Coronavirus

The NHS was put on a crisis footing tonight as hospitals in England were told to discharge as many patients as possible while estimated daily Omicron cases hit 200,000 and the variant claimed its first life in the UK.

Boris Johnson is braced for his biggest rebellion as prime minister on Tuesday, with about 80 Tory MPs confirmed to be preparing to vote against measures on working from home, Covid passports and more mask wearing. He will have to rely on Labour support for the votes to pass.

Amid a scramble for tests and booster jabs, the country’s doctors called for further restrictions to be imposed to stem the rise in cases and Downing Street did not rule out fresh measures.

In a letter to hospitals, NHS England chiefs said patients who could be discharged to care homes, hospices, their own homes or hotels before Christmas to free up beds, should be. The letter from NHS England’s chief executive, Amanda Pritchard, and medical director Prof Stephen Powis said the service was facing a level 4 “national incident”.

Hotels are already being turned into temporary care facilities staffed with workers flown in from Spain and Greece to relieve rising pressure on NHS hospital beds.

Hospitals and GPs have also been told to scale back normal services and limit care to those needing urgent attention so that NHS staff can be freed up to deliver boosters. Hospitals will undertake fewer non-urgent operations, but “highest clinical priority patients”, including people with cancer and those who have been waiting a long time, will be given priority.

They have also been told to take ambulance-borne patients into A&E more quickly so that paramedics can get back on the road to answer more 999 calls, speed up efforts to bring in nurses from overseas to help tackle the NHS’s lack of staff, and send as many patients as possible for surgery at private hospitals.

A campaign to give boosters to more than 1 million people a day got under way, prompting the NHS website to crash and people to queue in the street for up to five hours for their jabs.

But the British Medical Association said the vaccination campaign would not be enough to stop the spread of Omicron, with one in four still not eligible for a booster. They called for a return to face masks in pubs and restaurants, 2-metre social distancing indoors, limits on public gatherings, legal requirements for ventilation in schools and other settings, more rapid testing and advice to wear FFP2 masks.

No 10 insisted that the booster campaign was its immediate priority, with a senior government source describing the main strategy as “keep on jabbing”. But Boris Johnson refused to rule out tougher restrictions if necessary to maintain public health. No 10 said all options were still on the table, leaving open the possibility of closing schools “as a last resort” and bringing in curbs without consulting MPs “in extremis”.

Addressing MPs, Sajid Javid revealed there may now be as many 200,000 Omicron infections a day. He said around 20% of confirmed cases in England had been identified as the Omicron variant, and warned of “difficult weeks ahead”. In London, the centre of the Omicron outbreak, it accounted for over 44% of cases and was expected to become the dominant form within 48 hours, the health secretary said.

He said Covid passports would be toughened to require people to have a booster or recent lateral flow test (LFT) in the new year, risking inflaming Tory backbench anger against restrictions ahead of Commons votes on “plan B” restrictions.

Labour backed the government’s booster campaign and stopped short of calling for any new restrictions, with Keir Starmer saying it was Labour’s “patriotic duty” to vote for plan B.

The prime minister confirmed the first death of a patient with Omicron and 10 people hospitalised with the variant, saying people needed to “set aside” the idea that the variant was mild.

Meanwhile, head teachers warned of “chaos” in schools, with high levels of staff and pupil absences and reports that some parents were planning to keep children home to avoid the virus before Christmas.

On the first day of the new vaccine campaign, 386,000 people in England are understood to have booked booster jabs – almost 50,000 an hour. But there was confusion over whether all eligible over-18s would be able to get a booster by the end of the year, with No 10 insisting they would, while the NHS cast doubt on the goal. Javid suggested the target was to “offer” rather than deliver the boosters.

Johnson and Pritchard launched a joint plea for the public to volunteer in vaccination centres, calling for tens of thousands of people to act as unpaid stewards and thousands to sign up as paid vaccinators. It is understood No 10 will also launch a new effort to reach the unvaccinated, using a publicity campaign potentially involving faith leaders and celebrities.

On Monday people trying to get LFTs were told they were unavailable despite a new requirement for Covid contacts to take them daily for a week.

The call from the BMA for tougher restrictions echoed warnings from scientists that vaccination alone would not be able to stop Omicron causing a dangerous second wave. Leaked documents from the UK Health and Security Agency showed on Friday that public health officials believe there should be “stringent national measures” by 18 December at the latest, with sources saying plan B will not be enough.

The BMA, which represents 150,000 doctors, is the first major medical organisation to call for stricter measures. Dr Chaand Nagpaul, BMA council chair, said: “Despite describing the current situation as an ‘emergency’ with a ‘tidal wave’ of infections on the horizon, the government’s response, relying entirely on the vaccine booster programme, is missing the wider measures required to control the spread of Omicron, including protecting millions of people who will not be eligible for the booster programme by the end of December.”

Covid: NHS in crisis mode as hospitals told to discharge patients where possible

Israel will recommend a 4th booster shot to people above the age of 60

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The world needs to address the root causes of vaccine hesitancy. We can’t go on believing that the issue can be solved simply by flooding skeptical communities with public service announcements or hectoring people to “believe in science.”

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In many developing nations, international aid organizations are stepping in to offer vaccines. These institutions are sometimes more equitable than governments, but they are often oriented to donor priorities, not community needs. In Afghanistan, villagers lack access to most basic health services; some must travel hours to reach a clinic. Cases of childhood malnutrition are widespread and growing. Even though the country has only a few dozen cases of polio yearly, institutions like the W.H.O. spend considerable sums promoting and carrying out polio vaccinations. People in Kandahar speak about polio in ways that are strikingly similar to how residents in the Bronx speak about Covid. “We have starvation and women die in childbirth,” one tribal elder told us. “Why do they care so much about polio? What do they really want?”

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The experience of the 1960s suggests that when people feel supported through social programs, they’re more likely to trust institutions and believe they have a stake in society’s health. Only then do the ideas of social solidarity and mutual obligation begin to make sense.

The types of social programs that best promote this way of thinking are universal ones, like Social Security and universal health care. Universal programs inculcate a sense of a common good because everyone is eligible simply by virtue of belonging to a political community. In the international context, when marginalized communities benefit from universal government programs that bring basic services like clean drinking water and primary health care, they are more likely to trust efforts in emergency situations — like when they’re asked to get vaccinated.

If the world is going to beat the pandemic, countries need policies that promote a basic, but increasingly forgotten, idea: that our individual flourishing is bound up in collective well-being.

The US Food and Drug Administration on Wednesday authorized the first oral antiviral treatment for Covid-19: Paxlovid, a pill made by Pfizer.

This is the first antiviral Covid-19 pill authorized for ill people to take at home, before they get sick enough to be hospitalized.

Paxlovid combines a new antiviral drug named nirmatrelvir and an older one called ritonavir.

Last week, Pfizer released updated results that showed the treatment cut the risk of hospitalization or death by 89% if given to high-risk adults within a few days of their first symptoms. If given within the first five days of symptoms, the efficacy was similar: 88%.

The problem is that when people are lied to, they lose trust in the liars. And, depending on the nature and seriousness of the deception, they're never going to believe another word that comes out of their mouths. And who but the hopelessly hypnotized would even consider it?

Good news: We've flattened the curve.
Bad news: It's against the y-axis.