Rabu, 29 Juli 2020

Airport coronavirus tests 'not silver bullet' for saving holidays - BBC News

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The culture secretary has told the BBC that coronavirus testing at airports is not a "silver bullet" to stop the need for quarantine.

Oliver Dowden said testing for coronavirus was not enough because the virus can develop over time.

The boss of Heathrow said airports should be allowed to test for coronavirus to avoid the "cliff edge" of quarantine.

The travel industry is seeking ways to rescue the holiday season.

The government's sudden change to travel advice for Spain at the weekend prompted a fresh wave of confusion and uncertainty to people's holiday plans.

Travel firm TUI said on Wednesday it had cancelled holidays to the Balearics and Canary Islands until 4 August after the UK extended its advice against non-essential travel to Spain to include its islands.

Heathrow chief executive John Holland-Kaye told the BBC's Today programme the confusion caused by the changes to guidance over Spain showed the need for an alternative.

'Quarantine roulette'

The company's results, out on Wednesday, showed passengers all but stopped travel in the three months to June, falling by 96% on a year ago as global aviation came to a virtual standstill. Revenue was 85% lower than last year at £119m.

Mr Holland-Kaye said: "Today's results should serve as a clarion call for the Government - the UK needs a passenger testing regime and fast. Without it, Britain is just playing a game of quarantine roulette."

He said he wanted the government to work with the company on the plan and he could have testing sites set and ready "within weeks".

But Mr Dowden quashed the idea, saying: "We are not at the point where there is a viable alternative to the 14-day quarantine."

However, he added that all options were under review.

Other countries are operating airport testing. It is voluntary - and free - at some German airports now although that may become mandatory, as it is in France for arrivals from high-risk countries such as the US and Brazil.

The Netherlands approach is to single out people coming from specific areas with high levels of infections - such as a few named regions in Spain and the UK city of Leicester and urge them to self-isolate.

Dr Hans Kluge, Europe regional director for the World Health Organization, endorsed testing at airports as part of general attempts to track the movement of coronavirus.

He told the Today programme: "Testing is never wrong - whether at airports, community or drive-in centres - what's the difference between day-to-day life and travelling?"

Mr Holland-Kaye said a UK airport test would cost about £150 each, and passengers would be expected to pay.

He acknowledged that was "not cheap", but that the test would come down over time as more people took it.

But he said there would be those prepared to stand the cost: "There are people who are worried about being able to go back to work or get the kids into school, there will be people who are prepared to pay that to avoid the extra period of quarantine."

The idea of introducing testing at airports is an attractive idea. The theory being people could travel where they like and just get tested as they arrive back in the country, negating the need to self-isolate.

But the government is not convinced.

Why? Logistically testing all the travellers who arrive every week will be difficult.

Testing capacity has increased but this would stretch the system. Not to mention the practical difficulties of setting up testing facilities in busy airports.

But the other factor, which is perhaps more crucial, is that in the early stages of infection the test may not even pick it up.

Instead, officials are much more persuaded by a more intelligent, targeted approach to self-isolation.

That would involve asking only those coming from certain regions in a country where the infection rates are highest to self-isolate.

That could then be complemented by then asking them to get tested after a week, meaning if they test negative, there would be no need for the full 14-day self-isolation.

All this and more is being discussed behind the scenes.

Mr Holland-Kaye said: "The aim would be to have a test on arrival. We could have it up and running in the next two weeks, then we need to work with government to see what happens next."

He said the plan would be for passengers to go into quarantine and have another test after eight days: "If they were infected we would be confident that it had shown itself. If it was clear, they would be allowed to go out of quarantine earlier than had been the case. It's very scientifically based."

Under current rules, those arriving in the UK from certain countries must self-isolate for 14 days.

The government has indicated that it is keeping all quarantine measures under review.

It is said to be considering an eight-day stretch between tests, whereas figures within the travel sector are keen for a five-day period.

The number of days required between each test is critical in reducing the possibility of "false negative" results.

A false negative result is possible if someone who has recently contracted Covid-19 is not showing symptoms.

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2020-07-29 10:18:45Z
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Coronavirus: More countries could be added to quarantine list 'straight away', minister warns - Sky News

The UK government is poised to put more countries on its quarantine list "straight away" if coronavirus runs "out of control" in them.

Culture Secretary Oliver Dowden told Sky News more announcements could follow the decision to advise against all non-essential trips to Spain over the weekend due to fears over rising levels of COVID-19.

