Ruth Hutt said there was a risk the mutant strain was spreading in the community
A London health official has urged everyone in Lambeth and Wandsworth to book a coronavirus test after a ‘significant’ cluster of the troublesome South African variant was spotted in the boroughs.
Ruth Hutt said the largest surge testing campaign to date aimed to flush out every last case of the mutant strain, which studies suggest can make vaccines less effective.
The public health director insisted they were ‘fairly confident’ most infections had been found, but added there was a risk the strain had spilled over into the wider community.
‘It is a really good opportunity now to mobilise all this testing just to check we don’t have any further cases of this variant,’ she told BBC Radio 4’s Today programme.
Public Health England revealed last night up to 70 cases had been identified in the council areas, in what chiefs called a ‘significant’ outbreak.
A lot of these infections were asymptomatic – meaning they did not trigger any warning signs of the disease – and an outbreak has also been linked to a care home.
The South African variant – dubbed B.1.351 – has sparked concern worldwide because it has key changes on its spike protein that make vaccine-triggered antibodies less able to bind to it and prevent an infection.
Ministers have been fighting to lock the mutant variant out of the country by ordering surge testing in areas where it has been detected and imposing a quarantine ‘red list’ to block travel from abroad.
But experts warn despite the efforts the strain is ‘persisting’, and say it cannot be kept at bay forever amid rising cases on the continent.
More than 70 people in Wandsworth and Lambeth are being forced to self-isolate after reportedly contracting the South African variant that could weaken the vaccine
The Department of Health has said 44 confirmed Covid-19 cases have been found predominantly in Wandsworth and Lambeth (pictured, Lambeth town hall)
WHY ARE SCIENTISTS SO SCARED OF THE SOUTH AFRICAN VARIANT?
The variant has mutations on its spike protein which scientists fear will make it difficult for the immune system to recognise, even in vaccinated people
Real name: B.1.351
When and where was it discovered?
Scientists first noticed in December 2020 that the variant, named B.1.351, was genetically different in a way that could change how it acts.
It was picked up through random genetic sampling of swabs submitted by people testing positive for the virus, and was first found in Nelson Mandela Bay, around Port Elizabeth.
Using a computer to analyse the genetic code of the virus – which is viewed as a sequence of letters that correspond to thousands of molecules called nucleotides – can help experts to see where the code has changed and how this affects the virus.
What mutations did scientists find?
There are two key mutations on the South African variant that appear to give it an advantage over older versions of the virus – these are called N501Y and E484K.
Both are on the spike protein of the virus, which is a part of its outer shell that it uses to stick to cells inside the body, and which the immune system uses as a target.
They appear to make the virus spread faster and may give it the ability to slip past immune cells that have been made in response to a previous infection or a vaccine.
What does N501Y do?
N501Y changes the spike in a way which makes it better at binding to cells inside the body.
This means the viruses have a higher success rate when trying to enter cells when they get inside the body, meaning that it is more infectious and faster to spread.
This corresponds to a rise in the R rate of the virus, meaning each infected person passes it on to more others.
N501Y is also found in the Kent variant found in England, and the two Brazilian variants of concern – P.1. and P.2.
What does E484K do?
The E484K mutation found on the South African variant is more concerning because it tampers with the way immune cells latch onto the virus and destroy it.
Antibodies – substances made by the immune system – appear to be less able to recognise and attack viruses with the E484K mutation if they were made in response to a version of the virus that didn’t have the mutation.
Antibodies are extremely specific and can be outwitted by a virus that changes radically, even if it is essentially the same virus.
South African academics found that 48 per cent of blood samples from people who had been infected in the past did not show an immune response to the new variant. One researcher said it was ‘clear that we have a problem’.
Vaccine makers, however, have tried to reassure the public that their vaccines will still work well and will only be made slightly less effective by the variant.
How many people in the UK have been infected with the variant?
At least 105 Brits have been infected with this variant, according to Public Health England’s random sampling.
The number is likely to be far higher, however, because PHE has only picked up these cases by randomly scanning the genetics of around one in 10 of all positive Covid tests in the UK.
This suggests that there have been at least 1,050 cases between December and January 27.
Where else has it been found?
According to the PANGO Lineages website, the variant has been officially recorded in 31 other countries worldwide.
The UK has had the second highest number of cases after South Africa itself.
But other nations where it has been found include South Korea, Sweden, France, Australia, Germany, Kenya, United Arab Emirates, Switzerland, Norway, Portugal, Denmark, Belgium, USA, Netherlands, Mozambique, Ireland, Botswana, New Zealand, Finland, Spain and the French island territory Mayotte.
Will vaccines still work against the variant?
So far, Pfizer and Moderna’s jabs appear only slightly less effective against the South African variant.
Researchers took blood samples from vaccinated patients and exposed them to an engineered virus with the worrying E484K mutation found on the South African variant.
They found there was a noticeable reduction in the production of antibodies, which are virus-fighting proteins made in the blood after vaccination or natural infection.
