Age, sex, vaccine dose, chronic illness – insight into risk factors for severe Covid is growing

A look at the demographics as 18.5 million people in the UK fall into the heightened risk category

About 18.5 million individuals, or 24.4% of the UK population, are at increased risk of developing severe Covid because of underlying health conditions. It is well known that older people are at high risk, but the understanding of all the risk factors is incomplete. Experts say that this knowledge needs to develop at speed to support policy and planning given that social restrictions will end in England on 19 July.

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How your mask protects other people – video explainer

Since the beginning of the coronavirus pandemic, many countries have brought in rules, and even laws, requiring people to wear face masks to help contain the spread of the virus. But as restrictions are being lifted globally, many governments are loosening the rules around mandatory face coverings. 

With the requirements due to be dropped in England on 19 July, the Guardian's science correspondent Natalie Grover looks at why masks are more about protecting others than ourselves, and where we still might want to wear them

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England’s ‘freedom day’ to be day of fear for elderly people, charities warn

Vulnerable and immunocompromised people anxious about 19 July end to Covid rules

Boris Johnson’s “freedom day” will be a day of fear for elderly and vulnerable people and those with compromised or suppressed immune systems, for whom the efficacy of vaccines is much reduced, charities have warned.

Citing the statement by the new health secretary, Sajid Javid, that Covid infections could surge to a record 100,000 a day in a few weeks after all social distancing and mask-wearing regulations are removed in England, Blood Cancer UK has said that 19 July “will be the day that it feels like freedoms are being taken away from” many people.

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Chris Whitty says keeping Covid restrictions will only delay next wave – video

Prof Chris Whitty has warned that maintaining the current Covid restrictions through the summer would only delay a wave of hospitalisations and deaths rather than reduce them, as Boris Johnson announced that most social distancing and mask rules would be lifted on 19 July. 

The chief medical officer for England said: 'At a certain point, you move to the situation where instead of actually averting hospitalisations and deaths, you move over to just delaying them. So you’re not actually changing the number of people who will go to hospital or die, you may change when they happen.'

However, Whitty also cautioned that while there was a 'pretty high' level of scientific agreement over the government's decision last month to delay the original lifting of restrictions for four weeks, the view in regards to opening back up is 'more mixed'. 

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Why living with Covid would not be the same as flu

Analysis: coronavirus is more contagious and more lethal than influenza, and we lack the same global protection mechanism

As England prepares to ease coronavirus restrictions further, the messaging from ministers has changed. We have reached, it seems, a tipping point in the pandemic where rules will be replaced by personal decisions. The mantra now is about living with coronavirus, much as we do with seasonal flu.

The pandemic has invited countless comparisons between coronavirus and influenza and the diseases do have some features in common. Both are contagious, potentially lethal respiratory viruses. They can spread through aerosols, droplets and contaminated surfaces. And they share some of the same symptoms in the form of fever, cough, headaches and fatigue. In the winter ahead, one challenge the NHS faces is separating the Covid patients from the flu cases.

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‘Idea of commuting fills me with dread’: workers on returning to the office

Staff warily contemplate going back to work as business leaders say it is vital to boost urban economy

With the lifting of coronavirus restrictions in England probably two weeks away, the prospect of returning to offices means the revival of the daily commute.

In a push to bring back more people to town and city centres to boost the urban economy, a group of 50 business leaders, including the Canary Wharf executive chair, Sir George Iacobescu, the bosses of Heathrow and Gatwick airports, the Capita chief executive, Jon Lewis, and the BT chief executive, Philip Jansen, are calling for the government to encourage a return to the office.

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Politics trumps Covid science in Javid’s push to ‘live with the virus’

Experts are urging greater vaccination coverage and action over ventilation in public spaces before lifting restrictions

For months, the prime minister has repeated the mantra that further easing of Covid-19 restrictions would be about “data and not dates”. Yet, as coronavirus cases in the UK continue to surge, and scientists warn that fully reopening society risks building “variant factories” in our own back yard, the government appears poised to put one date – 19 July – ahead of everything else. Once again, politics has trumped science.

