Unl cking lockd wn - Magdalen College Oxford
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The sun is already slipping lower in the sky and the edges of the leaves are tinged with signs of autumn 2
Contents Regulars Features The big picture ................ 4 18 From the President ........ 6 Unlocking lockdown Your view .......................... 7 Learn more about the members of Fellows’ news ................... 8 our community who were at Online ................................ 11 the forefront of the fight against College news .................... 12 Covid-19 Outreach ............................. 14 Events..................................... 16 Donor impact ................... 17 26 The consolation of books Inside job .......................... 48 Magdalen Librarian, Dr Lucy Crossword ........................ 50 Gwynn, explains why so many of us read for comfort during the pandemic 30 Feeling unwell? Check your horoscope Dr Michelle Pfeffer explains that without advancements in medicine 16 we might have turned to an astrologer during the pandemic 34 Magdalen pioneers We talk to Anna Lapwood (2013, Joy Sutcliffe, and President Dinah Rose (1984) about what it’s like to be a pioneer 48 40 State of the art Thank you to the alumni, We meet Magdalen Fellow and students, Fellows, and staff fourth-plinth artist Professor who contributed to this Samson Kambalu and two issue of Floreat Magdalena. Magdalen Fine Art students The opinions expressed in 46 Floreat Magdalena are those Changing rooms of the contributors and do Discover some of our new, not necessarily reflect those of Magdalen College. repurposed, and renamed rooms Magdalen College. Registered charity number 1142149 3 FLOREAT MAGDALENA
The big picture Mark Randolph from the Development Office is the winner of this year’s Magdalen College Photography Competition with his collection of beautiful shots of College and Oxford. 5 FLOREAT MAGDALENA
From the President I am told that it is usual to begin an introduction to the Floreat by summing up the year in a word. But how do you describe a year like 2020/21? Perhaps “unprecedented” will warmth by alumni and friends all over the world. We have had the benefit of a fascinating series of webinars from Magdalen Fellows this year, with do. After a full year as President, I have topics ranging from Shakespeare’s still not seen the College functioning second thoughts to computing and as it normally does. the meaning of the universe. I have The challenges faced by the enormously enjoyed the conversations College community over the last 12 with Fellows and alumni which these months have been immense. After a events have stimulated – at their Michaelmas term in which we were best, they have had the intimacy of a initially optimistic about the relaxation tutorial, but with a global reach. We of restrictions, we found ourselves will be continuing this programme, “ locked down for the second time from along with more in-person and hybrid December until late April. Although events in the future. there has been a gradual return to A particular inspiration to us normality for students in recent This year may have been all this year have been those at the months, the constraints and the lack of difficult, but it has also forefront of the fight again Covid-19, social contact have been particularly including Professor Adrian Hill tough on them. been inspirational.” K.B.E. (1978), Director of the Jenner We know that it has also been a Centre, and Dr Maheshi Ramasamy, challenging year for you, particularly Principal Investigator at the Oxford for those of you who are frontline Vaccine Group, an integral part of the workers, so we are grateful to the team that developed and trialled the alumni in the health and social care I remember one Sunday morning Oxford/AstraZeneca vaccine. You can sector who took the time to share their in late January when snow fell. From learn more about them and others on experiences of life at the height of an apparently empty College, students page 18. lockdown on page 20. magically appeared on the New More than anything, this year This year may have been difficult, Building lawns in little household has been transformative. The but it has also been inspirational. groups. By lunchtime, we had an obstacles of the last 12 months have My own memories include the array of impeccably socially-distanced at times seemed insurmountable, commitment, resilience, and snowmen, a snow deer, and a snow but we tackled them together, drew cheerfulness of the Fellows, staff, igloo kennel for Scrumpy, the College inspiration from one another, and and students, and the unwavering dog. It was a sudden expression of transformed and strengthened our support we have received from you, joy that lightened our mood in a dark College and our community in the our alumni community. I am proud time. process. of the fact that our libraries remained I also remember services in the Our priority next year will be to open throughout the year, thanks to Chapel, which operated a wonderful build on the strength and support the determination of Lucy Gwynn array of online services, as well demonstrated by our community over and her team, and that we have also as remaining open for hauntingly the last year and look forward to new maintained catering, gardening, beautiful candlelit evening prayers, and exciting opportunities ahead. and other services at all times. I am sung by a single voice. Our May extremely grateful to our staff, who Morning celebration, secretly filmed at Floreat Magdalena! have kept the show on the road in very dawn at the top of the Tower a couple difficult circumstances. of days early, was received with great Dinah Rose 6
Your view “ I have only one desire for 2021: To take Magdalen ever higher.” Quatrain contest Earlier this year, we asked you to write a quatrain on what you were most looking forward to following lockdown. Dear Alumni Office, And the winners were… Just a quick e-mail to thank the College and the Alumni Office for their efforts My dream is for the world to open to in arranging the webinars offered to alumni. It has been a most enjoyable travel, experience to sit in on the vaccine discussion between the President and And for everyone to be safe and Professor Adrian Hill and to anticipate the next one with Professor Simon secure in the knowledge, Horobin on A Day in the Life of the English Language. That the masks and vaccines work and nothing will unravel, I hope that these events will become a regular feature of College life! So we can come visit our boy at Magdalen College. Thank you very much once again for organising these events. Katherine Blass Asaro William Lawrence (1976) I have missed my friends’ dear faces, Their old habits and their smiles, I hope to once again see places, Where we can walk and talk for miles. Olivia Krauze (2018) A very close runner up was: A lazy river or a crowded train, A hushed woodland or a darkened cinema, To sleep in late or rise early, Solitude or company - to choose, to choose, to choose. Thanks to Tim Beech (1984) for sharing this brilliant panoramic view taken Miranda Lewis (1979) from the Great Tower in the mid-eighties. A shot (or series of shots) like this certainly took a lot more commitment to produce back then than it does today. Even the President joined in: If you look closely, you can see a pristine Grammar Hall and the deer in the I have only one desire for 2021: Grove. To take Magdalen ever higher - And then my work is done. If you’ve never climbed the Great Tower, you can watch us climb it here at Dinah Rose (1984) https://bit.ly/3gkP1PH 7 FLOREAT MAGDALENA
