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Selasa, 04 Agustus 2020

Ministers admit struggling Covid contact tracing system MUST improve - Daily Mail

Race to fix NHS contact tracing before schools return: Ministers admit there's 'more to do' but say pupils WILL return in September after Lancet report warned failures in testing would cause a devastating second wave

Reopening schools could result in another crisis that could yield a second wave 2-2.3 times the size of the first
But it could be avoided if testing reaches 75% of cases and NHS contact tracing system reaches 68% of public
However, scientists say current system is 'not good enough' and a fraction of symptomatic cases are tested
The authors said without improvements in testing it will be 'absolutely essential' to introduce other measures

By James Tapsfield, Political Editor For Mailonline

Published: 09:20 BST, 4 August 2020 | Updated: 10:33 BST, 4 August 2020

Ministers today admitted the struggling coronavirus contact tracing system must improve - but insisted schools will reopen in September despite fears of a catastrophic second peak.

Local government minister Simon Clarke conceded there is 'more to do' after a major study warned a resurgence of the disease could be twice as bad as that in the Spring.

Scientists said the only way of bringing back schools and avoiding another crisis around Christmas was to ramp up dramatically the NHS test and trace operation.

To prevent a second wave when schools reopen, the NHS contact tracing system must reach 68 per cent of cases and their contacts, according to researchers from University College London and the London School of Hygiene and Tropical Medicine.

But the current NHS system is 'not good enough' as it reaches just half of contacts and only a fraction of symptomatic cases are tested.

The dire picture came as WHO expert David Nabarro cautioned that the virus is not 'going away', and it would return with a vengeance if people get 'bored' and stop obeying lockdown rules.

Meanwhile, former PM Tony Blair has called for a fresh push on mass testing, dismissing the idea of relying herd immunity or completely eradicating the disease. He said unless people without symptoms were routinely screened most of cases would continue to be missed.

However, in a round of interviews today Mr Clarke insisted that the reopening of schools in September was 'not up for debate' and will definitely go ahead. While stressing that the test and trace system was 'delivering', he said: 'There's always more to be done, we're very honest about the fact this is a challenge.

'There's a massive role here for the public in helping us with this process, because in the end it is up to all of us to do the right thing.'

He added: 'One thing is clear, schools are going to reopen in full in the autumn, that is not up for debate.'

In other coronavirus developments:

There were a total of 8,891 deaths registered in England and Wales in the week to July 24, according to the Office for National Statistics (ONS), 161 fewer than the five-year average of 9,052. It was the sixth week in a row that deaths had been below the five-year average;
Pizza Express has said it could close around 67 of its UK restaurants, with up to 1,100 jobs at risk, as part of a major restructuring plan;
The first day of Rishi Sunak's Eat Out To Help Out scheme for 50 per cent means saw restaurants and fast food chains packed;
Government figures show the cost of the furlough scheme has hit £33.8billion, with 9.6million jobs having been subsidised by the state since the crisis erupted.

Children returning to school in September will trigger a devastating second wave of Covid-19 that could infect twice as many as the first unless the test and trace system improves, a major study has claimed (file photo of children heading to class)

A second wave could be avoided — with pubs remaining open and no draconian lockdowns needed — if testing is dramatically ramped up and the contact tracing system becomes better (file photo of a doctor testing for virus with swab)

Experts found that, to prevent a second wave when schools reopen, the NHS contact tracing system must reach 68 per cent of cases and their contacts. But as well as that, three quarters of people with Covid-19 would need to be tested and self-isolate (bottom, the measurements combined showing a second 'wave' would not occur)

Local government minister Simon Clarke conceded there is 'more to do' after a major study warned a resurgence of the disease could be twice as bad as that in the Spring

SLIM DOWN EXAMS, SAY UNIONS

Teaching unions are demanding a reduction in content in next year's exams due to the learning disruption caused by the pandemic.

This year's GCSE and A Level exams were cancelled – and teachers now say next year's exams should cover less material to mitigate the effects of pupils' disrupted education.

Although Boris Johnson has said all pupils will be back full-time from next month, union leaders say schools will not be able to make up for lost time.

Paul Whiteman, general secretary of school leaders' union NAHT, said: 'Schools and students are now being left in the unenviable position that they will be expected to cover as much content as possible in a reduced amount of time.'

Mr Whiteman's comments came after Ofqual, the exams watchdog, revealed its initial decisions about next year's exams.

