Jonathan Van Tam admits 'we may have to learn to live with' coronavirus for YEARS - Money

The UK’s deputy chief medical officer has admitted that the country may have to ‘live with’ the coronavirus for several years as scientists desperately try to find a vaccine for the illness.

Jonathan Van-Tam said that without a vaccine Britons would have to prepare in case of a second spike this autumn and added that only a vaccine was ‘capable of suppressing disease levels’.

Speaking at Downing Street’s daily press conference the epidemiologist said: ‘So from that perspective we may have to live, and learn to live, with this virus in the long-term, certainly for many months to come if not several years.’

The deputy chief medical officer went on to say that more information was needed on the seasonality of Covid-19.

He added: ‘One of the things that’s very clear with flu viruses is that they come in our cold winters and the levels of transmission and circulation decline over the summer months.

The UK’s deputy chief medical officer Jonathan Van-Tam (pictured at the daily press conference at Downing Street) said that without a vaccine Britons would have to ‘learn to live with this virus’

Mr Van-Tam (pictured with Secretary of State for Foreign Affairs Dominic Raab) said that only a vaccine was ‘capable of suppressing disease levels’

‘The data we have on other coronaviruses we have looked at very carefully, and it’s not clear that these coronaviruses are as seasonal as influenza.

‘But there may be an element of seasonality and it may well be that the autumn and winter conditions provide a better environment for the virus to then do its work again.’

His comments come as experts warn that a working coronavirus vaccine is unlikely to be ready this year and told people not to have ‘false expectations’ after ministers said they are hoping to have 30 million doses for the UK by September.

Both Oxford University and Imperial College London are working on vaccines with the former now having done a deal with pharmaceutical giant AstraZeneca to mass produce its effort if it is shown to be effective.

Business Secretary Alok Sharma said yesterday the Government is hoping to be in a position to roll-out a mass vaccination programme in the Autumn of this year.

But one of the professors involved in the Imperial initiative today urged caution as he said there are ‘no guarantees’ a working vaccine will be developed and that even if one is it probably will not be ready for mass production until next year at the earliest.

Robin Shattock, head of mucosal infection and immunity at Imperial, said it is ‘important not to have a false expectation that it is just around the corner’.

Imperial’s Professor Robin Shattock today said it ‘may take quite some time’ for researchers to develop a working vaccine

Alok Sharma, the Business Secretary, said yesterday the Government is hoping to have 30 million doses of a working vaccine for the UK by September

Oxford University has done a deal with AstraZeneca to mass produce its vaccine if it is shown to be effective. Pictured is a person taking part in the vaccine clinical trial

What is the difference between the vaccines being developed by Oxford University and Imperial College?

The science behind both vaccine attempts hinges on recreating the ‘spike’ proteins that are found all over the outside of the COVID-19 viruses.

Both will attempt to recreate or mimic these spikes inside the body. The difference between the two is how they achieve this effect.

Imperial College London will try to deliver genetic material (RNA) from the coronavirus which programs cells inside the patient’s body to recreate the spike proteins. It will transport the RNA inside liquid droplets injected into the bloodstream.

The team at the University of Oxford, on the other hand, will genetically engineer a virus to look like the coronavirus – to have the same spike proteins on the outside – but be unable to cause any infection inside a person.

This virus, weakened by genetic engineering, is a type of virus called an adenovirus, the same as those which cause common colds, that has been taken from chimpanzees.

If the vaccines can successfully mimic the spikes inside a person’s bloodstream, and stimulate the immune system to create special antibodies to attack it, this could train the body to destroy the real coronavirus if they get infected with it in future.

The same process is thought to happen in people who catch COVID-19 for real, but this is far more dangerous – a vaccine will have the same end-point but without causing illness in the process.

Prof Shattock said there are an estimated 100 coronavirus vaccines in development around the world.

But the ‘most optimistic estimation’ would suggest that one proven to be successful will not be ‘readily available for wide scale use into the beginning of next year’.

He said it ‘may take quite some time’ for researchers to get all the data they need to prove without doubt that a vaccine actually works.

Asked if the UK is ‘on the brink’ of getting a working vaccine, Prof Shattock told the BBC: ‘I think we need to distinguish two different things. One of the hurdles is making vaccine doses, obviously AstraZeneca can do that and that is a good thing but that is very different to having the data that proves that the vaccine actually works.

‘We need to have those data to show that it is ready and appropriate to roll out. It may take quite some time to get that data, it is a numbers game.

‘And in fact as we are better at reducing the number of infections in the UK it gets much harder to test whether the vaccine works or not.

‘There are no certainties, no guarantees in developing any of these candidates so I think it is important not to have a false expectation that it is just around the corner.

