approach here is for the state to subsidise business with no social quid pro quo; and that cannot be accepted. George Osborne – who snuffed out a mild economic recovery in 2010 with his austerity policy – was on Radio 4 yesterday arguing for the state to take “equity shares” in medium size businesses to stop them collapsing. This is a repeat of the 2008 Bank bail out – satirised at the time as “socialism for bankers”. State led investment should be just that; job creating, socially necessary and environmentally imperative measures that will allow our society to recover on a sustainable basis.

 

  • With the UK projected to have the worst casualties in Europe as a result of the Conservative government’s approach, the Labour leadership should not give them any blank cheques in the name of “national unity”. The privilege being allowed into the room where the decisions are taken – even as spectators – is only ever extended by the Conservatives if they want someone else to become complicit in their failures and share the flak with them.
The deeper existential crisis is that of climate change – or more broadly the human impact on the environment. This is linked with coronavirus because viruses have jumped the species barrier both from
  • human encroachment on wildlife habitats and the use of wild animals for food – ebola, COVID19
  • and the intensification of factory farming – H1N1 Swine Flu – which emerged from gigantic (and disgusting) industrial pig farms in the US.

The wholesale overuse of antibiotics in this sort of “farming” is also a clear and present cause of the rise in anti-biotic resistance that is also a significant and growing health risk for all of us.

 
  • The economic “Exit Strategy” Labour should argue for – once the virus has been eliminated -is for the state to regenerate the economy and employment through investment in the transition to sustainability that we need. The plan is already there in the Green Industrial Revolution which Keir Starmer pledged in his campaign would be “at the heart of everything we do” but didn’t mention at all in his victory speech.

 

  • The proof of the pudding on this will be whether he and the Shadow cabinet COVID19 Committee make this the core of the recovery strategy and a clear line of divide with a government that will want to go back to the free market “ideology” they claim to have abandoned in a fit of bipartisan generosity; but actually because it gave no tools to deal with the Coronavirus crisis adequately and it won’t provide the tools for an effective recovery either. Dumping dosh onto companies in the hope they will use it wisely won’t work. Stating this is basic.

 

  • We can’t afford another wasted decade like the last one. The politics of austerity treated the profit motive and private ownership as a sacred cow. Only by creating the conditions for profitable production could companies be induced to invest. It failed. They didn’t do it. Huge cash piles were not deployed or invested.

 

  • The Tories are in government and will try this again. They will fail again at great cost to those least able to bear it.

 

  • The climate crisis really is one that we are all in together and we can’t wait for dealing with it to become profitable in the short term.

 

  • We have ten years to make a significant enough dent in carbon emissions that we are not toast in the medium term. If we don’t borrow from the future, there won’t be one.

 

  • We need those wind farms, insulated homes, reforested uplands, sustainable vehicles as part of the recovery – and that won’t happen without state investment.

 

Labour’s job is to keep banging away at this and in no way to become complicit in the idea that dealing with climate change can wait until we have regenerated the economy as it was enough to have enough left over to make a transition with what we can “afford” over and above normal functioning. We have to recover by and through the transition if we want a future.

 
2. Keir Starmer. Andrew Marr Show April 5th 2020

Are we in a “hokey-cokey” lockdown?

I suspect that we are being subject to “herd immunity” by stealth.

A failure to get a grip.

  • An absence of open source public data in the UK is an indication of this.
  • Publishing data is secondary to knowing what the situation is in the first place. Any data the government publishes – and they should – is just what Donald Rumsfeld would have called the known knowns.
  • Chris Whitty said – rather airily – at the point they abandoned what limited community testing they were doing, that there could have been ten times as many cases out there that they didn’t know about. Almost with a shrug. They didn’t test comprehensively in any targeted way from the outset; so had no idea who had it, or where they were. Put simply, they didn’t, and don’t, have a grip. Laura Kuensberg on the BBC – with her usual direct line to government thinking – has just revealed (World at One, 2 April) that they expected the virus to develop more slowly – giving them up to the middle of May before it hit hard. How they could have such a view in the face of how quickly it actually did develop in China, Iran and elsewhere beggars belief.
  • Further, the only figures they count as coronavirus related deaths are those that happen in hospital after a definite diagnosis and test. People who may die of it at home are not being counted in the official stats. Its all about the numbers and, as the relatively lax UK approach is likely to lead to many more deaths than those in Italy and Spain, you can see why they’d want to keep them as low as possible. Accuracy is a secondary consideration.

