Covid

What explains Germany’s vaccine scepticism?

By the end of winter, Germans will be ‘vaccinated, recovered or dead,’ according to the country’s health minister Jens Spahn. Yet as Germany battles another wave of Covid outbreaks with renewed restrictions, the outgoing Merkel administration is failing to inspire public confidence in the central government. In the city of Dresden, which usually hosts some of Germany’s most iconic Christmas markets, the mood is particularly glum. Businesses in the capital of Saxony had been looking forward to welcoming locals and tourists back to the smells of Glühwein and Bratwurst. Months ago they received the green light from state authorities to open up, but then came a shock last Friday: lockdown in Saxony, no Christmas markets,

The fifth wave could break Macron

The fifth Covid wave has started in Europe. Some governments are already imposing lockdowns and wage cuts for the unvaccinated as hospitals are filling up. Mass protests against restrictions are popping up, some peaceful like in Austria, others turning violent like in the Netherlands and Belgium. A nationwide lockdown in Germany is unlikely, but local lockdowns may happen if hospitalisation rates continue to shoot up. Some patients in Bavaria have already been sent to Italian hospitals due to under-capacity, a reversal of what happened in the first wave. France is still counting on getting through the fifth wave with no restrictions. With only five months to go before the presidential

Sturgeon’s 70-page dossier finds no evidence for vaccine passports

Nicola Sturgeon wants to extend vaccine passports in Scotland, and today her government released a 70-page document purporting to show evidence. The snag? There’s not a shred of evidence to show that her vaccine passports are having any effect. The document, entitled Coronavirus (COVID-19) vaccine certificationww: evidence paper update makes a very bold claim: that Scotland’s choice is more vaccine passports or restrictions. To suppress the virus further we are now faced with a choice. This is to limit social contacts and the risk of infection by limiting social contacts by closing venues, limiting group sizes and advising people not to meet each other. Alternatively we can enable people to meet

Do masks really slash the risk of catching Covid?

Which public health interventions help to cut the spread of Covid-19 — and which do not? Except for vaccinations, where we have extensive trial data, this is a question on which the government has had little information to help it. But this morning’s headlines appear to offer an answer: wearing masks may help slash Covid infections by 53 per cent. Unfortunately, what the headlines don’t tell us is what kind of mask-wearing, where and in which circumstances. Do we need surgical grade masks or will cloth do? Should we wear them in the street or just indoors? Can we take them off if travelling in a near-empty train carriage? The

It’s time to fix the NHS’s looming winter crisis

My patient has sepsis. The window for treatment is short; in less than an hour, he could die. In urgent care, the direct line to ambulance control bypasses 999: it lets the call handler know a doctor requires urgent attention for a sick patient. Ten minutes: no response. I’m on a second phone to central dispatch: what is going on? A critical incident has been called; the service is overwhelmed. Finally, after 15 minutes, the phone answers and help is on its way.  Worryingly, this is far from an isolated incident. Last week, it was reported that an ambulance service sent a taxi to a GP practice in Bristol to collect a

James Kirkup

The vaccine cheer is gone

I am 45, which means I’ve now had my third Covid vaccine. The experience of getting that injection crystallises a thought: Britain is starting to take the miracle of vaccination for granted, and that spells trouble for Boris Johnson. I don’t use that word ‘miracle’ lightly. The development and distribution of working vaccines with such speed and scale is surely a historical event, and one that should give both big-state left-wingers and the free-market right pause for thought, since it relied on the partnership between public and private. The politics of the vaccine have always been slightly under-appreciated in the Westminster village. The Hartlepool by-election, for instance, was undoubtedly another moment

What’s the evidence for Scotland’s vaccine passports?

Nicola Sturgeon is considering extending vaccine passports to Scotland’s cinemas, theatres and pubs. ‘We are also considering whether an expansion of the scheme to cover more settings would be justified and prudent given the current state of the pandemic,’ the First Minister said yesterday: she’ll decide next Tuesday. As she mulls, what data will she have to go on? Her deputy, John Swinney, conceded earlier this month that the government doesn’t have much in the way of evidence: the data is ‘impossible to segment,’ he says. Yet he told The Spectator at an event this morning that he still believed vaccine passports had a ‘role to play’ — pointing to

Should Covid booster jabs be rolled out to the over-40s?

The Joint Committee on Vaccination and Immunisation has recommended that Covid booster jabs be offered to people in their forties, after they became available to the over-fifties earlier this year. But, as recently as August, the World Health Organisation opposed booster jabs. It said in a statement:  ‘In the context of ongoing global vaccine supply constraints, administration of booster doses will exacerbate inequities by driving up demand and consuming scarce supply.’  What we can’t really judge on existing evidence is how vital booster jabs are, or could become, in keeping Covid under control And in September Dr Mike Ryan, the WHO’s executive director in charge of the Covid response likened booster

Eighteen months of inflation is not ‘transitory’

The big central banks have been insisting for months now that the rise in inflation is temporary, and will fade once the great awakening of the world economy starts to settle down. The Federal Reserve, Bank of England and the European Central Bank have looked on as inflation has overshot their forecasts. But when the opportunity to tame it with an interest rate hike approaches, the banks pass it up, reiterating instead that it is ‘transitory’ — the monetary equivalent of ‘it’ll be fine’. With inflation now at a 30-year high in the United States — 6.2 per cent — it’s starting to look like a pretty big bump. But should

The trouble with Austria’s vaccine passport plan

Are vaccine passports being used in other countries in an attempt to cut Covid infections – or to try and boost vaccine take up by curtailing the social lives of those who refuse? The latest change in policy in Austria would appear to confirm that for them, it’s the latter. From today, access to restaurants, bars and any event with more than 25 guests will be limited to people who can prove they have been fully vaccinated, that they have previously recovered from Covid or that they have had one jab and a negative PCR test. In four weeks’ time, only the double-jabbed and those who can show they have

What is the Bank of England playing at?

