Discovery

Six and a half million dead. More than a hundred times that infected. The Covid-19 pandemic has wreaked havoc across the globe. But in the final months of the third year of this health crisis, some now claim it’s all over.

Scientists with key roles in the global response join Claudia Hammond to consider the evidence behind the declarations that the pandemic has finished and they set out how, officially, this global health crisis will be brought to an end.

They reject claims that the pandemic is over, but say the emergency phase of this global health crisis is coming to a close.

But only if countries remain vigilant and maintain pandemic preparedness.

If vaccines reach arms, if treatments are shared equally and if nations re-introduce public health measures like mask wearing and social distancing when the inevitable new waves (and potential new variants) emerge, the appalling loss of life we saw at the beginning of the pandemic, they tell Claudia, won’t be repeated.

There are stark warnings too that the dramatic global drop in the sequencing of virus samples (which enables us to see how the virus is evolving) is posing a serious risk.

We can’t react to a new threat, Claudia’s panel say, if you can’t see it. Sequencing, as well as testing, has fallen by 90% since January this year, from 100,000 weekly sequences ten months ago to less than 10,000 now. This severely limits the ability to track the known variants (currently 200 sub-lineages of the Omicron variant).

Produced in collaboration with Wellcome and recorded in front of a live audience in Wellcome’s Reading Room in London, Claudia’s expert panel includes Dr Maria Van Kerkhove, the World Health Organisation’s Technical Lead for Covid-19, Professor Salim Abdool Karim, co-chair of the south African Ministerial Advisory Committee on Covid-19 and a member of the Africa Task Force which oversees the African continent’s response to the virus and Professor Sir Jeremy Farrar, the Director of Wellcome and a former adviser to the UK government on its Covid response.

Presenter: Claudia Hammond

Literature student turned neuroscientist, Prof David Eagleman, tells Jim Al-Khalili about his research on human perception and the wristband he created that enables deaf people to hear through their skin. Everything we see, taste, smell, touch and hear is created by a set of electro-chemical impulses in the dark recesses of our brain. Our brains look for patterns in these signals and attach meaning to them. So in future perhaps we could learn to ‘feel’ fluctuations in the stock market, see in infra-red or echo-locate like bats? Each brain creates its own unique truth and David believes, there are no real limits to what we humans can perceive.

Nobel Prize winning chemist Frances Arnold left home at 15 and went to school ‘only when she felt like it’. She disagreed with her parents about the Vietnam war and drove big yellow taxis in Pittsburgh to pay the rent.

While some colleagues accused her of intellectual laziness, industry jumped on her ideas and used them in the manufacture of everything from laundry detergents to pharmaceuticals.

Who could forget the beginning of 2020, when a ‘mysterious viral pneumonia’ emerged in the Chinese city of Wuhan. Soon, other countries were affected and deaths around the world began to climb. Perhaps most alarmingly of all, there were no proven treatments to help prevent those deaths.

As the World Health Organisation declared the Covid-19 outbreak a pandemic, and the UK and the rest of the world braced itself for what was to come, doctor and drug-trial designer Martin Landray had his mind on a solution, devising the protocol, or blueprint, for the world’s largest drug trial for Covid-19.

As Professor of Medicine and Epidemiology at Oxford University, Martin was perfectly positioned to jump, delivering what became known as the RECOVERY Trial. The trial was tasked to deliver clarity amid the predicted chaos of the pandemic and galvanised every acute NHS hospital in the UK. Within its first one hundred days, it had yielded three major discoveries and it has transformed Covid-19 treatment worldwide, already saving over a million lives. Sir Martin Landray was recently knighted for this work and RECOVERY’s legacy lives on, not just for Covid. Martin plans to revolutionise drug trials for other diseases too.

In the third and final part of our series How Covid Changed Science, Devi Sridhar Professor of Global Health at Edinburgh University looks at the legacy and lessons of the pandemic for scientific research. Tackling the virus became a global issue, but many have pointed out the inequality of both resources and effort in the response. Going forward do we need to be directing research more towards improving health and disease surveillance in less wealthy parts of the world, would investing there help prevent future pandemics?

In the second of our series How Covid Changed Science, Devi Sridhar, Professor of Global Health at Edinburgh University looks at the scientific messaging. Just how do you explain to both politicians and the public that a growing global pandemic is likely to kill many people, and unprecedented measures such as a nationwide lockdown are needed to prevent even more deaths. What information should be imparted and how?

Similarly how to address the clamour for information on the development of vaccines and other potential treatments when there often wasn’t clarity? And with the rise of misinformation how did individual scientists who became the subject of conspiracy theories cope with being targeted?

In this programme we hear from scientists and politicians directly involved with the pandemic response. For some the experience of explaining their often highly technical research to the general public was a daunting experience. For others it became a mission to answer the publics concerns and fears.

Until 2020 developing a new drug took at least 15 years. Scientists by and large competed with each other, were somewhat secretive about their research and only shared their data once publication was secured. And the public and the press had no interest in the various early phases of clinical trials. An incremental scientific step possibly on the road to somewhere was simply not newsworthy. Face masks were the preserves of hypochondriacs in the Far East, with no scientific evidence base for their use.

Now the findings of research are published as soon as they are ready. Often they are being openly discussed in social media before they have been peer reviewed. The speed of research, collaboration between science and industry, and public perception of science are areas that have undergone incredible and likely permanent change.

Devi Sridhar, Professor of Global Health at Edinburgh University hears from scientists in a variety of fields, whose working lives and practices have been affected, in some cases revolutionised by the pandemic.

If you look up into the night sky, there are around 7,000 active satellites orbiting the Earth. They’re part of our daily life – essential for things like the internet, the GPS in our cars and giving us weather reports. Seven thousand might not sound a lot in the infinite expanses of space. But the reality is that most satellites are found in a small slice of the solar system - called Lower Earth Orbit - and countries and satellite companies are planning to launch hundreds of thousands more in the next decade. So things are about to get crowded. In this week’s Discovery, Jane Chambers speaks to scientists, astronomers from the ALMA Observatory in Chile, space environmentalists and satellite companies like SpaceX about the benefits of this explosion in mega satellite constellations, as well as the unintended consequences to those who value a clear and unhindered view of the stars.

Picture: Radio Telescopes at ALMA Observatory in the north of Chile, Credit: Jane Chambers

Giles Yeo learns how to make a Thai green curry with Meera Sodha. This is a recipe without meat or prawns but with tofu and lots of vegetables. If we need to eat less meat and dairy to help prevent global warming- what difference will altering our diets make to our health. For a long time now people have been urged to cut down on red meat and processed foods but if you have been eating them all your life it takes an effort to develop new habits. Plant based products that can replace for example dairy milks, cheeses, sausages, burgers and meat based dishes such as lasagne can be helpful in making this transition but are they healthier?

In Plant Based Promises, Giles Yeo a foodie and academic at Cambridge University, asks how sustainable are commercial plant based products?

In 2019 the Eat Lancet Commission set up specific targets for a healthy diet and sustainable food production. The aim was to keep global warming to within 1.5 degrees and to be able to feed the world’s 10 billion people by 2050.