Senin, 14 Desember 2020

Researchers looking at new coronavirus strain, says health minister - Financial Times

A new variant of coronavirus has been identified in the UK that could be contributing to a rapid rise in infections in some parts of the country.

Researchers were urgently investigating whether the new strain was more transmissible than previous coronavirus variants, UK health secretary Matt Hancock told the House of Commons on Monday, even as he sought to reassure members of parliament over the risks posed by the mutation.

“There is currently nothing to suggest that this variant is more likely to cause serious disease, and the latest clinical advice is that it’s highly unlikely that this mutation would fail to respond to a vaccine,” Mr Hancock said.

More than 1,000 cases with the new variant have been detected, mainly in the south of England, and the World Health Organization has been alerted.

“We do not know the extent to which this is because of the new variant,” Mr Hancock added. “But no matter its cause, we have to take swift and decisive action . . . to control this deadly disease while the vaccine is rolled out.”

Chris Whitty, England’s chief medical officer, told a press conference that London was being moved to more stringent Tier 3 restrictions because cases were surging in and around the capital — and not directly in response to the discovery of the new variant.

Although the Sars-Cov-2 virus that causes Covid-19 is always mutating, virologists said only one variant that changed the nature of infection had previously been detected. This is the so-called D614G strain that has largely replaced the original D614D virus since the early months of the pandemic because it transmits more readily between people.

Allan Wilson, who heads the Institute of Biomedical Science, told the Financial Times that he began to hear “rumblings” about the new strain on Sunday night. The key issues for scientists were whether the coronavirus tests currently used would pick up the new variety and whether someone infected with an earlier strain of the virus would have the same level of protection against the new variant.

Coronavirus tests generally register different subtypes of the virus, suggesting they would detect the new version but it might be several weeks before enough affected people had been tested to be certain of how the current tests would respond, Mr Wilson said.

Regarding whether the new variant would mean that those with immunity — either from vaccination or past infection — would no longer be protected, Mr Wilson added that it would take a “few months” to know for sure. “[We] are probably cautiously optimistic this won’t be a significant issue for us.”

Prof Alan McNally of the University of Birmingham, an expert on microbial genomics, said “huge efforts” were under way to characterise the new strain and understand its origin. “It is important to keep a calm and rational perspective on the strain, as this is normal virus evolution and we expect new variants to come and go and emerge over time.”

“It’s too early to be worried or not by this new variant, but I am in awe of the surveillance efforts in the UK that allowed this to be picked up so fast,” Prof McNally added.

Mr Hancock’s announcement annoyed some scientists working on viral genetics who were left scrambling for information about what variant he was talking about.

“It is frustrating to have claims like this made without the associated evidence presented for scientific assessment,” said Lucy van Dorp, senior research fellow in microbial genomics at University College London. “The variant remains to be officially announced.”

According to Emma Hodcroft, an expert on viral genetics at the University of Bern in Switzerland, the new strain appears to have three mutations in the spike protein that the coronavirus uses to enter human cells. Two genetic letters have been deleted and another has been changed.

Another variant called 20A.EU1 was found in October to have spread rapidly from Spanish farm workers through much of Europe. Each variant has its own genetic signature and can be traced back to the place it originated.

The D614G variant — the only mutation believed to have affected the behaviour of the virus so far — is thought to have “increased the ability of viruses with this change to be transmitted” and is now “dominant in many countries”, said Andrew Davidson, a virologist at the University of Bristol. “A number of studies suggest however, that [this] strain does not result in more severe disease.”


 


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2020-12-14 19:59:45Z
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COVID-19: Matt Hancock suggests government won't rethink Christmas rules - but doesn't rule out further action - Sky News

Health Secretary Matt Hancock has suggested the government will not stop households from meeting up over Christmas despite rising COVID-19 infection rates in some parts of the country.

Speaking after he announced London and parts of Essex and Hertfordshire are to be placed into the toughest coronavirus measures, Mr Hancock said the government did not rule out further action in a bid to depress the virus.

