November 20 – Ontario weekly update

Data is 100% public and official, and fully cited.

#COVID19Canada #COVID19Ontario #COVID19Toronto #COVID19Ottawa
Ontario - Covid-19 still presents a risk primarily to the elderly, not to children and hardly to working-age adults.

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised.)
However, Covid-19 is often not a wholly distinct and separate cause of death as there are other medical conditions involved in many cases.

There are also cases in which it is not even a cause of death, but the individual had tested positive sometime prior to their death.
Ontario - The average age of a death by or with covid-19 is higher than life expectancy.

Deaths among those over 80 account for 69.3% of deaths by/with covid-19, but only 52.2% of all deaths (all causes) in 2018.
Ontario (population: 14,745,040):

Total deaths by/with covid-19: 3,443 (234 deaths per every million people in ON or 0.02%)

38.8% of Canadian population but 30.6% of Canada deaths by/with covid-19
Deaths in Ontario, 2015 - July 2020.

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised upward as needed.)
This is what 2020 might look like in Ontario month-to-month if:
1. All-cause deaths (excl. Covid-19) are in line with 2017-19 averages
2. All Covid-19 deaths are single-cause excess deaths

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised upward as needed.)
Ontario deaths 2017-July 2020. Recent 2020 data may be subject to revision.
Covid-19 has been a crisis in Ontario's long-term care (LTC) system vs. among the general public.

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised upward as needed.)
This is the number of deaths by/with covid-19 per million people, among both:

1. the general public, outside the long-term care (LTC) system
2. long-term care (LTC) residents

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised upward as needed.)
The two most important metrics to watch: deaths and ICU occupancy.

Ontario now reports:

- 146 in ICU (4.2% of max system capacity)

- 88 in ICU on a ventilator (3.1% of max system capacity)
The number of hospitalizations linked to covid-19 in Ontario has generally not approached levels commonly observed for influenza and pneumonia, with even the April peak being comparable only to the summer lull.
Ontario now reports:

- 526 in hospital

- 146 in ICU

- 88 in ICU on a ventilator
As data on daily new hospitalizations is not publicly available, this is the average daily net change in hospitalizations (ICU and non-ICU).
A note on hospitalization data: This may include those who have had a positive test result after being hospitalized for a different reason.
Ontario - The proportion of cases (positive test results) resulting in death (yellow line).
Ontario Fall/Winter season: May be able to declare a peak when average week-over-week growth reaches zero
Greater Toronto and Ottawa account for 50.3% of Ontario’s population but 78.5% of Ontario deaths by/with covid-19.
Greater Toronto (population: 6,417,516 or 43.5% of Ontario):

Total deaths by/with covid-19: 2,340 (365 deaths per every million people in the region or 0.02%)

68.0% of Ontario deaths by/with covid-19
City of Toronto (population: 2,731,571 or 18.5% of Ontario):

Total deaths by/with covid-19: 1,509 (552 deaths per every million people in Toronto or 0.05%)

43.8% of Ontario deaths by/with covid-19
Halton Region:
Peel Region:
York Region:
Durham Region:
City of Ottawa (population: 1,006,210 or 6.8% of Ontario):

Total deaths by/with covid-19: 363 (361 deaths per every million people in Ottawa or 0.04%)

10.5% of Ontario deaths by/with covid-19

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More from @Milhouse_Van_Ho

20 Nov
November 20 novembre

Weekly update for / Mise à jour hebdomadaire du Ontario/Quebec/Canada

Data is 100% public and official, and fully cited. / Les données sont 100% publiques et officielles.

#COVID19Canada #COVID19Ontario #COVID19Canada #covid19qc #covid19toronto
Canada - Covid-19 still presents a risk primarily to the elderly, not to children and hardly to working-age adults.

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised.)
However, Covid-19 is often not a wholly distinct and separate cause of death as there are other medical conditions involved in many cases.

There are also cases in which it is not even a cause of death, but the individual had tested positive sometime prior to their death.
Read 10 tweets
20 Nov
20 novembre – Mise à jour hebdomadaire du Québec

Les données sont 100% publiques et officielles.

#COVID19Canada #covid19qc
Québec (population: 8,552,362):

Nombre total de décès liés à Covid-19: 6 744 (789 décès pour chaque million de personnes au Québec ou 0,08%).

22,5% de la population canadienne, mais 59,9% des décès liés à la covid-19 au Canada.
Les deux paramètres les plus importants à surveiller: les décès et hospitalisations aux soins intensifs.

101 hospitalisations aux soins intensifs en cours au Québec.
Read 8 tweets
14 Nov
November 14 novembre

Weekly update for / Mise à jour hebdomadaire du Ontario/Quebec/Canada

Data is 100% public and official, and fully cited. / Les données sont 100% publiques et officielles.

#COVID19Canada #COVID19Ontario #COVID19Canada #covid19qc #covid19toronto
Canada - Covid-19 still presents a risk primarily to the elderly, not to children and hardly to working-age adults.

(n.b. Based on 2020 YTD data for Covid-19 - figures to be revised.)
However, Covid-19 is often not a wholly distinct and separate cause of death as there are other medical conditions involved in many cases.

There are also cases in which it is not even a cause of death, but the individual had tested positive sometime prior to their death.
Read 37 tweets
12 Nov
"Environ le tiers des Québécois à qui on a attribué la cause du décès à la COVID-19 lors de la première vague seraient très probablement morts d’autres causes dans les semaines suivantes"

(Key points in English below.)

lapresse.ca/covid-19/2020-…
About a third of Quebeckers for whom their cause of death was attributed to covid-19 in the first wave would most likely have died from other causes in the following weeks, suggests a newly published demographic study by two HEC Montreal researchers.
Quebec has seen excess mortality between March and June: about 4,300 more deaths than usual for that period.

Shameless plug - see my thread here:

Read 7 tweets
8 Nov
Here's the seasonal pattern of influenza and pneumonia in Ontario.

Look familiar?
Hospitalizations for influenza and pneumonia peak at 27/100,000 in January and hit trough at 11/100,000.

Multiplying by 147 to adjust for Ontario's population, that would be a range of 1,617 in August to 3,969 in January.
Could covid simply be displaying its seasonality? If that's the case, this isn't a second wave; it's autumn.

Look at the trend of covid-linked hospitalizations below - keeping in mind that we didn't have mass PCR testing for covid last winter, but ramped it up in the spring.
Read 6 tweets
8 Nov
So why did Peel Region, including @BonnieCrombie, @patrickbrownont, and Peel's MOH Lawrence Loh, cancel Christmas?

What gives them the right to do this?

Is it because hospitals are full?

No.

Is it because the bodies are piling up?

No.

(thread...)

#COVID19Ontario
This is the situation in Peel Region.

330 deaths by or with covid-19 from a population of 1,381,739.

So clearly, a lot of "cases" (positive test results) but very few deaths relative to the size of this urban area.
What about hospitals?

Trillium Health Partners, which operates two hospitals in Mississauga and one close by in Toronto, reports a staggering... 33 patients confirmed positive with covid-19.

And only 8 of those 33 are in ICU.
Read 8 tweets

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