Selasa, 15 Desember 2020

Mutated form of Covid has also been found in Wales, Scotland, Denmark and Australia - Daily Mail

Mutated form of Covid has been found in Wales, Scotland, Denmark and Australia and is now spreading quicker than dominant strain that was brought to the UK from Spain via summer holidaymakers

  • Experts confirmed virus has been found in small numbers in Scotland and Wales 
  • It is growing faster than the now-dominant strain did in the summer, they said
  • And it's spreading faster than any other strain in the UK at the moment 
  • Variant 'likely' emerged in England because little trace anywhere else in world 

The new strain of coronavirus revealed by Matt Hancock yesterday has spread to Scotland and Wales after emerging in England, scientists say.

Members of the UK's Covid-19 Genomics UK Consortium (COG-UK) said today that the variant appeared to have emerged in England and then spread across the UK.

And one warned that it appears to be spreading faster than the dominant strain, which was imported by holidaymakers from Spain in the summer and now accounts for the majority of infections.

The Health Secretary announced the strain's existence yesterday and said it appeared linked to an explosion of cases in London and the South East.

Experts researching the variant of the virus today said there was no hard evidence that this version could spread any faster, but that it was increasing at a far greater rate than any other strain in the country, which they are 'concerned about'.

At least 1,000 people have been found to have this form of the virus since it was discovered in late September but their locations have not been revealed.

Neither Public Health England or COG-UK, the organisations which discovered the strain, could confirm where it had been found.

Online lab records suggest the first instance of the virus came from the Government's Lighthouse Lab in Milton Keynes on September 20, and PHE said yesterday that the person who provided the swab was from Kent.

There is some concern that the mutated strain could be a shape that is not well recognised by the immune system and that vaccines might not be as effective. The UK's Covid-19 Genomics UK Consortium said it was investigating this and also looking into 'whether or not any of these mutations are contributing to increased transmission'. 

Mapping of coronavirus samples confirmed to have the mutations of the VUI – 202012/01 shows that almost all of them have been in England (large green circle denotes the proportional number of samples in England, not the geographic area covered), but it has also been found in Scotland, Wales and Denmark

Mapping of coronavirus samples confirmed to have the mutations of the VUI – 202012/01 shows that almost all of them have been in England (large green circle denotes the proportional number of samples in England, not the geographic area covered), but it has also been found in Scotland, Wales and Denmark

Surveillance of the strain shows it is increasing faster than all other strains except the dominant one, and has been making up an increasing share of the total infections (The new strain is shown in pink, and the timeline runs from May to December)

Surveillance of the strain shows it is increasing faster than all other strains except the dominant one, and has been making up an increasing share of the total infections (The new strain is shown in pink, and the timeline runs from May to December)

The mutation of the coronavirus has caused a change to the spike protein on its outside (shown in red), which is what the bug uses to attach to the human body (Original illustration of the virus by the US Centers for Disease Control and Prevention)

The mutation of the coronavirus has caused a change to the spike protein on its outside (shown in red), which is what the bug uses to attach to the human body (Original illustration of the virus by the US Centers for Disease Control and Prevention)

Professor Tom Connor, a genomics and virus expert from Cardiff University and a member of COG-UK said: 'It’s quite clear that it has spread beyond that [South East England] and it is it is spreading into other parts of the country.'

A history of the virus published online by the Neher Lab, at the University of Basel in Switzerland, shows how it has become more common over time.

After the first official records of the virus in September, progress was slow, and it wasn't until England's second wave took hold in late October that cases exploded.

This, scientists say, could be because the virus strain is faster spreading and made cases rise quicker – or it could be that it was simply found more often as cases surged naturally.

At the time of the first sample the UK was averaging just 3,700 positive coronavirus tests per day. By the start of November, when samples were coming in thick and fast, the average number of positive results had skyrocketed to 23,000 per day. 

Professor Nick Loman, a microbial genomics expert at the University of Birmingham, explained in a briefing this afternoon: 'We don’t have any evidence that this has come from any other countries. It’s sort of come out of nowhere. 

'We have a long gap between the first cases we saw with this variant in late September [and recent surge in cases]... It’s more likely to have evolved in the UK but we don’t know that. 

'There are very few examples of this variant in other countries at the moment – it’s really a kind of UK phenomenon.'

WHAT DO WE KNOW ABOUT THE NEW STRAIN OF CORONAVIRUS? 

