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Covid 19 Part XXXV-956,720 ROI (5,952 deaths) 452,946 NI (3,002 deaths) (08/01) Read OP

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  • Posts: 0 [Deleted User]


    Difference of perspectives. It’s fairly obvious that the government position is shifting and seems to be looking at the number of serious cases and ICU/HDU cases, not the number of detected cases.

    It’s also fairly obvious that the strategy has been to delay the endemic phase as much as we possibly could to allow vaccination and other immunity to have more time. There’s a level of inevitability about this and there are hard limits both practically and in proportionality that are eventually reached.

    It’s very obvious that the government focus is now on serious cases and ICU admission rate, not on raw numbers. The healthcare care facilities need a lot more resourcing as the infection control points in the community seem to have gone past the point where they’re useful or feasible.

    If the hospital admission numbers in last few days are an indication, it also looks like this wave may have peaked already.

    We also need to look at mitigation measures, notably seriously improved indoor air quality and targeted things like improved testing for anyone entering areas like hospitals in any capacity. You should have to do an antigen test as a visitor etc and that’s not a big burden and only takes 15 mins. Spit tests etc are also available. Doesn’t always need to be swabs.

    Ireland has a major issue with refusing to spend money on capital projects and big spend items, instead we drain our current budgets on endless bandaid and gaffer tape solutions like using agency staff instead of recruiting, using outsourced services, renting in facilities etc etc. the overall outcome of that is higher expenditure and poor quality services. We’ve done the same with covid. We didn’t spend on things like school ventilation, we didn’t see covid as a medium to long term issue, instead came up with lots of crappy mitigation measures that were all belts and braces, plenty of signs and sellotape.

    We do it with everything - health, housing etc etc so no surprise that it has been done with covid.



  • Registered Users Posts: 68,317 ✭✭✭✭seamus


    @Vachement wrote:

    We also need to look at mitigation measures, notably seriously improved indoor air quality and targeted things like improved testing for anyone entering areas like hospitals in any capacity. You should have to do an antigen test as a visitor etc and that’s not a big burden and only takes 15 mins. Spit tests etc are also available. Doesn’t always need to be swabs.

    To what end though are we testing everyone going into hospitals? If we're swabbing for covid, then why not norovirus, why not influenza? Covid is not going away, so new testing regimes now would be functionally permanent. It's not like anything is going to change that will let us stop testing.

    And I'm not in principle opposed to infection control measures in hospitals - obviously - but it needs to be based on what is proven work rather than expectations. That is, would screening everyone in and out of hospitals, result in a net benefit? On the face of it, it seems like a no-brainer. But there would be knock-on effects; increased levels of staff absences and reduced numbers of visitors. Both of which we know to be detrimental to individual patient outcomes. So even if increased levels of testing resulted in ls acquired illnesses (and we don't know for certain if it would), that alone is not good enough. We need to know whether patients as a whole benefit from it.

    In terms of improved indoor air quality, you're not wrong. But everyone who has suggested it seems to fall short of defining or understanding the actual scale of it. Are we talking about retrofitting HVAC into every building in the country? If the building owner refuses or can't afford it, what then? Even if we had started in March 2020, the resources needed to run such a programme are far too constrained to have made a difference in two years. This kind of thing belongs in building regulations. Which, like fire safety, is a drip-feed thing which takes decades to become standard across the country.

    Of course, what we do know is that the vast, vast majority of cases were acquired in household settings. How do we improve the air quality in homes? Building regulations. How long will that take to make a difference? Again, decades. There's also the environmental impact. We can't just start throwing air conditioning into every home in the country. Measures would have to be based on low-energy & passive systems. Which are even more expensive and harder to retrofit.



  • Registered Users Posts: 784 ✭✭✭daydorunrun


    My 78 year old mother had her initial 2 jabs though her GP and her booster through the Vax centre- that shot was listed as a 3rd shot and she has kept getting messages to go for her shot. She dropped in with my Dad and they gave her a forth shot even though she has no underlying conditions. 4 shots in 10 months seems a lot to me and i didn't even think 4th doses were cleared? Her Vaccination pass still says 3/3 shots administered which is all a bit strange.

    “You tried your best and you failed miserably. The lesson is, never try.” Homer.



  • Registered Users Posts: 7,767 ✭✭✭Deeper Blue


    I see one of the companies that runs a few Gaeltacht colleges have cancelled their courses for the Summer again this year due to covid.

    I suppose they'll have the paw out looking for money from the government to stay afloat aswell?

    These people need a serious wake up call.



