HOWARD, DAVID, DR HENNY, DR AL

WELL GOOD AFTERNOON EVERYONE 

DAY ONE OF THE LOCKDOWN 

NUMBERS 

DAVE ON ZOOM 

  • 33703 TOTAL TESTS UNDERTAKEN

  • 33681 TOTAL TESTS CONCLUDED

  • 22 AWAITING TEST RESULTS

  • 17 NEW CASES

  • 70 ACTIVE CASES

  • 67 COMMUNITY

  • 3 HOSPITAL

  • 14 UNKNOWN SOURCE

HOWARD 

THANKS DAVE, SPREADS QUICKLY DOESN’T IT 

CALL 111 IF YOU HAVE SYMPTOMS 

THERE HAVE BEEN SOME TECH CHALLENGES FOR 111 – WE’RE WORKING WITH MT 

300 HOUSEHOLDS SELF ISOLATING, THERE WILL BE MORE 

TEACHERS AND SUPPORT STAFF AT 2 X SCHOOLS HAVE BEEN ASKED TO SELF ISO 

DR AL 

YESTERDAY WAS TOUGH, KIDS AREN’T GONNA SEE THEIR MATES 

DECISION NOT TAKEN LIGHTLY 

MUTATION HAS MADE IT SPREAD FASTER THAN BEFORE 

WE ALL HAVE A ROLE IN THIS 

ST NINIAN’S – YEAR 7 8 AND IDENTIFIED STAFF 

BALLASALLA – YEARS 3 AND 4

VULNERABLE AND KEYWORKER KIDS CAN GO TO THEIR OWN SCHOOL

674 PUPILS IN PRIMARY 

92 – SECONDARY 

THIS UP FROM LOCKDOWN ONE (259 PRIMARY, 40 SECONDARY)

SCHOOLS ARE NEARLY AT CAPACITY 

CRITERIA FOR ESSENTIAL WORKERS IS CLEAR 

JOBS CRITICAL TO THE COVID 19 RESPONSE 

EVERY PARENT SHOULD THINK TWICE ABOUT WHETHER YOUR KIDS NEED A HUB SCHOOL PLACE 

WE WON’T TURN PEOPLE AWAY BUT NEED TO PROTECT THE ENVIRONMENT 

ONLINE TEACHING IS BEING ROLLED, HELP YOUR KIDS GET SET UP 

EASTER HOLS – SET OUT YEARS IN ADVANCE TO SPLIT SCHOOL TERMS INTO MANAGEABLE CHUNKS 

DEPARTMENT WILL REVIEWS WAYS WE CAN SUPPORT WORKING FAMILIES 

NO CURRENT PLANS TO ALTER THE SCHOOL YEAR 

NOW IS TIME TO GET EDUCATION BACK ON TRACK 

NOW IS THE TIME TO CARE FOR EACH OTHER AND SUPPORT OUR STUDENTS 

HOWARD

CHEERS AL 

HOME IS THE SAFEST PLACE AT THE MOMENT 

SWAB SQUAD ARE FLAT OUT

NEED TO PREPARE FOR WHAT WE ARE LIKELY TO SEE

CASES WILL INCREASE FAST 

CASES ARE COMING FROM TRANSMISSION IN THE PAST, SILVER LINING 

BUT IT’LL TAKE TIME 

BE READY FOR IT TO GET WORSE GUYS 

IT WILL GET WORSE BEFORE IT GETS BETTER 

EVERY SLIP UP AGAINST THE RULES CAN HAVE MASSIVE EFFECTS

VACCINATIONS 

WE SHOULD BE ABLE TO MAKE DIFFERENT DECISIONS WHEN VULNERABLE HAVE BEEN JABBED 

WE KNOW THERE IS FRUSTRATION, BUT THERE’S ALSO MISINFORMATION 

HEADLINE ‘SCHTISTAKS’

