Mixed messages mean a face mask muddle when law is lifted in England

No one knows for sure what will happen when the rules in England change on Monday, say scientists

No wonder people are confused. When England takes the final step in the roadmap out of lockdown on Monday, wearing masks will cease to be compulsory. Yet Boris Johnson expects masks to be worn in crowded places. They will remain mandatory on London transport and some services around the country. Hospitals, GPs and other health providers can also still require patients and visitors to wear masks unless they are exempt.

The muddle of rules and recommendations leaves the question open of what people will actually do. Will mask-wearing continue as caution prevails, or will people decide that dropping the law means there’s no longer a need to do so?

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Long Covid has more than 200 symptoms, study finds

Calls for national screening programme as symptoms revealed range from brain fog to tinnitus

The largest ever international study of people with long Covid has identified more than 200 symptoms and prompted researchers to call for a national screening programme.

The study found the myriad symptoms of long Covid – from brain fog and hallucinations to tremors and tinnitus – spanned 10 of the body’s organ systems, and a third of the symptoms continued to affect patients for at least six months.

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Sydney hospitals stretched to ‘the brink’ as Covid crisis sidelines medical staff

Doctors and nurses forced to isolate after being exposed to virus in hospitals, causing delays to surgeries

Sydney’s hospitals are being stretched to “the brink” as healthcare professionals continue to be sidelined by exposure to Covid, with two major hospitals reporting cases, including a fully vaccinated nurse.

NSW Health confirmed the nurse, who tested positive on Tuesday, works at Westmead hospital and the source of the infection was being urgently investigated.

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Battle for oxygen as coup-hit Myanmar faces its most severe Covid outbreak

Outbreak could not have come at a worse time, after military coup caused hospitals to collapse and threw vaccination campaign into chaos

Khin Nwe Soe* went in a taxi, from factory to factory across Myanmar’s main city of Yangon, desperately searching for oxygen tanks for her 21-year-old son. A home test had shown he had Covid-19. He was in pain, able only to lie down, and his oxygen levels had dropped as low as 90%.

“She tried very hard, queuing at every place she could find, because her child needed it,” said Aye Myat Noe*, her daughter, who lives abroad but had called oxygen suppliers to help her mother. “She has a lot of health issues too, including diabetes and heart problems. She is very scared herself … She was seriously risking her life to find oxygen.”

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Hygiene theatre: how excessive cleaning gives us a false sense of security

Covid-19 is a mainly airborne disease. So does our endless disinfecting and hand sanitising serve any purpose – or could it be worse than useless?

Claudia, a 26-year-old beauty worker, dreads it when her clients ask to go to the toilet. “It’s a whole other thing to clean,” she says. “They could have touched anything in there. I have to wipe down the whole thing with antibacterial spray and wipes.”

It is her job to maintain stringent cleaning protocols at the London skincare clinic where she works. When clients arrive for their appointments, Claudia checks them in, offers them a drink – the clinic only uses disposable cups or plastic water bottles – and takes them through to the treatment room.

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Taiwan tech companies buy 10m Covid vaccine doses in deal that sidesteps China

Beijing had offered Taiwan the vaccines, amid a major shortage on the island, but Taiwan’s ruling party did not want to deal with China directly

Major Taiwanese tech companies have inked a deal to buy 10m vaccine doses for Taiwan, sidestepping months of complicated geopolitical wrangling between Beijing and Taipei.

The US$350m purchase from German manufacturer BioNTech, is split between TSMC, the world’s largest semiconductor manufacturer, and Foxconn, one of the world’s largest contract electronics makers, and its charity foundation. The two companies will donate the vaccines to Taiwan’s central epidemic command centre for distribution.

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Health campaigners call for an end to the use of the word leper

Derogatory use of the “L-word” has increased during Covid and is said to be further marginalising people with the curable disease

Health campaigners are calling for an end to the use of the word leper, saying the language frequently used by politicians and others during the pandemic has made people with leprosy even more marginalised.

