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.
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.
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.
4) Montreal’s seven-day average climbed to 33.3 cases per 100,000 residents on Tuesday, another grim record. That rate is well above the 25-per-100,000 threshold set by Harvard University public health experts to impose a stricter lockdown than Quebec’s so-called holiday pause.
5) At the neighborhood level, the health district of Rivières-des-Prairies, Anjou and Montreal East confirmed 200 new #COVID19 cases in the past two days. But as you can glimpse from the chart below, #coronavirus transmission is surging in many other districts across the city.
6) Authorities have been carrying out daily #COVID19 tests ranging from the high 20,000s to the mid-40,000s in the last few days. But the positivity rate in the borough of Saint-Léonard has also risen: from 11.6% on Dec. 8 to 13.3 per cent on Dec. 15 — the highest in the city.
7) As perilous as the situation might be in Montreal, the Capitale-Nationale and the Montérégie noted bigger percentage increases in their #COVID19 cases on Tuesday. Again, this suggests that the second wave has also yet to peak in other regions of the province.
8) For six days in a row, Quebec has reported more than 1,000 #COVID19 hospitalizations. In early November, the government was hoping the daily number of cases would drop below 1,000. Now, cases have averaged more than 2,145 a day since Dec. 18. See the chart below.
9) The pressure on health workers is enormous amid a severe shortage and the growing risk of catching #COVID19. Nurses at the Lakeshore General Hospital have been ordered to work 12-hours shifts, even during their stat holidays. The ER was filled to 129% capacity Tuesday night.
10) The one glimmer of hope is that on Tuesday, the Health Ministry reported that the total number of #COVID19 outbreaks in Quebec declined by 47 to 1,631. Is this a one-day blip? These numbers will have to be monitored over the next few days to confirm whether this is a trend.
11) Finally, the #pandemic death toll in the province rose by 28 to 7,794 Tuesday. Montreal added three more fatalities to a death toll of 3,764, compared with 2,621 in Paris. In the meantime, another 437 Quebecers got the first of two #COVID19 shots. End of thread. Stay safe.

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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
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
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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