Minggu, 16 Mei 2021

We have to keep calm and carry on jabbing, writes Professor BRENDAN WREN - Daily Mail

As another Covid panic threatens to take hold, we have to keep calm and carry on jabbing, writes Professor BRENDAN WREN

Keep calm and carry on vaccinating – that is the best advice for ministers and the public alike as another Covid panic appears to be taking hold.

Today the country takes a giant step towards normality, with the reopening of restaurants, pubs, cinemas and much else. But we also face news that the so-called Indian variant of Covid (actually three new variants) is starting to spread rapidly in the UK.

It is prompting some scientists and politicians to call for a pause in unlocking and a delay to ‘Freedom Day’ on June 21 when potentially all legal limits on social contact are removed.

It sounds frightening, but there really is no reason to panic because we are in a very different place

It sounds frightening, but there really is no reason to panic because we are in a very different place

The truth is that we were always braced for more variants. That’s how a virus works: it evolves

The truth is that we were always braced for more variants. That’s how a virus works: it evolves

One of the new variants (all of which originated in south Asia) appears to be up to 50 per cent more transmissible than the Kent variant that emerged about six months ago and which prompted another national lockdown.

It sounds frightening, but there really is no reason to panic because we are in a very different place from where we were then. Today we’ve got the solution to the pandemic in our hands – the science is working and the vaccines are breaking the train of transmission and deaths.

From the start of this global crisis, we were always banking on vaccination to get us out of it and there’s no reason to change our strategy or lose faith in what scientists have delivered.

The truth is that we were always braced for more variants. That’s how a virus works: it evolves. Epidemiologists knew the coronavirus would mutate as it spread, and that the basic laws of evolution mean the more successful variants oust the old ones. At the moment, the Indian variant in Britain is confined to a few hotspots such as Bolton and Blackburn with Darwen, but pretty soon it is likely to be the dominant strain of Covid throughout the UK.

That’s the stark reality of viruses and it shouldn’t be used to stoke up ‘coronamania’.

I strongly suspect the new variant has existed in this country for at least two months.

Even before the first calls were made back at the start of April, to put India on the ‘red list’ and block incoming flights, there will have been cases in this country.

Boris Johnson is being criticised for not banning visitors from the sub-continent until the last week of April.

Political opponents say he was wary of causing offence to the Indian prime minister, Narendra Modi, ahead of trade talks.

I strongly suspect the new variant has existed in this country for at least two months. (Pictured, funeral pyres of people who died due to the Covid-19 coronavirus are seen at a cremation ground in New Delhi)

I strongly suspect the new variant has existed in this country for at least two months. (Pictured, funeral pyres of people who died due to the Covid-19 coronavirus are seen at a cremation ground in New Delhi)

Even before the first calls were made back at the start of April, to put India on the ‘red list’ and block incoming flights, there will have been cases in this country

Even before the first calls were made back at the start of April, to put India on the ‘red list’ and block incoming flights, there will have been cases in this country

But the virus knows no borders. If the mutation couldn’t arrive directly from India, it would have entered the UK via some zigzag route from other countries not on the red list.

Indeed by the time we identified it as a new variant, it was already too late to keep it out.

The Kent variant was picked up very quickly because Britain leads the world in genome analysis. It took much longer for a new strain to be identified in India, where DNA testing is not done on anything like the same scale. Yes, the images we have seen from India are alarming and tragic with hospitals overwhelmed, a shortage of oxygen and ventilators, and thousands of funeral pyres. It has prompted some observers to warn of a third Covid wave in the UK, with up to 1,000 deaths a day being forecast by some.

I do not believe that will happen. For one thing, India has a population at least 20 times greater than Britain’s and in many cities people live in very close quarters. That means the virus spreads more easily.

And the fact that mass gatherings – for sporting events, political rallies and religious festivals – were permitted weeks after the outbreak began has made the problem so much worse.

Most crucially, the vaccination programme in India lags far behind ours (despite the fact that India manufactures more vaccines than any other country). We have an ‘immune-competent’ population – that is, more than two thirds of adults in Britain have now had at least one vaccination, and a third of the unvaccinated cohort – largely younger adults – have immunity from contracting the virus itself.

The vaccine is not an impermeable barrier against Covid. But all the evidence, including the patterns in India, shows that people who have been inoculated will not contract a serious Covid infection or be hospitalised. The best data shows that 90 per cent of people who have had both jabs will be immune to infection. The rest will probably not be ill enough to have a transmissible viral load – that is to say, they won’t be able to pass it on. And 90 per cent of people eligible for the vaccine are accepting it. Despite the rampant disinformation and scaremongering on social media, only 10 per cent of the those eligible are refusing the jab – although of course, I’d like to see that number fall.

