Public Health — House of Commons, 2020-10-06
Topic: Health
Munira Wilson (Liberal Democrats, Centre to centre-left): It is a strange place to be when I find myself in agreement today with so many Members on the Government side of the Chamber. I feel it is important for me, on behalf of my Liberal Democrat colleagues, to emphasise two points that have been raised already. They are on the importance of evidence-based policy making, and on promoting and protecting the wellbeing and mental health of children Like many others, I have struggled to find the evidence for the rule of six. It has been reported that SAGE has recommended it, and from the start of the pandemic the Liberal Democrats have always said that we will follow the science. However, in order to build trust and to secure buy-in and compliance from the public, it is important to show your workings, so, as the hon. Member for Altrincham and Sale West (Sir Graham Brady) said, we need to know about the trade-offs involved. Why six? Why not seven? Why not eight? No SAGE minutes on the covid-19 response have been published since 30 September—at least I could not find any—and the published minutes do not include discussion about the rule of six, which was introduced on 9 September. Was there a subsequent meeting of SAGE on covid-19 measures between 3 and 9 September? Will the Government publish the minutes and show the workings behind the rule of six? We have yet to see that clear, robust scientific evidence in support of this decision, particularly around the decision to include children under 12 As we have heard, in Wales and Scotland children have been exempted. The Minister has said previously that children have been included in England for simplicity’s sake. To reiterate a point that was made earlier, does she think that people in Scotland and Wales are able to follow a slightly more complex message, as opposed to people in England, who need a simpler message about children Although the pandemic has had a terrible impact on the entire population, children and young people have too often been overlooked, as we saw in the decision to reopen pubs, restaurants and non-essential shops before schools. Anne Longfield, the Children’s Commissioner, has said: "Children have fewer health risks from Covid-19 and yet they have suffered disproportionately from the nation’s efforts to contain the virus." I appreciate that we are learning all the time and that there is limited research available, but recent research in the Netherlands from the RIVM—the National Institute for Public Health and the Environment—has found: "The novel coronavirus is mainly spread between adults and from adult family members to children. The spread of COVID-19 among children or from children to adults is less common. In general, the younger the children, the less significant the role they play in spreading the virus." If children were such a major part of the problem in terms of transmission, we would be hearing about far greater numbers of bubbles being sent home from school. I could not find data on that point, but I know from my constituency that very few bubbles have been sent home. Indeed, last week, in primary schools across the Richmond borough, there was a 93% attendance rate among primary school children. That suggests to me that children under 12 are playing a very minor role in transmission As has been said, the rule of six discriminates against large families and households, where a family of six or more cannot meet a relative or friend but a family of three, four or five can. That impacts on the grandparents more than the parents, as in larger families they are unable to see their grandchildren. We should also consider the fact that larger families with four or more children may fear being out in public, in case people think they are being rule-breakers In terms of children’s mental health and well-being, the importance to children of being able to socialise, interact and play outside the school setting with other children is crucial. A Barnardo’s poll of 4,000 children aged eight to 24 found that 68% said that not seeing their friends was the most difficult thing about the pandemic I appreciate that the Government have conceded the point on informal childcare, by exempting informal childcare from the rule of six, and I welcome that move, but I see no reason why two families with two children under 12 should not meet up in a playground. I declare an interest, as I have a two-year-old and a six-year old I very much hope that the Minister will give us a better explanation than "simplicity" in her concluding remarks. If it is about clarity of message, the constant chopping and changing of the guidance, the hugely complex rules in different parts of the country, and politicians and advisers wilfully breaking them, are the reasons why messages have been undermined. We should not make up for poor communication and those errors on the backs of our children Frankly, we would not have to consider blunt measures at all if we had a functioning system to test, trace and isolate every case of the virus to keep people safe. Furthermore, we should backward-trace every outbreak to ensure that super-spreader events are cracked down on so that we can take a much more tailored and targeted approach until we have a vaccine.