Uganda’s ID scheme excludes nearly a third from healthcare, says report

Vital services including grants financed by UK unavailable without identity cards, with women and the elderly worst affected

Up to a third of adults in Uganda have been excluded from vital healthcare and social services because they do not have national ID cards, according to a report.

Women and elderly people have been particularly affected by the introduction of the digital identity cards, which are required to access government and private sector healthcare, to claim social benefits, to vote and to open bank accounts or buy sim cards.

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Putting economics over ethics is a dismal vaccination strategy – Bulgaria shows why | Luba Kassova

Bulgaria focused on protecting the economy over saving older people from Covid. Ultimately, it will achieve neither

April will forever be in my memory as a month of painful unfairness: it is when I had my first Covid-19 vaccine in the UK and my unvaccinated father died of the virus in Bulgaria. I’m a middle-aged, healthy woman. My father was a vulnerable 85-year-old with underlying health conditions.

I have a pile of letters from the NHS that arrived for my father since January, inviting him to get a vaccination in London, the city he left for his native Bulgaria six months before. With sadness and disquiet, I wonder why Bulgaria did not protect my father in his old age while the UK’s NHS has made every endeavour to do so. Why have I been protected in my middle age while about 90% of Bulgarians over 80 have not?

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Using Zoom could help older people avoid dementia, study reveals

Those who communicate online alongside traditional methods show less of a decline in episodic memory

Defiant in the face of Covid isolation, older people across the country ventured online, often for the first time, and mastered technology: reading bedtime stories to grandchildren over Zoom and holding book clubs on Microsoft Teams.

Now a UK study has shown that their determination to access and enjoy the internet’s social possibilities could have had another advantage: protecting them against dementia.

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Air pollution spikes may impair older men’s thinking, study finds

Even short, temporary increases in airborne particles can damage brain health, research suggests

Temporary rises in air pollution may impair memory and thinking in older men, according to research that indicates even short-term spikes in airborne particles can be harmful to brain health.

Scientists found that the men’s cognitive performance fell following rises in air pollution during the month before testing, even when peak levels remained below safety thresholds for toxic air set by the World Health Organization and national regulators.

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‘Think of others’: elderly people in Zimbabwe dispel scepticism on Covid vaccine

While younger generations remain suspicious, growing numbers of senior citizens are taking up the jab

They may be old, frail, and vulnerable but they are the foot soldiers at the front of Zimbabwe’s Covid vaccination drive. Amid widespread scepticism among the younger population, it is elderly people who are coming out to lead by example.

The queues at the vaccination centres in the capital, Harare, are dominated by older people. At Wilkins Hospital, Felda Mupemhi, 85, grasps her walking stick as she trudges toward a white tent, where nurses are administering the Sinopharm vaccine.

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Letting go: my battle to help my parents die a good death

My parents were determined to avoid heroic medical interventions in their dying days, even before the pandemic. Why wasn’t anybody listening?

Almost as soon as the word Covid is coined, my parents update their “advance decision” documents. They’re constantly adjusting them, fine-tuning their wishes for future medical treatment. “Like a dowager with an elaborate will,” I tease them, blowing the ink dry on yet another signature.

When they first completed their advance decision document, 20 years ago, they were mostly concerned with not being resuscitated should they have a stroke, perhaps while shopping in the market or cycling home. Now, aged 84 and 82 and debilitated by multiple illnesses, they’ve had to give up their bikes and those hopes of a dramatic end. “We look like the old people road sign,” says my mum, bent over her walking aid, handing my dad his stick. And they do. Frail as leaves, they totter down the road to the vegetarian cafe: the wind could blow them away.

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Why experts say there is no basis to claims in Germany about efficacy of AstraZeneca vaccine

Analysis: Drug company and scientific partners at Oxford University have strongly pushed back against German press report

A row has broken out after German newspapers suggested the Oxford/AstraZeneca vaccine might have a lower efficacy among the over-65s. Below we take a look at the claims, and whether we should be concerned.

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I’m in a UK Covid vaccine trial – should I also accept a ‘real’ jab?

My turn for an AstraZeneca dose has come up, so I need to decide whether to drop out of Novavax tests

I had two excellent pieces of news this week. They left me feeling utterly wretched.

First, my turn came up for the AstraZeneca vaccine against Covid. I was told I could have my first jab on Thursday.

