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:
4) “If the holiday break helps reduce community transmission, but major outbreaks in (the health sector) rise and health-care workers continue to be infected, the model predicts the number of hospitalizations and deaths could increase substantially,” warns a study by the INSPQ.
5) What’s more, public-health experts in Quebec are warning the holiday pause may already be too little, too late, as my colleague @JesseFeith reports tonight in the @mtlgazette. montrealgazette.com/news/local-new…
6) On Monday, the province reported its 5th day in a row of #COVID19 hospitalizations above 1,000 even as the health network struggles with a shortage of nurses and other medical staff. The number of hospitalizations jumped by 38 since Sunday.
7) There were 46 critical #COVID19 outbreaks in long-term care centres (CHSLDs) and seniors’ residences (RPAs) across the province on Monday, up from 25 exactly three weeks ago. There were 2,543 people infected with the #coronavirus in these institutions, up by 71 since Sunday.
8) Meanwhile, Montreal logged its second day of #COVID19 cases in the 700-range. The city’s seven-day average has crept to its highest point in the #pandemic: 30.89 cases per 100,000 residents, well above the 25 threshold set by Harvard University experts for a total lockdown.
9) Finally, Montreal’s #COVID19 death toll climbed by a dozen to 3,761 Monday. The province gave another 115 Quebecers their first of two vaccinations the day before. Thus, here is where Quebec may now be before the holiday pause: too little, too late. End of thread. Stay safe.
Addendum: My apologies for the late thread tonight and the fact that there are no graphics, but I ran into some computer problems earlier which I have since fixed.

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More from @Aaron_Derfel

24 Dec
1) Although authorities have begun giving #COVID19 shots to hundreds of people in regions outside Quebec City and Montreal, the second wave intensified Wednesday, outpacing the vaccination effort. In this thread, I will focus on the immense challenges ahead.
2) Aside the from #pandemic itself, the biggest challenge is shoring up Quebec’s health-care system, which is on the verge of collapse. The province reported the highest number of #COVID19 hospitalizations in the second wave Wednesday, 1,067, up by a dozen since the day before. Image
3) What’s more, an outbreak has forced the Montreal Neurological Hospital to close its intensive care unit, according to the @mtlgazette. And CTV News is reporting that adult patients are being treated at the Montreal Children’s Hospital to free up beds for those with #COVID19.
Read 11 tweets
23 Dec
1) Montreal posted a record single-day increase of nearly 900 #COVID19 cases Tuesday amid a near-doubling of outbreaks in the past two weeks. In this thread, I will examine the worsening situation in the metropolis. Image
2) On Dec. 8, Montreal recorded 279 #COVID19 clusters. By Tuesday, the number jumped to 478, with the sharpest spikes observed in the workplace (up by 92), health-care institutions (51) and schools (31). This suggests the second wave has yet to peak in the second wave. See below. Image
3) Major #COVID19 outbreaks are flaring up across the city, as the large circles in the chart below show. Most of the major clusters are occurring in hospitals and nursing homes (the orange circles), followed by the workplace (the grey circles). Sadly, no area has been spared. Image
Read 11 tweets
21 Dec
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.
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

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