Fellows’ news Magdalen Fellow Professor Adrian Hill Magdalen Supernumerary Fellow KBE FRS (1978), a key member of the Professor Xin Lu has also been elected team that designed and developed the as a Fellow of the Royal Society for Oxford-AstraZeneca vaccine, has been her contributions to cancer biology. awarded one of the highest Queen’s Professor Lu is the Director of the honours, becoming an honorary Knight Ludwig Institute for Cancer Research, Commander of the Most Excellent Oxford Branch. Order of the British Empire (KBE) for Xin Lu is a cancer biologist services to Science and Public Health. distinguished by her contributions He was also elected a Fellow of the to understanding cellular pathways Royal Society for his world-leading that control cell fate in development work in the design and development and disease, particularly cancer. She of new vaccines for globally-important has a long-standing interest in how infectious diseases. to selectively kill cancer cells, and her As well as helping to develop the major research advances have provided Magdalen Fellow Jane Oxford-AstraZeneca vaccine, Adrian insights into how the most mutated Gingrich has been awarded is a member of the team whose recent or inactivated tumour suppressor in the title of Professor of malaria vaccine trial proved to be 77% human cancers can make life or death Comparative Political effective, the first vaccine to achieve the decisions for a cell. Economy in this year’s World Health Organisation’s goal of “I am humbled to receive this University of Oxford 75% efficacy. honour from the Royal Society,” Recognition of Distinction He is the Lakshmi Mittal and Family said Xin. “As someone who barely awards. Professor of Vaccinology, and founder spoke English at the beginning of my Jane’s research interests and Director of the largest academic scientific career, I am hugely grateful involve comparative political vaccine centre in the world, the Jenner for all the support I have received from economy and comparative Institute at the University of Oxford. my supervisors and mentors.” social policy. She is Professor Adrian Hill studied Medicine The Royal Society is a Fellowship currently completing a book at Magdalen from 1979. of many of the world’s most eminent manuscript on third way scientists and is the oldest scientific social democracy, examining academy in continuous existence. the changing electoral and policy fortunes of mainstream European left parties. “ She is additionally working on a European Research Council-funded project on the Professor Adrian Hill politics of post-war education is a key member of the reform, looking at both the team that designed and political drivers of varying developed the Oxford- educational structures and the long-run consequences AstraZeneca vaccine.” for social mobility and the regional concentration of skills. Finally, she is working on a number of small projects related to differentiated geographic and household effects of automation. Photo by John Cairns 8
“ I am absolutely delighted to be elected a Fellow, and I am excited to be joining at such a pivotal time.” Magdalen Fellow and Associate Professor of Fine Art at the Ruskin School of Art Samson Kambalu will be the latest artist to have their work displayed on the fourth plinth in Trafalgar Square. Samson’s piece, Antelope, is a sculpture that restages a 1914 photograph of the Baptist preacher and pan-Africanist John Chilembwe and European missionary John Chorley. More on page 40. Professor David Gann CBE CEng FICE FCGI has been elected to a Fellowship by Special Election at Magdalen. David is Pro-Vice-Chancellor for Development and External Affairs at the University of Oxford, a member of the UK Government’s Innovation Expert Group, Chairman of the UK Atomic Energy Authority, non-executive director of Directa Plus plc, and non-executive director of VenCap International plc. David was previously Vice-President (Innovation) at Imperial College London (2013-19), and Professor of Innovation and Technology Management at Imperial College Business School (2003-20). He has formed five companies, mentors start-ups, and advises boards on innovation and technology management. David’s research explores why and how innovation happens, the ways it continually transforms the world we live in, and how it can be managed. He publishes on technology management and innovation strategy in many leading journals, writes a blog for the World Economic Forum, and has authored or co- authored eight books published in eight languages. David said, “I am absolutely delighted to be elected a Fellow of Magdalen College, and I am excited to be joining at such a pivotal time.” Professor of Law and Fellow at Magdalen Jeremias Adams-Prassl has been awarded a Philip Leverhulme Prize in recognition of his outstanding research achievements. The Prize, which includes a sum of £100,000 to be used to promote Jeremias’s research, is awarded to those whose work has had ‘international impact and whose future career is exceptionally promising’. Philip Leverhulme Prizes have been awarded annually since 2001. They commemorate the contribution to the work of the Trust made by Philip Leverhulme, the Third Viscount Leverhulme and grandson of William Hesketh Lever, the founder of the Trust. Jeremias was also awarded a prestigious European Research Council (ERC) grant. The ERC is the EU’s flagship programme to support innovative, high- impact research across all academic disciplines, awarding grants for scientific excellence to top researchers across Europe. 9 FLOREAT MAGDALENA
Emeritus Fellow Professor Liam Dolan has been appointed by Her Majesty the Queen as her representative on the board of trustees of Royal Botanic Gardens, Kew. Kew is governed by a board of trustees which comprises a chairman and eleven members. Ten members and the chairman are appointed by the Secretary of State for Environment, Food and Rural Affairs, and the Queen appoints her own trustee on the recommendation of the Secretary of State. Liam was Professorial Fellow at Magdalen College between 2009 and 2020 while he held the Sherardian Chair of Botany at the University of Oxford. Liam has been Senior Group Leader at the Gregor Mendel Institute, Vienna, since autumn 2020 where he carries out research on plant development, evolution, and mechanisms of resistance. On the subject of plants, here’s a stunning 16th century illustration of an iris from our collection by German botanist Leonhardt Fuchs On St Mary Magdalen Day, Former President Professor Sir David and Lady Clary returned to College for the long-awaited opportunity for current and former Fellows, staff, and close friends to come together in person to thank them for their 15 years of service to the College. It was also an opportunity to unveil the portrait of Sir David by Keith Breeden RP. 10
