Kamis, 21 Mei 2020

Immunity certificates to allow people who have recovered from coronavirus to be freed from lockdown - Daily Mail

Immunity certificates to allow people who have recovered from coronavirus to be freed from social distancing rules are planned by ministers as they order 10 MILLION antibody tests to see who has had it

  • Hancock announced contracts for 10m antibody tests had been signed which would be given to NHS first
  • Health Secretary told yesterday's briefing: 'We're developing this critical science to know the impact of a positive antibody test and to develop the systems of certification to ensure people who have positive antibodies can be given assurances of what they can safely do' 
  • The antibody tests - also known as serology tests - show who has been infected, although it is not yet clear whether the presence of antibodies to the new coronavirus, SARS-CoV-2, confers permanent immunity
  • Mr Hancock tried to play down the failure to get the NHS coronavirus app off the ground - pushed back further from mid-May yesterday - and instead was expansive on the new testing roll out
  • But the app is considered vital to the Government's 'test, track and trace' programme to end the lockdown
  • Here’s how to help people impacted by Covid-19
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Immunity certificates for people to prove they are protected against coronavirus are being looked at by the Government in an effort to get people back to work.

Matt Hancock announced contracts for 10 million antibody tests had been signed which would be given to NHS and care workers from next week.

The Health Secretary told yesterday's briefing: 'We're developing this critical science to know the impact of a positive antibody test and to develop the systems of certification to ensure people who have positive antibodies can be given assurances of what they can safely do.'   

Earlier this month, a spokesman for Boris Johnson said there was the possibility of issuing some kind of certificate based on immunity but that scientists still needed to know more about that subject area. 

The antibody tests - also known as serology tests - show who has been infected, although it is not yet clear whether the presence of antibodies to the new coronavirus, SARS-CoV-2, confers permanent immunity. 

People frolic in the water as they enjoy the sunshine in Hackney Marshes, East London, on Thursday

People frolic in the water as they enjoy the sunshine in Hackney Marshes, East London, on Thursday

Mr Hancock tried to play down the failure to get the NHS coronavirus app off the ground, which has been further pushed back from its planned launch in mid-May.

The app is considered vital to the Government's new 'test, track and trace' programme, which No10 has already re-branded by dropping the 'tracking.'

Without the system in place, scientific advisers on Downing Street's SAGE committee say that Britain cannot ease its lockdown without triggering a catastrophic second spike. 

Mr Hancock said the app was 'an important part, but it is not the only part,' and instead moved the focus onto the incoming antibody tests.

'This is an important milestone, and it represents further progress in our national testing programme,' he said.

'We're not yet in a position to say that those who test positive in these antibody tests are immune from coronavirus. But as our understanding of the disease improves, the insight these antibody tests provide will be crucial.' 

Mr Hancock said an antibody surveillance study had found 17% of people in London and around 5% or higher in the rest of the country had tested positive for coronavirus antibodies.

The Health Secretary told yesterday's briefing: 'We're developing this critical science to know the impact of a positive antibody test and to develop the systems of certification to ensure people who have positive antibodies can be given assurances of what they can safely do'

The Health Secretary told yesterday's briefing: 'We're developing this critical science to know the impact of a positive antibody test and to develop the systems of certification to ensure people who have positive antibodies can be given assurances of what they can safely do'

Mr Hancock also said that Britain would trial a new antigen test - which shows whether people currently have COVID-19, the disease caused by the new coronavirus - that would return results in 20 minutes without needing to be sent to a lab for processing.

'If it works, we'll roll it out as soon as we can,' he said.

It comes amid mounting pressure on the Health Secretary after he repeatedly failed to deliver on his ambitious promise of 100,000 coronavirus tests per day.

The Government are, therefore, deeply anxious for the 'test, track and trace' strategy to bear fruit.

One source close to Mr Hancock told The Telegraph: 'He knows his job is on the line if this doesn't work.' 

