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Corona Commissioner: "Decisions are made contrary to my opinion, do the opposite of the recommendations" - Walla! news

2020-12-16T07:55:35.187Z


Sure there will be a high response to the vaccine but understands those who fear, is concerned about the morbidity that could come from Dubai, and hopes to enable cultural and sporting events in green cities in the future. When Israel is rushing to a period of additional restrictions, Prof. Ash concludes a month in office, and warns in an interview with Walla! NEWS: "There is a problem with public trust"


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Corona Commissioner: "Decisions are made contrary to my opinion, do the opposite of the recommendations"

Sure there will be a high response to the vaccine but understands those who fear, is concerned about the morbidity that could come from Dubai, and hopes to enable cultural and sporting events in green cities in the future.

When Israel is rushing to a period of additional restrictions, Prof. Ash concludes a month in office, and warns in an interview with Walla!

NEWS: "There is a problem with public trust"

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  • Nachman Ash

  • Corona virus

  • Vaccine for corona

Meirav Cohen

Wednesday, 16 December 2020, 09:50

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In the video: Prof. Ash calls on everyone to get vaccinated (Editing: Tal Reznik)

In the weeks since the corona commissioner, Prof. Nachman Ash, took office, he has come to know the challenges that accompany the complex job.

Despite the difficulties in stopping the illness, and although the Corona Cabinet sometimes makes decisions contrary to its recommendations, it does not intend to leave the post any time soon.



In the shadow of the spike in morbidity and the start of the vaccination campaign, Ash explained in an interview with Walla!

NEWS How the Ministry of Health intends to fight Pike News over the vaccine, reveals why they failed to declare Dubai a red target, and heralds a plan to open more parts of the economy in green cities.



When it comes to vaccination, Prof. Ash is optimistic.

"I think there will be a higher response than a regular vaccine," he states.

"In the flu vaccine we store around 25% of the population. We need to reach 60% and I believe we will get to that."

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"We will not be in the numbers of 9,000 patients a day as in the previous closure."

Fire (Photo: Reuven Castro)

Do you understand the public's concern about vaccines?



"Throughout the years we have known those who are afraid of vaccines, so there is nothing unique here about Corona vaccines. The technology is new, so I understand those who are afraid. I think decisions should be based on facts and professional decisions, and not [should] drift after Pike News and all sorts Statements that will be heard over the near future many of them. These statements are very problematic. The vaccination operation is a huge operation, but I'm not worried about the logistical part, it will flow well and we are in massive preparations. There will be glitches but we will manage. I am concerned about the public response, So that people can trust us and the vaccine and know what its benefit is. "



Apart from information, how will you deal with the Pike News phenomenon?



"We have emissaries who are the doctors in the hospitals and the health funds. We believe that a lot of patients will ask to consult their family doctors about the vaccine, and we want the doctor to confidently say 'go get vaccinated'. There will be no doctor at the end who will tell his patient not to get vaccinated. "



In surveys among medical teams, only 50% agree to be vaccinated.

It is a microcosm for the rest of the population.



"True, and we think that after doctors receive well-founded information, which was released last week after FDA approval, there will be more responsiveness. Professionals - doctors and nurses - want to see the facts, and they are very clear - the vaccine is effective and safe. Nothing happened to 20 The thousand vaccinated vaccines in the study. There were minor and transient side effects, things similar to those we see in other vaccines. The



second thing that needs to be explained is the innovative mechanism of this vaccine, the benefits it has. We do not inject a killed virus, but only the part of RNA that isolates The protein, against which the antibodies will be formed.Many fear this technology because RNA sounds like a genetic material, and fear how it will affect the genes in the cell.It is important to say: it has no basis.It is a substance that does not enter the nucleus and binds to the cell's own genetic material. How many months".

"Do not get carried away by Pike News."

Simulation of the arrival of vaccines in Sheba (Photo: Reuven Castro)

Mirrors crowd at Ben Gurion Airport and discouraging statistics on the incidence of imported led the Ministry of Health has published new guidelines to minimize the risk of spreading the virus, but even today, still not returning from abroad to be searched and isolation.



