Coronavirus (COVID-19): framework for decision making - assessing the four harms
Sets out the four harms process for assessment used to establish when coronavirus restrictions could be safely lifted after lockdown and the scientific evidence underpinning the decisions.
Footnotes
1. https://www.gov.scot/collections/coronavirus-covid-19-scotlands-route-map/
2. https://www.nrscotland.gov.uk/files//statistics/population-estimates/mid-19/mid-year-pop-est-19-report.pdf (page 3)
3. https://www.nrscotland.gov.uk/files//statistics/population-estimates/mid-19/mid-year-pop-est-19-report.pdf (pages 13-14)
5. Scottish Household Survey
6. Scottish Census 2011 https://www.webarchive.org.uk/wayback/archive/20150218151549/http://www.gov.scot/Publications/2014/10/8378
7. This is determined on the basis of the bedroom standard as defined in the Housing (Overcrowding) Bill 2003, taking into account the number of bedrooms available in the dwelling and the type of household that occupies it
9. https://www.nrscotland.gov.uk/files/statistics/covid19/covid-deaths-report-week-45.pdf
10. PHS interactive dashboard shows a 7 day average of 529.7 cases for women and 431.9 for men as of 9 November https://public.tableau.com/profile/phs.covid.19#!/vizhome/COVID-19DailyDashboard_15960160643010/Overview
11. https://www.gov.scot/publications/fairer-scotland-women-gender-pay-gap-action-plan/
12. Beyond the data: understanding the impact of COVID-19 on BAME groups
14. This was true after adjusting for region, population density, socio-demographic and household characteristics, the relative difference in mortality rates between those disabled and limited a lot and those non-disabled was 2.4 times higher for females and 2.0 times higher for males.
15. https://www.nrscotland.gov.uk/news/2020/deaths-involving-covid-19
16. Data correct as of 3 December 2020
18. https://www.open.edu/openlearn/science-maths-technology/biology/what-virus
19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173023/
20. https://coronavirusexplained.ukri.org/en/article/cad0003/
21. https://www.who.int/health-topics/coronavirus#tab=tab_1
26. https://www.nejm.org/doi/full/10.1056/NEJMc2004973?query=featured_home
29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543342/
30. https://www.gov.uk/government/publications/spi-bemg-covid-19-housing-impacts-10-september-2020
33. https://www.bmj.com/content/371/bmj.m3862
34. The UK Scientific Advisory Group for Emergencies (SAGE) are responsible for ensuring that timely and coordinated scientific advice is made available to decision makers to support UK cross-Government. SAGE in turn is informed by a group of academic experts [the Scientific Pandemic Influenza Group on Modelling [SPI-M]. SAGE meets two or three times each week. Following each meeting updated assumptions and modelling materials are released to Scottish Government. The Scottish Government Covid modelling team then apply these to Scotland.
36. https://www.gov.scot/collections/coronavirus-covid-19-modelling-the-epidemic/
37. This measure is included on the Scottish Government COVID-19 in Scotland: Indirect health impacts dashboard
38. https://informatics.sepa.org.uk/RNAmonitoring/
40. https://www.gov.scot/publications/coronavirus-covid-19-daily-data-for-scotland/
42. Douglas et al (2020) Mitigating the wider health effects of Covid-19 pandemic response BMJ 2020; 369 https://www.bmj.com/content/369/bmj.m1557
43. Scottish Government (2020) Equality and Fairer Scotland Duty Assessment of the Health and Social Impacts of COVID-19 https://www.gov.scot/publications/covid-19-health-and-social-impact-assessment
44. GOV.UK Guidance on shielding and protecting extremely vulnerable persons from COVID-19
45. GOV.UK Guidance on protecting older people and vulnerable adults
46. National Records of Scotland: "Winter Mortality in Scotland 2019/20." (Published 13 October 2020). https://www.nrscotland.gov.uk/files//statistics/winter-mortality/2020/winter-mortality-19-20-pub.pdf.
