WEEKLY UPDATE 4 December 2020 – 每周疫情快讯 2020年12月4日

This week MPs voted through the amended Tier system so we can confirm that Birmingham is in Tier 3 – Very High Alert level.  Here is an outline of the restrictions


I: Vaccine update

I.I Get your flu jab! 

This year the seasonal flu jab is being given free of charge to all people aged 50+. It is available now – you don’t have to do anything as your GP will contact you to book an appointment.  The Government is urging all people over 50 to have the flu jab this year to reduce possible complications if people contract flu and Covid-19 at the same time.  

I.II Covid-19 vaccines 

The Medicines & Healthcare products Regulatory Authority (MHRA) has approved the Pfizer BioNtech vaccine for use in the UK.   https://www.bbc.co.uk/news/health-55145696

At a meeting with Public Health Birmingham on 2nd December, Dr Clara Day from QE Hospital said it is likely the ‘Oxford’ vaccine being developed by Oxford University in partnershop with AstroZeneca will also be approved very soon. 

The Government has set out a priority list for vaccination: 

  1. Older residents in care homes + care home staff 
  2. People over 80
  3. Health and social care workers 

The vaccination schedule for the rest of the population will be based on age and health risk factors. 

Note: the actual vaccination schedule will depend on which vaccines are available as they have different storage requirements 

The Pfizer and Oxford vaccines both need two doses administered 1 month apart.   If you are eligible for a flu jab and a Covid-19 vaccination, there should be a gap of at least 7 days between the two; therefore, get your free flu jab ASAP if you are entitled to it.  If you are not entitled to a free flu jab, you can pay to have it privately. 

The Covid-19 vaccination will not be mandatory – it will be your choice whether to have it or not. 

II: Care home visits 

The Government have said families will be able to visit relatives in care homes if they take Covid-19 tests


Each care home will set its own visiting policy eg visiting days, times, number of visitors allowed, etc. Visitors would take a lateral flow swab test which gives results in 20-30 minutes, and tells you if you are currently infectious. 

At a meeting with CCC-B Members last week, Birmingham Director of Public Health Dr Justin Varney advised that the lateral flow test is less reliable in the early stage of infection when there is not much virus present in the body. (The alternative PCR test tells you if you have Covid-19 but not how infectious you are).

Restrictions 2.12.2020 – 27.12.2020

The Tiers will be reviewed every 14 days, so the first review will be 16.12.2020.

For a 5 day period over Christmas, the Tiers will be lifted and replaced with the ‘Christmas Bubble’ system.  What happens from 28th December will depend on the case rates – we will keep you informed. 





02.12.2020 –


Tier 3 applies 

  • The Government has announced that Birmingham will be in Tier 3 Very High Alert level from 2.12.2020. 
    • See chart above for the Tier 3 restrictions. 

16.12.2020 – 


To be confirmed 

This will depend on the 2-week review

23.12.2020 – 27.12.2020

‘Christmas Bubbles’

  • 3 households can form a ‘Christmas Bubble’ during the period 23-27th December. In England, a pre-exising support bubble counts as one household – potentially 6 housholds (ie 3 Support Bubbles) can form a Christmas Bubble.
  • Households cannot swap between Christmas Bubbles – once a bubble is formed, that combination is fixed for the 5-day period.  There is no limit on household size. 
  • Christmas Bubbles can mix indoors including private gardens, stay overnight in each other’s homes and visit places of worship and outdoor public spaces together. 
  • Travel restrictions are lifted so you can visit each other. 
    • People who are self-isolating must NOT form a Christmas Bubble. 
    • If anyone tests positive or displays symptoms up to 48 hours after the Christmas Bubble last meets, everyone in the Bubble must self-isolate.

28.12.2020 onwards 

To be confirmed 

What happens after Christmas will depend on whether household mixing causes a spike in cases, especially if the NHS is overwhelmed. We may revert to Tier 3 or 2 or there may be another national lockdown.

Should you form a Christmas Bubble?

The Government has relaxed the rules for 5 days so families and friends can get together without penalty. You must decide whether to form a Christmas Bubble based on the risk factors for your household/support bubble. 