The metaphor of the socially outcast “leper” has been used often, whether in media reports on stigma against early Covid-19 patients or by politicians in Italy and Brazil complaining about being seen as “leper colonies”. Campaigners now want an end to the use of what they call the “L-word”.

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Australia Covid news live: NSW expecting more than 100 coronavirus cases; government ads spark backlash

Sydney braces for spike in cases of Delta variant as Victoria closes border to NSW. Follow the latest updates, live

We are expecting to hear from the Queensland premier Annastacia Palaszczuk in about five minutes.

Don’t think Adelaide is safe from the soccer celebrations!

pic.twitter.com/UB97AZ0A7W

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Covid unlocking on 19 July must come with a warning, says Johnson

Ministers are told easing of restrictions could be accompanied by 2m new cases in coming weeks

Boris Johnson has said caution is “absolutely vital” before the abandonment of virtually all formal Covid restrictions as ministers toughen their language amid expectations of soaring infection rates.

The Guardian understands that ministers have been told to brace for at least one to two million new cases of coronavirus in the coming weeks, though the vaccination programme means far smaller proportions of those infected will be hospitalised and die than in previous waves.

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Fauci says no immediate need for Covid booster for fully vaccinated Americans

Biden chief medical adviser says guidance may change in future as Pfizer suggests booster ‘may be beneficial’ after six months

Dr Anthony Fauci has said there is no immediate need for a Covid-19 booster for fully vaccinated Americans but remained open to the possibility in the future, as reports suggest that one major pharmaceutical company plans to lobby government officials to approve booster shots next week.

Pharmaceutical company Pfizer announced last week that it had observed that its vaccine, while effective against the virus, had “a decline in efficacy against symptomatic disease over time”. The company suggested that as new variants continue to emerge a booster shot after six months “may be beneficial”.

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Ugandan minister blames west for Covid vaccine shortage

Chris Baryomunsi says Uganda unable to obtain more shots because ‘western world has focused on its population’

A Ugandan government minister has blamed the west for his country’s inability to secure more Covid-19 vaccines, as the World Health Organization warned Africa urgently needed hundreds millions more jabs to fend off a surging third wave of infections.

Chris Baryomunsi said Uganda had been able to vaccinate more than a million people but was unable to obtain further shots.

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Covid live: public in England expected to wear masks when measures lift; Indonesia reports 1,007 daily deaths

UK minister says mask guidance indoors is set to stay in England; Indonesian death toll rises to total of 66,464 after deadly day

The Press Association have written up warnings expressed by Sir David Spiegelhalter on the BBC’s Andrew Marr Show today that life is likely to be “massively disrupted” by people being told to self-isolate as the number of coronavirus cases rises over the summer.

The statistician said it would make sense to get the rules “in proportion” today as vaccines minister Nadhim Zahawi confirmed the Government was looking at ways to tweak the NHS Covid app.

Few people told to self-isolate actually have an infection, and especially if they’re vaxxed, and so I do think it makes sense to get this in proportion to actually ‘what are the benefits of this massive disruption

The team are looking at how we use that app in terms of alerting people to those around them who test positive.

It’s important to look at that in a new context of this massive vaccination programme and make sure that it is fit for purpose for this new world including, for example, being able to take maybe five days, as we have piloted, of lateral flow tests and upload them to the system rather than having to self-isolate.

In Libya, Al-Wasat news is reporting that the country has recorded a record number of coronavirus cases.

The National Center for Disease Control announced the registration of 2,854 new cases of the “emerging corona virus”, in addition to 376 cases of recovery, and 8 deaths, in the highest number of infections since March 2020.

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Freedom day? Boris Johnson faces a tough call as Covid cases soar

The prime minister seems intent on lifting England’s remaining Covid restrictions on 19 July. But many in the NHS fear it could be overwhelmed – and tourist hotspots are fearful too

With foreign holidays still in doubt and Cornwall filling up by the day, Jessica Webb has a unique perspective on “freedom day”. With her sister, Naomi, and her father, Spence, she helps run Falmouth Surf School and Watersports on Maenporth beach. Bookings for surf lessons are strong, and Jessica, 38, has started running yoga classes on paddleboards anchored in the cove to cope with excess demand.

