No Evidence AstraZeneca Vaccine Causes Blood Clots, Says UK Regulator

There is no proven link between the AstraZeneca vaccine and rare blood clotting, the Medicines and Healthcare products Regulatory Agency (MHRA) has said.

Following a “rigorous scientific review” of all the available data, the regulator said the available evidence does not suggest that blood clots in veins are caused by the jab and it has urged people to take it when invited to do so.

It follows a detailed review of cases as well as data from hospital admissions and GP records. Experts from the government’s independent advisory group, the Commission on Human Medicines, also reviewed the data.

It comes after more than a dozen countries, including France, Germany, Italy and Spain suspended its use.

Dr June Raine, MHRA chief executive, said: “Our thorough and careful review, alongside the critical assessment of leading, independent scientists, shows that there is no evidence that that blood clots in veins is occurring more than would be expected in the absence of vaccination, for either vaccine.”

The regulator said it has received five reports of a rare blood clot after five men aged between 19 and 59 received the Oxford/AstraZeneca vaccine.

The clot – cerebral venous sinus thrombosis (CVST) – prevents blood from draining out of the brain.

One of these cases was fatal, experts from the regulator told a press briefing.

“We have received a very small number of reports of an extremely rare form of blood clot in the cerebral veins (sinus vein thrombosis, or CSVT) occurring together with lowered platelets soon after vaccination,” said Dr Raine. “This type of blood clot can occur naturally in people who have not been vaccinated, as well as in those suffering from Covid-19.”

A further, detailed review into the five cases is ongoing. This has been reported in less than 1 in a million people vaccinated so far in the UK, and can also occur naturally – a causal association with the vaccine has not been established.

Phil Bryan, MHRA vaccine safety lead, said: “We take every single report of a suspected side effect seriously.

“We have received five reports of what is a very unique, specific form of blood clot … and this is similar to some of the cases that have been reported in Europe in the past week or so.

“What we don’t know is whether these cases have been caused by the vaccine.

“We are working closely with our experts and haematologists to try to gather more information to determine this.”

He added that these clots do happen very rarely naturally.

Bryan added: “Where we are now is that no proven causal association with what is still an extremely rare medical event has been proven for the AZ vaccine.

“But we do know that these are highly effective vaccines. We still have a huge burden of Covid disease in the population.

“So, right now, the balance of benefits and known risks of the vaccine are favourable.”

Professor Sir Munir Pirmohamed, chair of the Commission on Human Medicines, said: “Having reviewed all the data that was available to us, as well as reports, what we concluded was that there was no increased risk of peripheral venous thromboembolism based on all the data that’s available to us at the moment.

“We will still recommend that the vaccine is taken when you’re offered the vaccine.”

The World Health Organisation has also stated that the benefits of the vaccine “far outweigh the risks”. 

Dr Hans Kluge, WHO regional director for Europe, said it was “routine to signal adverse events” but reiterated that people should “have confidence” in the protection given by vaccines.

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No.10 Awkwardly Dodges Questions About Whether Boris Johnson Wanted To ‘Ignore’ Covid

Ian West/PA

Prime minister Boris Johnson

Downing Street has awkwardly dodged a string of questions about claims that Boris Johnson said ignoring Covid would be “the best thing” early in the pandemic.

The prime minister’s spokesperson ignored every opportunity to contradict the claims made in a bombshell BBC report, which also says cabinet ministers felt the PM should have installed a tougher lockdown last autumn to save more lives.

The documentary further claimed Johnson’s aides explicitly advised him to tell the public to stop shaking hands – despite which he boasted about shaking hands with hospital staff during an early press conference.

The PM’s spokesperson was asked four times on Tuesday about the central claim that Johnson was overheard saying at the start of the pandemic that “the best thing would be to ignore it”.

The BBC says he repeatedly warned that an overreaction could do more harm than good.

The spokesperson refused to deny the words had been said. “I would point back to what the prime minister said and set out at the time. It has always been our focus to reduce the cases of transmission, to protect the NHS and to ultimately protect lives.

“That’s what we did when we first locked down the country last year and that’s what we have sought to do throughout the pandemic.”

