Revealed - Britain's coronavirus hotspots (and they are not where you expect): Barrow-in-Furness leads cluster of Northern towns with highest rates of coronavirus infections in England and Wales

One of the most remote towns in the country has suffered more coronavirus cases per capita than anywhere else in England or Wales, official figures show.
At least 552 people in Barrow-in-Furness, Cumbria, have caught COVID-19 since the outbreak began in February, according to the latest Government data.
That gives the small industrial town of 67,000 people, tucked away on the Furness peninsula in the North West, a rate of 882 cases per 100,000 - or 0.88 per cent. 
To put this into perspective, Barrow's infection rate is more than double that of Wales (365), triple England's (244) and Scotland's (251) and quadruple the rate recorded in Northern Ireland (220).   
Figures show that Cumbria is also home to the area with the third highest infection rate. South Lakeland - east of Barrow-in-Furness - has a rate of 488 cases per 100,000 people.
At least 552 people in Barrow-in-Furness (pictured), Cumbria, have been infected with the disease since the outbreak began in February
At least 552 people in Barrow-in-Furness (pictured), Cumbria, have been infected with the disease since the outbreak began in February
That gives the small industrial town of 67,000 people, tucked away on the on the Furness peninsula in the North West, a rate of 882 cases per 100,000
That gives the small industrial town of 67,000 people, tucked away on the on the Furness peninsula in the North West, a rate of 882 cases per 100,000
And the town with the second-highest rate is Lancaster (753), which is located on the other side of Morecambe Bay in Lancashire.  Experts are puzzled as to why this part of the North West has turned into a hotspot for COVID-19 but local public health officials say it may be skewed by higher testing figures.

WHICH AREAS HAVE THE HIGHEST COVID-19 INFECTION RATES PER 100,000 PEOPLE?

  1. Barrow-in-Furness, Cumbria (822)
  2. Lancaster, Lancashire (522)
  3. South Lakeland, Cumbria (488)
  4. Ashford, Kent (484)
  5. Gateshead, Tyne and Wear (478)
  6. Sunderland (478)
  7. South Tyneside, Tyne and Wear (448)
  8. Middlesbrough (447)
  9. Carlisle (431)
  10. Brent, London (429)        
...AND WHICH AREAS HAVE THE LOWEST COVID-19 INFECTION RATES PER 100,000 PEOPLE?
  1. Hastings, East Sussex (47)
  2. Mendip, Somerset (50)
  3. Torridge, North Devon (51)
  4. Rutland, East Midlands (68)
  5. West Lindsey, Lincolnshire (80)
  6. North Devon (87)
  7. North East Lincolnshire (89)
  8. Rother, East Sussex (90)
  9. South Hams, Devon (91)
  10. Arun, West Sussex (91)
The University Hospitals of Morecambe Bay Foundation Trust (UHMBT) covers three hospitals treating coronavirus patients - the Furness general in Barrow, the Royal Lancaster Infirmary and the Westmorland general in Kendal in South Lakeland. The trust has recorded 156 deaths, according to NHS England statistics.
Colin Cox, the director of public health for Cumbria, claims the NHS trust began mass-testing its employees and patients at the end of February and has conducted 'three times' more swabs on average, which 'may explain a fair chunk of it'.
In other developments in Britain's coronavirus crisis today:
  • Chancellor Rishi Sunak has refused to rule out pay freezes and tax hikes to cover £300bn coronavirus bill after Treasury plans leak 
  • Commuters packed onto Tube and trains today after Boris Johnson urged workers to return - but social distancing proved impossible on limited services 
  • Three quarters of Britons say it is 'unacceptable' to let nannies and cleaners come to work in your home during the lockdown despite the Government relaxing rules, a survey revealed today
  • Transport Secretary Grant Shapps said Britons booking holidays abroad this summer are doing so at their own risk 
  • GDP fell by a record 5.8% in March - the largest fall on record after just one week of lockdown - but experts say the worst is still to come 
  •  Union bosses warned a public sector pay freeze would be a 'betrayal'... while millions of private sector workers have their pay cut and face losing their jobs in months   