But it still made enough to hit the threshold required to kill the virus and to prevent serious illness, they believe.
There are still concerns about how effective a single dose of vaccine will be against the strain. So far Pfizer and Moderna’s studies have only looked at how people given two doses react to the South African variant.
Studies into how well Oxford University/AstraZeneca‘s jab will work against the South African strain are still ongoing.
Johnson & Johnson actually trialled its jab in South Africa while the variant was circulating and confirmed that it blocked 57 per cent of coronavirus infections in South Africa, which meets the World Health Organization’s 50 per cent efficacy threshold.
Ms Hutt told BBC Radio 4 that health officials wanted people to enjoy lockdown easing but to do so safely.
‘Many of these people (who had the variant) did not have symptoms,’ she said.
‘As a result of that, what we want to do is wider testing across the general public of anybody who doesn’t have symptoms to check there aren’t any further cases out there that we may have missed.’
She added: ‘It is really important to know that these, a lot of these, cases were picked up through asymptomatic testing (when someone has no symptoms).
‘So we have really good testing processes in place, particularly in care homes where one of these clusters was picked up, for people who have no symptoms – they routinely test all their staff and residents on a weekly and monthly basis.’
Surge PCR testing is available for people aged 11 and over who live, work or travel through these boroughs.
PHE revealed yesterday there were 44 confirmed cases of the variant in the areas, and 30 probably cases linked to these individuals.
The chief medical adviser for NHS Test and Trace, Dr Susan Hopkins, said the clusters were ‘significant’.
‘It’s really important people in the local area play their part in stopping any further spread within the local community,’ she warned.
‘Around one in three people with Covid don’t show any symptoms.
‘By taking part you can protect yourselves and your loved ones and help us identify any possible new cases that would otherwise be missed, preventing further transmission and saving lives.’
The South African variant may evade the protection provided by Pfizer’s vaccine to some extent, a real-world data study in Israel found – though its prevalence in the country is very low and the research has not been peer reviewed.
The study, released on Saturday, compared almost 400 people who had tested positive for Covid-19, 14 days or more after they received one or two doses of the vaccine, against the same number of unvaccinated patients with the disease. It matched age and gender, among other characteristics.
The South African variant, B.1.351, was found to make up about 1 per cent of all the Covid-19 cases across all the people studied, according to the study by Tel Aviv University and Israel’s largest healthcare provider, Clalit.
But among patients who had received two doses of the vaccine, the variant’s prevalence rate was eight times higher than those unvaccinated – 5.4 per cent versus 0.7 per cent.
This suggests the vaccine is less effective against the South African variant, compared with the original coronavirus and a variant first identified in Britain that has come to comprise nearly all Covid-19 cases in Israel, the researchers said.
‘We found a disproportionately higher rate of the South African variant among people vaccinated with a second dose, compared to the unvaccinated group. This means that the South African variant is able, to some extent, to break through the vaccine’s protection,’ said Tel Aviv University’s Adi Stern.
The researchers cautioned, though, that the study only had a small sample size of people infected with the South African variant because of its rarity in Israel.
They also said the research was not intended to deduce overall vaccine effectiveness against any variant, since it only looked at people who had already tested positive for Covid-19, not at overall infection rates. Pfizer declined to comment on the Israeli study.
Pfizer and BioNTech said on April 1 that their vaccine was around 91 per cent effective at preventing Covid-19, citing updated trial data that included participants inoculated for up to six months.
They have been testing a third dose of their shot as a booster, and have said they could modify the shot to specifically address new variants if needed.
In respect to the South African variant, they said that among a group of 800 study volunteers in South Africa, where B.1.351 is widespread, there were nine cases of Covid-19, all of which occurred among participants who got the placebo. Of those nine cases, six were among individuals infected with the South African variant.
Some previous studies have indicated that the Pfizer/BioNTech shot was less potent against the B.1.351 variant than against other variants of the coronavirus, but still offered a robust defence.
While the results of the study may cause concern, the low prevalence of the South African strain was encouraging, according to Tel Aviv University’s Stern.
‘Even if the South African variant does break through the vaccine’s protection, it has not spread widely through the population,’ said Stern, adding that the British variant may be ‘blocking’ the spread of the South African strain.
England – which took its next cautious step to freedom on Monday by allowing pubs and restaurants to reopen to customers outdoors – saw an increase in cases but no trend was visible in Scotland, Wales or Northern Ireland, which all have different restrictions enforced.
No10’s scientific advisers have always warned easing restrictions would cause coronavirus infections to rise by allowing people to mix together but because millions of people have been vaccinated, the NHS shouldn’t be overwhelmed.
But experts tracking England’s outbreak say none of the planned steps taken so far – reopening schools on March 8 and dropping strict stay at home guidance on March 29 – have caused any noticeable problems.
