Rabu, 30 Desember 2020

Covid-19: Oxford-AstraZeneca coronavirus vaccine approved for use in UK - BBC News

Laboratory worker at the Oxford Vaccine Group's facility
Reuters

The Oxford-AstraZeneca vaccine has been approved for use in the UK, with the first doses due to be given on Monday.

The UK has ordered 100 million doses - enough to vaccinate 50 million people.

Along with the Pfizer-BioNTech jab, the UK now has enough to cover the entire population, Health Secretary Matt Hancock said.

He described the development as a "significant moment" in the fight against the virus.

Speaking on BBC Breakfast, he said he could "now say with confidence we can vaccinate everyone".

"We've got enough of this vaccine on order to vaccinate the whole population - 100 million doses. Add that to the 30 million doses of Pfizer and that's enough for two doses for the entire population," he added.

It comes as millions more people in England are expected to be placed under the toughest tier four - "stay at home" - coronavirus restrictions amid escalating case numbers.

On Tuesday, 53,135 new Covid cases were recorded in the UK - the highest single day rise since mass testing began - as well as 414 more deaths within 28 days of a positive test.

The Oxford-AstraZeneca vaccine was designed in the first months of 2020, tested on the first volunteer in April, and has since been through large-scale clinical trials involving thousands of people.

It has been developed at a pace that would have been unthinkable before the pandemic.

It is the second jab to be approved in the UK after the Pfizer-BioNTech vaccine was given the go-ahead in December.

2px presentational grey line
Analysis box by James Gallagher, health and science correspondent

The approval of the Oxford-AstraZeneca vaccine marks a major turning point in the pandemic.

It will lead to a massive expansion in the UK immunisation campaign aimed at getting life back to normal.

The shift to giving as many people as possible the first doses of either approved vaccine effectively doubles the number of people given some protection.

The second dose, which gives maximum protection, will come up to three months later.

However, the next couple of months still look bleak.

Health officials have spoken of "unprecedented" levels of infection and some hospitals are struggling with the number of patients.

The restrictions we are all living under are likely to get tougher before vaccines make a tangible difference and sets us on the path to normality.

2px presentational grey line

More than 600,000 people in the UK have been vaccinated since Margaret Keenan became the first in the world to get that jab outside of a clinical trial.

But the Oxford-AstraZeneca vaccine will lead to a significant increase in vaccination as it is cheap and easy to mass produce.

Crucially it can be stored in a standard fridge - unlike the Pfizer-BioNTech jab which needs ultra cold storage at -70C - so it will be far easier to get the Oxford vaccine to care homes and GP surgeries.

Priority groups for immunisation - including the elderly, care home residents and health and care workers - have already been identified.

The new vaccine approval comes after Public Health England said the country was facing "unprecedented" levels of infections, and health officials in parts of Wales, Scotland and the south of England voiced concerns about the increasing pressure on the NHS.

Who will get the vaccine?

The immunisation campaign will now shift to giving as many people as possible their first dose of vaccine.

The aim will be to give as many vulnerable people some protection from Covid-19.

The decision is based on advice from the Joint Committee on Vaccination and Immunisation.

A Department of Health and Social Care spokesperson said: "The priority should be to give as many people in at-risk groups their first dose, rather than providing the required two doses in as short a time as possible.

"Everyone will still receive their second dose and this will be within 12 weeks of their first. The second dose completes the course and is important for longer term protection."

How effective is the Oxford vaccine?

There are three figures doing the rounds - 62%, 70% and 90%.

The first analysis of the trial data showed 70% of people were protected from developing Covid-19 and nobody developed severe disease or needed hospital treatment.

The figure was just 62% when people were given two full doses of the jab and 90% when they were first given a half dose and then a full one.

The Medicines and Healthcare products Regulatory Agency (MHRA) has approved two full doses of the Oxford-AstraZeneca vaccine.

However, unpublished data suggests that leaving a longer gap between the first and second doses increases the overall effectiveness of the jab.

There was not enough clear data to approve the half-dose, full-dose idea.

All the vaccines are expected to be equally effective against the new variants of the virus that have emerged.

