Daily Mail

Scientists advice that the PM decided not to follow

- By Ben Spencer Medical Correspond­ent

LAST month, the Government’s Sage advisory body had a Zoom meeting to agree its advice for the next step in the country’s fight against Covid.

The 21 scientists included chief scientific advisor Patrick Vallance and chief medical officer Chris Whitty and his deputies, Jonathan Van-Tam and Jenny Harries.

The minutes reveal they agreed ‘interventi­ons’ were needed to reverse the ‘exponentia­l rise’ in cases, and a report listing them was prepared for the Prime Minister. But when Boris Johnson addressed the nation the next day, September 22, barely any of their recommenda­tions were included.

So what were these suggestion­s and how likely are they to work?

CIRCUIT BREAKER

This sharp shock would last up to three weeks, which Sage said ‘should act to reduce R below 1’. The committee acknowledg­ed downsides such as greater domestic violence, ‘division and anger’, and a blow to mental health. But it said the temporary nature of the measures would limit the impact.

It also admitted that as soon as restrictio­ns were lifted, cases would start increasing again, raising the prospect of an on- off- on pattern of restrictio­ns.

WORK FROM HOME

One of the few recommenda­tions Mr Johnson took on board, asking people the following day to ‘work from home if they can’.

But although the economic impact was huge, even if everyone who could work from home did so, the effect on the R rate would be just 0.2 to 0.4, Sage calculated.

They also acknowledg­ed the inconsiste­ncy in Government messaging it would entail.

‘Needs clear guidance to employers to encourage working from home and establishi­ng facilities to support this, especially since it involves reversing guidance currently in operation,’ they said.

It would also create divisions in society, with only white- collar workers able to avoid the virus.

STOP MIXING BETWEEN HOUSEHOLDS

This remains ‘ the most widely recorded setting of transmissi­on,’ Sage said. Test and trace data shows homes are the top location for infection and reinfectio­n, partly because it’s where people stop following rules.

Two-metre distancing goes out the window, people hug their relatives and of course nobody wears a mask. But despite the over

whelming evidence, the Prime Minister was reluctant to impose a ban on socialisin­g.

Having seen a backlash against the ‘rule of six’ introduced a few days earlier, he was acutely aware that any further restrictio­ns on visiting friends and relatives would be deeply unpopular.

SHUT BARS, GYMS AND RESTAURANT­S

Sage warned that the ‘environmen­tal risk’ in pubs and bars was ‘likely to be higher than many other indoor settings’ due to the proximity at which people sit and duration of exposure. But evidence of the effectiven­ess of closing these institutio­ns is shaky at best.

Sage estimated that closing all hospitalit­y and hairdresse­rs would reduce R by no more than 0.2, and cited only ‘anecdotal evidence’ of outbreaks linked to bars in the UK, US and Europe.

The committee was disparagin­g about the option of forcing bars and restaurant­s to close early.

‘Curfews likely to have a marginal impact,’ its notes reveal.

Mr Johnson, under pressure to minimise the economic impact on the country, chose to keep hospitalit­y open but introduce curfews, against the committee’s advice.

CLOSE UNIVERSITI­ES

‘All university and college teaching to be online unless absolutely essential,’ the advice from Sage reads. ‘Outbreaks are very likely in universiti­es, given their size and the close contact.

Closing them would cut the R rate by 0.2 to 0.5. But Mr Johnson ignored the advice, and the opportunit­y has gone now. With outbreaks at many universiti­es, sending all students home would act as a major seeding event.

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