Carl Hennigan

So that's where we've got to have people who are isolating, particularly the elderly, being delivered.

the food, the supplements that they require to ensure they stay healthy.

And so these types of activities should be a priority in the community, should be a priority in nursing homes, along with good PPE so that people are not infected going from one person to the next, carrying the infection around with them.

If you do that, you'll reduce the number of people coming into hospital and then you'll stop the hospitals having these super spreading events as well.

So I think it's an important way of looking around the strategy.

But I already tell I'm looking at the evidence is very limited evidence about viral pneumonia and how you tell the difference in the community.

largely because we ignore it and largely we never test for it and we don't think about it because we often think about community and pneumonia it's about a bacteria it's about an antibiotic treatment

Look, what's the point of doing a guideline when the information you base on it is highly uncertain and we're not sure what the answers are?

So I'm going to say, why do we need more of the same?

The problem I have with the guideline is there are every country in the world is affected.

There are different contexts.

There are different age structures.

There are different health care settings.

So how can one group provide one guideline that covers all of that uncertainty?

I think what we should be doing is thinking about where's the tools to be able to provide countries with the ability to do the epidemiology, to create their own evidence.

Where's the central allocation then of the information resources that matter to help you produce the guidance on the ground?

And we found that particularly a problem in places like Africa.

The guidelines just don't apply because the evidence is developed in New York State.

How does that apply to Uganda?

And I think this is incredibly important when we just say we're going to do more of the same.