Aaron Derfel Profile picture
Sep 16, 2020 10 tweets 6 min read Read on X
1) Montreal is once again on the verge of becoming the epicenter of Canada’s #pandemic as it posted 96 new #COVID cases Tuesday, the highest since the tail end of the last wave. In this thread, I will assess the dire implications of the city’s latest predicament.
2) The last time Montreal posted a higher daily number was on June 6, right before #pandemic was brought under control briefly in the city. Dr. Mylène Drouin, director of the local public health department, was blunt in her update Tuesday. "All indicators are up," she warned.
3) “Yes, it’s worrisome for Montreal,” Drouin added. She noted that hospitalizations — perhaps the best indicator of the severity of the #pandemic — are up slightly in the city. There are at least seven outbreaks in schools, 24 in the workplace and three in eldercare homes.
4) Montreal declared 96 cases, up from 39 the day before amid record-setting testing. Montreal’s rolling seven-day average rose to 26.41 cases per million residents. By comparison, the more populous city of Toronto reported 73 cases, also amid record-high #COVID19 screening.
5) At the neighborhood level, four health districts reported upticks in new #COVID19 cases in the double digits, as the chart below indicates. The highest number was reported in the city’s hitherto hot spot of Montreal North, the second day it posted cases in the double digits.
6) Drouin pointed out that during the first wave of the #pandemic, most people were confined to their homes and for each outbreak there were only a few contacts per case to retrace. But now it’s much more difficult, with up to 100 contacts to retrace per #COVID19 case.
7) It’s not just harder for investigators to retrace contacts. The city has reopened in full. Public gatherings of 250 people are allowed despite doctors’ objections. Bars are open despite outbreaks. Combat sports are back on, creating conditions susceptible for the resurgence.
8) Drouin also confirmed what I’ve long been sounding the alarm about: the city’s health network has been rendered more “fragile” since the start of the #pandemic in March. Take a look at the chart below showing the ER at Maisonneuve-Rosemont Hospital filled to 130% capacity.
9) Montreal was declared a yellow zone on Tuesday. The city is in a "pre-alert" phase, according to the government’s #pandemic warning system. That means all current activities can continue, with no added restrictions. Does that make sense given what’s now happening in the city?
10) Authorities must first collect all manner of data before declaring a region yellow, orange or red — a delay of days that lags behind the swift pace of the #pandemic. Why wait to impose restrictions before it may be too late? End of thread. Please stay safe everyone.

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More from @Aaron_Derfel

Aug 4, 2025
1) BREAKING: Santé Québec has authorized 246 doctors' requests since April to become "non-participants" of the medicare system — and thus legally allowed to charge patients from hundreds to tens of thousands of dollars for services. See my exposé below.
montrealgazette.com/news/health/ar…
2) This accelerated exodus of doctors from the public system to private-for-profit side comes despite the Coalition Avenir Québec government adopting Law 83 last April to try to reverse this trend. But as my investigation shows, it appears that the law still has a huge loophole.
3) That's because Santé Québec was actually given the power to let doctors opt out of medicare. Supporters of medicare are truly dismayed that the new Crown corporation that is in charge of health care in the province has let so many doctors go fully private in so short a period.
Read 11 tweets
Jun 17, 2025
1) BREAKING EXCLUSIVE: Record numbers of Quebec heart patients are dying while waiting for their surgery. This crisis has become exacerbated as the newly-created Santé Québec and the provincial health ministry squabble over jurisdiction. My exposé below.👇
montrealgazette.com/news/health/ar…
2) Yet the health ministry appears to be downplaying this crisis, claiming hearts surgeons' warnings amount to a bargaining tactic. The facts show the problem has been growing worse. Nearly two-thirds of heart patients now wait past medically acceptable delays. See below. 👇 Image
3) As the orange line in the chart below indicates, the number of cardiac patients waiting beyond medically acceptable delays is rising, and the blue line shows the number undergoing life-saving operations on time is declining. The chilling result: more and more sudden deaths. Image
Read 4 tweets
Nov 30, 2024
1) Author @GadSaad, who has taken an unpaid leave from Concordia University, has just written this commentary in the New York Post, headlined: "How Montreal became the antisemitism capital of North America." Here are my thoughts on this topic.

nypost.com/2024/11/30/opi…
2) Obviously, it's debatable as to whether Montreal is indeed the antisemitism capital of the continent. As many Jews are painfully aware, antisemitism sadly exists everywhere. But recent events in Montreal have caused many Jews here to feel unsafe.
montrealgazette.com/news/local-new…
3) A friend just sent this text: "Recently, several of my Jewish friends - lifelong Montrealers - have made the difficult decision to leave the city. They’re not leaving for better opportunities or a change of scenery, but because they and their children no longer feel safe...+"
Read 6 tweets
Aug 16, 2024
1) BREAKING: The lengthy #COVID19 summer wave is continuing unabated in Quebec, along with other parts of North America and even around the world. Here in Quebec, it has been associated directly and indirectly with 1,100 hospitalizations for the past 12 days in a row. Image
2) As you can glimpse from the chart below, the #COVID testing positivity rate in Quebec was 20.9 per cent as of Aug. 11, the most recent date available. The trend line suggests the positivity rate has yet to peak. Image
3) Although nowhere near as fatal as it was back in 2020 (when vaccination was unavailable), #COVID this year has nonetheless been linked to 675 deaths, 38.7 per cent of which have occurred in octogenarians. But 30 Quebecers in their 50s have also died from #COVID in 2023-2024. Image
Read 8 tweets
Mar 13, 2024
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, 2024
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

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