What is the strain?

The strain, named VUI – 202012/01 by Public Health England, is a version of the SARS-CoV-2 coronavirus that is slightly different to older versions of the virus.

It has a series of 17 mutations, some of them on its spike protein, that change its shape slightly.

The spike protein is a part on the outside that the virus uses to attach to the body to cause infection. It is also the main target of the immune system. 

Specifically, the three main mutations are the changing of one amino acid to another and the deletion of two other amino acids. The amino acids are the building blocks of the virus.

The change is called N501Y, and the deleted parts are named His69 and Val70.

When was the strain discovered? 

Matt Hancock said yesterday that Public Health England identified the mutations as a separate, significant strain of the virus last week.

Lab sequences show that the earliest trace of the strain dates back to September 20, to a lab in Milton Keynes that is used to analyse people's swab tests.

Not all mutations are logged as new strains as soon as they are found, because some don't appear many times more, and others turn out to be totally insignificant. 

The UK's Covid-19 Genomics UK Consortium (COG-UK) said: 'It is difficult to predict whether any given mutation is important when it first emerges, against a backdrop of the continuous emergence of new mutations.'  

How common is this strain of the virus?

This is unclear. 

Not every swab test done in the UK has the genes analysed – COG-UK records the genetic sequence of around 10 per cent of swab tests done through the Department of Health.

It has so far identified VUI – 202012/01 in more than 1,000 people, according to Matt Hancock.

The samples have become significantly more common in October and November, but this may simply be a consequence of more people getting infected. 

There have been reports of the strain in at least 60 local authority areas in England, the Health Secretary said, but most evidence has come from London and the South East.

Where else has the strain been found?

The Nextstrain.org project, which logs lab reports of the strain, has found samples from records in Wales, Scotland and Denmark. 

Public Health England confirmed it was also in Australia. 

The vast majority are in England.

The virus strain is likely to be present in other countries but may not have been picked up by surveillance studies. 

Do the mutations make the virus more infectious or deadly, or make a vaccine less likely to work?

There is currently no reason to think the mutation changes the function of the virus in any way, nor the immune system's ability to prevent Covid-19. 

Matt Hancock said experts think it may make the virus spread faster, but there is not yet evidence to support this.

COG-UK said: 'The vast majority of the mutations observed in SARS-CoV-2 have no apparent effect on the virus and only a very small minority are likely to be important and change the virus in any appreciable way.'

The coronavirus has mutated thousands of times since it was first discovered in December but none appear to have changed how it behaves in a fundamental way.

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And he said the reason that the strain had been brought to public attention now was that it was spreading so fast.

Although it still makes up a small proportion of cases it is rapidly becoming a bigger factor and this could be because it spreads more quickly than other strains.

The scientists admitted it could be a coincidence but said they would expect other strains to see similar surges, which they haven't. 

The variant, named N501Y, seems to be spreading faster than the dominant strain (20A.EU1) did when it arrived in the UK from Spain in the summer. 

Professor Loman called it 'unusual' and added: 'That one did sweep the country and become the dominant variant quite quickly, and remains the dominant variant in the UK. The initial modelling shows this one is growing faster than that one.'

Professor Connor said: 'There are a large number of circulating lineages within the UK, but the key thing to think about is the observation of the increase over time.

'The results that came initially from modelling were that this is something that seems a bit out of ordinary, in our experience.'

England's chief medical officer, Professor Chris Whitty said last night: 'It does appear to be in an area of the country, particularly Kent and bits of London, [where cases] are increasing rapidly.

'Now we don’t know what’s cause and effect – is it getting more frequent because it’s in a part of the country where the rate of increase is going faster anyway, and therefore inevitably there’s a higher proportion [of the strain]? 

'Or is it this virus [strain] itself is possible to transmit more easily? That isn’t immediately clear.'

In a report on the new strain, published last night by COG-UK, experts said: 'It is difficult to predict whether any given mutation is important when it first emerges, against a backdrop of the continuous emergence of new mutations.'

They added: 'Efforts are under way to confirm whether or not any of these mutations are contributing to increased transmission.'

Making the virus spread faster currently appears to be the only possible danger posed by this mutation.

Scientists say it's unlikely that it will make the disease any worse or affect how well vaccines work.

