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Coronavirus (COVID-19) epidemic weekly update for Malvern Seniors

8th August 2021


Take care as virus still widespread

ChadSkip preamble and go to summary

Skip to advice

Skip to links at end

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We keep an eye on the published government figures and monitor the media to asses the level of risk for Seniors in the Malvern Hills district.

This page is normally updated every Sunday between 1800 and 2400 hours GMT.

Information about Coronavirus can be found on the NHS website:


How to get vaccinated

The most important thing people can do now is get vaccinated. Most Seniors should have been double jabbed by now, but if not get your vaccine, and encourage others to get theirs.

During August vaccinations can be obtained at the Three Counties Show Ground without an appointment.

Monday to Friday 8.00am to 5.00pm

Saturday 8.00am to 1.30pm

(AstraZeneca and Moderna vaccinations available)

Use Brown Gate entrance, postcode WR13 6NW

Bio hazard signHow to request a COVID test

In order to protect others it is important to book a test and self isolate if you feel unwell with COVID symptoms.

There are now two types of test you can get. The accurate PCR test involving a throat and nose swab which is sent to a laboratory for analysis and the Lateral Flow Device test.

Click for government guidance on types of tests

Getting a PCR test

Click the link below for information on how to get a free NHS PCR test if you think you may have Coronavirus:


In case of difficulty you can try phoning the Coronavirus contact centre by dialing 119.

There is a 'walk through' COVID testing station at County Hall next to the Countrywide Centre; one has been set up at the Worcester Arena car park on the University of Worcester site in Hylton Road to serve the residents of St Johns; and there is also a drive through pod at the Worcester Royal Hospital.

The nearest COVID testing station is on the upper level of the car park below Great Malvern library on the corner of Victoria Road and Como Road.

These are not drop-ins and you will need to book - but there is said to be good availability and you should get the result back in about 24 hours.

If you test COVID positive you must self isolate for 10 days.

Getting a Lateral Flow Device test

Lateral Flow tests can now be taken at Great Malvern Library, Evans Pharmacy in Malvern Link, and Claremont Pharmacy in Barnards Green. This test is intended to screen those who show no symptoms and can either be pre-booked on-line or you may be able to walk-in at the library.

COVID Lateral Flow DeviceYou can also collect home test kits, packaged as the COVID-19 Self-Test (Rapid Antigen Test) in boxes of 7 tests, from the library and most pharmacies such as Boots and Murrays in Church Street, Claremont House and Lloyds in Barnards Green, Murrays at Prospect View, Evans and Murrays in Malvern Link, and Boots and Morrisons on the Enigma Retail Park. (Lateral Flow Device or as we call it the 'pregnancy tester' shown on the right).

Click for NHS information on Rapid Lateral Flow Test sites and collection sites in Malvern

Hint: to see the list, click on 'filter' and then 'pick up sites for test kits' checkbox.

Click for WCC info about Lateral Flow Tests

In our opinion, many Seniors will find the home test kit very difficult to use as you need to rub the tonsils or thereabouts with the swab-stick without touching the tongue, teeth, cheeks, gums or any other surface. Doing this standing in front of a mirror on your own without gagging while holding a torch in the other hand, won't be easy unless you have a steady hand and good eyesight.

If you test COVID positive you should take a more accurate PCR test to confirm the result, as false positives can occur.

In any event you should report the result at:



Home test kit obtained from Prospect View

About the COVID Symptom Study app (Zoe)

COVID app logoYou can help others by downloading the COVID Symptom Study app onto your smart phone or Ipad and reporting how you feel either daily, or as you are able. Note there is no desktop PC version for Windows.

For further details click this link: https://covid19.joinzoe.com

The Zoe app, which is easy to use, allows you to report whether or not you are feeling well and if you have had a test for COVID. This helps Kings College London monitor the spread and symptoms of the disease and give advice to government. This is an important source of data as we progress through the EXIT wave.

If you have had a jab there are questions allowing you to enter the vaccine type and any side effects. If you do not see these questions you may need to update the app.