The vaccine is not an instant solution. It takes at least a week for immunity to kick in, and there has to be a minimum delay of three weeks between the first and second jabs.

We must continue with our much improved test-and-trace programme and to urge anyone who is showing Covid symptoms to self-isolate. In cases where that could mean financial hardship, there should be grant payments to support families, especially in deprived areas. As I write, the emergence of the Indian variant is no reason for us to abandon the road map, plotting our path back to normal life. Vigilance and vaccination are the watchwords.

Brendan Wren is Professor of Vaccinology at the London School of Hygiene and Tropical Medicine.

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2021-05-16 21:50:01Z
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PM urges 'heavy dose of caution' as hugs, indoor pints and foreign holidays return in England - Sky News

People across England are again able to enjoy hugs with loved ones, indoor pints and foreign holidays - but Boris Johnson has urged a "heavy dose of caution" due to the threat of the Indian variant of COVID-19.

As the country moves to stage three of the prime minister's roadmap for lifting lockdown restrictions today, friends and family will enjoy greater freedom to gather together.

This includes being able to meet outdoors in groups of up to 30 and gathering indoors in groups of up to six, or as two households.

Pubs and restaurants are also once again able to serve customers indoors, while cinemas can reopen, fans can return to sports stadiums, and the ban on foreign holidays is lifted with people allowed to travel to a limited number of countries on the "green" list.

In addition, the government is now allowing people to choose whether to socially distance with family and friends when they meet up - although ministers have urged people to think carefully about the risks of hugging.

The prime minister has pushed ahead with the latest lifting of lockdown restrictions despite growing concerns over the possible impact of the so-called Indian variant.

Earlier, Health Secretary Matt Hancock warned that it could "spread like wildfire" among those who have not had COVID jabs.

More on Boris Johnson

And Mr Johnson has admitted the variant's presence in parts of the country could yet delay England's move to the fourth and final stage of his roadmap - scheduled for 21 June.

That would see all legal limits on social contact removed, so long as tests on vaccines, infection rates and new coronavirus variants continue to be met.

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Indian variant 'could spread like wildfire'

As England moves to stage three of his roadmap, the prime minister said: "Together we have reached another milestone in our roadmap out of lockdown, but we must take this next step with a heavy dose of caution.

"We are keeping the spread of the variant first identified in India under close observation and taking swift action where infection rates are rising.

"The current data does not indicate unsustainable pressure on the NHS and our extraordinary vaccination programme will accelerate - with second doses being bought forward to give the most vulnerable maximum protection.

"But now everyone must play their part - by getting tested twice a week, coming forward for your vaccine when called and remembering hands, face, space and fresh air.

"I urge everyone to be cautious and take responsibility when enjoying new freedoms today in order to keep the virus at bay."

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'I have to level with you': PM airs variant concerns

It comes as government figures show more than 20 million adults in the UK are now fully vaccinated against COVID-19 after receiving both jabs.

Some 391,246 people were given their second dose on Saturday, meaning a total of 20,103,658 (38.2% of all adults) have now had two shots.

Also on Saturday, 237,331 had their first jab, bringing the total number of people who have been given at least one dose to 36,573,354 (69.4% of the adult population).

Meanwhile, the UK has reported another four coronavirus-related deaths and 1,926 new cases in the latest 24-hour period.

This compares with seven deaths and 2,027 cases announced on Saturday, while last Sunday two deaths and 1,770 cases were reported.

More than 1,300 cases of the Indian variant - which is judged to be more transmissible than the Kent variant that drove the UK's deadly second wave of infections during the winter - have so far been found in the UK.

Health Secretary Matt Hancock on Sunday told Sky News that the Indian variant was "becoming the dominant strain in some parts of the country" such as Bolton and Blackburn, while he predicted it could eventually become the dominant variant across the entire UK.

But, although he warned the variant can "spread like wildfire" among those who have not had COVID jabs, Mr Hancock added there was a "high degree of confidence" that existing vaccines protect against the Indian variant.

Ministers are hoping surge testing and the acceleration of second vaccine doses can combat against the growth in Indian variant cases.

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2021-05-16 21:31:09Z
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EU to back reopening of borders to British tourists, says Lisbon - Financial Times

Portugal expects the EU to follow its example this week by recommending that the other 26 member states reopen their borders to British tourists.

