1) Quebec Premier François Legault on Monday appeared to take comfort in the fact that #COVID19 hospitalizations in the province are not soaring as they have in the U.S. and Europe. In this thread, I will try to explain why the premier’s sanguine view is far from justified.
2) “The good news is about hospitalizations — we’re still under 600,” Legault said, even as Quebec set a record of 591 (up by four) during the second wave. Legault added the figure is “a lot less when we compare ourselves with other states like the United States and Europe.”
3) Legault’s reassuring message is at odds with the assessment by Canada’s chief public health officer. Dr. Theresa Tam warned Saturday that although Quebec has reported lower increases in hospitalizations than some provinces, it continues to treat a very high number of patients. Image
4) Quebec is posting the second-highest rate of #COVID hospitalizations in Canada, at 69.28 per million population. Manitoba’s rate is the highest, 172.06 hospitalizations per million, but its absolute number if 234. Ontario’s rate is 34.32 per million, with 500 hospitalizations.
5) And as the number of #COVID19 cases hovers between 1,200 to 1,400 a day in Quebec, it would stand to reason that the province will report more hospitalizations in the coming days. In the past two weeks, the number of active outbreaks has climbed by about 150 to 1,555.
6) Quebec’s health-care system was already fragile before the #pandemic, with lengthy wait times for surgery and cancer therapy. During the #pandemic, the system has become overwhelmed with a huge backlog of cases and burned-out medical staff.
7) During the first wave, it took just 14 days to go from 107 #COVID19 hospitalizations in Quebec to 612. During the second wave, it has taken 59 days to go from 110 hospitalizations to 591. But facing an unpredictable #pandemic, the current number can shoot up quickly.
8) Meanwhile, the #COVID19 trend in schools is growing worse. The province reported a total of 457 active #COVID19 outbreaks in schools, up by six since Sunday. The number of active cases among students and staff jumped by 170 to another record tally, 3,363. Image
9) Schools shuttered 59 classes in Quebec last Friday due to #COVID19 exposure, setting a new record total: 1,300. That’s not counting some schools that have closed temporarily. Since Sunday, 20 more schools have confirmed at least one case, according to covidecolesquebec.org.
10) Among seniors, 15 more Quebecers died from #COVID19 in eldercare centres since Sunday, raising the death toll in those facilities to 386 during the second wave. To date, 6,651 Quebecers have died in the #pandemic. Nothing reassuring about those stats. End of thread.

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More from @Aaron_Derfel

19 Nov
1) New York City announced it will close its schools again Thursday after its #COVID positivity rate rose to 3%. By comparison, Montreal’s schools are staying open even though the public health department disclosed Wednesday the city’s positivity rate climbed to 6.02% from 5.26%.
2) Boston shut its schools on Oct. 21 after that city’s #COVID19 positivity rate jumped to 5.7% from 4.5%. Four Boston public schools reopened on Monday. In this thread, I will once again draw attention to the need for more measures to protect students and teachers in Quebec.
3) Toronto’s #COVID19 positivity rate has inched up higher than Montreal’s, to 6.2% from 5.9% a week ago. Like Montreal, Toronto will not close its schools. But unlike Montreal, Toronto has implemented more public safety measures during the #pandemic’s second wave for schools.
Read 10 tweets
17 Nov
1) Quebec on Tuesday posted its biggest one-day surge of #COVID19 hospitalizations during the #pandemic's second wave, as well as a record daily hike in cases in schools. Yet the Premier described the situation as "stable." In this thread, I will explain why it's far from stable.
2) “The situation in staying under control in the hospitals,” François Legault said, noting incorrectly that the number of hospitalizations is below 600. That was the case on Monday, but on Tuesday the government counted a total of 638 hospitalizations, up by 47 since Monday.
3) That compares with 529 #COVID19 hospitalizations in Ontario, up by 29; and 240 in Manitoba, up by six. What’s also noteworthy is the number of Quebec patients receiving intensive care rose by 13 to 100, matching the previous high in the second wave on Oct. 19.
Read 10 tweets
15 Nov
1) Outbreaks were increasing in all sectors across Quebec on Sunday, including in health-care institutions, daycares, schools and the workplace, suggesting the second wave is entering a potentially dangerous new phase. In this thread, I will assess what this could mean.
2) Quebec added four #COVID19 hospitalizations Sunday to a cumulative total of 587, the highest so far in the second wave. Intensive-care unit stays were up by seven to 89. The latter is not a record, as Quebec reported 101 ICU stays on Oct. 22, but the trend is still worrisome.
3) #COVID19 clusters rose by six to 211 Sunday in health-care institutions that include long-term care. Outbreaks inched up by two to 82 in daycares. The workplace declared a total of 753 active outbreaks, up by nine since Saturday. Outbreaks rose by four to 449 in schools.
Read 9 tweets
15 Nov
1) Ouebec reported 28 more #COVID19 outbreaks in schools on Saturday, by far the highest single-day increase of any setting in the province. Clearly, the existing public-health protections in schools are failing. In this thread, I will show how schools are posing a growing risk.
2) Just a little over a week ago, on Nov. 5, #COVID19 clusters in schools represented 26.6% of all active outbreaks in Quebec. By Saturday, that percentage climbed to 29. During the same period, the workplace's share of all outbreaks in the province declined from 49.6% to 48.5%.
3) In fact, the province reported a drop of 15 #COVID19 active outbreaks in the workplace Saturday, for a total of 744. By comparison, the number of outbreaks in schools rose by 28 to 445. The only other setting to note an increase was health-care institutions: up by five to 205.
Read 10 tweets
14 Nov
1) Quebec set more grim records in the #pandemic Friday, all of them in the educational sector. The most notable one is 1,241 classes shuttered due to #COVID19 exposure, up by 27 from the day before. In this thread, I will take stock of the growing contagion in schools.
2) Another record: a total of 3,193 students and staff have tested positive for the #coronavirus, up by 159 since Thursday. That increase represents the second biggest daily spike recorded during the second wave. A third record: 950 schools now have at least one #COVID19 case.
3) A fourth record: the province reported 417 #COVID19 clusters in schools, up by two since Thursday and 43 since a week ago. Nearly half of all of Quebec’s schools have confirmed cases since the start of the academic year, according to covidecolesquebec.org.
Read 10 tweets
13 Nov
1) Premier François Legault tacitly acknowledged Thursday that schools are driving community transmission of the #coronavirus when he warned he might close them for longer than the holiday break next month. In this thread, I will explain why more needs to be done.
2) The Premier noted that 324 classrooms have been shuttered due to #coronavirus exposure in the past two days. In fact, the situation is more worrisome. In the past seven days, the total number of active #COVID19 cases in schools has jumped by 579. Image
3) Since Wednesday, covidecolesquebec.org has reported 16 more schools with at least one #COVID19 infection. Quebec is now grappling with no fewer than 415 outbreaks in schools across the province. It’s not just classes being shut; entire schools have closed temporarily.
Read 10 tweets

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