Health Secretary Matt Hancock was told to ‘get his facts straight’ today after shooting down vitamin D as a potential coronavirus treatment despite a growing body of evidence from around the world suggesting it works.
Experts have for months been calling for officials to look into the immune system-boosting nutrient’s effect on Covid-19 patients after a mountain of research showed a link to vitamin D deficiency.
Mr Hancock told the House of Commons last week he had green-lit a Government-funded ‘trial’ investigating vitamin D and that it did not ‘appear to have any impact’.
But officials have since admitted that no clinical trials had taken place and claim it was a slip of the tongue from the health secretary – who was also staunchly opposed to face masks in the spring and claimed they were ‘extremely weak’ in stopping Covid-19’s spread.
Officials estimate one in five Britons are deficient in vitamin D — the equivalent of 13million Britons. But the rate is up to 90 per cent in people with darker skin, such as BAME populations who are known to be at greater risk from Covid-19.
Mr Hancock has now agreed to meet experts to to hear the growing case for the vitamin, which the body produces when exposed to the sun. But his flippant dismissal of vitamin D has sparked fury among scientists and MPs who today said time is running out for ministers to act, as levels of the ‘sunshine vitamin’ drop dramatically in autumn and winter.
Experts said his comments ‘displayed incredible ignorance’, while Liberal Democrat MP Layla Morgan told MailOnline the secretary of state ‘needs to be listening, not dismissing’. She added: ‘I hope Matt Hancock will take a less flippant approach to potential treatments in future and get his facts straight before making such comments. We’re in a crisis, it’s time for politicians to stop playing science and listen to the experts.’
A mountain of studies have found an overwhelming amount of people who test positive for Covid-19 do not have enough vitamin D in their bodies and the sickest of patients are often deficient. Scientists have not yet been able to pin down whether the nutrient deficiency is making people more vulnerable to the disease or whether becoming unwell causes vitamin D levels to crash.
But vitamin D supplements are safe, cheap and readily available – costing as little as 6p a pill and sold in most pharmacies, supermarkets and health shops – which has left experts baffled as to why Mr Hancock would be so quick to dismiss them.
Two leading leading doctors told MailOnline that politicians and scientists were so hellbent on getting a vaccine – the Government has pumped hundreds of millions into jab development projects – that they had overlooked the potential of vitamin D and boosting people’s immune systems, which they say is a far less glamorous option.
But Matt Hancock told the House of Commons last week he had green-lit a Government-funded ‘trial’ investigating vitamin D and that it did not ‘appear to have any impact’
Vitamin D supplements are safe, cheap and readily available – costing as little as 6p a pill and sold in most pharmacies, supermarkets and health shops
As well as in supplements, vitamin D is also available through foods, including oily fish, red meat and eggs (right). A Singaporean study earlier in the year of nearly 800 people found almost 99% of Covid-19 patients who died had vitamin D deficiency (left)
A study by Tehran University, in Iran, and Boston University analysed data from 235 hospitalised patients with Covid-19. Patients who had sufficient vitamin D – of at least 30 ng/mL— were 51.5 per cent less likely to die from the disease. Although no one in the study under age 40 died, fatalities (red) were more common among vitamin D deficient people (under the black line) of all ages
A correlation graph showing the relationship between levels of viamin D (bottom, measured in nmol/l) compared to infection numbers of coronavirus by the University of East Anglia. Countries with low vitamin D levels tend to have the highest case rates per million – but the graph was from a study in May, when outbreaks looked very different to how they do now and testing was patchy in most countries
University of Chicago researchers studying 500 Americans’ vitamin D levels found 60 per cent higher rates of Covid-19 among people with low levels of the ‘sunshine vitamin’
It comes after promising research in Spain, which MailOnline covered last month, suggested supplementing Covid-19 hospital patients with the vitamin saves lives.
With very limited treatment options – only a handful of steroid have been proven to help Covid-19 patients – the UK Government has had to rollback economically-crippling and socially-constraining lockdown measures.
Ministers have threatened a second lockdown unless the virus’s current trajectory is curtailed.
If proven to work, vitamin D could provide a cheap and easy way to protect Brits and keep the nation ticking over until a vaccine is ready.
Mr Hancock shot down vitamin D’s potential last week in reply to a question from Dr Rupa Huq, the Labour MP for Ealing and Acton Central.
He said: ‘Vitamin D is one of the many things we have looked into, to see whether it reduces the incidence or impact of coronavirus.
‘And I’ve seen reports that it does, so we therefore put it into a trial, and unfortunately the results were that it doesn’t appear to have any impact. So that is the latest clinical advice, which, of course, is always kept under review.’
Mr Hancock appeared to be referring to a review of evidence conducted by the National Institute for Health and Care Excellence (NICE), an arm of the Department of Health.
NICE conducted a review of a limited number of studies published by June. It noted that a stronger immune system provided greater protection against Covid-19 and admitted that vitamin D boosted immune function.
But it was not convinced there was enough evidence to show that giving doses of the vitamin to already-sick Covid-19 patients provided any benefit.
Dozens of studies — based on weaker methodologies than the Spanish research — have also pointed to similar links.
