Monday, 29 April 2013

swine influenza

Swine influenza


Electron microscope image of the reassorted H1N1 influenza virus photographed at the CDC Influenza Laboratory. The viruses are 80–120 nanometres in diameter.[1]
Swine influenza, also called pig influenza, swine flu, hog flu and pig flu, is an infection caused by any one of several types of swine influenza viruses. Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) is any strain of the influenza family of viruses that is endemic in pigs.[2] As of 2009, the known SIV strains include influenza C and the subtypes of influenza A known as H1N1, H1N2, H2N1, H3N1, H3N2, and H2N3.
Swine influenza virus is common throughout pig populations worldwide. Transmission of the virus from pigs to humans is not common and does not always lead to human flu, often resulting only in the production of antibodies in the blood. If transmission does cause human flu, it is called zoonotic swine flu. People with regular exposure to pigs are at increased risk of swine flu infection.
During the mid-20th century, identification of influenza subtypes became possible, allowing accurate diagnosis of transmission to humans. Since then, only 50 such transmissions have been confirmed. These strains of swine flu rarely pass from human to human. Symptoms of zoonotic swine flu in humans are similar to those of influenza and of influenza-like illness in general, namely chills, fever, sore throat, muscle pains, severe headache, coughing, weakness and general discomfort.
In August 2010, the World Health Organization declared the swine flu pandemic officially over.

Contents

Classification

Of the three genera of influenza viruses that cause human flu, two also cause influenza in pigs, with influenza A being common in pigs and influenza C being rare.[3] Influenza B has not been reported in pigs. Within influenza A and influenza C, the strains found in pigs and humans are largely distinct, although because of reassortment there have been transfers of genes among strains crossing swine, avian, and human species boundaries.

Influenza C

Influenza viruses infect both humans and pigs, but do not infect birds.[4] Transmission between pigs and humans have occurred in the past.[5] For example, influenza C caused small outbreaks of a mild form of influenza amongst children in Japan[6] and California.[6] Because of its limited host range and the lack of genetic diversity in influenza C, this form of influenza does not cause pandemics in humans.[7]

Influenza A

Swine influenza is known to be caused by influenza A subtypes H1N1,[8] H1N2,[8] H2N3,[9] H3N1,[10] and H3N2.[8] In pigs, three influenza A virus subtypes (H1N1, H1N2,H3N2 and H7N9) are the most common strains worldwide.[11] In the United States, the H1N1 subtype was exclusively prevalent among swine populations before 1998; however, since late August 1998, H3N2 subtypes have been isolated from pigs. As of 2004, H3N2 virus isolates in US swine and turkey stocks were triple reassortants, containing genes from human (HA, NA, and PB1), swine (NS, NP, and M), and avian (PB2 and PA) lineages.[12] In August 2012, the Center for Disease Control and Prevention confirmed 145 human cases (113 in Indiana, 30 in Ohio, one in Hawaii and one in Illinois) of H3N2v since July 2012.[13] The death of a 61-year-old Madison County, Ohio woman is the first in the nation associated with a new swine flu strain. She contracted the illness after having contact with hogs at the Ross County Fair.[14]

Surveillance

Although there is no formal national surveillance system in the United States to determine what viruses are circulating in pigs,[15] an informal surveillance network in the United States is part of a world surveillance network.[16]

History

Swine influenza was first proposed to be a disease related to human flu during the 1918 flu pandemic, when pigs became ill at the same time as humans.[17] The first identification of an influenza virus as a cause of disease in pigs occurred about ten years later, in 1930.[18] For the following 60 years, swine influenza strains were almost exclusively H1N1. Then, between 1997 and 2002, new strains of three different subtypes and five different genotypes emerged as causes of influenza among pigs in North America. In 1997–1998, H3N2 strains emerged. These strains, which include genes derived by reassortment from human, swine and avian viruses, have become a major cause of swine influenza in North America. Reassortment between H1N1 and H3N2 produced H1N2. In 1999 in Canada, a strain of H4N6 crossed the species barrier from birds to pigs, but was contained on a single farm.[18]
The H1N1 form of swine flu is one of the descendants of the strain that caused the 1918 flu pandemic.[19][20] As well as persisting in pigs, the descendants of the 1918 virus have also circulated in humans through the 20th century, contributing to the normal seasonal epidemics of influenza.[20] However, direct transmission from pigs to humans is rare, with only 12 recorded cases in the U.S. since 2005.[21] Nevertheless, the retention of influenza strains in pigs after these strains have disappeared from the human population might make pigs a reservoir where influenza viruses could persist, later emerging to reinfect humans once human immunity to these strains has waned.[22]
Swine flu has been reported numerous times as a zoonosis in humans, usually with limited distribution, rarely with a widespread distribution. Outbreaks in swine are common and cause significant economic losses in industry, primarily by causing stunting and extended time to market. For example, this disease costs the British meat industry about £65 million every year.[23]

1918 pandemic in humans

The 1918 flu pandemic in humans was associated with H1N1 and influenza appearing in pigs;[20] this may reflect a zoonosis either from swine to humans, or from humans to swine. Although it is not certain in which direction the virus was transferred, some evidence suggests, in this case, pigs caught the disease from humans.[17] For instance, swine influenza was only noted as a new disease of pigs in 1918, after the first large outbreaks of influenza amongst people.[17] Although a recent phylogenetic analysis of more recent strains of influenza in humans, birds, and swine suggests the 1918 outbreak in humans followed a reassortment event within a mammal,[24] the exact origin of the 1918 strain remains elusive.[25] It is estimated that anywhere from 50 to 100 million people were killed worldwide.[20][26]

1976 U.S. outbreak

On February 5, 1976, a United States army recruit at Fort Dix said he felt tired and weak. He died the next day, and four of his fellow soldiers were later hospitalized. Two weeks after his death, health officials announced the cause of death was a new strain of swine flu. The strain, a variant of H1N1, is known as A/New Jersey/1976 (H1N1). It was detected only from January 19 to February 9 and did not spread beyond Fort Dix.[27]
U.S. President Ford receives a swine flu vaccination
This new strain appeared to be closely related to the strain involved in the 1918 flu pandemic. Moreover, the ensuing increased surveillance uncovered another strain in circulation in the U.S.: A/Victoria/75 (H3N2) spread simultaneously, also caused illness, and persisted until March.[27] Alarmed public health officials decided action must be taken to head off another major pandemic, and urged President Gerald Ford that every person in the U.S. be vaccinated for the disease.[28]
The vaccination program was plagued by delays and public relations problems.[29] On October 1, 1976, immunizations began, and three senior citizens died soon after receiving their injections. This resulted in a media outcry that linked these deaths to the immunizations, despite the lack of any proof the vaccine was the cause. According to science writer Patrick Di Justo, however, by the time the truth was known—that the deaths were not proven to be related to the vaccine—it was too late. "The government had long feared mass panic about swine flu—now they feared mass panic about the swine flu vaccinations." This became a strong setback to the program.[30]
There were reports of Guillain-Barré syndrome, a paralyzing neuromuscular disorder, affecting some people who had received swine flu immunizations. Although if a link exists is still not clear, this syndrome may be a side effect of influenza vaccines. As a result, Di Justo writes, "the public refused to trust a government-operated health program that killed old people and crippled young people." In total, 48,161,019 Americans, or just over 22% of the population, had been immunized by the time the National Influenza Immunization Program was effectively halted on December 16, 1976.[31] [32]
Overall, there were 1098 cases of Guillain-Barré Syndrome (GBS) recorded nationwide by CDC surveillance, 532 of which occurred after vaccination and 543 before vaccination.[33] About one to two cases per 100,000 people of GBS occur every year, whether or not people have been vaccinated.[34] The vaccination program seems to have increased this normal risk of developing GBS by about to one extra case per 100,000 vaccinations.[34]
Recompensation charges were filed for over 4000 cases of severe vaccination damage, including 25 deaths, totalling US$ 3.5 billion, by 1979.[35] The CDC stated most studies on modern influenza vaccines have seen no link with GBS,[34][36][37] Although one review gives an incidence of about one case per million vaccinations,[38] a large study in China, reported in the NEJM, covering close to 100 million doses of H1N1 flu vaccine, found only 11 cases of Guillain-Barre syndrome, which is lower than the normal rate of the disease in China; "The risk-benefit ratio, which is what vaccines and everything in medicine is about, is overwhelmingly in favor of vaccination."[39]

1988 zoonosis

In September 1988, a swine flu virus killed one woman and infected others. A 32-year old woman, Barbara Ann Wieners, was eight months pregnant when she and her husband, Ed, became ill after visiting the hog barn at a county fair in Walworth County, Wisconsin. Barbara died eight days later, after developing pneumonia.[40] The only pathogen identified was an H1N1 strain of swine influenza virus.[41] Doctors were able to induce labor and deliver a healthy daughter before she died. Her husband recovered from his symptoms.
Influenza-like illness (ILI) was reportedly widespread among the pigs exhibited at the fair. Of the 25 swine exhibitors aged 9 to 19 at the fair, 19 tested positive for antibodies to SIV, but no serious illnesses were seen. The virus was able to spread between people, since one to three health care personnel who had cared for the pregnant woman developed mild, influenza-like illnesses, and antibody tests suggested they had been infected with swine flu, but there was no community outbreak.[42][43]

1998 US outbreak in swine

In 1998, swine flu was found in pigs in four U.S. states. Within a year, it had spread through pig populations across the United States. Scientists found this virus had originated in pigs as a recombinant form of flu strains from birds and humans. This outbreak confirmed that pigs can serve as a crucible where novel influenza viruses emerge as a result of the reassortment of genes from different strains.[44][45][46] Genetic components of these 1998 triple-hybrid stains would later form six out of the eight viral gene segments in the 2009 flu outbreak.[47][48][49][50][51]

2007 Philippine outbreak in swine

On August 20, 2007, the Department of Agriculture officers investigated the outbreak (epizootic) of swine flu in Nueva Ecija and central Luzon, Philippines. The mortality rate is less than 10% for swine flu, unless there are complications like hog cholera. On July 27, 2007, the Philippine National Meat Inspection Service (NMIS) raised a hog cholera "red alert" warning over Metro Manila and five regions of Luzon after the disease spread to backyard pig farms in Bulacan and Pampanga, even if these tested negative for the swine flu virus.[52][53]

