PARLIAMENTARY DEBATE
Wuhan Coronavirus - 3 February 2020 (Commons/Commons Chamber)
Debate Detail
With permission, Mr Speaker, I would like to update the House on the ongoing situation with the Wuhan coronavirus. On Friday, the chief medical officer announced that two patients in England who are members of the same family tested positive for coronavirus. They were transferred to a specialist unit in Newcastle, where they are being cared for by expert staff. Public Health England is now contacting people who had close contact with these two confirmed cases. Close contacts will be given health advice about symptoms and emergency contact details to use, should they become unwell in the next 14 days. These tried and tested methods of infection control will ensure that we minimise the risk to the public.
On Friday, a Foreign Office-chartered aircraft carrying 83 British nationals left Wuhan for the UK, and I want to thank all those involved in that operation, including staff at my own Department, the Foreign Office, Border Force, the Ministry of Defence and military medics, as well as all the NHS staff, officials at Public Health England and many more who have worked 24/7 on our response so far.
Yesterday, we brought back a further 11 people via France, and returned UK nationals have been transferred to off-site NHS accommodation at Arrowe Park Hospital on the Wirral, where they will spend 14 days in supported quarantine as a precautionary measure. I thank all the staff there who have done so much to make that possible. There, they will have access to a specialist medical team who will regularly assess their symptoms. In addition, one British national has been taken to a separate NHS facility for testing.
We will take a belt-and-braces approach that makes public protection the absolute top priority, from a virus that is increasingly spreading across the world. As of today, there are more than 17,000 diagnosed cases in mainland China, with a further 185 in other countries, including France, Germany and the United States. There have been 362 fatalities so far. The World Health Organisation has now declared the situation a public health emergency of international concern, and the UK chief medical officers have raised the risk level to the UK from low to moderate. We are working closely with the WHO and international partners to ensure that we are ready for all eventualities.
Health Ministers from G7 countries spoke this afternoon, and agreed to co-ordinate our evidence and response wherever possible. The number of cases is currently doubling around every five days, and it is clear that the virus will be with us for at least some months to come; this is a marathon, not a sprint. On existing evidence, most cases are mild and most people recover. Nevertheless, anyone who has travelled from Wuhan or Hubei province in the last 14 days should immediately contact NHS 111 to inform the health service of their recent travel, and should stay indoors and avoid contact with other people just as they would with the flu—even if there are no symptoms. Anyone who has travelled to the UK from mainland China in the past 14 days and is experiencing a cough, fever or shortness of breath should self-isolate and call NHS 111, even if symptoms are mild.
We will do all we can to tackle this virus. We are one of the first countries in the world to develop a new test for it. Testing worldwide is being done on equipment designed in Oxford, and today I am making £20 million available to the Coalition for Epidemic Preparedness Innovations to speed up the development of a vaccine. I can announce that Public Health England has sequenced the viral genome from the first two positive cases in the UK, and is today making that sequence available to the scientific community. Its findings suggest that the virus has not evolved in the last month. We have also launched a public information campaign, setting out how every member of the public, including Members of this House, can help by taking simple steps to minimise the risk to themselves and their families: washing hands and using tissues when they sneeze, just as they would with flu. That goes for all of us.
We remain vigilant and determined to tackle this virus with well-developed plans in place. I commend this statement to the House.
Our thoughts are naturally with those who have lost their lives and those who have contracted the virus, including the two cases mentioned by the Secretary of State. I thank our NHS staff, who once again show themselves to be exceptional and dedicated. I pay tribute to our world-leading expertise at Public Health England and NHS England. I also join the Secretary of State in putting on record our thanks to all those involved in returning British nationals from Wuhan. Will he tell the House whether it is the Government’s intention to return all remaining British nationals in China, and whether there will be more Foreign and Commonwealth Office-chartered flights in the coming days?
