The Party Ends but the UK Monarchy Looks to the Future

Britain's Queen Elizabeth II (3rd L) stands on Buckingham Palace balcony with (From L) Britain's Camilla, Duchess of Cornwall, Britain's Prince Charles, Prince of Wales, Britain's Prince George of Cambridge, Britain's Prince William, Duke of Cambridge, Britain's Princess Charlotte of Cambridge, Britain's Catherine, Duchess of Cambridge, and Britain's Prince Louis of Cambridge at the end of the Platinum Pageant in London on June 5, 2022 as part of Queen Elizabeth II's platinum jubilee celebrations. (AFP)
Britain's Queen Elizabeth II (3rd L) stands on Buckingham Palace balcony with (From L) Britain's Camilla, Duchess of Cornwall, Britain's Prince Charles, Prince of Wales, Britain's Prince George of Cambridge, Britain's Prince William, Duke of Cambridge, Britain's Princess Charlotte of Cambridge, Britain's Catherine, Duchess of Cambridge, and Britain's Prince Louis of Cambridge at the end of the Platinum Pageant in London on June 5, 2022 as part of Queen Elizabeth II's platinum jubilee celebrations. (AFP)
TT

The Party Ends but the UK Monarchy Looks to the Future

Britain's Queen Elizabeth II (3rd L) stands on Buckingham Palace balcony with (From L) Britain's Camilla, Duchess of Cornwall, Britain's Prince Charles, Prince of Wales, Britain's Prince George of Cambridge, Britain's Prince William, Duke of Cambridge, Britain's Princess Charlotte of Cambridge, Britain's Catherine, Duchess of Cambridge, and Britain's Prince Louis of Cambridge at the end of the Platinum Pageant in London on June 5, 2022 as part of Queen Elizabeth II's platinum jubilee celebrations. (AFP)
Britain's Queen Elizabeth II (3rd L) stands on Buckingham Palace balcony with (From L) Britain's Camilla, Duchess of Cornwall, Britain's Prince Charles, Prince of Wales, Britain's Prince George of Cambridge, Britain's Prince William, Duke of Cambridge, Britain's Princess Charlotte of Cambridge, Britain's Catherine, Duchess of Cambridge, and Britain's Prince Louis of Cambridge at the end of the Platinum Pageant in London on June 5, 2022 as part of Queen Elizabeth II's platinum jubilee celebrations. (AFP)

Extinguish the beacons, take down the stage, roll up the bunting. The party’s over.

After four days of parades, street parties and a gala concert celebrating Queen Elizabeth II’s 70 years on the throne, the Platinum Jubilee celebrations ended Sunday with a queen's wave from Buckingham Palace and the crowds outside singing "God Save the Queen."

But as the tributes to Elizabeth's lifetime of service begin to fade, Britain is left with the reality that the second Elizabethan age is in its twilight.

The 96-year-old monarch, limited in recent months by what the palace calls "episodic mobility issues," made only three brief public appearances during the Jubilee. Her son and heir, 73-year-old Prince Charles, stood in for her at other events.

"Inevitably, we’re going to lose her sometime. And so this will have been a sort of a tail end of a golden reign, won’t it?" historian and royal biographer Hugo Vickers told The Associated Press. "That’s why it’s got a little bit of hint of sadness, I find."

That truth was the subtext of the weekend’s events as newspapers, TV screens and even the walls of the palace were filled with images of Elizabeth changing from a glamorous young queen in crown and diamonds to a global grandmother known for her omnipresent handbag and love of horses and corgis.

Elizabeth is the UK’s longest-serving monarch, the only sovereign most people have ever known.

That longevity has bred a deep affection for the queen. The question for the House of Windsor is whether the public will transfer those feelings to Charles when the time comes.

From the opening military review to the closing pageant outside the palace, the royal family sought to build a case for that continuity, underscoring the monarchy’s historic traditions and its role as a unifying institution that helps the country celebrate its successes and provides comfort during times of sorrow.

Charles was front and center throughout as he stood in for his mother.

Wearing a ceremonial scarlet tunic and bearskin hat, he reviewed the troops during the Queen’s Birthday Parade on Thursday. The next day, he was the last guest to enter St. Paul’s Cathedral and took his seat at the front of the church for a service of thanksgiving in honor of the queen. At Saturday’s star-studded concert in front of Buckingham Palace, he delivered the main tribute to the woman he addressed as, "Your Majesty, mummy."

The royals know they have work to do. Over the past year, the monarchy has been buffeted by allegations of racism and bullying, a sex scandal involving Prince Andrew and demands that they apologize for Britain’s historic role in the enslavement of millions of Africans.

But if the Windsors wanted proof of the enduring popularity of all things royal, they need look no further than the tens of thousands who crammed the streets and parks around Buckingham Palace to cheer, wave the Union flag and say "Thank you, ma’am" over the past four days.

Demonstrations of public support are crucial to the monarchy’s survival, said royal historian Ed Owens.

"The Jubilee is defined not simply by the presence of the queen, but by many various other actors, and one of the key actors … is the British public," said Owens, author of "The Family Firm: Monarchy, Mass Media and the British Public 1932-1953." "All these events are playing to the British public ... the jubilee is as much a celebration of the British people in the British nation as it is the queen herself."

