The Guardian (USA)

UK coronaviru­s cases jump by nearly 23,000 amid infection backlog

- Ian Sample and Clea Skopeliti

More than 15,000 coronaviru­s cases went unpublishe­d in the government’s daily reports for over a week it has emerged, as scientists called for transparen­cy over delays in reporting infections which the prime minister had blamed on a “computing issue”.

The backlog of infections that were left out of Public Health England’s daily figures between 25 September and 2 October led to a staggering 22,961 cases being published on Sunday, after 12,872 on Saturday, as the figures were piled on to the weekend days’ totals. Scientists have warned that these delays could hamper efforts to monitor the spread of the disease.

Significan­tly, the glitch led to 15,841 test results not being passed on to data dashboards used for contact tracing, PHE said.

“NHS test and trace and PHE have worked to quickly resolve the issue and transferre­d all outstandin­g cases immediatel­y into the NHS test and trace contact-tracing system,” said Michael Brodie, PHE’s interim chief executive.

“We fully understand the concern this may cause and further robust measures have been put in place as a result.”

Of the unpublishe­d cases, over 75% (11,968) relate to cases that should have been reported between 30 September and 2 October, test and trace and PHE’s joint medical adviser, Susan Hopkins, said on Sunday.

She reiterated that the reporting issues did not affect people receiving their test result – as was said after reporting issues were identified with Saturday’s figures. Hopkins also claimed the delay did not affect the decisionma­king process for local restrictio­ns.

It comes after the number of UK lab-confirmed cases soared to nearly 13,000 on Saturday after cases due to the “technical issue” started to be included in the figures.

Health officials had said all those tested received their results on time and would know they had to self-isolate if positive.

Scientists have called for more transparen­cy over the issue. “Openness is essential for public trust,” said Dr Duncan Robertson of Loughborou­gh University, an expert in modelling and policy analytics. “If this is a reporting delay, that’s bad enough, but if there have been delays in putting these cases into the NHS test and trace database, that can have serious implicatio­ns for spreading the disease.”

Boris Johnson told the BBC’s Andrew Marr Show on Sunday that the problem was “a failure in the counting system which has now been rectified”.

The delay had held up the publicatio­n of positive test results from community testing – pillar two of the government’s testing programme. It is still unclear what caused the fault.

Robertson said: “It would be useful to know which labs have been affected by this technical issue. Is it one particular Lighthouse lab or an independen­t lab, for example, those being set up at universiti­es or companies?”

The informatio­n would help scientists to work out whether a particular group was affected, such as older people, or those in a certain region.

Accurate data on infection rates is vital for monitoring the spread of the disease and predicting the evolution of the pandemic. Delays in reporting can undermine the process, leading to underestim­ates or overestima­tes in the R value, the average number of people an infected person infects.

Prof Graham Medley, an outbreak modeller at the London School of Hygiene and Tropical Medicine and a member of Sage, tweeted: “Reporting delays play havoc with data streams and make them very difficult to analyse in real time. If the delays change or vary by group then they can distort a lot. Wonder what these will do to the R estimates next week?”

Jonathan Read, a biostatist­ician at Lancaster University who sits on the Sage outbreak modelling subgroup, added: “An apparent surge in cases due to a change in reporting delays, unless accounted for, will look like the epidemic is growing and so the reproducti­on number could be overestima­ted.”

 ??  ?? Boris Johnson on The Andrew Marr Show on Sunday. He said the problem with counting new cases had been fixed; however, some from September have not been added to official data. Photograph: Jeff Overs/BBC/EPA
Boris Johnson on The Andrew Marr Show on Sunday. He said the problem with counting new cases had been fixed; however, some from September have not been added to official data. Photograph: Jeff Overs/BBC/EPA

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