Adam Briggs Profile picture
28 Jan, 15 tweets, 11 min read
Latest Test & Trace data - 14-20th Jan.

-Cases and tests down (except rapid lateral flow device use increasing).
-T&T turnaround times & contact tracing either similar or improving.

TL,DR: probably not great for RTs, but good for tackling COVID.

🧵

gov.uk/government/pub…
As case rates fall, so are the numbers of people getting tested - down 5% on last week.
In pillar 2 - community testing - the number of rapid LFD tests being used continues to rise, 1.3m tests used and 12.8k people tested positive (972k tests last week with 14.3k positive).

Whereas the number of P2 PCR tests was down 17%.
Positivity not meaningful for LFD tests, but for PCR tests in pillar 2, it's falling fast. For pillar 1 (hospital/health care workers), positivity isn't falling so much.

More in this thread
As before, 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).
Really good to see test turnaround time continuing to improve.

Still a bit of a way to go to reach 80% of in-person test results within 24hrs, but getting closer.
For contact tracing, of 275,351 cases transferred to the system, 86% were reached (similar to recent weeks)

This means 38,768 cases weren't reached of which 4,577 didn't provide contact details (I still struggle with the idea that this many people don't give contact details)
Of the cases, 74% (175,508 cases) provided details of contacts.
Identifying 470,950 close contacts - 23% fewer than last week which reflects fewer cases being handled.
The number of contacts per case is the same as last week at 2.0 overall and 2.1 for cases handled by the national team.

This still feels far too low, as discussed last week.

Percentage of those contacts reached has remained fairly high at 93% (both overall, and for contacts handled by the national team).

That means 439k contacts were reached, and 32k weren't of which half didn't have contact details.
For the time taken for all this, alongside better test turnaround times, the time taken to reach contacts from when the case is transferred is also slightly better this week.

But still definitely room for improvement.
None of this tells us about willingness to get tested in the first place or compliance with isolation.

We know from surveys that these are really important issues, and they'll remain unresolved until people are confident they will get the support they need if testing positive.

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More from @ADMBriggs

28 Jan
Latest @PHE_uk COVID surveillance report now out. Covers 18th-24th Jan.

Cases have peaked, as have hospitalisations in some regions.

But hospital occupancy remains as high as ever and deaths are still rising. Please continue to take care. 🧵

gov.uk/government/sta…
Recorded case rates are falling in *all* age groups. And almost as quickly as the rose. This is a good thing.

The @ONS COVID infection survey is due to update tomorrow which will be helpful to see how closely the PHE data reflect community prevalence in the survey.
Also the % of PCR tests that are positive (positivity %) in pillar 2 is also reassuringly falling.

However, not in pillar 1 for most ages. Pillar 1 includes NHS or PHE lab tests for health care workers and those in clinical need.
Read 18 tweets
24 Jan
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.
Read 20 tweets
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

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