So, back to the Government's justification for the tiers. It appears to be based on this chart.
It's a complicated chart, so let's take a look. On the x axis (left to right), we have the case rate per 100,000 on 19 November. And on the y axis (up and down), we have the previous week's case rate. And the size of the circles show the rates in over 60s.
Compare this to the @ft analysis originally performed by @carlbaker
At first glance, it appears that the predominant factor that has been used is the rate per 100,000 population, with tier breaks at around 80 (to go from Tier 1 to Tier 2) and 220 (from Tier 2 to Tier 3).
It is not clear why these levels have been used - for example, we have Slough separated, but Greater Manchester included, as well as Birmingham & Black Country, and North East. Not all of these are Local Authorities. It is unclear why analysis was performed on these.
Previous analysis has been performed at regional level, at Upper Tier Local Authority level, Lower Tier Local Authority level, or MSOA level (LSOAs were used briefly)
This is the heuristic used to allocate 'areas' to tiers.
The thresholds here have not been made clear, nor have how indicators have been mapped to tiers. It is not clear how 'subregions' have been identified.
It would be useful to have more detail on this.
We then have detailed proposals (page 9 onwards) for tiers and a justification of recommended tier level.
So, my questions:
- why was the analysis carried out (mainly) on upper tier local authorities
- why does North East appear to be grouped
- why is just Slough separated out
- how are the other factors e.g. positivity included
- how is the analysis different from 80/220 tier levels
Compare the North East and South East analyses:
NE grouped into only 2 analysis units
Slough treated separately.
Who decided to use combined authorities for the analysis instead of local authorities? What criteria were used?
And... why were the North East combined authorities (NE Combined Authority & Tees Valley CA) treated as the two NE units for analysis when in the South West the West of England combined authority was split up for analysis?
In order to maintain confidence in the proposed tier system, we need to ensure transparency.
We need to be clear on the weighting of the different criteria *prior* to decisions being made. At the moment, case rates appear to be most important (see boundaries added below)
We need to ensure that there is consistency in the type of geographical areas used:
- In most cases, local authorities are used
- In the north east, *combined* authorities are used
- but in the south west, a travel-to-work area is used
This can create perceived inequity.
There should be an objective process for defining these areas otherwise it becomes a political process e.g. Villages story in Telegraph. Risk is JBC is doing calculations on geographical areas that are set politically rather than objectively.
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As soon as we come out of lockdown, we will have one million students moving around the country returning home. Some of these will be infected and will go on to spread the virus. Here's the latest data from PHE showing transmission last week in lockdown
With Tier 3 regions now having access to mass testing, this could lead to higher case rates (due to more positive cases being detected from these tests) and the likelihood that these areas stay in Tier 3 for longer.
When areas are reviewed on 16 December, we should take into account the number and type of tests being performed in each area.
Unfortunately, the data we now have doesn't distinguish between symptomatic (PCR) and asymptomatice (LFD with positives confirmed by PCR)
Demand for testing has also fallen, with the number of tests undertaken not following the trajectory of ONS survey data.
One way of analyzing this is to look at positivity (see here:
Oxford university:
"we will be able to offer two lateral flow tests to all students in 8th week so that you can safely travel home for Christmas confident that you will not be endangering the health of your family and friends. "
I do not agree with the wording of this statement
First, these are lateral flow tests meaning a false negative rate of say 3 out of 4 - so if you have the virus, it will detect this three out of four times...
Also, these are only results *on the day of the test*.
It *does not* mean you are not going to be infecious when you return home
"One dosing regimen (n=2,741) showed vaccine efficacy of 90% when AZD1222 was given as a half dose, followed by a full dose at least one month apart, ...
"and another dosing regimen (n=8,895) showed 62% efficacy when given as two full doses at least one month apart. ...