Situational Awareness Report: COVID-19 in Merton
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Merton Health and Wellbeing Board – 26th January 2021
Situational Awareness Report: COVID-19 in Merton
Page 1
Dr Dagmar Zeuner, Director of Public Health
Agenda Item 8
Merton Public Health Intelligence
22nd January 2021
Produced by Ben Bezuidenhout (ben.bezuidenhout@merton.gov.uk) on 22nd January 2021
1
1
Summary key messages 22nd January 2021
London overview
• ONS estimated cases rate in London is 3,600 per 100,000 (As of 8th Jan)
• The current estimated London R value is between 0.9 and 1.2 (As of 15th Jan)
Cases (14th Jan – 20th Jan):
• 7 day case rate (all ages) 617.4 cases per 100,000 (down from 827.2 previous week).
• 7 day case rate (among 60+) 521.5 cases per 100,000 (down from 789.1 previous week).
Page 2
• There were 1,314 new COVID cases in Merton.
• New COVID variant: estimated to be responsible for 86% of cases in Merton between 7th Jan and 13th Jan 2021.
Deaths:
• There were 33 new registered Merton COVID death for the week ending 8th Jan.
• In total Merton has seen 301 deaths due to COVID.
Testing (12th Jan – 18th Jan / pillar 2 PCR tests only – this excludes Lateral Flow tests):
• 7 day testing rate 373.6 daily tests per 100,000 (down from 462.8 previous week)
• 7 day test positivity decreased to 20.6%.
2 Enquiries Ben.bezuidenhout@merton.gov.uk
Positive cases per 100,000 across London boroughs 22nd January 2021
For reporting period 7.1.2021 – 13.01.2021
Colour of box illustrates weekly cases per 100,000 for that week
Positive cases per 100,000 Positive cases per 100,000
population – all ages population – 60+ only
Page 3
Merton Merton
3 Enquiries ben.bezuidenhout@merton.gov.uk
Individuals tested per 100,000 and test positivity across London boroughs 22nd January 2021
For reporting period 7.1.2021 – 13.01.2021
Colour of box illustrates weekly cases per 100,000 for that week
Individuals tested per 100,000 Percentage of individuals
population 7 day rate – all ages testing positive – all ages
Page 4
Merton Merton
4 Enquiries ben.bezuidenhout@merton.gov.uk
COVID-19 and NHS-related indicators (all figures are numbers unless stated) 22nd January 2021
Confirmed COVID-19 total inpatients across London Confirmed COVID-19 ITU/HDU inpatients across London
Page 5
Source: SWL CCG COVID-19 daily dashboard Source: SWL CCG COVID-19 daily dashboard
Total bed occupancy in SWL NHS trusts over time COVID-19 patients in hospital
Percent of hospital beds occupied
Total number of patients
Source: SWL CCG COVID-19 daily dashboard Source: PHE COVID-19 London overview
5 Enquiries ben.bezuidenhout@merton.gov.uk
Local analysis: COVID-19 in Merton
Page 6
6
Number of deaths registered among Merton residents 22nd January 2021
Source: ONS Cumulative number of COVID
Key messages
related deaths registered in Merton
(04.01.2020 – 08.01.2021)
301
• 33 registered COVID deaths in Merton week ending 8th Jan 2021 – 27 in hospital, 4 in care
Place of Number of COVID Number of COVID
homes, 1 at home, and 1 in a hospice. death deaths - last week deaths - cumulative
(02.01.21 - 08.01.21) (04.01.20 – 01.01.21)
• 42 of the 301 cumulative deaths (14%) have been in care homes. 227 (75%) have been in
hospitals. Please note that hospital deaths may include care home residents. Hospital 27 227
Care home 4 42
• Merton recorded 52.8 COVID deaths per 100,000 population (29th June - 12th January) and has
the 9th highest COVID death rate among London boroughs, and 2nd highest in SWL. Home 1 25
Hospice 1 6
• Increase in non-COVID deaths in Merton observed in recent weeks.
