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Covid: UK could be ‘back to normal by the end of the year’ if vaccines continue to work, says SAGE

Britain could be back to normal by the end of the year if vaccines continue to work and no variants emerge that can bypass immunity, one of the Government’s top scientific advisers said today.

Professor Graham Medley, from the London School of Hygiene and Tropical Medicine and chairman of the SAGE subgroup SPI-M, said the country was in ‘the best position it’s been in for the whole pandemic’. 

But he warned the situation could change if vaccine-triggered immunity begins to wane, or a variant evolves that can get around the body’s Covid defences from a previous infection or inoculation.

Asked whether the country would be able to get back to normal, he told BBC Radio 4’s Today programme: ‘I don’t think anyone can give you the complete answer. If vaccines continue to work, and we don’t have some nasty variants, then potentially we could be completely back to normal by the end of the year.’ 

His comments were echoed by Matt Hancock, who warned a new Covid variant that bypasses vaccines would pose the ‘biggest risk’ to lockdown-ending plans next month.

The Health Secretary said the only thing that would prevent England from scrapping more restrictions on June 21 would be the emergence of a mutant strain that makes vaccinated people severely ill. 

The Indian variant is causing the most concern at present. Government experts fear it could be more transmissible than the dominant Kent strain. Cases of the B.1.617.2 variant — thought to have triggered a raging second wave in India — have risen ten-fold in Britain in a month and make up almost half of all new infections in London.

But Mr Hancock suggested the mutant strain should not threaten lockdown-easing hopes because it did not seem to pose significant problems to vaccinated people. 

He told BBC Breakfast: ‘There is no doubt that a new variant is the biggest risk.

‘We have this variant that was first seen in India – the so-called Indian variant – we have seen that grow. We are putting a lot of resources into tackling it to make sure everybody who gets that particular variant gets extra support and intervention to make sure that it isn’t passed on. 

‘However, there is also, thankfully, no evidence that the vaccine doesn’t work against it.’ No10’s top scientists are more worried about the South African variant, he added.  

Mr Hancock also said it was important to keep tight restrictions at the border to prevent undetected variants from being imported to the UK. Only 12 countries are currently on the green list for foreign travel, including Portugal, Israel and Gibraltar. 

The Health Secretary said the only thing that would prevent England from scrapping more restrictions on June 21 would be the emergence of a mutant strain that makes vaccinated people severely ill

Professor Graham Medley, from the London School of Hygiene and Tropical Medicine, said Britain could be back to normal by the end of the year. The Health Secretary said the only thing that would prevent England from scrapping more restrictions on June 21 would be the emergence of a mutant strain that makes vaccinated people severely ill

Public Health England has divided the Indian variant into three sub-types. Type 1 and Type 3 both have a mutation called E484Q but Type 2 is missing this, despite still clearly being a descendant of the original Indian strain. Type 1 and 3 have a slightly different set of mutations. The graphic shows all the different variants that have been spotted in Britain

Public Health England has divided the Indian variant into three sub-types. Type 1 and Type 3 both have a mutation called E484Q but Type 2 is missing this, despite still clearly being a descendant of the original Indian strain. Type 1 and 3 have a slightly different set of mutations. The graphic shows all the different variants that have been spotted in Britain

Boris Johnson last night announced a major loosening of lockdown rules for next Monday

Boris Johnson last night announced a major loosening of lockdown rules for next Monday

‘But, on the other hand, if there are variants, if the vaccines wane, so the impact wanes and we aren’t able to get boosters, then we could have been in a very different position.’

Earlier, he said the country was currently in its best position, saying: ‘We’re in the best position that we’ve been in the whole epidemic, prevalence is low, vaccines are working.

‘I think the risks going forward, you can think of them in two ways: one is the risk to each individual and the other is the risks to the population, so essentially having to go back into a lockdown again.

‘Both of those are low but there remain challenges in the sense that we don’t know what the virus is going to do in terms of the future and it’s quite likely that it will start to increase together and start to transmit, and the question is whether the vaccines can hold it.’

He said there will ‘inevitably’ be a third wave of infection but whether that translates into hospitalisations remains the ‘big question’. 

In other coronavirus developments today:

  • Every region in England saw zero Covid deaths at least once in the final week of April, official figures revealed;
  • Holidaymakers who have been fully inoculated against Covid will be able to use the NHS smartphone app as a vaccine passport from Monday;
  • Wetherspoon will reopen 860 pubs with full menus and will bring back meal clubs including curry and steak nights from next Monday as coronavirus restrictions are finally eased;
  • A host of Caribbean islands are likely to be added to the Government’s quarantine-free ‘green list’ next month.