47. https://www.nrscotland.gov.uk/covid19stats
48. https://data.gov.scot/coronavirus-covid-19/detail.html#2_indirect_health_impacts
49. https://www.gov.scot/collections/scottish-health-survey/
50. The Scottish Government (2020) Scottish Health Survey 2019: summary report: https://www.gov.scot/publications/scottish-health-survey-2019-summary-report/pages/3/
SHeS data-tables provides breakdowns by age, gender and deprivation for cardiovascular disease and a wide range number of major health conditions. The latest SHeS data table are from the 2019 survey: https://www.gov.scot/publications/scottish-health-survey-2019-supplementary-tables/
51. https://beta.isdscotland.org/
52. Public Health Scotland publishes data on health service provision and use, much of it available for individual Health and Social Care Partnerships and Health Boards on this dashboard: COVID-19 wider impacts on the health care system
53. Scottish Government COVID-19 in Scotland: Indirect health impacts dashboard
54. Board level performance against cancer waiting time standards are detailed up to 30 June 2020: https://beta.isdscotland.org/find-publications-and-data/conditions-and-diseases/cancer/cancer-waiting-times/
55. https://beta.isdscotland.org/find-publications-and-data/healthcare-resources/waiting-times/ - Most measures are available at NHS board level.
56. ''NHS waiting times to end September 2020 - NHS waiting times - diagnostics 24 November 2020 - Data & intelligence from PHS. The eight investigations are upper endoscopy, lower endoscopy (excl. colonoscopy), colonoscopy, cystoscopy, CT scan, MRI scan, barium studies and non-obstetric ultrasound.
58. https://www.gla.ac.uk/researchinstitutes/healthwellbeing/research/generalpractice/deepend/
59. This weekly online panel survey is with around 1,000 adults and is representative of the adult population. Source: YouGov commissioned by the Scottish Government.
60. This measure is included on the Scottish Government COVID-19 in Scotland: Indirect health impacts dashboard
61. Public Health Scotland (2020b). "Insights in social care: statistics for Scotland. Support provided or funded by health and social care partnerships in Scotland 2018/19." https://beta.isdscotland.org/find-publications-and-data/health-and-social-care/social-and-community-care/insights-in-social-care-statistics-for-scotland/
62. https://www.gov.scot/publications/adult-social-care-winter-preparedness-plan-2020-21/
64. https://hselibrary.ie/what-is-the-impact-of-the-coronavirus-pandemic-on-the-mental-health-of-elderly-nursing-home-residents/ - for a review of literature on the mental health impacts of the pandemic on care home residents
65. Scottish Government (2019). "Scotland's Carer's – Update Release." https://www2.gov.scot/Resource/0054/00548776.pdf
66. Carers UK (2019). "State of Caring. A snapshot of unpaid care in the UK." http://www.carersuk.org/images/News__campaigns/CUK_State_of_Caring_2019_Report.pdf
67. Scottish Government (2015). "Scotland's Carers." https://www.gov.scot/publications/scotlands-carers/
68. Carers UK (2020). "Caring behind closed doors. Forgotten families in the coronavirus outbreak." https://www.carersuk.org/for-professionals/policy/policy-library/caring-behind-closed-doors-report
69. Scottish Government (2020) Equality and Fairer Scotland Duty Assessment of the Health and Social Impacts of COVID-19 https://www.gov.scot/publications/covid-19-health-and-social-impact-assessment/
70. Douglas et al (2020) Mitigating the wider health effects of Covid-19 pandemic response https://www.bmj.com/content/bmj/369/bmj.m1557.full.pdf
71. World Health Organization (2013). Mental Health Action Plan 2013-2020.
72. World Health Organisation (2019). The WHO Special Initiative for Mental Health
73. Coronavirus (COVID-19): mental health tracker study - wave 1 report: 12 Oct 2020
74. Scottish Government (2020) MENTAL HEALTH AND COVID-19: EVIDENCE AND ANALYSIS BRIEFING (2) 12 JUNE 2020
75. https://www.gov.scot/groups/coronavirus-covid-19-mental-health-research-advisory-group/
76. UK Chief Medical Officer' Physical Activity Guidelines (2019). Department of Health & Social Care, Welsh Government, Scottish Government & Northern Ireland Department of Health
78. Sport England (2020) Sport England: Survey into Adult Physical Activity Attitudes and Behaviour
79. Editorial (2017). Life, Death and Disability in 2016. The Lancet; 390(10100): p1083-1464
80. Abdelaal M, le Roux, C and Docherty, N (2017). Morbidity and mortality associated with obesity. Annals of Translational Medicine; 5(7): 101: p.1.