"We know from experience that the best thing to do in the face of this virus is to act fast, not to wait to see its growth continue - and we do not rule out further action," the health secretary told a Downing Street news conference.

Mr Hancock suggested people should refrain from too much social mixing now, ahead of seeing elderly relatives at Christmas.

But, quizzed repeatedly on whether the government would rethink its plans to allow up to three households to gather indoors over the festive period, the health secretary gave no hint of a coming U-turn and would only urge people to be "careful and responsible".

"Our message around Christmas is really clear," Mr Hancock said.

"We understand why people want to see their loved ones, especially at this time of year, especially after this year - we all feel that.

More from Covid-19

"But it also must be done in a way that is careful and responsible. And I think people understand that too. That's why we've taken the approach that we have.

"But if you are planning to meet up with loved ones at Christmas, then being careful now two weeks ahead - and making sure you minimise the chance of both catching the disease and passing it on - is the right thing to do.

"Actually, that's the right thing to do all of the time."

England's chief medical officer, Professor Chris Whitty, admitted that the relaxation of COVID rules over Christmas would lead to a rise in infections.

"All of this is about balancing the wider needs of society with the need to keep the virus under control," he said.

"The relatively modest, actually, relaxation over Christmas will, undoubtedly, put upward pressure on the virus."

"We know that... but the feeling was this is a very important time for many families."

Prof Whitty urged people to use the relaxation of COVID rules over Christmas in a "minimalist, responsible way" in order to keep the number of cases down in early January, adding: "The key thing is people have just got to be sensible."

Asked if Britons should be self-isolating between now and Christmas, if they were planning to see elderly relatives, Mr Hancock replied: "The best thing you can do, if you want to see elderly relatives at Christmas, is to be extremely careful now about who you see."

Earlier on Monday, in the House of Commons, Mr Hancock came under pressure from some MPs to review the relaxation of coronavirus measures over Christmas.

Conservative MP Tobias Ellwood said he was concerned that "letting down our guard for five days during Christmas could be very dangerous indeed", while the Liberal Democrats' Munira Wilson highlighted the "alarming numbers" from the US following the Thanksgiving holiday.

Meanwhile, outside of the Commons, theatre star Elaine Paige - who is part of the cast of Pantoland at the London Palladium, which will now be forced to close - called for the government to "cancel Christmas" instead of shutting down hospitality in Tier 3 areas.

She tweeted: "Theatres ARE safe. [Culture Secretary] Oliver Dowden saw it for himself. And yet tubes & flights still allowed? These rules are illogical.

"The audience response shows how desperate they are for 2hrs of escapism. If its so terrible - cancel Christmas!"

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2020-12-14 19:28:13Z
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Covid: Wales already breaching part of lockdown criteria - BBC News

Cardiff city centre
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Wales is already in breach of some of the key indicators used to determine future lockdowns.

The first minister said a lockdown could be introduced after Christmas if rates do not begin to fall.

But Wales' current case rates and rate of positive tests currently exceed indicators that would be considered.

The Welsh Government has said it is unlikely to introduce further restrictions before the five-day Christmas period.

The indicators are part of the Welsh Government's new four-level system of Covid-19 restrictions, laid out in a new 'Coronavirus Control Plan' published on Monday.

Wales is currently in level three and restrictions equivalent to a lockdown would be brought in if the alert level was raised to four.

Schools and places of worship will remain open and non-essential retail closed, although click-and-collect would be allowed.

Table

The plan said the vaccine programme offers a "glimmer of hope" but that safety measures and rules will have to be in place well into 2021.

Indicators to determine which level of restrictions are required "are not mechanical thresholds - they are broad principles, which will be used to inform balanced judgments".

Some of the key indicators to judge whether Wales needs to move to level four restrictions, include a confirmed seven-day case rate of more than 300 cases per 100,000 people and test positivity above 10% over seven days.