A&E departments, GP testing hubs and care homes in Hampshire will all trial the new test, which will be used on up to 4,000 people.

The test does not need to be sent off to a lab and will be rolled out if it is shown to be effective, Mr Hancock said.

On the Government's 'test, track and trace' programme, Mr Hancock sought to play down the importance of the delayed app. However, experts believe the app is an integral part of the programme and that without it the UK could struggle to get back to normal life. 

He had originally said the app would be rolled out by mid-May but it has now been delayed by several weeks.

The Government is aiming for 25,000 human contact tracers to be in place for June 1 - the earliest date for opening schools and non-essential shops in England.

Katy Peters, of the London Vaccination Clinic, carries out a German-made Nadal rapid antibody fingertip test for the detection of COVID-19 on a client

Katy Peters, of the London Vaccination Clinic, carries out a German-made Nadal rapid antibody fingertip test for the detection of COVID-19 on a client 

Crowds of people visiting Southend beach during hot and sunny weather in Southend, Essex, Britain, 21 May, 2020

Crowds of people visiting Southend beach during hot and sunny weather in Southend, Essex, Britain, 21 May, 2020

Mr Hancock said trials of the app in the Isle of Wight had shown the human contact tracing elements were also important so people can understand the consequences of what is required if they have been near someone with coronavirus.

Professor John Newton, of Public Health England, said there could be advantages in doing the contact tracing process without the app initially.

Before the press briefing, Downing Street announced a U-turn on the NHS surcharge, saying overseas health and care staff will be exempted from the fee levied on migrants to pay for the NHS.

It came after mounting pressure on Mr Johnson from senior Tories, with former party chairman Lord Patten calling the charge 'appalling' and 'monstrous'.

An NHS worker looks at information from the new tracking app, which is being trialled on the Isle of Wight

An NHS worker looks at information from the new tracking app, which is being trialled on the Isle of Wight

Labour leader Sir Keir Starmer, who urged the PM in the Commons on Wednesday to scrap the charge, said: 'Boris Johnson is right to have U-turned and backed our proposal to remove the NHS charge for health professionals and care workers.

'This is a victory for common decency and the right thing to do. We cannot clap our carers one day and then charge them to use our NHS the next.'

The decision came a day after another U-turn when the Government extended a scheme offering indefinite leave to remain to the families of all NHS staff who die as a result of contracting coronavirus.

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2020-05-22 01:22:47Z
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Boris Johnson gives in to pressure over surcharge for migrant health workers - BBC News - BBC News

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  1. Boris Johnson gives in to pressure over surcharge for migrant health workers - BBC News  BBC News
  2. 'Stabbed in the back': Syrian porter asks Boris Johnson to reconsider NHS scheme  Guardian News
  3. Keir Starmer is reaping the rewards of an effective PMQs performance  New Statesman
  4. Editorial: The NHS surcharge U-turn is embarrassing for the governent – but the right move  The Independent
  5. Matt Hancock is not OK. Someone really ought to furlough him  The Guardian
  6. View Full coverage on Google News

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2020-05-21 21:57:30Z
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Coronavirus UK: Matt Hancock hints vaccine could be compulsory - Metro.co.uk

Covid-19 vaccine and UK Health Secretary Matt Hancock
Matt Hancock says he hopes everyone will be immunised, ‘given the scale of this crisis’ (Picture: Getty Images/EPA)

The Health Secretary has said he hopes everyone in the country would be immunised against coronavirus if the UK develops a vaccine.

Matt Hancock stopped short of confirming jab would be mandatory when asked at today’s Downing Street press conference, but he didn’t rule it out either. A working vaccination is yet to be developed anywhere in the world, but scientists at Oxford University and Imperial College London are locked in a race to make one.

Speaking to reporters the Health Secretary said: ‘The question of whether it’s mandatory is not one that we’ve addressed yet. We are still some time off a vaccine being available. But I would hope, given the scale of this crisis, and given the overwhelming need for us to get through this and to get the country back on its feet, and the very positive impact that a vaccine would have, that everybody would have the vaccine.’