  • THE FIRST DOSE HAS BEEN GIVEN TO EVERYONE IN PRIORITY GROUP ONE – RESIDENTS IN CARE HOMES AND THEIR CARERS

  • PRIORITY GROUP TWO, OVER 80S AND HEALTH AND SOCIAL CARE STAFF – 83% FIRST DOSE

  • GROUP 3, 75 AND OVER – 84% FIRST DOSE

  • GROUP 4, OVER 70S AND CLINICALLY VULNERABLE – 40% FIRST DOSE

  • 23K MOST VULNERABLE PEOPLE – 70% HAVE HAD THE FIRST DOSE

  • ON TRACK TO GIVE THE FIRST DOSE TO OVER 50S AND VULNERABLE BY MID-APRIL 

  • EVERY ADULT BY THE END OF MAY 

DAVID 

VAX PROGRAMME IS ON TRACK 

WE’RE IN LINE WITH UK SITUATION 

PROCESSES ARE WORKING WELL, CLINICALLY SAFE 

HALFWAY THROUGH GROUP 4. MOVING TO DOUBLE VOLUME ON MONDAY, SO IT WILL BE AROUND 1,000 A DAY 

WHEN YOU BOOK YOU GET A LETTER, THEN YOU RING 111, THEY REGISTER YOU AND THEN RING YOU BACK TO CONFIRM TIME 

THERE’S BEEN SOME KICK OFF ON TWITTER ABOUT VACCINE WASTAGE 

REPORTING ISN’T ACCURATE 

THERE WILL BE A LEVEL OF WASTE FOR ALL SORTS OF REASONS 

SHORT SHELF LIFE

NO VACCINATION PROCESS WILL HAVE ZERO WASTAGE 

NO SHOWS MEAN THERE’S NO VACCINE LEFT 

WE HAVE A LIST AND GET PEOPLE OF THE BENCH SHORT NOTICE TO GET THE JAB 

THERE WILL ALSO BE DAYS WHERE THERE IS A SMALL LEVEL OF WASTAGE 

WASTAGE HERE IS WAY LOWER THAN OTHER PLACES

STANDARD WASTAGE RATES ARE 15-25% 

WHO ESTIMATES AVERAGE IS 5% 

CONTEXT, CONTEXT, CONTEXT – 0.15% WASTE 

STAFF HAVE WORKED HARD TO MINIMISE WASTE, THANKS GUYS 

ANOTHER TOPIC, KEY WORKERS…

I KNOW KEYWOKERS WANT THE JAB 

WORKING T0 PRIORITY LIST, BASED ON LIKELIHOOD OF GETTING SICK 

VACCINE DELIVERIES ARE SPACED OUT SO IMPORTANT THAT ALL EARLY ORDERS ARE GIVEN TO MOST AT RISK OF HARM

WE KNOW YOU WANT THE JAB, BUT WE NEED TO PRIORITISE 

THANKS, CHIEF 

HOWARD 

NICE ONE DAVE. SAD TO SEE MISINFORMATION FLYING AROUND THE ISLAND 

LOOK OUT FOR FAKE NEWS ON SOCIAL MEDIA 

THERE IS NOTHING MORE POWERFUL THAN THE MANX RUMOUR MILL

THINK ABOUT WHAT YOU SHARE BEFORE YOU SHARE IT 

GOV HAVE A NOTIFICATION SERVICE CALLED EVERBRIDGE 

QUESTIONS 

AL BELL: BIT PESSIMISTIC TODAY, IS ACTION TOO LATE?

HQ: LOOKED AT JERSEY AND GUERNSEY. JERSEY PEAKED AT 1,000 ACTIVE, GUERNSEY AT 400. 

THERE HAS BEEN A SIGNIFICANT INCREASE THAT WE HAVEN’T HAS IN THE PAST. WE MOVED QUICKLY. NEW VARIANT MOVES QUICKER. 

WE COULD BE LOOKING AT A SIGNIFICANT NUMBER. IF WE SEE 20/30 IN A DAY, DON’T BE SURPRISED. 

DAVID: CAUTIOUSNESS. IT’S A SERIOUS SITUATION, WE’RE TAKING IT SERIOUSLY. POTENTIALLY MULTIPLE CHAINS OF TRANSMISSION 

DR HENNY: WIDESPREAD TRANSMISSION ACROSS THE COMMUNITY. PEOPLE WILL BE INCUBATING, SO NEW CASES WILL COME FROM THOSE WHO CAUGHT IT PRE CIRCUIT BREAKER. 

PEAK SHOULD BE 5,6,7 DAYS. R NUMBER IS LIKELY TO BE AROUND 3.5. FOR KENT VARIANT. WE WILL HAVE A WAY TO GO BEFORE WE PEAK 

HOWARD: GONE IN FAST, AS WE DO 

AL BELL: DOES THIS COMMUNITY OUTBREAK RELATE TO THE STEAM PACKET CASE?