 

Alternative facts – or do you trust Mike Pence more than the WHO?

  • Its important to have data to limit the degree to which malignant interpretations of them can be made. As the US death toll rises above the Chinese number – in absolute terms let alone per capita* – it becomes a political imperative for the US administration to cast doubt on the Chinese figures; and/or accuse China of not sharing information in a timely way; even though they had alerted the WHO on Dec 8th and given a full alert on what the virus is and the scale of the danger it presents on Dec 31st; giving the US (and UK) governments two months to get prepared; which both squandered. This is the “alternative facts” strategy; which has to rely on people being prepared to trust Mike Pence and US Intelligence – who have never been known to fib – more than the World Health Organisation; or hoping that broadcasting the accusation loudly and widely enough will be sufficient to bury the facts.
Preparing for a Hokey Cokey half Lockdown.
There’s a rather chilling article on the BBC site today which argues the following.
  1. That most of the people dying with coronavirus are probably dying of something else. The virus is just the final straw and they would most likely have been dead within three months anyway. So the problem isn’t the deaths themselves, its that they will all happen at once, leading to knock on effects that cause more deaths as the hospitals are overwhelmed. Therefore its about managing the virus not suppressing it. This is the logic of the government’s initial declared “herd immunity” strategy in a new form.
  2. The effects of a lockdown will lead to a significant number of deaths anyway. This isn’t quantified. Nor is it related to the actual experience of lockdown in Wuhan. Its speculation designed to make people shrug at the accelerating rate of deaths that are happening. 560 in one day yesterday on a terrifying exponential curve that could double in three days at the current rate, and again three days after that.
  3. The point at which the economy collapses to a point at which more deaths are likely from lockdown than letting it rip is quantified in the article as a 6.8% drop in economic activity (which is about the same as the 2008 crash). I suspect that this is the rule of thumb being used by the government. In China the drop in economic activity was about 20% overall for the quarter affected by the lockdown. That is putting lives ahead of economic returns in a way that the UK government looks very reluctant to do.

We can therefore assume that the UK government will try to play a kind of hokey-cokey part lockdown in an attempt to limit the damage to “the economy” while “managing” the number of excess deaths and the pressure on the Health Service. Given that this government is considerably more adept at coming up with excuses for why they haven’t done things than doing them, I can’t see this working for either.

*As China has four times the US population, a more appropriate comparison.

Those who argue that “the cure is worse than the disease” are arguing for mass deaths. In graphs.

The measures taken in China have eliminated domestic infections and kept the total number of deaths to just over 3 000. This is a staggering achievement. The potential number of people who could have died can be worked out using the standard figures Health Experts are using throughout the world as a rule of thumb. 80% of the population infected with a 1% fatality rate. With a population of 1, 439, 000, 000 people this means that the number of people who could have died in China in a matter of months is 11,500,000 (1% of 80% of 1.439 million). Compare this with other disasters and you  get a better sense of the scale of this. The Y axis is in millions.

coronavirus china 2

The UK picture

The projection made by Imperial College for deaths in the UK  the attempt to ride the tiger implied by the “herd immunity” approach – is half a million in a matter of months. This is more than total UK casualties (military and civilian) through the whole of World War 2.coronavirus UK

The prospect for the United States

A similar projection of 80% infections and a 1% fatality rate would produce 2, 800,000 deaths in the United States. This would be the single most catastrophic loss of life in any one event in US history, more than twice as many dead as during the four years of the Civil War. The most recent domestic trauma, 9/11 with 3,000 dead, barely registers on this graph.

coronavirus US

These figures speak for themselves.

China is to be applauded for clamping down hard on this virus. Those in the “West” arguing to “take it on the chin” like Trump, Bolsonaro and their acolytes on the Alt right are careless of mass deaths among their own people.

‘I see dead people’. How we got here and where we’re going.

Perhaps I’m one of them. My local High Street is ghost town full of aspirant ghosts. This is a look at how we got here and what we might expect.

