Alasdair Munro Profile picture
Senior Clinical Research Fellow in Paediatric Infectious Diseases | Clinical trials | Vaccines | Antibiotics | Husband and dad

Sep 24, 2021, 9 tweets

It's over 3 weeks since schools reopened in England after summer - what's happening in the #COVID19 data?

I'll be honest with you, it's a mess

I've got no idea what's going on - the data is a bit baffling

Lets take a look... 🧵

1/

The headlines are mostly about PHE cases data

These have been increasing in most age groups since early August, with a slight flattening after reopening of schools, now rocketing in 10 - 15yo

Interestingly, sloping downwards in the <5s

Maybe a school effect on cases?

2/

We know the start of school based testing does botch the trends somewhat, which was always going to be difficult to disentangle

In contrast to case numbers, positivity is actually tanking, especially in people reporting symptoms

Increases in Rhinovirus etc boosting testing?

3/

More confusingly, the ONS paints a different picture again (although a week behind)

Rates didn't fall much in primary age children over summer at all, and are maybe up, or maybe flat?

Secondary school age dropped for summer and bumpy, but not going up since schools opened

4/

But the plot thickens further

Hospitalisations (which have been least labile to testing bias) *FELL* ~25% after schools opened (?recent uptick)

We don't have the disaggregation to see how this is influenced by the >15s rates dropping, but shouldn't be enough to explain it

5/

The concern has been from the increase in parent aged adults cases matching increases in those of school aged children, but increase office mixing and testing given circulating cold viruses could interfere?

The data is not conclusive

6/

So there you have it, clear as mud

We saw cases peaked very quickly in this age in Scotland, and with ~50% estimated to have already been infected, we may see the same in England

ONS will be interesting over the next few weeks

7/

BONUS TWEET

Great breakdown on this by @jburnmurdoch and @mroliverbarnes in @FT

“Case counts may be inflating the true level of infections among children in England”

ft.com/content/fbcd39…

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