35 New #COVID19sverige deaths reported today, taking the Folkhälsomyndigheten total to 6057. The oldest change was +3 to October 29, four separate days (Nov 1,4,6,7) had 5 new deaths reported.

A clear uptick in the cumulative deaths curve is now apparent.
The rolling 7 day average is rapidly increasing, and the 10-14 day lag in reporting is clear in this graph, with each line representing the averages as presented each reporting day. The most recent data is the line that ends furthest to the right.
Once fully updated, this data will likely show we are average well over 10 deaths per day at the moment.

The Swedish Palliative Care Registry is reporting 74 Covid deaths so far in November, an increase of 42 since Friday.
Covid deaths reflect the spread of infection in Sweden about 2-3wks ago. Given lag, however, the data reflects infections ca 3-4 weeks ago or more.

This is the rolling 14 day average of cases per/100000 population. A month ago we were at 75, yesterday (incomplete) already at 450
Mortality is however heavily affected by who is infected, with risk increasing significantly from 0.4% at age 55 through to 15% at age 85.
medrxiv.org/content/10.110…
Unfortunately, as we can see from this graph from Folkhälsomyndigheten's press conference today, the virus is now spreading rapidly in all age groups.
In Stockholm alone, more than 45 aged care homes are reporting one or more Covid infections amongst residence

ICU utilisation is also predictably increasing rapidly, with 131 beds currently used by Covid patients.
I noted yesterday that ICU would be full in less than 2 weeks. 2 weeks ago Folkhälsomyndigheten pulled out their old "flatten the curve" graph.

Well today, they showed a modified version. They're still after flattening the curve, now it's just a bigger curve. That bigger dotted-line curve ... don't lose sight of what that means. It's seriously ill sick and dying people. It's thousands of exhausted health care workers.
I'm horrified to say this, and say it already now, in early November, but the data is now irrefutable, it has, in essence, already happened - we *will* pass the peaks of Spring before the end of the year.

What happens after that is still up to us.
So I issue a plea to *all* Swedes - ignore Anders Tegnell.

#stayathome as much as you possibly can, and please, please, please, everyone #WearAMask

#bytStrategiNu

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More from @DavidSteadson

11 Nov
A little perspective for all the "it's just old people" brigade.

I turn 52 in exactly a month. Prior to #longcovid I was the healthiest I've been in my life, and the fittest since I was a teen - and with zero health issues.

I've just checked the Swedish data from my age group -
In Sweden, for those aged 50-59 who have tested positive for Sars-CoV-2, 1 in 40 have ended up in ICU and more than 1 in 200 have died.

This includes both men and women -
Men though, have ended up in ICU at more than double the rate of women, despite women having more +ve tests.

This means the odds of a 50-59 year old man who tests positive ending up in ICU are closer to 1 in 30 or even 1 in 20.
Read 4 tweets
10 Nov
Just been to Gävle and Skutskär with my son. Saw a long long line for covid testing in Skutskär, a few masks. No masks in Gävle apart from me. More elderly than I've seen in months. And I heard people coughing in stores for the first time in months.
Driving home it's approaching 2 o'clock so I'm wondering what the FHM stats will be. I'm discussing it with my son. My epidemiological brain, having been looking at the stats for weeks, is saying...
uggh, even with lag numbers are going to be up towards 40 new deaths, certainly more than 30. The rest of me struggles to accept this...

No, it can't be so many ... feels like just days ago it was 2 or 3, even zero, being reported.
Read 8 tweets
9 Nov
No data reported from @Folkhalsomynd today, but the situation in ICU is looking grim. @janlotvall was curious yesterday exactly how grim, so I've looked more closely.

Sweden normally has 523 ICU beds.

portal.icuregswe.org/seiva/en/rappo…
At the end of week 42, approximately 386 of those beds were available. There were 24 Covid patients.

portal.icuregswe.org/seiva/en/terti…
As of this morning, just after the end of week 45, there were 120 covid patients, an increase of nearly 100 since week 42 and a doubling since the end of October, 8 days. The previous doubling time was about 10 days.
Read 12 tweets
9 Nov
Long thread with "new" emails of a group of Swedish scientists discussing the pandemic and the Swedish response in early March.

Tom Britton comes out well as understanding itäs mroe serious than Tegnell thinks, and is trying to stay on FHMs good side and influence him.
Unfortunately, today he's made the same mistake himself, telling Aftonbladet

"A reasonable estimate is that the mortality rate is at 0.2 percent now, compared to 0.5 percent last spring"

It was 0.6 last Spring according to Folkhälsomyndigheten, in line with WHO estimates
And some studies still have it closer to 1% (and even higher!) A lot depends on age and risk factors. A good paper that summarises the data -

medrxiv.org/content/10.110…
Read 4 tweets
2 Nov
This is what Sweden needs to do, immediately

(1) Nationwide #stayathome advice for 6 weeks, with it made clear it is obligatory to follow (as it is under infectious disease law), for all but essential workers

(2) Masks indoors when you must leave home
(3) Schools for under 10 remain open, half class sizes, with half working from home, rotate weekly, masks

Immediate government support for any that need internet or computer. If necessary, employ masked tech staff with confirmed antibodies to travel to peoples homes to setup
(4) Nationwide PCR testing with local and mobile test stations. Do the whole country in a week.

(5) Immediately employ and train 1000 people to do contact tracing. This is #stayathome work
Read 6 tweets
29 Oct
A key graph from Swedish Public Health Authorities press conference today that many may have missed the implications of. The same one was used back in March.

Remember "flatten the curve"? It's back. But there's something important to understand about this graph.
The areas in the graph (orange and blue in this case) represents the total number of people requiring hospitalization. This is a relative stable percentage of the total population, so you could draw a smaller, bigger, graph to reflect infections, with much the same shapes.
In the first instance (orange), hospitalisation needs increase rapidly, and then begins to decline. This reflects community infection spreading rapidly, and then declining.
Read 19 tweets

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