Put to him that he was not denying the allegation, the spokesperson said: “I’m pointing out that throughout the pandemic what we have done is do what we think was the best course of action in terms of protecting lives and in terms of protecting the NHS. That has been our focus throughout the pandemic.”

One source told the BBC’s Laura Kuenssberg there was a “lack of concern and energy” in No.10 as the virus began to hit the UK. “The general view was it is just hysteria. It was just like a flu.”

The BBC also quoted an unnamed cabinet minister’s frustration with the PM’s unwillingness to tighten restrictions in September as a second wave of infections began to appear.

“We knew there was going to be a second wave and there was a row about whether people should work from home or not – it was totally ridiculous,” they said.

No.10 also tried to dodge questions about a Daily Telegraph report saying the role of the Sage advisory committee of scientists would be “reviewed” after the pandemic, because they hold “too much sway” over ministerial decisions.

“We’ve said previously, there will be a time in the future to look back and analyse and reflect on all aspects of the pandemic,” the spokesperson said.

“But Sage continues and will continue to provide scientific evidence and information to the prime minister, the health secretary, and to the wider government as we move through implementing the roadmap.”

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Tories Get Polling Boost From Over-55s Who Have Had Covid Jab

Boris Johnson’s “vaccine bounce” is being driven by the over-55s who have so far been given the Covid jab, according to new polling analysis.

A study of Savanta/ComRes surveys by polling expert Lord Hayward found that the Tories’ opening up of a seven-point lead over Labour almost exactly mirrors the age-related rollout of the vaccination programme.

And crucially, the older generations are more likely to vote in the coming set of “super Thursday” local elections on May 6.

The Conservatives are hoping that the vaccine effect, together with Johnson’s personal popularity in the north and midlands, could combine to protect them from heavy losses in key councils in Lancashire, Nottinghamshire and Derbyshire.

Keir Starmer is pushing the government’s planned 1% pay cap for NHS nurses as a key theme of Labour’s local election campaign.

The UK has one of its largest ever sets of elections in May, with polls postponed last year by the pandemic combining with planned contests to allow the first nationwide verdict on the main parties since the 2019 general election.

As well as county, district and city elections, there will be votes for eight London and metro mayors, and for the Scottish and Welsh parliaments.

Hayward said that the age differential of those switching support to the Tories was notable, given how the party had been neck and neck with Labour in early December but is now up to seven points behind across several polls.

“It is the older generations who have moved most markedly to the Conservatives. Basically the cohort from [the age of] 54 upwards.

“Now the significant thing is, they are the people who vote in local elections. So not only has that group moved towards the Conservatives, or has the population moved towards the Conservatives, but the people who’ve moved most towards the Conservatives are actually the people who vote generally.”

He went on: “It is quite noticeable. It was first of all the age group from 64 upwards that moved. There’s some sign now that the 55-year-old and upwards are also moving.

“And interestingly enough, they are the people who have received their vaccinations. So there’s clearly an element of ‘vaccine bounce’. I think it goes hand in hand. I don’t think it’s chance.”

More than 90% of pensioners have had their first dose of the Covid vaccine. Everyone aged 55 and over has already been notified they are eligible for vaccination, with some projections suggesting that everyone over 50 could be jabbed by the end of this month. It could take until the end of June to give a first dose to every adult over 18.

Hayward, the pollster who first coined the phrase “shy Tories” to explain John Major’s surprise 1992 victory, said the prime minister could be further assisted by each stage of the exit from lockdown restrictions in the weeks before the May polling day.

But he cautioned that other polling evidence showed concerns about Covid were receding notably since January and it was possible that its salience overall as an electoral issue could diminish in coming weeks as a result.

In a normal year, Labour would be expected to make substantial gains in the local elections, not least as the Tories had impressive seat holds or gains in 2016 and 2017, the baseline for this year’s contests.

Yet in key “red wall” areas that Boris Johnson won at Westminster level in 2019, there are signs that his personal popularity has increased. There are marked regional differences, with the PM’s popularity still very low in London but actually healthy in the north, the new analysis said.

The Tories will be heartened by another poll on Monday, with an IpsosMORI/Evening Standard survey finding a surge in economic optimism. For the first time since 2015, slightly more people think things will improve over the coming year than think they will get worse.

