Selasa, 28 April 2020

Two-year-old boy's rash turned black with 'inflammatory syndrome' linked to the coronavirus - Daily Mail

EXCLUSIVE: Mother reveals her boy's rash turned black and he was rushed to hospital with serious 'inflammatory syndrome' linked to covid-19 as Health Secretary admits officials are worried by spike in cases among children

  • EXCLUSIVE: Bertie Brown rushed to hospital last month on his second birthday   
  • His temperature soared over 40C (104F) and his blotchy rash began to turn black
  • Hi mother Gemma believes symptoms were complication caused by coronavirus
  • Mysterious inflammatory syndrome has struck down young COVID-19 patients
  • Here’s how to help people impacted by Covid-19

A mother has told how her two-year-old son was rushed to hospital with a dangerous inflammatory syndrome thought to be linked to COVID-19.

Gemma Brown, 38, told MailOnline that her son, Bertie, was admitted to Worcestershire Royal hospital last month on his second birthday, when his temperature soared over 40C (104F) and his blotchy rash began to turn black.

Doctors were initially baffled but a senior consultant eventually diagnosed the boy with the rare Kawasaki disease, a form of toxic shock syndrome which causes the body’s immune system to attack its own organs.

But Bertie was not given a COVID-19 test, leaving both medics and his family in the dark about a possible link between Kawasaki disease and coronavirus.

Bertie Brown was admitted to Worcestershire Royal hospital last month on his second birthday after developing a fever and rash across his body

Bertie Brown was admitted to Worcestershire Royal hospital last month on his second birthday after developing a fever and rash across his body

His temperature soared over 40C (104F) and the blotchy rash spread across his body and began to turn black

His temperature soared over 40C (104F) and the blotchy rash spread across his body and began to turn black

Doctors were initially baffled but a senior consultant eventually diagnosed the boy with the rare Kawasaki disease

Doctors were initially baffled but a senior consultant eventually diagnosed the boy with the rare Kawasaki disease

The condition is a form of toxic shock syndrome which causes the body’s immune system to attack its own organs

The condition is a form of toxic shock syndrome which causes the body’s immune system to attack its own organs

‘I don’t know how the Government is going to prove there’s a link if they’re not testing patients,’ the mother-of-two from Droitwich Spa, Worcestershire, said.

‘I asked for him to be tested, as I had a gut feeling that there was a connection between covid and Kawasaki.

‘Both attack your immune system and the whole family had been poorly with covid symptoms before Bertie fell ill.

‘I was adamant that there was a link and was begging for a test, but they just told me that there was no need to test the under-fives.’

The boy was given an immunoglobin transfusion and was in hospital for five days. ‘It was horrific seeing him like that,’ Mrs Brown said.

‘He didn’t have any respiratory problems but he was put in a ward on his own and he was easily the most poorly child in the hospital.

‘His rash had started out being itchy, but it quickly put him in agony. His temperature was dangerously high and they were monitoring him round the clock.’

Bertie, who was born very prematurely weighing only 1.5lb, has always had a weak immune system, making him susceptible to viruses.

Two-year-old Bertie Brown, his mother Gemma, 38, and his older brother George, 14

Two-year-old Bertie Brown, his mother Gemma, 38, and his older brother George, 14

Bertie's mother believes the painful rash (shown on his legs) was caused by a complication of coronavirus

Bertie's mother believes the painful rash (shown on his legs) was caused by a complication of coronavirus

But Bertie was not given a COVID-19 test, leaving both medics and his family in the dark about a possible link

But Bertie was not given a COVID-19 test, leaving both medics and his family in the dark about a possible link

WHAT IS KAWASAKI DISEASE? 

KAWASAKI DISEASE

Kawasaki disease is a condition that causes inflammation in the walls of the blood vessels and affects mostly children under five years old.

The inflammation can weaken the coronary arteries, which supply the heart with blood. This can lead to aneurysms and heart attacks.

The condition affects eight children out of every 100,000 and statistics show it is fatal in three per cent of cases that go untreated. 

WHAT SYMPTOMS DOES IT CAUSE?

The symptoms of Kawasaki disease usually develop in three phases over a six-week period, according to advice on the NHS' website.

The first signs are a fever and a rash in the first few weeks, followed by the eyes of children becoming red and swollen. 

It can also cause the lips to dry up and crack, a sore throat, swollen lymph glands and the tongue to become red, the NHS warns. 

