1/ Brief thread… (I promise)

…focusing in on the correlations between (i) Toronto neighbourhood workforce/demographic concentrations & (ii) #SARSCov2 prevalence (cases/100k) identified in yesterday's thread.

Only a few sips of coffee/tea needed

(but this is no less striking) Image
2/ These data and observations *MUST* inform public policy on #SARSCov2/#COVI19, in my view.
3/ In my thread from yesterday, we examined % test positivity and cases/100k by neighbourhood in Toronto (for its 140 hoods) and then compared them to neighb'hood socioeconomic/demographic concentrations from census data to find (or not find) correlations.
4a/ We found strong positive correlations between (i) neighborhoods with *high* %positivity/cases and (ii) neighbourhoods with high workforce concentration in the Services industry sectors…. Image
4b/ …we found strong *negative* correlations between (i) neighborhoods with *high* positivity/cases and (ii) neighbourhoods with high workforce concentration in the “Knowledge”/”White-collar”/”Work-from-home” industry sectors… Image
4c/ …and we showed the same neighbourhood employment characteristics and their related positivity trends in this current “wave”.
5/ Let’s drill into this briefly, with just a couple of charts, to really bring to light the differences in neighbourhood employment/demographics and #SARSCOv2 prevalence.
6a/ A simple chart (and in table format), comparing the correlation co-efficient for neighbourhood characteristic/employment makeup vs. #SARSCov2 prevalence (cases/100k).

(see chart notes for interpretation if your statistics knowledge is not as sharp today as it usually is 😉) ImageImage
6b/ Same chart again.

Many things could be said about and observed from this chart, but the plain truth is there are differences between who is bearing the brunt of the #COVID19 pandemic, and who is not. Image
7a/ This is the same chart illustration (and table), but on the horizontal axis, I show only industry workforce categories/groups.

Same observation as above: workers in certain sectors are bearing the brunt of the #COVID19 pandemic, while workers in other sectors much less so. ImageImage
7b/ Same industry specific chart

Note the *relatively weak* +correlation between neighb’hoods w/ Foodservices employees as a % of the workforce and neighb'hood cases/100k (& relative to other Service sectors!)

(cc: @RestaurantsCA, hang in there, you’re doing great) Image
8/ Again, these statistics and observations lay bare *precisely* what the brave and courageous folks behind the @gbdeclaration (@MartinKulldorff, @SunetraGupta, Jay Bhattacharya) are and have been desperately trying to convey. Image
9/ End thread.

Thank you again for reading, considering, and to all those that shared my previous thread. Image
Sources and Industry Classifications/

Case data: toronto.ca/home/covid-19/…
Census data: open.toronto.ca/dataset/neighb… Image
/last thought...

...my intention here is not to fuel upset or division between society's groups obviously (this is no one's fault) but rather to maybe increase awareness around what we're actually doing so we can try to function together more optimally during this time. Thanks.

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More from @rubiconcapital_

22 Nov
1/ Toronto is entering full lockdown.

In this thread, I’ll show the absurdity of a citywide shutdown, simply using by-neighbourhood case/positivity data, w/ census data integration.

Unmeasurable, unnecessary collateral harm is coming; please read/share.

(get a cup of coffee) ImageImage
2/ Note: if you are not in Toronto/Canada, you will still find this #SARSCoV2 prevalence analysis and its conclusions compelling, as these same dynamics likely exist in many of the world’s major cities. Image
3/ Quick note: this analysis follows and adds substantially to a previous related thread, found here (tweets 4a/b sites the data sources/limitations, which are the same as used in this current thread). All %pos/cases data is cumulative since Aug 30.
Read 38 tweets
19 Nov
1/ Grab a cup of coffee (or tea)

A comprehensive, neighborhood-by-neighborhood review of #SARSCov2 prevalence/trends in the City of Toronto.

% positivity & cases, with weekly trends since Aug, AND:

*cross referenced with neighborhood census data*

The findings are incredible.
2/ Note: even if you are not in Toronto/Canada, I think you will find this data/analysis compelling, and universally applicable re #SARSCov2/#COVID19 learning and public policy implications.

Toronto’s diversity (>51% visible minority) makes it an interesting case study.
3a/ In this thread, I show/illustrate:

1. for Toronto’s 140 neighbourhoods (and groups of hoods, e.g. DT Core, Northwest), which have increasing/decreasing % pos & cases per 100k.

(Some peaked long before the Oct 10th restrictions. Others still increasing despite restrictions.)
Read 36 tweets
15 Nov
1/ Other Coronaviruses vs. #SARSCov2 in 🇨🇦 (continued)

Original thread below. Most striking observation was low circulation of Other Coronaviruses prior to #SARSCov2 “official” arrival in Feb/Mar 2020 in parts of Canada.

Additional observations follow…
2/ Canada-wide

Now showing prior 6 Coronavirus Seasons ('14-'20) vs. #SARSCov2

Coronavirus seasons occur like clockwork. Similar endemic peaks (~8%pos) / time frames.

%pos for #SARSCov2 in current ‘wave’ occurring much earlier vs. all prior years. PCR excess?
(see chart notes)
3/ Ontario

Similar trends. Note the seasonal decline in first “wave” of #SARSCov2 vs. timing of decline of every other Coronavirus season. Do lockdowns/restrictions really make a difference? Were we already heading down the curve when we locked down?
Read 8 tweets
14 Nov
1/ Other Coronaviruses (non-COVID19) vs. #COVID19 in Canada

Comparing %pos by week for past cold seasons vs. the 2019/2020 Novel Coronavirus season.

Three provinces: ONT, QUE, BC

I honestly don’t know how to interpret what I’m seeing but it’s eye popping to say the least...
2/ BC…

Appears to have had a normal cold season (other coronaviruses) in 2019/2020 (yellow line) compared to the prior three seasons.

#COVID19 arrives (dark black line, surges weeks 11-14), and declines (seasonally, it would appear).
3/ but Ontario and Quebec are way different…
Read 9 tweets
20 Oct
1/ #COVID19 is having a significant impact on prevalence of other common respiratory pathogens, like influenza.

Globally, since COVID began, influenza cases are down * 98% * (see tweet-link below).

The Canadian data and implications are explored here🧵

2/ Guess what

Here in Canada, flu cases also *collapsed* when #COVID19 arrived

Since mid-April to today, lab-confirmed flu cases in Canada are: 154

Average of same the time-period in previous flu seasons?

*3,836*

(…despite increased flu testing)
3/ Here is an interesting visual

The 19/20 flu season (interrupted by #COVID19) vs. avg of ’16-‘19 flu seasons. # of cases and positivity % by week.

In 19/20, flu cases/positivity dive to near ZERO, whilst previous years the decline is (i) gradual, and (ii) never reaches zero.
Read 15 tweets
23 Sep
1/ Spent the evening slicing and dicing the @ONThealth COVID19 case-by-case database. Found here: data.ontario.ca/en/dataset/con…
2/ My goal was to see if I could glean anything from the data that could answer why rising case numbers are not resulting in material increases in new hospitalizations, and why new deaths are de minimis. @ONThealth
3/ We are seeing this phenomenon in many jurisdictions around the world (case explosions, deaths flatlined). The UK is one very good example, and Canada is experiencing the same. ImageImage
Read 17 tweets

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