Coronavirus

My dog and the NHS have a lot in common

We are considering privatising or selling off our dog, Jessie. She seemed a rather wonderful idea when we got her nine years ago. But since then she has become a hideously bloated, entitled creature who almost by herself determines how we live our lives. In winter she is particularly tyrannical — she has three walks a day, and with darkness falling at four o’clock that means almost every hour of daylight is spent servicing her needs. We cannot go out by ourselves without ensuring she will not be unduly inconvenienced, and as she has grown older so the costs of keeping her have spiralled — and will continue to spiral.

James Forsyth

What Boris must do to survive

In recent years, the notion of cabinet government has been a polite fiction. In theory, the prime minister is merely the first among equals when he meets his secretaries of state. In practice, they all owe their position to No. 10 and usually do what they’re told. The situation was summed up by an old Spitting Image sketch showing Margaret Thatcher at a restaurant with her cabinet ministers. She orders steak. ‘What about the vegetables?’ the waitress asks. ‘Oh,’ she replies, ‘they’ll have the same as me.’ For the first two years of Boris Johnson’s premiership, cabinet ministers were more claque than cabinet. ‘How many hospitals are we going to

Boris Johnson rejects lockdown (again)

Boris Johnson latest Covid press conference was slightly confusing. The Prime Minister spent nearly an hour saying nothing particularly new. He warned that there was ‘considerable pressure’ on the NHS at the moment and unveiled daily priority lateral flow testing for 100,000 essential workers so that key services, including healthcare, don’t seize up due to staff absences. But while he accepted that hospitals were feeling the heat, he also insisted that there was no data suggesting that a lockdown was necessary or helpful. Indeed, he argued:  ‘We have a chance to ride out this Omicron wave without shutting down our country once again. We can keep our schools and our

Robert Peston

Boris’s plan to test key workers daily

The Prime Minister is attempting to lessen the threat posed by Omicron to essential services by requiring around 100,000 workers in specified industries to take daily Covid tests. In order to keep the lights on, maintain the supply of food and keep aeroplanes flying, these workers will have to test five days a week —  so that infections are caught as early as possible, to minimise spread of the virus to colleagues. A government source said the requirement to test daily would apply to those in civil, nuclear and other power generation, air traffic control, meat processing and food supply chains. Boris Johnson concedes that the coming few weeks will see significant disruption

The problem with ‘vaccine equity’

‘A stain on our soul’. That was how Gordon Brown, in his latest missive on the subject, described the failure of the west to ensure that the whole world is vaccinated. In a previous attack on western policy — at the end of November, just as Omicron was emerging — he wrote of “hoarding” and ‘vaccine nationalism’. Take Africa: it is certainly true that vaccination rates in many countries are very low. While the UK has managed to deliver 195 doses per 100 people, Nigeria has only managed seven, Ethiopia and Somalia nine, and Chad and South Sudan two. Can all this be blamed on the failure of western nations to donate

Covid is surging. So why is intensive care bed usage falling?

Omicron is sending Covid case numbers surging ( a new high of 189,000 cases reported yesterday) and hospital admissions along with it. But another important piece of data, intensive care admissions, shows a significant fall. This is early data, but worth noting as it may be part of an important trend. And it adds context to comments by Chris Hopson, Chief executive of NHS Providers, that the system may be better prepared than case numbers suggest. First let’s look at London; the Omicron epicentre. Hospital figures are rising fast – in part due to patients who are being primarily treated for something else (blue, below – that is now true

Working out length of hospital stay for Covid patients: a technical note

Length of hospital stay is a crucial metric, but hard to do with much accuracy unless each patient is certified Omicron or Delta. The closest proxy we have right now is information on patient stay and there are graphs for two cohorts: those admitted from 1 May (third wave) and from 1 December. The graphs were published in the CO-CIN study dated 22nd Dec (Fig 8). The younger age groups are at the top. Those who were discharged on the left, those who died on the right. The line drawn on each chart shows 14 days on, and indicates what percent of patients were discharged or had died by that point.