Phase one. Phoney war in the West

While China went into lock down and South Korea, Taiwan and Vietnam quickly closed borders, tested and traced, governments in “the West” reacted in a way that at first defies rational explanation; being more concerned with making political milage out of how China’s reaction was “Draconian” and not what could be contemplated “in a democracy” than making serious preparations for the impact on their own countries when the virus spread – as it was bound to do. At the same time, the conventional wisdom last month that Covid 19 is basically flu so nothing to get worked up about, we could “take it on the chin” with business as usual and power through it, lulled people into a false and fatal sense of security. In the local supermarket just two and a bit weeks ago the guy in front of me asked why the price of his item had gone up.

“We had a new delivery this morning. and the price was higher because of the situation.”

“What situation?”

“Coronavirus.”

With a dismissive sniff, “what’s Coronavirus? Just flu.”

I had to point out that it is twice as contagious and ten times more lethal than ordinary flu and appeal to everyone who was listening to please take it seriously. They all looked a bit shocked but took it in. There’s the evidence of a failure to launch a timely public information campaign right there.

Just two weeks ago only a few meetings or social events were being closed down and there was a sense that this might be being alarmist even amongst those of us starting to do it, but a sense of unease was building and there were signs all around of partial steps being taken before there was any serious steer from above. On the tube at Golders Green on March 7th, a small group of friends passing round hand sanitiser and rubbing it in before they got off. A young man sitting with two guitars and wearing a face mask, but seeming a bit bashful about it and keeping his eyes down. Not many people sitting apart from each other. There was soap and water in the public toilet but the water was running cold – and it probably still is. Something ominous coming but no one thoroughly prepared for the full measure of it. The cafes were full and the streets were busy.

There are three possible interpretations of this failure to meet a growing threat on the part of Western governments, and “the establishment”, the 1%, the ruling class, the bosses; whatever you want to call that layer of society who, as R. Taggart Murphy puts it are “the people who have first claim on economic resources and are the last to suffer when anything goes wrong, even when they are directly responsible for the damage.” (1).

  1. The ruling class are stupid. This is a very tempting interpretation, especially when watching Boris Johnson doing his Prime Minister impersonation or President Trump bullshitting his way through yet another daily briefing of lies, fantasies and insults; or contemplating the complete failure of the US, UK and EU to take account of the evidence that was being shoved under their noses by events and reinforced by the World Health Organisation. But, taken as a whole, these are highly sophisticated, well educated people capable of detailed analysis and highly intelligent manipulation of public reactions; so it would be a mistake to underestimate them.
  2. The ruling class are ruthless and have less regard for human life than the profitability of their system and the need to maintain their power. This would be indignantly rejected by most of them, and most people who tend to look kindly upwards with rose tinted glasses, but there always had to be ice in the veins of people who ran Empires built from the slave trade, in which millions died of famine while grain was exported, which waged wars for the right to sell opium; and it still runs in that of their descendants; who preside over a world still structured by the inequalities and injustices that are their legacy. The ability to “smile as you kill”, as John Lennon put it, the capacity to lie with total self belief and behave like a vandal while maintaining impeccable manners is built into the way these people are brought up through the elite public schools and institutions like the Bullingdon Club or US Frat Houses. The sort of character satirised by Shaw in St Joan, where the ghost of the Earl of Warwick explains with disarming charm to the ghost of Jean d’Arc that burning her to death was “nothing personal. Your death was a political necessity” could be written because he was so easily recognisable. This way of thinking is reflected in Dominic Cummins remark that “herd immunity” was worth pursuing because the deaths of “a few pensioners” was neither here nor there; and the article by a Daily Telegraph economics correspondent that the deaths of thousands of unproductive elderly people would be “mildly beneficial” to the economy “when looked at dispassionately.” A Malthusian approach to “the surplus population” (as Dickens’s Mr Scrooge puts it) is nothing new; and likely to be far more common in private than in public. Just consider the Grenfell fire in this context.
  3. Ruling class thinking is so dominated by the structures, relationships, laws and values that ensure their continuing wealth and power that any challenge to it – from wherever it comes – is literally unthinkable; so the first reaction to challenges that appear like a deus ex machina almost has to be denial. This comes across as a sort of hubris – that the normal functioning of business could defy an imperative that is beyond its limits. The element of “stupidity” – an inability to learn faced with incontrovertible evidence – is structured by this. This is corroborated by the experience of other challenges. On the crunch day of the 2008 financial crisis the CEO’s of the UK Banks that were about to crash and take the whole system down with them were sitting in a meeting with the Chancellor of the Exchequer and the Treasury team refusing to agree to the government bail out that saved their arses until the last possible minute; because they saw the terms on offer as an impossible and unacceptable restriction on their freedom of action; describing it afterwards as a “drive by shooting” – even though it socialised their debt at enormous cost to society with no consequent obligation on their part to restructure their operations to meet social needs. The case of climate change is even more evident. One example symbolically stands for all. In November last year the Veneto Regional Council, with its offices on Venice’s Grand Canal, voted down measures to reduce CO2 emissions barely two minutes before rising flood waters drove them out of their chamber. George Osborne’s asinine boast to the Conservative conference in 2011 that “We’re not going to save the planet by putting our country out of business” is still the mind set for those who hold our fates in their hands in the West – and evidence of why they don’t deserve to.