Covid case rates in UK

In the seven days until 9 December, Wales had a case rate of 450.4 and a test positivity rate of 19.5%, according to Public Health Wales' figures.

Concerns over hospital capacity is also a key indicators for alert level four.

Two of Wales' seven local health boards - Swansea Bay University and Aneurin Bevan Health Board - have suspended some non-urgent care in response to increased coronavirus cases.

Shut pub
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The Welsh Intensive Care Society has said critical care would be unable to cope in the coming weeks without "intervention at the highest level".

But the Welsh Government has said it is unlikely to introduce any further restrictions before the five-day Christmas period, from 23 to 27 December, when up to three households will be able to stay together.

Its new paper outlines that the "severity" of level four restrictions "make it suitable for shorter periods to provide a short, sharp shock before the situation necessitates a longer period of time" in lockdown.

The plan adds that "intervening early is more effective and that time-limited interventions are likely to be more effective than open-ended restrictions with no end date."

Wales could move up more than one level, for example, from level one to level three, but would only move down one level at a time and would take a number of weeks.

The four levels of restrictions will initially be implemented across the whole of Wales but there could be regional or localised differences if the evidence points to sustained differences between areas.

'No detail'

The plan was criticised by Joseph Carter, Head of Asthma UK & British Lung Foundation Wales, who said it provided "no detail" about the support for people who are extremely clinically vulnerable.

Ashley Rogers, the commercial director of the North Wales Business Council, said the new alert levels were a step in the right direction but said criteria for a regional approach was vague.

The Welsh Government paper outlines the kind of restrictions that could be implemented in each level.

Mark Drakeford
Getty Images

What could you do in Level 1?

Up to six adults could meet in a private house or garden, or in a café or restaurant. The restrictions don't apply to those under 11.

No more than 30 people could meet outdoors in a public space. but if the alert level to four Up to 50 people could attend organised indoor events and 100 people to an outdoor event, while stadia could also open for sporting events.

There is still a 10pm curfew on hospitality but there is no restriction on when food can be served.

All indoor and outdoor entertainment and leisure venues can open too, with the exception of nightclubs.

Weddings, civil partnerships and funerals can take place with restrictions on numbers, depending on the venue, but the indoor and outdoor limit on numbers.

What could you do in Level 2?

Only four from up to four different households can meet in pub, cafe or restaurant, or in a private garden. Only extended households can meet indoors. In outdoor public places the rule of four stands except for when an extended household meets up.

Hospitality businesses can open until 10pm and serve alcohol with a substantial meal.

Cinemas and indoor visitor attractions such as museums can open and venues can open to begin piloting events.

Travel to areas of high prevalence would not be allowed but there are no restrictions on international travel beyond having to quarantine upon return from certain destinations.

Ice-skating rinks would remain closed.

What could you do in Level 3?

Restrictions would be similar to what we have now.

You can only mix in private houses with your extended household or support bubble. You can, however, meet with four people from different households in a café or restaurant.

Hospitality businesses cannot serve alcohol and must close at 6pm but non-essential shops, hairdressers, beauty salons, gyms and holiday accommodation remain open.

Travelling is not allowed to areas of high prevalence and international travel is not advised.

Up to 30 people can meet for organised exercise outside, like a fitness class, but only 15 can do so inside. The restrictions do not apply to restrictions for children.

Wedding ceremonies and funerals can take place with limited numbers set by the venue but at this level, receptions can also take place with 15 people indoors and 30 outdoors.

What could you do in Level 4?

The public would be required to stay at home and only mix with their household or support bubble.

Travelling would only by allowed for essential purposes, such as for work and for caring responsibilities. International travel would not be allowed.

All indoor and outdoor events and visitor attractions would be cancelled or closed. Non-essential shops would close as would gyms, hairdressers, hospitality businesses and holiday accommodation.

Wedding ceremonies and funerals can take place with limited numbers, but no receptions or wakes can occur.