"It would be foolhardy of the government not to impose those restrictions if we think there is a risk and we will impose those restrictions as soon as we think the risk has materialised," he said.

British tourists in Majorca wait for a flight back to London
Image: Travellers visiting Spain were unexpectedly hit by quarantine measures over the weekend

"We cannot risk importing it again from other countries where incidences are rising."

Mr Dowden added the decision to announce any new restrictions will be taken after an assessment by the Joint Biosecurity Centre - set up at the start of the outbreak - and England's chief medical officer.

"We are at a very risky moment with this pandemic," he said.

"So long as you're aware of that risk and comfortable with that risk, go ahead and take your break."

More from Covid-19

But he added: "If we know that risk is there we will impose those restrictions straight away."

quarantine change
Angry tourists vent over quarantine

Belgium, Luxembourg and Croatia are being looked at by ministers given the rates of coronavirus there, the Daily Telegraph reports.

Mr Dowden would not say which countries could be next on the quarantine list, but confirmed those where the virus is "rising rapidly" and there is a risk of Britons "coming back in numbers" from are of most concern.

Madrid has been lobbying for the UK to make regional exemptions for travellers from areas with much lower levels of coronavirus - such as Balearic and Canary islands.

A minister revealed on Tuesday the plan is under consideration but cautioned "we are not there yet".

Jose Ramon Bauza, a former president of the Balearic islands, said he "doesn't understand the decision of the British government" to change its travel advice on Spain.

"Of course we had some vacuums of coronavirus in Spain but most of the regions are absolutely low numbers, including better than Britain," he told Sky News.

"I can assure you that being here in the Balearics is absolutely safe - it's as safe as any other place in Europe."

Travel firms have been hit hard by the UK's decision, with Ryanair boss Michael O'Leary calling it a "badly-managed overreaction" and TUI extending holiday cancellations until 4 August.

Meanwhile, New Zealand is reportedly planning to start charging tourists up to $3100 (£1,591) for the cost of their stay in hotel rooms where anyone arriving must quarantine.

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2020-07-29 09:25:03Z
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Coronavirus: More countries could be added to quarantine list 'straight away', minister warns - Sky News

The UK government is poised to put more countries on its quarantine list "straight away" if coronavirus runs "out of control" in them.

Culture Secretary Oliver Dowden told Sky News more announcements could follow the decision to advise against all non-essential trips to Spain over the weekend due to fears over rising levels of COVID-19.

"It would be foolhardy of the government not to impose those restrictions if we think there is a risk and we will impose those restrictions as soon as we think the risk has materialised," he said.

British tourists in Majorca wait for a flight back to London
Image: Travellers visiting Spain were unexpectedly hit by quarantine measures over the weekend

"We cannot risk importing it again from other countries where incidences are rising."

Mr Dowden added the decision to announce any new restrictions will be taken after an assessment by the Joint Biosecurity Centre - set up at the start of the outbreak - and England's chief medical officer.

"We are at a very risky moment with this pandemic," he said.

"So long as you're aware of that risk and comfortable with that risk, go ahead and take your break."

More from Covid-19

But he added: "If we know that risk is there we will impose those restrictions straight away."

quarantine change
Angry tourists vent over quarantine

Belgium, Luxembourg and Croatia are reported in the Telegraph to be being looked at by ministers given the rates of coronavirus there.

Mr Dowden would not say which countries could be next on the quarantine list, but confirmed those where the virus is "rising rapidly" and there is a "risk" of Britons "coming back in numbers" from are of most concern.

Madrid has been lobbying for the UK to make regional exemptions for travellers from areas with much lower levels of coronavirus - such as the Balearics and Canaries.

A minister revealed on Tuesday the plan is under consideration but cautioned "we are not there yet".

Jose Ramon Bauza, a former president of the Balearic islands, said he "doesn't understand the decision of the British government" to change its travel advice on Spain.

"Of course we had some vacuums of coronavirus in Spain but most of the regions are absolutely low numbers, including better than Britain," he told Sky News.

"I can assure you that being here in the Balearics is absolutely safe - it's as safe as any other place in Europe."

Travel firms have been hit hard by the UK's decision, with Ryanair boss Michael O'Leary calling it a "badly-managed overreaction" and TUI extending holiday cancellations until 4 August.

Meanwhile, New Zealand is reportedly planning to start charging tourists up to $3100 (£1,591) for the cost of their stay in hotel rooms where anyone arriving must quarantine.

