COVID-19 variants: latest updates

Latest updates on SARS-CoV-2 variants detected in the UK

The UK Health Security Agency (UKHSA) is reminding people to ensure their COVID-19 vaccinations are up to date and to continue following COVID-safe behaviours, as latest technical data indicates BA.4 and BA.5 have become dominant in the UK and are driving the recent increase in infections.

The UKHSA’s COVID-19 variant technical briefing 43, published today, includes epidemiological analysis that shows that Omicron BA.4 and BA.5 now make up more than half of new COVID-19 cases in England, accounting for approximately 22% and 39% of cases, respectively.

Omicron BA.4 and Omicron BA.5 were designated as variants of concern on 18 May on the basis of an apparent growth advantage over the previously-dominant Omicron BA.2 variant.

UKHSA’s latest analysis suggests that Omicron BA.5 is growing 35.1% faster than Omicron BA.2, while Omicron BA.4 is growing approximately 19.1% faster. This suggests that BA.5 is likely to become the dominant COVID-19 variant in the UK.

The increasing prevalence of Omicron BA.4 and BA.5 is likely to be a factor in the recent increase in cases seen in the UK and elsewhere, though there is currently no evidence that Omicron BA.4 and BA.5 cause more severe illness than previous variants.

So far, vaccination means that the rise in cases is not translating to a rise in severe illness and deaths. UKHSA scientists are urging anyone who has not had all the vaccines they are eligible for to make sure that they get them as soon as possible.

COVID-19 HAS NOT GONE AWAY, so it is also vitally important that people continue to follow the guidance. Stay at home if you have any respiratory symptoms or a fever and limit contact with others until you are feeling better, particularly if they are likely to be at greater risk if they contract COVID-19.

Professor Susan Hopkins, Chief Medical Advisor at UKHSA said: “It is clear that the increasing prevalence of Omicron BA.4 and BA.5 are significantly increasing the case numbers we have observed in recent weeks. We have seen a rise in hospital admissions in line with community infections but vaccinations are continuing to keep ICU admissions and deaths at low levels.

“As prevalence increases, it’s more important than ever that we all remain alert, take precautions, and ensure that we’re up to date with COVID-19 vaccinations, which remain our best form of defence against the virus. It’s not too late to catch up if you’ve missed boosters, or even first doses so please take your recommended vaccines.

“Our data also show that 17.5 per cent of people aged 75 years and over have not had a vaccine within the past six months, putting them more at risk of severe disease. We 2urge these people in particular to get up-to-date.

“If you have any symptoms of a respiratory infection, and a high temperature or feel unwell, try to stay at home or away from others – especially those who are elderly or vulnerable. Face coverings in crowded indoor spaces and hand washing will help to reduce transmission of infection and are especially important if you have any respiratory symptoms.”

UKHSA encourage everyone to continue to follow the most up-to date guidance.

As we learn to live safely with COVID-19, there are actions we can all take to help reduce the risk of catching COVID-19 and passing it on to others.

The risk of catching or passing on COVID-19 is greatest when someone who is infected is physically close to, or sharing an enclosed or poorly ventilated space with, other people.

You will not always know whether someone you come into contact with is at higher risk of becoming seriously ill from respiratory infections, including COVID-19. They could be strangers (for example people you sit next to on public transport) or people you may have regular contact with (for example friends and work colleagues).

There are simple things you can do in your daily life that will help reduce the spread of COVID-19 and other respiratory infections and protect those at highest risk.

Things you can choose to do are:

  • Get vaccinated
  • Let fresh air in if meeting others indoors
  • Practise good hygiene:
  • wash your hands
  • cover your coughs and sneezes
  • clean your surroundings frequently
  • Wear a face covering or a face mask, particularly if you are in crowded and enclosed spaces.

Scotland saw the largest increase in Covid cases in the UK last week, according to the Office for National Statistics (ONS).

It estimates about 250,700 people – one in 20 – had the virus in the week ending 17 June – an increase on the previous week when about 176,900, or one in 30 people, had Covid.

