Author Archives: Bodger

From left: Minister of State in the Department of Health, Mary Butler; HSE CEO Paul Reid this morning launching the Health Service Executive’s Winter Plan

This morning.

Royal College of Physicians of Ireland, Setanta Place, Dublin.

The new Health Service Executive’s Winter Plan has been published.

Via RTÉ

Under the 30-page plan, approved by the Department of Health, most of the extra €600m in funding is to be provided next year – €200m will be spent this year and €400m next year.

The Winter Plan covers the period from now up to April 2021.

The plan promises 20,000 more planned procedures. It says that trolley counts will be cut by 30%.

Also 20 Community Assessment Hubs are to be in place to help keep patients out of hospital.

It is unclear exactly how many extra medical, nursing and other health staff will be recruited to service these extra beds and what facilities are to be put in place.

Just under five million extra home support hours are to be provided

Hmm.

HSE delivers details of Winter Plan for health service (RTÉ)

Rollingnews

This morning.

The Central Bank has fined KBC Bank Ireland more than €18.3m and reprimanded it over its role in the tracker mortgage controversy following an investigation into its conduct.

Via RTÉ

The regulator said the Belgian owned bank had been responsible for “serious failings” that affected the holders of 3,741 customer accounts between June 2008 and October 2019.

The Central Bank said KBC’s actions had a devastating impact on the customers, with significant overcharging, and a resulting loss of 66 properties – 11 of which were family homes.

The investigation found that 39 of these losses could have been prevented if KBC had implemented a regulatory requirement to cease any actions that would have resulted in additional harm to customers during the review.

KBC Bank Ireland fined €18.3m for tracker mortgage failures (RTÉ)

RollingNews

Meanwhile…

‘sup?

This morning.

The Liberties, Dublin 8

Taoiseach Micheál Martin visiting Oliver Bond flat complex to meet with local community activists.

The complex was the centre of a ‘scandal’ over the weekend as over 100 people gathered for a rave in the sports ground, which included a live DJ and alleged ‘illegal drug use’.

Sam Boal/RollingNews

This morning.

Today with Claire Byrne on RTÉ Radio One.

Tánaiste Leo Varadkar (above) was asked about Dr Martin Feeley’s article in today’s Irish Times (see below) and if he thought there was “anything in that”.

Dr Feeley’s opinion piece included the following:

Common sense might dictate that we expose the low-risk population to this condition and protect the at-risk, i.e, the red rag of “herd immunity”. That is what was happening and yet the policy seems to be to prevent this happening. This should particularly have been allowed to happen during the summer months before the “flu season” and thus reduce the workload on the health services during winter months.

…The at-risk can be protected by themselves and others adhering to proven protective measures…The young and healthy majority need to be allowed to live rather than exist, while being mindful of those at risk.

Dr Feeley stood down from his position as clinical director of Dublin Midlands Hospital Group last week with immediate effect, after the HSE “dissociated itself from his remarks” that Covid-19 is “much less severe” than the flu for most people and that restrictions were no longer justified.

Mr Varadkar told Ms Byrne that he disagreed with Dr Feeley’s views on young people and Covid-19 but he also said he didn’t agree with dismissing experts with alternative views.

He said:

“I don’t agree with what he’s saying. But I never think we should dismiss alternative views or certainly views that come from people of expertise because this is a new virus, it’s only around nine months. There’s a lot we still have to learn about it.

“Ronan Glynn, the Acting Chief Medical Officer, always says that anyone who speaks with certainty on coronavirus is doing so out of confidence not out of knowledge because there is so much we have yet to know or learn about the virus.

“One thing to me is that it is not like the flu. It is much more infectious and is much more dangerous in terms of a higher mortality rate and we don’t have an effective treatment for it and we don’t have a vaccine for it. So I think comparisons to the flu are incorrect.”

Earlier….

Dr Martin Feeley

This morning.

Dr Martin Feeley, who was forced to resign from Dublin Midlands Hospital Group after criticising Ireland’s ‘Draconian’ response to the rona, has responded to the controversy.

Via The Irish Times:

In view of recent controversies caused by an article in The Irish Times on Saturday, September 12, I think it is important to articulate my position on the present Covid crisis and its management, and to comment also on more recent developments

How lethal is Covid-19?

Up to August 10th, the number of Europeans who died from a Covid-19 illness (182,639) was slightly above the number who died three years ago as a result of “flu” (152,000). The number of patients who died in Europe from the 1917/18 Spanish flu was approximately 2.64 million – this would be equivalent to approximately 7.4 million deaths of today’s European population.

It is not for want of good reason that deaths are now referred to as Covid-19-associated deaths. Of 5,700 patients admitted to New York hospitals, 88 per cent had more than one underlying condition (co-morbidity) and the US Centres for Disease Control and Prevention reported that from January to May, 19.5 per cent of Covid-19 patients with co-morbidity died compared to 1.6 per cent with no other illness.

The Irish experience is very similar – up to mid-August 94 per cent of deaths were in patients with underlying medical conditions. A Stanford-led group analysed over 100,000 Covid-19-related deaths in Europe, including Ireland, and the US and concluded that “deaths for people under 65 without predisposing conditions were remarkably uncommon”.

Another important feature is the number of people who contract the virus and remain completely asymptomatic. In extremely well-defined scenarios such as the Diamond Princess cruise liner and the Theodore Roosevelt aircraft carrier almost 66 per cent of the positive tests were completely asymptomatic, while a report from China suggests 78 per cent of cases were asymptomatic

Who is at risk?

