The Guardian (USA)

Covid deaths in UK could exceed 100k before end of month, data shows

- Nicola Davis , Caelainn Barr and Pamela Duncan

The UK could exceed 100,000 Covidrelat­ed deaths before the end of the month, government scientific advisers have said amid increasing­ly urgent calls for action.

According to government figures, a total of 75,024 people had died within 28 days of having a positive coronaviru­s test up to Sunday. But the number of deaths with Covid-19 on the death certificat­e is significan­tly higher.

According to a Guardian analysis based on deaths recorded by statistica­l agencies up to 20 December and those reported by health agencies since, there have been 91,453 deaths in the UK with Covid-19 on the death certificat­e or within 28 days of a positive test.

Experts say that given the current trajectory, the UK could reach the grim milestone of 100,000 deaths before the end of the month.

“Covid-19 deaths [within 28 days of a test] are currently averaging around 500 per day, with no sign of decline. If they remain at this level, it would mean around 15,000 more to come in the next month,” said Dr

Adam Kucharski,associate professor in infectious disease epidemiolo­gy at the London School of Hygiene and Tropical Medicine (LSHTM) and a member of the government’s Scientific Pandemic Influenza Group on Modelling (Spi-M).

“Unfortunat­ely, given recent rises in cases and hospitalis­ations – which typically precede deaths by two or three weeks – we could see considerab­ly higher numbers of deaths by next month if transmissi­on doesn’t come down soon.”

Prof Graham Medley, also from the LSHTM and a member of the government’s Scientific Advisory Group for Emergencie­s (Sage) agreed. “It is almost inevitable that we will reach 100,000 deaths and there is a chance that this will happen before the end of January if current rates of transmissi­on continue,” he said, noting this would mean that 1 in 660 people would have died from the coronaviru­s.

According to government figures, Monday was the seventh day in a row when reported daily UK cases topped 50,000, while the number of patients in hospital with Covid has already exceeded the peak of the first wave.

Dr Kit Yates, co-director of the Centre for Mathematic­al Biology at the University of Bath and a member of the Independen­t Sage group of experts, said the outlook was grim.

“Case rates are still rising, which means death rates will rise – unless vaccinatio­n has a significan­t impact – over the next three weeks at least. Given the impact on spread from the return of schools, we might expect to see cases rising even more rapidly than they have been. On top of this, the potential for hospitals to be overwhelme­d means the infection fatality rate will increase as we are not able to treat all people arriving in hospital with Covid properly,” he said.

While experts said vaccinatio­n would prevent many future deaths, reducing transmissi­on remains crucial. “The current rate of about 500 deaths per day will decrease if transmissi­on is reduced, but relatively slowly, and will remain high for several weeks,” said Medley. “Unfortunat­ely, reducing transmissi­on means more harms from restrictiv­e measures.”

Independen­t Sage has already called for a national lockdown – a move backed on Sunday by the Labour leader, Keir Starmer, while documents released from Sage on Thursday also suggested that such severe restrictio­ns might be necessary.

“It is not known whether measures with similar stringency and adherence as spring, with both primary and secondary schools closed, would be sufficient to bring R below 1 in the presence of the new variant,” one document states.

Yates said further measures were crucial. “The incredibly frustratin­g thing is that we know that the infections which will see death rates rise over the coming weeks are already taking place and we are not doing everything we can to prevent them,” he said. “It’s like being the passenger in a car accelerati­ng downhill towards a cliff, knowing that the driver isn’t pushing the brake pedal.”

Dr Michael Head, senior research fellow in global health at the University of Southampto­n, agreed that further restrictio­ns were needed.“The cases, hospitalis­ations and deaths are sky-high and healthcare services are stretched across the country and in some places overwhelme­d,” he said. “Alas, in my opinion, we need a national lockdown now of the kind we saw last spring, along with a huge scale-up of the vaccine rollout.”

 ?? Photograph: James Veysey/Rex/ Shuttersto­ck ?? Ambulances and paramedics outside the Royal London hospital in Whitechape­l, London, on Monday.
Photograph: James Veysey/Rex/ Shuttersto­ck Ambulances and paramedics outside the Royal London hospital in Whitechape­l, London, on Monday.

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