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2020-07-29 09:22:30Z
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UK Government signs deal with drugs giant GSK for 60 million doses of potential coronavirus vaccine - Daily Mail

UK Government signs '£500million' deal with drug giants GlaxoSmithKline and Sanofi for 60million doses of fourth potential coronavirus vaccine - even though it hasn't been tested on humans yet

  • Agreement has been inked with GlaxoSmithKline and Sanofi Pasteur firms
  • The deal orders 60million doses of a potential vaccine for deadly Covid-19
  • Priority groups will get the medicine first if it is proved to be safe and effective 
  • Trials will start in September as the Government urges people to sign up 

Ministers have today signed a deal with pharmaceutical giants GlaxoSmithKline and Sanofi Pasteur for 60million doses of another potential Covid-19 vaccine.

Number 10 has now secured four different types of unproven coronavirus jabs, giving the UK access to a total of 250million doses — enough to give everyone in Britain four each, if they work.

Scientists have yet to trial GSK/Sanofi's vaccine on humans, and studies to prove it works won't begin until September.

The Department for Business, Energy and Industrial Strategy said the vaccine — rumoured to cost £500million — could be given to high-risk Britons as early as the first half of next year, if trials show it works. 

Britain last month began shoring up stocks of experimental jabs all over the world in its spread-betting approach in the hope that at least one of them will pay off. 

Health chiefs hope the Oxford University vaccine it has agreed to buy — considered one of the front-runners in the scientific race to end the pandemic — will be ready before the end of the year. 

Clinical studies of the new vaccine will begin in September after the deal was signed

Clinical studies of the new vaccine will begin in September after the deal was signed

The deal has been signed with GlaxoSmithKline (pictured) and Sanofi Pasteur

Business Secretary Alok Sharma said: 'Our scientists and researchers are racing to find a safe and effective vaccine at a speed and scale never seen before'

Business Secretary Alok Sharma said: 'Our scientists and researchers are racing to find a safe and effective vaccine at a speed and scale never seen before'

Business Secretary Alok Sharma said: 'Our scientists and researchers are racing to find a safe and effective vaccine at a speed and scale never seen before.

'While this progress is truly remarkable, the fact remains that there are no guarantees.

'In the meantime, it is important that we secure early access to a diverse range of promising vaccine candidates, like GSK and Sanofi, to increase our chances of finding one that works so we can protect the public and save lives.'  

A vaccine is the key out of the pandemic which has so far led to the deaths of almost 660,000 people. 

WHAT FOUR VACCINES HAVE THE UK SECURED DEALS WITH? 

1. GlaxoSmithKline and Sanofi Pasteur: 60million doses 

The Government revealed on July 29 it had signed a deal with pharmaceutical giants GlaxoSmithKline (GSK) and Sanofi Pasteur

If the vaccine proves successful, the UK could begin to vaccinate priority groups, such as frontline health and social care workers and those at increased risk from coronavirus, as early as the first half of next year, the Department for Business, Energy & Industrial Strategy (BEIS) said. 

Human clinical studies of the vaccine will begin in September followed by a phase 3 study in December. 

2. AstraZeneca (manufacturing University of Oxford's): 100million

AstraZeneca, which is working in partnership with Oxford University, is already manufacturing the experimental vaccine after a deal was struck on May 17.

Professor Sarah Gilbert, who is leading the Oxford team, is confident the jab could be ready for the most vulnerable people by the end of the year.

Her comments came after the results from the first phase, published in The Lancet on July 20, showed promise. 

3.  BioNTech/Pfizer: 30million 

US drug giant Pfizer — famous for Viagra — and German firm BioNTech were revealed to have secured a deal with the UK Government on July 20.

It reported positive results from the ongoing phase 2/3 clinical trial of one called BNT162b1 on July 1.  The company is still running phase 2 trials at the moment.

4. Valneva: 60million 

The Government has given Valneva — whose vaccine is understood to be in the preclinical stages of development — an undisclosed amount of money to expand its factory in Livingston, Scotland. 

While the Government revealed a 60million dose deal on July 20, the company said it had reached agreement in principle with the UK government to provide up to 100million doses. 

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It would be the only way to secure protection against catching the coronavirus by triggering an immune response which the body remembers when it is infected with the real virus.  

But until a jab is proven to be safe and effective, controlling cases relies on social distancing, regular hand washing and face mask wearing.

Governments globally know this is not a long term solution to the disease because prevention measures and lockdowns have crippled economies. 