BREAKDOWN OF THE 10 WORST AREAS

BARROW-IN-FURNESS, CUMBRIA
Population: 67,000
COVID-19 deaths/rate per 1,000 people: 61/0.91
Level of unemployment: 4.7%
Percentage of people who are overweight: 69%
Percentage of deprived households: 19.5%
The Cumbrian seaport of Barrow-In-Furness made its name in the 19th century as a boom town thanks to a huge shipbuilding industry and the railways' arrival.
It became a centre for steel during the Victorian era and was also known for making hundreds of vessels across the two world wars. However it has suffered in recent decades from defence spending cuts after the Cold War which hit its role as a centre of submarine building.
But the shipyard does features a BAE Systems site building the Dreadnought-class submarine programme, while the town has offshore wind farms forming one of Britain's highest concentrations of turbines.
And hopes for the town's revival have been boosted by the local team being on course for promotion into the Football League for the first time since 1972 - but this could be in doubt after the season was suspended.
LANCASTER, LANCASHIRE
Population: 144,000
COVID-19 deaths/rate per 1,000 people: 49/0.34
Level of unemployment: 4.5%
Percentage of people who are overweight: 62%
Percentage of deprived households: 15%
Lancaster has a fascinating history having been recorded in the Domesday Book in 1086, and features a Grade I-listed castle and Britain's oldest working courtroom.
It prospered during the growth of colonies in the West Indies and North American, becoming important in the slave trade and the importing of sugar and tobacco.
But its prominence as a major port ended when the River Lune began to silt up, and it has suffered in more recent years from a decline in the manufacturing sector.
However it has high employment in the education sector with  two universities and benefits from having a major train station on the London-Glasgow west coast mainline.
SOUTH LAKELAND, CUMBRIA
Population: 104,000
COVID-19 deaths/rate per 1,000 people: 111/1.07
Level of unemployment: 1.6%
Percentage of people who are overweight: 52%
Percentage of deprived households: 16% 
The South Lakeland area covers much of the Lake District including the Windermere and Kendal areas, and benefits from being hugely popular with tourists.
The region contains England's largest freshwater lake - Windemere - and the prosperity of the area received a major boost when the railway arrived in 1847.
Kendal also enjoyed industrial importance from the 14th century thanks to a growing wool trade, before this moved out to the mills in Yorkshire and Lancashire.
However it suffered from a declining economy and poor housing following both world wars, before a huge redevelopment of the town centre in the 1980s.
ASHFORD, KENT 
Population: 129,000
COVID-19 deaths/rate per 1,000 people: 51/0.4
Level of unemployment: 3.7%
Percentage of people who are overweight: 62.5%
Percentage of deprived households: 15% 
Ashford began life as a Saxon village before growing into a prosperous market town in the 13th century.
It has 2,395 listed buildings and the most heritage sites of any borough in Kent, and used to feature an important railway and manufacturing works which shut in 1993.
It has always been an important transport hub, having had Roman crossroads settlements - and, in more modern times, being on the HS1 and Eurostar train line.
GATESHEAD, TYNE AND WEAR
Population: 202,000
COVID-19 deaths/rate per 1,000 people: 164/0.81
Level of unemployment: 5.6%
Percentage of people who are overweight: 63%
Percentage of deprived households: 17% 
Gateshead dates back to Roman times and first rose to prominence through coal mining in the area which began in the 14th century. This reached its peak in the 17th century before another boom in the Industrial Revolution, then a slow period of decline towards the end of the Victorian era until the last pit closed in 1927. 
It was also known for a huge locomotive works which shut in 1937. Its population rose ten-fold between 1801 and 1891 which caused a severe housing shortage - the effects of which were still being seen a century later.
However in recent years it has undergone a £150million town centre redevelopment and is home to the famous Sage Gateshead concert hall built in 2004. 
SUNDERLAND, TYNE AND WEAR
Population: 277,000
COVID-19 deaths/rate per 1,000 people: 249/0.9
Level of unemployment: 6.5%
Percentage of people who are overweight: 66%
Percentage of deprived households: 19% 
SOUTH TYNESIDE, TYNE AND WEAR 
Population: 150,000
COVID-19 deaths/rate per 1,000 people: 87/0.58
Level of unemployment: 7.5%
Percentage of people who are overweight: 69%
Percentage of deprived households: 20% 
MIDDLESBROUGH, TEESIDE
Population: 138,000
COVID-19 deaths/rate per 1,000 people: 139/1.01
Level of unemployment: 7.6%
Percentage of people who are overweight: 69%
Percentage of deprived households: 23% 
CARLISLE, CUMBRIA
Population: 108,000
COVID-19 deaths/rate per 1,000 people: 75/0.69
Level of unemployment: 2.9%
Percentage of people who are overweight: 66%
Percentage of deprived households: 14% 
BRENT, LONDON
Population: 330,000
COVID-19 deaths/rate per 1,000 people: 417/1.26
Level of unemployment: 4.7%
Percentage of people who are overweight: 49.5%
Percentage of deprived households: 18%
England's national averages
Unemployment: 4% 
Percentage of overweight people: 64% 
COVID-19 deaths/rate per 1,000 people: 29,260/0.52
Sources: Office for National Statistics, the Department of Health and Public Health England
A total 61 people in Barrow have fallen victim to coronavirus, giving it a death rate of 91 for every 100,000 – one of the worst outside of London.
Officials are stumped as to why the town has been plagued with so many cases, despite welcoming just a fraction of the tourists compared to the nearby Lake District.
Lee Roberts, deputy leader of Barrow borough council, said the figures were a 'big worry' given that lockdown measures are being relaxed today.
Some of the cases can be traced back to a 'super-spreader' house party before lockdown in March, where at least six people had the virus.