Yesterday’s spike in infections can’t be blamed on hardy drinkers choosing to brave the snow and hailstones to celebrate the ‘Glorious Twelth’ in beer gardens across the country.
Instead, experts say it is ‘entirely possible’ the U-turn in the figures could be down to the Easter bank holiday. It takes up to seven days for people to show symptoms of Covid and get their test results back.
Revellers last weekend flocked to parks to bask in the sunshine and enjoy the first weekend of England’s eased restrictions to make the most of the rule of six to see family and friends.
Dr Simon Clarke, an infectious disease expert at the University of Reading, said the daily figure were an important reminder that the numbers are not ‘guaranteed to go down’ and that timing-wise the spike coincided with Easter.
The rise may also be explained by recording delays, with testing numbers known to dip on public holidays due to the way swabs are recorded and because fewer people come forward for them.
It comes as parts of England have still only vaccinated half of citizens over the age of 50, as the NHS prepares to move onto people in their 40s.
Some areas of the country have stormed ahead and managed to reach more than 96 per cent of people in their 50s, 60s, 70s, 80s and above, exceeding Number 10’s ambitions.
But others have been sluggish for months, with large sections of their middle-aged and elderly populations still unprotected against Covid.
Official data analysed by MailOnline shows that 36 areas of the country have given a Covid jab to fewer than 60 per cent of people in the high-risk age groups.
London has had the least successful rollout so far and is home to six of the 10 lowest uptake areas.
The UK target was to offer at least one dose of a vaccine to everyone over the age of 50, those with serious health conditions, and NHS and care workers, by April 15.
This target has been met ahead of schedule and the Times now claims 49-year-olds are set to be contacted from this week, with younger people getting offers later in April.
Deliveries of a third vaccine, made by US company Moderna, will make this possible, while leftover supplies of Pfizer and AstraZeneca’s jabs are used to carry on with top-up doses for people first immunised earlier in the year.
More than 32million Brits have now received at least one dose of the Covid vaccine, including 27million people in England.
NHS England data show, out of 6,791 MSOA areas in England, 36 have vaccinated fewer than 60 per cent of over-50s.
By comparison, 3,715 places have vaccinated 90 per cent or more of those at risk of dying if they catch Covid-19, according to figures up to April 4.
An MSOA is a middle layer super output area, each of which is home to around 10,000 people.
The lowest uptake has been in Tidenham and Woolaston in Gloucestershire (27 per cent), although some residents may be getting vaccines in Wales so not getting counted in the English statistics.
Of areas that definitely just have low uptake, the worst was Harehills South in Leeds (52 per cent). Moss Side West and Moss Side East in Manchester also featured in the bottom 10 with 54 and 56 per cent, respectively.
And all the other six areas in the worst 10 were in London. Four are in the borough of Kensington and Chelsea alone – Bayswater East, Queensway and Hans Town, all on 54 per cent, and Kensington Gardens (55 per cent).
Waterloo Road, on 56 per cent, and Loughborough Road, 57 per cent, are both in the southern borough of Lambeth.
Official data show that 36 areas have given a Covid jab to less than 60 per cent of people in the high-risk age groups. London has a large proportion of the worst-performing areas
A surge in Covid-19 testing is taking place across parts of south London
Another 26 areas had uptake lower than 60 per cent, with many more in London and also others in cities in the north and Midlands including Birmingham and Liverpool.
The NHS will press ahead with the vaccination programme, despite some areas lagging behind on earlier priority groups.
Until now, only people aged 50 and over have been included in the age-based rollout, excluding healthcare workers and people in vulnerable groups.
But the health service could reach out to 49-year-olds from Monday and others in their 40s later in April, The Times reports.
Government sources told the paper the NHS would ‘ease into’ the next age groups in spite of supply shortages.
Delays to a delivery of five million doses of the AstraZeneca vaccine expected from India threw a spanner in the works of the UK’s rollout last month, prompting officials to effectively pause first-time jabs in England.
And Pfizer’s jab has been used up so quickly that first-dose appointments were halted in March so supplies could be preserved for giving people their second jabs.
The vaccination programme peaked at an average of 500,000 new patients every day in mid-March but has now slumped to around 83,000 per day as stocks are going through a bottleneck and the demand for second doses is higher.
There are now around five times as many people getting second doses as first jabs, with a record 475,230 given out on Saturday, April 10.
The addition of a third vaccine to the UK’s clinics – made by Moderna – will help the NHS to get through younger age groups but is not expected in huge numbers.
Moderna’s jab will be given out in England this week for the first time, but supplies are expected to trickle in at only around 160,000 doses a week, according to leaked plans from the Scottish Government in January.
And the UK has only bought 17million – enough to vaccinate 8.5million people with two jabs each.
A fourth vaccine could become part of the programme soon, too, with approval for Janssen’s one-shot vaccine expected from the British regulator within days. Supplies may not come until summer, though.
While Novavax’s jab – which is being manufactured in Durham – may also be given the green-light in the coming weeks.