As Spain, France and Germany start to struggle with rising Covid-19 cases, alarm bells are ringing again in the UK. Over the weekend, 3,000 new people tested positive for Covid-19 in a 24-hour period, and dozens of schools in England and Wales have reported outbreaks. While the number of hospitalisations is still low, the trajectory of the US, France and Spain suggest that hospitalisations tend to follow increased case numbers by several weeks. It’s impossible to have a high number of infections and community transmission and not have vulnerable or elderly individuals hospitalised. They live with and among all of us.