• Health: Preparing for the next global pandemic

  • 2023/11/20
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Health: Preparing for the next global pandemic

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  •   The ONS led the way informing the UK response to the Coronavirus pandemic. But what lessons can be learned and how can we best prepare not only ourselves, but the rest of the world, for the next pandemic?     Transcript  MILES FLETCHER  This is Statistically Speaking, the Office for National Statistics (ONS) Podcast. I'm Miles Fletcher, and as we approach the darkest months of winter, we're revisiting COVID-19.   Now the ONS doesn't do predictions, and we're certainly not forecasting a resurgence of the virus, either here in the UK or anywhere else. But pandemic preparedness has been the driving force behind two important pieces of work that we're going to be talking about this time. Looking beyond our shores, how well equipped now is the world in general to spot and monitor emerging infections? We'll hear from Josie Golding of the Wellcome Trust on that, including how even weather events like El Nino could affect the spread of viruses. We'll also talk to my ONS colleague, Joy Preece about the pandemic preparedness toolkit, a five-year project backed by Wellcome to create and develop resources that will help countries with health surveillance in the event of future pandemics.   But first, and closer to home, a new UK winter surveillance study to gather vital data on COVID-19 is now well underway. Jo Evans is its head of operations. Jo, this is a brand new COVID-19 survey the ONS is running in partnership with the UK Health Security Agency (UKHSA). What is the new survey and what's it going to be monitoring over the winter?  JO EVANS  So this is now the winter COVID infection study. And we're going to be going out to, I think we've got 145,000 people signed up, and we're going to ask them to take a lateral flow test to see if they are testing positive for COVID-19. Then we'll ask them to tell us a little bit about how they're feeling, what symptoms they have and some other household information - what work do they do? Do they have caring responsibilities? And so on.   MF  So we're gonna be getting people to take a test and everyone's familiar of course now with administering their own lateral flow test, that wasn't the case back in the early days of the pandemic, when it was a new thing for the vast majority of us. So they'll take a test that'll tell us whether they are positive or negative for COVID-19. And on top of that, we're going to be gathering data in the form of a questionnaire.   JE  That's right. And then this is a collaboration this time, so we'll be working with the UKHSA. I mean, we've worked with them on the COVID infection study before, but this time what we'll be doing is looking at those responses of how many people are telling us that they have COVID-19 And we'll be trying to understand that by where people live or their age group and so on, but we'll be sharing that information with UKHSA and they will then be looking at what the impact is on hospitals. So what they call the infection hospitalisation rate, how many people are going into hospital because they have COVID, so it'll really help us understand what pressures there are on the NHS over this winter period.  MF  And that will give us some inkling, once again, about how many people are infected but not actually displaying any symptoms?  JE  Absolutely. And we do ask people about their symptoms and if they tell us they test positive, we'll then be sending them a second questionnaire, a follow up, asking them to keep testing until they get two consecutive negative tests so that we can see how long they are testing positive, but we'll also ask them how long did their symptoms last and did they need to go and see a doctor, did they take any medication, so really trying to understand how they're experiencing that period of illness.  MF  So during those critical winter months, that'll give us some insight into what's really going on on-the- ground and in communities.   JE  That's right and we're running this study from November right through to March so that we can understand that, because COVID, unlike flu, it's not a seasonal virus, but we know that the NHS really suffers through the winter with those increased pressures, with more people needing their services. And this is about understanding what's happening out there. In the community, and what impact that is having on our healthcare services.  MF  Another very important aspect of that is we're going to be monitoring for people who say they're suffering the symptoms of what is popularly known as long-COVID, ongoing impacts of the virus, and that will fill a very important evidence gap won’t it.  JE  Absolutely. We will in a follow up questionnaire be asking people how long they've had COVID for and whether they have long-COVID. And interestingly, in some research we did when we were designing the questionnaire, long-COVID sufferers told us that they know precisely what date their ...
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  The ONS led the way informing the UK response to the Coronavirus pandemic. But what lessons can be learned and how can we best prepare not only ourselves, but the rest of the world, for the next pandemic?     Transcript  MILES FLETCHER  This is Statistically Speaking, the Office for National Statistics (ONS) Podcast. I'm Miles Fletcher, and as we approach the darkest months of winter, we're revisiting COVID-19.   Now the ONS doesn't do predictions, and we're certainly not forecasting a resurgence of the virus, either here in the UK or anywhere else. But pandemic preparedness has been the driving force behind two important pieces of work that we're going to be talking about this time. Looking beyond our shores, how well equipped now is the world in general to spot and monitor emerging infections? We'll hear from Josie Golding of the Wellcome Trust on that, including how even weather events like El Nino could affect the spread of viruses. We'll also talk to my ONS colleague, Joy Preece about the pandemic preparedness toolkit, a five-year project backed by Wellcome to create and develop resources that will help countries with health surveillance in the event of future pandemics.   But first, and closer to home, a new UK winter surveillance study to gather vital data on COVID-19 is now well underway. Jo Evans is its head of operations. Jo, this is a brand new COVID-19 survey the ONS is running in partnership with the UK Health Security Agency (UKHSA). What is the new survey and what's it going to be monitoring over the winter?  JO EVANS  So this is now the winter COVID infection study. And we're going to be going out to, I think we've got 145,000 people signed up, and we're going to ask them to take a lateral flow test to see if they are testing positive for COVID-19. Then we'll ask them to tell us a little bit about how they're feeling, what symptoms they have and some other household information - what work do they do? Do they have caring responsibilities? And so on.   MF  So we're gonna be getting people to take a test and everyone's familiar of course now with administering their own lateral flow test, that wasn't the case back in the early days of the pandemic, when it was a new thing for the vast majority of us. So they'll take a test that'll tell us whether they are positive or negative for COVID-19. And on top of that, we're going to be gathering data in the form of a questionnaire.   JE  That's right. And then this is a collaboration this time, so we'll be working with the UKHSA. I mean, we've worked with them on the COVID infection study before, but this time what we'll be doing is looking at those responses of how many people are telling us that they have COVID-19 And we'll be trying to understand that by where people live or their age group and so on, but we'll be sharing that information with UKHSA and they will then be looking at what the impact is on hospitals. So what they call the infection hospitalisation rate, how many people are going into hospital because they have COVID, so it'll really help us understand what pressures there are on the NHS over this winter period.  MF  And that will give us some inkling, once again, about how many people are infected but not actually displaying any symptoms?  JE  Absolutely. And we do ask people about their symptoms and if they tell us they test positive, we'll then be sending them a second questionnaire, a follow up, asking them to keep testing until they get two consecutive negative tests so that we can see how long they are testing positive, but we'll also ask them how long did their symptoms last and did they need to go and see a doctor, did they take any medication, so really trying to understand how they're experiencing that period of illness.  MF  So during those critical winter months, that'll give us some insight into what's really going on on-the- ground and in communities.   JE  That's right and we're running this study from November right through to March so that we can understand that, because COVID, unlike flu, it's not a seasonal virus, but we know that the NHS really suffers through the winter with those increased pressures, with more people needing their services. And this is about understanding what's happening out there. In the community, and what impact that is having on our healthcare services.  MF  Another very important aspect of that is we're going to be monitoring for people who say they're suffering the symptoms of what is popularly known as long-COVID, ongoing impacts of the virus, and that will fill a very important evidence gap won’t it.  JE  Absolutely. We will in a follow up questionnaire be asking people how long they've had COVID for and whether they have long-COVID. And interestingly, in some research we did when we were designing the questionnaire, long-COVID sufferers told us that they know precisely what date their ...

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