The second phase of Kawasaki disease often causes symptoms such as abdominal pain, vomiting, diarrhoea, headaches, joint pain and jaundice. 

In the third phase, symptoms tend to disappear but children 'may still have a lack of energy and become easily tired during this time'.  

‘Thank God he is OK now and has come home, though he’s still on Aspirin to prevent his blood clotting,’ his mother said. 

‘He’s much better in himself. But the fact is that we just don’t know what’s been going on as he wasn’t tested for coronavirus.’

This morning, Matt Hancock, the Health Secretary said that children with no underlying health conditions may have died from an inflammatory syndrome linked to the virus.

On Monday, doctors were issued an alert about a sharp rise of infants being admitted to intensive care with a Kawasaki-like disease in Britain and Italy.

The majority of Kawasaki patients are thought to be under the age of five, and some are so badly affected that they have to be put on life support.

The disease is a condition that causes inflammation in the walls of the blood vessels and affects mostly children under five years old.

There are roughly eight cases for every 100,000 children in the UK and statistics show it is fatal in three per cent of cases that go untreated.

The new COVID-19-linked cases are occurring when someone with Kawasaki disease contracts the virus and that produces complications, an NHS source told the Guardian.

Children are not thought to be badly affected by COVID-19 - very few youngsters have died around the world since the pandemic began in December.

Their apparent resilience to the disease has baffled doctors for weeks because they are often 'super-spreaders' of viral illnesses such as flu.

The children being seen with this syndrome often suffer from stomach pain, cardiac inflammation and 'gastrointestinal symptoms' - which could include vomiting and diarrhoea.

Chief medical officer Professor Chris Whitty said yesterday is 'entirely plausible' this spike is linked to the COVID-19 outbreak.

Speaking at No 10's press briefing yesterday, he added: 'Because we know that in adults who of course have much more disease than children do, big problems are caused by an inflammatory process and this looks rather like an inflammatory process, a rather different one.

Bertie, who was born very prematurely weighing only 1.5lb, has always had a weak immune system, making him susceptible to viruses

Bertie, who was born very prematurely weighing only 1.5lb, has always had a weak immune system, making him susceptible to viruses

'Therefore, given that we have got a new presentation of this at a time with a new disease, the possibility - it is not a definite, we need to look for other causes as well - but the possibility that there is a link is certainly plausible.'

NHS medical director Professor Stephen Powis sent an alert to his experts on Monday, instructing them to drill down into the alarming numbers of children with the syndrome.

According to the alert, which was originally shared with GPs in north London, children affected display signs similar to toxic shock syndrome (TSS), a severe illness associated with infections, and have blood markers in line with severe Covid-19 in children.

Doctors have compared the mysterious complication to toxic shock syndrome and Kawasaki disease which, combined, cause harmful internal swelling, fever and breathing problems - all hallmark signs of COVID-19.

But some of the children needing intensive care have tested negative for the coronavirus, further complicating the diagnosis and raising questions that another pathogen could be behind the condition.

Officials have yet to offer any clarity on what the symptoms are, despite pleas from paediatricians to paint a clearer picture so they can look out for them.

It is not clear how many children have had the inflammatory syndrome, nor whether any have died with it. It is also unclear how old the children have been.

But it is thought to have only affected a 'handful' of children so far, according to one prominent paediatrician who admitted the complication could be caused by another pathogen. 

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2020-04-28 14:46:20Z
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Another 633 dead across UK as death toll nears 22,000 - Metro.co.uk

SOUTHEND ON SEA, ENGLAND - APRIL 28: Two nurses stand under an umbrella during the pouring rain outside Southend Hospital during the minute's silence for key workers who have died during the Coronavirus on April 28, 2020 in Southend on Sea, United Kingdom. The moment of silence, commemorating the key workers who have died during the Covid-19 pandemic, was timed to coincide with International Workers' Memorial Day. At least 90 NHS workers are reported to have died in the last month, in addition to transport employees and other key workers. (Photo by John Keeble/Getty Images)
Two nurses stand under an umbrella during the pouring rain outside Southend Hospital during the minute’s silence for key workers (Picture: John Keeble/Getty Images)

Another 633 people have died in UK hospitals after contracting coronavirus, taking the death toll to at least 21,749.

Today’s jump follows an increase of 360 deaths yesterday, which was the lowest daily increase for four weeks.