A deeper problem is that this way of thinking is also dominant in the general population, whose lived reality is within these structures and “values”, that define the limits and imperatives they bump into while trying to get by in a world constructed for someone else’s benefit, so they appear so much as common sense or normality to most people that it is barely possible to imagine living or thinking in any other way. Crises shake that and reveal to those with eyes to see that the Emperor’s clothes are – at least – threadbare. People imagine alternatives and start trying to construct them when they have to.

President Trump expresses ruling class thinking as an expression of pure id. Coherence and higher level thinking have nothing to do with it. He takes the old jokes that were so effective against Gerald Ford – “his library burned down and the tragedy was both books were burned – and one of them wasn’t coloured in yet” – and turns them into a strength. Who likes reading anyway? He is an impresario of knee jerk reactions. The targets of his barbs are finely calculated to avoid thought and go straight to fears and exploitable emnities. He is mobilising fears and turning them against targets that strengthen his position while throwing out false hopes – because people need to believe that this will be easier than it is and want to hang on to whatever shred of “normality” they can.

  • Initially claiming it to be a hoax perpetrated by the Democrats. This claim was loudly repeated by Fox News, so one of their commentators has since had to be sacked. Trump himself remains in place saying he doesn’t want to look back. Amnesia is a condition compulsory for true believers.
  • Initially saying it was “totally under control”, or since that this or that medicine might be a miracle cure that was already ready, or that it would “disappear’ like a “miracle”; none of which has or is going to happen, all of which have had to be denied by the FDA, some of which have led to people getting ill from taking inappropriate meds on his say so; but none of this matters because he “has a good feeling” about it.
  • Relentlessly labelling it as a “Chinese virus” or a “foreign virus”, as if diseases have a nationality and could be made subject to border control. With an irony that would be wonderful if the consequences weren’t so serious, the higher rate of infection in the US has led to the Mexicans closing the border against American visitors. Build that wall. His attempt to offer large sums to a German company for exclusive deployment of the vaccine they are developing for use in the US alone – an offer creditably turned down by the company which quite rightly declared that any vaccine it produced would be for everyone – and the continuing and intensifying exploitation of medical sanctions against vulnerable countries like Iran and Venezuela, highlights the nationalistic recklessness that is stripping US power bare of its previous “global leadership” and “human rights” pretensions and leaving it ugly and naked for all to see.

Meanwhile his followers round on anyone campaigning for an effective approach as “politicising the crisis”. Perish the thought. Similar charges are made in the UK where we are all supposed to “pull together” behind a government that helped dump us in the leaky boat we’re in and has taken initiatives when forced to do so not because they have ever been ahead of the curve.

Meanwhile petty sorcerer’s apprentice figures over here like Nigel Farage railed against the WHO. “The World Health Organisation is just another club of ‘clever people” who want to bully us and tell us what to do. Ignore.”  Can’t have ‘clever people” who might know what they are talking about telling us what we need to do to save our lives and bullying us into health. Where will it end? Just take back control, light up that fag, have another pint and infect all your mates. Tim Martin of Wetherspoons, just before the government finally moved to close down pubs and cafes, declared that his pubs would stay open because there had “hardly been any transmission” of Covid19 in pubs; so thats alright then. We can afford a few transmissions to keep the beer flowing. Its a matter of priorities after all. Never forget where this idiocy leads.

