Corona management in Norway – Points to weaknesses
On Monday, the National Institute of Public Health published one report where it concludes that Norway has come out of the pandemic very well so far, but in some groups has been particularly hard hit. Director Camilla Stoltenberg acknowledges that there is a lot that I have been done differently.
– It is clear that we are doing well compared to other countries and historical examples. But that does not mean we should be satisfied. We will think about how we can get even better, and then it is first and foremost about stopping outbreaks of infectious diseases before they become epidemics and pandemics – that is the most important thing, says Stoltenberg to Dagbladet.
– Is there a new pandemic?
– It is quite certain that it does. But whether it will come next year or in ten years, we do not know.
Improvements
There are not many surprises in reports, Stoltenberg believes. A lot of the content has been collected along the way, so it would have been strange if there had been significant surprises, she points out.
– Would you have liked something done differently?
– There is a lot that we would like to improve, and that should have been done differently.
– What?
– We would have liked more information about how infected screens are and how it spreads, and we would have liked to have received this information continuously during the outbreak in Norway. We do not have such information about a detailed level in Norway today, and the attempts we have made to obtain that type of information have failed.
– How could I have received more information about it?
– The first infection stop app could have given us that. It could have given us information about the spread of infection that can before people develop specifications, and about how the infection spread. We could have got all this through one system. But that solution was developed at record speed and had shortcomings.
The infection stop app was launched in mid-April 2020, and was downloaded by one million Norwegians during the first 24 hours. Several later notified the Data Inspectorate and a decision on a temporary ban on the collection of personal data through the Smittestopp app. After this, FHI deleted all data and deactivated it. A total of NOK 40 million was spent on the app before it was declared scrapped.
Spread of infection
– Is not the least that can be expected of health authorities that they manage to find out where the infection occurs during a pandemic?
– There are very few countries that have received clarity in this, and current regulations make it difficult to achieve this. The reality is that we have not used the first version of the Infection Stop app, so we have many different solutions with infection tracking data around the country.
– So I agree with you, but no one has come up with a complete solution to obtain detailed information on how and how the spread of infection takes place. Such a solution must provide good data while safeguarding privacy and security.
– But does not the infection spread at home, then?
– Yes, and we know this because we ask those we catch, but it also happens elsewhere. The spread of infection occurs among those closest to you, but not everyone lives with their loved ones, and a home can be many different things.
The measures
However, obtaining information about the spread of infection is just one of the things that I have improved on, Stoltenberg believes. One could also develop reliable rapid and self-tests in the past, and had better digital systems for sharing information about testing, isolation, infection tracking and quarantine.
In addition, one should have planned better to conduct research in real time – especially to get more information about the effect of infection control measures.
– We have been good at putting together large packages of measures, but we do not know exactly which measures were necessary, or which measures were sufficient, or how long it was necessary to keep the measures, or whether we introduced them too early or too late.
– Have we had measures that have not been necessary?
– We do not know, and that is the problem. We have thought that school measures should have been tried out more systematically, and were more reluctant with such strict measures in the schools sometimes.
– School closure is very intrusive for children, and is used primarily to protect the elderly and people in the risk groups. It illustrates the dilemma. One should have known when it was necessary to introduce strict measures in schools, when it was not necessary, and when the measures could have been more targeted than those we introduced.
Hit hard
The immigrant population is one of groups that was hit particularly hard during the epidemic in Norway. The new report shows that foreign-born accounted for 40 per cent of all hospital admissions from March 2020 to February 2021. This is despite the fact that they make up only 15 per cent of the population.
– It is important. This does not apply to all immigrant groups. Some groups are overrepresented when it comes to serious illnesses and have obviously become much more difficult than other sections of the population. This has happened both in Norway and in other countries, and is among the most important things we have learned.
– Have you had a bad conscience for not doing something to divide that part of the population?
– Bad conscience is not the term I want to use, because there have been many attempts to reach it, especially in Oslo and some municipalities in Viken and in the eastern part of Norway. A lot of people have done a great job that they have partly succeeded in, but we have not succeeded well enough in reaching everyone.
– How does it feel to sit here and acknowledge that things I have been done differently?
– Its natural. It would be very strange if we had thought differently. I am glad that it has gone as well as in Norway, and there are many we can thank for that. But we all need to think about how we can improve in the future, and I am absolutely sure that we will do something about it despite the fact that we are relatively happy with the handling so far.