1) With nearly two-thirds of the Montreal region’s hospital #pandemic beds now filled with #COVI19 patients, there’s a good chance the city’s intensive-care units will reach over-capacity as early as Jan. 17, according to the latest projections by a provincial health institute.
2) “For the first time, it is likely that dedicated (bed) capacity will be exceeded within the next three weeks,” warns the Institut national d’excellence en santé et en services sociaux (INESSS). At the same time, more and more health workers are contracting #COVID19.
3) Although Quebec on Thursday posted a noticeable drop in #COVID19 hospitalizations (down by 36 to 1,175), the number of ICU stays rose by 13 to 165. What’s more, the province set a record 2,819 cases, a percentage of which will turn into hospitalizations in a week or two.
4) January is likely to prove the toughest month to date in the #pandemic for Montreal-area hospitals, which have had to postpone elective surgeries last spring and now to absorb the influx of #COVID19 patients. The shortage of personnel is also the worst it’s ever been.
5) Meanwhile, Quebec will close out 2020 with 1,645 #COVID19 outbreaks, up by 39 since Wednesday and one of the highest to date in the #pandemic. #COVID19 clusters were rising in every sector, most notably in the workplace and in health care.
6) Six critical #COVID19 outbreaks were flaring up in long-term care centres (CHSLDs), and and two in seniors’ residences (RPAs), mostly off-island, as the chart below makes clear. In the worst example, the Pavillon Beauharnois in the Montérégie reported 30 new cases in 24 hours.
7) And Montreal itself was not faring any better, with the city back to posting daily cases in the 900-range, a sign the second wave has still not plateaued. The city’s seven-day average was an alarming 41.15 #COVID19 cases per 100,000 residents. Please see the chart below.
8) At the neighborhood level, the centre of Montreal, the north end and the east end each recorded more than 200 #COVID19 infections in the past two days, according to the chart below. By comparison, on Sept. 1, the whole city posted only 22 cases.
9) Since Sept. 1, the unofficial start of the second wave, a total of 2,464 people in Quebec have lost their lives to #COVID19. On Thursday alone, the province declared 62 more deaths. The city of Montreal added 15 to a death toll of 3,862. Please review the chart below.
10) Faced with such a dire situation, it’s expected Quebec will proceed with giving as many people the first shots of the #COVID19 vaccine as possible rather than holding on to its reserve supply, counting on a steady stream of shipments to administer the booster shots later.
11) But those vaccine shipments will have to swell in size into the hundreds of thousands of doses, rather than the current 30,000 to 40,000, to adequately inoculate the Quebec population quickly. End of thread. Here's to a much better 2021! Happy New Year, everyone! Stay safe.
Addendum: I also wanted to thank the more than 20,000 people who have followed this daily thread since I wrote my first one on the #pandemic nearly 300 days ago. Your kind words, support and constructive criticism have been very much appreciated.

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More from @Aaron_Derfel

31 Dec 20
1) While Montreal reported a dip in #COVID19 cases Wednesday, the #coronavirus surged in regions outside the metropolis, underscoring the #pandemic’s cruel unpredictability. In this thread, I will review the latest trends in the city and the province.
2) What’s noteworthy is the extent to which the #pandemic is intensifying in two regions which had previously succeeded in controlling the contagion: the Eastern Townships and Abitibi-Témiscamingue. The former posted 123 cases Wednesday from 73 the day before.
3) In Abitibi, #COVID19 cases jumped from two to six, and La Presse is reporting the latest numbers are 13 to be revealed on Thursday. Public health officials are concerned people in the region may have flouted guidelines on family gatherings over the holidays.
Read 9 tweets
30 Dec 20
1) For at least the past two days, the centre of Montreal has been virtually exploding with #COVID19 cases to an extent not witnessed since the first wave. In this thread, I will try to explain what might be going on in the city.
2) First, Montreal posted a record 968 #COVID19 cases Tuesday. The city’s seven-day average inched up to 43.03 cases per 100,000 residents. That’s 18 cases higher than the 25-case threshold set by Harvard University’s public health experts to recommend total stay-at-home orders. Image
3) For the past three days, Montreal has recorded daily #COVID19 cases in the 900-range, suggesting the second wave has not yet peaked in the metropolis. Outside of the city, the #pandemic may have plateaued in some regions of the province.
Read 9 tweets
29 Dec 20
1) At the current rate Quebec is vaccinating against #COVID19, it could take up to 8,522 days to achieve collective immunity against the #coronavirus in the province. In this thread, I will explain why the vaccine rollout will be a lot more complicated than some may have hoped.
2) I am basing the above calculations on comments that Dr. Anthony Fauci, the top infectious-diseases expert in the U.S., made to the New York Times on Dec. 24, as well as an interview I conducted with Dr. Philippe De Wals, a member of the Comité sur l’immunisation du Québec.
3) Dr. Fauci had this to say: “I think the real range is somewhere between 70 to 90 per cent (of the U.S. population vaccinated). But I'm not going to say 90%." In another interview, Fauci suggested 80% to achieve herd immunity. Let’s go with that figure and apply it to Quebec.
Read 15 tweets
29 Dec 20
1) Outbreaks of #COVID19 were flaring up Monday in five seniors’ residences and one long-term care centre as the #pandemic intensified both in Montreal and across the province. In this thread, I will examine the latest developments.
2) In the most dramatic example, the Masion familiale de Coaticook in the Estrie reported 36 #COVID19 cases in the past 24 hours, as the chart below makes clear. In the next serious example, a Chartwell seniors’ residence in the Montérégie posted 28 infections since Sunday.
3) Across the province, the Quebec Health Ministry confirmed an increase of 16 #COVID19 outbreaks since Dec. 24, including 17 more in health-care institutions. What’s odd is the spike of 17 clusters in schools even though they’ve been closed for more than a week. See below.
Read 10 tweets
28 Dec 20
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.
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.
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 20
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.
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.
Read 9 tweets

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