Schools however would remain open.

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2020-12-14 18:13:00Z
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Covid: London to move into tier 3 as infections rise - BBC News

London will move into England’s highest tier of Covid restrictions from 00:01 GMT on Wednesday, Health Secretary Matt Hancock has said.

Parts of Essex and parts of Hertfordshire will also enter tier three at the same time.

A new variant of coronavirus has been identified that "may be associated" with the faster spread in southern England, Mr Hancock added.

Pubs and restaurants in tier three must close except for takeaway and delivery.

Also under the rules, sports fans cannot attend events in stadiums, and indoor entertainment venues - such as bowling alleys and cinemas - must remain shut.

The health secretary told a Downing Street briefing that action had to be taken immediately - before the next scheduled review of England's three-tier system on Wednesday - to slow "sharp, exponential rises" in infection, adding that in some areas the virus was doubling around every seven days.

Speaking alongside Prof Chris Whitty, England's chief medical officer, and Prof Kevin Fenton, London regional director for Public Health England, Mr Hancock warned that hospitals across the capital, Essex and Kent were already "under pressure".

He described the rise in transmission and the new variant as "a salutary warning for the whole country".

"This isn't over yet," he said.

With Kent, Medway and Slough already under tier three rules, it means large parts of south-east England will soon join much of the Midlands, north-west England and north-east England under the strictest curbs on social contacts.

More than 34 million people will be in tier three when the changes come into effect, 21.5 million in tier two and about 700,000 in tier one.

The latest tier three areas include:

  • Greater London
  • The south and west of Essex (Basildon, Brentwood, Harlow, Epping Forest, Castle Point, Rochford, Maldon, Braintree and Chelmsford, along with Thurrock and Southend-On-Sea borough councils)
  • And the south of Hertfordshire (Broxbourne, Hertsmere, Watford and the Three Rivers local authority)
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What are tier three (very high) rules?

  • You cannot mix indoors, in private gardens or in most outdoor venues, except with your household or bubble
  • You can meet in a group of up to six in other outdoor spaces, such as parks, beaches or countryside
  • Shops, gyms and personal care services (such as hairdressing) can stay open
  • Bars, pubs, cafes and restaurants must stay closed, except for delivery and takeaway
  • Sports fans cannot attend events in stadiums
  • Indoor entertainment venues - such as bowling alleys and cinemas - must stay closed
  • People are advised not to travel to and from tier three areas
2px presentational grey line

Prof Whitty warned cases in some areas could rise "very rapidly" by Christmas - without action to combat the current doubling rate.

But he stressed it was "possible to turn this around with the tools we have", highlighting how areas such as Liverpool have successfully brought infection rates down.

Prof Fenton said it was a "pivotal moment" for London and parts of south-east England, which was why the government had had to take "quick and decisive action".

Asked whether the government should rethink plans to ease some restrictions for Christmas, Mr Hancock said "it's important everyone is cautious" ahead of the festive period, especially when meeting vulnerable people.

"But we do understand why people do want to get together with their families," he said.

Prof Whitty echoed his remarks, adding that people need to be conscious of the fact that the vaccine is "not going to give us a way out between now and Christmas or indeed for the two months following that".

On the new variant, which is being tested at Porton Down, Prof Whitty said it would be "pretty surprising" if it were to reduce the effectiveness of the vaccine.

Earlier, Mr Hancock told MPs there was "currently nothing to suggest" that the new variant was more likely to cause serious disease and advice was that it's "highly unlikely" the mutation would fail to respond to a vaccine.

Cases in parts of south-east England
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Labour's shadow health secretary Jonathan Ashworth said "none of us are surprised" at the action the health secretary is taking, but warned the country was "heading into the Christmas easing with diminishing headroom".

Meanwhile, London Mayor Sadiq Khan described the announcement as "incredibly disappointing" for businesses, but said it was clear the virus was "accelerating in the wrong direction" and urged all Londoners to follow the rules.