How does it work?

The vaccine is a genetically modified common cold virus that used to infect chimpanzees.

It has been altered to stop it causing an infection in people and to carry the blueprints for part of the coronavirus, known as the spike protein.

Once these blueprints are inside the body they start producing the coronavirus' spike protein, which the immune system recognizes as a threat and tries to squash it.

Then, when the immune system comes into contact with the virus for real, it already knows what to do.

Graphic

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2020-12-30 07:34:00Z
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Covid-19: Oxford-AstraZeneca coronavirus vaccine approved for use in UK - BBC News

Laboratory worker at the Oxford Vaccine Group's facility
Reuters

The coronavirus vaccine designed by scientists at the University of Oxford has been approved for use in the UK.

It will lead to a massive expansion in the UK's immunisation campaign - aimed at getting life back to normal.

Health Secretary Matt Hancock said the rollout will start on 4 January "and will really accelerate into the first few weeks of next year".

The UK has ordered 100 million doses from the manufacturer AstraZeneca - enough to vaccinate 50 million people.

The approval, by the medicines regulator, means the vaccine is both safe and effective.

The Oxford-AstraZeneca vaccine was designed in the first months of 2020, tested on the first volunteer in April, and has since been through large-scale clinical trials involving thousands of people.

  • Oxford vaccine: How did they make it so fast?
  • Concern at 'unprecedented' English infection level

It has been developed at a pace that would have been unthinkable before the pandemic.

It is the second jab to be approved in the UK after the Pfizer-BioNTech vaccine was given the go-ahead in December.

More than 600,000 people in the UK have been vaccinated since Margaret Keenan became the first in the world to get that jab outside of a clinical trial.

But the Oxford-AstraZeneca vaccine will lead to a significant increase in vaccination as it is cheap and easy to mass produce.

Crucially it can be stored in a standard fridge - unlike the Pfizer-BioNTech jab which needs ultra cold storage at -70C - so it will be far easier to get the Oxford vaccine to care homes and GP surgeries.

Priority groups for immunisation - including the elderly, care home residents and health and care workers - have already been identified.

The new vaccine approval comes after Public Health England said the country was facing "unprecedented" levels of infections, and health officials in parts of Wales, Scotland and the south of England voiced concerns about the increasing pressure on the NHS.

Who will get the vaccine?

The immunisation campaign will now shift to giving as many people as possible their first dose of vaccine.

The aim will be to give as many vulnerable people some protection from Covid-19.

The decision is based on advice from the Joint Committee on Vaccination and Immunisation.

A Department of Health and Social Care spokesperson said: "The priority should be to give as many people in at-risk groups their first dose, rather than providing the required two doses in as short a time as possible.

"Everyone will still receive their second dose and this will be within 12 weeks of their first. The second dose completes the course and is important for longer term protection."

How effective is the Oxford vaccine?

There are three figures doing the rounds - 62%, 70% and 90%.

The first analysis of the trial data showed 70% of people were protected from developing Covid-19 and nobody developed severe disease or needed hospital treatment.

The figure was just 62% when people were given two full doses of the jab and 90% when they were first given a half dose and then a full one.

The Medicines and Healthcare products Regulatory Agency (MHRA) has approved two full doses of the Oxford-AstraZeneca vaccine.

However, unpublished data suggests that leaving a longer gap between the first and second doses increases the overall effectiveness of the jab.

There was not enough clear data to approve the half-dose, full-dose idea.

All the vaccines are expected to be equally effective against the new variants of the virus that have emerged.

How does it work?

The vaccine is a genetically modified common cold virus that used to infect chimpanzees.

It has been altered to stop it causing an infection in people and to carry the blueprints for part of the coronavirus, known as the spike protein.

Once these blueprints are inside the body they start producing the coronavirus' spike protein, which the immune system recognizes as a threat and tries to squash it.

Then, when the immune system comes into contact with the virus for real, it already knows what to do.

Graphic

Follow James on Twitter.

Banner saying 'Get in touch'

Do you have any questions about the coronavirus vaccine? Email haveyoursay@bbc.co.uk.

