1) Montreal on Sunday reported its highest single-day increase of #COVID19 cases to date in the #pandemic, 786, exactly seven days after posting 748 infections. What’s more, a major outbreak has struck a Pointe-Claire private seniors’ residence.
2) Le Cambridge logged 30 #COVID19 cases in the past 24 hours. A source said a stream of residents has been admitted to the overcrowded emergency room of the Lakeshore General Hospital. The Lakeshore’s ER was filled to 129% capacity on Sunday night.
3) But as bad as things are at Le Cambridge, they’re worse at a seniors’ residence in Laval. L’Angélus posted 31 #COVID19 cases in the past 24 hours, and 63% of the residents are infected. These are clearly signs the second wave is still intensifying.
4) There were 2,472 people across Quebec suffering from #COVID19 Sunday in long-term care centres and seniors’ residences, up by 139 since Saturday and the highest active total since the start of the second wave. This does not auger well for hospitalizations.
5) For the fourth day in a row, Quebec registered more than 1,000 #COVID19 hospitalizations amid a widespread and chronic nursing shortage. The number of patients in need of intensive care climbed by four to 146. Please see the chart below.
6) No Montreal hospital is being spared now during a second wave that has yet to peak. The Institut de cardiologie de Montréal has been hit with a #COVID19 cluster, with nine employees in quarantine and access to two wards prohibited.
7) Montreal’s seven-day average climbed to 29.81 #COVID19 cases per 100,000 residents, the highest to date in the #pandemic and the 10th straight day it has been above 25, the threshold recommended by Harvard University experts to impose a more stringent lockdown than Quebec’s.
8) Meanwhile at the neighborhood level, #COVID19 is definitely flaring up on the West Island, with the health district of Pierrefonds and Lac Saint-Louis recording the highest number of cases in the city Sunday: 106. But the coronavirus is surging nearly everywhere in Montreal.
9) In an announcement reminiscent of the first wave, Prime Minister Justin Trudeau informed Canadians Sunday night all flights from the UK will be banned from entering the country for the next 72 hours amid concerns of a new #coronavirus strain that may be 70% more contagious.
10) And Ontario is on the verge of declaring its own province-wide lockdown beginning on Christmas Eve. The Ontario lockdown will last 28 days, seven longer than Quebec’s. End of thread. Please, everyone, stay safe and limit your social contacts.

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More from @Aaron_Derfel

22 Dec
1) Quebec posted 21 more #COVID19 outbreaks across the province Monday, raising the total number to 1,678, the highest to date in the #pandemic. In this short thread, I will assess what impact this trend could have on the government’s so-called holiday pause.
2) When Quebec first made public breakdowns of #COVID19 outbreaks on Nov. 5, the tally at the time was 1,406. In the more than six weeks since those first stats were released, the number of outbreaks in health-care institutions has more than doubled: from 186 to 387 Monday.
3) The #COVID19 spike in health-care institutions suggests hospitalizations may rise despite the closing of non-essential businesses for two weeks, with schoolchildren at home until Jan. 11. This is what the Institut national de sante publique (INSPQ) has to say on the subject:
Read 10 tweets
20 Dec
1) Quebec on Saturday reported a spike of 72 #COVID19 outbreaks in the workplace over the past two days as the #pandemic’s second wave showed no signs of easing. In this thread, I will focus on the sources of these latest clusters of cases. Image
2) A study by Quebec’s public health institute has found that as of Dec. 12 (the most recent period available) most workplace #COVID19 outbreaks were occurring in the commercial sector, most notably in grocery stores. See the chart below. Image
3) The sector that came in second place for #COVID19 outbreaks was manufacturing, especially in food processing, followed by construction. Government inspectors have witnessed lax infection control in the construction industry. Image
Read 12 tweets
13 Dec
1) The second wave is now accelerating in Montreal at a much faster rate than in most regions across Quebec as the city posted a record 748 #COVID19 cases. Outbreaks are also surging so fast that authorities can’t even pinpoint some of them.
2) Although #COVID19 incidence rose noticeably since last week in the Chaudière-Appalaches and Capitale-Nationale, Montreal's resurgence has been the most dramatic. The city's seven-day rolling average soared Sunday to 27.76 cases per 100,000, higher than those two other regions.
3) It’s worth noting that since Friday Montreal crossed the threshold set by public health experts at Harvard University to require stay-at-home orders. It’s also worth recalling that 75 Quebec experts urged the government since Monday to impose a “circuit-breaker” lockdown.
Read 10 tweets
13 Dec
1) Montreal posted the highest number of #COVID19 cases of any Canadian city on Saturday and its second highest single-day total since the start of the #pandemic. In this thread, I will show why the second wave has yet to peak amid rising hospitalizations.
2) The province recorded 16,176 active cases Saturday, up by 234 from the day before. On Dec. 1, Quebec registered 12,264 active #COVID19 infections. Quebec set a record in analyzed tests two days ago, 38,579, but overall, daily testing numbers have risen slightly since Dec. 1.
3) Montreal’s rolling seven-day average of #COVID19 cases climbed to 26.13 per 100,000 residents Saturday, above Harvard University’s 25-case threshold warranting a “circuit-breaker” lockdown. By comparison, Toronto recorded a seven-day average of 22.5 cases per 100,000.
Read 9 tweets
12 Dec
1) Quebec set two more grim records Friday during the #pandemic's second wave: a single-day increase of 56 #COVID19 outbreaks (most of them in schools) and 53 more deaths. In this thread, I will ask why the government needs more time to decide on a "circuit-breaker" lockdown.
2) The province is now gripped by no fewer than 1,338 #COVID19 clusters in a wide range of settings. Nine more occurred in CHSLDs Friday, two more in daycares, 22 more in schools and 20 more in the workplace. See the chart below.
3) Hospitalizations for the #pandemic illness rose by 23 to 871. Intensive care stays for #COVID19 climbed by 10 to 123. Remember, these hospitalizations are occurring amid a mass shortage of nurses and other medical professionals and a ramp down in elective surgeries.
Read 11 tweets
12 Dec
1) Premier François Legault contended on Thursday that the situation in the province’s long-term care centres has improved by 90% this fall compared with last spring. In this thread, I will fact-check this assertion.
2) Legault asserted this twice Thursday during a news conference as he defended his government’s management of long-term care centres, known in French as CHSLDs. He attributed the decrease in #COVID19 deaths to date in the second wave to the hiring of 10,000 employees.
3) This is what Legault said: “So that’s why we saw the number of deaths reduced by 90% this fall compared to the spring, thanks to the improvements we made in the summer.” But did, in fact, the number of #COVID19 deaths in CHSLDs plummet by 90% this fall?
Read 11 tweets

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