The Hospital Best-Prepared for CV-19 Is Nearly Overwhelmed - The Atlantic

“In the past 2 weeks, the hospital had to convert an entire building into a COVID-19 tower, from the top down. It now has 10 COVID-19 units, each taking up an entire hospital floor” theatlantic.com/health/archive…
“Three of the units provide intensive care to the very sickest people, several of whom die every day. One unit solely provides “comfort care” to COVID-19 patients who are certain to die.”
“We’ve never had to do anything like this,” Angela Hewlett, the infectious-disease specialist who directs the hospital’s COVID-19 team, told me. “We are on an absolutely catastrophic path.”
Here is @edyong209 thread.

The US has over 80k patients hospitalised with COVID.

USA is c x 4.9 times the U.K. that has about 16,400 patients ..the equivalent of 80k in the US. We hit nearly 20k at the Spring peak. ...(about 98k in the US). It is brutal.
That it should be happening in the Nebraska Medical Centre that specialises in dangerous infectious disease “should shake the nation.”

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More from @fascinatorfun

22 Nov
2016: Aggressive' Priti Patel 'threw briefing folder at official's face and it hit him' | Daily Mail Online

That is a criminal offence of assault. The now Home Sec

2015: a £25k pay out relating to her conduct to a member of staff.

It continues:
dailymail.co.uk/news/article-8…
Miss Patel has also been accused of bullying her private secretary during her time as International Development Secretary. A senior official at Dfid has claimed there was a 'tsunami' of allegations of abuse by officials in her private office.
One former senior figure in the department told the Mail yesterday that she had 'harassed' her private secretary to the point where he was eventually signed off sick with a stress-related condition and asked for a transfer to another department.
Read 11 tweets
22 Nov
Yesterday it seems they under-reported deaths to the tune of 141 deaths.

⚰️⚰️⚰️ So, instead of the 341 (28 day) deaths they did report there were 482 deaths.

Those deaths have been added to today’s total, resulting in a Sunday, normally low due to reporting lag being 389. Image
That means there were 3091 (28 day cut off) deaths reported in the last 7 days.

⚰️⚰️⚰️ 441 every single day on average

That is an increase on a week ago when it was 411 deaths every day on average.
🦠 18,622 positives but no information about how many tests processed. Generally less over the weekend.

🏥 Admissions - last complete day was Wed 18th Nov - 1746

In a single day. Day after day.

🛌 16,390 on Thursday - the last complete day. ON TOP of routine NHS work. ImageImage
Read 10 tweets
21 Nov
Officials ‘blocked access to witness’ in Priti Patel inquiry | Politics | The Guardian

Well well.

Sir Alex Allan sought to interview the former top Home Office official, Sir Philip Rutnam about his dealings with Patel, but was blocked by gov officials. theguardian.com/politics/2020/…
Extraordinary.

It wasn’t that Sir Alex chose not to speak to Rutnam.

He was denied access to a key witness.

“Allan bent over backwards to be as fair as possible to (Patel) but the weight of evidence was such that he still came to the conclusion that Patel had bullied staff,” Image
1/. Sir Alex was put “under a lot of pressure”

2/. Johnson has been sitting on this review since April. 7 whole months.

He is so WEAK. Without principle. And beholden to Patel for keeping him out of her Israeli Gov betrayal in 2017. Image
Read 5 tweets
21 Nov
New Zealand covid-19 flight outbreak linked to passenger who tested negative - The Washington Post

1 infected person despite pre flight negative within 48 hours of flight.

18 hour flight.

7 more people infected.

The precision of this study is brilliant washingtonpost.com/travel/2020/11…
The 14 day quarantine period plus genomic sequencing of test samples enabled NZ to track how the virus moved. 86 passengers total.

AT LEAST 4 onward in flight transmissions occurred proved through genomic sequencing, tracked to Switzerland where the original infection arose. Image
EVEN if you do PCR testing within 48 hours of flight (let alone less precise antigen tests) it is hard to keep infected people off flights. They don’t know they have the virus, despite best efforts.

Symptomatic 71 hours after the flight.

We have to be realistic about risk. Image
Read 7 tweets
21 Nov
🦠 19,875 new cases. There does seem to be a downward average trend but this hides regional variations where previously low regions now rising.

⚰️⚰️. 341 (28 day cut off) deaths. Lower than this day last week. Total 2861 deaths in the last 7 days. 408 avg each day Image
🏥 admissions. A word of caution. When I look back a week admission turn out to have been markedly higher than reported at the time.

For instance 1936 NOW recorded as being admitted on Wed 11th. Best estimate on that day was over 1600.

Similarly on Thursday 12th :1886 ImageImage
For that reason take the 1682 admissions on the most recent supposedly complete day on 17/11/20 - Tuesday with a pinch of sale.

That is still a huge number of patients to be admitting every single day ON TOP of ordinary workload.
Read 7 tweets
21 Nov
Very information packed thread from @rupert_pearse on the status quo in hospitals approaching Winter.

Essential reading.

I suspect we will be looking at a slower paced more Mexican Wave than the Spring sharp peaks and troughs. So as things slow in the NW they are rising in SW
The reference to 15000 in hospital. In fact was 1644 on Wednesday, the last complete day and looks likely to be similar now.

That is just about 3k off the peak of Spring surge when it was under 20k. ImageImage
Sorry 16,440!
Read 6 tweets

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