Why until now did not require the display test also originated back To the country?



"We do two significant things: first, within the framework of what we are allowed by law, to determine up to four red states, which only returnees we can say - either you perform a corona test or you go to a hotel for a period of isolation.

It will be implemented in the coming days, we are currently passing the regulations.

We held together with the Ministry of Defense because it is accompanied by stronger support and supervision than it has been to date.

The whole story is enforcement of the isolation.

If everyone had done that, the whole story of contagion from abroad would not have happened.



Why will there be only four countries?



"This is our legal ability - to define up to four countries. We wanted to build on an existing law, that we can quickly make regulations and implement. The countries are - Turkey, Ukraine and Bulgaria. The fourth country has not yet been determined.



For Dubai - according to the level of morbidity it is defined as a green country. We can not easily apply the red definition to it, because we have definitions and rules and we can not deviate from them. However, we are troubled, because the volume of passengers there is very large and the conduct is without adherence to the rules, and includes gatherings and parties. We're considering setting it red, but it turns out it's impossible. We want to test the way to do tests for those who come back from there, isolation we can not force. We monitor the level of morbidity there and if it rises. We will turn it red, as we did in Greece. "

More on Walla!

NEWS

Senior rabbis in the ultra-Orthodox sector: "Whoever can get vaccinated - will do so"

To the full article

The corona commissioner also referred to the decision-making process on the education system, which returned this month to activity in all classrooms.

"Education from fifth grade onwards only works in yellow and green cities. First-fourth graders and kindergartens also work in red and orange cities. Once a week, on Wednesdays, we determine where the studies will end. That is, a city that has turned yellow to orange, studies will continue until Sunday after Then ".

The weekly test mechanism was unveiled at Walla!

NEWS.



Except for studies, there is almost no difference between red and green cities.



"I see how it affects mayors whose city turns orange. I have a lot of inquiries explaining where the disease came from so we don't paint them orange. The big problem when there is an increase in disease is that there are many more yellow, orange and red cities, and dealing with each and every city is harder ".

"We considered defining Dubai as red, it turns out to be impossible."

Check at Ben Gurion Airport (Photo: Reuven Castro)

Does the traffic light plan work well?



"We are thinking of making adjustments to the traffic light. The plan achieves the effect that mayors are harnessed to reduce morbidity - and that is a major effect. As we go to differentials we run into problems. "Climb and jump, even though it is not a lot of patients to a big city. It obviously annoys the heads of the authorities. Hopefully we will find a more balanced formula."



Is it possible to open cultural and catering events in green cities?



"At the moment not, because the morbidity is rising and it is not right to do so, in the future maybe yes. Once we control the morbidity, whether through tight restraint or some other way, our intention is to open things up in green cities and do green actions - i.e. set up cultural events, enter malls or Entry to sports stadiums on the basis of those who are less likely to infect, whether it is a vaccine, recovering, those who did a serological test or a standard PCR test a day or two before the show. This is the way the economy can be opened more widely. "There is a tender underway and I hope we will have good tests, and that depends on a computer system that knows how to manage it."

"It's not pleasant to do the opposite of the recommendations"

In parallel with the vaccination campaign, another 2,862 new patients were added yesterday, while the target set by the Corona Cabinet to tighten restrictions stands at 2,500 diagnosed per day.

Prof. Ash argues that differential enforcement can be improved, but there are legal and political difficulties along the way.



How does it feel in the Corona Cabinet when you say that Lily's closure is ineffective, and understand that the ministers are voting for it?



"The feelings are unpleasant, it is unpleasant that there is something you recommend professionally and do the opposite. On the other hand, we are a democratic country that has processes. The responsibility lies with the cabinet and the ministers who make the decisions, and they have evidence that sometimes takes into account considerations. It seems wrong to me, but there were other considerations that I do not even know how to tell you who and what weighed and finally led to this decision. "

"Working so that doctors do not tell patients not to get vaccinated."

Fire (Photo: Reuven Castro)

You, as Commissioner of Corona, do not know how to say what the considerations were for a nocturnal closure?



