The Mail on Sunday

Over 60s told: Avoid crowds

As virus panic spreads health chiefs urge millions to stay away from shops, public transport and GP surgeries

- By Stephen Adams MEDICAL EDITOR

EVERYONE aged over 60 is being advised to avoid crowded areas including trains, buses and even supermarke­ts to prevent catching coronaviru­s.

The drastic warning was issued by the World Health Organisati­on, which also urged people in this age group to skip routine appointmen­ts at doctors’ surgeries and hospitals.

While infection is far more likely to cause severe illness in the elderly, the advice also applies to people of all ages who have serious health conditions.

WHO’s Director General Dr Tedros Adhanom Ghebreyesu­s told his half a million Twitter followers yesterday: ‘If you are 60+, or have an underlying condition like cardiovasc­ular disease, a respirator­y condition or diabetes, you have a higher risk of developing severe #COVID19. Try to avoid crowded areas, or places where you might interact with people who are sick.’ In other developmen­ts yesterday:

• Three new coronaviru­s cases were confirmed in the UK, taking the tally to 23;

• Italy’s death toll leapt to 29, with 1,128 infected;

• France banned gatherings of more than 5,000 people – and also banished the traditiona­l greeting of kisses on the cheek;

• The US reported its first fatality – a woman in her 50s – amid signs of person-to-person spread;

• Officials warned countries may have to introduce China-style mass lockdowns of whole towns;

• Cases in South Korea rocketed by 813 in a day to 3,150, while Iran said its death toll had reached 43 – although sources said the true number was 210.

Evidence from China shows older people are far more likely to fall seriously ill with coronaviru­s, with one in seven (15 per cent) of those over 80 known to have contracted it dying. By contrast, the average death rate among all confirmed cases is around two per cent.

WHO spokeswoma­n Dr Margaret Harris said that consequent­ly older people needed to consider changi ng t heir day- t o- day r outines because ‘ avoiding catching this virus is the best outcome’. Advising them to stay off tubes, trains and buses, she said: ‘If you are on a transport system, you are likely to be squeezed in with other people.’

Football matches and other sports events were also best avoided because of close proximity to those who might be harbouring the virus. People should even think twice about going to busy shops and supermarke­ts, she said. ‘ Rather than going to the shops to get things, think about everything you can order remotely,’ she urged.

While the advice might appear draconian, Dr Harris said droplets containing coronaviru­s could travel as far as 10ft (3m) from a cough or sneeze – so ideally people should keep that distance from others. Instead of going to their GP for routine matters l i ke non- urgent appointmen­ts, blood test results and repeat prescripti­ons, they should use the phone or have a video consultati­on instead. ‘If you can do a remote consultati­on, that’s brilliant,’ she said, as surgeries and hospitals were more likely than other places to be visited by those sick with the virus.

However, Dr Susan Hopkins, of Public Health England, said WHO’s advice was overly cautious for the UK right now. She said: ‘This is sensible advice for these groups in

‘Don’t go to the shops, order things remotely’

countries that are seeing rapid rises in cases and where the majority are occurring in-country. In the UK, we do not currently have evidence of sustained and widespread transmissi­on within the community – all but one of our cases has travelled overseas.’

She added UK experts were considerin­g what the most appropriat­e actions for the public to take would be if we start to see more cases passed on within the UK.

In the coming days, Ministers will rush in emergency laws to tackle coronaviru­s, enabling, for example, l essons to t ake place outside schools. But WHO is pressing coun

tries to go much further, to quarantine whole areas in the event of large-scale outbreaks just as China and Italy are doing. In a report published on Friday, WHO said the cordon sanitaire around Wuhan and neighbouri­ng municipali­ties had ‘ effectivel­y prevented further exportatio­n of infected individual­s to the rest of the country’.

But WHO warned: ‘Much of the global community is not yet ready, in mindset or materially, to implement the measures that have been employed to contain COVID-19 in China. These are the only measures that are currently proven to interrupt or minimise transmissi­on chains [of coronaviru­s] in humans.’

Microbiolo­gist Professor Mark Fielder, of Kingston University, said he would back the radical measure if ‘ community transmissi­on’ of coronaviru­s really took off here.

He said: ‘It would be one of the t hi ngs t hat would be useful. Because if people are carrying a virus... you want to limit them moving around if they become a threat to wider public health.’

Yet Prof Fielder said there was currently ‘no reason to suggest’ UK authoritie­s could not keep containing coronaviru­s by isolating cases.

Dr Bharat Pankhania, senior clinical lecturer at Exeter University Medical School, said ‘heavy-handed’ lockdowns should not be used as the economic and social impact was severe. ‘People should be asked to self-isolate,’ he said.

However, the numbers show coronaviru­s is quickly going global. In the last week, total European cases have shot up from 54 to 1,428.

In more than half of the UK’s confirmed cases – 12 of 23 – the person caught coronaviru­s in Europe, one of those on UK soil. Of the latest three cases, two contracted the virus in Italy and the third in Asia, said Chief Medical Officer Chris Witty.

Meanwhile, Britons at the quarantine­d H10 Costa Adeje Hotel in Tenerife who test negative for the virus will be free to return to the UK, holiday operator Tui said.

In France, ministers said meetings of more than 5,000 people would be ‘ temporaril­y banned’, meaning today’s Paris half-marathon is cancelled. And in the US, a total of 22 people are fighting the virus. Four are ‘very ill’, President Trump said. He added the US government is amassing tens of millions of masks.

 ??  ?? ON ALERT: Soldiers in protective suits spray disinfecta­nt to try to halt the spread of coronaviru­s at a train station in South Korea, where cases are rocketing
ON ALERT: Soldiers in protective suits spray disinfecta­nt to try to halt the spread of coronaviru­s at a train station in South Korea, where cases are rocketing
 ??  ?? NO CHANCES: Directors at Bournemout­h FC wore face masks yesterday
NO CHANCES: Directors at Bournemout­h FC wore face masks yesterday
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