DR HENNY: ALWAYS INTERESTED IN PERSONS, TIMES AND PLACES. CAN’T CURRENTLY FIND LINKS. TIMING INDICATES THAT IT SPREAD FROM CLUSTER BUT THROUGH MISSING LINKS. 

AL BELL: FAIRLY CONFIDENT THAT IS IT LINKED TO STEAM PACKET THEN?

DR HENNY: YEP, THAT’S OUR WORKING HYPOTHESIS. THAT IT’S RELATED TO STEAM PACKET OUTBREAK 

SIMON: HOW ARE THE NOBLES PATIENTS GETTING ON? WHAT WOULD HAPPEN IF NOBLES BECAME OVERRUN WITH NEW CASES, IS THERE AN ARRANGEMENT IN PLACE FOR PATIENTS TO BE TREATED IN UK IF NECESSARY?

DAVID: YES, BUT UK IS UNDER ITS OWN PRESSURES SO WE NEED TO BUILD OUR RESILIENCE. WE CAN EXPAND ICU TO DOUBLE CAPACITY BY TAKING OVER AN OPERATING THEATRE. CAN CONVERT WARDS TO COVID WARDS. FACING THE SAME CHALLENGES AS WE DID FOR LOCKDOWN 1. 

NO SERIOUS ISSUES WITH ANY OF THE THREE PATIENTS 

SIMON: 14 PEOPLE FROM UNKNOWN SOURCES, IS IT GOING TO BE MORE DIFFICULT TO CONTROL?

DR HENNY: YEAH, IT’S GOING TO BE TOUGHER THAN NYE OUTBREAK. IN GUERNSEY THEY’RE 6 WEEKS IN AND HAVEN’T COMPLETELY CLOSED IT DOWN. WE MIGHT DO BETTER THAN THEM, WE MIGHT NOT 

SAM: DR AL, MORE CASES LINKED SCHOOLS, CAN YOU TELL US MORE? WHY WAS THE WHOLE OF BEMAHAGUE SCHOOL NOT TOLD TO SELF ISOLATE?

DR AL: TRACK AND TRACE HAVE BEEN WORKING OUTWARD FROM IMMEDIATE YEAR GROUP. WE WENT IN AGGRESSIVELY, THROUGH CONTACT TRACING WE HAVE 222 IN YEAR 7, 176 IN YEAR 8. WE DID IT ON THE RIGHT ADVICE.

BALLASALLA IS AFFECTED WITH SYMPTOMATIC CASES THERE. MILD SYMPTOMS, KIDS ARE DOING WELL. 

WORK NOW IS IN THE TRACING. BALLSALLA CLOSED COMPLETELY 

THANKS STAFF AND PARENTS FOR RESPONDING SO WELL 

SAM: HOW MANY CASES IN THE SCHOOL THO?

TRYING TO COMPILE THE DATA, CONTACT TRACING IN HUNDREDS OF PEOPLE. IT CAN MUSHROOM INTO MORE SO WE ARE TAKING IT SERIOUSLY

SAM: WHY HAVEN’T WE GOT ONLINE BOOKING FOR VACCINES?

DAVID: WE RELEASE SLOTS. WE KNOW THEY HAD ISSUES VIA TECH AND VOLUME. AS THEY ARE DOING TESTING TOO. THE WAY WE DO IT IS EFFICIENT

SAM: AS MORE PEOPLE COME INTO THE PROGRAMME, SHOULDN’T WE BE EMBRACING TECHNOLOGY?

DAVID: WE ARE LOOKING AT IT. 111 ARE EFFICIENT, THEY HAVE MORE MANPOWER NOW TOO. 1,500 LETTERS GONE OUT, HIGH TAKE UP OF PEOPLE WANTING IT 

PAUL: VACCINES LEFTOVERS. YOU CAN TELL US ABOUT OTHER COUNTRIES, BUT THIS IS THE IOM. 15 PEOPLE COULD HAVE HAD IT, PEOPLE WOULD HAVE BITTEN YOUR HAND OFF FOR IT?

DAVID: PAUL THERE WILL ALWAYS BE VACCINE WASTE. 

