New figures show that areas of Cumbria have some of the highest Covid-19 death rates in the country, as leading health experts call for "questions to be asked" about why the county has been so badly affected.

A News & Star analysis of new data published by the Office for National Statistics (ONS) has revealed that Carlisle, South Lakeland and Barrow-in-Furness have some of the highest rates of death from coronavirus across England and Wales.

This comes as Dr Thomas Kane, the north west regional chairman for the British Medical Association, says it is "time to start asking why" Cumbria is experiencing disproportionately high rates of death and infection from Covid-19.

Dr Kane said that while a number of reasons will likely be playing a part, the established link between higher rates of death from Covid-19 and higher levels of deprivation in an area must be urgently explored further.

"The Office for National Statistics has linked Covid-19 death rates to the affluency of an area," he said.

"According to its figures, residents in deprived areas have experienced double the death rates of those in affluent areas

"Cumbria has 29 communities that rank within the 10 per cent most deprived of areas in England."

“As more data is published across the country about the impact of Covid-19, we are starting to see the impact it is having on vulnerable communities.

"There appears to be a link between health inequalities – those already suffering from worse health outcomes because of societal factors such as housing, education and employment. It is important that we continue to explore these links as further evidence emerges."

Cumbria's director of public health, Colin Cox said that the link between poor health and social deprivation was well established.

"Most health problems are connected to deprivation in one way or another," he said.

He added this meant the response to Covid-19 has to take into account the fact that those who are least well-off are likely to be more at risk.

"We need to be especially vigilant about responding and identifying things in more deprived areas," he said. We have to have eyes and ears on the ground in the more deprived areas to spot the outbreaks as soon as they might start, as soon as we possibly can."

Mr Cox said it was too early to give a definitive answer on exactly what was diving Cumbria's higher than average death rate.

"A substantial part of that is explained by our older population, but not all of it is," he said,

"It looks to me as if there has been a slightly higher death rate in Cumbria than you would expect, even given the older population."

Former director of public health for Cumbria, Professor John Ashton said that there are parts of the county which are especially vulnerable to the virus, given the higher rates of poor health linked to deprivation.

"The virus has really been able to pick out people who are unhealthy, unfit, overweight, have diabetes, and all the other risk factors that we know are to be found in particular parts of the county - particularly Barrow, which has one of the highest rates," he said.

The Department for Health and Social Care has said that Public Health England is currently looking into disparities in coronavirus infections and deaths.

“There are many factors that could influence the number of cases in a particular area, including population density, age and health profile and the position of an area on the pandemic curve," a Department of Health and Social Care spokesperson said.