At present, most exam criteria will remain the same – but Ofqual has reduced the workload for English Literature GCSE. Ofqual has not yet said how it plans to ensure fairness between pupils, or whether exams will be held later in the summer than usual.

Today researchers at UCL working with a team at LSHTM revealed that, if schools do re-open and lockdown is gradually lifted with more people slowly returning to work, a second wave will occur.

The secondary wave would result in the R rate — the number of people each Covid-19 patient infects — rising above the dreaded number of one.

This could yield a secondary wave of infections 2-2.3 times the size of the first, which has so far killed around 46,201 people.

The peak would come in December, or in February 2021 if schools re-open on just a part-time basis.

Dr Jasmina Panovska-Griffiths, study author, said: 'Our results are reflective of a broader loosening of lockdown, rather than the effects of transmission within schools exclusively.'

The study, published today in The Lancet Child and Adolescent Health, assumed children were as infectious as adults.

But the results remained true even when the team re-ran the model with the assumption that children and young people were 50 per cent as infectious as adults.

The authors said without improvements in testing it will be 'absolutely essential' to introduce other measures in September to 'mitigate' the effects of schools opening. This could mean pubs are forced to shut or greater restrictions are placed on people meeting indoors.

England's chief medical officer last week admitted the UK may have reached a limit for how much society can be opened up safely, without leading to a resurgence of the virus.

One scientist who advises the government even suggested closing pubs as a trade-off for allowing schools to finally open again.

But the contact tracing will be critical in keeping the virus under control as the country starts to get up and running.

Dr David Nabarro, the WHO's special envoy on Covid-19, warned that if Test and Trace is 'not done properly, then you get very bad surges occurring'.

He told BBC Radio 4's Today programme: 'This virus is capable of surging back really quickly and is actually doing so in most countries where there's been success at getting it under control and, as it surges back, the way you stop outbreaks developing is through having well-functioning contact tracing linked to testing, with isolation of people who've got symptoms or who've been in contact.

'If we can do that, and do it well, then the surges are kept really small, they're dealt with quickly and life can go on. '

If, on the other hand, this testing and tracing and isolation just is not done properly, then you get very bad surges occurring and this will lead to economic challenges.'

RECOVERED COVID PATIENTS 'SHOULD BE EXEMPT FROM SOCIAL DISTANCING'

Recovered coronavirus patients should be exempt from social distancing and self-isolation if they develop further symptoms, according to scientists advising the Government.

Experts at the Scientific Advisory Group for Emergencies (Sage) looked into evidence from top virologists who found people with Covid-19 antibodies are unlikely to become infected again in the short-term.

It follows previous suggestions over the idea of 'immunity passports', which say someone has had the disease and therefore they cannot get it again.

Scientists had said this would be 'premature' because declining antibody levels may not mean that the body cannot fight off the virus a second time.

But a Sage meeting last month chaired by Chief Scientific Adviser Sir Patrick Vallance and attended by England's Chief Medical Officer Chris Whitty decided there was enough evidence for a variation on the rules to some of those confirmed to have had coronavirus.

According to the i newspaper, the minutes of the meeting said: 'Sage advised that, based on current understanding, it would be premature to introduce immunity passports, but it advised that use of antibody positivity for short-term decisions may be possible.'

Mr Blair said a mass testing regime - covering people who are not displaying coronavirus symptoms - was essential to avoid the need for another lockdown.

'On some estimates 70 per cent of people with the disease are asymptomatic, so if you are only testing people with symptoms you are losing the majority of people from your testing strategy,' he told Times Radio.

Without a vaccine or an effective treatment, mass testing is the only way to control the spread of the virus, he said.

'From the very beginning, mass testing has been the only thing that gets you through this, avoids the severity of the very blunt instrument of lockdown and gets you to a place where you can more or less get your economy moving whilst containing the disease.'

Getting children back to classrooms was heralded by Boris Johnson as a 'national priority' and it emerged last night ministers are considering sending testing squads into schools in hard-hit regions.

A localised approach to tackling the crisis has been adopted by Downing Street, which has reimposed lockdown restrictions in some Northern towns suffering flare-ups.

Teachers and pupils in areas with higher infection rates will receive be tested for the virus to allow authorities to identify any cases and keep schools open, according to The Times.

When Leicester was plunged into a second lockdown, all schools were forced to shut - blanket measures ministers are keen to avoid in future.

Education Secretary Gavin Williamson is working on a timetable to have all schools open full-time in September.