NHS COVID-19 contact tracing app (England)

Release of the NHS COVID-19 contact tracing app for Apple and Android smartphones was announced on 24th September 2020.

Click this link for NHS Coronavirus app information

The app provides a means for tracing people who have unknowingly been near someone who has tested COVID positive.

Note: now that the majority of adults have been vaccinated, the benefits of the app are being questioned. From 16th August fully vaccinated individuals won't need to self isolate if they are pinged by the App, unless they test COVID positive.

Bear in mind it is thought one in five vaccinated individuals can still catch COVID and pass it to others.

NHS app

You will need the NHS app installed on your smartphone and be registered with the NHS in order to display your vaccination status.

Note: this is not the NHS COVID-19 app

If you don't have a smartphone you may be able to login from a PC to obtain a printed copy.

Login from a desktop computer or laptop

Some months ago Nadhim Zahawi, the vaccines minister, said the government had no intention of introducing vaccine passports. Now it seems the PM thinks it's a jolly good idea calling it the NHS Covid Pass; however that may be a ploy to encourage vaccine take-up by those aged under 30 years.

You can also use your NHS  login when signing in to report the result of Lateral Flow Device tests taken at home.

8th August 2021


This week the UK rolling average of daily new cases has stopped falling and begun to flat-line at about 26,500 cases per day which is a lot. Hospital admissions have fallen to about 740 COVID patients per day, while the COVID death rate has flat-lined at roughly 85 deaths per day and could fall a little next week.

The COVID Effective Reproduction Rate in many areas of the country is now probably close to one so that small changes in behaviour can cause daily cases either to go up or down. We can only wait and observe which way the scales tip next week and by how much.

Meanwhile life for Seniors remains very much back to normal in the rural Malvern Hills; like us you may feel 'fireproof' after being fully vaccinated.

But don't be too surprised if you or some of your friends become poorly. There are no exact figures but hearsay is that up to one in five fully vaccinated individuals may catch COVID, but thankfully most should not need treatment in hospital.

To avoid infection, it is recommended that you continue following coronavirus advice such as regular hand-washing, wearing a face covering where recommended, and continuing with physical distancing as cases are still high in Worcestershire. Click to view our advice.

Click for guidance on what you can and cannot do

A local summary of COVID cases can be found on the Worcestershire Coronavirus Dashboard.

Note: use the arrow <> buttons at the bottom of the Dashboard screen to move between pages.

Click for Worcestershire County Council COVID-19 news

Click for Simple Summary of Malvern numbers on the Coronavirus dashboard

Click to go to our annex/commentary


You can see the percentage of people vaccinated by age group on the Worcestershire COVID-19 Vaccinations Dashboard.

Click to view Worcestershire COVID-19 Vaccinations Dashboard

Adults aged 18+ can book a jab on-line without having to wait for a call from their GP surgery and very soon those aged 16 and 17 years will be able to get a first jab without the need for parental consent.

Note: there is a mass vaccination centre at The Three Counties Showground where first vaccinations can be obtained during August without having to make an appointment.

Click to book a Coronavirus vaccination - NHS (www.nhs.uk)

Alternatively contact your GP surgery.

Extension of vaccination to all children aged 12+ may follow but for now vaccination will be restricted to the most vulnerable children and those living with vulnerable adults.

Two jabs are necessary to protect against the Delta variant of COVID-19.

The bar chart below shows the population of the UK by age band (1), and the number of first (2) and second jabs (3) given, so that you can see overall progress of the vaccination programme in the UK.

COVID vaccination bar chart

Vaccinometer as of 8th August 2021

You will see the blue bars are hardly moving now because the vaccination rate has slowed considerably in recent weeks leaving only younger age groups and the vaccine hesitant to be jabbed.

Total first jabs are reported 47,036,796 to the 8th August. Second jabs are reported 39,429,468.

Note: this week the total has been reduced slightly due to removal of some Welsh data which was also erroneously reported in England.

