Aaron Derfel Profile picture
Sep 14, 2020 13 tweets 6 min read Read on X
1) As #COVID19 continues to spread across Quebec — causing outbreaks in schools and bars — the province’s health-care system remains more vulnerable than ever. In this thread, I will highlight the latest problems to hit acute-care hospitals in the #pandemic.
2) Over the weekend, the Hôpital de Gatineau suspended its intensive-care service following a sit-in protest by burned out nurses on Friday. This has occurred as the Outaouais region has been recording slightly more #COVID19 cases than during the first wave in the #pandemic.
3) Emergency-room nurses also staged a sit-in at the Hôpital du Suroît on Thursday in Salaberry-de-Valleyfield. The hospital responded by taking the nurses’ union to the Quebec labor tribunal to have the sit-in declared an illegal pressure tactic.
4) On Saturday, ER nurses at the Lakeshore General Hospital in Pointe-Claire staged their second sit-in in a week to draw attention to what they say are unacceptable working conditions during the #pandemic. On Sunday night, the ER was overflowing to 123% of its capacity.
5) Nurses often staged sit-ins before the #pandemic to complain about mandatory overtime, which the Coalition Avenir Québec pledged to abolish in the last election campaign. But sit-ins during the current health crisis underscore the system's fragility amid a #COVID19 resurgence.
6) In Montreal, 800 nurses have quit since March, further weakening the health network as it seeks to clear a backlog of tens of thousands of surgeries. People are also walking around with cancers they don’t even realize they have because of missed diagnoses during the #pandemic.
7) Should the current #COVID resurgence cause a spike in hospitalizations, as it did in the first wave, Quebec’s health infrastructure would quickly become overwhelmed. On Sunday, the province reported a relatively small net increase of 22 hospitalizations since a week earlier.
8) Quebec’s rolling seven-day average of #COVID19 cases rose to 25.08 cases per million Sunday from 23.84 the day before. The Shaker bar-restaurant and adjoining Taverne 666 in Rimouski (they share a bathroom) declared an outbreak Sunday. Yet bars remain open all over Quebec.
9) Meanwhile, the cumulative number of schools where at least one student or teacher tested positive for the #coronavirus rose to 252 Sunday night from 245 earlier the same day, according to covidecolesquebec.org. Two Quebec City elementary schools have declared outbreaks.
10) Perhaps it’s now time for the Education Ministry to give the province’s overcrowded public schools what they’ve been asking for: the right to require that their students wear masks in classrooms, as is currently the case in Ontario and the city of Edmonton.
11) Meanwhile, Montreal posted 57 #COVID cases on Sunday, up from 55 the day before, as the orange line in the chart below shows. The city, which is expected to be revised to a yellow pre-alert Monday, reported a seven-day average of 24.39 cases per million, the same as Saturday.
12) At the neighborhood level in the metropolis, the hitherto #COVID19 hot spot of Montreal North observed an uptick of a dozen cases Sunday. The health district of Saint-Léonard—Saint-Michel also counted cases in the double digits, as the chart below makes clear.
13) Since July, I’ve argued in this nightly Twitter thread that authorities should renew public-health restrictions to lower community transmission of the #coronavirus for the sake of our schools. This is true. But it should also be done to protect our hospitals. End of thread.

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More from @Aaron_Derfel

Mar 13
1) On Tuesday, the Quebec government unveiled its 2024-2025 budget, with the biggest expenditure to be made on health and social services. In this Twitter thread, I assess whether this "Health/Education Priorities" budget lives up to its hype, especially when it comes to seniors.
2) As you can see from the chart below, the lion's share of spending in the budget is for health and social services, pegged at $61.9 billion — up by 4.17% from the year before. In contrast, spending on education — so vital to Quebec's future — will rise 9.35% to $22.3 billion. Image
3) But as far as health and social services is concerned, Tuesday's budget may be indulging in a bit of spin. The chart below states that Quebec will spend an extra $3.7 billion over the next five years to "support a humane and effective organization of health care." Image
Read 9 tweets
Jan 5
1) "The pandemic is far from over," one of the preeminent experts on #COVID19, Dr. Eric Topol, declared today, Jan. 4, 2024 — three years after the world first learned of a novel virus that was killing people in China. In this thread, I take stock of what's going on in Quebec.
2) "The pandemic is far from over, as evidenced by the rapid rise to global dominance of the JN.1 variant of SARS-CoV-2," Topol noted in a Los Angeles Times op-ed. In Quebec, nearly one in two genetic samples collected was from JN.1 as of two weeks ago. It's likely higher now. Image
3) "Clearly this virus variant, with its plethora of new mutations, has continued its evolution ... for infecting or reinfecting us," Topol added. Although the updated booster is considered 60% protective against hospitalization, only 17% of the Quebec population has taken it.
Read 10 tweets
Dec 17, 2023
1) BREAKING: By every major indicator, Quebec's health-care system is now arguably the worst it's ever been. Please click on my story below on Quebec wait lists for cancer and other surgery setting record highs — again. via @mtlgazettemontrealgazette.com/news/local-new…
2) Although Quebec has made it a priority to tackle wait lists for cancer surgery, more than 4,400 oncology patients are still waiting for their operations. More than 600 are waiting longer than the medically acceptable delay of 57 days, potentially putting their health at risk. Image
3) Even the wait list for so-called non-urgent surgery has now swelled to nearly 164,000 people. Almost 14,000 Quebecers today have been waiting more than a year for their surgery. At a year's wait, a non-urgent surgery starts to become urgent. Image
Read 14 tweets
Dec 6, 2023
1) BREAKING: Quebec, like other jurisdictions across North America, is now in the midst of a new #COVID19 resurgence — nearly 4 years into the #pandemic. In this thread, I will assess the implications of this latest wave of infections, likely driven by a new SARS-CoV-2 variant. Image
2) On Dec. 5, Quebec declared a total of 2,214 hospitalizations with and for #COVID. Please note this increase also reflects a change in the way Quebec's public health institute has been compiling such hospitalizations. But make no mistake: Quebec is still facing a resurgence. Image
3) The United States is also facing a #COVID hospitalizations resurgence, with 20,000 new admissions per week, according to preeminent expert @EricTopol. In the U.S., the JN.1 variant is becoming dominant, with wastewater levels surging with SARS-CoV-2. See Topol's tweet below. Image
Read 10 tweets
Nov 13, 2023
1) BREAKING: Jewish-owned businesses in Montreal are being targeted and vandalized with antisemitic profanity. Please click below to read my report.
via @mtlgazettemontrealgazette.com/news/local-new…
2) "Last weekend, they put swastikas on the … menus downtown and they wrote FUCK THE JEWS," a Jewish business owner told me. I have also seen a list of Jewish businesses that is circulating, provoking not only boycotts but vandalism.
3) The Gazette has decided not to publish these disturbing images, as the Jewish business owners are fearful of reprisals.
Read 4 tweets
Jun 16, 2023
1) BREAKING: A month after Japan downgraded #COVID19 to the seasonal flu, the country is now beset with a 9th wave of infections. In this thread, I will explore the persistence of the #pandemic that everyone — especially politicians — wants to forget. Image
2) First, it's worth noting that the number of #COVID hospitalizations in the nation of 125 million rose to 4,330 from 4,122 a week before. The seven-day average for the number of patients in intensive care units was 79, according to the Japan Times.
3) It appears that XBB subtypes of the SARS-CoV-2 virus are driving the latest wave of infections in Japan. Meanwhile, China has recorded a more than five-fold surge in the number of people diagnosed with COVID in hospitals since April. China is also bracing for another wave. Image
Read 7 tweets

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