Professor Adam Finn, a paediatrician at the University of Bristol and a member of the Government's Joint Committee on Vaccination and Immunisation, said on BBC Radio 4 this morning: 'What we tend to see is that viruses do mutate towards being more infectious because that creates an advantage for them, but I think it’s very important that people recognise that pathogens tend to evolve away from being virulent [disease-causing].

'So there’s not really an expectation that this virus will become more likely to kill you or make you seriously sick over time. 

'In fact, it tends to be an advantage for pathogens to be more benign because their hosts survive for longer and are infectious for longer, and that helps them spread about.' 

One of the concerns about the mutation was that antibodies developed for one strain of the virus might not work on the mutated version.

Antibodies are substances made by the immune system which can attack and destroy the coronavirus when it is inside the body. People who have had the virus once – or a vaccine – produce and keep the antibodies to protect them in case the virus gets into their body again, so they can get rid of it before they get ill.

But they are extremely specific. Antibodies for one virus generally won't work for another, and may not even work for other strains of the same virus. This is why people don't get immune to the flu – because influenza viruses mutate so often.

There is a chance that antibodies to the strain without the virus mutation might not work for the new strain, although this does not yet seem to be the case.

The consequence would be that a vaccine might not work as well, or that people would have a greater risk of catching the virus a second time.

But Professor Finn added: 'All the vaccines that we have coming through at the moment are based on the spike protein. 

'They induce immunity that is directed at many different parts of that protein and any one mutation would tend to change the shape and conformation of just one part, so it would be extremely bad luck if a mutation led to a complete collapse in the protective value of any particular vaccine.'

British Health Secretary Matt Hancock yesterday announced the new strain of the virus to the public and said it could be causing Covid-19 to spread faster

British Health Secretary Matt Hancock yesterday announced the new strain of the virus to the public and said it could be causing Covid-19 to spread faster

A timeline of the samples, published on Nextstrain.org, shows that the mutation first appeared in late September but did not become widespread until November when England's second wave really took off (Pictured: The furthest left green dot marks the first recorded instance of the strain, which came from the UK's Milton Keynes Lighthouse Lab)

A timeline of the samples, published on Nextstrain.org, shows that the mutation first appeared in late September but did not become widespread until November when England's second wave really took off (Pictured: The furthest left green dot marks the first recorded instance of the strain, which came from the UK's Milton Keynes Lighthouse Lab)

Some scientists reacting to the Department of Health's announcement about the mysterious new version of the virus – which Mr Hancock didn't name at the time – said it was totally normal for viruses to evolve.

They pointed out that the coronavirus has changed thousands of times this year since it was discovered, and none of the mutations appear to have changed it.

Professor Hugh Pennington, a bacteriologist from Aberdeen University, wrote in today's Daily Mail: 'Some viruses mutate more than others. The Covid virus is one which has fewer mutations but they still happen.

'If I were to be unkind to our Health Secretary, I would accuse him of having launched a new "Project Fear" yesterday to justify a further tightening of restrictions – and to buttress the new "lockdown" of London as it is placed under Tier Three restrictions.' 

Professor Jonathan Ball, a virologist at the University of Nottingham, said on Times Radio: 'I think many of us were surprised that yesterday was the day of all days to pick on flagging this particular variant of virus, and potentially linking it to the fact that it might have this advantageous spread – because at the moment the biological evidence, the data isn’t there.

'We suspect some of the changes might impact on behaviour but we’ve not done the necessary laboratory tests so we shouldn’t really be saying that.'

Asked whether he thought the announcement was politically motivated, Professor Ball added: 'It’s not for me to draw any great conclusions but I think people can see that it was made on the same day that it was announced London and parts of the South East were going to be put into Tier Three.'  

HOW DID THE MUTATED STRAIN OF CORONAVIRUS EMERGE? 

Like all viruses, the coronavirus (SARS-CoV-2) has a piece of genetic code which contains all the information the virus needs to survive and reproduce. 

It is made of RNA, which is a single stranded version of its more famous bigger brother, DNA. RNA is made of four types of molecules, known simply as A, U, C and G.

Three of these bases in a row provide the blueprint for bigger molecules known as amino acids, which are the building blocks of every organic thing on Earth. 

Once the virus has infected a person's cells, such as a human lung cell, it reproduces by forcing the human cell to read its RNA and make more viruses.

