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ASPartOfMe
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17 Dec 2020, 8:19 pm

jimmy m wrote:
Signs of Optimism in the Air

The first signs of "Life Returning Back to Normal" has begun to sprout like a flower rising out of the snow in Springtime. This is despite the rising infections and death rates.

The travel industry has been beaten badly by the coronavirus.

After news of the FDA's first COVID-19 vaccine approval, the number of hotel bookings at properties across websites for hotels such as Hyatt, Marriott and Best Western and booking platforms like Kayak, Hotwire and Priceline saw the largest jump in daily bookings since March, when the pandemic became widespread in the U.S. The company, which runs bookings for the travel websites, saw 9,512 transactions processed in the U.S. on Dec. 11, the day when the FDA approved the Pfizer and BioNTech COVID vaccine, perhaps suggesting that Americans are hopeful for safe future travel. To compare, sales between November and December a year earlier, before the pandemic hit, generated between 8,500 to 10,000 bookings per day, RateGain data shows.

The travel industry has gained some momentum following COVID-19 vaccine trials in the U.K. British budget airline EasyJet has had a 50% increase in bookings.

Source: Hotel bookings surge following news of COVID-19 vaccine approval

That is not optimism, that is overoptimism and misunderstanding of the vaccination roll out process. That is an assumption that enough people will be vaccinated to create herd immunity.


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17 Dec 2020, 11:17 pm

Moderna Vaccine

A U.S. Food and Drug Administration advisory panel voted Thursday to endorse Moderna’s coronavirus vaccine, clearing the way for FDA leaders to authorize emergency mass distribution amid an ongoing surge of COVID-19 cases across the country.

The vote was 20-0. One committee member abstained. The vote will now go before FDA officials who will decide whether to grant EUA based on the committee’s findings.

Source: FDA panel endorses Moderna’s coronavirus vaccine


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jimmy m
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17 Dec 2020, 11:23 pm

ASPartOfMe wrote:
That is not optimism, that is overoptimism and misunderstanding of the vaccination roll out process.


When the coronavirus first began to take hold in the U.S., the population panicked like a herd of buffalo in a stampede. This observation is that the herd is beginning to slow down. People are taking concrete actions like booking hotel reservations and airline reservations, and these numbers are significant.


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jimmy m
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18 Dec 2020, 9:13 pm

The U.S. Food and Drug Administration (FDA) on Friday formally granted emergency approval for Moderna’s coronavirus vaccine, officially paving the way for widespread distribution of the long-awaited vaccine.

This will probably be the vaccine I will opt for when it is my turn in the queue.

Today my daughter received her first shot of the Pfizer coronavirus vaccine. She felt no ill side effects, not even pain at the injection site. She is a health care provider, an Anesthesiologists, which put her at the top of the queue. It is a dangerous profession to be in during the pandemic. They hook up the ventilators to the patients, which is an aerosol generating procedure.

So I guess I will just wait for my turn in line.

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18 Dec 2020, 9:22 pm

I'm not getting mine----until the Spring, probably.....



ASPartOfMe
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19 Dec 2020, 6:48 am

ICU availability in Southern California at 0%, and it’s going to get worse, officials warn

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The availability of intensive care unit beds throughout Southern California hit 0% Thursday, and officials warned that conditions in hospitals are expected to erode further if the coronavirus continues to spread unchecked.

With ICUs filled, hospitals will step up measures to ensure the sickest patients still get the highest levels of care possible. That often means moving some patients who would typically be in the intensive care unit to other areas of the hospital, such as a recovery area, or keeping them in the emergency room for longer than normal.

The patients are still getting intensive care, and that strategy can work to a point. But eventually, there may be too many critically ill patients for the limited numbers of ICU doctors and nurses available, leading to greater chances of patients not getting the specialized care they need. And that can lead to increases in mortality.

Once ICU beds are full, hospitals go into surge mode, which can accommodate 20% over usual capacity. Officials have also been training medical personnel who work elsewhere in hospitals to allow them to work in ICUs, and seeking nurses from outside the United States.

