1/ @globaandmail article today comparing #COVID19 in Toronto and Ottawa, headlined, “Two pandemics”.

In this brief thread will show, with simple data, why this article, in my view, is way off the mark. theglobeandmail.com/politics/artic…
2a/ First, let’s dispel the article’s basic premise:

“The COVID-19 pandemic worsens in [Toronto], even as the situation steadily improves in the nation’s capital.”

While many areas of Toronto are struggling w/cases, roughly half of Toronto’s 140 neigh’hoods are flat/declining. Image
2b/ And here’s the kicker:

Those ~70 Toronto neighbourhoods w/flat or declining cases (appear to be past their peak), including the 13 hoods of Downtown Toronto,

*ARE TRACKING OTTAWA ALMOST EXACTLY* Image
2c/

Same chart as 2b, just showing Downtown Toronto (~302,000 people), vs. Ottawa (~1m people), just to drive home the point and the nuance. Image
3/ The article goes on to talk about the reasons why Ottawa is(?) fairing better than Toronto…
4a/ Geography: “Geography is one factor. Canada’s national capital has much lower population density than its financial capital.”

While true (Toronto denser than Ottawa), there is negative/no correlation between neighbourhood population density and neighbourhood cases per 100/k Image
4b/ Geography: “’If you have a less dense population, the disease will not spread as quickly or as intensely,’ says @deonandan

While perhaps true at a citywide level, downtown TO has ~11,454 people per sq km (36x that of Ottawa), while its cases are *exactly tracking* Ottawa’s. Image
5a/ Transit: “B/c public transit in [Ottawa region] is mediocre…only 18% [ride] public transit to work…for Toronto…the figure was 24%.” -Ibbitson

In Toronto, we see public transit ridership prevalence in a neighbourhood *does not correlate* with neighbourhood cases per 100k. Image
5b/ Transit: interestingly, as a side note, while public transit riding prevalence in a neighbourhood itself does not correlate to cases per 100k, average commuting time (in minutes), pub transit or not does seem to have some weak positive correlation to cases per 100k. Image
6a/ Outdoor Culture: “The capital is well known for its outdoors culture…there are plenty of bike paths, and the 361sq kms of Gatineau Park are only 4kms from Parliament.” - Ibbitson
6b/ Outdoor Culture: Does anyone in Toronto reading this post think that TO has any less of an “outdoor culture” than Ottawa? TO has some 558kms of bike lanes/tracks and 297kms of off-road trails vs. Ottawa’s ~350kms of multi-use lanes (~same per capita). ImageImage
6c/ …also, patio anyone? Image
6d/ Outdoor Culture: Ibbitson goes so far as to say, “a pop with greater access to such rec activities is less at risk from the complications that can force people with COVID19 into hospital.”

Essentially implying (w/out evidence) Torontonians are at > risk for complications.
7a/ Major Airport Hub: “The fact that Toronto Pearson Airport is a major airline hub and Ottawa International Airport isn’t could be a factor. Cities with hub airports tend to have higher infection rates, despite travel restrictions.” - Ibbitson
7b/ Major Airport Hub: I can’t really dispute this, and I may agree with it, but there is no proof or data offered to support this view.

Maybe look at case rates in major airport city hubs (Atlanta, Dallas, Denver, Chicago, etc.) and compare them?
8a/ Workforce makeup: “Some sectors of our (Ottawa’s) economy work from home more easily.” – Dr. Etches. And Ibbitson: “Toronto’s economy is more mixed, and includes more people working in low-paying jobs outside the home.”
8b/ Workforce makeup:

Well, I agree! As I’ve shown extensively, neighb’hood cases/100k & other measures strongly correlate with lower-income neighb’hoods and service workforces, while they negatively correlate with work-from-home neighbourhoods.
8c/ Workforce makeup: It is nice to see Dr. Etches and the @globeandmail and @JohnIbbitson indirectly acknowledging and speaking publicly about the same concepts that the nice people that founded the @gbdeclaration have been speaking about for months. ImageImage
8d/ Workforce makeup: “Public servants may, by their very nature, comply more readily with government directives than workers in the private sector. “I can’t prove that, but there’s a sense that maybe Ottawans are better followers than Torontonians,” -@deonandan
8e/ …well, I’d suggest if you can’t prove it, don’t say it, and as such, if you’re a national paper, don’t print it. Image
9/ So in sum, hopefully I’ve provided some useful context and perspective so that the Toronto and Ottawa comparison can be viewed through a more nuanced lens.