These replicas are designed to be exactly the same, which is made possible because the RNA is the same, but sometimes the the cells can 'misread' the genetic code and introduce an error. This is where mutation occurs.

A glitch in the process can cause one of the A, U, C, G to be either deleted or swapped for another one, which changes how the physical form of the virus is produced. 

Other causes of mutations include interactions with other viruses infecting the same cell and changes induced by the host's or a person's own immune system. 

Most mutations to SARS-CoV-2 are due to the latter, researchers have said previously.  

These happen completely at random and are common. 

Researchers have found the mutation rate of SARS-CoV-2 to be unusually slow compared to other viruses, such as flu and HIV. 

Nevertheless, the SARS-CoV-2 has mutated, with several different strains emerging. 

One, D614G, emerged in February and is now the dominant strain worldwide. 

This happens on the spike protein which binds to the ACE2 receptor, allowing the virus to infect the cell. The mutation, at the 614th location on the spike, saw a 'D' code for aspartate to a 'G' for glycine.

The new mutation occured at the 501st location on the spike protein and saw a 'N' code for the amino acid Asparagine which changed to a 'Y' for Tyrosine.

Of the three bases which code for the amino acid, only one was incorrect. Instead of being AAU, it ended up being UAU. This single change altered the amino acid that was produced, affecting the structure of the spike. 

As well as this swap, two amino acids were deleted, called H69/V70, which are found on the first subunit of the spike protein in the receptor-binding domain, a key location as it is where the spike latches on to the ACE2 receptor.  

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2020-12-15 17:35:00Z
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Coronavirus: Pressure grows on ministers to scrap Christmas easing plan - The Times

Ministers are publicly agonising over whether to scrap the Christmas easing of social distancing rules as they hold talks to reconsider the plan this afternoon.

Pressure is growing for a rethink on a five-day relaxation of coronavirus rules after health service leaders warned it would “cost many lives”.

Sir Keir Starmer this afternoon urged Boris Johnson to review the plan, saying “the situation has clearly taken a turn for the worse since the decision about Christmas was taken”.

Cases and hospital admissions are rising with warnings that the NHS will exceed its spring peak of Covid patients by the end of the month. Jeremy Hunt, the former health secretary, said ministers should listen “very carefully” to calls for a rethink.

“To go into the start

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2020-12-15 17:00:00Z
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Covid: 'Rash' Christmas rules 'will cost many lives' - BBC News

Grandfather sits with granddaughter during festive period
Getty Images

The plan to ease Covid rules over Christmas in the UK is a "rash decision" that will "cost many lives", two leading medical journals have said.

The Health Service Journal and British Medical Journal said people might see the lifting of restrictions "as permission to drop their guard".

Cabinet minister Michael Gove will call officials in Scotland, Northern Ireland and Wales to discuss the issue later.

Labour has called on ministers to hold an emergency review of the plans.

No 10 said the rules were "under constant review" but it still intended to allow families to meet up.

The prime minister's spokesman said the government had been clear that people needed to "remain cautious and vigilant" during the five days of relaxed rules from 23 to 27 December.

The BBC's Nick Eardley said one possible change being discussed was a limit on how far people can travel, but he stressed that no decisions had been taken.

It comes as millions of people in London and parts of Hertfordshire and Essex prepare to move into England's toughest tier of coronavirus rules at 00:01 GMT on Wednesday.

In a joint editorial criticising the UK's Christmas rules, the editors of HSJ and BMJ wrote: "We believe the government is about to blunder into another major error that will cost many lives.

"If our political leaders fail to take swift and decisive action, they can no longer claim to be 'protecting the NHS'."

They stressed that demand on the NHS was increasing, and added that a new strain of coronavirus "has introduced further potential jeopardy".

Labour leader Sir Keir Starmer urged Prime Minister Boris Johnson to convene an emergency Cobra meeting to review the Christmas rules.

In a letter, he acknowledged that people "want to spend time with their families after this awful year", but said "the situation has clearly taken a turn for the worse since the decision about Christmas was taken".

At the end of November, the leaders of the four UK nations agreed to allow some coronavirus rules to be temporarily relaxed over the festive period.

Travel restrictions will be eased to allow up to three households to form a bubble and stay overnight at each other's homes.

Ahead of the latest talks, Scotland's First Minister Nicola Sturgeon said there was "a case" for tightening planned rules over the Christmas period - "both in terms of duration and numbers of people meeting".

