Covid UK: Hunt for MISSING UK patient with Brazilian Covid strain
Hunt for MISSING UK patient with Brazilian Covid strain: Farcical search for traveller with ‘more resistant’ mutant who didn’t fill out form – after six cases are found but scientists say vaccines WILL likely still work
- Six cases of Brazilian mutant strain of coronavirus have been detected in England and Scotland, officials said
- Three people flying into Aberdeen from Brazil via Paris and London tested positive for the contagious variant
- Two cases detected in England came from a household in South Gloucestershire, Public Health England said
- But health officials admitted that the sixth case has not been located and could be anywhere in the nation
- Brazilian strain of Covid from Manaus in Amazonas, Northern Brazil is a listed ‘variant of concern’ in the UK
WHAT DO WE KNOW ABOUT THE BRAZIL VARIANT?
Name: B.1.1.248 or P.1
Date: Discovered in Tokyo, Japan, in four travellers arriving from Manaus, Brazil, on January 2.
Why should we care? The variant has the same spike protein mutation as the highly transmissible versions found in Kent and South Africa – named N501Y – which makes the spike better able to bind to receptors inside the body.
It has a third, less well-studied mutation called K417T, and the ramifications of this are still being researched.
What do the mutations do?
The N501Y mutation makes the spike protein better at binding to receptors in people’s bodies and therefore makes the virus more infectious.
Exactly how much more infectious it is remains to be seen, but scientists estimate the similar-looking variant in the UK is around 56 per cent more transmissible than its predecessor.
Even if the virus doesn’t appear to be more dangerous, its ability to spread faster and cause more infections will inevitably lead to a higher death rate.
Another key mutation in the variant, named E484K, is also on the spike protein and is present in the South African variant.
E484K may be associated with an ability to evade parts of the immune system called antibodies, researchers from the Federal University of Rio de Janeiro said in a scientific paper published online.
However, there are multiple immune cells and substances involved in the destruction of coronavirus when it gets into the body so this may not translate to a difference in how people get infected or recover.
The hunt for the missing Covid patient thought to be one of the first people in Britain to have the Brazilian mutant variant has begun after health officials admitted that they have no idea who the infected person is or where they were tested.
Public Health England (PHE) today announced that six cases of the strain, which scientists fear could be more contagious, cause more severe illness and be more resistant to vaccines, have been detected.
Three cases have been found in North East Scotland after flying into Aberdeen from Brazil via Paris and London, the Scottish Government said – while two cases were confirmed in South Gloucestershire.
However, the sixth case has not been located and could be anywhere in the nation as the person did not complete their test registration card – meaning that their contact details are unavailable.
The Gloucestershire cluster was said to originate from one individual who travelled back from Brazil and arrived in London on February 10 – five days before the Government’s quarantine hotel regime came into force.
There are concerns that vaccines might be less effective against the Brazilian strain, with trials of the Johnson & Johnson jab finding it was slightly less effective in Latin America at preventing mild or moderate cases. However, the trials found it still prevented hospitalisations and deaths.
A study recently found that the Oxford/AstraZeneca vaccine may be only 10 per cent effective against the South African strain of the virus, which shares key mutations with the Brazilian variant.
But Moderna and Pfizer say their mRNA coronavirus vaccines should work against variants with the E484K mutation, with early results showing that these vaccines are only slightly less effective against the P1 variant.
NHS Medical Director Professor Stephen Powis immediately sought to calm public fears about the variant by explaining that vaccines can be quickly adapted to tackle new strains.
Officials said the missing case is not believed to be linked to the others because the virus was found to have slight genetic differences, and said their test was processed on February 14 – meaning that it is likely they took it a day or possibly two earlier.
They believe that person is unlikely to have taken their test at one of the regional test sites, where staff can check contact details, but it could have been a home test or from local surge testing.
Health officials have now issued an appeal asking anyone who took a test on either February 12 or 13 and who has not received a result or has an incomplete test registration card to come forward immediately.
