Ross Clark

Ross Clark

Ross Clark is a leader writer and columnist who has written for The Spectator for three decades. He writes on Substack, at Ross on Why?

Covid-19 is distracting us from another medical emergency

If the first victim of war is truth, then the first victim of Covid-19 was a sense of proportion. The pandemic continues to dominate the news every waking hour, as well as continuing to restrict our lives in ways not seen since wartime – in some ways even more severely. Yet how many people even noticed this week when the Centers for Disease Control and Prevention announced that the estimated number of deaths globally from measles climbed to 207,500 in 2019, a 50 per cent increase on 2016? The news was hardly reported. Unless you happened to be visiting the CDCs, or the WHO’s website you were unlikely even to find out. On sheer death toll alone, Covid-19 has killed more people this year than measles – approximately five times as many.

Is lockdown II working?

How much has this week’s ructions in Downing Street been influenced by the Prime Minister’s decision, two weeks ago, to call for a new 28 day lockdown – and the subsequent questions asked of the data to justify it? On the one side are the 50 or so Conservative MPs who have joined the Covid Recovery Group calling for an end to lockdowns, and the many others who sympathise with them. On the other was Dominic Cummings, believed to be a keen proponent of lockdown. Last week’s infection survey – the weekly Office of National Statistics study showing the prevalence of Covid-19 in the general population – suggested that the number of people with the disease had begun to level off even before the announcement of the new lockdown on 31 October.

Will the Pfizer vaccine live up to the hype?

So is this the big turning point? Markets certainly seem to think so. No sooner had news broken that the vaccine being developed by Pfizer and German firm BioNTech is 90 per cent effective, the FTSE surged by 5 per cent. Given that the US Food and Drug Administration (FDA) has suggested that any vaccine that proves to be more than 50 per cent effective could be licensed, this suggests the vaccine will go on to be approved around the world. Any vaccine that proves partly effective will be welcomed with open arms by a world which largely remains in lockdown or semi-lockdown. But does the reality live up the surge of relief which has gone around the world this morning?

Did Wales’s ‘circuit-breaker’ work?

On Monday morning Wales emerges from its 17 day ‘circuit-breaker’. Did it work? Not according to the rate of new infections. During the first 12 days – when Wales was in lockdown but England wasn’t – the epidemic seems to have grown far more quickly in Wales than it did in England. When Wales went into lockdown on 23 October, the seven-day average for new infections leading up to that date was 893. By 5 November, the seven-day average had grown to 1,299, a 45 per cent increase. In England, by contrast, the seven day average leading up to 23 October was 17,085, growing to 19,497 by 5 November – a 14 per cent increase.

ONS study finds infections slowed before lockdown

The weekly ONS infection survey suggests that the rise in prevalence of Covid-19 in England has levelled off. Not only that, it suggests that the rate of new infections has actually fallen. In the week to 31 October, the ONS estimates that 618,700 people had Covid-19 — about 1 in 90 of the population. That was up from 568,100 the week before — a 9 per cent increase. However, it amounts to a stark slowdown on previous weeks. At that rate, it would take eight weeks for the number of people with Covid-19 to double — a long way from the doubling rate of eight to ten days which was observed in September.

Calculating the human cost of lockdown

The argument is now the wrong way around, Chris Whitty told MPs on Wednesday, among those critics of the first lockdown who argue that it resulted in fewer people accessing medical treatment, fewer diagnoses and more deaths from non-Covid causes. If hospitals are stuffed with Covid patients, the chief medical officer asserted, then they do not have the capacity to treat other patients. Control Covid using restrictions, on the other hand, and hospitals can retain their capacity to treat patients for other conditions. The gap in health between rich and poor is only likely to widen Whitty’s reasoning is perfectly logical, except that it doesn’t quite reflect what happened in the spring.

Gone with the wind: why electricity shortages are becoming the norm

If it wasn’t miserable enough being told that I have to spend the next month at home, now I have ‘Pete’ from Octopus Energy emailing me and asking if I would mind terribly turning off a few appliances between 4.30pm and 6.30pm. If fact, he says, if I can halve my energy usage during those hours he’ll give me a half price deal on the rest.  Apparently it’s because the National Grid has issued an ‘electricity margin notice’ for those hours – basically a plea for Britain’s remaining coal and gas power stations to turn up the power and squeeze a little more energy out of their plants.

