Aaron Derfel Profile picture
Sep 18, 2020 12 tweets 6 min read Read on X
1) Montreal appeared to be edging closer to being coded an orange zone in the #pandemic Thursday after authorities added a backlog of more than 200 #COVID19 cases to the daily tally. In this thread, I will try to explain what is now going on in the city at this critical juncture.
2) The Montreal public health department revealed the huge backlog at a news conference, the same day Herzliah High School became the first educational institution in the #pandemic in Quebec to close for two weeks because of a #COVID19 outbreak. montrealgazette.com/news/local-new…
3) Think of that for a moment. A high school closes temporarily only three weeks into the start of the school year in a city with at least six other #COVID19 school outbreaks. Provincially, 173 classes have been shuttered because students or staff tested positive for the virus.
4) If one discounts the backlog added from previous days, Montreal posted 73 new #COVID19 cases Thursday. The city’s rolling seven-day average is now 47.04 cases per million residents. One of the government's criteria to declare an orange zone is at least 60 cases per million.
5) In a sign of the swift-moving and chaotic nature of the #pandemic, the government produced numerous discrepancies in its reporting of #COVID19 data on Thursday. In fact, the blue line in the chart above does not add up, nor do some of the government’s own graphs.
6) On Thursday, Education Minister Jean-François Roberge disclosed for the first time details of what he would do to schools in the event a given region codes orange or red. The government is not relying solely on case incidence over seven days to declare a region orange.
7) But if the government did rely only on case incidence — as some jurisdictions around the world do — Quebec City and Bas-Saint-Laurent would already be declared orange zones. Under Quebec's new guidelines, that means students could no longer engage in extracurricular sports.
8) At the neighborhood level, the chart below shows that every health district in the city is reporting #COVID19 cases in the double digits. Côte-des-Neiges (where Herzliah is located), downtown and Parc-Extension reported a staggering 57 cases, likely many from previous days.
9) Premier François Legault asserted on Thursday that the number of #COVID19 hospitalizations corresponds with the optimistic projections by the Institut national de santé publique in June. What are the facts? Quebec has averaged 3.5 new hospitalizations a day since Sept. 4.
10) Please review the projections chart below by the INSPQ. It shows a median of just below 2.5 new hospitalizations a day in September under the optimistic scenario. In total, the province has witnessed a net increase of 42 hospitalizations since Sept. 4.
11) Consider also the capacity of Quebec’s health-care system, with 1,700 nurses quitting the profession during the #pandemic, according to the FIQ union. Consider the backlog of 92,000 surgeries. And consider the fact that ER overcrowding is once again a daily reality.
12) Yet the government’s response to the worsening situation is to launch an ad campaign and impose heftier fines on those who flout public-health guidelines. Why not follow the lead of other provinces like Ontario and British Columbia in setting new restrictions? End of thread.

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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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