Last week, the Bank of England sent a number of confused messages. One was almost shocking: Andrew Bailey said that it isn’t his job to steer markets on interest rates ‘day by day and week by week’. But as economic commentator Matthew C. Klein dryly noted this is literally his job. It is debatable whether the Bank of England needs to manage the entire yield curve (ie, buying and selling bonds in an attempt to set interest rates years into the future) but the central bank should be in charge of the short end. Those opposing an interest rate rise say that central banks should never shock markets. The Bank

Pfizer’s Covid pill breakthrough

After the UK medicines regulator yesterday approved Merck’s Covid pill for use on recently infected, vulnerable patients, Pfizer announced its own successful treatment, Paxlovid. Pfizer’s pill was shown to reduce the risk of hospitalisation and death in Covid patients by up to 89 per cent compared with a placebo. The drug has proved so effective that enrolment in the trial has been stopped and Pfizer says it plans to apply to the US regulator for emergency use ‘as soon as possible’. The pill is most effective when treatment starts as soon as a patient becomes aware they are infected with or have been exposed to the virus. It’s taken with

Boris has no answer to the backlog crisis

Jeremy Hunt asked an entirely reasonable question of the Prime Minister today in the Commons — and got an entirely unreasonable answer. Hunt raised an amendment he is tabling which would require Health Education England to produce regular forecasts for the numbers of doctors and nurses that the UK needs to train. This is quite a small thing to ask for, but Johnson’s response was first to dodge his way around the question, and then to turn the issue into a party political attack on Labour. He said: My right hon. friend is absolutely right that we have to ensure that our NHS has the staff that it needs. That

Will education be the big Budget loser?

Which departments will fare the worst from this week’s Budget? It won’t be the Department for Health and Social Care. Over the past few days, new funding announcements have appeared in the papers meaning the NHS will be handed another £5.9 billion. That’s in addition to the £12 billion a year investment it will receive as a result of the health and social care levy. Meanwhile, Whitehall sources suggest that Michael Gove has had some luck in his push for more funds for the levelling up agenda. Where the mood music is less positive is education. When Sir Kevan Collins stepped down from his role as Boris Johnson’s education catch-up tsar over the

Sam Leith

Why did we decide that Covid was over?

Look, I don’t know much epidemiology. Can’t pretend to. So what follows is, necessarily, a personal finger to the wind. But perhaps it chimes with your experience.  First time round — back in the days when we were all huddled indoors, leaving the house only to stand on the doorstep of a Thursday night to bang pans with a wooden spoon, or making solo expeditions to a denuded supermarket where we do-si-dohed around each-other in the aisles… yes, back in those days, I didn’t know very many people who got Covid. Acquaintances, the odd friend. Some scary stories. Some scarier statistics. But not so many ‘rona stricken friends. Could we inch

Will Sajid Javid really fire 106,000 unvaccinated NHS workers?

When Sajid Javid was interviewed at Tory party conference recently, he was asked if he’s going to start firing unvaccinated NHS staff, given that care workers are about to lose their jobs under ‘no jab, no job’ rules. He said he was considering it, which would be quite a move. The unjabbed may make up a small percentage of the NHS workforce of 1.6 million people. Today’s Sunday Times says that he has decided to press ahead by introducing legislation that will make vaccinations ‘a condition of employment’ for health workers. This would follow what Joe Biden has done in America — where all medical employees face vaccine mandates and companies with more

No. 10 moves to kickstart the booster campaign

In a move that as important as any in the recent Cabinet reshuffle, Emily Lawson is returning to run the Covid vaccination programme. Lawson headed up NHS England’s vaccination team during the rollout, and after its success, she was moved to take charge of the new Number 10 delivery unit. The hope was that she would bring the rollout mindset to public services more broadly. The delivery unit, modelled on its Blair era predecessor, is meant to ensure that the government actually does what it says it is going to do. Such is its importance that Lawson addressed the first meeting of the newly reshuffled Cabinet. The fact that she is

Why is No. 10 snubbing the Commons?

The Speaker was annoyed again today when the government only offered the Commons a Covid update after the Health Secretary’s press briefing yesterday. Labour hauled vaccines minister Maggie Throup to the chamber for an urgent question. Before she had a chance to answer, Lindsay Hoyle scolded her superiors. ‘This is not acceptable and, as I have warned the government, in those circumstances, I will allow the House the earliest opportunity to hear from a minister: in this case by an urgent question,’ he said. He added that Sajid Javid should not have been speculating about whether MPs should wear masks without coming to talk to MPs themselves in the Commons:

Javid says no to restrictions – for now

Is the government considering activating its ‘plan B’ Covid plans? Not yet.  After the Business Secretary played down talk of new restrictions this morning, Sajid Javid used today’s press conference to confirm that he would not be implementing the back-up plan ‘at this point’. However, the Health Secretary suggested that further measures – namely vaccine passports, work-from-home orders and mask mandates – could not be ruled out if the data substantially worsens. The main message from the press conference: get vaccinated There was a marked change in tone from Javid since the days soon after his appointment as Health Secretary when he declared that there was ‘no going back’. He said that

Ross Clark

How concerning is the new Covid variant?

Should we worry about AY.4.2, the new Covid variant that has been in the news this week? The descendent of the Delta variant — what we once called the Indian variant — was first identified in July. It has since grown so much that in the week beginning 27 September, it accounted for 6 per cent of all new cases in Britain — and is on an ‘upwards trajectory’, according to the UK Health Security Agency. It has been reported as being as much as 10 to 15 per cent more transmissible than the original Delta variant, which was estimated to be seven times as transmissible as the first variant detected