Remember that anyone can catch Covid-19 but some groups are at higher risk of complications and of dying if they contract the virus. These are: 

  • People over 80
  • People under 80 with long term health conditions
  • Men 
  • Ethnic minorities especially South Asian
  • Other risk factors include obesity, smoking


The R number in Birmingham is currently 0.8 

Dr Justin Varney said that although the case rate is coming down, it is not coming down quickly enough.  It is currently 276 cases in 100,000 but needs to be below 200 for at least a week before the Government would consider moving Birmingham back into Tier 2. Birmingham is unlikely to come out of Tier 3 before Christmas.  

There have been spikes among 30-40 year olds as well as the white British population. 

To check case and death rates in your ward http://ukcovid19.nw.r.appspot.com/

每周疫情快讯: 2020124

本周国会议员投票通过了修改后的3级疫情警戒系统,伯明翰已确定列为第3级 “非常高”级别。以下是疫情警戒级别第3级的具体限制措施




I.I 请接种流感疫苗!


I.II 新冠疫苗

英国药品和医疗产品监管局(MHRA)已批准辉瑞BioNtech疫苗在英国使用。 https://www.bbc.co.uk/news/health-55145696

伯明翰QE女王伊丽莎白医院的Clara Day医生在12月2日伯明翰公共卫生举行的一次会议上表示,牛津大学与阿斯特罗·塞内卡(AtroZeneca)合作伙伴开发的“牛津”疫苗很可能也将很快获得批准。


1.养老院的老年人+ 养老院工作人员

2. 80岁以上的长者

3. 医疗系统工作者和社会护理工作者




新冠疫苗不强制民众必须接种 – 您可以选择是否接种新冠疫苗。





在上周伯明翰华人社区中心举办的一次在线会议中,伯明翰市政府卫生部总监Justin Varney博士指出,在感染新冠病毒的早期阶段,人体体内的新冠病毒数量不多,所以采用侧向拭子测试的可靠性比较低(另一种名叫PCR的测试可以告诉您是否感染了新冠病毒,但不能显示传染性的强度)。



在圣诞节假期期间,将暂时放松防疫限制,实施为期5天“圣诞防疫泡泡”。 从12月28日之后,将根据疫情状况来决定下一步的防疫措施,具体更新我们将及时告知您。






  • 政府已宣布,自2020年12月2日起,伯明翰将处于疫情警戒级别的第3级,即非常高。
    • 疫情警戒级别第3级的具体限制措施,请参见上表。






  • 在12月23日至27日期间,最多可以有3户家庭形成“圣诞防疫泡泡”。 在英格兰,预先已经形成支持泡泡的所有成员可以算为一户家庭,这样,有可能最多有来自6个家庭(即3个支持泡泡)的成员可以形成一个圣诞防疫泡泡。 
  • “圣诞防疫泡泡”必须是固定成员,不可以随意互换,一旦组成就不可改变,为期5天。每个家庭成员的人数没有限制。
  • 同一圣诞防疫泡泡的成员可以在家里聚集,包括自家花园,可以在彼此的家中过夜,可以一起去公共场所、礼拜场所和户外场所。
  • 取消旅行限制,形成“圣诞防疫泡泡”的家庭可以互相访问 
    • 正在自我隔离的人士不可以与其他家庭形成“圣诞防疫泡泡”。
    • “圣诞防疫泡泡”成员,在最后一次会面之后的48小时内,如果有任何成员新冠测试呈阳性或出现症状时,则所有圣诞防疫泡泡每个成员都必须自我隔离。





政府将实施为期5天,暂时放松防疫的限制,以便圣诞节期间家人和朋友可以相聚,不受处罚。 您必须评估您家庭/支持泡泡成员的风险因素,决定是否组成圣诞防疫泡泡。


  • 80岁以上的长者
  • 80岁以下有长期健康状况的人士
  • 男性
  • 少数族裔,特别是来自南亚的族裔
  • 其他危险因素包括肥胖,吸



Justin Varney博士说,尽管伯明翰的新冠确诊率正在下降,但下降速度还不够快。 目前的“确诊病例率”是每10万人口中的确诊病例人数为276例,当这个数字至少下降到低于200例时,政府才可以考虑将伯明翰的疫情警戒级别下调至第2级,根据目前的情况,伯明翰不太可能在圣诞节前从疫情警戒级的第3级中被移除。




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