As Matt Hancock and the Government acknowledge that the R rate has increased from a range of 0.5-0.9 last week to 0.7-1 now, here is an important piece by Dr Philip Lee to understand what exactly R is and why it is important to defeat Covid-19.


First published in May 2020.


For the uninitiated, R0 is the basic reproduction number for a disease. This is basically how many people one infected person will go on, on average, to infect.

For instance, one child with measles can infect up to 18. Hence the importance of vaccination.

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Learn about COVID-19. / Victor-Farmington

As long as R is above one, this means the number of infected persons will grow.

Eric who has COVID-19 might pass it onto Margaret from accounts, Sanjay who touched a handrail he touched, Susan his wife, and Bob who met him for a drink.

R here is 4.

BUT if Margaret worked from home, Sanjay cycled or used hand sanitizer coming off the bus, and Bob told Eric to piss off, then the R falls to 1. And if Susan sleeps in a different room, washes her hands all the time and stops Eric from germing up the city, R is even lower.

Hence the importance of ongoing social distancing measures. The lower R is, the faster we will reduce the threat of this spreading again. There is going to be wild virus out there but as long as the R falls the number of infected people will decrease.

And that will stop the NHS from being overwhelmed, and it will stop Sanjay from ending up on ICU, or Margaret passing it onto the elderly mother she lives with.

Staying at home if you can, maintaining distancing, hand hygiene, that is how we beat this.

The messaging from the Government needs to be clear.

◊ Firms must be encouraged to have employees work from home.

◊ People still must not congregate in large numbers.

◊ Social distancing must still be maintained.

That is how we win. Staying alert alone is not enough.🔷






[This piece was first published as a Twitter thread and turned into the above article on 15 May 2020 with the purpose of reaching a larger audience. It has been minorly edited and corrected, and published with the author’s consent. | The author of the tweets writes in a personal capacity.]

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(Cover: Flickr/Number 10. - Matt Hancock. | 15 May 2020. / Licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.)



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THE AUTHOR

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FY17 Doctor. Consultant Physician in Acute Medicine and Medicine for the Elderly.

London, UK. Articles in PMP Magazine