How likely are you to catch Covid from a close contact?

The government’s £12 billion test and trace system has been described by its scientific advisory committee Sage as making a ‘marginal’ difference to the transmission of Covid-19. This is not least because test results are taking a long time to arrive — of tests conducted at testing centres in the week to 21 October, only 47 per cent of results were returned the next day. For home test kits, just 32 per cent of results came back within 48 hours. In the same week, test and trace only managed to make contact with 60 per cent of contacts reported to it.  But there is another factor that is central to understanding test and trace's effectiveness which remains obscure: just how likely are we to catch Covid-19 from a close contact anyway?

The problem with Downing Street’s Covid projections

The graph presented by chief scientific officer Sir Patrick Vallance during Saturday’s press briefing suggested that, in the absence of a new lockdown, deaths from Covid-19 could reach 4,000 a day by Christmas. To put this scenario in context, deaths in the first wave back in April peaked at just over 1,000 a day. Back in spring, a pre-publication copy of Neil Ferguson’s paper — the Imperial College modelling of Covid-19 deaths which sent Britain into the first lockdown — was released, so we could all see the assumptions and reasoning behind it. Saturday’s graph did not even reveal the source of the 4,000 deaths a day claim — although it has subsequently been revealed to be a Cambridge/Public Health England (PHE) estimate.

Is Covid spiralling out of control? A review of the evidence

From Wednesday, it seems, we will be back in national lockdown, the government having been convinced that the second wave of Covid-19 is spiralling out of control. Not for the first time, ministers appear to have taken their cue from an Imperial College study – this time the REACT 1 study which claimed on Thursday that 100,000 people a day are being infected, and that cases are doubling every nine days. The government is also reported to have been swung by the changing opinion of deputy chief medical officer, Jonathan Van-Tam, who believes that a regional strategy is not longer enough to save the NHS from being overwhelmed. But are new cases really running at 100,000 a day and doubling every nine days? Not according to a team from King’s College.

Did Eat Out to Help Out spark a second wave?

Did the Eat Out to Help Out scheme help to spread Covid-19? That is the eye-catching claim of Thiemo Fetzer, an associate professor of economics at the University of Warwick. In a working paper entitled: Subsidising the Spread of Covid-19: evidence from the UK’s Eat Out to Help Out Scheme, he estimates that the scheme accounted for between eight and 17 per cent of Covid clusters during August, when it operated. Given that the scheme cost taxpayers £500 million, it is not a bad idea to attempt to work out what it achieved, if anything. Nevertheless, there is something a little unsatisfactory about this claim – not least because Fetzer admits in his paper that his claim is based on a ‘back of the envelope’ calculation.

Have parts of South Africa achieved herd immunity?

In Britain this week we have had scientists at Imperial College warning that levels of antibodies in the population are dropping away fast, with only 4.4 per cent of the population showing them in September – far short of the 60 to 70 per cent government scientists believe is required for the epidemic to die away thanks to herd immunity. But it is a different story in South Africa, where two of the country’s leading virologists believe that parts of the country have achieved herd immunity. Speaking to Sky news, Marvin Hsiao of the University of Cape Town, said he couldn’t explain why infections in South Africa – which was one of the worst-affected countries in the world in the middle of the year – suddenly plummeted at the end of July.

What we still don’t know about the second wave

The Scientific Advisory Group for Emergencies (Sage) has warned the government that the second wave of Covid-19 could be more deadly than the first, but may be spread over a greater period. Downing Street is now reportedly working on the assumption that deaths will peak at a lower level than in the spring (when they topped just over 1,000 a day) but will continue in the hundreds for far longer, possibly even for months throughout the winter. More than 25,000 are predicted to be in hospital by the end of November — higher than the spring peak.

Should we be worried by declining Covid antibodies?