Online The College organised online exhibitions, curated by academic staff, Fellows, and other members of the College, throughout the year. Here is a selection of their most recent ones. Making History: Christian Cole, Immobility Women and Power? Alain Locke & Oscar Wilde at Oxford With this online exhibition, we open A Magdalen Story They were bright. They were up the multiple dimensions of mobility, Why has power been dominated by audacious. They were, without a from movement to stillness, from the men in institutions such as Magdalen? doubt, exceptional. This exhibition physical to the imaginary. Bringing In what contexts have women tells the story of three nineteenth- together a number of themes, ranging found ways to shape Magdalen, for and twentieth-century trailblazers from migration, maps, and data, to themselves, for their peers, and for who changed Oxford University and music and the stars, we rethink ideas future generations? Who speaks and the world beyond it. Christian Cole of what movement and stillness can who is heard are essential political was one of Oxford University’s first be. We challenge popular conceptions questions for any community. One aim Black African undergraduates, Alain of mobility and argue that immobility for ‘Women and Power? A Magdalen Locke was the first African-American is also movement – simply from a Story’ is to stimulate debate on how we Rhodes scholar and dean of the Harlem different perspective. We also show build inclusive, diverse, and meaningful Renaissance, and Oscar Wilde was how movement does not always happen communities, for today and for the the greatest Irish wit and dandy of all along a straight path from A to B, and future. We hope that this online time. Discover more in this fascinating how it can change through time and exhibition will help to widen this much- online exhibition: space. Discover more: needed conversation. Discover more: makinghistory.magd.ox.ac.uk/ immobility.magd.ox.ac.uk womenandpower.magd.ox.ac.uk #1#1#2 We are the most followed Oxford College on Instagram and Twitter. We may only be in second place when it comes to Facebook, but we have the most engaged audience. Thanks for staying in touch! 11 FLOREAT MAGDALENA
College news Programme to find next minority ethnic backgrounds with an Magdalen runs remote generation of leaders in unparalleled experience by having them work experience at Nuffield second year engage with outstanding individuals Department of Medicine Two groups of rising stars from from leading social, political, academic, As part of an extensive Outreach and the world of politics and business and business institutions. Crucially, this Access programme our Outreach took part in the second Pathway to is followed by a long-term mentoring Team recently collaborated with Dr Success Leadership and Development scheme in which Magdalen alumni Tammie Bishop, part of the team led by programme this year. Pathway is an support each participant on their Nobel Prize-winning Magdalen Fellow initiative designed to help create the individual pathway to success.” Professor Sir Peter Ratcliffe, to give 15 next generation of minority ethnic The mentoring programme and the Y12 pupils a chance to participate in leaders. Pathway to Success Leadership and remote work experience at the Nuffield The two-week-long programmes Development programme provide Department of Medicine. were developed by Operation Black a unique opportunity for Magdalen The week involved lectures and Vote and the House of Commons in College to support diverse leadership workshops delivered by Tammie and collaboration with Magdalen College, in politics and society in general, and her team, including Isobel Argles, Dr the Blavatnik School of Government, to connect with, and learn from, these Thomas Keeley, Samvid Kurkelar, and and Lloyds Banking Group, and aim future leaders. Magdalen College would Maria Prange-Barczynska. Students to equip participants with the tools like to thank its Pathway partners, also produced their own presentations, and knowledge required to stand for the programme participants, and experiment ideas, and essays. leadership roles. the alumni who have supported this “Students visit the lab each summer Participants are selected based on initiative. for work experience, and we didn’t want “ their proven skills and undertook a them to miss out on this opportunity week of intensive masterclasses in – Covid-19 or not,” said Tammie. “We politics, governance, community, came up with the idea of running a business, and commercial and civic environments to build their know- Magdalen is delighted to remote work experience week as an alternative to try to give students a taster how in running for political office and continue its involvement of research and University life. The event further develop their leadership skills. with Pathway to Success was extremely fun and valuable for Due to the coronavirus pandemic, participants and organisers alike and we sessions this year were delivered online programme in order look forward to running it again.” with a mini-residential at Magdalen to grow diversity in Students were introduced to a scheduled for later in the year. As an extension to Pathway, leadership positions in range of medical courses offered at the University of Oxford, including Magdalen College developed a society.” Biomedicine and Medicine. mentoring programme that offers One participant, Jana, said, “I one-to-one support to participants am very grateful for this fantastic following the week-long programme, opportunity as I have learnt so much as well as providing access to a network within a week. The workshops, of mentors and fellow participants. All lectures, Q&A sessions, feedback, and mentors are alumni of Magdalen. the work that has been set were very Professor Robin Cleveland, the informative and interesting to me. I was Access Fellow at Magdalen College, able to significantly benefit from this said, “Magdalen is delighted to continue experience and come out of it with some its involvement with Pathway to Success new knowledge - that is very exciting.” programme in order to grow diversity For more details about our wide in leadership positions in society. range of outreach and access activities, “Pathway provides the participants search ‘Outreach Magdalen’. from Black, Asian and other 12
