Adam Briggs Profile picture
24 Jan, 20 tweets, 13 min read
Better late than never.

Thursday's Test & Trace data covering 7th - 13th Jan.

⬆️people tested
⬇️cases
⬇️not enough contacts
🤷‍♂️people isolating

Summary in figure, detail in 🧵
gov.uk/government/pub…
Big jump in number of people tested. Up 14% to 2.9m (>5% of English population in a single week).
This is partly due to a 20% increase (from 435k to 521k) in number of people tested in pillar 1.

These are NHS and PHE labs - generally used for hospital patients and more complex settings, with some of the increase because there are more people in hospital and more outbreaks.
The pillar two (community testing) is more difficult to interpret. A little under 300k additional people were tested, but this includes those using rapid lateral flow devices.

The number of LFDs used has doubled since previous wk to 972k, and number PCR tests is up 100k.
Because of rapid roll out of LFDs to lots of different pop'n groups, positivity rates (the percentage of people testing positive) isn't meaningful.

PHE data to 17th Jan suggests, however, that for pillar 2 PCR tests it is beginning to drop. Note for P1, it's not falling.
In future, it would be helpful to know number of individuals testing with LFDs each week (rather than number of tests done), as well as explicitly separating out symptomatic from asymptomatic (some asymptomatic testing - for example in care homes, still uses PCR).
So this wk reports 331k cases, down 15% on last wk. But drop is all P2.

In P1, cases ⬆️11% to 52k.

P1 is those in clinical need, in hospital, plus some health & care staff - it suggests as community rates fall, there's still plenty of severe disease, with people going to hosp.
In general, time from taking a test to getting results has improved this week. But worth noting that for in-person tests the target is result w/i 24hrs & only 54% of tests achieve that.

So def room to improve but also worth noting this is based on a mind-numbing 2.1m tests.
For contact tracing, T&T handled 351,567 cases, down 9% on he week before, and reached 87% of them.

This means 305k cases were reached but 42.5k weren't.

The 87% is pretty much on a par with normal.
There's been a rise in the past couple of weeks, however, in the numbers of cases handled by PHE health protection teams (more complicated cases/outbreaks), now at 12,585 up from 5,759 just two weeks before.
A disappointing 75% of cases - 228k - provided details of contact details.
And these 228k cases identified just 614k contacts - or 2.0 contacts per case, down from 2.5 at start of Dec.

Broken down by those handled by PHE health protection teams mean is just 0.2 contacts per case (median 8), and 2.1 contacts per case for those managed by T&T (median 2)
We pick this up a bit in our @HealthFdn performance tracker this week.

I find it very hard to believe that avg contacts per case has barely budged through tiers/Christmas/lockdown.

Instead I think it has much more to do with implications of disclosure.

health.org.uk/news-and-comme…
For those handled by PHE health protection teams I find it a bit more believable - some people will be working in COVID secure environments, always in PPE etc with no contacts, and others are part of significant outbreaks (v low mean, higher median).
Percentage of contacts reached has remained very high.

570k (93%) reached, 44k not reached.
And some positive news on timeliness. Percentage of cases reached within 24hrs has gone up a bit, meaning the overall speed of the time from case transferred to contact reached has improved.
Finally, weekly reminder that these data tell us nothing about people's compliance with isolation.
It's something the majority of people are trying to do but not everybody has the £, social, or practical means available.

No-one should have to choose between isolation and keeping their job, paying bills, or being able to care for someone in need.

Fig=UCL COVID social study

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More from @ADMBriggs

21 Jan
This week's @PHE_uk COVID surveillance report's just out.
Most recent week covered is 11th-17th Jan.

Case numbers may have peaked but hospital situation remains critical & deaths continue to rise, with large regional variation.

We're not out of this yet. Please stay 💪.

🧵
For two weeks in a row there are decrease in number of cases.

It seems fairly clear that with lockdown, infection rates are declining in all regions. Importantly (compared with last week) this now includes those aged 80+.
In some regions, particularly those with high case rates in this wave, infection rates are coming down fairly quickly.

In other regions & ages, there is little shift in some age groups. For example, see age 40-60yrs in East and West Mids.

This is *despite* being under lockdown.
Read 23 tweets
14 Jan
Most recent Test and Trace data, covers 31st Dec - 6th Jan.

Mixed picture this week:
- tests, cases, contacts ⬆️
- test turnaround times still not great
- taking longer to reach cases, but contact tracing performance remains fairly strong

Detail in 🧵

gov.uk/government/pub…
Following dip over Christmas week, number of people tested this week back up to 2.58m - 2.15m people tested in pillar 2 (community, including both PCR and rapid lateral flow devices) and 0.43m in pillar 1 (hospitals, just PCR).
For week ending 6th Jan, there was a 21% increase in number of people testing positive to 388k, with similar percentage increases in both pillar 1 and pillar 2.
Read 18 tweets
14 Jan
PHE's latest COVID surveillance report now published. Covers 4th-10th Jan.

Cases rates remain astonishingly high and whilst they may be turning a corner, rates are still rising among 80yrs+.

Hospital admissions and deaths also rising fast.🧵

gov.uk/government/sta…
There is a suggestion that in terms of case rates, we may have turned a corner.

This is great news for every age group EXCEPT over 80+yrs where case rates look to be climbing as fast as ever in ALL regions (and 70-79yrs also in NW, SW, Mids).
Here's the overall regional data.

Cases still climbing in the NW+, as well as SW and West Mids. Falling elsewhere.
Read 20 tweets
7 Jan
This week's test and trace data covering 24th to 30th Dec.

Case numbers and contacts rising steeply, and whilst contact tracing remains relatively consistent, some signs that the testing system may be under strain. 🧵

gov.uk/government/pub… ImageImageImageImage
We know cases and positivity rates are going up. Today's PHE surveillance report (to 3rd Jan) puts the numbers into perspective, including the current unprecedented challenge facing acute services.

And as case numbers rose by 24% in most recent wk, the number of people getting tested fell by 30%.

Am not discussing detail of rapid lateral flow devices vs PCR tests here as not confident in the data, but PHE report PCR positivity now at over 16% for community testng (P2) ImageImageImage
Read 18 tweets
7 Jan
Latest @PHE_uk COVID surveillance rpt out, covers 28th Dec to 3rd Jan, will start to capture Christmas mixing.

It's devastating reading. Please do everything you can to comply with lockdown, and ask friends/family/your local gov if you need help.

gov.uk/government/sta…
Case numbers and PCR positivity rising steeply. Across all ages and importantly >18yrs more so than <18yr - note step change in >80yrs.
This is also no longer and issue confined to London and the SE (and some potential v early promise the that London peak may be coming soon).
Read 15 tweets
1 Jan
Most recent Test and Trace data for 17th - 23rd Dec.

Worrying fall in test performance, contact tracing remains v strong. Apologies for the fairly long NY thread 🧵

(still no T&T graphs this week)

gov.uk/government/pub…
A huge 2.4m people were tested - up 20% on the week before. And 232k people tested positive, 33% more than last week and more than double two weeks before.

Positivity up to 9.7% from 8.8% wk before (7.9% in pillar 1, 10% in pillar 2).

Figure is from @PHE_uk, to 27th December
Increasingly hard to interpret P2 test positivity trends (community testing).

Includes the rapid lateral flow devices (LFDs) and PCR tests.

LFDs increasing and now make up 10% of P2 tests (242k) but their positivity is just 1.8% (0.4% 2wks before).

P2 PCR positivity is 10.3%
Read 21 tweets

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