Elsewhere 0 1
Page 7
Number of deaths in Merton by week of registration
180
160
Number of deaths
140
120
100 107
80 73
60 66 61 50
40 47 33
20 29 35 35 51
31
33 20 27
21 30 24 29 26 24 26 27 26 27 31 27 25 28 22 25 28 31 33
19 18 22 19 20 20 22 20 20 19
0 0 0 1 6 2 13
17 10 10 8 10 3 1 3 1 2 15 1 17
0 0 0 1 0 0 0 17 0 0 0 0 17 0 1 1 1 1 1 1 4 4 7 8 3 13 18
Week of death registration
COVID-19 deaths Non COVID-19 deaths Total number of deaths registered per equivalent week in 2019 7
Enquiries: ben.bezuidenhout@merton.gov.uk
Page 8
7 day cases rate per 100,000 population
200
400
600
800
0
1000
1200
20th Nov - 26th Nov
21st Nov - 27th Nov
22nd Nov - 28th Nov
23rd Nov - 29th Nov
Reporting frequency: Daily
24th Nov - 30th Nov
25th Nov - 1st Dec
26th Nov - 2nd Dec
27th Nov - 3rd Dec
28th Nov - 4th Dec
29th Nov - 5th Dec
Merton
30th Nov - 6th Dec
1st Dec - 7th Dec
2nd Dec - 8th Dec
Source: London Covid 19 daily surveillance report
3rd Dec - 9th Dec
4th Dec - 10th Dec
5th Dec - 11th Dec
Note: Merton has the third highest rate in SWL boroughs
Croydon
6th Dec - 12th Dec
7th Dec - 13th Dec
8th Dec - 14th Dec
9th Dec - 15th Dec
Kingston 10th Dec - 16th Dec
11th Dec - 17th Dec
12th Dec - 18th Dec
Due to reporting issues no data was available for 6th-12th December and 21st -27th December 13th Dec - 19th Dec
Please note no data was released for weeks 13th – 19TH December until 17th – 23rd December 14th Dec - 20th Dec
compared to South West London boroughs (Pillar 1 & 2)
15th Dec - 21st Dec
16th Dec - 22nd Dec
Richmond
17th Dec - 23rd Dec
18th Dec - 24th Dec
19th Dec - 25th Dec
For internal use only. Not for wider circulation
20th Dec - 26th Dec
21st Dec - 31st Dec
22nd Dec - 28th Dec
23rd Dec - 29th Dec
Wandsworth
24th Dec - 30th Dec
25th Dec - 31st Dec
26th Dec - 1st Jan
27th Dec - 2nd Jan
28th Dec - 3rd Jan
Sutton
29th Dec - 4th Jan
30th Dec - 5th Jan
31st Dec - 6th Jan
1st Jan - 7th Jan
2nd Jan - 8th Jan
Rolling total rate of confirmed positive cases per 100,000 population in Merton per week
3rd Jan - 9th Jan
4th Jan - 10th Jan
5th Jan - 11th Jan
6th Jan - 12th Jan
7th Jan - 13th Jan
8
8th Jan - 14th Jan
Enquiries: ben.bezuidenhout@merton.gov.uk
9th Jan - 15th Jan
22nd January 2021
22nd January 2021
Local COVID-19 outbreaks in
Source: LCRC New confirmed outbreaks locally New confirmed outbreaks via LCRC
Merton Current
(14th – 20th Jan)
Previous
(7th – 13th Jan)
Current
(14th – 20th Jan)
Previous
(7th – 13th Jan)
New care home outbreaks: Schools and nurseries 8 8 - -
• 4 Symptomatic cases
Care homes 2 2 3 5
• (1 resident, 3 staff)
Care settings - Supported living, 3 6 1 1
• 6 Asymptomatic cases
sheltered living, extra care, and
• (3 residents, 3 staff) domiciliary care
Workplace 3 4 0 1
Note on data (LBM and non-LBM)
• Outbreaks reported locally: Homeless accommodation 0 0 0 0
• 16 new outbreaks this week Other 0 1 0 0
Page 9
• An outbreak is two or more
confirmed cases or one case in Cumulative number of reported care home incidents and outbreaks by London Borough
care home or care setting No. of reported care home incidents or
(1st February 2020 – 19th January 2021)
180 168
• Outbreaks reported via LCRC: 160
140
147
133 131 130
• We include LCRC data for 120 107 102
outbreaks
96 89
100 84
comparison with other boroughs 80
79 78 77 73 71 70 63 59 57 56
• Includes all reported situations 60
53 51
43 43 39 37 36 36 35 34 33 33
e.g. exposures, suspected cases, 40
20
outbreaks 0
• Care homes includes all other
care settings
• Only large school outbreaks
reported
Source: LCRC daily report
9 Enquiries: ben.bezuidenhout@merton.gov.uk
COVID-19 cases rates in Merton by age group 7-day rolling total case rates 22nd January 2021
per 100,000 and breakdown of cases by geography
Source: PHE/PHEC Daily Report
Reporting frequency: Daily
7 day rolling average case rate by age groups in Merton
7-day rate of Pillar 2 PCR positive tests in Merton
1500 by LSOA (per 100k population)
0-15 16-29 30-44 45-59 60+
1300
Rate per 100,000 population
1100
900
Page 10
700
500
300
100
-100
Weekly rolling average
10
Source: PHE/Covid-19 Epidemiology in London Enquiries ben.bezuidenhout@merton.gov.uk22nd January 2021
COVID-19 positive cases in Merton by ethnicity
Weekly distribution of cases by ethnic group in Merton.
