Senin, 01 Maret 2021

Brazilian variant: Boris Johnson defends UK Covid border measures - BBC News

Prime Minister Boris Johnson has defended the government's measures to prevent new coronavirus variants being imported into the UK.

It comes as officials seek a person in England who has been infected with a concerning variant of the virus first found in Brazil.

They are one of six cases of the P1 variant found in the UK in February.

Mr Johnson said there is a "massive effort" under way to prevent the Brazilian variant from spreading.

The missing person infected with the variant is understood to have used a home testing kit, but did not complete their registration form properly.

It has prompted an appeal for anyone without a result from a test on 12 or 13 February to come forward immediately by calling 119.

Vaccines Minister Nadhim Zahawi said it was not known whether or not the unidentified person had recently been abroad, so it was not clear if they would have been self-isolating while they were infected.

On Monday, a further 104 deaths within 28 days of a positive coronavirus test were reported, with 5,455 new cases identified across the UK.

While figures are often lower at the start of the week due to reporting lags, cases are down by 49% compared to last Monday.

More than 20.2 million people have received a first dose of a Covid vaccine, according to the latest government figures.

Boris Johnson
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Health Secretary Matt Hancock will hold a meeting later to update MPs from all parties about the P1 variant.

He will joined by Public Health England's Dr Susan Hopkins and England's deputy chief medical officer Prof Jonathan Van-Tam at a Downing Street briefing at 17:00 GMT.

Labour said there had been a lack of a "comprehensive" border system.

But Mr Johnson said: "We have got one of the toughest border regimes anywhere in the world for stopping people coming in to this country who may have variants of concern."

Speaking during a visit to Stoke-on-Trent, he said the government had moved "as fast as we could" with introducing hotel quarantine measures, describing it as a "very tough regime".

Foreign Secretary Dominic Raab said the UK's border restrictions were "robust" and that variants were "a normal feature of any pandemic".

The hotel quarantine rule came into force on 15 February. It means that travellers coming to England from 33 countries - including Brazil - must pay to quarantine in a hotel for 10 days, while in Scotland the rule applies to international travellers from all countries.

Before that date, travellers arriving into the UK still needed to self-isolate in their homes for 10 days.

All travellers to the UK also need to present a negative Covid test result, taken a maximum of 72 hours before their departure.

Former health secretary Jeremy Hunt told BBC Radio 4's The World at One the discovery of the six cases showed the need for tighter controls and the government had "to look at what has gone wrong".

Labour leader Sir Keir Starmer said the search for the infected individual demonstrated the "slowness of the government to close off even the major routes" and said he still thought "we have not secured our borders in the way that we should have done".

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Can we get rid of the Brazil variant?

Analysis box by Nick Triggle, health correspondent

It is tempting to think that, if officials can identify the one missing case, the UK will be able to stamp out the Brazil variant.

But it's unlikely this will be possible. There will no doubt be more cases either of this variant or others circulating with the E484 mutation that allows the virus to escape some of the effect of the vaccines.

That's because not all positive cases can be checked for variants. The UK carries out nearly half of the genomic sequencing in the world and can check around 25,000 positive tests a week for variants.

That means about a quarter of positive cases were checked last week, but a month ago - with infection rates higher - it was under one in 10.

What is more, not everyone who is positive comes forward for a test in the first place. We are seeing just the tip of the iceberg.

So what is the strategy? Keep cases low, and where possible try to limit the spread of these variants.

And in the future, update the vaccines to work better against the variants - if that is needed.

2px presentational grey line

There have been concerns vaccines may not be as effective against the variant, but NHS England's Prof Stephen Powis said vaccines could be "rapidly adapted".

Dr Hopkins said the UK was more advanced than many other countries at identifying the variants and mutations, and was therefore able to act quickly.

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Why is it difficult to track the infected person?

Analysis by Reality Check

Health officials believe the missing person may have used a home testing kit.

Every home testing kit has a unique barcode on it.

People must register this barcode online to link the test to a person's contact details.

Without doing this, the test will effectively be anonymous.

So, what is likely an error in that registration process meant the positive result has been picked up but there is no one to send it to.

Tests done in person at drive-thru or walk-in centres are less likely to see this occur, as much of the information is filled in before the person arrives and there are staff on hand to make sure it is done correctly.

In any given week, around 1.5% of cases passed on to contact tracers do not have the person's contact details.

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Where are the other five cases?

