I AM sure that the National Clinical Director, Jason Leitch does have a very demanding position which requires commitment and hard work for which he is eminently qualified.

I am however becoming increasingly alarmed about the stridency and frequency of the pronouncements of senior civil servants and other advisors who presently command media attention and their often conflicting advice.

Last week Leitch, right, stated on Good Morning Scotland – ahead of the FM – that hopes of a normal Christmas were “fictional” and that we should prepare for a “digital” one. This was quite frankly crassly insensitive. Many older people may be alone this year as a result of restrictions and have no access to digital technology. This is equally so for poorer members in our community.

At the press call the First Minister, in almost direct contradiction, stated that “it does depend upon people doing the right thing now”.

It is important to bear in mind that members of the Civil Service have no democratic legitimacy since they do not speak as elected members of our democratic institutions.

We live in a Parliamentary democracy - not a “Scientocracy.” This is all the more poignant since this pandemic has witnessed the biggest erosion of our personal liberties this century whether in peace or war..

The First Minister last week compared the fight against the virus like that of an enemy in the Second World War. It is not – it is much more hideous than that.During wartime we could visit our friends and family (and this produced community solidarity), while now we are being conditioned to regard every neighbour, family member and stranger as being a potential killer source of a deadly infection.

The implications for our mental health are truly extremely damaging since we now live in a world of constant fear and anxiety where even touch and close quarters to our fellow human beings are looked upon as both dangerous. This is an extremely unnatural state of existence when people are literally “frightened to death” of one another which has led to self-harm and in some more extreme cases suicide.

On October 24 an analysis carried out by Public Health Scotland. Leading author, Professor Paul Mckeigue of Edinburgh University’s Usher Institute, called for a “focussed” protection to the pandemic and that it would be possible to advise those at high risk of severe disease to shield themselves when there is a Covid-19 epidemic in their locality and that health resources should be directed towards this strategic goal in tackling the pandemic.

Any effective vaccine if developed should be directed at those most vulnerable to the disease “to achieve herd immunity, the proportion who have to be immune – the herd immunity threshold – is lower with natural infection than with a vaccine.This is because natural infection affects the most connected and most susceptible people first.Once this group have been immunised the epidemic will be contained,It is possible only 20per cent of the population may bring about herd immunity”.

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Leitch commented on this: “This study analyses risk in the population in relation to severe illness as a result of Covid-19. It adds to our existing knowledge who is most at risk and allows our risk assessments to improve. It does not suggest herd immunity is a solution.” Confused dear reader? so am I!

“While it is undoubtedly the case that every death is a tragedy in this pandemic it is equally important to get a sense of historical perspective on the matter to mitigate the effects of mass panic in our society.

“During the Spanish flu pandemic of 1918 more than 500 million people became infected and the death toll world wide was 50m. This latter figure of incidentally was more than all combined casualties (combatants and civilians) who perished in the First World War.

Presently Covid-19 has had just in excess of 43m infections and just over 1.5m deaths worldwide.
James Park
Edinburgh