NEW: a common response to reports of hospitals struggling this winter is "it’s no different to a bad flu season!"

I’ve tracked down historical data on flu ICU admissions, including winter 2017-18, a record high.

Here’s how England’s Covid winter compares to a bad flu season 📹
We can also address claims like "hospitals are always full in winter", or "it’s just people who were already in hospital for other reasons catching Covid on the ward"

Here are numbers of people in ICU beds (for any reason) in London hospitals, each winter

Spot the odd one out
Unless there has been a coincidental 50% rise in ICU admissions for other reasons (narrator: there hasn’t ), the only explanation for an unprecedented surge in ICU occupancy this winter is people who are there *because they caught Covid*. Image
And similarly, it cannot be true that people ill with Covid "are just the same people who would usually be admitted with flu", when the numbers of people admitted to ICU with Covid are several times larger then even a historically bad flu season. Image
This is why hospitals in London (and beyond) face a genuine risk of being totally overwhelmed in the coming weeks
Doctors & nurses do amazing, stressful work reallocating beds to squeeze Covid patients into, but a) those beds are taken away from other patients who risk losing treatment for other illness & injury, and b) when numbers get high enough, there simply aren’t any more beds or staff
Unfortunately that’s where we now are in parts of the country, and the consequences will be grim.
Sources:
• Chart 1 uses Covid data from the brilliant @PHE_uk weekly surveillance report, and compares it to data I extracted from past annual flu reports gov.uk/government/sta…
• Chart 2 uses @NHSEngland daily situation reports on critical care beds england.nhs.uk/statistics/sta…

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More from @jburnmurdoch

2 Jan
Now, some will inevitably say "but that’s just showing Covid spreading among people who were already in hospital for other reasons", but that is wrong.

Of the 17,900 new Covid cases in English hospitals since Christmas day, 15,072 were new admissions from the community, i.e 84%.
Here are hospital admissions for all UK regions (excl Wales where this data is not readily available).

Far from being only a London problem, new Covid admissions are now doubling in less than 2 weeks across 5 English regions.
And here’s what that means for Covid hospital occupancy:

Now increasing in every English region + Wales, and no longer falling in Scotland or Northern Ireland.
Read 6 tweets
2 Jan
NEW: Saturday update of latest UK Covid data

The trend in test positivity since Christmas is genuinely scary, with lines climbing almost vertically in all English regions.

On Christmas eve 17% of tests in London came back positive. Four days later that was 24% and accelerating Image
There are now 5,861 Covid patients in London’s hospitals, almost 700 more than at the worst point in April.

There has also been a clear inflection point in deaths, which have climbed to almost 100 per day (last seen in April). Image
We can also look at data not only on how many Covid patients are in hospital, but what share they make up of *all* available beds.

This makes for grim reading: Covid patients now occupy more than half of all beds in many areas (and rising fast), including 63% in North Middlesex. Image
Read 7 tweets
31 Dec 20
NEW chart thread:

The latest UK Covid data paints a dire picture, with London and much of the south now in a worse position than they were at the spring peak, and hospitals struggling to cope

18% of tests in London now come back positive, and rates are climbing everywhere.
The surge in infections is putting hospitals under immense pressure. London now has 5,524 Covid patients in hospital beds, surpassing its April peak.

There were 739 new Covid admissions or diagnoses on Monday, up 50% on the previous week. The steepness of these climbs is scary.
London’s numbers are the most grim, but the same pattern is visible across most of England, with new hospital admissions and diagnoses now doubling every ~2 weeks in several regions.
Read 7 tweets
24 Dec 20
NEW: Christmas eve update on key Covid metrics in the UK and beyond

Cases and positivity rates are still rocketing in London and surrounding areas, the regions where the new B.1.1.7 variant is known to be most prevalent.

15% of tests in London now positive.
If we group by restriction tier instead of region, we can see the justification for the additions to Tier 4 on Saturday.

Case rates and positivity in these areas were the lowest in the country a couple of weeks ago, but have since shot up, growing faster than any other areas.
Here’s the same thing in map form:

Every London borough now has case rates above 400 per 100k, and almost the whole of the south/east is a deep shade of red.

Growth rates are very high right across to the south west and down to the Isle of Wight.
Read 9 tweets
22 Dec 20
NEW: long overdue, I’ve updated our excess deaths data, expanding the list of countries to 30

We have tracked 1.5 million excess deaths so far, considerably more than the 960k attributed to Covid-19 in the same countries over same period.

Free to read: ft.com/coronavirus-la…
Here’s a summary of the different ways of tallying excess deaths:

Whatever metric you choose, Latin America has been hit extremely hard. Europe next hardest-hit, though with very different outcomes from place to place.
First, top-level patterns:

In the English-speaking world we often focus on situation in Europe & US, but large parts of Latin America have endured a brutal year.

Mexico, Ecuador & especially Peru have seen deaths soar far above expected levels. Brazil & Chile have also suffered
Read 17 tweets
19 Dec 20
NEW: quick chart showing key context for today’s news of a Tier 4 Christmas

Cases are soaring in areas set to go into T4, with rate of increase extremely worrying. Testing has increased lately too, but even if we look at positivity, the rate of increase is very steep.
Story here from @PickardJE ft.com/content/3484bb…

And we’ll have more later on what we know about the new strain
And here’s weekly change in positivity for all English local authorities:

Increasing almost everywhere, and doubling every 10 days in almost 50 local authorities.
Read 5 tweets

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