But the forecasted size of the surge of severely ill COVID-19 patients needing hospitalization in the coming weeks is now so large, it blew past projections issued just a few weeks ago. Officials were forced to redraw their charts to accommodate the enormous surges in projected ICU bed demand.

ICU availability throughout Southern California — which the state defines as Imperial, Inyo, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara and Ventura counties — had been a scant 0.5% Wednesday before falling to zero Thursday.

The San Joaquin Valley — which has hit 0% availability in its ICUs a few times in recent days, most recently Wednesday — saw that number tick up slightly Thursday, to a still-perilous 0.7%.

California is now opening temporary field hospitals to help with overflow patients.

The number of people hospitalized in California for COVID-19 has broken records for 19 consecutive days. On Wednesday, the most recent data available, 15,431 people across the state were in hospitals with coronavirus infections — more than six times more than the number on Halloween.

Hospitals in L.A. County are desperately trying to free up beds by discharging recovering patients as quickly as possible, but there is only so much longer that hospitals can stretch their staff to meet the demand until the quality of patient care starts to worsen.

A backed-up emergency room then makes it harder for emergency physicians and nurses to take care of patients with other emergencies, including strokes, heart attacks and trauma.

Whitfield said she’s been an emergency room doctor for a decade, but the past weekend was the first time she felt the overcrowding situation “has actually threatened the level of care that we can provide for our patients.”

The state is now recording an average of 220 COVID-19 deaths a day over a weekly period, and about 38,000 daily cases — both records, and both quadruple the numbers from mid-November.


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19 Dec 2020, 10:40 am

ASPartOfMe quoted "The availability of intensive care unit beds throughout Southern California hit 0% Thursday, and officials warned that conditions in hospitals are expected to erode further if the coronavirus continues to spread unchecked."

One of the problems of Southern California is that it is essentially a desert environment. It is subject to periods of low humidity and low humidity is a breeding ground for viruses. I came across an article from UCLA Institute of the Environment and Sustainability which made the following points:
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“It’s not the heat, it’s the humidity that kills you.”

Los Angeles, on the other hand, is relatively temperate but extremely dry. In fact, yesterday the humidity dipped to just 11 percent—less than the average of Chile’s Atacama Desert, which some have called “the driest place on Earth.” On average, LA gets 15 inches of rain per year compared to New Orleans’ 65 inches.

I collected 30 years of mortality data for about 400 counties across the United States. I compared excessively high mortality rates to monthly changes in humidity for each county. It turned out that, yes, high humidity levels are indeed dangerous, [but] low humidity levels were even more dangerous. People are much more likely to die on a dry day than a humid one, once temperature is accounted for. Low humidity levels put a lot of stress on respiratory systems. (Researchers are still trying to understand why, but it could be due to the drying of nasal passageways, which serve as a first line of defense against diseases, pollution and other health threats.)

Having moisture in the air is even more important for sensitive groups, such as the elderly, children and those suffering from respiratory ailments. It would be a good idea for schools to monitor indoor humidity levels and install humidifiers. And because low humidity promotes the spread of influenza, such a move would be especially useful during nasty flu seasons like the one we’re experiencing now. The same goes for assisted living facilities and other places that serve the elderly.[/i]
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The article was posted a couple years ago. L.A.’s dry air is a seldom-discussed threat to public health

IMHO, as far as the coronavirus threat, there is relief on the way because in general, January it is the wettest month of the year in Los Angeles. The rainiest months in Southern California are December through March.


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ASPartOfMe
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19 Dec 2020, 12:20 pm

This post will be a change from my usual Debbie Downer pessimism.