He is expected to hand millions of pounds to councils to bolster bus services for pupils, making social distancing easier.

Getting children into classrooms is also a crucial element in firing up the economy, as it will allow parents providing childcare to go back to work.

Many businesses are not expecting workers to return to offices until the end of the year, while the likes of Facebook UK and the RBS banking group said staff will not go back until 2021.

Financial services company Legal & General said just 1,200 of its 5,000 staff were back in the office and it was aiming to get 80 per cent of its workers back to the office 'for a day or two per fortnight'.

Advertising giant WPP said 99 per cent of its 11,000 staff continue to work remotely, adding: 'We will continue to allow people to work from home until they feel safe commuting and coming into work.'

HSBC, Europe's largest bank, said it expected flexible working to become the norm after the pandemic, reducing its need for office space.

Shell, which has 4,700 UK office workers, said it would start a 'phased return' from the end of September.

It came as a new report found 80 per cent of workers claimed they were more or equally productive at home as in the office. And more than six in ten surveyed by Equiem said they expected to work remotely from the office at least once a week once lockdown is lifted.

MATT HANCOCK DENIES PLANS FOR LOCKDOWN OF THE OVER-50s

Matt Hancock has denied claims that over-50s will be targeted for a fresh lockdown as the Government was told that any new measures should be aimed more at young people.

Officials have drawn up radical plans that could see millions of people asked to stay at home if a second wave of coronavirus infections takes hold.

Under one option, people aged between 50 and 70 would get personalised risk ratings as part of a significant widening of the shielding programme.

Asked about the report Mr Hancock told Sky News: 'We have paused the shielding programme because the number of infections is so low.

The reports with respect to the over-50s are inaccurate and they are speculation. But we will always do whatever is necessary to keep people safe.'

However, neither he nor Number 10, who repeated his claim of inaccuracies later, were able to explain which parts of the report they believed were wrong.

After a weekend when the young flouted distancing rules across the country, the proposals last night attracted a storm of protest.

Critics warned that they failed to recognise the important contribution over-50s make to the economy and risked stigmatising older people in the workplace.

Former government adviser Joan Bakewell said ministers needed first to tackle the problem of young people failing to socially distance.

The Government has admitted just one in five of its own 430,000 workforce has returned to the office – meaning hundreds of thousands of civil servants are still working from home.

Another study also published today suggested that schools could re-open safely but only under strict rules and with robust contact tracing.

The research looked at how Covid-19 spread in schools in Australia, one of the only countries to keep its schools open during the pandemic.

It found that outbreaks were not common in schools and children do not spread the coronavirus as much as adults do. Separate scientific research has found exactly the opposite.

Schools in England, Wales and Northern Ireland are planned to return in September, while Scotland's first term begins at a slightly later date than usual on August 11.

But as cases of Covid-19 rise in the UK, there are concerns school start-dates will be delayed. The easing of some lockdown restrictions were set back on August 1.

Professor Chris Whitty, England's CMO, said on Friday the UK has probably reached a limit for how much of society can be opened up safely just weeks before schools are supposed to return.

The Lancet study found a second wave could be prevented, however, if a robust testing and an adequate contact tracing system was in place.

Both have come under intense scrutiny in the UK, with test and trace performance figures in England worsening last week.

The research will heap pressure on Health Secretary Matt Hancock and Baroness Harding – the head of the test and trace scheme – to get the system up to scratch before children go back next month.

The study said testing would need to be ramped up so between 59 per cent and 87 per cent of symptomatic patients are tested during the infectious period.

It is not clear how many symptomatic patients in the UK are tested each day.

But one of the study authors, Chris Bonell, professor of public health sociology at LSHTM, said: 'It looks from the ONS data like there are about 4,200 new infections per day.

'And it looks like from the testing data there are about 4,200 testing positive per week. So it looks like about one in seven (14 per cent). So, that's not good enough, basically.'

The study said 75 per cent of individuals with symptomatic infection would need to be diagnosed and isolated if schools return full-time in September. It dips to 65 per cent if schools run on a part-time rota system.

This is based on the contact tracing system reaching 68 per cent of people — a combination of 75 per cent of positive Covid-19 cases and 90 per cent of their contacts.

The NHS is currently reaching an overall standard of 50 per cent, Professor Bonell claims.

'Currently, test, trace, isolating (TTI) is not achieving the levels that we modelled. Looking at the NHS reports from the TTI system, it looks like it's about 50 per cent coverage.'