For instance, researchers at the University of East Anglia in May said: ‘The most vulnerable group of population for Covid-19 is also the one that has the most deficit in vitamin D.’
While University of Chicago scientists last month found that rates of Covid-19 were 60 per cent higher among people with low levels of the sunshine nutrient.
But not all of the evidence has pointed to a benefit.
Glasgow University researchers in May ruled that vitamin D deficiency was associated with an increased risk in infection – but not after adjustment for con-founders such as ethnicity.
It led to the team to conclude their ‘findings do not support a potential link between vitamin D concentrations and risk of Covid-19 infection’.
Dr Huq, in a point of order in parliament on Monday this week, said: ‘[Mr Hancock] said that he had conducted a trial and there was no effect.
‘It turns out that there was no trial. The word ‘trial’ implies fresh evidence, not reheated leftovers.’
Liberal Democrat MP Layla Morgan told MailOnline: ‘This Government needs to be listening not dismissing.
‘I hope Matt Hancock will take a less flippant approach to potential treatments in future and get his facts straight before making such comments.
‘We’re in a crisis, it’s time for politicians to stop playing science and listen to the experts’
Professor Asif Ahmed, vice chancellor for healthcare at Aston University in Birmingham, said it was ‘illogical’ to say vitamin D has no effect on fighting illnesses.
He told MailOnline: ‘We can’t expect the secretary of state to know everything. So we can’t put all the blame on him, but questions have to be asked about why none of his experts have looked into this properly.
‘Even if there is a glimmer of hope – vitamin D supplements are safe, there’s no dangers to taking them unless people take way too much.
‘Even if taking vitamin D only reduces the chance of falling very ill with Covid-19, let’s do it. The amount of millions we’re spending on vaccines, public health measures and other treatments – why don’t we just make everyone take supplements over winter.
‘Even if we don’t have conclusive data, we should go ahead.
‘The Government still doesn’t have conclusive data on wearing face masks, but we’re wearing them and they’re probably helping a little bit.
‘We can’t call for a big study into vitamin D then wait to years time and decide. It’ll be too late then.’
Professor Ahmed suggested that Britain becoming the first country to produce a vaccine was more glamorous than simply prescribing the nation with cheap and common supplements.
As well as in supplements, vitamin D is also available through foods, mainly oily fish.
Black and ethnic minority people (BAME) are more likely to be deficient because it is harder for darker skin types to absorb the nutrient from sunlight.
Eighty per cent of people from South Asian backgrounds, for example, are deficient in the nutrient.
Some believe this may one of the reasons BAME people face a higher risk of dying from the illness, but this has yet to be proven.
The current advice from Public Health England and the NHS is for everybody to consider taking a daily supplement of 10 micrograms – the amount found in one small salmon fillet – during the winter months when sun is hard to come by.
‘This is because you may not be getting enough vitamin D from sunlight if you’re indoors most of the day,’ the NHS advises, saying that supplements helps to keep bones healthy.
The NHS adds: ‘There have been some reports about vitamin D reducing the risk of coronavirus. There is currently not enough evidence to support this.’
The NHS says the general consensus is levels of below 25nmol/L — the equivalent of 10ng/ml — in the blood indicate vitamin D deficiency.
This is thought to be the equivalent of taking around 10 micrograms of vitamin D a day.
The Institute of Medicine — a US health advisory body — states levels below 20ng/ml (50nmol/L) is a deficiency.
Large doses of vitamin D can be dangerous, with anything above 100 micrograms to be taken only under medical supervision.
Charles Bangham, chairman in immunology at Imperial College London, told The Times: ‘PHE already recommends that everybody take a daily vitamin D supplement but the message is not getting through to a large section of the population.
‘As we move into autumn and winter, vitamin D levels will fall and more of the population will become deficient.
‘On that basis, whatever is to be done must be done swiftly. We have nothing to lose but much to gain by eradicating deficiency.’
Studies linking vitamin D deficiency to poorer health outcomes from Covid-19 have been piling up since the pandemic hit earlier in the year.
The growing body of evidence prompted Jacqueline Dunkley-Bent, chief midwifery officer at NHS England, to send a memo to all maternity units in June warning that ‘women low in vitamin D may be more vulnerable to coronavirus’.
The US Government’s leading infectious disease expert, Antony Fauci, has admitted he takes vitamin D to boost his immune system against viruses.
But the most promising study into vitamin D’s effects on Covid-19 was carried out by the University of Cordoba in Spain and published last month.
Researchers gave high doses of calcifediol – a type of vitamin D supplement – to 50 patients hospitalised with the disease.
They were given 1,000 micrograms of the supplement over the course of a week, with 550mcg on the first day and then two booster doses of 270mcg on days three and seven.
‘The dose was much higher than the 70mcg weekly limit recommended by the NHS.
Scientists compared the participants’ health with 26 volunteers in a control group who were not given the tablets, which are normally prescribed to patients with thyroid or kidney problems.
Just one patient given calcifediol fell ill enough to be admitted to intensive care, whereas half of the participants in the control group were taken to ICU and two died.