Pandenmics and outbreaks usually have a frightening period of exponential growth but end or at least fade into a normal disease just as quickly. The 1918 Spanish Flu second wave was introduced to the US in September was a horror show in October. It was largely over by November. The end of WWI celebrations went off without apparent superspreading on the 11th. The Hong Kong Flu was largely a December 1968 or January 1969 event depending on where you were in the country. The first wave of COVID in New York was also a quick hitter. The 1918, 1957, and 1968 pandemics collapsed with a lot less mitigation. I am in no way saying mitigation is bad, it probably helps. What I am saying is that it is possible the expert predictions of post holiday January calamity might not happen because we are if not at very close to the APEX of this wave right now.


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19 Dec 2020, 1:00 pm

This article was posted over a week ago:

Throughout the hard-hit states of the Upper Midwest and northern Plains — in Illinois, Wisconsin, Iowa, Minnesota, Montana, Wyoming and the Dakotas — coronavirus case counts have been falling for weeks.

Could this be a sign that America’s worst surge to date has already peaked in the places it struck hardest — and a clue that the rest of the country might not be far behind?

When case counts were skyrocketing across the Upper Midwest earlier this fall, the national media was all over the story. But the near simultaneous regional turnaround that began in mid-November has attracted a lot less attention.

Source: 'Third wave' COVID cases are falling in the Upper Midwest. Will the rest of America follow?


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19 Dec 2020, 5:08 pm

London faces third lockdown as new COVID-19 strain spreads

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Three days after Boris Johnson accused his opponents of wanting to “cancel Christmas,” the British Prime Minister announced a new lockdown for London and much of Southeast and East England.

There is no alternative open to me,” Johnson said at a Saturday press conference, explaining that the latest restrictions are a response to a new and rapidly-spreading variant of the coronavirus.

“It may be up to 70 percent more transmissible than the earlier version of the disease,” he said, the Financial News reported. “There is still much that we don’t know… We already know more than enough to be sure that we must act now,”

Cases of coronavirus have doubled in London in the past week, with the new virus variant accounting for 60 percent of new infections, the prime minister’s spokesperson said.

The tighter rules are set to take affect at midnight Saturday and extend at least two weeks. Millions of residents will be asked to cancel holiday plans and travel and stay home except for work, exercise or childcare. All non-essential businesses will have to close until at least Dec. 30.


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20 Dec 2020, 11:50 am

Netherlands, Belgium, other EU nations ban flights from U.K. as new COVID strain continues to spread

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Several EU nations on Sunday announced they would temporarily ban flights from the U.K. while others considered limiting such flights or imposing harsher quarantine measures for people arriving from the country.


Boston Superspreader Conference Led To Over 300,000 Covid-19 Coronavirus Cases
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Typically, you may want a biotech conference to have an impact. But leading to over 300,000 Covid-19 coronavirus cases may not be what you have in mind.

A study just published in the journal Science showed how what happened in Boston, MA, didn’t stay in Boston. An international biotechnology conference that took place in Beantown on February 26-27 soon became a “superspreader” event. Or rather a “superduperspreader” event. Or perhaps even a “superduperpooperOMGWTHspreader” event.

Keep in mind that late February was when things in the U.S. were still pretty much business as usual. By that time, political leaders were undoubtedly aware of the threat that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) posed. After all, the World Health Organization (WHO) had already declared the SARS-CoV2 a Public Health Emergency of International Concern (PHEIC) on January 30. That should have gotten countries like the U.S. to say, “what the PHEIC,” and launch some kind of response. It’s not as if the WHO declares a PHEIC for just anything such as a Nutella shortage, latke recipe gone wrong, or Kim throwing something at Khloe on the reality TV show Keeping Up with Kardashians. Since 2009, there have been only six such PHEIC declarations. By late February, a number of other countries had already sprung into action.

An NBC News headline on February 26 blared “Americans should prepare for coronavirus crisis in U.S., CDC says.” That was a bit like saying, “you really should pull up your pants during a job interview.” That week U.S. Department of Health and Human Services Secretary Alex Azar had said: "The immediate risk to the general American public remains low. But, as we have warned, that has the potential to change quickly.”