SHOULD PUBS CLOSE FOR SCHOOLS TO OPEN?

The study comes after one scientist suggested that pubs may need to shut to allow schools to reopen.

Professor Graham Medley told the BBC on Sunday there may need to be a 'trade-off', with the reopening of schools seen as a 'priority' for children's wellbeing.

Professor Medley, a member of the Scientific Advisory Group for Emergencies (Sage), said England could have to consider closing pubs in order to reopen schools next month.

When asked about the chief medical officer Professor Chris Whitty's prediction that the country was 'near the limits' of opening up society, the London School of Hygiene and Tropical Medicine academic told BBC Radio 4's Today programme: 'I think that's quite possible.

'I think we're in a situation whereby most people think that opening schools is a priority for the health and wellbeing of children and that when we do that we are going to reconnect lots of households.

'And so actually, closing some of the other networks, some of the other activities may well be required to enable us to open schools.

'It might come down to a question of which do you trade off against each other and then that's a matter of prioritising, do we think pubs are more important than schools?'

He claimed he thought it was 'highly unlikely' that restrictions imposed on the north-west of England last week would be 'the last intervention that has to be done regionally', adding: 'I fully expect there will have to be others in different places at different times.'

He added: 'The most recent data [shows] about 81 per cent of positives are interviewed, about 81 per cent of those report contacts and about 75 per cent of those contacts are reached so overall that equates to coverage of 50 per cent.'

If only 40 per cent of contacts could be traced, under a more pessimistic tracing scenario, testing would need to increase to a higher 87 per cent if school returned full time.

Professor Bonell said: 'Our study should not be used to keep schools shut because of a fear of a second wave but as a loud call to action to improve the infection control measures and test and trace system so we can get children back to school.'

Professor Bonell suggested that other sectors will face new restrictions in September unless the coverage reached by NHS Test & Trace improves.

He said: 'We're not giving specific recommendations about what sectors need to have restrictions imposed, but logically that is absolutely essential.'

Professor Bonell added that 'safe mitigation measures must be in place' before schools reopen for all pupils in all year groups in September.

Professor Russell Viner, president of the Royal College of Paediatrics and Child Health, said the NHS and Government must be 'held to account' over the test and trace strategy.

He added that officials should be 'thinking carefully' about what measures could be taken in September to allow schools to reopen safely.

But he said that game-changing virus tests which provide results in 90 minutes provided 'real reasons for optimism'.

Commenting on the study, Matt Keeling, professor of populations and disease at University of Warwick, said: 'In essence the problem is simple.

'Reopening schools is going to increase the R number so if we are to keep R below 1 and prevent a second wave, some other forms of control are necessary.

'The reopening of schools should clearly be a key priority for the UK, many children will have gone over 5 months without setting foot in a classroom.

'The key questions are how much impact will school reopening have on the epidemic and what can be done to mitigate this.'

Business and Industry Minister Nadhim Zahawi yesterday said the tests, which will be rolled out next week, could be used to help schools stay open.

It follows Professor Graham Medley, a top Government scientific adviser, suggesting on Sunday that pubs may need to shut when schools open.

Another study published in the same Lancet journal today also suggests schools in the UK can re-open safely — but only if stringent control measures are in place.

Researchers identified all staff and children who attended a school or nursery in the Australian state of New South Wales while they had Covid-19.

Overall, 12 children and 15 adults were found to have attended schools or nurseries while infectious between 25 January to 10 April, when term ended.

All adults or the parents of children were interviewed at diagnosis to track who the cases had been in contact with during the time that they were infectious.

The study said 75 per cent of individuals with symptomatic infection would need to be diagnosed and isolated if schools return full-time in September to avoid a second wave (graph on left, middle row). This is based on the contact tracing system reaching 68 per cent of people. The findings for a partial opening of school is shown on the right

The study shows that even with contact tracing, testing needs to be ramped up in order to reduce cases and deaths. The top graphs show how deaths would increase if testing only reaches 18 per cent of symptomatic cases

Once contacts were identified, they were told to self isolate and were tested if they showed symptoms, allowing the authors to calculate how many secondary transmissions were linked with each primary case.

IS THE TEST AND TRACE SCHEME GETTING WORSE?

Figures last week revealed some 4,242 people infected with coronavirus were referred to the test and trace scheme during the week of July 16-22.

