Coronavirus cases could fall significantly in November without any restrictions being reintroduced, modelling seen by the government suggests.
Experts at the London School of Hygiene and Tropical Medicine (LSHTM) have predicted that – even without the government’s ‘Plan B’ – COVID cases, hospital admissions and deaths in England will peak in November and start to fall rapidly to much lower levels by Christmas.
According to their modelling, if the government reintroduces restrictions, delaying ‘back-to-normal’ behaviour until the spring, there will still be a drop in the coming weeks, but rates will rise again much faster next year.
Professor Paul Hunter, an epidemiologist at the University of East Anglia, told Sky News the modelling suggests the UK is close to ‘endemic equilibrium’.
“Once you reach endemic equilibrium, non-pharmaceutical interventions (social distancing and mask wearing) stop having much of an effect.”
Advertisement
He said the main reason behind this is immunity levels.
“At the moment we’re hearing a lot of voices calling for increased restrictions,” he added.
More on Covid-19
Related Topics:
“But the modellers are predicting incredibly low numbers by mid-December in pretty much all of their scenarios.
“So if they’re suggesting that even if we do nothing cases are going to decline substantially, more restrictions don’t seem to be the appropriate response.”
The LSHTM findings were one of several reports presented to the government’s Scientific Pandemic Influenza Group on Modelling (SPI-MO) last week, who warned that they could be “too optimistic”.
This is because the data they used does not take into account how certain events can change the way people behave – such as Euro 2020 or Christmas.
SPI-MO’s latest report cautions: “Increases in transmission around the time of the Euro 2020 football matches were not visible in the data sources.
“The mid-winter festive period usually sees different mixing behaviour that could have a similar effect to the Euro 2020 football matches.
“If similar were to happen again… it is possible that these modelling results may be too optimistic.”
They also do not take into account the new mutation of the Delta variant – AY4.2 – which scientists say could be 10% more infectious.
Similar modelling done by the University of Warwick uses a “more precautionary behaviour metric” and takes into account other winter pressures such as flu.
But despite the differences, Warwick, like LSHTM, predicts that a delay in ‘normal’ behaviour would see a more gradual decline in hospital admissions than if it stayed as it is.
It also predicts that “later, a combination of waning immunity, behaviour change and seasonality would result in a further wave”.
Warwick said the timing of another winter wave is “highly uncertain” but could peak anywhere between January and May.
SPI-MO advisers say that whatever happens to coronavirus case rates this winter, it is “highly unlikely” hospital admissions will peak as high as they did last winter.
They believe vaccine protection would have to decline significantly for changes in public behaviour to result in a repeat of last year.
The LSHTM also models potential drops in vaccine protection and the uptake of booster vaccines, but these both still point to a drop in rates this winter.
If COVID immunity offered by vaccines wanes far more than it has so far, modellers predict there will be a much bigger peak next spring.
But Professor Hunter adds that booster vaccines – currently being given to the over-50s, NHS and social care workers and the clinically vulnerable – are proving “a lot more effective than we were expecting”.
A recent study by Pfizer showed that a third dose of its vaccine offers 95.6% protection against symptomatic infection.
“If that’s the case, then possibly there will be an increase in the speeding up of that reduction in rates,” Professor Hunter said.
The government has repeatedly resisted calls to reintroduce mandatory face masks and working from home as part of a Plan B to protect the NHS this winter.
Health Secretary Sajid Javid told Times Radio on Monday: “At the moment… we don’t think the data shows that we need to move to Plan B but that said, it’s really important that we all keep playing our part and that means getting vaccinated, especially if you’re eligible for the booster jab please come forward, and also just being cautious on a daily basis and following the advice.”
A fresh weather warning for snow has been issued for southern England, with cautions for snow and ice already in place across much of the country.
The Met Office’s yellow weather warning for snow covers the southern counties of England from 9am until midnight on Wednesday.
The warning stretches from Kent to Cornwall and up to south London and the Met Office said between two and five centimetres of snow could accumulate fairly widely, with as much as 10cm over higher ground.
This week is expected to see the coldest nights of the year, with temperatures potentially reaching -14C on Wednesday night and -16C on Thursday night, both in the North East of England and Scotland, the Met Office said.
Weather warnings issued on Tuesday for snow and ice covering the Midlands, parts of North Wales, the North West of England, west and northern parts of Scotland as well as Northern Ireland will remain in place until midday on Wednesday.
The forecaster said some roads and railways are likely to be affected and there could be icy patches on untreated roads.
Meanwhile the Environment Agency has said at least 300 properties have flooded across England since New Year’s Eve. It estimates more than 41,000 properties have been protected.
Heavy rainfall over the New Year caused significant river and surface water flooding across the North West of England and Yorkshire and snowmelt has brought further disruption to parts of England, particularly the Midlands, the agency said.
Please use Chrome browser for a more accessible video player
2:32
Man says flooding ‘came out of nowhere’
Floods minister Emma Hardy said: “My sympathies go out to the people, businesses and communities impacted by the recent flooding across the country.
“I want to express my heartfelt thanks for the vital work that the Environment Agency and emergency services are doing to keep people safe. People must continue to follow their advice and sign up for flood warnings.”
Flood warnings
Some 100 flood warnings were in force across England on Wednesday, with people urged to remain vigilant over the coming days.
A danger-to-life warning was issued on Tuesday morning for the River Soar near Barrow upon Soar, Leicestershire, but was later removed.
People living in caravan parks in the area were urged by the Environment Agency to act, with a large-scale evacuation needed to save lives.
Firefighters have rescued dozens of people across Leicestershire since Monday, Leicestershire Fire and Rescue Service said.
Hundreds of schools were closed across the UK, with road and rail links blocked, as Manchester, Bristol and Liverpool John Lennon airports suspended flights because of the conditions.
“And if the victims come forward to me in this victims panel and they say, ‘actually, we think there needs to be a national inquiry into this’, I’ll listen to them.”
Her comments come days after it emerged she had rejected calls from Oldham Council to hold a government inquiry into grooming gangs in the town, and said the council should commission one instead.
That has led to tech billionaire Elon Musk attacking her and Sir Keir Starmer for not holding a national inquiry and accusing the prime minister of being “complicit” in the abuse.
Professor Alexis Jay finished an eight-year national inquiry into child sexual abuse in 2022 and set out recommendations for the government.
She said: “The measures that I’m setting out today and the legislation in many ways go further because it puts a requirement on all councils to have teams working to keep children safe.
“And the bandwagon jumpers that have come along in recent days, they don’t care about children, they don’t care about making sure that we stop this and we take action.
“They had years to do it and they didn’t do it.”
The Conservatives also rejected a call from Oldham Council for a government inquiry in 2022.
You can listen to Beth’s full interview with Jess Phillips in a special episode of Electoral Dysfunction released on Thursday.