The unidentified England case of the Brazil variant is not currently linked to five other UK cases.

Two of the cases are from the same household in South Gloucestershire. They tested positive after someone returned from Brazil on 10 February - five days before the government's hotel quarantine rule came into force. Everyone in five postcode areas of South Gloucestershire is now being invited to take a Covid test, even if they do not have symptoms.

Passengers arrive with at the Terminal 5 international arrivals hall at London Heathrow Airport
Getty Images

Two other people in the same household have also since tested positive for Covid - but tests are still ongoing to check if it is the same variant.

The other three cases are Scottish residents who flew to Aberdeen from Brazil via Paris and London, the Scottish government said.

Holyrood said the three people tested positive while self-isolating. Other passengers who were on the same flight to Aberdeen are now being contacted and there is no reason to believe the variant is in circulation in Scotland, Health Secretary Jeane Freeman said.

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2021-03-01 16:38:18Z
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Brazilian variant: Boris Johnson defends UK Covid border measures - BBC News

Prime Minister Boris Johnson has defended the government's measures to prevent new coronavirus variants being imported into the UK.

It comes as officials seek a person in England who has been infected with a concerning variant of the virus first found in Brazil.

They are one of six cases of the P1 variant found in the UK in February.

Mr Johnson said there is a "massive effort" under way to prevent the Brazilian variant from spreading.

The missing person infected with the variant is understood to have used a home testing kit, but did not complete their registration form properly.

It has prompted an appeal for anyone without a result from a test on 12 or 13 February to come forward immediately by calling 119.

Vaccines Minister Nadhim Zahawi said it was not known whether or not the unidentified person had recently been abroad, so it was not clear if they would have been self-isolating while they were infected.

Boris Johnson
PA Media

Health Secretary Matt Hancock will hold a meeting later to update MPs from all parties about the P1 variant.

He will joined by Public Health England's Dr Susan Hopkins and England's deputy chief medical officer Prof Jonathan Van-Tam at a Downing Street briefing at 17:00 GMT.

Labour said there had been a lack of a "comprehensive" border system.

But Mr Johnson said: "We have got one of the toughest border regimes anywhere in the world for stopping people coming in to this country who may have variants of concern."

Speaking during a visit to Stoke-on-Trent, he said the government had moved "as fast as we could" with introducing hotel quarantine measures, describing it as a "very tough regime".

Foreign Secretary Dominic Raab said the UK's border restrictions were "robust" and that variants were "a normal feature of any pandemic".

The hotel quarantine rule came into force on 15 February. It means that travellers coming to England from 33 countries - including Brazil - must pay to quarantine in a hotel for 10 days, while in Scotland the rule applies to international travellers from all countries.

Before that date, travellers arriving into the UK still needed to self-isolate in their homes for 10 days.

Former health secretary Jeremy Hunt told BBC Radio 4's The World at One the discovery of the six cases showed the need for tighter controls and the government had "to look at what has gone wrong".

2px presentational grey line

Can we get rid of the Brazil variant?

Analysis box by Nick Triggle, health correspondent

It is tempting to think that, if officials can identify the one missing case, the UK will be able to stamp out the Brazil variant.

But it's unlikely this will be possible. There will no doubt be more cases either of this variant or others circulating with the E484 mutation that allows the virus to escape some of the effect of the vaccines.

That's because not all positive cases can be checked for variants. The UK carries out nearly half of the genomic sequencing in the world and can check around 25,000 positive tests a week for variants.

That means about a quarter of positive cases were checked last week, but a month ago - with infection rates higher - it was under one in 10.

What is more, not everyone who is positive comes forward for a test in the first place. We are seeing just the tip of the iceberg.

So what is the strategy? Keep cases low, and where possible try to limit the spread of these variants.

And in the future, update the vaccines to work better against the variants - if that is needed.

2px presentational grey line

There have been concerns vaccines may not be as effective against the variant, but NHS England's Prof Stephen Powis said vaccines could be "rapidly adapted".

Dr Hopkins said the UK was more advanced than many other countries at identifying the variants and mutations, and was therefore able to act quickly.

She told BBC Radio 4's Today programme that PHE was "really clamping down" with measures to prevent the spread of variants ahead of lockdown measures being eased in England.

line

Why is it difficult to track the infected person?

Analysis by Reality Check

Health officials believe the missing person may have used a home testing kit.

Every home testing kit has a unique barcode on it.

People must register this barcode online to link the test to a person's contact details.

