Health

Implement ‘plan B’ winter measures now or risk NHS crisis, Johnson warned

Ministers must urgently implement sweeping “plan B” winter measures or derail efforts to tackle the backlog of 5 million patients, the head of the NHS Confederation warned as the UK recorded its highest daily Covid death toll since March.

Infections have been rising sharply since the start of October but the government is resisting introducing the extra restrictions set out in its winter plan such as masks, vaccine passports and advice to work from home.

On Tuesday the UK reported 223 Covid deaths recorded within 28 days of a positive test – the highest for seven months – while the seven-day average for Covid-19 cases stands at 44,145 a day. The UK now has one of the highest weekly rates of new reported cases in the world.

Downing Street said it was keeping a “very close eye” on the situation. But Matthew Taylor, chief executive of the NHS Confederation which represents the healthcare system in England, Wales and Northern Ireland, said immediate action was required to prevent the NHS “stumbling into a crisis” where the elective care recovery would be jeopardised.

Taylor said: “We are right on the edge – and it is the middle of October. It would require an incredible amount of luck for us not to find ourselves in the midst of a profound crisis over the next three months.

“The government ought to not just announce that we’re moving to plan B, but it should be plan B plus. We should do what’s in plan B in terms of masks … working from home, but also we should try to achieve the kind of national mobilisation that we achieved in the first and second waves, where the public went out of their way to support and help the health service.”

Ministers should encourage the public to do their bit by using the NHS responsibly, looking out for neighbours, volunteering or even re-entering the healthcare workforce, Taylor added.

“We need that same sense of pulling together over the next few months, trying to avoid risky behaviour if it’s not necessary. This is not a question of if we don’t do it something might happen. If we don’t do it, it would take a miracle for us not to find ourselves in the midst of a really profound crisis in our health and social care system over the next three months.”

Boris Johnson has said that if the government’s “plan A” – encouraging take-up of Covid booster and flu jabs – was not sufficient to prevent “unsustainable pressure” on the NHS it would roll out plan B. This includes compulsory face masks in some settings, asking people to work from home and introducing vaccine passports. The prime minister’s official spokesman yesterday said there were “no plans” to use the contingency measures set out in the government’s winter strategy.

The Labour leader, Sir Keir Starmer, said Johnson was showing his “characteristic complacency” in the face of growing warnings from experts, but stopped short of calling for “plan B” to be activated. He urged the government “to be more vocal, to step up and assure the public that they have learned the lessons of last year”.

Scientists are also urging ministers to introduce plan B. Prof Christina Pagel of UCL said: “We are now seeing cases and hospital admissions rising steadily and an out of control epidemic within schools. The government must switch to its plan B immediately and accelerate rollout of vaccines, including to those who are yet to be vaccinated at all or are just on one dose.”

Prof Rowland Kao, a member of the SPI-M advisory committee, speaking in a personal capacity, added: “Light touch measures, especially where these are unlikely to negatively impact people’s livelihoods or cause indirect harm, should be welcome … I do think they would be helpful now.”

Prof Mark Woolhouse, also of Spi-M and speaking in a personal capacity, said he was in favour of taking some action now “because early action can be less drastic action”.

Prof Neil Ferguson, from Imperial College London, said there was a need to speed up boosters and vaccinations of teenagers, whom he suggested should get two doses of a jab to block infection and transmission.

Jim McManus, interim president of the Association of Directors of Public Health, said there was an urgent need “to look seriously at, and consult on, the exact measures and most appropriate timing of plan B … we need to tread carefully as lockdowns and complacency are extremes we need to avoid”.

The number of people waiting for hospital treatment in England alone has hit a record high of 5.7 million as the NHS struggles to clear the growing backlog of care worsened by the pandemic.

Taylor said the NHS carried out 1.1m procedures in August and that it was facing “rocketing demand for hospital care as well as mental health services, ambulance services and primary care”.

Meanwhile, the NHS will today launch an appeal for 100,000 new blood donors as new figures reveal the number of active donors shrank last year to its lowest level since 1996. There is a particular need to recruit more black donors to treat patients with sickle cell disease, the fastest growing genetic blood condition in the UK.

Health

No new COVID-19 variant in Nigeria- FG

The Federal Government has clarified that the newly detected XEC COVID-19 variant, identified in Australia and some other countries in Europe, is not in Nigeria.

Ministry of Health and Social Welfare, Kachollum Daju confirmed that a recently leaked letter addressed to the Committee of Chief Medical Directors and Medical Directors was precautionary and not intended to cause panic.

Speaking further, Daju noted that the XEC COVID-19 variant has been detected in 29 countries, and due to the festive season, when travellers arrive from various parts of the world, it is crucial for hospitals to implement measures to ensure the country is not caught off guard.

In a letter dated December 5, 2024, the Federal Ministry of Health and Social Welfare, had urged health authorities to activate heightened alert systems across hospitals and maintain a high index of suspicion for patients with COVID-like symptoms.

The letter Signed by the Head of the Teaching Hospital Division, Dr O.N. Anuma, on behalf of the Permanent Secretary, the letter called for collaboration with relevant stakeholders to share critical data regarding the variant and implement enhanced monitoring protocols.

“I am directed to inform you of a newly detected XEC COVID-19 variant, which has been reported in Australia and has already spread to 29 countries globally.

