UPDATE: New emergency meeting being convened - and a travel ban and another lockdown are both possibilities The Prime Minister will host a cabinet call “shortly” and will later hold a press conference with the chief medical officer Chris Whitty and the chief scientific adviser Sir Patrick Vallance, Downing Street has said. There is a suggestion a Tier 4 could be created for London and the South East, with a 'stay at home' message for those living in the capital, which would replace the current Christmas bubble plan for London. Boris Johnson is set to hold a press conference at 4pm or 4.30pm. --- Health Secretary Matt Hancock said there is nothing to suggest this new strain is more likely to cause serious disease. Millions more people in England are entering the toughest coronavirus restrictions amid fears a new variant is accelerating the spread of the disease. Boris Johnson was reported to have held an unscheduled meeting of ministers on Friday amid “growing concern” about the threat posed by the mutant strain – which is spreading fastest in South East England. Professor Sir Mark Walport – a member of the Government’s Scientific Advisory Group for Emergencies (Sage) – said there was a real possibility that it could have a “transmission advantage”. “What happens with viruses is they do naturally mutate all the time and the ones that are likely to do well are the ones that increase transmission,” he told BBC2’s Newsnight. “We know that this is a new variant, it has been seen in other countries but it seems to be quite widespread which suggests that it has got a transmission advantage. “Scientists are working extremely hard to work out what is going on. But it does definitely seem possible that this transmits more easily. “It will make the social-distancing even more critical.” Downing Street would not comment on reports that among the measures being considered by ministers were new travel restrictions for the South East of England. However, the meeting comes as large parts of the region were following London and large parts of Essex and Hertfordshire, which entered the toughest Tier 3 restrictions earlier this week. The NHS in Kent announced that it was suspending non-urgent hospital procedures as it was treating double the number of patients it had at the peak of the first wave in April. Meanwhile, latest figures from Sage showed the reproduction number, or R value, of coronavirus transmission across the UK is estimated to have risen to between 1.1 and 1.2 – which means the spread of the disease is accelerating. With fears that the relaxing of the restrictions over Christmas could lead to a further upward spike, Mr Johnson on Friday refused to rule out the possibility of a third national lockdown for England in the new year. “We’re hoping very much that we will be able to avoid anything like that. But the reality is that the rates of infection have increased very much in the last few weeks,” he told reporters during a visit to Bolton. Here the PA news agency answers some of the key questions about the new variant: – Is this something unusual? There have been many mutations in the virus since it emerged in 2019. This is to be expected – SARS-CoV-2 is an RNA virus and these viruses mutate and change. Public Health England (PHE) said that, as of December 13, 1,108 cases with this new variant had been identified, predominantly in the south and east of England. It has been named VUI – 202012/01 – the first variant under investigation in December. – Is this something to be worried about? Not enough is yet known about the new strain, but it is premature to make any claims about the potential impacts of virus mutation. But if the virus spreads faster it will be harder to control. However, there have already been various strains of Covid-19 with no real consequence. It could potentially be serious, but not enough is known, and the surveillance and research will continue. The Covid-19 Genomics UK (COG-UK) consortium said it is difficult to predict whether any given mutation is important when it first emerges and that it would take “considerable time and effort to test the effect of many thousands of combinations of mutations”. It said the biggest concern is any changes that lead to an increase in reinfections or vaccine failure and that most attention is on mutations in the gene that encodes the spike protein. There are currently around 4,000 mutations in the spike protein gene. – Is it the first novel strain detected in the UK? A number of variants have been detected using sequencing studies in the UK. A specific variant (the D614G variant) has previously been detected in western Europe and North America which is believed to spread more easily but not cause greater illness. But it is thought this is the first strain that will be investigated in such detail by PHE. – Are new variants always a bad thing? Not necessarily. They could even be less virulent. However, if they spread more easily but cause the same disease severity, more people will end up becoming ill in a shorter period of time. – Should we expect the virus to become more harmful? Not really. Only changes that make viruses better for transmission are likely to be stable and result in new circulating strains. The pressure on the virus to evolve is increased by the fact that so many millions of people have now been infected. Most of the mutations will not be significant or give cause for concern, but some may give the virus an evolutionary advantage which may lead to higher transmission or mean it is more harmful. – Will vaccines still work? Mr Hancock said the latest clinical advice is that it is highly unlikely that this mutation would fail to respond to a vaccine. The vaccine produces antibodies against many regions in the spike protein, and it is unlikely a single change would make the vaccine less effective. However, this could happen over time as more mutations occur, as is the case every year with flu. PHE said this new variant includes a mutation in the spike protein and that changes in this part of the spike protein may result in the virus becoming more infectious and spreading more easily between people. – So what are the scientists doing now? Scientists will be growing the new strain in the lab to see how it responds. This includes looking at whether it produces the same antibody response, how it reacts to the vaccine, and modelling the new strain. It could take up to two weeks for this thorough process to be complete. COG-UK is carrying out random sequencing of positive samples across the UK to compile a sequencing coverage report, which is sent to each of the four public health agencies each week. It said random sampling is important to capture regional coverage. – If it’s not that big a deal, why do we care? While other variants have been identified in the past, it appears this particular strain is spreading quite fast, meaning it could be more transmissible, and therefore warrants further investigation. Professor Sir Mark Walport – a member of the Government’s Scientific Advisory Group for Emergencies (Sage) – said there was a possibility that it could have a “transmission advantage”. – What examples are there of other virus strains? The Danish government culled millions of mink after it emerged that hundreds of Covid-19 cases in the country were associated with SARS-CoV-2 variants associated with farmed minks — including 12 cases with a unique variant, reported on November 5. In October a study suggested that a coronavirus variant that originated in Spanish farm workers spread rapidly throughout Europe and accounted for most UK cases. The variant, called 20A.EU1, is known to have spread from farm workers to local populations in Spain in June and July, with people then returning from holiday in Spain most likely playing a key role in spreading the strain across Europe.