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SAGE's Christmas warning: Covid cases could 'easily DOUBLE' over a few days if restrictions are eased between December 23 and 27, advisers claim

Number 10's scientists issued a sobering warning to ministers that coronavirus cases could 'easily double' when lockdown is loosened for five days over Christmas. 

In a report submitted to the Government on November 18, the Scientific Pandemic Influenza Group on Modelling (SPI-M) said relaxing the rules 'will result in increased transmission and prevalence, potentially by a large amount'.  

The group warned it might parallel what happened when universities and schools went back at the end of September, which has been blamed for causing the second wave of the epidemic. 

In the official document, SPI-M added: 'Substantial mixing of people over a short period of time, especially those who do not make contact regularly during a month, represents a significant risk for wide-spread transmission.

'Other respiratory infections suggest that exposure of elder family members to respiratory disease is increased during a normal festive period. The prevalence could easily double during a few days of festive season, with further increases as new infections go back to their 'routine' networks.'

It was announced this week that Britons from up to three different households will be allowed to mix indoors and stay overnight with each other between December 23 and 27.

The measures have been given the go-ahead despite strong pushback from independent experts and scientists within the Government, who warn January is already the toughest time of the year for the NHS.  

Also in the document submitted by SPI-M, the group warned people vulnerable to coronavirus should not be left to do the Christmas clean-up. The scientists said elderly people and those with underlying health conditions should steer clear of doing house work over Christmas because cleaning surfaces, dishes and other people's clothes exposes them to a host of germs, and potentially Covid this year. 

It comes as Briton recorded 16,022 new coronavirus cases today and 521 deaths, as infections continue to fall sharply and fatalities plateau. Today's infections mark a 20.9 per cent fall on the 20,252 last week and an 8.7 per cent drop from yesterday's 17,555.

The 521 deaths announced in the last 24 hours are 1.9 per cent higher than the 511 last Friday and 4.6 per cent above the 498 figure yesterday. Covid deaths lag two to three weeks behind the infections trend due to the time it takes for people to fall seriously ill with the disease. Experts anticipate deaths will finally start to tail off next month, after the country's second lockdown has ended.  

There is normally a bump in influenza infections after Christmas. These are shown by the above graph from 2016 to last year. Week 52 is the last week in the year  of December 25  to 31

There is normally a bump in influenza infections after Christmas. These are shown by the above graph from 2016 to last year. Week 52 is the last week in the year  of December 25  to 31

The above graph from surveys conducted for SAGE advisory group SPI-M-O revealed that many people were still planning to celebrate Christmas

The above graph from surveys conducted for SAGE advisory group SPI-M-O revealed that many people were still planning to celebrate Christmas

In their minutes, SPI-M-O also modelled the impact of a six-week lockdown on Covid-19 infections from November 2. A four-week lockdown was declared in England on November 5

In their minutes, SPI-M-O also modelled the impact of a six-week lockdown on Covid-19 infections from November 2. A four-week lockdown was declared in England on November 5

The UK's coronavirus reproduction rate may have fallen below the crucial number of one. SAGE believes every region in England has an R below one except London and the South East, where it is hovering around the crucial numberA growing number of Tory MPs have been openly critical of the government's local lockdown tiers - although some have indicated they plan to abstain in a crunch vote next week rather than oppose the plan outright.

The UK's coronavirus reproduction rate may have fallen below the crucial number of one (shown left), with SAGE estimating every region in England has an R below one except London and the South East. A growing number of Tory MPs (listed right) have been openly critical of the government's local lockdown tiers

In other coronavirus news:

Just THREE local areas saw Covid rates rise last week 

Only three local authorities in England saw their coronavirus  infection rates rise last week, official data showed- even though 99 per cent of the country will be plunged into Tier Two or Three lockdowns next week.

And more than half - 97 out of 149 - saw their numbers of Covid cases plummet by at least 25 per cent, according to Public Health England's weekly infection surveillance report.

Medway, East Sussex and Redbridge, in London, were the three authorities to see rises in Covid-19 infections, by 28.4 per cent, 5.2 per cent and 5 per cent, respectively, as lockdown restrictions entered their third week.

Department of Health officials claim the percentage change in Covid infection rates was used as a key criteria for determining the tiers, alongside pressure on the local NHS, total infection levels, cases in over 60s and proportion of tests that are positive for Covid-19.

But figures back up claims from furious MPs and some scientists that ministers - who have refused to reveal what the exact thresholds are for placing restrictions on certain areas - should have placed more local authorities into looser tiers because of rapidly tumbling infections.

Experts said they felt ministers had been 'cautious' in applying tiers because of an expected spike over Christmas but that, once the festive period was past, it was likely many areas would be moved to Tier Two.

It comes after the Housing Secretary Robert Jenrick suggested this morning that local authorities could be shifted down to Tier Two before Christmas, providing their case rates fell to low levels. And Boris Johnson today admitted the brutal new Tiers are 'frustrating' for low-infection areas - but refused to change course insisting the rules must be kept 'simple'.

And showing the second coronavirus wave has already peaked, the Cambridge University academics behind the gloomy 4,000 deaths-a-day estimate that spooked ministers into imposing a second national lockdown in the first place have revised their model to say that cases across England started declining last month.

The notes on the Christmas relaxation in measures were published today by the Department of Health, but are dated November 18.

The Government is considering imposing a 25-day lockdown after Christmas, giving five days of restrictions for every one day of relaxation to head off any further rise.