Phase two: Waking up to several months of Sundays

Last Saturday, the day after the government told cafes, pubs and restaurants to shut, most did in my local High Street; a few rapidly repositioning themselves to offer take out only with delivery. One or two were open with no signs. All but one were empty. There were fewer people but still too many, some wearing masks, some with scarves across their mouths and nose in an attempt to avoid viral roulette. Hopefully the Prime Minister won’t say they ‘look like bank robbers.’ Traffic, normally jammed on a Saturday, flowed freely. Walking past the barbers, the bloke who usually cuts my hair was working wearing a face mask – but he had pulled it down to breathe more easily – hoping – presumably – for symbolic protection. It was possible the next day to look out over West London from our living room window which – because we are on a hill – gives a vista right across past Wembley Stadium on the foreground all the way to the distant hills of Richmond park on the southern horizon – and appreciate the hush. The roofs seemed to be dreaming. For years you could count the aircraft flying East to West across the City to get to Heathrow, an orderly queue, one every thirty seconds. On Sunday, nothing. I counted three all afternoon, and no vapour trails. The sky is an unbroken blue of oddly celebratory weather.

The sudden change in the rules was way too slow and came partly from pressure from below and partly from pressure from other countries experiences. An example is what happened with schools.

  • At the beginning of the week the government was saying that there was no need to close schools.
  • Other countries, accepted to be only a week or two ahead of us in the trajectory of infections, had closed theirs and people could see that their health systems were already struggling. The shortage of ventilators and beds meaning that anyone over 60 was being left to sink or swim. In some cases ventilators were being removed from elderly patients to go into younger ones because they were the only ones available.
  • The National Education Union publicly asked for the modelling being used by the government to argue that keeping schools open was a safe course of action to be publicly shared. At the same time they told all of their members who were in vulnerable categories to inform their Head teachers that they would be self isolating at home from Monday and that if the Heads resisted that the union would see them in court.
  • The government failed to come up with its model, which undermined what authority their stance had – and as the week went on, more and more teachers went off, either with symptoms or as a measure of self protection, 2 000 more teachers joined the union and Reps emerged in quiet schools so they had a voice, while the Heads unions also expressed concerns. At the same time, an increasing number of parents took their children out without waiting for an instruction from government.
  • Faced with a chaotic break down of the school system the government ordered partial closure on the terms set down by the union – with some places left open for the children of key workers.
  • The experience this week has been that very few of those children have actually come in – even in those few schools that tried to hold open more places than the 10% maximum laid down.

The impact of all this is that rules and expectations previously taken to be imperative and unchallengeable have suddenly become optional. Deadlines have evaporated to be replaced by the incessant buzzing of WhatsApp messages from the local mutual help group; as real life proves that there is such a thing as society. Some basic lessons.

  • When it comes to the crunch the market can’t deliver. The state has to step in. The question there is the extent to which it is doing so in order to subsidise businesses and to what extent to guarantee a social need. In Spain they have requisitioned private health care. Here they have done a deal. Italy has renationalised Al Italia. Here Richard Branson wants a bail out. The pattern of 2008 is at risk of repeating itself but that is not inevitable. If people are to “all pull together” that can’t be in the interests of keeping Richard Branson in yachts and private islands while everyone else suffers.
  • Just in time deliveries and the production pattern that goes with them requires a society living on its nerve ends all the time.
  • Once a pattern of home working and zoom conferencing gets established there’s every possibility that they will become the norm.
  • Air travel looks like becoming far rarer.

TINA (“There is no alternative”) is dead, even “going forward”. This has enormous consequences for the movement to save us from the even greater challenge posed by climate change. If the government can nationalise railways, guarantee 80% of wages, direct car companies to produce ventilators, require non essential businesses to shut down (even Sports Direct and Wetherspoons) – at least for a while – mobilise volunteers to work in the Health Service, set up local co-ordinations of councils, the health service and voluntary organisations to meet emergency responses and require huge changes in social behaviour to save us from a virus, the taboo against taking similar action to repurpose our economy and society so that we can drastically cut carbon emissions and live in a sustainable way has been broken. We can think outside the box because the walls of the box have broken. There will be strenuous efforts to rebuild them as was in an attempt to go back to “normal” but we don’t have to let them get away with that.

