John Bye Profile picture
4 Dec, 15 tweets, 7 min read
This week's Test & Trace report shows cases falling sharply in the week to November 25th, thanks to lockdown 2.0.

There's also a sudden big improvement in contact tracing performance (which turns out to be smoke and mirrors), and some odd revisions to old pillar 1 testing data.
Cases in England were falling sharply towards the end of November, with both the number and percentage of people testing positive falling by about a quarter compared to the previous week.

There's a small drop in the number of tests done, but it may well be due to reduced demand.
In case there's any doubt about the effectiveness of lockdowns, regional data shows clearly that all areas where cases were level or still rising when lockdown 2.0 began started falling in perfect unison about a week later.

The question now is whether that can be sustained.
Turnaround times for tests continue to improve, getting back to levels last seen in the summer, before the system descended into chaos as demand outstripped capacity.

They're still only managing to deliver 54% of "in person" test results within 24 hours though.
Meanwhile I've spotted another oddity in the data - the number of people tested in Pillar 1 (NHS & PHE labs) in the week of October 29th - November 4th has been heavily revised every week since then.

Originally it was reported as 406,967.

It's now up to 463,682!
It's not unusual for minor revisions to be made to old data, usually the following week due to reporting delays.

But not 10 or 20 thousand at a time, and not for three weeks in a row.

20,805 added in the November 19th report
22,213 added November 26th
13,697 added December 3rd
It might just be a coincidence, but that's the week when Pillar 1 lab capacity mysteriously doubled overnight, as the government tried to hits its target to have capacity for 500,000 tests a day by the end of October.

Did this effort cause issues?

With cases falling, there was a sharp drop in referrals to contact tracers. Performance here is exactly the same as in recent weeks, reaching a reasonable 85% of cases, mostly within 24 hours.

And this week slightly more were called rather than just filling out a form online.
The big change though comes in the percentage of contacts reached by the outsourced call center system run by Serco and chums.

This shot up from 59% to 71% in a single week, after no significant improvements for months.

Needless to say, there's more to this than meets the eye.
The explanation comes in a note in the report. Previously some people were bombarded with phone calls because contact tracers had to try calling everybody in the house separately.

Now they just tell the person who tested positive to tell any children to self-isolate.
Matt Hancock claimed "continued improvements", but this is the only change in contact tracing performance.

It's sensible, and baffling that it took six months to do.

But underlying performance hasn't changed, as seen in contacts who aren't part of the case's household.
Interestingly, the % of contacts with no contact details available has also dropped sharply.

Suggesting that lots of people refused to let contact tracers call children living with them, but they were still counted as identified contacts they had no details for!
So apart from this change to the way under age contacts are counted, there has been NO improvement at all in the performance of contact tracing during lockdown 2.0.

Which leaves the question, will cases start rising again as restrictions are lifted and we unlock for Christmas.
This week's Test & Trace report and accompanying data can be found here -

gov.uk/government/pub…
And here's my analysis of last week's report for comparison.

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More from @_johnbye

2 Dec
This week's ONS weekly deaths report again shows deaths well above normal in the week to November 20th.

All causes deaths were 21% above the five year average, meaning 2,169 extra deaths.

And still well outside the normal range (showing by the dotted lines on the graph below). Image
Excess deaths are also still tracking the same curve as all measures of covid-19 deaths. Image
And as usual, most death certificates mentioning covid-19 listed it as the underlying cause of death (ie, they died "from" it not "with" it).

87.5% in the latest week. Image
Read 5 tweets
1 Dec
The government has now released some info on how LFTs compared to PCR in field tests in Liverpool. h/t @ScienceShared

It's not great.

LFTs found about half the people that tested positive with PCR. Which is a little better than my back of the envelope estimate.

But... Image
It only found "more than" 70% of people "with higher viral loads, who are likely to be the most infectious".

Far less than the 95% it managed in the original Porton Down trial, which was in a lab using spiked samples, not members of the public shoving swabs up their noses.
So although the LFTs have found a few hundred cases that would have been missed otherwise, they still missed half the people with the virus that were tested.

Including 20-30% of the ones most likely to be infectious.

Source: Community testing prospectus
assets.publishing.service.gov.uk/government/upl…
Read 8 tweets
24 Nov
The latest ONS report shows another rise in excess deaths in the week to November 13th.

All causes deaths were 18% above the five year average, meaning 1,917 extra deaths.

Still far above the highest number of deaths we've seen in any of the last five years.
And excess deaths are still following almost exactly the same curve as all measures of covid-19 deaths (due to, involving, and within 28 days of a test).

This is not a coincidence.
As usual, the vast majority of death certificates in that week which mentioned covid-19 had it listed as the underlying cause of death - 88%.

In other words, people are mostly dying "from" covid-19, not "with" it.
Read 7 tweets
23 Nov
Shocking scenes at Randox's lab in last week's @C4Dispatches report.

Staff crammed together on 12 hour shifts, huge stacks of boxes waiting to be unpacked, delays processing tests, samples accidentally thrown away, faulty tubes leaking, sealed tubes jumbled together in boxes...
It's no surprise Randox seems to have one of the worst void rates in the Lighthouse Lab network.

Especially after previous scandals at the company, and cases where covid tests had to be binned or shipped overseas when they couldn't keep up.

google.com/amp/s/amp.belf…
And yet despite these failings there don't seem to be significant numbers of false positives.

The same lab handles tests from Premiership Rugby. In late August / early September, when they were running over capacity, their positivity rate was under 0.1%.

Read 5 tweets
22 Nov
The @DailyMailUK and @RossjournoClark have published another article downplaying the second wave, which got a government health warning from @DHSCgovuk, who said it was "misleading".

That's putting it mildly.

Here are a few of the issues I spotted...
1) They claim half of all hospitals don't have any covid-19 patients.

That's because they counted mental health units, cosmetic surgeries, community health centres and specialist units like Moorfields Eye Hospital. These would NEVER treat covid patients.

2) They claim 1,293 less hospital beds are occupied than last November.

But they're comparing one day (November 5th) in 2020 to the average for a whole quarter (October to December) in 2019!

NOT the November average, as they say.

This clearly isn't a useful comparison.
Read 14 tweets
20 Nov
So where we are is:

1) Priti Patel claims she didn't know that shouting and swearing at people working for you is bad.

2) Boris Johnson is fine with this kind of behaviour from his ministers.

3) His adviser on ministerial standards isn't, and has promptly resigned.
Lest we forget, Patel is no stranger to breaching ministerial standards, after she was caught having secret meetings with the Israeli government while supposedly on holiday, and was forced to resign from her job as International Development Secretary.

bbc.co.uk/news/amp/uk-po…
And now the senior civil servant whose departure from the Home Office sparked the investigation has weighed in, saying that, contrary to Patel's claims that she didn't know she was upsetting people, he'd talked to her repeatedly about her behaviour.

Read 5 tweets

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