Public Health

Charles Walker Excerpts

Monday 26th April 2021 Commons Chamber

[Sir Charles Walker (Broxbourne) (Con)]

Will the Minister give way on testing?

[Jo Churchill]

Yes, I will, but then I would like to make a little progress.

[Sir Charles Walker]

Can the Minister explain to the House, when testing is done in hotels—there is now quite a good sample or quite a good group of people—what percentage of those tests over the 10-day period are picking up traces of covid, and when covid is identified, what percentage of those cases are the South African variant, the Indian variant or the Brazilian variant?

[Jo Churchill]

I will come on in my speech to how we are picking those up, and the fact that we have world-renowned genomic sequencing actually helps us in that. We have identified, in recent days, 132 cases of the Indian variant of interest. Obviously with those, as when we pick up any positive test on day 2, we are genomic sequencing them to ensure that we have the correct information, so that we can make sure that we are following up and contacting people if they are in quarantine at home. In a red list scenario, people are in a managed quarantine facility, and their period of isolation will be expected to start from then. For the exact differences, I will be happy to write to my hon. Friend, because I do not have all the different numbers for all the different variants on me at the moment.

As I have said, to make the scheme effective, we have made limited circumstances where exemptions can be had. On the impact financially, for those who need it there are deferred payment plans. Alongside managed quarantine, we have also introduced mandatory testing, meaning travellers are required to pre-book tests before they travel. Testing takes place on day two and day eight, and allows us, as I have said, to use our world-renowned genomic sequencing expertise to better track any new cases that might be brought into the country and detect new variants.

Travellers will have to have had a pre-departure test within 72 hours of flying, and carriers should not let individuals board without a correctly filled in passenger locator form, so that we know where people are travelling onward to, and when from a red list country, that they have booked their place in a managed quarantine facility or hotel. If the carrier does not do this, they will face fines via enforcement.

Each of the measures we have introduced adds another layer of protection against the transmission of the virus, reduces the risk of a new and dangerous strain being imported and keeps people safe. However, we do not take lightly adding any country to the red list, but keep things under constant review. In India, for example, there has been an extremely rapid rise in cases detected throughout April. Normally there is a high volume of travel between India and the UK. We have already seen 132 cases of the variant under investigation appear in the UK, and that is why we have acted. As the Prime Minister said:

“We stand side by side with India in the shared fight against COVID-19”,

and our thoughts and prayers are with them at what is the most incredibly difficult time.

These decisions are based on risk assessments produced from the Joint Biosecurity Centre, which monitors the spread of variants of concern internationally. The risk assessments cover a range of factors for each country, including surveillance, genomic sequencing, in-country community transmission, evidence of exportation of new variants and travel connectivity. Informed by evidence, including JBC’s analysis and other relevant public health input information, decisions are taken by Ministers.

It is important to note—this probably goes to the comment made by my right hon. Friend the Member for Forest of Dean (Mr Harper)—that countries are also removed from the list under our particular proposals. Portugal and Mauritius, for example, have been removed from the list to allow travel to commence following evidence showing that the risk of importing a variant of concern from those areas has reduced.

Speed of action where variants of concern are found in the community, with urgent tracing and investigation, can identify and rapidly control further transmission and the variant. We believe that the combination of strong border measures, managed quarantine, testing and enforcement remains the best way to effectively reduce the public health risk of importing variants of concern, as public safety is the driving force. We recognise that the additions to the red list have meant challenging times for the airport sector—a crucial sector to the economy—and businesses across the industry can draw on the unprecedented package of economic measures that we have put in place to support them.

I am grateful for the continued efforts of individuals, airline carriers, quarantine facilities, border forces and others to help us tackle the global pandemic by helping everyone follow the rules, protecting each other and saving lives. The Government objective is to see a safe and sustainable return to international travel for business and pleasure. The current border regimes will remain in place for the time being, as will the restrictions on outward-bound international travel, because at the moment we should not be going anywhere.

The global travel taskforce is developing a framework that will facilitate greater travel when the time is right. There is no single measure that mitigates the risk entirely, and each layer we have introduced helps to reduce the risk. The managed quarantine service is complemented by testing, and those measures have been put in place for all arrivals. The mandatory testing regime improves the efficacy of the post-travel isolation period for preventing onward transmission of those imported cases.

Given the incredible progress made on the vaccination programme, as well as the hard work of British people to bring down the rates, it is more important than ever that we continue to protect people with a strong approach. As the House knows, there are restrictions on travelling abroad from England, and the individual must have a justified reason, but there are those who feel we have not gone far enough and those who feel we have gone too far. That probably indicates that we are where we need to be.

However, our rationale for this policy remains clear: we must continue to be alert and able to take swift action to mitigate any negative impact on vaccine effectiveness from the risk of variants of concern and broader public health challenges. That also includes at airports. The right hon. Member for Torfaen asked me about keeping people separated. Every step is taken to reduce risk to minimise potential for passenger interaction, including tests before departure, social distancing, mandatory mask wearing, the cleaning of facilities and specific lanes to minimise any interaction between those who have come from red list countries and those who have come from amber list countries. A number of airports, including Britain’s busiest airport, Heathrow, have introduced additional measures to separate passengers from the red list ahead of the immigration hall in order to stop them mixing, so it is not fair on those who have been working so hard to produce a system that we can live and work with to say that they are not doing anything. I know this is difficult for families who have been impacted by the introduction of hotel quarantine. However, they are part of the national effort. While we learn more about variants of concern and potential new strains, it is right that we continue to take a cautious approach, allowing us to continue with the road map and move closer to a more normal, yet covid-tinged life.