Tobias Schroder (2017) was part of the men’s eight that won gold for Great Britain at the recent World Rowing Under 23 Championships in the Czech Republic, and, closer to home, our second women’s eight won blades in Summer Eights. Virtual May Morning from the Magdalen forms racial equality The then JCR President Daisy Jowers Great Tower advisory group said, “As a JCR and a College, Magdalen The May Day celebrations may have As part of Magdalen’s commitment has made significant steps towards been cancelled again, but the Choir to encouraging and celebrating increasing diversity and representation of Magdalen College was determined diversity, the College has formed a new within our college in recent months. to build on the success of last year group tasked with increasing access “The changes approved in the last with another virtual May Morning and opportunities, supporting and meeting of the Governing Body are only performance, this time from the top of representing current members, and the beginning of this journey, and the the Great Tower. increasing education around race. advisory group which introduced them The members of the Choir sang The group is made up of key will continue to meet next year, with from their homes via video link in members of the College including the significant student representation. 2020, but this year, the Choristers President, Senior Dean of Arts, and “Whilst we recognise that there is and Academical Clerks were able to Tutor for Equality and Diversity, as well more work to be done, we’re proud of climb the 172 steps to the top of one as the JCR and MCR Presidents and the measures taken so far, and of the of Oxford’s most famous landmarks to representatives for racial equality. appetite for change within the College.” welcome spring a few days earlier than The formation of the advisory group The advisory group is currently usual. followed recommendations made by the exploring the implementation of Directed by Mark Williams, JCR and MCR. several changes, many of which will “ Informator Choristarum at Magdalen be incorporated into the new College College, the Choir recorded the Strategy. traditional Latin hymn, prayer, and madrigals at the top of the Tower to Prize-winning poetry an unsuspecting Oxford at dawn a few Matters of equality are Annabelle Fuller (2018) has won the Sir days earlier. of utmost importance... Roger Newdigate Prize with her poem “As soon as it became clear that Koinobionts. The Prize is given annually we could do it safely and within the and we believe there is for the best student poem of up to 300 guidelines,” said Mark, “we knew that a lot more we can do at lines. Previous winners of the Prize we wanted to record this year’s May include Alan Hollinghurst and Andrew Morning from the Tower. The Choir Magdalen.” Motion. was sworn to secrecy, as we couldn’t “We presented a paper to the Annabelle was also chosen as the risk people finding out, in case we Governing Body, jointly with the JCR, winner of this year’s Richard Selig drew a crowd; it’s been Oxford’s highlighting how racial equality could Poetry Prize. You can read her winning best-kept secret. I suspect some early be improved in College,” said MCR poem Mars and Venus Surprised by morning joggers got quite a surprise! President at that time Lucy Baehren. Vulcan at bit.ly/3kgw2Ha “We were delighted to be able to “The paper included a number of share it once again this year with the suggested action points, prompted Magdalen community – and with by thoughts from the MCR and JCR. thousands of others around the world The racial equality advisory group – continuing a truly magical custom was created in response to this paper dating back over 500 years.” and will continue to meet and review You can watch the Choir welcome the actions to ensure we are making spring on their Facebook and YouTube progress on these matters. We are channels. hopeful that this will give momentum to these important changes in College. “Matters of equality are of utmost importance to the MCR, and we believe there is a lot more we can do at Magdalen flew the flag for Trans Magdalen.” Awareness Week. 13 FLOREAT MAGDALENA
Outreach Magdalen College Outreach has been working hard to ensure the most talented students can study here no matter what their background Magdalen is making significant of studying a humanities degree at student life. Offer-holders who met increases in the numbers of students university level. certain criteria for disadvantage were from underrepresented groups in Since the outbreak of Covid-19 invited to a welcome morning hosted their intake of undergraduates. We we have held 80 Magdalen Outreach by the outreach team. These offer- are proud of these improvements Events, involving 2473 participants. In holders were then invited to be part of and keen to keep going. Access and addition to this, we have been involved our Mentoring Scheme, and be paired Outreach continues to be a priority, in Oxford’s Virtual Open Days and with a trained Student Ambassador to support bright prospective students university-wide Remote Interview for mentoring sessions held online. who face barriers to accessing Oxford Workshops. We have had overwhelmingly positive University, and to support our feedback on these sessions so far. One increasingly diverse student body. offer-holder told us, “It definitely made me more confident about accepting my Outreach in the Pandemic: offer, as a lot of the worries I had were “ Outreach has not stopped for the addressed in the session.” pandemic, but we’ve had to work We continue to have fantastic input differently. Last March, we moved in our outreach work from our student all our events online. In place of our Outreach has body with an average of 20 student usual school visits to the College, we not stopped for the ambassadors getting involved during have been providing a programme of term time. Our new Outreach and virtual events including talks, tours, pandemic, but we’ve Access Forum which we hold termly Q&As, and lectures. Recently, we had to work for the student body has also been a also launched our Talks With Tutors great place to get ideas and feedback differently! ” on our work. Programme, where prospective applicants and school groups can sign up to attend mini lectures While we were sad not to be with Magdalen Tutors. These have welcoming prospective students to varied in subject and age range but Post-Offer Support Magdalen in person, we have been so have included a talk from Professor Now that we are making such glad to be able to continue our work Laurie Maguire on ‘Shakespeare’s progress in increasing and supporting throughout such a challenging year. Second Thoughts’ for GCSE and applications to Oxford, we have been We hope to see school groups back in A-level students and a Biology talk on keen to further support those who Magdalen soon, but we will take many ‘Evolution In Action’ by Professor Tim have received offers to study here things forward from this year. We Barraclough for younger secondary and to ensure students who are here hope to reach even more people in the students. already are getting the most of their future with both in-person and virtual We have hosted many of our larger experience regardless of background. Outreach programmes. projects and residentials online too. This year we have launched a new Last summer, we successfully held our Post-Offer Support Scheme, to Law Residential for the second year ensure that anyone with an offer feels running with students joining online welcomed and has access to all the for workshops on admissions and information they need to make a Law lectures with our Magdalen Law decision about studying with us. professors. We also ran two popular This year all offer-holders received If you would like to find out more Virtual BAME Humanities Study a welcome pack, which included a about our Access and Outreach work Days for Year 12s of BAME heritage welcome letter from our JCR Access please contact our Outreach Team at who want to explore the possibility and Admissions Rep and a booklet on outreach@magd.ox.ac.uk 14
If you know someone who is interested in coming to Magdalen, a good place for them to learn more about our College is on our YouTube channel 15 FLOREAT MAGDALENA