Scientists are racing to find a vaccine that will protect millions, with 25 already being tested in humans and 140 in pre-clinical trials. 

The Government's deal with GSK/Sanofi allegedly costs £500million, The Sunday Times reported, which will be paid in stages as the vaccine progresses through clinical trials. 

It is not expected to reach a phase 3 study until December. 

Earlier this month, the Government secured a deal of 30million doses from BioNTech, which is working with Pfizer and recently published promising early findings, and 60million of France's Valneva.   

It is not clear exactly how much the Department of Health has paid for the vaccines, but it announced in May a £131million fund to develop vaccine-making facilities.

And it has given Valneva — whose vaccine is understood to be in the preclinical stages of development — an undisclosed amount of money to expand its factory in Livingston, Scotland.

A further agreement has been signed with AstraZeneca and the University of Oxford for their jab, which is in the phase 3 stage, to produce 100million doses for the UK.

The Government is also working with Imperial College London to hasten their developments. It started human trials in June.

Kate Bingham, chairwoman of the Government's Vaccines Taskforce, said: 'This diversity of vaccine types is important because we do not yet know which, if any, of the different types of vaccine will prove to generate a safe and protective response to Covid-19.

'Whilst this agreement is very good news, we mustn't be complacent or over-optimistic.

'The fact remains we may never get a vaccine and, if we do get one, we have to be prepared that it may not be a vaccine which prevents getting the virus, but rather one that reduces symptoms.' 

The Government said almost 72,000 people have volunteered in the past week to receive information about joining clinical studies to find a vaccine but many more are needed.

People can sign up for the NHS Covid-19 vaccine research registry, which was not live at 6am this morning. Ministers hope to get 500,000 people signed up by October. 

French President Emmanuel Macron, right, visiting a Sanofi Pasteur laboratory last month

French President Emmanuel Macron, right, visiting a Sanofi Pasteur laboratory last month

Coronavirus has meant people in the UK have to wear masks when going into shops

Coronavirus has meant people in the UK have to wear masks when going into shops

MODERNA'S VACCINE PREVENTS COVID-19 IN MONKEYS 

Moderna's Covid-19 vaccine prevented the coronavirus from replicating in the noses and lungs of monkeys, a study published yesterday revealed.

Two doses of an experimental vaccine made by the US firm induced robust immune responses and rapidly controlled the coronavirus, findings published in the New England Journal of Medicine said.

It prevented the virus from replicating in the nose and lungs - seen as particularly crucial in preventing it from being transmitted onward to others.

The candidate vaccine, mRNA-1273, was co-developed by scientists at the NIAID Vaccine Research Center and at Moderna.

In the animal study, three groups of eight rhesus macaques received either a placebo or the vaccine at two different dose levels - 10 micrograms and 100 micrograms.

All vaccinated macaques produced high levels of neutralizing antibodies detected in the blood, with those receiving high dose levels producing antibodies at levels higher than those found in humans who have recovered from the disease.

The authors reported that the vaccine also induced the production of a different immune cell known as T-cells that may have helped boost the overall response.

Four weeks after the monkeys received their second injection, they were exposed to the SARS-CoV-2 virus, both through the nose and directly to the lungs via a tube.

Remarkably, after two days, no replicating virus was detectable in the lungs of seven out of eight of the macaques in both vaccinated groups.

Moreover, none of the eight macaques vaccinated had detectable virus in their noses two days after virus exposure. 

But all eight placebo-injected animals continued to have replicating virus in the lung.  

This is the first time an experimental COVID-19 vaccine tested in nonhuman primates has been shown to produce such rapid viral control in the upper airway, the investigators said.

The results of the animal study published today complement recently reported phase 1 clinical trial on humans.

Scientists are speeding ahead to start a 30,000-person trial later this month to prove the vaccine really is strong enough to protect against the coronavirus.   

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The vaccine produced by GSK and Sanofi, which together have the largest vaccine manufacturing capability in the world, is based on the existing technology used to produce Sanofi's seasonal flu vaccine. 

Genetic material from the surface protein of the SARS-CoV-2 virus is inserted into insect cells — the basis of Sanofi’s influenza product.

The 'spike' protein is what the virus uses to bind with cells in the body to invade them and has become the focus of scientific research.

The vaccines aim to prime the body’s immune system to bind to the protein and disable the virus before it takes hold in the body. 