She said coming to a four nations agreement "would be preferable", but added: "If that is not possible then of course we will consider within the Scottish government what we think is appropriate."

Wales' First Minister Mark Drakeford said he would not "lightly" put aside the agreement the four nations have reached, while Northern Ireland's health minister would not speculate on potential rule changes ahead of the call.

A further 20,263 cases and a 232 deaths within 28 days of a positive test were recorded in the UK on Monday, according to government figures.

Presentational grey line
Analysis box by Nick Triggle, health correspondent

When the government announced the relaxation of rules for Christmas, it was hoped cases would be falling right up to the festive period.

It was mid-lockdown and with the new tougher system of regional tiers in the pipeline, the hope was that the virus could be contained.

That has not turned out to be the case - hence the moving of London and some of the surrounding areas into tier three.

As always, the bottom line is the risk to the NHS - so it's worth pointing out that for all the pressure at the moment hospitals still have more beds free than this time last year.

The full impact of the festive relaxation is, of course, impossible to predict. The UK's chief medical adviser Prof Chris Whitty has called it a "modest" relaxation - after all, in tier three areas hospitality will still be closed for all but takeaways.

The judgement that has been made is that the benefits outweigh the costs.

Allowing families to come together will be an important boost after such a difficult year, the government believes. What is more, there was a fear the public would just ignore pleas not to mix.

But it clearly comes with risks - that's why the public is being asked to exercise caution.

Presentational grey line

If the UK's Christmas plans are not changed, BMJ editor in chief Fiona Godlee said "we will have people sitting in ambulances, we will have people in corridors" as hospitals become overwhelmed with a surge in Covid patients.

Speaking to BBC News, she said: "On the current trend, if nothing is done, by New Year's Day there will be as many people in hospital with Covid-19 as there were at the peak of the first phase in April.

"That's even without the Christmas relaxation - so if you add that on top, and then on top of that the winter pressures that we always see in the NHS at winter, you will see a worrying scenario of people not being able to get the care they need."

She also said England's tiered system is "not succeeding in what it set out to do", as case numbers have continued to increase in some areas in the top tiers.

A review of which areas of England are in which tier is scheduled to take place on Wednesday.

It has already been announced that some 10.8 million people across London, Essex and Hertfordshire will join tier three on Wednesday, bringing the total number of people living under the toughest restrictions to 34 million people - or 61% of England's population.

Under tier three - very high alert - rules, pubs and restaurants must close, except for takeaway and delivery, and indoor entertainment venues such as theatres, bowling alleys and cinemas must remain shut.

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2020-12-15 15:18:00Z
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COVID-19: Gove to hold talks with devolved nations over relaxation of rules at Christmas - Sky News

Cabinet Office minister Michael Gove will speak with the devolved nations later this afternoon about next week's relaxation of coronavirus rules over Christmas.

The call is expected to take place at around 5pm, it is believed.

Live COVID-19 updates from the UK and around the world

Sky News understands that potential alternative options that could emerge include:

  • Keeping the rules as they are but toughening up the messaging
  • Reducing the number of days the rules are relaxed for
  • Reducing the number of households that are allowed to mix
  • Still allowing travel but restricting it to the same region
  • Moving the window to another time.

Under plans agreed with the devolved administrations of Scotland, Wales and Northern Ireland, up to three households will be able to form a "Christmas bubble" and meet between 23 and 27 December.

But the government is facing growing calls to rethink its relaxation of restrictions over the festive period, amid rising infection rates in some parts of the country.

Health Secretary Matt Hancock told MPs on Monday that the last week had seen "very sharp, exponential rises in the virus across London, Kent, parts of Essex and Hertfordshire".

More from Covid-19

In a sign that there might be resistance towards a change in approach among the devolved nations, Wales' First Minister Mark Drakeford described the four nations approach to Christmas as a "hard-won agreement" and said he will "not lightly put it aside".

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SAGE member calls for Christmas changes

Scotland's First Minister Nicola Sturgeon told MSPs that the devolved nations are considering "whether there should be any change" to the festive relaxation.

Health Minister Robin Swann declined to speculate ahead of the talks, telling the Northern Ireland Assembly: "We'll wait to see the outcome of that meeting and what it recommends."

Labour leader Sir Keir Starmer has urged Boris Johnson to think again, a call that has been echoed by London mayor Sadiq Khan.