Rita Marques, Portugal’s secretary of state for tourism, said Lisbon was confident the EU would change its current advice that EU countries allow only essential travel from the UK, giving Europe the green light to welcome back British holidaymakers.

According to Marques, the Council of EU member states is expected to add the UK to the list of third countries approved for non-essential travel to the EU later this week.

“We know that the commission is going to reassess the concrete situation of the UK and, in principle, according to the information we have, this revision [of the EU’s travel recommendations] will be favourable to the UK,” Marques told the Financial Times.

The European Commission proposed on May 3 that member states ease the restrictions on non-essential travel from third countries to take into account the progress of vaccination campaigns and other epidemiological developments worldwide.

Portugal will welcome tourists from the UK and some EU countries from midnight on Sunday, provided Covid-19 infection rates in their countries are lower than 500 cases per 100,000 inhabitants. Passengers will also have to show a negative PCR test made within 72 hours before departure

Marques said the anticipated addition of the UK to the list of third countries greenlighted for non-essential travel to the EU, meant Portugal was only slightly ahead of the rest of the bloc in opening up to British visitors.

Portugal has used its rotating presidency of the EU Council, which ends next month, to push for the creation of a “green digital certificate”. This would enable people who are fully vaccinated against Covid-19 or otherwise immune to travel freely within the bloc.

Marques is confident the certificate will be ready by June. “Our aim is to abandon country-to-country travel regulations and move to a system where the rules are based on the epidemiological situation of the individual person,” she said.

Lisbon’s announcement on UK visitors on Friday ended uncertainty for airlines and travel companies over whether Portugal would open its borders in time for British holidaymakers to take advantage of decisions by the governments in England, Wales and Scotland to allow international travel to resume from Monday.

Marques, however, said the uncertainty had resulted from a misconception. Portugal reviews its Covid-19 travel regulations every 15 days and was only scheduled to announce its decision on Sunday. “We decided to bring the announcement forward to avoid any misunderstanding, but there was never any uncertainty in Portugal,” she said.

Portugal is a popular destination for UK holidaymakers and the only EU country on England’s “green list” of 12 destinations for which a 10-day quarantine rule for returning visitors has been lifted.

This has led to a surge in demand. Jet2, the online travel agency and airline, said bookings to Faro, the airport for Portugal’s southern Algarve coast, and Madeira increased 600 per cent in the 24 hours after the green list announcement.

Marques said 30 flights from the UK were scheduled to land in Portugal on Monday alone, most of them in Faro. Allowing in holidaymakers from the UK, Portugal’s biggest tourism market, she said, would help the sector recover from last year’s collapse, when the number of overnight tourist stays fell back to the level of 1994.

Portugal is among the EU economies most dependent on tourism, which accounts for about 17 per cent national output and 19 per cent of jobs. “We don’t expect to return to the tourism numbers of 2019, which was a record year, before 2023,” Marques said. “But we hope to do better this year than in 2020.”

Commission recommendations on Covid-19 travel regulations are largely followed by member states, but are not legally binding. Germany on Friday designated the UK a risk area for coronavirus, citing the emergence of the B.1.617 variant of the virus first detected in India. Anyone entering Germany from such areas must show a negative test result or go into quarantine.

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2021-05-16 18:18:45Z
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Boris Johnson and Keir Starmer condemn 'shameful' anti-Semitism in video - BBC News

A grab from the video filmed and shared on social media, it shows two cars parked at traffic lights with Palestinian flags

Boris Johnson has condemned the "shameful racism" aimed at British Jews, after a video appeared to show people shouting anti-Semitic abuse.

Police in London said they had identified the car seen in the video and were trying to find the occupants.

The person who filmed the video told the BBC they cried after witnessing the scene, adding: "I don't feel safe."

Labour leader Sir Keir Starmer said the incident was "utterly disgusting", adding: "There must be consequences".

It comes amid rising tension between Israel and Palestinians in the Middle East, culminating in the worst violence since 2014.

'I felt frightened'

On Sunday, a video was posted on social media appearing to show a convoy of cars with Palestinian flags driving down a street, with a man shouting anti-Semitic abuse from a megaphone.

The person who filmed the video - who wanted to remain anonymous - said they started filming when they heard "excessive hooting" outside their window in north London.

"They happened to stop at a set of traffic lights and I was able to capture what happened.

"I cried. How is this the world we live in today?"

They added: "I felt immediately frightened and appalled that this is happening in this country. What if I was walking alone wearing something that identified me as Jewish? What might have happened?