Data over 6 weeks and compared to ethnic breakdown Merton.
Source: PHE Merton LA Report
*
2%
5%
63%
Page 11
12%
5%
4%
9%
Merton ethnic
breakdown, 2020 11
Source: 2016 GLA housing-led
*Data for week ending 16th January is preliminary population projections
Enquiries ben.bezuidenhout@merton.gov.uk22nd January 2021
COVID-19 cases in East and West Merton Percent in occupations
at high risk of COVID-19
Source: LSAT daily line list
Reporting frequency: Daily
7-day rolling total number of cases in East and West Merton
180.0
2nd lockdown Entry tier 3 3rd lockdown Source: 2011 census
Entry tier 4
160.0
Re-entry into tier 2 Indices of multiple
deprivation (IMD)
140.0
7-day rolling number of cases
120.0 113.9
Page 12
Source: MHCLG 2019
100.0 Percent black, Asian,
and minority ethnic
80.0 (BAME)
59.6
60.0
Source: 2011 census
40.0
20.0 Percent of households
considered overcrowded
0.0
01/11/20
03/11/20
05/11/20
07/11/20
09/11/20
11/11/20
13/11/20
15/11/20
17/11/20
19/11/20
21/11/20
23/11/20
25/11/20
27/11/20
29/11/20
01/12/20
03/12/20
05/12/20
07/12/20
09/12/20
11/12/20
13/12/20
15/12/20
17/12/20
19/12/20
21/12/20
23/12/20
25/12/20
27/12/20
29/12/20
31/12/20
02/01/21
04/01/21
06/01/21
08/01/21
10/01/21
12/01/21
14/01/21
16/01/21
18/01/21
Source: 2011 census
12
Enquiries ben.bezuidenhout@merton.gov.uk22nd January 2021
Rate of COVID-19 cases in East and West Merton by age group
Source: LCRC/LSAT Daily
Key Messages:
• East Merton has higher rate of cases in older age groups.
• West Merton has higher rate of cases in younger age groups.
Cases per 100,000 by age group between East and West Merton (1st Jan – 18th Jan)
3058.0
60+ 1333.7
Page 13
2973.2
45-59
Age groups
1956.1
1914.9
30-44 1676.6
East West
1074.9
16-29 2036.1
521.7
0-15 695.4
0 500 1000 1500 2000 2500 3000 3500
Rate per 100000 population
13 Enquiries: ben.bezuidenhout@merton.gov.uk22nd January 2021
Covid-19 PCR Tests from Pillar 2 by Merton Residents overview
Key Messages:
• Local testing sites (LTS) ranged from 27% to 42% of Merton resident (7th Dec - 18th Jan). Overall 35% over this period - same as for home tests.
• MTU’s account for 6-16% of Merton resident tests and 11% over the 7 week time period.