‘It may be longer than any of us would want to think.’

Some health experts have suggested a vaccine could take as long as 18 months to develop while others have cautioned one may never be found.

Prof Shattock said: ‘I think we need to keep context here. Obviously there could be some success, we could see things working earlier if we get the numbers and the kind of AstraZeneca approach is preparing for that success.

‘But it is probably very likely that we won’t really get the evidence until into early next year and then there is a difference between a solution in the UK which could be rolled out and a global solution.

WHY DOES IT TAKE SO LONG TO ROLL OUT A VACCINE?

Developing a vaccine is a complex procedure which relies on a number of lengthy steps.

But researchers racing to develop one for COVID-19 – which threatens to keep entire nations in lockdown until it can be stopped – are breaking through this stages at an unprecedented pace, scientists say.

One vaccine for rotavirus, a virus that causes deadly diarrhoea in children, took 26 years to make, the Washington Post reported, and one of its creators called this ‘pretty typical’.

Scientists must first sequence the virus they want to make a vaccine against – meaning they deconstruct it to examine its internal workings.

This process was sped up because the Chinese officials who discovered the coronavirus SARS-CoV-2 mapped the virus and shared it worldwide for free at the very start of the outbreak.

Scientists also noticed that it is almost identical to the one that causes SARS, a similar illness which hit Asia in 2002/3. This saved time because researchers already knew which areas of the virus they could target, and some had already tried to make SARS vaccines, which could work as a blueprint for tackling COVID-19.

Trials, which begin after a vaccine is painstakingly designed and produced in a laboratory, also take a long time. First, scientists must repeatedly test the vaccine on animals such as mice or monkeys.

If it proves to be safe, this must then go on to very small human trials, then incrementally larger ones as the safety and effectiveness of it is constantly monitored.

Often, human trials take months or even years so scientists can be absolutely certain the vaccine won’t have any damaging side effects.

If there are any hiccups the researchers may have to tweak the chemical make-up of the vaccine and start again.

If things go smoothly, the vaccine can progress to the manufacturing phase and be produced en masse and sold to the people or governments who need them.

Scientists have claimed they could have a vaccine ready for COVID-19 by September this year, a break-neck pace which critics say is unlikely.

Professor Robin Shattock, an immunity expert at Imperial College London, said: ‘It’s highly unlikely that a vaccine will be available for use by September.

‘It will be critical to build the evidence base to show a vaccine works before it’s deployed. This takes time and is dependent on seeing a difference in the number of infections between active vaccine and a placebo.

‘The lower the transmission rate in the UK, the longer it will take to generate such data.’

‘A global solution is likely to take much longer just because of the sheer operational effort to make billions of doses and make them available worldwide.’

Prof Shattock said he believed there is a ‘very high chance of seeing a number of vaccines that work’ as he said the evidence suggested coronavirus is ‘not such a hard target as others’.

He added: ‘My gut feeling is that we will start to see a number of candidates coming through with good evidence early towards next year – possibly something this year.

‘But they won’t be readily available for wide scale use into the beginning of next year as the kind of most optimistic estimation.’

Mr Sharma told the daily Downing Street press conference yesterday that the UK will get first access to the vaccine developed by Oxford University if it is proven to work.

AstraZeneca and the university have done a deal which would see the company make 100 million doses of the vaccine with 30 million ready for the UK by September.

Both the Oxford University and Imperial College London vaccine projects are viewed as two of the world’s ‘frontrunners’.

Mr Sharma pledged an additional £84 million to accelerate the development of a vaccine in Britain – on top of a previous £47 million pot of cash – so that mass production can start as soon as possible if clinical trials are successful.

A working vaccine is viewed as likely the only surefire way for the world to go back to something resembling normal life.

The Oxford vaccine is now in its first clinical trial and all phase one participants have now received their vaccine dose and are being monitored by the clinical trial team.

Mr Sharma said: ‘I can also confirm that with Government support Oxford University has finalised a global licensing agreement with AstraZeneca for the commercialisation and manufacturing of the Oxford vaccine.

‘This means that if the vaccine is successful, AstraZeneca will work to make 30 million doses available by September for the UK as part of an agreement to deliver 100 million doses in total.

‘The UK will be first to get access and we can also ensure that in addition to supporting people here in the UK we are able to make the vaccine available to developing countries at the lowest possible cost.’

Prof Robin Shattock added: ‘It’s highly unlikely that a vaccine will be available for use by September.

‘Generating doses of the vaccine is very different to having the necessary data to show that any vaccine is both safe and effective against COVID-19.

‘The lower the transmission rate in the UK, the longer it will take to generate such data.’