Or use this form to get in touch:

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2020-12-30 07:17:00Z
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Selasa, 29 Desember 2020

Covid: Millions more braced for tougher rules in England - BBC News

A patient is treated inside an ambulance at Guy's Hospital in central London on Tuesday
Getty Images

Millions more people in England are expected to be placed under tougher coronavirus restrictions amid escalating case numbers.

Government sources have indicated an announcement later will see more areas move into tier four - "stay at home".

Health Secretary Matt Hancock is due to detail the changes - which could be introduced within days - in the House of Commons after 14:30 GMT.

The West Midlands and Hartlepool are among the areas that could be affected.

Infection rates in lower tier areas of England have risen rapidly in the last seven days, according to the latest government data.

Parts of the East Midlands, such as Northamptonshire and Leicestershire, as well as all areas of the West Midlands metropolitan county are other areas which could move into tier four.

And it is thought a handful of areas in Lancashire - Blackburn with Darwen, Burnley, Pendle and Ribble Valley - could be upgraded from tier three.

There may also be further curbs for areas already in the highest tier amid concerns tier four rules are not enough to stop the fast-spreading new virus variant.

On Tuesday, 53,135 new Covid cases were recorded in the UK - the highest single day rise since mass testing began - as well as 414 more deaths within 28 days of a positive test.

It comes as:

  • Several government advisers suggest keeping secondary schools closed - or staggering their reopening - could help drive down infections next month
  • NHS bosses warn of "narrowing" options for dealing with pressures on the health service amid reports some patients may need to be transferred out of London for treatment
  • Ambulances are seen queuing outside hospitals in east London and Birmingham as doctors report wards are "overstretched"

Around 40% of people in England, including London, parts of the East of England and much of the South East, are currently under tier four rules.

It requires non-essential shops, beauty salons and hairdressers to close, and limit people to meeting in a public outdoor place with their household, or one other person.

Prime Minister Boris Johnson is reportedly considering how best to reopen England's secondary schools as government advisers said keeping them closed could ease pressure on the NHS.

Infectious diseases expert Prof Neil Ferguson has said that while "nobody wants to keep schools shut" it may be the only alternative "to having exponentially growing numbers of hospitalisations" - which are now at record levels in England and Wales.

He said that because the new virus variant, initially discovered in Kent, appears to be much more transmissible, it is possible closing schools may not be enough to stop the spread.

Graph showing daily cases rising in the UK
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Another adviser, Prof Andrew Hayward, said a staggered return to classrooms may be appropriate if schools reopen and that "we're going to have to have increased, strict restrictions in other areas of society to pay for that".

Labour's shadow education secretary Kate Green urged Education Secretary Gavin Williamson to confirm the government's plan for schools and colleges, with just two working days before the new term begins for many on Monday.

Mr Johnson will chair a meeting later to decide whether delaying the reopening of England's secondary schools until 18 January would bring infection rates down, the Daily Telegraph reported.

His official spokesman earlier said the government was "still planning for a staggered opening" of secondary schools after Christmas but "we obviously keep all measures under constant review".

Preliminary research by Public Health England has found no evidence the new variant is more able to infect children than other variants, BBC health correspondent Nick Triggle said.

Graph showing hospital admissions in different parts of the UK
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Meanwhile, some hospitals in London have begun exploring the transfer of critically ill patients to NHS trusts outside the capital as wards reach capacity, the Health Service Journal reported.

Figures from NHS England showed there were 21,787 patients in NHS hospitals in England as of 08:00 on Tuesday, compared with 20,426 on Monday, and 18,974 at the first wave peak on April 12.

Five of the seven NHS regions in England are currently reporting a record number of Covid-19 hospital patients: Eastern England, London, the Midlands, south-east England and south-west England.

The other two regions, north-east and north-west England, remain below peak levels that were set in mid-November.

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In Scotland, First Minister Nicola Sturgeon said it was vital people did not mix indoors with other households, including at Hogmanay, amid level four restrictions across mainland areas.