• RTS account for 3% of tests during the 7 week time period (n=903)
PCR tests among Merton residents by test setting 7-day rate of total Pillar 2 PCR tests in
(7th December 2020 – 18th January 2021) Merton by LSOA (per 100k population)
100% (12th – 18th Jan)
6% 10% 5% 5% 5% 8% 10%
90% 13% 12% 6% 8%
16% 2% 10%
80% 14% 3% 1%
Page 14
1% 4% 1%
3%
70% 27%
42% 28% Higher rate
Percentage
60% 32% 34% 38%
50% 40% of testing
40%
19%
30% 49% 41%
18% 39% 34% 40%
20%
10% 26%
15% 9%
0% 5% 7% 4% 7%
7th Dec 14-Dec 21-Dec 28-Dec 04-Jan 11-Jan 18 Jan*
Week ending
Care home Home LTS RTS MTU Not known
(local test site) (regional (mobile testing
*Data for last few days not fully complete test site) unit) Source: NHS containment dashboard
Note: Only includes pillar 2 and PCR tests and is for tests and
not persons, so multiple tests will likely exist Source: PHE Power BI tool
14
For internal use only. Not for wider circulation Enquiries: ben.bezuidenhout@merton.gov.uk22nd January 2021
COVID-19 test centre utilisation in Merton (20th Dec 2020 – 17th Jan 2021)
Key Messages: 140%
Mitcham Elm Nursery (LTS) Red line represents 100% test
• Local site capacity:
Mitcham Elm: 144; Merton College (LTS) centre utilisation
120%
Merton College: 432;
100%
• Smaller Mitcham Elm
Nursery site operating at
80%
Site Utilisation (%)
higher capacity than
Merton College site.
Page 15
60%
• Average for January:
Mitcham Elm (73%) 40%
Merton College (30%)
20%
0%
Tue 22 Dec
Tue 29 Dec
Tue 5 Jan
Sun 20 Dec
Sun 27 Dec
Sat 2 Jan
Sun 3 Jan
Sat 9 Jan
Wed 13 Jan
Sat 26 Dec
Fri 15 Jan
Mon 4 Jan
Thu 14 Jan
Mon 21 Dec
Fri 25 Dec
Mon 28 Dec
Wed 23 Dec
Wed 30 Dec
Fri 1 Jan
Wed 6 Jan
Fri 8 Jan
Thu 24 Dec
Thu 31 Dec
Tue 12 Jan
Sun 10 Jan
Sun 17 Jan
Thu 7 Jan
Sat 16 Jan
Mon 11 Jan
Sources: Tests: Regional Dashboard (DHSC) / Capacity: RSP - LB Merton 15
For internal use only. Not for wider circulation Enquiries: ben.bezuidenhout@merton.gov.ukTests and positive tests by ethnicity 22nd January 2021
Source: NELCSU: COVID-19 dashboard PHE
Key messages Key Messages
• 2/3 of testing in the White population, which is higher than the • Positive tests have been higher in Asian ethnic groups compared
general White population in Merton. to the Asian population generally in Merton.
• Testing uptake in the Black population has been relatively lower
• 25% of testing has taken place in Black and Asian minority
Positive tests in Merton between 1st January 2020 and 12th January
ethnic groups
2021 by ethnic group – compared to Merton ethnic profile
Tests in Merton between 1st January 2020 and 12th January 2021 by Positive tests by ethnicity Merton resident Profile
ethnic group – compared to Merton ethnic profile
Page 16
Tests by ethnicity Merton resident Profile
16
Enquiries ben.bezuidenhout@merton.gov.ukAsymptomatic Covid testing model in Merton
Dagmar Zeuner, January 2021
Page 17
17Principles and overview
Purpose
• Test-to-find – identify asymptomatic positive cases and ensure self-isolation to
prevent onwards transmission (30-40% of Covid asymptomatic); regular targeted
testing of front-line workers (at risk of Covid exposure) 2x week.
• Test-to-enable – confirm negative individuals in order to come out of self-isolation;
this requires daily testing for 7d (also called: serial testing, daily contact testing);
Page 18
approval outstanding (apart from pilots); a single negative test in a close contact
does not permit coming out of self-isolation.
Tests
• Polymerase chain reaction (PCR) - highly accurate but requires laboratory, 24-72
hour result turn-around, used nationally for asymptomatic testing in certain settings
e.g. care homes. Nasal and throat swab. Site-based supervised self-swabbing and
home kits available.
