Covid-19 Update Sunday 21/06/20
Restrictions on the Isle of Guernsey were lifted yesterday – it has had no new cases of Covid-19 for 51 consecutive days. The island has been under lockdown like the rest of the UK, but they have been slowly easing restrictions. For example, pubs have been open for 3 weeks with 1m physical distancing. The community has strictly adhered to all restrictions, so now, after 3 months of measures, they have now been able to end all physical distancing. Control of borders remains critical to keep the virus out – Guernsey’s borders were locked down a week before the rest of the UK entered lockdown in March.
Spain will allow travellers from the UK from today, without the need to enter quarantine. Passengers will have their temperature checked upon arrival and will have to give their contact details to Spanish officials. The UK government are still asking people to avoid all but essential foreign travel. Passengers entering the UK are expected to quarantine for 14 days; however, some people might be able to avoid the current quarantine requirement if they pay for a Covid-19 test.
Yesterday, N. Ireland recorded no new cases of Covid-19 within the previous 24 hours. Today, there have been 4 positive cases.
Rishi Sunak and Matt Hancock have stated that the results from the review of England’s 2m physical distancing rule will be reported this week.
Scotland, Wales, N. Ireland: Stay at home. Protect the NHS. Save lives.
Updated COVID-19 Numbers
In the UK, there have been 43 deaths since yesterday. This means, that of those that have tested positive for Covid-19, there have been 42,632 deaths in the UK (2472 in Scotland).
Another reminder that the figure is an under-report due to a reporting delay – as deaths can take up to 10 days to report, we are likely underestimating the steepness of the curve each day (i.e. on 30th March, NHS England reported 159 deaths in the 24 hours to 5pm on Sunday 29th March; however, this number was revised up to 463 5 days later and could still be updated again). Note – the government are now reporting death figures of those that have died in hospitals, care homes and the wider community, though the reported deaths still only include those who had tested positive for the virus. The numbers WILL be an underestimate.
When comparing countries, it is important to remember huge differences in population and demographics.
Further, daily counts are volatile, so need some smoothing to see any real underlying trends. World in Data uses a rolling 7-day average and looks at deaths per million for accuracy: https://ourworldindata.org/grapher/daily-covid-deaths-per-million-7-day-average
Previous Important Information
The list of Covid-19 symptoms recognised in the UK: The full list of symptoms: loss of smell, loss of taste, a new continuous cough and a high temperature.
Before restrictions can be adjusted, the government has highlighted 5 tests that they need to be confident of:
- That the NHS is able to provide sufficient treatment across the UK
- There is a sustained and consistent fall in daily death rate, showing that we have moved past the peak
- There is reliable data showing that the rate of infection is decreasing
- The operational challenges (including supply meeting demand of testing and PPE) now and in the future are manageable
- There is no risk of resurgence and second peak that overwhelms the NHS
A second lockdown would result if restrictions are lifted too soon. This would have serious outcomes on the economy and public health.
Tests are available at nhs.uk/coronavirus or by dialling 119. Everyone with symptoms is eligible.
4 acceptable reasons to leave home:
- Necessary shopping (food), though this should be limited
- Medical need (i.e. travel to hospital for treatment)
- To provide care (only if strictly necessary)
- For exercise outside, such as a run or cycle (only once per day, individually or with members of your household)
Track and Trace Systems
The English “NHS Test and Trace” system and Scotland’s “Test and Protect” scheme are vastly similar. There are 3 steps if you have Covid-19 symptoms:
- Start isolating (7 days for the individual with symptoms, 14 days for the household).
- Book a test
- If results are negative – the individual and household stop isolating if everyone feels well. If results are positive – share contacts via the NHS Test and Trace and continue to isolate.
If you have been in close contact with someone who tests positive for Covid-19:
- You may be alerted by NHS Test and Trace
- Isolate for 14 days after that close contact
- If you develop symptoms, book a test, and isolate the entire household for 14 days.
- If the test is negative, the household stops isolating, and the individual completes their 14-day isolation.
- If the test is positive, you begin a new 7-day isolation and your household completes a 14-day isolation.
Scotland’s First Minister defined a “close contact” as people within your household, people with whom you have had face-to-face contact and people with whom you have been within 2 metres for 15 minutes or more. Nicola Sturgeon also confirmed that self-isolation requires only leaving the house for a Covid-19 test, so an individual should not leave home for exercise or to obtain food or medicine.
A reminder that face coverings are thought to be helpful in reducing the transmission of the virus from the person wearing it to others, NOT the other way around. Issues with the face coverings becoming contaminated themselves and limited effectiveness means that a covering will not effectively protect a wearer from contracting the virus. A face covering is helpful in reducing transmission from someone already infected with Covid-19, by reducing the spread of aerosol droplets. You are protecting others in case you are infectious without realising, you are not protecting yourself. Hand washing and physical distancing remain the best ways to protect yourself.
Remember: even if you are not ill, you can still transmit the virus and of course, you can contract the virus. Even if you are not classified as “vulnerable”, you are able to transmit the virus, which will increase the impact on the NHS.
The original advice around hygiene, handwashing and social distancing still applies.
Please also see previous update documents.
- An app, the ‘COVID Symptom Tracker’, is available for the general public to download. The idea is for people to check-in each day whether you have COVID-19 or not – this will let researchers study the symptoms of the virus and track how it spreads. The app was designed by King’s College London, Guys and St Thomas’ Hospitals and a health science company (ZOE Global Ltd). It is available on Android and Apple devices. Please download and spread the word – all data (even negative) is of huge importance in the global fight against COVID-19.