Meanwhile, NHS Lothian said a fifth of its nursing staff were off work as a result of the virus. With a 50% rise in hospital inpatients testing positive in the last week, NHS Lothian says its services are coming under increasing pressure.

COVID-19 variants identified in the UK

Omicron BA.4 and BA.5 designated as variant of concern by UKHSA

The UK Health Security Agency (UKHSA) has elevated the classification of the COVID-19 variants Omicron BA.4 and Omicron BA.5 to variants of concern (VOCs) on the basis of observed growth.

As of 17 May, 115 cases of BA.4 and 80 cases of BA.5 have been confirmed in England and the latest UKHSA variant technical briefing was published yesterday.

Whilst Omicron BA.4 and BA.5 are in the early stages of growth in the UK, analysis of the available data suggests that they are likely to have a growth advantage over the currently-dominant Omicron BA.2 variant.

There can be several reasons for growth advantage, but in the case of BA.4 and BA.5, laboratory data suggests a degree of immune escape which is likely to contribute.

Dr Meera Chand, Director of Clinical and Emerging Infections at UKHSA, “said: The reclassification of these variants as variants of concern reflects emerging evidence on the growth of BA.4 and BA.5 internationally and in the UK.

“Whilst the impact of these variants is uncertain, the variant classification system aims to identify potential risk as early as possible.

“UKHSA is undertaking further detailed studies. Data and analysis will be released in due course through our regular surveillance reporting.”

UK Covid Alert Level has moved from level 4 to level 3

Based on advice from UKHSA, we the UK Chief Medical Officers and NHS England Medical Director have recommended to ministers that COVID Alert Level should move from level 4 to level 3.

“The current BA.2 driven Omicron wave is subsiding. Direct COVID-19 healthcare pressures continue to decrease in all nations and ONS community positivity estimates continue to decrease.

“We would like to thank healthcare staff for their remarkable efforts during a challenging time. Whilst it is reasonable to expect the number of cases to increase due to BA.4, BA.5 or BA2.12.1, it is unlikely in the immediate future to lead to significant direct COVID pressures. This will continue to be kept under review.”

Chief Medical Officer for England, Professor Chris Whitty

Chief Medical Officer for Northern Ireland, Dr Michael McBride

Chief Medical Officer for Scotland, Dr Gregor Smith

Chief Medical Officer for Wales, Dr Frank Atherton

NHS England National Medical Director, Professor Stephen Powis

FIRST MINISTER TESTS POSITIVE FOR COVID-19

First minister Nicola Sturgeon has tested positive for Covid

In a social media post last night, the first minister wrote: “Unfortunately I’ve tested positive for Covid this evening after experiencing mild symptoms.

“In line with Scottish government guidance, I’ll work from home over next few days, and hopefully be back out and about later next week.”

The First Minister attended a number of engagements in Washington DC this week and held a meeting with Sinn Fein’s Michelle O’Neill in Bute House yesterday.

Matt Hancock: “the fight against this virus isn’t over yet”

A door-to-door testing blitz is under way this morning in a bid to find and eliminate every case of the South African coronavirus variant in England.

On-the-spot doorstep tests, home testing kits and mobile testing units are being deployed to reach 80,000 people in eight specific neighbourhoods in an urgent effort to stop the spread of the South African strain.

Health Minister Matt Hancock told last night’s Coronavirus media briefing:

Good afternoon and welcome to Downing Street for today’s coronavirus briefing. And I’m joined by Professor Steve Powis, the Medical Director of NHS England. And Dr Susan Hopkins, who is the Chief Medical Advisor to Public Health England and to NHS Test and Trace.

I’ve got quite a lot of news to bring you up to speed on. Right at the start, I wanted to tell you where we are with our vaccine programme.

I’m so proud of the team, who’ve now vaccinated 9.2 million people across the UK, that includes 931,204 vaccinations just this weekend.

And to put that into context – that’s one in every 60 adults in the whole United Kingdom vaccinated in one single weekend. It’s a mammoth effort.