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National coordinator of the UK’s testing effort Professor John Newton said mandatory vaccinations are an option, but that hopefully it won’t come to that. He added: ‘The most successful vaccine programmes tend to be via consent, so what really matters is clear explanation of the benefits and any risks associated with the vaccine, and a really good system to make the vaccine available to anybody who needs it.

‘Although some countries have adopted mandatory programmes the most successful programmes tend to be on the basis of consent, good information and good delivery mechanisms. But clearly mandation is there and can be used in some instances.’

Visit our live blog for the latest updates: Coronavirus news live

Chief Medical Officer for England Professor Chris Whitty said the policy could depend on the type of treatment developed. He said: ‘If you think about vaccines, you can broadly use them in two ways.

‘The first way which everybody thinks of is as an epidemic modifying vaccine. You give it to the whole community rather like MMR and that protects everybody from getting these infections. But the other way you can use a vaccine is that you can use it as a disease modifying vaccine.

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‘You give the vaccine to those people who are most at risk. You might do this because there isn’t enough vaccine so you want to protect the most vulnerable, or you might do it because it’s a partially effective vaccine that can stop people dying but is not enough to stop the transmission of the virus.

‘In that case you give it to a much smaller number of people. Clearly, in that second group you are absolutely doing it only to protect the person who is being vaccinated and if they choose not to have that protection it doesn’t affect anybody else and is simply their choice, but then they obviously are denying themselves the protection that this kind of vaccine could provide.’

A successful Covid-19 vaccine is yet to be developed anywhere in the world (Picture: Reuters)

As the UK tries to ramp up its testing efforts, Hancock said a coronavirus tests that can provide ‘on the spot’ results within 20 minutes is being trialled as of today.

He added that a surveillance study using a sample of antibody tests has suggested that 17% of people in London have Covid-19 fighting molecules in their system, compared to around 5% in the rest of the country.

The Health Secretary also urged people to seek help if they are struggling with their mental health during the lockdown.

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Hancock said the ‘change and the uncertainty generated by this awful virus’ had been difficult for many people.

He also told health and care workers that it is important they take care of themselves, not just others, and urged all who need support to text ‘Frontline’ to 85258.

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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2020-05-21 21:27:48Z
CAIiEB9VDjJbLARJF9WlKff1HowqGQgEKhAIACoHCAowzc-JCzDQ5psDML_9oQY

Boris Johnson U-turns over plan to keep fees for migrant care workers - Sky News

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  1. Boris Johnson U-turns over plan to keep fees for migrant care workers  Sky News
  2. Keir Starmer is reaping the rewards of an effective PMQs performance  New Statesman
  3. 'Stabbed in the back': Syrian porter asks Boris Johnson to reconsider NHS scheme  Guardian News
  4. Matt Hancock is not OK. Someone really ought to furlough him  The Guardian
  5. The people who saved Boris Johnson’s life still have to pay £624 if they want anyone to save their own  The Independent
  6. View Full coverage on Google News

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2020-05-21 21:13:25Z
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Coronavirus: Study says one in six have had COVID-19 in London, one in 20 across UK - Sky News

At least 5% of people in the UK have now developed COVID-19 antibodies, with the number rising to 17% in London, a study has found.

Health Secretary Matt Hancock gave the results of the study at the government's daily coronavirus update, as he announced plans for antibody certificates.

The figures are the first ones to be released by a government-commissioned study run by the Office for National Statistics, using 1,000 adults to track levels of immunity in the UK.

Participants had to give blood samples that are tested to check how many had developed COVID-19 antibodies.

How does the COVID-19 antibody test work?
How does the COVID-19 antibody test work?

Experts are still unsure what level of immunity recovering from the disease gives people and how long it might last.

But Prime Minister Boris Johnson has previously hailed an antibody test found by scientists at Porton Down to be 100% accurate as a "game-changer" for lifting the lockdown.

