Concern Over Covid Boosters And Baby Scans Cancelled For Queen’s Funeral

Patients are expressing concern that some Covid booster jabs, flu vaccinations, as well as key hospital appointments, are being cancelled ahead of the Queen’s funeral on September 19 since it was made a last-minute Bank Holiday.

Kate Brodie, 62, a retired NHS GP who is about to start a second round of chemotherapy for breast cancer, had specifically timed the date of her Covid booster so it fell before her hospital treatment started.

The vaccine was booked for September 19. However Brodie, who lives in south Devon, says she received a text message on September 12 saying the appointment had been cancelled due to the unexpected bank holiday.

“Having cancer is a huge stress with all the worry about survival, the process of going through gruesome treatment and hoping to continue to avoid Covid 19 while my immune system is down,” she tells HuffPost UK.

“The death of the Queen is very sad, but the reaction by NHSE [NHS England] to cancel delivery of much-needed services at short notice will cause harm and hardship to many.”

Many GP practices across England will be closed for the Bank Holiday, which has been given to allow individuals, businesses and other organisations to pay their respects to the Queen on the day of her state funeral.

A letter from Dr Ursula Montgomery, director of primary care at NHS England, said that out-of-hours services will be in place during the day to meet patients’ urgent primary medical care needs.

The funeral has come at a busy time for the NHS, as it implements its Covid booster and flu vaccination programmes ahead of the winter.

A text message from one GP surgery on the outskirts of London, seen by HuffPost UK, said flu vaccine appointments scheduled for this week would need to be rescheduled by a few days because of “the unfortunate news the nation is facing at the moment”.

Dr Helen Salisbury, a GP and medical educator from Oxford, explained on Twitter how a last minute bank holiday can be a “nightmare” for those trying to run health services, especially with lots of patients already booked in.

“What to do?” she tweeted. “Implore staff to work and pay extra? Reschedule and delay all the appointments?”

Other staff working in general practice responded to say that even when they do open on Bank Holidays, they often aren’t busy. Some added that they suspect lots of patients won’t turn up because they’ll be watching the funeral.

Scheduled Covid boosters are still going ahead in care homes, said NHS England, which has also issued guidance urging clinics to stay open to deliver the boosters “where there is a high population need”.

But a report by openDemocracy found thousands of non-urgent hospital appointments – for issues such as hip and knee replacements, cataract surgery, maternity checks and some cancer treatments – are being postponed.

One pregnant woman revealed how her foetal scan had been cancelled, leaving her anxious about her baby’s health.

“I’m really disappointed,” she told openDemocracy. “Yes, it’s a routine scan, but that’s another week or two until I’m seen and wondering whether my baby is healthy – which means quite a lot of anxiety, sitting and waiting.”

Kate Brodie has since tried to rebook her Covid booster for the next cycle, but was told there were no dates free near to where she lives.

“Thankfully I have found a centre 15 miles away that I can attend on Sunday instead,” she says. “I am lucky I am mobile and have transport to reach the further venue.”

Meanwhile, Greg Hadfield, 66, from Brighton, also found out his Covid booster vaccine appointment on September 19 has been cancelled and is now having to travel nearly 40 minutes by car to get another one.

The 66-year-old was originally invited to have the booster at his local Waitrose. However because the store will now be closed for the Bank Holiday – as many supermarkets will be – his appointment won’t go ahead.

“When I tried to re-book for another day at the same centre, the system offered only dates that were 14 days-plus ahead, by which time I will be abroad for a month,” he tells HuffPost UK.

He has managed to book an appointment 40 minutes away for the same date, September 19, which hasn’t been cancelled – so far.

“I am just relieved to get the booster before leaving for Turkey and Greece later this month,” he says.

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Experts Predict If And When Covid Will Become A Seasonal Illness

The vast majority of respiratory viruses that spread within our population ebb and flow with the seasons.

Influenza spikes in the winter months, as do infections caused by respiratory syncytial virus (RSV), adenoviruses and other coronaviruses. Earlier this year, Rochelle Walensky, director of the US Centers for Disease Control and Prevention, said she expects Covid to also become a seasonal illness – but whether or not that will come to be remains to be seen.

Most scientists agree that Covid isn’t going anywhere, and that we’ll be living with SARS-CoV-2 for decades, if not forever. Though we tend to see the biggest waves in the winter and early spring, Covid isn’t seasonal yet. It doesn’t retreat in the spring-to-summer off-season – it is smoldering throughout the year.

