Adam Briggs Profile picture
24 Dec, 17 tweets, 11 min read
PHE's weekly flu and COVID surveillance report now out.

Covering 15th-22nd December.

As PHE's Dr Yvonne Doyle says, this is not a normal Christmas. Please don't treat it like one.

gov.uk/government/sta…
As the gov.uk dashboard has been telling us, cases are now well above the second wave peak and despite increased use of LFDs, positivity is also rising fast.
Cases rising in all age groups, particularly 20-59yrs and now there looks to be relatively steep rises in 60-69yr olds.
These are the key figures.

Contrast the South/East with Midlands/North.

But we know the new variant is found across England, and with the travel around Christmas it's v likely the N/Midlands will see more steeply rising case rates in coming weeks
Here's the map by upper tier local authority.
The data show rising case rates among all ethnicities, within ongoing differences in case rates between different ethnic groups.

And as with previous weeks, the differences in infection rates between deprivation groups much less marked among young people than previous weeks.
Slight rise in reported COVID incidents/outbreaks among care homes
And a big fall in hospital related episodes - this may be partly due to fewer being reported to PHE but it's really welcome.
School incidents persisted to the end of term.
But this is why we're all entering another period of lockdown. Admissions simply haven't had the chance to drop enough in the North/Midlands, and their rocketing up in the SE/London.
Nor have ICU admissions. London is hugely worrying and other regions will likely follow.
And as case rates rise in those over 60yrs, so will admission to hospital and ICU (NB - younger people also still can get really sick - look at 15-44y/o ICU admissions)
Finally, the dip in deaths seems to be plateauing - both weekly data and daily data.
All the hand washing, social restrictions, and mask wearing is still reaping benefits for flu rates - there was just one admission recorded in the week and vaccination rates are highest ever and still climbing.
I hope everyone can find some time to switch off over the next couple of weeks, and a huge thank you to all those across health/public health/care/essential services that will still be looking after us.

It'll be a tough few months but there's light at the end of it all.
And taking some leave at the moment but can't help check the surveillance report, plus will probably glance at the T&T data later. Will share when/if have looked.

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More from @ADMBriggs

24 Dec
Because it's Christmas eve and there's not much else to do whilst sitting in a dark room waiting for small people to go to bed, here's a quick look at today's T&T data.

Covers 10-16th Dec.

Test times much worse, contact tracing continues to improve.🧵

gov.uk/government/pub…
Any graphs this wk are from PHE report. T&T are just providing data update.

Number of people tested up 12% to 1.99m but positive tests up 58% to 174k, incl a v large 67% increase in pillar 2 (community testing, including use of lateral flow tests in those who are asymptomatic). Image
Big drop in performance for P2 test turnaround times.
- Regional test sites, 36% of results are provided within 24hrs of taking a test, down from 63% the week before.
- For local test sites the drop is from 51% to 22%
- Mobile test sites: from 68% to 48%
Read 12 tweets
17 Dec
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:
Read 16 tweets
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

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