An adjuvant — an ingredient added to enhance the immune response — will be added to the vaccine. This part is made by GSK.

An adjuvant can reduce the amount of vaccine protein required per dose, which is useful during a pandemic since it may reduce the amount of vaccine protein required per dose, allowing more vaccine doses to be made quickly. 

The combination of a protein-based antigen together with an adjuvant is well-established and used in a number of vaccines. 

Roger Connor, president of GSK Vaccines, said: 'We believe that this adjuvanted vaccine candidate has the potential to play a significant role in overcoming the Covid-19 pandemic, both in the UK and around the world.

'We thank the UK Government for confirmation of purchasing intent, which supports the significant investment we are already making as a company to scale up development and production of this vaccine.'

The science behind Oxford and Imperial's vaccine also attempt hinges on recreating the 'spike' proteins that are found all over the outside of the Covid-19 viruses. 

Both will attempt to recreate or mimic these spikes inside the body but have different ways of achieving this effect.  

AstraZeneca, which is working in partnership with Oxford University, is already manufacturing a vaccine in the hope that it will work.

Professor Sarah Gilbert, who is leading the Oxford team, is confident the jab could be ready for the most vulnerable people by the end of the year.

Her comments came after the results from the first phase, published in The Lancet on July 20, showed promise. 

After being given to 543 people, the jab was shown to provoke an immune reaction that lasts for at least two months. 

The vaccine boosted two types of immunity — antibodies, which are disease-fighting substances; and T-cell immunity, with T cells able to produce antibodies and also to attack viruses themselves. 

Meanwhile Valneva, the French company developing a vaccine which has not reached clinical trial, is creating a jab based on injecting people with dead versions of the coronavirus.

Kate Bingham, chairwoman of the Government's Vaccines Taskforce, hailed the deal

Kate Bingham, chairwoman of the Government's Vaccines Taskforce, hailed the deal

VACCINE 'WON'T BE READY BEFORE THE MIDDLE OF 2021'

A German government minister said on Wednesday that a coronavirus vaccine was unlikely to be widely available before the middle of next year.

Research Minister Anja Karliczek told a news conference: 'We must continue to assume that vaccines for the broader population will only be available from the middle of next year at the earliest.' 

Germany awarded grants to three biotech companies - BioNtech , CureVac and IDT Biologika - to help them speed up the development of coronavirus vaccine candidates. 

'All three of them are promising candidates but we must of course always expect setbacks during the testing phase because it's one thing to have an effective vaccine but it's another to have a safe vaccine that people want,' Ms Karliczek said.

Her comments came amid fears Germany is beginning to see a possible 'second wave' of the deadly virus.

Europe's largest economy has reported a rise in infections in recent days, with the head of Germany's Robert Koch Institute (RKI) for infectious diseases blaming negligence and saying it was unclear if a second wave was underway.

'We should not expect a miracle',  Ms Karliczek said, calling for people to maintain social distancing and mask-wearing to avoid jeopardising what Germany had achieved in recent weeks in terms of bringing the pandemic under control.

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This is called an inactivated whole virus vaccine and works by injecting the virus itself but versions that have been damaged in a lab so that they cannot infect human cells. They can be damaged using heat, chemicals or radiation.

Even though the viruses are inactivated the body still recognises them as threats and mounts and immune response against them which can develop immunity.

The BioNTech vaccine, on the other hand, is one which injects RNA - genetic material - which codes the body to produce proteins that look like the spike proteins that would be found on the outside of the real coronavirus.

Pfizer, the drug giant working with BioNTech, reported positive preliminary results from the ongoing phase I/II clinical trial of its main candidate, called BNT162b1, on July 1. 

Tests on 24 volunteers showed that it was well tolerated and produced dose dependent immunity. 

Dr Kathrin Jansen, Pfizer's head of vaccine research and development, said the vaccine 'is able to produce neutralizing antibody responses in humans at or above the levels observed' in Covid-19 survivors.

Today American pharmaceutical company Moderna revealed more hopeful study results from animal research, having already revealed humans in their studies are showing signs of immunity. 

The company has not secured a deal with the UK Government but is speeding ahead towards a 30,000-person trial later this month to prove the vaccine really is strong enough to protect against the coronavirus.

Findings published yesterday in the New England Journal of Medicine revealed monkeys who were given the vaccine showed a strong immune response against SARS-CoV-2.

Scientists were unable to find detectable levels of replicating virus in the lungs of seven out of eight of the macaques in vaccinated groups after they had been exposed. None of the eight macaques vaccinated had detectable virus in their noses.