They are also tracking down hundreds of passengers on Swiss Air flight, LX318 travelling from Sao Paulo, through Zurich, and landing in Heathrow on February 10, and will deploy ‘surge testing’ in five areas of the county to hunt down any more cases.
It is understood that officials became aware of the English cases on Friday and the Scottish ones on Saturday. However, when questioned about rising case rates in a fifth of areas, Chancellor Rishi Sunak told the BBC today that he had not received any evidence of new variants having emerged.
Labour accused the Government of dragging its heels and taking weeks to set up quarantine hotels, with Shadow Home Secretary Nick Thomas-Symonds calling the detection ‘further proof that the delay in introducing a hotel quarantine was reckless’.
Home Affairs Committee chairwoman Yvette Cooper said the development ‘shows the weaknesses in the Government’s Covid border measures’.
‘The Brazil variant was first identified a month before one of these cases was brought in on February 10 and many weeks after the Prime Minister was warned that indirect flights were a problem, yet the Government delayed putting stronger measures in place,’ she said.
Paul Charles, the chief executive of travel consultancy The PC Agency, told the Telegraph: ‘This calls into question the border measures the Government claimed were watertight to prevent variants coming in. This is why only testing on arrival is going to be successful in preventing variants coming into the UK.’
The hotel quarantine system, which came into force on February 15, requires travellers coming to England from 33 ‘high-risk’ countries including Brazil to confine themselves to their rooms for 10 days, while in Scotland the rule applies to travellers from all countries.
MPs were told this week that around 1,200 people are currently in a number of Government-approved hotels, while more than 100 people a day are going into the hotels at London Heathrow Airport where they must stay at a cost of £1,750 for the accommodation.
Arrivals who leave before the end of the quarantine period could be fined a maximum of £10,000, while those who lie about where they have been could be jailed for a maximum of 10 years.
Scottish Health Secretary Jeane Freeman said: ‘We would encourage everyone across the country to adhere to the necessary public health restrictions by staying at home except for essential purposes as this is the single best way of staying safe and stopping the spread of this virus. It is now also illegal for anyone to travel to or from Scotland unless it is for an essential reason.’
Dr Susan Hopkins, PHE’s strategic response director for Covid-19, said: ‘We have identified these cases thanks to the UK’s advanced sequencing capabilities which means we are finding more variants and mutations than many other countries and are therefore able to take action quickly.
‘The important thing to remember is that Covid-19, no matter what variant it is, spreads in the same way. That means the measures to stop it spreading do not change.’
A Government spokesperson told MailOnline: ‘Very occasionally we do have a test result where the individual has not provided their details. Every effort is underway to locate this person and in the meantime it is important people come forward for testing, continue to follow the restrictions in place and stay at home whenever possible.’
Cases of the mutant strain were detected in France, Italy, the Netherlands and the Faroe Islands earlier this month, amid warnings from British scientists that it was only ‘a matter of time’ before it landed on UK shores. In January, a coronavirus variant from Brazil was found in the UK – but it was not the ‘variant of concern’.
NHS chiefs earlier today had warned that ‘now is not the time to let down our guard’ in response to the announcement that more than 20million people in Britain have had their first Covid-19 jab.
Brazil is in the middle of a devastating second wave of Covid, with more than 1,000 deaths a day, and has the second highest fatality toll worldwide at 254,000.
At least two variants have spawned there, which experts believe is due to such a high level of sustained transmission, and multiple others are in circulation.
On Sunday the Brazilian capital entered a two-week lockdown, joining at least eight other states in adopting curfews and draconian measures this past week due to the rise in cases and deaths.
The detection of the Manaus variant in Britain is likely to pour cold water on hopes to speed up Prime Minister Boris Johnson’s ultra-cautious ‘roadmap’ out of England’s third national lockdown.
It comes after Britain today reported a further 6,035 coronavirus cases within the previous 24 hours and 144 more deaths within 28 days of a positive test – marking a huge drop on last week.