2009 Northern Ireland outbreak in swine

Since November 2009, 14 deaths as a result of swine flu in Northern Ireland have been reported. The majority of the victims were reported to have pre-existing health conditions which had lowered their immunity. This closely corresponds to the 19 patients who had died in the year prior due to swine flu, where 18 of the 19 were determined to have lowered immune systems. Because of this, many mothers who have just given birth are strongly encouraged to get a flu shot because their immune systems are vulnerable. Also, studies have shown that people between the ages of 15 and 44 have the highest rate of infection. Although most people now recover, having any conditions that lower one's immune system increases the risk of having the flu become potentially lethal. In Northern Ireland now, approximately 56% of all people under 65 who are entitled to the vaccine have gotten the shot, and the outbreak is said to be under control.[54]

H1N1 virus pandemic history

A study conducted in 2011, and published in the journal Nature, has managed to establish the evolutionary origin of the flu strain of swine origin (S-OIV).[55]
The phylogenetic origin of the flu virus that caused the 2009 pandemics can be traced before 1918. Around 1918, the ancestral virus, of avian origin, crossed the species boundaries and infected humans as human H1N1. The same phenomenon took place soon after in America, where the human virus was infecting pigs; it led to the emergence of the H1N1 swine strain, which later became the classic swine flu.
The new human H1N1 flu strain of avian origin kept transmitting among human populations until around 1957, when there was a co-infection between this strain and the avian H1N1 in humans. A reassortment event led to the development of a new strain (H2N2). From this point onwards, no outbreaks of H1N1 were reported in humans until around 1976.
New events of reassortment were not reported until 1968, when the avian strain H1N1 infected humans again; this time the virus met the strain H2N2, and the reassortment originated the strain H3N2. This strain has remained as a stable flu strain until now.
The mid-1970s were important for the evolution of flu strains. First, the re-emergence of the human H1N1 strain became a seasonal strain. Then, a small outbreak of swine H1N1 occurred in humans, and finally, the human H2N2 strain apparently became extinct. Around 1979, the avian H1N1 strain infected pigs and gave rise to Euroasiatic swine flu and H1N1 Euroasiatic swine virus, which is still being transmitted in swine populations.
The critical moment for the 2009 outbreak was between 1990 and 1993. A triple reassortment event in a pig host of North American H1N1 swine virus, the human H3N2 virus and avian H1N1 virus generated the swine H1N2 strain. Finally, the last step in S-OIV history was in 2009, when the virus H1N2 co-infected a human host at the same time as the Euroasiatic H1N1 swine strain. This led to the emergence of a new human H1N1 strain, which caused the 2009 pandemic.
On June 11, 2009, the World Health Organization raised the worldwide pandemic alert level to Phase 6 for swine flu, which is the highest alert level.[56] This alert level means that the swine flu had spread worldwide and there were cases of people with the virus in most countries. The pandemic level identifies the spread of the disease or virus and not necessarily the severity of the disease.
Swine flu spread very rapidly worldwide due to its high human-to-human transmission rate and due to the frequency of air travel.[56]

Transmission

Transmission between pigs

Influenza is quite common in pigs, with about half of breeding pigs having been exposed to the virus in the US.[57] Antibodies to the virus are also common in pigs in other countries.[57]
The main route of transmission is through direct contact between infected and uninfected animals.[11] These close contacts are particularly common during animal transport. Intensive farming may also increase the risk of transmission, as the pigs are raised in very close proximity to each other.[58][59] The direct transfer of the virus probably occurs either by pigs touching noses, or through dried mucus. Airborne transmission through the aerosols produced by pigs coughing or sneezing are also an important means of infection.[11] The virus usually spreads quickly through a herd, infecting all the pigs within just a few days.[2] Transmission may also occur through wild animals, such as wild boar, which can spread the disease between farms.[60]

Transmission to humans

People who work with poultry and swine, especially those with intense exposures, are at increased risk of zoonotic infection with influenza virus endemic in these animals, and constitute a population of human hosts in which zoonosis and reassortment can co-occur.[61] Vaccination of these workers against influenza and surveillance for new influenza strains among this population may therefore be an important public health measure.[62] Transmission of influenza from swine to humans who work with swine was documented in a small surveillance study performed in 2004 at the University of Iowa.[63] This study, among others, forms the basis of a recommendation that people whose jobs involve handling poultry and swine be the focus of increased public health surveillance.[61] Other professions at particular risk of infection are veterinarians and meat processing workers, although the risk of infection for both of these groups is lower than that of farm workers.[64]

Interaction with avian H5N1 in pigs

Pigs are unusual as they can be infected with influenza strains that usually infect three different species: pigs, birds and humans.[65] This makes pigs a host where influenza viruses might exchange genes, producing new and dangerous strains.[65] Avian influenza virus H3N2 is endemic in pigs in China, and has been detected in pigs in Vietnam, increasing fears of the emergence of new variant strains.[66] H3N2 evolved from H2N2 by antigenic shift.[67] In August 2004, researchers in China found H5N1 in pigs.[68]
Main symptoms of swine flu in swine[2]
These H5N1 infections may be quite common; in a survey of 10 apparently healthy pigs housed near poultry farms in West Java, where avian flu had broken out, five of the pig samples contained the H5N1 virus. The Indonesian government has since found similar results in the same region. Additional tests of 150 pigs outside the area were negative.[69][70]

Signs and symptoms

In swine

In pigs, influenza infection produces fever, lethargy, sneezing, coughing, difficulty breathing and decreased appetite.[11] In some cases the infection can cause abortion. Although mortality is usually low (around 1–4%),[2] the virus can produce weight loss and poor growth, causing economic loss to farmers.[11] Infected pigs can lose up to 12 pounds of body weight over a three- to four-week period.[11]

In humans

Main symptoms of swine flu in humans[71]
Direct transmission of a swine flu virus from pigs to humans is occasionally possible (called zoonotic swine flu). In all, 50 cases are known to have occurred since the first report in medical literature in 1958, which have resulted in a total of six deaths.[72] Of these six people, one was pregnant, one had leukemia, one had Hodgkin's lymphoma and two were known to be previously healthy.[72] Despite these apparently low numbers of infections, the true rate of infection may be higher, since most cases only cause a very mild disease, and will probably never be reported or diagnosed.[72]
In this video, Dr. Joe Bresee, with CDC's Influenza Division, describes the symptoms of swine flu and warning signs to look for that indicate the need for urgent medical attention.
See also: See this video with subtitles on YouTube [73]
According to the Centers for Disease Control and Prevention (CDC), in humans the symptoms of the 2009 "swine flu" H1N1 virus are similar to those of influenza and of influenza-like illness in general. Symptoms include fever, cough, sore throat, body aches, headache, chills and fatigue. The 2009 outbreak has shown an increased percentage of patients reporting diarrhea and vomiting.[74] The 2009 H1N1 virus is not zoonotic swine flu, as it is not transmitted from pigs to humans, but from person to person.
Because these symptoms are not specific to swine flu, a differential diagnosis of probable swine flu requires not only symptoms, but also a high likelihood of swine flu due to the person's recent history. For example, during the 2009 swine flu outbreak in the United States, the CDC advised physicians to "consider swine influenza infection in the differential diagnosis of patients with acute febrile respiratory illness who have either been in contact with persons with confirmed swine flu, or who were in one of the five U.S. states that have reported swine flu cases or in Mexico during the seven days preceding their illness onset."[75] A diagnosis of confirmed swine flu requires laboratory testing of a respiratory sample (a simple nose and throat swab).[75]
The most common cause of death is respiratory failure. Other causes of death are pneumonia (leading to sepsis),[76] high fever (leading to neurological problems), dehydration (from excessive vomiting and diarrhea), electrolyte imbalance and kidney failure.[77] Fatalities are more likely in young children and the elderly.

Diagnosis

Thermal scanning of passengers arriving at Singapore Changi airport
The CDC recommends real-time RT-PCR as the method of choice for diagnosing H1N1.[78] This method allows a specific diagnosis of novel influenza (H1N1) as opposed to seasonal influenza. Near-patient point-of-care tests are in development.[79]

Prevention

Prevention of swine influenza has three components: prevention in swine, prevention of transmission to humans, and prevention of its spread among humans.

In swine

Methods of preventing the spread of influenza among swine include facility management, herd management, and vaccination (ATCvet code: QI09AA03). Because much of the illness and death associated with swine flu involves secondary infection by other pathogens, control strategies that rely on vaccination may be insufficient.
Control of swine influenza by vaccination has become more difficult in recent decades, as the evolution of the virus has resulted in inconsistent responses to traditional vaccines. Standard commercial swine flu vaccines are effective in controlling the infection when the virus strains match enough to have significant cross-protection, and custom (autogenous) vaccines made from the specific viruses isolated are created and used in the more difficult cases.[80][81] Present vaccination strategies for SIV control and prevention in swine farms typically include the use of one of several bivalent SIV vaccines commercially available in the United States. Of the 97 recent H3N2 isolates examined, only 41 isolates had strong serologic cross-reactions with antiserum to three commercial SIV vaccines. Since the protective ability of influenza vaccines depends primarily on the closeness of the match between the vaccine virus and the epidemic virus, the presence of nonreactive H3N2 SIV variants suggests current commercial vaccines might not effectively protect pigs from infection with a majority of H3N2 viruses.[72][82] The United States Department of Agriculture researchers say while pig vaccination keeps pigs from getting sick, it does not block infection or shedding of the virus.[83]
Facility management includes using disinfectants and ambient temperature to control viruses in the environment. They are unlikely to survive outside living cells for more than two weeks, except in cold (but above freezing) conditions, and are readily inactivated by disinfectants.[2] Herd management includes not adding pigs carrying influenza to herds that have not been exposed to the virus. The virus survives in healthy carrier pigs for up to three months, and can be recovered from them between outbreaks. Carrier pigs are usually responsible for the introduction of SIV into previously uninfected herds and countries, so new animals should be quarantined.[57] After an outbreak, as immunity in exposed pigs wanes, new outbreaks of the same strain can occur.[2]

