Looking for the peak: the cautious optimism over stalling UK Covid cases

Cases may level off soon, but bets are off until after half-term – and NHS faces winter crisis regardless

The Covid pandemic has been a story of twists and turns, with the situation often developing quickly.

For much of October, confirmed cases in the UK have risen daily – largely driven by increases in England and Wales.

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UK government paves way to bring in tough ‘plan B’ Covid rules

Councils consulted over support for measures such as vaccine passports amid warnings by senior doctors that NHS faces winter illness ‘triple whammy’

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New evidence has emerged that the government is paving the way to implement “plan B” measures in England to combat the spread of Covid-19, amid warnings from health chiefs that a “vortex of pressures” is encircling the NHS.

In the clearest sign to date that Whitehall is actively considering additional measures, the Observer has learnt that the UK Health Security Agency (UKHSA) contacted local authorities on Friday to canvass their level of support for the “immediate rollout of the winter plan – plan B”.

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MPs should set example with masks in battle against Covid, says Javid

Health secretary rejects calls for ‘plan B’ measures despite predicting infections could hit 100,000 a day

Politicians have a responsibility to set an example in the battle against Covid, including wearing masks in crowded spaces, Sajid Javid has suggested as he predicted new infections could hit a record 100,000 a day.

With the government under mounting pressure to impose measures to control the virus, Javid warned “this pandemic is not over” and insisted he would do “what it takes” to protect the health service. But he said: “We don’t believe that the pressures currently faced by the NHS are unsustainable.”

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Why Britons are tolerating sky-high Covid rates – and why this may not last

Analysis: as Covid cases reach 40,000 a day, scientists think normalisation is partly to blame for the lack of public reaction

It is one of the conundrums of the current phase of the Covid pandemic: the UK has among the highest number of infections across the world and a death toll that continues to steadily climb, yet the national mood seems sanguine. So is this down to British stoicism, a Keep Calm and Carry on mentality?

Not according to experts. They talk of many factors being at play – and warn it may not last.

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NHS staff face rising tide of abuse from patients provoked by long waits

Chronic underfunding, Covid and staff shortages blamed for increase in physical and verbal assaults

NHS staff across the UK are facing a “growing tide of abuse” including assaults from patients, which they say is being caused by frustration at long waits for care.

In a strongly worded joint statement, which has been shared with the Guardian, six key medical bodies and staff groups blame patients’ increasingly long delays in receiving treatment on years of successive governments underinvesting in the NHS and not fixing severe workforce shortages.

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Nursing crisis sweeps wards as NHS battles to find recruits

Lack of EU staff adding to shortages: ‘There aren’t enough to deliver care we need’

Ministers are being warned of a mounting workforce crisis in England’s hospitals as they struggle to recruit staff for tens of thousands of nursing vacancies, with one in five nursing posts on some wards now unfilled.

Hospital leaders say the nursing shortfall has been worsened by a collapse in the numbers of recruits from Europe, including Spain and Italy.

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Coronavirus report warned of impact on UK four years before pandemic

Exclusive: Report from planning exercise in 2016 alerted government of need to stockpile PPE and set up contact tracing system

Senior health officials who war-gamed the impact of a coronavirus hitting the UK, warned four years before the onset of Covid-19 of the need for stockpiles of PPE, a computerised contact tracing system and screening for foreign travellers, the Guardian can reveal.

The calls to step up preparations in areas already identified as shortcomings in the government’s response to Covid, emerged from a previously unpublished report of a health planning exercise in February 2016 that imagined a coronavirus outbreak.

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‘Dead because she was Indigenous’: Québec coroner says Atikemekw woman a victim of systemic racism

Hospital staff assumed Joyce Echaquan was an opioid addict. She was dying of a rare heart condition

An Indigenous woman who was taunted by nursing staff as she lay dying in a Quebec hospital would probably be alive today if she were white, a coroner has concluded.

The death of Joyce Echaquan was an “undeniable” example of systematic racism in the province, the Québec coroner Géhane Kamel told reporters on Tuesday.

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Covid antibody drug Ronapreve to be given to vulnerable NHS patients

Ronapreve, which was used to treat Donald Trump, will be ‘saving lives as early as next week’, says Sajid Javid

A drug given to the former US president Donald Trump when he had coronavirus last year is to be used to treat vulnerable NHS hospital patients.

Last month, the health secretary, Sajid Javid, heralded Ronapreve as the first treatment designed specifically for Covid-19 to receive regulatory approval in the UK.

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Asylum seeker given £100,000 hospital bill after suffering stroke

Simba Mujakachi says government’s ‘hostile environment’ policies deterred him from taking medication

Simba Mujakachi, a personal trainer, was just 29 years old in June 2019 when he suffered a catastrophic stroke that left him comatose. When he awoke, he was paralysed on his left side and unable to talk or eat.

His stroke could have been prevented by relatively inexpensive medication for a blood clotting condition that, as an asylum seeker, he was not entitled to on the NHS.