Since Sajid Javid’s appointment as health secretary on 26 June, the UK has confirmed a further 188,538 coronavirus cases, with approximately 25,000 extra people testing positive each day. On Sunday, Javid said that the best way to protect the nation’s health was by lifting the main Covid-19 restrictions, even though this would result in a further significant increase in cases. “We are going to have to learn to accept the existence of Covid and find ways to cope with it – just as we already do with flu,” he said.

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Million Pfizer jabs face being dumped after Israel-UK swap deal fails

Israel says technical issues have scuppered deal to give UK Covid vaccines expiring on 30 July

More than a million Pfizer/BioNTech vaccine doses held in Israel that are due to expire at the end of July may be thrown away after attempts to broker a swap deal with the UK failed.

Israel had reportedly offered the jabs to Britain in return for a similar number of vaccines that the UK is due to receive from Pfizer in September. Health authorities are racing to vaccinate as many of its adult population as possible before Covid restrictions are lifted in England later this month.

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Britons with Indian-made AstraZeneca vaccine face extra EU travel hurdle

EU vaccine passport scheme omits Covishield jab, despite it offering same protection as UK-made one

British travellers hoping to visit Europe this summer face an extra hurdle as it emerged that those vaccinated with Indian-manufactured AstraZeneca jabs would not automatically skip quarantine.

Under the EU vaccine passport scheme, people given the AstraZeneca jab produced by the Serum Institute of India (SII) would not automatically avoid quarantine and mandatory testing when travelling in Europe.

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‘Excited delirium’: term linked to police restraint in UK medical guide condemned

Public health bodies and families say term carries racial bias and is used to justify lethal use of force by police

Public health bodies, charities and the families of men who died after being restrained by police have condemned the inclusion of a controversial medical term in one of the UK’s leading medical handbooks.

Acute behavioural disturbance (ABD), more commonly known as “excited delirium”, a contentious expression used in fatal cases of police violence, has recently been added to the Maudsley Prescribing Guidelines (MPG).

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Matt Hancock resigns as health secretary after day of humiliation

Ex-chancellor Sajid Javid is made health secretary but Boris Johnson’s authority suffers blow from resignation

Matt Hancock has resigned as health secretary after Tory MPs, ministers and grassroots Conservatives defied Boris Johnson and demanded he be dismissed from the government.

The minister fell on his sword after a day that began with senior Tories observing a deliberate silence over Hancock’s future – seemingly to test public opinion in their constituencies – before many later broke ranks to insist he had to go.

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Simon Jenkins is wrong about the NHS infected blood inquiry | Letters

A public inquiry was the only way to get justice for those affected by this scandal, which went on for two decades and was covered up for 20 years more, writes Diana Johnson MP

I categorically disagree with the comments from Simon Jenkins about the use and purpose of public inquiries, and with his particular reference to the NHS infected blood inquiry (Public inquiries are institutionally corrupt, we should just give the money to victims, 17 June) .

After nearly 40 years of campaigning and the refusal by the state to acknowledge the harm done to thousands of people, the NHS infected blood inquiry was finally announced in 2017 when all opposition parties in the Commons came together, threatening to vote against Theresa May’s minority government.

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Matt Hancock says Delta variant accounts for 96% of new UK Covid cases – video

The health secretary tells the House of Commons that the spread of the variant led the government to delay step four of its roadmap for easing restrictions in England. He said it spread more easily than the Alpha variant, and that there was some evidence that the risk of hospital admission was also higher

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Cummings texts show Boris Johnson calling Matt Hancock ‘totally hopeless’

WhatsApp message published by former aide reveals prime minister’s scathing verdict on health secretary

Boris Johnson described Matt Hancock as “totally fucking hopeless” during the early stages of the pandemic, concerned by the health secretary’s promises on testing, text messages published by Dominic Cummings have revealed.