In humans

Prevention of pig-to-human transmission
AntigenicShift HiRes vector.svg
Swine can be infected by both avian and human flu strains of influenza, and therefore are hosts where the antigenic shifts can occur that create new influenza strains.
The transmission from swine to humans is believed to occur mainly in swine farms, where farmers are in close contact with live pigs. Although strains of swine influenza are usually not able to infect humans, this may occasionally happen, so farmers and veterinarians are encouraged to use face masks when dealing with infected animals. The use of vaccines on swine to prevent their infection is a major method of limiting swine-to-human transmission. Risk factors that may contribute to swine-to-human transmission include smoking and, especially, not wearing gloves when working with sick animals, thereby increasing the likelihood of subsequent hand-to-eye, hand-to-nose or hand-to-mouth transmission.[84]
Prevention of human-to-human transmission
Influenza spreads between humans when infected people cough or sneeze, then other people breathe in the virus or touch something with the virus on it and then touch their own face.[85] "Avoid touching your eyes, nose or mouth. Germs spread this way."[86] Swine flu cannot be spread by pork products, since the virus is not transmitted through food.[85] The swine flu in humans is most contagious during the first five days of the illness, although some people, most commonly children, can remain contagious for up to ten days. Diagnosis can be made by sending a specimen, collected during the first five days, for analysis.[87]
Thermal imaging camera and screen, photographed in an airport terminal in Greece - thermal imaging can detect elevated body temperature, one of the signs of the virus H1N1 (swine influenza).
Recommendations to prevent spread of the virus among humans include using standard infection control, which includes frequent washing of hands with soap and water or with alcohol-based hand sanitizers, especially after being out in public.[88] Chance of transmission is also reduced by disinfecting household surfaces, which can be done effectively with a diluted chlorine bleach solution.[89]
Experts agree hand-washing can help prevent viral infections, including ordinary and the swine flu infections. Also, avoiding touching one's eyes, nose or mouth with one's hands helps to prevent the flu.[86] Influenza can spread in coughs or sneezes, but an increasing body of evidence shows small droplets containing the virus can linger on tabletops, telephones and other surfaces and be transferred via the fingers to the eyes, nose or mouth. Alcohol-based gel or foam hand sanitizers work well to destroy viruses and bacteria. Anyone with flu-like symptoms, such as a sudden fever, cough or muscle aches, should stay away from work or public transportation, and should contact a doctor for advice.[90]
Social distancing, another tactic, is staying away from other people who might be infected, and can include avoiding large gatherings, spreading out a little at work, or perhaps staying home and lying low if an infection is spreading in a community. Public health and other responsible authorities have action plans which may request or require social distancing actions, depending on the severity of the outbreak.

Vaccination

Vaccines are available for different kinds of swine flu. The U.S. Food and Drug Administration (FDA) approved the new swine flu vaccine for use in the United States on September 15, 2009.[91] Studies by the National Institutes of Health show a single dose creates enough antibodies to protect against the virus within about 10 days.[92]
In the aftermath of the 2009 pandemic, several studies were conducted to see who received influenza vaccines. These studies show that whites are much more likely to be vaccinated for seasonal influenza and for the H1N1 strain than African Americans [93] This could be due to several factors. Historically, there has been mistrust of vaccines and of the medical community from African Americans. Many African Americans do not believe vaccines or doctors to be effective. This mistrust stems from the exploitation of the African American communities during studies like the Tuskegee study. Additionally, vaccines are typically administered in clinics, hospitals, or doctor’s offices. Many people of lower socioeconomic status are less likely to receive vaccinations because they do not have health insurance.

Treatment

In swine

As swine influenza is rarely fatal to pigs, little treatment beyond rest and supportive care is required.[57] Instead, veterinary efforts are focused on preventing the spread of the virus throughout the farm, or to other farms.[11] Vaccination and animal management techniques are most important in these efforts. Antibiotics are also used to treat this disease, which although they have no effect against the influenza virus, do help prevent bacterial pneumonia and other secondary infections in influenza-weakened herds.[57]

In humans

If a person becomes sick with swine flu, antiviral drugs can make the illness milder and make the patient feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within two days of symptoms). Beside antivirals, supportive care at home or in a hospital focuses on controlling fevers, relieving pain and maintaining fluid balance, as well as identifying and treating any secondary infections or other medical problems. The U.S. Centers for Disease Control and Prevention recommends the use of oseltamivir (Tamiflu) or zanamivir (Relenza) for the treatment and/or prevention of infection with swine influenza viruses; however, the majority of people infected with the virus make a full recovery without requiring medical attention or antiviral drugs.[94] The virus isolated in the 2009 outbreak have been found resistant to amantadine and rimantadine.[95]
In the U.S., on April 27, 2009, the FDA issued Emergency Use Authorizations to make available Relenza and Tamiflu antiviral drugs to treat the swine influenza virus in cases for which they are currently unapproved. The agency issued these EUAs to allow treatment of patients younger than the current approval allows and to allow the widespread distribution of the drugs, including by volunteers.[96]

madonna adele

That's horrible': Madonna stands up for Adele over 'ridiculous' fat jibes from Karl Lagerfeld


He's already backtracked on his words, apologising for dubbing Adele 'a little too fat'.
But now he faces the wrath of the Queen of Pop as she slates designer Karl Lagerfeld for ever making the 'horrible' and 'ridiculous' comments.
Madonna has now spoken out in defence of the Chasing Pavements singer and offered her own advice over such scrutiny.
Star support: Madonna has spoken out in defence of Adele, insisting comments made by designer Karl Lagerfeld about her weight are 'horrible' and 'ridiculous'
Star support: Madonna has spoken out in defence of Adele, insisting comments made by designer Karl Lagerfeld about her weight are 'horrible' and 'ridiculous'
Star support: Madonna has spoken out in defence of Adele, insisting comments made by designer Karl Lagerfeld about her weight are 'horrible' and 'ridiculous'
She told The Sun: 'That's horrible. That's ridiculous, that's just the most ridiculous thing I've ever heard...
 
'Adele's a great talent and how much she weighs has nothing to do with it.'
Last month Lagerfeld made the controversial criticisms, causing Adele to hit back after she declared she is 'proud' of her figure.
The 23-year-old said: 'I've never wanted to look like models on the cover of magazines. I represent the majority of women and I'm very proud of that.'
Popular: Adele hit back at Lagerfeld herself, insisting she's proud of her figure - leading to the designer making a public apology to her last month
Popular: Adele hit back at Lagerfeld herself, insisting she's proud of her figure - leading to the designer making a public apology to her last month
And following the barrage of complaints from her millions of fans, Karl then made a public apology to the star, insisting he is a big fan.
Hitting back: Madonna has offered advice to the star over the constant scrutiny
Hitting back: Madonna has offered advice to the star over the constant scrutiny
He told the Metro New York newspaper: 'I’d like to say to Adele that I am your biggest admirer.
'Sometimes when you take a sentence out of the article it changes the meaning of the thought. Adele is my favorite singer and I am a great admirer of her.'
And while Adele has chosen to move on from the scrutiny over her looks, Madonna has offered some advice to her.
She added: 'The thing for Adele to remember is at the end of the day, whether you rise or fall, it has so much to do with how you sustain yourself and keep your integrity and inner strength.'
Madonna has begun to shed her tough exterior recently as she begins to open up more about her personal life.
Over the weekend she also let her guard down as she discussed how difficult it has become being a single mother to her four children.
The superstar freely admitted she's been struggling since splitting from husband Guy Ritchie over three years ago.
Mum of four: Madonna has admitted she's finding it tough maintaining her pop career while looking after her children on her own for the last four years
Mum of four: Madonna has admitted she's finding it tough maintaining her pop career while looking after her children on her own for the last four years
The pop superstar revealed in an interview with The Sun that it feels like her 'head is going to explode' as she continues to raise her brood alone.
The 53-year-old has been starting to feel the strain as she keeps concentrating on her music career at the same time.
Madonna is raising 15-year-old daughter Lourdes, as well as her 12-year-old son Rocco and David, six, as well as daughter Mercy, five.
Hard work: The Material Girl takes care of 15-year-old daughter Lourdes, 12-year-old Rocco and six-year-old David, pictured, as well as youngest daughter Mercy, five
Hard work: The Material Girl takes care of 15-year-old daughter Lourdes, 12-year-old Rocco and six-year-old David, pictured, as well as youngest daughter Mercy, five
And she's happy to admit even she is finding the workload and motherly duties difficult.
Madonna told The Sun: 'I'm not going to lie - it's hard working having four kids and doing all the work I do.'
Split: Madonna broke up from director Guy Ritchie in late 2008

The Material Girl split from the Sherlock Holmes director at the end of 2008.
And although she's now dating 24-year-old dancer Brahim Zaibat, Madonna has been raising the children alone.
She added: 'Sometimes I cope with it very well. sometimes it's a struggle.'
The singer even vented her thoughts about her relationship status through the release of her latest album MDNA.
On one particular track, I Don't Give A, Madonna sings about life as a single mother.
She sings: 'I tried to be a good girl/ I tried to be your wife/ Diminished myself/ And I swallowed my light.
'I tried to become all/ That you expect of me/ And if it was a failure/ I don't give a [bleep].'
And she's now confirmed the lyrics are about her life without a partner.
'It's about the life of a single mother,' she continues. 'It's a challenge juggling everything - multi-tasking is my middle name. I try to express that.'
Family time: The singer returned from a skiing trip with the youngsters and her toy boy boyfriend Brahim in January
Family time: The singer returned from a skiing trip with the youngsters and her toy boy boyfriend Brahim in January
Madonna also appears to be letting loose about her failed marriage in bonus track I F**ked Up.
In the song she appears to be accepting some blame for the breakdown of their relationship, singing; 'I blamed you when things didn't go my way/I could have just kept my big mouth shut.'

Saturday, 27 April 2013

Sarabjit Singh still in 'deep coma


Sarabjit Singh still in 'deep coma'; family will cross Wagah border today to visit him

As Sarabjit Singh, an Indian national who is on death row in Pakistan, continues to be in deep coma and on ventilator support at a hospital in Lahore after being brutally attacked by a group of prisoners on Friday, his family is expected to leave for Lahore today.

The Pakistan High Commission yesterday issued four emergency visas to four members of Sarabjit's family to travel to Lahore. The visas, however, came after a push from New Delhi and strong protests from the Indian establishment, including the Prime Minister, who condemned the attack and called it a "very sad incident".

External Affairs Minister Salman Khurshid, who is in Russia on an official trip, has said that India is ready to provide Sarabjit with all the necessary medical assistance.

Sarabjit's lawyer, Awais Sheikh, has told NDTV that his condition is critical. "He is in coma and is critical. 60 per cent of his brain is damaged... his backbone is broken," said Mr Sheikh.

Yesterday, Sarabjit's daughter told NDTV it was a premeditated attempt to murder her father and that authorities were involved.

"Yes, it was an attempt to murder my father. It was all planned because in the morning we were hearing that the authorities of jail were saying that he has been attacked while shifting the barrack but now the authorities are saying that he's been attacked in his barrack only. We are unable to understand what they want to say. It shows that it was already planned and authorities were also involved," Swapandeep Kaur said.