However, all eight placebo-injected animals continued to have replicating virus in the lung.  

It comes after experts at the Massachusetts-based firm said human participants in their trial all successfully developed antibodies as well as T cells.

The vaccine works by tricking the body into thinking it's infected with Covid-19 and causing it to produce immune substances that have the ability to destroy it.

Moderna was the first US company to start human testing of a vaccine for the novel coronavirus on March 16, 66 days after the genetic sequence of the pathogen was released. 

WHAT ARE THE LEADING COVID-19 VACCINE CANDIDATES? 

University of Oxford

Oxford University academics began developing the ChAdOx1 nCoV-19 vaccine in January. It is now named AZD1222, after the researchers signed a manufacturing partnership with pharmaceutical giant AstraZeneca.

Human trials started on April 23 and they are now in the final phase, with trials being carried out in the UK, Brazil and South Africa. 

Lead of the project Professor Sarah Gilbert told The Times she is '80 per cent' confident of its success.

The science behind Oxford's vaccine attempt hinges on recreating the 'spike' proteins that are found all over the outside of the Covid-19 viruses.

It is made from a weakened version of an adenovirus from chimpanzees that has been genetically changed so it is impossible for it to grow in humans. 

Imperial College London 

Fifteen volunteers have already been given Imperial's trial jab and testing is expected to ramp up to include as many as 200-300 participants in the coming weeks. A second trial, with 6,000 people, will come later. 

But Professor Robin Shattock, lead researcher, said the vaccine won't be available until at least 2021 even if everything goes according to plan. 

If the jab works, the team want to make it as cheap as possible so the entire British population could be vaccinated for the 'really good value' of just under £200million.

Imperial's vaccine also attempts to mimic the spikes on the outside of the Covid-19 virus. However, it will work by delivering genetic material (RNA) from the virus, which programs cells inside the patient's body to recreate the spike proteins.

Pfizer/BioNTech

US drug giant Pfizer — famous for Viagra — and German firm BioNTech have been working on a number of potential Covid-19 vaccines under the 'BNT162 program'. 

It reported positive preliminary results from the ongoing phase 2/3 clinical trial of one called BNT162b1 on July 1. Tests on 24 volunteers showed that it was well tolerated and produced dose dependent immunity.

Dr Kathrin Jansen, Pfizer's head of vaccine research and development, said the vaccine 'is able to produce neutralizing antibody responses in humans at or above the levels observed' in Covid-19 survivors.

Pfizer received fast track designation from the US Food and Drug Administration (FDA) for two of their four potential Covid-19 vaccines this month. 

The vaccine is one which injects RNA - genetic material - which codes the body to produce proteins that look like the spike proteins that would be found on the outside of the real coronavirus.

GlaxoSmithKline and Sanofi Pasteur

The vaccine produced by GSK and Sanofi, which together have the largest vaccine manufacturing capability in the world, is based on the existing technology used to produce Sanofi's seasonal flu vaccine. 

Genetic material from the surface protein of the SARS-CoV-2 virus is inserted into insect cells — the basis of Sanofi’s influenza product.

The 'spike' protein is what the virus uses to bind with cells in the body to invade them. The vaccines aim to prime the body’s immune system to bind to the protein and disable the virus before it takes hold in the body. 

An adjuvant — an ingredient added to enhance the immune response — will be added to the vaccine.

In can reduce the amount of vaccine protein required per dose, which is useful during a pandemic since it may reduce the amount of vaccine protein required per dose, allowing more vaccine doses to be made quickly.  

Scientists first started making the vaccine in April. Scientists have yet to trial the vaccine on humans, and studies to prove it works won't begin until September.

Valneva

French firm Valneva have yet to begin human trials of their Covid-19 vaccine, called VLA2001. Company bosses hope to scale up testing by the end of this year.

The jab is currently only in pre-clinical studies — meaning it is being tested in the lab and on animals.

If proven successful, the vaccine will be manufactured at its facilities in Livingston, Scotland and in Solna, Sweden. 

Valneva's jab is based on injecting people with dead versions of the coronavirus.

This is called an inactivated whole virus vaccine and works by injecting the virus itself but versions that have been damaged in a lab so that they cannot infect human cells. They can be damaged using heat, chemicals or radiation.

Even though the viruses are inactivated the body still recognises them as threats and mounts and immune response against them which can develop immunity.

