Exercise Alice was a Middle East respiratory syndrome (MERS-CoV) pandemic modelling exercise conducted by United Kingdom government officials in February 2016. [1] The details of the exercise was kept secret on grounds of national security [2] until October 2021. [3]
The one-day tabletop exercise was the idea of the chief medical officer, Sally Davies, who gave the opening briefing. Other participants included 15 officials from Public Health England, 14 officials from the Department of Health and Social Care and 10 from NHS England. Two representatives from the Cabinet Office and one from each of the devolved administrations of Wales and Scotland were also present. [4] [5] [6]
It was one of a number of pandemic-planning exercises prior to the COVID-19 pandemic in the United Kingdom. [5] [2] Some of the key issues raised in the report became problems in the early weeks of the COVID-19 pandemic, including shortages of personal protective equipment, failure to impose pandemic-related travel restrictions from overseas, and failure to have a working contact tracing system. [3]
A partly redacted copy of the report from the exercise was published in October 2021. [7]
Middle East respiratory syndrome (MERS) is a viral respiratory infection caused by Middle East respiratory syndrome–related coronavirus (MERS-CoV). Symptoms may range from none, to mild, to severe depending on age and risk level. Typical symptoms include fever, cough, diarrhea, and shortness of breath. The disease is typically more severe in those with other health problems.
Simon Laurence Stevens, Baron Stevens of Birmingham is Chair of the UK Maritime and Coastguard Agency, Chair of Cancer Research UK, Chair-designate of King's College London, and an independent member of the House of Lords. Stevens previously served as the eighth Chief Executive of NHS England from 2014 to 2021. Earlier in his career he worked in the Prime Minister's Office at 10 Downing Street, as well as internationally, including Guyana, Malawi, and the United States. He was a visiting professor at the London School of Economics from 2004 to 2008.
Since 2012, an outbreak of Middle East respiratory syndrome coronavirus has affected several countries, primarily in its namesake, the Middle East. The virus, which causes Middle East respiratory syndrome (MERS), is a novel coronavirus that was first identified in a patient from Jeddah, Saudi Arabia on 6 June 2012.
Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the coronavirus SARS-CoV-2. The first known case was identified in Wuhan, China, in December 2019. Most scientists believe the SARS-CoV-2 virus entered into human populations through natural zoonosis, similar to the SARS-CoV-1 and MERS-CoV outbreaks, and consistent with other pandemics in human history. Social and environmental factors including climate change, natural ecosystem destruction and wildlife trade increased the likelihood of such zoonotic spillover. The disease quickly spread worldwide, resulting in the COVID-19 pandemic.
The COVID-19 pandemic in the United Kingdom is a part of the worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In the United Kingdom, it has resulted in 25,012,428 confirmed cases, and is associated with 232,112 deaths.
"Catch It, Bin It, Kill It" is a slogan used in several public health campaigns of the British government to promote good respiratory and hand hygiene by recommending carrying tissues, using them to catch a cough or sneeze, disposing of them immediately in a waste bin and then killing any remaining viruses by washing hands or using hand sanitiser. In 2007, following evidence that good respiratory and hand hygiene might reduce the spread of flu, the phrase appeared in a government campaign that publicised the directive "Catch it, Bin it, Kill it" throughout the NHS, on buses and trains and in libraries, shopping centres and police stations.
The COVID-19 pandemic in Scotland is part of the COVID-19 pandemic of coronavirus disease-2019, caused by the virus SARS-CoV-2. The first case of COVID-19 was confirmed in Scotland on 1 March 2020. Community transmission was first reported on 11 March 2020, and the first confirmed death was on 13 March 2020.
Maria DeJoseph Van Kerkhove is an American infectious disease epidemiologist. With a background in high-threat pathogens, Van Kerkhove specializes in emerging and re-emerging infectious diseases and is based in the Health Emergencies Program at the World Health Organization (WHO). She is the technical lead of COVID-19 response and the head of emerging diseases and zoonosis unit at WHO.
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Exercise Cygnus was a three-day simulation exercise carried out by the UK Government in October 2016 to estimate the impact of a hypothetical H2N2 influenza pandemic on the United Kingdom. It aimed to identify strengths and weaknesses within the United Kingdom health system and emergency response chain by putting it under significant strain, providing insight on the country's resilience and any future ameliorations required. It was conducted by Public Health England representing the Department of Health and Social Care, as part of a project led by the "Emergency Preparedness, Resilience and Response Partnership Group". Twelve government departments across Scotland, Wales and Northern Ireland, as well as local resilience forums (LRFs) participated. More than 950 workers from those organisations, prisons and local or central government were involved during the three-day simulation, and their ability to cope under situations of high medical stress was tested.
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Planning and preparing for pandemics has happened in countries and international organizations. The World Health Organization writes recommendations and guidelines, though there is no sustained mechanism to review countries' preparedness for epidemics and their rapid response abilities. National action depends on national governments. In 2005–2006, before the 2009 swine flu pandemic and during the decade following it, the governments in the United States, France, UK, and others managed strategic health equipment stocks, but they often reduced stocks after the 2009 pandemic in order to reduce costs.
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Gabriel John Scally FFPHM is an Irish public health physician and a former regional director of public health (RDPH) for the south west of England. He is a visiting professor of public health at the University of Bristol and is a member of the Independent SAGE group, formed during the COVID-19 pandemic in 2020. He has also been chair of the trustees of the Soil Association. Previously he was professor of public health and planning, and director of the World Health Organization (WHO) Collaborating Centre for Healthy Urban Environments, both at the University of the West of England (UWE). He was president of the Section of Epidemiology and Public Health of the Royal Society of Medicine, a position he took in 2017.
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