• Lateral flow test/devide (LFT/LFD) - lower accuracy point-of-care test, results in 20-
30 minutes; used for most asymptomatic testing. Nasal and throat swab. Home
testing approved in principle by MHRA but not yet for widespread use (exception:
primary school staff)
18Merton model for asymptomatic testing
Focus
• Mainly targeted at front-line staff (regular testing 2x wk)
• Opportunity for resident testing (one-off)
Service offer from LBM
1 Support for national programme– incl secondary schools, care homes, institutional-led such as police,
Page 19
fire service, TfL, businesses >250 employees
2 Local community pharmacists – standard and enhanced service (with health promotion and
protection advice);
3 Devolved staff testing – to LBM teams, partner organisations and businesses not covered by national
programme, incl public and private essential front-line workers;
4 Morden Assembly Hall – site-based LFT use; dual purpose for targeted regular staff testing and one-
off resident testing; for use while national and devolved programmes are established; development of
‘roving teams’ for outreach.
5 Mutual aid to partners in national programme and SWL LAs – covering temporary stock issues,
providing easy access across sub-region for all front-line workers
19Merton Covid-19 Vaccination
Page 20
Programme Update
Bringing together Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth
20Priority cohorts
• All our Merton GP led vaccination centres are now up and running, so that all our GP registered
population is now covered. GP practices are working together at these sites in their Primary Care
Networks to deliver the vaccine programme on top of their business-as-usual service caring for
patients. This means that most primary care sites are vaccinating three or four days a week. We are
also fortunate in Merton this week to have some support from the Army.
•
Page 21
A team of six Army vaccinators will be on hand at the Wilson on Friday, and the Nelson on Saturday,
to help support the local teams’ efforts at their clinics this week. You will have seen that this week the
Government have asked us to add the over 70s to the groups of patients the NHS should prioritise.
• Each GP site will add the over 70s to the list of patients they call for appointments.
• The over 80s continue to be the first priority and because not all our vaccination sites went live at the
same time, some over 80s have not yet been contacted.
• We expect the majority of over 80s to have been offered the vaccine by the end of January and
those over 70 to have been offered the vaccine by 15 February 2021. Those over 70 will be able to
come forward and receive the vaccine throughout the Covid-19 vaccination programme.
21Vaccination data
• Localised data is not yet available, the information is held at a national level and
is expected to be announced later today at
https://www.england.nhs.uk/statistics/statistical-work-areas/covid-19-vaccination/
• The NHS will continue to contact people directly to invite them to receive the
vaccine when it is their turn. This may be via the phone, text message or letter
Page 22
from a Merton GP practice. We thank everyone who is waiting to be contacted by
the NHS, the NHS is working flat out to offer it to as quickly and safely as we
can. The NHS will let people know when it is their turn.
• You can also find information about the Merton Covid-19 vaccination programme
on our website at https://swlondonccg.nhs.uk/your-area/merton/merton-covid-19-
vaccination-programme-update/
• Please do refer local people to these pages which includes a full list of the
practices which are covered by each GP led vaccination site.
22Extract of data for London
1st dose 2nd dose
Cumulative Total
Region of Residence ICS/STP of Residence
Under 80 80+ Under 80 80+ Doses to Date
UK Total 1,871,910 1,685,937 104,076 319,522 3,981,445
Page 23
London East London Health and Care Partnership 40,972 27,886 2,438 5,821 77,117
London North London Partners in Health and Care 40,375 28,226 3,026 8,850 80,477
London North West London Health and Care Partnership 45,724 35,171 2,255 8,084 91,234
London Our Healthier South East London 45,989 27,708 2,811 5,975 82,483
London South West London Health and Care Partnership 53,007 31,295 3,720 7,561 95,583
23Hospital hubs and mass vaccination
sites
• St Helier Hospital is now operating seven days a week with a focus on vaccinating front line
health and care workers and those over 70s who are visiting the hospital for outpatient
appointments or in hospital and well enough to receive the vaccine.
• You will have seen the announcement in the national media about large vaccination centres,
Page 24
which are now operational. We are pleased that some Merton residents who are over 80 have
received letters from the National Booking Services where they can book an appointment
directly into one of these vaccination centres if they are available, our closest centres at the
moment are the Excel Centre and Epsom Racecourse. Large vaccination sites will operate
seven days a week. As more large vaccination centres come online there will be more choice
for local people.