"Everyone knows what was said in the discussion, it's completely exposed so there is no need to go back. A collection of considerations and reliance on data that I have not examined in depth, like its impact in other countries. As part of this process, I was asked by the National Security Council to talk to my counterparts in different countries.

I talked to five countries and maybe only in Hungary I was convinced that it was something effective, in the rest of the places do not know to appreciate what added the night closure.



Usually it came as part of a whole toolbox and in parallel with the opening of the restaurants and pubs, so it could have a different effect, because here everything is still closed.

It can prevent illegal gatherings, but they can be enforced even without harming so many people. "



Why can't the fines be changed?



" The cabinet recommended, now it is in the hands of the Knesset.

In a democratic state there are not simple processes. "



This democratic state washes words for irrelevant considerations

.



" I do not know and do not want to say.

I do not know what is behind these things, I know there are different interests there. "What



are material interests?



" I do not know how to say.

Suppose there is a population group that thinks it is being harmed, is it business or not business? "Business



says whether it is epidemiologically good for public health.



" No, epidemiologically and for the benefit of public health the fines should be increased, unequivocally.

And raise much more.

It is almost summed up, but this epidemic is not only a health epidemic, it is also a social and economic epidemic.

There are various considerations here that are legitimate.

I do not agree with them because I come from a health point of view, but I can not say that they are not relevant - they have their interest.

If there is a sector or company for which studies are very important, they will work to make studies happen. "

"Not just a health epidemic, it's also a social and economic epidemic."

The Corona Committee (Photo: Erez Michaeli)

Can the State of Israel in general enforce the Arab and ultra-Orthodox sector today?



"It can and does it with varying degrees of success. I have been in the restricted area of ​​Daliyat al-Carmel, and it is not badly enforced. There are places that are more difficult. Enforcement should be better, but no technology should be activated, certainly if it infringes on privacy. The power of a democratic state, much more can be done. "

The battle against political considerations

We may be on the verge of an election.

There are already quarrels between the blocs, do you think Israel will be able to manage the epidemic during an election campaign?



"I do not know, but I think about it a lot. It must be conducted, whether there will be an election or not - we have to fight Corona, we have no choice. It depends on the various factors in the cabinet not to bring the election into the cabinet."



Do you see politics inside the cabinet today?



"I think there are interests that are more related to the minister in charge of the field, and he takes care of the field he trusts. It affects much more than other politics. But maybe there are things I am not aware of. To the best of my knowledge the cabinet is matter-of-fact. "It was not accepted, our recommendation not to open the malls was not accepted, in the end decisions are made contrary to our opinion. It is not pleasant to go to bed the night after."

"There has been a problem in public trust around decision-making."

Fire (Photo: Reuven Castro)

Are there moments when you ask "what am I doing there if my recommendations are not accepted"?



"I have not yet reached these moments, but I think it is natural to get there. I am here to influence as best I can. My power is limited in the decision-making process, but the solution is not to go. It will not improve the situation, but just the opposite. I do not have a red line I drew "If it happens, I'm breaking the tools, but I guess it exists."



Edelstein said that decision-making in the cabinet was not always correct, do you agree with that?



"Judging by the zigzag before Hanukkah, it should not look like this, that you do not get a professional recommendation, but another recommendation. Send her to work and see that it is impossible because there is no professional support, come back with another recommendation and in the end do not get it. The result. In other respects I am reluctant to criticize the work of the government, but in the end there is a problem in public trust around decision-making - the members of the government are also behind it.



Our recommendation was to apply the tight restraint immediately. This is not an easy recommendation. It's too early for them to be less painful than to reject them. The decision that was made was acceptable to me in the sense that I know how to deal with it. If the offer to start restrictions were limited to only 3,500 patients, it would not be possible and I would not accept it. It was bad, with 2,500 it is possible to live.



According to our simulations we are today in 300 critically ill patients and this will lead to an increase in morbidity, but it is something that the health system knows how to contain. We will not be in 9,000 patients a day as in the previous closure We'll make it through, I hope we get through it this time

Good luck. "

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Source: walla

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