Phase three: Whats next?

The genie is already out of the bottle and running riot. Because of the failure to test there is no grip on who has and who has not got this virus. Kings College has launched an App for people to log into with their state of health, so some backdated information can be gathered, but this depends on a critical mass of representative people taking part so patterns can be observed. Voluntary initiatives like this have come to the fore because there has not been an attempt to do this by the government, which needs to step up.

The measures taken so far have been too little too late, which will mean that they will have to be intensified for longer while increasing numbers of people die. None of us is invulnerable. I am acutely aware that I am writing this as a 66 year old with high blood pressure and a longstanding chronic cough.

So far there has been a certain amount of social discipline and a huge level of social mobilisation from the bottom up. 405 000 people have volunteered to help the NHS deliver medicine and probably food to vulnerable people on lockdown. The Communication Workers Union has volunteered en bloc to be the fourth emergency service and do similar (2). The government and much of the media will attempt to frame this outpouring of social solidarity in nationalist terms – as a patriotic duty more than social solidarity, precisely because the latter has the potential to go beyond the limitations of the former.  Johnson always appears for his daily briefings bracketed by Union Jacks, making him look as though he is framed in rather stuffy patriotic parentheses – which, of course, he is. Meanwhile people at home with their eyes misting up look at videos of Germans on balconies singing Bella Ciao in solidarity with Italy.

This social solidarity has partially broken down around panic buying. This reflects a genuine fear of being stuck at home without enough food (or toilet rolls) that was completely predictable and could have been blunted by a far more rapid imposition of limits on purchases of particular items. The notion that “the customer is always right” inhibited the needed response for far too long. We have also had some criminal elements trying to exploit the situation, either by profiteering on scarce goods or posing as volunteer support to get info and access to the bank accounts of vulnerable people. In one case very tastefully targeting people whose children are in free School Meals.

As this drags on, unless there is a deepening of the underpinning of economic security, and as the death toll climbs, that cohesion is likely to start fraying at the edges as those not covered by the wages guarantee start hearing the siren voices of those calling for a return to work before the virus has been eliminated. Further measures of socialisation – what we used to call “social security” – will have to be taken to prevent this. Employers of key workers who have not staggered start and stop times to take account of rush hour crushes on public transport – which make social distancing impossible for anyone caught up in it – will have to be instructed to do so.

As this crisis works its way through this summer there will be a three way divergence globally.

  • If China sustains its effective suppression of the virus and starts cranking its society and economy back up – as it is starting to do – it will be seen to have recovered with a relatively low level of casualties.
  • The total in Europe and the US will be far higher and the economic disruption far greater. Goldman Sachs estimates that US GDP could collapse by 25% in the next quarter, pushing unemployment up to 13%. This will have political as well as economic consequences. (3)
  • If and when the virus runs out of control in the developing world, the death rate is likely to be higher still unless there is a massive and co-ordinated international effort to strengthen health systems. China and Cuba are already trying, but can’t do this on their own. The approach of the current US administration, to maintain medical sanctions on threatened countries while whipping up racist reactions, is the opposite of what is needed.

Recognising this, Sadiq Khan’s appeal to Boris Johnson to step up to the global co-ordinating role played by Gordon Brown in the financial crash is almost surreal – not just because its Boris Johnson but because what Boris Johnson and his government believe in makes it impossible for them to play this role.

Conclusions will be drawn about global leadership through the experience of who is providing it in practice. This is dramatised by the scarcely believable statements from Trump and Brazil’s President Bolsonaro today and some US senators starting on Monday. Bolsonaro denounced city governments ordering lockdowns calling for people to “get back to work” while boasting that he personally could survive this virus because of his “athleticism”. The only thing missing was a box of Lemsip max strength poking out of his pocket. Trump – since Monday – has started talking about the cure being worse than the disease and floating a “return to work” around Easter Sunday and that having churches full to bursting on that day would be a “beautiful thing.” This is not because he is hoping for a miracle – though a connection with deeply atavistic sentiments about rising from the dead in Spring should not be ruled out – but is quite explicitly posed as putting the needs of the economy above the needs of the people. This means that there will be a political drive from forces animated by Trump to go back to business as usual as rapidly as possible if they can get away with it. No one should be in any doubt that this will kill many, many people. The extent to which they get away with this will be the extent to which there is mass revulsion and push back.