I agree with the Secretary of State that we must remain vigilant and alert, and not succumb to alarmism or scaremongering. As things stand, the virus has a mortality rate of around 2%. That is certainly significant but, as he says, most people will recover. However, the virus is highly infectious. The pathogen appears to be easily transmitted. Cases have now been reported in over 20 countries. The epidemic has grown at a pace quite unprecedented in recent history, with the official case count more than tripling in the past week.
I welcome the Secretary of State’s remarks about the G7. He will be aware, of course, that we have seen cases in countries such as Cambodia, Nepal and the Philippines that have weaker health systems than ours. What work is he carrying out with the Secretary of State for International Development to support countries around the world that will need extra help at this time?
I welcome the Secretary of State’s £20 million for vaccine research, but we have to recognise that, even if a vaccine is produced, it is probably some months away. Therefore, slowing down the virus spread while that vaccine is developed is absolutely crucial. So how many people has Public Health England now contacted who have been in touch with the two people who were infected? Is he able to share those figures with the House?
I understand, and indeed endorse, the precaution of NHS England in quarantining evacuees from Wuhan at Arrowe Park Hospital on the Wirral. I must mention my hon. Friend the Member for Wirral West (Margaret Greenwood), who is the local MP and who has been in touch regularly with Ministers, her constituents and the hospital since the news broke last Thursday. I have been contacted by a patient in quarantine who has told me that evacuees are tested for the virus only if they display symptoms because risk of virus transmission is considered low. It would help to reassure the House if the Secretary of State could clarify why, if risk of transmission among non-symptomatic evacuees is low, there is no option for evacuees to self-quarantine at home. I understand that Japan and the Netherlands are allowing such quarantine. As I say, I endorse the precautions that Ministers are taking, but it would be helpful if he could offer greater clarity and those reassurances. Indeed, what would be the response of the Government and the NHS if evacuees wanted to leave Arrowe Park and self-quarantine at home? Could he update the House on that?
I welcome the public information campaign. Will the Secretary of State update us on what discussions he has had with local authority public health officials and local authorities’ social care providers and social care staff, who are obviously caring for people who are especially vulnerable to the respiratory problems associated with coronavirus?
This is a time of considerable strain on the NHS. I know the Secretary of State and I disagree on why that is, but he will accept that it is a time of huge pressure. How many specialist beds are available across the system to deal with more cases of coronavirus should we need them, and what is the capacity of trusts to flex up extra specialist beds if needed? If we do succumb to the epidemic in the UK, that will start to affect the wider NHS workforce as well. What plans are in place to ensure that NHS staff are protected over the coming months—because, as he rightly says, this is a marathon, not a sprint?
I am sure the Secretary of State would agree that we should have no truck with the racism and insensitivity shown towards Chinese and east Asian people that we have sadly seen in some quarters, with wrongly attributed videos showing wild animals being eaten and crass cartoons in the Evening Standard. Indeed, the French media are digging up old racist tropes as well. None of these attempts to dehumanise an entire ethnicity should be allowed to prevail.
I welcome the Secretary of State’s statement today and hope he will continue to keep the House updated in the coming days and weeks.
I entirely share with the shadow Secretary of State, and perhaps should have put in my initial statement, the rejection, which the whole House demonstrates, of any racism and insensitivity towards the Chinese community here or visitors here of Chinese origin. That will not help us to tackle this disease. We will do everything we can to tackle the disease, but racism will not help anybody, so I share his comments entirely.
We have no plans to evacuate all remaining UK nationals in China. There are an estimated 30,000 UK nationals in China, and the proportion of the population who have the virus outside Wuhan is much lower than in Wuhan. Of course, there are continued flights—not by British Airways and Virgin, which have suspended flights, but by Chinese airlines. We have appropriate measures in place at the airports, as advised by Public Health England, to ensure that those coming from the rest of China also get the appropriate advice, which includes to self-isolate if they have symptoms. We are clear that this evidence-led approach is the right way to take things forward. Of course, if the evidence and the clinical advice change, we will update policy, and I will come to the House at the first available opportunity to explain that. We are trying to take a science-led approach at all times.