That meant Americans weren’t really putting precautions into place yet. Many people weren’t staying six feet or one Denzel (since Denzel Washington is about six feet tall) apart from each other. They could still sing Ariana Grande’s, "Break Up With Your Girlfriend, I'm Bored" in close proximity to each other. Life was relatively “normal.” Toilet paper was still in stock. Restaurants, bars, and barbershops were still operating with few limitations. The number of mullets, manbuns, and Rapunzel hairstyles was not nearly as high as they are today.

Therefore, the biotechnology conference went ahead as planned. Among the attendees were executives from the biotechnology company Biogen, who had unknowingly been infected with SARS-CoV2 just days prior at the company’s annual leadership meeting. Therefore, they carried secrets that even they didn’t know, sort of the opposite of being sexy and knowing it.

At the time, contact tracing performed by public health officials had identified 99 Covid-19 coronavirus cases resulting from this conference. They may have gotten 99 problems back then, but the spread of the virus certainly didn’t stop there, which brings us to the Science study.

For the study, a team of researchers used NP samples collected in March from 28 of the 99 Covid-19 coronavirus positive cases.

Sequencing the genomes of viruses obtained from the NP samples revealed viruses with a particular mutation: the C2416T mutation. This name may sound like a moderately strong password for a website but instead is the designation for a mutation that had never been seen before in the U.S. prior to the biotech conference. The precursors of this C2416T variant had already become fairly widespread in Europe in January and February. The team also found viruses with a G26233T mutation, which hadn’t been apparent in the. U.S. before the conference either.

So it looks like the Boston biotech conference was the debut of two new SARS-CoV2 variants in America.

As of November 1, there was a cumulative total of at least 51,718 reported cases of the C2416T variant in the four counties that comprise the Boston area. In fact, by then, the C2416T variant had already appeared in 29 states with an estimated total of 245,000 cases. At the same time, an estimated 88,000 cases of the G26233T variant had collectively occurred in the U.S. Adding these two totals together meant that the Boston biotech conference could have been responsible for well over 300,000 Covid-19 coronavirus cases.

This is yet another example of how earlier and more aggressive intervention could have changed the course of the pandemic in the U.S.


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20 Dec 2020, 1:31 pm

An international biotechnology conference that took place in Beantown [Boston, Massachusetts] on February 26-27 soon became a “superspreader” event.

Image

[One] superspreading event, which occurred at an international [Biogen] business conference [held in Boston from February 26 - 27] early in the local epidemic, had a much greater impact on community transmission. [About 175 Biogen managers coming from all over the world gathered for the late-February conference hosted by the biotech company about health care, of which 100 became infected with COVID.] Because SARS-CoV-2 viruses circulating at the conference happened to be marked by distinct genomic signatures, we were able to track its downstream effects far beyond the superspreading event itself, tracing the descendants of the virus as they made a large contribution to the local outbreak in the Boston area and as they spread throughout the U.S. and the world, likely causing hundreds of thousands of cases. The different genetic diversity seen in the two events raises the possibility that superspreading encompasses varied transmission dynamics.

Superspreading event, which occurred at an international business conference early in the local epidemic, had a much greater impact on community transmission. Because SARS-CoV-2 viruses circulating at the conference happened to be marked by distinct genomic signatures, we were able to track its downstream effects far beyond the superspreading event itself, tracing the descendants of the virus as they made a large contribution to the local outbreak in the Boston area and as they spread throughout the U.S. and the world, likely causing hundreds of thousands of cases. The different genetic diversity seen in the two events raises the possibility that superspreading encompasses varied transmission dynamics.

Genome data reveal that the impact of the conference was far larger than the approximately 100 cases directly associated with the event. Using state-reported case counts, we estimate that by the end of the study period, approximately 50,000 diagnosed cases [44,000 - 56,000] in the U.S. resulted from conference-associated viruses; of these, 46% [40.4 - 51.8%] were in Massachusetts. Through November 1, 2020, we estimate that a total of 245,000 [205,000 - 300,000] cases marked by C2416T, and 88,000 [56,000 - 139,000] cases marked by G26233T, were linked to the conference in the United States.