She also held the governments of both India and Pakistan responsible for not taking the threats to his life seriously.

"My father told us he was being threatened from Pakistan after Afzal Guru's hanging. He feared for his life... We had told the Home Minister and the Minister of External Affairs... no action was taken," said teary-eyed Swapandeep.

The allegations come a day after Sarabjit, 49, was assaulted at the Kot Lakhpat Jail in Lahore. Incidentally, it is the same jail where another Indian prisoner Chamel Singh died in January this year, allegedly after being tortured. India is still waiting for the post-mortem report.

Pakistani TV news channels quoted their sources as saying that next 24 hours would be crucial for Sarabjit.

According to reports, Sarabjit was attacked by six prisoners inside his cell. The inmates overpowered two wardens and snatched the keys of Sarabjit's cell. They then hit Sarabjit with bricks and a blade resulting in cut marks on his face, neck and stomach.
Reports also say the jail staff found Sarabjit unconscious and bleeding profusely. The jail staff removed Sarabjit's blood-soaked clothes and he was then dressed in the jail warden's clothes before being taken to the hospital.

The prime suspect had apparently tried to attack Sarabjit a few days ago too.

Two prisoners have been booked for attempt to murder. Four jail officials, including the warden, have been suspended.
New Delhi has been confident that Sarabjit would eventually be released from jail in Pakistan. He has consistently said that he was wrongly implicated in multiple blasts in Faisalabad and Lahore in 1990 which left 14 people dead and had entered Pakistan by mistake three months after the blasts took place.

Margaret Thatcher


The Right Honourable
The Baroness Thatcher
LG OM PC FRS
Photograph
Prime Minister of the United Kingdom
In office
4 May 1979 – 28 November 1990
Monarch Elizabeth II
Deputy William Whitelaw
Geoffrey Howe
Preceded by James Callaghan
Succeeded by John Major
Leader of the Opposition
In office
11 February 1975 – 4 May 1979
Monarch Elizabeth II
Prime Minister Harold Wilson
James Callaghan
Preceded by Edward Heath
Succeeded by James Callaghan
Leader of the Conservative Party
In office
11 February 1975 – 28 November 1990
Preceded by Edward Heath
Succeeded by John Major
Secretary of State for Education and Science
In office
20 June 1970 – 4 March 1974
Prime Minister Edward Heath
Preceded by Edward Short
Succeeded by Reginald Prentice
Member of Parliament
for Finchley
In office
8 October 1959 – 9 April 1992
Preceded by John Crowder
Succeeded by Hartley Booth
Personal details
Born Margaret Hilda Roberts
13 October 1925
Grantham, England
Died 8 April 2013 (aged 87)
London, England
Political party Conservative
Spouse(s) Denis Thatcher
(m. 1951–2003, his death)
Children Carol Thatcher
Mark Thatcher
Alma mater Somerville College, Oxford
Inns of Court
Profession Chemist
Lawyer
Religion Church of England (1951-death)
Methodist (1925–1951)
Signature
Margaret Hilda Thatcher, Baroness Thatcher, LG OM PC FRS (née Roberts, 13 October 1925 – 8 April 2013) was a British politician who was the Prime Minister of the United Kingdom from 1979 to 1990 and the Leader of the Conservative Party from 1975 to 1990. She was the longest-serving British Prime Minister of the 20th century and is the only woman (and only scientist) to have held the office. A Soviet journalist called her the "Iron Lady", a nickname that became associated with her uncompromising politics and leadership style. As Prime Minister, she implemented policies that have come to be known as Thatcherism.
Originally a research chemist before becoming a barrister, Thatcher was elected Member of Parliament (MP) for Finchley in 1959. Edward Heath appointed her Secretary of State for Education and Science in his 1970 government. In 1975, Thatcher defeated Heath in the Conservative Party leadership election to become Leader of the Opposition and became the first woman to lead a major political party in the United Kingdom. She became Prime Minister after winning the 1979 general election.
Upon moving into 10 Downing Street, Thatcher introduced a series of political and economic initiatives intended to reverse high unemployment and Britain's struggles in the wake of the Winter of Discontent and an ongoing recession.[nb 1] Her political philosophy and economic policies emphasised deregulation (particularly of the financial sector), flexible labour markets, the privatisation of state-owned companies, and reducing the power and influence of trade unions. Thatcher's popularity during her first years in office waned amid recession and high unemployment, until the 1982 Falklands War brought a resurgence of support, resulting in her re-election in 1983.
Thatcher was re-elected for a third term in 1987. During this period her support for a Community Charge (popularly referred to as "poll tax") was widely unpopular and her views on the European Community were not shared by others in her Cabinet. She resigned as Prime Minister and party leader in November 1990, after Michael Heseltine launched a challenge to her leadership. After retiring from the Commons in 1992, she was given a life peerage as Baroness Thatcher, of Kesteven in the County of Lincolnshire, which entitled her to sit in the House of Lords. After a series of small strokes in 2002 she was advised to withdraw from public speaking, and in 2013 she died of another stroke in London at the age of 87.

Early life and education

The corner of a terraced street in a suburban setting. The lower storey is a corner shop, advertising as a chiropractic clinic. The building is two storeys high, with some parts three storeys high.
Margaret Thatcher's birthplace, in Grantham, above her father's former grocery store
"Birth place of the Rt.Hon. Margaret Thatcher, M.P. First woman prime minister of Great Britain and Northern Ireland"
Commemorative plaque at Thatcher's birthplace
Thatcher was born Margaret Hilda Roberts in Grantham, Lincolnshire, on 13 October 1925. Her father was Alfred Roberts, originally from Northamptonshire, and her mother was Beatrice Ethel (née Stephenson) from Lincolnshire.[2] She spent her childhood in Grantham, where her father owned two grocery shops.[3] She and her older sister Muriel (1921-2004) were raised in the flat above the larger of the two, located on North Parade near the railway line.[3] Her father was active in local politics and the Methodist church, serving as an alderman and a local preacher,[4] and brought up his daughter as a strict Wesleyan Methodist[5] attending the Finkin Street Methodist Church. He came from a Liberal family but stood—as was then customary in local government—as an Independent. He was Mayor of Grantham in 1945–46 and lost his position as alderman in 1952 after the Labour Party won its first majority on Grantham Council in 1950.[4]
Margaret Roberts attended Huntingtower Road Primary School and won a scholarship to Kesteven and Grantham Girls' School.[6] Her school reports showed hard work and continual improvement; her extracurricular activities included the piano, field hockey, poetry recitals, swimming and walking.[7][8] She was head girl in 1942–43.[9] In her upper sixth year she applied for a scholarship to study chemistry at Somerville College, Oxford, but she was initially rejected and was offered a place only after another candidate withdrew.[10][11] She arrived at Oxford in 1943 and graduated in 1947 with Second-Class Honours in the four-year Chemistry Bachelor of Science degree; in her final year she specialised in X-ray crystallography under the supervision of Dorothy Hodgkin.[12][13]
Roberts became President of the Oxford University Conservative Association in 1946.[14][15] She was influenced at university by political works such as Friedrich von Hayek's The Road to Serfdom (1944),[16] which condemned economic intervention by government as a precursor to an authoritarian state.[17]
After graduating, Roberts moved to Colchester in Essex to work as a research chemist for BX Plastics.[18] In 1948, she applied for a job at ICI, but was rejected after the personnel department assessed her as "headstrong, obstinate and dangerously self-opinionated".[19]
She joined the local Conservative Association and attended the party conference at Llandudno in 1948, as a representative of the University Graduate Conservative Association.[20] One of her Oxford friends was also a friend of the Chair of the Dartford Conservative Association in Kent, who were looking for candidates.[20] Officials of the association were so impressed by her that they asked her to apply, even though she was not on the Conservative party's approved list: she was selected in January 1951, at age twenty-five, and added to the approved list post ante.[21] At a dinner following her formal adoption as Conservative candidate for Dartford in February 1951 she met Denis Thatcher, a successful and wealthy divorced businessman, who drove her to her Essex train.[20][21] In preparation for the election Roberts moved to Dartford, where she supported herself by working as a research chemist for J. Lyons and Co. in Hammersmith, part of a team developing emulsifiers for ice cream.[20][22]

Early political career

In the 1950 and 1951 general elections, she was the Conservative candidate for the safe Labour seat of Dartford, where she attracted media attention as the youngest and the only female candidate.[23][24] She lost both times to Norman Dodds, but reduced the Labour majority by 6,000, and then a further 1,000.[23] During the campaigns, she was supported by her parents and by Denis Thatcher, whom she married in December 1951.[23][25] Denis funded his wife's studies for the bar;[26] she qualified as a barrister in 1953 and specialised in taxation.[27] That same year her twins, Carol and Mark, were born.[28]

Member of Parliament (1959–1970)

Thatcher was not a candidate in the 1955 general election as it came fairly soon after the birth of her children. In 1954, she was narrowly defeated when she sought selection as the candidate for the Orpington by-election of January 1955.[28] Afterwards, she began looking for a Conservative safe seat and was selected as the candidate for Finchley in April 1958 (narrowly beating Ian Montagu Fraser). She was elected as MP for the seat after a hard campaign in the 1959 election.[29] Her maiden speech was in support of her private member's bill (Public Bodies (Admission to Meetings) Act 1960), requiring local authorities to hold their council meetings in public.[30] In 1961 she went against the Conservative Party's official position by voting for the restoration of birching as a judicial corporal punishment.[31] She regarded Finchley's Jewish residents as "her people" and became a founding member of the Anglo-Israel Friendship League of Finchley as well as a member of the Conservative Friends of Israel.[32] She also believed Israel had to trade land for peace, and condemned Israel's 1981 bombing of Osirak as "a grave breach of international law".[32]
In October 1961 Thatcher was promoted to the front bench as Parliamentary Undersecretary at the Ministry of Pensions and National Insurance in Harold Macmillan's administration.[33] After the Conservatives lost the 1964 election she became spokeswoman on Housing and Land, in which position she advocated her party's policy of allowing tenants to buy their council houses.[34] She moved to the Shadow Treasury team in 1966 and, as Treasury spokeswoman, opposed Labour's mandatory price and income controls, arguing that they would produce effects contrary to those intended and distort the economy.[34]
At the Conservative Party Conference of 1966 she criticised the high-tax policies of the Labour Government as being steps "not only towards Socialism, but towards Communism".[34] She argued that lower taxes served as an incentive to hard work.[34] Thatcher was one of the few Conservative MPs to support Leo Abse's Bill to decriminalise male homosexuality.[35] She voted in favour of David Steel's bill to legalise abortion,[36][37] as well as a ban on hare coursing.[38] She supported the retention of capital punishment[39] and voted against the relaxation of divorce laws.[40][41]
In 1967, she was selected by the United States Embassy in London to take part in the International Visitor Leadership Program (then called the Foreign Leader Program), a professional exchange programme that gave her the opportunity to spend about six weeks visiting various US cities and political figures as well as institutions such as the International Monetary Fund.[42] Later that year Thatcher joined the Shadow Cabinet, where she was appointed Fuel and Power spokesman by opposition leader Edward Heath.[43] Shortly before the 1970 general election, she was promoted to Shadow Transport spokesman and later to Education.[44]

