London Daily

Focus on the big picture.
Tuesday, Apr 07, 2026

Covid: Are cases about to plummet without Plan B?

Covid: Are cases about to plummet without Plan B?

Rising Covid cases have been putting both the NHS and ministers under huge pressure.

But could this be about to change - and change quite dramatically?

It is dangerous to read too much into a few days of data - especially given the way infection levels in the south-west of England have been skewed by the lab test failings. But the recent rise that has caused so much concern does appear to have slowed and maybe is starting to drop in England.


And despite all the talk about the need for the government to introduce Plan B - working from home, mandatory mask wearing and vaccine passports - there is actually a school of thought that we may be on the brink of seeing infection levels plummet.

Modelling done for the government suggests cases and deaths could soon start to fall dramatically.

That though is dependent on a number of factors, including the vast majority of over-50s coming forward for their boosters, and a degree of cautious behaviour throughout winter when it comes to mixing and socialising.


This model, based on estimated total infections rather than those that come forward for testing and get reported in daily data, comes from the London School of Hygiene and Tropical Medicine (LSHTM), which is just one of the groups that feeds into the government.

It is certainly the most optimistic at the moment, although what is noticeable is that the others produced by Imperial College London and University of Warwick also point to some degree of decrease being the most realistic scenario.

Why infection rates could drop


To understand why this may happen, you have to look at what has been driving the infection rates in recent weeks.

During the summer, rising infections were being recorded largely in older teenagers, and then, since school returned, the high rates have been sustained by younger teenagers.

In the most recent week, nearly half of cases have been in the under-20s.


This has happened with relatively little spillover into older age groups. Once the virus had passed through these groups, who after all were the people least protected by the vaccine, there was always going to be a drop-off in infection levels because of the high levels of natural immunity acquired.

That in turn reduces that relatively small risk of infections being passed on to older age groups, while the rollout of boosters tops up their protection levels.

All the new modelling is quick to stress that there is still a huge amount of uncertainty over exactly when a sustained drop will happen and how far case numbers will fall.

That is because infection levels are driven by two basic things - the type and amount of mixing people do, and the strength of immunity in the population.

On both counts, there is much that is unknown. Experts still do not fully understand to what extent immunity from two doses of vaccination wanes or how many people will come forward for boosters.

And, of course, predicting human behaviour and what happens to mixing patterns is very difficult.

Prof John Edmunds, who leads the modelling group at LSHTM, says these are all reasons why it is hard to be precise about what will happen and when. However, he certainly expects a "hiatus" to kick in at some point over the winter, pointing out that all the models are suggesting this to some extent.

He is, though, still worried about Christmas, which is a period when there is a lot of inter-generational mixing, and a possible rebound in Covid in the spring.

There's still an argument for Plan B


The modelling does though raise a question over whether Plan B is needed at this stage.

Prof Mark Woolhouse, an expert in infectious diseases at University of Edinburgh, agrees a drop over winter is certainly possible.

But he still believes extra measures are worth taking as a "precautionary step", reducing the risk of more drastic action being needed further down the line at a time when other respiratory viruses, such as flu, will just add to the pressure on the NHS.

He says the situation with Covid is so finely balanced that a small swing towards greater mixing or more waning than expected could make a big difference.

It may also take a little time for the falls to start having an impact.

"The number of hospitalisations are at such a level currently that we really cannot tolerate much more of an increase," he adds.


But he says the attention given to Plan B has masked some of the arguably more important issues.

"There are five million adults in the UK who have not even had one dose and we know unvaccinated people are far more likely to be hospitalised by Covid - I don't know why there is not more attention given to this."

On top of this there is the fact that only half of cases appear to be coming forward to get tested - surveillance data from the Office for National Statistics suggests the true level of infection is twice what is being reported daily. "We need to do better at finding cases and supporting people to self-isolate," he adds.

Making progress on those, according to Prof Woolhouse, is even more important than Plan B.