“Covid is steadily burning through the population as we speak. But it is also able to piggy back on top of our ebbs and flows of the typical cold and flu season, so it’s a double whammy,” Mark Cameron, an infectious disease researcher at Case Western Reserve, tells HuffPost.

Will Covid ever become a seasonal illness?

Andrew Noymer, an epidemiologist and demographer who studies infectious diseases at University of California, Irvine, expects Covid to become winter-dominant, like the flu, in the long run. SARS-CoV-2 is already somewhat seasonal and predictable in nature.

“In the United States, all of the largest spikes have been in the winter, so it is kind of seasonal in that respect,” Noymer says.

But, even between those peaks, the virus spreads at pretty significant levels. It hasn’t totally settled into a seasonality. Many epidemiologists thought Covid would have already fallen into much more of a seasonal pattern by now – but it hasn’t.

“A seasonal infectious disease is something that pops up predictably at the start of the cold and flu season and persists throughout that period of time,” Cameron says.

Keep in mind, this is only our third 12-month period with Covid. The illness is still relatively new. Even though over half of the US population and seven in 10 people in the UK have likely already had Covid, others have not and remain susceptible. We’re all antsy for the virus to become predictable, but the virus is still just getting started, Noymer says. He suspects that one day – maybe 10, 15 years from now – we’ll be looking at a very seasonal phenomenon.

There's a chance Covid may not become seasonal for years to come.

Marija Babic / EyeEm via Getty Images

There’s a chance Covid may not become seasonal for years to come.

Is there a chance Covid may never sync up with the flu and cold season and become a winter-dominant illness? Of course, Noymer says. “I can’t absolutely rule out that it never will – that it will be the one exception that disproves the rule.”

The fact that, one, people can get Covid multiple times, and two, that even vaccinated people can catch and spread Covid, makes the epidemiology of this respiratory infection chaotic. Population-level immunity influences when waves occur. After people recover from Covid, they are typically protected from infection for a few months. As time passes, those recently recovered people can become susceptible again. And, on a greater scale, a population can become susceptible to a wave again.

This isn’t an exact science – people get infected and recover at different times. Their immunity wanes at different speeds. “There’s a lot of wheels turning and it’s very hard to predict,” Noymer says.

Here’s what causes respiratory viruses to become seasonal

It’s not entirely clear why respiratory viruses tend to get more active in the wintertime – but they do. Flu activity surges in the winter as do the common cold coronaviruses. Even measles was winter-dominant when it circulated at higher levels in the US, according to Noymer.

“We see this with respiratory virus after respiratory virus after respiratory virus,” Noymer says.

There are a few hypotheses as to why this happens. The first theory is atmospheric conditions – viruses, including influenza, tend to spread more easily when there’s less humidity. Viruses do better in drier conditions.

Another contributing factor is our behaviour. In winter months, when it’s cold outside, we gather indoors together and create plenty of opportunities for viruses to spread from person to person.

Incidentally, this is also believed to be why the US South experiences summer spikes. Contrary to those in the northeast, people living in southern states head indoors during the summer months when the temperature soars and humidity becomes wet and sticky. Schools are thought to contribute to the seasonal spread of respiratory viruses like flu and RSV, Noymer adds.

The behaviour of the virus plays a role, too. The flu, for example, tends to shoot through the population then burn itself out by “mutating to its demise,” Cameron said. Covid, on the other hand, is evolving to become more fit and more transmissible – it’s not acting like a typical respiratory virus that infects people and goes away before bursting back into the population in a different form months later.

If we look to other circulating coronaviruses that cause the common cold, we can reasonably expect Covid to eventually become endemic and more seasonal in nature, according to Cameron. But we don’t know when those coronaviruses settled in their seasonality. How long that will take with Covid is a mystery. This is wide-open territory that has yet to be studied.

“How can we understand how long Covid will take to become just another garden-variety coronavirus that is circulating and causing sporadic disease?” Cameron said. “It certainly isn’t now.”

Experts are still learning about Covid-19. The information in this story is what was known or available at the time of publication, but guidance could change as scientists discover more about the virus. To keep up to date with health advice and cases in your area, visit gov.uk/coronavirus and nhs.uk.

