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More than one in 15 people in the UK tested positive for Covid in the last week of 2021, the Office for National Statistics (ONS) estimates.
That's a total of 3.7 million people infected, with rises in all regions of England except London, where a slowdown looks possible.
In older age groups, numbers testing positive are going up, the ONS says.
Combined with mounting pressure on the NHS and growing staff absences, this is concerning health officials.
But a top statistician says it's not likely we will see a big surge in serious illness and deaths during this Omicron wave.
According to the ONS, which tests thousands of people in households with and without symptoms:
- one in 15 people have Covid in England
- one in 20 in Scotland
- one in 20 in Wales
- one in 25 in Northern Ireland
"In London, there were early signs in the last few days of 2021 that infections may no longer be increasing, but it is currently too early to suggest if this is a continuing change in trend," it reports.
However, in the North West, North East and Yorkshire and the Humber, the numbers infected are rising at a faster rate than other regions.
While the percentage of people testing positive for coronavirus continued to go up in all age groups, this trend could be flattening in children aged 11-16.
But the ONS says this can only be confirmed after seeing the effects of children returning to school after the Christmas holidays.
It estimates that around 2% of the over-70s and 4% of 50-69-year-olds tested positive in the last week of December, rising from a low level. The virus spilling into these age groups, which have always been the most vulnerable to Covid illness, is an expected but worrying sign.
The ZOE Covid symptom app also found cases were rising in the over-75s. It estimates that half of people with cold-like symptoms are likely to have Covid.
Sir David Spiegelhalter, from the University of Cambridge, told the BBC that in London, the numbers entering hospital seem to be stable and may even be declining, but admissions are rising in other parts of the country.
"There's still no sign of a serious increase in intensive care ventilation and deaths, and we would have expected to see that by now," he said.
He said the priority was now managing the disruption to the NHS caused by Covid-19.
Staff absences due to Covid at hospital trusts in England have trebled since the beginning of December.
Around 4% of staff, or nearly 35,600 workers, at hospital trusts in England were absent due to Covid every day last week - a 41% rise on the week before. In total, 9% of staff were off sick for any reason, or isolating.
Prof Stephen Powis, NHS England national medical director, said rising Covid-19 cases were "piling even more pressure" on hospital trust workers.
"Omicron means more patients to treat and fewer staff to treat them."
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