Newsletter

Related Articles

0:00
0:00
Close
King Charles Faces Criticism From Some UK Christians Over Absence of Easter Message
Former UK Defence Secretary Raises Concerns Over Ability to Counter Iran Missile Threat
UK Signals Non-Involvement in Iran Conflict as Trump Reasserts Firm Deterrence Stance
US and UK Strengthen Medical Device Cooperation Following Tariff Removal
Trump Backs Steve Hilton for California Governor, Highlighting Reform Agenda
UK Seeks Closer Ties With Anthropic as AI Policy Divergence Emerges Across Atlantic
Experts Warn of Evolving Extremism After Teens Arrested in UK Ambulance Arson Case
UK Convenes Talks to Safeguard Shipping Through Strait of Hormuz After Conflict Escalation
Trump Highlights Strong Leadership in Critique of UK Stance on Iran
UK Authorities Review Kanye West’s Entry Status Following Festival Backlash
UK Considers Deploying Aircraft Carrier for US Independence Day Celebrations Amid Renewed Transatlantic Focus
United Kingdom Moves to Attract AI Firm Anthropic Amid Tensions with US Defense Officials
RAF Intercepts Iranian Drones in Middle East to Defend Allied Security Interests
Labour Signals Shift on Foie Gras and Fur Restrictions to Advance EU Trade Talks
Seven Arrested Near RAF Base as UK Authorities Respond to Protest Activity
Economic Pressures Mount as Analysts Warn UK Growth Is Being Constrained by Policy Burdens
UK Green Party’s Push for Church-State Separation Sparks Debate Over National Identity
Strategic Island Emerges as Growing Challenge for United States and United Kingdom Defense Planning
Pepsi Pulls Sponsorship from UK Festival Following Backlash Linked to Kanye West
Signs Emerge of Declining Enthusiasm for Social Media in the United Kingdom
Security Alert Raised Ahead of Meghan Markle’s Planned Visit to Australia
UK Food Halls Defy Hospitality Slowdown, Emerging as Bright Spot in Challenging Market
UK Sets Firm Conditions for Military Action, Insisting on Legal Mandate and Clear Strategy
UK Medicines Regulator Launches Probe into Peptide Clinics Over Health Claims
New North Sea Drilling Unlikely to Significantly Cut UK Gas Imports, Analysis Finds
Woman Linked to UK’s First All-Female Terror Plot Faces Deportation
Downed US Aircraft Over Iran Linked to Operations from UK Airfield
Two Men and Teen Detained in UK Following Attack on Jewish Charity Ambulance
UK Police Launch Inquiry After Firearms Left Unattended Outside Mayor’s Residence
Giuffre Family Calls on King Charles to Meet Epstein Survivors During US Visit
Amber Wind Warning Issued as Storm Dave Approaches Parts of the United Kingdom
Prince Harry and Meghan’s Australia Visit Set to Draw Heightened Global Attention
UK Considers Entry Fees for Overseas Visitors at Major Museums Ahead of 2026 Travel Season
UK Prime Minister and Kuwait Crown Prince Coordinate Security Response After Regional Escalation
Calls Grow to Expand Fully Paid Maternity Leave for UK Teachers Amid Workforce Pressures
UK Secures Tariff-Free Access to US Market in Landmark Pharmaceuticals Agreement
Trump Projects Strength in Critique of UK Leadership and Naval Readiness
UK FinTech Setback as VibePay and Smartlayer Cease Operations Amid Funding Pressures
UK Leads Global Coalition of Over Forty Nations to Address Strait of Hormuz Crisis
UK Firms Urged to Accelerate Preparation as New Sustainability Reporting Rules Take Shape
UK Moves Rapid Sentry Air Defence System to Kuwait After Drone Strike Escalation
Transatlantic Relations Tested as UK Seeks Balance While Trump Reshapes Strategic Approach
Trump’s Strategic Pressure on UK Seen as Push for Stronger Alignment and Fairer Terms
UK Focuses on Trade Finance to Secure Critical Materials for Defence and Energy Sectors
Majority of UK Businesses Hit by Middle East Conflict While Confidence Holds Firm
UK Royal Navy Faces Renewed Scrutiny as Debate Intensifies Over Capability and Readiness
Reform UK Faces Mounting Distractions as Policy Agenda Struggles to Gain Traction
Investigation Launched Into Northern Cyprus IVF Clinics After UK Families Receive Incorrect Sperm
International Meeting Issues Unified Call to Safeguard Navigation Through Strait of Hormuz
Potential Strait of Hormuz Closure Raises Concerns Over UK Food and Medicine Supply Chains
×