Targeted approach to testing and tracing the way forward, says doctor

over 3 years in The Irish Times

The president of Royal College of Physicians of Ireland, Prof Mary Horgan, who is also a member of Nphet, has said that having a targeted approach to testing and tracing is the way forward.
“I think having a more targeted approach is the way forward. It’s more sustainable, but also the ability to turn on testing widely again if that is required,” she told RTÉ radio’s Morning Ireland on Friday.
“We certainly are at a different phase of the pandemic than we were this time last year, indeed two years ago, it really is a good news day.”
Prof Horgan said that “a huge amount of infrastructure and financial support” had been put into testing and tracing, and there remained the ability to upscale and downscale as necessary.
The recommendation was that it would be targeted to those who are more vulnerable, people who were more likely to end up in hospital or get seriously ill from the infection, she explained.
Prof Horgan added that a recommendation that people isolate if they have symptoms until the symptoms are gone remained. “The hope is that they will. If you look at what the people of Ireland have done over the past two years it’s been so good – that’s why we are where we are today and people do have an understanding of what the symptoms are, what they need to do so that they protect not only themselves, but those that they interact with in their families, in their communities and so on.”
Masks
Mandatory mask recommendations, except for healthcare settings, will be gone, she said. That did not mean that people should not wear them if they felt comfortable doing so, she said.
“We are adaptable, it will take a while for many people to not wear masks fully, their use in certain situations, particularly crowded situations will be recommended. It’s the mandatory nature that’s gone.”
Vulnerable people have not been abandoned, she said. “As a country we need to support those that feel they are vulnerable, we have done that with continuing testing, also they have been vaccinated. Four doses really reduces risk of hospitalisation and death by 90 per cent, it’s up to us not in vulnerable groups to support those in vulnerable groups to getting back to living life to the full.”
Prof Horgan said that the mood at Thursday’s meeting of Nphet had been “very upbeat” and that in its two years “we felt we had achieved a lot”.
The Covid adviser to the Irish College of General Practitioners (ICGP), Dr Mary Favier said the decision to disband Nphet lies with the Minister for Health as the country “transitions out of a pandemic scenario”.
Nphet had achieved its goals, she told RTÉ radio’s Today show. It was important that the expertise garnered during the pandemic be maintained and there was “a lot of background work” going on to ensure that the country would be prepared the next time there was a pandemic.
On the issue of mandatory mask wearing and the possibility of such a restriction being eased, Dr Favier said there was a risk with all messages that they could be misinterpreted. Mask wearing was a very effective means of reducing Covid numbers and she anticipated that many people would continue to wear masks.
Dr Favier said she would continue to wear a mask herself in healthcare settings and in situations which were congested. That will be the same for many people she said, as there were many who would still be anxious.
That anxiety was completely understanding, she said. Many had to “reframe their lives” to deal with the risk and would continue to wear masks.

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