CAN’T PICK PEOPLE UP OFF THE STREET. WE HAVE A CALL LIST FOR SHORT NOTICE.

IT IS THE EQUIVALENT OF ONE DOSE EVERY 3 DAYS. THE WORK THE TEAM HAS DONE TO FILL SLOTS HAS BEEN ASTRONOMICAL. 

PAUL: IS IT COS PEOPLE AREN’T TURNING UP?

DAVID: SOME PEOPLE DON’T TURN UP IF THEY ARE ILL, SOME PEOPLE FORGET. WE DO CALL PEOPLE. CONTEXT IS IMPORTANT. ALBERTA, CANADA IS A SHINING STAR AND THEY ARE WASTING MORE THAN US.

PAUL: PUT ME ON THE LIST, RING ME ANYTIME

PAUL: SOCIAL MEDIA HARES RUNNING. EITHER YOU MOVE TO A FORMAT THAT WORKS BETTER, IN GUERNSEY THEY GET LOADS OF QUESTIONS. WE GET LOADS OF QUESTIONS. CAN’T YOU GET SOMEONE ON SOCIAL MEDIA SO IT DOESN’T GET OUT OF HAND. 

HOWARD: BEST RECORD IN THE WORLD FOR WASTAGE. PEOPLE ARE STILL GIVING US SH!T. IT’S SO DISAPPOINTING. DON’T SPREAD FAKE NEWS 

HOWARD: LOADS OF PEOPLE SAY THEY SWITCH OFF THE BRIEFING WHEN IT GETS TO QUESTIONS. THE OTHER DAY WE HAD ONE OF THE MEDIA SAYING 75% SCHOOL ATTENDANCE AND IT WAS WRONG (AHEM – TIM GLOVER, GOV FUNDED MANX RADIO)

YOU GET ENOUGH QUESTIONS. 

DISAPPOINTING.

PAUL: PEOPLE WANT REASSURANCE FROM YOU. WE COULD BE IN LONGER LOCKDOWN…

HOWARD: WE ARE TRYING TO COMMUNICATE AS BEST WE CAN. REGULARLY SENDING OUR PRESS RELEASES. SOME PEOPLE GET PRESS BRIEFINGED OUT. 

DAVID: NOT JUST THE PRESS BRIEFINGS. I’M ALWAYS GIVING YOU CONTACT M8. MULTIPLE QUESTIONS. WE ARE GOING OUT THERE. NEVER AFRAID TO ANSWER QUESTIONS. 

HELEN: HOPE EVERYONE IS STILL LISTENING AT THIS POINT…

A LOT OF PARENTS FROM RAMSEY GRAM ASKING ABOUT SPORTS, YEAR 8 PLAYED FOOTY AND NETBALL AGAINST SNHS ON MONDAY

DR AL: OPERATIONAL DECISIONS ARE UP TO HEAD TEACHERS. I BACK THEM TOTALLY. OUTDOOR EVENTS ARE RELATIVELY LOW RISK 

HOWARD: THIS WAS ON MONDAY, THERE WAS A RUGBY TOURNAMENT DUE ON TUESDAY WHICH WAS CANCELLED ASAP

HELEN: HOW MANY CLINICALLY VULNERABLE PEOPLE HAVE BEEN VACCINATION. SOME PEOPLE IN GROUP 4 HAVEN’T HAD LETTERS, BUT OTHERS HAVE?

DAVID: FINAL LETTERS SENT OUT, THERE IS SOME OVERLAP. WE NEED TO PRESS ON VACCINATING 1,000 PEOPLE PER DAY

HOWARD: IF YOU’RE WAITING TO BE VACCINATED, I UNDERSTAND YOUR CONCERN. BY THE END OF THIS MONTH WE WILL BE ON PAR WITH THE UK. DOING OUR BEST, WHICH IS IMPRESSIVE. 

JOSH: GENERAL FEELING IS HOW? HOW HAS THE IOM ALLOWED THE VIRUS TO SPREAD? YOU SAID YOU ACTED QUICKLY SO WAS IT INEVITABLE?