This, he said, is because someone with antibodies can be "safe and confident in the knowledge that you are most unlikely to get it again".

More from Covid-19

The test, made by Swiss pharmaceutical firm Roche, has been approved for use by Public Health England.

Mr Hancock confirmed it will be rolled out for free on the NHS from next week - going to health and social care workers first.

However, experts are still unsure what level of immunity recovering from the disease gives people - and how long the immunity might last.

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John Edmunds, professor of infectious disease modelling at the London School of Hygiene and Tropical Medicine, has warned studies of other coronaviruses suggest "potentially bad news" for hopes humans could develop long-term immunity.

He told a parliamentary committee on Tuesday: "We can also see from other coronaviruses, from ones that cause coughs and colds, that individuals again do seem to not have particularly long-term immunity to many of those viruses, allowing them to get reinfected later.

"Immunity may not last that long against this virus."

There have been more than 252,000 confirmed cases of COVID-19 in the UK, and at least 36,124 deaths.

LONDON, ENGLAND  - MAY 18: A woman wearing a face mask stands at a bus stop next to a sign about wearing face masks on public transport on May 18, 2020 in London, England. The British government has started easing the lockdown it imposed two months ago to curb the spread of Covid-19, abandoning its 'stay at home' slogan in favour of a message to 'be alert', but UK countries have varied in their approaches to relaxing quarantine measures. (Photo by Dan Kitwood/Getty Images)
Image: One professor warned immunity 'may not last that long'

Analysis: UK is still far short of herd immunity

Londoners are so much more likely to have had the infection because the capital was two weeks ahead of the rest of the country on the epidemic curve as we went into lockdown, writes our science correspondent Thomas Moore.

And since then spread of the virus has slowed dramatically.

These are results based on small samples of people across the country, so there will be a margin of error.

That’s why scientists are excited about the 10 million antibody tests that the government will roll out from next week.

They will give more reliable data with geographical and occupational breakdowns.

But the figures give us a useful guide to what has happened over the past few weeks.

And they show how far short we are of herd immunity.

Roughly 60% of the population would need to have had the virus and be immune to re-infection to stop the virus spreading.

It means a vaccine is our only realistic hope of returning to normal life.

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2020-05-21 20:04:00Z
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Coronavirus - The Latest: Thursday 21 May - The Telegraph

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  1. Coronavirus - The Latest: Thursday 21 May  The Telegraph
  2. Coronavirus: Virus test with 20-minute results being trialled  BBC News
  3. BREAKING: UK to roll out 10m COVID-19 antibody tests starting next week  Sky News
  4. Government to offer antibody tests to health and social care staff and patients in England  GOV.UK
  5. One in 20 have had coronavirus in UK and 17% in London, study finds  Mirror Online
  6. View Full coverage on Google News

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2020-05-21 18:13:26Z
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Coronavirus: 17% of Londoners and 5% of the rest of UK have antibodies - Metro.co.uk

A total of 5% of the population outside of London has coronavirus antibodies.
Health Secretary Matt Hancock has said that 5% of the population outside of London have Covid-19 antibodies (Picture: Getty/10 Downing Street)

A small number of Britons already have coronavirus antibodies in their systems, the government has said.

Speaking during today’s daily Downing Street press briefing, Health Secretary Matt Hancock said the government’s antibody surveillance study has shown that 17% of people in London and around 5% or more of the population in the rest of the country have tested positive for antibodies.

Antibody tests tell a person if they have had the virus and have subsequently developed antibodies in response, that might help them to fight Covid-19 in the future. Mr Hancock said the government has signed contracts to supply 10 million antibody tests, with health and care staff, patients and residents prioritised to receive them from next week.

He added that certification systems will be developed for people who test positive for antibodies, so they can be advised on what they can safely do. While it remains unclear what level of immunity people develop once they have had Covid-19, experts hope a degree of immunity lasts for at least a year or two.