The first person to die from the illness in the town had been at the party, according to The Guardian. But how the disease managed to race around the town and infect hundreds more remains a mystery.
Mr Roberts believes high levels of deprivation are partly to blame for the high infection rate.
An Office for National Statistics (ONS) report this month revealed that people living in the poorest parts of the country are dying at twice the rate of those in the wealthiest regions.
Experts say this is because they are exposed to the virus more because they are more likely to work in jobs that cannot be done from home, live in overcrowded homes and use public transport more.
The poorest in society are also more likely to suffer from underlying health conditions and have compromised immune systems - putting them at an increased risk of falling badly unwell with coronavirus.
COVID-19 testing has been largely reserved only for those who fall seriously ill, with those who have minor symptoms being instead told to isolate at home and wait to get better.
Mr Roberts said: 'Most of Barrow is very compact: 40 to 50 per cent of Barrow is terraced housing and we've got a lot of flats, we've got a lot of deprivation, a lot of health inequalities.' 
Figures show that Barrow has high levels of asthma and chronic obstructive pulmonary disease (COPD) compared with the national average – both of which make COVID-19 symptoms worse.
'We have quite a lot of historic respiratory problems from people who worked in old industry, in the ship yards,' Mr Roberts added.
And the constituency has higher than average numbers of patients with diabetes, high blood pressure and obesity, which are all risk factors for the disease.
Barrow's population is also older than average, with 22.7 per cent of residents aged 65 to 90, compared with the England average of 18.3 per cent.
Coronavirus preys on the elderly, with over-80s 12 times more likely to fall critically ill after catching it, according to some estimates.
But Colin Cox, the director of public health for Cumbria, said the high infection rate may also be skewed by the fact Barrow is testing more people for the virus than other towns.
He told The Guardian: 'The rate of testing in Barrow has been two to three times higher than in many other parts of the north-west, so that will explain a fair chunk of it, but I don't think it will explain all of it.' 
Meanwhile, University Hospitals Birmingham was on Monday revealed as the hardest-hit trust in the country by coronavirus. At least 820 people have died with COVID-19 at the trust. 
Every major hospital trust has now recorded at least one victim of COVID-19 and some have been hit harder than others. 
The 10 worst-affected hospital trusts, in London, Birmingham, Derby and Manchester, account for 4,808 fatalities.
This is 16 per cent of the total death toll concentrated into just 4.6 per cent of the country's hospitals.
And there are stark geographical trends, too, showing COVID-19 as a disease of cities - 11 of the 20 worst affected hospitals have been in the capital, along with, two in Birmingham, two in Manchester and others in Liverpool, Leeds and Sunderland.
All major NHS hospital trusts except children's hospitals have now recorded victims of the disease, which has spread to every corner of Britain.
The 820 people who have died at the hospitals in Birmingham make up 3.5 per cent of the 23,359 confirmed to have succumbed to the virus in England's hospitals so far.
The death toll there is 47 per cent higher than the next worst affected hospital, Barts Health Trust in central London, where 558 people have died.
Six other hospital trusts in London fill out the majority of the 10 hospitals with the most victims, according to NHS England data.
Those were London North West University Healthcare (550); King's College Hospital (461); Royal Free London (452); Imperial College Healthcare (400); Barking, Havering & Redbridge (379); and Lewisham and Greenwich (374).
The others were University Hospitals of Derby and Burton (424) and Pennine Acute Hospitals in Manchester (390). 
Scientists have said since the virus started circulating that the way it spreads means people are more at risk if they live in cities and densely populated areas.
The coronavirus is most likely to spread in cities because people live closer together than in the countryside, and are more likely to come close to large numbers of strangers and to touch surfaces such as handrails or door handles that have been contaminated.
People in cities are also more likely to rely on public transport where they may be exposed to the virus.
In the countryside, however, people may be protected because they are able to drive themselves around and are less likely to live in apartment buildings.  
Speaking earlier in the outbreak, Professor Paul Hunter, a medicine professor at the University of East Anglia, told MailOnline: 'If you've got people crammed into a city, there will be more contact between people.
'London was always going to be the worst and first. Before the lockdown, there was still a lot of nightlife, people going to the theatre and jammed into bars. They are crammed in like sardines and won't be two metres apart.
'London undoubtedly was one of the busiest transport systems in Europe. So the spread would have partly been due to extra crowds.
'Birmingham is the second largest city in the UK. If population density is driving cases, then Birmingham might well be the second largest outbreak.'
While 40 hospitals have recorded 200 or more deaths, and make up half of the entire victim count (12,495), there are only 20 which have recorded just one death each.
Another 13 have counted two victims each and 115 have counted 100 or fewer fatalities. 
Smaller, more niche settings such as community health partnerships, minor hospitals, private hospitals and children's hospitals, have recorded fewer fatalities.
The private Woodlands Hospital in Darlington, run by BMI, is the only hospital listed on NHS England's statistics not to have recorded a single death. 
Testing data also offers an insight into how the coronavirus is affecting different areas of England and the UK differently.
While London was at the beginning considered to be at the heart of Britain's outbreak, it is being caught up by other regions.