But just 2,809 (77 per cent) agreed to provide details of people they had come into close contact with recently, meaning thousands of potential patients went missed.

A total of 646 with the virus could not be reached at all by the tracers, who phone, text and email someone up to 10 times a day to get hold of them.

The contact tracing figures, released by the Department of Health, also found the programme failed to reach almost a fifth of people who tested positive for Covid-19 last week.

Little over 81 per cent of infected people were actually tracked down by tracers — marking the first time the system had caught more than 80 per cent of patients since it launched on May 28.

One in four people who came into close contact with someone infected with coronavirus could not be reached by the NHS Test and Trace service.

Only 75.1 per cent (13,974) of contacts were reached and asked to self-isolate. This was down from the 78.4 per cent reached in the previous week, and the 90.8 per cent reached in the first week of Test and Trace.

Scientists have previously said eight in 10 Covid-19 sufferers need to be reached and their contacts isolated for the system to be effective.

The team showed that, of the 633 close contacts who were tested following symptoms, 18 were found to have Covid-19.

It means that 1.2 per cent of all close contacts (1,448) got the coronavirus from a primary case.

However, some asymptomatic or milder cases may have been missed seeing as testing was only of those with tell-tale signs.

Further analysis of a subset of schools showed the transmission rate between staff (4.4 per cent) was much higher than between children (0.3 per cent), suggesting children do not spread the virus as much as adults.

The attack rate from child to staff was one per cent for child-to-staff, compared to 1.5 per cent the other way around.

The researchers, led by Professor Kristine Macartney also said the transmission rates may have been higher in areas where contact tracing systems and testing were not as rigorous.

In a linked commentary discussing both articles, Professor John Edmunds, a leading authority on mathematical modelling of the spread of infectious diseases at LSHTM, said: 'Both studies give potential options for keeping schools open and show the clear importance of adequate contact tracing and testing.'

The UCL study modelled six different scenarios of school reopening using baseline data about how the coronavirus spreads.

Alongside school reopening, the model included the relaxation of measures across society, which they assumed would accompany one another.

For each scenario, they estimated the number of new infections and deaths, as well as the effective reproduction number.

As with any modelling study, a number of assumptions were made about the spread of the virus to measure the effects of lifting lockdown.

For example, it assumed the test used by Public Health England is 100 per cent accurate — however it is known this isn't the case. And the model assumes everyone tested gets their result within 24 hours, which official statistics show is not true either.

In the UK, around three quarters of tests outside of hospitals are being returned in 24 hours, despite Prime Minister Boris Johnson setting a target of 100 per cent by the end of June.

Dr Adam Kucharski, an associate professor in infectious disease epidemiology, LSHTM, said the model uses a 'very optimistic scenario about the speed and performance of testing'.

WHY ARE MASKS NOT COMPULSORY IN SCHOOLS?

In England, the Government has decided that face masks will not be necessary in schools.

Its guidance for schools states that: 'Wearing a face covering or face mask in schools or other education settings is not recommended.

'Face coverings may be beneficial for short periods indoors where there is a risk of close social contact with people you do not usually meet and where social distancing and other measures cannot be maintained, for example on public transport or in some shops.

'This does not apply to schools or other education settings.

'Schools and other education or childcare settings should therefore not require staff, children and learners to wear face coverings.

'Changing habits, cleaning and hygiene are effective measures in controlling the spread of the virus.'

Health Secretary Matt Hancock has said: 'If you're in a space with the same people repeatedly and for long periods of time, whether an office or a classroom, then a mask doesn't actually protect them.'

He added: 'In reality, there will be a trade off with speed and effectiveness – even if a high proportion of people ill with COVID-19 are tested, it won't stop transmission if test results end up taking too long or infected contacts aren't traced before they become infectious.'

It comes as Mr Hancock said that testing in schools will be expanded due to machines which can reveal if a person is infected within 90 minutes.

He said there is 'currently survey testing' in some schools but suggested the machines could be deployed to screen pupils even if they don't show symptoms.

But the researchers warned that without improvements in testing, it will be 'absolutely essential' to introduce other measures to 'mitigate' the impact of schools opening.

This could mean that pubs are forced to shut or greater restrictions are placed on meeting others indoors.

The Prime Minister's official spokesman confirmed that all pupils will return full-time in September but acknowledged that outbreaks of coronavirus could force some schools to close.

He said: 'You've heard from the Prime Minister on many occasions his absolute commitment to getting children back into school in September and that's vital for their education and their development.