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‘No Doubt’ There Will Be Further Wave Of Covid-19, Warns Statistics Chief

The UK’s national statistician said he has “no doubt” that there will be a further wave of Covid-19 infections in the autumn.

Professor Sir Ian Diamond, head of the Office for National Statistics (ONS), also said there is a lot of regional variation in terms of how many people have antibodies.

His comments come after England’s chief medical officer Professor Chris Whitty said there were still risks to reopening society and the UK will experience another surge of cases at some point, potentially in late summer or through the autumn and winter.

Sir Ian said people need to understand how the data is moving forward and look at the impact of the “wonderful” vaccine rollout.

“But having said that, we need also to recognise that this is a virus that isn’t going to go away,” he told The Andrew Marr Show on BBC One.

“And I have no doubt that in the autumn there will be a further wave of infections.”

Asked if it is too early to know how much of the fall in infections across the UK is down to the vaccine rollout, he said there are a number of moving parts such as vaccines and restrictions.

Sir Ian told the programme: “I mean I would say though that this has been an incredibly impressive vaccine rollout, and we’ve been looking at antibodies in the population, and we’ve been scaling up our survey in order to be able to take many more blood tests so that we can look at the impact.

“And what we’re seeing is quite remarkable increases in the level of antibodies in the over-80s, and increasingly in the over-70s. So I’m very, very confident that the vaccine rollout is really starting to provide some real protection.

“At the other side we see very relatively high levels amongst young people which just shows how much of young people have been affected by the virus.

“I’d finally just say on this that there is a lot of regional variation, so we find 30% of London have antibodies whereas only 16% in the South West, so we need to recognise that as well.”

During the week, Prof Whitty said he would “strongly advise” against any move to shorten the timetable for easing lockdown restrictions.

Speaking to the Commons Science and Technology Committee, Prof Whitty said the measures pencilled in for May 17, when indoor mixing of up to six people could be allowed, involved “significant risks”.

Modelling considered by the Scientific Advisory Group for Emergencies (Sage) has suggested that even under the most optimistic set of assumptions, at least a further 30,000 Covid-19 deaths could occur.

Prof Whitty said: “What we are going to see is, as things are opening up, what all the modelling suggests is that at some point we will get a surge in virus.

“We hope it doesn’t happen soon, it might for example happen later in the summer if we open up gradually or because of the seasonal effect it might happen over the next autumn and winter.

“All the modelling suggests there is going to be a further surge and that will find the people who either have not been vaccinated or where the vaccine has not worked.

“Some of them will end up in hospital and sadly some of them will go on to die.”

Elsewhere, charities have written an open letter to encourage people with underlying health conditions to come forward for a coronavirus vaccine.

Cancer Research UK, Mencap and the Terrence Higgins Trust are among 18 signatories to the letter aimed at people in vaccine cohort six.

The group includes carers as well as people with a range of underlying health conditions that put them at greater risk from coronavirus.

They include chronic respiratory, heart, kidney and liver disease and neurological conditions, immunosuppression, asplenia, diabetes, morbid obesity and severe mental illness.

People with sickle cell disease, lupus and those on a GP learning disability register, as well as people who have vascular disease or have had a stroke are also included in group six.

More than 23.6 million people have received their first dose of a coronavirus vaccine in the UK, according to the latest government figures.

There were a further 5,534 lab-confirmed cases of Covid-19 in the last 24 hour period, while 121 deaths were recorded in the UK of people who tested positive for coronavirus in the last 28 days.

Meanwhile, the NHS is to text millions of vulnerable people with underlying health conditions asking them to take the vaccine.

People with conditions such as diabetes and certain forms of cancer will receive a link to reserve an appointment for a jab at a vaccination centre or pharmacy across England.

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The UK’s Coronavirus R Rate Has Fallen This Week

The UK’s Covid R rate has fallen to between 0.6 and 0.8, scientists advising the government have said.

Last week the estimated R rate was 0.7 to 0.9, which had been a slight rise on the previous week’s estimate of 0.6 and 0.9.

R measures the number of people, on average, that each sick person will infect.

If R is greater than 1 the epidemic is generally seen to be growing; if R is less than 1 the epidemic is shrinking.