Almost 1500 alumni attended Events one or more of our webinars We’d like to thank everyone who joined us for one of our online events this year. If you missed one, or you’d just like to watch one again, you can find them all on our website under Alumni Events, Webinar Recordings. Here are a few of the webinars from the last 12 months. In this family friendly webinar Professor Shakespeare’s second Laurie Maguire shows us how to uncover thoughts Shakespeare’s revisions. Bagels, Bumf, and Buses: Professor Simon Horobin gives an online talk A Day in the Life of the on his recently-published book Bagels, Bumf, and Buses which explores the fascinating English Language histories of everyday words. Fellow in English Professor Robert Douglas- Can poetry make Fairhurst explores why poetry has traditionally been associated with doom and gloom, and you happy? shows how it might be a helpful resource in keeping up our spirits in difficult times. Fellow in Physics Dr Alexy Karenowska gives a whistle-stop tour for all ages of the The magic of magnetism fascinating two-thousand-year history of magnetic science. Professors Robin Dunbar and Lucy Bowes Our social world: the discusses the positive psychological and most complex thing in neurobiological mechanisms involved in the universe? friendship. Dr Michelle Pfeffer explains how early Astrological forecasting modern astrologers took on many of the of epidemic disease in activities we associate with public health early modern England today. More on page 36. 16
Donor impact “ In the last financial year £2.1m Access and Outreach has been crucial to my journey to Oxford – without [it] I would never have considered Amount raised thanks to our incredible donors (includes gift aid) applying.” Daniel Dipper (2020) 14% 24 Percentage of alumni who made a gift. Our youngest donor 1201 Number of alumni who made a gift 101 Our oldest donor “ It’s important for Magdalen to continue with the Access and Outreach programme. It helps create a better community at the College and help create stronger environments for individuals. ” Rafiah Niha (2020) 18% The percentage of donors under 40 27 The number of countries we received gifts from 12% Percentage of alumni who made gifts to Access and Outreach 17 FLOREAT MAGDALENA
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Unlocking lockdown Learn more about the members of our community at the forefront of the fight against Covid-19 and get an insight into life at the height of lockdown for some of Magdalen’s health and social care wokers P rofessor Adrian Hill KBE FRS (1978) is a Fellow at Magdalen, the Lakshmi Mittal and Family Professor of Vaccinology, and founder and Director of the largest the team whose recent malaria vaccine trial proved to be 77% effective, the first vaccine to achieve the World Health Organisation’s goal of 75% efficacy. Adrian recently became a Fellow of the Vaccinations were initially delivered to a small number of hospitals for surveillance purposes, before the national rollout began in earnest, initially for the most vulnerable patients. academic vaccine centre in the world, Royal Society and an honorary Knight Last month, AstraZeneca announced the Jenner Institute at the University Commander of the Most Excellent Order that they had manufactured over 1 of Oxford. He is a key member of the of the British Empire (KBE), for services billion doses of the vaccine which team that designed and developed the to Science and Public Health. had been released to more than 170 Oxford-AstraZeneca vaccine with the countries. Oxford Vaccine Group. Dr Maheshi Ramasamy is a Fellow by Developing a vaccine would Special Election and Florey Lecturer at Professor Adam Finn (1980) is a normally take many years, but Adrian Magdalen College. In her role as Florey Professor of Paediatrics at the University and the team developed the Oxford- Lecturer, she acts as the Lead Tutor for of Bristol. He is also Chair of the WHO AstraZeneca vaccine in just 12 months. graduate medical students at Magdalen European Technical Advisory Group One reason for this speed is that the College. She is also a Consultant of Experts on Immunization (ETAGE) delivery method for the vaccine had Physician at the Oxford University which provides independent review already been developed for other Hospitals NHS Foundation Trust and to the Vaccine-preventable Diseases diseases and had been tried and tested the Principal Investigator at the Oxford and Immunization programme (VPI), for almost ten years. ChAdOx1, as it Vaccine Group where she leads on adult an ex-officio member of the WHO is known, was created by modifying a clinical vaccine trials including the Strategic Advisory Group of Experts on harmless adenovirus that causes the Oxford-AstraZeneca vaccine trials. Immunization (SAGE), and a member common cold in chimpanzees. The first peer-reviewed results of of the British Department of Health The finished Oxford-AstraZeneca phase 3 human trials of the vaccine, Joint Committee on Vaccination and vaccine works by delivering the genetic which took place across the UK Immunisation (JCVI). sequence of the spike protein of SARS- and Brazil, demonstrated efficacy in The JCVI is an independent expert CoV-2, the virus that causes Covid-19. December last year, and at 7.30am advisory committee that advises UK The body cells read this genetic code on the 4th of January 2021 dialysis health departments on immunisation, and start producing copies of the spike patient Brian Pinker became the very making recommendations concerning protein and the immune system then first person to receive the Oxford/ vaccination schedules and vaccine safety. mounts a response. A benefit of using AstraZeneca Covid-19 vaccine. During the pandemic, the committee ChAdOx1 for the vaccine is that it Unlike the Moderna and Pfizer gave advice to the recently formed generates a strong immune response vaccines, the Oxford/AstraZeneca Vaccine Taskforce on the groups of but is not a replicating virus, so cannot vaccine does not require frozen storage people that should be prioritised for cause an infection. making it easier to transport. It was vaccination and later which vaccine As well as helping to develop the also able to be manufactured in large different groups should receive. Covid-19 vaccine, Adrian is part of quantities and at low cost. 19 FLOREAT MAGDALENA
