On the third Friday of January a silent and stealthy killer was creeping across the world. Passing from person to person and borne on ships and planes, the coronavirus was already leaving a trail of bodies.The virus had spread from China to six countries and was almost certainly in many others. Sensing the coming danger, the British government briefly went into wartime mode that day, holding a meeting of Cobra, its national crisis committee.
But it took just an hour that January 24 lunchtime to brush aside the coronavirus threat. Matt Hancock, the health secretary, bounced out of Whitehall after chairing the meeting and breezily told reporters the risk to the UK public was "low".
This was despite the publication that day of an alarming study by Chinese doctors in the medical journal, The Lancet. It assessed the lethal potential of the virus, for the first time suggesting it was comparable to the 1918 Spanish flu pandemic, which killed up to 50 million people.
Unusually, Boris Johnson had been absent from Cobra. The committee which includes ministers, intelligence chiefs and military generals gathers at moments of great peril such as terrorist attacks, natural disasters and other threats to the nation and is normally chaired by the prime minister.
Johnson had found time that day, however, to join in a lunar new year dragon eyes ritual as part of Downing Street's reception for the Chinese community, led by the country's ambassador.
It was a big day for Johnson and there was a triumphal mood in Downing Street because the withdrawal treaty from the European Union was being signed in the late afternoon. It could have been the defining moment of his premiership but that was before the world changed.
That afternoon his spokesman played down the looming threat from the east and reassured the nation that we were "well prepared for any new diseases". The confident, almost nonchalant, attitude displayed that day in January would continue for more than a month.
Johnson went on to miss four further Cobra meetings on the virus. As Britain was hit by unprecedented flooding, he completed the EU withdrawal, reshuffled his cabinet and then went away to the grace-and-favour country retreat at Chevening where he spent most of the two weeks over half-term with his pregnant fiancée, Carrie Symonds.
It would not be until March 2 another five weeks that Johnson would attend a Cobra meeting about the coronavirus. But by then it was almost certainly too late. The virus had sneaked into our airports, our trains, our workplaces and our homes. Britain was on course for one of the worst infections of the most deadly virus to have hit the world in more than a century.
Last week, a senior adviser to Downing Street broke ranks and blamed the weeks of complacency on a failure of leadership in cabinet. In particular, the prime minister was singled out.
"There's no way you're at war if your PM isn't there," the adviser said. "And what you learn about Boris was he didn't chair any meetings. He liked his country breaks. He didn't work weekends. It was like working for an old-fashioned chief executive in a local authority 20 years ago. There was a real sense that he didn't do urgent crisis planning. It was exactly like people feared he would be."
INQUIRY 'INEVITABLE' One day there will inevitably be an inquiry into the lack of preparations during those "lost" five weeks from January 24. There will be questions about when politicians understood the severity of the threat, what the scientists told them and why so little was done to equip the National Health Service for the coming crisis. It will be the politicians who will face the most intense scrutiny.
Among the key points likely to be explored will be why it took so long to recognise an urgent need for a massive boost in supplies of personal protective equipment (PPE) for health workers; ventilators to treat acute respiratory symptoms; and tests to detect the infection.
Any inquiry may also ask whether the government's failure to get to grips with the scale of the crisis in those early days had the knock-on effect of the national lockdown being introduced days or even weeks too late, causing many thousands more unnecessary deaths.
An Insight investigation has talked to scientists, academics, doctors, emergency planners, public officials and politicians about the root of the crisis and whether the government should have known sooner and acted more swiftly to kick-start the Whitehall machine and put the NHS onto a war footing.
They told us that, contrary to the official line, Britain was in a poor state of readiness for a pandemic. Emergency stockpiles of PPE had severely dwindled and gone out of date after becoming a low priority in the years of austerity cuts. The training to prepare key workers for a pandemic had been put on hold for two years while contingency planning was diverted to deal with a possible no-deal Brexit.
This made it doubly important that the government hit the ground run-ning in late January and early February. Scientists said the threat from the coming storm was clear. Indeed, one of the government's key advisory committees was given a dire warning a month earlier than has previously been admitted about the prospect of having to deal with mass casualties.
It was a message repeated throughout February but the warnings appear to have fallen on deaf ears. The need, for example, to boost emergency supplies of protective masks and gowns for health workers was pressing, but little progress was made in obtaining the items from the manufacturers, mainly in China.
Instead, the government sent supplies the other way shipping 279,000 items of its depleted stockpile of protective equipment to China during this period, following a request for help from the authorities there.
IMPENDING DANGER The prime minister had been sunning himself with his girlfriend in the millionaires' Caribbean resort of Mustique when China first alerted the World Health Organisation (WHO) on December 31 that several cases of an unusual pneumonia had been recorded in Wuhan, a city of 11 million people in Hubei province.
In the days that followed China initially claimed the virus could not be transmitted from human to human, which should have been reassuring. But this did not ring true to Britain's public health academics and epidemiologists who were texting each other, eager for more information, in early January.
Devi Sridhar, professor of global public health at Edinburgh University, had predicted in a talk two years earlier that a virus might jump species from an animal in China and spread quickly to become a human pandemic. So the news from Wuhan set her on high alert.
"In early January a lot of my global health colleagues and I were kind of discussing 'What's going on?'" she recalled. "China still hadn't confirmed the virus was human-to-human. A lot of us were suspecting it was because it was a respiratory pathogen and you wouldn't see the numbers of cases that we were seeing out of China if it was not human-to-human. So that was disturbing."