The estimate was published on Friday and provided by the Scientific Advisory Group for Emergencies (Sage) and the Department for Health and Social Care (DHSC).

The DHSC also provides a breakdown of the estimated R rate in regions of England.

Here’s what the R rate is in each region

In England, the R rate is 0.6 to 0.8.

Regionally it is as follows:

East of England – 0.6 to 0.8 (no change from last week)

London – 0.6 to 0.8 (no change)

Midlands – 0.6 to 0.8 (from 0.7 to 0.9)

North-east and Yorkshire – 0.7 to 0.9 (from 0.7 to 1.0 )

North-west – 0.7 to 0.9 (no change)

South-east – 0.6 to 0.8 (no change)

South-west – 0.5 to 0.8 (from 0.6 to 0.8 )

It comes as the number of people infected with coronavirus continues to fall across England, but appears to be levelling off in Northern Ireland and Scotland.

New estimates from the Office for National Statistics (ONS) show that around one in 270 people in private households in England had Covid-19 between February 28 and March 6 – the equivalent of 200,600 people.

This is down from around one in 220, or 248,100 people, for the period February 21 to 27.

It is the lowest figure since the week to September 24 when the estimate stood at one in 470, or 116,600 people.

However, the number of people infected in England is still high when compared to last summer. In the week to August 25 around one in 2,000 people had coronavirus.

Meanwhile, the latest data for Wales shows around one in 365 people are estimated to have had Covid-19 between February 28 and March 6 – down from one in 285 the week before.

In Northern Ireland, around one in 310 people were infected, up from one in 325.

The estimate for Scotland was around one in 320 people, up from one in 335 the previous week.

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Boris Johnson Lies About Labour Voting Against Nurses’ Pay Rise

Press Association

Prime minister Boris Johnson

Boris Johnson has refused to apologise after falsely claiming Labour voted against a pay rise for nurses. 

The prime minister, who is under fire for his offer to give hard-pressed NHS staff a 1% pay rise, had claimed that Keir Starmer’s party had opposed earlier government plans to give health workers a 2.1% hike. 

The move, part of the NHS funding bill, was never put to a vote but Johnson’s aides have rejected calls for the PM to say sorry or even correct his mistake. 

During prime minister’s questions on Wednesday, Johnson told MPs: “The last time we put it to a vote, he (Starmer) voted against it.” 

Shadow health secretary Jonathan Ashworth raised a point of order with Commons speaker Lindsay Hoyle after the session. 

He said: “The prime minister twice from that despatch box said that the Labour opposition voted against the NHS Funding Bill and the 2.1% increase for NHS staff – this is not the case.

“Indeed, in the debate, as Hansard will show, I was explicit that we would not be dividing the House.” 

Hoyle ruled that it was “certainly a point of clarification” but by that point Johnson had left the chamber. 

Johnson’s press secretary Allegra Stratton, who later faced questions from journalists, refused to offer any apology from the PM. 

She said: “The speaker addressed it in the House immediately after the shadow health secretary and the speaker regarded it as a point of clarification, and he regarded it as having been dealt with.” 

Pressed more than 10 times on whether Johnson would accept he was wrong about claiming there was a vote, Stratton repeated the line and said simply said it was “appropriate” for the speaker to clarify the point. 

She insisted that Johnson was “concerned about the truth of these matters”, she added “it would be difficult if the speaker had not addressed it”. 

Asked about the ministerial code, which says government ministers should correct any error “at the earliest opportunity”, Stratton insisted that “the system worked”, suggesting the speaker corrected the mistake. 

During PMQs, Johnson hinted nurses may be in line for a bigger rise than the 1% proposed by the government. 

Labour has called for a larger rise for all NHS staff and has demanded the government put plans to a vote. 

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The Coronavirus R Rate Has Risen This Week

The UK’s Covid R rate has risen to between 0.7 and 0.9, scientists advising the government have said.

It represents an increase after R was estimated to be between 0.6 and 0.9 last week, and suggests coronavirus is spreading slightly more than it was previously.

R measures the number of people, on average, that each sick person will infect.

If R is greater than 1 the epidemic is generally seen to be growing; if R is less than 1 the epidemic is shrinking.