Essex County Council leader David Finch said local leaders would lobby the government for support "during this very challenging time", and Hertfordshire County Council's leader, David Williams, called for residents to "stay disciplined and stick to the guidance".

Sectors hit hard by the fresh restrictions expressed anger over the decision.

The director of the Theatres Trust said London's theatres would face "disaster" under the stricter rules, while business owners in the capital said it would "be a ghost town".

Kate Nicholls, of trade body UKHospitality, said the move places an "unfair, illogical and disproportionate burden on hospitality businesses without effectively tackling Covid".

And Emma McClarkin, chief executive of the British Beer & Pub Association, said the move into tier three was "another nail in the coffin for London's pubs, as well as those affected in parts of Hertfordshire and Essex".

There was also disappointment that sporting events in London would no longer be able to welcome fans from Wednesday.

An MP in an earlier briefing from Mr Hancock said they were told that the next review of the tier system would be on 23 December.

Coronavirus in London - statistics week ending 13 December 2020
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Some areas in and around London have recorded large increases in confirmed coronavirus cases over the past week.

In the week to 12 November, Havering was the only area of London in the top 100 places in England with the highest infection rates, at 85th.

It now has the fifth highest rate, at 506 cases per 100,000, BBC England data unit's Rob England said.

Back in November, London had the third lowest regional rate of about 187 cases per 100,000, while Yorkshire and the Humber recorded the highest at 443 per 100,000.

Now the two regions seem to have swapped places, with Yorkshire enjoying the third lowest rate of about 170 per 100,000.

Despite coronavirus cases continuing to rise, No 10 said the government "has no plans to review the Christmas guidelines" which effectively suspend the tier system of restrictions and allow more households to mix.

In Scotland, people have been told to "cut down" the number of contacts in the week before Christmas if they plan to meet up with relatives.

In Wales, a second health board has suspended non-urgent care amid a continued rise in cases. And a leading doctor in Northern Ireland said its health service is facing a "nightmare" scenario in January.

Overall on Sunday, confirmed cases rose by 19% across the UK compared with the previous seven days, with 18,447 reported. A further 144 deaths were also recorded.

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2020-12-14 18:39:00Z
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Covid: London to move into tier 3 as infections rise - BBC News

London will move into England’s highest tier of Covid restrictions from 00:01 GMT on Wednesday, Health Secretary Matt Hancock has said.

Parts of Essex and parts of Hertfordshire will also enter tier three at the same time.

A new variant of coronavirus has been identified "which may be associated with the faster spread in the south of England", Mr Hancock told the Commons.

Pubs and restaurants in tier three must close except for takeaway and delivery.

Also under the rules, sports fans cannot attend events in stadiums, and indoor entertainment venues - such as bowling alleys and cinemas - must remain shut.

The health secretary told MPs that action had to be taken immediately - before the next scheduled review of England's three-tier system on Wednesday - to slow "sharp, exponential rises" in infection, adding that in some areas the virus was doubling around every seven days.

Hospitals across the capital, Essex and Kent were already "under pressure", he warned.

He said there was "currently nothing to suggest" that the new variant was more likely to cause serious disease and advice was that it's "highly unlikely" the mutation would fail to respond to a vaccine.

But he urged vigilance and said "everyone needs to take personal responsibility not to spread this virus".

With Kent, Medway and Slough already under tier three rules, it means large parts of south-east England will soon join much of the Midlands, north-west England and north-east England under the strictest curbs on social contacts.

More than 34 million people will be in tier three when the changes come into effect, 21.5 million in tier two and about 700,000 in tier one.

The latest tier three areas include:

  • Greater London
  • The south and west of Essex (Basildon, Brentwood, Harlow, Epping Forest, Castle Point, Rochford, Maldon, Braintree and Chelmsford, along with Thurrock and Southend-On-Sea borough councils)
  • And the south of Hertfordshire (Broxbourne, Hertsmere, Watford and the Three Rivers local authority)

Mr Hancock is leading a Downing Street news conference alongside Prof Chris Whitty, England's chief medical officer, and Prof Kevin Fenton, London regional director for Public Health England.