The toll was updated after England recorded another 546 deaths. Scotland reported 70 deaths, while 17 were recorded in Wales. Northern Ireland has not yet released its figures.

A total of 21,749 deaths is calculated by combining the self-reported totals from England (19,295), Scotland (1,332), Wales (813), and Northern Ireland (309, as of yesterday).

The combined daily increase from the three nations (not including Northern Ireland) comes to 633, which could be different to the figure later released by the Department of Health (DoH) this afternoon.

For our Coronavirus live blog click here.

The government has said this difference is because each devolved authority often makes amendments to their own data after reporting deaths to the DoH each day.

Coronavirus map
The UK death toll has reached at least 21,749. A total of 157,149 cases is accurate as of yesterday (Picture: Metro.co.uk)
CORRECTION - A veteran wearing a Royal Hospital Chelsea hat, and in PPE (personal protective equipment) of a face mask, as a precautionary measure against COVID-19, stands outside the Chelsea and Westminster Hospital in London on April 28, 2020, ahead of a minute's silence to honour UK key workers, including Britain's NHS (National Health Service) staff, health and social care workers, who have died during the coronavirus outbreak. - Britain's health ministry on April 27 the total toll of those having died after testing positive for COVID-19 in hospital rose to 21,092. The figure includes 82 staff from the National Health Service and 60 social care workers, according to minister Matt Hancock. (Photo by DANIEL LEAL-OLIVAS / AFP) / The erroneous mention[s] appearing in the metadata of this photo by DANIEL LEAL-OLIVAS has been modified in AFP systems in the following manner: [stands outside the Chelsea and Westminster Hospital in London on April 28, 2020, ahead of a minute's silence to honour UK key workers, including Britain's NHS (National Health Service) staff, health and social care workers, who have died during the coronavirus outbreak.] instead of [pauses for a minute's silence to honour UK key workers, including Britain's NHS (National Health Service) staff, health and social care workers, who have died during the coronavirus outbreak outside the Chelsea and Westminster Hospital in London on April 28, 2020.]. Please immediately remove the erroneous mention[s] from all your online services and delete it (them) from your servers. If you have been authorized by AFP to distribute it (them) to third parties, please ensure that the same actions are carried out by them. Failure to promptly comply with these instructions will entail liability on your part for any continued or post notification usage. Therefore we thank you very much for all your attention and prompt action. We are sorry for the inconvenience this notification may cause and remain at your disposal for a (Photo by DANIEL LEAL-OLIVAS/AFP via Getty Images)
A veteran wearing a Royal Hospital Chelsea hat stands outside the Chelsea and Westminster Hospital ahead of a minute’s silence to honour key workers (Picture: AFP)

It is important to note that all of these deaths occurred in hospitals across the UK. They do not take into account the people dying at home, in care facilities, hospices, or other locations outside of hospitals.

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The latest figures were released after new data showed the true coronavirus death toll could be 35% higher than government figures.

The Office for National Statistics (ONS) said 21,284 people in England had died by April 17 with mentions of Covid-19 on their death certificates, compared with 13,917 in the government’s daily toll.

The ONS recorded a further 1,016 deaths recorded in Wales, which is nearly double the number – 534 – recorded by the government.

That would take the UK’s total death toll beyond those reported by France and Spain as of April 17, though lower than Italy’s total toll.

Earlier today, the nation held a minute’s silence to honour those who have lost their lives on the frontline.

LEICESTER, UNITED KINGDOM - APRIL 28:NHS workers are seen during a minute's silence held in memory of NHS workers outside Glenfield Hospital on April 28, 2020 in Leicester, United Kingdom. The moment of silence, commemorating the key workers who have died during the Covid-19 pandemic, was timed to coincide with International Workers' Memorial Day. At least 90 NHS workers are reported to have died in the last month, in addition to transport employees and other key workers. (Photo by Ross Kinnaird/Getty Images)
NHS workers outside Glenfield Hospital in Leicester commemorate the key workers who have died during the Covid-19 pandemic (Picture: Ross Kinnaird/Getty Images)

People across the UK paused for a minute in tribute to the sacrifice made by those in roles ranging from doctors and nurses to carers, cleaners, porters and bus drivers.

Prime Minister Boris Johnson, who has just returned to work this week after recovering from Covid-19, joined the countrywide commemoration, as did Health Secretary Matt Hancock.