Mr Hancock told the BBC Radio 4 Today programme: ‘We have some degree of confidence that the vaccine works effectively against the so-called Indian variant, and then against the South African variant we are a little bit more worried, but we don’t have full data on those yet.

‘These are reasons to take a cautious approach at the borders in order to protect the progress that we have made at home.

‘People would be loath to see us put that at risk by going too fast at the borders. But on the other hand we are seeing countries get this virus under control in the same way we appear to be able to get it under control.’

There is no evidence the Indian variant will cause worse disease or make vaccines less effective.

But addressing the nation in a Downing Street press conference last night, England’s chief medical officer warned it must be monitored in case it turns out to be more dangerous.

Globally, one of the three sub-lineages of the variant that merged in India now accounts for an estimated 5% of all cases, according to Outbreak.info data. The entire set of B.1.617 variant sub-lineages (of which there are three) has been classified a 'variant of concern' by the WHO

Globally, one of the three sub-lineages of the variant that merged in India now accounts for an estimated 5% of all cases, according to Outbreak.info data. The entire set of B.1.617 variant sub-lineages (of which there are three) has been classified a ‘variant of concern’ by the WHO 

WHO classifies India’s Covid strain a ‘variant of concern’

The World Health Organization (WHO) has branded the Indian coronavirus variant as being of global concern.

There is enough data to suggest the mutated strain – officially known as B.1.617.2 – is more infectious than previous versions of the virus, according to the global body.

It makes B.1.617.2 the fourth Covid strain to be classed by the WHO as a ‘variant of global concern’, after those that emerged in Kent, South Africa and Brazil.

England’s chief medical officer, Professor Chris Whitty, went a step further last night, claiming the Indian variant could be the most transmissible strain in the world.

Cases of B.1.617.2 have risen ten-fold in Britain in a month and the variant is already making up between 40 per cent and half of all cases detected in London. 

The strain first emerged in India last autumn but for reasons scientists are still trying to work out, it only took off this year. It is partly behind India’s raging second wave, where there are now 4,000 Covid victims per day and hundreds of thousands of infections.

Britain’s health secretary Matt Hancock said this morning the variant was the single ‘biggest risk’ to the UK’s lockdown easing plans. There is still no evidence it will cause worse disease or make vaccines less effective.

Maria Van Kerkhove, WHO technical lead on Covid, told a briefing last night: ‘We are classifying this as a variant of concern at a global level. There is some available information to suggest increased transmissibility.’  

Public Health England classes the strain as a variant of concern but the US Centers for Disease Control and Prevention (CDC) has dubbed it a ‘variant of interest’ — a less urgent designation.

Professor Chris Whitty said: ‘What we know with all the variants is that things can come out of a blue sky — you’re not expecting it and then something happens.

‘That is what happened with B.1.1.7 (which is commonly called the Kent variant and is currently dominant in Britain) and that has happened to India with this variant as well.

‘I think our view is that this is a highly transmissible variant, at least as transmissible as the B.1.1.7 variant. It is possible it is more transmissible but we’ll have to see.’ Data suggests the Kent variant is about 50 per cent more infectious than the original coronavirus type.

He added: ‘At this point in time, our view is that it is less likely to be able to escape vaccination than some of the other variants, particularly the South African one. But the data are not properly in there, so I think we need to be cautious until we’ve seen clear data that gives us an answer one way or the other.’

The Indian variant has had a meteoric rise since it was first spotted in the UK with cases surging to 790 across all three types, from just 77 a month ago on April 15.

The most cases of type .2, which is the fastest spreading and makes up 520 of the 790, have been in London, with 191.

There were 87 in the North West, 56 in East Anglia and 53 in the South East, with fewer than 50 in all other regions. 

In London the variant is confirmed to have made up at least 37.5 per cent of all cases in the week ending April 27. In the North West it was 17.1 per cent. 

Scientists are concerned it could be outcompeting the Kent variant, meaning it is becoming more widespread – either because it spreads faster or because it is better at reinfecting people who have been vaccinated or are immune from past infection.

Public Health England last week branded the Indian strain a ‘variant of concern’ and the World Health Organization last night upgraded it to its highest risk category.   

One of scientists’ biggest concerns about the Indian variant is that it has evolved – or will evolve further – in a way that makes vaccine immunity less effective against it.