She is also a part-time healthcare assistant in the A&E department at Cornwall’s only major hospital, in Treliske. “Even now, before the summer holidays have started, we don’t have enough staff in the hospital, people are waiting hours at A&E, the ambulances are all parked up outside,” she says. “There’s just so little capacity and so few beds – even for the people that live here all the time, let alone all the holidaymakers.

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Is it wise to lift England’s Covid restrictions fully?

The cases for and against the final easing of rules on ‘freedom day’ of 19 July

At the start of this pandemic, one key ethical justification for restrictions was to protect the NHS from being overwhelmed. Yet, despite rapidly rising cases, the number of patients in hospital with Covid has remained relatively low (similar to the start of October). It is clear that the vaccination programme is reducing deaths and hospital admissions from Covid-19. The benefit of continuing restrictions is now far smaller than it was.

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Woman, 90, infected with Alpha and Beta Covid variants at the same time

Researchers warn ‘phenomenon is probably underestimated’ after the death of woman in Belgium

A 90-year-old Belgian woman who died after falling ill with Covid-19 was infected with both the Alpha and Beta variants of the coronavirus at the same time, researchers have said.

The unvaccinated woman was admitted to the OLV hospital in the city of Aalst after a spate of falls in March and tested positive for Covid-19 the same day.

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Coronavirus live: police urge ticketless England fans not to travel to London; Fukushima to ban spectators from Olympic events

Met urges England fans not to gather in large numbers in capital for the Euro 2020 final on Sunday due to ‘ongoing public health crisis’

Seven people have died and 2,190 new people have been infected with coronavirus in Scotland in the past 24 hours.

The latest figures from the Scottish government show the daily test positivity rate is at 9% with 435 people are in hospital.

A fifth of staff could be absent from one NHS trust in England within three weeks from now, a representative organisation has warned, due in part to staff having to self-isolate amid rising coronavirus infections.

NHS Providers, a membership organisation of NHS trusts in England, said the staff shortage, also caused by people taking annual leave delayed by the pandemic, could lead to 900 operations being cancelled. It declined to name the trust.

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Government announces 50 new cases amid fears of extended lockdown – as it happened

NSW reports 47 people in hospital, with 16 in intensive care including a teenager. This blog is now closed

We’re going to wind things up for the evening. Here’s a reminder of what we learned today:

NSW has updated its list of venues of concern. New close contact venues include Bupa Dental in Miranda from 10.50am to 12pm on Wednesday 7 July, Chemist Warehouse in Punchbowl on Thursday 8 July from 9.20am to 9.40am and Direct Trade in Merrylands from 2.20pm to 2.50pm on Saturday 3 July.

The full list of venues is on the NSW Health website.

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Pfizer to ask US to authorize third Covid vaccine shot as booster

Evidence shows a greater risk of reinfection six months after inoculation as Israel reports a drop in vaccine effectiveness

Pfizer plans to ask US regulators to authorize a booster dose of its Covid-19 vaccine within the next month, the drugmaker’s top scientist said on Thursday.

The announcement was based on evidence of greater risk of reinfection six months after inoculation and due to the spread of the highly contagious Delta variant of coronavirus.

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Global experts urge Boris Johnson to delay ‘dangerous’ Covid reopening

More than 100 scientists and doctors say move risks creating a generation with problems due to long Covid

Lifting the remaining Covid restrictions in England this month is “dangerous and premature”, according to international scientists and doctors, who have called on the UK government to pause reopening until more people are vaccinated.

Writing in the Lancet, more than 100 global experts warn that removing restrictions on 19 July will cause millions of infections and risk creating a generation with chronic health problems and disability from long Covid, the impact of which may be felt for decades.

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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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