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In a week when Al Pacino revealed he briefly died from covid in 2020, left without a pulse for several minutes, we’re taking a look at this winter’s covid, flu and RSV situation.
While covid isn’t seasonal like colds and flu, it does tend to pop up more often at this time of year simply because people are starting to spend more time indoors together in the colder weather, and the schools have gone back after the summer holidays. The same goes for RSV. Here’s what’s happening right now.
NHS chiefs are saying they’re ‘particularly keen’ for pregnant women, people aged over 65, people in care homes and other vulnerable individuals to have their flu and covid jabs. Apparently eligible people are already being contacted and asked to turn up at walk-in sessions and pharmacies.
Dr Virginia Ashman is the clinical lead for the UK’s autumn immunisation programme. She says those who are vulnerable can easily become ‘seriously unwell’ and might need hospital treatment. She adds that being vaccinated will provide the ‘best possible protection against both viruses and is especially important to do before winter sets in’ so the vaccine has the time it needs to settle into the body and do its work.
The NHS is warning people to protect themselves from a potential ‘tripledemic’ over the winter. The latest stats from the UKHSA show how covid cases have risen sharply by 21.6% with a 50.6% increase in covid deaths up to September 20th. This sits against a background of at least 18,000 flu-related and 19,500 or so covid related deaths over the past two winters. The covid surge is down to the latest variant, XEC, which is already well on the way to becoming the latest dominant variant.
Doctor Joseph Ambani says the new covid variant, which is currently surging across the UK, has the potential to fuel a tripledemic this winter. Another doctor worries that the new variant could mean we need to return to masks and distancing in high risk settings and on public transport, saying the new strain has ‘significant potential’ to trigger a crippling tripledemic of flu, RSV, and Covid.
He also says that unlike previous variants, the way XEC evades the immune system could increase the risk of co-infections, ie. overlapping infections where a person catches more than one or all three winter infections at once. He’s also concerned that if this happens it could place a very severe burden on the NHS, especially on Intensive Care Units.
The north east of England is suffering from a particularly high covid rate right now, with the highest rate of covid hospital admissions in the country during late September, more than double the national average. Medics up there are also concerned because they’re seeing an increase in winter respiratory infections in general.
We could be in for a particularly difficult flu season, as hinted at by the situation in Australia, which is always a good indicator of what’ll probably happen here. The latest Australian winter saw more flu cases than their usual five year average.
The RSV respiratory virus was first found in chimps in 1956 and had made its way into children by 1957. In the USA it accounts for around 160,000 hospitalisations a year. The covid emergency interrupted the creation of an RSV vaccine and while it can be a very risky illness, people are still a lot less aware of it than they are about covid and flu.
As recently as 18 months ago there was no vaccine for RSV. Now there is. It was approved by the USA’s FDA in May 2023 and lauded as
“an important public health achievement to prevent a disease which can be life-threatening.”
But in spring this year fewer than 25% of eligible US adults had bothered to get their jab. Hopefully we’ll do better here in the UK.
Our own RSV vaccine programme was launched in Scotland in August, followed by rollouts in England, Wales, and Northern Ireland in September. Pharmacies in Essex and Suffolk have been the first to offer the new jab against respiratory syncytial virus and over a thousand appointments were made during the first week, mostly older people and pregnant women.
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