The estimate was published on Friday and provided by the Scientific Advisory Group for Emergencies (Sage) and the Department for Health and Social Care.

Separately, official figures showed the number of people with Covid-19 in homes across England continues to fall.

Ben Birchall/PA Images

People wait in line for a coronavirus test at a surge test centre, set up in a library, to provide additional community testing following the identification of a mutated variant in the Bristol and south Gloucestershire area

Figures from the Office for National Statistics (ONS) estimate that around one in 220 people in private households in England had Covid-19 between February 21 and 27 – the equivalent of 248,100 people.

The figure is down from around one in 145, or 373,700 people, for the period February 13 to 19, and is the lowest figure since the week to October 1 when it was one in 240.

However, the number of people infected in England is still high when compared to last summer. In the week to August 25, around one in 2,000 people had coronavirus.

The ONS said the percentage of people testing positive for Covid-19 in the latest figures had decreased in all regions except for north-east England, the East Midlands and eastern England, where it said the trend was uncertain. 

In Wales, the latest estimate was one in 285, down from 205, and in Northern Ireland it was one in 325, down from one in 195.

The estimate for Scotland for the week to February 27 was around one in 335 people, down from one in 225.

The latest data is based on swab tests from 684,875 people in the UK, regardless of whether they had symptoms, and does not include hospitals and care homes.

It comes after a government scientific adviser said society will need to learn to live with a “substantial” number of Covid-19 deaths.

Professor Andrew Hayward, who sits on Sage, said the number of deaths will continue to drop as vaccination kicks in, and death rates could begin to look more like those for flu.

Other experts, including Professor Paul Hunter, from the University of East Anglia, have said the UK can expect a wave of deaths next winter, mostly among the unvaccinated and those for whom vaccines do not provide total protection.

Prof Hayward told Times Radio: “I think given the societal trade-offs, we are going to have to live with a degree of mortality that will be substantial.

“I think it will get less over time as more people get vaccinated, and as more people get immune, and I do believe that we’ve been through the worst of this.”

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NHS Medics Slam 1% Pay Rise: ‘It’s A Real Insult, I’m Absolutely Fuming’

A staff nurse who held a phone to the ear of a dying patient on a Covid ward so he could say goodbye to his family has blasted the government for its “pitiful” 1% pay increase.

Alex Oldham told HuffPost UK that the NHS has had the “year from hell” and that he backed proposals for strike action in response to the gesture.

Oldham, who works in Bristol, said: “We’ve been working through a year-long pandemic where at times we’ve had nurses wearing binbags for PPE, there’s been 850 NHS workers who have died of Covid.

“Yes, we’ve had nice things like Clap for Carers on Thursdays, and when ministers have given praise and kind words, but we now know those words are hollow and not worth anything.”

The main nurses’ union is to set up a £35m industrial action fund in response to the government’s recommendation.

The council of the Royal College of Nursing (RCN) made the decision amid growing anger over the pay of health staff who have been under unprecedented pressure during the coronavirus crisis.

Dozens of healthcare workers have also been tweeting their disgust at the proposal.

Unite, which represents tens of thousands of NHS workers, is also warning of industrial action. Some of the hardships endured by NHS workers have seen using foodbanks, moving out of family homes to live closer to the hospitals and cover staff sick leave and living in complete isolation in order to protect their families.

A survey of RCN members last year revealed that more than one in three were thinking of leaving the profession, with many citing pay as the main reason.

Oldham said: “Strike action, in whatever form that may be might have to be the only option, obviously with patient safety carefully considered.”

When asked if he was tempted to leave, Oldham replied: “It does make me consider. There are other avenues to earning more money – like being an agency nurse, but that just doesn’t sing with my values. I like the ethos of the NHS, I like how it all works and the goodwill of it. But we can’t keep running on empty.”

Downing Street has defended the figure, saying it was what was “affordable” and Health Minister Nadine Dorries has said she was “pleasantly surprised” at the proposal.

Oldham said he was reminded of Prime Minister Boris Johnson’s vow to lead a government of substance, not gestures, adding: “Here we are, really not seeing any substance. Even as a gesture it’s pretty pitiful.