Visit our live blog for the latest updates: Coronavirus news live

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Speaking of the antibody surveillance study, Mr Hancock said: ‘This was based on a sample but for the public at large to know whether or not they have had coronavirus, we need antibody tests are larger scale.

‘Two lab based products produced by Roche Diagnostics and Abbott Labs have been given a positive evaluation by PHE and approved by the MHRA. And three further tests are being assessed right now.’ 

He added: ‘The UK government has arranged supplies of these tests on behalf of the devolved administrations and each devolved nation is deciding how to use its test allocation and how testing will be prioritised and managed locally.

‘This is an important milestone and it represents further progress in our national testing programme.

‘It’s not just about the clinical advances that these tests can bring although obviously that’s important. It’s that knowing that you have these antibodies will help us to understand more in the future, if you are at lower risk of catching coronavirus, of dying from coronavirus, and of transmitting coronavirus.’

Katy Peters, of the London Vaccination Clinic, performs a German-made Nadal rapid antibody fingertip test for the detection of COVID-19 on client David Barton, a Capital markets lawyer aged 49, in Notting Hill, London, as the UK continues in lockdown to help curb the spread of the coronavirus.
Antibody tests tell a person whether they’ve had the virus before and if they now have antibodies (Picture: PA)

However, independent evaluations of the government’s new antibody tests have discovered they had ‘notable limitations’, experts have warned.

PHE said an antibody test, developed by Swiss pharmaceutical giant Roche, was a ‘very positive development’ after experts at its Porton Down facility gave it the green light.

The test – which Prime Minister Boris Johnson has previously called a ‘game-changer’ – picks up 100% of cases where somebody has had coronavirus in the past, it added.

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But Professor Sheila Bird, member of the Royal Statistical Society’s Covid-19 Taskforce, said the evaluations of the Roche test and another antibody test, from US-based Abbott Laboratories, had numerous weaknesses.

She said on Thursday that the evaluations did not take into account the age or gender of the samples, despite men and older people appearing more likely to be more severely affected by the virus.

Prof Bird said that because of this, the tests’ suitability for population surveillance had not been addressed.

The evaluations also did not meet the standards needed to confirm that the antibody tests fit the criteria needed by regulators to grant accreditation as a point-of-care test, she added.

Jon Deeks, Professor of Biostatistics and head of the Test Evaluation Research Group, University of Birmingham, also raised concerns over the evaluations.

These included the fact that they are based on samples not patient numbers, the origin and severity of the disease is not known and non-Covid-19 patients with similar respiratory illnesses were not included, he added.

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Prof Deeks said the tests ‘fell short of being game-changers’ because while they very rarely wrongly state a non-Covid-19 sample as showing antibodies, they sometimes miss detecting the virus in samples from infected patients.

Katy Peters, of the London Vaccination Clinic, with a sample of blood after performing a home kit SARS-CoV-2 IgG antibody test, in Notting Hill, London, as the UK continues in lockdown to help curb the spread of the coronavirus. The home antibody kit uses a simple finger prick blood collection, with the sample then sent to Abbott's molecular Laboratory for analysis.
The home antibody kit uses a simple finger prick blood collection, with the sample then sent to Abbott’s molecular Laboratory for analysis (Picture: PA)

But a PHE spokesman said it was confident that the volume of samples and methodology was of a ‘high standard’.

He added: ‘These are new tests in a rapidly evolving field of work. Our evaluations have been completed in record time using the samples and tests that were available to us.

‘This is very new territory and stratified age and gender samples are not yet available for Covid-19.’

It comes after Superdrug started selling antibody tests for £69 but some experts have questioned their efficacy. Users will need to take a finger prick blood sample at home and then send it off to a lab.

Results are posted through Superdrug’s Online Doctor portal 24 hours after reaching the lab. If positive, it means the person had the virus at some point.

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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2020-05-21 17:41:39Z
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