Without doing this, the test will effectively be anonymous.

So, what is likely an error in that registration process meant the positive result has been picked up but there is no one to send it to.

Tests done in person at drive-thru or walk-in centres are less likely to see this occur, as much of the information is filled in before the person arrives and there are staff on hand to make sure it is done correctly.

In any given week, around 1.5% of cases passed on to contact tracers do not have the person's contact details.

line

Where are the other five cases?

The unidentified England case of the Brazil variant is not currently linked to five other UK cases.

Two of the cases are from the same household in South Gloucestershire. They tested positive after someone returned from Brazil on 10 February - five days before the government's hotel quarantine rule came into force. Everyone in five postcode areas of South Gloucestershire is now being invited to take a Covid test, even if they did not have symptoms.

Two other people in the same household have also since tested positive for Covid - but tests are still ongoing to check if it is the same variant, so they are not included in the overall UK total of six.

The other three cases are Scottish residents who flew to Aberdeen from Brazil via Paris and London, the Scottish government said.

Holyrood said the three people tested positive while self-isolating. Other passengers who were on the same flight to Aberdeen are now being contacted and there is no reason to believe the variant is in circulation in Scotland, Health Secretary Jeane Freeman said.

Passengers arrive with at the Terminal 5 international arrivals hall at London Heathrow Airport
Getty Images

Shadow home secretary Nick Thomas-Symonds, who has written to the home secretary calling for stronger measures, said the news of the Brazil variant cases was "deeply concerning" and that it was "vital" everything was done to contain it.

All travellers to the UK also need to present a negative Covid test result, taken a maximum of 72 hours before their departure.

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2021-03-01 15:11:46Z
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Prince Philip transferred to second hospital for heart condition tests - BBC News

Duke of Edinburgh in summer 2020
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The Duke of Edinburgh has been transferred to St Bartholomew's Hospital for continued treatment, after 13 nights at another London hospital.

Doctors are treating Prince Philip, 99, for an infection. They will also undertake testing and observation for a pre-existing heart condition, Buckingham Palace said.

The duke is responding to treatment and "remains comfortable", it added.

He is expected to remain in hospital until at least the end of the week.

Philip, who turns 100 in June, was taken to King Edward VII's hospital in London on 16 February as a precaution after feeling unwell. A palace source at the time said the duke had walked into the hospital unaided.

On Monday morning, someone was screened from journalists' cameras by umbrellas as they got into an ambulance outside the hospital in Marylebone.

Philip was transferred about three miles (5km) to St Bartholomew's Hospital, also known as Bart's, in the City of London.

St Bart's is a centre of excellence for cardiac care, its NHS site says.

Ambulance at King Edward VII's hospital
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The exact reason for Philip's initial admission has not been disclosed, but his stay is not related to coronavirus.

Both the duke and the Queen, 94, received Covid-19 vaccinations last month.

The Prince of Wales visited his father for around 30 minutes the weekend after he was admitted.

Two days later the Duke of Cambridge said his grandfather was "OK" and that doctors were "keeping an eye" on him.

The following day, on 23 February, Buckingham Palace said Philip was being treated for an infection and was not expected to leave hospital for several days. The Earl of Wessex added his father was feeling "a lot better" and appreciated the "lovely messages" from the public.

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Bart's: UK's oldest hospital

St Bartholomew's Hospital
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  • St Bartholomew's is Britain's oldest hospital, according to the NHS website, and is set to celebrate its 900th birthday in 2023
  • The NHS teaching hospital is internationally renowned
  • It has beds for more than 300 patients, supported by 2,500 staff
  • The hospital, located close to St Paul's Cathedral in central London, has general medical wards, a cancer centre and a specialist heart centre too
  • Barts Heart Centre has state-of-the-art facilities, including 10 operating theatres, critical care beds and scanning capabilities
  • It offers NHS services as well as private care
  • It is based in the main hospital's King George V building and is Europe's largest specialised cardiovascular centre
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Members of the Royal Family, including the Queen, have continued with their official duties during the duke's hospital stay.

The Queen's engagements over the past two weeks have included hosting a video call with health officials leading the UK's Covid vaccine rollout, and knighting a royal aide during a private socially-distanced ceremony at Windsor.

Prince Philip retired from royal duties in 2017 in a move supported by the Queen.

Known for off-the-cuff remarks at public events, Prince Philip joked at the time that he was the "world's most experienced plaque unveiler".