HOWARD: WE WENT IN QUICKLY WHEN WE REALISED THERE WAS AN ISSUE. WHEN YOU ALLOW PEOPLE TO MOVE ONTO THE ISLAND, THERE IS ALWAYS A RISK OF AN OUTBREAK 

WE NEED CONSULTANTS AND MACHINERY AND FOOD. SO WE CAN NEVER SAY, WE CAN FULLY ERADICATE COVID ON THE IOM 

WE’VE GOT OUR 8 MONTH STINT OF FREEDOM TO BOAST ABOUT. 

JOSH: WILL WE SEE MORE ACTIVE CASES THAN THE FIRST WAVE? 

HOWARD: HARD TO PUT A FIGURE ON IT, LOOKING AT GUERNSEY, THEY PEAKED AT 300. WE COULD EXPECT THAT NIGHT BE THE CASE FOR US, BUT CAN’T BE EXACT

DR HENNY: THESE THINGS ARE IMPOSSIBLE TO MODEL. MODELS IS GONNA BE WRONG. MODELS IN THE NEWS IN THE UK HAVE ALWAYS BEEN WRONG. REALLY NOT USEFUL MAKE A CALL ON IT AS YOU WOULD BE WRONG. 

PRE LOCKDOWN PEOPLE WITH COVID WILL LIKELY HAVE INFECTED 3.5 OTHER PEOPLE 

WE MIGHT BE UNLUCKY AND HAVE A BUNCH OF SUPERSPREADERS, BUT WE DON’T KNOW 

PEOPLE ALREADY SELF ISOLATING SHOULDN’T HAVE PASSED IT ON, BUT COULD GIVE IT TO PEOPLE THEY LIVE WITH 

SO MANY VARIABLES, JUST NEED TO SEE WHAT COMES OUT IN THE NEXT FEW WEEKS

HOWARD: ALL THE TEAMS ARE BEING LOOKED AT, TO SEE IF WE CAN RAMP UP SUPPORT. WE ARE FAR MORE EXPERIENCED THIS TIME. GOLD TEAM MEETING WITH COLLEAGUES 

LEANNE: ON SCHOOL OUTBREAKS. HOW LONG SHOULD PEOPLE WAIT TO HEAR FROM 111?

DR AL: THANKS FOR STAYING UP LATE AND PUBLISHING PRESS RELEASES. TRACK AND TRACE CONTACTING PEOPLE SINCE IT REARED ITS UGLY HEAD. TESTING SERVICE WILL BE DOING HUNDREDS OF TESTS. 

BALLASALLA SITUATION SMALLER. IF WE HAVE MISSED YOU, CALL 111 

LEANNE: ARE BALLASALLA KIDS IN WHOLE HOUSEHOLD ISOLATION?

DR AL: THEY ARE UNTIL TESTING COMES BACK. THEY’LL BE CONTACTED BY 111

TIM: THIS IS THE FIRST TIME WE’VE HAD DOUBLE DIGITS FOR A WHILE. PEOPLE OVER 70 WHO HAVEN’T HAD THEIR LETTER SAYING THEY’VE BEEN MISSED OFF THIS LIST?

DAVID: IF IT IS HAPPENING IT’S A BIG AREA OF CONCERN, DOB COMES FROM GP RECORDS. SO IF PEOPLE HAVE EXAMPLES WE’D BE INTERESTED TO HEAR IT. I’LL LOOK INTO IT 

TIM: YOU’VE ASKED CHIEF SECRETARY TO LOOK AT STEAM PACKET SITUATION. MARKING OWN HOMEWORK?

HOWARD: ASKED CHIEF SECRETARY TO ORGANISE IT, NOT DO IT HIMSELF. WE’RE NOT BLAMING ANYONE. WE WILL FIND OUT WHAT HAS HAPPENED AND REVIEW IT. IF TYNWALD WANTS AN INDEPENDENT INQUIRY THEY CAN VOTE FOR IT. 

WHETHER IT’S GOV OR STEAM PACKET, I’LL GET A REPORT AND WE’LL MAKE SURE WE LEARN FROM IT. BUT IT’S NOT GONNA FIX THE SITUATION. 

CLOSING 

I KNOW IT’S NOT EASY 

BUT IT’S THE RIGHT THING TO DO 

NEED TO ENSURE THE VACCINATION PROGRAMME CRACKS ON  

ONLY GO OUT IF YOU NEED TO

POWER IS IN YOUR HANDS

RESPECT THE RULES AND WE’LL GET THROUGH IT