A senior Government source said this was 'not an exact figure' and that the five-day restrictions would only be needed if the Reproduction Rate or R - the number of people an infected person passes the virus to - rises to two.

'If R rose to 1.5 it would be about two to three days of restrictive measures to reverse,' they said.

'For comparison, R is believed to be one nationally. Christmas will be a spreading event.' 

In the SPI-M document, the scientists also advised against leaving vulnerable people to do the housework over Christmas.

They said: 'Action to keep prevalence low before Christmas will reduce transmission during arelaxation period.'

In its set of recommendations, the SPI-M-O said the 'environment' families gather in will be crucial.

'With so many people in the home, it is important 'more vulnerable people not left with a house to clean'.

The Prime Minister said he shared the frustrations of those in the highest tiers

The Prime Minister said he shared the frustrations of those in the highest tiers

Meanwhile, Public Health England revealed today a graph suggesting how tiers were allocated for different local authorities in England.

It shows that although most of the North of England and the Midlands are in Tier Three - with restaurants forced to go takeaway only - many areas are well on their way to loosening restrictions and entering the coveted Tier One.

Nottinghamshire and Warwickshire are already close to dropping into Tier Two thanks to falling infection rates.

And there were also rapid declines in South Yorkshire, Lancashire and Derbyshire which could stand them in good stead for the coming weeks.

The report reads: 'This chart shows some decreases in weekly case rates in the North of England, and other areas where case rates are high but declining.

'Continued improvement over the coming period may make these areas candidates for de-escalation in the New Year.'

SAGE today revealed the R rate has dropped for the third week in a row, and is now thought to be below one for the whole of the UK for the first time in three months. 

A row broke out last night over the Government's tiering decision as MPs and members of the public in Tier Three areas were left in outrage.

They included the entirety of Kent, which has shifted from Tier One before the lockdown to Tier Three in response to surging local infections.

Damian Green, MP for Ashford in the county, warned he was 'highly concerned' about the dramatic downgrade yesterday and said ministers should publish detailed analysis on how their decision was made.

But Boris Johnson today refused to bow to pressure from 70 of his own MPs to change course, despite admitting they were 'frustrating' for people in areas with low transmission rates.

Speaking at the Porton Down laboratory site, the Prime Minister held out the prospect that some areas could see their status downgraded within weeks.

Mr Johnson said: 'I know it is frustrating for people when they are in a high tier area when there is very little incidence in their village or their area. I totally understand why people feel frustrated.'

He added: 'There really is the prospect of areas being able... to move down the tiering scale.'

Professor Paul Hunter, an infectious diseases expert at the University of East Anglia, told MailOnline today he felt the Government had been 'cautious' in applying the tiers due to an expected pre-Christmas surge in infections.

But he said that after the festive period many areas may be moved down the tiers. 

The Department of Health today announced the new lockdown tiers that England will be divided into when the national lockdown ends on December 2

The Department of Health today announced the new lockdown tiers that England will be divided into when the national lockdown ends on December 2

WHAT THE SAGE PAPERS ALSO SHOWED 

Only HALF of infected people would be identified if the UK enforced a nationwide mass testing programme 

One SAGE paper, created by a sub-group called SPI-M-O, looked at the impact of mass testing on squashing the coronavirus pandemic. 

The goal of widespread testing of an entire population is not to reduce the R rate but to bring down the overall prevalence. 

However, the theory of spotting every single infected person by testing everyone does not translate into the real world. 

For example, the tests are not 100 per cent accurate, not everyone will willingly be tested and of those who are found to be positive, not all will self-isolate to snap the chain of transmission.  

SAGE experts write: 'If the entire population were offered a single test with 70 per cent sensitivity, 80 per cent of infected people took up the offer and 90 per cent of people who tested positive completely isolated, around 50 per cent of infected people would not be isolated.'

The experts say that a slightly more focused approach to mass testing would be more effective. 

They say more frequent testing of people who are at higher risk of being infected (such as key workers, health and people in high prevalence areas) is likely to have a bigger impact than infrequent testing of everyone.  

Young people should wait until AFTER Christmas to socialise  

SAGE academics warn it is crucial adherence to coronavirus restrictions are followed when restrictions are eased on December 23. 

Household bubbles, as permitted over the festive season by Boris Johnson, are better at limiting the spread of disease than the 'rule of six', they say. 

'People from two households are likely to facilitate fewer connections than 6 people from 6 different households,' the experts write in their paper.  

And they warn people who do insist on socialising outside of their bubbles should do so after they have seen elderly relatives, not before.

The timing of events is critical in protecting vulnerable people, they say.

Young people who intend to visit older family members over the festive period should also restrict their social contact in the weeks preceding christmas in early December. 

The researchers say that if young people go out mingling before Christmas Day, opposed to at New Year, it will lead to a short-term spike in mortality.

Lifting restrictions for Christmas could lead to people flouting them for birthdays and anniversaries 

The coronavirus restriction amnesty over Christmas risks undermining the tier system when they return on December 27, SAGE warns. 

Government advisors write in their paper that by showing the restrictions can be lifted, members of the public may believe they can flout them for their own celebrations, such as birthdays and anniversaries. 

Experts are concerned people will believe that celebrating a birthday is just as important, to them, as Christmas and if the restrictions were lifted for the entire nation for five days then it will be fine to ignore them for their own celebrations. 

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