The adult population of the UK aged 18+ is 54,000,000 and if children are included the total is about 66,000,000 so there is some way to go before the whole country is fully vaccinated.

The bulk of the first phase of the vaccination programme  has been completed, in so far as most people aged over 18 years have been offered a first dose. However the take-up by those aged under 30 years is only about 70% and some older individuals remain hesitant so full vaccination can never be achieved. Mass vaccination centres are now fairly empty and many people are not attending booked slots.

The government and universities have begun to offer incentives to encourage more young people to take the vaccine, but the proposal to make vaccination compulsory for university students has been dropped. Pregnant mothers are now actively encouraged to take the vaccine while the older 'vaccine hesitant' are likely set in their ways and perhaps little more can be done to get them jabbed.

The next target is to offer all those aged 18+ a second jab by mid September, and first jabs to 16 and 17 year olds - no firm date for the latter but we anticipate all takers will be vaccinated before Christmas 2021.

Vaccination statistics can be found on the Vaccination tab of the Coronavirus Dashboard.

Vaccinations Worldwide

A glimpse of the worldwide vaccination situation can be found on the Our World in Data website.

Click for worldwide statistics

There are many charts which some may find confusing, but look for the chart showing share of people who have received at least one dose of COVID-vaccine.

Click for chart showing % vaccinated

Hint: click TABLE tab to see more countries.

Vaccination numbers in the EU are now similar to those in the UK. The share of people who have received at least one dose reported 7th August are Germany 62%, Belgium 70%, Spain 71%, Italy 65% and France 65%. In comparison 69% of the UK population (including children) has received at least one dose.

New Zealand 26%, Australia 35%, India 28%, Russia 26%, Japan 46% and Malaysia 47% are some way behind, whilst in Africa few have been vaccinated.

Orange triangleNumber of cases

During the last week the average rate of people testing COVID positive in the UK reported by PHE on the 'Coronavirus Dashboard'  has flat-lined at about 26,500 cases per day. The chart below shows broadly how the daily rate has varied since 1st September.

COVID daily new cases

UK daily confirmed COVID cases 1st September to 8th August 2021

The next chart shows in more detail how daily cases have varied between 1st July and the 8th August.

Daily COVID cases to 2nd May 2021

UK daily new confirmed COVID cases 1st July to 8th August 2021

The peak in daily cases in July 2021 may have been led by football fans getting together to watch the Euro championship matches.

During the last week the cumulative total of confirmed UK COVID-19 cases reported by PHE rose by 188,695 to 6,069,362.

In Worcestershire there have now been 45,703 confirmed cases of COVID-19 an increase of 1,428 on last week. During the last week the number of daily cases has flat-lined at about 200 cases per day indicating the Effective COVID Reproduction Rate is hovering close to one.

The next chart shows how daily cases rose sharply in Worcestershire and then roughly following the national picture.

COVID cases in Worcestershire

Daily cases in Worcestershire from 1st July to 8th August 2021

The breakdown by Worcestershire Lower Tier Local Authorities (LTLA) is shown in the following table, together with comparisons for Herefordshire, a more sparsely populated county, and the city of Leicester.

Note: the cumulative cases are copied from the 'Cases by area' (whole pandemic) data set of the Coronavirus Dashboard. The weekly increase is the difference between this week and last week's total.

Districts of Worcs Cases Weekly increase Population
Bromsgrove 8,835 +299 98,529
Malvern Hills 4,000 +96 77,545
Redditch 7,970 +253 85,317
Worcester 8,831 +252 103,542
Wychavon 8,538 +274 126,240
Wyre Forest 7,529 +254 100,957
TOTAL 45,703 +1,476 592,130
County of Hereford 9,309 +265 195,000
Leicester (city of) 46,040 +1,362 400,000

Cumulative cases reported by PHE  in Worcestershire to 8th August 2021

The increase is about the same as the week before.

Note: the weekly increase is indicative; the seven day average by area, which varies day to day, is an alternative metric that can be found on the Coronavirus dashboard.

