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Coronavirus

COVID-19 antibody testing

Health boards have been advised by the Chief Medical Officer (CMO) to focus on using coronavirus (COVID-19) antibody tests to improve understanding of the virus and in the clinical management of patients.

The CMO Dr Gregor Smith has written to all NHS boards outlining that as there is currently insufficient clinical evidence showing the degree of protection antibodies give, or the duration of any protection, the only clinically safe option is to assume no meaningful immunity from a positive result until evidence shows otherwise.

Currently antibody tests are used in Scotland for surveillance measures to provide population-level information on COVID-19 and these tests will continue to be used in this way. So far 4,431 antibody tests for surveillance purposes have been completed.

Dr Smith said:

“Having assessed the research available, there is currently insufficient clinical evidence to absolutely conclude that people who have recovered from COVID-19 are protected from either a second infection or from infecting others.

“Until such evidence exists the main public health benefits are for research purposes or in the clinical management of patients. The World Health Organisation and SAGE have warned there are potentially negative impacts on public health if individuals assume immunity from a positive result and adapt their behaviour in a way which could increase the risk of continued transmission.

“On this basis, advice to health boards is not to offer on-demand antibody testing.

“Our approach is being kept under ongoing review. If clinical evidence around immunity changes we will swiftly roll out a national antibody testing programme in order to realise the potential health, social and economic benefits this would offer, and are preparing now for that prospect.”

Background:

WHO advice on antibody tests

SAGE advice on antibody tests

The Scottish Government is currently investigating new research opportunities and is encouraging health boards to participate in the UK-wide SIREN study which will examine potential immunity in healthcare workers and inform our understanding of prevalence.

In total 4,431 antibody tests for surveillance purposes have been completed as of 19 June.

Categories
Business Coronavirus

Further route map detail announced

Indicative dates for Phase 2 and early Phase 3 measures announced to help planning.

Provisional dates for the relaxation of travel restrictions, restarting of the hospitality industry and reopening of hairdressers are among further route map measures announced today (Wednesday 24, June) by First Minister Nicola Sturgeon.

Setting out indicative dates, the First Minister stressed that while sustained progress has been made to suppress coronavirus (COVID-19), the changes remain contingent on scientific and public health advice.

Physical distancing of 2 metres continues to be required in Scotland. The First Minister confirmed that the Scientific Advisory Group is providing advice on higher transmission risk settings and physical distancing and that she will provide a further update on 2 July, ahead of the proposed dates for re-opening hospitality.

Detailed sectoral guidance will be published ahead of indicative dates and the Scottish Government will join with the retail sector in a campaign to encourage the use of face coverings in all shops.

Indicative early Phase 3 dates announced today are intended to give businesses time to prepare for reopening while adhering to public health and physical distancing measures to protect workers and customers. Final decisions on moving into Phase 3 will be taken in line with the statutory three-weekly review cycle, due on 9 July.

Indicative Phase 2 dates:

• 3 July – Travel distance limit for leisure will be lifted
• 3 July – Self-catering holiday accommodation will be permitted, providing it requires no shared facilities between households
• 6 July – Outdoor hospitality can commence subject to the Scientific Advisory Group review

Indicative Phase 3 dates:

• 10 July – People can meet in extended groups outdoors, with physical distancing
• 10 July – Households can meet indoors with up to a maximum of two households, with physical distancing
• 13 July – Organised outdoor contact sport can resume for children and young people, subject to guidance
• 13 July – All dental practices begin to see registered patients for non-aerosol routine care, and work will begin to return aerosol generating procedures to practice safely
• 13 July – Increasing capacity within community optometry practices for emergency and essential eye care
• 13 July – Non-essential shops inside shopping centres can reopen, subject to the Scientific Advisory Group review
• 15 July – All childcare providers can open subject to individual provider arrangements
• 15 July – All holiday accommodation will be permitted
• 15 July – Indoor hospitality can reopen, subject to the Scientific Advisory Group review
• 15 July – Hairdressers and barbers can reopen with enhanced hygiene measures
• 15 July – Museums, galleries, cinemas, monuments, libraries will reopen with physical distancing and other measures, such as ticketing in advance

Announcing the route map changes, First Minister Nicola Sturgeon said:

“The sacrifices that have been made – and I know how hard and at times painful they have been – have suppressed the virus. They have also protected the NHS, and have undoubtedly saved a significant number of lives.

“They have also brought us to the position where we can now look ahead with a bit more clarity to our path out of lockdown, and I hope details announced today will provide people and businesses with more certainty in their forward planning.

“But let me be clear that each step on this path depends on us continuing to beat the virus back. That is why we must do everything in our power to avoid steps being reversed.

“The central point in all of this is the virus has not – and it will not – go away of its own accord. It will pose a real and significant threat to us for some time to come.

“Maintaining our progress also means all of us abiding by public health guidance. Wearing face coverings in enclosed spaces, avoiding crowded places, washing our hands and cleaning surfaces regularly, maintaining physical distancing, agreeing to immediately self-isolate and get a test if we have symptoms – all of these basic protections matter now more than ever as we all get out and about a bit more.”

Previously announced Phase 2 measures commencing Monday:

• Indoor (non-office) workplaces resume once relevant guidance is implemented. This includes: factories, warehouses, labs and research facilities. But excludes: indoor workplaces due to open in Phase 3 (e.g. nonessential offices and call-centres)
• Street-access retail can re-open once guidance is implemented. Interiors of shopping centres/malls remain closed for non-essential shops until Phase 3
• Outdoor markets can re-open once guidance is implemented
• Relaxation on restrictions on housing moves
• Outdoor sports courts can re-open
• Playgrounds can re-open
• Registration offices open for high priority tasks
• Marriages and civil partnerships allowed with minimal attendees, strictly outdoors only
• Zoos and garden attractions can open for local access only (broadly within 5 miles) until 3 July
Updated route map can be found here