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First fruits of vaccine rollout ‘should be seen in weeks’

Experts agree that the impact of the jab will vary regionally and among different groups

Analysts are involved in an urgent effort to gauge the impact of Britain’s mass Covid-19 vaccine campaign and to pinpoint dates when lockdown measures can be eased.

More than 3 million people – most of them elderly or vulnerable individuals or health workers – have already been given jabs. Now researchers are trying to establish when the first fruits of the mass vaccination programme may be seen as the government heads towards its target of immunising more than 13 million people by 15 February.

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Covid kills half of Sussex care home’s residents over Christmas

Exclusive: ‘We’re sitting ducks,’ says Edendale Lodge boss, as fears rise of variant breaching homes’ defences

A care home in East Sussex has been devastated by Covid, losing half of all its residents to the disease over Christmas, fuelling fears the new, more transmissible virus variant sweeping the south-east of England is beginning to breach homes’ defences.

Thirteen of 27 residents at Edendale Lodge care home in Crowhurst had died with confirmed or suspected Covid since 13 December, said the home operator’s managing director, Adam Hutchison, who also runs care homes in Kent.

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Covid vaccine: UK woman, 90, becomes first in world to receive Pfizer jab

Margaret Keenan was given vaccine on Tuesday morning in Coventry following its approval last week

Margaret Keenan, 90, became the first patient in the world to receive the Pfizer Covid-19 jab following its clinical approval as the NHS launched its biggest ever vaccine campaign on Tuesday.

Keenan received the jab at about 6.45am in Coventry, marking the start of a historic mass vaccination programme.

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‘Hug bubble’ safely connects care home residents to their families in France – video

Since the Covid-19 outbreak, French care home resident Colette Dupas's contact with her daughters has been limited to talking via video call or through a window. Now, thanks to an inflatable tunnel and two plastic sleeves, the 97-year-old has been able to feel their touch. Made from hermetically sealed plastic film, the 'hug bubble' allows care home residents – isolated from the outside world to avoid catching the virus – to hold hands and embrace their visiting relatives through a sleeve. Once visitors leave, care home employees disinfect the plastic sheet, ready for the next encounter

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‘It was a little awkward’ – how Rick Schatzberg shot his old friends topless

They grew up in a ‘nowhere’ suburb in the 70s, smoking skunk, going for rides and dating girls. The photographer reveals why he decided to capture the ravages of time on his old childhood gang

Rick Schatzberg had a dark epiphany a few years back, when two of his friends died in quick succession, one from a heart attack, the other from an overdose. “When two people you know and love die within six weeks of each other,” says the photographer quietly, “you realise that death is not just something that happens to other people, to the unlucky people. It’s something that is suddenly very present.”

Schatzberg’s response was to undertake a project about encroaching mortality – his friends’ and by extension his own. The result, several years in the making, is The Boys, a photobook that is both nostalgic and brutally realistic: a visual evocation of youth in all its instinctive carefreeness; and old age in all its debilitating inevitability. Composed of casual colour snapshots of his male friends in the 1970s, and large-format contemporary portraits of their ageing bodies, it lays bare what the novelist Rick Moody, in his accompanying essay, calls “the sobering action of time”.

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Is it worth carrying on as a guinea pig, if a vaccine has already been found? Francis Beckett

I am 75 and taking part in the Novavax trial but the success of the Oxford jab has given me a dilemma

My third appointment with researchers this week, as a participant in Covid-19 vaccine trials, was overshadowed by the news that the Oxford vaccine will probably be available to older folk like me in the early part of next year – maybe as early as January or February.

The vaccine I am trialling – the Novavax one – will have test results in January, and probably be available in the summer. So what happens to us guinea pigs when the Oxford vaccine is available, I wanted to know. As a reasonably healthy 75-year-old, I’m likely to be – in the doctor’s words – “at the back of the front of the queue” for it. I have signed up to be in the Novavax study for a year. But if I have the Oxford vaccine, do I cease to be any use?

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‘Immense suffering’: older people worldwide being failed by aid agencies – report

‘It’s much easier to get funding for children’ says one charity, as 11-country survey finds systematic failings ‘tantamount to neglect’

Older people around the world are being “systematically failed” by aid agencies, leaving them unable find enough food or access medicine, research has found.

Interviews with almost 9,000 older people affected by natural disasters, conflict or socio-economic crises in 11 countries, including Yemen, South Sudan and Venezuela, found a “one size fits all” aid approach which leaves out older people, according to a joint report published on Thursday by HelpAge International and Age International.