Education Secretary and Cabinet Minister (1970–1974)

The Conservative party under Edward Heath won the 1970 general election, and Thatcher was subsequently appointed to the Cabinet as Secretary of State for Education and Science. During her first months in office she attracted public attention as a result of the administration's attempts to cut spending. She gave priority to academic needs in schools.[45] She imposed public expenditure cuts on the state education system, resulting in the abolition of free milk for schoolchildren aged seven to eleven.[46] She held that few children would suffer if schools were charged for milk, but she agreed to provide younger children with a third of a pint daily, for nutritional purposes.[46] Cabinet papers later revealed that she opposed the policy but had been forced into it by the Treasury.[47] Her decision provoked a storm of protest from Labour and the press.[48] leading to the moniker "Margaret Thatcher, Milk Snatcher".[46][49] She reportedly considered leaving politics in the aftermath and would later write in her autobiography: "I learned a valuable lesson [from the experience]. I had incurred the maximum of political odium for the minimum of political benefit."[48][50]
Thatcher's term of office was marked by proposals for more local education authorities to close grammar schools and to adopt comprehensive secondary education. Although she was committed to a tiered secondary modern-grammar school system of education and was determined to preserve grammar schools,[45] during her tenure as Education Secretary she turned down only 326 of 3,612 proposals for schools to become comprehensives; the proportion of pupils attending comprehensive schools consequently rose from 32 per cent to 62 per cent.[51]

Leader of the Opposition (1975–1979)

Photograph
Margaret Thatcher, Leader of the Opposition, 18 September 1975
The Heath government continued to experience difficulties with oil embargoes and union demands for wage increases in 1973 and lost the February 1974 general election.[48] Labour formed a minority government and went on to win a narrow majority in the October 1974 general election. Heath's leadership of the Conservative Party looked increasingly in doubt. Thatcher was not initially the obvious replacement, but she eventually became the main challenger, promising a fresh start.[52] Her main support came from the Conservative 1922 Committee.[52] She defeated Heath on the first ballot and he resigned the leadership.[53] In the second ballot she defeated Heath's preferred successor, William Whitelaw, and became party leader and Leader of the Opposition on 11 February 1975;[54] she appointed Whitelaw as her deputy. Heath remained disenchanted with Thatcher to the end of his life, for what he and many of his supporters perceived as her disloyalty in standing against him.[55]
Thatcher began to attend lunches regularly at the Institute of Economic Affairs (IEA), a think tank founded by the poultry magnate Antony Fisher, a disciple of Friedrich von Hayek; she had been visiting the IEA and reading its publications since the early 1960s. There she was influenced by the ideas of Ralph Harris and Arthur Seldon, and she became the face of the ideological movement opposing the welfare state. Keynesian economics, they believed, was weakening Britain. The institute's pamphlets proposed less government, lower taxes, and more freedom for business and consumers.[56]
The television critic Clive James, writing in The Observer during the voting for the leadership, compared her voice of 1973 to a cat sliding down a blackboard.[nb 2] Thatcher had already begun to work on her presentation on the advice of Gordon Reece, a former television producer. By chance Reece met the actor Laurence Olivier, who arranged lessons with the National Theatre's voice coach.[57][58] Thatcher succeeded in completely suppressing her Lincolnshire dialect except when under stress, notably after provocation from Denis Healey in the House of Commons in April 1983, when she accused the Labour front bench of being frit.[59][60]
On 19 January 1976 Thatcher made a speech in Kensington Town Hall in which she made a scathing attack on the Soviet Union:
The Russians are bent on world dominance, and they are rapidly acquiring the means to become the most powerful imperial nation the world has seen. The men in the Soviet Politburo do not have to worry about the ebb and flow of public opinion. They put guns before butter, while we put just about everything before guns.[61]
In response, the Soviet Defence Ministry newspaper Krasnaya Zvezda (Red Star) called her the "Iron Lady,"[61] a sobriquet she gladly adopted.
Margaret Thatcher wanted to prevent the creation of a Scottish assembly. She told Conservative MPs to vote against the Scotland and Wales Bill in December 1976, which was defeated, and then when new Bills were proposed she supported amending the legislation to allow the English to vote in the 1979 referendum on devolution.[62]
In mid-1978, the economy began to improve and opinion polls showed Labour in the lead, with a general election being expected later that year and a Labour win a serious possibility. Prime Minister James Callaghan surprised many by announcing on 7 September that there would be no general election that year and he would wait until 1979 before going to the polls. Thatcher reacted to this by branding the Labour government as "chickens", and Liberal Party leader David Steel joined in, criticising Labour for "running scared".[63]
The Labour government then faced fresh public unease about the direction of the country and a damaging series of strikes during the winter of 1978–79, dubbed the "Winter of Discontent". The Conservatives attacked the Labour government's unemployment record, using advertising with the slogan Labour Isn't Working. A general election was called after James Callaghan's government lost a motion of no confidence in early 1979. The Conservatives won a 44-seat majority in the House of Commons, and Margaret Thatcher became the UK's first female Prime Minister.

Prime Minister (1979–1990)

Thatcher became Prime Minister on 4 May 1979. Arriving at 10 Downing Street, she said, in a paraphrase of the "Prayer of Saint Francis":
Where there is discord, may we bring harmony. Where there is error, may we bring truth. Where there is doubt, may we bring faith. And where there is despair, may we bring hope.[64]

Domestic affairs

Thatcher was Leader of the Opposition and Prime Minister at a time of increased racial tension in Britain. Commenting on the local elections of May 1977, The Economist noted "The Tory tide swamped the smaller parties. That specifically includes the National Front, which suffered a clear decline from last year".[65][66] Her standing in the polls rose by 11 percent after a January 1978 interview for World in Action in which she said "the British character has done so much for democracy, for law and done so much throughout the world that if there is any fear that it might be swamped people are going to react and be rather hostile to those coming in."; and "in many ways [minorities] add to the richness and variety of this country. The moment the minority threatens to become a big one, people get frightened."[67][68] In the 1979 general election, the Conservatives attracted voters from the National Front, whose support almost collapsed.[69][70] In a meeting in July 1979 with the Foreign Secretary Lord Carrington and Home Secretary William Whitelaw she objected to the number of Asian immigrants,[71] in the context of limiting the number of Vietnamese boat people allowed to settle in the UK to fewer than 10,000.
As Prime Minister, Thatcher met weekly with Queen Elizabeth II to discuss government business, and their relationship came under close scrutiny.[72][73] In July 1986, The Sunday Times reported claims attributed to the Queen's advisers of a "rift" between Buckingham Palace and Downing Street "over a wide range of domestic and international issues".[74][75] The Palace issued an official denial, heading off speculation about a possible constitutional crisis.[75] After Thatcher's retirement a senior Palace source again dismissed as "nonsense" the "stereotyped idea" that she had not got along with the Queen, or that they had fallen out over Thatcherite policies.[76] Thatcher later wrote: "I always found the Queen's attitude towards the work of the Government absolutely correct ... stories of clashes between 'two powerful women' were just too good not to make up."[77]
In August 1989, Thatcher queried her government's response to the Taylor Report, writing a hand-written comment on a Downing Street briefing note: "The broad thrust is devastating criticism of the police. Is that for us to welcome? Surely we welcome the thoroughness of the report and its recommendations?"[78]
During her time in office, Thatcher practised great frugality in her official residence, including insisting on paying for her own ironing-board.[79]

Economy and taxation

Thatcher's economic policy was influenced by monetarist thinking and economists such as Milton Friedman and Alan Walters.[80] Together with Chancellor of the Exchequer Geoffrey Howe, she lowered direct taxes on income and increased indirect taxes.[81] She increased interest rates to slow the growth of the money supply and thereby lower inflation,[80] introduced cash limits on public spending, and reduced expenditure on social services such as education and housing.[81] Her cuts in higher education spending resulted in her being the first Oxford-educated post-war Prime Minister not to be awarded an honorary doctorate by the University of Oxford, after a 738 to 319 vote of the governing assembly and a student petition.[82] Her new centrally funded City Technology Colleges did not enjoy much success, and the Funding Agency for Schools was set up to control expenditure by opening and closing schools; the Social Market Foundation, a centre-left think tank, described it as having "an extraordinary range of dictatorial powers".[83]
GDP and public spending
by functional classification
% change in real terms
1979/80 to 1989/90[84]
GDP +23.3
Total government spending +12.9
Law and order +53.3
Employment and training +33.3
Health +31.8
Social security +31.8
Transport −5.8
Trade and industry −38.2
Housing −67.0
Defence −3.3[85]
Some Heathite Conservatives in the Cabinet, the so-called "wets", expressed doubt over Thatcher's policies.[86] The 1981 riots in England resulted in the British media discussing the need for a policy U-turn. At the 1980 Conservative Party conference, Thatcher addressed the issue directly, with a speech written by the playwright Ronald Millar[87] that included the lines: "You turn if you want to. The lady's not for turning!"[86]
Thatcher's job approval rating fell to 23 per cent by December 1980, lower than recorded for any previous Prime Minister.[88] As the recession of the early 1980s deepened she increased taxes,[89] despite concerns expressed in a statement signed by 364 leading economists issued towards the end of March 1981.[90]
By 1982 the UK began to experience signs of economic recovery;[91] inflation was down to 8.6 per cent from a high of 18 per cent, but unemployment was over 3 million for the first time since the 1930s.[92] By 1983 overall economic growth was stronger and inflation and mortgage rates were at their lowest levels since 1970, although manufacturing output had dropped by 30 per cent since 1978[93] and unemployment remained high, peaking at 3.3 million in 1984.[94]
By 1987, unemployment was falling, the economy was stable and strong, and inflation was low. Opinion polls showed a comfortable Conservative lead, and local council election results had also been successful, prompting Thatcher to call a general election for 11 June that year, despite the deadline for an election still being 12 months away. The election saw Thatcher re-elected for a third successive term.[95]
Throughout the 1980s revenue from the 90 per cent tax on North Sea oil extraction was used as a short-term funding source to balance the economy and pay the costs of reform.[96]
Thatcher reformed local government taxes by replacing domestic rates—a tax based on the nominal rental value of a home—with the Community Charge (or poll tax) in which the same amount was charged to each adult resident.[97] The new tax was introduced in Scotland in 1989 and in England and Wales the following year,[98] and proved to be among the most unpopular policies of her premiership.[97] Public disquiet culminated in a 70,000 to 200,000-strong [99] demonstration in London on 31 March 1990; the demonstration around Trafalgar Square deteriorated into the Poll Tax Riots, leaving 113 people injured and 340 under arrest.[100] The Community Charge was abolished by her successor, John Major.[100]

