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British government’s early pandemic response was a historic public health failure, lawmakers say
2021-10-12 00:00:00.0     华盛顿邮报-世界     原网页

       British lawmakers issued a scathing report about the government’s early response to the coronavirus pandemic, calling it “one of the most important public health failures the United Kingdom has ever experienced."

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       The report, which came out at midnight local time, was the result of a year-long inquiry conducted by two committees of the House of Commons.

       In 150 pages, it lists dozens of failures on the part of the British government that “led to many thousands of deaths which could have been avoided” — including insufficient community testing capacity, an inadequate test and trace system, an unwillingness to challenge scientific advice, and placing too much emphasis on avoiding lockdowns.

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       While the report highlights some standout successes — chief among them the development and rollout of a homegrown coronavirus vaccine — the report found that officials in charge in early 2020 and their scientific advisers suffered from “groupthink” and “a policy approach of fatalism.” This, the lawmakers concluded, led them to believe that the United Kingdom could not realistically eliminate the virus — in practice “accepting that herd immunity by infection was the inevitable outcome.”

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       The “abandonment of community testing,” as well as delays in implementing lockdowns and measures such as social distancing exacerbated the crisis, the inquiry said, citing former government adviser Neil Ferguson who told the members of parliament that if the national lockdown had been put in place even just a few days earlier “we would have reduced the final death toll by at least a half.”

       “Decisions on lockdowns and social distancing during the early weeks of the pandemic — and the advice that led to them — rank as one of the most important public health failures the United Kingdom has ever experienced,” the lawmakers conclude, “despite the UK counting on some of the best expertise available anywhere in the world, and despite having an open, democratic system that allowed plentiful challenge.”

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       “Painful though it is, the UK must learn what lessons it can of why this happened if we are to ensure it is not repeated.”

       How Britain won the West’s race for a coronavirus vaccine

       Over the course of 12 months, 22 members of Parliament from various parties who sit on the Science and Technology Committee and Health and Social Care Committee interviewed more than 50 witnesses, reviewed over 400 written submissions and made 38 recommendations to authorities.

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       The report says existing socio-economic inequalities in British society "were exacerbated by the pandemic” and “contributed to unequal outcomes including unacceptably high death rates” in people of Black, Asian and minority ethnic backgrounds. Community groups told lawmakers that the government did not make enough efforts to ensure its public health guidance reached those communities.

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       One of the recommendations in the report is for the government-run National Health Service to include health care workers from Black, Asian and minority ethnic backgrounds “in emergency planning and decision-making structures” in “any future crisis.”

       U.K. resists coronavirus lockdowns, goes its own way on response

       The report highlights the social care sector — an umbrella term for all forms of social services, including for the elderly in nursing homes and child care — as an especially glaring area where government mismanagement led to avoidable deaths and suffering.

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       The government did not prioritize, include or recognize the special public health needs of this sector in the early days of the pandemic, a symbol of “a longstanding failure to afford social care the same attention as the NHS,” the report says.

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       A lack of information, “coupled with staff shortages, a lack of sufficient testing and [personal protective equipment], and the design of care settings to enable communal living hampered isolation and infection control, meant that some care providers were unable to respond to risks as effectively as they should,” which “had devastating and preventable repercussions for people receiving care and their families and put staff providing social care at risk,” lawmakers said.

       Tens of thousands of vulnerable people have died of covid-19 in social care settings since the start of the pandemic. The government has been heavily criticized for encouraging the release of patients from hospitals into nursing homes with few mitigation measures to free up hospital beds, which fueled infections.

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       The report also highlights some successes on the part of the government, including high-level faith and early investment in the Oxford/AstraZeneca coronavirus vaccine; creativity and flexibility in research around covid-19 treatments; and strong early public health messaging.

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       “The United Kingdom is not alone in having suffered badly because of covid-19,” the report notes, and “comparing the experience of different countries is not straightforward.”

       The report comes as cases in the UK are once again climbing after plummeting over the summer, when schools were still shut and people spent time outside, where virus transmission is naturally lower. They were up more than 11 percent over the past seven days, for a total of nearly 267,000 new weekly cases.

       The pandemic landscape in the United Kingdom has changed in recent months. As of Tuesday, 85 percent of the eligible population – ages 12 and over – have received at least one dose of the coronavirus vaccine. For the week ending Oct. 8, weekly coronavirus-related deaths averaged 111, compared to the peak of 1,239 recorded deaths in the week ending Jan. 21.

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       There have been about 8.2 million covid-19 cases recorded across Britain since the start of the pandemic, and the death certificates of nearly 161,000 people mentioned covid-19 as a cause, according to the most recent government data.

       While the prime minister’s office has not officially responded to the report, Stephen Barclay, the minister for the Cabinet Office, repeatedly refused to apologize on behalf of the government in an interview with Sky News early Tuesday. When asked about the report, which came out at midnight, Barclay said he had not yet read it.

       “We followed throughout the scientific advice, we got the vaccine deployed extremely quickly, we protected our [National Health Service] from the surge of cases, but of course, if there are lessons to learn, we’re keen to do so,” he added.

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       The government has had an ambivalent response to criticism of its handling of the pandemic, with officials vacillating between apologies and defensiveness over the past few months.

       When Britain crossed the threshold of 100,000 coronavirus deaths in January, British Prime Minister Boris Johnson, who said he almost died of covid-19 in 2020, said “I’m deeply sorry for every life that has been lost, and, of course, as prime minister, I take full responsibility for everything the government has done.”

       But he followed that up with what some critics viewed as an excuse: “We truly did everything we could and continue to do everything that we can.”

       British Prime Minister Boris Johnson said on Jan. 26 that he was "deeply sorry for every life that has been lost," as the coronavirus death toll passed 100,000. (Reuters)

       The question of who ultimately bears responsibility for lives lost during the pandemic has preoccupied public opinion in Britain and other countries for months. In France, former health minister Agnès Buzyn, who was only in the job until Feb. 2020, was placed under formal investigation in Sept. for “endangering the lives of others” — a controversial move viewed as the start of a broader legal probe into the government’s handling of the pandemic.

       Read more:

       Something strange is happening in Britain. Covid cases are plummeting instead of soaring.

       Pingdemic: England’s covid app sent half a million exposure notifications in a week

       England abandons vaccine passport plans

       


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