Interactive map

At the bottom of the Coronavirus Dashboard (daily update) page there is an Interactive Map which is coloured to show the variation in infection rate across the country. This week the map shows that infection rates are low across most of Scotland and parts of Wales; still high across much of England; and very high in Northern Ireland.

Click for Interactive Map of COVID cases

Note: the Interactive Map works on desktop PCs but it's possible you may encounter difficulties using a tablet or smartphone.

Recent weekly cases to 3rd August are: North Malvern 12; Malvern Link 9; Pickersleigh 16; Barnards Green 7; Malvern Wells and Priory 7; Callow End and Hanley 7; Upton and Welland 7.

Number of deaths

Statistics on COVID deaths are published by Public Health England, The Office of National Statistics, and NHS England.

PHE figures

Public Health England reports that the cumulative total of COVID (28) deaths in UK hospitals and care homes has risen by 601 in the last week to 130,320 while the daily average has flat-lined at about 85 deaths per day.

UK COVID death rate

COVID-19 death rate 1st May to 8th August 2021

Click to view the UK government Coronavirus Dashboard

In comparison averaged over recent years 1,700 people die daily from all causes.

ONS figures

The Office of National Statistics (ONS) separately reports registered deaths in England and Wales where COVID-19 is mentioned on the death certificate. The ONS figures lag the PHE figures by 10 - 14 days and do not include Northern Ireland and Scotland.

Click for national ONS data on deaths (Excel spreadsheet)

The ONS figures are broken down by District providing a glimpse of where deaths are occurring. The provisional cumulative total of COVID related deaths in Worcestershire reported by the ONS up to 23rd July 2021 (week 29 of 2021) is shown below.

Note: the numbers are from the ONS Death Registrations-Pivot table

Districts of Worcs Deaths
Week 29 Population
Bromsgrove 164 105 2 98,529
Malvern Hills 61 83 0 77,545
Redditch 108 85 0 85,317
Worcester 87 117 1 103,542
Wychavon 157 121 1 126,240
Wyre Forest 171 106 0 100,957
TOTAL 748 617 4 592,130

Provisional cumulative COVID-19 deaths registered by ONS to 23rd July 2021

In week 29 four COVID related deaths were reported in hospital in Worcestershire.

In England and Wales 324 COVID-19 related deaths were reported in the week to 23rd July; 107 more than the week before, confirming the upward trend in deaths reported by PHE. Of these 22 were in a care home, 27 at home, 7 in a hospice, and 268 in hospital.

Note: summation of rows 9 to 339 of the ONS deaths Registrations-Pivot table.

The provisional UK COVID-19 death toll (as reported by PHE and ONS) for all weeks of the epidemic can be found on the Deaths tab of the Coronavirus Dashboard.


NHS England figures

The table below shows latest COVID deaths in Worcestershire hospitals reported by NHS England to 6th August.

Worcestershire Cumulative deaths Past week
Acute hospitals 811 1
Care hospitals 63 0
TOTAL 874 1

Click for NHS COVID-19 Daily Deaths

Note: although the COVID death rate in Worcestershire remains low the numbers reported by ONS can be higher than those reported by the NHS in the same period. This is because the ONS figures include deaths where COVID was a contributory factor.

Risk of COVID-19 death by age band

NHS England provides an analysis of COVID-19 deaths in hospital in England and Wales by age band. Shown below is a breakdown of recent deaths for the period 1st June 2021 to 8th July 2021 when the death rate averaged 10 deaths per day.

Age band Number of deaths % of deaths
0 - 19 5 1
20 - 39 17 5
40 - 59 66 18
60 - 79 135 37
80+ 144 39

Risk of COVID-19 death by age band

Those aged 60+ years still account for 76% of deaths compared to 92% last year, but remember the death rate as a proportion of new cases is about ten times lower than in 2020.

Most fatalities are said to have been vulnerable people with an unhealthy lifestyle, and the obese.


Healthcare numbers

The UK government Coronavirus Dashboard includes important information about healthcare statistics.