• We are also working hard to vaccinate care home residents and workers and hope to have
offered all care home residents and workers the vaccination by Sunday 24 January 2021. We
are also taking the vaccine to those patients who are housebound and require a home visit. If
those people who are housebound are offered an appointment at a centre, they should talk to
their GP at the point they are contacted.
24JCVI priority groups for vaccination
Priority groups as set out in the advice from the Joint Committee on Vaccination and Immunisation (JCVI).
Prime Ministers pledge
Groups 1 to 4 to be offered
Page 25
the vaccine by Monday 15
February 2021
All care home staff and
residents to be offered the
vaccine by Sunday 24
January 2021
All front line health and care
workers to be offered by end
of January 2021
This is the first wave of priority groups set out by the JCVI – after all over 50s have been offered the vaccine, the programme
will be extended to the under 50s. The JCVI will lay out the next priority groups in the coming weeks. Covid vaccines are
not licensed for minors.
25Covid vaccination
– community engagement
Page 26
approach
26Areas and populations of interest
Merton has an estimated population of 211,787
residents. Significant social inequalities exist within
Merton. The eastern half has a younger, poorer and
more ethnically mixed population, with more areas of
high deprivation. The western half is whiter, older, and
Page 27
richer.
Populations of • Communities in areas of deprivation
interest • Communities with Ghanaian, Polish, Somali,
Tamil, Gypsy, Roma and Traveller
backgrounds
Focus wards • East Merton; esp. Figges Marsh, Pollards
Hill, Lavender Fields, St Helier.
• Gypsy, Roma and Traveller population in
Wimbledon Park.
Source: English Indices of Deprivation
https://imd2019.group.shef.ac.uk/ last accessed 10/09/2020
27Local approach – being iterated with
local partners
• We are focusing on strengthening the connections with formal and informal
leaders in our populations of interest across the partnership
• We are attending existing meetings and setting up dedicated meetings –
Page 28
arranging for interpreters where necessary.
• We are also recruiting to a roster of local clinicians - whose backgrounds are
reflective of our populations of interest – to join meetings.
• We are partnering with Public Health to support vaccine uptake through its
Covid Champions.
• We are also working with the Local Authority and VCSE sector to support
Community Response Hub advisers to promote vaccine uptake
28Merton: work to date
Date of Numbers
Name or organisation Type of community group
session attended
Ethnic Minority Centre 17/12/2020 24 Minority ethnic communities
Wimbledon Community 11/1/2020 7 All communities
Association
Page 29
Community Response 11/1/2020 7 All communities
Hub Team meeting
Public Health's Merton 13/1/2020 12- 12-1pm - 35 All communities
Covid-19 Champions 1pm and 7-8pm 7-8pm - 19
Merton Patient
14/01/2021 20 All communities
Engagement Group
Wimbledon Community
15/01/2021 4 All communities
Association #2
Merton Mencap 19/01/2021 22 LD/carers
A further 9 sessions have been scheduled - reaching out to elderly communities, individuals
with LD, carers, mental health, ethnic minority communities, deprived communities and young
families.
29Future sessions
Name of session Date of outreach Type of community group
Sunshine Recovery Café 21-Jan-21 Mental Health
Focus 4-1 26-Jan-21 Mental Health/BAME
Age UK 27-Jan-21 Older people
Page 30
Wimbledon Guild (for
customers) 28-Jan-21 Older people
Wimbledon Guild (for staff &
volunteers) 28-Jan-21 Older people
Wimbledon Guild (for anyone) 02-Feb-21 Older people
Acacia centre families drop in
#1 03-Feb-21 Families/pregnancy
Acacia centre - staff 05-Feb-21 Families/pregnancy
Acacia centre families drop in
#2 04-Mar-21 Families/pregnancy
30HWBB Community Subgroup Update - Engaging our communities Dr Dagmar Zeuner Page 31 26 January 2021
HWBB Community Subgroup – future focus
• Subgroup established Aug 2020 to keep a focus on those disproportionately impacted by
Covid-19 across Merton - in line with the HWBB key principle to work jointly with our
community.
• Subgroup more hands on, more diverse membership; HWBB giving oversight and
strategic co-ordination of partners.
Page 32
• HWBB is asked to agree to extend the Community Subgroup for six months - to
September 2021 (when it will be reviewed).