Industrial relations

Thatcher was committed to reducing the power of the trade unions, whose leadership she accused of undermining parliamentary democracy and economic performance through strike action.[101] Several unions launched strikes in response to legislation introduced to curb their power, but resistance eventually collapsed.[102] Only 39% of union members voted for Labour in the 1983 general election.[103] According to the BBC, Thatcher "managed to destroy the power of the trade unions for almost a generation".[104]
The miners' strike was the biggest confrontation between the unions and the Thatcher government. In March 1984 the National Coal Board (NCB) proposed to close 20 of the 174 state-owned mines and cut 20,000 jobs out of 187,000.[105][106][107] Two-thirds of the country's miners, led by the National Union of Mineworkers (NUM) under Arthur Scargill, downed tools in protest.[105][108][109] Scargill had refused to hold a ballot on the strike,[110] having previously lost three ballots on a national strike (January 1982, October 1982, March 1983).[111] This led to the strike being declared illegal.[112][113]
Thatcher refused to meet the union's demands and compared the miners' dispute to the Falklands conflict two years earlier, declaring in a speech in 1984: "We had to fight the enemy without in the Falklands. We always have to be aware of the enemy within, which is much more difficult to fight and more dangerous to liberty."[114] After a year out on strike, in March 1985, the NUM leadership conceded without a deal. The cost to the economy was estimated to be at least £1.5 billion, and the strike was blamed for much of the pound's fall against the US dollar.[115] The government closed 25 unprofitable coal mines in 1985, and by 1992 a total of 97 had been closed;[107] those that remained were privatised in 1994.[116] The eventual closure of 150 coal mines, not all of which were losing money, resulted in the loss of tens of thousands of jobs and devastated entire communities.[107][117] Miners had helped bring down the Heath government, and Thatcher was determined to succeed where he had failed. Her strategy of preparing fuel stocks, appointing a union-busting NCB leader in Ian MacGregor, and ensuring police were adequately trained and equipped with riot gear, contributed to her victory.[118]
The number of stoppages across the UK peaked at 4583 in 1979, when more than 29 million working days were lost. In 1984, the year of the miners' strike, there were 1221, resulting in the loss of more than 27 million working days. Stoppages then fell steadily throughout the rest of Thatcher's premiership; in 1990 there were 630 and fewer than 2 million working days lost, and they continued to fall thereafter.[119] Trade union membership also fell, from 13.5 million in 1979 to fewer than 10 million by the time Thatcher left office in 1990.[120]

Privatisation


Thatcher on a visit to the University of Salford, 1982
The policy of privatisation has been called "a crucial ingredient of Thatcherism".[121] After the 1983 election the sale of state utilities accelerated;[122] more than £29 billion was raised from the sale of nationalised industries, and another £18 billion from the sale of council houses.[123]
The process of privatisation, especially the preparation of nationalised industries for privatisation, was associated with marked improvements in performance, particularly in terms of labour productivity.[124] Some of the privatised industries, including gas, water, and electricity, were natural monopolies for which privatisation involved little increase in competition. The privatised industries that demonstrated improvement often did so while still under state ownership. British Steel, for instance, made great gains in profitability while still a nationalised industry under the government-appointed chairmanship of Ian MacGregor, who faced down trade-union opposition to close plants and reduce the workforce by half.[125] Regulation was also significantly expanded to compensate for the loss of direct government control, with the foundation of regulatory bodies like Ofgas, Oftel and the National Rivers Authority.[126] There was no clear pattern to the degree of competition, regulation, and performance among the privatised industries;[124] in most cases privatisation benefitted consumers in terms of lower prices and improved efficiency, but the results overall were "mixed".[127]
Thatcher always resisted rail privatisation and was said to have told Transport Secretary Nicholas Ridley "Railway privatisation will be the Waterloo of this government. Please never mention the railways to me again." Shortly before her resignation, she accepted the arguments for privatising British Rail, which her successor John Major implemented in 1994.[128] The Economist later considered the move to have been "a disaster".[127]
The privatisation of public assets was combined with financial deregulation in an attempt to fuel economic growth. Geoffrey Howe abolished Britain's exchange controls in 1979, allowing more capital to be invested in foreign markets, and the Big Bang of 1986 removed many restrictions on the London Stock Exchange. The Thatcher government encouraged growth in the finance and service sectors to compensate for Britain's ailing manufacturing industry.

Northern Ireland

In 1980 and 1981, Provisional Irish Republican Army (IRA) and Irish National Liberation Army (INLA) prisoners in Northern Ireland's Maze Prison carried out hunger strikes in an effort to regain the status of political prisoners that had been removed in 1976 by the preceding Labour government.[129] Bobby Sands began the 1981 strike, saying that he would fast until death unless prison inmates won concessions over their living conditions.[129] Thatcher refused to countenance a return to political status for the prisoners, declaring "Crime is crime is crime; it is not political",[129] but nevertheless the UK government privately contacted republican leaders in a bid to bring the hunger strikes to an end.[130] After the deaths of Sands and nine others, some rights were restored to paramilitary prisoners, but not official recognition of their political status.[131] Violence in Northern Ireland escalated significantly during the hunger strikes; in 1982 Sinn Féin politician Danny Morrison described Thatcher as "the biggest bastard we have ever known".[132]
Thatcher narrowly escaped injury in an IRA assassination attempt at a Brighton hotel early in the morning on 12 October 1984.[133] Five people were killed, including the wife of Cabinet Minister John Wakeham. Thatcher was staying at the hotel to attend the Conservative Party Conference, which she insisted should open as scheduled the following day.[133] She delivered her speech as planned,[134] a move that was widely supported across the political spectrum and enhanced her popularity with the public.[135]
On 6 November 1981 Thatcher and Irish Taoiseach Garret FitzGerald had established the Anglo-Irish Inter-Governmental Council, a forum for meetings between the two governments.[131] On 15 November 1985, Thatcher and FitzGerald signed the Hillsborough Anglo-Irish Agreement, the first time a British government had given the Republic of Ireland an advisory role in the governance of Northern Ireland. In protest the Ulster Says No movement attracted 100,000 to a rally in Belfast,[136] Ian Gow resigned as Minister of State in the HM Treasury,[137][138] and all fifteen Unionist MPs resigned their parliamentary seats; only one was not returned in the subsequent by-elections on 23 January 1986.[139]

Foreign affairs

Photograph
The Thatchers with the Reagans standing at the North Portico of the White House before a state dinner, 16 November 1988
Thatcher took office during the Cold War and became closely aligned with the policies of United States President Ronald Reagan, based on their shared distrust of Communism,[102] although she strongly opposed Reagan's October 1983 invasion of Grenada.[140] Reagan had assured Thatcher that an invasion was not contemplated, and thereafter Thatcher felt she could never fully trust Reagan again.[141] During her first year as Prime Minister she supported NATO's decision to deploy US nuclear cruise and Pershing missiles in Western Europe[102] and permitted the US to station more than 160 cruise missiles at RAF Greenham Common, starting on 14 November 1983 and triggering mass protests by the Campaign for Nuclear Disarmament.[102] She bought the Trident nuclear missile submarine system from the US to replace Polaris, tripling the UK's nuclear forces[142] at an eventual cost of more than £12 billion (at 1996–97 prices).[143] Thatcher's preference for defence ties with the US was demonstrated in the Westland affair of January 1986, when she acted with colleagues to allow the struggling helicopter manufacturer Westland to refuse a takeover offer from the Italian firm Agusta in favour of the management's preferred option, a link with Sikorsky Aircraft Corporation. The UK Defence Secretary, Michael Heseltine, who had supported the Agusta deal, resigned in protest.[144]
On 2 April 1982 the ruling military junta in Argentina ordered the invasion of the British-controlled Falkland Islands and South Georgia, triggering the Falklands War.[145] The subsequent crisis was "a defining moment of her [Thatcher's] premiership".[146] At the suggestion of Harold Macmillan and Robert Armstrong,[146] she set up and chaired a small War Cabinet (formally called ODSA, Overseas and Defence committee, South Atlantic) to take charge of the conduct of the war,[147] which by 5–6 April had authorised and dispatched a naval task force to retake the islands.[148] Argentina surrendered on 14 June and the operation was hailed a success, notwithstanding the deaths of 255 British servicemen and 3 Falkland Islanders. Argentinian deaths totalled 649, half of them after the nuclear-powered submarine HMS Conqueror torpedoed and sank the cruiser ARA General Belgrano on 2 May.[149] Thatcher was criticised for the neglect of the Falklands' defence that led to the war, and notably by Tam Dalyell in parliament for the decision to sink the General Belgrano, but overall she was considered a highly capable and committed war leader.[150] The "Falklands factor", an economic recovery beginning early in 1982, and a bitterly divided opposition contributed to Thatcher's second election victory in 1983.[151] Thatcher often referred after the war to the "Falklands Spirit"; Hastings and Jenkins (1983) suggested that this reflected her preference for the streamlined decision-making of her War Cabinet over the painstaking deal-making of peace-time cabinet government.[152]
In September 1982 she visited China to discuss with Deng Xiaoping the sovereignty of Hong Kong after 1997. China was the first communist state Thatcher had visited and she was the first British prime minister to visit China. Throughout their meeting, she sought the PRC's agreement to a continued British presence in the territory. Deng stated clearly the PRC's sovereignty on Hong Kong was non-negotiable, but he was willing to settle the sovereignty issue with Britain through formal negotiations, and both governments promised to maintain Hong Kong's stability and prosperity.[153] After the two-year negotiations, Thatcher made concession to the PRC government and signed the Sino-British Joint Declaration in Beijing in December 1984, handing over Hong Kong's sovereignty in 1997.
Although saying that she was in favour of "peaceful negotiations" to end apartheid,[154] Thatcher stood against the sanctions imposed on South Africa by the Commonwealth and the EC.[155] She attempted to preserve trade with South Africa while persuading the regime there to abandon apartheid. This included "[c]asting herself as President Botha's candid friend", and inviting him to visit the UK in June 1984, in spite of the "inevitable demonstrations" against his regime.[156] Thatcher, on the other hand, dismissed the African National Congress (ANC) in October 1987 as "a typical terrorist organisation".[157][158]
The Thatcher government supported the Khmer Rouge keeping their seat in the UN after they were ousted from power in Cambodia by the Cambodian–Vietnamese War. Although denying it at the time they also sent the SAS to train the non-Communist members of the CGDK to fight against the Vietnamese-backed People's Republic of Kampuchea government.[159][160]
Thatcher's antipathy towards European integration became more pronounced during her premiership, particularly after her third election victory in 1987. During a 1988 speech in Bruges she outlined her opposition to proposals from the European Community (EC), forerunner of the European Union, for a federal structure and increased centralisation of decision making.[161] Thatcher and her party had supported British membership of the EC in the 1975 national referendum,[162] but she believed that the role of the organisation should be limited to ensuring free trade and effective competition, and feared that the EC's approach was at odds with her views on smaller government and deregulation;[163] in 1988, she remarked, "We have not successfully rolled back the frontiers of the state in Britain, only to see them re-imposed at a European level, with a European super-state exercising a new dominance from Brussels".[163] Thatcher was firmly opposed to the UK's membership of the Exchange Rate Mechanism, a precursor to European monetary union, believing that it would constrain the British economy,[164] despite the urging of her Chancellor of the Exchequer Nigel Lawson and Foreign Secretary Geoffrey Howe,[165] but she was persuaded by John Major to join in October 1990, at what proved to be too high a rate.[166]