'We are planning for all pupils in all year groups to be in school full-time from the beginning of the autumn term.'

Evidence shows children are unlikely to get ill with the virus but it is still not clear how much they contribute to its spread.

Yesterday new Australian research found there were 'low' levels of coronavirus transmission in schools and nurseries. Figures collected from 15 schools and ten nurseries showed that although 27 children or teachers went to lessons while infectious, only an additional 18 people became infected.

A Government spokesman said: 'We have the capacity to carry out more than 330,000 tests per day, growing to 500,000 per day by the end of October. Plans have been put in place to ensure schools can reopen safely.'

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2020-08-04 08:20:39Z
CAIiEHWS4E5ia4KyIBn89mC5Sl8qGQgEKhAIACoHCAowzuOICzCZ4ocDMKiaowY

Nicola Sturgeon coronavirus update LIVE as First Minister warns pubs could close - Scottish Daily Record

The First Minister has continued to echo warnings that pubs could be shut down if people refuse to follow social distancing rules.

Nicola Sturgeon said she was on the brink of tears after photographs emerged of scores of punters queueing to get inside an Aberdeen bar on Saturday night.

The image came after a cluster of coronavirus cases linked to another pub in Aberdeen has more than doubled.

NHS Grampian said the number of positive tests arising from an outbreak at The Hawthorn Bar in Holburn Street now stands at 27, having been 13 on Sunday.

Public health officials are investigating the new cases, which are associated with The Hawthorn Bar in the city centre.

Around half of the latest positive cases of Covid-19 were among people in their 20s and 30s.

Multiple outbreaks have sparked a teaching union to write to Education Secretary John Swinney expressing "significant concerns" about the proposals to reopen schools.

The Educational Institute of Scotland (EIS) said reopening Scotland's schools could be "a catalyst to a resurgence" of coronavirus if the Scottish Government's guidance is not strengthened.

Today Scottish children will receive their results today after an exam-free school year.

Do you have a coronavirus related story? Email reporters@dailyrecord.co.uk

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2020-08-04 07:35:15Z
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Senin, 03 Agustus 2020

Prince Harry heartbreak: Duke of Sussex having 'difficult' discussions with Prince William - Express

Extracts from the highly anticipated new royal biography about Meghan Markle and Prince Harry's life, have been floating around the internet over the past few weeks. However, Finding Freedom has apparently caused some tension between Harry and his brother, Prince William.

The unofficial royal biography Finding Freedom digs into William and Harry's relationship, claiming that William was not too than welcoming when Meghan Markle joined the Royal Family.

The book even says that William thought Harry was "blindsided by lust."

Royal author Phil Dampier recently told The Daily Mail that Princes Harry and William are on speaking terms and appear to be making amends.

He said: "The pair are speaking at the moment, but the conversations are stilted and difficult.”

Royal Family

Harry and Prince William have been having some difficult conversations, according to a royal expert (Image: GETTY)

Royal Family

The book claims William was not too than welcoming when Meghan Markle joined the Royal Family (Image: GETTY)

The books also say William told Harry to "take as much time as you need to get to know 'this girl.'"

Harry thought was incredibly snobbish and caused him to grow "tired of the dynamic that had become established between him and his older brother."

Meanwhile, a source previously told Us Weekly that “William thinks the book is their calculated way of controlling the narrative and that they took advantage of their entertainment contacts so they’d be painted in a favourable light.”

The book also explores Harry and Meghan's decision to stand from their roles as senior members of the Royal Family.

JUST IN: Meghan Markle's unearthed comment about Kate before becoming royal

Harry and Meghan

The authors of the upcoming royal biography William thought Harry was 'blindsided by lust' (Image: GETTY)

Meghan and Harry's decision to leave their roles as senior royals lead many to believe that the Duchess of Sussex just wasn't prepared for life in the Royal Family.

However, royal authors say that Harry actually warned Meghan about the craziness of royal life early on.

Meghan Markle and Prince Harry have distanced themselves from the book, saying they were not interviewed for the biography and did not make any contributions to it.

However, extracts of the book published by The Times discuss details of Harry and Meghan's first ever date, and how Harry warned Meghan about royal life.

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William and Kate

Royal author Phil Dampier recently told The Daily Mail that Princes Harry and William are on speaking terms and appear to be making amends (Image: GETTY)

William and Kate

The book claims Harry thought William was 'snobbish' due to his attitudes towards Meghan (Image: GETTY)

However, Harry did hint royal life wouldn't be easy.