Moderna 

Massachusetts-based Moderna was the first US company to start human trials of its potential Covid-19 vaccine, known as mRNA-1273, on March 16.

The jab has proven to trigger an immune response in all 45 injected volunteers, according to a study published in the prestigious New England Journal of Medicine on July 14.

Moderna's shot showed early promise in its phase 2 human tests last month. The company reported that it triggered antibody production on par with that seen in recovered coronavirus patients. 

CanSino 

Chinese vaccine Ad5-nCoV, made by CanSino, was the very first shot to enter clinical trials earlier this year and is a leading candidate.

A trial of 108 healthy volunteers in China showed it safely triggered an immune response in participants.

Results published May 22 in The Lancet showed most of the people dosed with the vaccine had immune responses, although their levels of antibodies thought to neutralize the virus were relatively low. Researchers saw a stronger ramp-up of other immune compounds, called T-cells, that might also help fight the infection off.   

Johnson & Johnson 

The drug giant started work on the vaccine in January, two months before Covid-19 was labelled a global pandemic. 

A vaccine trial spearheaded by Johnson and Johnson will start recruiting people in September, with clinical data available by the end of the year.

An 'emergency use' batch of the vaccine is anticipated to be authorised as early as 2021, which would likely be prioritised for vulnerable people.

CureVac

CureVac, a German company, secured permission last month to begin first phase clinical trials of its attempt at a coronavirus vaccine.

The vaccine, named CVnCoV, works by injected RNA designed to force the production of coronavirus-like proteins in the body and trigger an immune response.

The first trials will involved 168 people between the ages of 18 and 60 in Germany and Belgium.

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2020-07-29 08:54:13Z
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Coronavirus: Care homes were 'thrown to the wolves' during COVID-19 outbreak, say MPs - Sky News

Slow, inconsistent, sometimes reckless and even negligent.

That's the damning assessment of the government's approach to social care during the COVID-19 crisis, published today by the House of Commons' own spending watchdog, the Public Accounts Committee (PAC).

Their report says the pandemic has exposed the tragic impact of years of inattention, funding cuts and delayed reforms.

All of which, it says, have left the social care sector as a poor relation to the NHS.

Meg Hillier MP, chair of the committee, said: "The deaths of people in care homes devastated many, many families.

"They and we don't have time for promises and slogans, or exercises in blame. We weren't prepared for the first wave.

"Putting all else aside, government must use the narrow window we have now to plan for a second coronavirus wave. Lives depend upon getting our response right."

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The report says the Department of Health and Social Care (DHSC) decision to discharge 25,000 hospital patients into care homes without ensuring they'd been tested for the virus was an example of the government's "slow, inconsistent and at times negligent" approach to social care.

The committee also described the move as being an "appalling error".

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Is Europe set for a coronavirus second wave?

Culture Secretary Oliver Dowden told Sky News: "I don't accept that characterisation. First of all, this idea that we were mass discharging people from hospitals into care homes is not the case - actually there were fewer people discharged from hospitals into care homes between February and April."

He added: "I accept that we need to look back and we need to learn lessons, of course with hindsight there are things we could have done differently.

"What I don't accept is the kind of characterisation that is made in that report - because for example, we discharged fewer people than the year before, because we put the testing in place subsequently, because the NHS providers have made clear that they would not have discharged people systematically on that basis.

"I think a more nuanced judgement is required."

The committee has made a number of recommendations which it wants the DHSC, NHS England and NHS Improvements to respond to, including:

  • A review into which care homes received discharged patients and how many subsequently had outbreaks
  • The identification of national leads for all critical elements of the pandemic response
  • Details of what will be done to ensure the needs of social care are given as much weight as those of the NHS

It is also asking for more information about the cost and function of private hospital contracts and the Nightingale hospitals. There are concerns, it says, that there has been "a lack of transparency about costs and value for money".

The report also identifies a further lack of transparency around the availability of personal protective equipment (PPE), citing a tendency for the government to "over promise and under deliver".

Meg Hillier said: "The failure to provide adequate PPE or testing to the millions of staff and volunteers who risked their lives to help us through the first peak of the crisis is a sad, low moment in our national response.

"Our care homes were effectively thrown to the wolves, and the virus has ravaged some of them."

The Local Government Association represents over 300 councils across England.

Councillor Paulette Hamilton, vice chair of its community wellbeing board, said: "Social care has been on the frontline throughout this crisis but this report's conclusions show that those who use, work and volunteer in these vital services were not given as much priority as the NHS from the outset.