Remember panic-buying? Here’s what will happen next time

It’s post-Christmas, and there are already murmurs about supermarkets with empty shelves. Just as with the petrol shortage in September and shortages of loo paper at the beginning of the first lockdown, these things can rapidly develop into major crises, purely as a result of panic-buying. Tesco, whose store on the Isle of Wight is reportedly especially empty post-Christmas, denies it has any problem with its supply chain — which had been threatened with disruption thanks to an industrial dispute involving the company’s lorry drivers in early December. People may, on the other hand, have stocked up more than usual in response to fears of a post-Christmas lockdown — a fear which

The churches must stay open

Hooray for Cardinal Vincent Nichols, who used the one day of the year when his pronouncements are amplified by the season to ‘sincerely appeal that [the government] do not again consider closing churches and places of worship.’ He said in a BBC interview he believed it had been demonstrated that the airiness of churches meant they are ‘not places where we spread the virus’. Mind you, Catholic churches weren’t as bad as the Church of England This is, of course, entirely sensible. It was nuts for churches to close at the start of lockdown, at least as spaces for prayer if not for communal worship. Pretty well any church is ‘Covid-safe’, in

Will Omicron overwhelm the NHS? The crucial missing data

If you catch Omicron your risk of ending up in hospital is between 50 to 70 per cent less likely than if you’d had Delta. That’s according to a new analysis released this evening by the UK Health Security Agency. It’s another blow to the case for lockdown. That case for lockdown goes like this: Omicron is growing exponentially and its casualties will overwhelm the NHS unless action is taken to slow the growth. The cautious course of action is to wait until we know more about crucial unanswered questions, such as: What is the limit to Omicron’s growth? How much milder than Delta is it? Is Imperial’s figure of

Ross Clark

Sage modellers start to accept that Omicron is milder

Public health officials in Britain and South Africa were on different planets for about a fortnight. While those in South Africa kept presenting data suggesting that Omicron caused less severe disease than earlier variants, scientists in Britain continued to claim it was too early to say. Scenarios published by the London School of Hygiene and Tropical Medicine (LSHTM) last week pictured a frightening picture of January, suggesting that hospitalisations could peak above previous waves. An assumption was made that Omicron was just as likely to land you in hospital or kill you compared with Delta. As LSHTM admitted, quite a big assumption:- Due to a lack of data, we assume Omicron has the

Sage memo makes the case for lockdown

On Monday, Covid restrictions were rejected after the cabinet debated the issue robustly for the first time since the pandemic started. The Prime Minister said he’d revisit the decision, so the debate is very much still ongoing. But it wasn’t just ministers meeting that day. Sage assembled its experts as well, with over 70 scientists and government officials in attendance. The minutes, seen by The Spectator, give an interesting summary of the official case for more lockdown restrictions. Everyone is wrestling with two questions; if there are no more restrictions, how far will Omicron case numbers rise? And how will that translate into hospitalisations? If there is reason to believe

Should businesses receive more Covid support?

As government considers whether to lock us down once again, should it put economic support for businesses affected back on the table? The combination of Plan B and Boris Johnson’s insistence that we modify our social behaviour has led to empty cinemas, ghost trains, cancelled gigs and ‘postponed’ Christmas parties. Just as the economy was getting back on its feet, the unofficial guidance to avoid social events is knee-capping it once again, forcing the Chancellor to not only drop his December plans but to announce yet more taxpayer-funded business compensation. So far he’s fallen down on the side of more support, though nothing (yet) like last time. Businesses in England that

Is Omicron now falling in South Africa?