In his time as a working royal, he has attended over 22,000 solo engagements and given more than 5,000 speeches.

The duke has received treatment for various health conditions over the years, including a blocked coronary artery in 2011, a bladder infection in 2012 and exploratory surgery on his abdomen in June 2013.

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2021-03-01 13:57:29Z
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Prince Philip: Duke of Edinburgh moved to different hospital to continue treatment for infection - Sky News

Prince Philip has been moved to a different hospital where he will continue to be treated for an infection and undergo further tests.

The Duke of Edinburgh, 99, was admitted to a London hospital just under two weeks ago as a "precautionary measure" after feeling unwell.

A Buckingham Palace statement said: "The Duke of Edinburgh was today transferred from King Edward VII's Hospital to St Bartholomew's Hospital where doctors will continue to treat him for an infection, as well as undertake testing and observation for a pre-existing heart condition.

The duke has been transferred about 3.5 miles to St Bartholomew's Hospital
Image: The duke has been transferred about 3.5 miles to St Bartholomew's Hospital

"The Duke remains comfortable and is responding to treatment but is expected to remain in hospital until at least the end of the week."

Prince Philip was shielded from public view as he left the hospital on Monday morning.

Umbrellas were held up as he made his way into a waiting ambulance, at the rear of the hospital, to be taken to St Bart's, where uniformed officers from the City of London police were positioned.

The duke's condition is not related to coronavirus.

More from Duke Of Edinburgh

It is described on the Barts Health NHS Trust website as an "internationally-renowned" hospital which is a "centre of excellence for both cardiac and cancer care".

It adds that Barts Heart Centre is Europe's largest specialised cardiovascular service.

Last week, Prince Edward told Sky News his father was doing "a lot better" and that the family were keeping their "fingers crossed".

The prince said he was "looking forward to getting out, which is the most positive thing".

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23 February: Duke 'looking forward to leaving hospital'

Asked if the duke was frustrated, Prince Edward added: "Just a bit! I think that gets to all of us, and then, you can only watch the clock so many times and the walls are only so interesting."

He was driven to the central London hospital on 16 February, with a royal source saying he walked in unaided.

Prince Charles was pictured in a face mask going to visit a few days later and stayed for about half an hour.

The duke will now continue treatment at St Bart's, near St Paul's Cathedral in the city of London.

Prince Charles arrives at the King Edward VII Hospital in London to visit the Duke of Edinburgh
Image: Prince Charles visited his father in hospital on 20 February

Prince Philip has received "some brilliant and lovely messages" from the public which have been passed on to him, Prince Edward told Sky News last week.

The last time he was in hospital was December 2019, when he spent four nights being treated due to a "pre-existing condition".

Philip - who turns 100 in June - retired in 2017 after decades of public duties and thousands of engagements.

He now rarely appears in public and was last seen in July 2020 when he transferred his role as colonel-in-chief of The Rifles to the Duchess of Cornwall.

He has been staying with the Queen at Windsor Castle since coronavirus restrictions were first introduced last year.

Earlier this month, the palace confirmed they had both received their first dose of a vaccine.

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2021-03-01 13:06:04Z
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Prince Harry tells Oprah Winfrey his 'biggest fear was history repeating itself' in reference to Diana's death - Sky News

Prince Harry has said he feared "history repeating itself" and the process of leaving royal life has been "unbelievably tough" for him and his wife Meghan.

The Duke and Duchess of Sussex spoke to Oprah Winfrey about life in and out of the Royal Family.

The interview with Winfrey, who lives near the couple's new home in Montecito, California, will be screened in the UK on 8 March, a day after it airs in the US.

In one of two 30-second promo clips released by CBS on social media, Harry says: "I'm just really relieved and happy to be sitting here talking to you with my wife by my side."

As a photo was shown of him as a child with his mother, Princess Diana, he continued: "Because I can't begin to imagine what it must have been like for her going through this process by herself all those years ago, because it's been unbelievably tough for the two of us.

"But at least we have each other."

The Duke and Duchess of Sussex were shown sitting outdoors beside each other, Harry in a grey suit and Meghan - who is pregnant with their second child - in a black dress.

More from Meghan Markle

A second clip contains Harry saying: "My biggest concern was history repeating itself" but the remainder is dominated by Winfrey, with statements such as: "You said some pretty shocking things here," and "almost unsurvivable - sounds like there was a breaking point?" without any indication of what she is referring to.

