Which option do you think is the most practical and feasible?
At the moment in Leicester, the highest incidence is around Evington, Highfields area. In the east of Leicester, where the outbreak seems to be congregated, up to two-thirds of residents are BAME. The population is served by a handful of general practices which are over-burdened. Healthcare hubs and covid-specific hot hubs are too few, over-filled with appointments with a handful of clinicians or nurse practitioners and people are avoiding Leicester Royal Infirmary because of stigma/fear. They need more resources. A significant amount of that population lives in crowded multi-generational households and have businesses etc on Green Lane that make social distancing impossible.
There is a staggering amount of ignorance regarding covid in that population due to language barrier mainly so comms should be improved by collaborating with radio stations, south asian/Indian TV channels, local community or religious leaders.
Mass testing in hot spots needs to deployed too if the capacity is there, as the WHO said test, test, test. You've got vulnerable people who live with bored, deprived young adults who are in the lower socioeconomic class and intermingle with each other there freely and I think are a huge driver for transmission.
I think what we need to do if we are locking people down is extend financial assistance schemes to those eligible as much as possible as it is an already hard hit deprived area but understand that the wider areas of Leicestershire like Loughborough, Market Harborough are not the problem and implementing lockdown I'm not sure makes much sense but sure travel could be restricted and could look at areas where there could be mass gatherings like certain shopping areas for continued closure.
Test and trace aggressively in hot spots, even consider extending asymptomatic or regular/sequential testing in hot spot neighbourhoods. People won't travel to Birstall to get tested, its miles away and home kits can be a ball-ache to source especially if English isn't your first language and you're not tech savvy. We could consider increasing accessibility to home kits to those vulnerable and unable to travel for a variety of reasons.
There's three mobile testing sites in the city, in Evington, Spinney Hill Park and Victoria Park, we need to free up their capacity and encourage their use more widely.
I don't see any lateral thinking that is population-specific or considers local factors with regards to infection control by the government. If they think they can simply control this thing by local lockdown like it was last couple of months without any oversight, then it won't work. I hear of people though pretty much doing what they want any way and that area doesn't have enough community officers etc to enforce anything so you have to think of other ways.