Hospital COVID cases (UK) Number Change since last week
Patients currently in hospital 5,631 -285
Patients on ventilation 871 +  2
Patients admitted daily 742 -169

Headline summary of patients in hospital as reported 8th August 2021

The number of patients in hospital has fallen this week as has the number of patients admitted daily.

There are currently no signs of extreme pressure being put on hospitals.

Worcestershire hospital beds

Tabulated figures for bed occupancy in Worcestershire Acute and Care hospitals can be found on the NHS England website.

Click for NHS England COVID-19 Hospital bed Activity

An easy to read summary can be found on the Worcestershire Coronavirus Dashboard.

Click to view Worcestershire Coronavirus Dashboard.

There are now 39 COVID-19 patients occupying Worcestershire Acute Hospital beds, of which 3 are ventilated beds; roughly 14% of the peak experienced last January and a fall of 5 beds since last week.

Forecast for the week ahead

Trends suggest that during the next seven days (up to 15th August) the cumulative total of new UK COVID-19 cases reported by PHE on the Coronavirus Dashboard could increase by 200,000 towards 6,269,000.

In Worcestershire about 1,500 new cases of COVID-19 can be expected, and up to 100 cases in the Malvern Hills district.

We estimate the number of COVID (28) deaths will increase by about 600 nationally towards 130,920 during the 7 days ending 15th August 2021.

In the county of Worcestershire, assuming a 0.2% death rate, the 1,428 new cases this week should translate to no more than 3 COVID deaths per week in the middle of August.

Expect UK daily COVID-19 hospital admissions to fall further towards 550 reflecting the recent fall in daily cases.

Longer term forecast

The fall in daily cases since the lifting of restrictions on the 19th July may have resulted from the ending of the Euro Football Championship matches. Prof Christina Pagel of Independent SAGE says the fall has been led by adults aged 20 - 40 years in North East England.

During the last week daily cases have stabilized at about 26,500 new cases per day and we speculate that due to vaccination and immunity arising from past infections a tipping point has been reached where public behaviour strongly influences whether, in any week, the 7 day average of daily cases goes up or down.

The fully vaccinated elderly are likely to remain cautious so for them cases will probably go down; while many of those aged under 30, of whom about 70% are unvaccinated, are likely to throw caution to the winds and for those cases may go up.

In consequence daily cases may start climbing slowly next week, but to what extent and for how long is anybody's guess.

Prof Neil Ferguson thinks there will be no need for another lockdown while the new Chief Executive of the NHS Amanda Pritchard expressed cautious optimism after hospital admissions flattened out in the last few days.

We expect the death rate to peak at about 90 deaths per day during the next week relating to the peak in daily cases of 47,000 on 21st July and then begin falling towards 55 deaths per day during the remainder of August tracking the recent fall to 27,000 new cases per day. These are deaths which are already 'baked-in'.

Daily cases may rise after pupils and students go back to schools and universities in September and October with hospital admissions and deaths following in proportion. Providing UK hospital beds occupied by COVID patients don't rise above 10,000 the government is unlikely to re-impose restrictions.

Scientists say it is impossible to predict when the EXIT wave will peak and that will probably not be known for sure until two or three weeks after the peak is past. While it looks as though the EXIT wave may have passed it's peak, it's too early to rule out further rises in daily cases possibly leading to 'bumps in the road' during the next quarter.

We'll just have to wait and see how things pan out during the remainder of the month and adjust our behaviour accordingly.

The scenario could change were a new variant of COVID-19 to enter the UK which escapes the present vaccines.

Advice for Seniors

COVID risk mediumCurrently there are no more than four COVID related deaths per week in Worcestershire so we therefore judge the risk of death for fully vaccinated Seniors to be LOW while the risk of Long COVID might be MODERATE; see our annex and riskometer opposite.

Remember, if you are elderly, have not been vaccinated, and were to catch COVID there is a significant chance that you will either die or your long term health may be seriously damaged, so if you are able get both doses of your vaccine and continue to take care of yourself and those you love. Also encourage others to be vaccinated.