By as early as January 16 the professor was on Twitter calling for swift action to prepare for the virus. "Been asked by journalists how serious #WuhanPneumonia outbreak is," she wrote. "My answer: take it seriously because of cross-border spread (planes means bugs travel far & fast), likely human-to-human transmission and previous outbreaks have taught overresponding is better than delaying action."
Events were now moving fast. Four hundred miles away in London, its campus next to the Royal Albert Hall, a team at Imperial College's School of Public Health led by Professor Neil Ferguson produced its first modelling assessment of the likely impact of the virus. On Friday, January 17, its report noted the "worrying" news that three cases of the virus had been discovered outside China two in Thailand and one in Japan. While acknowledging many unknowns, researchers calculated that there could already be as many as 4,000 cases. The report warned: "The magnitude of these numbers suggests substantial human-tohuman transmission cannot be ruled out. Heightened surveillance, prompt information-sharing and enhanced preparedness are recommended." By now the mystery bug had been identified as a type of coronavirus a large family of viruses that can cause infections ranging from the common cold to severe acute respiratory syndrome (Sars). There had been two reported deaths from the virus and 41 patients had been taken ill.
The following Wednesday, January 22, the government convened its first meeting of its scientific advisory group for emergencies (Sage) to discuss the virus. Its membership is secret but it is usually chaired by the government's chief scientific adviser, Sir Patrick Vallance, and chief medical adviser, Professor Chris Whitty. Downing Street advisers are also present.
There were new findings that day with Chinese scientists warning that the virus had an unusually high infectivity rate of up to 3.0, which meant each person with the virus would typically infect up to three more people.
One of those present was Imperial's Ferguson, who was already working on his own estimate putting infectivity at 2.6 and possibly as high as 3.5 which he sent to ministers and officials in a report on the day of the Cobra meeting on January 24. The Spanish flu had an estimated infectivity rate of between 2.0 and 3.0, so Ferguson's finding was shocking.
The professor's other bombshell in the same report was that there needed to be a 60% cut in the transmission rate which meant stopping contact between people. In layman's terms it meant a lockdown, a move that would paralyse an economy already facing a battering from Brexit. At the time such a suggestion was unthinkable in the government and belonged to the world of post-apocalypse movies.
The growing alarm among scientists appears not to have been heard or heeded by policy-makers. After the January 25 Cobra meeting, the chorus of reassurance was not just from Hancock and the prime minister's spokesman: Whitty was confident too.
"Cobra met today to discuss the situation in Wuhan, China," said Whitty. "We have global experts monitoring the situation around the clock and have a strong track record of managing new forms of infectious disease ... there are no confirmed cases in the UK to date."
However, by then there had been 1,000 cases worldwide and 41 deaths, mostly in Wuhan. A Lancet report that day presented a study of 41 coronavirus patients admitted to hospital in Wuhan which found that more than half had severe breathing problems, a third required intensive care and six had died.
And there was now little doubt that the UK would be hit by the virus. A study by Southampton University has shown that 190,000 people flew into the UK from Wuhan and other high-risk Chinese cities between January and March. The researchers estimated that up to 1,900 of these passengers would have been infected with the coronavirus almost guaranteeing the UK would become a centre of the subsequent pandemic.
Sure enough, five days later on Wednesday, January 29, the first coronavirus cases on British soil were found when two Chinese nationals from the same family fell ill at a hotel in York. The next day, the government raised the threat level from low to moderate.
THE PANDEMIC PLAN On January 31 or Brexit day as it had become known there was a rousing 11pm speech by the prime minister promising that the withdrawal from the European Union would be the dawn of a new era unleashing the British people who would who would "grow in confidence" month by month.
By this time, there was good reason for the government's top scientific advisers to feel creeping unease about the virus. The WHO had declared the coronavirus a global emergency just the day before and scientists at the London School of Hygiene and Tropical Medicine had confirmed to Whitty in a private meeting of the Nervtag advisory committee on respiratory illness that the virus's infectivity could be as bad as Ferguson's worst estimate several days earlier.
The official scientific advisers were willing to concede in public that there might be several cases of the coronavirus in the UK. But they had faith that the country's plans for a pandemic would prove robust.
This was probably a big mistake. An adviser to Downing Street with extensive knowledge of Britain's emergency preparations speaking off the record says their confidence in "the plan" was misplaced. While a possible pandemic had been listed as the No 1 threat to the nation for many years, the source says that in reality it had long since stopped being treated as such.
Several emergency planners and scientists said that the plans to protect the UK in a pandemic had once been a top priority and had been well-funded for a decade following the 9/11 terrorist attacks in 2001. But then austerity cuts struck. "We were the envy of the world," the source said, "but pandemic planning became a casualty of the austerity years when there were more pressing needs."
The last rehearsal for a pandemic was a 2016 exercise codenamed Cygnus which predicted the health service would collapse and highlighted a long list of shortcomings including, presciently, a lack of PPE and intensive care ventilators.
But an equally lengthy list of recommendations to address the deficiencies was never implemented. The source said preparations for a no-deal Brexit "sucked all the blood out of pandemic planning" in the following years.
In the year leading up to the coronavirus outbreak key government committee meetings on pandemic planning were repeatedly "bumped" off the diary to make way for discussions about more pressing issues such as the beds crisis in the NHS. Training for NHS staff with protective equipment and respirators was also neglected, the source alleges.
Members of the government advisory group on pandemics are said to have felt powerless. "They would joke between themselves, 'Haha let's hope we don't get a pandemic,' because there wasn't a sinfrom
It was a massive spider's web of failing; every domino has fallen.