The hon. Gentleman asked about the challenge of the virus getting out to other countries, and especially developing countries. I am working closely with the Department for International Development and have spoken to the Secretary of State on a number of occasions about this. Of course, the WHO represents the whole world. The Global Health Security Initiative is chaired by the UK and had a call this weekend. We are leading efforts around the world to ensure that we can help all countries, no matter the calibre of their health systems, to get a grip. I have authorised a team of British experts to go to the Philippines to support their work.
The hon. Gentleman is right that the goal is to slow down the spread of the virus, and we will take all actions that are proportionate and scientifically appropriate to do that. In the case that the epidemic here gets much more serious, we have 50 highly specialist beds, and a further 500 beds are available in order to isolate people, but of course, we are working on further plans should there need to be more.
Public Health England’s contact tracing is ongoing. We will explain how far it has gone when we are ready to, and when we have managed to get in contact with all the people we need to get in contact with. I join the hon. Gentleman in thanking his colleagues from the Wirral, several of whom I have spoken to, for their support of the rational and sensible approach that we have been trying to take.
The hon. Gentleman asked about self-quarantine at home. The truth is that it is belt and braces to have full-blown quarantine. All those who are in quarantine have signed a contract agreeing to go into quarantine in return for getting on the flight. That is a good deal, because the flight was provided by the UK Government so that they could come back from an area that we deemed did not support their health. In return for coming back, they agreed to quarantine.
I think we all strongly approve of the Secretary of State’s decision to deploy extra money to develop vaccine capabilities through the Coalition for Epidemic Preparedness Innovations—a group that some of us did not know about before the coronavirus came to be. Is China involved in that coalition, and to what extent are we working closely with it on that? I welcome the work being done across Departments. Will he do all he can to publicise the right number at the Foreign Office crisis team for those whose relations in Hubei or neighbouring provinces have so far been unable to get out?
Specifically on the hon. Lady’s question, the Royal Liverpool is one of the best hospitals in the world for dealing with these sorts of disease. It is one of the hospitals that we identified in advance as a place where people with coronavirus would be taken. One of the advantages of using the facilities at Arrowe Park was its proximity. Transit from A to B will of course be in secure conditions, so that no one is affected on the way. People can rest assured that if a case emerges in the isolation area at Arrowe Park, we have plans in place to get those affected to Liverpool and into the hospital in a way that does not affect nearby residents. To be frank, local residents should be very proud of their hospital.
“it is unlikely that a vaccine is going to be available—there is not one now—so that is not the route we should be looking at”—[Official Report, 23 January 2020; Vol. 670, c. 436.]
He has since announced that the Government are investing £20 million in speeding up development of a vaccine. Of course this is welcome, but what has happened in the last 10 days to change his mind and his assessment, and what is the realistic timeframe in which the public can expect to see a vaccine developed?
Figures issued yesterday—I appreciate that the Secretary of State has updated them today—showed that, out of 14,500 people diagnosed, 304 had died and 342 had recovered. What is of concern is the similarity of the number of people dying to the number of people recovering.
The Secretary of State has already mentioned that the transmission rate is doubling every five days. He will also know that, as well as introducing flight blocks, China has introduced road blocks, and has prevented people from going to work for 14 days in districts where there is no transmission at all. What does the Secretary of State plan to do if a number of cases emerge in cities up and down Britain? Has he any plans to reduce people’s movements, for instance, to contain the virus?
Of course we have plans in case the disease becomes widespread globally and widespread here, and we are constantly working on those plans to ensure that we are as ready as possible. We have plans in place, and we had them before the virus arrived here. We are working through those plans, and I will endeavour to update the House whenever I possibly can.
I began by paying tribute to the shadow Secretary of State. Normally when I am nice about the shadow Secretary of State, he thinks that I am doing it to damage his political career. There may be some truth in that, but in this case he is acting in the most responsible and high-minded way, and I think that the whole House should pay tribute to him.
Contains Parliamentary information licensed under the Open Parliament Licence v3.0.