In a letter to the prime minister, Sir Keir said that while he understood that people will want to spend time with their loved ones after an "awful year", the situation has "clearly taken a turn for the worse since the decision about Christmas was taken".

And Mr Khan told Sky News: "What I'd say to the government is I'm not sure you've got it right, in fact I'm sure you haven't got it right in relation to the relaxations over Christmas."

Two prominent medical journals have said ministers should "follow the more cautious examples of Germany, Italy and the Netherlands" and not relax the rules.

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Govt 'not right' on Xmas rules

In a rare joint editorial, the British Medical Journal and Health Service Journal said the government should "reverse its rash decision to allow household mixing and instead extend the tiers over the five-day Christmas period".

The government is "about to blunder into another major error that will cost many lives", the journals warned.

Speaking at a regular briefing with journalists earlier, the PM's spokesman said it remained the government's "intention" to allow up to three households to mix over Christmas.

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'Balance to be struck' over Christmas guidelines

The spokesman said the data will be kept "under constant review", but ministers wanted to "give families and friends the option to meet up".

Conservative MP and former minister Mark Harper, who chairs the COVID Recovery Group (CRG) of Tory lockdown sceptics, has suggested that MPs should get a vote if they government opts to change the Christmas restrictions.

Raising a point of order in the Commons, he said: "Am I right in thinking, Madam Deputy Speaker, given the regulations governing Christmas were voted on explicitly by this House that if there were any proposal to change them then that decision should not be one just for ministers, but it should be brought back to this House for a vote to take place on it before Christmas?"

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Hancock defends easing restrictions over Christmas

Deputy Speaker Dame Rosie Winterton replied: "As I understand it, the ministers may well have the power to change the Christmas regulations without coming back to the House.

"They have taken that power. Obviously you've expressed a point of view that it would be desirable if they were to come back, but as I understand it they do have the power to vary them if they feel it is appropriate."

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2020-12-15 15:11:15Z
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COVID-19: Gove to hold talks with devolved nations over relaxation of rules at Christmas - Sky News

Cabinet Office minister Michael Gove will speak with the devolved nations later this afternoon about next week's relaxation of coronavirus rules over Christmas, Sky News understands.

The call is expected to take place at around 5pm, it is believed.

Live COVID-19 updates from the UK and around the world

Sky News understands that potential alternative options that could emerge include:

  • Keeping the rules as they are but toughening up the messaging
  • Reducing the number of days the rules are relaxed for
  • Reducing the number of households that are allowed to mix
  • Still allowing travel but restricting it to the same region
  • Moving the window to another time.

Under plans agreed with the devolved administrations of Scotland, Wales and Northern Ireland, up to three households will be able to form a "Christmas bubble" and meet between 23 and 27 December.

But the government is facing growing calls to rethink its relaxation of restrictions over the festive period, amid rising infection rates in some parts of the country.

Health Secretary Matt Hancock told MPs on Monday that the last week had seen "very sharp, exponential rises in the virus across London, Kent, parts of Essex and Hertfordshire".

More from Covid-19

In a sign that there might be resistance towards a change in approach among the devolved nations, Wales' First Minister Mark Drakeford described the four nations approach to Christmas as a "hard-won agreement" and said he will "not lightly put it aside".

Scotland's First Minister Nicola Sturgeon told MSPs that the devolved nations are considering "whether there should be any change" to the festive relaxation.

Labour leader Sir Keir Starmer has urged Boris Johnson to think again, a call that has been echoed by London mayor Sadiq Khan.

In a letter to the prime minister, Sir Keir said that while he understood that people will want to spend time with their loved ones after an "awful year", the situation has "clearly taken a turn for the worse since the decision about Christmas was taken".

And Mr Khan told Sky News: "What I'd say to the government is I'm not sure you've got it right, in fact I'm sure you haven't got it right in relation to the relaxations over Christmas."

Two prominent medical journals have said ministers should "follow the more cautious examples of Germany, Italy and the Netherlands" and not relax the rules.

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The mayor of London believes the government should think again about allowing households to mix at Christmas.

In a rare joint editorial, the British Medical Journal and Health Service Journal said the government should "reverse its rash decision to allow household mixing and instead extend the tiers over the five-day Christmas period".

The government is "about to blunder into another major error that will cost many lives", the journals warned.