Writing on Substack, the prime minister’s former chief aide published a slew of texts and documents from emergency Cobra meetings that he said would combat what he called “lies” from Downing Street and the health secretary about the initial handling of the pandemic.

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Why is Israel lifting Covid restrictions as England extends them?

Analysis: both are viewed as running successful vaccine campaigns, but case numbers are very different

Israel and the UK were viewed as world leaders in their coronavirus vaccine campaigns but whereas the former is lifting almost all pandemic limitations, the latter is now glumly extending its restrictions in England amid a sharp rise in infections.

Despite starting its mass inoculation programme after the UK in December, Israel has sped ahead and it reached a key milestone on Tuesday, scrapping a requirement to wear face masks indoors, one of the final Covid limitations.

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England’s Covid lockdown lifting: is a four-week delay enough?

Analysis: Even a short pause is expected to reduce the number of people going to hospital as more people are vaccinated

The roadmap out of lockdown – England’s strategy to return to a life more normal – was heavy on dates from the start. The first three steps, in March, April and May, passed so smoothly that a crucial point was easily forgotten: reopening rested on data, not dates, at least that was what scientific advisers hoped. Well, now the data has spoken.

England is not in lockdown today. Children are back at school. Cafes, restaurants and pubs are open. People can mix indoors, albeit in small numbers. Thousands can watch football matches. As the country moved from one step to another, more contact between people was expected to fuel cases, hospitalisations and even deaths. To keep them to a minimum, we have the vaccination programme.

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Losing ‘Freedom Day’ is galling for Boris Johnson, but things could get worse

Analysis: The PM will get a media pasting, but backtracking would be more painful than delaying

Boris Johnson has once again been persuaded that he must do the inevitable and cancel “Freedom Day” – a decision that will deeply rankle with him.

The prime minister is said to have complained to aides over the weekend about briefings to newspapers at the end of last week that a four-week delay was the likely outcome, saying he had technically not made the decision yet. But one thing matters more to Johnson than being able to join crowds in a packed pub on 21 June: not having to close them again a few weeks later.

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Delaying England’s Covid reopening ‘could keep thousands out of hospital’

Research backs four-week delay on lifting restrictions to allow more people to get jabs

Ministers have been told that a four-week delay to easing all Covid restrictions would probably prevent thousands of hospitalisations, as Boris Johnson prepares to tell the English public they will have to wait up to another month for “freedom day”.

The government roadmap out of lockdown earmarks 21 June for the last remaining coronavirus restrictions to be lifted in England, but the prime minister is expected to announce on Monday that the timetable will be pushed back by two to four weeks amid a rapid rise in cases of the Delta variant first detected in India.

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Lifting restrictions in England on 21 June: what are the alternatives?

As doubt grows that government will end Covid controls on planned date, we look at the other options

Downing Street is due to announce its decision on the next stage of Covid reopening in England by Monday, a week ahead of 21 June, which was set as the earliest date to bring in what is officially stage four of the Covid unlocking process. The original aim was to remove “all legal limits on social contact”, allowing the reopening of remaining businesses such as nightclubs. Public health is a devolved matter, meaning Scotland, Wales and Northern Ireland do not have the same deadline. Here are some possible options for England. They are not exclusive, meaning several could be used at the same time.

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Rapid Covid tests used in mass UK programme get scathing US report

Innova tests’ performance not proven and they should be returned to manufacturer or thrown in bin, says FDA

The US Food and Drug Agency (FDA) has raised significant concerns about the rapid Covid test on which the UK government has based its multibillion-pound mass testing programme.

In a scathing review, the US health agency suggested the performance of the test had not been established, presenting a risk to health, and that the tests should be thrown in the bin or returned to the California-based manufacturer Innova.

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