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‘Flurona’: What To Know About Getting Covid And Flu At The Same Time

At every stage in the pandemic, we’ve added new terms to our everyday vocabulary: coronavirus, Covid-19, social distancing, Delta, Omicron… the list goes on and on.

The latest grabbing international headlines is “flurona,” a term that describes people who are infected with both the coronavirus and influenza at the same time. Confirmed cases have popped up in the US, Israel, Brazil and elsewhere.

Wondering what it means for you? Here’s what you need to know.

‘Flurona’ isn’t actually new

The term “flurona” may be new and catchy, but the phenomenon isn’t, as Raghu Adiga, chief medical officer at Liberty Hospital in Kansas City, Missouri, pointed out in this Scientific American explainer. News reports that make it sound like a “nightmare” are blowing the whole situation out of proportion – and missing the fact that it’s happened before, Adiga said.

“The way this story was taken out of context is yet another example of the kind of internet-based misinformation that haunts all of us who are trying to fight the real crisis at hand,” he wrote in the piece.

When a pandemic with millions of new cases daily collides with seasonal influenza “among a world population largely unvaccinated against either Covid-19 or flu, it is reasonable to find patients who may catch both viruses around the same time,” Adiga continued. Health care providers can run diagnostic flu and/or Covid tests to detect what you’ve been infected with.

And again, there have been documented (or suspected) cases of Covid/flu co-infection basically since the pandemic began. We may start seeing more of them now because the 2021 flu season was so benign (likely because of lockdowns, school closures and widespread masking), and there are concerns that this year’s flu season could be much worse. We’re also, of course, in the middle of an omicron surge that is driving up cases nationwide.

It can be serious, but experts say it’s not super common right now

While the recent flood of stories about “flurona” is arguably over-the-top, medical experts say it is important to take both Covid and the flu very seriously right now. Yes, the vast majority of people who get the flu or Covid recover. But there have also been more than 800,000 Covid-related deaths in the United States since the pandemic began, and more than 150,000 in the UK, while in any given year, the flu results in 12,000 to 52,000 US deaths and between 10,000 and 25,000 in the UK.

So even though co-infections are nothing new, they are something to be aware of. They can certainly put extra stress on people’s immune systems and increase the likelihood that you’ll get ill, particularly if you’re older or immunocompromised, for example.

“It is true that when you’re infected, your immune system is under attack. Therefore your immune defences are weakened. And therefore your ability to defend against another infection is reduced,” said David Edwards, an aerosol scientist, faculty member at Harvard University and inventor of FEND, a nasal mist that aims to trap and flush out tiny pathogens.

That said, your personal odds of being exposed to both viruses simultaneously are pretty low, particularly if people around you are doing their part and staying home if they’re experiencing any symptoms.

“The probability of being exposed to both at the same time is quite small. It’s important for people to understand that when they hear the term ‘flurona,’ it’s not as though there’s this big, bad new combined viral infection that’s going to overtake omicron,” Edwards told HuffPost. “But it happens.”

Be on the lookout for typical COVID and flu symptoms

The hallmark symptoms of Covid-19 are the same as they’ve been throughout the pandemic: fever, cough, chills, muscle aches, shortness of breath and/or loss of taste or smell. But milder symptoms are also possible, such as a runny nose or a headache. Also, some people experience gastrointestinal symptoms rather than what people think of as more typical respiratory effects.

Symptoms of the flu are pretty similar, and as the US Centers for Disease Control and Prevention notes on its website, there’s a lot of overlap. Again, be on the lookout for a cough, stuffy nose, fever, aches, fatigue, etc. With the flu, symptoms typically appear one to four days after exposure. With the coronavirus, the timeline is more like two to 14 days (with the average being about five days) – though there’s growing evidence that Omicron symptoms show up faster than with previous variants.

You can prevent flurona by taking all the right measures we’ve learned about during the pandemic

You really do not have to reinvent the wheel to protect yourself against flurona.

“The key best practices continue to remain getting vaccinated for flu, getting vaccinated and boosted for Covid when eligible, wearing masks and maintaining physical distancing from others, good hand-washing, staying home when sick, and getting tested for flu and Covid when sick,” said Matthew Kronman, associate medical director of infection prevention at Seattle Children’s in Washington.

Many experts say that now is a good time to upgrade to a KN95 or N95 mask if you haven’t already. Also, really err on the side of caution if you have any symptoms at all, even just one. It’s impossible for doctors to determine whether you’ve got a cough and runny nose because you’ve got omicron, because you’re developing a case of the flu, because you’ve got both, or whether you’re dealing with something else altogether – unless they test you.