Click for our risk of death table (for those who have not been vaccinated)

Like Sajid Javid, it is quite possible, despite a second jab, for Seniors to become ill with COVID-19; some might have mild symptoms like a common cold or hay fever, while others could feel very poorly, but few except the frail and vulnerable will need to be admitted to hospital.

Until this summer's crisis is over the simple safeguards to remember  are to:

  • wash your HANDS thoroughly, using soap and hot water, for 20 seconds, including after handling deliveries to your home, to kill virus picked up from contaminated surfaces see note 1;

  • wear a FACE covering when unavoidably near other people for example when shopping, visiting hospital or the chemist, and using public transport;

  • SPACE at least 2 metres from people you don't feel safe with see note 2;

  • preferably socialise with friends and other households outdoors in the FRESH AIR, else, if you can, keep doors and windows open if you are indoors;

  • minimise TIME near strangers;

  • look out for symptoms and self-isolate and book a test if you feel unwell (the top five symptoms amongst the vaccinated in order of prevalence are now said to be headache, runny nose, sneezing, sore throat and loss of smell).

  • keep away from crowded indoor settings and areas where the infection rate is known to be high.

  • Respect others and give them space.


1) Wash your hands thoroughly before touching your face to avoid transferring virus from contaminated surfaces to your mouth, eyes and nose. If outdoors use hand gel.

2) Two metres is further than you think - roughly an arm and a walking stick away.

Annex to 8th August update


On Monday it was reported the sensitivity of the NHS COVID-19 app had been reduced to ping fewer people, plans for an amber watch-list were shelved, and the Director General of the Joint Biosecurity Centre Dr Clare Gardiner had left - possibly she resigned in June 2021, a matter the government has been silent about.

On Tuesday Prof Christina Pagel of Independent SAGE speaking to Hugh Pymm of the BBC said the recent fall in daily cases reported by PHE was real, as hospital admissions were beginning to fall, and this had been led by a reduction in cases amongst those aged 20 - 40 years in NE England.

On Wednesday Prof Jonathan Van Tam led a press briefing announcing that first jabs would be offered to all those aged 16 and 17 years. He hoped that vaccinations would start later in August and be completed before the end of next term. Jabs would also be available to those aged 12 to 15 years with an underlying health condition and those living with immuno-suppressed adults.

Click for vaccine briefing on 4th August

Note: the briefing starts 11 minutes into the recording.

BBC Health Correspondent, Nick Triggle, published an interesting article commenting on the recent fall in daily cases.

Click for BBC story: Covid cases and hospital admissions down - is it over?

On Wednesday evening the government announced changes to overseas travel arrangements:-

Click for International travel: country listings update on 4th August

Fully vaccinated individuals can now travel to more countries without having to quarantine on return, but some may need one or more expensive PCR tests. The situation is confusing, if you are travelling you should check what is the law and what is guidance.

Click for guidance on Red, amber and green list rules for entering England

On Thursday we heard on the radio that 1 in 5 of COVID patients severely ill in hospital were aged under 35 years. Hence the importance of younger adults and teenagers getting their jabs.

Click for BBC report - Covid: Fifth of England hospital admissions aged 18-34

Sky News reported on the sad death of John McCann of Southport, a healthy and fit man aged 42 years who chose not be vaccinated and died of COVID a month after contracting it. John's twin sister urged people to ignore fake news and get vaccinated.

On Friday Sky News reported that 55% of hospital patients with COVID were unvaccinated and 35% double vaccinated; PHE say cases falling except in NI; effective Reproduction Rate in the range 0.8 to 1.1; ONS reports cases now 1 in 75 compared to 1 in 65 the week before. Prof Peter Openshaw commented on preliminary PHE findings that the viral load in infected fully vaccinated patients was similar to that in the unvaccinated - hence once infected the vaccines might do little to reduce transmission. However he made the point that vaccinated patients recovered more quickly and therefore the 'window' in which the vaccinated infected others could be narrower. He also made the point that vaccines need to be better matched to the new COVID variants.