Imperial College’s latest React study — an attempt to measure the spread of Covid by testing the general population — suggesting that the number of people in Britain carrying antibodies for the SARS-CoV-2 virus has dropped sharply over the past three months. This led a few headline-writers to run somewhat ahead of the facts. 'Covid immunity only lasts a few months,' claimed one. The reality is a lot more complex — indeed, one of the possible interpretations of the Imperial study is that more people have some level of immunity than has previously been believed. The React study tested 365,000 adults between late June and September, using a self-administered finger prick test to detect for the presence of antibodies.

Why Boris shouldn’t back down on free school meals

How easy it has been for the government’s opponents to leap on the bandwagon of Marcus Rashford’s campaign to extend free school meals through the holidays. Nothing is more guaranteed to stir up emotion than the Dickensian charge that the government is out to ‘starve’ children – while MPs guzzle down subsidised booze in the House of Commons. Yes, the amount of money required to provide meal vouchers throughout the holidays pales into insignificance when compared with the shameless waste of Boris Johnson’s government – not least the £12 billion frittered on a test and trace system which government scientists say is making only a marginal difference on infection numbers.

Covid or no Covid, social distancing could be here to stay

Throughout this year, the biggest worry for healthcare planners has been what happens if a second wave of Covid-19 coincides with a winter flu epidemic. We are now in what looks like a second wave of Covid-19 – and October is the month when flu cases tend to start rising. So are we on the edge of a vast deep abyss? Not if the experience of the southern hemisphere winter is anything to go by. A paper in the Lancet led by the Medical Research Institute of New Zealand analyses this year’s influenza season – and observes that it was virtually non-existent.  The researchers looked up cases of flu reported on FluNet, the global influenza surveillance and response system and found remarkably low levels of the disease this year.

Why did the ‘Florence Three’ keep testing positive for Covid?

Worse tales have emerged during the pandemic than that of the ‘Florence Three’ – Rhys James, Quinn Paczesny and Will Castle, who have all now returned home to Britain after 61 days incarcerated in a hotel in the Italian city. Some might say a couple of months stuck in Florence could have been a blessing – and so it might have been, had they not each been stuck in solitary confinement and fed microwaved mush, with no more chance to go out to a trattoria than to visit the Uffizi. But what stands out about the story of the Florence Three is not so much their plight, but what it tells us about Covid-19 tests. The three men, who are aged between 20 and 23, met in Northern Italy while teaching English over the summer.

Why is the UK copying the EU’s failed agricultural policy?

With the UK looking likely to exit transition in December without a trade deal, there has been plenty of coverage of what life outside the bloc will mean for Britain. There has been rather less coverage of what we have avoided by virtue of having left the EU. Yesterday came one of the first big EU agreements to which the UK has not been party: the latest reform of the EU Common Agricultural Policy (CAP). In typical fashion, it resulted in a fudge engineered by powerful lobbyists and which will guarantee vast sums of public money going to waste. The whole point of the latest round of CAP reform was that it was supposed to shift the emphasis of agricultural subsidies towards looking after the environment.

The growing evidence on lockdown deaths

That the lockdown had a terrible impact on the nation’s health — in ways other than just Covid-19 — is becoming clearer by the day. But just how bad was it? According to a study by the London School of Hygiene and Tropical Medicine, delayed and cancelled breast cancer treatments will cause between 281 and 344 additional deaths. For colorectal cancer, there were an extra 1,445 to 1,563 deaths, lung cancer an additional 1,235 to 1372 deaths and 330 to 342 more oesophagal cancer deaths. A University of Leeds study estimated that there have already been an extra 2,085 deaths from heart disease and stroke as a result of people not accessing timely medical help.

The US is coming out of COVID no worse than any European country

From our US edition

It has become a received wisdom in recent months that the US has failed where the EU had succeeded. On June 22, for example, CNN viewers were shown a graph of COVID cases in the US, which had seemed to flatten at around 25,000 cases a day, compared with those in the EU which had fallen away from an April peak to fewer than 5,000 cases a day. ‘Look at the EU,’ viewers were told. ‘That’s where we should be.’ Roll on four months, however, and it is looking a little different. While cases in the US fell away, then returned in what is beginning to look like a bit of a third wave, Europe has been consumed in a rapidly-growing second wave.

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