In other coronavirus developments:
- Chancellor Rishi Sunak warned the coronavirus crisis has had an ‘enormous toll’ on the public finances as he appeared to pave the way for a series of tax rises at the Budget on March 3;
- A quarter of frontline NHS workers in London are refusing the vaccine;
- A poll found 81 per cent of voters think it should be compulsory for medics and care home workers to have the vaccine, while 54 per cent support vaccine passports as a condition of entry to restaurants or on public transport;
- Boris Johnson’s poll ratings have surged since he announced his ‘roadmap’ out of lockdown, which is supported by more than two-thirds of people;
- Almost three-quarters of care homes bosses said they wanted to implement a ‘no jab, no job’ policy;
- New Covid cases have fallen by 28 per cent over the past seven days to 7,434, while deaths dropped by more than a third to 290;
- The number of first-dose vaccinations administered surpassed 19.6 million, with more than 750,000 people having their second jab;
- Tributes were paid to Captain Sir Tom Moore at his funeral yesterday;
- EU leaders have been warned it could be 2023 before the bloc manages to offer a jab to all of its adult population;
- Pubs and restaurants complained they were facing a nightmare of red tape if they wanted to reopen for alfresco service on April 12, in line with Mr Johnson’s roadmap.
Surge testing will take place in South Gloucestershire after cases of the Manaus variant were discovered. Three cases of the variant have been found in North East Scotland after flying into Aberdeen from Brazil via Paris and London
An aerial view of the Parque Taruma cemetery in Manaus, Brazil, February 25, 2021
Workers wearing protective suits walk past the graves of COVID-19 victims at the Nossa Senhora Aparecida cemetery, in Manaus, Brazil, on February 25, 2021
PHE and Test and Trace also announced that surge testing will take place in South Gloucestershire after cases of the Manaus variant were discovered.
Residents who live in five postcode areas, who are aged over 16 and do not have symptoms of Covid-19, are invited to come forward for testing.
People who travel into the areas – BS32 0, BS32 8, BS32 9, BS34 5 and BS34 6 – for work or to visit someone they are in a support bubble with are also able to have a test.
The identified postcode areas fall within Bradley Stoke, Patchway and Little Stoke – and are different to those who were part of the previous community surge testing programme in February.
That testing followed identification of the Bristol variant and authorities say there is no connection between the two programmes.
Drive-in surge testing sites will be open at Stoke Gifford Parkway Park & Ride, as well as The Mall Coach Park at The Mall Cribbs Causeway from 9am on Monday.
A range of community-based locations, where residents can walk-in to collect a test kit, take it home and complete it there then return it for processing, will also be open from Monday.
The programme is expected to run for one week, ending on March 7, with the facilities open each day.
Sara Blackmore, director of Public Health at South Gloucestershire Council, urged people who were invited to come forward and take a test.
‘We are keen that all South Gloucestershire residents in the postcode areas identified take part in this testing, which will help us to identify positive cases and prompt self-isolation, which helps to break the chain of transmission,’ she said.
‘We do recognise the challenge for residents of undertaking another additional testing programme and want to thank you in advance for your patience and support as we continue to work together to protect our communities from Covid-19.
‘We are working together with local and regional health partners, Public Health England and NHS Test and Trace, to deliver this swift, safe and co-ordinated response, with an enhanced community testing offer available to people in and around areas where this variant has been discovered.’
The surge testing is in addition to testing for people who have symptoms, and regular rapid asymptomatic testing for essential workers.
Ms Blackmore said it would ‘enable closer monitoring’ and work to reduce further transmission of Covid-19. ‘Even though we have a national road map to recovery from Covid-19, it is vital that we continue to follow the advice, which remains the same to everyone,’ she added.
‘Behave as if you are carrying the virus, stay in and only leave home if you must.
‘Do not mix socially outside of your household and continue to observe public health guidance – hands, face, space. If you are invited to receive a vaccine, please do so.’
People will be able to collect tests from Little Stoke Community Centre and Patchway Community Centre from Monday. Two additional sites will open at Bradley Stoke Jubilee Centre and Baileys Court Activity Centre from Tuesday.