Prof Tim Spector is on holiday so the Zoe COVID Study 6th August update was given by Dr Claire Steves of King's College London. Little new to report this week.

The first ten minutes of the weekly Independent SAGE briefing  cover how the numbers have been changing:-

Click to watch Independent SAGE 6th August briefing


Overseas travel

It is getting easier to travel overseas but we have given up reading UK government overseas travel advice which seems to vary day to day.

Clearly all governments are working towards facilitating travel for fully vaccinated individuals but it could be many months before things return to near normal.

For example, while fully vaccinated individuals from the US and most EU countries can now enter the UK without having to quarantine, you will have to quarantine in an expensive government hotel if you return from Mexico, and it is doubtful you will be let in to Singapore.

It's possible to get an NHS Vaccination Pass for overseas travel, which requires you to prove your identity for example by providing a photo of your passport; this may facilitate return to the UK from Amber list countries.

Click for information about the NHS COVID Pass

List of vaccines

Here is the list of vaccines ordered by the UK -  a shortage of vaccine had been limiting the vaccination rate in the UK earlier in the year, but possibly not now. Plenty of vaccine is on order for delivery later in 2021 some of which may be needed for booster jabs and vaccinating those aged 12 - 18 years.

COVID-19 vaccine Doses ordered (million) Status
Pfizer BioNTech, two dose, -70 deg C 40+60 Approved, deliveries continuing, made in Belgium (EU). An additional 60M doses have been ordered for booster shots for the most vulnerable in the autumn.
Astrazeneca, two dose, fridge 100 Approved for those aged 30+ years; deliveries continuing. Batches made in UK, Belgium and India.
Moderna, two dose, -20 deg C 7+10 Approved. First deliveries to Wales and Scotland 7th April 2021 then England 13th April; mainly for those aged under 50 years awaiting vaccination.
Valneva, two dose 60+40 A jab from French company Valneva will be made in Livingston, West Lothian, Scotland. Delivery to start in second half of 2021.
Janssen, single dose 20 Approved, a jab from Belgian firm Janssen, owned by Johnson and Johnson; UK approval 28th May. Order reduced from 30 to 20M.
Novavax 60 A jab manufactured by US firm Novavax is being made in Stockton-on-Tees UK; phase III trials complete, awaiting approval. Should be available later this year. Glaxo Smith Kline (GSK) has been contracted to fill and package vials.
GSK Sanofi 60 Some delay due to adjusting the formula to give better protection to the elderly; expect approval end 2021.
Curevac 50 Contract placed with German company Feb 2021. Possible source of new variant vaccine later in 2021

Table of vaccines ordered by the UK government

Present rate of new cases and risk

The average rate of infection per 100,000 population per week in England has fallen slightly from 305 in the last week to 284 while in comparison the figure for Worcestershire is now 235 and the Malvern Hills 137.

As a yardstick we suggest a figure of below 10 can be considered LOW.

There is still a fair chance of catching COVID-19 within the Malvern Hills but as most Seniors and the middle-aged have been vaccinated with 2 jabs we judge the risk of death LOW. While few will now die of COVID a greater number will suffer from Long COVID so that risk might be assessed MODERATE. A member of the family has had Long COVID and it is very debilitating.

The risk of death from Coronavirus for unvaccinated children and healthy teenagers is said to be small so for them the risk is LOW. There has been concern about youngsters suffering from Long COVID but a recent report by King's College London suggests this is not a major issue. To quote:

On average, the illness lasted for 5 days in younger children (5 to 11 years old) and 7 days in older children aged 12 to 17. Fewer than one in 20 (4.4%) experienced symptoms for 4 weeks or more, while only one in fifty (1.8%) had symptoms lasting more than 8 weeks. The most common symptoms reported in children were headaches, tiredness, a sore throat, and loss of smell.

Click for report - Long COVID uncommon in children, analysis finds

Nevertheless some children may be poorly for several weeks which could have a significant impact on schooling and their parent's availability for work.


