Are the government and media overdoing coronavirus? Is it time to move on and get back to normal lif

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3 years ago

These are big questions, and given the parlous state of the economy, they deserve some attention.

Let me start with some positives, which may help encourage the viewpoint I see a lot on social media, that Covid is over, finished, done with.

The trend in deaths and serious illness continues to decline.

The number of patients in hospital who have a confirmed Covid-19 diagnosis has been falling for months.

At the peak in the UK there were around 20,000 - now it's fewer than 800.

At one stage whole intensive care units were full of Covid-19 patients, many of them on ventilators for several weeks.

Again, thankfully, the numbers on ventilators have continued to fall, from 3,300 to 64.

There are many ways of counting Covid-related deaths, but they all show mortality peaked in April and has been falling ever since.

If we look solely at those who died within 28 days of a positive coronavirus test, this has fallen by 99% from nearly 1,000 a day to, on average, less than 10.

That compares to an average of 30 men a day who die from prostate cancer, and 30 women from breast cancer. Neither of these figures is read out nightly on the TV news, unlike the statistics for cases and coronavirus deaths.True, confirmed coronavirus cases have been rising for a couple of months, but this can be largely explained by increases in testing. The number of swab tests done in the community has doubled since the start of July. More swabbing of noses and throats leads to more detection of the virus, but that has not yet translated into more hospital cases.

The latest ONS infection survey suggests around 2,200 infections a day in England, with rates remaining fairly constant in the past month after a slight increase in July.

So things have changed a lot since the start of the outbreak in the UK.

"If you go back to March and April, there was a larger pool of susceptible people, with 1,000 outbreaks in care homes in one week. Now those getting the infection are much younger and they are less affected," says Carl Heneghan, professor of evidence-based medicine at the University of Oxford.

"Secondly, the virus is circulating at a much lower level. With social distancing people are more likely to get a 'glancing blow' and have to deal with a much smaller amount of virus and so be less likely to get seriously ill."

If you do end up in hospital, your chances of surviving Covid-19 have improved significantly. Medical teams now have a far better understanding of how to combat the virus with more effective treatments, such as dexamethasone .

I'm the BBC's medical editor. Since 2004 I have reported on a huge range of topics from cancer, genetics, malaria, and HIV, to the many significant advances in medical science which have improved people's health. I've also followed pandemic threats such as bird flu as well as Sars and Mers. Now I'm focusing on Covid-19 and its immense global impact.Globally, Covid-19 case numbers are now in excess of 24 million and rise by around a million every four days.

There have been well over 800,000 deaths since the beginning of the pandemic.

But it has a long way to go to outstrip the mortality from another infectious disease, tuberculosis.

TB, an airborne bacterial infection, kills around 1.5 million people each year, nearly all in developing countries. It is a disease largely of poverty and malnourishment, targeting those with weakened immune systems, often due to co-infection with HIV.

Unlike Covid, it can be cured with antibiotics, although there has been a worrying rise in highly drug-resistant TB.

But back to the question: Is it time to get back to normal life?

If that means getting children back into the classroom, then yes. The evidence is that they are at vanishingly low risk from coronavirus, yet risk significant harm from lack of education.

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What about the rest of us? There's no doubt that Covid-19 can be a devastating condition. We are just beginning to understand the potential long-term harms from the disease .

The older you are, the greater your risk - although a 70-year-old triathlete may well have a stronger immune system than a sedentary, obese 40-year-old.

Statistics guru Prof David Spiegelhalter reckons an 80-year-old male has a 500 times higher risk of dying from Covid than a 20-year-old.

We are far from any sort of triumph over this brutal disease. I have seen first-hand what it can do to people in intensive care , many of them previously fit and healthy. It is largely a serious disease of the elderly, but there is at times a frightening randomness about who it strikes down.

What we all really want to know is what is going to happen this autumn. We are currently in a sweet spot with coronavirus.

It's still - just - summer. Respiratory viruses don't circulate as well in the summer months. We are still spending time out of doors. Most of us are social distancing: I can't remember the last time I shook hands with anyone. So the virus has had less chance to jump from one person to the next. But coronavirus is still out there.

The next few weeks are going to be critical in understanding whether transmission rates will rise sharply again as schools and universities go back and people return to offices and spend more time indoors.

"We know that winter in the northern hemisphere is when respiratory viruses really take off. So this is not over yet, and things could get an awful lot worse," says virologist Prof Wendy Barclay, from Imperial College London.

There are already worrying signs from France where not only cases, but Covid-related illness is increasing.

More than 800 coronavirus patients are being admitted to hospital each week, up from 500 six weeks ago, according to French prime minister Jean Castex. Face masks are now compulsory in all public places in Paris.

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