Source: Phylogenetic analysis of SARS-CoV-2 in Boston highlights the impact of superspreading events

Interesting. I suspect that if they dug a little deeper, they might find that aerosol transmission played a strong role in these transmissions.


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20 Dec 2020, 2:15 pm

Moderna Vaccine

FedEx began shipping the second coronavirus vaccine candidate to earn emergency authorization in the U.S. after Moderna, a Massachusetts-based biotech company, received the authorization for its vaccine candidate from an FDA advisory panel on Thursday.

Employees at a factory in the Memphis area and a facility in Olive Branch, Mississippi were boxing up the vaccine developed by Moderna Inc. and the National Institutes of Health.

A truck left the Mississippi facility Sunday morning with a police escort. The much-needed shots are expected to be given starting Monday, just three days after the Food and Drug Administration authorized their emergency rollout.

Image

Moderna agreed to deliver approximately 20 million doses of the vaccine candidate to the U.S. government by the end of December. The Department of Defense, in partnership with the Department of Health and Human Services and CDC in Operation Warp Speed, will distribute the vaccine.

Source: FedEx begins shipping second COVID-19 vaccine, with first Moderna shots expected Monday

Since we are rapidly nearing the end of December, the 20 million doses of Moderna vaccine seems a little bit too optimistic to me. Another article states, "It [U.S. Government] expects to be able to vaccinate about 20 million people by the end of December, and then an additional 20-25 million people in January." So I would interpret this goal as the combination of Pfizer and Moderna vaccines (first dose).


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20 Dec 2020, 6:04 pm

Country after country closing its borders to the UK this evening.

Channel tunnel closes tonight too as france has banned anyone from the UK entering. This goes for haulage too, that's going to case chaos if the ban lasts for days as we have around 10,000 lorries leaving Dover heading for France every day. Thousands incoming everyday too such is the way of life here in Europe for food and daily goods.



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20 Dec 2020, 8:45 pm

Ontario will enter province-wide lockdown as of Christmas Eve, sources say

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All of Ontario will be under lockdown as of Christmas Eve, sources tell CTV News Toronto.

These sources, who have direct knowledge of the situation, say the lockdown will begin at 12:01 a.m. on Dec. 24 and will last for 28 days in the southern portions of the province (south of Sudbury) and 14 days in the northern parts.

This lockdown will look similar to the province-wide shutdown back in March, with only essential businesses being allowed to remain open.

Under the province-wide lockdown, sources say, the winter break for students will be extended. CTV News Toronto has not been able to confirm the exact length of the school closure.

Toronto, Peel Region, York Region and Windsor-Essex are already under lockdown. Hamilton is set to join the grey zone of the province’s tiered COVID-19 framework on Monday.

The data has shown that under any scenario, Ontario will see 300 people in intensive care by the end of December. At the current rate of transmission, that number would grow to 700 patients by the end of January.

The province has said that once the number of COVID-19 patients in Ontario’s intensive care units (ICU) surpasses 300 supporting other medical needs not related to the disease becomes nearly impossible.

There are currently 261 patients infected with the disease in ICUs across the province.

On Sunday, 24 hospitals across the Greater Toronto Area released a joint statement calling on the province to implement stricter measures to help curb the spread of the disease. The letter was in support of the Ontario Hospital Association’s (OHA) call for stronger lockdown measures in the province in the wake of record-breaking infections.

The letter said frontline workers are “stressed and overstretched” and that “this level of strain is simply not sustainable for much longer.”

“(Frontline workers) are exhausted, they're emotionally and physically exhausted,” OHA President and CEO Anthony Dale said on Sunday.

Dale added that lockdown measures worked in the first wave of the pandemic back in the spring and that those measures, or even stricter measures, need to be in place now to curb transmission of the disease.

Ontario has seen daily case counts surpass 2,000 for six days in a row. The seven-day average is currently 2,249.


Four weeks into lockdown, cases in Toronto remain high. What are we doing wrong?
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The holidays in 2020 pose a real threat."