“ Robert Staruch (2018) and Tom We spoke to frontline health Kirk (2017), two DPhil students and social care workers from in the Department of Engineering Science, are part of a multidisciplinary our community earlier this year team of engineers and medics from My NHS Trust as to learn how their professional the University of Oxford and King’s a whole and my and personal lives had been College London that developed a rapid colleagues within the affected by Covid-19. prototype ventilator in response to the Government’s Ventilator Challenge hospital have been when a shortage of ventilators was very supportive. forecast at the beginning of the There has been a The GP pandemic. real sense of shared Rachael Rooney (née Hawes) (2003) The team later partnered with medical technology company Smith endeavour and What is your role and what are your and Nephew to translate the prototype into a safe, reliable product. In June last supporting each main responsibilities? I am a General Practitioner. Contrary year, OxVent Ltd was created to deploy other.” to some perceptions/press we continued the ventilator during the pandemic and working throughout, but differently in beyond. view of the challenges! Robert and Tom also developed an app to improve the efficiency of Do you remember what you felt when the vaccine rollout for housebound you first heard about Covid-19? Did patients. VaxiMap has so far helped you have any idea about the impact it find almost 28,000 optimal routes for would have? over 300,000 patients. Initially, perhaps not concerned enough or optimistic denial - after all, previous potential pandemics like SARS, MERS, swine flu, etc. did not significantly disrupt the NHS or UK. However, as it started to pick up pace in Europe I did become increasingly concerned and started controlling what I could by prepping my own PPE/medical supplies from early March 2020. What happened in the early days of the virus, how prepared were you at work? My husband, Louis (2003) normally works in the USA. So, courtesy of various airports in March 2020, I suspect that my whole family had Covid-19 quite early on! Our youngest child was already feverish and kept home from preschool when the rule came in on the 16th March. The whole household needed to isolate together for 14 days so we were in that straight away. Several of my colleagues were in a similar position with an unwell household member and there was no community testing at that stage to confirm infection or to end isolation 20
earlier than 14 days if negative. In our How did the first lockdown affect Can you remember how you household, the five of us then became you personally? felt when you first heard about ill sequentially (me last!) so my total It was a challenge! The message a possible vaccine? isolation was over three weeks. initially was to keep children home I felt it was inevitable there would Some colleagues were also added to from school if at all possible, so our be one. Although, I did have some the shielding list so could no longer see 3-year-old twin boys and 6-year-old scepticism about how much it will patients face to face. So the workforce daughter were home while we both actually change things on an individual at our practice was significantly juggled work. In the subsequent 2021 versus population level though, for depleted straight away. We tried to closures, we used some critical worker example, what the data would be on switch to home working but the IT school provision and family wellbeing transmission as well as the severity of at the start was very, very slow and was much better for it. illness. without full functionality (e.g. able to Positive aspects included making access medical records via VPN but healthier habit changes (making the How has the vaccine affected you not able to authorise prescriptions). most of that time out to exercise and your work? Luckily, in the early days, I would say and no social events!) and taking I feel it is a little too early to say, as only that demand on primary care dropped on the distraction of completing an a few cohorts are receiving their second significantly as patients chose to International Board Certification in dose of vaccine yet after the revised UK only contact us for things they really Lifestyle Medicine. schedule spacing out doses. We have yet thought were very urgent. As demand to see how much the strains continue to picked up again the home working tech Did you feel supported by your work, vary and what the plans going forward had improved for shielding colleagues community, country? will be for yearly boosters. and fewer were in quarantine at any Our local community was very Then ultimately, what is deemed one time. supportive initially. I have various fancy politically/culturally acceptable as a sets of scrubs made by volunteers! My mortality and morbidity rate from How did the first lockdown affect you favourites are the NHS rainbow fabric Covid-19 as it becomes endemic, versus professionally? ones. the desire for restrictions to be relaxed. We changed our ways of working As time has gone I think any Although the vaccine developments significantly as the pandemic started challenging circumstance highlights have been an awesome feat of modern to unfold. My practice area had a cracks as well as strengths in a medicine - I have wondered whether much older demographic than average workplace. Perhaps also the nature of there is an overreliance on this... with and there were challenges with the this has demonstrated that life can be missed opportunities to also focus old, not purpose-built premises, shorter than we might hope. We have on “host” (patient health) factors and not being suited to viral infection really seen the lasting impact on family also healthcare delivery (particularly control measures. Locally, practices members of some of these deaths. The inequalities) that are crucial to disease collaborated to set up “hot hubs” where surveys have suggested an alarming mortality and ongoing morbidity. all the suspected Covid-19 patients number of GPs planning to retire could be seen by GPs. We swapped earlier, cut down their sessions, or leave Do you think there will be any long- to remote methods of assessment the NHS due to occupational burnout. lasting effects from the pandemic, first (telephone, video, or email I left the practice I had been good or bad? What might they be? consultations) rather than face-to-face working at in March 2021 for a Yes. There will be a multitude. Some appointments. If we felt that a patient multitude of reasons. Personally, I of the negatives include patients needed a face-to-face consultation did not feel particularly burnt out but suffering from long Covid with ongoing afterwards, we could choose the correct identify with the concept of “moral symptoms. site, stagger timings so social distancing injury” with an increased discrepancy Also, that other serious physical could be maintained in waiting rooms between the care I would like to illnesses including cancer diagnoses and minimise the time in a room provide, patient expectations, and have been delayed by the impact on together as we had already had a what was possible in my NHS GP role the healthcare service and patient discussion. I also examined things like at that time. I am also excited to do perceptions of it. The hospital waiting limb skin lesions/lumps or ears through more Lifestyle Medicine work, with lists for specialist clinics or non-urgent car windows! the root causes of disease and health operations (joint replacements, hernias, - hopefully, in the future, this will gynaecology, etc.) are significantly become embedded in the NHS. increased now. 21 FLOREAT MAGDALENA