Out with them!

A personal post script

The meeting that I went to on March 7th was for XR Educators to work out their perspective in the wake of the general election. I was there for the NEU Climate Change Network. The immediate campaigning plans discussed at the meeting are all on hold because of the virus, but what I took away from it has been invaluable in another sense. in the crisis we now face.

I am not a member of XR and have a more traditional Labour movement way of operating. Some of that involves a rather functional approach to meetings. When doing introductions we usually just say who we are and who we’re representing. At this meeting – possibly reflecting the Quaker influence in the long tradition of non violent direct action that goes back through Occupy all the way to the Committee of a 100 – and possibly reflecting a need to face an existential crisis with some appreciation of life so as not to fall into despair – we were asked to introduce ourselves and say something we were grateful for. At the time I was grateful for my Freedom Pass because it enabled me to get to the meeting for nothing. Since then, every day I have felt and noticed things I am grateful for – the cloud of bees in the frothy white cherry blossoms on the tree outside my flat – the light reflecting on the ceiling as it comes through the curtains in the morning – the uplift at the end of Beethoven’s violin concerto, my wife’s wit, my daughter’s laugh and my son’s hugs. And I am grateful for the nudge to let that gratitude in.

  1. R Taggart Murphy. Privilege Preserved. Crisis and Recovery in Japan. New Left Review 121 Jan/Feb 2020
  2. https://www.cwu.org/news/here-is-a-vital-update-on-coronavirus-and-the-dispute-for-all-royal-mail-group-members/
  3. https://markets.businessinsider.com/news/stocks/us-gdp-drop-record-2q-amid-coronavirus-recession-goldman-sachs-2020-3-1029018308

Yes, we have no bananas.

It may have been the decision to close schools – or it may just have been the reassuring letters from supermarket chief executives promising to keep the shelves stocked – but this morning the local Sainsbury looked like the locusts had been in.

The long standing stripped aisle appearance of the toilet roll, eggs, soap and tinned goods aisles had spread to fresh fruit and veg, biscuits, bread, milk and dairy leaving only a few embarassed looking goods exposed and advertising their unloved status. Small tins of Heinz macaroni cheese clustered alone in the middle of the devastated canned goods aisle like the sole survivors of an asteroid strike. Even at a time of panic shopping, people looked at them and thought…”Nah.”

It changes the psychology of shopping in a wealthy developed economy – in which for years you have been able to take it for granted that just about anything on your list will be in stock in abundance. From being irritated if something on the list wasn’t on the shelf, in less than a week it has become a pleasure to find anything that is.

Meanwhile a rumour that Amazon was introducing a gift wrap option for orders of toilet rolls has – sadly – been denied. The wrap might have come in handy.

Empty shelves are a sign the market is dysfunctional and the government hasn’t got a grip.

Empty shelves in the supermarket are a sign of the breakdown of social trust.

This morning I was looking for an obscure item of shopping; and the supermarket worker who was showing me where it was – and who hitherto hadn’t strayed far from her station at the Deli counter- expressed shock at how many of the shelves had been cleared by panic buying – mostly toilet rolls, soap, staple carbs like pasta and rice. “I’ve never seen it like this” she said. Then paused. “I will be doing my panic buying tomorrow. We have 15% discount.”

When I suggested that essentials should be rationed, she said that at the moment there is no company policy on restricting sales – why would there be if the point of an enterprise is to sell as much as possible as fast as possible? Some public spirited managers were trying to put restrictions on, but this seemed to be in response to particularly over the top purchasing and not especially strong- like the woman who was trying to buy three boxes full of tinned soup. They restricted her to two.

Shop workers themselves – in the absence of a policy – are unable to challenge even the most gratuitous purchases because this is seen as “bad customer relations.” The consumer is king, even at their most anti-social.

Panic buying happens when people are nervous that they will not have access to things they consider essential – because no one is regulating the supply. The result is shortages for those least able to shop on a big scale. Government regulation limiting purchase of essential items should have been put in place pre-emptively. Leaving a situation like this to “the market” to sort out leaves the most vulnerable at the mercy of the hidden hand.