This is the warning from Toronto’s top doctor on Wednesday after the city reported a record-high of new COVID-19 cases.

During the city’s COVID-19 briefing, Dr. Eileen de Villa said people are not staying home as they did during the first lockdown in spring, which is contributing to the spread of the virus.

The doctor is urging residents who have committed to following public health advice to speak up, lead by example, and encourage others to do the same.

“COVID-19 can make things much, much worse in Toronto if we make it easy. This holiday, from now into the new year, it is vital that we all find a way to connect but commit to staying apart,” de Villa said

CP24: Toronto reported a single-day high of 850 new COVID-19 cases on Wednesday, Dec. 16. What is going on? What are we doing wrong here?
De Villa: I think the issue is that there are still people out and about and having social interaction, which actually gives rise to the continued spread of COVID-19. But that being said, this is within our control. This is something that we can absolutely control, and we know what to do. We've done it before in the spring. We were very successful in terms of flattening the curve. I also mentioned that in my remarks, so we actually have the recipe in our hands. It's all about those self-protection behaviours -- wearing your mask, watching your distance, washing your hands.

CP24: It seems like people's behaviour towards the second lockdown is different than what we saw in the spring. It feels like people see this lockdown as more of an inconvenience. Are people not as frightened? What are you seeing?
De Villa: I think that's a very real sentiment and I think what we're seeing are very real human behaviours and reactions to very difficult situations. But I would look at it this way. We know what works and we know that actually staying at home as much as possible, as we did in the spring, and limiting our interactions to the greatest extent possible is part and parcel of what it takes to bring the spread of this virus down. We also know now that this virus actually does spread very easily. We have to be constantly vigilant around what it is that we're doing. But we know it actually works. And now we have vaccines. It is now starting to get administered to people. There's some real light, some real hope available to us. But we also know that the more we are able to control the spread of COVID-19 by our own actions, by adopting those self-protective behaviours as much as possible, we know that we can help that vaccine be the most effective tool available to help us as part and parcel of our COVID-19 response.


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21 Dec 2020, 8:38 am

The meeting of the COBRA civil contingencies committee comes amid warnings of "significant disruption" around the ports in the English Channel, with tailbacks going back miles into Kent, the county in southeastern England.

The tailbacks came after France announced Sunday that it was closing its borders for 48 hours, which means lorries cannot get across the English Channel by boat. Goods arriving on containers are unaffected.

The government has urged everyone to avoid traveling to Kent, which hosts many of the cross-Channel ports. Dover notably sees around 10,000 lorries pass through every day, accounting for around 20% of the U.K.'s trade in goods. Eurotunnel, the rail service that links Britain with mainland Europe, has also suspended services.

Canada, India and Poland are among the latest countries to halt flights from the U.K., following the lead of many in Europe. France, Germany, Italy, the Netherlands, Belgium, Poland, Austria, Denmark, Ireland and Bulgaria were among those who on Sunday announced widespread restrictions on flights from the U.K.

[Boris] Johnson said early indications are that the new variant of the virus is 70% more transmissible and is driving the rapid spread of new infections in the capital and surrounding areas. On Sunday, the U.K. recorded a record daily total of 35,928 new infections.

Shapps insisted that the public won't notice any shortages "for the most part" as a result of the ban on lorries and that the supply of coronavirus vaccines will continue as they come via containers that are unaffected. Trade association Logistics U.K. has urged people to stay calm and not to rush to supermarkets to stockpile goods. "Shoppers should not panic buy," said Alex Veitch, general manager at Logistics U.K. "Retailers will be making every effort to ensure there is stock within the system, including fresh produce, and it is important that we remember that inbound traffic still has access to the U.K."

Source: UK to hold emergency meeting amid new coronavirus strain as more countries close borders to Britain

For those in England, I will make one additional observation. Sometimes when the government recommends against panic buying, it essentially lights a little red light in peoples minds to actually do the exact opposite.


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