THREAD: In this piece for @IanDunt 4 weeks ago, I wrote about the "relentless doubling" of Covid deaths in England & that any new measures would not prevent deaths over the coming 4 weeks because they would mostly be among people who already had Covid. politics.co.uk/comment-analys…
Given that relentless doubling of deaths, I wrote "It's likely 2,000 people will die over the next two weeks and 4,000 the two weeks after that.". Sadly, it was even worse. 2,553 died in the two weeks to 1st Nov & 4,328 have died over the last 2 weeks... (coronavirus.data.gov.uk/details/deaths)
A Sept 21st circuit break as recommended by SAGE could have prevented many of those deaths. I am v glad we started lockdown on 5th November but it was NOT soon enough to help the thousands who will die over the next 2 weeks. It also won't be as effective after missing half term.
Case growth has slowed so the doubling will slow too - and then stop as cases come down. BUT it's time govt learned that exponential growth + the long lag between infection & deaths, means saving lives next month means acting NOW. Stop waiting until you're sure it's bad. Please.
And it's not just about deaths - At least 615,000 people had Covid in England 21/9-5/11 (plus those who never got a test). Not acting in September means hundreds of thousands more people are now at risk of #LongCovid and other complications. theguardian.com/world/2020/nov…
I'm writing this because it's NOT good enough for govt to say this is unprecedented or that no one could have predicted it. Many people, inc SAGE, DID predict it. We can't do this again. END
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THREAD: quick look at how some European countries are doing & what we can learn from restrictions... NB there are general "work from home" advisories in all countries, but not clear how much people are. Slight differences in mixing rules. Thanks to @lmortshepherd for the charts!
1. Netherlands - cases went up rapidly from Sept & they tried regional curfews on bars & restaurants. These became national curfews but cases kept going up. Partial lockdown (schools + uni open) started mid October. 2 weeks later cases peaked and are now reducing.
2. France - Again cases started rising in Set and regional bar & restaurant closures were tried. Then national curfews. These were not stopping the spread and lockdown started a week ago - schools open. Today they had another record case day but early days.
THREAD: on lockdowns, mitigation, herd immunity strategies. I have a *lot* of problems with this article by Lord Sumption in the Guardian today - so I've decided to do a thread on them. amp.theguardian.com/commentisfree/…
1. Just going to start by saying that no one thinks lockdowns are a good thing and everyone agrees they have serious & bad consequences. They are a last resort measure. I agree with Lord Sumption that they should be avoided if at all possible! But that is about all we agree on!
2. He starts off by saying "Suppose there is nothing that governments can do to stop the spread of Covid-19. What then?". That's his premise. But many countries have shown there ARE things you can do to stop spread. China, S Korea, Vietnam, Japan, Taiwan, Thailand, NZ, Uruguay...
THREAD: where we are with covid in UK, particularly England, right now ... inc schools and circuit breaks... based on my @IndependentSage briefing today (which you can watch here if you want )
Confirmed UK cases still going steadily up - doubling every 2 weeks or so - faster end of Sept and bit slower last 2 weeks. Of course reliant on testing so take with pinch of salt.
Cases continuing to increase in England, NI and Wales. 2 weeks into central belt restirction in Scotland and we're seeing a flattening. Remember impact on cases takes at least a week to show in case numbers. Keep an eye on NI next week and Wales in two weeks...
TLDR: 2 week circuit breaker NOW, then enough restrictions/FTTIS to keep R below 1
Cases are rising across England. SAGE estimate R i s1.2 -1.5 & not below 1.2 anywhere. Although North highest (1), everywhere rising. Plotting each region with start point at first week with over 20 cases/ 100K people/week shows that trajectories similar (2) - all on same course
All charts below assume simple exponential growth or decay (based on R) till end Nov. V v simple but illustrate point! I use hospital admissions as not dependent on testing. Back of envelope, don't take numbers literally.
Overall, doubling rate currently about 2 weeks (R=1.3).
At current growth, covid hospital admissions in North of England less than a week away from levels London had on lockdown day in March (per population)
Covid loves us socialising indoors (pubs & homes) and laughing, chatting over a table for hours... I think right now closing indoor pub service in hard hit areas & restricting household mixing is right thing to do BUT we need to work immediately on plan to reopen inc
Fixing test & trace (e.g. in England, currently works least well where needed most). This inc supporting isolation - financially (£500/2 wks less than minimum wage!), practically (caring responsibilities, grocery, accommodation...) (govt SAGE said same bit.ly/2SBpfKP
THREAD: many of us in healthcare have seen new IT systems hailed as gamechangers. Many don't live up to their promise. Often failure is at final step of implementation - I interviewed people at 4 hospitals who all implemented the same IT system & developed these cartoons...
The hope is that they capture typical stories of what pitfalls happen in real life - and gives tips for how to avoid them! The full cartoons (and a downloadable booklet) are freely available from @nejmcatalystcatalyst.nejm.org/doi/full/10.10… but here are some with real quotes :-)
"Because it involved IT, even tho the CMO had signed off & we had his blessing & the promised resources & the contract, then we had to go through what we call the IT gov committee. Which is not a quick process, so we had to formally present this…and that took another 6 mnths"