“You may wish to know that this variant has shown a growth advantage over other circulating strains, raising concerns about its potential impact on public health,” the letter read.

“Alert systems should be immediately activated throughout our hospitals for high index of suspicion in patients with COVID-like symptoms.

“Timely information sharing among relevant stakeholders, including the Federal Ministry of Health, will be vital for effective response strategies.”

The Permanent Secretary stressed the importance of preventive measures during this period to prevent any potential spread of the variant into Nigeria.

Health

Oyo confirms 4 deaths in suspected Lassa fever outbreak

The Oyo State Rapid Response Team, on Thursday, confirmed four deaths linked to a suspected Lassa fever outbreak in the Saki West Local Government Area of the state.

A statement by the Commissioner for Information and Orientation, Dotun Oyelade, in Ibadan, the state capital, quoted his counterpart from the Ministry of Health, Oluwaserimi Ajetunmobi, saying the fatalities consisted three males and one 32-year-old female who was preparing for her marriage.

The report was that an owner of a hospital, alongside three others, died in the town mysteriously.

Following numerous calls reporting deaths in the town, the commissioner tasked the team to Saki to investigate.

“The background information gathered that one of the apprentices at the hospital who had returned from Iwajowa and fell ill about two weeks before the incident was suspected to have introduced the infection.

“She likely transmitted it to her co-workers and the hospital owner.

“Three of the deceased exhibited typical symptoms of Lassa fever, including craniofacial bleeding, while the hospital owner showed fatigue and self-medicated with antimalarials and antibiotics.

“His condition only prompted hospital admission when his self-treatment failed,” the statement read.

It added, “Extensive contact tracing was conducted, with particular focus on high-risk contacts who had been involved in the bathing and burial of the deceased.

“The hospital where all the deceased were associated was closed down for decontamination.

“The hospital that admitted the deceased health facility owner, without being informed of the deaths from an ‘unknown’ illness, was also shut down for decontamination, and the doctor was placed under surveillance.

“Public awareness campaigns were held to educate the community about Lassa fever, its transmission, symptoms, and preventive measures.

“The RRT provided on-the-job training to health workers in the affected areas to reinforce Infection Prevention Control protocols and prevent further spread of the disease.

“Sample collection was also carried out on a person exhibiting symptoms, pending laboratory confirmation. The line listing of contacts is still in progress, focusing on individuals at high risk”.

The government team also conducted an advocacy visit to the palace of the Okere of Saki, who was represented by his second-in-command, and was briefed on the outbreak and the necessary containment measures.

“Local government authorities within Saki West were equally informed and aligned with the efforts to manage the situation”, the statement added.

Investigation, according to the commissioner, also revealed that the outbreak initially involved the council, but had extended to Iwajowa and Kajola local government areas.

He said the State Disease Notification Officer in the respective areas had been instructed to begin preliminary containment efforts while awaiting the full deployment of the State RRT.

The team, comprising the Director of Public Health, the State Epidemiologist, DSNOs, State Laboratory Focal Persons, representatives from the World Health Organisation and Red Cross, as well as the PHC Coordinator of Saki West and the LGA DSNO, embarked on a comprehensive investigation to the scene of the incidence.

Health

NCDC issues public advisory on Lassa Fever, warns of increased spread

FG issues Lassa fever alert, death toll hits 102, cases now 4,632

The Nigeria Centre for Disease Control and Prevention, NCDC has issued a public health advisory on Lassa fever warning of increased case detection and spread of the viral infection.

The Director General of the NCDC, Dr Jide Idris, raised the concerns following increased reporting of the outbreak by its surveillance teams across the country.

At a press briefing in Abuja, Dr Idris said the death toll from Lassa Fever in Nigeria has risen to 174 out of 1,035 confirmed cases across 28 states and 129 LGAs as of October 13, 2024.

”Lassa fever outbreaks are highly virulent and the loss of human lives resulting from disease are not just statistics but represent the death of beloved family members, spouses and parents.

”In 2022, Nigeria reported 1,067 confirmed cases across 27 states and 112 LGAs. In 2023, 28 states and 114 LGAs reported confirmed cases, with 9,155 suspected cases, 1,270 confirmed cases, and 227 deaths.

”While we continue to intensify efforts using an all-of-society approach, the public is hereby advised to note that the virus spreads through direct contact with urine, faeces, saliva, or blood of infected rats. Contact with objects, household items, and surfaces contaminated with the urine, faeces, saliva, or blood of infected rats.

”Consuming food or water contaminated with the urine, faeces, saliva, or blood of infected rats or person-to-person transmission through body fluids of an infected person.

Dr Idris also warned health care professionals to be alert as Lassa fever presents like other common illnesses accompanied by fever, headache, general body weakness, cough, nausea, vomiting,

While noting that early diagnosis and treatment of the disease greatly increase the chances of patient survival, Dr Idris highlighted the economic cost of Lassa Fever to communities and the healthcare system.

”The disease is also associated with significant loss of livelihood in the communities it ravages. Heads of households are unable to work when exposed to Lassa fever and when other household members are infected, the cost of care and treatment of the disease strains existing household income pushing households toward poverty.

”Healthcare workers are also vulnerable and the loss of experienced medical personnel due to infection further strains the country’s limited healthcare workforce.”