The NHS is now preparing to resume key non-coronavirus services, including the most urgent cancer care, over fears thousands of patients could be having their illnesses made worse or missed altogether.

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Earlier, the Health Secretary was confronted on LBC radio by the son of a medic who died two weeks after warning the Government about a lack of personal protective equipment (PPE).

Intisar Chowdhury, 18, the son of Abdul Mabud Chowdhury, a consultant urologist at Homerton hospital in east London, asked Mr Hancock whether he regretted not taking his father’s concerns seriously and asked him to ‘openly acknowledge’ there had been mistakes in handling the virus.

Answering the question, the Health Secretary said: ‘Intisar, I’m really sorry about your dad’s death and I have seen the comments you’ve made and what you’ve said in public and I think it’s very brave of you.

‘We took very, very seriously what your father said and we’ve been working around the clock to ensure that there’s enough protective equipment.’

Get in touch with our news team by emailing us at webnews@metro.co.uk.

For more stories like this, check our news page.

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2020-04-28 13:45:30Z
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Coronavirus deaths more than twice hospital toll, data indicate - Financial Times

The coronavirus pandemic appears to be killing more than twice the number of people recorded in daily figures from hospitals, according to the latest official death statistics for England and Wales.

The data suggest the extent of the crisis is deeper than previously thought, particularly in care homes — where a third of all deaths were recorded in the week to April 17.

In the week starting April 10, 22,351 deaths were registered in England and Wales, the highest figure since comparable weekly data started in 1993 and also worse than any figure in similar data of the past 50 years. The average for the comparable week from 2015-2019 was 10,497.

Since the start of the coronavirus crisis in March, there have been 27,015 more deaths than the five-year average for the time of year for registrations up to April 17.

With an average delay of four days between someone dying and their death being registered, the figures relate to the period to April 13, when the government said there had been 11,408 deaths of people testing positive for coronavirus in English and Welsh hospitals.

Column chart of England & Wales showing Weekly death registrations have risen to the highest on record

If data are included from Scotland and Northern Ireland, where the dates do not entirely match, 29,751 excess deaths were recorded by mid-April, far above the government’s latest daily running total of 21,092.

The figures from the Office for National Statistics are regarded by the government and experts as the best data the UK has.

The official figures verified Financial Times modelling that suggested 41,000 had died by last Tuesday either directly or indirectly as a result of coronavirus, with the death registrations higher than expected by the FT's model.

With almost 30,000 excess deaths by mid-April across the UK, approximately two weeks ago, the number of total deaths now is likely to be in excess of 45,000 according to the FT model.

Much of the increase in deaths has been recorded in care homes. In the week to April 17, 7,316 deaths were recorded in care homes, compared with an average of 2,154 for that week in care homes over the past five years. That excess deaths in care homes were 5,000 more than the long-term average in one week suggests the crisis in the care sector is even deeper than previously feared.

The ONS said the number of deaths in care homes had been rising as a proportion of total deaths, adding that the epidemic in care homes appeared to be later than that in hospitals. “We are starting to see more deaths occurring in private homes and care homes,” it said.

Chart showing weekly deaths in England and Wales have reached an all-time high

The figures show that many deaths in care homes are not recorded as linked to Covid-19 on death certificates, suggesting that residents died of other causes or that doctors were reluctant to name coronavirus on death certificates for the very frail.

Ian Hudspeth, chairman of the Local Government Association’s community wellbeing board, said: “It is truly shocking to see how many of the most elderly and vulnerable in our communities have died from this dreadful disease”.

“We are also yet to see the peak of the stress on the social care system, due to the delay between hospital admissions and discharge, which will require the need to start shifting capacity across from hospitals and into the community to meet a surge in demand,” he added.

In the latest week of registrations, 33 per cent of all deaths happened in care homes, compared with the average for the past five years of 22 per cent, the ONS said.

Both in care homes and the community the rise in death registrations outstrips the rise in death certificates which mention coronavirus. This suggests that doctors are misrecording deaths caused by the disease and that people are dying from other conditions indirectly linked to the outbreak.

The increase in other deaths is highest in areas such as London, where the virus has been most virulent.

NHS England said on Monday that 15,293 people had died in English hospitals after testing positive for coronavirus by April 17. Using unpublished estimates, the ONS said the number of people in England who had died with coronavirus on death certificates was running at 21,284 up to April 17, almost 40 per cent higher.

