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15 Jan, 21 tweets, 7 min read
Weekly update on the #COVID19 situation in Liverpool: 15th Jan 2021

- Weekly cases possibly peak on 8th Jan at 5,419.
- Both under & over 60's rate starting to fall. 🙂
- BUT, Liverpool hospitals admissions have increased sharply, passing highest levels from 2nd wave 😩

1/19
Total weekly cases were seen to grow >3x that of previous week at end of year but weekly growth has now declined & cases are now falling.

The peak occurred 8th Jan but more importantly cases are still higher than in 2nd wave, so restrictions still necessary. 2/19
Scary rates were seen for both under & over 60 age groups at end of year but both have started to show signs of discontinued growth.

Still, rates in > 60's are very high and unfortunately lots more people will require hospital treatment. 3/19
In fact, in the last reported data up to 10th Jan admissions to Liverpool University hospitals NHS FT shot up from a 7-day average of 10 a day in mid-December to a frightening 73 people on 9th Jan.

As of 10th Jan there were 345 people in hospital and 27 on MV beds. 4/19
Pause.

On 12th Dec, 112 people (already a high number) were in hospital with this one disease. In less than a month this more than *tripled*.

And, as of recent data, is getting higher. 5/19
According to Gov & ONS figures, there have been 4,490 total admissions in Liverpool and 746 hospital deaths.

In other words, for every 20 people who walked into hospital 3 didn't walk out.

Death isn't just a problem for people in care homes. 6/19
Below is something cooked up quick but there's a point.

Cases lag hospital admissions.

Orange bars = weekly case rate in over 60's. Black = weekly hospital admissions shifted 5 days.

Although cases may have 'peaked', reported hospital admissions will continue to go up. 7/19
And the situation is already critical.

Here's a great report which puts into context what these numbers *actually* mean to those on the front-line.

8/19

Liverpool suffered a very bad 2nd wave with a fifth more people dying than expected in a normal year, driven by COVID-19 deaths.

Week ending 1st Jan there were 19 reported deaths, with 16 occurring in hospital. Subject to get higher due to bank holiday reporting lag. 9/19
Since 6th Nov, Liverpool have rolled out rapid asymptomatic lateral flow (LF) testing as well as symptomatic PCR tests.

In week ending 12th Jan there were 4,580 cases. Including 1,006 individuals (22%) identified by asymptomatic LF testing. 10/19

liverpool.gov.uk/communities-an…
A heat-map of the weekly breakdown of Liverpool cases by ward, split by type of test, can be found below:

11/19

Below is a summary of rolling weekly testing numbers and corresponding positivity for LF & PCR, since the community testing began.

PCR & LF testing positivity is high at approx 20% and 3% respectively but has recently stopped growing

12/19
If we zoom out, weekly symptomatic PCR positivity surpassed the highest point in the second wave.

13/19
Most cases in Liverpool now correspond to the new variant of concern.

The proportion of samples cases with spike gene target failure (SGTF, new variant proxy) increased from 2% in the latter half of November to 55% at the start of 2021.

14/19

According to Apple routing data, Liverpool's recent driving levels (red) have dropped -35% compared to mid-Jan 2020 and recently flattened. This is above England average.

Public transport also flat at -50%.

15/19
Zooming out, one can see that current driving levels in Liverpool are still relatively greater now than seen during the first national lockdown, according to this metric.

16/19
Sources

Case/Hospital data:
GOV ( coronavirus.data.gov.uk )
Liverpool city council: liverpool.gov.uk/communities-an…

Deaths data: ons.gov.uk/peoplepopulati…

Apple mobility trends: covid19.apple.com/mobility

16/19
Caveats:
- Hospital data released every Thursday (up to 10th Jan)
- Only for Liverpool University Hospitals NHS Foundation Trust (other Liverpool Trusts have small numbers)
- Five year Avg deaths scaled from national proportion (ONS definition)

17/19
Summary (I):

It looks like reduced mixing has paid off and cases are falling. However the current reported levels are very high and the strain on the healthcare service is nowhere near complete as more people will end up in hospital.

But...

18/19
Summary (II):

If cases continue to fall and vaccines continue to roll-out & is successful, we may not ever see it get this bad again.

Reducing non-household contacts now is as important as ever and no doubt save lives & save the healthcare service from being overwhelmed. 19/19

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More from @AdamJRuby

15 Jan
Liverpool #COVID19 Community Testing: 14th Jan 2021 update

The pilot is over but Liverpool are still rolling out lateral flow tests in some form or another. Here's the weekly breakdown from 7th Dec.

CB = Christmas Break

Data: liverpool.gov.uk/communities-an… 1/5
Weekly LFT fraction of +ves, for those areas not affected by small number suppression:

No more low numbers so can see the fractions in all areas now

33% of Wavertree's cases were identified by asymptomatic testing last week. Mean of 23% across all areas 2/5
After Liverpool was placed in Tier 2 following the 2nd National Lockdown cases started to edge up. Though, the jump in the week following Christmas towered over this..

However, currently there are small signs cases could be starting to decrease! 🤞

3/5
Read 5 tweets
13 Jan
Liverpool #COVID19 Community Testing: 13th Jan 2021 update

The pilot is over but Liverpool are still rolling out lateral flow tests in some form or another. Here's the weekly breakdown from 7th Dec.

CB = Christmas Break

Data: liverpool.gov.uk/communities-an… 1/5 Image
Weekly LFT fraction of +ves, for those areas not affected by small number suppression:

No more low numbers so can see the fractions in all areas now

35% of Central Liverpool's cases were identified by asymptomatic testing last week. Mean of 23% across all areas 2/5 Image
After Liverpool was placed in Tier 2 following the 2nd National Lockdown cases started to edge up. Though, the jump in the week following Christmas towered over this..

However, currently there are small signs cases could be starting to decrease. Still high but we'll see!🤞

3/5 Image
Read 5 tweets
12 Jan
Liverpool #COVID19 Community Testing: 12th Jan 2021 update

The pilot is over but Liverpool are still rolling out lateral flow tests in some form or another. Here's the weekly breakdown from 7th Dec.

CB = Christmas Break

Data: liverpool.gov.uk/communities-an… 1/5 Image
Weekly LFT fraction of +ves, for those areas not affected by small number suppression:

No more low numbers so can see the fractions in all areas now

37% of central Liverpool's cases were identified by asymptomatic testing last week. Mean of 23% across all areas 2/3 Image
After Liverpool was placed in Tier 2 following the 2nd National Lockdown cases started to edge up. Though, the jump in the week following Christmas towered this rise..

However, currently there are small signs cases could be starting to decrease. We'll see!

3/5 Image
Read 5 tweets
8 Jan
Weekly update on the #COVID19 situation in Liverpool: 8th Jan 2021

- Weekly cases now surpass 2nd wave's highest weekly number.
- Steep rise in both under & over 60's age groups.
- COVID patients in the Royal now on the up.

😕

1/18 Image
Total weekly cases increased at a speed never seen during the 2nd wave, growing > 3x that of previous week.

Many reasons for this. Personal opinion; Christmas mixing probably dominating the rise, egged on by already recent increase in prevalence + new variant. 2/18 Image
Scary rates are seen for both under and over 60 age groups. Slightly higher in < 60's but more in sync than seen during the student dominate start of the 2nd wave.

> 60's curve is bad because this group are more at risk of severe disease & hospitalisation 3/18 Image
Read 18 tweets

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