1) Since the summer, two Quebec age groups have observed marked shifts in their number of confirmed #COVID19 cases: children in daycares and elementary schools, as well as high school students. In this thread, I will assess what this means for the return to school on Jan. 11.
2) First, let me concentrate on the demographic that public-health officials have often talked about during the second wave: the 20-to-29 age cohort. Officials in Quebec have often attributed the rise in transmission to this age group. But is this truly correct?
3) On July 28, the 20-to-29 group represented 13.8% of cumulative #COVID19 cases. By Dec. 24, the group’s share of total cases rose to 15.4%. There is no doubt this demographic has driven community transmission, but the facts show a more dramatic shift among younger age cohorts.
4) On July 28, the 10-to-19 age group comprised 5.1% of all #COVID19 cases. But by Dec. 24, that group’s share of all cases soared to 11.2%. And in the 0-to-9 demographic, the share grew from 3.2% to 6.2%. Please see the pie chart below.
5) What explains those huge percentage increases? The answer is simple: the return to school in the fall. By the time schools closed last week for the holidays, the province had reported 4,427 active cases among students. Please see the chart below.
6) Initially, public health officials insisted that schoolchildren contracted #COVID19 in the community and not in schools. But if that’s so, why has the Education Ministry confirmed that as of Dec. 22, there were 1,165 active cases among teachers and other staff?
7) Interestingly, other age groups show virtually no or little change since the summer. For example, the 40-to-49 cohort represented 15% of all cases on July 28. By Dec. 24, its share declined to 14.9%.
8) These statistics point undeniably to the fact crowded schools — and most likely poorly ventilated ones — have turned into breeding grounds for the #coronavirus. Yet the government is still reluctant to install portable air purifiers in schools despite the pleas of experts.
9) Students will return to class on Jan. 11. The government should heed the non-partisan advice of experts and do what the English Montreal School Board has done: purchase air purifiers in classrooms without mechanical ventilation.
10) You may have noticed that this thread has not included figures on any new #COVID19 cases, hospitalizations or deaths. That’s because the Quebec Health Ministry has suspended updates for Christmas and Boxing Day. End of thread. Please stay safe and limit your social contacts.

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More from @Aaron_Derfel

28 Dec
1) Montreal on Sunday posted a record 943 #COVID19 cases in the #pandemic. That’s up from just 200 cases on Nov. 19. In this thread, I will focus on the contagiousness of the #coronavirus and whether Quebec might have the new variant discovered in the United Kingdom. Image
2) The city’s rolling seven-day average has reached nearly 39 cases per 100,000 population. But what’s also worth noting is that the whole province is now at a rate of 26.24 cases per 100,000, well above Harvard University’s threshold of 25 to impose stay-at-home orders. Image
3) In fact, Quebec has now posted eight consecutive days of #COVID19 cases above the 2,000 mark. Remember when Quebec’s chief public health officer, Dr. Horacio Arruda, said in November that he hoped the province’s daily number would drop below 1,000?
Read 10 tweets
27 Dec
1) As Quebecers await word on whether a more contagious variant of the #coronavirus is circulating in the province, it’s worth reviewing the latest provincial data on workplace outbreaks, with cases surging in the manufacturing industry as well as in retail and big box stores.
2) The number of workplace #COVID19 outbreaks in the province soared from 272 on Dec. 12 to 699 on Dec. 19 — a truly dramatic increase that underscores the contagiousness of the #coronavirus. Please see the latest chart below by the Institut national de santé publique du Québec. Image
3) What stands out is the sheer number of #COVID19 clusters in Quebec manufacturing, including in food processing as well as in factories involved in a wide range of products. A total of 1,336 workers in manufacturing contracted the #coronavirus out of 187 outbreaks. Image
Read 9 tweets
25 Dec
1) Quebec administered nearly twice the number of #COVID19 vaccines as new infections on Thursday, raising hopes that the second wave will eventually be conquered. But for now, though, cases are skyrocketing in three Montreal health districts.
2) Although cases have been surging in some parts of Montreal for days now, on Thursday three health districts posted more than 100 #COVID19 cases each for the first time in the second wave. Does this suggest this wave has still yet to peak? Please take a look at the chart below.
3) In total, Montreal counted 892 #COVID19 cases Thursday, two days after posting 893. The city’s seven-day rolling average has jumped to 36.83 infections per 100,000 residents. Experts at Harvard University have recommended a total lockdown at a rate of 25 per 100,000.
Read 10 tweets
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.
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.
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.
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

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