South Gloucestershire Council confirmed that any positive tests would be followed up with genome sequencing to identify the precise strain of Covid-19 in each case. The testing will use PCR tests, which are analysed in laboratories, rather than lateral flow tests.
Mike Wade, deputy regional director for Public Health England South West, said: ‘All viruses mutate over time and since the start of the pandemic over 4,000 mutations have been identified in the UK.
‘Most are not a concern for scientists, but we know that some mutations result in virus variants that we are keen to track more carefully. In the South West we’re working with NHS Test and Trace and local authority public health teams on tailored intervention measures for variants.
‘These include more testing, additional genomic sequencing and enhanced contact tracing, enabling us to quickly identify any further cases and help prevent any onward spread.’
The new ‘variant of concern’ in Brazil was first identified in Rio de Janeiro, the sprawling but densely populated city on the country’s seaside in October.
At first, it was mostly isolated to the city, but already driving cases and infections back again in the hard-hit city, which has seen 470,138 cases to-date.
But, by December 23, the Federal University of Rio de Janeiro researchers who discovered it were becoming concerned.
‘The significant increase in the frequency of this lineage raises concerns about public health management and the need for genomic surveillance during the second wave of infections,’ they wrote.
At the time, it was clear that the variant was becoming more common, but how exactly it differed and might be more dangerous was not clear. But by December 26, the potential risks of its mutations were becoming clearer.
Three cases of the variant of concern first noted in Manaus, Brazil – known as the P.1 strain – have been identified by Public Health England.
A spokesman for the council said the case that had travelled to Brazil has been ‘isolating at home with their household’ since returning to the UK.
Cases of the mutant strain were detected in Europe last month, with the Netherlands declaring two cases of the variant in travellers returning from Brazil on January 28.
France had announced four by January 22, and Italy said it had identified three cases in travellers returning from Brazil by January 17.
The Danish-controlled Faroe Islands were the first European area to reveal they had a case of the variant on January 12, which was also identified in a traveller arriving from Brazil.
Spain claimed it had detected a care on February 5, in a 44-year-old man returning from Brazil.
And the German state of Hesse, in the west of the country, claimed to have identified two cases by January 22. But these cases are yet to be rubber-stamped by international experts.
There is mounting concern over the Brazilian strain because of its E484K mutation. It has also been found to carry the N501Y mutation, which scientists say made the Kent variant far more infectious and allowed it to rapidly spread across Britain.
Another key mutation in the variant, named K417T, has the potential to ‘possibly escape some antibodies’, according to COG-UK.
It comes after a study warned the Oxford/AstraZeneca vaccine may be only 10 per cent effective against the South African strain of the virus.
Professor Mike Tildesley, an infectious disease expert from Warwick University and member of the SAGE sub-group SPI-M, claimed the finding could have ‘significant implications’ on Britain’s lockdown-easing plans.
He told the BBC Radio 4 Today Programme: ‘It means that even with high levels of vaccination there will be a lot of people that could potentially get infected and could potentially pass it on and it may mean that more restrictions might be needed for longer if we can’t get on top of this.’
Chancellor to raise £6billion from income tax, corporation tax, levy on online deliveries and could target self-employed to fill £43billion black hole as he says Covid has had ‘enormous toll’ on public finances
Rishi Sunak could launch a tax raid on online businesses – including a green tax on deliveries – as part of plans to replenish the country’s coffers in the wake of the Covid crisis
Chancellor Rishi Sunak today warned the coronavirus crisis has had an ‘enormous toll’ on the public finances as he appeared to pave the way for a series of tax rises at the Budget on March 3.
Mr Sunak would not be drawn on the specifics of his plans amid reports he will launch a ‘stealth’ income tax raid, hike corporation tax and impose a new levy on online retailers.
But he said he will ‘level with people’ and be ‘honest’ on Wednesday about the scale of the challenge facing the UK as public sector debt continues to climb above £2.1trillion.
Despite not wanting to get into specifics ahead of the fiscal event, Mr Sunak gave the firmest hint yet that the furlough scheme will be extended beyond the end of April.
The Chancellor said he had vowed to ‘do whatever it took to protect people, family and businesses through this crisis and I remain completely committed to that’.