Meghan's answer is not heard in either of the two clips.

Prince Harry has given a wide-ranging interview to James Corden. Pic: AP
Image: Prince Harry tells Oprah he feared 'history repeating itself' in reference to Diana's death. Pic: AP

Analysis: Diana comment is 'swipe at the royals and his father'

By Rhiannon Mills, royal correspondent

It's the most anticipated royal interview in recent years so it's hardly surprising the producers of Oprah's 90-minute chat with Harry and Meghan have gone full high drama in the promo.

But as well as the ominous and moody music, they've been clever with their choice of clips too.

We don't hear from Meghan, we only see her face as Oprah teases us with questions and statements: "Were you silent or were you silenced?", "you've said some pretty shocking things here" - all of it just leaving us wondering what on earth the Sussexes have told her?

The one person we do hear from is Harry, comparing their experience to his mother's.

We've heard him talk before about his fear that history was repeating itself; that he didn't want to see Meghan tormented by the tabloids and the paparazzi in the same way as Princess Diana.

It is admirable that he would want to defend his wife and speak so lovingly about his mother. But his comment also comes across as a considerable side swipe at the Royal Family and his father, Prince Charles, as he talks about his mother having to deal with her troubles alone.

In the past I think Harry would have been more circumspect in his choice of words. If we wondered whether the Sussexes were going to be subtle in their answers or hold back I think we have our answer.

As the big build up begins, we have just a week until we find out what those "shocking" revelations are - and who will be blamed for making their lives "unbelievably tough" and "almost unsurvivable".

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Harry and Meghan married at Windsor Castle in 2018 and their son Archie was born a year later.

But the couple stepped away from full-time royal life in March 2020, unhappy about the media scrutiny, intrusion, restrictions of their roles, and racist attitudes shown by some towards the duchess.

Last month, it was confirmed that they would not return to royal duties, meaning Harry will give up his honorary military titles.

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2021-03-01 10:41:15Z
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Covid in Scotland: Contact tracing after Brazilian strain detected - BBC News

Aberdeen airport
AFP

An enhanced contact tracing effort is under way after the Brazilian variant of Covid-19 was detected in Scotland.

Three Scottish residents tested positive for the new strain after flying into Aberdeen from Brazil, via Paris and London.

Other passengers who were on the same flight from London are now being contacted.

Experts believe this variant (P1) - first detected in northern Brazil in January - could be more contagious.

Three other cases have also been detected in England, but they are not linked to the Scottish cases.

Officials are still trying to track down one of those who tested positive for the new variant in England.

Jillian Evans, head of health intelligence at NHS Grampian, said the three Scottish travellers had arrived in Aberdeen in early February, before new rules on hotel quarantine came into force.

She told BBC Radio's Good Morning Scotland programme they had isolated together for 10 days after arrival in accommodation provided by their employer.

They tested positive while in isolation.

She said that health protection specialists were now following up "contacts of their contacts" in an effort to ensure that any further cases were found quickly.

Anyone traced will be offered a Covid-19 test.

"That's not standard procedure, that's going one stage further," Ms Evans said.

"But of course they have been quarantined for 10 days in managed isolation for that period of time, so you would think that they wouldn't have many contacts to follow up.

"Nonetheless, that's an added precaution that's been taken by health protection specialists."

Covid testing
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Scotland's national clinical director, Prof Jason Leitch, said it was the first time the Brazilian variant had been detected in Scotland, but told BBC Scotland there was "no evidence" of community spread.

He said the three travellers had tested negative before leaving Brazil.

"The measures that were in place at the time of this were really quite rigorous," he said.

"These individuals self-isolated. They were from a high risk country, so they followed the instructions and there is no suggestion of any blame or concern about their behaviour. I think that's very important."

Prof Leitch added that "enhanced" contact tracing was necessary in this case because of concerns about the Brazil strain's resistance to immunity.

"The reason why we're worried scientifically is we're not absolutely certain that this version is amenable to the natural immunity some people already have and the artificial immunity we are creating with vaccination," he said.

"Everything we know says it's still very effective, but we just can't be sure yet because it hasn't been around long enough and the trials haven't completed."

Both the Scottish government and Public Health England said the variant had been designated "of concern" as it shared some important mutations with the variant first identified in South Africa (known as B.1.351).

One of these mutations - called E484K - may help the virus evade parts of the immune system called antibodies.

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2021-03-01 08:57:17Z
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