"I don't feel safe in my own home, and that's what terrifies me."

The Metropolitan Police said it had identified the vehicle and were making enquiries to locate the occupants.

It said the video appeared to be filmed in the St John's Wood area. St John's Wood is an area in north London home to a Jewish community.

"Officers are carrying out urgent enquiries to identify those responsible," said the police. "This sort of behaviour will not be tolerated."

'Inexcusable'

The prime minister was among many politicians to condemn the video on social media.

"There is no place for anti-Semitism in our society," Mr Johnson tweeted. "Ahead of Shavuot, I stand with Britain's Jews who should not have to endure the type of shameful racism we have seen today."

Shavuot is a Jewish festival beginning on Sunday that celebrates when the children of Israel received the Ten Commandments.

Sir Keir said: "Utterly disgusting. Anti-Semitism, misogyny and hate have no place on our streets or in our society. There must be consequences."

Mike Freer, the local MP for Finchley and Golders Green, said: "The scenes I've witnessed in my constituency today have left me sick to my stomach."

The Mayor of London Sadiq Khan said the police had his "full backing" for their zero-tolerance approach, and Londoners could expect to see "high visibility police patrols".

"Hate crimes are inexcusable and have no place in our city," he said.

On Saturday, thousands of people protested through London in support of the Palestinians.

The organisers of the protest called on the UK government to step in and "stop allowing Israel's brutal violence against and oppression of the Palestinian people to go unpunished".

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2021-05-16 18:18:00Z
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Covid in Scotland: Glasgow level 3 restrictions could be extended - BBC News

Glasgow health sign
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Glasgow may have to remain under level three Covid restrictions for longer than a week, Scotland's national clinical director has warned.

Prof Jason Leitch said the situation remained "fragile" as case rates continue to climb.

The latest seven-day average per 100,000 population in the city is 94.5 cases, well above the level two benchmark of 50 cases.

East Renfrewshire has seen its case rate jump to 75.4, overtaking Moray.

Glasgow and Moray are the only local authority areas due to remain in level three on Monday, as the rest of mainland Scotland, including East Renfrewshire, go down to level two, and some islands to level one.

The outbreak in Moray appears to have stabilised, with the case rate falling for the fourth consecutive day to 58.4 per 100,000 population in the latest published figures.

In East Renfrewshire, however, the rate is climbing steeply with 72 positive cases over the past seven days.

highestcase rates

There is evidence the Glasgow surge is being driven by the so-called Indian variant, unlike in Moray where it is thought to be much less of a factor.

Last Tuesday, First Minister Nicola Sturgeon said all mainland areas with the possible exception of Moray were expected to move to level two rules which allow different households to meet up indoors, and pubs and restaurants to serve alcohol indoors.

But on Friday she announced that the move to level two would be delayed by a week for both Moray and Glasgow after cases rose rapidly, particularly in the south of the city.

Prof Leitch told BBC Scotland's The Sunday Show "it may well be" that Glasgow would have to remain in level three for longer than an extra week.

He added: "We'll give the best advice we can on this - we've met all weekend, we'll meet next week.

"Glasgow are doing an enormous amount of work. The leaders of the public health response in Glasgow are testing everywhere.

"If you haven't had a test and you're in Glasgow, you should do it."

Vaccination drive

Lateral flow test kits are available free on the NHS, and everyone in Scotland - but particularly in Glasgow - is being urged to take them twice a week regardless of whether they have symptoms, Prof Leitch said.

On vaccination, he said text messages were going out to younger age groups in the worst-affected Glasgow postcodes, inviting them to be vaccinated.

Prof Leitch said work was ongoing to identify those who did not previously come forward for their first dose, and he also urged people to take up offers of the second dose.

However, he said the success of the vaccination programme meant there was no evidence yet that the upturn in cases would lead to significant increases in deaths or pressures on the NHS.

"We're keeping Glasgow at three. We're not locking Glasgow down. The beer gardens can still open, you can still meet outdoors," he said.

NHS lateral flow test
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While a case rate of 50 cases per 100,000 population is a key benchmark for deciding if an area can move to level two, other factors such as the ability of the local health service to cope are also considered.

On Sunday another 292 cases of Covid-19 reported across the whole of Scotland, with 2% of tests coming back positive, the highest percentage since 19 April.

Earlier, the Westminster health secretary, Matt Hancock, said the experience of Bolton, which has also seen a surge in the Indian variant, was that it was mainly spreading among younger people who had not had a vaccine jab.