Reports overnight suggested Mr Sunak could soon launch a tax raid on online businesses – including a green tax on deliveries – as part of plans to replenish the country’s coffers in the wake of the Covid pandemic.
The Chancellor is apparently looking to ‘level up the playing field’ between online and high street businesses. A green deliveries levy on online retailers is one route Mr Sunak could take, according to the Sunday Telegraph.
The Chancellor has reportedly cooled his interest in a Covid ‘windfall tax’ on the ‘excessive’ profits website-based businesses have raked in during the pandemic.
He is also eyeing tax increases for the self-employed, along with raising an extra £6billion from income tax by 2025 with some clever threshold tactics, according to The Sunday Times.
Mr Sunak could freeze the threshold at which people start to pay the basic rate at £12,500 for the next three years while the £50,000 higher rate threshold could be kept in moves which critics have labelled a ‘stealth’ raid.
Such a move, which maintains the Conservative’s election pledge not to raise headline rates of income tax, would drag more than 1.6million people into the higher tax bracket by the 2024 general election.
Mr Sunak is also widely expected to increase corporation tax from its current rate of 19 per cent, to as potentially as high as 25 per cent.
The tax moves would form part of a strategy designed to try to fill an estimated £43billion budget blackhole after the Government borrowed more than £270billion in the current financial year to prop up UK plc.
But amid the tax rises will also be a bumper stimulus package, as Mr Sunak looks to jump-start the UK’s economy as lockdown is eased and coronavirus rules are lifted.
He is set to unveil £5billion in cash grants for businesses suffering from repeated lockdowns when he presents his March budget on Wednesday.
Reacting to the reports, Labour’s Shadow Chancellor Anneliese Dodds said: ‘The Chancellor is threatening to hike taxes on struggling businesses and families now so he can cut them before the next election. He’s putting party politics before the economy. ‘
Despite the concerning new finding, UK ministers have urged Brits to keep faith in the vaccine, saying there is ‘no evidence’ it will not block severe disease and death.
Top experts – including Oxford researchers and the UK’s top vaccine panel the JCVI – believe it will still protect millions from getting severely ill.
Today, the Government said a further 144 people had died within 28 days of testing positive for Covid-19 as of Sunday, bringing the UK total to 122,849.
Separate figures published by the UK’s statistics agencies for deaths where Covid-19 has been mentioned on the death certificate, together with additional data on deaths that have occurred in recent days, show there have now been 143,000 deaths involving Covid-19 in the UK.
The Government also said that, as of 9am on Sunday, there had been a further 6,035 lab-confirmed cases in the UK. It brings the total to 4,176,554.
But today also marked a huge milestone in Britain’s fight against the virus, with more than 20 million people in the UK having now have had their first dose of a vaccine.
Prime Minister Boris Johnson said on social media that it was a ‘huge national achievement’ and praised the NHS staff, volunteers and armed forces for their work in the vaccine rollout.
He tweeted: ’20 million people across the UK have now got the jab – a huge national achievement and a testament to the tireless work of NHS staff, volunteers, the Armed Forces & many more.
‘I urge everyone to get the jab when called. Every jab makes a difference in our battle against Covid.’
Health Secretary Matt Hancock said vaccinating more than 20 million people against coronavirus was a ‘magnificent achievement for the country’.
In a video on his Twitter, Mr Hancock said: ‘I’m absolutely delighted that over 20 million people have now been vaccinated across the UK – it’s absolutely fantastic.
‘I want to thank every single person who’s come forward to get the jab because we know with increasing confidence that the jab protects you, it protects your community and it also is the route out of this for all of us.’
Mr Hancock urged everyone eligible for the vaccine to come forward and added: ‘Every jab in the arm is another life soon to be protected from this awful disease and means we are a step closer to returning to our normal lives.’
Vaccines minister Nadhim Zahawi tweeted: ‘BINGO! One Score over 20,000,000 people have had the vaccination (1s dose).
‘What an achievement for February 2021. What a team! Proud to be with you on this journey.’