Early tests by a lab run by Professor Ravi Gupta at the University of Cambridge suggested that the original version of the Indian variant (type .1) saw a slight dip in effectiveness of immunity, but not as bad as with the South African strain.  

Vohra’s death comes as India’s hospitals, morgues and crematoria are struggling to cope with a crippling second wave of coronavirus infections and deaths

Oxygen shortages are rife throughout the India, which this month has recorded more than 300,000 new infections each day

Oxygen shortages are rife throughout the India, which this month has recorded more than 300,000 new infections each day

The end IS in sight: Boris suggests social distancing will end completely next month 

Boris Johnson last night raised hopes that an end to Covid measures may be sight, as he suggested social distancing could be scrapped completely by next month.

The Prime Minister yesterday unveiled the return of ‘sensible hugs’ as he gave the green light for close friends and family members in England to embrace once more from May 17 – after months of forcibly being apart.

In further good news the premier also suggested Britain’s Covid nightmare could be over by June 21, saying that even rules such as one-metre plus could be removed from that date onwards.

But he flatly refused to pick-up the pace of the easing of lockdown, instead insisting that the Government would need to assess the current raft of changes before implementing more.

Flanked by medical and science chiefs Chris Whitty and Sir Patrick Vallance at a Downing Street briefing, he also urged people to be cautious, saying the country must remain ‘vigilant’ about fuelling cases and the threat from variants.

As of Monday groups of six or two households will be allowed to meet indoors for the first time in months.

Overnight visits will also be allowed, while outdoors the limit will rise to 30 in the most significant loosening yet.

Staycations can also get properly up and running, with hotels and B&Bs that do not have self-catering facilities permitted to open – as well as cinemas and theatres if audiences wear masks.

Crucially the government has decided the risk is now low enough that social distancing can be left more to ‘personal choice’ – meaning that while people are urged to be ‘cautious’, hugs are allowed at private gatherings.

However, despite the very low infection rate and stunning vaccine rollout, social distancing rules will still be maintained at bars and restaurants.

It suggested that levels of useful antibodies – virus-fighting proteins made by the immune system – were about six times lower than with the Wuhan variant. But for the South African strain they were 10 times lower in similar tests, the team said.

Other variants in circulation in the UK appear to be able to make vaccines slightly less effective at preventing infections.

Analysis by SAGE found the South African strain reduced their potency by about 30 per cent. The Brazilian variant is thought to have a similar effect.

But scientists are still confident current vaccines will be highly effective at preventing severe disease and death, even if they cannot stop transmission altogether. 

It comes after the Prime Minister last night raised hopes an end to Covid measures may be sight, as he suggested social distancing could be scrapped completely by next month.

Mr Johnson yesterday unveiled the return of ‘sensible hugs’ as he gave the green light for close friends and family members in England to embrace once more from May 17 – after months of forcibly being apart.

In further good news the premier also suggested Britain’s Covid nightmare could be over by June 21, saying that even rules such as one-metre plus could be removed from that date onwards.

But he flatly refused to pick-up the pace of the easing of lockdown, instead insisting that the Government would need to assess the current raft of changes before implementing more.

Flanked by medical and science chiefs Chris Whitty and Sir Patrick Vallance at a Downing Street briefing, he also urged people to be cautious, saying the country must remain ‘vigilant’ about fuelling cases and the threat from variants.

As of Monday groups of six or two households will be allowed to meet indoors for the first time in months.

Overnight visits will also be allowed, while outdoors the limit will rise to 30 in the most significant loosening yet.

Staycations can also get properly up and running, with hotels and B&Bs that do not have self-catering facilities permitted to open – as well as cinemas and theatres if audiences wear masks.

Crucially the government has decided the risk is now low enough that social distancing can be left more to ‘personal choice’ — meaning that while people are urged to be ‘cautious’, hugs are allowed at private gatherings.

However, despite the very low infection rate and stunning vaccine rollout, social distancing rules will still be maintained at bars and restaurants.

WHAT DO WE KNOW ABOUT THE INDIA VARIANTS? 

Real name: B.1.617 — now divided into B.1.617.1; B.1.617.2; B.1.617.3

When and where was it discovered? 

The variant was first reported by the Indian government in February 2021. 

But the first cases appear to date back to October 2020. 

Its presence in the UK was first announced by Public Health England on April 15. There have since been at least 400 cases spotted in genetic lab testing.  

What mutations does it have? 

It has 13 mutations that separate it from the original Covid virus that emerged in China — but the two main ones are named E484Q and L452R.