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2020-04-28 13:20:52Z
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Coronavirus affected Boris more because he is 'significantly' overweight, says NHS doctor - Daily Mail

Boris Johnson was badly affected by coronavirus because he is 'significantly' overweight while other 'slimmer' ministers recovered much more quickly, says NHS doctor

  • Doctor says there is ten-fold risk of death from the disease if patients are obese
  • The Prime Minister was in intensive care for a period as his health deteriorated
  • Dr Aseem Malhotra feels that Mr Johnson's weight was a key contributing factor 
  • Here’s how to help people impacted by Covid-19

Prime Minister Boris Johnson was so badly affected by coronavirus because he is 'significantly' overweight, an NHS doctor revealed today.

Consultant cardiologist Dr Aseem Malhotra said there is a ten-fold risk of death from the disease - which has so far killed more than 20,000 Britons - if patients are obese.

He pointed out that other 'slimmer' members of the Cabinet - like Health Secretary Matt Hancock - recovered much more quickly and were not hospitalised.

Mr Johnson, 55, has long struggled with his weight and in 2018 revealed he weighed almost 16 and a half stone, which at 5ft 9in puts him in the high risk category.

Other top Government officials and advisers who have recovered from the virus include Chief Medical Officer Chris Whitty, Chief Adviser Dominic Cummings and Health Minister Nadine Dorries. 

Prime Minister Boris Johnson takes part in a Clap For Carers at Downing Street on April 2

Prime Minister Boris Johnson takes part in a Clap For Carers at Downing Street on April 2 

Dr Aseem Malhotra (left) said Cabinet ministers such as Matt Hancock (right) made a quicker recovery from Covid-19 than the Prime Minister due to being in a healthier condition

Dr Aseem Malhotra (left) said Cabinet ministers such as Matt Hancock (right) made a quicker recovery from Covid-19 than the Prime Minister due to being in a healthier condition

Dr Malhotra, speaking on ITV's Good Morning Britain today, said the Centre for Disease Control and Prevention had discovered there was an alarming link between death rates of COVID-19 and obesity.

He said: 'It was obviously very concerning for the whole nation to see our Prime Minister get admitted to hospital with COVID-19.

'Now it is an observation, but it does fit with the evidence, Boris unfortunately is significantly overweight.

'I used to speak with one of his very senior advisers when he was London Mayor a few years ago who expressed to me personally concerns about his weight.

Chief Medical Officer Chris Whitty made a swift recovery after he tested positive for COVID-19
Health Secretary Matt Hancock is of a slimmer build than the Prime Minister and recovered much quicker after testing positive for the virus

Chief Medical Officer Chris Whitty (left) and Health Secretary Matt Hancock (right) both tested positive for Covid-19 but they were able to make swift recoveries without being hospitalised

'People with obesity also seem to spread the virus for a much longer period of time and also clearly get sicker.

WHY ARE OBESE PEOPLE MORE AT RISK OF BECOMING VERY ILL FROM COVID-19? 

Studies have shown obese people are more likely to suffer serious complications or die from infections, such as the flu. 

Doctors say the immune systems of fat people are constantly ramped up as they try to protect and repair the damage inflammation causes to cells. 

Using all its energy fending off inflammation means the body's defence system has few resources left to defend against a new infection like COVID-19. 

Obese people also tend to eat a diet with very little fiber and antioxidants - which keep the immune system healthy - such as fruit and vegetables.  

Most patients with a BMI of over 40 suffer from breathing problems that range from simple shortness of breath to a potentially life-threatening condition known as obesity hypoventilation syndrome (OHS), 

Excess weight also makes it more difficult for the diaphragm and lungs to expand and inhale oxygen. Starved of oxygen, organs will begin to fail.

These factors may explain why obese people's lungs tend to fail faster when the new coronavirus strikes, compared to a healthy person. 

COVID-19, which has infected more than 300,000 people worldwide, kills by spreading deep into the lungs and causing complications such as pneumonia.  

There are several other factors that may increase an obese person's chance of falling seriously ill with coronavirus, including a lack of exercise.

Studies have shown that physical activity increases the numbers of certain immune cells that help to bolster immune activity.  

Clogged up arteries also make it hard for blood carrying immune cells to pass through and repair cells around the body. 

Obese people are also more likely to suffer diabetes and heart disease - two chronic conditions that drive up coronavirus risk.