Speaking at a regular briefing with journalists earlier, the PM's spokesman said it remained the government's "intention" to allow up to three households to mix over Christmas.

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Steve Barclay says people should not 'misinterpret' government over Christmas behaviour.

The spokesman said the data will be kept "under constant review", but ministers wanted to "give families and friends the option to meet up".

Conservative MP and former minister Mark Harper, who chairs the COVID Recovery Group (CRG) of Tory lockdown sceptics, has suggested that MPs should get a vote if they government opts to change the Christmas restrictions.

Raising a point of order in the Commons, he said: "Am I right in thinking, Madam Deputy Speaker, given the regulations governing Christmas were voted on explicitly by this House that if there were any proposal to change them then that decision should not be one just for ministers, but it should be brought back to this House for a vote to take place on it before Christmas?"

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Health Secretary Matt Hancock says people must be careful now if they want to be social over Christmas.

Deputy Speaker Dame Rosie Winterton replied: "As I understand it, the ministers may well have the power to change the Christmas regulations without coming back to the House.

"They have taken that power. Obviously you've expressed a point of view that it would be desirable if they were to come back, but as I understand it they do have the power to vary them if they feel it is appropriate."

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2020-12-15 14:37:30Z
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COVID-19: Gove to hold talks with devolved nations over relaxation of rules at Christmas - Sky News

Cabinet Office minister Michael Gove will speak with the devolved nations later this afternoon about next week's relaxation of coronavirus rules over Christmas, Sky News understands.

The call is expected to take place at around 5pm, it is believed.

Sky News understands that potential alternative options that could emerge include:

  • Keeping the rules as they are but toughening up the messaging
  • Reducing the number of days the rules are relaxed for
  • Reducing the number of households that are allowed to mix
  • Still allowing travel but restricting it to the same region
  • Moving the window to another time.

Under plans agreed with the devolved administrations of Scotland, Wales and Northern Ireland, up to three households will be able to form a "Christmas bubble" and meet between 23 and 27 December.

In a sign that there might be resistance towards a change in approach among the devolved nations, Wales' First Minister Mark Drakeford described the four nations approach to Christmas as a "hard-won agreement" and said he will "not lightly put it aside".

But the government is facing growing calls to rethink its relaxation of restrictions over the festive period, amid rising infection rates in some parts of the country.

Labour leader Sir Keir Starmer has urged Boris Johnson to think again, a call that has been echoed by London mayor Sadiq Khan.

More from Covid-19

In a letter to the prime minister, Sir Keir said that while he understood that people will want to spend time with their loved ones after an "awful year", the situation has "clearly taken a turn for the worse since the decision about Christmas was taken".

And Mr Khan told Sky News: "What I'd say to the government is I'm not sure you've got it right, in fact I'm sure you haven't got it right in relation to the relaxations over Christmas."

Two prominent medical journals have said ministers should "follow the more cautious examples of Germany, Italy and the Netherlands" and not relax the rules.

In a rare joint editorial, the British Medical Journal and Health Service Journal said the government should "reverse its rash decision to allow household mixing and instead extend the tiers over the five-day Christmas period".

The government is "about to blunder into another major error that will cost many lives", the journals warned.

Speaking at a regular briefing with journalists earlier, the PM's spokesman said it remained the government's "intention" to allow up to three households to mix over Christmas.

The spokesman said the data will be kept "under constant review", but ministers wanted to "give families and friends the option to meet up".

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https://news.google.com/__i/rss/rd/articles/CBMie2h0dHBzOi8vbmV3cy5za3kuY29tL3N0b3J5L2NvdmlkLTE5LWdvdmUtdG8taG9sZC10YWxrcy13aXRoLWRldm9sdmVkLW5hdGlvbnMtb3Zlci1yZWxheGF0aW9uLW9mLXJ1bGVzLWF0LWNocmlzdG1hcy0xMjE2MjU0ONIBf2h0dHBzOi8vbmV3cy5za3kuY29tL3N0b3J5L2FtcC9jb3ZpZC0xOS1nb3ZlLXRvLWhvbGQtdGFsa3Mtd2l0aC1kZXZvbHZlZC1uYXRpb25zLW92ZXItcmVsYXhhdGlvbi1vZi1ydWxlcy1hdC1jaHJpc3RtYXMtMTIxNjI1NDg?oc=5

2020-12-15 14:15:00Z
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