“The government also have a pledge for wanting to put an extra 50,000 nurses on the wards by the end of their term in government, but how are they going to achieve that when they are offering, in terms of retention and appealing to people, a £3.50 a week pay rise?

“That’s an extra cup of coffee. That’s what that equates to, that’s the reality. And we also have to think about the human cost of the nurses on the frontline. I’ve held a phone to the ear of a dying patient, to their relatives who are crying on the phone because they can’t come in and see them.

“This pandemic will ripple for years to come because of the PTSD that nurses and many other NHS workers will suffer. It’s a real insult, I’m absolutely fuming.

 “This request for a pay rise is not driven by greed. This is driven by the fact we are exhausted. We are on our knees and we are fed up of being treated like this. We want a substantial pay rise to put food on the table, pay the mortgage and pay for childcare.”

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Budget 2021: Rishi Sunak Unveils Tax ‘Super Deduction’ For Firms Investing After Covid

Chancellor Rishi Sunak has unveiled a new “super deduction” for companies investing after the Covid pandemic.

Announcing his budget in the Commons, Sunak said when firms invest, his new policy would see them reduce their tax bill by 130% of the cost.

Sunak also revealed that the government will separately hike corporation tax on the profits of big business from 19% to 25% in April 2023, something which will make him unpopular with some low-tax Tory backbenchers. 

But insisting that the UK will have a “pro-business tax regime” after Covid, he told MPs the new super deduction will unlock investment and specifically reward firms with bold expansion plans in the wake of the pandemic.

Though little detail is yet clear about the new policy, Sunak said in the Commons: “While many businesses are struggling, others have been able to build up significant cash reserves. We need to unlock that investment, we need an investment-led recovery.

Press Association

Chancellor Rishi Sunak will unveil his budget on Wednesday 

“So today I can announce the ‘super deduction’. For the next two years, when companies invest they can reduce their tax bill, not just by a proportion of the cost of that investment, as they do now, or even by 100% of the cost, the so-called full expensing some have called for – with the super deduction they can now reduce their tax bill by 130% of the cost.”

It is forecast to boost business investment by 10%, or around £20 billion extra per year, Sunak said.

Sunak said the corporation tax rise will come in from April 2023 and only apply to 10% of companies. 

Smaller businesses with profits of £50,000 or less will be protected from the hike and will continue paying corporation tax at the current level of 19%, he said.

Sunak said it meant 1.4m business – around 70% of companies – “will be completely unaffected”.

The rise puts the UK above the EU average of 21.7% but remains below the US corporation tax level of 27%, though president Joe Biden has said he is looking to increase.

France’s rate is 26.5%, Germany has a rate at 30%, Canada at 26.5%, Japan at 30.62% and Italy at 24%, according to data from KPMG.

The chancellor also said a new UK Infrastructure Bank will be located in Leeds.

He told MPs: “The bank will invest across the UK in public and private projects to finance the green industrial revolution.”.

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Search For Missing UK Case Of Brazil Covid Variant Narrowed To 379 Households

The search for the unidentified person who has tested positive for the Brazilian variant of Covid in the UK has been narrowed to 379 households in the south east of England.

Speaking in the Commons on Tuesday, Matt Hancock said the government was contacting “each one”.

Six cases of the variant, known as P1, have been found in England and Scotland.

But on Monday health officials announced they were still hunting for the identity of one of the six.

Hancock said: “We know that five of these six people quarantined at home as they were legally required to do.”

“Unfortunately one of these six cases completed a test but didn’t successfully complete the contact details. Incidents like this are rare and only occur in around 0.1% of tests.”

The health secretary told MPs: “We’ve identified the batch of home test kits in question, our search has narrowed from the whole country down to 379 households in the south-east of England and we’re contacting each one.

“We’re grateful that a number of potential cases have come forward following the call that we put out over the weekend.”

Hancock said the current vaccines being rolled out had not yet been studied against the P1 variant.

“We’re working to understand what impact it might have, but we do know that this variant has caused significant challenges in Brazil,” he said.

“We’re doing all we can to stop the spread of this new variant in the UK, to analyse its effects and to develop an updated vaccine that works on all these variants of concern and protect the progress that we’ve made as a nation.”

He added: “We have no information to suggest the variant has spread further.”

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