Since assuming the throne after the death of her father on Feb. 6, 1952, Elizabeth has been a symbol of stability as Britain negotiated the end of empire, the dawn of the information age and the mass migration that transformed the country into a multicultural society.

Throughout it all the queen has built a bond with the nation through a seemingly endless series of public appearance as she opened libraries, dedicated hospitals and bestowed honors on deserving citizens.

Actor and writer Stephen Fry captured this lifetime of service, carried out far away from the glittering state occasions and military parades that rivet the media’s attention, as he delivered his own tribute during Saturday evening's Jubilee concert outside Buckingham Palace.

"How many local sewage works has her majesty opened with a bright smile? How many plaques unveiled? How many trees planted? How many ribbons cut, ships launched?" Fry asked, drawing a chuckle from the crowd. "How many prime ministers tolerated? For that alone, no admiration is high enough."

While they would have like to see more of the queen, fans like Anne Middleton, 61, seemed to understand the limitations of her health issues.

Middleton, a human resources executive, traveled to London from her home in Wales for the long holiday weekend. Wearing red, white and blue nail polish and a dress covered in the Union and Welsh flags, she and her friends watched Saturday’s concert from camp chairs in St. James’s Park.

"We wanted to turn out and let her know that we’re there for her, too," Middleton said. "Because she’s always been there for us."

The queen’s public appearances during the Jubilee were brief but symbolic, underscoring three pillars of her reign: a personal bond with the public, strong links to the armed forces and support for the Commonwealth, a group of 54 nations with former colonial ties to Britain.

On Thursday afternoon she joined other senior members of the royal family on the balcony of Buckingham Palace to watch a flypast by 70 military aircraft and wave to supporters who filled the street below. Later, she took part in a beacon lighting ceremony at Windsor Palace, the culmination of event that spanned the Commonwealth.

The weekend concluded with another balcony appearance for the cheering crowds, this time accompanied only by Prince Charles and his wife and Prince William and his wife and children.

The message couldn’t have been clearer: Here is the present and the future of the monarchy.

Robert Lacey, a royal historian and adviser to the Netflix series "The Crown," believes the royal family’s connection to the British public will endure.

"There is a magic about royalty. If you don’t care to accept it, that’s up to you," he said.

"But for many Brits, the magic moment (is) when the queen or Prince Charles … turn up in your neighborhood," he said. "You are touched with a magic - which is no longer divine, but which represents the community - which says, ’You matter and you’re part of a bigger picture, a society, a community.'"



Blood Tests Allow 30-year Estimates of Women's Cardio Risks, New Study Says

A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights
A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights
TT

Blood Tests Allow 30-year Estimates of Women's Cardio Risks, New Study Says

A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights
A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights

Women’s heart disease risks and their need to start taking preventive medications should be evaluated when they are in their 30s rather than well after menopause as is now the practice, said researchers who published a study on Saturday.

Presenting the findings at the European Society of Cardiology annual meeting in London, they said the study showed for the first time that simple blood tests make it possible to estimate a woman’s risk of cardiovascular disease over the next three decades.

"This is good for patients first and foremost, but it is also important information for (manufacturers of) cholesterol lowering drugs, anti-inflammatory drugs, and lipoprotein(a)lowering drugs - the implications for therapy are broad," said study leader Dr. Paul Ridker of Brigham and Women’s Hospital in Boston, Reuters reported.

Current guidelines “suggest to physicians that women should generally not be considered for preventive therapies until their 60s and 70s. These new data... clearly demonstrate that our guidelines need to change,” Ridker said. “We must move beyond discussions of 5 or 10 year risk."

The 27,939 participants in the long-term Women’s Health Initiative study had blood tests between 1992 and 1995 for low density lipoprotein cholesterol (LDL-C or “bad cholesterol”), which are already a part of routine care.

They also had tests for high-sensitivity C-reactive protein (hsCRP) - a marker of blood vessel inflammation - and lipoprotein(a), a genetically determined type of fat.

Compared to risks in women with the lowest levels of each marker, risks for major cardiovascular events like heart attacks or strokes over the next 30 years were 36% higher in women with the highest levels of LDL-C, 70% higher in women with the highest levels of hsCRP, and 33% higher in those with the highest levels of lipoprotein(a).

Women in whom all three markers were in the highest range were 2.6 times more likely to have a major cardiovascular event and 3.7 times more likely to have a stroke over the next three decades, according to a report of the study in The New England Journal of Medicine published to coincide with the presentation at the meeting.

“The three biomarkers are fully independent of each other and tell us about different biologic issues each individual woman faces,” Ridker said.

“The therapies we might use in response to an elevation in each biomarker are markedly different, and physicians can now specifically target the individual person’s biologic problem.”

While drugs that lower LDL-C and hsCRP are widely available - including statins and certain pills for high blood pressure and heart failure - drugs that reduce lipoprotein(a) levels are still in development by companies, including Novartis , Amgen , Eli Lilly and London-based Silence Therapeutics.

In some cases, lifestyle changes such as exercising and quitting smoking can be helpful.

Most of the women in the study were white Americans, but the findings would likely “have even greater impact among Black and Hispanic women for whom there is even a higher prevalence of undetected and untreated inflammation,” Ridker said.

“This is a global problem,” he added. “We need universal screening for hsCRP ... and for lipoprotein(a), just as we already have universal screening for cholesterol.”