"We cannot and must not allow any of these mistakes to be repeated again, if the country is to experience a second wave of coronavirus. Social care deserves parity of esteem with the NHS."

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A DHSC spokesperson said: "Throughout this unprecedented global pandemic we have been working closely with the sector and public health experts to put in place guidance and support for adult social care.

"Alongside an extra £1.3 billion to support the hospital discharge process, we have provided 172 million items of PPE to the social care sector since the start of the pandemic and are testing all residents and staff, including repeat testing for staff and residents in care homes for over-65 or those with dementia.

"We know there is a need for a long-term solution for social care and we will bring forward a plan that puts social care on a sustainable footing to ensure the reforms will last long into the future."

The PAC said nobody would expect the government to get everything right in its initial response, but that it "urgently needs to reflect, acknowledge its mistakes and learn from them".

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2020-07-29 08:26:15Z
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'Fix your bike' scheme crashes hours after launch - The Times

The government’s much-hyped bicycle repair scheme was suspended today only hours after its launch as it became overwhelmed by demand.

A website set up to issue £50 vouchers to repair bikes crashed shortly after going live at 11.45pm yesterday.

Some 50,000 “Fix Your Bike” vouchers were being offered on a first-come, first-served basis to help people get bicycles back on the road, improve fitness levels and provide an alternative to the car and public transport.

However, initial efforts to access the site led to users being presented with an “Error 404” message.

The website, fixyourbikevoucherscheme.est.org.uk, appeared to creak into action just before 4am before being taken offline altogether at about 6.30am today.

This morning, a message on the website simply read: “Due to extreme volumes

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2020-07-29 08:00:00Z
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Heathrow calls for coronavirus tests at UK airports - BBC News

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The boss of Heathrow has called for airports to be allowed to test for coronavirus to avoid the "cliff edge" of quarantine.

John Holland-Kaye told the BBC the changes to travel guidance over Spain showed the need for an alternative.

He said he wanted the government to work with it on the plan.

But Culture Secretary Oliver Dowden told the BBC that because the virus could develop over time, testing was not a "silver bullet".

"We are not at the point where there is a viable alternative to the 14-day quarantine," Mr Dowden said, adding that all options were under review.

Mr Holland-Kaye said the passenger would be expected to pay the cost of each test, which would be about £150 if conducted at the airport.

He acknowledged it is "not cheap", but that the test would come down over time as more people took it.

But he said there would be those prepared to stand the cost: "There are people who are worried about being able to go back to work or get the kids into school, there will be people who are prepared to pay that to avoid the extra period of quarantine."

The idea of introducing testing at airports is an attractive idea.

The theory being people could travel where they like and just get tested as they arrive back in the country, negating the need to self-isolate.

But the government is not convinced.

Why? Logistically testing all the travellers who arrive every week will be difficult.

Testing capacity has increased, but this would stretch the system. Not to mention the practical difficulties of setting up testing facilities in busy airports.

But the other factor, which is perhaps more crucial, is that in the early stages of infection the test may not even pick it up.

Instead, officials are much more persuaded by a more intelligent, targeted approach to self-isolation.

That would involve asking only those coming from certain regions in a country where the infection rates are highest to self-isolate.

That could then be complemented by then asking them to get tested after a week, meaning if they test negative, there would be no need for the full 14-day self-isolation.

All this and more is being discussed behind the scenes.

Speaking to the BBC's Today programme, Mr Holland-Kaye said: "The aim would be to have a test on arrival. We could have it up and running in the next two weeks, then we need to work with government to see what happens next."

He said the plan would be for passengers to go into quarantine and have another test after eight days: "If they were infected we would be confident that it had shown itself. If it was clear, they would be allowed to go out of quarantine earlier than had been the case. It's very scientifically based."

Under current rules, those arriving in the UK from certain countries must self-isolate for 14 days.

The government has indicated that it is keeping all quarantine measures under review.

It is said to be considering an eight-day stretch between tests, whereas figures within the travel sector are keen for a five-day period.

The number of days required between each test is critical in reducing the possibility of "false negative" results.

A false negative result is possible if someone who has recently contracted Covid-19 is not showing symptoms.

France is about to launch a compulsory two-test regime for people arriving from 16 at-risk countries, including the United States.

Mr Holland-Kaye said the airport wanted to start up trials with Singapore and Canada.

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2020-07-29 08:11:32Z
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