At that time, there were 194 coronavirus patients in ICU. That number is thought to have soared by hundreds more int he last four days. 

'If you notice Chris Whitty, Matt Hancock and other members of the Cabinet who got the virus did not get it as badly and they are essentially pretty slim.

'They do not seem to be affected by it the way he was.'

In 2013, when he was 48, Mr Johnson attempted to go on a major health kick before taking part in the first Prudential RideLondon-Surrey 100 cycle sportive.

However, in recent years he is said to have struggled to do strenuous exercise due to issues with his knees.

Dr Malhotra, who is Honorary Consultant Cardiologist at Frimley Park Hospital NHS Foundation Trust said issues like high blood pressure, type two diabetes and heart disease all lead to COVID-19 complications.

He added: 'This is really the elephant in the room.

'The centre of disease control a few weeks ago did an analysis and put out the message that there is likely a ten-fold increase in mortality death rates in people who have conditions linked to obesity which basically include high blood pressure, type two diabetes and heart disease.

'This is really a real problem because it is not being addressed and it is not being tackled head on.

'The reasons for this are two fold. One is excess body fat seems to have an adverse effect when it comes to viral illnesses.

'We know that from the flu you are more likely to get severe illnesses if you are overweight but with COVID-19 it seems to also drive an excessive immune response called ARDS or Acute Respiratory Distress syndrome which unfortunately causes many people to die.'

On March 27, it was announced that Mr Johnson had tested positive for COVID-19. And On April 5, with his symptoms persisting, he was admitted to St Thomas' Hospital in London for tests.

After his condition worsened he was moved to intensive care and fortunately he was then able to leave hospital on April 9.

Dr Malhotra explained that in the UK over half the population is classed as obese or overweight and that could be one reason the country has been hit so hard by the virus.

He said: 'This goes well beyond obesity because what is underlined is something called the metabolic syndrome and to put this in perspective only one in eight people in the U.S and our figures are likely similar in the UK because more than 60 per cent of our population are overweight or obese are actually metabolically healthy.

'When you look at the roots of all of this even pre COVID-19 it is well established now that poor diet is responsible for eleven million deaths per year.'

Dr Malhotra, a Consultant Cardiologist at Frimley Park Hospital, Surrey, explained on ITV's Good Morning Britain today how the Prime Minister's weight impacted his recovery

Dr Malhotra, a Consultant Cardiologist at Frimley Park Hospital, Surrey, explained on ITV's Good Morning Britain today how the Prime Minister's weight impacted his recovery

Obese people have a BMI over thirty which in the UK is around 25 per cent of people. 

It comes amid theories that smokers could have some sort of immunity to the coronavirus, with French researchers now giving give nicotine patches to patients and frontline workers in a trial.

Some studies and neurobiologists have shown the proportion of infected smokers is much lower than the rates in the general population because nicotine could stop the coronavirus from teaching certain cells in the body, thereby preventing its spread.

Advice from the World Health Organisation has, however, warned that smoking can increase the risk of contracting Covid-19.

Health profiles on four government officials who have battled the virus

BORIS JOHNSON

Mr Johnson is pictured colliding with a 10-year-old during a game of street rugby in Tokyo in October 2015

Mr Johnson is pictured colliding with a 10-year-old during a game of street rugby in Tokyo in October 2015

The Prime Minister has no known health problems and is thought to be fairly fit and well.

Will Walden, a friend of Boris Johnson and his former director of communications during his time as London mayor, said the Prime Minister is a 'really, really strong guy' and 'far fitter than he looks'.

He told BBC Radio 4's Today programme: 'He will whip anybody's backside on a tennis court, he runs regularly, he doesn't smoke, he drinks moderately.'

The last time he was admitted to hospital was in August 2019 after he stepped on a broken coffee pot in his garden and got glass stuck in his foot. He said the 'spindly little triangle' of glass 'hurt like h***' for days.

In his eight-year stint as mayor of London, the 55-year-old was known for cycling to work every day and was described as the 'most famous cyclist in Britain'.

He admitted struggling with his weight as the Foreign Secretary under Theresa May's Government.

Mr Johnson said it was hard to stick to a healthy diet while constantly flying between countries to carry out diplomatic talks.

At his one of biggest points in December 2018, he is said to have weighed 16-and-a-half stone (231lbs) - which would have made the 5ft 9in politician obese. He blamed his size on 'late-night binges of chorizo and cheese'.