About the UK COVID-19 death toll in 2020 and 2021

At the start of the epidemic on 17th March 2020 the Chief Scientific Adviser, Sir Patrick Valance, questioned by the Health Select Committee, did not disagree with Jeremy Hunt's suggestion that a death toll of 20,000 might be a reasonable outcome.

Click for YouTube video of Coronavirus: Health Committee questions Government Chief Scientific Adviser and NHS England 17 March 2020

On the other hand, Professor Neil Ferguson of Imperial College warned in some scenarios the death toll might be as high as 250,000; while we thought, in the very worst case assuming up to 1% of the UK population died the outcome might have been nearer 400,000 taking into account some build up of herd immunity.

So how well will the UK have done? When Jeremy Hunt and Sir Patrick Valance spoke there had been few deaths and they clearly underestimated what was to come. Professor Neil Ferguson was nearer the mark. A few might consider an outcome of about 131,000 deaths during 2020 and 2021 a fair result compared to a greater number of people dying in a very short space of time, more being permanently disabled by Long COVID, temporary collapse of the NHS and patients dying at home or queued in ambulances outside hospitals. You have only to look at the recent situation in India to imagine what could have happened.

Members of the Labour Party and others will no doubt say the UK has done poorly compared to the best performing countries such as New Zealand and Singapore where deaths have been much lower, not to mention the enormous expense of supporting those out of work and huge damage to the economy.

With hindsight, deaths might have been much lower if the second lockdown had been continued into December and January, but that would have meant cancelling Christmas, and who knows to what extent the public would have complied.

Worldwide, this pandemic is not played out and it could be a further 2 to 3 years before the 'dust' finally settles. The PM has promised an independent inquiry in Spring 2022 to learn lessons for the future.

Meanwhile we are going to have to live with COVID-19 and a background level of infection which could increase every winter as more time is spent indoors which will likely result in several thousand COVID deaths every year, as with flu. So in that respect there can be no 'final' death toll.


Back to top



About COVID symptoms

Article about the effects of Coronavirus on the human body


Reporting and how to obtain a test

How to get a test


About joining the Zoe COVID Symptom Study:




UK government Coronavirus guidance



Guidance on tiers: what you need to know

Government postcode checker to find tier for other areas



UK government Coronavirus Dashboard

Coronavirus Dashboard Interactive Map

ONS data on deaths in England and Wales (Excel spreadsheet)

NHS England COVID-19 Daily Deaths

NHS England COVID-19 Hospital Admissions

NHS England vaccination statistics


Worcestershire Coronavirus Dashboard

Worcestershire COVID-19 Vaccinations Dashboard


A glimpse of the worldwide vaccination situation can be found on the Our World in Data website.

Click for chart showing % vaccinated



A projection of the future COVID-19 death toll and daily deaths can be found on The Institute for Health Metrics and Evaluation website. 

Click for IHME projection of COVID-19 deaths



ONS Coronavirus (COVID-19) Roundup


The bigger picture

Worldometer summary of coronavirus cases worldwide

European Centre for Disease Prevention and Control info


World Health Organisation info



Window on the USA

Centre for Disease Control (CDC)

American Association of Retired People (AARP)





Worcestershire County Council COVID-19 information:


Here you will find a useful link,

'Website: Number of new cases by date in Worcestershire'

which displays interesting COVID charts and statistics for Worcestershire

COVID Outbreak Control Plan



Spanish Flu

Dr Jeff Kildea's commentary about the 1919 outbreak of Spanish Flu in Australia


Views of Martin McKee, Professor of European Public Health

Follow Martin McKee on Twitter


SAGE membership

Scientific Advisory Group for Emergencies (SAGE)


Scottish government:

Link to Scottish Government website

Link to Postcode checker for COVID restrictions by protection level in areas of Scotland


Welsh Government:

Guidance on COVID alert levels in Wales


The Malvern Hills logo

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The interpretations and opinions expressed are our own