Firstly, the current increases in Europe are because B117 (the Kent strain) has become dominant there - move than 70% in Denmark, NL, 50-70% in France, Belgium, Itlay, Germany & Austria. 2/11
As with us in Dec, they didn't act decisively to stop its spread - instead they've been in semi-restrictions (similar to our tier 3) - enough to bring *down* cases of old variant but not enough to stop B117.
As long as you have more old than new variant it LOOKS like cases are under control, but as soon as B117 becomes dominant cases start rising. This is what has happened & it was predictable. In fact, I said in early Feb that March could be bad in EU.
Low vaccination isn't helping either. If anything, cases have risen more slowly in EU than in UK because they hospitality has largely been shut there for months & many places have curfews, mixing restrictions and strong masks mandates. But B117 is a tricky beast to control. 5/11
So what does that mean for us? Well, we're not going to get a new wave *because* of the current wave in EU in that we already have 98% of cases being B117 - we've had our B117 wave. If we get a new wave it will because of one of two things: 6/11
1) we open up too quickly without enough mitigations (and it will need more than just the vaccines) so that B117 surges again - as I said it's a tricky beast to keep contained. I'm worried that we've forgotten that because lockdown has been so effective. 7/11
2) we import new variants from EU that can resist our vaccines & start a wave of a new variant in what would effectively be much less "vaxxed" pop'n.
The SA variant (5-10% of cases in France) is already semi-resistant & SAGE are v worried about it. theguardian.com/world/2021/mar… 8/11
As there are tens of thousands of new cases every day in Europe over next few weeks *and* millions of people vaxxed, conditions are created for new, more resistant, variants to emerge and spread. We definitely don't want to import those... 9/11
This is why international travel this summer is not a good idea.
If we can get people fully vaxxed, keep variants out this yr & give scientists time to produce boosters for new variants, we can boost people over winter ready to travel next year.
PS Europe also shows why half measures just don't work - they damage the economy a lot but are just not enough to stop the new more transmissible strains (SA and Brazil also more infectious than the old variant) - and so things just drag on and on.
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It's now 4 weeks since Scotland & Wales started a phased return to primary schools (secondary schools went back last week) & 2 weeks since all schools in England went back.
What is happening? 1/15
First let's look at Wales. They started sending young kids back to nursery and primary schools 22nd Feb. Older primary school kids & secondary school went back last week.
Wales publish new Covid incidents in schools - and (unsurprisingly) incidents are increasing. 2/15
Secondly, Scotland. There we have case data by age.
Primary school kids only get a test if they get symptoms. School staff can get tested without symptoms if they want. All positive cases from lateral flow device tests (LFDs) are PCR confirmed.
Tonight a reduction is vaccine supply is being widely reported leading to a pause in rolling out vaccination to the under 50's... bbc.co.uk/news/uk-politi… 1/5
Basically, we gave about 11 million people their first dose mid Jan - mid Feb. They need their 2nd dose by end April.
We've been vaxxing about 2.5m/wk last few weeks, but let's say vax supply drops to about 2m/wk for April. Then we need ALL those doses to honour 2nd doses. 2/5
Once most of those are done, we can start rolling out vaccination to new people again (adults under 50) in May.
Assuming we can ramp up to 3.5m/wk from May, we can still offer everyone a 1st dose by mid July. 3/5
LFDs are used to test people who don't have Covid symptoms - they give results in about 30 minutes.
The govt reckons about 30% of people with Covid don't have symptoms & this article suggested that asymptomic spread might account for 50% of cases. jamanetwork.com/journals/jaman… 2/19
So the point is to find people who have Covid but don't know they have Covid & stop them mixing with, and potentially infecting, other people. 3/19
THREAD on VACCINATIONS: how are we doing in England?
Although this week has seen fewer jabs, we've still given a dose to 2.5 million people over last 7 days.
It's also good to see 2nd doses starting to take off & 42% of people over 16 have had a dose.🍾
BUT some concerns 1/6
There are differences in coverage by deprivation. For over 70s, the differences are definitely there but high coverage in all groups.
The differences are starker by ethnicity, with black populations having the lowest coverage. 2/6
As ages get younger, the disparities by deprivation & ethnicity get more pronounced. Although coverage is still increasing for 65-69 year olds, it seems likely that coverage in most deprived populations will stay much below that of the least deprived & lower than 70+s. 3/6