• The Subgroup will focus as a priority on tackling vaccine hesitancy – as a key element in
the exacerbation of inequalities* - with those most vulnerable often being among the
most hesitant.
• Subgroup will also continue to help address misunderstanding and misinformation -
through building trust and working with peers to reach all communities, to help promote
and actively share clear communications.
*Exacerbation of inequalities subject of Michael Marmot Build Back Fairer report
32Vaccine Hesitancy
Access
• Problems with access can be misunderstood as refusal; the ask is for local, trusted and
familiar, i.e. in community, faith or settings.
Vaccine
• Late adopters – need to see others/peers to be vaccinated first
• Never – anti-vax, conspiracy theorists
Page 33
• Queries/uncertainty/misunderstandings about specific issues:
• Ingredients, including animal products, foetal products
• Immune mechanism, including mRNA
• Vaccine development & approval, including rushed, ethics (Pfizer history of African trials)
• Side effects, including fertility; deaths in the very frail (Norway)
Consequences of vaccination
• Mortality reduction (JVCI priority group 1-9 >90%)
• Transmission unclear (likely to be some protection but unlikely to be complete)
• Could it mean a change to my job?
• Vaccination passports
• New vaccine escape virus variantsTackling vaccine hesitancy
• Working jointly with NHS and partners – weekly briefing for Councillors.
• Established network of 133 Covid Community Champions – growing all the time,
Young Adult Community Champions and Under 18 Covid Champions network.
• Working with VCS and other trusted local organisations
Page 34
• Commissioned BAME Voice engagement and resilience programme –reports end of February.
• Workshops with wider communities e.g. Polish and Eastern European Community.
• Age UK work with older people / case studies.
• Merton Mencap engagement and action programme– due to report phase one in March.
• Using the insight we gain to improve our communications, messaging and offer
to communities and helping the contacts we make to influence their peers,
families (including intergenerational) and networks to improve understanding.
• Supporting accessibility to vaccinations at trusted local sites (Government
guidance expected)Next steps
• Confirm HWBB is happy to agree to continuation of its Community Subgroup for
six months to September 2021?
• Subgroup will work collaboratively to help increase the reach of clear effective
messaging on vaccination across communities (where possible co-created with
trusted local leaders and residents), particularly to those that are harder to
Page 35
engage.
• Also to improve accessibility to vaccination both through tackling misinformation
and supporting the use of further local vaccination sites where possible within
target communities.
Question to HWBB members:
• Suggestions and / or offers on how to extend the reach of engagement and
take up of vaccination among harder to reach groups.MERTON COUNCIL
Merton’s Climate Strategy and
Action Plan
January 2021
Page 36MERTON COUNCIL
Merton’s Emissions
Tackling major sources of
greenhouse gas emissions require
three major transformations by
2050:
1) Working towards a green
and circular economy.
Page 37
2) A shift towards low carbon
buildings and energy.
3) A transition in transport
towards walking, cycling
and electric vehicles.
Trees and other natural
resources have a role to play
in adapting to the impacts of
climate change.MERTON COUNCIL
Health and Climate Links
Key Outcomes of Health Health/Climate Action Areas in
and Wellbeing Strategy common aims Climate Strategy
Tackle fuel poverty Buildings and Energy
Protecting from
Reduce overheating /
harm and
flooding
providing safety
Page 38
Reduce air pollution
Transport
Making the More active Travel
healthy life style
choice easy Lower-meat diets
Green Economy
Promoting good Greener borough
mental health Greening Merton
Social inclusion
and emotional
wellbeing Greater empowermentMERTON COUNCIL
Organisational Emissions
The NHS produces over 1/3 of public sector emissions, and 1 st October 2020 were
the first health service to committed to a net-zero NHS
Page 39
Merton’s estate strategy should be
consistent with Net-zero targetsMERTON COUNCIL
Opportunities beyond the
current Climate Delivery Plan
Quick wins:
Joint statement for healthy people and planet
Page 40
Support NHS net-zero targets
Support Climate Action Group
Develop shared comms
Fill gaps with longer term project
development:
Deep retrofit for fuel poor
Behaviour change projects linked to diet
and exercise for young peopleMERTON COUNCIL
End
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