Police in Wales turned away visitors to the Brecon Beacons, some of whom travelled from as far away as London.

In Northern Ireland, health minister Robin Swann warned of a "significant rise" in Covid cases among younger adults aged 20 to 39.

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2020-12-30 01:31:00Z
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Brexit: Boris Johnson says trade deal is a 'resolution' of UK-EU relations - Sky News

Boris Johnson will claim the Brexit trade deal agreed on Christmas Eve represents "not a rupture but a resolution" of relations between the UK and Europe, as he urges MPs to back the legislation that will put it into law.

The government intends to pass the EU Future Relationship Bill through parliament at break-neck speed on Wednesday, completing all stages of the process in both the House of Commons and House of Lords in a single day.

That timetable has been criticised by some MPs, who argue legislation of such significance should be subject to much greater parliamentary scrutiny.

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What's in the Brexit trade deal?

Opening the debate, the prime minister is expected to say: "Those of us who campaigned for Britain to leave the EU never sought a rupture with our closest neighbours.

"We would never wish to rupture ourselves from fellow democracies beneath whose soil lie British war graves in tranquil cemeteries, often tended by local schoolchildren, testament to our shared struggle for freedom and everything we cherish in common.

"What we sought was not a rupture but a resolution, a resolution of the old and vexed question of Britain's political relations with Europe, which bedevilled our post-War history.

"First we stood aloof, then we became a half-hearted, sometimes obstructive member of the EU.

More from Brexit

"Now, with this bill, we shall be a friendly neighbour - the best friend and ally the EU could have - working hand-in-glove whenever our values and interests coincide while fulfilling the sovereign wish of the British people to live under their own laws, made by their own elected Parliament.

"That is the historic resolution delivered by this bill."

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PM hails free trade deal with EU

The Commons is expected to spend five hours debating the 80-page bill, then the House of Lords will debate late into the evening.

If the bill is passed by Parliament the UK-EU trade agreement will come into effect after 11pm on Thursday evening.

It comes after the once-rebellious Brexiteer wing of the Conservative party indicated they would back the government.

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'Parting is such sweet sorrow' - EU

A legal opinion set out by the "star chamber" of lawyers for the European Research Group concluded "the Agreement preserves the UK's sovereignty as a matter of law and fully respects the norms of international sovereign-to-sovereign treaties".

Conservative MP Andrew Bridgen told Sky News "to a man and a woman the ERG will support the deal".

"The prime minister could have capitulated and had a deal weeks ago - but he stuck to his guns, and in the end it was the EU that moved and gave us an FTA that respected our sovereignty and did not cross any of the red lines", he added.

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The UK's journey to a Brexit trade deal

Labour Leader Sir Keir Starmer has also instructed his MPs to vote in favour of the deal, arguing the alternative would be a no-deal Brexit, though several are expected to vote against.

Labour are also planning to seek amendments to the bill that would require the government to provide twice-yearly economic impact assessments of the trading relationship.

Sir Keir is under pressure from senior backbenchers, including the former shadow chancellor John McDonnell, Clive Lewis and Ben Bradshaw, who have called on him to rethink his position and oppose the bill.

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Barnier: 'Nothing to celebrate about divorce'

But with little chance of a substantial Conservative rebellion, and with Labour's support unlikely to change, the bill is almost certainly going to be passed into law.

However, the DUP - who support Brexit in principle - have said they will not vote in favour of the trade deal due to concerns Northern Ireland remains tied to the EU more closely than the rest of the UK.

The party's Brexit spokesman, Sammy Wilson, told Sky News the speed at which the government was attempting to pass the legislation meant scrutiny would be insufficient.

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Brexit: Fishing and finance services frustrated

"My fear is we'll push this through in haste and repent at our leisure for some of the things which we discover later on are in it which don't deliver."

The Scottish National Party and Liberal Democrats have also indicated they will vote against the legislation.

While the debate is going on in Westminster, the deal itself will be signed in Brussels by European Commission president Ursula von der Leyen and European Council President Charles Michel before being flown to London for the prime minister to add his signature.

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2020-12-29 22:33:45Z
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