And before taking on a mammoth 100-mile cycle race in 2013, Mr Johnson revealed he was close to 17 stone (238lbs).

In his column for The Telegraph at the time, he joked that his plan to get fitter was called Operation Chiselled Whippet.

He wrote: 'Since my normal cycling speed is so slow that my wife says it is a miracle I stay upright, I have decided to get in shape.'

Mr Johnson lost 12lbs in two weeks at the end of 2018, and he claimed he was on track to dip below 15 stone (210lbs) for the first time since university.

He said he had taken to 'guzzling water' rather than drinking alcohol, writing in the Spectator at time time: 'I breakfast like some Georgian hermit on porridge with a luxury sprinkling of nuts.'

People with a BMI greater than 30 are thought to be at high-risk of suffering serious complications from coronavirus because of their weakened immune systems and high blood pressure.

But Eton-educated Mr Johnson, who enjoyed rugby and cricket at school, has slimmed down since meeting his new partner and heavily-pregnant fiancee, Carrie Symonds.

Inside No10, he is said to squeeze a daily workout regime into his busy routine which includes yoga, pilates and aerobic exercises.

Mr Johnson - who first took up running in the early 2000s but reportedly gave up recently because of his knees - is an avid tennis player and regularly plays on the courts at Chequers, the PM's country residence.

MATT HANCOCK

Matt Hancock plays in an impromptu game of street cricket during a trip to India in May 2018

Matt Hancock plays in an impromptu game of street cricket during a trip to India in May 2018

Health Secretary Matt Hancock has previously told how he keeps fit by walking up nine flights of stairs several times a day to get to his office.

Speaking last September he said he had climbed 10,000 steps in a month and felt 'less out of breath when I get to the top', adding that it was only a 'simply switch' to his daily routine.

The 41-year-old also revealed he was trying to get 'fighting fit' to keep up with his three young children and had also taken up the martial art of Thai boxing.

Mr Hancock is also the first MP in modern times to win a horse race, having raced to victory at the Newmarket July Course in August 2012.

The Newcastle United FC fan is also an avid cricketer and plays for the Lords and Commons Cricket team.

He also once played a cricket game on the northern tip of the Svalbard archipelago in March 2015, which was one of the most northerly matches on record.

CHRIS WHITTY

Professor Chris Whitty, the chief medical officer for England, is known to work 16-hour days but also enjoys playing tennis.

The Gloucester-born epidemiologist, who is unmarried and has no children, is also believed to have played football while at university.

David Mabey, a diseases professor and friend of Mr Whitty, said last month how he 'likes a game of tennis' although the sport was not his strongest point.

NADINE DORRIES

Nadine Dorries was the first MP to be diagnosed with coronavirus, and suffered a 'persistent' cough which left her with a residual cough for six weeks after getting better as her lungs recovered.

When the politician caught coronavirus, she also unwittingly passed it onto her 84-year-old mother, whom she said had had major surgery to replace the valves in her heart damaged by childhood illness.

Her mother also has a pacemaker, suffers from breathlessness and has smoked for most of her life but only suffered mild symptoms from the virus.

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2020-04-28 11:38:37Z
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UK coronavirus death toll may be over 32,000 – 54% higher than reports – as figures reveal tragic care home lo - The Sun

CORONAVIRUS deaths in the UK might be 54 per cent higher than reported - meaning the grim death toll could be at least 32,000.

The Office for National Statistics today found there were 22,300 deaths involving Covid-19 in and outside of hospital up to April 17 but registered to April 25.

⚠️ Read our coronavirus live blog for the latest news & updates

This is compared to 14,451 reported by the Department of Health for England and Wales at the same time.

The number means the UK death toll could be around 54 per cent higher than the current total of 21,092 - bringing the total number of deaths from the disease to at least 32,000.

The figures explore deaths that happened outside hospital - including care homes and private houses - as well as backdated hospital deaths.

It also includes hidden deaths where Covid-19 is mentioned as a suspected cause of death but the victim has not necessarily tested positive for the disease.

And they do not include Northern Ireland and Scotland so the true number for the UK will be higher.

The statistics also show Covid-19 care home deaths had trebled in the week leading up to April 17 as the killer bug tears through the sector.