81. World Health Organisation (2018). Fact Sheet Obesity and Overweight
82. Floriana, S, Luppino, MD, Leonore, M, de Wit, MS, Paul, F, Bouvy, MD et al. (2010). Overweight, obesity and depression: A systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 67;3;p229-220
83. Anstey, KJ, Cherbuin, N, Budge, M, and Young, J (2011). Body mass index in midlife and late-life as a risk factor for dementia: a meta-analysis of prospective studies. Obesity Reviews; 12(5): 426-37
84. Public Health England (2020) Excess Weight and COVID-19 Insights from new evidence
85. Food Standard Scotland Covid-19 Consumer Tracker Wave 4
86. Food Standard Scotland Covid-19 Consumer Tracker Wave 4; and Obesity Action Scotland (2020) Lifestyle of Scotland's People Since the Coronavirus Outbreak
87. World Health Organization (2018) Alcohol Fact Sheet
88. Mathers C, Stevens G and Mascarenhas M (2009). Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization
89. Royal College of Psychiatrists (2020) COVID-19: Information for those who use drugs
90. Public Health Scotland (2020) Drug and Alcohol Treatment Waiting Times report
91. Alcohol Focus Scotland (2020) Alcohol Focus Scotland and Alcohol Change UK Polling Statistics Summary
92. UK Alcohol Duty Statistics, May to July 2020 Update. HM revenue and Customs
93. Drug Deaths Taskforce: terms of reference. 5 July 2019
94. Dickie E et al. (2017) Drugs related deaths narrative rapid evidence review: Keeping people safe. Edinburgh: NHS Health Scotland
95. Royal College of Psychiatrists (2020) COVID-19: Information for those who use drugs
96. Public Health Scotland, (2020) Drug and Alcohol Treatment Waiting Times report
97. Global Drugs Survey COVID-19 Special Edition: Key Findings Report
COVID-19 and drug markets survey – month one summary, Crew, May 2020
101. https://www.gov.scot/publications/recorded-crime-scotland-october-2020/
102. https://www.gov.uk/government/publications/coronavirus-covid-19-fraud-and-cyber-crime
104. https://www.gov.scot/publications/recorded-crime-scotland-2018-19/
107. https://www.gov.scot/publications/coronavirus-covid-19-children-and-transmission/
110. http://www.oecd.org/coronavirus/policy-responses/combatting-covid-19-s-effect-on-children-2e1f3b2f/
111. Data will be affected by public and school holidays, in particular the week beginning 12 October, where schools in 29 local authorities were closed for the October break and so were not included in these statistics.
112. https://www.ifs.org.uk/publications/14816
113. Office for National Statistics, 22 June 2020,
Coronavirus and the social impacts on young people in Great Britain: 3 April to 10 May 2020, available: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/ageing/articles/coronavirusandthesocialimpactsonyoungpeopleingreatbritain/3aprilto10may2020#main-points
114. Respondents ages ranged from 11 – 25. 92% of respondents were aged 18 or younger; 46% were aged 15 – 17.
116. 12 – 18 October, smaller sample of universities, England only
117. As for 28th October – 1st November 2020
118. Where 0 is 'not anxious at all' and 10 is 'completely anxious'
120. https://journals.sagepub.com/doi/10.1177/1745691614568352 Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review
121. https://data.gov.scot/coronavirus-covid-19/detail.html#loneliness
122. General information: https://shs.theapsgroup.scot/2019/key-findings/42/ and for additional information: https://shs.theapsgroup.scot/2019/supplementary-analysis/
123. https://www.carersuk.org/images/CarersWeek2020/CW_2020_Research_Report_WEB.pdf
124. https://www.gov.scot/publications/swf-monthly-management-information/
125. ONS Business Impact of Coronavirus Survey
126. Non-compliant actions relate to restrictions on meetings/gatherings indoors and outdoors, hugging/kissing, car sharing, travel and face coverings
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