The extract said: "The most he had admitted at that point was that his life was 'sometimes a little mad'"

The book, written by Omid Scobie and Carolyn Durand spoke of how Harry tried to "impress" Meghan on the date.

However, it wasn't as easy as the Prince may have anticipated.

Royal Family tree

Royal Family tree (Image: EXPRESS)

The extract reads: "On that first date at Soho House’s Dean Street Townhouse Meghan had enough dating experience to know a charmer when she saw one, and Harry was obviously not at all that. If anything, he was unfiltered.

"While it was clear he wanted to impress her with details about his work, he spoke without overthinking — and he never mentioned anything about being a royal or a prince."

The extract read: "Harry quickly realised that impressing Meghan was going to be tougher than just giving her one of his big smiles.

“'I am really going to have to up my game here, sit down and make sure I’ve got a good chat!'"

Harry and Meghan

The book also explores Harry and Meghan's decision to stand from their roles as senior members of the Royal Family (Image: GETTY)

"Harry talked about his charity work, excitedly telling her stories from his extensive trips to Africa.

"Their 'passions for wanting to make change for good', as Harry described it, was, as Meghan said, 'One of the first things we connected on.'"

Indeed, the couple are involved in a number of projects close to their hearts today, and are planning to launch their new organisation Archewell this year.

Meghan has since appeared in numerous video calls with charities close to her heart and has also received widespread praise for her speech on George Floyd.

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2020-08-04 05:08:00Z
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Meghan Markle's unearthed comment about Kate YEARS before she joined the Royal Family - Express

Meghan has never been afraid to speak her mind on public events and was always one to share her views in her interviews before she met Prince Harry. Now it has been revealed that Meghan even made a comment about the Duchess of Cambridge herself years before she and Harry got together.

Like everyone else in the world, Meghan couldn't escape royal wedding fever back when Kate Middleton married Prince William in 2011.

Three years later, she chatted about the celebration during an interview with Princess Alia Al-Senussi, a descendant of Libyan royalty.

She wrote: "Little girls dream of being princesses.

"I, for one, was all about She-Ra, Princess of Power.

"For those of you unfamiliar with the '80s cartoon reference, She-Ra is the twin sister of He-Man, and a sword-wielding royal rebel known for her strength.

"We're definitely not talking about Cinderella here."

Meghan went on to discuss how this fascination with princesses doesn't end when children grow up.

She said: "Grown women seem to retain this childhood fantasy.

JUST IN: Meghan Markle's one birthday wish revealed

"Just look at the pomp and circumstance surrounding the royal wedding and endless conversation about Princess Kate."

Who would have thought that just a few years later Meghan herself would be planning her own royal wedding.

However, despite her excitement about Kate's wedding, there have been countless rumours of a fallout between Meghan and Kate.

These rumours have been further fuelled by the publication of a new book about the Sussexes.

However, Kate's daughter Charlotte helped to ease the tension between the women due to Meghan's "adoration" of the little Princess.

Meghan also gave Kate a surprising gift to "break the ice" when they first met.

Meghan gave the Duchess of Cambridge a Smythson notebook the first time the pair met to help break the ice, according to the new book.

Authors Omid Scobie and Carolyn Durand say The Duchess of Cambridge greatly appreciated the gift as things got off to a solid start for the former fab four.

The authors said Kate loved the book from her future sister-in-law which she was gifted in January 2017.

Meghan also seemed to win over the young Princess Charlotte.

They book said: "Meghan bought a present for the duchess, who had celebrated her birthday just a day earlier.

"The soft leather Smythson notebook helped to break the ice, as did Meghan's cooing over then 20-month-old Charlotte."

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2020-08-04 03:21:43Z
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Coronavirus: Second COVID wave twice as big as the first without effective test, trace, isolating strategy, says new modelling study - Sky News

Reopening schools fully in September without an effective test, trace and isolating strategy could result in a second wave of coronavirus more than twice the size of the first, according to a new modelling study.

Researchers from UCL and the London School of Hygiene and Tropical Medicine (LSHTM) examined the possible implications of schools reopening in the UK coupled with broader reopening of society, such as more parents returning to the workplace and increased socialising within the community.

The study, published in The Lancet Child and Adolescent Health, simulated what would happen in an "optimistic" scenario assuming 68% of contacts of people who tested positive could be traced.