Scientists suspect these two alterations can help it to transmit faster and to get past immune cells made in response to older variants. 

PHE officials said it has split into three distinct virus types, with types 1 and 3 both having the E484Q mutation but type 2 missing the change, despite having all the other hallmarks of the variant. 

Is it more infectious and can it evade vaccines? 

The L452R mutation is also found on the Californian variant (B.1.429), even though the two evolved independently. It is thought to make the American strain 20 per cent more infectious than the original Wuhan version – even with the extra 20 per cent it is likely slower than the Kent variant.

The E484Q mutation is very similar to the one found in the South African and Brazil variants known as E484K, which can help the virus evade antibodies.

The South African variant is thought to make vaccines about 30 per cent less effective at stopping infections, but it’s not clear what effect it has on severe illness.  

Professor Sharon Peacock, of PHE, claimed there was ‘limited’ evidence of E484Q’s effect on immunity and vaccines. Lab studies have suggested it may be able to escape some antibodies, but to what degree remains uncertain.

Early research suggests both the AstraZeneca vaccine, known as Covishield in India, and the Pfizer jab, still work against the variant, as well as India’s own jab, Covaxin. A paper published by SAGE last week suggested two doses of the Pfizer vaccine is good enough to protect against all known variants. 

How deadly is it? 

Scientists still don’t know for sure. But they are fairly certain it won’t be more deadly than the current variants in circulation in Britain.  

This is because there is no evolutionary benefit to Covid becoming more deadly. The virus’s sole goal is to spread as much as it can, so it needs people to be alive and mix with others for as long as possible to achieve this. 

And, if other variants are anything to go by, the Indian strain should not be more lethal.

There is still no conclusive evidence to show dominant versions like the Kent and South African variants are more deadly than the original Covid strain – even though they are highly transmissible. 

Doctors in India claim there has been a sudden spike in Covid admissions among people under 45, who have traditionally been less vulnerable to the disease.

There have been anecdotal reports from medics that young people make up two third of new patients in Delhi. In the southern IT hub of Bangalore, under-40s made up 58 percent of infections in early April, up from 46 percent last year.

There is still no proof younger people are more badly affected by the new strain. 

Should we be worried? 

Scientists are unsure exactly how transmissible or vaccine-resistant the Indian variant is because it hasn’t been studied thoroughly.

The fact it appears to have increased infectivity should not pose an immediate threat to the UK’s situation because the current dominant Kent version appears equally or more transmissible. 

It will take a variant far more infectious strain than that to knock it off the top spot.

However, if the Indian version proves to be effective at slipping past vaccine-gained immunity, then its prevalence could rise in Britain as the immunisation programme squashes the Kent variant.

Why has B.1.617.2 been designated as a variant of concern?

Scientists believe this variant can spread more quickly than two other related variants seen in India.

It is thought to be at least as transmissible as the variant detected in Kent last year, known as B117, which is now dominant in the UK.

Dr Susan Hopkins, Covid-19 strategic response director at PHE, said: ‘We are monitoring all of these variants extremely closely and have taken the decision to classify this as a variant of concern because the indications are that this VOC-21APR-02 is a more transmissible variant.’

PHE said there is currently ‘insufficient evidence’ to indicate that any of the variants recently detected in India cause more severe disease or make the vaccines available any less effective.

How many cases have been detected in the UK?

According to data by PHE released on Friday, there are, at present, 520 confirmed cases of the B.1.617.2 variant in the UK, from 202 over the last week.

The report also showed 261 cases of B.1.617.1 and nine cases of B.1.617.3.

The cases are spread across the country, with the majority in two areas – the North West, mainly in Bolton, and London.

PHE said around half of these cases are related to travel or contact with a traveller.

PHE health protection teams are working with local authorities, public health officials and NHS Test and Trace to detect cases and limit onward spread.

Surge testing is expected to be deployed where there is evidence of community transmission.

Is B16172 variant driving the second wave in India?

India reported 412,262 new Covid-19 cases and 3,980 Covid-19-related deaths on Thursday — both new single-day records.

In the past 30 days, the country has recorded 8.3million cases.

However, it remains unclear whether the new coronavirus variants are driving the second wave.

Experts say large gatherings, and lack of preventive measures such as mask-wearing or social distancing, are playing a key role in the spread of the virus.

Although India has the world’s biggest vaccine making capacity, the country has partially or fully immunised less than 10 per cent of its 1.35billion people.

Read more at DailyMail.co.uk