For most respiratory diseases, such as the common cold and influenza, children are the primary carriers. However, this does not appear to be the case with the Corona viruses which caused SARS in 2003 and Covid-19. Six weeks after opening schools in Denmark there was no evidence of a spike in cases. A University of Southampton review found no reported incident of pupil-to-teacher transmission.

While children are at negligible risk if healthy and not obese, conversely the individuals at the opposite end of the age spectrum are at greatest risk. The case mortality rate regardless of co-morbidities at 60 years is about 1 per cent, at 70 years about 2 per cent, and increases dramatically to above 15 per cent in individuals over 80 years.

The presence of a chronic illness is the all-important factor in determining the risk even in the elderly; up to mid-September approximately 6,000 nursing home residents had tested positive for Covid-19 and 83 per cent recovered. Diseases of the cardiovascular and respiratory systems are high risk; as is diabetes mellitus, although distinguishing its risk from the obesity risk is difficult.

The best kept secret regarding Covid-19 is the vulnerability of overweight individuals. For reasons unknown this is not publicised to the degree required. Unfortunately this lack of awareness is exacerbated, if not caused, by HSE-published data on risk factors. In its definition of obesity the HSE uses a body mass index (BMI) of 40 whereas most international literature uses a BMI of 30.

Dr Martin Feeley: Young and healthy majority need to be allowed to live (Irish Times)

Previously: That’ll Learn Him

 

Garda Commissioner Drew Harris

This morning.

An intervention in internal Irish affairs from rising US Democrat star Kevin J Boyle following  disclosures arising from the documentary Unquiet Graves, broadcast on RTÉ One last week.

Anyone?

Previously: What Seems To Be The Problem?



What’s wrong with them?

Have they stopped listening to Tubs?

We may never know.

This afternoon.

Non-cowardly but reckless and infuriatingly panic-free ‘young people’ in Stephen’s Green, Dublin 2 and Dublin city centre.

Earlier, at the Oireachtas Special Covid-19 Committee meeting,..

…Professor Kirtsin Schaffer of the Irish Society For Clinical Microbiology, warned…

…that society is starting to verge into two directions and we have to try to bring society together again.

She said for young people the virus is an abstract term and they feel deprived of their social interactions.

We must change our approach and become more open and transparent because, she said, the younger generations have had enough.

On the other hand the elderly and the vulnerable are terrified, she said.

Don’t know they’re born.

Warning that Ireland at start of second wave (RTÉ)

Rollingnews

From top: Dr Johan Giesecke; Michael McNamara TD

This morning/afternoon.

Oireachtas Special Covid-19 Response Committee meeting.

Further to testimony from Dr Johan Giesecke, former chief epidemiologist in Sweden…

….Dr Giesecke was asked what a “soft lockdown” would entail compared to a hard lockdown.

He said:

“There’s no law telling people to stay at home and the police will not pick you up on the street when you shouldn’t be on the street. It is telling people what they should do with distancing, with handwashing, with staying home and so on, self-isolation if you feel sick.

“And you can actually estimate that the number of, in March, mid-March, when the Government introduced these measures, you could calculate that the number of potentially infectious contacts between people in Sweden dropped by 70%, just voluntary, no law.

People did what they were asked to do and they have continued, one thing that’s good with the Swedish strategy is that we haven’t changed anything for the six months whereas other countries are going in and out of lockdowns and restrictions, and which countries you can fly to and which countries you can not fly to.”

Asked how would Covid-19 be allowed to circulate among under-60s yet prevent its transmission to people over-60 and in care homes, Dr Giesecke said:

“Like Professor [Kirsten] Schafer [President of the Irish Society of Clinical Microbiology] said, there is no 100 per cent way to do that but there is a lot you can do to minimise the risk of introduction of the virus in care homes. Over.”

Later…

….Chair of the committee and Independent TD Michael McNamara asked Dr Giesecke if he agreed with the assertion that immunity levels in Sweden are currently no greater than other European states – despite Sweden allowing the virus to circulate more than those states.

Dr Giesecke replied:

“No, I think immunity levels are higher in countries where you had circulation.”

Asked about the efficacy of mask-wearing in all public settings, Dr Giesecke said that he agreed with Dr Tomás Ryan of the School of Biochemistry and Immunology at Trinity College Dublin that social distancing is more important than masks (Dr Ryan also said Ireland should have greater levels of mask wearing, and that mask wearing in all indoor environments should be promoted).

Dr Giesecke then had this exchange with Mr McNamara.

Michael McNamara: “Are masks compulsory in Sweden?”

Dr Giesecke: “No.”

McNamara: “Are they worn generally in schools?”

Dr Giesecke: “No.”

McNamara: “But do you think it would be beneficial if they were worn more?”

Dr Giesecke: “I think the scientific evidence to support mask wearing are very thin.”

Finally, each speaker was offered the chance to give their final thoughts to the committee about responding to Covid-19. Dr Giesecke said:

“Two things. Watch out for undemocratic decisions that are using emergency legislation in the case where it may not be needed. That’s number one. Number two is this will be with us for a long time. We will have to learn to live with this virus. Unless a very good vaccine comes out before Easter which I doubt. Thanks for inviting me.”

Earlier: Herdy Gurdy