UK government advice for coronavirus self-isolation at odds with WHO and latest evidence

Coronavirus
Support us and go ad-free

The UK government’s advice on ending self-isolation after displaying signs of coronavirus (Covid-19) symptoms is at variance not only with that recommended by the World Health Organisation (WHO) but also with the latest clinical evidence.

UK government guidance

The UK government recommends that a person who appears to have become infected with Covid-19 can end their period of self-isolation seven days from commencement of symptoms.

The guidance says:

if you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started.

It adds:

if living with others, then all household members who remain well may end household-isolation after 14 days. The 14-day period starts from the day illness began in the first person to become ill. Fourteen days is the incubation period for coronavirus; people who remain well after 14 days are unlikely to be infectious.

After 7 days, if the first person to become ill feels better and no longer has a high temperature, they can return to their normal routine. If any other family members become unwell during the 14-day household-isolation period, they should follow the same advice – that is, after 7 days of their symptoms starting, if they feel better and no longer have a high temperature, they can also return to their normal routine.

Read on...

Support us and go ad-free
WHO recommendations

But the recommendations from the WHO are that a person who displays Covid-19 symptoms should continue to remain self-isolated for two weeks after the end of those symptoms.

WHO director general Dr Tedros Adhanom Ghebreyesus said (emphasis added):

People infected with Covid-19 can still infect others after they stop feeling sick, so these measures should continue for at least two weeks after symptoms disappear. Visitors should not be allowed until the end of this period.

Latest evidence

And the UK government guidelines are also at odds with the latest clinical evidence.

Researchers in China undertook a retrospective clinical study of a small cohort of patients who had contracted the virus. Patients were treated with alpha-interferon and other antiviral drugs.

The researcher found that half of the patients treated for just mild Covid-19 infection were still infected for up to eight days after symptoms disappeared.

In a summary of the study, Science Daily stated:

The time from infection to onset of symptoms (incubation period) was five days among all but one patient. The average duration of symptoms was eight days, while the length of time patients remained contagious after the end of their symptoms ranged from one to eight days.

This backs up the more conservative approach adopted by WHO.

Testing vital

These variations further highlight the need for antigen (or antibody) testing as soon as possible. Such tests, says the New Scientist:

detect the antibodies our bodies produce to kill the virus, which we keep producing even after the virus is eliminated. These tests can reveal who has been infected even after they have recovered. Handheld tests that require only a drop of blood can give results in 10 minutes, and can be mass produced quickly and cheaply.

Antibody testing is vitally important because it will reveal:
whether large numbers of mild infections have gone unnoticed. It would be great news if this is the case, allowing many to return to work and meaning that the infection fatality rate is lower than thought.

Indeed, there has been much confusion over projected infection fatality rates, as previously reported by The Canary.

Now clarification on why there is variance on self-isolation periods needs to be addressed too. It’s essential we get this right.

Featured image via Flickr – NIAID

Support us and go ad-free

We need your help to keep speaking the truth

Every story that you have come to us with; each injustice you have asked us to investigate; every campaign we have fought; each of your unheard voices we amplified; we do this for you. We are making a difference on your behalf.

Our fight is your fight. You’ve supported our collective struggle every time you gave us a like; and every time you shared our work across social media. Now we need you to support us with a monthly donation.

We have published nearly 2,000 articles and over 50 films in 2021. And we want to do this and more in 2022 but we don’t have enough money to go on at this pace. So, if you value our work and want us to continue then please join us and be part of The Canary family.

In return, you get:

* Advert free reading experience
* Quarterly group video call with the Editor-in-Chief
* Behind the scenes monthly e-newsletter
* 20% discount in our shop

Almost all of our spending goes to the people who make The Canary’s content. So your contribution directly supports our writers and enables us to continue to do what we do: speaking truth, powered by you. We have weathered many attempts to shut us down and silence our vital opposition to an increasingly fascist government and right-wing mainstream media.

With your help we can continue:

* Holding political and state power to account
* Advocating for the people the system marginalises
* Being a media outlet that upholds the highest standards
* Campaigning on the issues others won’t
* Putting your lives central to everything we do

We are a drop of truth in an ocean of deceit. But we can’t do this without your support. So please, can you help us continue the fight?

The Canary Support us