There were no deaths among volunteers receiving the vitamin and all 50 patients were eventually discharged by the end of the study.
Independent scientists, including some from NICE, said the findings were promising but there were too many flaws in the study’s methods.
For example, the experts did not measure vitamin D levels before or after administering the drug.
And participants’ underlying health conditions were not defined.
Experts now believe Covid-19 causes a catastrophic build-up of a chemical called bradykinin, which makes blood vessels leaky and drives up the risk of inflammation.
Calcifediol is one of the few hormones which regulates the bradykinin and it can also prevent the immune system from going into overdrive.
But this is just a theory and has still not been proven.
Professor Ian Jones, a virologist at the University of Reading, told MailOnline: ‘My general view is that if there is no clear cut view on vitamin D after six months of debate then there is nothing in it.
‘The bradykinin theory sounds plausible but it is just one of hundreds of factors that are induced by the infection and many cytokines also cause blood vessel leakage (its why you have hemorrhagic shock in several viral diseases).’
Taking too much vitamin D can cause bone and organ damage over time, however, and scientists discouraged people from trying to self-medicate.
Meanwhile, Britons can now find out whether they are deficient in vitamin D in as little as fifteen minutes, thanks to a new test.
The pioneering DIY kit — marketed as the first-of-its-kind in the world — works on just a few drops of blood taken from the finger.
It works in exactly the same way as how diabetics check their blood sugar levels, and similar kits exist to look for Covid-19 antibodies.
Blood is mixed with a solution before it is fed into a 10cm device, which analyses the sample to determine vitamin D levels.
Users are able to find out their results through the Your Personalised Vitamin’s (YPV) app, by scanning the device through their phone.
It is the first vitamin D test kit to give a quantitative result, meaning the result gives a precise reading rather than just high or low.
Other do-it-yourself vitamin D tests, which do not give a quantitative result instead giving a basic reading just like a pregnancy test, are sold online and for around £10. YPV’s home-kit costs £40.
Private clinics have for years offered Britons the chance to find out whether they are deficient in the vitamin through similar tests.
But these can take up to a week to give results because they must be analysed in a laboratory.
YPV offers plans to tailor the results of the test to individual needs, advising deficient Britons on exactly how much of the nutrient they need.
Chris Chapman, chief executive officer of manufacturer YPV, said: ‘We have seen a mountain of evidence that vitamin D has a positive, and at times life-saving, impact on people suffering with severe symptoms of coronavirus.
‘It is not just the abundance of evidence that points to this conclusion.
‘We fundamentally disagree with the Health Secretary on this matter, his comments display incredible ignorance.
‘We urge him to practice his well-trodden mantra by following the science, which overwhelmingly points to the benefits of vitamin D when it comes tackling coronavirus.
Mr Chapman added: ‘We are deeply disappointed about his comments.’
It comes as one doctor today claimed more research would have been done into the link between vitamin D and Covid-19 if deficiency was a bigger problem for white people.
Scientists have yet to be able to conclusively say that the sunshine vitamin does help because of a lack of gold-standard trials, such as the one carried out to prove that the cheap steroid dexamethasone boosts survival rates for the most critically-ill patients.
Dr Aseem Malhotra, one of Britain’s leading anti-obesity campaigners and a former NHS cardiologist, told MailOnline ‘underlying racism’ is clearly to blame for the lack of clinical trials into vitamin D.
He said: ‘Vitamin D plays an essential role in innate and adaptive immunity. Severe deficiency, which has been strongly correlated with adverse outcomes from Covid-19, also has a high prevalence among BAME groups in the UK.
‘The majority of those from South Asian or black backgrounds are either deficient or severely deficient.
‘This has been known for years yet little has been done to act on it, in part because of how endemic racism is in both medical research and practice.’
Dr Malhotra, author of Sunday Times best-seller ‘The 21-Day Immunity Plan’, added that everybody should consider taking vitamin D during the winter months.
He said: ‘There is no significant harm from supplementing the public with vitamin D, and only likely a benefit.’
Dr Malhotra said he suspects ministers are so focused on a vaccine that they may be overlooking more simple treatment options, like promoting a healthy immune system and supplementing vitamin D.
He added: ‘The current narrative of suggesting the best and only solution to beat Covid-19 is waiting for a vaccine plays into the Big Pharma narrative, who have too much influence over politicians.
‘As one very senior politician once said to me, “the Department of Health is too close to industry” – we yet have no idea how effective a vaccine will be.
‘For example the flu vaccine is largely ineffective for over 65s yet most doctors don’t know this let alone patients. The focus needs to be advice and policies that help the population lead healthier lives, which won’t only reduce the burden on the overstretched NHS but will also improve our resilience to infection.’
It comes as another study today claimed that black people are almost twice as likely to die from Covid-19 as white people.
Numerous reports, including government-funded research, have shown people in black, Asian and ethnic minority (BAME) communities are being hit harder by the coronavirus.
The latest review of evidence, commissioned by London Mayor Sadiq Khan, adds to the fire.
Manchester University academics, who carried out the research, found black people were 1.9 times more likely to die from Covid-19 than white people. They analysed the data from both local and national sources to make the conclusion.