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Tsai Chin: ‘What was it like being in bed with Sean Connery? Fine’

From Bond girl to badass grandmas, Tsai Chin has had an extraordinary career. She talks about her battles with racism, predatory producers – and farting leopards

‘I have lived on my own since 1963,” says Tsai Chin down the phone from her home in Los Angeles. “It doesn’t mean I haven’t had a sex life.” But it does mean that the 88-year-old actor brings something special to her latest role as a beguilingly irascible, chain-smoking widow who faces down triad thugs over stolen money in the comedy Lucky Grandma. Apart from the smoking, Grandma Wong is my new role model.

“I’m tough but my heart is very soft,” she says. And that is the key to Grandma Wong, a woman who projects to the world the opposite of what she is inside. In the film, she has a shrine to her late husband in her meagre Chinatown apartment in New York. She’s alone and impoverished but isn’t quite ready to give up her independence and move in with her sweet if bougie son in his brownstone.

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At 75, I’ve volunteered for a Covid vaccine trial. It could set people free

Some of my friends think I’m mad but we need to know people my age can go out safely again

There’s a 50% chance that this week I was injected with a vaccine designed to protect me from Covid-19. If not, I got the saltwater placebo instead. I won’t know until the study ends in 13 months, which is a shame. It would be nice to walk the streets without looking balefully around me at young people not wearing masks and thinking: I’m 75, this virus kills people my age.

It killed my chum Mike Pentelow, who was having a lot of fun in his retirement, writing books with titles such as A Pub Crawl Through History, and Mike was a year younger than me. Perhaps he’s the reason I volunteered to be a guinea pig for one of the companies working on a vaccine.

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Why herd immunity strategy is regarded as fringe viewpoint

Scientists say idea of ‘focused protection’ for vulnerable people is very hard to achieve and likely to lead to even higher death toll

At first glance it sounds like a no-brainer. Coronavirus is most dangerous to older and unhealthier people, so why not protect them and let the rest of society return to life as normal? It would boost the economy and free the young and fit from the mental and financial burdens of Covid restrictions. In time, as the virus tears through them, they will acquire herd immunity that ultimately helps us all.

The strategy proposed in the Great Barrington declaration – a letter signed by an international group of scientists – is the latest salvo in an ongoing battle of ideas for how to tackle the pandemic. It calls on governments around the world to abandon strategies that suppress the virus until we can better cope – through working test-and-trace programmes, new treatments, vaccines and more – for the radically different approach.

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Scientists call for Covid herd immunity strategy for young

Critics describe proposal to isolate vulnerable, disabled and older people as ‘grotesque’

An international group of scientists has called on governments to overturn their coronavirus strategies and allow young and healthy people to return to normal life while protecting the most vulnerable.

The proposal, drawn up by three researchers but signed by many more, argues for letting the virus spread in low-risk groups in the hope of achieving “herd immunity”, where enough of the population is resistant to the virus to quell the pandemic.

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‘Frail’ people like me shouldn’t be denied lifesaving Covid care | Patience Owen

A frailty index is rationing treatment for older and disabled people who catch coronavirus. We are not sacrificial lambs

Lockdown was easy for me, it has become my daily state more frequently throughout my life. I have a debilitating connective tissue disorder that keeps me indoors most days. It was a relief I no longer had to go out and pretend to be normal when wracked with ill-health and hidden pain. Like thousands of others with rare conditions, I’m already in a minority within a minority, marginalised by our NHS, battling increasing disability day by day. So, while many fear a second lockdown over the winter months, I haven’t gone out more often since the first one was lifted because I risk a double jeopardy – catching Covid, then being a low priority for medical care.

Back in March, without consultation and days before the first lockdown, the Clinical Frailty Scale (CFS), a worldwide tool used to swiftly identify frailty in older patients to improve acute care, was adapted by the National Institute for Health and Care Excellence (Nice). It asked NHS staff in England to score the frailty of Covid patients. Rather than aiming to improve care, it seems the CFS – a fitness-to-frailty sheet using scores from one to nine – was used to work out which patients should be denied acute care. Nice’s new guidelines advised NHS trusts to sensitively discuss a possible ‘do not attempt cardiopulmonary resuscitation’ decision with all adults with capacity and an assessment suggestive of increased frailty”.

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