End thread. Image
/addendum: note that for brevity and 280 character fit I have abbreviated some of the quotes, but their essence was unchanged. I don't have license to post screenshots of the entire article from behind the paywall, so I did not do so.
2a addendum/ forgot to post the Toronto Covid19 hospitalizations comparison chart. Image

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More from @rubiconcapital_

23 Dec
The unconvincing analysis from your Ontario #COVID19 Science Table; a quick thread… Image
Michigan has been used as a reference point by the Science Table since October 9th…. Image
And again, in the October 29th update…
(case growth not yet worrisome) Image
Read 12 tweets
20 Dec
1/ Grab a cup of coffee

We are now seeing striking correlations between (i) the # of COVID19 tests and (ii) % positivity within/across certain important individual PHUs in Ontario.

This has implications for local lockdown policy, and for the global PCR/false-positive debate...
2/

If you are not in Ontario, but involved with / following the PCR debate, this is still of interest to you. We are seeing similar testing/positivity correlation dynamics as seen in the UK. This thread borrows/builds substantially from @profnfenton here:
3/

Upfront caveat: correlation does not mean causation, and it is difficult to draw definitive conclusions from simple testing data. However, it is important to determine whether lockdown policy (for its unmeasurable collateral damage) is informed by false/flawed test results.
Read 27 tweets
15 Dec
1/

Vaccine debate now brewing on (i) who gets it first, and (ii) vaccine rates required for herd-immunity & getting back to normal.

Public Health says no normal ‘til vax rates are 60-70% (*assumed* herd threshold).

The Toronto data says perhaps just 10.9%...

Let’s explore…
2/

I’ll get to the data in a moment, but first, I present two opposing viewpoints, then you can decide what the data says makes the most sense…
3a/

1st view, Dr. Yaffe today in Ontario:

“its gonna take months before…significant % of the pop vaxx’d--usually for infectious diseases 60-70% of the pop is needed for herd immunity; we’re not gonna get there until probably the summer”… 22m:30s:
Read 16 tweets
12 Dec
Link thread of the powerful & thought-provoking short video essays produced by @katewand on lockdown/COVID culture. She's now produced 4 of these incredible videos to date, & frankly I’m a bit shocked her following hasn’t grown faster (although she’s now at 2.3K subs on YT).👇
1. “Lockdown: The Right Side of History”

(essay by @stacey_rudin)

“In the COVID debate, there is a mainstream, 'popular' narrative, and a competing, 'unpopular' narrative — a 'fringe.' The former exploits the common, mediocre desire to be 'popular.'"
2. “Lockdown: The Dark Side of History”

(essay by @katewand)

“The year 2020 has been exemplary for those that believe obedience is a high virtue.”
Read 6 tweets
10 Dec
1/ Ontario COVID19 Testing and You (i.e. The Taxpayer)

Conservatively estimated total cost-to-date to Ontarians for PCR testing (incl. asymptomatics)?

Over $350,000,000

At 61,809 tests today, @ ~$52.50/test, that cost you ~$3.25m, or annualized…

~$1.2 billion (with a “B”)…
2/ The province is putting on a masterclass in resource misallocation…

For perspective, the Ontario Gov’t spends ~$4.3b annually on Long-Term Care.

That’s ~$150/day/resident, ~78,000 residents.

We are doing ~62,000 tests/day at @ ~$52.50 per test (again, ~$1.2b annualized).
3/ We should probably ask the question…

Given (i) the age stratified differences in COVID19 mortality, and (ii) that almost 2/3rds of all COVID19 mortality were of LTC residents, does it make sense to spend 27% of the annual LTC budget on mass PCR testing?
Read 9 tweets
2 Dec
1/ Windsor, Ontario

Some chatter in Q&A’s in last few daily briefs with Premier/health officials re: rising cases in Windsor & potential for moving region to lockdown (just moved to “Red” zone on Mon, Nov 30).

Concern is hospital “overrun”… local hospital trends shown here…
2/

Case picture: yes, cases are rising, but overwhelming majority are traced to close contact or outbreak. Averaging only ~8 reported community cases of unknown origin per day. Image
3/

Overall new emergency admissions for three main Windsor-Essex hospitals appear to be:

*FLAT* for the entire month of November.

(Entire Erie-St.Clair area including Chatham/Sarnia also flat). Image
Read 8 tweets

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