A look at where we cases are in the UK as we head towards a period of relaxed restrictions at Christmas next week.
Cases are rising across the UK as a whole with the single highest day of recorded cases yesterday...
Part of that rise is due to Wales reporting a backlog of 11,000 cases, but if Wales had been reporting normally this would probably still have been our second highest date of reported cases.
I had to move my y-axis scale upwards this week which is never a good sign.
Case numbers appear to be rising in all four UK nations. Wales is particularly bad (these cases by specimen date figures are not affected by the reporting issue) which perhaps explains why Wales is going into a strict three-week lockdown on 28th December.
To check the impact of increases in change in the numbers of tests we can divide case numbers by test numbers in order to find test positivity. Interestingly, when we do this the case rise in Northern Ireland goes away - positivity seems to be flat or falling in NI.
Zooming in on English regions we can see that cases are rising in almost all areas with the exception of Yorkshire and the Humber.
The problem isn't limited to London and the South East as is typically being reported.
Just to double check - looking at test positivity suggests the same picture. The infection is spreading in almost all regions.
London clearly has by far the highest positivity rate though.
The South has overtaken the North on this front.
This diagram requires a little more explanation. This is every local authority (LA) in England. Orange dots show case rates this week and grey dots vertically above or below show the case rate for the same LA but the week before. LAs are ordered from highest to lowest rates.
The fact that almost all the Orange dots are above the grey ones suggest that cases per 100,000 people have risen almost everywhere.
There are only a small number of LAs where case rates have fallen week on week.
Looking just at the LAs that have been in Tier 2 since 2nd December shows that tier 2 is not doing enough to stop the spread of infection in almost all LAs. (Almost all of the orange dots are above the grey dots).
For me this is probably the most worrying chart of all. Shows the local authorities that had been in tier 3 since 2nd December. The majority of LAs in tier three have seen rises in case rates. This suggests that tier 3 is not enough to bring cases down everywhere. #concerning
The overall picture is concerning, especially as we head towards Christmas and the easing of restrictions.
Please take care of yourselves, your loved ones and your communities and stay safe this Christmas.
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A short thread on Hospitalisations and deaths in the UK/England.
After dipping briefly, hospitalisations with COVID started to increase a couple of weeks ago at the end of the lockdown reflecting increases in cases in the week before lockdown ended.
Over all hospital occupancy is increasing again and will almost certainly breach April's peak levels in the next few weeks given the fact cases are still rising and we are about to enter a period of easing at Christmas.
In total around 113,000 people were recorded as admitted to hospital with COVID in the first wave (March to mid-August). So far (mid-August onwards) we have had around 92,000. This second wave looks like it will far surpass the first wave numbers (and fairly soon).
WE NEED To TALK ABOUT SCHOOLS.
Here are of the graphs and figures I presented at the @IndependentSage briefing on Friday along with our safer schools report: independentsage.org/wp-content/upl…
A short thread...
Lets start by acknowledging there is an increasingly polarised debate around closing or keeping schools open with both sides arguing their side passionately.
SAGE have suggested that schools might contribute between 0.2-0.5 to R. assets.publishing.service.gov.uk/government/upl…
If schools were closed this would serve to bring cases down more quickly.
Schools are also places of work. Both students and teachers need to be able to work in a safe environment.
A summary of the data I presented at this afternoon's @IndependentSage briefing taking in the latest on Cases, Hospitalisations and Death statistics.
On cases and hospital admissions, it's largely been a good news week.
A thread. 1/13
Cases first.
Across the whole of the UK reported cases have been falling for a couple of weeks now, and fairly steeply, although from a high peak.
We're down to a 7-day average of around 15,000 cases per day.
Across the country cases (per 100K) in most Local Authorities have fallen compared to where we were on lockdown day (3 weeks ago 5/11/20).
A few areas have gone backwards, but for most cases are coming down.
Maps by @TravellingTabby
In light of the announcements about Xmas, many people are asking me whether meeting up with friends and family over the holidays is 'safe'.
The honest (and unpopular) answer is that, simply because the government have sanctioned it, that doesn't make meeting up indoors safe.
In these situation there is only managed and mitigated risk.
If you are going to meet up with relatives then it's best to try to meet outdoors, or, if indoors, to try to ventilate the space as well as possible and take other precautions like wearing masks and social distancing.
If you can pay for a test before going to see loved ones then this may help, but being aware that you can test negative and still be incubating the virus is important.
Isolation beforehand might also help to reduce risk, but the length of isolation changes its effectiveness.
Our letter in the Lancet today - outlines key recommendations for a sustainable COVID-19 strategy within the UK. thelancet.com/journals/lance…
Thanks to @dgurdasani1 for pulling this all together.
In the UK we are currently in the middle of the second wave of the epidemic with cases over 20K per day and deaths averaging over 300 per day.
We are undergoing a second lockdown which is indicative of a failure of public health strategy.
We need to use the time bought by this lockdown wisely in order to prevent ourselves from being in the same situation in a few months time.
Here are our recommendations: 1. Urgently reform the find, test, trace, isolate and support system.
A summary of the slides from today's @IndependentSage briefing.
Slides prepared by the brilliant @chrischirp.
First up testing has stayed relatively flat for the last couple of weeks. Not ramping up like we might hope. Only rising Significantly in NI.
The proportion of tests being returned promptly is dropping in almost all settings (bad) but rising in care homes (good).
Confirmed cases still rising steeply. Cases delayed by Excelgate earlier in the week have been spread evenly over the days when data was missing.