The move to Level 5 restrictions was a difficult decision for Government, and is very hard for people whose lives and livelihoods are most affected, but it was necessary to interrupt uncontrolled exponential growth of the pandemic. 1/5
We can, collectively, suppress transmission of the virus again, if we fully enter into the spirit of these measures, and eliminate, for the next six weeks, close contacts other than our household, ‘bubble’, school or college, or essential work. 2/5
Our modelling shows that to make a success of this, we need get viral transmission down to very low levels. A reproduction number of 0.9 or 0.7 won’t be enough, we need to aim for R = 0.5. 3/5
And we need to keep R close to 0.5 for 6 weeks. If we held R at 0.5 for 3 weeks, cases would fall to about 400 per day, but rise again to about 1000 per day four weeks later. If we keep R at 0.5 for six weeks, cases remain below 200 per day until end-December. 4/5
These models are approximations, but so far have tracked the pandemic reasonably accurately; my thanks to @gleesonj and the entire IEMAG team for their work on these models. 5/5

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Professor Philip Nolan

Professor Philip Nolan Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @President_MU

16 Oct
We face difficult decisions if we are to suppress again the spread of SARS-CoV-2, and different voices should be heard. However, such contributions should be grounded in the facts, and public health expertise and experience. This article is neither. 1/12 irishtimes.com/opinion/jack-l…
A public health specialist would give you a much better critique than I could of the errors and misconceptions in the argument; I’ll confine myself to highlighting some factual inaccuracies. 2/12
The article states that “it is reasonable to make an educated assumption that tens of thousands of cases were circulating undiagnosed throughout the country” in March and April, implying that 500-1000 cases now is less of a problem than it seems. 3/12
Read 12 tweets
8 Oct
The exponential growth in SARS-CoV-2 infection in Ireland should make each and every one of us stop, think, and resolve again to do our part to suppress the virus, now and quickly. 1/7 Image
The call to action is the same as it has been for weeks, but much more urgent now: radically limit our discretionary social contacts, maintain physical distance and safe practices when we do meet, self-isolate and call for help with any symptoms of COVID-19. 2/7 Image
We have seen rising cases, now we are seeing rapid increases in the number of people admitted to hospital and ICU. 3/7 Image
Read 7 tweets
2 Oct
We should not ignore or dismiss the rising numbers of SARS-CoV-2 infections. We monitor hospitalisations, intensive care admissions, and with great sadness, deaths, and we know where these numbers will go if we do not suppress transmission of the virus. 1/9 Image
Case numbers have been growing exponentially, at approximately 4% per day, since late June. The daily average case count on 23 June was 9 cases. If you add 3.9% every day, you get 12 cases on 1 July, 40 cases on 1 August, 131 on 1 Sept, and 430 today. 2/9 Image
Hospitalisations are delayed, but now also growing at about 4% per day. The daily average number of people in hospital with confirmed SARS-CoV-2 infection on 3 August was 12; increase that number by 4% per day and you get 37 on 1 Sept, and 121 on 1 Oct. 3/9 Image
Read 9 tweets
2 Oct
We don’t have SARS-CoV-2 under control in Ireland. We need, as much as we ever did, to work together, with one voice and one intention, to suppress the virus. Let’s remember the fundamental protection: keep your distance. 1/6
We need and crave social contact, but the virus exploits the moments we come close as an opportunity to transmit. It’s spreading rapidly right now, between households, especially in young adults. 2/6
The message: mix with one other household, keep your distance when socializing (even in your own home), get outdoors, limit your social contacts to those that are really important to you, stay home and seek a test if you feel unwell. 3/6
Read 7 tweets
26 Sep
A useful article. The conclusions are broadly correct, but the calculations are right only if we were randomly screening large asymptomatic populations. We mostly test people with symptoms and close contacts of known cases, so the proportion of false positives is much lower 1/10
If you have symptoms, or are a close contact, the prior probability of having SARS-CoV-2 infection is much higher than the population prevalence. A close contact has about a 1 in 10 chance of being infected. 2/10
Specificity and sensitivity of a test are harder to measure than you might think. The specificity (probability of test being negative where there is no virus) used in the article is probably generous. If the specificity is 99.7%, 3 in every 1000 tests is a false positive. 3/10
Read 10 tweets
26 Sep
How are we doing? The number of new cases per day remains high. It’s possible that incidence is rising more slowly in recent days, but it’s too early to tell. If we are starting to suppress the virus again, take this as encouragement to maintain and redouble our efforts. 1/7
It’s important to look at Dublin separately. This is daily incidence per 100,000 population for Dublin, Kildare-Laois-Offaly, and the remaining 22 counties. If every county had an incidence of 5 per 100,000, it would translate into about 250 cases a day across the country 2/7
Incidence remains high in Dublin, and is rising in the rest of the country. If we look at 14-day cumulative incidence for individual counties of interest, we can see high incidence in Dublin, and the recent rapid increase in Donegal 3/7
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!