  • Registered Users Posts: 5,246 ✭✭✭Widdensushi




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  • Registered Users Posts: 13,749 ✭✭✭✭Goldengirl


    I agree we need to learn and know more, but my point was that the data so far shows worse effects from Covid than from the worldwide rollout of the vaccines .

    You will argue to the contrary however. Can't change that .

    You do accept that mandatory vaccines were not brought in nor were they for children ?

    Nor was the Digital Covid cert made permanent .

    These were other worries that you had that did not come to pass ...



  • Registered Users Posts: 554 ✭✭✭Apothic_Red


    Low testing numbers so hard to draw conclusions



  • Registered Users Posts: 2,662 ✭✭✭rovers_runner


    Or maybe people have grown a pair and have stopped reporting that they have it.

    I went to work for a week with it and nobody was any the worse for not knowing, time to move on.

    Some of us don't have the handy cushion of public service sick pay.



  • Registered Users Posts: 13,749 ✭✭✭✭Goldengirl


    Agree with you vachement on the continuous strip of bandaid measures to try to fix things until the next budget, the next election .

    If anything the HSE review 2018/2019 on unplanned care reported on today ,shows that many major AEs were under considerable and demoralising pressure , from lack of capacity and shortage of staff from before the pandemic . Long, long before and spiralling downward

    Admissions are streamlined now everywhere due to Covid risk to a vulnerabe population .

    But lack of capacity and shortage of staff are still ongoing .

    Miracles of loaves and fishes going on everyday in our hospitals.

    The problem is the short memories of some elements in the population when it comes to election manifestos and budgets . Education , Health , Housing Employment ...nothing works unless we have stability in these and are universally available . No matter how much people have , these are the key quality of life indicators, and our politicians need to be held to account based on their action / inaction .

    Seamus you really need to stop saying testing should be stopped in hospitals and elsewhere.

    It is only likely in the community once this wave is over , but too many people are still vulnerable to Covid severe illness in our hospital population , even Omicron .

    Yes we lucked out with O but it will be a while before any healthcare service in the world will stop testing and streaming patients according to Covid and it is ridiculous to keep suggesting this .

    This is still many times more infectious and causes more illness than flu , norovirus and other seasonal illnesses which blighted our winterchealthservice every year . To say it us not is beyond belief from someone I would have regarded as sane and sensible before.

    You also say it will take decades for things like ventilation to improve ..

    There are air purifiers available for 60 to100 euros, not a big expense. They work. Available in an electrical store near you.

    Also households in themselves are not the problem it's the close interaction which is normal family behaviour ! What you going to do that's life . Main thing is to improve the buildings .

    People have been talking about lack of ventilation in homes and buildings for decades here in Ireland . You can't build without proper attention to ventilation and yet people block up vents in their homes and wonder why they get mould .

    This of course should have been advised and improvements given more attention and financial support given we were all infecting each other in stuffy schools, buildings and homes . Even schools were primarily just told FOR 2 YEARS to open windows , when everybody knew that that was impossible to maintain with any degree of comfort for teachers and pupils in the middle of the Irish winter weather !

    Too much spin with politicians on how they were great 'at managing the pandemic', when in reality for the last 2 years they handed over to NPHET , and much of it was firefighting, no longterm thinking or planning on how conditions to improve things like ventilation and capacity for isolation in hospitals

    They did well on funding PUP ,EWSS and Covid supports generally , and now bringing in statutory paid sick leave x 10 days will help prevent people who are sick going into work . As above poster who proudly said he went into work with it !

    But they can't rest on their laurels now and say that's it with Covid. Everytime we get a break everyone says 'whew its over , relax 'and nothing seems to get done unless the pressure is on , or in crisis mode .

    Schools need to be kitted out with proper ventilation systems before next winter .

    Testing needs to continue for all symptomatic cases until we are sure this is gone and not being replaced with something worse .

    Vaccinations and boosters need to continue at pace .

    People need to get their heads out of their behinds and recognise that while the emergency may / may not be over , Covid in some form is here to stay.

    If we don't ensure that we have built strong to withstand it we could be back in Winter 2021 , next year or even in six months or less.

    Post edited by Goldengirl on


  • Registered Users Posts: 1,325 ✭✭✭cuttingtimber22


    what is the prevalence and impact of non Covid viral infections in hospitals? There seems to be a lot going round at the moment.



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  • Registered Users Posts: 7,767 ✭✭✭Deeper Blue


    Per the Irish Times:

    "Several Gaeltacht summer courses cancelled again due to Covid-19

    Coláiste na bhFiann, which runs courses in the Connemara, Meath and Donegal Gaeltachtaí, said the rise in Covid-19 numbers have left them with no choice but to cancel again."



