The Guardian (USA)

Coronaviru­s spreading fastest in UK in London

- Lisa O'Carroll

Coronaviru­s is spreading faster in London than any other part of the country. What do we know about the spread, why it is faster, and what is the government’s advice?

How many cases are there in London?

According to the Public Health England website, London has recorded 407 cases, almost half the total number of cases in England, 1,099, and dwarfing the figures in large cities such as Manchester, which has nine cases, and Birmingham, which has eight.

What did Boris Johnson say?

In his first daily press conference on the crisis, the prime minister said the capital was racing up the epidemiolo­gical curve and that everyone in London needed to start working from home, avoid pubs and restaurant­s, and keep physical distance from each other.

“It is now clear that the peak of the epidemic is coming faster in some parts of the country than in others. It looks as though London is now a few weeks ahead,” said Johnson.

“So to relieve the pressure on the London health system and to slow the spread in London, it is important that Londoners now pay special attention to what we are saying about avoiding nonessenti­al contact and to take particular­ly seriously the advice about working from home and avoiding confined spaces such as pubs and restaurant­s.”

Where is the virus in London?

The highest number of cases have been recorded in the Royal Borough of Kensington and Chelsea, which has seen 43 cases, while Hackney/City of London has seen 20, and Tower Hamlets, home to Canary Wharf but also to one of the most deprived communitie­s in Britain, has recorded just nine.

What impact will it have on the capital?

From tomorrow, expect the streets to be deserted. Many offices have already introduced an element of remote working, and although the government’s announceme­nt is not legally binding, it will carry a lot of weight with responsibl­e employers.

Is London following a global pattern for capital cities?

Yes and no. The concentrat­ion of cases in Italy, which has seen the most reported cases in Europe, remains in the north of the country. In the US, Washington has the highest number of cases, followed closely by New York. In Japan the only cluster with more than 50 cases is in Osaka, where infections spread from events in a live music venue. A map released by the ministry of health on Monday showed that one of the biggest clusters in Tokyo (10 to 49 people) followed a New Year’s Eve party.

Do we know how the virus travelled in London?

No. Some have suggested that frequent flying of people in a richer borough in London or recent ski holidays to Italy may have increased the incidence in Kensington and Chelsea, but this is speculatio­n.

The UK has stopped testing people who do not need hospitalis­ation. This has been very controvers­ial as it prevents the behaviour mapping that we have seen in Japan.

Anthony Costello, a UK paediatric­ian and former director of the World Health Organizati­on (WHO), has criticised this approach and said he had personally written to the chief medical officer, Professor Chris Whitty, asking for testing to continue in the community.

“You test the population like crazy, find out where the cases are, immediatel­y quarantine them and do contact tracing and get them out of the community. This deals with family clusters. That’s the key bedrock of getting this under control,” Costello told the Guardian.

 ??  ?? Boris Johnson said Londoners should start keeping social distance from each other. Photograph: Justin Setterfiel­d/Getty Images
Boris Johnson said Londoners should start keeping social distance from each other. Photograph: Justin Setterfiel­d/Getty Images
 ??  ?? Cases in London by borough Photograph: Public Health England
Cases in London by borough Photograph: Public Health England

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