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The battle for Mekelle: Ethiopia’s civil war over Tigray goes on – in pictures

An estimated 2.2 million people have been forced from their homes and thousands have been killed in the civil war that broke out in Ethiopia last November when government troops entered Mekelle, capital of the Tigray region. Witnessed by photographer Sergio Ramazzotti, the city was retaken by the Tigray Defence Forces in June, but peace in the region seems a long way off

  • All photographs by Sergio Ramazzotti/Parallelozero

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‘£3k just to hold the bed’: Exorbitant Covid care costs push Indians into poverty

A struggling healthcare system and inflated prices mean hospital treatment can result in a lifetime of debt for many

Anil Goel remembers the night in May when he received a call from his desperate nephew asking for money for his Covid treatment. The nephew had been admitted to a private hospital with his wife and four other family members with Covid complications but had used up all of his savings.

“I was shocked by the request as this was a young man who was doing well in life otherwise. But the high hospital bills and the black marketing just exhausted all of his savings within days. After all, six family members were on life support,” said Goel.

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More than 8,000 people in hospital with Covid in UK

Figure highest for almost six months leading to fears of resurgence in virus’ ability to cause serious illness

More than 8,000 people in the UK were in hospital with Covid on Wednesday – the highest figure for nearly six months – leading to fears of a resurgence in the virus’ ability to cause serious illness and death among the population.

In countries with high rates of vaccination, such as the UK, fewer people are predicted to become ill enough to require hospital treatment, even if infection rates remain high. But the latest figures show the highest number of patients on wards since 10 March.

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France grants citizenship to 12,000 Covid frontline workers

Fast-track scheme is aimed at those whose jobs put them at risk in pandemic

France has granted citizenship to more than 12,000 frontline workers whose jobs put them at risk during the Covid pandemic under a special fast-track scheme.

As well as speeding up the application process, which normally takes up to two years, the government also cut the residency requirement from five years to two.

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Oxygen firms accused of intimidating Mexican hospitals during pandemic

Hospitals received letters threatening large fines after they installed their own onsite O2 plants in response to shortages

In March 2020, Benjamin Espinoza Zavala saw an entire floor of his small hospital in Guanajuato, central Mexico, converted into Covid-19 wards. The hospital’s need for oxygen soared.

Deliveries from CryoInfra, part of the Grupo Infra group, occasionally slowed to once every couple of days, and he had to buy in extra to cover the sudden gaps in supply. Prices increased.

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‘Maestro of humanity’: Italian surgeon Gino Strada dies at 73

Tributes paid to doctor whose NGO set up world-class hospitals in war zones such as Iraq, Yemen and Sudan

Tributes have been paid to Gino Strada, the Italian surgeon and “maestro of humanity” known for setting up world-class hospitals for the victims of war, who has died aged 73.

The medic, who in 1994 co-founded the humanitarian organisation Emergency to provide free, quality healthcare for those injured in conflict, died on Friday in France, reports said.

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‘A great blow to Uganda’: surgeon John Baptist Mukasa dies of Covid

One of the few neurosurgeons in the country, Mukasa declined lucrative opportunities to work overseas, dedicating himself to training a new generation and going the ‘extra mile’ for patients

Kennedy Owuor first fell over in his hotel room in Addis Ababa, Ethiopia’s capital, before headaches followed. He initially brushed the symptoms off as a minor problem, but soon he started having difficulties speaking and moving.

A trip in August 2020 to northern Uganda, as part of his duties working for the UN’s food agency, had to be interrupted. He was instead driven for 12 hours to UMC Victoria hospital in Kampala.

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Covid patients reunited with the medics who saved them

Four people who were so ill that they barely remember their time in the ICU meet the doctors and nurses who held their hands

In a light-filled studio in east London, a petite woman in scrubs receives a bouquet of flowers from a tall man, dressed smartly, only faintly out of breath.

The room is thick with emotion. They are strangers, but stare at each other with wonder in their eyes. And then Dr Susan Jain, an intensive care consultant at Homerton university hospital, breaks the silence with a laugh.

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NHS drops from first to fourth among rich countries’ healthcare systems

Thinktank says longer wait for treatment since Covid pandemic is main reason, in study of 11 countries

The NHS has lost its prestigious ranking as the best health system in a study of 11 rich countries by an influential US thinktank.

The UK has fallen from first to fourth in the Commonwealth Fund’s latest analysis of the performance of the healthcare systems in the nations it studied.

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‘I advise everyone to get it’: UK Covid patients tell of regrets over refusing jab

Doctors say most patients now arriving in intensive care are unvaccinated, and deeply regret their decision

For some people, the moment the ambulance arrives is the time they start expressing regrets about not receiving a coronavirus vaccine. For others, it’s the death of a loved one.

Healthcare workers and Covid patients have spoken out about growing numbers who, once faced with the serious reality of catching the virus, realise that they made a huge mistake.

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