Thatcher with Soviet leader Mikhail Gorbachev and his wife, Raisa, at the Soviet Embassy in London, 1 April 1989
In April 1986, Thatcher permitted US F-111s to use Royal Air Force bases for the bombing of Libya in retaliation for the alleged Libyan bombing of a Berlin discothèque,[167] citing the right of self-defence under Article 51 of the UN Charter.[168][nb 3] Polls suggested that fewer than one in three British citizens approved of Thatcher's decision.[170] She was in the US on a state visit when Iraqi leader Saddam Hussein invaded neighbouring Kuwait in August 1990.[171] During her talks with US President George H. W. Bush, who had succeeded Reagan in 1989, she recommended intervention,[171] and put pressure on Bush to deploy troops in the Middle East to drive the Iraqi Army out of Kuwait.[172] Bush was somewhat apprehensive about the plan, prompting Thatcher to remark to him during a telephone conversation that "This was no time to go wobbly!"[173] Thatcher's government provided military forces to the international coalition in the build-up to the Gulf War, but she had resigned by the time hostilities began on 17 January 1991.
Thatcher was one of the first Western leaders to respond warmly to reformist Soviet leader Mikhail Gorbachev. Following Reagan–Gorbachev summit meetings and reforms enacted by Gorbachev in the USSR, she declared in November 1988 that "We're not in a Cold War now", but rather in a "new relationship much wider than the Cold War ever was".[174] She went on a state visit to the Soviet Union in 1984 and met with Gorbachev and Nikolai Ryzhkov, the Chairman of the Council of Ministers.[175] Thatcher was initially opposed to German reunification, telling Gorbachev that it "would lead to a change to postwar borders, and we cannot allow that because such a development would undermine the stability of the whole international situation and could endanger our security". She expressed concern that a united Germany would align itself more closely with the Soviet Union and move away from NATO.[176] In contrast she was an advocate of Croatian and Slovenian independence.[177] In a 1991 interview for Croatian Radiotelevision, Thatcher commented on the Yugoslav Wars; she was critical of Western governments for not recognising the breakaway republics of Croatia and Slovenia as independent states and supplying them with arms after the Serbian-led Yugoslav Army attacked.[178]

Challenges to leadership and resignation

Thatcher was challenged for the leadership of the Conservative Party by the little-known backbench MP Sir Anthony Meyer in the 1989 leadership election.[179] Of the 374 Conservative MPs eligible to vote, 314 voted for Thatcher and 33 for Meyer.[179] Her supporters in the party viewed the result as a success, and rejected suggestions that there was discontent within the party.[179]
During her premiership Thatcher had the second-lowest average approval rating, at 40 percent, of any post-war Prime Minister. Polls consistently showed that she was less popular than her party.[180] A self-described conviction politician, Thatcher always insisted that she did not care about her poll ratings, pointing instead to her unbeaten election record.[181]
Photograph
Thatcher in 1990
Opinion polls in September 1990 reported that Labour had established a 14% lead over the Conservatives,[182] and by November the Conservatives had been trailing Labour for 18 months.[180] These ratings, together with Thatcher's combative personality and willingness to override colleagues' opinions, contributed to discontent within the Conservative party.[183]
On 1 November 1990 Geoffrey Howe, the last remaining member of Thatcher's original 1979 cabinet, resigned from his position as Deputy Prime Minister over her refusal to agree to a timetable for Britain to join the European Exchange Rate Mechanism.[182][184] In his resignation speech on 13 November, Howe commented on Thatcher's European stance: "It is rather like sending your opening batsmen to the crease only for them to find the moment that the first balls are bowled that their bats have been broken before the game by the team captain."[185] His resignation was fatal to Thatcher's premiership.[186]
The next day, Michael Heseltine mounted a challenge for the leadership of the Conservative Party.[187] Opinion polls had indicated that he would give the Conservatives a national lead over Labour.[188] Although Thatcher won the first ballot, Heseltine attracted sufficient support (152 votes) to force a second ballot. Under party rules, Thatcher not only needed to win a majority, but her margin over Heseltine had to be equivalent to 15 percent of the 372 Conservative MPs in order to win the leadership election outright; she came up four votes short.[189] Thatcher initially stated that she intended to "fight on and fight to win" the second ballot, but consultation with her Cabinet persuaded her to withdraw.[183][190] After seeing the Queen, calling other world leaders, and making one final Commons speech,[191] she left Downing Street in tears. She regarded her ousting as a betrayal.[192]
Thatcher was replaced as Prime Minister and party leader by her Chancellor John Major, who oversaw an upturn in Conservative support in the 17 months leading up to the 1992 general election and led the Conservatives to their fourth successive victory on 9 April 1992.[193] Thatcher favoured Major over Heseltine in the leadership contest, but her support for him weakened in later years.[194]

Later life (1990–2013)

Thatcher returned to the backbenches as MP for Finchley for two years after leaving the premiership.[195] She retired from the House at the 1992 election, aged 66, saying that leaving the Commons would allow her more freedom to speak her mind.[196]

Post-Commons

After leaving the House of Commons, Thatcher became the first former Prime Minister to set up a foundation;[197] the British wing was dissolved in 2005 because of financial difficulties.[198] She wrote two volumes of memoirs, The Downing Street Years (1993) and The Path to Power (1995). In 1991, she and her husband Dennis moved to a house in Chester Square, a residential garden square in central London's Belgravia district.[199]
In July 1992, Thatcher was hired by the tobacco company Philip Morris as a "geopolitical consultant" for $250,000 per year and an annual contribution of $250,000 to her foundation.[200] She also earned $50,000 for each speech she delivered.[201]
In August 1992, Thatcher called for NATO to stop the Serbian assault on Goražde and Sarajevo to end ethnic cleansing during the Bosnian War. She compared the situation in Bosnia to "the worst excesses of the Nazis", and warned that there could be a "holocaust".[202] She made a series of speeches in the Lords criticising the Maastricht Treaty,[196] describing it as "a treaty too far" and stated "I could never have signed this treaty".[203] She cited A. V. Dicey when stating that as all three main parties were in favour of revisiting the treaty, the people should have their say.[204]
Photograph
Thatcher with Yasuhiro Nakasone (far left), Mikhail Gorbachev (left) and Brian Mulroney (centre) at Reagan's funeral
Thatcher was honorary Chancellor of the College of William and Mary in Virginia (1993–2000)[205] and also of the University of Buckingham (1992–1999), the UK's first private university, which she had opened in 1975.[206]
After Tony Blair's election as Labour Party leader in 1994, Thatcher praised Blair in an interview as "probably the most formidable Labour leader since Hugh Gaitskell. I see a lot of socialism behind their front bench, but not in Mr Blair. I think he genuinely has moved".[207]
In 1998, Thatcher called for the release of former Chilean dictator Augusto Pinochet when Spain had him arrested and sought to try him for human rights violations, citing the help he gave Britain during the Falklands War.[208] In 1999, she visited him while he was under house arrest near London.[209] Pinochet was released in March 2000 on medical grounds by the Home Secretary Jack Straw, without facing trial.[210]
In the 2001 general election, Thatcher supported the Conservative general election campaign, as she had done in 1992 and 1997, and in the Conservative leadership election shortly after, she supported Iain Duncan Smith over Kenneth Clarke.[211]
In March 2002, Thatcher's book Statecraft: Strategies for a Changing World, dedicated to Ronald Reagan, was released. In it, she claimed there would be no peace in the Middle East until Saddam Hussein was toppled, that Israel must trade land for peace, and that the European Union (EU) was "fundamentally unreformable", "a classic utopian project, a monument to the vanity of intellectuals, a programme whose inevitable destiny is failure". She argued that Britain should renegotiate its terms of membership or else leave the EU and join the North American Free Trade Area. The book was serialised in The Times on 18 March.
Thatcher suffered several small strokes in 2002 and was advised by her doctors not to engage in further public speaking.[212] On 23 March, she announced that on the advice of her doctors she would cancel all planned speaking engagements and accept no more.[213]

Husband's death

Sir Denis Thatcher died of heart failure on 26 June 2003 and was cremated on 3 July.[214] She had paid tribute to him in The Downing Street Years, writing "Being Prime Minister is a lonely job. In a sense, it ought to be: you cannot lead from the crowd. But with Denis there I was never alone. What a man. What a husband. What a friend."[215]

Final years

On 11 June 2004, Thatcher attended the state funeral service for Ronald Reagan.[216] She delivered her eulogy via videotape; in view of her health, the message had been pre-recorded several months earlier.[217] Thatcher flew to California with the Reagan entourage, and attended the memorial service and interment ceremony for the president at the Ronald Reagan Presidential Library.[218]

