Adam Briggs Profile picture
17 Dec, 16 tweets, 11 min read
Test and Trace wk 28 data covering 3/12 to 9/12.

Case numbers up and performance either similar or improving. This is well timed as we head to Christmas.

gov.uk/government/pub…
As is now abundantly clear and has been for some time, case numbers are rising (12% up this week)

(**skip the next five tweets if not interested in the subtleties of pillar 2 testing**)
Number of tests increased this week, as did positivity, but it's getting increasingly hard to disentangle.

In Pillar 2 there were 1,368,539 tests and 1,318,768 individuals tested (so 49,771 tests were people tested >once).

Pillar two tests (community) includes all this:
While the number of people tested in P2 has risen by 11% this week (127,861 more people), a chunk of that is from LFDs (115,497 more this week) and some is PCR (7,670 more).
But you can't tell which, which has implications as 7.3% of PCR tests were +vs compared to 0.4% of LFDs.
And LFDs are used for asymptomatic testing (as is a small amount of PCR testing in care homes etc), compared to most PCR testing used only for symptomatic people.
Which is a very roundabout way of saying it's hard to interpret trends in the positivity rates unless you can separate asymptomatic vs symptomatic testing.

Apart from to say positivity is rising again.
Also, an 'issue with the underlying data' means that this week we don't have the total number of people tested or testing positive since TT launched. The IT gremlins clearly still persist.
Back to TT report, test turnaround time plateaued or a little worse this week
Quick run down:
Percentage of cases reached by TT (87%), giving details of contacts (77%) and reached within 24hrs (75%) all very similar to the week before.

Slight drop in avg contacts per case (both for cases managed by HPTs and those managed nationally)
But here is the real surprise.

A week after changes to how household contacts are managed meaning they no longer receive multiple calls, the percentage of close contacts reached has continued to rise and is now at a whopping 93%.
This is mainly due to better management of HH contacts - 97% were reached, but also now more non-HH contacts are being reached, up from 65% last week to 68%.

In the week reported, the % who were HH contacts fell slightly as overall performance increased.
And this has inevitably to far better times to reach contacts.
So as case numbers rise again, performance is improving. This is good timing.

But it means very little if people don't also isolate when symptomatic, when they test positive, or when they're identified as a close contact.
And as hospital admissions and ICU admissions rise, it is impossible overstate how important this is over the Christmas period. Your local authority can help with support where needed, please do ask.

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More from @ADMBriggs

17 Dec
PHE's COVID surveillance report covering 7th - 13th December landed today.

It's difficult reading.

It's just the second week since lockdown ended but case rates, hosp admissions, and now ICU admissions are all rising, with more deaths inevitable. 🧵

gov.uk/government/sta…
As was clear from the gov.uk daily data, case numbers rising, and doing so quite rapidly.
This is in all age groups (with over case rates in those over 60yrs being a predictor of hospital admissions)
Read 16 tweets
10 Dec
Wk 27 Test and Trace - 26/11/20 to 02/12/20

Performance continues to get better as we come out of lockdown, but case numbers already starting to rise again across some parts of the country.

gov.uk/government/pub…
The number of people being tested has dropped a little, but the number of positive cases has fallen by 13%.
But we know from both PHE surveillance and gov.uk daily data, that T&T case numbers are going to plateau and start rising again next week.
Read 17 tweets
10 Dec
This week's @PHE_uk Flu and COVID surveillance report came out earlier. Covering 30/11 - 06/12

Tl,dr: In the week we came out of lockdown, case rates and hospital admissions are already plateauing nationally and rising in some regions. 😔

gov.uk/government/sta…
As we know, the fall in cases has plateaued and may now be rising.

Lockdown only ended on 2nd December. This is really concerning. ImageImage
The plateauing is in all ages (although perhaps worth keeping an eye on 5-9y/o) Image
Read 15 tweets
10 Dec
My wife is currently getting her COVID vaccine @OUHospitals.

Feeling far more emotional about this than I had expected. #Science #VaccinesWork
And on the day that BioNTech/Pfizer publish their safety and efficacy data in @NEJM.

There's not much in medicine that can give results this stark.

nejm.org/doi/full/10.10…
Oh, and apparently the vaccine comes with a whole world of chocolate bourbon biscuits while you wait.
Read 5 tweets
5 Dec
Our new short analysis in @TheLancet with @cfraserepi.

Is Test and Trace exacerbating inequalities?

Tl,dr: the more deprived somewhere is, the less likely cases and contacts are reached by Test and Trace

thelancet.com/journals/lance…
The disproportionate effects of COVID on more deprived populations are well known.

People in more deprived areas are more likely to get infected and to die.

See @PHE_uk/@ProfKevinFenton's excellent review

gov.uk/government/pub…
And the detrimental impact of social restrictions/lockdown is also greater among more vulnerable populations

See this @bmj_latest piece from @sandrogalea and colleagues:
bmj.com/content/371/bm…
Read 17 tweets
3 Dec
It's that time of the week.

Test and Trace performance figures for 19-25th Nov. Wk 26.

Tl,dr: some changes to how cases are managed, and overall as cases fall, the systems showing signs of improvement.

Summary in pic, detail in thread.

gov.uk/government/pub…
A 5% drop in the number of people getting tested this week (to 1.66m), but a 28% drop in cases.
Drawing conclusions about falling positivity rates over time is getting increasingly tricky as testing among asymptomatic people is rolled out. As have said previously, reporting symptomatic separately to asymptomatic would hugely help with understanding the data.
Read 21 tweets

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