He said that while this variant appeared to me more transmissible and was likely to become the dominant UK strain, he was "confident" that existing vaccines offered protection.

In Bolton, he said he was aware of five people in hospital despite having had one dose of the vaccine and one "frail" person who had received two doses - but he said the "vast majority" were people who had not received any vaccine.

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2021-05-16 15:51:11Z
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PM condemns 'shameful racism' as police probe video of 'antisemitic abuse' shouted from convoy in north London - Sky News

Boris Johnson has condemned "shameful racism" as police investigate footage appearing to show antisemitic abuse being shouted from a convoy of cars in north London.

The Metropolitan Police have confirmed they are carrying out urgent inquiries after the posting of a video on social media.

Officers have identified the vehicle involved and are trying locate the occupants, police said on Sunday evening.

"We are aware of a video appearing to show antisemitic language being shouted from a convoy of cars in the St John's Wood area this afternoon," the force said.

"Officers are carrying out urgent enquiries to identify those responsible. This sort of behaviour will not be tolerated."

The prime minister has also criticised the abuse of Jewish people ahead of a two-day religious holiday.

"There is no place for antisemitism in our society," Mr Johnson posted on Twitter.

More on London

"Ahead of Shavuot, I stand with Britain's Jews who should not have to endure the type of shameful racism we have seen today."

A video posted on social media shows a group of cars decorated with the Palestinian flag pulling up at traffic lights.

As the group of cars arrive in the video, one person with a megaphone appears to be shouting abuse.

The events in the footage are described as having taken place on north London's Finchley Road.

Commenting on the video, Labour's Naz Shah - shadow minister for community cohesion - said: "This is appalling vile antisemitic & misogynistic abuse, they need to be found, arrested and charged, they do not represent those campaigning for the rights of the Palestinians."

The Met Police investigation into the footage comes amid continuing violence in Gaza, which has seen 181 people killed including 52 children and 31 women.

Communities Secretary Robert Jenrick said: "Whatever your view of the conflict in Israel and Gaza, there is no justification for inciting anti-Jewish or anti-Muslim hatred.

"The incidents of antisemitism we have seen in recent days have been shameful.

"Some of the language used on marches this weekend and in posts on social media is intimidating, criminal and racist.

"We must not tolerate this vile, shameful hate in our country. These actions must stop."

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Labour leader Sir Keir Starmer described the antisemitic video as "utterly disgusting".

He tweeted: "Antisemitism, misogyny and hate have no place on our streets or in our society. There must be consequences."

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2021-05-16 15:45:00Z
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PM condemns 'shameful racism' as police probe video of 'antisemitic abuse' shouted from convoy in north London - Sky News

Boris Johnson has condemned "shameful racism" as police investigate footage appearing to show antisemitic abuse being shouted from a convoy of cars in north London.

The Metropolitan Police have confirmed they are carrying out urgent inquiries after the posting of a video on social media.

"We are aware of a video appearing to show antisemitic language being shouted from a convoy of cars in the St John's Wood area this afternoon," the force said.

"Officers are carrying out urgent enquiries to identify those responsible. This sort of behaviour will not be tolerated."

The prime minister has also criticised the abuse of Jewish people ahead of a two-day religious holiday.

"There is no place for antisemitism in our society," Mr Johnson posted on Twitter.

"Ahead of Shavuot, I stand with Britain's Jews who should not have to endure the type of shameful racism we have seen today."

More on London

A video posted on social media shows a group of cars decorated with the Palestinian flag pulling up at traffic lights.

As the group of cars arrive in the video, one person with a megaphone appears to be shouting abuse.

The events in the footage are described as having taken place on north London's Finchley Road.

Commenting on the video, Labour's Naz Shah - shadow minister for community cohesion - said: "This is appalling vile antisemitic & misogynistic abuse, they need to be found, arrested and charged, they do not represent those campaigning for the rights of the Palestinians."

The Met Police investigation into the footage comes amid continuing violence in Gaza, which has seen 181 people killed including 52 children and 31 women.

Communities Secretary Robert Jenrick said: "Whatever your view of the conflict in Israel and Gaza, there is no justification for inciting anti-Jewish or anti-Muslim hatred.

"The incidents of antisemitism we have seen in recent days have been shameful.

"Some of the language used on marches this weekend and in posts on social media is intimidating, criminal and racist.

"We must not tolerate this vile, shameful hate in our country. These actions must stop."

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2021-05-16 15:42:59Z
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