WHY HAS BARROW BEEN SO BADLY-HIT BY CORONAVIRUS? 

Officials are stumped as to why the town has been plagued with so many cases, despite welcoming just a fraction of the tourists compared to the nearby Lake District.
Some of the cases can be traced back to a 'super-spreader' house party before lockdown in March, where at least six people had the virus.
But how the disease managed to race around the town and infect hundreds more remains a mystery. 
Lee Roberts, deputy leader of Barrow borough council, believes high levels of deprivation are partly to blame.
COVID-19 testing has been largely reserved only for those who fall seriously ill, with those who have minor symptoms being instead told to isolate at home and wait to get better.
And an Office for National Statistics report showed those in the poorest parts of the country are twice as likely to fall badly unwell with the disease.
Mr Roberts added: 'Most of Barrow is very compact: 40 to 50 per cent of Barrow is terraced housing and we've got a lot of flats, we've got a lot of deprivation, a lot of health inequalities.' 
Figures show that Barrow has high levels of asthma and chronic obstructive pulmonary disease (COPD) compared with the national average – both make COVID-19 symptoms worse.
And the constituency has higher than average numbers of patients with diabetes, high blood pressure and obesity, which are all risk factors for the disease.
Barrow's population is also older than average, with 22.7 per cent of residents aged 65 to 90, compared with the England average of 18.3 per cent.
However, Colin Cox, the director of public health for Cumbria, said the high infection rate may also be skewed by the fact Barrow is testing more people for the virus than other towns.
He told The Guardian: 'The rate of testing in Barrow has been two to three times higher than in many other parts of the north-west, so that will explain a fair chunk of it, but I don't think it will explain all of it.' 
The University Hospitals of Morecambe Bay foundation trust (UHMBT) covers three hospitals treating coronavirus patients - the Furness general in Barrow, the Royal Lancaster Infirmary and the Westmorland general in Kendal in South Lakeland.
The higher testing may explain why the towns with the second and third highest infection rates in the country are Lancaster and neighbouring South Lakeland.
The rate of infection in the Nort East is now considerably higher than in the capital, at 340.3 people per 100,000, compared to 290.6 in London.
People in the North West are also at more risk, with 308.7 of them testing positive per 100,000, according to the Department of Health.
There are concerns that the north, which generally has higher levels of deprivation than the south of England, will be harder hit by the virus.
Statistics published today showed that people working in lower paid jobs are more likely to die of COVID-19, with security guards, social care workers, drivers, chefs, and factory and warehouse workers at a significantly higher risk of dying than other people of the same age.
Jonathan Ashworth MP, Labour's Shadow Health Secretary, said: 'This is a devastating confirmation that Covid-19 thrives on inequality and that those in low paid, insecure work have been left exposed and vulnerable. 
'We entered this public health emergency with health inequalities widening and life expectancy stalling. We now need a plan to tackle these widening health inequalities which see poorer people become ill quicker and die sooner.'
Meanwhile, scientists have warned another 30,000 Brits could die from coronavirus if the vulnerable are not protected during the easing of lockdown restrictions.
Scientists at University College London and Cambridge University published a paper estimating the death toll could rise to 73,000 within a year.
They said people with long-term conditions such as heart disease, diabetes and lung conditions would make up between 80 and 90 per cent of the fatalities.
One in five people - more than 8million people in Britain - are at a higher risk of dying if they catch COVID-19 because of their age or poor health.
Those people should not be pushed to return to work when lockdown is eased, and must be protected for as long as possible, the scientists said.
In a separate, worst-case scenario estimate the team predicted up to 590,000 people could die if the Government did nothing and 80 per cent of the population were infected within a year.
Office for National Statistics data today suggested more than 40,000 people have already died with COVID-19, confirming Britain's status as the worst-hit nation in Europe. But the researchers said this is set to rise much higher.
The Government is tomorrow set to relax lockdown rules after 50 days of urging people to stay at home, fuelling concerns that a step too far could trigger a second wave of disease.
If 10 per cent of people in England are allowed to catch the virus, the scientists said - and four per cent are already thought to have done so - the death toll could double. 

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