I want to talk about big holes in our border controls in more detail in the light of these instances from other countries showing how high is the risk is of imported cases from 🇮🇳 being spread onwards.

All these passengers had pre flight negative tests.
1/. In the U.K. a Lateral Flow Test is enough as a pre flight test.

2/. It can be done 3 days before departure. That is a long time when prevalence is high as it is in India. Nearly 30% positivity in Delhi yesterday.

How many slip through that net.

gov.uk/guidance/coron…
That was up from 20.22% just three days before on the 15th April.

Even that is scarily high.

No wonder so many are arriving in other airports (eg Toronto/ Vancouver/ Hong Kong) and testing positive after arrival.

3/ At lease they require arrival airport tests. We don’t
4/ LOTS a of people have exemptions from pre flight / pre travel testing.

LOTS & LOTS & LOTSs.

There we see the myth that children under 11 aren’t a transmitting risk. Good luck with that on an aeroplane.

Travelling for urgent medical treatment or the companion of one
Have a look at row 15 on the Delhi-Hong Kong flight that was linked to 47 +ve cases.

NB. Some only testing positive on day 12 of quarantine in a quarantine hotel. Let that day sink in. Day 12.

How many in those row 15 multi occupied seats were children? Babies? Row 17 too
Why is Myanmar exempt? Anyone know?

Who else is exempt?

Border and customs officials & channel tunnel workers.
Hauliers.
Air, maritime and rail crew
So the crew from the Hong Kong flight or any of those Delhi-Toronto etc flights would be able to fly off in another plane full
Civil aviation inspectors

People transporting human cells/ blood products
Seamen & master & inspectors and surveyors of ships

Defence personnel, visiting forces and Gov contractors
Foreign Gov Officials (members of the Indian Gov have gone down with Covid)

U.K. Gov officials
5/ So you currently fly in from Delhi. (NOT a on #RedList) and you can shorten your 10 day quarantine (remember the 12 day cases in Hong Kong quarantine hotels);

Don’t worry about quarantining for 10 days

5 will do if you get a negative PCR test!
Anyone sequencing those tests?
Sure. You still have to take a test on day 8, but, by then the cat is out of the bag. You can be out and about.

And, God knows, those pesky post arrival tests can take an awful long time to get results.
Never mind. Even if you are on the red list T& T tell you you can end quarantine after 10 days anyway! Yeah! (Remember those 12 day positives in Hong Kong?)

Here’s a few stories feom people using the quarantine test system.
Who is quality assuring these labs?

What sequencing is done?

Here’s another

Look at the number of complaints

bbc.com/news/business-…
And another.

I also know that even red list quarantine checks are pretty sloppy, with people out and about who, soon after, tested positive for the S African variant. At least that was sequenced through the usual Test and Trace route.
Then there are those who have been lost to tracing.

Where did they come from and when?

A detailed break down would be good given the 🇮🇳 variant has been thriving during this period

Not to mention the SA variant eg in Bangladesh.
Just in India alone there’s been a good spread of variants including VoC and VUI for the relevant period.

It’s just that the 🇮🇳 B1.617 has rather taken over in the areas with the highest positivity rates, no doubt driven by loose restrictions and huge crowds, even if outside
It seems the first record (from the COG data) there is of the 🇮🇳 variant being in the U.K. is 22nd February.

I am not sure, however, when it was actually sequenced or the onward journey of that and following samples.
Useful resource here

outbreak.info/situation-repo…
For those who want to do their own digging (and may be better at it than me) here is a link to the “front page”

You can search by country, region, variant and also access published studies,

outbreak.info
This is what is happening here in the context of other variants.

And, remember, the 🇮🇳 was ticking over from 22nd February.

We should see the result of last week’s surge testing sequencing by this Thursday (but unsure how long the lag between testing and sequencing)
It’s gone up again.

I think over 180 cases now, clearly overtaking the 🇿🇦 variant (but not B117! That still dominates right now. But in Maharashtra/ Delhi where B117 WAS dominant, now it seems likely 🇮🇳 B1.617 is.

Vaccination progress much slower in India
Some more interesting details of that Delhi to Hong Kong trip here.

Gives us some clue about what we have been missing.