Another concern professionally I hope there will be more liver donors and so-called altruistic and personally is the impact of the widespread learning and interventions kidney donors (i.e. donors to recipients disruption on critical life periods at an individual and population level unknown to them). in childhood and adolescence. The regarding the root cause of modifiable I also see patients on dialysis, whether number of consultations for mental lifestyle components of health and in the dialysis unit, the wards, or the health issues in young people is rising susceptibility to disease - this is clinics, for a wide variety of reasons significantly with limited resources unlikely to be the last novel viral (primarily depression, anxiety, cognitive to support them. For many children pandemic. impairment). school was a safe space and the impact of adverse childhood experiences on Do you remember what you felt when future physical and mental health will you first heard about Covid-19? Did “ be significant. you have any idea about the impact it Some other long-lasting effects are would have? not so easily classified as good or bad. I read the early reports from China It has highlighted many things I hope there will be with detached curiosity, much as about NHS working environments, widespread learning beachcomber might see something including how often staff would work unusual, far out at sea. I followed through their own illnesses (often and interventions the description of rising deaths and being more feverish or tachycardic at an individual and case numbers, first with concern, - than their ill patients) or leave unwell whatever’s out there is bad, and could children being cared for by others. population level.” come this way - which turned into alarm Rates of many other infectious as the first wave crashed over Italy - illnesses have gone down with the whatever’s out there is very bad and is measures in place - although there is coming this way. Along with colleagues a possible flip side of this on immune The psychiatrist and the country I braced for the impact. system development in children Stephen Potts (1979) Of course, none of us knew how bad particularly. it would be, or how long it would go It has also shown that it is very What is your role and what are on. We still don’t. This uncertainty has possible to organise some aspects of your main responsibilities? consequences of its own. Primary Care at scale and with more I’m a psychiatrist, working in the renal remote assessments initially. Many unit and transplant service (kidney, What happened in the early days patients and clinicians did find a liver, pancreas, islet cell) at the Royal of the virus, how prepared were you telephone/video/email consultation Infirmary of Edinburgh at work? initially more convenient and an My responsibilities include assisting I do not work directly in the Covid efficient way to work. the transplant team in their assessment wards or ICU, but departmental However, many patients would of potential transplant recipients (and colleagues do, and several caught prefer to talk to their doctor face to living donors of kidneys and livers), the virus in the early weeks, despite face even if from a clinical perspective their preparation for surgery, and their their PPE ( all have since recovered). a remote assessment would be short- and long-term management This made me wonder if the PPE was adequate. Combined with the increase afterwards. In a normal year, we adequate whenever I went to the dialysis in waiting lists for hospital clinics, I undertake approximately 100 kidney unit or the non-Covid wards. I was wonder if this may hasten changes in transplants (almost half from living impressed by the speed with which how healthcare is delivered in England, donors) 100 liver transplants (a handful service changes were made: physical with more patients/employers turning from living donors) 15 simultaneous alterations in ICU, staff redeployment, to private provision for preference of kidney/pancreas transplants, and a huge investment in new IT to allow delivery method and access. I think, similar number of islet cell transplants. remote working for meetings with optimally, there would be more honest I get asked to see between a quarter colleagues and patients. One of the political-public dialogue about the and a half of kidney, pancreas, and criticisms previously levelled at the NHS direction and scope of the NHS for the islet cell recipients (a colleague sees is the bureaucracy that stymies change: I 21st century and pandemic-endemic the liver recipients) as well as a similar saw none of that. Big changes happened world, which would help to reduce proportion of related living kidney very quickly. In retrospect, some of stress and moral injury for clinicians. donors, although I see all potential them may have happened too quickly, 22
in response to what we saw in Italy, but centres still able to use organs. Can you remember how you felt our ICU, A&E, and wards were never when you first heard about a possible overwhelmed. How did the first lockdown affect you vaccine? The more we learnt about the risk personally? Hopeful excitement, bolstered by factors for catching Covid, for becoming I won’t deny I was apprehensive going pride at Oxford’s role and specifically seriously ill, and for dying, the more into work in March and April 2020, Magdalen’s: I’m a contemporary of my colleagues and I worried about the but so was everyone else, and many Adrian Hill of the Jenner Institute (a impact on our dialysis and transplant were going into a work environment neighbour in the Daubeny Building), patients. Some have caught it, and been much more risk-laden than mine. and Adam Finn of the JCVI (a ill; a few have died - but it has not ripped Gradually, as we came to learn more housemate at 63 High Street). through these groups as we first feared it about the virus and the risks it posed, would. that apprehension receded, until I feel How has the vaccine affected you and very much in a new routine. Home your work? How did the first lockdown affect you life has been less routine: my wife is Given the Oxford connection, I wanted professionally? an academic who has largely worked to have the AstraZeneca (AZ) vaccine In some ways surprisingly little. I still from home for a year. Our children’s but was offered Pfizer’s before AZ had work the same days, and they are as long schooling has been affected ( whose been approved. I took the first dose in as ever. I still go to the same transplant has not?). Holidays and long-planned December. I was not concerned about meetings, though sometimes by dialling family events have been cancelled or stretching the interval to the second in. I still see patients face to face in the postponed. On the positive side, I’ve dose and had it 10 weeks later. There dialysis unit and on the wards. But where cycled many more miles on empty were minimal consequences after before nearly all my outpatient contact lockdown country roads. And we each, and only for 24 hours or so. The was face to face, now most of it is via bought a puppy - though we have the vaccine roll-out is now well-advanced video or phone consultation. In general, excuse that we already owned two older in the dialysis unit and the transplant the kit and the software work well, dogs. population, much to the relief of the and video appointments have quickly patients and their families, by whose become accepted by clinicians and resilience I have been very impressed. patients. I’m sure they will continue after To be immunosuppressed and afflicted the pandemic, especially for services by