In the more pessimistic scenario the system had 40% coverage.

The authors found that "with increased levels of testing... and effective contact tracing and isolation, an epidemic rebound might be prevented".

But in a worst-case scenario, a second wave could be 2.3 times higher than the first.

The model assumes that around 70% of people would return to workplaces once their children went back to school and up to a 90% increase of mixing within the community with schools reopening.

One of the authors, Chris Bonell, professor of public health sociology at LSHTM, said the current testing system has "about 50% coverage".

"Our findings suggests that it might be possible [to avoid] a secondary epidemic wave in the UK, if enough people with symptomatic infection can be diagnosed and their contacts traced and effectively isolated," he said.

"Reopening schools fully in September, alongside reopening workplaces in society, without an effective test, trace, isolating (TTI) strategy could result in a second wave of infections between two and 2.3 times the size of the original wave.

"This is a scenario with model, not a prediction of what is going to happen. It all depends on the other measures and the level of TTI coverage.

"Currently, TTI is not achieving the levels that we modelled. Looking at the NHS reports from the TTI system, it looks like it's about 50% coverage."

He added: "The most recent data [shows] about 81% of positives are interviewed, about 81% of those report contacts and about 75% of those contacts are reached so overall that equates to coverage of 50%.

"It looks from the ONS data like there are about 4,200 new infections per day. And it looks like from the testing data there are about 4,200 testing positive per week. So it looks like about one in seven. So, that's not good enough, basically."

But he said the coverage rates were following an "upward trend".

The authors said that without appropriate levels of testing and contact tracing, reopening of schools together with gradual relaxing of the lockdown measures are "likely to induce a second wave that would peak in December 2020 if schools open full-time in September".

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The modelling analysis comes as research from Australia suggests there were "low" levels of coronavirus transmission in schools and nurseries.

Also published in The Lancet Child and Adolescent Health, the study examined lab-confirmed COVID-19 cases from 15 schools and 10 nurseries in New South Wales from January to April.

It showed that although 27 children or teachers went to school or nursery while infectious, only an additional 18 people later became infected.

The authors concluded: "Children and teachers did not contribute significantly to COVID-19 transmission via attendance in educational settings."

A government spokesman said: "Plans have been put in place to ensure schools can re-open safely. Local health officials, using the latest data, will able to determine the best action to take to help curb the spread of the virus should there be a rise in cases."

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2020-08-04 00:33:22Z
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Reopening schools WILL cause a second Covid-19 wave unless test and trace improves - Daily Mail

Reopening schools in September WILL lead to a catastrophic second wave of coronavirus unless NHS test and trace drastically improves, major study claims

Reopening schools could result in another crisis peaking in December
But it could be avoided if testing dramatically ramps up to reach 75% of cases
And the NHS contact tracing system would need to reach 68% of people
But scientists say the current NHS system is 'not good enough'
Other measures to 'mitigate' the effects of schools would be needed

By Vanessa Chalmers Health Reporter For Mailonline and Eleanor Hayward Health Reporter For The Daily Mail

Published: 23:30 BST, 3 August 2020 | Updated: 23:39 BST, 3 August 2020

Children returning to school in September will trigger a devastating second wave of Covid-19 that could infect twice as many as the first unless the test and trace system drastically improves, a major study has claimed.

Scientists said reopening schools in the UK would inevitably result in another crisis that peaks in December.

But it could be avoided — with pubs remaining open and no draconian lockdowns needed — if testing is dramatically ramped up and the contact tracing system becomes better.

Three quarters of people with Covid-19 would need to be tested and self-isolate to prevent a second wave caused by schools reopening.

Experts found that, to prevent a second wave when schools reopen, the NHS contact tracing system must reach 68 per cent of cases and their contacts.

But the current NHS system is 'not good enough'. It reaches half of contacts and only a fraction of symptomatic cases are tested, according to researchers from University College London and the London School of Hygiene and Tropical Medicine.

England's chief medical officer last week admitted the UK may have reached a limit for how much society can be opened up safely, without leading to a resurgence of the virus.

One scientist who advises the government even suggested closing pubs as a trade-off for allowing schools to finally open again.

Experts found that, to prevent a second wave when schools reopen, the NHS contact tracing system must reach 68 per cent of cases and their contacts. But as well as that, three quarters of people with Covid-19 would need to be tested and self-isolate (bottom, the measures combined showing a second 'wave' would not occur)