Where’s our epidemiological studies?

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More from @fascinatorfun

19 Apr
Worth remembering that in Jan a very large seroprevalence study suggested that antibodies had been detected in 56.13% of the population of Delhi that is being absolutely swamped with Covid now.

So either that was an overestimate/there’s a lot of reinfection or what?
Whilst there is reason to be optimistic that vaccinations will take the worst edges off even new variants it is also reasonable to be cautious because we do not actually know.

And even mild to moderate disease can cause significant illness in a good % of people.
I’m a fan of being cautious whilst we find out; curtail the possibility of what is occurring in India occurring here as far as poss whilst retaining some optimism in the way good vaccinations pump prime immunity

Always better to be several steps up the ladder than at the bottom
Read 8 tweets
18 Apr
Nearly all of the twice-daily flights between Delhi’s Indira Gandhi International Airport and Toronto Pearson Airport carried passengers infected with COVID-19.

Yes India is not on the U.K. #RedList

torontosun.com/news/local-new…
Since mid February passengers over the age of 5yrs are required to provide a pre flight negative Covid test.

But, like the Delhi-Hong Kong flight this is not stemming the flow.
There have been a total@of 106 infected flights landing in Canada since March 4th.

30 originate from Delhi.

Limited data on the extent of the reach of infection but 14 show a a minimum of a 6 row reach.

So more than one case.
Read 10 tweets
18 Apr
Do watch @BBC 2 Climate Change- Ade- even if you think you are not that interested.

Bangladesh & Bhutan.

It given you a sense of the personal stories. Individual people’s homes & dreams.

Also v interesting re Covid. You can SEE the travel connections- the way people love
Dakar, the capital city is experiencing massive immigration from people migrating to try and avoid the consequences of climate change.

And he visits Bhutan. Roughly the size of Switzerland but 750k people

It is gorgeous.

It isn’t just carbon neutral. It is carbon negative,
I was booked to visit it on a walking holiday c15 years ago.

“if you dropped your camera you’d still have a gorgeous photo”.

But the holiday was cancelled. Not enough people.

It was expensive but I thought it would be special.

I see this programme. I think it would’ve been
Read 6 tweets
18 Apr
Here Cameron refers to Crother as “a fellow board member”, something he now says was a mistake

But the FT also refers to a WhatsApp message from Lex Greensill intended for Scott Morrison but sent to another number in error. In that Greensill ALSO says Cameron is on their board
Here is the full text of that message. Seeking access to electronic staff records, doctors, nurses (admin? Management?) data and also Allocate - the staff rostering IT system.

We’re staff consulted about this, he makes it sound as if Simon Stevens amongst others was v keen
Read 6 tweets
17 Apr
India looked like it had beaten Covid, but cases are now skyrocketing. What changed?

“Loved ones wailing outside hospitals, ambulances queued up with patients, crematoria and graveyards drowning in dead bodies, failed resuscitations” independent.co.uk/asia/india/cov…
Families scrambling for beds, plasma, and even basic medical supplies such as oxygen, stretchers and ventilators: these are common scenes witnessed across India.

Families Sending out pleas on Twitter for oxygen, drugs, beds.

What changed from just three months ago?
Maharashtra was painted as an outlier a few weeks ago.

Now hospitals out of capacity. Reports of doctors not even able to find beds for their own.

No longer. It is worse now than at any point last year.

What has changed?
Read 6 tweets
17 Apr
Covid-19 appears to have jumped between neighbouring rooms in hotel quarantine in Sydney after seven cases of people arriving from different countries were revealed to have the same viral sequence.

Can Governments and @WHO stop being dicks. It’s airborne theguardian.com/world/2021/apr…
No. I’m not saying it is EXCLUSIVELY airborne.

Just that the accumulating evidence is that it is STRONGLY airborne.

And when so called academics seek to say otherwise please pause before you reply to this.
Because pretending the preponderance of evidence suggests otherwise is also dickheaded.

I really listened hard to the spiel back in March/ April/ May 2020.

On the whole believed the fomite/ droplet stuff.

But played safe, wore a mask but wondered if I WAS BEING a the dickhead.
Read 5 tweets

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