Man makes Covid predictions and God laughs. Yet with the stakes this high in Britain, every bit of real-world data is useful. That’s why South Africa is so important: it’s a country with a well-digitised healthcare sector that we have to thank for sequencing the Omicron variant, and has been first to experience the impact. That’s why its figures, released daily, are being watched so eagerly world over. Right now, there are two questions: is Omicron now falling? And if so, what conclusions can we draw? The epicentre is Gauteng province: home to Johannesburg, Pretoria and about a quarter of South Africans. The below chart adjusts for population and shows that

How the BBC lost its way on Covid

I have been a BBC journalist for many years, and in that time I have been committed to impartiality and the corporation’s Reithian values to inform and educate. My despair about the BBC’s one-sided coverage of the pandemic though has been steadily growing for some time. And in early December, as I listened to a BBC radio broadcast, I felt the corporation reach a new low. During a morning phone-in show on 5Live the topic of discussion was Covid jabs and whether they should be mandated, or if punitive action should be taken against those who refuse them, such as imposing lockdowns on the unvaccinated. Setting aside the fact that

Don’t underestimate the Omicron variant

As the Omicron variant makes its way through the population of the UK, the Chief Medical Officer’s warning that we don’t know all that much about the variant, but ‘all the things we do know are bad’ was not what anyone wanted to hear this week. Unfortunately, Chris Whitty is right. The Omicron variant’s assault on the UK has been like a blitzkrieg so far, and it has left a trail of shock and confusion in its wake. It is no wonder that Sage have advised this week that more restrictions may now be needed to prevent a rapid rise in hospitalisations. There is still a lot we don’t know

My Twitter conversation with the chairman of the Sage Covid modelling committee

The latest Sage papers have been published, envisaging anything from 200 to 6,000 deaths a day from Omicron depending on how many more restrictions we’ll get — up to and very much including another lockdown. Earlier today I had an unexpected chance to ask questions of Graham Medley, the chair of the Sage modelling committee.  He’s a professor at London School of Hygiene & Tropical Medicine (LSHTM) which last weekend published a study on Omicron with very gloomy scenarios and making the case for more restrictions. But JP Morgan had a close look at this study and spotted something big: all the way through, LSHTM assumes that the Omicron variant is just as deadly as Delta. ‘But

Omicron is now Britain’s dominant Covid strain

If you test positive for Covid now in Britain, the odds are that it’s Omicron: it’s now the dominant strain in England and Scotland. Data released this evening by the UK Health Security Agency showed that by Tuesday, 54 per cent of PCR tests were positive for S-gene target failure (a proxy for Omicron). For perspective, it has only taken eight days for the variant to become dominant: Delta took nearly a month. North of the border, Sturgeon said that the ‘tsunami [of cases] was starting to hit’ and confirmed that in Scotland more than half of cases were Omicron too. Again, that’s using S-gene dropout as a proxy. Some

The Covid dissidents who’ve made my Christmas merrier

A few years back, a hackneyed journalistic come-hither led me to a sober reckoning: would I write about someone alive today whom I especially admire? I couldn’t think of anyone I held in high esteem who wasn’t dead. Either I was surrounded by mediocrities, or I was an ungenerous, withholding jerk. I’m pleased to discover that these days I admire a host of folks who aren’t dead. Some are colleagues or acquaintances; others I’ve never met. While they don’t all embrace the same catechism, they’ve one thing in common: they depart from establishment orthodoxy on Covid-19. What they share, then, is an anti-catechism. I’ve been vocal about my dismay over

Portrait of the year: Lockdown, protests, parties and Matt Hancock’s kiss

January The United Kingdom found itself in possession of a trade agreement with the EU. Coronavirus restrictions were tightened. The Oxford-AstraZeneca vaccine was administered with authorisation for the first time; retired doctors could not vaccinate before undergoing ‘diversity’ training. To prevent vaccines being exported from the EU to Northern Ireland, the EU prepared to invoke Article 16 of the Northern Ireland Protocol, but soon changed its mind. The Capitol in Washington, DC was overrun by weird people, one with horns, supporting President Donald Trump, despite his electoral defeat. Joe Biden was inaugurated as President a week later. February The government promised to legalise the drinking of coffee by two people