Coronavirus deaths in the UK could reach 'large absolute number', chief medical officer warns

Deaths from coronavirus in the UK could reach a “large absolute number”, the chief medical officer has warned.

Speaking at the Commons' Health and Social Care Committee on the day it was confirmed cases of Covid-19 in the UK reached 90, Professor Chris Whitty outlined the impact a larger outbreak could have.

He said deaths from Covid-19 could be a "very small number" as a proportion but a "large absolute number".

A man wearing a face mask walks past an entrance sign for Bank underground train station backdropped by the Royal Exchange building in London, Wednesday, March 4, 2020. British authorities laid out plans Tuesday to confront a COVID-19 epidemic, saying that the new coronavirus could spread within weeks from a few dozen confirmed cases to millions of infections, with thousands of people in the U.K. at risk of death. (AP Photo/Matt Dunham)
A man wearing a face mask walks past an entrance for Bank underground train station. (AP)

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He said he had a "reasonably high degree of confidence" that 1% is at the "upper limit" of the mortality rate for coronavirus.

The impact on the health service would be most sharply felt over a period of around three weeks to nine weeks at the height of the epidemic.

Chief Medical Adviser, Department of Health and Social Care Professor Chris Whitty and Jenny Harries, Deputy Chief Medical Officer for England, Department of Health and Social Care, giving evidence to the Health and Social Care Select Committee at the Houses of Parliaament , London on the subject of preparations for Coronavirus.
Chief medical officer Chris Whitty and Jenny Harries, deputy chief medical officer for England, giving evidence to the Health and Social Care Select Committee at the Houses of Parliament. (PA)

Whitty said: "For those people who get the disease severe enough to need hospital but not severe enough, fortunately, to kill them, they will still need NHS and health care.

The period at the height of the epidemic would mean the NHS has "huge pressure on it for a relatively short period of time".

Delay phase

Whitty said that the UK has now mainly moved into the "delay phase" of tackling coronavirus, adding that there was evidence of community transmission between people who had no connections to overseas cases or returning travellers.

He said: "We have moved from a situation where we are mainly in contain, with some delay built in, to we are now mainly delay," he said, although elements of the contain process were remaining in place.

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The delay phase means measures to tackle coronavirus are ramped up to delay its spread.

Two women walk past a sign providing guidance information about novel coronavirus (COVID-19) at one of the entrances to University College Hospital in London on March 5, 2020. - The number of confirmed cases of novel coronavirus COVID-19 in the UK rose to 85 on March 4, with fears over the outbreak delaying the global release of the new James Bond movie and causing lack of demand for air travel that has proved the final nail in the coffin for British regional airline Flybe which went into administration on March 5. (Photo by Isabel Infantes / AFP) (Photo by ISABEL INFANTES/AFP via Getty Images)
Two women walk past a sign providing guidance information about novel coronavirus at one of the entrances to University College Hospital in London. (Getty)

Push back

Whitty said the delay phase was aimed at pushing back the peak of the epidemic which could move the peak of cases away from the "winter pressures on the NHS in all four nations of the UK".

It would also allow more time for research into the nature of the Covid-19 virus and, thirdly, there was a possibility that – as with flu and colds – there could be a seasonal element which meant the rate of transmission went down.

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Whitty said there would not be a "step move" from the contain phase to the delay phase but "we are putting greater and greater priority on the elements of this which are delay".

An Israeli scientist works at a laboratory at the MIGAL Research Institute in Kiryat Shmona in the upper Galilee in northern Israel on March 1, 2020 where efforts are underway to produce a vaccine against the COVID-19 coronavirus adapted from another for infectious bronchitis virus. (Photo by JALAA MAREY / AFP) (Photo by JALAA MAREY/AFP via Getty Images)
An Israeli scientist works at a laboratory at the MIGAL Research Institute in Kiryat Shmona, Israel, where efforts are underway to produce a vaccine against Covid-19. (Getty)

Chances of a vaccine

Whitty said it would be "lucky" to get a vaccine for Covid-19 in the next year, adding: "It is important to develop because it may then become important if this continues to circulate in society, which I think there is a high chance it will, but I think we need to be realistic."

However, he suggested that existing drugs could play a role in treating the illness.

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He said "Can we find drugs which we have got a licence for, we know the safety, they are widely available and which work against this virus?

"The answer, I think, is going to be yes. They won't necessarily be perfect drugs but they may be enough to improve the outcomes for the people in the most high-risk groups."

A pedestrian wears a protective facemask in Westminster, London, on the day that Health Secretary Matt Hancock said that the number of people diagnosed with coronavirus in the UK has risen to 51.
A pedestrian wears a protective facemask in Westminster. (PA)
A general Coronavirus warning sign is visible at the entrance to a Hanover Scotland sheltered housing complex in Kilmarnock, East Ayrshire after it was confirmed a resident at one of their developments had recently returned from south-east Asia and reported feeling unwell. (Photo by Andrew Milligan/PA Images via Getty Images)
A coronavirus warning sign at the entrance to a Hanover Scotland sheltered housing complex in Kilmarnock, East Ayrshire. (Getty)

Transmission

Asked about transmission, Whitty said there is "some risk of transmission" from touching handrails and hard surfaces for up to 72 hours.

But he said: "Just touching it will not give you the virus: it is if you touch it and then touch your face, having not washed your hands between them.”

A woman wearing a face mask on a bus in London, as the first case of coronavirus has been confirmed in Wales and two more were identified in England - bringing the total number in the UK to 19.
A woman wearing a face mask on a bus in London. (PA)

Whitty suggested that mass school closures may only have a limited impact on the spread of the virus, but it would be for ministers to make the "quite difficult judgement" on whether to order headteachers to shut down.

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