As I reported likely last week, the #covid19 Sweden death toll today *decreased* by 15. In reality, there were (at least) 16 deaths added, all since October 12, and at least 31 deaths removed, from May to August.

Small numbers, but mortality appears to be slowly creeping since the end of September, with knowledge there remains a lag of about 2 weeks.
Swedish Palliative Registry now reports 108 deaths for October, an increase of 17 since Friday. (FHM reports 59)
Mortality figures are still low, however this is unlikely to remain so. Swedish intensive care registry reports 56 Covid patients as of yesterday (subject to change), a doubling in 2 weeks.
New cases continue to soar. A few people criticized me calling the growth exponential, I think now it's clear on the graph. 1870 on Friday is a record for cases in Sweden, though note testing has increased significantly since April
Cases per 100000 pop per 14 days has almost certainly now exceeded 150.
I have serious concerns (again) about how the public health authorities are responding to this. Deaths lag ICU numbers. ICU numbers lag cases. Cases lag infections.

Infections are soaring. Meanwhile, Socialstyrelsen says ICU is in good condition, 27% of places still available.
Given the epidemiological situation right now, that is not going to last very long, even if we increase NPI immediately.

The Swedish Medical Association has requested FHM reconsider it's relaxation of restrictions on the elderly. Tegnell responds that infections are low there.
In every other country, the Summer infections started among the young and then spread to the elderly. The same is happening her, albeit delayed.

Data reported *today* reflects the situation 2 weeks ago. New restrictions put in immediately won't show effect for another 2-3 weeks
For reasons I do not understand, Folkhälsomyndigheten continues to respond with a "just in time" approach, when in fact it's "way too late."
Someone asked what R currently was. Just ran the numbers using all case data up until Friday (Folkhälsomyndigheten only uses serious cases) and it is 1.4, the highest it has been since the beginning of April.

It has not been below 1 in almost 2 months.

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More from @DavidSteadson

4 Oct
For those who think a Swedish "second wave" is only about how many people are hospitalized or dying. This is till happening to me, now almost 7 MONTHS after I first fell ill. Left is from Sept 22, right is right now.

Most of the time is good now, >97 but this is still regular
That's my blood oxygen levels dipping under 94, the "safe" level. At my worst it went in to the 80s. I bought the pulseoximeter a couple of years ago out of curiosity, prior to Covid I had never seen it drop below 97. I bought a second to confirm it was correct. It is.
ZERO health issues before covid apart from some mild allergies. I was very fit, resting pulse rate in the mid to low 50s, training 5-7 times a week and training others

Sweden is now having thousands of people a week testing postive for covid. How many are going to be #longcovid?
Read 18 tweets
1 Oct
I only recently discovered the Swedish Palliative Care Registry and have started to compare it's data to Folkhälsomyndigheten, and there are some significant differences.

data.palliativregistret.se/utdata/report/…
FHM unfortunately doesn't provide breakdown of deaths by age by date, but they do provide cumulative totals by 10 year age groups, eg 70-79 yr olds.

The palliative care registry does the same, but unfortunately using a different range, eg 75-85 🤨
If I take FHM's reports of total deaths from 60yrs and up reported today, and subtract the same figure reported on Sept 1, I get 72 deaths so far registered in September

If I take the 65 and up age group from SPR (a smaller group) I get 103 deaths.

That's a big difference. Image
Read 5 tweets
26 Sep
Irish interview with Johan Giesecke. Interviewer @boucherhayes seems to have a solid grasp of epidemiological confounders, and Giesecke denies giving advice (paid?) and admits he spoke without any research into local conditions.

rte.ie/radio/utils/sh…
Gisecke's testimony, where he clearly *is* giving advice

irishtimes.com/news/health/sw…
1. wait a year to compare countries

2. soft lockdown like Sweden can be effective

3. don't build a strategy based on a vaccine

4. you should allow controlled spread in groups under 70
>
5. keep your schools open

6. poor & marginalised get hurt most by disease

7. covid isn't that mysterious.
Read 7 tweets
24 Sep
Fascinating and worrying data from the UK on adherence to requests to isolate/quarantine.

If you're going to ask - or even *demand* people do something - you need to remove barriers. There clearly seems to be some structural barriers in the UK.
ps @emanuelkarlsten and friends, though Adam calls himself an Epidemiologist and works at the London School of Hygiene and Tropical Medicine, his formal degrees are in Maths and Statistics, nothing in "epidemiology" so you should probably ignore this fascinating paper ... 😛
Learning from papers like this is important for Sweden. Stockholm, for example is considering implementing "family quarantine" - if one person in a family tests positives, adult family members must also stay home.
expressen.se/nyheter/lakare…
Read 5 tweets
24 Sep
Folkhälsomyndigheten has not reported R since September 5, so thought I'd run the numbers myself, using the same EpiEstim software Folkhalsomyndigheten was using to calculate R, with the parameters they reported. They may have tweaked them, so might be some minor differences.
Friday Stockholm hit ca Rt 1.7, Sweden ca Rt 1.2 😬

Above 1 means you're starting to look at exponential-like growth again.

Tip: "Estim" in the name of the software is short for *estimate* and there's different ways of calculating this.
Addition: As others have noted, FHM is using a different dataset than I am, apparently excluding "mild cases" and various other groups, so we're not going to come up with the same figures.
Read 5 tweets
22 Sep
Sweden, new cases per week

V36 1333 +11%
V37 1598 +20%
V38 2085 +30%
And testing data is out - 139 471

That is a 2% *decrease* on the previous weeks testing. So STFU you people.
Norwegian updated data is also out, and as you can tell from the breathless reporting in Swedish media about the catastrophe befalling that country, it's 🦘bad. If only they'd listened to Tegnell!🦘 Image
Read 4 tweets

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