The Far End in the time of COVID-19

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The Far End in the time of COVID-19

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Stay Home embroidery - Swati H Das on Unsplash
Does the clinical evidence exist to support the pressure placed on elderly people to stay home during a pandemic (Image: Swati H Das on Unsplash, Mumbai, Maharashtra, India)

Blenheim GP and honorary professor of general practice Campbell Murdoch questions the evidence for making older people confine themselves during a pandemic

ON 22 MARCH 2020, prime minister Jacinda Ardern directed that all people aged over 70 years or with compromised immune systems were to stay at home be, Stay home - spraypaint, Stay home, Ahvaz, Khuzestan Province, Iran (Image: Ashkan Forouzani on Unsplash)
References

1. Disparities in the risk and outcomes of COVID-19. Public Health England June 2020

2. Lee, J. The way ‘Covid deaths’ are being counted is a national scandal. Spectator Magazine 30th May 2020.

3. Murdoch JC, Elwood M and Phyu SA. Serial tests of T-cell function predict long-term survival in an elderly cohort from a Scottish general practice. J Prim Health Care 2020;12(1):228. doi:10.1071/HC19079 R

4. Belsky DW, Caspi A, Houts R, et al. Quantification of biological aging in young adults. Proc Natl Acad Sci USA.2015;112(30): E4104–10. doi:10.1073/pnas.1506264112

5. Macdonald G. Establishing “Far end “ practices in the wake of Covid-19. Posted by BJGP Life | 6 May 2020 | Coronavirus, Opinion | 0

6. Mercer SW, Watt GCM. The inverse care law: clinical primary care encounters in deprived and affluent areas of Scotland. Ann Fam Med 2007; 5(6):503–510.

7. Atul Gawande. Being mortal: illness, medicine and what matters in the end. Profile Books, London 2014.