  • Registered Users Posts: 13,749 ✭✭✭✭Goldengirl


    Not very much influenza , 1 needing ICU , only 7 in the whole Winter season .A lot of coughs alright but milder illness .

    Small numbers even of norovirus comparing to other years . Nursing home outbreaks .

    These are all on HSPC website , under infectious diseases surveillance .



  • Posts: 0 [Deleted User]


    Not strictly Covid related, but one of the HSE’s key figures in the Covid response, the chief operating officer (Anne O’Connor), is to quit and join the VHI.

    3rd high level health official to quit the health service for either third level or private jobs.



  • Registered Users Posts: 32,136 ✭✭✭✭is_that_so


    Big job for her. She's been excellent during this. CMO, herself and ...?



  • Posts: 0 [Deleted User]




  • Registered Users Posts: 32,136 ✭✭✭✭is_that_so


    Ah that was quitting Maynooth and well-flagged. NPHET just seconded people for the duration.



  • Registered Users Posts: 1,604 ✭✭✭Amadan Dubh


    Probably cancelled so they would get some covid cash, as it must have done more than keep them ticking over the last two years.



  • Registered Users Posts: 68,317 ✭✭✭✭seamus


    @Goldengirl wrote:

    This is still many times more infectious and causes more illness than flu , norovirus and other seasonal illnesses which blighted our winterchealthservice every year .

    Sure. The actual danger Omicron presents is still very much up in the air. At the moment about two-thirds of ICU admission have "incidental" Covid, according to Varadkar. Which suggests that even at maximum saturation, the actual impact of covid infections is pretty small.

    Most of the issues with staffing and control appear to focus around staff absences and patient isolation. I said it months back, but at some point we need to shift from "isolate covid patients to protect the vulnerable", to just "isolate the vulnerable to protect them".

    The point is that covid is not going away. At some point we have to recognise that treating like a novel virus is unsustainable as you pump resources into mitigation efforts that do not properly reflect the real danger.

    The fact is that Omicron in Ireland since the 1st January 2022 has a CFR of around 0.12% - at most. Which is at the lower end of the CFR that seasonal influenza typically has. It's considerably more infectious, sure. But it's simply not that dangerous any more.



  • Registered Users Posts: 1,414 ✭✭✭jammiedodgers




  • Registered Users Posts: 2,349 ✭✭✭landofthetree




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  • Registered Users Posts: 6,556 ✭✭✭Micky 32


    So after all her restrictions and mask crusade while hiding in the wardrobe while wearing a mask she still gets covid.

    Her radio show is just going to be pure outrage after this.



  • Registered Users Posts: 5,246 ✭✭✭Widdensushi


    I wonder will any members of government get covid....



  • Registered Users Posts: 6,556 ✭✭✭Micky 32




  • Registered Users Posts: 5,246 ✭✭✭Widdensushi




  • Registered Users Posts: 6,556 ✭✭✭Micky 32


    No.



  • Registered Users Posts: 13,749 ✭✭✭✭Goldengirl


    You really can't isolate the vulnerable in a hospital, Séamus, unless you have single rooms for everyone, which would be ideal / in an ideal world.

    There are just too many people vulnerable.

    We have always kept those infected away from the general run of the hospital / isolated as much as possible to prevent spread to the multiply vulnerable, be they young or old.

    And novel or not novel, that infection rate and CFR is still higher than anything else going around, and thats with the least severe variant.

    No. Its wrong to be suggesting a sort of let it rip at this stage in hospitals, way too risky.



  • Registered Users Posts: 5,246 ✭✭✭Widdensushi


    Why throughout the last 2 years have we not seen plans for new hospitals, to stick where we currently are, rather than speculate about future varients which will hopefully be less widespread "though the media will say otherwise" currently the flu is a far more dangerous illness for the vulnerable, we need more hospital infrastructure for a growing population, not restrictions for what is for most vaccinated people a mild illness.



  • Registered Users Posts: 1,325 ✭✭✭cuttingtimber22


    Thanks. Always good to hear your perspective.

    it occurs again to me reading this how the opportunity was lost to buy out the private hospitals. I know it is not simple with existing contracts and health insurance but creative solutions could have been found and we could transition more quickly to a universal health model.



  • Registered Users Posts: 13,483 ✭✭✭✭Geuze


    I think we have enough hosps.

    50-53 for 5m people seems enough.

    We need consolidation, and less duplication.

    I don't think we need to increase the 53 number.



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  • Registered Users Posts: 13,483 ✭✭✭✭Geuze


    What, exactly, do you mean by "universal health model"?

    We already have universal hospital care, as since 1970 everybody is entitled to care in public hosps.



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