London Daily

Focus on the big picture.
Wednesday, Nov 04, 2026

Why it's time to think differently about Covid

Why it's time to think differently about Covid

For more than a year, personal freedoms have been curtailed to keep Covid at bay.

That looks likely to change, with ministers proposing to lift many of the remaining restrictions in England on 19 July. The details, set out on Monday, have sparked intense debate.

Prof Neil Ferguson, from Imperial College London, whose modelling led to the first lockdown, has said it is a gamble, but one worth taking.

What is unarguable is that the nature of the pandemic in the UK has changed - and with it so should many of our assumptions.

Covid no longer the deadly virus it was


The rollout of the vaccination programme has altered everything, reducing both the individual risk and the wider one to the health system.

Back in January, about one in 10 infections could be expected to translate into a hospital admission 10 days later. Now that figure appears to be somewhere between one in 40 and one in 50.



What is more, those ending up in hospital seem to be less sick, and need less intensive treatment.

The risk of death, as a result, has reduced even further. In January about one in 60 cases resulted in someone dying. Today it's fewer than one in 1,000.

Third wave will still be big


But this does not mean England - and the rest of the UK for that matter - is not heading for a significant third wave.

As the charts above show, infection rates are rising. If they rise enough, that has the potential to cause a significant number of hospitalisations, possibly 1,000 a day before summer is out.

Many may wonder how this can happen given how effective the vaccines are.

Individually, those who have had two doses are at a very tiny risk of getting seriously ill, but with infection rates high it means many people are taking that tiny risk at the same time. Add to that those who are unvaccinated or for whom the vaccines do not work as well and you can get a lot of admissions to hospital.


But serious illness happens all the time. In the depths of winter there can be 1,000 admissions a day for respiratory infections.

Flu alone killed more than 20,000 people in England in the winter of 2017-18. There was no talk of the need to introduce restrictions or curtail freedoms then.

"That is the context we need to start seeing Covid in," says Prof Robert Dingwall, a sociologist at Nottingham Trent University.

The difficult trade-offs


But why even take the risk? Why not - as scientists on Independent Sage have suggested -wait until the adult vaccination rollout is complete in September?

There was always going to be an "exit wave" once restrictions were lifted. And government scientists are hopeful the wall of immunity built up by natural infection and the vaccine rollout so far will soon kick in and flatten the wave.

The fact remains interventions are not harm-free, so in the end it comes down to difficult judgements about trade-offs.

As the virus presents less of a risk, that in turn shifts the balance on what can be considered proportionate.


Perhaps the clearest example of this is what is happening with schools where there are currently more than 500,000 children at home self-isolating in England because they were deemed to have close contact with an infected person at school.

That's 20 children out of school for every positive case.

This approach started in September, before vaccines had even completed their clinical trials. The idea was to contain spread of the virus to protect vulnerable adults - children are at incredibly low risk from Covid.

Now that all over-50s have had the chance of a second jab - these are the age groups where 99% of Covid deaths have occurred - the benefits of quarantining children like this is hugely reduced, while the costs in terms of disruption to education are clear to see.

Ministers say they will change this approach in time for September, but should this have been avoided given how much school has been disrupted already?

'Covid will never go away'


There are other arguments for why it should be now.

"Covid will never go away," says Prof Paul Hunter, from the University of East Anglia. "It's inevitable that we're going to catch it repeatedly for the rest of our lives, whether we have had the vaccine or not.


"The issues becomes not whether it is safe to lift all restrictions, but when would it be safest to do so."

Waiting any longer could make the situation worse, he believes, extending the exit wave into the autumn when schools are back and the flu season is getting under way.

It was a view echoed by England's chief medical officer Prof Chris Whitty, who said it had his personal backing when the government unveiled its plans on Monday.

The eyes of the world will be on us


But the idea of letting a virus spread when we have spent so long trying to do the opposite requires a psychological shift.

Dr Muge Cevik, an infectious disease expert at University of St Andrews, says this will take time.

"We need to accept Covid is here. We won't be able to completely stop the spread. We are now at the stage of managing the virus."

She would like to see more emphasis now on recovery, tackling the backlog in hospital care for non-Covid treatments, dealing with the economic fallout and loss of jobs and the emotional and mental health toll the pandemic has had.

But none of this is without risks. What if infection rates keep rising and that wall of immunity is slow to kick in?

Understandable concerns have also been raised about those who are at risk because they have conditions such as blood cancer which mean the vaccines do not work as well or who have a higher chance of exposure because of their jobs, such as shop or factory workers.

There is also Long Covid to contend with - although the risks of this are far from fully understood.

We are, perhaps, the first country to find ourselves in this situation, where we are attempting to return to normal in the face of a rapidly rising rate of infection and a more infectious variant, Delta.

Others will soon face similar dilemmas. It's why the world will be watching what happens on these shores.

