Governmentality Versus Community: The Impact of the COVID Lockdowns

The COVID lockdowns were characterised by new forms of governmentality as lives were disrupted and controlled through the vertical transmission of biopolitics by the state. The paper considers how this was experienced by academics in 11 different countries through analysis of diaries written during the first lockdown. The paper asks if communities can offer an alternative to governmentality by looking at three levels: the national, the neighbourhood and the personal. Whilst at a national level the idea of community was instrumentalised to encourage compliance to extraordinary measures, at the local level community compassion through helping neighbours encouraged horizontal connections that could offer a "space” within the dominant logic of governmentality. At the level of personal communities, the digitalisation of social relationships helped to create supportive networks over widely dispersed areas but these were narrowly rather than widely focused, avoiding critical discussion.

‘It is not about punishment, it’s about protection’: Policing ‘vulnerabilities’ and the securitisation of public health in the COVID-19 pandemic

This article advances a critical analysis of the concept of 'vulnerability' and highlights the ways in which it can work to justify the pre-emptive detention and over-policing of marginalised populations. Building on a historical analysis of the entanglement between public health directives and carceral techniques of securitisation, we provide a contemporary case study of the 'hard lockdown' of nine public housing towers in Melbourne, Australia in July 2020, at the start of the city's second wave of the COVID-19 pandemic. A thematic analysis of media discourses surrounding this event reveals that tower residents were constructed as vulnerable across four interconnecting discourses: spatially, culturally, behaviourally and psychologically. This enabled government actors to frame the exceptional mobilisation of police powers and detention directives to peoples' homes as caring measures, despite their punitive optics and effects. Our analysis suggests that the pandemic has heightened the securitisation of public health measures, which can extend notions of racial inferiority and pathology, and compound social and economic inequalities. It indicates the need for further interrogation of the nexus between 'care' and control and the intensification of police powers in times of crisis.

Head home: implementation during COVID-19 pandemic.

BACKGROUND: Recent research suggests that between 20% and 50% of paediatric head injuries attending our emergency department (ED) could be safely discharged soon after triage, without the need for medical review, using a 'Head Injury Discharge At Triage' tool (HIDAT). We sought to implement this into clinical practice. METHODS: Paediatric ED triage staff underwent competency-based assessments for HIDAT with all head injury presentations 1 May to 31 October 2020 included in analysis. We determined which patients were discharged using the tool, which underwent CT of the brain and whether there was a clinically important traumatic brain injury or representation to the ED. RESULTS: Of the 1429 patients screened; 610 (43%) screened negative with 250 (18%) discharged by nursing staff. Of the entire cohort, 32 CTs were performed for head injury concerns (6 abnormal) with 1 CT performed in the HIDAT negative group (normal). Of those discharged using HIDAT, four reattended, two with vomiting (no imaging or admission) and two with minor scalp wound infections. Two patients who screened negative declined discharge under the policy with later medical discharge (no imaging or admission). Paediatric ED attendances were 29% lower than in 2018. CONCLUSION: We have successfully implemented HIDAT into local clinical practice. The number discharged (18%) is lower than originally described; this is likely multifactorial. The relationship between COVID-19 and paediatric ED attendances is unclear but decreased attendances suggest those for whom the tool was originally designed are not attending ED and may be accessing other medical/non-medical resources.

Adapting to the Coronavirus Pandemic: Building and Incorporating a Diagnostic Pipeline in a Shared Resource Laboratory.

In March 2020, with lockdown due to the coronavirus pandemic underway, the Francis Crick Institute (the Crick) regeared its research laboratories into clinical testing facilities. Two pipelines were established, one for polymerase chain reaction and the other for Serology. This article discusses the Cricks Flow Cytometry Science Technology Platform (Flow STP) role in setting up the Serology pipeline. Pipeline here referring to the overarching processes in place to facilitate the receipt of human sera through to a SARs-CoV-2 enzyme-linked immunosorbent assay result. We examine the challenges that had to be overcome by a research laboratory to incorporate clinical diagnostics and the processes by which this was achieved. It describes the governance required to run the service, the design of the standard operating procedures (SOPs) and pipeline, the setting up of the assay, the validation required to show the robustness of the pipeline and reporting the results of the assay. Finally, as the lockdown started to ease in June 2020, it examines how this new service affects the daily running of the Flow STP. © 2020 The Authors. Cytometry Part A published by Wiley Periodicals LLC on behalf of International Society for Advancement of Cytometry.