Thatcher attends a Washington memorial service marking the 5th anniversary of the September 11 attacks, pictured with Vice President Dick Cheney and his wife
Thatcher celebrated her 80th birthday at the Mandarin Oriental Hotel in Hyde Park, London, on 13 October 2005; guests included the Queen, the Duke of Edinburgh, Princess Alexandra and Tony Blair.[219] Geoffrey Howe, by then Lord Howe of Aberavon, was also present, and said of his former leader: "Her real triumph was to have transformed not just one party but two, so that when Labour did eventually return, the great bulk of Thatcherism was accepted as irreversible."[220]
According to a later article in The Daily Telegraph, Thatcher's daughter Carol first revealed that her mother had dementia in 2005, saying that "Mum doesn't read much any more because of her memory loss .. It's pointless. She can't remember the beginning of a sentence by the time she reaches the end."[221] She later recounted how she was first struck by her mother's dementia when she muddled the Falklands conflict with the Yugoslav wars; she has also recalled the pain of needing to tell her mother repeatedly that Denis Thatcher was dead.[222]
In 2006, Thatcher attended the official Washington, D.C. memorial service to commemorate the fifth anniversary of the September 11 attacks on the United States. She was a guest of Vice President Dick Cheney, and met Secretary of State Condoleezza Rice during her visit.[223]
In February 2007, Thatcher became the first living British Prime Minister to be honoured with a statue in the Houses of Parliament. The bronze statue stands opposite that of her political hero, Sir Winston Churchill,[224] and was unveiled on 21 February 2007 with Thatcher in attendance; she made a rare and brief speech in the members' lobby of the House of Commons, responding: "I might have preferred iron – but bronze will do ... It won't rust."[224] The statue shows her addressing the House of Commons, with her right arm outstretched.[225]
She was a public supporter of the Prague Declaration on European Conscience and Communism and the resulting Prague Process, and sent a public letter of support to its preceding conference.[226]
After collapsing at a House of Lords dinner, Thatcher was admitted to St Thomas' Hospital in central London on 7 March 2008 for tests. In 2009 she was hospitalised again when she fell and broke her arm.[227]
Thatcher returned to 10 Downing Street in late November 2009 for the unveiling of an official portrait by artist Richard Stone,[228] an unusual honour for a living ex-Prime Minister. Stone had previously painted portraits of the Queen and the Queen Mother.[228]
On 4 July 2011, Thatcher was to attend a ceremony for the unveiling of a 10-foot statue to former American President Ronald Reagan, outside the American Embassy in London, but was unable to attend because of frail health.[229] On 31 July 2011, it was announced that her office in the House of Lords had been closed.[230] Earlier that month, Thatcher had been named the most competent British Prime Minister of the past 30 years in an Ipsos MORI poll.[231]

Death

Following several years of poor health, Thatcher died on the morning of 8 April 2013 at The Ritz Hotel in London after suffering a stroke. She had been staying at a suite in the hotel since December 2012 after having difficulty with stairs at her Chester Square home.[232]
Reactions to the news of Thatcher's death were mixed, ranging from tributes lauding her as Britain's greatest-ever peacetime Prime Minister to public celebrations and expressions of personalised vitriol.[233] Details of her funeral were agreed with her in advance.[234] In line with her wishes she received a ceremonial funeral, including full military honours, with a church service at St Paul's Cathedral on 17 April 2013.[235][236]

Legacy

Political legacy

Thatcher defined her own political philosophy, in a major and controversial break with One Nation Conservatives like her predecessor Edward Heath,[237] in her statement to Douglas Keay, published in Woman's Own magazine in September 1987:
I think we have gone through a period when too many children and people have been given to understand "I have a problem, it is the Government's job to cope with it!" or "I have a problem, I will go and get a grant to cope with it!" "I am homeless, the Government must house me!" and so they are casting their problems on society and who is society? There is no such thing! There are individual men and women and there are families and no government can do anything except through people and people look to themselves first. It is our duty to look after ourselves and then also to help look after our neighbour and life is a reciprocal business and people have got the entitlements too much in mind without the obligations.[238]
The percentage of adults owning shares rose from 7% to 25% during her tenure, and more than a million families bought their council houses, giving an increase from 55 per cent to 67 per cent in owner-occupiers from 1979 to 1990. The houses were sold at a discount of 33-55 per cent, leading to large profits for some new owners. Personal wealth rose by 80 per cent in real terms during the 1980s, mainly due to rising house prices and increased earnings. Shares in the privatised utilities were sold below their market value to ensure quick and wide sales, rather than maximise national income.[239]
Thatcher's premiership was also marked by high unemployment and social unrest,[240] and many critics on the Left of the political spectrum fault her economic policies for the unemployment level; many of the areas affected by high unemployment as well as her monetarist economic policies have still not fully recovered and are blighted by social problems such as drug abuse and family breakdown.[241] Speaking in Scotland in April 2009, before the 30th anniversary of her election as Prime Minister, Thatcher insisted she had no regrets and was right to introduce the poll tax, and to withdraw subsidies from "outdated industries, whose markets were in terminal decline", subsidies that created "the culture of dependency, which had done such damage to Britain".[242] Political economist Susan Strange called the new financial growth model "casino capitalism", reflecting her view that speculation and financial trading were becoming more important to the economy than industry.[243]
She has been criticised as being divisive[244] and for promoting greed and selfishness.[240] Many recent biographers have been critical of aspects of the Thatcher years and Michael White, writing in the New Statesman in February 2009, challenged the view that her reforms had brought a net benefit.[245] Despite being Britain's first woman Prime Minister, some critics contend Thatcher did "little to advance the political cause of women",[246] either within her party or the government, and some British feminists regarded her as "an enemy".[247] Her stance on immigration was perceived by some as part of a rising racist public discourse, which Professor Martin Barker has called "new racism".[248]
Influenced at the outset by Keith Joseph,[249] the term "Thatcherism" came to refer to her policies as well as aspects of her ethical outlook and personal style, including moral absolutism, nationalism, interest in the individual, and an uncompromising approach to achieving political goals.[nb 4] The nickname "Iron Lady", originally given to her by the Soviets, became associated with her uncompromising politics and leadership style.[250][251][252]
Thatcher's tenure of 11 years and 209 days as Prime Minister was the longest since Lord Salisbury (13 years and 252 days in three spells starting in 1885), and the longest continuous period in office since Lord Liverpool (14 years and 305 days starting in 1812).[189][253] She was voted the fourth-greatest British Prime Minister of the 20th century in a poll of 139 academics organised by MORI,[254] and in 2002 was ranked number 16 in the BBC poll of the 100 Greatest Britons.[255] In 1999, TIME named Thatcher one of the 100 Most Important People of the 20th Century.[256]
Thatcher's death prompted mixed reactions, including reflections of criticism as well as praise.[257][258][259] Groups celebrated her death in Brixton, Leeds, Bristol and Glasgow,[260][261][262] and a crowd of 3000 gathered in Trafalgar Square to celebrate her demise and protest against her legacy.[263]
Shortly after Thatcher's death, Scotland's First Minister Alex Salmond argued that her policies had the "unintended consequence" of encouraging Scottish devolution.[264] Lord Foulkes agreed on Scotland Tonight that she had provided "the impetus" for devolution.[265]

Honours


US President George H. W. Bush awards Thatcher the Presidential Medal of Freedom, 1991
Thatcher became a Privy Councillor (PC) upon becoming Secretary of State for Education and Science in 1970.[266] She was appointed a Member of the Order of Merit (OM) (an order within the personal gift of the Queen) within two weeks of leaving office. Denis Thatcher was made a Baronet at the same time.[267] She became a peer in the House of Lords in 1992 with a life peerage as Baroness Thatcher, of Kesteven in the County of Lincolnshire.[196][268] She was appointed a Lady Companion of the Order of the Garter, the UK's highest order of chivalry, in 1995.[269]
She was elected as a Fellow of the Royal Society (FRS) in 1983, which caused controversy among the existing Fellows.[22]
She was the first woman entitled to full membership rights as an honorary member of the Carlton Club on becoming leader of the Conservative Party in 1975.[270]
In the Falklands, Margaret Thatcher Day has been marked every 10 January since 1992,[271] commemorating her visit in 1983.[272] Thatcher Drive in Stanley is named for her, as is Thatcher Peninsula in South Georgia, where the task force troops first set foot on the Falklands.[271]
Thatcher was awarded the Presidential Medal of Freedom, the highest civilian honour awarded by the US.[273] She was a patron of The Heritage Foundation,[274] which established the Margaret Thatcher Center for Freedom in 2005.[275] Speaking of Heritage president Ed Feulner, at the first Clare Booth Luce lecture in September 1993, Thatcher said: "You didn't just advise President Reagan on what he should do; you told him how he could do it. And as a practising politician I can testify that that is the only advice worth having."[276]

Cultural depictions

Thatcher was the subject or the inspiration for 1980s protest songs. Billy Bragg and Paul Weller helped to form the Red Wedge collective to support Labour in opposition to Thatcher.[277]
Thatcher was lampooned by satirist John Wells in several media. Wells collaborated with Richard Ingrams on the spoof "Dear Bill" letters which ran as a column in Private Eye magazine, were published in book form, and were then adapted into a West End stage revue as Anyone for Denis?, starring Wells as Denis Thatcher. The stage show was followed by a 1982 TV special directed by Dick Clement.[278] Spitting Image, a British TV show, satirised Thatcher as a bully who ridiculed her own ministers.[279] She was voiced by Steve Nallon.[280]
One of the earliest satires of Thatcher as Prime Minister involved Wells (as writer/performer), Janet Brown (voicing Thatcher) and future Spitting Image producer John Lloyd who in 1979 were teamed up by producer Martin Lewis for the satirical audio album The Iron Lady consisting of skits and songs satirising Thatcher's rise to power. The album was released in September 1979, four months after Thatcher became Premier.[281][282]
Margaret Thatcher has been depicted in many television programmes, documentaries, films and plays. She was played by Patricia Hodge in Ian Curteis's long unproduced The Falklands Play (2002) and by Andrea Riseborough in the TV film The Long Walk to Finchley (2008). She is the titular character in two films, portrayed by Lindsay Duncan in Margaret (2009) and by Meryl Streep in The Iron Lady (2011),[283] in which she is depicted as having Alzheimer's disease.[284]