Newsletter

Related Articles

0:00
0:00
Close
Department for Energy Security and Net Zero Approves Construction of New North Sea Offshore Wind Hub
Northern Ireland Executive Finalizes Public Sector Pay Agreements Following Months of Inter-Agency Negotiations
Welsh First Minister Eluned Morgan Secures Cross-Party Support for Regional Clean Energy Infrastructure Bill
Competition and Markets Authority Launches Formal Investigation Into Dominant Artificial Intelligence Cloud Partnerships
United Kingdom Foreign Secretary David Lammy Concludes High-Level Diplomatic Mission to Washington and Ottawa
Scottish Government Announces Emergency Housing Investment Package to Address Escalating Urban Homelessness
Chancellor Rachel Reeves Finalizes Corporate Tax Adjustments Ahead of Upcoming Business Investment Summit
National Health Service England Unveils Emergency Winter Resilience Plan to Combat Projected A&E Overcrowding
Bank of England Monetary Policy Committee Votes to Hold Base Interest Rate Steady at Four Point Seven5 Per Cent
UK Gross Domestic Product Expands by Zero Point Four Per Cent in Third Quarter Driven by Resilient Services Growth
Northern Ireland Executive Agrees on Multi-Year Public Sector Pay Restructuring Framework at Stormont
Department for Transport Confirms Acceleration of Electric Vehicle Charging Infrastructure Rollout Along Strategic Motorways
Welsh Government Announces Emergency Funding Package to Support Agricultural Sector Facing Severe Weather Impacts
High Court Rules in Favor of Environmental Coalition Over Government Carbon Reduction Plan Deficiencies
Office for National Statistics Reports Stable Retail Sales Growth Supported by Strong Digital Commerce Volumes
Scottish First Minister John Swinney Secures Cross-Party Support for Renewable Energy Export Expansion
National Health Service Digital Reports Major Breakthrough in Reducing Elective Waiting Lists Across England
Chancellor Rachel Reeves Outlines Infrastructure Spending Reforms to Boost Regional Economic Growth Across Northern England
Bank of England Holds Baseline Interest Rate at Five Percent Amid Persistent Core Inflation Pressures
House of Lords Advances Representation of the People Bill to Modernize Electoral Law Ahead of General Election
Financial Markets and Private Equity Assess Tax and Corporate Realignment Following Recent Chancellor Budget Adjustments
Justice Committee Warns Legal Aid Is a Service in Managed Decline Due to Inadequate Government Funding Responses
Royal Navy Intercepts Russian Intelligence Vessel and Warships Across Intensive North Sea Operations
Business and Trade Committee Slams Government Policy on China as Fragmented and Lacking Strategic Direction
Home Secretary Shabana Mahmood Softens Immigration Plans Following Intensive Cabinet Backlash Over Settlement Timelines
Automotive Industry Data Reveals Continued Acceleration in Battery Electric Vehicle Registrations Across British Dealerships
High Court of England and Wales Rules on Landmark Legal Challenge Regarding Local Government Housing Mandates
Department for Energy Security and Net Zero Approves Expanded Offshore Wind Infrastructure Along Scottish Coastline
Competition and Markets Authority Launches Broad Investigation Into Artificial Intelligence Infrastructure and Cloud Partnerships
United Kingdom and European Union Launch High-Level Preparations for Bilateral Defense and Security Summit in Brussels
National Health Service England Unveils Emergency Workforce Reforms to Alleviate Winter Accident and Emergency Pressures
Chancellor Rachel Reeves Finalizes Autumn Budget Adjustments to Meet Fiscal Rules and Fund Public Services
Bank of England Prepares for Interest Rate Decision Amid Rising Bond Yields and Inflationary Pressures
House of Lords Begins Detailed Legislative Scrutiny of Representation of the People Bill and Cyber Security Laws
Metropolitan Police Detain More Than Three Hundred Individuals Following Large-Scale Demonstration Outside London Embassy
Home Office Prepares Stricter Residency Rules Requiring Vulnerable Migrants to Wait Decade for Settlement Rights
Professional Mental Health Bodies Demand Statutory Regulation for Counsellors and Psychotherapists
National Grid Confirms Construction of Britain's Largest Electrical Substation to Power Teesside Data Centre
Prime Minister Keir Starmer Travels to Samoa for Commonwealth Summit Amid Debates on Economic Cooperation and Reparations
Home Office Implements Enhanced Digital Border Controls and Visa Processing Systems at Major Airports
Office for National Statistics Reports Stable Employment Participation Rates Across Regional Labor Markets
Department for Business and Trade Announces Strategic Partnership to Secure Critical Mineral Supply Chains
Scottish Government Unveils Regional Economic Development Strategy to Boost Advanced Manufacturing in Glasgow and Dundee
Treasury Officials Review Taxation Frameworks and Capital Gains Rules Ahead of Autumn Budget Disclosures
National Health Service Leaders Warn of Winter Capacity Pressures Across Acute Care Facilities
Bank of England Prepares for Key Interest Rate Decision Amid Sticky Inflation and Fiscal Policy Pressures
Home Office Expands Border Security Operations and Intelligence Sharing With European Partners
Office for National Statistics Reports Modest Retail Sales Growth Ahead of Crucial Christmas Trading Season
Welsh Government Unveils Strategic Plan to Boost Regional Technology Innovation and Digital Skills Training
Department for Environment Food and Rural Affairs Implements New Agricultural Subsidies Framework for English Farmers
×