NHS England chief executive Sir Simon Stevens said: ‘Vaccinating 20 million people – including 17 million across England – in a few short weeks shows the NHS vaccination campaign is firing on all cylinders, and looking out to Easter and beyond it’s full speed ahead.
‘As we can see from other parts of the world, having vaccines from the manufacturers versus actually administering them to patients can be two different things.
‘So this latest milestone is also a tribute to careful health service planning, effective organisation and amazing teamwork across the whole of the country.’
NHS Providers chief executive Chris Hopkins has also praised the milestone as a ‘great credit to everyone involved’ in delivering the vaccines including trusts and volunteers – but warned that ‘now is not the time to let down our guard’ or ease restrictions.
‘It’s important to remember there’s a long way to go – we’re not even close to half way through this programme,’ he said.
‘As we set out in our recent briefing, we need to see more progress on vaccines, lower Covid-19 case numbers, much less pressure on the NHS and plans in place to contain future outbreaks before easing restrictions.’
Meanwhile nearly two million people aged 60 to 63 in England are being invited to book a coronavirus jab, with the letters due to start arriving on Monday.
NHS England said the letters will explain how people can make an appointment through the national booking service.
They have been sent out after more than three in four people aged 65 to 70 took up the offer of a vaccination, it added.
Meanwhile, Chancellor Rishi Sunak told the BBC’s Andrew Marr Show there is no evidence of newly discovered coronavirus variants spreading after concerns that case rates are rising in one in five areas.
He added: ‘That’s not what I’ve seen in any of the data.’ Pressed if there was any evidence of more new variants, he said: ‘No.’
Mr Sunak also said the Government should reach its conclusion on vaccine passports in ‘a few months’ time’ and that the Prime Minister had taken a ‘cautious but irreversible approach’ with his road map but there was a ‘sense of confidence and optimism about the future’.
Asked if the data were better than expected, the PM’s road map could happen quicker, he told Sky News’ Sophy Ridge On Sunday: ‘What we want is a cautious but irreversible approach.
‘That’s why we’ve taken the approach that we have and those will be the earliest dates that we think we can do the various things we’ve laid out.’
He added: ‘What businesses don’t want is a stop-start approach to this, we want to know that it’s a one-way road and that’s why it’s cautious.
‘We’ve given the earliest of dates to give a sense of timing and a sense of direction and then obviously we might have to adjust those if things are not going exactly as we would like, but look the early signs are promising.
‘We’re seeing great news with the rollout of the vaccine, not just the take-up of it but also the efficacy of the vaccine, the data that we’re getting is showing us that it is working, so I think that should give us all a sense of confidence and optimism about the future that we can make progress on that road map and hopefully slowly get our lives back to normal.’
The Duke of Cambridge has also urged people to keep on taking the Covid-19 vaccination so ‘younger generations’ will feel ‘it’s really important for them to have it’.
William also warned against ‘rumours and misinformation’ on social media about coronavirus jabs, as he and Kate talked by video call with two clinically vulnerable women who have been shielding since last March.
His comments came after the Queen encouraged those hesitant about vaccination to ‘think about other people rather than themselves’.
The Department of Health and Social Care also said that two rapid coronavirus tests will be sent out to all households with school-aged children every week under plans for schools to safely reopen in England from March 8.
Free tests will be provided to pupils’ households, as well as those in their childcare or support bubbles, regardless of whether anyone has symptoms, the department added.
The rapid tests will be ordered and collected from local sites or administered through workplace testing programmes.
Secondary and college pupils will be tested with lateral flow tests twice a week, receiving three initial tests at school before they start taking them at home.
But despite the threat from the virus and lockdown restrictions, Britons headed outside as weather forecasters said the mercury would spike at 73F (23C) by April as spring is set start tomorrow.
The UK has suffered through the coldest winter for three years according to the Met Office and after a week of 64F (18C) spring is around the corner.
Surfers and swimmers were seen on Branksome Beach in Dorset making the most of the sunny skies and some were even spotted without wetsuits as they braved the chilly waters.