So do your part to protect others. Stay home until you know what’s what and once you’re cleared of any infection.

Experts are still learning about Covid-19. The information in this story is what was known or available at the time of publication, but guidance could change as scientists discover more about the virus. To keep up to date with health advice and cases in your area, visit gov.uk/coronavirus and nhs.uk.

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People Are Being Offered Jabs Because The NHS Has Got Their Heights Extremely Wrong

Photo by Karwai Tang/Getty Images

A care worker receives the Oxford-AstraZeneca Covid-19 vaccine in Borehamwood.

A man was offered a Covid jab because the NHS had recorded his height as 6cm, meaning he was classified as morbidly obese.

A similar mix-up saw a woman wrongly offered a flu vaccine because she was thought to be 57cm tall instead of 5ft 7ins, while others have also had heights of less than a metre entered in their official records. 

It came to light when journalist Liam Thorp tweeted last week that he had been offered his first coronavirus vaccine ahead of schedule, and couldn’t work out why.

“I am really confused why I would be offered at this stage when many more vulnerable or at risk groups haven’t been,” the political editor of the Liverpool Echo wrote. 

The confusion cleared up when he rang his GP and discovered his height had been entered as 6.2cm rather than 6ft 2ins, “giving me a BMI of 28,000”. 

“I’ve put on a few pounds in lockdown but not that many,” he posted in an update on Wednesday morning. 

“When I told my mum I had been classed in the clinically obese category, she said: ‘Well perhaps this is the wake-up call you need.’”

Cue hilarity, with some people claiming it had them “crying” with laughter and that it was “the single best tweet of the entire pandemic”.

Others chimed in with similar experiences, including one person who said she had been invited for the seasonal flu jab a few weeks ago because her height had been recorded as 57cm rather than 5ft 7ins. 

Writer and performer Natasha Hodgson only realised the mix-up when she turned up to receive the jab. “The nurse was brilliant and hilarious about it – she got up my records immediately when it was clear I was not, as was recorded on my records, currently morbidly obese,” she told HuffPost UK.

″[She] scanned my file and then burst out laughing: ‘According to this, you are 57cm tall. You’re a bowling ball!’”

The mistake was corrected immediately and Hodgson was not given the flu jab. “Obviously it’s good that they’re trying to push people in high-risk groups to get seasonal jabs, but yes, it looks like it’s not quite a perfect system,” she continued. 

“To be honest, if I’m 57cm tall and 9 and a half stone, I’m amazed they only want to talk to me about my flu potential.” 

Another person told HuffPost UK she had received an invitation to receive the Covid-19 vaccine on Monday because her BMI had been put down as 77 – three times what doctors consider a healthy weight.

“[My GP] was completely unsure how that happened, he says it was an error and that someone just entered it wrong. It makes sense now though as the NHS have been chasing me a lot to get my flu jab!” said town planner Lois-May Chapman.

“The doctor also despite everything being cleared up now with my BMI and myself falling in a healthy weight really encouraged me to get the jab and just count myself and very lucky.”

She added she was “a bit on the fence” about whether to take up the offer. “I’m tempted to,” she admitted.

“I feel bad if I do but my nan is quite unwell so anything I can do to prevent that from getting worse would be good.”

On Sunday the government confirmed more than 15m of the most vulnerable people in the UK have now had a first dose of a Covid-19 vaccine.

Those next in line to receive the jab include all those aged between 50 and 70, as well as those aged between 16 and 64 with underlying health conditions which puts them at higher risk of serious disease and death.

Boris Johnson has set a target of May to give the first jabs to these people, who are in the remaining priority groups five to nine, as set out by the Joint Committee on Vaccination and Immunisation (JCVI).

But given the rapid pace of the vaccine rollout so far, this seems somewhat pessimistic. Here’s why the statistics suggest that the UK could in fact vaccinate all those aged over 50 and all the most vulnerable by early April – well ahead of target. 

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What To Know About Having The Flu Jab And Covid-19 Vaccine

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You Can Get Covid-19 And Flu At The Same Time – And It Can Be Deadly

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Every NHS Worker To Be Given Flu Jab This Winter, Matt Hancock Reveals

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Is It Possible That You Had The Coronavirus Earlier This Year?

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