comorbidities like diabetes and like transplantation (the kidney service hypertension, and to read that these covers Eastern Scotland, all the way to were exactly the factors that put people Shetland: the pancreas service the whole at risk, made for a long and anxious of Scotland and Northern Ireland). I do Did you feel supported by your year. For some dialysis patients, their miss the face-to-face contact, and video work, community, country? only trips outside their homes have appointments don’t meet all clinical Yes, very much so. I have been very been thrice-weekly visits to hospitals needs, but I think I miss more the social impressed by the solidarity displayed for treatment, each visit fraught with contact with colleagues at conferences all at all levels. In return, my son (now 11 concern they might be exposed to the of which have been virtual for a year. and a bagpiper) played in the garden virus. Yet they have coped. The transplant programmes were shut every day for six months at 1pm, as down almost completely in Edinburgh, well as every Thursday for the NHS Do you think there will be any long- and much of the rest of the country, for clap-along. Twice a week he played lasting effects from the pandemic, several months in the first wave. This for the residents of the local sheltered good or bad? What might they be? meant that people who had waited in housing unit. (Of course, it is possible We are seeing huge social, economic, precarious health for a transplant now that our neighbours and those residents and political consequences beyond the knew they would have to wait longer, did not welcome the noise, but the purely medical effects, and there is no though no one could say by how much. feedback has been good, and he has doubt they will be long-lasting. Others I did what I could to support them. been commended for it). are better placed than me to comment The second wave hit other areas harder on what they might be. While we need than Edinburgh, and we did not have I do sense a greater awareness of and to believe that positives may emerge, to close. This had the paradoxical effect attention to the needs of others in this they are unlikely to outweigh even of increasing activity for a time, as pandemic. I hope it lasts as we emerge a fraction of the negatives, such as a Edinburgh was one of a small number of from it. current global death toll of nearly three 23 FLOREAT MAGDALENA
million. A major concern for doctors people with mental illnesses including the lack of activity was very distressing. is what we are learning about the long- dementia, mood disorders, and We went from seeing our colleagues of term effects of the virus. Long Covid psychosis. At the moment I work with all disciplines every day to having remote is common, distressing, and disabling. inpatients in hospital. meetings and seeing patients by video There are features in common with conferencing. It felt like the attention chronic fatigue syndrome, but also Do you remember what you felt when we could give to each person’s care was significant differences. We don’t know you first heard about Covid-19? Did reduced, and the relationship with patients nearly enough about its causes, its you have any idea about the impact it was more difficult. course, or how to treat it. would have? When I first heard about Covid-19 How did the first lockdown affect you “ it wasn’t immediately clear whether personally? it would pose more of a threat than On a personal level, I was not as affected earlier SARS viruses, such as the by the lockdown as many others were. Lockdowns slow the Middle East Respiratory Syndrome I was able to drive the 50 miles to work spread...but it is medical (MERS), which did not unfold into a in under an hour with nobody else on global pandemic. As the initial days the roads. I took to taking regular walks science that will get us out passed it became clear that this was in nearby countryside and my fitness of this mess. We are good going to be something much more improved quite a bit. In some ways, widespread. I went quite quickly from working in healthcare and thus continuing at it in Britain, in Oxford, being fairly unconcerned about it to to go out to work during the lockdown at Magdalen. ” worrying that it wasn’t being taken meant I got the best of both worlds. anywhere near seriously enough based on the warnings from public health Did you feel supported by your work, experts, a view that remained the community, country? Is there anything else you would like same for quite some time before the My NHS Trust as a whole and my to say about your experience over the Government acted. colleagues within the hospital have been last 12 months? Even once the global situation was very supportive. There has been a real For a long time before the pandemic, I well established, I can’t say I anticipated sense of shared endeavour and supporting have taken quiet satisfaction in working just how long it would go on for and each other. In my local community, for the NHS, and in Britain’s many how much it would restrict our lives. there have been some nice gestures such scientific and clinical achievements. as discounts for NHS staff, and lots of What our basic scientists, clinicians, What happened in the early days of window displays. I am afraid I am rather epidemiologists, statisticians, clinical the virus, how prepared were you at cynical about public opinion more widely trials organisers, and others have work? given the abuse some public health experts delivered to the world, in record time, When this all began I was working in a have experienced, and the behaviour of in response to this pandemic, should be secure environment with high levels of many people in defying lockdown, mask- applauded. Lockdowns slow the spread physical and procedural security, and wearing, and other measures to protect at social and economic cost, but it is so we were able to stop visitors from each other. The situation in this country medical science that will get us out of coming and reduce movement within and the number of deaths would have this mess. We are good at it in Britain, the campus very quickly. Like most been a lot better if the NHS and the public in Oxford, at Magdalen. We should hospitals, we had dealt with localised health system had not been underfunded celebrate that. outbreaks before and so the basic and partly dismantled by successive measures and PPE were familiar and governments. Rather than banging instigated swiftly. saucepans together on a Thursday night, The old-age psychiatrist it would be better if people thought more How did the first lockdown affect you carefully about their choices at the ballot Jason Holdcroft-Long (2001) professionally? box and what they mean for the National The lockdown terminated all of the Health Service. What is your role and what are your recreational and occupational activity main responsibilities? for patients at a stroke, and although Can you remember how you felt when I am an old-age psychiatrist, which is this was welcomed by those who you first heard about a possible vaccine? a medical doctor looking after older preferred to be solitary, for many others I was impressed with the rapid and 24
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