I know how much these jabs mean to people. And I’m so grateful for all the messages that we get, and all the pictures that I’m sent of people being vaccinated.

It fills me with pride that so many people are doing so much to help for this roll out to happen so smoothly and I want to say thanks to you all.

Care homes

Getting vaccinated is an emotional moment for so many people and that’s because it is about protecting those who are most vulnerable to COVID.

We’ve now vaccinated almost 9 in 10 of all over 80s in the UK and now, as of today, we’ve vaccinated over half of all people in their 70s.

And, I’m delighted that I can tell you we’ve visited every eligible care home with older residents in England, and offered vaccinations to all their residents and staff.

This has been an incredible example of health and social care working together, working side-by-side to protect people most in need.

As Professor Martin Green, the Chief Executive of Care England said today, this is a “wonderful achievement and one that is testament to the hard work of care home staff and our colleagues in the NHS and local authorities.”

And, I want to thank every single person who’s helped us to get this far.

Vaccine supply

I also want to let you know some good news on vaccine supply. Today we’ve ordered another 40 million vaccine doses from Valneva.

As we have all along, we’ve invested early and at risk, before we know for sure if it will come good because from the start, we’ve taken a no regrets attitude to backing vaccines. We’ve tried to leave nothing on the table.

If this gets regulatory approval, the Valneva vaccine, like many others, will be made right here in the UK.

The Oxford/AstraZeneca vaccine is made in Oxford, and Staffordshire, and Wrexham. The Novovax vaccine is being manufactured on Teesside. And if approved, this Valneva vaccine will be manufactured in Livingston, in Scotland.

We didn’t start this pandemic with a large-scale on-shore vaccine manufacturing capability, so we’re building one, all across the United Kingdom.

The vaccine programme just goes to show how important it is to have the UK working as one, together.

International

We now have over 400 million doses of vaccines on order. This is obviously more than the UK population needs. And my attitude has always been we protect every UK citizen as fast as we can. And at the same time, we’re generous around the world.

I want to say this to our international partners. Of course, I’m delighted about how well this is going at home. But I believe fundamentally that the vaccine roll out is a global effort.

One of the many reasons that I’m so happy with the AstraZenenca contract is that it not just that it gives us a strong supply here but because it is the only vaccine being deployed that’s available to the whole world at cost.

And because it’s logistically straightforward, it can be practically deployed in the poorest parts of the world too.

So, we will protect UK supply and we’ll play our part to ensure the whole world can get the jab.

New variants

Another area where we’re helping around the world is in spotting new variants.

Our global leadership in genomic sequencing has helped us to spot new variants here in the UK, and quickly alert the rest of the world. But there are other countries that don’t have the capacity they need.

Last week, we offered our capacity and expertise to other nations through our New Variant Assessment Platform, because a mutation in one part of the world is a threat to people everywhere.

For example, our South African colleagues spotted a new variant through their high quality genomic sequencing and rightly notified the world, as we did with the variant that we discovered here in the UK.

We’ve now identified 105 cases of this variant here. Eleven of those cases don’t appear to have any links to international travel.

There’s currently no evidence to suggest this variant is any more severe, but we need to come down on it hard and we will. We’ve already made sure that all these cases are isolating and that we’ve done enhanced contact tracing of all of their close contacts.

We are surging extra testing into the areas where this variant has been found and sequencing every single positive case.

Working with local authorities, we are going door-to-door to test people in the local area. These cases have been identified in the following postcodes:

  • W7, N17, CR4, WS2, ME15, EN10, GU21, and PR9

If you live in one of these postcodes where we’re sending in enhanced testing, then it’s imperative that you stay at home. And that you get a test, even if you don’t have symptoms.

This is so important so that we can break the chains of transmission of this new variant. And we’ve got to bring this virus to heel.

So there’s lots of good news, but this is a stark reminder that the fight against this virus isn’t over yet.

Every day, we’re protecting more people and getting ourselves one step closer to normal life. But this is no time to let things slip. So let’s, all of us, do what we must to get this virus under control.