The areas with extra guidance to avoid non-essential travel doesn't make a lot of sense.

A short thread.
Let's look at the list published on Friday.

Here are the areas which have new guidance to avoid non-essential travel to/from these areas.

gov.uk/guidance/covid…
Let's see where they are on the list of B.1.617.2 cases using the latest data from @sangerinstitute

For this, I am *only using the number of sequences in the latest week, week ending 15 May 2021*
covid19.sanger.ac.uk/lineages/raw
Here are the areas with the highest number of sequences in the latest week with data.

(Note that this is biased by surge testing)
So, the question is - why is Burnley on the list when other areas, say Preston isn't?

OK, it could be because some areas have higher populations that others. So let's look at the number of sequences per 100,000 people.
And let's look at North Tyneside, on the extra restrictions guidance list, with just 2 sequences that week
So - on the face of it, it doesn't look very fair.

There may be good reasons why these local authorities are still on the list, and there are caveats in the data covid19.sanger.ac.uk/lineages/raw
So the question is - if guidance was needed for the local authorities to avoid travel to/from these areas, and there are *other* local authorities with significantly higher number of B.1.617.2 cases - why are *those* local authorites not on the list?
The reason may be that there are outbreaks or particular epidemiological reasons in the listed areas.

But it may also be that B.1.617.2 is now so widely dispersed across the country that such guidance would be (relatively) futile.

So the question is - what's the plan now?

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More from @Dr_D_Robertson

23 May
What I think happened with the announcement of new data of the AZ/Pfizer effectiveness against B.1.617.2:

- a press release was issued earlier in the day on Saturday which prompted positive headlines in today's papers

"It's really good", as #Marr has just said

(a quick thread)
This I assume is the press release gov.uk/government/new…
This news was I believe embargoed until 10:30pm yesterday. Note that the press release *does* contain a link to a full preprint of the data.

khub.net/documents/1359…
Read 7 tweets
20 May
Public Health England have published their data for Variants of Concern.

- B.1.617.2 is becoming dominant with 2,111 new cases
- But also increases in these variants of concern
P1 (+30)
B.1.351 (+41)
- New variant under investigation AV.1

nb cumulative chart

... thread
Here is the cumulative chart on a log scale
And here is a heatmap of cases per week excluding colouring the B.1.1.7 ('Kent') variant
Read 9 tweets
20 May
10% of cases reported today were detected in Bolton
(There is surge testing in Bolton, which may explain part of this.)

But cases are very high there with high case rates in children with a bit of a gap then up to 40-44 year olds. (This *could* indicate household transmission between children and their parents.) Fig: @PHE_uk
Increases in cases are not just confined to the under-60s (Fig: PHE dashboard) although the rate of increase is lower in the over-60s.
Read 12 tweets
20 May
20 incidents/outbreaks in care homes last week - although some signs that these produce fewer hospitalizations. Let's hope that continues.
5 incidents/outbreaks in hospitals last week.
Read 11 tweets
19 May
My @SkyNews interview this afternoon with @skynewssarah with slides in the thread below.

Read 7 tweets
18 May
The overseas travel to amber list countries is potentially a mess. See this for Malta and Spain (currently on the amber list whose advice has changed).
The Foreign Office advice (which tends to be the advice that insurers use to determine whether a travel policy is valid) say this about Spain (on the left) and Malta (on the right).

gov.uk/foreign-travel…
gov.uk/foreign-travel… ImageImage
Yet both pages say 'you should not travel to amber or red list countries' ImageImage
Read 5 tweets

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