2px presentational grey line

What are tier three (very high) rules?

  • You cannot mix indoors, in private gardens or in most outdoor venues, except with your household or bubble
  • You can meet in a group of up to six in other outdoor spaces, such as parks, beaches or countryside
  • Shops, gyms and personal care services (such as hairdressing) can stay open
  • Bars, pubs, cafes and restaurants must stay closed, except for delivery and takeaway
  • Sports fans cannot attend events in stadiums
  • Indoor entertainment venues - such as bowling alleys and cinemas - must stay closed
  • People are advised not to travel to and from tier three areas
2px presentational grey line

Labour's shadow health secretary Jonathan Ashworth said "none of us are surprised" at the action the health secretary is taking, but warned the country was "heading into the Christmas easing with diminishing headroom".

Meanwhile, London Mayor Sadiq Khan described the announcement as "incredibly disappointing" for businesses, but said it was clear the virus was "accelerating in the wrong direction" and urged all Londoners to follow the rules.

Essex County Council leader David Finch said local leaders would lobby the government for support "during this very challenging time".

And Hertfordshire County Council's leader, David Williams, acknowledged the changes would prompt concerns with residents and businesses but said: "We must all stay disciplined and stick to the guidance and rules if we are to improve the situation."

Cases in parts of south-east England
1px transparent line

Sectors hit hard by the fresh restrictions expressed anger over the decision.

The director of the Theatres Trust said London's theatres would face "disaster" under the stricter rules, while business owners in the capital said it would "be a ghost town".

Kate Nicholls, of trade body UKHospitality, said the move places an "unfair, illogical and disproportionate burden on hospitality businesses without effectively tackling Covid".

And Emma McClarkin, chief executive of the British Beer & Pub Association, said the move into tier three was "another nail in the coffin for London's pubs, as well as those affected in parts of Hertfordshire and Essex".

There was also disappointment that sporting events in London would no longer be able to welcome fans from Wednesday.

An MP in an earlier briefing from Mr Hancock said they were told that the next review of the tier system would be on 23 December.

Conservative MP Stephen Hammond, one of the London MPs who spoke with Mr Hancock, said some of the figures they had been shown "justified" the decision to move London into the most severe tier.

Mr Hammond denied that London had been treated as a special case by not being put in tier three earlier - saying last time around only small areas of London had seen big rises in cases.

Coronavirus in London - statistics week ending 13 December 2020
1px transparent line

Some areas in and around London have recorded large increases in confirmed coronavirus cases over the past week.

In the week to 12 November, Havering was the only area of London in the top 100 places in England with the highest infection rates, at 85th.

It now has the fifth highest rate, at 506 cases per 100,000, BBC England data unit's Rob England said.

Back in November, London had the third lowest regional rate of about 187 cases per 100,000, while Yorkshire and the Humber recorded the highest at 443 per 100,000.

Now the two regions seem to have swapped places, with Yorkshire enjoying the third lowest rate of about 170 per 100,000.

Despite coronavirus cases continuing to rise, No 10 said the government "has no plans to review the Christmas guidelines" which effectively suspend the tier system of restrictions and allow more households to mix.

In Scotland, people have been told to "cut down" the number of contacts in the week before Christmas if they plan to meet up with relatives.

In Wales, a second health board has suspended non-urgent care amid a continued rise in cases. And a leading doctor in Northern Ireland said its health service is facing a "nightmare" scenario in January.

Elsewhere, Covid vaccinations have started being given to patients at GP surgeries in England as part of the next stage of the rollout of the vaccine programme.

Overall on Sunday, confirmed cases rose by 19% across the UK compared with the previous seven days, with 18,447 reported. A further 144 deaths were also recorded.

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2020-12-14 17:59:00Z
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