Key findings from today:

  • Care home deaths from coronavirus in England and Wales have trebled in one week
  • The UK death toll could be 54 per cent higher than reported bringing the total to at least 32,000
  • More than half of all deaths in London were due to Covid-19
  • Deaths in England and Wales are at their worst level since 1993 when records began
  • A total of 22,351 people died from all causes - twice the normal five-year average of of 11,854
  • Coronavirus was a factor in 39 per cent of deaths registered to April 17

In the week up to April 17, 3,096 people died in care homes from the virus - treble the week before when 1,043 deaths were registered.

The latest ONS showed there were 4,316 deaths outside hospital from the disease up to April 17, the figures found.

Of these, 3,096 took place in care homes, 883 in private homes, 190 in hospices, 61 in the community and 86 elsewhere.

But the Care Quality Commission (CQC) reported 4,343 deaths of residents in homes between April 10 and 24 - the first time such figures have been published by the body.

The shocking new figures have also revealed more people died in the UK in the week to April 17 than in any other week since 1993 when the records began.

A total of 22,351 people died from all causes - twice the normal five-year average of of 11,854.

Of these, coronavirus was mentioned in 39.2 per cent of deaths in that week, a rise of six per cent from the week before.

This means almost four in ten deaths up to April 17 were related to the disease.

The ONS figures today also show coronavirus was a factor in over half of all deaths registered in London up to April 17.

The North West and North East also suffered a high number of coronavirus deaths - 42.3 per cent and 41.1 per cent respectively.

CARE HOME TRAGEDY

Pressure has been mounting on the government to release the number of care home deaths and they have now pledged to provide more reliable data on the number of victims.

Some experts believe the true number of coronavirus deaths in care homes could be as high as 7,500.

Responding to the latest figures, Cllr Ian Hudspeth, Chairman of the Local Government Association’s Community Wellbeing Board, said: “It is truly shocking to see how many of the most elderly and vulnerable in our communities have died from this dreadful disease.

“Every death from this virus is a tragedy. This is being exacerbated by the fact some social care staff and other frontline workers still lack the necessary PPE to protect themselves and the people they care for from contracting coronavirus.

'NOT AT PEAK YET'

“Social care is now the frontline in the fight against coronavirus and we need to do all we can to shield people in care homes and those receiving care in their own homes.

“We are also yet to see the peak of the stress on the social care system, due to the delay between hospital admissions and discharge, which will require the need to start shifting capacity across from hospitals and into the community to meet a surge in demand.”

The Department of Health yesterday confirmed the UK death toll was now at 21,092 after 360 more people lost their lives to the killer disease.

This is the lowest daily increase in deaths in four weeks after 180 people lost their lives on March 30.

But there is usually a lag in reporting the figures over the weekend so the number is likely to rise this week.

It comes as Boris Johnson is expected to set out the next stage of lockdown this week - including the chance for Brits to potentially meet pals in limited "bubbles".

LOCKDOWN EASING

Officials are said to be looking at easing some of the restrictions and allowing small groups of people to socialise.

The official review of the lockdown isn't due until May 7 but Boris is expected to detail how "phase two" of the lockdown could work by the end of this week.

The first steps towards easing the restrictions are expected to include helping workplaces enforce social distancing and ensure staff can wash their hands regularly.

Shops selling 'non-essential items' could also reopen, if they can keep customers more than two metres apart.

Football matches may also be allowed to continue behind closed doors after talks between the Premier League and the government.

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But No10 has warned some restrictions might get tougher to avoid a deadly second wave of the pandemic.

Boris yesterday urged people to "contain your impatience" as he returned to work after his own battle with the disease.

Speaking outside No10, the PM said "we simply cannot spell out now how fast, slow or when changes to restrictions will be made" to the lockdown.

He added: "It is still true that this is the biggest single challenge this country has faced since the war and I in no way minimise the continuing problems we face.

"And yet it is also true that we are making progress with fewer hospital admissions, fewer Covid patients in ICU and real signs now that we are passing through the peak.

"And thanks to your forbearance, your good sense your altruism, your spirit of community, thanks to our collective national resolve, we are on the brink of achieving that first clear mission to prevent our National Health Service from being overwhelmed in a way that tragically we have seen elsewhere.

"And that is how and why we are now beginning to turn the tide."

CORONAVIRUS CRISIS - STAY IN THE KNOW

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Chris Whitty warns there is still a ‘very long way to go’ in coronavirus crisis and he expects many more deaths

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2020-04-28 10:52:29Z
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