1) Quebec has now reached an unusual point in the pandemic — with spikes in #COVID19 cases being observed at opposite ends of the age spectrum, among schoolchildren and the elderly. In this thread, I will compare and contrast these two groups.
2) Let’s start with schoolchildren. Quebec reported a total of 404 #COVID19 outbreaks in schools on Tuesday, up by 21 from Monday. This represents the biggest increase by far in any setting. In fact, the number of outbreaks in the workplace dropped by 13 since Monday.
3) In its latest report, the Education Ministry identified 147 more active #COVID19 cases among students and staff in schools across Quebec, setting another record tally, 2,807. What’s more, the number of shuttered classes jumped by 187 to 1,037. See the chart below.
4) A Laval elementary school is the latest educational institution to close temporarily following a #COVID19 outbreak. How many more will have to shut before authorities acknowledge what some experts have been warning — that schools have become breeding grounds for the virus?
5) The temptation is to compartmentalize outbreaks by setting, as if there were no transmission from one to the other. Officials have blamed parents infected in the workplace for unwittingly spreading the #coronavirus to children. But why can’t it also be the other way around?
6) Infections are also surging again among the elderly. A total of 1,339 people were afflicted with #COVID19 in eldercare homes on Tuesday, up by nearly 40 per cent or 382 cases from a week ago. Ten residents in a Joliette long-term care centre have died in a matter of days.
7) Indications point to a rising mortality rate in seniors’ residences and long-term care centres in regions outside Montreal — a nightmare scenario the Quebec government was hoping to avoid during the second wave. Why is this happening now?
8) Are asymptomatic health workers passing along the #coronavirus to the residents of these facilities? Are relatives visiting partly responsible? In an indirect domino effect, is the proliferation of outbreaks in so many settings, including schools, contributing to some extent?
9) On Tuesday, Premier François Legault announced the extension by two weeks of the partial lockdown. But beyond that extension, the government hasn’t proposed any new measures, even as the number of #COVID19 cases is climbing amid lower testing in the past two days.
10) Quebec added 38 #COVID fatalities to a death toll of 6,493. Tuesday’s mortality figures were the highest since the end of the first wave. These sobering developments call for more action by the government. Why not start with portable air purifiers in schools? End of thread.

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More from @Aaron_Derfel

11 Nov
1) The #pandemic appeared to take another turn for the worse Wednesday in Quebec, with #COVID19 outbreaks rising sharply in all sectors and hospitalizations increasing, too. In this thread, I will call upon the government to consider drastic action to curb this latest resurgence.
2) Since Tuesday, provincial authorities have reported 81 more active #COVID19 clusters. The biggest one-day increase is in the workplace (54), followed by spikes in schools (11), daycares (10) and health-care institutions (7). Outbreaks linked to events dipped by one to 41. Image
3) The number of confirmed #COVID19 infections is rising noticeably in the following regions: Saguenay—Lac-Saint-Jean, the Eastern Townships (where cases doubled to 90 since Tuesday), Outaouais, Gaspésie, Lanaudière, the Laurentians and Montreal.
Read 12 tweets
10 Nov
1) In just the past four days, the number of #COVID19 outbreaks in Quebec schools and daycares has climbed by 15 across the province, reinforcing the importance of improving ventilation in these facilities. In this thread, I will return to the subject of portable air filtration.
2) Since last Thursday, the number of outbreaks in Quebec workplaces declined from 697 to 683. However, #COVID19 clusters rose to 383 from 374 in schools, underscoring how the #coronavirus in this milieu is driving community transmission. Outbreaks in daycares rose by six to 78.
3) In its latest report, the Quebec Education Ministry added 153 more #COVID19 cases in a single day to a record tally of 2,660, according to the chart below. What’s more, 27 more schools across the province were identified as having at least one case for a total of 900. Image
Read 10 tweets
9 Nov
1) Health Minister Christian Dubé will travel Monday to the Saguenay—Lac-St-Jean region after it posted on Sunday its highest daily number of #COVID19 cases amid critical outbreaks in at least two eldercare homes. In this thread, I will take stock of Quebec's escalating crisis.
2) During the #pandemcic's first wave, the Saguenay—Lac-St-Jean was largely spared. But in the past two weeks, infections have risen in the region from under 50 a day to 155 Sunday. More than 50 elderly residents are suffering from #COVID19 in two major institutional outbreaks.
3) The worsening situation is also reflected in the fact that Quebec set a record 1,397 cases Sunday amid high levels of testing. Neighboring Ontario smashed its previous record by nearly 200 cases. What’s more, #COVID19 is on the rise in Montreal and more so in Toronto.
Read 9 tweets
8 Nov
1) Quebec on Saturday ended its deadliest week since the first wave of the pandemic, with a seven-day tally of 121 #COVID19 fatalities. The same can be said for the city of Montreal, but most of the deaths are now occurring outside of the city.
2) As you can glimpse from the chart below, Montreal has to date posted 3,547 #COVID19 deaths, greater than all of Ontario’s tally of 3,220. During the #pandemic’s second wave, however, regions like the Capitale-Nationale, and the Montérégie have been observing more deaths.
3) In the worst example, 32 people have died at the CHSLD Sainte-Croix in the Montérégie. A manager has since been fired, but how could so many deaths strike one long-term care centre? Wasn’t Quebec supposed to prevent this from happening again after the first wave's carnage?
Read 8 tweets
7 Nov
1) After a plateau in new #COVID19 cases in the past few weeks, the situation grew worse in Quebec on Friday, with outbreaks surging in eldercare homes and cases rising in schools. In this thread, I'll explain why the government must adopt a new strategy to fight the second wave.
2) First, let me show why the situation is deteriorating in Quebec despite a partial confinement imposed on Oct. 1. For the past two days, Quebec has posted more than 1,100 #COVID19 cases a day. Also, in the past two days, the province has declared a total of 53 deaths.
3) Probing deeper, one discovers the number of critical #COVID19 outbreaks in long-term care centres (CHSLDs) has nearly doubled to seven since Oct. 20, and the number under so-called surveillance has tripled to six. Outbreaks have also doubled in seniors' residences (RPAs).
Read 10 tweets
6 Nov
1) Premier François Legault ruled out on Thursday easing #pandemic restrictions in Montreal during a plateau in #COVID19 cases. Turns out what the Premier did not say might be far more important than what he did say during his news conference.
2) Legault was responding to a report by the Montreal public health department recommending easing some restrictions, like allowing museums to reopen. He talked about the continuing risk that gyms, restaurants and theatres pose, but he did not discuss the risks in schools.
3) As I reported in the @mtlgazette tonight, one of Quebec’s foremost experts on infectious diseases, Dr. Karl Weiss, says that it’s schools in Montreal that are now driving transmission of the #coronavirus in the community, more so than the workplace. montrealgazette.com/news/local-new…
Read 10 tweets

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